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HomeMy WebLinkAboutPYRO SPECTACULARS, INC. (9)Pyro Spectaculars, Inc. P.O. Box 2329 Rialto, CA 92377 Tel: 909-355-8120 :::: Fax (PRaAa (1) INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES 412 � zozc CITY CLERK MAR O POPS 909-35P-kJi13 N-2025-054 City of Santa Ana Program A, Revision # 6 July 4, 2025 Page I of �rnen;� a Leow) vvS PRODUCTION AGREEMENT ,[(Special) This agreement ("Agreement') is made this W[, day of 1 \Pwv� , 2025 by and between Pyro Spectaculars, Inc., a California corporation, hereinafter referred to as ("PYRO"), and the City of Santa Ana, hereinafter referred to as ("CLIENT"). PYRO and CLIENT are sometimes referred to as "Party" or collectively as "Parties" herein. I. Eneneement - CLIENT hereby engages PYRO to provide to CLIENT one firework production ("Production"), and PYRO accepts such engagement upon all of the promises, terms and conditions hereinafter set forth. The Production shall be substantially as outlined in Program "A", attached hereto and incorporated herein by this reference. 1.1 PYRO Dulies—PYRO shall provide all pyrotechnic equipment, trained pyrotechnlcims, shipping, pyrotechnic products, application for specific pyrotechnic permits (the cost of which, including standby fees, shall be paid by CLIENT') relating to (lie Production, insurance covering the Production and the other things on its part to be performed, including preproduction services, all as more specifically set forth below in this Agreement and in the Scope of Work ("Scope of Work"), attached hereto, incorporated herein by this reference, and made a part of this Agreement as though set forth fully herein. 1.2 CLIENT Dnlirs—CLIENT shall provide to PYRO a suitable site ("Site") for the Production, security for the Site asset forth in Paragraph 6 hereof, access to the Site, any permission necessary to utilize the Site for the Production, and the other things on its part to be performed m more specifically set forth below in this Agreement and in the Scope of Work. All Site arrangements are subject to PYRO's reasonable approval as to pyrotechnic safety, suitability, and security. All other conditions of the Site shall be the responsibility, of CLIENT, including, but not limited to, access, use, control, parking and general safety with respect to the public, CLIENT personnel and other contractors. 2. Time and Place —The Production shall take place on.luly 4. 2025, at approximately 11:40 P:\I. at Centennial Regional Park Soccer Field, west of the nark, Fairview St., Santa Ana CA, Site. 3. Fees. Interest. and Exnenses- 3.1 Fee —CLIENT agrees to pay PYRO a fee of$31650.00 LSD ('fit IR"IN -ONE THOUSAND SIX II UNDR ED 171MV DOLLARS) ("Fee") for the Production. CLIENT shall pay to PYRO an initial payment ("Initial Payment") equal to 50 %of the Production Fee of $l5.825.00 USD (FIF EEC TIIOUSAND EIGI IT I[UNDRED T\VENTY-FIVE DOLIA RSI plus estimated permit and standby fees, and other regulatory costs approximated at $00.00 OR nit amount to be determined, for a total of S15.x25.00, upon the execution of this Agreement by both parties but no later than March 7. 2025. The Initial Payment is a partial payment toward the preproduction services and costs set forth in the Scope of Work ("Preproduction Services and Costs".) The balance of the Fee shall be paid no later than July 7. 2025. CLIENT authorizes PYRO to receive and verify credit and financial information concerning CLIENT from any agency, person or entity including but not limited to credit reporting agencies. The "PRICE FIRM" date, the date by which the executed Agreement must he delivered to Pyro, is set forth in paragraph 20. 3.2 Interest - In the event that the Fee is not paid in a timely manner, CLIENT will be responsible for the payment of 1.5% interest per month or 15%annually on the unpaid balance. If litigation arises out of this Agreement, the prevailing party shall be entitled to reasonable costs incurred in connection with the litigation, including, but not limited to attorneys' fees. 3.3 Expenses —PYRO shall pay all normal expenses directly related to the Production including freight, insurance as outlined, pyrotechnic products, pyrotechnic equipment, experienced pyrotechnic personnel to set up and discharge the pyrotechnics and those additional items as outlined as PYRO's responsibility in the Scope of Work. CLIENT shall pay all costs related to the Production not supplied by PYRO including, but not limited to, those items outlined as CLIENT's responsibility in this Agreement and Scope of Work. 4. Pronrietnry Riehls- PYRO represents and warrants that it owns all copyrights, including performance rights, to this Production, except that PYRO does not own CLIENT -owned material or third -party -owned material that has been included in the Production, and as to such CLIENT -owned and third -party - owned material, CLIENT assumes full responsibility therefore. CLIENT agrees that PYRO shall retain ownership of, and all copyrights and other rights to, the Production, except that PYRO shall not acquire or retain any ownership or other rights in or to CLIENT -owned material and third -party -owned material and shall not be responsible in any way for such material, Itapplicable, CLIENT consents to the use of CLIENT-owmed material and represents that it has or will obtain any permission from appropriate third parties sufficient to authorize public exhibition of any such material in correction with this Production. PYRO reserves the ownership rights in is trade names that arc used in or am a product of the Production. Any reproduction by sound, video or other duplication or recording process without the express written permission of PYRO is prohibited. 