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PYROSPECTACULARS - 2017 (2)
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PYROSPECTACULARS - 2017 (2)
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Last modified
6/9/2022 1:02:53 PM
Creation date
4/14/2017 11:03:07 AM
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Template:
Contracts
Company Name
PYROSPECTACULARS
Contract #
A-2017-054
Agency
Parks, Recreation, & Community Services
Council Approval Date
3/21/2017
Destruction Year
0
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%. O CERTIFICATE OF LIABILITY INSURANCE OATS019 V ) <br />1nanDls <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER ICONTACT <br />One Cleveland Center, Floor 30 <br />tus:nR.E%D:2ib-658J100 <br />1375 East 91h Street <br />EMAIL <br />ADOR€ss;_ <br />Cleveland OH 44114 <br />_ <br />INSURERS) AFFORDING COVERAGE <br />i NAICN <br />INSURED <br />INSURERA:Maxum Indemnity Company_ .._ <br />26743 _.. _. <br />INSURER_B:EVerest NatlOnal IDsurance. Company -....... <br />._ 10120 <br />Pyro Spectaculars Inc <br />INSURER C: <br />San Diego Fireworks <br />--- <br />P. O. Box 2329 <br />- NS-URERD __—. <br />Rialto CA 92377 <br />_INSURER E o <br />INSURER F' <br />COVERAGES <br />CERTIFICATE NUMBER: RQi sRszl9 RFVIRUDIU MIIMRFR- <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TFRM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR _— AODLlilen, - "- POLICY EFF POLICY E%P _ <br />LT. TYPE OF INSURANCERISE POLICY NUMBER MMIOOM'W MMIDDIYTYY t LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />S <br />COMMERCIAL GENERAL LIABILITYTORENT€D <br />I <br />DAMAG <br />PFiEMI$E$ l�q 9ESu 14 cgj <br />_ <br />S <br />_j CLAIMS -MADE OCCUR <br />I MED EXP(A yonev a n) <br />5 <br />_. _. <br />PERSONAL B ADV INJURY <br />s <br />AGGIR fE <br />IGENERAL <br />GEN'L AGGREGATE LIMI' APPLIES PER: <br />PRODUCTS - COMP OP AGo <br />POLICY i PRO-JECT i LUC <br />I <br />j S <br />B <br />AUTOMOBILE LIABILITY <br />SIBCA00031-181 <br />1/13l2019 <br />' 1/1312020 <br />O t <br />(E codgml <br />i 81.000.00C <br />X�ANY AUTO <br />BODILY INJURY IP person) <br />ALL OWNED IEDHFOULED <br />AUTOS ; ._1 AUTOS <br />0001LY INJURY (P tlen0 <br />I S <br />X HIRED AUTOS 'X ! NON -OWNED <br />nuTos <br />r <br />! <br />PNOPUaY DAMAuE <br />owdoell _ <br />Ij e <br />A <br />UMBRELLA LIAR 1IX IOCCUR <br />EXC6017995 <br />11113/2020 <br />EACH OCCURRENCE s4,D00000 <br />�X EXCESS LIAR {_ GLUMSMADE <br />(1/13/2019 <br />_ <br />W <br />.gGGREGATE. S4,0000 <br />I <br />I DEO R[TENTIONS <br />S <br />WORKERS COMPENSATION I! <br />WC STATE. LOIN <br />AND EMPLOYERS' LIABILITY YIN <br />! <br />�TORY_LIMITS l I ER _- <br />ANYPROPRIETORIPARTNERIFXEGUTIVE <br />EL EACH ACCIDENTIA! S <br />OFFICFRIMFeWt R E%CLUOED7 ❑ <br />N <br />_ <br />f <br />(Magdalory In NH) <br />I <br />EL. DISEASE-FAFMPLOYEE:S <br />If yes geicr0 ndar <br />DFSCRIPTON OF OPERATIONS below <br />I <br />EI DISEASE -POLICY LIMITI$ <br />I <br />I <br />I <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Allac4 ACORD 101, Additional Remarks Schedule, if more space is required) <br />Certificate Holder is Named as an additional insured. <br />•� <br />� <br />�e�`e�ed`cy <br />�s <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />SHOULD ANY OF THE ABO%FwBI <br />THE EXPIRATION DATE- THER <br />ACCORDANCE WITH THE POLICY <br />AUTHORIZED REPRESENTATIVE <br />C'_''Jl:�� % V <br />© 1988-2010 ACOF <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />CANCELLED BEFORE <br />BE DELIVERED IN <br />All rinhfc r<con.md <br />
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