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Certificate of Insurance � <br /> 112380 Issue Date: 5/18/2012 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF <br /> D2b01'aI1 Me�llll0 ItJFORMATION ONLY AND CONFERS NO RIGHTS UPON <br /> Gombined Specialties International, Ii1C. THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT <br /> AMEND,EXTEND OR LATER THE COVERAGE AFFORDED <br /> 205 San Marin Drive, SUItB 5 BY THE POLICIES BELOW. <br /> Novato, California 94945 <br /> INSURERS AFFORDING COVERAGE <br /> 1NSURED <br /> Devastating PyroteChnics INSURER A: Underwriters, Lloyd's London <br /> 477 Second Avenue INSURER B: <br /> San Francisco, CA 94118 INSURER C: <br /> INSURER D: <br /> COVERAGES <br /> THIS IS TO CERTIFY THAT THE POLICIES OF IN6URANCE LI9TED BEIAW HAVE BEEN ISSUED TO THE NAAAED INSURED ABOVE FOR THE PERIO�INOICATEO.NOTWITHSTANDING ANY REQl11REAAENT,TERM OR CONDRION OF <br /> ANY CONTRACT OR OTHER DOCUMEN7 WITH RE9PECT TO WHICH THIS CERTIFICATE MAY BE ISSUE�OR MAY PERTAIN.THE INSURANCE AFFORDE�BY THE POLICIES OE9CRIBED HERIN IS SUB,ECT TO ALL THETERMS, <br /> EXCLUSIONS AND CONDRIONS OF 3UCH POUCIE5INCLUDING,BUT NOT LIMITED TO TFIOSE FOLLOWING:LIMIT6 SHOWN MAY HAVE BEEN RE�UCED BY PAID CLAIMS,AD�ITIONAL CONDITION3 AND EXCLUSION5:i)THE <br /> INSURANCE EVIDENCED 9Y THIS CERTIFICATE IS UABILITY INSURANCE ONLY,IT 18 NOT A BOND OR ANY FORM OF SURETY AOAINST WHICH SOMEONE OIHER TIiAN'INSURED'MAYASSERT A CWM OR BRING ANY ACTION. <br /> 9UBJECTTO POLICYTERMS,CONDIT70N8,DEFINITION6AND EXCLUSIONSTHE IN6URANCE ONLY INDEMNIFIES AN INSUREDAGAINSTCERTAIN LEGAL LIA9ILITV.7)THE INSURANCE OOES NOTCOVER CL41M&FOR BODILY <br /> INJURY OR PROPER7Y DAMAGE OF THE NAMED INSUREO'65HOOTER(S)ASSISTANi(6)OR ANY O7HFR PERBON(S)INCLUDING ANY VOLUNTEER(5)PARTICIPATINO IN ANY WAY IN ANY DISPLAY OR SPECUL EFFECT <br /> PERFORMFA OR EXECUiED BYTHE NAMEO INSUREO.3)COVERAOE DOES NOTAPPLYTO CUIMS FOR BODILY INJURV OR PROPERTV DAMAOE ARISING OUT OFTHE WSURED'S FAILURE TO FOLLOW NFPA OR OTHER <br /> APPLICABLE FiEQU�REMENTS,LAWS OR RECOMMENDATIONS,INCLUDINO TH09E RELATING TO POST OISPLAy OR SPECIAL EFFECT SEARCHES OR CLEAN UP. <br /> CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR DATE(DD/MM/Y`!) DATE(DD/MM/YY) <br /> A GENERAL LIABILITY CSI-274758-12 2/3/2012 2/3/2013 EACH ACCIDENT $5,000,000 <br /> CLAIMS MADE <br /> MEDICAL EXP(any one person) $5,000 <br /> FIRE LEGAL LIABILITY $50,000 <br /> GENERAL AGGREGATE $5,000,000 <br /> PRODUCTS-COMP/OPS AGG <br /> AUTOMOBILE LIABILI'fY COMBINED SINGLE LIMIT <br /> ANY AUTO (Each accfdent) <br /> ANY OWNED AUTO <br /> SCHEDULED AUTOS BODILY INJURY(Per Person) <br /> HIRED AUTOS <br /> NON-OWNED AUTOS BODILY INJURY(PerAccfdent) <br /> PROPERTY DAMAGE <br /> (Perperson) <br /> EXCESS LIABILITY EACH ACCIDENT <br /> FOLLOWING FORM <br /> AGGREGATE <br /> WORKERS COMPENSATION WC STATUTORY OTHER LIMITS <br /> AND <br /> EMPLOYERS'LIABILITY E.L.EACH ACCIDENT <br /> E.L DISEASE-EA EMPOYER <br /> E.L,DISEASE-POLICY LIMIT <br /> OTHER <br /> DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Redwood City, its officers, agents, employees&volunteers as their interest may appear are Additional Insured as respects <br /> the July 4, 2012 1.3G Fireworks Display at Port of Redwood City. Item#3 above is deleted in iYs entirety. Additional Insured <br /> Endorsement is attached. <br /> REVISED 6/12/2012 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY�Tf�ABOVE DESCRIBED POLICIES 8E CANCELLED BEFDRE T}�E7�IRA710N DATE TF�REOF.Tf1E <br /> ISSUfNG COI�ANY�W.I.ENDEAVOR TO MAQ,10 DAYS WM'IEN NOTICE TO Tf�CER1ffICA7E HOIAER NM4D TO <br /> 77�LEFf.BUT FALLURE TO MAIL SUCH N077CE SHALL MIPOSE NO OBWCA770N Ok LIABn.ITY OF ANY KMD UPON <br /> R��Nd�d C��I 77�COfvll'ANY,ITSACENTSORHEPR25ENTAT(VES. <br /> 1400 Roosevelt Avenue <br /> Redwood City, CA 94061 <br /> (�i�.�t /h�it�uu9' <br />