5. Safe - PYRO and CLIENT shall each comply with applicable federal, state and local laws and regulations and employ safety programs and measures consistent with recognized applicable industry standards and practices. At all times before and during the Production, it shall be within PYRO's sole discretion to determine whether or not the Production may be safely discharged or continued. It shall not constitute a breach of this Agreement by PYRO for fireworks to fail or malfunction, or for PYRO to determine that the Production cannot be discharged or continued as a result of any conditions or circumstances affectingsafety beyond the reasonable control of PYRO, E Security - CLIENT shall provide adequate security personnel, barricades, and Police Department services as may be necessary to preclude individuals other than those authorized by PYRO from entering an area to be designated by PYRO as the area for the set-up and discharge of the Production, including a fallout area satisfactory to PYRO where the pyrotechnics may safely rise and any debris may safely fall. PYRO shall have no responsibility for monitoring or controlling CLIENT's other contractors, providers or volunteers; the public; areas to which the public or contractors have access; or any other public or contractor facilities associated with the Production. 7. Cle nu - PYRO shall be responsible for the removal of all equipment provided by PYRO and clean up of any live pyrotechnic debris made necessary by PYRO. CLIENT shall be responsible for any other clean up which may be required of the Production or set-up, discharge and fallout areas including any environmental clean-up. PSI V-2021-2 Pyro Spectaculars, Inc. P.O. Box 2329 Rialto, CA 92377 Tel: 909-355-8120 r:: Fax: 909-355-9813 City of Santa Ana Program A, Revision # 6 July 4, 2025 Page 2 of 4 8. j erigH - PYRO agrees to apply for permits for the firing of pyrotechnics only from the ORANGE COUNTY FIRE AUTHORITY, FAA, and USCG, if required. CLIENT shall be responsible for any fees associated with these permits including standby fees. CLIENT shall be responsible for obtaining any other necessary permits, paying associated fees, and malting other appropriate arrangements for Police Departments, other Fire Departments, road closures, evenVactivity or land use permits or any permission or permit required by any Local, Regional, State or Federal Government, 9. insurance - PYRO shall atoll times during the performance of services herein ensure that the following insurance is maintained in connection with PYRO's performance of this Agreement: (1) commercial general liability insurance, Including products, completed operations, and contractual liability under this Agreement with minimum policy limit of ulJ0,0p0 per occurrence and 4,000,000 aggregate; (2) automobile liability insurance with combined single limits no less than 1,000,000; (3) workers' compensation insurance per statue said employer liability insurance with limits no less than 1,000,000 per occurrence or claim and 2,000,000 aggregate. Such insurance is to protect CLIENT from claims for bodily injury, including death, personal injury, and from claims of property damage, which may arise from PYRO's performance of this Agreement, only. The types and amounts of coverage shall be as set forth in the Scope of Work. Such insurance shall not include claims which arise from CLIENT's negligence or willful conduct or from failure of CLIENT to porrorm its obligations under this Agreement, coverage for which shall be provided by CLIENT. The coverage of these policies shall be subject to reasonable inspection by CLIENT, Certificates of Insurance evidencing the required coverage shall be famished to CLIENT prior to the rendering of services hereunder and shall include that the following are named as additionally insured; CLIENT, its City Council, officials, officers, employees, aganls and volunteer, Sponsors, Landowners, Barge Owners, i f any; and Permitting Authorities, with respect to the operations of PYRO at the Production. Pyrotechnic subcontractors or providers, if any, not covered under policies of insurawe required homily, shall secure, maintain and provide their own insurance coverage with respect to their respective operations and services, in compliance with the requirements under this Agreement 10. Inde y,nihaatioii - 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 Indemnity, hold harmless, and defend CLIENT and the additional insureds from and against any and all claims, actions, damages, liabilities and expenses, including but not limited to, attorney and other professional fees and court costs, in connection with the loss of life, personal injury, and/or damage to property, arising from or out of tile Produclinn and the presentation thereof to the extent such are occasioned by any act or emission or PYRO, their ofliecrs, agems; contractors, providers, or employees, CLIENT shall liidenildry, hold harmless, and defgrtd PYRO from and against any and all claims, actions, damages, liability and expenses, including but not limhod it), attorney and other professional fees and court costs in connection with the loss of life, personal Injury,.orultor damage to property, arising from or out of tine Production and the presentation thereof to the extent such are occasioned by any act or omission of CLIENT, its officers, agents, contractors, providers, or employees. In no event shall either party be liable for the consequential damages of the other party. IL I i ni ram of D sforOrifliday Breach - Except in the case of bodily injury and property damage as provided in the insurnnceand indemnification provisions of Paragraphs 9 and 10, above, In the event CLIENT claims that PYRO has breached this Agreement or was otherwise negligent in performing the Production provided for herein, CLIENT shall not be entitled to claim or recover monetary damages from PYRO beyond the amount CLIENT has paid to PYRO under this Agreement, and shall not be entitled to claim or recover any consequential damages from PYRO including, without limitation, damages for loss of income, business or profits. 