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ACCMD CERTIFICATE OF LIABILITY INSURANCE <br />GATEIMM,DD,YYYY,- <br />-----'"`2/191?015 <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <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(les) 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 llou of such endorsements <br />PRODUCER <br />CO TACT <br />NAME: <br />Britton Gallagher <br />One Cleveland Center, Floor 30 <br />PHONE - PAR <br />216.6D$ 7144 ..._.. —"—'L INYT2.16.658710.1 <br />1375 East 9th Street <br />P MMUp.Exit <br />ADDRESS: <br />Cleveland OH 44114 <br />INSURER(S)AFFORDINO COVERAGE I NAZCA <br />1 <br />r J CLAIMS MADE J OCCUR <br />INSURER A:EyeCest NEtioral Insurance CoMpa n y _- .10120__. <br />INSURED <br />INSURER B:MaXUM Indemnity..Csmpany 2674+3. _. <br />Pyro Spectaculars Inc. <br />INSURER C:. <br />San Diego Fireworks <br />---- — ----"--_— ----"--_-- <br />P, 0. Box 2329 <br />INSURER <br />Rialto CA 92377 <br />INSURER E <br />INSURER F <br />THIS IS TO CERTIFY THAI" THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE F70LICY PERIOD <br />INDICATED_ NOTWITHSTANDING ANY REQUIREMENT, TERM 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 1'0 ALL THE 'TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />INSR"---IADQL ROBR- POLICY EFF POLICY EXP ' "-__-- - --- - <br />lTk TYPEOFINSURANCE ?NSR WVO POLICY NUMBER <br />._ IMM�00/YYYYI (MMInDrvYYYI' LIMITS <br />NERAL LIABILITY <br />GENERAL <br />I -------n_ <br />: <br />EACHULJRRENCE <br />I COMMERCIAL GENERAL LIABILITY <br />f <br />fOAMALFTORENTED - -- <br />1 <br />r J CLAIMS MADE J OCCUR <br />( <br />I PRcMISru ISE. uory o) :4 <br />(A <br />PERSONAL B FDV INJURY I f. <br />GENERAL Arf RECAT v <br />(,FN LAGGRWATE LIMrr APPLIED PER <br />PH <br />?.PRODUCTS COMPIOPAGC <br />—_ <br />POLICY j LC)C <br />A AUTOMOBILE LIABILM <br />SIBCA000314 a1 <br />: .I/13I2015 <br />1 11312016 <br />C <br />,iCA <br />_ <br />t <br />tX <br />i <br />14cW9111f D'1y000 W0 <br />ANY AUTO <br />ALL OWNED " � SCtIEUULEO <br />� <br />BODILY INJURY (POI <br />�AU?'OS AUTOS <br />I BODILY INJuRY(Pnra ctlent) 5 <br />�X �HIREDAITOS x1ATlaelA'HFD <br />Y IPROPTRiDAMAGE IL <br />I_( era AT( <br />IJ <br />B UMBRELLA LIAB OCt`UR <br />I <br />(EXC6017995 <br />1/13/2015 <br />I/1312016 <br />EACH OCPURRGNCE S4,000000 <br />X EXCESS LIRB C CI -AIMS -MADE <br />1 <br />AC REGATr $4,000,000 <br />,_... —. _.. <br />1 <br />_ <br />DEC RETENTION$ <br />[-] <br />j <br />~y <br />WORKERS COMPENSATION <br />��j <br />VVC STAtU- fOM ""` <br />AND EMPLOYERS LIABILITY YIN <br />f <br />j CRY LIM _ <br />ANY PROPRIETOR,PARTNERIEXFCUT'IVE '"""` <br />OFFICERIMEMBER EXCLUDED? ��NIA <br />(EI EA$ <br />(Mendetoryln NH) I <br />If yes, desaibe ndI <br />iEL <br />EASE- AEE <br />-L DISEASE EA EMPLOYE 5 _ <br />DESCRIPTION OF OPERATIONS Wf" <br />•T <br />DISEASE POLICY IMIT 3 <br />I <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Addlllonal Ramprlls Sc atlule, ypece Is requlrad) <br />S��GSpJ Pdn` <br />P <br />SHOULD ANY OF I HE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City Of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS, <br />12 Civic Center Plaza <br />Santa Ana CA 92703 <br />AU I HORRED REPRESENTATIVE <br />/7hf <br />© 1988-2010 ACORD CORPORATION. All nahts resarvRri <br />ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD <br />