Loading...
HomeMy WebLinkAboutPyro Spectaculars - 2016 AgreementCONSULTANT CITY OF GILROY Pyro Spectaculars North, Inc. PROGRAM # B, Rev. #2 5301 Lang Avenue July 4, 2016 McClellan, CA 95652 Page 1 of 8 (909) 355 -8120 fax (909)355 -9813 FIREWORKS PRODUCTION AGREEMENT This agreement ( "Agreement ") is made this 9th_ day of _March_, 2016 by and between _Pyro Spectaculars North, Inc._, a California corporation, hereinafter referred to as "Consultant ", and City of Gilroy, hereinafter referred to as "CITY ". CONSULTANT and CITY are sometimes referred to as "Party" or collectively as "Parties" herein. I. Engagement — CITY hereby engages CONSULTANT to provide to CITY one fireworks production ( "Production "), and CONSULTANT accepts such engagement upon all of the promises, terms and conditions hereinafter set forth. The Production shall be substantially as outlined in the Scope of Work, ( "Scope of Work "), attached hereto, incorporated herein by this reference, and made a part of this Agreement as though set forth fully herein. 1.1 CONSULTANT Duties — CONSULTANT shall provide all pyrotechnic equipment, trained pyrotechnicians, shipping, pyrotechnic products, application for specific pyrotechnic permits, the cost of which, including standby fees, relating to the Production shall be paid by CITY. Insurance covering the Production and the other things to be performed as more specifically set forth in this Agreement and in the Scope of Work shall be paid by CONSULTANT. 1.2 CITY Duties — CITY shall provide to CONSULTANT a suitable site ( "Site ") for the Production, security for the Site as set forth in Paragraph 6 hereof, access to the Site, any permission necessary to utilize the Site for the Production, and the other things on its part to be performed as more specifically set forth below in this Agreement and in the Scope of Work. All Site arrangements are subject to CONSULTANT's reasonable approval as to pyrotechnic safety, suitability, and security. All other conditions of the Site shall be the responsibility of CITY, including, but not limited to, access, use, control, parking and general safety with respect to the public, CITY personnel and other contractors. 2. Time and Place — The Production shall take place on July 4, 2015, at approximately 9:30PM, at Ball Field- Gilroy High School, 10th and Princevalle Street, Gilroy, CA. 3. Fees, Interest, and Expenses — 3.1 Fee — CITY agrees to pay CONSULTANT a fee of $10,000.00_ for the Production. CITY shall pay to CONSULTANT $_5,000.00_ of the Fee plus estimated permit and standby fees, specified production costs, and other regulatory costs approximated at $_00.00_, for a total of $ 5,000.00 , as a deposit ( "Deposit ") upon the execution of this Agreement by both parties but no later than April 1, 2016. The remainder of the Fee shall be paid to CONSULTANT within 10 days after the Production and upon CONSULTANT's completion of take down and restoration of the Site. 3.2 Attorneys' Fees —If litigation arises out of this Agreement, the prevailing party shall be entitled to reasonable costs incurred in connection with the litigation, including, but not limited to reasonable attorneys' fees. 4837 - 9520- 6168v1 WAKHARIA104706083 CONSULTANT CITY OF GILROY Pyro Spectaculars North, Inc. PROGRAM # B, Rev. #2 5301 Lang Avenue July 4, 2016 McClellan, CA 95652 Page 2 of 8 (909) 355 -8120 fax (909)355 -9813 3.3 Expenses — CONSULTANT shall pay all normal expenses directly related to the Production including freight, insurance, pyrotechnic products, pyrotechnic equipment, experienced pyrotechnic personnel to set up and discharge the pyrotechnics and those additional items as outlined as CONSULTANT's responsibility in the Scope of Work. CITY shall pay all costs related to the Production not supplied by CONSULTANT, which are enumerated as CITY's responsibility in this Agreement and Scope of Work. (See paragraph 1.2.) 4. Proprietary is — CONSULTANT represents and warrants that it owns all copyrights, including performance rights, to this Production, except that CONSULTANT does not own CITY -owned material or third - party -owned material that has been included in the Production, and as to such CITY -owned and third - party -owned material, CITY assumes full responsibility therefore. CITY agrees that CONSULTANT shall retain ownership of all copyrights and other rights to the Production, except that CONSULTANT shall not acquire or retain any ownership or other rights in or to CITY -owned material and third - party -owned material and shall not be responsible in any way for such material. If applicable, CITY consents to the use of CITY -owned material and represents that it has or will obtain any permission from appropriate third parties sufficient to authorize public exhibition of any such material in connection with this Production. CONSULTANT reserves the ownership rights in its trade names that are used in or are a product of the Production. Any reproduction by sound, video or other duplication or recording process without the express written permission of CONSULTANT is prohibited. 