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PROOF OF INSURANCE (2023 - 2024) CLOSED
DRAYTON INSURANCE BROKERS, INC. 2500 CENTER POINT ROAD, SUITE 301 POST OFFICE BOX 94067 BIRMINGHAM, ALABAMA 35215 BIRMINGHAM, ALABAMA 35220 TELEPHONE: (205) 854-5806 FAX: (205) 854-5899 CERTIFICATE OF INSURANCE NO. 312022 We certify that insurance is afforded as stated below_ This Certificate does not affirmatively or negatively amend, extend or alter the coverage afforded by the insurance policy and the insurance afforded is subject to all the terms, exclusions and conditions of the policy. INSURER Admiral Insurance Company POLICY NO. CA000002771-37 NAMED INSURED Pyro Spectaculars, Inc. Pyro Spectaculars by Souza Pyro Events, Inc. Pyro Spectacular Industries, Inc. Pyro Spectaculars Productions, Inc. North American Fireworks Co., Inc. (NAFCO) P.O.. Box 2329 San Diego Fireworks Rialto, California 92377 POLICY TERM January 13, 2023 to January 13, 2024; Both Days 12:01 A.M. Standard Time COVERAGE Commercial General Liability: ® Occurrence Basis ❑ Claims Made Basis LIMIT OF LIABILITY $5,000,000 each occurrence, $10,000,000 general aggregate, $5,000,000 products/completed operations aggregate The limit of liability shall not be increased by the inclusion of more than one insured or additional insured. INSURED OPERATIONS Public fireworks display and special effects contractor It is certified that, if named below, this policy includes as Additional Insureds 1) the sponsor(s), promoter(s), organizer(s) (including other entities having similar interests), of insured pyrotechnic events and/or 2) the owner(s) of real property (or barges) at which insured pyrotechnic events are held and/or 3) the owner(s), manager(s), tenant(s), mortgagee(s) (including other entities having similar interests), of buildings, stadiums, arenas and similar facilities at which insured pyrotechnic events are held and/or 4) the licensing or permitting authority, or other authority having jurisdiction, issuing licenses/permits for insured pyrotechnic events and/or 5) any other entity for which the insurance is required to be afforded under written contract. Coverage applies only as respects the legal liability of such Additional Insured(s) for bodily injury and property damage caused by the operations of the Named Insured. The insurance afforded any Additional Insured does not include coverage for any bodily injury or property damage arising from the failure of such Additional Insured to fulfill its obligations specified in its contract with the Named Insured. NAME & ADDRESS OF INSURED SPONSORS, PROPERTY OWNERS, LICENSORS City of El Segundo 350 Main St. El Segundo, CA 90245 ADDITIONAL INSURED(S) City of El Segundo, Chevron El Segundo Refinery, El Segundo Recreation Park, El Segundo Fire Department and their officers, agents and employees when acting in their official capacity as such. DISPLAY LOCATION El Segundo Recreation Park El Segundo, CA DISPLAY DATE(S) July 4, 2023 It is certified that this policy requires a 30 day mutual notice of cancellation between the Insurer and the Named Insured. In the event of such cancellation we will endeavor to mail 10 days written notice to the Additional Insured(s), whose name and address is shown hereon, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer and/or the undersigned. DRAYTON INSURANCE BROKERS, INC. January lit 2023 DATE OF ISSUE INGI IL, PREIDL CALIFON RNIA LICENSE N ", 18664 Policy Number: CA000002771-37 CG 20 37 07 04 Endorsement No. 104 Effective Date: January 18, 2023 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ORIWK9101 I w r D1 4' This endorsement modifies insurance provided under the following: CONNMRCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations City of El Segundo, its officers, officials, employees, agents, All locations for which coverage is required by and volunteers. written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section H — 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" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products - completed operations hazard". