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01
<br />CERTIFICATE OF LIABILITY INSURANCE 105/(
<br />IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFER$ NO RIGHTS UPON THE CERTIFICATE
<br />; NOT APPIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY
<br />.TIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INsuRIEN(s),
<br />an endorsement. A statement an this certificate does not
<br />PROJ)U'ER Allied Specialty Insurance, Inc.
<br />10451 Gulf 13oulavard
<br />Treasure island, FL 33706-4814
<br />1-800-237-3355
<br />INSURSO Pyro Engineerino, Inc.
<br />dba: Say Fireworks
<br />944 South Oyster Bay Rd., Suite Ill
<br />CtTdFRAnPR 11,5141 WillUTRIZIP, OCNII41AM KHROP90.
<br />THIS IS TO 08ITTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUQY PFR—,05
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERrIFCArE MAY FIR ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS 04: SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />_CN—VI — 1ADD SURRI — POLICY SF —
<br />TR TYPE OF N$URANOe 412, AOISCOMMI LIMITS
<br />UNFRAL JALITY A
<br />EACHOCCVRRENCE $1,000,000
<br />X] COMMeRCIALGENERALL[AiNUTY
<br />c LATM8.MADF FX- U 1 OCCUR U EX (An
<br />LPM90111141 All INJURY 1,000I000
<br />All .. ....
<br />r -I CENEAL AGI�SQ
<br />ATI 2 00,0 QOO
<br />ENIA11REGATE LMITAPPUR PVR PRODRCTS CQ'M P'QP AGO S2,900,000
<br />----
<br />7
<br />SOUCY LOG
<br />A AUTPWOBILZ L14BILITY I 'I"INGLEL""
<br />MBI
<br />0/1412013 05/14i2l)14 R AM'
<br />Ron)=
<br />ANYAU10 Y N $
<br />AL"WKEO I SCHEDULED
<br />AUTOS
<br />AUTO 0 TLY_ "'URy ip-7F
<br />PR� L '-- — - -- --
<br />NON-01VNED PARTY [OgAO'C
<br />PE
<br />FIN AUTOS P 't
<br />I QMBRELLA ❑AM
<br />X CGGUR 0 05/14/2014 1 1TRqENTS $4,000,000
<br />A K U90E$5 LOS ELP0010292-03 lGL VL) �/142013 EACH OCC
<br />OLAINTS-MA E
<br />_14 ,000 Opil
<br />I E)P➢ RETENTION
<br />N ScOMP61$A-SON
<br />A 'RI
<br />AIOIO�IAI�PLOYERT LIABILITTY YIN IWC134166 06/1412013 05/1412014
<br />PROPRIeTQ"ARTRWE)qRCQT1VE I 5,L. EACH ACODEN T 1 S 1,000,000
<br />A 01
<br />CrACER,MWBER EXCLUPEtO N/A
<br />fma.dtftdry In NH) E.L, MS8ASE - AN EMPLCeE 1,009,000
<br />if V6 6 deSOM 1�ndel
<br />D 8 RIPTION OF OPPRATCONS bAIQW EL. U)SCAVE - POLICY LIMIT 1 $1,000,000
<br />A EXCESS IIABILITY I OCCUR
<br />eLPQGI 0296-03 (G1). 0611412013 0511412014 EACH OCCURPEN05 $5,0100,000
<br />AGGREGATE
<br />06SCRIPTION OF PPERATIO0 f LOCATIONS fVqHICL8S
<br />D Isplay Date,, 6130113 Rain Dedw NIA Locaflow Centennial Regional Park, Santa Ana, CA.
<br />RE: General Liability, the following are named as Additional Insured In respects to the operation of the Named Insured only: The City of Santa Ana, WS
<br />officers, employees, agents & volunteers; Orange County Fire Authority, their officers, agents, employees and riorvarits,
<br />With respect to claims arising out of the operations and uses performed by or on behalf of the named insurad, such Insurance as is afforded by this
<br />policy is primaryand Is not-addiffornif to or contributing with any other insurance carried by orfor the benefit of the additional Insured%
<br />Ana
<br />Santa Ana, �A 92701
<br />CERT#2131 (Revised 519113)
<br />w I
<br />ACORD 25 (2010/06) The ACORD name and logo are fogistarod marks of ACORD V r"u "10 IV I wl"'
<br />LISA w, S310NUK
<br />ri+,, AtinrilOv
<br />
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