5. Safety — CONSULTANT shall comply with applicable federal, state and local laws and regulations and employ safety programs and measures consistent with recognized applicable industry standards and practices. At all times before and during the Production, it shall be within CONSULTANT's sole discretion to determine whether or not the Production may be safely discharged or continued. It shall not constitute a breach of this Agreement by CONSULTANT for fireworks to fail or malfunction, or for CONSULTANT to determine that the Production cannot be discharged or continued as a result of any conditions or circumstances affecting safety beyond the reasonable control of CONSULTANT. 6. Security — CITY shall provide adequate security personnel, barricades, and Police Department services as may be necessary to preclude individuals other than those authorized by CONSULTANT from entering an area to be designated by CONSULTANT as the area for the set -up and discharge of the Production, including a fallout area satisfactory to CONSULTANT where the pyrotechnics may safely rise and any debris may safely fall. CONSULTANT shall have no responsibility for monitoring or controlling CITY's other contractors, providers or volunteers, or areas to which the public or contractors have access; or any other public or contractor facilities associated with the Production. 7. Clean-up — CONSULTANT shall be responsible for the removal of all equipment provided by CONSULTANT and clean-up of any used live pyrotechnic debris made necessary by the Production. 4837 - 9520 -6168v 1 MVAKHARIA104706083 CONSULTANT CITY OF GILROY Pyro Spectaculars North, Inc. PROGRAM # B, Rev. #2 5301 Lang Avenue July 4, 2016 McClellan, CA 95652 Page 3 of 8 (909) 355 -8120 fax (909)355 -9813 8. Permits — CONSULTANT agrees to apply for and acquire all legally required permits for the firing of pyrotechnics from agencies including but not limited to the Gilroy Fire Department, FAA, and USCG. CITY shall be responsible for any fees associated with these permits including standby fees. CITY shall be responsible for obtaining any other necessary permits, paying associated fees, and making other appropriate arrangements for Police Departments, other Fire Departments, road closures, event /activity or land use permits or any permission or permit required by any Local, Regional, State of Federal Government. 9. Insurance — CONSULTANT shall at all times during the performance of services herein ensure that the following insurance is maintained by CONSULTANT at its sole cost in connection with CONSULTANT's performance of this Agreement: (1) commercial general liability insurance, including products, completed operations, and contractual liability under this Agreement; (2) automobile liability insurance, (3) workers' compensation insurance and employer liability insurance. Such insurance is to protect CITY from any claims arising out of CONSULTANT's performance of this Agreement for bodily injury, including death, personal injury, and from claims of property damage, which may arise from CONSULTANT's performance of this Agreement. The types and amounts of coverage shall be as set forth in the Scope of Work. Such insurance shall not include claims which arise from CITY's negligence or willful misconduct or from failure of CITY to perform its obligations under this Agreement, coverage for which shall be provided by CITY. The coverage of these policies shall be subject to inspection by CITY. Certificates of Insurance evidencing the required general liability coverage shall be furnished to CITY prior to the rendering of services hereunder and shall include that the following are named as additionally insured: CITY; Sponsors, Landowners, Barge Owners, if any; and Permitting Authorities, with respect to the operations of CONSULTANT at the Production. Pyrotechnic subcontractors or providers, if any, not covered under policies of insurance required hereby, shall secure, maintain and provide their own insurance coverage with respect to their respective operations and services. 