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑ Policy Number: CA000002771-37 CG 2010 07 04 Endorsement No. 103 Effective Date: January 18, 2023 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s): Locations Of Covered Operations City of El Segundo, its officers, officials, employees, ii All locations for which coverage is required by agents, and volunteers. written contract. Information required to com lete this Schedule, if not shown above, will be shown in the Declarations. A. Section H — Who Is An Insured is amended to This insurance does not apply to "bodily injury" or include as an additional insured the person(s) or "property damage" occurring after: organization(s) shown in the Schedule, but only with 1. All work, including materials, parts or equipment respect to liability for "bodily injury", "property furnished in connection with such work, on the damage" or "personal and advertising injury" caused, project (other than service, maintenance or in whole or in part, by: repairs) to be performed by or on behalf of the 1. Your acts or omissions; or additional insured(s) at the location of the 2. The acts or omissions of those acting on your covered operations has been completed; or behalf; 2. That portion of "your work" out of which the in the performance of your ongoing operations for the injury or damage arises has been put to its intended use by any person or organization other additional insured(s) at the location(s) designated than another contractor or subcontractor engaged above. in perforating operations for a principal as a part B. With respect to the insurance afforded to these of the same project. additional insureds, the following additional exclusions apply: CG 2010 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 0 Policy Number: CA000002771-37 Al 08 76 02 03 Effective Date: 1/13/2023 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ATITIONAL INSURED - BLANKET This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART PROFESSIONAL LIABILITY COVERAGE PART It is hereby declared and agreed that the following entities are included as Additional hvsured(s) hereunder, 1) Sponsor(s), promoter(s), organizer(s) (including other entities having similar interests), of insured pyrotechnic events and/or insured pyrotechnic premises. 2) Owner(s) of real property (or barges) at which insured pyrotechnic events are held and/or insured pyrotechnic premises are located. 3) Owner(s), manager(s), tenant(s), mortgagee(s) (including other entities having similar interests), of buildings, stadiums, arenas, stores and other similar facilities at which insured pyrotechnic events are held and/or insured pyrotechnic premises are located_ d) The licensing or permitting authority, or other authority having jurisdiction, issuing licenses/permits for insured pyrotechnic events and/or insured pyrotechnic premises. 5) Any duly licensed pyrotechnician acting either as a licensing cover for an insured pyrotechnic event or, alternatively, as an operator for a pyrotechnic event fired by the Named Insured. 6) Any other entity for which the Named Insured is contractually obligated to provide insurance such as is afforded by the terms of this policy. but only if such entities are listed as additional insured(s) in a certificate of insurance issued under the terms of this endorsement and always subject to the limitations or conditions set out in such certificate of insurance. The coverage afforded such Additional Insured(s) does not apply to injury or damage arising from the failure of any such Additional Insured to fulfill its obligations specified in its contract with the Named Insured. Al 08 76 02 03 Page I of 1 l3 Policy Number: CA000002771-37 Al 08 76 02 03 Effective Date:111312023 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COVERAGE AMENDMENT -PRIMARY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL PROPERTY COVERAGE FORM PROFESSIONAL LIABILITY COVERAGE FORM It is hereby declared and agreed that, if so stated in a certificate of insurance, the coverage afforded any entity included as an Additional Insured under the terms of this policy shall 1) Be primary and non-contributory with any policy of insurance (or self-insurance) issued directly to the Additional Insured. 