12. Fnree iyla lame -CLIENT agrees to assume the risks of weather, strike, civil unrest, terrorism, military action, governmental action, and any other causes beyond the control of PYRO which may prevent the Production from being safely discharged on the scheduled date, which may cause the cancellation of any event forwhich CLIENT has purchased tho Production, or which may effector damage such portion ofthe exhibits as must be placod and exposed a necessary time before the Production. If, for any such reason, PYRO is not reasonably able to safely discharge the Production o0 the scheduled date, or at the scheduled time, or should any event for which CLIENT has purchased the Production be canceled as a result of such causes, CLIENT may (i) reschedule the Production and pay PYRO such sums as provided in Paragraph 13, or (ii) cancel the Production said pay PYRO such sums as provided in Paragraph 14, based upon when the Production is canceled. - 13. Rescheduling, Of Event - If CLIENT elects to reschedule the Production, PYRO shall be paid the original Pee plus all additional expenses made necessary by m5eleduling pus a 15%service No on such additional expenses. Said expenses will be invoiced separately and payment will be due in full within 5 days of receipt. CLIENT and PYRO shall agree upon the rescheduled dote taking into consideration avaiinbil try of permits, mnrerinls, equipmerd, transportation and labor. The Production shaft be rescheduled for a date notmore than 90 bays subsequent to the date first set for the Production. The Production shall not be rescheduled to it data, or for anevent, that historically has involved a fireworks production. The Production shalt not be rescheduled botween June I Stir and July 15th unless the original date was July 4th of that same year, or between December 15th and January 15th unless the original date was December 31st of the earlier year unless PYRO agrees that such rescheduling will not adversely affect normal business operations during those periods. 14. Rieht To Cmtcel —CLIENT shall have the option to unilaterally cancel the Production prior to the scheduled date, If CLIENT exercises this option, CLIENT agrees to pay to PYRO, as liquidated damages, the following percentages of the Fee as set forth in Paragraph 3.1. 1) 50%if cancellation occurs 30 or more days prior to the scheduled dale, 2) 75% ifc:meollation occurs 15 to 29 days prior to the scheduled date, 3) 100%themaher. In the event CLIENT cancels the Production, it will be impractical or extremely dilticult to fix actual amount of PYRO's damages. The foregoing represents a reasonable estimate of the damages PYRO will suffer if CLIENT cancels the Production, 15. No Jnlnl Venture -It is agreed, nothing in this Agreement or in PYRO's performance of the Production shall be construed as forming a partnership or joint venture between CLIENT and PYRO. PYRO shall be and is an independent contractor with CLIENT and not an employee of CLIENT, The Parties hereto shall be severally responsible for their own separate debts and obligations and neither Party shall be held responsible for any agreements or obligations not expressly provided for herein. 16. Applicable Law -This Agreement and the rights and obligations of the Parties hereunder shall be construed in accordance with the laws of California. It is further agreed that the Central Judicial District of San Bernardino County, California, shall be proper venue for any such action. In the event that the scope of the Production is reduced by authorities having jurisdiction or by either Parry for safety concerns, the fill dollar amounts outlined in this Agreement are enforceable. 17. Notices- Any Notice to the Parties permitted or required under this Agreement maybe given by mailing such Notice in the United States Mail, postage prepaid, first class, addressed as follows: PYRO— Pyro Spectaculars, Inc., PA, Box 2329, Rialto, California, 92377, or for overnight delivery to 3196 N. Locust Avenue, Rialto, California 92377. CLIENT— (,'try nl'Santa Aug 20 Chyle Center PlazaSanta Ann CA 927701, PSI V-2021.2 Pyro Spectaculars, Inc. P.O. Box 2329 Rialto, CA 92377 Tel: 909-355-8120 :::: Fax: 909-355-9813 City of Santa Ana Program A, Revision # 6 July 4,2025 Page 3 of 4 18. Modification of Terms —All terms of the Agreement are in writing and may only be modified by written agreement of bath Parties hereto. Both Parties acknowledge they have received a copy of said written Agreement and agree to be bound by said terms of written Agreement only. 19. Severabifi —If them is more than one CLIENT, they shall bejointly and severally responsible to perform CLIENT's obligations under this Agreement. This Agreement shall become effective after it is executed and accepted by CLIENT and after it is executed and accepted by PYRO at PYRO's offices in Rialto, Califomia. This Agreement may be executed in several counterparts, including fazed and emailed copies, each one of which shall be deemed an original against the Party executing same. This Agreement shall be binding upon the Parties hereto and upon their heirs, successors, executors, administrators and assigns. 