10. Indemnification — CONSULTANT represents and warrants that it is capable of furnishing the necessary experience, personnel, equipment, materials, providers, and expertise to produce the Production in a safe and professional manner. Notwithstanding anything in this Agreement to the contrary, CONSULTANT shall indemnify, hold harmless, and defend CITY and the additional insureds from and against any and all claims, actions, damages, liabilities and expenses, including but not limited to, attorney and other professional fees and court costs, in connection with the loss of life, personal injury, and/or damage to property, arising from or out of the Production and the presentation thereof to the extent such are occasioned by any act or omission of CONSULTANT, their officers, agents, contractors, providers, or employees. In no event shall either party be liable for the consequential damages of the other party. 11. Limitation of Damages for Ordinary Breach — Except in the case of bodily injury and property damage as provided in the insurance and indemnification provisions of Paragraphs 9 and 10, above, in the event CITY claims that CONSULTANT has breached this Agreement or was otherwise negligent in performing the Production provided for herein, CITY shall not be entitled to claim or recover monetary damages from CONSULTANT beyond the amount CITY has paid to 4837- 9520- 6168v1 WAKHARIA104706083 CONSULTANT CITY OF GILROY Pyro Spectaculars North, Inc. PROGRAM # B, Rev. #2 5301 Lang Avenue July 4, 2016 McClellan, CA 95652 Page 4 of 8 (909) 355 -8120 fax (909)355 -9813 CONSULTANT under this Agreement, and shall not be entitled to claim or recover any consequential damages from CONSULTANT including, without limitation, damages for loss of income, business or profits. 12. Force Majeure — CITY agrees to assume the risks of weather, strike, civil unrest, terrorism, military action, governmental action, and any other causes beyond the control of CONSULTANT which may prevent the Production from being safely discharged on the scheduled date, which may cause the cancellation of any event for which CITY has purchased the Production. If, for any such reason, CONSULTANT is not reasonably able to safely discharge the Production on the scheduled date, or at the scheduled time, or should any event for which CITY has purchased the Production be canceled as a result of such causes, CITY may (i) reschedule the Production and pay CONSULTANT such sums as provided in Paragraph 13, or (ii) cancel the Production and pay CONSULTANT such sums as provided in Paragraph 14, based upon when the Production is canceled. In no event shall CONSULTANT proceed with the Production unless CONSULTANT can conduct its obligations safely. 13. Rescheduling Of Event — If CITY elects to reschedule the Production, CONSULTANT shall be paid the original Fee plus all additional expenses made necessary by rescheduling plus a 15% service fee on such additional expenses. Said expenses will be invoiced separately and payment will be due in full within 5 days of receipt. In no event shall the applicable fees expenses and exceed $ 2,500.00_. CITY and CONSULTANT shall agree upon the rescheduled date taking into consideration availability of permits, materials, equipment, transportation and labor. The Production shall be rescheduled for a date not more than 90 days subsequent to the date first set for the Production. The Production shall not be rescheduled between June 15th and July 15th unless the original date was July 4th of that same year, or between December 15th and January 15th unless the original date was December 31 st of the earlier year unless CONSULTANT agrees that such rescheduling will not adversely affect normal business operations during those periods. 14. Right to Cancel — CITY shall have the option to unilaterally cancel the Production prior to the scheduled time. If CITY exercises this option, CITY agrees to pay a termination fee which shall be calculated based on the following percentages of the Fee as set forth in Paragraph 3.1: 1) 50% if cancellation occurs 30 to 90 days prior to the scheduled date, 2) 75% if cancellation occurs 15 to 29 days prior to the scheduled date, 3) 100% thereafter. In the event CITY cancels the Production, it will be impractical or extremely difficult to fix the actual amount of CONSULTANT'S damages. The foregoing represents a reasonable estimate of the damages CONSULTANT will suffer if CITY cancels the Production. 15. No Joint Venture — It is agreed that nothing in this Agreement or in CONSULTANT'S performance of the Production shall be construed as forming a partnership or joint venture between CITY and CONSULTANT. CONSULTANT shall be and is an independent contractor with CITY and not an employee of CITY. The Parties hereto shall be severally 4837 - 9520 -61680 MVAKHARIA104706083 CONSULTANT CITY OF GILROY Pyro Spectaculars North, Inc. PROGRAM # B, Rev. #2 5301 Lang Avenue July 4, 2016 McClellan, CA 95652 Page 5 of 8 (909) 355 -8120 fax (909)355 -9813 responsible for their own separate debts and obligations and neither Party shall be held responsible for any agreements or obligations not expressly provided for herein. 