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DATE (p�NIDD/W W)
<br />ACORL? CERTIFICATE OF LIABILITY INSURANCE O6/t4/2012
<br />THIS CERTIFICATE IS ISSUED A5 A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />GERTIFlGATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE- POLICIES.
<br />BELOW. THIS CERTIFlCATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUINGi INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER_
<br />IMPORTANT: if fhe rxrtMeah ho1Wr b) an. ADDITIONAL INSURED, tlNS poliey(iea) must be endorsed_ H 8UBROGATION 18 WAIVED, subject to.
<br />the terms and conditlona of the policy, wrteln policies may. require an endorsement A statement on thb eertlflcate does not confer rights to tha�
<br />certMCate holder in lieu of such endoresma a . - � - -
<br />PROOUCER Al11eSi Specialty Insurance,lnc.
<br />10451 GuM Boulevard PHOP1E Nu .
<br />Treasure Isiartd, FL 33708 -4814 -NSUL
<br />1-800- 237 -3355 INaUR 8 AFFORDING COVEMGE NAICs
<br />- - wsuRERA: T.H.E. insurance Com 12566
<br />INSURED Pyro Engfneering, lnc. — .
<br />wsuRER a
<br />dba: Bay Ffraworlcs uasuRER c `
<br />INauRER D
<br />400 BroadhdloNf ,Road, Sujte 3 INSURHi E:
<br />Farmingdal ®, NY 11735 INaURERF-
<br />r+rwcTSAr_rc r`cra,nvr -A.rc ulruace_ a e_
<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 />INDICATE O. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WFIICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HE REIN'1S SU 6J ECT TO ALL THE TERMS.
<br />EXCLUSIONS AND GON DITONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />IL RR
<br />TYPE OF INSURANCE
<br />POLICY NUMBER
<br />PD
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />CPP01o1284 -02
<br />o5H4/2ot2
<br />D3n4fzo13
<br />EACHaCCIIRRENCE
<br />s1 000000
<br />P 1 �
<br />f 1 DO,000
<br />%� COMMERCIAL GENERAL L1ABIlJTY
<br />MEO EXP one person)
<br />S
<br />CLAIMSMAOE QOCCUR
<br />PERSONAL 6 ADV INJU1iY
<br />.r 1 OOO,OOO
<br />-
<br />GENERAL AGGREGATE
<br />s2 OOO OOO
<br />-
<br />GEN•L AGGREGATE
<br />LMrT APPLIES PER:
<br />PROWCTS- COMPA�P AGO
<br />S2l000,OOO
<br />��,
<br />PRO- LOC
<br />i
<br />A
<br />All'TDMOeILE
<br />LIABILm
<br />CPP0101284-02
<br />03/14!2012
<br />05/14/2013
<br />L
<br />1.000,000
<br />BOdLY INJURY [Pei psrsOn)
<br />i
<br />ANY AUTO
<br />AUTO ED K A�uT�08 r a^
<br />_ -
<br />BOOILY INJURY (Per acrJdsY)
<br />i
<br />X
<br />MIRED AIITOB :� pNVTOED
<br />R -
<br />i
<br />s
<br />A
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />ELP0010296 -02
<br />03H 4!2012
<br />03/14/2013
<br />EACH OccuRRENCE
<br />s 9,000,000
<br />AGGREGATE
<br />SS OOO OOO
<br />K
<br />ExcESS UA6
<br />CLAMS -MADE
<br />_
<br />D D RETENTON
<br />S
<br />A
<br />wDRNERS GOrPENSATION
<br />AND ENPLOYERa• uA6lLrrr r r N
<br />ANY PROPRIETORIPARTNERIE](ECUTVE
<br />OFFlCERIMEMBER EXCLUDEDT Q
<br />IMerwemy h NHI
<br />11 w. deeaiw unwr _
<br />DESCRIPTION OF OPERATIONS allow
<br />N / A
<br />WC 123842
<br />3/14!2012
<br />03/14/2013
<br />WC TATIJ- OTK
<br />EL EACH ACCIDENT
<br />i 1,000,000
<br />E.L DISEASE - EA EMPLOYE
<br />i 1,000,000
<br />-
<br />E.L dSEASE - POLICY LIMrf
<br />S 1,000,000
<br />DESCRIPTION OP OPERATONa /LOCATIONS / VrJ1k1ES IAtlach ACORD 101, AdAltlotlN IWlav)o 9eMduN, epore apea N repWrerll _ -
<br />DISPLAY DATE: 7f1H2 RAIN DATE: None LOCATION: Qetllanttlal Regional Park, Santa Ana,CA RE: General Liability, the following are named -
<br />as additional Insured in respects to the operation of the named insured only: THE CITY OF SANTA ANA ITS OFFICERS EMPLOYEES, AGENTS AND
<br />OLUNTEERS; ORANGE COUNTY FIRE AUTHORITY, THOR OFFICERS, AGENTS EMPLOYEES AND SERVANTS. This Insurance is Primary and
<br />Non- ContrSautory as respects to any loss or liability arbing directly or indirectly ffom the insureds operation. Ths above Commercial General LlabilHy
<br />policy affords bodiy injury 8 propertydamage liability coverage arising directly from a flreworka display, however, no Marine, HUII 8. MachMs ry, PdJ
<br />or Pollution Liability coverage Is afforded under this CGL policy arlsln9 from the use of arty barge, docks, Piers, wharves or floating. Platfornrs..
<br />�.GRalrla.wlc RVWCR- {.rAI�VCLLgtrV1Y -
<br />1 of Santa Ana _ - Thirty (30) Days Notice of- Cancellation Appl ice
<br />�P�R(� t,1 �1� A5 J` fJ ,..: U� � ji►pULD ANY OF THE ABOVE DESCRIBED POLICIES BE GNCELLED BEFORE
<br />t6 Civic Center Plaza ;YYNE EXPIRATION DATE THEREOF,, NOTCE NULL BE . -DE IN
<br />Santa Ana, CA 92701 � ACCORDANCE M /RH THE POLICY PROVI8WN3.
<br />SERT #1790 (Revised 6!14!12
<br />TrvE
<br />La itt Sheedy �r�%
<br />1 Assiet City Attorney / �/ -
<br />m 1988 -2010 ACORD CORPORATION. All rights reserved.
<br />P.c;vHU z3 (zg1 wos) The AGORD name and logo era registsrod marks of ACORD
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