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PYROSPECTACULARS - 2017 (2)
City of Santa A -a - - Clerk of the Cours, rl COTC Office ~ AGREEMENT TERMINATION FORM C Please complete this form in its entirety when the attached agreement and all amendments (if any) are no longer in effect. City of Santa Ana Note: If your agreement is grant related, please ensure that all grant retention requirements have been satisfied prior to signing the termination form. i Ali j 0 2 2021 Is the agreement(s) a permanent record? Yes No Clerk of the Council Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. 66'� n-^ The agreement with f YwiG r% . No. )Pr-'Ro �-j -P� was completed on 1,3j 311 VC and final payment has been made. (List all amendments. Use space below if needed.) ,PC—ac \`1- [ r�Y -(} Department: �� Si J i�iti Y�CVL. p'--aof-1- Phone/Ext.:" Revised: 10-19-16 Signature: S A) LL , Cj-k /(�10 Date: ��� IQ \ A-2017-054 RVP NO.: 17-014 P'yro Spectaculars, laic. City of Santa Ana M, Box 2329 Program #A, liev, # 3 Rialto, CA 92377 July 04, 2017. Tel: 909-M-8120 :::: Fax: 909-355-9813 plige I of 5 dx f1j (Special) L4 t tau u.l q ��� a. , �� � Thisagreement ("Agreement") is made this —day of �6�?�+��;017 by and betwee�t Pyra Spectaculaa°s, Inc., a California z corporation, hereinafter referred to as CTYRO"), and City of Santa Ana, hereinafter referredto as ("CUEN'S"'). PYR.0 and C ENT are sametimt s re£crred to 0 as "Party" or collrotiveiy as "Parties" herein. w �• ca en a cs PYRO to provide t) CLFNT €te ftworks production �"Production"), and PYRO accepts such cn agamont CCLIEN �te " ,upon all of the prarniscs, terms and conditions hereinafter set forth. The Production shall be substruuir€liy as outlined in Program "", attached hereto and incorporated herein by this reference. 1.1 tVXti _)Libra- PYRO shall provide all pyrotechnic equipment, trained shipping, pyrotechnic products, application for speuitic pyrotechnic permits (the cost of which, including standby Pecs, shall be paid by CLIENT) minting to the Production, insurance covering the production unit the other lhinLs on its part to be perl`armed as snore specifically set forth below in this Agreement and in the Scope Of ftr€c (" 5copc Of' Work"), attached hortsto, incorporated herein by this roforetwe, and made a part of this Agrcemcnt as though set forth fully herein. 1? ;'' its�'l' t)trtie CLIGN'T stsail provide to PYRO a suitable site ("Site,,) frar the Production, security for the Site as set tbafi in Paragraph d herett', access to the Site, any permission necessary to utilize the Site for the Production, and the rattier things on its part to be performed as more specifically set Furth below in this Agreement and isi the Scope of Work. All Sile arrangements arc s0ject to PYRO's reasanable upproval as to pyrotechnic safety, suilabihty, and security. All other conditions of the Site shalt be the responsibility of CLIENT. including, but not limited to, access, use, control, parking and general safety with respect to the public, ME' HT personnel anti other contractors. 2. Tt�m>.i€rtd t'Ettc--The Production shrill takc place on 11-113 Ut 0117 at approximately 9: 0 anr, at C: etru ! fi xlonal i"art € c Cl 1 svo € ,parks lr€r1t vi y �t Ss mt€t u , ('A, Si to, 3.cq 3.1 - CL.IFN'1' agrcwa its pay PYRO it fte orS'r ltt) d USD ('11AVEN ' J5tVi1 tl€f _LjATlES ("Fee") for the Production CLIENT shall pay'to PYK0 S f� IJSD c)f ft tee plus esliniatad penitit and standby lbes, spocitfed production Casts, and other rearlatory costMspproximatod at ti0 11i3 OR art nniount to be deIrr'nalnedr for a total or, f i 4l}lE,n , as a deposit ("Depcsle') upon the c!.Xmwhal ®r alfs Agrcemwa by both parties but no later than tall 0. k2. The balance of the Fie shaft bo paid nt) later Ilaart,lu , i tlf7, C.UENT auttiorims PY' W to receive and verify credit and loinnaial information Concerning CU NT from any agencyr perso€t or crony Including but not lintitccl to credit reporting ngvncitks. The "PRICE FiRfvl" date, tlne date by which the executed Agreement Must he delivered It) f'yiro, is Net rolth ht paragraph 20. NotwfthulAnkling rally Other provWut' in this Agreement. it is understood and agreed that CULNT agrees to pay, and PYROagrees to accept as total payment for setvicus for CHf NTd the rats, fee and Chargoi indentitfa;d in CG3MPENSX171 ?i -- I Xl ll9IT I3, attached hereto and ittcorporawd ro(s) this Agfei;nnent by this mi`erunce, itt on nt€€nuil( not to esced $22.000,00 11SD (WFNTY-1-Wo THOUSAND DOLLARS) fir each P€aaiuction, over the; entire tire oftha including any relsrwal lttriod(a), 32 CLIENT skaii have the option to etc and Ellis ARNenrent ror two (2) additlosrat 1-year eatta:nsium for July G, 2013, and July 4.2019, If thts Agreutmit is extended after doe first year, {;'f.11aNT ogre" to pay PY1(t i u foe not to acecd $22,000,00 us(3 ('FWSA!'f`Y•'PWo 1140 7SAND fJ(a LLARS) for onall production. The PartiLl agree that, if inane-€uf re;:aurcct; art licit avoilablo to CUFNT for either of the additional Pwductions, CLIENT has the Option to cancel the Production upon noti�icatian to PYRO in writing at least OQ days prior to the sChodnlod date of die Production. 