16. Applicable Law — This Agreement and the rights and obligations of the Parties hereunder shall be construed in accordance with the laws of California. In the event that the scope of the Production is reduced by authorities having jurisdiction or by either Party for safety concerns, the full dollar amounts outlined in this Agreement are enforceable. 17. Notices — Any Notice to the Parties permitted or required under this Agreement may be given by mailing such Notice in the United States Mail, postage prepaid, first class, addressed as follows: CONSULTANT: CITY: Pyro Spectaculars North, Inc. City of Gilroy P.O. Box 2329 7351 Rosanna Street Rialto, CA 92377 Gilroy, CA 95020 18. Modification of Terms — All terms of the Agreement are contained herein and may only be modified by written agreement of both Parties hereto. Both Parties acknowledge they have received a copy of said written Agreement and agree to be bound by said terms of written Agreement only. 19. Effective Date — This Agreement shall become effective after it is executed by CONSULTANT and thereafter on the date it is executed and accepted by CITY. This Agreement may be executed in counterparts, including faxed and emailed copies, each one of which shall be deemed an original against the Party executing same. This Agreement shall be binding upon the Parties hereto and upon their heirs, successors, executors, administrators, and assigns. 20. Assignment — CONSULTANT may not assign this agreement or any right or obligation of this agreement, by operation of law or otherwise, without prior written consent of the CITY. CONSULTANT CITY OF GILROY By: By: tithorized . Souza, President Its: Officer Its: City Administrator ( aab riel A. Gun-2o 4837 - 9520- 6168v1 MVAKHARIA104706083 CONSULTANT Pyro Spectaculars North, Inc. 5301 Lang Avenue McClellan, CA 95652 (909) 355 -8120 fax (909)355 -9813 Approved as to Form: Gilroy City Attorney's Office By: 4� vl� t ity Attorney 4837 - 9520 -61680 MVAKHARIA104706083 CITY OF GILROY PROGRAM # B, Rev. #2 July 4, 2016 Page 6 of 8 ATTEST: CONSULTANT CITY OF GILROY Pyro Spectaculars North, Inc. PROGRAM # B, Rev. #2 5301 Lang Avenue July 4, 2016 McClellan, CA 95652 Page 7 of 8 (909) 355 -8120 fax (909)355 -9813 SCOPE OF WORK CONSULTANT and CITY OF GILROY ( "CITY") CONSULTANT shall provide the following goods and services to CITY: • One CONSULTANT, Production on July 4, 2016, at approximately 9:30PM at Ball Field - Gilroy High School, 10`h and Princevalle Street, Gilroy, CA. • All pyrotechnic equipment, trained pyrotechnicians, shipping, and pyrotechnic product. • Application for specific pyrotechnic permits relating to the Production. • Insurance covering the Production as set forth in the Agreement with the following limits: Insurance Requirements Commercial General Liability Business Auto Liability - Owned, Non -Owned and Hired Autos Workers' Compensation Employer Liability Limits $5,000,000.00 Combined Single Limit — Each Occurrence (Bodily Injury & Property Damage) $5,000,000.00 Combined Single Limit — Each Occurrence (Bodily Injury & Property :Damage) Statutory $1,000,000 Per Occurrence CLIENT shall provide to CONSULTANT the following goods and services: • All on -site labor costs not necessary for the fireworks production itself and not provided or performed by CONSULTANT personnel including, but not limited to, all Site security, Police and Fire Dept. standby personnel, stagehands, electricians, audio and fire control monitors, carpenters, plumbers, and clean-up crew, except for the clean -up as set forth in Paragraph 7. All these additional personnel and services shall be fully insured and the sole responsibility of CLIENT. • Coordination and any applicable non - pyrotechnic permitting with the local, state or federal government that may have authority over the Production. • Costs of all permits required for the presentation of the Production and the event as a whole. • Provision of a Safety Zone in accordance with applicable standards and all requirements of the authorities having jurisdiction throughout the entire time that the pyrotechnics are at the Site or the load site (if different) on the date of the Production and all set -up and load -out dates, including water security to keep unauthorized people, boats, etc. from entering the Safety Zone. • General Services including, but not limited to, Site and audience security, fencing, adequate work light, dumpster accessibility, a secure office for CONSULTANT'S personnel within the venue, secure parking for CONSULTANT vehicles, access to washrooms, tents, equipment 4837 - 9520- 6168v1 MVAKHARIA104706083 CONSULTANT CITY OF GILROY Pyro Spectaculars North, Inc. PROGRAM # B, Rev. #2 5301 Lang Avenue July 4, 2016 McClellan, CA 95652 Page 8 of 8 (909) 355 -8120 fax (909)355 -9813 storage, hazmat storage, electrical power, fire suppression equipment, access to worksites, necessary credentialing, etc., will be required as necessary. 