180-18 Exhibit A - Fireworks at Rock Spring at Montclair Golf Club for Labor Day Celebration - 2018.pdf

Exhibit “A”

TOWNSHIP OF WEST ORANGE Date:_¢ Jul yl gm, 2018 APPLICATION FOR PERMISSION TO CONDUCT FIREWORKS DISPLAY Application is hereby made by. Reagan Annesey ot NGC at Rock Spring for permission to conduct a fireworks display or exhibition in conformity with the sca of New Jersey. Type. IZ. Permit Fee. 4 Ya7, 00 mindate q/2/18 When will fireworks be neta? eSaturdlay, Stor. 151 3018 v Type: Permit During what hours? 8: 90/4 p.m. to lOpra p.m. Fee: Where will the display be neit_Club Grounds | Gol? Course Name(s) & Address(es) of the person(s), firm, partnership, corporation, association or group of individuals making the display: _ Phone ~ 908- 647-108 orks AD ax 403 lato F Cand Nillingfmn, NT 079Yb Where will the fireworks be stored prior to the holding of the display? cked + Where will the fireworks be stored during tHe progress of the display? loaded + ali; als 13 onclosed wl Hus Avplizepi What safeguards will be arranged for the protection of private and public interests? am t tat! fr D q tall games. PLB B has dled Po de TESST J bre} Lparimnan?t (atleast go yvacd'satet Is this application accompanied by the Surety Bond required by Chapter 51 of the Laws of 1937? yes Is this application accompanied by a Hold Harmless Agreement & Insurance?. Ye / p ba th A West Utang Application is hereby approved. disapproved. Director/Chief of Police Application is hereby approved. disapproved. Fire Official All appropriate portions of N.F.P.A. 1123, 1126 and the International Fire Code of New Jersey Edition including Section 3308 shall be complied with.

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ROCK SPRING CLUB SEPTEMBER 1, 2018 MAXIMUM LIST OF MATERIALS 700-15-30MM CANDLES 200-2 2” AERIAL SHELLS 700-3” AERIAL SHELLS 144-4” AERIAL SHELLS 72-5” AERIAL SHELLS 54-6” AERIAL SHELLS

THIS AGREEMENT is made on this "day of July 2018 , between GARDEN STATE FIREWORKS, INC., hereinafter known and designated as The Party of the First Part; and_Rock Spring Club_herein after known as the designated Party of the Second Part. WITNESSETH: For and in consideration of all mutual covenants and agreements hereinafter entered into, the Party and Parties hereinafter agree as follow: 1. The Party of the First Part agrees to furnish to the Party of the Second Part at_Club Grounds On the 1" day of September, 2018 ina location to be designated by the Party of the Second Part and approved by the Party of the First Part, an exhibition of fireworks. 2. The Party of the First Part agrees to pay all expenses for the freight and cartage for the said display, all necessary labor and equipment, and experienced Pyrotechnic Operators to discharge the said display. 3. The Party of the First Part and The Party of the Second Part agree to a postponement date of _2"™ day of September 2018 At an additional cost of FIFTEEN PERCENT of the total contract amount. Postponements may be scheduled only within the period terminating NINETY days after the original scheduled date of the display; thereafter the display will be considered to be canceled. In the event of cancellation, the Party of the Second Part agrees to an additional payment of FIFTY PERCENT, to bring the total of payments to ONE HUNDRED PERCENT of the total contract amount. 4. The Party of the First Part agrees to supply to the Party of the Second Part, insurance coverage in the amount of FIVE MILLION DOLLARS for liability and/or Property damage. The Party of the First Part agrees to hold harmless the Party of the Second Part from all claims, legal fees incurred from the operations of the Party of the First Part. The Party of the Second Part agrees to hold harmless the Party of the First Part of all and any claims, legal fees incurred outside the operations or the control of the Party of the First Part. 5. The Party of the Second Part agrees to furnish ample security or police protection and barricades to prevent any persons from coming into the safety zone area designated for discharging said fireworks display. With the exception of conditions stated in paragraph 4 above, the Party of the Second Part also agrees to assume sole responsibility for spectator safety, including seating, lighting, and ground

play. With the exception of conditions stated in paragraph 4 above, the Party of the Second Part also agrees to assume sole responsibility for spectator safety, including seating, lighting, and ground surfaces, and agrees to conduct an inspection of the site approximately 24 hours in advance of the display to ensure a safe spectator environment. 6. The Party of the Second Part agrees to produce any and all permits which may be required by municipal authorities for the discharging of the said fireworks display, at their own expense. 7. The Party of the Second Part agrees that any and all publicity, media coverage, announcements, and advertising shall name GARDEN STATE FIREWORKS, INC., as the primary contractor for the said display. 8. Upon signing of this document a deposit of FIFTY PERCENT of the total contract price shall be paid to the Party of the First Part. 9. Upon delivery of the said display, the full balance for the Contract amount shall be paid to the Pyrotechnic Operator in a sealed envelope either before or immediately following the discharging of the display. 10. Total contract amount $14,500.00 (Excluding Fire Permit Fees United States Dollars. ‘NESS: GARDEN STATE ws ~— BY Aiwt Ne Lyle YT WITNESS: ROCK SPRING CLUB w Aegan dinnavy) Yer)

