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HomeMy WebLinkAboutCOI - Pyro Spectaculars North, Inc. - Expires 2022-01-13--,® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) 5/13/2021 _______, 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 r:,gNJn Erl\: 216-658-7100 I r.ffc No': 216-658-7101 One Cleveland Center, Floor 30 E-MAIL 1375 East 9th Street ADDRESS: Cleveland OH 44114 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Everest lndemnitv Insurance Co. 10851 INSURED INSURER B: Axis Surplus Insurance Company 26620 Pyro Spectaculars North, Inc. INSURERC: 5301 Lang Ave. McClellan Park CA 95652 INSURERD: INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: 1589698945 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF 'POLICY EXP LTR l•'"D ,.n,n POLICY NUMBER /MM/DD/YYYYl /MM/DD/YYYYl LIMITS A GENERAL LIABILITY Sl8GL00282-211 1/13/2021 1/1312022 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES /Ea occurrence\ $500,000 -□ CLAIMS-MADE 0 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 7 POLICY ixl ~rg:: nLOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT /Ea accident\ $ -ANY AUTO BODILY INJURY (Per person) $ --ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ -AUTOS -AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS /Per accident\ --$ B UMBRELLA LIAS H OCCUR P-001-000063946-03 1/1312021 1113/2022 EACH OCCURRENCE $4,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $4,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION I T';';~JitJi¥~ I /OTH-AND EMPLOYERS" LIABILITY ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE □ NIA E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $ ~ yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE· POLICY LIMIT $ DESCRIPTION OF OPERATIONS I 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, 2021 Location of Display: Gilroy High School; Gilroy, CA Additional Insured: City of Gilroy, Gilroy Unified School District, Gilroy Unified School District Building Corporation, Gilroy Fire Department and their officers, agents and employees when acting in their official capacity as such. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy CA 95020 77)-/ I © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Pyro Spectaculars North, Inc. POLICY NUMBER: Sl8GL00282-211 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 UABIUTY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or OrQanization(s) ANY PERSON OR LEGAL ENTITY IN WHICH YOU HAVE A V\JRITTEN CONTRACT, AGREEMENT, OR PERMIT WHICH REQUIRES THAT YOU NAME THE CONTRACTING PARTY AS AN ADDITIONAL INSURED. Ctiy of Gilroy 7351 Rosanna Street Gilroy, CA 95020 Additional insureds include: The City of Gilroy, Gilroy Unified School District, Gilroy Fire Department their officers, agents and employees when acting in their official capacity as such. 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. 8. 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 tenns 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. D