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AFRO® CERTIFICATE OF LIABILITY INSURANCE DAT3/30/2022m 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: D 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 G TACT Britton Gallagher One Cleveland Center, Floor 30 PHONE N - 216-658-7100 w + 216-858-7101 ADDRESS:I 1375 East 91h Street Cleveland OH 44114 INSURER 6 AFFORDING COVERAGE NAICe INSURER A: Axis Surplus Insurance Company 26620 INSURED INSURER a: Everest Denall Insurance Company 16044 Pyro Spectaculars Inc. San Diego Freworks INSURER C: INSURER D; P. O. Box 2329 Rialto CA 92377 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 821699815 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 LTR TYPE OF INSURANCE POUCYNUMBER POUCYEFF O POLICY EXP MMI O umm GENERAL LIABILITY EACH OCCURRENCE $ PREMSESEaac RM1e $ COMMERCIAL GENERAL LUIBIUTY MED EXP Mr oneereon $ CIAIMS MADE❑OCCUR PERSONAL S ADV INJURY $ GENERAL AGGREGATE $ GEN'LAGGREOATE LIMIT APPLIES PER: PRODUCTS -COMPMP AGO 8 POLICY PRO-IECT LOL $ B AUTOMOBILE LIABILITY SI8CA00031-ni 1/1312022 1MYM23 COMBINED SNGLE LIMIT (E.a.1knottl _$1,000,000 BODILY INJURY (Per person) S- X ANY AUTO ALLOWNED SCHEDULED AUTOS A1m05 BODILY INJURY (PeramidenN $ X HIRED AUTOS X NONOWNED PPROPEtlTYDAMAGE S A UMBRELLA LIAB X OCCUR P4014DOM394644 1/13/POn 1/13I2D23 ;r' EACH OCCURRENCE S4,000.000 X EKCESS LIAB CLAIMSMADE AGGREGATE $4.000,000 BED I I RETENTIONS $ WORKERS COMPENSATION WC STATU- OTH- YIN EIEACH ACCIDENT $ ANANDEMPLOYERS'LIABILm' Y PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUOEDY ❑ NIA E.L. DISEASE -EA EMPLOYE4 S (MMrtlatury In NHl Use. describe under DESCRIPTION OF OPERATIONS colors EL DISEASE -POLICY LIMIT I $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Altech ADDING 101. Additional Remarks SChedela. It more space Is Acquired) Certificate Holder is named as an Additional Insured in regards to General Liability. Date of Display: July 4, 2022 Location: Centennial Park, Santa Ana, CA City of Santa Ana, Centennial Regional Park, County of Orange, Orange County Fire Authority and their officers agents, employees, and volunteers are named as additionally insured on this policy pursuant to written Contract, agreement, or memorandum of understanding. Such insurance as is afforded by this policy shall be primary, and any insurance carried by the City shall he excess and noncontributory. 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. Risk Management Division 20 Civic Center Plaza AUTHORIZED REPRESENTATNE Santa Ana CA 92701 -V i ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD "0..o'^e•, ausenumag ii l^°leon RENEWED fi APPROVED BY: ��' Risk Management Spedalist