20. Price Firm — Vany, changes or alterations are made by CLIENT to this Agreement or if this Agreement is not executed by CLIENT and delivered to PYRO on or bef ne the PRICE FIRM date shown below, or if the Initial Payment is notpaid on or before the due date, then the price, date, and scope of the Production are subject to review and acceptance by PYRO for a period of 15 days following delivery to PYRO of the executed Agreement In the event it is not accepted by PYRO, PYRO shall give CLIENT written notice, and this Agreement shall be void. PRICE FIRM through March 7, 2025 EXECUTED AGREEMENT MUST BE DELIVERED TO PYRO BY THIS DATE. See PRICE FIRM conditions, paragraph 20, above. EXECUTED as of the date fast written above: PYRO SPECTACULARS, INC. Its: Vice President Dam: 2/20/25 SHOW PRODUCER: Marco Montenegro 0 City of Santa Ana - J 4! By: Its: Alvaro Nunez City Manager Print Name Date: J ATTEST Jennikr L. H II ! _ Cit}' Cler - Approved to Form /- Jonathan T. Martincz+% Assistant City Attorney Recommended for Approval kxecutive Director, Par - , Community Services Agency PSI V-2021-2 Pyro Spectaculars, Inc. City of Santa Ana P.O. Box 2329 Program A, Revision # 6 Rialto, CA 92377 July 4, 2025 Tel: 909-355-8120 :::: Fax: 909-355-9813 Page 4 of 4 SCOPE Or WORT{ PYRO SPECTACULARS, INC. ("PYRO") and City of Santa Ana ("CLIENT") Pyro shall provide the following goods and services to CLIENT: • One Pyro Spectaculars, Inc., Productions, to be performed on Juiv 4.2, at 8:40 p.m., at Centennial Itct> final Park Soccer Field. west of the park. Fairview St. Santa Ana C • All pyrotechnic equipment, trained pyrotechnicians, shipping, and pyrotechnic product. • Preproduction Services and Costs for the Production, including advance acquisition of materials and products; design, engineering, programming, handling, staging, storage, and maintenance of products, props, and systems; preparation of drawings, diagrams, listings, schedules, inventory controls, choreography, and computer code; picking, packing, labeling, staging, and loading of equipment, materials, and systems; transportation, and logistics and crew scheduling and support; explosive storage magazines with legally mandated distances, surfaces, security, housekeeping, and access controls; and necessary and appropriate vehicles, including legally mandated insurance, including MCS90 explosives transportation coverage, parking, security, and maintenance. • Application for specific pyrotechnic permits relating to the Production. • Musical soundtrack for the Production supplied in agreed upon format. • Insurance covering the preproduction and Production as set forth in the Agreement with the following limits: Insurance Reautrernerrts Limits Commercial Gci g al Liabijity $5,000,000.00 Combined Single Limit- Each Occurrence (Bodily Injury & Property Damage) Bo iness Auta Liability- $5,000,000.00 Combined Single Limit- Each Occurrence QvUg i,h n-Pwned and Hired Autos (Bodily Injury & Property Damage) Workers' C in ensation Statutory E iW oyor L(abi it $1,000,000 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 Fire 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 sole responsibility of CLIENT. i Coordination and arty 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 having jurisdiction throughout the entire time that 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, fencing, 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. PSI V•2021-2 2025 Pyrotechnic Fireworks Proposal City of Santa Ana July 4, 2025 February 20, 2025 City of Santa Ana Monique Leon 20 Civic Center Plaza Santa Ana, CA 92701 Subject: Proposal for your event on July 4, 2025, PROGRAM A for $31,650.00 Pyrotechnics/Theatrical: ❑Close Proximity 0 Display Fireworks ❑ Firecrackers Special Effects: ❑Spark Machines I-] Flames ❑CO2 Cryo Jets ❑Confetti/Streamers ❑Lights ❑Foggers Drones: ❑ Light Animations ❑ Accents Dear Monique Leon, Pyro Spectaculars, Inc. is delighted to present our proposal for the full -service custom -designed PROGRAM A for the production of your upcoming event. We are confident that our production capabilities and crew experience will result in the display of an unforgettable experience for your audience. Enclosed you will find three important documents that outline our PROGRAM A proposal in detail: 1. Product Synopsis - Proposal: Provides the specifications of the devices and products to be used in your event 2. Production Agreement: Presents the terms and conditions for the production of your event, including engagements, duties, and payment dates and amounts. 3. Scope of Work: Outlines the responsibilities and services to be provided by both Pyro Spectaculars, Inc. and City of Santa Ana that will be necessary for the execution of the production of your event, along with insurance limits and requirements. To secure your program, return the fully executed Production Agreement, and initial payment to our office by the PRICE FIRM date, March 7, 2025. Please note that program availability, pricing, and show date may be subject to change if these are not timely received. If you have any questions, or wish to discuss your program in detail, please do not hesitate to contact either myself or your dedicated Customer Service Representative, Luis Ruiz, at (909) 355- 8120, extension 227. Sincerely, Pyro Spectaculars, Inc. 1444e4 H044 a Marco Montenegro, Show Producer (LR) Pyro Spectaculars, Inc. P.O. Box 2329, Rialto, CA 92377 • Phone: (909) 355- 8120 • Fax: (909) 355-9813 Pyrotechnic Fireworks Proposal City of