4837 - 9520 -61680 MVAKHARIA104706083 ncoRO CERTIFICATE OF LIABILITY INSURANCE DATE YYYY) � 3/11/20016 16 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION 15 WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). iPRODUCER Britton Gallagher One Cleveland Center, Floor 30 1375 East 9th Street Cleveland OH 44114 INSURED Pyro Spectaculars North Inc. 5301 Lang Ave McClellan Park CA 95652 INSURER A INSURER F: COVERAGES CERTIFICATE NUMBER: 1835119999 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE i-UK I HE PULICY PLKIUL) INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCE) BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE '.ADDLi ! IN UB WVD POLICY NUMBER POLICY EFF POLICY EXP I MMIDDIYYYYI IMMIODIYYYYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 171 OCCUR I SlaGL00232 -161 1/112016 1/13/2017 EACH OCCURRENCE $1,000,000 DAMAGE N PREMISES a occurrence $500,000 $ MED EXP (Any one Derson PERSONAL & ADV INJURY ., $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X MO_ LOC PRODUCTS - COMPIOP AGG $2,000,000 S AUTOMOti1LE 1.111811L1TY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS Ea acriaent _ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ - -- B UMBRELLA LIAR EXCESS LIAR X IMS-MADE F-XC6017995 1/13/2016 1/13/2017 EACH OCCURRENCE $4.000,000 X AGGREGATE $4,000,000 $ i DED RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N!A WC ST, OTH- ov ) I FR E.L EACH ACCIDENT S E.L. DISEASE -EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT S !! I C DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate Holder is named as an additional insured in regards to General Liability. Date of Display: July 4, 2016 Location of Display: Gilroy High School: Gilroy, CA Add:tlonal Insured: City of Gilroy, and Gilroy Unified School District, and Gilroy Unified School District Building Corporation, and their officers, agents and employees when acting in their official capacity as such. CERTIFICATE HOLDER CANCELLATION City of Gilroy 7351 Rosanna Street Gilroy CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1 / l ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Pyro Spectaculars North Inc. POLICY NUMBER: S18GLOO282 -161 COMMERCIAL GENERAL LIABILITY ECG 20 592 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) ANY PERSON OR LEGAL ENTITY IN WHICH YOU HAVE A WRITTEN CONTRACT, AGREEMENT, OR PERMIT WHICH REQUIRES THAT YOU NAME THE CONTRACTING PARTY AS AN ADDITIONAL INSURED. City of Gilroy 7351 Rosana Street Gilroy, CA 95020 The City of Gilroy, Gilroy Unified School District, Gilroy Unified School District Building Corporation and their officers, Agents and employees when acting in their official capacity as such. I Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" but only to the extent caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. B. The insurance afforded to an additional insured shall only include the insurance required by the terms of the written agreement and shall not be broader than the coverage provided within the terms of the Coverage Part. C. The Limits of Insurance afforded to an additional insured shall be the lesser of the following: 1. The Limits of Insurance required by the written agreement between the parties; or 2. The Limits of Insurance provided by this Cov- erage Part. D. With respect to the insurance afforded to an addi- tional insured, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising in- jury" arising out of any act or omission of an addi- tional insured or any of its employees. ECG 20 592 05 09 Copyright, Everest Reinsurance Company 2009 Page 1 of 1 0 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. CO CERTIFICATE OF LIABILITY INSURANCE 4i2�i2o s ) ACORO® THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the poliey(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Britton Gallagher PEE FAx One Cleveland Center, Floor 30 1375 East 9th Street ARRKW- Cleveland OH 44114 INSURER(S) AFFORDING COVERAGE NMC 0 INSURED INeu m e : ,.Aaxum _indemn4. Cornparw- - - - - -- Pyro Spectaculars North, Inc. NMRelc: 5301 Lang Ave, INSURER D: McClellan Park CA 95652 COVERAGES CERTIFICATE