2) Provide a waiver of subrogation in favor of such Additional Insured. Al 08 76 02 03 Page 1 of 1 ❑ DATE(MM/DD/YYrO �. CERTIFICATE OF LIABILITY INSURANCE 1/18/2023 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(tes) 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 PHOIN m FAXOne Cleveland Center, Floor 30 I uNorSxl): 216-6W7101CI (alb, ) 216 658-7101 1375 East 9th Street' Cleveland OH 44114 WSURPPIM AFFORDING COVERAGE NAtc# _ Com ny 26620e INSURER Axis Surplus Insurance pa INSURED INSURER B Everest Denali Insurance Company 16044 Pyro Spectaculars Inc. San Diego Firework's 1NSURrFa. P. O. Box 2329 INSURER Ll �,.,.,..._m. Rialto CA 92377 INSURERS: INSURER F _ COVERAGES CERTIFICATE NUMBER: 1116985644 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. .,..�, „... INYEXP SRR: I:10UCY • , ..,...... � TYPE OF INSURANCE POLICY NUMBER FF PMf0Dr Y IV'IODNYYYY diaMlt3 �� ......... ,. ........ ...,,„..e.. LIMITS _ GENERAL LABILITY EACH OCCURRENCE $ ...�......... �. COMMERCIAL GENERAL LIABILITY G?tEMI6E',(E�1•ow,wrranes)„ ,,,. ,,,, , CLAIMS -MADE ��1 OCCUR ,._ , u .. „ A PERSONAL d ADV ITJJURY $ GENERALAGGREGATE: $. GEWL AGGREGATE LIMIT APPLIES PER: „PRODUCTS COMP/OP AGG $ POLICY PRC LOC $ 8 AUTOMOBILE LIABILITY S18CA00031-231 111312023 1/13/2024 '_(. COk181NEO'SINGLE LIMIT ,Sa;da) r'.1.000„OIbO... X�I ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per acc-ident) $!AUTOS AUTOS X XNNSWNED -ROPR�AMAGE - -• a . ------ $ HIRED AUTOS AUTO P�agn A UMBRELLA LIAB X OCCUR P-001-000063946-05 1/13/2023 1/13/2024 ,_ ... .... EACH OCCURRENCE $4.000,000 ........ „. ....... ,,, EXCESS LIAR CLAIMS -MADE AGGREGATE $ 4,000,000 DED RETENTION $ $ WORKERS COMPENSATION WC ST'ATU- OTH. TORY.LIMI"T$ER ._ AND EMPLOYERS'LIABILITY YIN ...... ........ , ......... ... ....... ANY PROPRIETORIPARTNEC01, VIE E L EACH ACCIDENT $ OFMCERNEMBER EXCLUDED? N P. A (Mandatory in NH) '"""""...� E L DISEASE EA EMPLOYEE $ E.L. .. ....... ......... It yyC&S, daecri6u'aandar DESCRIPTION OF OPERATION'S tsslp w E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, ti more apace Is required) Certificate Holder is named as an Additional Insured in regards to Auto Liability. 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 EL SEGUNDO 350 MAIN STREET AUTHORIZED REPRESENTATIVE EL SEGUNDO CA 90245 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Pyro Spectaculars, Inc. Pyro Spectaculars North, Inc. Policy #: SI8CA00031-231 COMMERCIAL AUTO ECA 04 506 0310 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTO ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM The following is a summary of the Limits of Insurance and additional coverage provided by this endorsement For complete details on specific coverage, please refer to policy language in this endorsement and the underlying Business Auto Coverage Form. Coverage 8pplicable Enhancement Subsidiaries As Insureds Broadened Ne uired O an¢adons As Insur s o, E!ppl2yees As Insureds(Non-Ownership) Broadened Su lementa Payments — Bail Bonds $3,000 Limit Supplementary Payments — Loss Of Earnings $1,000 per day Fellow Em to ee Bodi In'u Broadened Towing Coverage —AII Covered Autos Broadened Glass Brea a Coverage — Waiver of Deductible Broadened Loss of Use Expenses $50 per day $1,000 Limit Stolen Vehicle Extra Expense Broadened Air Discharge Broadened Electronic E ui nt Permanen Installed Broadened Single Deductible Provision Broadened Notice To Co n Broadened Blanket WtiWr Of ljbrd anon, Broadened Unintentional Failure To Disclose Hazards Broadened Bodily Injury Includes Mental Anguish Broadened Cove a Terribo Extension - Mexico Broadened ECA 04 506 0310 Copyright, Everest Reinsurance Company, 2010 Pagel of4 ❑ Includes copyrighted material of Insurance Services Office, Inc. used with its permission. INSURED COPY A Who Is An Insured The following is added to Paragraph Al. of Sec- tion I I —Liability Coverage: d. Any: (1) Subsidiary which is a legally incorporated entity of which you own greater than 50% interest in the voting stock on the effective date of this Coverage Form. However, the insurance afforded by this provision does not apply to any subsidiary that is an "in- sured" under any other automobile liability policy, or would bean "insured" under such policy but for the termination of such policy or the exhaustion of such policy's limits of insurance. (2) Organization you newly acquire or form, and over which you maintain majority inter- est. The coverage afforded by this provision: (a) Is effective on the acquisition date, and is afforded only until the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier; (b) Does not apply to "bodily injury" or "property damage" resulting from an "ac- cident" that occurred before you ac- quired or formed the organization; and (c) Does not include any newly acquired or formed organization that is: (i) A joint venture or partnership; or (ii) An "insured" under any other auto- mobile liability policy or would be an "insured" under such policy but for the termination of such policy or the exhaustion of such policy's limits of insurance. (2) Is executed after the date of loss. Paragraph e.