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Supporting Documentation · Aug 7, 2018

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

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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

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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

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