33 bAerMt -In the event that the Fm is not paid in a tiralk,3y manner, C.UF:NT will be responsible for the payment or I ,5% interest per month or, 18"/o anrivatly ou the unpatid bataiicr, Irlitigation arises out of this Agreement, the prevailing party shall be anti Iled to reasonable ble costs incurred in Connection with the litigation, including, but not limited to attorneys' fees, J l IE ta,jwrLge — PYRO shall pay af[ normal expenses directly related to tltc predt€ction including weight, insurance as Outlined, pyrotechnnic prodmils, pyre€cchnic Cquip€r€c ill, ciperienced pyrotechnic parsonnel to set up and discharge tree pyrrst claatfcs and those additional items as nuttitted as PYRO's mpon.cihiIuy in [lie Sea, of Work, CIA ENT4uili pay a;l cosh rotated to tile Production not supplied by PYRO including, but not limited to, those itc€m outtined as Cl..lk.NVI respensihility in this Agreement and Serlpe Of Work. 4, P, Ps�t rv_ ista - PYRO rclrrrscnts anal wiatrants that it owns all copyrights, including performance rights, to this Production, except that PYRO does not oNvu Cr,jr-N '-owncd material or third-party-onviled material that has been included in the Production, and ns to such CLIENT -owned and third-pany- owmed material, CLIENT assames full responsibility therefore. CLIENT agrees that PYRO shalt retain ownership of, and all copyrights and other rights to, the Production, except that PYRO shall not acquire or retain any owniership or other rights in or to CLIENT -owned niatcarol and third -party -owned nnuturial and shall not be €i spo€tsible it) any way for quell material. V applilimblo, r~ hfMT consents to the use OPCLttsNT-r)wnod a'naterial and represents that it has or will obtain any per€stiMsinn wont appropriate thirst pnatics sufYioiCni to to€tltori .c pot)lic exhibition orally Much material in conctootion with this Production. PYROreserves the owncr.Mhip right,, in its trade names that arc: used in Of are a product ofthe Producl€on. Any r6prnduction by sound, video or other duplication or recording process without the express wri€tea permission ofPYR0 is prohibited. 3. , s fe - PYRO and ct.f f T r shall each comply with appUanble forloratl, state and kcal laws and €egAationa And eroploy sul`aty proV-ams and mcnauces cnuaistent with rucogmitvd applicable indnsity stautiurds and practices_ At all limes bella-c and during the Produe6om, it shall he within PYR(Ys s0c discretion to determine whetlaCr or nos tiro Prnductisan nsay bo safety cbsohargCd nr cotalitaucd, tt ,lust €uu cOastiitstc a branch of this Agrcenncr,tt tsy PYftU I'or fatr:wor to 1hf) or ma function, or for PYRO to determine that the Nroductien cannot be discharged or continued ns a result or any conditions or oircoEms(ances affeeting safety beyond the reamnahle control of PYRO. 5. kSyAft -WENT llENT MlialI provide a dcquaw security personrtet, barricrades, and Po iue Depart€ncnt services as array ba accessary to preclude individuals other titan thaw uuillerixed by PYRO ront entering, all Area to be designated by PYRO as the area for the set-up and discharge of llw Production, including it railout area satistho sty (o PYRO where the pyrotechnics may satcly tisc and any debris rtiay ialWy fa[i, PYRO shall have no rtrspotasibility for otionitoring or contralhng CLU. €"s other contractors, providers or vol untoc mr the public; areas to which the ptihf is ur contractors !nave access; or any other p€silk or contractor Owirilies assneiated xvith the Production. P,) V 1.2o RFP NO,: 17.014 Pyi-o Spectaculars, Ine. Cite of Slinta Ana P.O. Box 2329 Program #A, .Rev. # 3 Rialto, CA 92377 My 04, 2017 Tel:909-355-8120 ::::Fax� 909-355-9813 Page? d5 7. Cie n - PYRO shall be responsible for the removal of all equipment provided by PYRO and clean up orally live pyrotechnic debris made necessary by pyRo. CL1J;:N'r shall he responsible for any other clean up which may be required of the Production or setup, discllar�e and fallout areas including any environmental clean-up. 8. j'_.('1.Mi{t PYRO agrees to appiy for permits for the tiring of pyrotechnics only rrorn the ORANGE COUNTY FIRE A.UT ORITY, FAA, and usCC, irrequired. CUFNT shall be responsible for any lees associated with these permits including standby fees. CLIENT shall be mspunsiblo Corobtaining ally other necessary permits, paying associated fees, and making other appropriate arrangements ror'Police: Dcpnrlments, other Fire iiepartmcnts, road closures, event/activity or land use permits or any permission or term it required by any Local, Regional, State or Federal Government. 9. JiLijilativ - PYRO shall At all times dur€lig the perfomanac of services herein ensure that tale following insurance is maintained in connection with PYRO's performance of this Agreement: (1) womnerciat general liability insurance, including products, completed operations, and contractual liability under this Agreemcnt; (2) amomobike liability insurance, (3) workers' compensation insurance and employer liability insurance. Such inSUMI1ce is to protect WENT from claims for bodily injury, including denth, personal injury, and from claims of property darnage, which may arise from PYRO's performance orthis Agreement, only. Tho types hoot Amounts of cuveratre shall be as set Potth in the Scope. of Work- Such insurance shall not include claims which arise from CLIEN-r's negligence of willful conduct or frcm failure oCCLIENT to perform its obligations under this Agreement, coverngo for which shall be provided by CLIENT. The coverugc of These policies shall be subjeetto reasonable inspection by CLIENT. Cortiticatos of Insurance evidencing the, required genoraal liahility coverage shill be furnished to 0,113NT prior to the rendering, of'ser'v'ices Iereunder and shall imiudo that 11w following are nruncd as additionally insured: CLIENT; Spo€lsors, Landowners, Charge Owners, if any; and Permitting Authorities, with respect to the operations of PYR0 at din Production. Pyrotechnic subcontractors or providers, irally, not covered under policies ofinsurance rquired hereby, shall secure, maintain and provide €heir own insurance coverage with respect to their respective operations and scrvioes. Pyro shall give wrftwn notice to CLIENT within five (5) business days ol'g€ving or receiving notice of material alteration, cancellation, non renewal or expiration of coverages from carrier. 