(2) does not apply if: (1) The terms and conditions of the written "insured contract" had been agreed upon prior to the "accident" or "loss"; and (2) You can definitively establish that the terms and conditions of the written "insured con- tract" ultimately executed are the same as those which had been agreed upon prior to the "accident" or "loss". f. Any of your "employees" while using a covered "auto" in your business or your personal af- fairs, provided you do not own, hire or borrow that "auto". B. Coverage Extensions - Supplementary Payments Paragraphs A2.a.(2) and A2.a.(4) of Section II — Liability Coverage are replaced by the following: (2) Up to $3,000 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the 'in- sured" at our request, including actual loss of earnings up to $1,000 a day because of time off from work. C. Fellow Employee The following exception is added to exclusion 5. Fellow Employee under paragraph B. Exclusions of Section II —Liability Coverage: This exclusion does not apply if the "bodily injury" results from the use of a "covered auto" you own or hire. The coverage provided under this excep- tion is excess over any other collectible insurance. D. Towing Paragraph A2. of Section III — Physical Damage Coverage is replaced by the following: e. Any person, organization or governmental 2. We will pay for towing and labor costs each entity with respect to the operation, mainte- time that a covered "auto" is disabled. All labor nance, or use of a covered "auto" if you are re- must be performed at the place of disablement quired to add such person, organization or go- of the covered "auto". If the auto is not a private vernmental entity to this policy as an additional passenger type, a $250 deductible will apply to insured in order to comply with the terms of a this coverage but it will not reduce the available written "insured contract" or written agreement. limit of insurance. For all types of "auto", the This does not apply when such contract or most we will pay under this coverage is $1,000 agreement: per disablement. "Autos" which are disabled do (1) Involves the owner or anyone else from not include stolen vehicles. whom you hire or borrow a covered "auto" unless it is a "trailer" connected to a covered "auto" you own; or Page 2 of 4 Copyright, Everest Reinsurance Company, 2010 ECA 04 506 0310 ❑ Includes copyrighted material of Insurance Services Office, Inc. used with its permission. INSURED COPY E. Glass Breakage — Hitting A Bird Or Animal — Falling Objects or Missiles The following is added to Paragraph A3. of Sec- tion I II — Physical Damage Coverage: Any deductible shown in the Declarations will not apply to glass breakage if such glass is repaired, in a manner acceptable to us, rather than replaced. If the glass must be replaced and there is no other damage associated with the "loss", the deductible will be $100 unless a lower deductible is shown in the Declarations applicable to this coverage. F. Loss Of Use Expenses Paragraph A4.b. of Section III —Physical Damage Coverage is replaced by the following: b. Loss Of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes le- gally responsible to pay for loss of use of a ve- hicle rented or hired without a driver, under a written rental contract or agreement. We will pay for loss of use expenses if caused by: (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto"; (2) Specified Causes Of Loss only if the Decla- rations indicate that Specified Causes Of Loss Coverage is provided for any covered "auto"; or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto". However, the most we will pay for any ex- penses for loss of use is $50 per day, to a maximum of $1,000. G. Extra Expense — Stolen Vehicle The following is added to Paragraph A4. of Sec- tion I II — Physical Damage Coverage: c. Stolen