Santa Ana PROGRAM A — July 4, 2025 $31,650.00 Main Body - Aerial Shells Description QuantitV ♦ 2.5" Souza Designer Selections 180 ♦ 3" Souza Designer Selections 400 Total of Main Body - Aerial Shells 580 Pyrotechnic Devices Description Quantity ♦ Sousa Emerald Line Custom Multishot Device 200 Shots ♦ Sousa Silver Line Custom Multishot Device 121 Shots ♦ Sousa Pro-formance Mulitshot Device 10 Shots ♦ Sousa Pearl Line Custom Multishot Device 100 Shots ♦ Sousa Silver Line Custom Multishot Device 50 Shots Total of Pyrotechnic Devices 481 Grand Finale Description Quantity ♦ 2.5" Souza Designer Bombardment Shells 72 ♦ 3" Souza Designer Bombardment Shells 120 Total of Grand Finale 192 Grand Total 1,253 Product descriptions are for specification of product quality, classification, and value. Final product selections will be based on availability, suitability, and overall artistic style. ACOR1 CERTIFICATE OF LIABILITY INSURANCE DATE 1MM OD YYYY) �/ 3/52025 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 9X "' Acrisure Great Lakes Partners Insurance Services PHONE - (ALc,Na_Ean:_Z76-658-77D0_ FAX -- (Are, Nab; 216.658-71D1 223 West Grand River Ave #1 _ _ Howell MI 48843 AAIL DDRESS: INSURER(SIAFFOROING COVERAGE NAIC0 _ INSURER A: Everest Denali Insurance Company__ 16044 INSURED INSURER B: Continental Indemni Com any 28258 Pyro Spectaculars Inc. —__P—- __ _- -" _--' Pyro Events Inc.; Pyro Spectaculars Productions Inc. msuRsrle: Admiral Insurance Company , _ 24856 San Diego Fireworks INSURERD: Arch Specialty Insurance Company - _ - 211_99 P. O. Box 2329 INSURER E: Rialto CA92377 INSURER F : COVERAGES CERTIFICATE NUMBER: 1220450821 REVISION NUMBER: 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, 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. INSR _-- - --ADDLSUBR----------- PODGY EFF POL1dYE%P - ----- -_- LTR TYPE OF INSURANCE N p POLICY NUMBER MMIDOIYYYY MMIDDIYV LIMITS C ° GENERAL UABIDTY CACOW55935-01 0112MS V112UaI EACH OCCURRENCE S 1.000,ODD - -. DAkWbt TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISRS LEaaeanrence). S`WOODS CLAIMS -MADE X OCCUR MED E%P one person) S PERSONAL& ADV INJURY $1,000,000 GENERAL AGGREGATE 5ZODD.000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG 52.000,000 PRO- _....— -_ _. POLICY X -LOG S A AUTOMOBILE LIABILITY SIUCM0031-241 1/14/2024 4,,g2WS COMBINED SINGLE LIMIT _(EA a�dderd__..-.— .—;j.oSDocU - )5 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED - BODILY INJURY(Per a - ccidanpS AUTOS AUTOS X HIRED AUTOS X NON -OWNED PROPERTY DAMAGE AUTOS _Fer�icnif_ ; S D UMBRELLA UAB X OCCUR U%P005]594-10 2tl/2025 2112026 EACH OCCURRENCE 54. DDOADD X EXCESS LIAR CLAIMS -MADE AGGREGATE S4,000,000 DED RETENTIONS S g WORKERS COMPENSATION 37-525906-01-04 MASTER 10112G24 10n2025 X WE STATU- OTH- AND EMPLOYERSLIABILITY YIN TORY LIMITS _ _ ER... ANY PROPRIETORIPARTNEMEXECUTIVE NIA EL EACH ACCIDENT : $1_000.000 OFFICERIMEMBER EXCLUDED?17 - - -- (ManEalorylnNH) EL DISEASE - EA EMPLOYEE S1,000:000 Iryes de6rrlbeunder DESCRIPTION OF OPERATIONS below EL DIS EASE -POLICY LIMIT 91.mO,000 DESCRIPTION OF OPERATIONS I LOCATION$ I VEHICLES (ANach ACORD 101, Additlorul Rennarl s Schedule, -d morespace Is reRoiNuU Certificate Holder Is named as an Additional Insured in regards to Auto Liability. Stales Covered under workers compensation policy; CA,MO,MT,NY,OR Display Date: July 4, 2025 Display Location: Centennial Park, Santa Ana, CA Additional Insured(s): City of Santa Ana, its City Council, Centennial Regional Park, County of Orange, Orange County Fire Authority and their officers, officials, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or memorandum of understand. Such insurance as in afforded by this policy shall be primary, and any insurance Carried by the City shall be excess and noncontributory. Tu Tran Diguauyngnedby Tu Tran Nguyen Nguyen 6: a'oana' APPROVED By Tu Tran Nguyen at 4:37 pm, Mar 05, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Parks, Recreation and Community Services 20 Civic Center Plaza, M-23 AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 9*;�--.. ©1988-2010 ACORD CORPORATION. All rights reserve ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: CA000055935-01 COMMERCIAL GENERAL LIABILITY ECG 20 592 05 09 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 Or ANY PERSON OR LEGAL ENTITY IN WHICH YOU HAVE A WRITTEN CONTRACT, AGREEMENT, OR PERMIT WHICH REQUIRES THAT YOU NAME THE CONTRACTING PARTY AS AN ADDITIONAL INSURED. Location; Centennial Park, Santa Ana, CA ial Insureds) City of Santa Ana, its City Council, Centennial Regional Park, County of Orange,' County Fire Authority and their officers, officials, agents, employees, and volunteers are as additionally insured on this policy pursuant to written contract, agreement, or memorandum rstand. Such insurance as in afforded by this policy shall be primary, and any insurance carried ;ity shall be excess and noncontributory. to A. 