10. Jmte:nrn ficutiu . PYRO represents and warrants that it is capable of furnishing the necessary experience, personnel, equipment, materials, providers, and expertise to produce the Production in a safe and professional manner. Notwithstanding anything in this Agreement to the contrary, PYRO shall indemnify, hold harinlcss, and defend CLFL.W and the additional insureds from and against any and all claims, actions, damages, liabilities And expenses, including but not limited to, atorney and other professional foci and exult coats, €n con€rest€on with the Inss Wire' persona# injury, and/or dainage to property, Arising from or out or the Production and the prejotitotion thereof to the extent Such are occasioned by any not Ur ollli5slon of .PYRO, their officers, ngvatS, conlraetols, providers, or employees. CLM'Wr shall irldcmnify, hold harmless, and defend PYRO from and against uny and ail clakus, actlonm, damages, li€ bi—lity ood expamec, including' but not limited to, attorney and outer protv'ssional flies and court costs in cunneolicn With the toss of life, personal injury, and/or damage to property, arising, from or out or the Produl;i!jon nod the presentation thereof to the extant such are occasioned by any actor ormission or CLJENT, i.ts olTicers, agents, contractors, providers, tar employees, Ili no event shall either party be liable For the conscgocntial €lanages of the other party. 11. Imo€ r ar 13€ s es for 5a'€Jtl€na v Isrenell - Except in the case ofbodily ilrjury and property dalnnge ns provided in the insurance and Indemnification provisions ofPar€agrapis 9 and 10, above, in the event C1,117,NT clairus that PYRO has breached this Agreement orwas atherwiso negligent in performing the Production provided for herein, CLIENT snail not N entitled to claim or reeovt:r monetary drsmages rrom PYRO beyond the amount CLIENT has paid to I'M mutter this Agrcement, and shah not he entitled to claim or recover any consequential damages from PYRID including, without limitation, damages Or loss of income, business or profits. I<. r r LV1€ 10iM - CLIENT agrees to assume the risks ofwenthcr, strike, civil unrest, terrorism, military action, govenmlental action, and any other causes beyond the control of PYRO which may prevent the Production from being safely discharged oft the scheduled date, which may oause the cancellation of any event for which CLIENT has purchased the Production, or which may affect or damage such portion of the, exhibils as must be placed and exposed a necessary time hefurc the Producdon. 1f, for any such reason, PYRO is not reasonably able to saltily discharge the Production on the scheduled date, or at the scheduted time, or should any event for which CUENT has purchased the froductit.)l be. canovtcd as a result of such causes, CLIIsNT may (1) reselieduic the Production and pay PYRO such sums as provided in Paragraph 13, or (ii) cancel lha Production and pay PYRO such sums as provided in Paragraph 14, based upon when the Production is canceled. 13. flea€hedulhtgor le ii - IrCLJENT elects to reschedule the Production, PYRO shall be paid the original Pee plus all additional eXpellses made necessary by rescheduling plus a 15!6 service fee oil slleh atiditionat expenscs. Said expenses will be invoiced Separatcly and payment will be due in lull withlll 5 days of receipt, CLMNT and PYRO shall agree upon the rescheduled date lakmg irito consideration. availability of per fits, materials, equipment, transportation and (abor, The Production shall be rescheduled for a dare notmore than 90 bays subsequent to the date first Set for the Prod Uetion. Tile ProdUCtl011 shall 1101 be resclledaded to a dale, or for an event, that histodually has involved a fireworks production. The Production shall not he rescheduled between JUAe 1501 and Jilly 15th Unless the original date eves July 41h of that samc year, or between Decernber i 5th and January l 5ti unless the origiaaf date was Decensber 3lst of ibe eadler year unfcss PYRO agrees that such rescheduling will not under, ely affect normal business operations during, those periods. W, RiLht'I'tr C arlscl — CLtLNT shall have the Option to unilaterally oancel the Production prior to the scheduled date, if CI.IE, lT exercises this uption, CLIENT agrcca to pay to PYRD, as liquidated damages, the following percentages of the Fee as set forth in Paragrapb 3.1.. 1) 50% if cancellation occurs 30 to 90 days prior to the scheduled date, 2) 754,o if cancellation occurs 15 to 29 days prior to the scheduled date, 3) 100°lo thereafter. in the event CLIENT T cancels the Production, it will be impracticat or extrernaly difficult to fix actual amount of PYRO's damages. The foregoing represents a reasonable: estimate of the dntnages PYRO will suffer irCLIEN'I' cancels the Prodoetion. 