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DRAYTON INSURANCE BROKERS, INC. _
<br />2500 CENTER POINT ROAD, SUITE 301 POSTOFFICE BOX BOX 94067
<br />BIRMINGId M, ALABAMA 35215 BIRMINGHAM, ALABAI4IA 35220
<br />TELEPHONE: (205) 854-5806 FAX: (205) 854-5599
<br />CERTIFICATE+' OF INSURANCE
<br />No. 610035
<br />We certify that insurance is afforded as stated below. This Certificate does not affirmatively or negatively amend, extend or filter the coverage
<br />afforded by the insurance policy and the insurance. afforded is subject to all the terms, exclusions and conditions of the policy.
<br />INSURER
<br />Admiral Insurance Company
<br />POLICY NO. CA000002771-30
<br />NAMED INSURED
<br />Pyro Spectaculars, Inc.
<br />Pyro Spectaculars by Souza
<br />Pyro liven", Inc,
<br />Pyre Spectacular Industrie" file.
<br />Pyro Spectaculars Productions, Inc,
<br />North American rireworks Co, Inc- (NAFCO)
<br />P.O. Box 2329
<br />San Diego Fireworks
<br />Rialto, Gilifomia 92377
<br />POLICY TERM
<br />January 13, 2016 to January 13, 2017;
<br />Both Days 12:01 AM. Standard Time
<br />COVERAGE
<br />Commercial General Liability:
<br />0 Occurrence Basis ❑ Claims Made Basis
<br />LIMIT OF LIABILITY $1,000,000 each occurrence, .$2,000,000 general aggregate, $2,000,000 products/completed operations aggregate
<br />The limit of liability shall not be increased by the inclusion of more than one insured or additional insured,
<br />INSURED OPERATIONS Public fireworks display and special effects contractor
<br />It is certified that, if named below, this policy includes as Additional Insureds 1) the spi nsor(s), promoter(s), organizer(s) (including other
<br />entities having similar interes(s), of insured pyrotechnic events and/or 2) the owners) of real property (or barges) at which insured pyrotechnic events
<br />are held and/or 3) the owner(s), manager(s), tenant(s), mortgagee(s) (including other cutltles having similar interests), of buildings, stadiums, arenas
<br />and similar facilities at which insured pyrotechnic events are held and/or 4) the licensing or permitting authority, or other authority having
<br />jurisdiction, issuing licenses/permits for insured pyrotechnic events and/or 5) any other entity, for which the insurance is required to be afforded under
<br />written eontrnct Coverage applies only as respects the legal liability of such Additional Insureds) for bodily inimy and property damage caused by
<br />the operations of the Named Insured. The insurance afforded any Additional Insured does not include coverage for any bodily injury or property
<br />damage :rising from the failure of such Additional Insured to fulfill its obligations specified in its contract with the Named insured.
<br />NAME & ADDRESS OF INSURED SPONSORS,
<br />PROPERTY OWNERS, LICENSORS
<br />City of Santa Ana, It's Officers, Employees, Agents, Volunteers and Representatives
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />ADDITIONAL INSURED(S): City of Santa Ana, County of Orange, Orange Comity Fire Authority and their officers,
<br />agents, employees and volunteers when acting in their official capacity as such.
<br />The Coverage afforded the additional insureds asset forth in this certificate shalt be primary and non -c ibutory with
<br />respect to any insurance carried by such additional insureds.
<br />Po 1
<br />DISPLAY LOCATION DISPLAY DATE(S)
<br />Centennial Regional Park Soccer Field July 4, 2016
<br />Santa Ana, CA
<br />It is certilied that this policy requires a 30 day mutual notice of cancellation between the Insurer and the Named Insu d. In the event of such
<br />cancellation we will endeavor to mail 10 days written notice to the Additional hismcd(s), whose name and address is shown hereon, but railure
<br />to mail such notice shall impose no obligation or liability of any kind upon the insurer and/or the undersigned.
<br />DRAYTON INSURANCE BROKERS, INC.
<br />February 11, 2016
<br />DATE OF ISSUE A..STRINGRR, PRESIDER:
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