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" but only to the extent caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. B. The insurance afforded to an additional insured shall only include the insurance required by the terms of the written agreement and shall not be broader than the coverage provided within the terms of the Coverage Part. C. The Limits of Insurance afforded to an additional insured shall be the lesser of the following: 1. The Limits of Insurance required by the written agreement between the parties; or 2. The Limits of Insurance provided by this Cov- erage Part. D. With respect to the insurance afforded to an addi- tional insured, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising in- jury" arising out of any act or omission of an addi- tional insured or any of its employees, ECG 20 592 05 09 Page 1 of 1 0 POLICY NUMBER: CA000055935-01 COMMERCIAL GENERAL LIABILITY CG 24 0412 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS Name Of Person(s) Or Organization(s): City of Santa Ana SCHEDULE if not The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV —Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 0 Insurance Services Office, Inc., 2018 Page 1 of 1 Policy #: SI8CA00031-241 COMMERCIAL AUTO ECA 04 506 0310 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTO ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM The following is a summary of the Limits of Insurance and additional coverage provided by this endorsement For complete details on specific coverage, please refer to policy language in this endorsement and the underlying Business Auto Coverage Form Coverage Applicable Enhancement Subsidiaries As Insureds Broadened Newly Acquired Organizations As Insureds Broadened Blanket.AdditioriatInsureds Broadened Employees As Insureds(Non-Ownership) Broadened Supplementary Payments —Bail Bonds $3,000 Limit Supplementary Payments —Loss Of Earnings $1,000 per day Fellow Employee Bodily Injury Broadened ToWng Coverage —All Covered Autos Broadened Glass Breakage Coverage —Waiver of Deductible Broadened Loss of Use Expenses $50 per day $1,000 Limit Stolen Vehicle Extra Expense Broadened Airbag Discharge Broadened Electronic Equipment (Permanently Installed Broadened Single Deductible Provision Broadened Notice To Company Broadened Blanket Waiver Of Subrogation Broadened Unintentional Failure To Disclose Hazards Broadened Bodily Injury Includes Mental Anguish Broadened Coverage Territory Extension - Mexico Broadened ECA 04 506 0310 Copyright, Everest Reinsurance Company, 2010 Page 1 of 4 ❑ Includes copyrighted material of Insurance Services Office, Inc. used with its permission. INSURED COPY A Who Is An Insured (2) Is executed after the date of loss. The following is added to Paragraph Al. of Sea Paragraph e.(2) does not apply if: tion11— Liability Coverage: (1) The terms and conditions of the written d. Any: "insured contract" had been agreed upon (1) Subsidiary which is a legally incorporated prior to the "accident" or "loss"; and entity of which you own greater than 50% (2) You can definitively establish that the terms interest in the voting stock on the effective and conditions of the written "insured con - date of this Coverage Form. However, the tract" ultimately executed are the same as insurance afforded by this provision does those which had been agreed upon prior to not apply to any subsidiary that is an "in- the "accident" or loss". sured" under any other automobile liability f. Any of your "employees" while using a covered policy, or would bean "insured" under such "auto" in your business or your personal af- policy but for the termination of such policy fairs, provided you do not own, hire or borrow or the exhaustion of such policy's limits of that "auto". insurance. B. Coverage Extensions -Supplementary Payments (2) Organization you newly acquire or form, and over which you maintain majority inter-() Paragraphs A2.a. 2 and A2.a. 4 of Section II — ( ) est. Liability Coverage are replaced by the following: The coverage afforded by this provision: (2) Up to $3,000 for cost of bail bonds (including bonds for related traffic law violations) required ion (a) Is effective on the acquisition date, and because of an "accident" we cover. We do not s afforded only until the day after have to furnish these bonds. you acquire or form the organization or the and of the policy period, whichever (4) All reasonable expenses incurred by the 'in - is earlier; sured" at our request, including actual loss of earnings up to $1,000 a day because of time off (b) Does not apply to 'bodily injury" or from work. "property damage" resulting from an "ac- cident" that occurred before you ac- C. Fellow Employee quired or formed the organization; and The following exception is added to exclusion 5. (c) Does not include any newly acquired or Fellow Employee under paragraph B. Exclusions formed organization that is: of Section 11—Liability Coverage: (i) A joint venture or partnership; or This exclusion does not apply if the "bodily injury" to (ii) An "insured" under any other auto- results from the use of a "covered auto" you own or hire. The coverage provided under this excep- mobile liability policy or would be tion is excess over any other collectible insurance. "insured" under such policy but for the termination of such policy or the D. Towing exhaustion of such policy's limits of Paragraph A2, of Section III — Physical Damage Insurance. Coverage is replaced by the following: e. Any person, .organization or governmental 2. We will pay for towing and labor costs each entity with respect to the operation, mainte- time that a covered "auto" is disabled. All labor nance, or use of a covered "auto" if you are re- must be performed at the place of disablement quired to add such person, organization or go- of the covered "auto". If the auto is not a private vernmental entity to this policy as an additional passenger type, a $250 deductible will apply to insured in order to comply with the terms of a this coverage but It will not reduce the available written "insured contract" or written agreement. limit of insurance. For all types of "auto", the This does not apply when such contract or most we will pay under this coverage is $1,000 agreement: per disablement. "Autos" which are disabled do (1) Involves the owner or anyone