1.5, Nit.ledl[t Ve fts - It is agreed, nothing; in this Agreema€tt ai- in PYRO's perfomiar€ee of €tic Production shall be construed as forming a partnership or joint venture between GUENT and PYRO PYRO shall be and is lin hidapcndcnt contractor with CLIENT and not an employee arCI.,IENT. The Parties hereto shall be severally responsible for their own separate debts and ohlieations and neither Party, shall be held responsible, for any agreements or obligations not expressly provided for herein. 16 ,t JJc:ahl I: In -'Phis Agmeirta t and tha rights and obligations of the Panics hereunder shall be construed in accordance with the hews of California, It is fin-ther agreed that the Central Judicial vistriet oCSan Bernardino County, California, shall be proper venue for ally Such acticll. In the oventthat the scope of tilt Production is reduced by authorities havingjurisdiciion or by either Parry for safety concerns, the Full dollar amounts emtimcd in this Agreenlcnt are enforcazhle. rs V 1-20 RFP NO., 17-014 Pyro Spectaculars, Inc. P.O. Box 2329 Rialto, CA 92377 Teel: 909-355-8120 ;,:; Fax: 909-355.9813 City of Santa Ana Prouam #A., Rev, 9 3 ,July 04, 20t7 i)tn�;u.i oF5 17. IN91- Any Nolim to die Parties p nmltterd or twgttirmd trtlder Ihis Agreamtmt may ho given by maili,ig suoh Notice: in the United States Mail, prrstage prepaid, first olmss, oddmisca as rnilows: PYRO— Pyrc s1wractdars, Inc., P,LI. Wm- 2329, Ritdto. Calit"nnrilr, 92377, or fbr overnlglt(daiiVcry to 3196 N. lriaust Amme, Riatir), C'ultfwain 72377. CUE N r » w3iAlb `»1�Y slfAf 6,1�. Y�`iilflllt t Ct �1v gtlt E _ 1111tt1it 1 19. t4 r #ice,; ' : r — All minis ortfic Agreement are in writing and mat only be maditicd by written ogre meet of both Parties hereto, 13vth Parties acknowledge they have mceivcd a copy oeiaid written Agreement and agrao to he bound by said terms or writmr) Agreement only. l9.;�4r±R t's� _ if"then; is nnara Ihml ernes Ctdiihi'C', tltsty shell ho JoinECp leant severally rCsparasible ta>xcrl'ortra �'1.CrU'f's ttlallgatiuns uudot this Agcaamelit. Thig Agramiawki shall bawma diThtive after it I.s ext;Olcd grid itctavlatatr Iry et,11- r uW alter it is cxacuwd and acccptod by r'YRO at P'YRO'x olliess in Rintio, Colititrniti_ '11m Agreement may ha; axcenterl to stweral esittntsrptrcl a, inahriling Rtxcd and anridiled e0pfo, onah one orWhich sltntl he dcsttnod rin arlgirsal r3gltlnst llta Prlrty stx:;uttirlg seals, '4'itis Atgt�crltartt shalt Etc bhr{Cing ulttttn fife Ptsrtias ltcre:t+> mtit apart Iltair ttcirs, suas:r�*�xnrs, uxtctttus�, uttstrirtistrnttrrg nnt4 assigns. 70.I r��r _ ll'nny ahnnttt s or altarutittrt t trra tnada by � 1.11iht t ter this figressmunt ur CI'thia tlgr�nsntent is not ox�lltod by CtJCt�'Cmrd dciiverrerl,rs� PYRC? nn err ltetiorc lieu Pt2#t,ki i'lCtt�ri flats: ahawrt lae[ocv, tttsn tltu price. dttte, arrd ats:�nitm �i°+its; t'rtittuatian me sait,{,aGt to riviuty and aacepinncxt by i'YRC} Fr1r rt period of l5 days lhtf<xwln$ dcClvcry ltt ISYRO orthc mxe cuts d A}trurrntant. In ilia esn m at is not aucap(cd by 11M). PYRO shall ;give WENT written ttr)6x, and this Agreement shall be void. PRtCI, FIRM tfirougb Nraro 6, m7 cx2cU'ri''.a AmFc wr mus'r 8E DELIVERED TO PYRO 13Y THTS DATE. See PRICE CIPM conditions, paragraph 20, shove. CAL+CUTER asot'the date First written above; PYRO SPECFACUL.kRS, INC. tey d. setim, PiTs t:n 11 C'14/ RECOMMENDED rOR APPROVAL. JEANNIIE JURA00 ,Acting f.Xaroliye Birenh)r Parks, Rccreatlon and Community Services Agenoy SHOW PRODOCEtt: gi-eadan Me1(euney PS V 1-2e CITY OF SANTA ANA . �Nftlkll Print Name �RRIA D HU17A#� Clark ,)Fthe Coomit APPROVED AS TO 11ORN1: 9ONTA R.CARVALHO City Attorney Lisa %orok Assistant City Attorney RFP NO.: 17-014 Pyro Spectaculars, Inc. City of Santa Ana P.O. Rox 2329 Program ##A, Rev. #t 3 Rialto, Cry 92377 July 04, 2017 Tel: 909-355-8120 %:: Fax: 909-355-9813 Page 4 o1'5 SCOPE OF WORK PYRO SPECTACULARS, INC. (11P'YRO") and City of Santa Ana ("CLIENT") Pyro shall provide the following, goods and services to CLIENT: • One Pyro Spectaculars, Inc., Production on j2jy_ft4,2017, at approximately 9*00 )HI at CIM0111ti01 Rt '€!i�1etn1 1'rtrli'$OCCOr • All pyrotechnic equipment, trained pyrotechnicians, shipping, and pyrotechnic product, �► Application for specific pyrotechnic permits relating to the Production, + Musical soundtrack for the Production supplied in agreed upon format. * Insurance covering the Production as set forth in the Agreement with the following limits: lrrsuramw Rea(drovie tts I irrtfr8 C r c is ` °fit t tf O�srta Ll l i° it3° $1,000,000.00 Combined Single Limit- Each Occurrence (Bodily Injury & Property Damage) 13uKin9. ` At Liabil'ty- $5,000,000,00 Combined Single Limit- Each Occurrence weed N ties d a d l lireci.t (Bodily Injury & Property Damage) feet sett yet sat i q, Statutory � � ] 3gtaili $1,000,C00 Per Occurrence CLIENT shall provide to PYRO the Following goods and services: + All on -site labor costs, if any, not provided or performed by PYRO personnel including, but not limited to, local union requirements, all Site security, Police and Eire Dept, standby personnel, stagehands, electricians, audio and fire control