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DRAYTON INSURANCE BROKERS, INC.
<br />0 CENTER POINT ROAD, SUITE. 301 POST OFFICE BOX W067
<br />SIRMINGIIAM, AI.ABAMA 35215 BIRMINGHAM, ALABANIA 33220
<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. 'I'll is Certificate does not affirmatively or negatively amend, extend or alter the coverage
<br />afforded by the insurance policy
<br />and the insurance afilodrd is subject to all the terms, exclusions and conditions orthe policy.
<br />INSURER
<br />Admiral Insurance Company POLICY NO, CA000002771-31
<br />NAMED INSURED
<br />Pyro spectaculars. Ine. Pyro Spectaculars by Souza
<br />Pyro Events, Inc. Pyro Spec acular bslustrics, Inc.
<br />Pyru Spectaculars Productions, Ine North American Fireworks Co, hte. (NAFCO)
<br />P.O. Box 2329 San Diego Fireworks
<br />Riallo,Califorian 92377
<br />POLICY TERM
<br />January 1.1, 2017 to January 13, 2019; Roth bays 12:01 A.M. Standard "time
<br />COVERAGE
<br />Commercial General Liability: ® Occurrence Basis 0 Claims Made Basis
<br />LIMIT OF LIABILITY
<br />$5,000,000 each occurrence, $10,000,000 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
<br />Public fireworks display and special effects contractor
<br />It is certified that, if named below, this policy includes as Additional Inso reds 1) the sponsor(s), promoler(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), ntanager(s), tenant(s), mortgagee(s) (including other entities having shmIar interests), or buildings, stadiums,
<br />arenas and similar facilities at which insured pyrotechnic events are held and/or 4) the licensing or permitting authority, or other uullimily having
<br />,jurisdiction, issuing liecnses/pcnnits for insured pyrotechnic events and/or 5) any other entity for which the insurance is required to be afforded
<br />under written contract. Coverage applies only as respects the legal liability of such Additional Insureds) 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 Insured.
<br />NAME & ADDRESS OF INSURED SPONSORS,
<br />PROPERTY OWNERS, IICF.NSORS
<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 INSURFD(5): 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 />The coverage afforded the additional insureds as set forth in this certificate shall be primary and non-y15utory with
<br />respect to any insurance carried by Such additional insureds. �pd�
<br />DISPLAY LOCATION DISPLAY DATF(S)
<br />Centennial Regional Park Soccer Field July 4, 2017
<br />Santa Ana, CA S�cCjP,
<br />It is certified that this policy requires a 30 day mutual notice ulcancellation between the Insurer and the Named Insured. In the event of such
<br />cancellation we will endeavor in mail 10 clays wi hall notice to the Additional Insured(s), whose name and address is shown hereon. but failure
<br />to mail such notice shut] inrposo no obligation or liability of any kind upon the insurer andlor the undersigned.
<br />DRAYTON INSURANCE BROKERS, INC.
<br />March 13 2017
<br />DATE OF ISSUE , ,..STRINGER, PRESu)'—
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