else from not include stolen vehicles. whom you hire or borrow a covered "auto" unless it is a "trailer" connected to a covered "auto" you own; or Page 2 of 4 Copyright, Everest Reinsurance Company, 2010 ECA 04 506 0310 ❑ Includes copyrighted material of Insurance Services Office, Inc. used with its permission. INSURED COPY E. Glass Breakage — Hitting A Bird Or Animal — Falling Objects or Missiles The following is added to Paragraph A3. of Sec- tion III —Physical Damage Coverage: Any deductible shown in the Declarations will not apply to glass breakage if such glass is repaired, in a manner acceptable to us, rather than replaced. If the glass must be replaced and there is no other damage associated with the "loss", the deductible will be $100 unless a lower deductible is shown in the Declarations applicable to this coverage. F. Loss Of Use Expenses Paragraph A4.b. of Section III —Physical Damage Coverage is replaced by the following: b. Loss Of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an 'Insured" becomes le- gally responsible to pay for loss of use of a ve- hicle rented or hired without a driver, under a written rental contract or agreement. We will pay for loss of use expenses if caused by: (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto"; (2) Specified Causes Of Loss only if the Decla- rations indicate that Specified Causes Of Loss Coverage is provided for any covered "auto"; or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto". However, the most we will pay for any ex- penses for loss of use is $50 per day, to a maximum of $1,000. G. Extra Expense —Stolen Vehicle The following is added to Paragraph A4. of Sec- tion III — Physical Damage Coverage: c. Stolen Vehicle We will pay for all reasonable and necessary expenses to return a stolen covered "auto" to you. H. Airbag Coverage The following exception is added to Paragraph B.3.a. of Section III — Physical Damage Coverage: The accidental discharge of an airbag shall not be considered mechanical breakdown if it occurs in a covered "auto"for which Comprehensive coverage is purchased. This provision does not apply to "au- tos" you hire with a driver and is excess over any warranty specifically designed to provide this cov- erage. I. Electronic Equipment Coverage Section III — Physical Damage Coverage is amended as follows: 1. The sublimit in Paragraph C.2. of the Limit Of Insurance Provision is increased to $3,000. 2. No Physical Damage Coverage deductible ap- plies to the first $3,000 of "loss" to electronic equipment described in Paragraph C.2. of the Limit Of Insurance Provision. J. Single Deductible Provision The following is added to Paragraph D. of Section III — Physical Damage Coverage: If a Comprehensive or Specified Causes of Loss Coverage "loss" from "accident" involves two or more covered "autos", only the highest deductible applicable to those coverages will be applied to the "accident", if the cause of the loss is covered for those vehicles. This provision only applies if you carry Compre- hensive or Specified Causes of Loss Coverage for those vehicles, and does not extend coverage to any covered "autos" for which you do not carry such coverage. If a "loss" covered under this Coverage Part also involves a "loss" to other property from the same "accident", which is covered under a Commercial Property or Inland Marine Coverage Part issued by us to you, only the highest deductible applicable to those coverages will be applied to the "accident". K. Notice To Company Paragraph AZ of Section IV — Business Auto Conditions is amended as follows: 1. With respect to notification requirements, your obligation under Paragraph A2.a. applies only when the "accident" or "loss" is known to: a You, if you are an individual; b. A partner, if you are a partnership; c. A member, if you are a joint venture or limited liability company; or d. An executive officer or insurance manager, if you are an organization other than a part- nership, joint venture or limited liability com- parry. 2. With respect to the requirements pertaining to you providing us with document concerning a claim or "suit", your obligation under Paragraph A2.b. will not be considered breached unless the breach occurs after such claim or "suit" is known to: a. You, if you are an individual; b. A partner, if you are a partnership; c. A member, if you are a joint venture or limited liability company; or ECA045060310 Copyright, Everest Reinsurance Company,2010 Includes copyrighted material of Insurance Services Office, Inc. used with its permission. Page 3 of 4 ❑ INSURED COPY d. An executive officer or insurance manager, if you are an organization other than a part- nership, joint venture or limited liability com- pany. L. Blanket Waiver Of Subrogation The following is added to Paragraph A.5. of Sec- tion IV — Business Auto Conditions: a. However, we waive any right of recovery we may have against a person, organization or government entity when you have waived such right of recovery under a written "insured con- tract" that is: (1) Currently in effect or becoming effective during the term of this policy; and (2) Executed prior to the "accident" or "loss", or executed after the "accident" or "loss" if: (a) The terms and conditions of the written "insured contract" had been agreed upon prior to the "accident" or "loss"; and (b) You can definitively establish that the terms and conditions of the written "in- sured contract" ultimately executed are the same as those which had been agreed upon prior to the "accident" or "loss". b. We hereby waive any right of subrogation against any of your officers, directors or em- ployees