monitors, carpenters, plumbers, clean-up crew. All these additional personnel and services shall be fully insured and the We responsibility of CLIENT, + Coordination and any applicable non -pyrotechnic permitting with the local, state or federal government that may hold authority within the Production. • Costs of all permits required for the presentation of the Production and the event as a whole, • Provision of a Safety Zone in accordance with applicable standards and all requirements of the authorities havingjtirisdiction throughout the entire time prat the pyrotechnics are at the Site or the load site (if different) on the date of the Production and all set-up and load -out dates, including water security to keep unauthorized people, boats, etc, from entering the Safety Zone, + A professional grade Audio System including all necessary equipment, installation of such equipment and trained audio engineers for operation based on audio and communications requirements provided by PYRO. • General Services including, but not limited to, Site and audience security, ten.cing, adequate work light, dumpster accessibility, a secure office for PYRO personnel within the venue, secure parking for PYRO vehicles, access to washrooms, tents, equipment storage, hazmat storage, electrical power, fire suppression equipment, access to worksites, necessary credentialing, etc,, will be required as necessary. PS V 1-2e PJ'P NO.. 17-0l4 Pyro Spectaculars, Inc, City of Santa Arta PD. Box 2329 Program #A, Rev. # 3 Rialto, CA 92377 July 04, 2017 Tel; 909-355-8120 Fax: 909-355-9813 Page 5 of 5 COMPENSATION EXHIBIT B COMPENSATION - CLIENT agrees to pay PYRO a fee of $20 000.0//�#e USD (`1"9 E TY TH AND DOLLARS("Fee") for the July 4, 2017 Production, CLIENT shall pay to PYRO $I�0G USD (TEN `I'E1()Q5AN1) DQL,LA,RS) of the Fee plus estimated permit and standby fees, specified production costs, and other regulatory costs approximated at $00_00 art amount to be determined, for a total of '1 000.00, as a deposit ("Deposit") upon the execution of this Agreement by both parties but no later than A r[a_ l 044, 2012. The balance of the Fee shall be paid no later than ARIM 0 , i; . QPTIQ(S TO EXTE ND - CLIENT shall have the option to extend this Agreement for two (2) additional 1-year extensions for July 4, 2019, acid July 4, 2019. If the Agreement is extended, CLIENT agrees to pay PYRO a fee not to exceed 2(10.00,1S11 t"I''WIYTYmTVVCI TIiC]SA1V.[1 I?C?.l l Alt for each Production. The Parties agree that, if financial resources are not available to CLIENT for either of the additional Productions, CLIENT has the option to cancel the Production upon notification to PYRO in writing at least 90 days prior to the scheduled date of the Production. PS V t-20 DRAYTON INSURANCE BROKERS, INC. 2500 CENTER POINT ROAD, SUITE 301 POS'P OFFICE^: BOX 94067 BIRMINGHAM, ALABAMA 35215 BIRMINGHAM, ALABAMA 3522D TELEPHONE: (205) 854-5806 FAX: (205) 854-5899 CERTIFICATE OF INSURANCE No. 713047 We certify that insurance is afforded as stated below. This Certificate does not affirmatively or negatively amend, extend or alter the coverage afforded by the insurance policy and the insuranoe afforded is subject to all the terms, exchisions and conditions of the policy. INSURER Admiral Insurance Company POLICY NO. CA000002771-31 NAMED INSURED Pyro Spectaculars, hic. Gyro Spectaculars by sutrta Pyro /;veil[$, 111c. Pyro Spectacular hrdustries, 111C� Pyro Spectaculars Productions, Inc. North American fireworks Co,, Inc, (NA1`C ) P.O. Box 2329 San Diego Fireworks Rialto, C"tilili;rnia 92377 POLICY TERM January 1.3, 2017 to January 13, 2015; Both Days 12:01 A.M. Standard 'rime COVERAGE Commercial (general Liability: Z Occurrence Basis ❑ Claims Made Basis LIMIT OF LIABILITY $5,000,000 each occurrence, S10,000,000 general aggregate, $5,000,000 products/completed operations aggregate The limit of liability shall not be increased by the inclusion of more than one insured or additional insured. INSURED OPERATIONS Public fireworks display and special effects contractor It is certified that, if named below, this policy includes as Additional Insureds 1) the sponsor(s), promoter(s), organizer(s) (including other entities having similar interests), of insured pyrotechnic events and/or 2) the owner(s) of real property (or barges) at which insured pyrotechnic events are held and/or 3) the owner(s), mmnager(s), tenant(s), mortgagec(s) (including other entities having similar interests), of buildings, stadiums, arenas and similar facilities at which insured pyrotechnic events are held and/or 4) flies licensing or permitting; authority, or other authority having ,jurisdiction, issuing licenses/permits for insured pyrotechnic events and/or 5) any other entity for which flit insurance is required to be aiTorded under written contract. Coverage applies only as respects the legal liability of such Additional htsttred(s) for bodily injury and property damage caused by the operations of the Named insured. The insurance afforded any Additional Insured does not include coverage for any bodily injury or property damage arising from the failure of such Additional Insured to fulfill its obligations specified in its contract with the Named Iclsnred, 1NANilik & ADDRESS OF INSURED SPONSORS, PROPERTY OWNERS, LICENSORS City of Santa Ana, It's Officers, Employees, Agents, Volunteers and