NUMBER: 1136376703 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR ADDLIUBRI TYPE OF INSURANCE POLICY NUMBER PmrooCY EFF IPM ICY EXP Leers GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY IS S'O�Ft� EMI n S CLAIMS -MADE E OCCUR MED EXP one person) $ PERSONAL BAOV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ S i POLICY 7 n LOC I AUTOMOBILE LIABILITY S18CA00031 -161 1/1312016 1113/2017 Es wt 1000 000 . . X BODILY INJURY (Per person) Is ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE War 405der4 $ HIRED AUTOS X NON-OWNED AUTOS s B UmMFd+rALIAB X OCCUR EXC6017995 1/13/2016 1/13/2017 EACH OCCURRENCE $4,000,000 X AGGREGATE $4.00.000 IlO(C^SS Lin CLAIMS -MADE DED RETENTION $ S WORKERS COMPENSATION I WC STATU- OTH LIM I ER AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE I El. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N / A E.L. DISEASE - EA EM" $ (Mandatory In NH) K describe under DESCRIPTION OF OPERATIONS below i E.L. DISEASE - POLICY LIMIT $ I DESCRIPMN OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule. If more space is required) Certificate Holder is Named as an additional insured. Date of Display: July 4, 2016 Location of Display: Gilroy High School; Gilroy, CA Additional Insured: City of Gilroy, and Gilroy Unified School District, and Gilroy Unified School District Building Corporation, and their officers, agents and employees when acting in their official capacity as such. Ur-K I II II:A t t MULUtK City of Gilroy 7351 Rosanna Street Gilroy CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE m 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICYHOLDER COPY SD P.O. BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 04 -21 -2016 GROUP: POLICY NUMBER: 0804575-2015 CERTIFICATE ID: 498 CERTIFICATE EXPIRES: 10-14 -2016 10- 14- 2015/10 -14 -2018 CITY OF GILROY SD 7351 ROSANNA ST GILROY CA 95020 -6141 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. Authorized Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #2085 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10-14 -2008 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER PYRO SPECTACULARS NORTH INC. 5301 LANG AVE MCCLELLAN CA 95652 SD [P10,SDI (REV.7-2014) PRINTED : 04 -21 -2018 �1CO CERTIFICATE OF LIABILITY INSURANCE DATE(a"'O"1' 3/11/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Britton Gallagher PHONE FAx No One Cleveland Center, Floor 30 E -MAIL - 1375 East 9th Street ADDRESS: Cleveland OH 44114 INSURERIS) AFFORDING COVERAGE NAIL 0 INSURER A: - l< 1!?rr4e+4�)uYruruuV�l.Sl,iCtiil .1. INSURED INSURER B :MaXUnlf Qdefppjty-clampany Pyro Spectaculars North Inc. INSURER C : 5301 Lang Ave INSURER 0 McClellan Park CA 95652 - - -- -- -- -- INSURER E: COVERAGES CERTIFICATE NUMBER: 1RZS1lQnoo REVISION NUMBER- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILT R TYPE OF INSURANCE LTR ��L R NNO POLICY NUMBER s POLICY EFF s MM/00/YYYY POLICY EXP IWDD r LIMITS A GENERAL LIABILITY SIBGLOO282 -161 11/13/2016 1/13=17 EACH OCCURRENCE $1,000,000 PR DAMAGE rt n $500,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE U OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: !POLICY X PRO- ! LOC $ i AUTOMOBILE — LIABILITY COMBINLU accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ( ) $ i NON -OWNED HIRED AUTOS __ AUTOS ROPERT..---M.A.G _ PROPERTY DAMAGE .. . - ,(P9ramdent .._.- $ $ # B UMBRELLA LIAB X OCCUR EXC6017995 1/13/2016 1/13/2017 EACH OCCURRENCE $4.000.000 X EXCESS UA9 I CLAIMS -MADE AGGREGATE $4,000,D00 CEO I I RETENTION $ WORKERS COMPENSATION WC STATU- OTH- ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERWEMBER EXCLUDED? r7 NIA TOR ITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under I EL. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below 1 E DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Certificate Holder is named as an additional insured in regards to General Liability. Date of Display: July 4, 2016 Location of Display: Gilroy High School; Gilroy, CA Additional Insured: City of Gilroy, and Gilroy Unified School District, and Gilroy Unified School District Building Corporation, and their officers, agents and employees when acting in their official capacity as such. t AIe\.CLL.A I RJIY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gilroy ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy CA 95020 AUTHORIZED REPRESENTATIVE 9 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Pyro Spectaculars North Inc. POLICY NUMBER: S18GLOO282 -161 COMMERCIAL GENERAL LIABILITY ECG 20 592 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE I Name Of Additional Insured Person(s) Or Oraanization(s) I ANY PERSON OR LEGAL ENTITY IN WHICH YOU HAVE