Vehicle We will pay for all reasonable and necessary expenses to return a stolen covered "auto" to you. H. Airbag Coverage The following exception is added to Paragraph B.3.a. of Section III — Physical Damage Coverage: The accidental discharge of an airbag shall not be considered mechanical breakdown if it occurs in a covered "auto" for which Comprehensive coverage is purchased. This provision does not apply to "au- tos" you hire with a driver and is excess over any warranty specifically designed to provide this cov- erage. I. Electronic Equipment Coverage Section III — Physical Damage Coverage is amended as follows: 1. The sublimit in Paragraph C.2. of the Limit Of Insurance Provision is increased to $3,000. 2. No Physical Damage Coverage deductible ap- plies to the first $3,000 of "loss" to electronic equipment described in Paragraph C.2. of the Limit Of Insurance Provision. J. Single Deductible Provision The following is added to Paragraph D. of Section III — Physical Damage Coverage: If a Comprehensive or Specified Causes of Loss Coverage "loss" from "accident" involves two or more covered "autos", only the highest deductible applicable to those coverages will be applied to the "accident", if the cause of the loss is covered for those vehicles. This provision only applies if you carry Compre- hensive or Specified Causes of Loss Coverage for those vehicles, and does not extend coverage to any covered "autos" for which you do not carry such coverage. If a 'loss" covered under this Coverage Part also involves a "loss" to other property from the same "accident", which is covered under a Commercial Property or Inland Marine Coverage Part issued by us to you, only the highest deductible applicable to those coverages will be applied to the "accident". K. Notice To Company Paragraph A2. of Section IV — Business Auto Conditions is amended as follows: 1. With respect to notification requirements, your obligation under Paragraph A2.a. applies only when the "accident" or "loss" is known to: a. You, if you are an individual; b. A partner, if you are a partnership; c. A member, if you are a joint venture or limited liability company; or d. An executive officer or insurance manager, if you are an organization other than a part- nership, joint venture or limited liability com- pany. 2. With respect to the requirements pertaining to you providing us with document concerning a claim or "suit", your obligation under Paragraph A2.b. will not be considered breached unless the breach occurs after such claim or "suit" is known to: a. You, if you are an individual; b. A partner, if you are a partnership; c. A member, if you are a joint venture or limited liability company; or ECA 04 506 03 10 Copyright, Everest Reinsurance Company, 2010 Includes copyrighted material of Insurance Services Office, Inc. used with its permission. Page 3 of 4 ❑ INSURED COPY d. An executive officer or insurance manager, if you are an organization other than a part- nership, joint venture or limited liability com- pany. L. Blanket Waiver Of Subrogation The following is added to Paragraph A5. of Sec- tion IV —Business Auto Conditions: a. However, we waive any right of recovery we may have against a person, organization or government entity when you have waived such right of recovery under a written "insuredcon- tract" that is: (1) Currently in effect or becoming effective during the term of this policy; and (2) executed prior to the "accident" or "loss", or executed after the "accident" or 'loss" if: (a) The terms and conditions of the written "insured contract" had been agreed upon prior to the "accident" or "loss"; and (b) You can definitively establish that the terms and conditions of the written 'In- sured contract" ultimately executed are the same as those which had been agreed upon prior to the "accident" or 'loss". b. We hereby waive any right of subrogation against any of your officers, directors or em- ployees which might arise by reason of any payment under the insurance afforded by the policy for the operation, maintenance, use, loading or unloading of a non -owned "auto". This waiver extends only to payments in excess of other valid and collectible insurance available to the officer, director or employee. M. Unintentional Failure To Disclose Hazards The following is added to Paragraph