Representatives 20 Civic Center Plaza Santa Ana, CA 92701 ADDITIONAL INSURE D(S): City of Santa Ana, County of Orange, Orange County Fire Authority and their officers, agents and employees when acting in their official capacity as such, 'l"he coverage afforded the additional insureds as set forth in this certificate shall be primaryand non-contribT, ry with respect to any insurance carried by such additional insureds. DISPLAY LOCATION DISPLAY DATE(S) �°�®� C Centennial Regiional Parr Soccer Field July 4, 2017 j Santa Ana, CA � `��� ����- ( C; It is certified that this policy squires a 30 day mutual notice of cancellation between the Insurer and the Named t•cd. In t ent of such cancellation we will endeavor to mail 10 days wr uteri notice to the Additional Insured(s), whose name and address is shown hereon. bug failure to snail such notice shall impose no obligation or habilh), orany kind upon the insurer and/or the undersigned, DRAYTON INSURANCE BROKERS, INC. w March .13 2017 _ DATE. OF ISSUE r ?IR�IINGJ!�,R. I'RO SIIP-3= Policy Number: CA000002771-31 CG 20 26 07 04 Endorsement No.115 Effective Date: March 13, 2017 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 1 t *M"1101 VAN N [IN This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf, A. In the performance of your ongoing operations; or H. In connection with your premises owned by or rented to you. CG 20 26 07 04 © ISO Properties, Inc., 2004 Page I of 1 13 Policy Numbur: C",AO 0 O 0 0 2 7 7 1 - 31 Effective Date: 01 / 13 / 2 017 THIS ENDO&S.ERENT CHANGES THE POLICY, PLEASE READ IT CARE, FULLY. BLANKET, ADDITIONAL INSURED 9 This endorsement moth .Vies itisuranoe provides[ under the following: COMMERCIAL GFNPRAL LIA IL ITY COVERAGE FORM COMMERCIAL :PROPERTY COVERAGE FORM PROFESSIONAL LIABILITY COVEkAOE FORM It .is hereby declared and agreed that the following entities are included as Add itionaI Insured(s) hereunder: 1) sponsox(s), pxmmoter(s)., organizer(s) (including other entities having similar interests), of insured pyrotechnic events. 2) Owner(s) of real property (or barges) at which insures[ pyrotechnic events are held, 3) Owner•(s), mana,ger(s), tenant(s), mortgagee(s) (including other eaaiities having Simi lar .in tcrests), of buildings, stadiums, arenas and similar facilities at which insured pyrotechnic ovent,g axe held. 4) The licensing or permitting authority, or other authority having jurisdiction, issuing li cense4/pemiits for insiLmd pyrotechnic events. 5) Any other entity fo.r which the Named Insured is contractually obligated to provide h sur- mcc , stwh as is afforded by the terms of this policy. but only if such entities tiro .listed as additional insumd(s) in a oertificatc of insurairce issued under the term,9 of this endorser ent and always subject to the limitations or conditions set out in such cert.i fMAO of instu a MP— Thc coverage tif:'£oi,dQd such AdclitiottaaI lrisui-ecf(s) does not apply to injury or- dainage arising from the failure of: any suech Addit.ionatlnsUred to futl.flll its obligations specifier) in its contractwitlr the Named Insured. AT 08 76 02 03 PA00. I of 1 0 Policy Ntunber: CA 0 0 0 0 2 7 71 - 31 AY 08 76 0103 Effe-ctivo hale: 01 / 13 / 2 01 `7 THIS ENDORSEMENT CHANGES `iCTI >r POLICY, (PLEASE REA AD 1'r CAREFULLY. COV.ERACAE AMENDMENT-PIMMARY This e.ndorsernent 1nodities insurance provided undorr the following: COMMERCIAL GENERAL LIABILITY COVERAGE FOnI COMMERCIALPROPFWI'Y COVERAGE FORM PROFESSIONAL LIABILITY COVERAGE FORM: It is hereby declared and agreed that, if so stated in a certificate of insurance, the coverage afforded aay entity included as an Additional Insured under the terms of this policy shall 1) Be primary and non-cnntributo>y wiilz any policy of insurance (or self-insurance) issued directly to the Additional Insured, 2) Provide a waiver of subrogation in favor of such Additional Insured, Al 08 76 02 03 Pale 1 of r �l POLICYHOLDER COPY SP ISSUE DATE: 03-13-2017 CITY OF SANTA ANA 20 CIVIC CENTER PLi SANTA ANA CA 92701-4038 P.Q. BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS` COMPENSATION INSURANCE SP GROUP: POLICY NUMBER: 0803749-2010 CERTIFICATE ID: Isis CERTIFICATE EXPIRES: 10-14-2017 10-14-2016/10-14-2017 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. r Authorized Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #2085 (ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10-14-2002 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER PYRO SPECTACULARS, INC. PO BOX 2329 RIALTO CA 92377 [P13,5DI (REV3-20141 PRINTED : 03-13-2017 CERTIFICATE OF LIABILITY INSURANCE �,DATE('"O D'YYM THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the PRODUCER 3ritton Gallagher )ne Cleveland Center, Floor 30 375 East 9th Street 'leveland OH 44114 INSURED Pyro Spectaculars Inc. San Diego Fireworks P. 0, Box 2329 Rialto CA 92377 GUVERAII CERTIFICATE NUMBER; 1979069823 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED Tq-TRViK UREID NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ILTRI NSR TYPE OF INSURANCE I � g POLICY NOMBER PMIAOYEYY ff�Mff)� P �LIMITS � GENERAL LIABILITY € I EACH OCCURRENCE I $ COMMERCIAL GENERAL LtASIUIY J ,��"q"�E�Bj<... I i � $ CLAIMS -MADE OCCUR I MED EXP (And one.persnn� i 3_ PERSONAL & AUV INJURY _ I GENERAL AGGREGATE i �GEN'L AGGREGATEPLIIMIT APPLIES PER: I PRODUCTS • COMPIOP AGG $ 1 POLICY r LOG I ( $ A AUTOMOBILE LIABILITY SIBCA00031-171 1/13/2017 i 1l13I201$ $1 QDD D00_ _..Lj2en1�...........