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DRAYTON INSURANCE BROKERS, INC.
<br />2500 CENTER POINT ROAD, SUITE 301 POS'P OFFICE^: BOX 94067
<br />BIRMINGHAM, ALABAMA 35215 BIRMINGHAM, ALABAMA 3522D
<br />TELEPHONE: (205) 854-5806 FAX: (205) 854-5899
<br />CERTIFICATE OF INSURANCE
<br />No. 713047
<br />We certify that insurance is afforded as stated below. This Certificate does not affirmatively or negatively amend, extend or alter the coverage
<br />afforded by the insurance policy and the insuranoe afforded is subject to all the terms, exchisions and conditions of the policy.
<br />INSURER Admiral Insurance Company POLICY NO. CA000002771-31
<br />NAMED INSURED Pyro Spectaculars, hic. Gyro Spectaculars by sutrta
<br />Pyro /;veil[$, 111c. Pyro Spectacular hrdustries, 111C�
<br />Pyro Spectaculars Productions, Inc. North American fireworks Co,, Inc, (NA1`C )
<br />P.O. Box 2329 San Diego Fireworks
<br />Rialto, C"tilili;rnia 92377
<br />POLICY TERM January 1.3, 2017 to January 13, 2015; Both Days 12:01 A.M. Standard 'rime
<br />COVERAGE Commercial (general Liability: Z Occurrence Basis ❑ Claims Made Basis
<br />LIMIT OF LIABILITY $5,000,000 each occurrence, S10,000,000 general aggregate, $5,000,000 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 sponsor(s), promoter(s), organizer(s) (including other
<br />entities having similar interests), of insured pyrotechnic events and/or 2) the owner(s) of real property (or barges) at which insured pyrotechnic
<br />events are held and/or 3) the owner(s), mmnager(s), tenant(s), mortgagec(s) (including other entities having similar interests), of buildings, stadiums,
<br />arenas and similar facilities at which insured pyrotechnic events are held and/or 4) flies 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 flit insurance is required to be aiTorded
<br />under written contract. Coverage applies only as respects the legal liability of such Additional htsttred(s) for bodily injury and property damage
<br />caused by the operations of the Named insured. The insurance afforded any Additional Insured does not include coverage for any bodily injury or
<br />property damage arising from the failure of such Additional Insured to fulfill its obligations specified in its contract with the Named Iclsnred,
<br />1NANilik & 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 INSURE D(S): City of Santa Ana, County of Orange, Orange County Fire Authority and their officers,
<br />agents and employees when acting in their official capacity as such,
<br />'l"he coverage afforded the additional insureds as set forth in this certificate shall be primaryand non-contribT, ry with
<br />respect to any insurance carried by such additional insureds.
<br />DISPLAY LOCATION DISPLAY DATE(S) �°�®� C
<br />Centennial Regiional Parr Soccer Field July 4, 2017 j
<br />Santa Ana, CA � `��� ����-
<br />( C;
<br />It is certified that this policy squires a 30 day mutual notice of cancellation between the Insurer and the Named t•cd. In t ent of such
<br />cancellation we will endeavor to mail 10 days wr uteri notice to the Additional Insured(s), whose name and address is shown hereon. bug failure
<br />to snail such notice shall impose no obligation or habilh), orany kind upon the insurer and/or the undersigned,
<br />DRAYTON INSURANCE BROKERS, INC.
<br />w
<br />March .13 2017 _
<br />DATE. OF ISSUE r ?IR�IINGJ!�,R. I'RO SIIP-3=
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