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<br />04}05/199"" 23:29
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<br />71 d-571-4235
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<br />RECREATIN & COMM SVS
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<br />PAGE 05
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<br />_ CI!NI'EIl POINT ROAD. !lVIT1lJII.
<br />BIRNlNGHAM,Al.AllUIA _
<br />'IBLEPHONB: (2011) ....-
<br />
<br />DRAYI'ON INSURANCE BROKERS, INC.
<br />
<br />POST OFFICE BOX _,
<br />BIllMINGHAM, A1AB.UL\ 35220
<br />PAX: (205) tlM-S1l9'.I
<br />
<br />CERTIFICATE OF INSURANCE
<br />
<br />NO. 281602
<br />
<br />w. comfy _ ;........,... oulIinod bolo.. is IIflbnIod rho Nam'" Insured undotpOIi"1' A02EG2ll58 is,ued by Admirall..u,,,,,,, Company.
<br />
<br />NAMED INSURJ;D
<br />
<br />Pyro Sf.H -.I~ Inc.
<br />AIIro ~i..
<br />P.O. Box:m9
<br />R_ CoIlft..ri. 9U77
<br />
<br />PPA S.........I...
<br />North Amelioan Fi..wor!u Co. (NAFCO)
<br />Son Oi.... FirowoRo
<br />pyro S~III C........ln..
<br />
<br />PERIOD
<br />
<br />J_ 11,:lOO2 ",J..IWY 12, 2003; 8.... okys inclusiv..
<br />
<br />COVERAGE
<br />
<br />C_ Clonond Liability. Covenn. "-;0$' do: IepI Iiobility ofdo: Nomed Insun:d fb<ll<>dily InjulY
<br />..d PnIpofty ilIImlIC" <<<Psed by. OT orisinllrom. the p'_llion fo" lhe firinl of. 0< m. .1......'" following
<br />fi~ dltpIty(s) "-" botow.
<br />
<br />~IMITS Of
<br />I.lARIUTY
<br />
<br />A)kh~
<br />8) _.. C-Plolood o,-iono......-
<br />
<br />81,000,000
<br />81,000.000
<br />
<br />The IIIIdltion ofl'hORl th_ one io,urcd doll IIOE serve to incrase the limilS of liabilitY.
<br />
<br />I, i. .cnilled dw, in __co witb,.,d S1lII.jOOl"" .... mms oflll. above policy, the fOllowing SPONSORS AND PROPERTY OWNERS
<br />AND I.QNSING AUTHORJT1ES.. incI...... Atlditiornd h.ured($), bm only in respc:a: ofdte lepJ Uabmty of such Addi~ionllllnsuredI5)
<br />for Bo~iJy !njDl)' .... ~ o..n,. -" ~ Ill. opmti... ofllle N_ Insured in connection with the firing of the filOWOrU ~i.play(')
<br />"..cd bel.... 11Ie i.........1IflbnIod lay AddiIl",,", Insultd docs not .,cJude 00_ fo, any illiulY or damaa< ari,ing from Ih. railure or ,u,h
<br />Additional _ .. lIdlUl iu obIillllon> .,..iIied in .1lI _ willl tIte N_ Jnsutod.
<br />
<br />NAME .I: ADDRESS OF INSURED SPON!lORS
<br />PROPERTY OWNERS, LICENSORS
<br />
<br />City of SaD.. Au
<br />S8S West Santa Ana Blvd.
<br />Suite 200
<br />SlInla Ana, California 9270 I
<br />
<br />ADOITlON& INSUREO(S),
<br />
<br />CIIf olSM.. AIlIl, and Couaty of O"'.le, and their officers. agents and
<br />empIoyoas whon acting in their official capacity as such
<br />
<br />DISP~ Y LOCATION
<br />CenteDDIaI Park, SaD.. A-. C.-ronia
<br />
<br />DISPLAY DA TE(S)
<br />July of, 2001
<br />
<br />This il15W'InCe appliq ..........ically If.. dlbc:ribcd di!llplllY is fj~ MIRY altanltivc dBle becllllSe of CMOitl1elion on the date: shown dye (0
<br />we"",er or Od1e< ,...., _",IN NO EVENT WILL COVERAGE APP~ Y TO BODILY INJURY OR PROPERTY DAMAGF.
<br />SUST AJNED AfTER Jonuory 12.2003.
<br />
<br />This c:ertificare is n(It... inmwtCI poky lAd bs not in tIIIy way amend, exlt:l'ld Or aIt1:r the QOVcrlic afforded by the policy li:oiled _howe, FQr
<br />panicullJS ctll'tumin! "'c (crmJ, exclwkm IRd conditions of sllCh -policy each Additionalln5ured is referred 00 lhe policy dQCumcnt.s in the
<br />prni!5e~iOl\ otltle Named lnswed. SlIoI'41h. above d..;ribed policy be cenceUed before the ~ir1dion dBtc: mercof. the issuing compll1)' wilt
<br />mail 30 days. prio< writ1l:n """... 10................. A4~ilionaIl..uted.
<br />
<br />DRAYTON INSURANCE BROKF.RS. INC.
<br />
<br />APPROVED A'
<br />"
<br />
<br />
<br />. STRINGER. PRHSID
<br />CAUPQRNlA LICENSE O. U1\ 186ll'4
<br />
<br />FORM
<br />
<br />
<br />June 1 2002
<br />DAn: OF rSSUll:
<br />
<br />Michael igliotta
<br />Deputy City A Horney
<br />
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