<...._......_...w _..._ ix ANY AUTO BODILY INJURY (Per person) �$ ALL OWNED i j SCHEDULED # ° BODILY INJURY (Per aeeidentj $ I° AUTOS AUTOS �..w-..� X X €' NON -OWNED 1 RgPERTYDAMAGI HIRED AUTOS AUTOS B i UMBRELLALIAa X OCCUR 'EXC6D17995 I1113/2017 11113/2013 EACH OCCURRENCE _ $4,000,000 X EXCESS LIAR CLAIMS -MADE AGGREGATE $4,D00,OD0 1�ED ! RETENTION $ F $ WORKERS COMPENSATION WC STATU- [ C]TN- ANO EMPLOYERS' LIABILITY YIN; ANY PROPRIETORJRARTNERIE:XECUTIVE ;NIA E.L. EACH ACCIDENT 1 $ _ OFFICERWFMREREXCLUDED?--------- (Mandatory In In NH) I L, DiSEASF - A EMPLOYE $ If yyes, describe under �..._ fSEA MP _ DESCRIPTION OF OPERATIONS below ( E.L. DISEASE - POLICY LIMIT $ I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additlanal Remarks Schedule, It more space Is required) CERTIFICATE HOLDER � CANCELLATION � SHOULD ANY OF THE ABOV SCRIBE S BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, IN TICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana CA 92703 AUTHORIZED REPRESENTATIVE 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD DRAYTON INSURANCE BROKERS, INC. 2500 CENTER POINT ROAD, SUITE 301 POST OFFICE BOX 94067 BIRMINGHAM, ALABAMA 35215 BIRMINGHAM, ALABAMA 35220 TELEPHONE: (205) 854-5806 FAX: (205) 854-5899 CERTIFICATE OF INSURANCE NO. 902028 We certify that insurance is afforded as slated below. This Certificate does not affirmatively or negatively amend, extend or alter the coverage afforded by the insurance policy and the insurance afforded is subject to all the reins, exclusions and conditions of the policy. INSURER Admiral Insurance Company POLICY NO. CA000002771-33 NAMED INSURED Pyro Spectaculars, Inc. Pym Spectaculars by Souza Pyw Events, Inc. Pyro Spectacular lndusu'ies, Inc. Pyro SPeCiaculmS Pmductiorrs, Inc, North American Fireworks Co., Inc. (NAFCO) P.O. Box 2329 San Diego Fireworks Rialto, California 92377 POLICY TERM January 13, 2019 to January 13, 2020; Both Days 12:01 A.M. Standard Time COVERAGE Commercial General Liability: ® Occurrence Basis ❑ Claims Made Basis LIMIT OF LIABILITY $5,000,000 each occurrence, $10,000,000 general aggregate, $5,000,000 products/co npleted operations aggregate The limit of liability shall not be increased by the inclusion of more than one insured or additional insured. INSURED OPERATIONS Public fireworks display and special effects contractor It is certified that, if named below, this policy includes as Additional Insureds 1) the sponsor(s), promoter(s), organizer(s) (including other entities having similar interests), of insured pyrotechnic events and/or 2) the owner(s) of real property (or barges) at which insured pyrotechnic events are held and/or 3) the owner(s), manager(s), tcnant(s), mortgagee(s) (including other entities having similar interests), of buildings, stadiums, arenas and similar facilities at which insured pyrotechnic events are held and/or 4) the licensing or permitting authority, or other authority having jtn indiction, issuing licenses/permits For insured pyrotechnic events and/or 5) any other entity for which the insurance is required to be afforded underwritten contract. Coverage applies only as respects the legal liability of such .Additional Insured(s) for bodily injury and property damage caused by the operations ofthe Named Insured. The insurance afforded any Additional Insured does not include coverage for any bodily injury or property damage arising from the failure of such Additional Insured to fulfill its obligations specified in its contract with the Named Insured. NAME & ADDRESS OF INSURED SPONSORS, PROPERTY OWNERS, LICENSORS City of Santa Ana, its Officers, Employees, Agents, Volunteers and Representatives 20 Civic Center Plaza Santa Ana, CA 92701 ADDITIONAL INSURED(S) City of Santa Ana, County of Orange, Orange County Fire Authority and their officers, agents, employees and volunteers when acting in their official capacity as such. The coverage afforded the additional insureds as set forth in this certificate shall be primary and non- QSt{�1 contributory with respect to any insurance carried by such additional insurds. kapl�" ,1e6 by' Orypil-�5 DISPLAY LOCATION DISPLAY DATE(S) . \I Centennial Regional Park Soccer Field July 4, 2019 C� Santa Ana, CA Gue�asr 5M�a P�Pd It is certified that this policy requires a 30 day mutual notice of cancellation between the Insurer and the N e Insuredvent of such cancellation we will endeavor to mail 10 days written notice to the Additional Insured(s), whose name and address is sit hereon, but failure to snail such notice shall impose no obligation or liability of any kind upon the insurer and/or the undersigned. DRAYTON INSURANCE: BROKERS, INC. _Eanuary 2�t�2019. _ _ __ DATE OF ISSUF....STRPRE:SIDF" — CALIFORNIA LIC'F.NSF N(. :\I8664 %. O CERTIFICATE OF LIABILITY INSURANCE OATS019 V ) 1nanDls THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ICONTACT One Cleveland Center, Floor 30 tus:nR.E%D:2ib-658J100 1375 East 91h Street EMAIL ADOR€ss;_ Cleveland OH 44114 _ INSURERS) AFFORDING COVERAGE i NAICN INSURED INSURERA:Maxum Indemnity Company_ .._ 26743 _.. _. INSURER_B:EVerest NatlOnal IDsurance. Company -....... ._ 10120 Pyro Spectaculars Inc INSURER C: San Diego Fireworks --- P. O. Box 2329 - NS-URERD __—. Rialto CA 92377 _INSURER E o INSURER F' COVERAGES CERTIFICATE NUMBER: RQi