A WRITTEN CONTRACT, AGREEMENT, OR PERMIT WHICH REQUIRES THAT YOU NAME THE CONTRACTING PARTY AS AN ADDITIONAL INSURED. City of Gilroy 7351 Rosana Street Gilroy, CA 95020 The City of Gilroy, Gilroy Unified School District, Gilroy Unified School District Building Corporation and their officers, Agents and employees when acting in their official capacity as such. I Information required to complete this Schedule, if not shown above, will be shown in the Declarations j A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" but only to the extent caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. B. The insurance afforded to an additional insured shall only include the insurance required by the terms of the written agreement and shall not be broader than the coverage provided within the terms of the Coverage Part. C. The Limits of Insurance afforded to an additional insured shall be the lesser of the following: 1. The Limits of Insurance required by the written agreement between the parties; or 2. The Limits of Insurance provided by this Cov- erage Part. D. With respect to the insurance afforded to an addi- tional insured, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising in- jury" arising out of any act or omission of an addi- tional insured or any of its employees. ECG 20 592 05 09 Copyright, Everest Reinsurance Company 2009 Page 1 of 1 ❑ Includes copyrighted material of Insurance Services Office, Inc., used with its permission. ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DDNYYY) 5/24/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Britton Gallagher One Cleveland Center, Floor 30 1375 East 9th Street PHONE FAX - - (A/C. "° ` - - E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # Cleveland OH 44114 INSURER A :Everest Indemnity Insurance Co. 10851 EACH OCCURRENCE INSURED INSURER B:MaXUM Indemnity Company 26743 INSURER C : X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR Pyro Spectaculars North Inc. 5301 Lang Ave McClellan Park CA 95652 INSURER D: MED EXP (Any one person) $ INSURER E : $1,000,000 INSURER F COVERAGES CERTIFICATE NUMBER: 2022678143 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR rypE OF INSURANCE IN SR WVD POLICYNUMBER POLICY EFF MMIDDNYYY POLICY EXP MMIDDNYYY LIMITS A GENERAL LIABILITY S18GL00282 -161 1/13/2016 1/13/2017 EACH OCCURRENCE $1,000,000 DAMAGE TOR= PREMISES (Ea occurrent $500,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $2,000,000 POLICY X PRO- LOC JECT $ AUTOMOBILE LIABILITY Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ DAMAGE PPReOaPC RdT n $ NON -OWNED HIRED AUTOS AUTOS B UMBRELLA LIAB X OCCUR EXC6017995 1/13/2016 1/13/2017 EACH OCCURRENCE $4,000,000 X AGGREGATE $4,000,000 EXCESS LIAB CLAIMS -MADE DIED I I RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? F7 NIA E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If Yes . descr be under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate Holder is named as an additional insured in regards to General Liability. Additional Insured extension of coverage is provided by above referenced General Liability policy where required by written agreement. Date of Display: July 4, 2016 Location of Display: Gilroy High School; Gilroy, CA See Attached... k.tK 1 RIGA I t HULUtK GANGtLLA I JUN City of Gilroy 7351 Rosanna Street Gilroy CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: A�ORO ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Britton Gallagher NAMEDINSURED Pyro Spectaculars North Inc. 5301 Lang Ave McClellan Park CA 95652 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Additional Insured: City of Gilroy, and Gilroy Unified School District, and Gilroy Unified School District Building Corporation, and their officers, agents and employees when acting in their official capacity as such. Sexual Abuse & Molestation exposures are included at full policy limits. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD r March 04, 2016 City of Gilroy Sandra Sammut 7351 Rosanna Street Gilroy, CA 95020 Dear Ms. Sammut, Pyro Spectaculars North, Inc. is happy to provide our pyrotechnic proposal for your July 04, 2016 event. The following proposal outlines your custom designed Program "A" for the amount of $10,000.00. The various fireworks elements provided are prepared to shoot from Gilroy High School for 20 minutes. Our full service program includes the services of licensed pyrotechnic operator, specialized crew, an electronic firing system, and safety equipment used for support and protection. The price also includes insurance coverage, sales tax and delivery. To help ensure public safety, we work directly with the local fire authority while we apply for all the necessary