FIREWORKS DISPLAY HOLD HARMLESS AGREEMENT Between the Township of West Orange, N.J. & The Rock Spring Club_and Garden State Fireworks Inc. (Contractor). WITNESSETH: 1. GARDEN STATE FIREWORKS INC. (Contractor) agrees to release, indemnify, and hold harmless the Township of West Orange, N.J. & The Rock Spring Club_from any losses for bodily injury and/or property damage, including attorneys’ fees and expenses incurred by the latter entities and their respective employees, agents, volunteers, or their Tepresentatives, arising out of or in any manner relating to the manufacture, installation, firing or disassembly of any pyrotechnic equipment or device and/or the supervision and presentation thereof, 2. The applicant has furnished the Certificate of Insurance with the limits of liability described below: Workers Comp/Employers Liability: $1,000,000.00 General Liability: $5,000,000.00 Automobile Liability: $5,000.000.00 Umbrella Liability: N/A A true copy of the Certificate of Insurance is attached indicating the member entity and applicable associations, recreations or committees formed by the member entity to organize the “event” must be named as additional insured on all liability policies. 3. The facilities will be used for the following purpose and no other’: Event: Fireworks Display Date: September 1, 2018 Rain Date: September 2, 2018 * Should the rain date not be used, this agreement shall apply to any day designated by the Township of West Orange, N.J._ & The Rock Spring Club as the date of display. WITNESS: ~dnbce Como f SIGNED: Ongar V1 aati (Contractor) DATED: 7/19/2018

DRAYTON INSURANCE BROKERS, INC. 2500 CENTER POINT ROAD, SUITE 301 POST OFFICE BOX 94067 BIRMINGHAM, ALABAMA 35215 BIRMINGHAM, ALABAMA. 35220 PHONE: (205) 854-5806 EMAIL: dib@draytonins.com FAX: (208) 854-5899 CERTIFICATE OF INSURANCE No. 814140 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, CA000016477-07 NAMED INSURED Garden State Fireworks, Inc. Pyritz Pyrotechnics Group, LLC New Vernon Fireworks P.O. Box 403 Millington, NJ 07946 POLICY TERM March 1, 2018 to March 1, 2019; Both Days 12:01 A.M. Standard Time COVERAGE Commercial General Liability: QlOccurrence Basis (claims Made Basis LIMIT OF LIABILITY $5,000,000 each occurrence, $10,000,000 general aggregate, $6,000,000 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!) 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 excludes liability for bodily injury or property damage arising from the Additional Insureds own negligent acts or omissions or from the failure of such Additional Insured to fulfill its obligations specified in its contract with

injury or property damage arising from the Additional Insureds own negligent acts or omissions or from the failure of such Additional Insured to fulfill its obligations specified in its contract with the Named Insured. The Insured has fully complied with the requirements of N.J.S.A. 21:3-5 by providing a surety bond in the amount of $2,500 from Service Insurance Company, Inc., West Orange, NJ. This general liability insurance is not provided to comply with the terms of N.J.S.A. 21:3-5. It is not an alternative feuor a co-surety with, the required bond, nor does it afford an additional or supplemental bond, nor excess limits over the required bond, By accepting status as Additional Insured on this policy, on the basis set out herein, the Additional Insured acknowledge and agree that this policy is not a bond. or an alternative to # bond, issued under the terms of NJ.S.A. 21:3-5, NAME(S) OF ADDITIONAL INSURED(S) WEST ORANGE TOWNSHIP C/O ROCK SPRING CLUB 78 ROCK SPRING ROAD WEST ORANGE, N.J. 07052 ROCK SPRING CLUB WEST ORANGE TOWNSHIP DISPLAY LOCATION DISPLAY DATE(S) ROCK SPRING CLUB GROUNDS SEPTEMBER 1, 2018 RAIN DATE SEPTEMBER 2, 2018 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 mai) 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. JULY 19, 2018 DATE OF ISSUE A.J. STRINGER, PRESIDENT

—™) a ACORD® —_—_ CERTIFICATE OF LIABILITY INSURANCE seamen THIS GERTIFIGATE 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 tleu of such endorsement(s). PRODUCER poet : Britton Gallagher PHONE ¥ FAX : One Cleveland Center, Floor 30 . | 1alg, No. Eat:2 16-658: 7100. Tia, woi216-668-7101 1375 East 9th Street ne ADDRESS: Cleveland OH 44114 INSURER(S) AFFORDING COVERAGE, - NAIC # insurer A James River Insurance Co ‘ - INSURED 6546 insurer 8 Everest National Insurance Company (10120 _ Sa a ane Inc. INSURER C: ariton Roa A Millington NJ 07946 . INSURER D: INSURER E: = INSURER F: i COVERAGES CERTIFICATE NUMBER: 1882243327 REVISION NUMBER: THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO 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. ee TYPE OF INSURANCE nen | POLICY NUMBER [nmiDoven |unmoB Nr Mis | GENERAL LIABILITY | EACHOCCURRENCE _| COMMERCIAL GENERAL LIABILITY ky A | |__|} CLaIMs-MAdE {| occur MED EXP (Any one person) _| $ 7 = | PERSONAL & AOV INJURY _| $ as GENERALAGGREGATE __|'$ GEN'L AGGREGATE LIMIT APPLIES PER: | pROoUCTS = COMP/OP AGG | $. [ Jroucy{ 188% [ |roc $ | AUTOMOBILE LIABILITY T Sieca0n126161 Snare | arene [ERENEEEPOTE UIT | 000,000 x (ANY AUTO BODILY INJURY (Per person) | 3 aoe | SCHEDULED BODILY INJURY (Per accidant)| $ (X_| vireo autos |X _ | woros NE? PRSeERTE PCE 5 } s lA Tompretta vias ry (o0082304-6 gnao1e | 812019 _| eacH OCCURRENCE