which might arise by reason of any payment under the insurance afforded by the policy for the operation, maintenance, use, loading or unloading of a non -owned "auto". This waiver extends only to payments in excess of other valid and collectible insurance available to the officer, director or employee. M. Unintentional Failure To Disclose Hazards The following is added to Paragraph B.2. of Sec. tion IV —Business Auto Conditions: If you unintentionally fail to disclose any hazards existing on the effective date of this Coverage Form, we will not deny coverage under this Cover- age Form because of such failure. However, this provision does not affect our right to collect addi- tional premium due to us as a result of these un- disclosed hazards in accordance with our filed rat- ing plans. N. Bodily Injury — Including Mental Anguish Paragraph C. of Section V — Definitions is replaced by the following: C. "Bodily injury" means bodily injury, sickness or disease sustained by a person, including "men- tal anguish" or death resulting from any of these at any time. For the purpose of this provision, the term "mental anguish" shall mean any type of mental or emotional illness or distress. O. Mexico Coverage The coverage provided by this policy for covered "autos" you own or lease on a long term basis without drivers are extended to "accidents" or "losses" occurring in Mexico if: 1. The covered "auto" is in Mexico for a period not exceeding 10 days; and 2. The covered "auto" is principally garaged and used in the United States; and 3. The driver of the covered "auto" does not re- side in Mexico; For Liability Coverage to apply to "accidents" oc- curring in Mexico, the following must also apply: 1. Valid and collectible auto liability insurance for the covered "auto" has been purchased from a licensed Mexican Insurance Company and is in force at the time of the "accident"; and 2. The original "suit" for damages is brought with- in the United States. For "losses" payable under Physical Damage Cov- erage this additional restriction applies: We will pay "losses" under Physical Damage Cov- erage in the United States, not in Mexico. If the covered "auto" must be repaired in Mexico in order to be driven, then the most we will pay for "loss" is the lesser of the following: 1. The cost of repairing the "auto" or replacing its parts in Mexico; or 2. The cost of repair or replacement at the nearest point in the United States where the repairs or replacement could be made. Other Insurance: The insurance provided by this section will be ex- cess over any other collectible insurance. Page 4 of 4 Copyright, Everest Reinsurance Company, 2010 Includes copyrighted material of Insurance Services Office, Inc. used with its permission. EGA 04 506 0310 ❑ INSURED COPY Policy# CA000055935-01 COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 01 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 1 WC 00 0313 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Specific Waiver Person or Organization Job Description 2. (x) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. This endorsement changes the policy to which it is attached and is effective on the date Issued unless otherwise stated. Endorsement Effective 10/01/24 Policy No. 37-525906-01-04 Endorsement No.29 Insured Byrn spectaculars, Inc. Premium2,500.00 Insurance Company Countersigned By Continental Indemnity Company (Ed. 4-84) OO 1983 National Council on Compensation Insurance. DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 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). CONTACT PRODUCER NAME: FAX PHONE (A/C, No): (A/C, No, Ext): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGENAIC # INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : COVERAGESCERTIFICATE NUMBER:REVISION NUMBER: 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, 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. ADDLSUBR INSRPOLICY EFFPOLICY EXP TYPE OF INSURANCELIMITS POLICY NUMBER LTR(MM/DD/YYYY)(MM/DD/YYYY) INSRWVD GENERAL LIABILITY EACH OCCURRENCE$ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY$ PREMISES (Ea occurrence) CLAIMS-MADEOCCURMED EXP (Any one person)$ PERSONAL & ADV INJURY$ GENERAL AGGREGATE$ GEN'L AGGREGATE LIMIT APPLIES PER:PRODUCTS - COMP/OP AGG$ PRO- $ POLICYLOC JECT COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea accident)$ BODILY INJURY (Per person)$ ANY AUTO ALL OWNEDSCHEDULED BODILY INJURY (Per accident)$ AUTOSAUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS (Per accident) AUTOS $ UMBRELLA LIAB EACH OCCURRENCE$ OCCUR EXCESS LIAB CLAIMS-MADEAGGREGATE$ $ DEDRETENTION$ WC STATU-OTH- WORKERS COMPENSATION TORY LIMITSER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ N / A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under E.L. DISEASE - POLICY LIMIT$ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDERCANCELLATION CzUvUsboOhvzfobu4;22qn-Kvm13-3136 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ejhjubmmz!tjhofe! THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN cz!Uv!Usbo! Uv!Usbo! Ohvzfo! ACCORDANCE WITH THE POLICY PROVISIONS. Ebuf;!3136/18/13! Ohvzfo 26;22;68!.18(11( AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05)The ACORD name and logo are registered marks of ACORD DBS3511111139.1 QPMJDZ!OVNCFS;!!!DPNNFSDJBM!BVUP DB!31!59!13!::! UIJT!FOEPSTFNFOU!DIBOHFT!UIF!QPMJDZ/!!QMFBTF!SFBE!JU!DBSFGVMMZ/! EFTJHOBUFE!JOTVSFE! Uijt!foepstfnfou!npejgjft!jotvsbodf!qspwjefe!voefs!uif!gpmmpxjoh;! CVTJOFTT!BVUP!DPWFSBHF!GPSN! HBSBHF!DPWFSBHF!GPSN! NPUPS!DBSSJFS!DPWFSBHF!GPSN! USVDLFST!DPWFSBHF!GPSN!!! 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