sRszl9 RFVIRUDIU MIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TFRM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR _— AODLlilen, - "- POLICY EFF POLICY E%P _ LT. TYPE OF INSURANCERISE POLICY NUMBER MMIOOM'W MMIDDIYTYY t LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITYTORENT€D I DAMAG PFiEMI$E$ l�q 9ESu 14 cgj _ S _j CLAIMS -MADE OCCUR I MED EXP(A yonev a n) 5 _. _. PERSONAL B ADV INJURY s AGGIR fE IGENERAL GEN'L AGGREGATE LIMI' APPLIES PER: PRODUCTS - COMP OP AGo POLICY i PRO-JECT i LUC I j S B AUTOMOBILE LIABILITY SIBCA00031-181 1/13l2019 ' 1/1312020 O t (E codgml i 81.000.00C X�ANY AUTO BODILY INJURY IP person) ALL OWNED IEDHFOULED AUTOS ; ._1 AUTOS 0001LY INJURY (P tlen0 I S X HIRED AUTOS 'X ! NON -OWNED nuTos r ! PNOPUaY DAMAuE owdoell _ Ij e A UMBRELLA LIAR 1IX IOCCUR EXC6017995 11113/2020 EACH OCCURRENCE s4,D00000 �X EXCESS LIAR {_ GLUMSMADE (1/13/2019 _ W .gGGREGATE. S4,0000 I I DEO R[TENTIONS S WORKERS COMPENSATION I! WC STATE. LOIN AND EMPLOYERS' LIABILITY YIN ! �TORY_LIMITS l I ER _- ANYPROPRIETORIPARTNERIFXEGUTIVE EL EACH ACCIDENTIA! S OFFICFRIMFeWt R E%CLUOED7 ❑ N _ f (Magdalory In NH) I EL. DISEASE-FAFMPLOYEE:S If yes geicr0 ndar DFSCRIPTON OF OPERATIONS below I EI DISEASE -POLICY LIMITI$ I I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Allac4 ACORD 101, Additional Remarks Schedule, if more space is required) Certificate Holder is Named as an additional insured. •� � �e�`e�ed`cy �s City of Santa Ana 20 Civic Center Plaza Santa Ana CA 92701 SHOULD ANY OF THE ABO%FwBI THE EXPIRATION DATE- THER ACCORDANCE WITH THE POLICY AUTHORIZED REPRESENTATIVE C'_''Jl:�� % V © 1988-2010 ACOF ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD CANCELLED BEFORE BE DELIVERED IN All rinhfc r<con.md Policy Number: CA000002771-33 CG 20 26 07 04 Endorsement No.107 Effective Date: January 24, 2019 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) City of Santa Ana, its officers, agents, employees and volunteers as additional insured. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section Il —Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or (lie acts or omissions of those acting on your behalf, A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 C, ISO Properties, Inc., 2004 Page 1 of 1 0 Policy Number.CA000002771-33 Al 08 76 02 03 Effective Date:0111312019 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL, PROPERTY COVERAGE FORM PROFESSIONAL LIABILITY COVERAGE FORM It is hereby declared and agreed that the following entities are included as Additional Insured(s) hereunder: 1) Sponsor(s),promoter(s),organizer(s)(including other entities having similar interests). of insured pyrotechnic events. 2) Owner(s) of real property (or barges) at which insured pyrotechnic events are held. 3) Owner(s), manager(s), tenant(s),mortgagee(s)(including Other entities having similar in terests), of buildings, stadiums, arenas and similar facilities at which insured pyrotechnic events are held. 4) The licensing or permitting authority, or other authority havingjurisdiction, issuing li censeslpermits for insured pyrotechnic events. 5) Any other entity for which the Named Insured is contractually obligated to provide insur- ance such as is afforded by the terms of this policy. but only if such entities are listed as additional insureds) in a certificate of insurance issued underthe terms of this endorsementand always subject to the limitations or conditions set out in such certificate of insurance. The coverage afforded such Additional Insured(s) does not apply to injury or damage arising from the failure of any such Additional Insured to fulfill its obligations specified in its contract with the Named Insured. �e\e�ed�Y, J��lQ �s S��`�\a GuP�m�� �GS� P Al 08 76 02 03 Page oft 0 Policy Number.CA000002771-33 All 08 76 02 03 Effective Date:01113/2019 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARLYULLY. COVERAGE AMENDMENT -PRIMARY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL PROPERTY COVERAGE FORM PROFESSIONAL LIABILITY COVERAGE FORM It is hereby declared and agreed that, if so stated in a certificate of insurance, the coverage afforded any entity included as an Additional Insured under the terms of this policy shall I) Be primary and non-contributory with any policy of insurance (or self-insurance) issued directly to the Additional Insured. 2) Provide a waiver of subrogation in favor of such Additional Insured. PEGS AI 08 76 02 03 Page 1 of 1 0 POLICYHOLDER COPY P.O. BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 01-24-2019 GROUP; POLICY NUMBER: 0803749-2018 CERTIFICATE 10: 1833 CERTIFICATE EXPIRES: 10-14-2019 10-14-2018/10-14-2019 CITY OF SANTA ANA SIP 20 CIVIC CENTER PLZ SANTA ANA CA 92701-4058 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded bbythe pp/yollii���c///y described herein is subject to all the terms, /exclusions,, and conditions, of such policy. Authorized Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT N0015 ENTITLED ADDITIONAL INSURED EMPLOYER EFFECTIVE 2019-01-24 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. NAME OF ADDITIONAL INSURED: CITY OF SANTA ANA ^— ENDORSEMENT N2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10-14-2002 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. I EMPLOYER PYRO SPECTACULARS, INC. PO BOX 2329 RIALTO CA 92377 QRG SP TP13,SD1 IREV.7-2014) PRINTED : 01-24-2019 SIP