B.2. of Sec- tion IV — Business Auto Conditions: If you unintentionally fail to disclose any hazards existing on the effective date of this Coverage Form, we will not deny coverage under this Cover- age Form because of such failure. However, this provision does not affect our right to collect addi- tional premium due to us as a result of these un- disclosed hazards in accordance with our filed rat- ing plans. N. Bodily Injury — Including Mental Anguish Paragraph C. of Section V — Definitions is replaced by the following: C. "Bodily injury" means bodily injury, sickness or disease sustained by a person, including "men- tal anguish" or death resulting from any of these at any time. For the purpose of this provision, the term "mental anguish" shall mean any type of mental or emotional illness or distress. O. Mexico Coverage The coverage provided by this policy for covered "autos" you own or lease on a long term basis without drivers are extended to "accidents" or 'losses" occurring in Mexico if: 1. The covered "auto" is in Mexico for a period not exceeding 10 days; and 2. The covered "auto" is principally garaged and used in the United States; and 3. The driver of the covered "auto" does not re- side in Mexico; For Liability Coverage to apply to "accidents" oc- curring in Mexico„ the following must also apply: 1. Valid and collectible auto liability insurance for the covered "auto" has been purchased from a licensed Mexican Insurance Company and is in force at the time of the "accident"; and 2. The original "suit" for damages is brought with- in the United States. For "losses" payable under Physical Damage Cov- erage this additional restriction applies: We will pay 'losses" under Physical Damage Cov- erage in the United States, not in Mexico. If the covered '"auto" must be repaired in Mexico in order to be driven, then the most we will pay for "loss" is the lesser of the following: 1. The cost of repairing the "auto" or replacing its parts in Mexico; or 2. The cost of repair or replacement at the nearest point in the United States where the repairs or replacement could be made. Other Insurance: The insurance provided by this section will be ex- cess over any other collectible insurance. Page 4 of 4 Copyright, Everest Reinsurance Company, 2010 ECA 04 506 03 10 ❑ Includes copyrighted material of Insurance Services Office, Inc. used with its permission. INSURED COPY Pyro Spectaculars, Inc. Pyro Spectaculars North, Inc. Policy # SIBCA00031-231 COMMERCIAL AUTO ECA 24 509 04 14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 0 11:111,11RII This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART Paragraph c. of the Other Insurance General Condition is replaced by the following: c. Regardless of the provisions of Paragraph a. above, this Coverage Form's Liability Coverage is primary and we will not seek contribution from any other insurance for any liability assumed under an "insured contract" that requires liability to be assumed on a primary noncontributory basis. Additionally, only the coverage and limit of insurance requirements of the "insured contract" shall apply, and in no event shall those requirements exceed the coverage and limits of insurance provided under this policy. E A 24 509 04 14 Copyright, Everest Reinsurance Company, 2014 Includes copyrighted material of Insurance Services Office, Inc., used with its permission Page 1 of 1 INSURED COPY POLICYHOLDER COPY SP P.O. BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 01-18-2023 CITY OF EL SEGUNDO SP 350 MAIN ST EL SEGUNDO CA 90245-3813 GROUP: POLICY NUMBER: 9325797-2022 CERTIFICATE ID: 138 CERTIFICATE EXPIRES: 10-14-2023 10-14-2022/10-14-2023 THIS CERTIFICATE SUPERSEDES AND CORRECTS CERTIFICATE # 71 DATED 10-25-2022 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 #0015 ENTITLED ADDITIONAL INSURED EMPLOYER EFFECTIVE 2022-10-21 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. NAME OF ADDITIONAL INSURED: CITY OF EL SEGUNDO ENDORSEMENT #2085 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10-14-2022 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. ENDORSEMENT #2572 ENTITLED BLANKET WAIVER OF SUBROGATION EFFECTIVE 2022-10-14 IS ATTACHED TO AND FORMS A PART OF THIS POLICY EMPLOYER PYRO SPECTACULARS, INC. SP PO BOX 2329 RIALTO CA 92377 pi %sP] IREv.7-2014! PRINTED : 01-18-2023