fire department and other fireworks related permits. Our winning combination of products, people and production capabilities help produce the safest fireworks entertainment package possible. Your organization will be responsible for payment of all Fire Department permit fee and /or standby firemen fees, if any. The Fire Department may bill you directly for any additional standby fees for inspections. Your organization will also be responsible for providing the display location and all necessary security for the display site. Enclosed you will find a Product Synopsis and a copy of the 2015 Production Agreement prepared by the City of Gilroy. Kindly prepare the same agreement with the information for the upcoming display. Any variation from the previous agreement must be clearly highlighted. Please take the time to review this proposal in detail. If you wish to discuss any changes in your program or need more information, please call either myself or your Customer Service Representative Carina Herrera at (909) 355 -8120 ext. 239. Sincerely, PYRO SPECTACULARS NORTH, INC. Pat Dyas PYRO Show Producer PD /je Enclosures PYRO SPECTACULARS NORTH, INC. P.O. Box 6775 - Oakland. CA 94603 • Phone: (510) 397 -2055 • Fax: (510) 397 -2048 Prodkrct Synopsis Pyro achnlc Propose/ City of Gilroy Ar A mJuly 04, 40f6 $to ,f000.00 Opening Description ♦ 2.5" Souza Designer Opening Salutes Main Body - Aerial Shells Description ♦ 3" Souza Designer Selections ♦ 4" Souza Designer Selections ♦ 5" Souza Designer Selections Quantity 5 Total of Opening 5 Quantity 150 90 18 Total of Main Body - Aerial Shells 258 Grand Finale Description Quantity ♦ 2.5" Souza Designer Bombardment Shells 72 ♦ 3" Souza Designer Bombardment Shells 50 ♦ 4" Souza Designer Bombardment Shells 30 Total of Grand Finale 152 Grand Total 415 ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 5/24/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PHONE AC' No):216-658-71 01 Britton Gallagher One Cleveland Center, Floor 30 1375 East 9th Street E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # Cleveland OH 44114 INSURER A:EVereSt Indemnity Insurance Co. 10851 EACH OCCURRENCE INSURED INSURER B:MaXUM Indemnity Company 26743 INSURER C : Pyro .Spectaculars North Inc. INSURER D : 5301 Lang Ave McClellan Park CA 95652 $500,000 CLAIMS -MADE OCCUR INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 9n99F7R1a� REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLISUBIR INSR WVD POLICY NUMBER POLICY EFF MM /DDIYYYY POLICY EXP MMIDD/YYYY LIMITS A GENERAL LIABILITY S18GLOO282 -161 1/13/2016 1/13/2017 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $500,000 CLAIMS -MADE OCCUR MED FRCP (Any one person) $ PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $2,000,000 $ POLICY x F PRO- LOC AUTOMOBILE LIABILITY Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS H AUTOS B UMBRELLA LIAB X OCCUR EXC6017995 1/13/2016 1/13/2017 EACH OCCURRENCE $4,000,000 AGGREGATE $4,000,000 X EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER /EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate Holder is named as an additional insured in regards to General Liability. Additional Insured extension of coverage is provided by above referenced General Liability policy where required by written agreement. Date of Display: July 4, 2016 Location of Display: Gilroy High School; Gilroy, CA See Attached... CERTIFICATE HULDER CANCELLAIIUN City of Gilroy 7351 Rosanna Street Gilroy CA 95020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: A ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Britton Gallagher NAMED INSURED Pyro Spectaculars North Inc. 5301 Lang Ave McClellan Park CA 95652 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Additional Insured: City of Gilroy, and Gilroy Unified School District, and Gilroy Unified School District Building Corporation, and their officers, agents and employees when acting in their official capacity as such. Abuse & Molestation exposures are included at full policy limits. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTHOLDER COPY P.O. BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 04 -21 -2016 CITY OF GILROY SD 7351 ROSANNA ST GILROY CA 95020 -6141 GROUP: POLICY NUMBER: 0804575 -2015 CERTIFICATE ID: 498 CERTIFICATE EXPIRES: 10 -14 -2016 10-14- 2015/10-14 -2016 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer .named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. Authorized Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10 -14 -2008 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER PYRO SPECTACULARS NORTH INC. SD 5301 LANG AVE MCCLELLAN CA 95652 M0408 (REV.7 -2014) PRINTED : 04 -22 -2016 SD