163-22 Exhibit - Fireworks at Montclair Golf Club - 2022.pdf

cribe under DESCRIPTION OF OPERATIONS below E.L. DISEASE—POLICy uMiT}s 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 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 MUNICIPAL EXCESS LIABILITY POLICY PROVISIONS. JOINT INSURANCE FUND | AUTHORIZED REPRESENTATIVE 9 CAMPUS DR, STE 16 PARSIPPANY Ng 07054 i) i e1988-201fAcoRD CPRPORATION. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD (Rev. 09-18) Allrights reserved.

—_—™ —— ACORD’_ CERTIFICATE OF LIABILITY INSURANCE —* 3/3/2022 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 certificate holder in lieu of si the terms and conditions of the policy, certain Policies may require an endorsement. A statement on this certificate does not confer rights to the uch endorsement(s). — flagh BouTAcr ritton Gallagher 7 One Govaland Center, Floor 30 [ HONE, oxy. 216-658-7100 TIBE, nor 216-658-7104 Street ADDRESS: Cleveland OH 44414 INSURER(S) AFFORDING COVERAGE | nace INSURER A: Everest National Insurance Company [40120 INSURED 8546) a Gar den s = irewo rks Inc. a 8: fiss Surplus Insurance Company _|___ 26620 atiton Roa E _ Millington NJ 07946 INSURER D : INSURER E = 1 INSURER F : i COVERAGES CERTIFICATE NUMBER: 1636441566 REVISION NUMBER: THIS 18 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD f Lpoucy |_| 589° ea TYPE OF INSURANCE snl ul POLICY NUMBER caMiBBI 9 | cARIDBN TE Lars 7 _ GENERAL LIABILITY i leacHaccurREeNce | {__LeowMeRci. GENERAL ABILITY | H i (PRNBES es cccuoa) i H {MED EXP (Any one person) H PERSONAL & ADV INJURY | Se ee i GENERAL AGGREGATE. | GENL AGGREGATE, LIMIT APPLIES PER: PRODUCTS - COMP/OP AG‘ Loc. > IBINED SINC ‘OMIT ‘SIBCAOD125-221 anie02. ariz023 | FOMBINED SINGLE BODILY INJURY (Per person) | BODILY INJURY (Per accident) | PROPERTY DAMAGE | Peraccident) B P-01-000087442-04 j anveoz2 si2a23 | EACH OCCURRENCE $5,000,000 pas hahaa AGGREGATE $5,000,000 tt DED ¢ | RETENTIONS S$ T WORKERS COMPENSATION T We STAT. | [Or | AND EMPLOYERS’ LIABILITY vin —LTORYIMTSi PERE | ANY PROPRIETORIPARTN! i | EL. EACH ACCIDENT is ICERIMEMBER EXCLUDED? NIA } - i [Menitztony in bn} ; (EL DISEASE -EA EMPLOYEE) § | ltyes, deseribe under i | DESGRIPTION OS OPERATIONS below i | e1 pisease-Poucy unr | § | DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additfonal Remarks Schedule, if mote space Is required) CERTIFICATE HOLDER CANCELLATION Municipal Excess Liability Joint Insurance Fund 9 Campus Drive Suite 16 AUTHORIZED REPRESENTATIVE. Parsippany NJ 07054 vy ‘SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED

e Fund 9 Campus Drive Suite 16 AUTHORIZED REPRESENTATIVE. Parsippany NJ 07054 vy ‘SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANGE WITH THE POLICY PROVISIONS. AGORD 25 (2040/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD

ives License/Permit ‘U.S, Department of Justice Federal Explosives Bureau of Aleohol, Tobacco, Firearms and Explosives (18 U.S.C. Chapter 40) In accordance with the provisions of Title XI, Organized Grime Control Act of 1970, and the regulations issued thereunder (27 CFR Part 555), you may engage in the activity specified in this license or permit within the limitations of ‘Chapter 40, Title 18, United States Code and the regulations issued thereunder, until the expiration date shown, THIS LICENSE IS NOT TRANSFERABLE UNDER 27 CFR 555.53. Sec "WARNINGS" and "NOTICES" on reverse. Direct ATF ATE - Chief FELC License/Permit ConespendenceTo 244 Neoty Reed tuber 8-NJ-027-20-4D-00096— ‘Martinsburg, WV 25405-9431 — - Chief, Federal Explosives Licensing Center FELC) [Expiration = : FAR arn Mary Sop Date April 1, 2024 G (PARA Name GARDEN STATE FIREWORKS, INC [[Premises Address (Changes? Notify ieFELC at east 10 days before the move.) 383 CARLTON RD MILLINGTON, Nu 07946-0000 ‘Type of License or Permit 20-MANUFACTURER OF EXPLOSIVES Purchasing Certification Statement Mailing Address (Changes? Notify the FELC of any changes.) ‘The licensee or permittee named above shall use a copy of this license or permit to assist a wansferor ofemploivs to verify the identity andthe leened tats ofthe Licensee or ermittee as provided by 27 Part 555. The signature on each copy must be an original, ature. A faxed. scanned or e-mailed copy of the license or permit with a signature GARDEN STATE FIREWORKS, INC intended to be an original signature is acceptable. The signature must be that of the Fedecal PO BOX 403 Explosives Licensee (FEL) or aresponsible person of the FEL. I certify that this is a true MILLINGTON, NJ 07946-0000 copy of a license or permit issued tothe livensee or permittee named above to engage inthe business or operations specified above under “Type of License or Permit." Licensee’Permittce Responsible Person Signature Position/Title _ PrintedName _ _ Date oe STE Form $100.19:5400.15 Pon 3 ‘Provious Edition is Obsolete sandalanre evan, tar) antiga poarese7r ce bcece A, ND MUUUPRTUTA DF EOE Revised September 2011 Federal Explosives License (FEL) Customer Service Information Federal Explosives Licensing Genter (FELC) Toll-fiee Telephone Number: (877)283-3352 ATE Homepage: www.stf.gov 244 Needy Road Fax Number: (B04) 616-440) Martinsburg, WV 25405-9431 Esmail:

Information Federal Explosives Licensing Genter (FELC) Toll-fiee Telephone Number: (877)283-3352 ATE Homepage: www.stf.gov 244 Needy Road Fax Number: (B04) 616-440) Martinsburg, WV 25405-9431 Esmail: FELC@atf gov Change of Address (27 CFR 555.54(a)(1)). Licensees or permittees mey during the term cf their current license or permuit remove their business ar operations to 6 new location at which they intend regularly to carry on such business or operations. The licensee or permittee is required to give notification of the new location of the business or operations not less zhan 10 days prior 20 aueh removal with the Gluef, Federal Explosives Licoasing Center. The license or permit will be valid forthe remainder of the term of the original license or permit, (The Chief, FELC, shall, if the lcensee or permittee isniot qualitied, refer the request fox amended license or permit to the Director of Industry Operations for denial in accordance with § 555.54.) Right of Succession (27 CFR 555.59}. (a) Certain persons other than the licensee or permittee may secure the right to carry on the same explosive materials business or operations at the same address shown on. and forthe remainder of the term of, a current license or permit. Such persons are: (1) The surviving spouse or child, or executor, administrator, or other legal representative of a deceased licensee or permittee; and (2) A recciver or trustee in bankruptcy, or an assignee for benefit of creditors. (b)In order to secure the right provided by this section, the person or persons continuing the business or operations shall furnish the license or permit for for that business or operations for endorsement of such succession to the Chief, FELC. within 30 days from the date on which the successor begins to carry on the business or operations. (Contirmed on reverse side) i u Federal Explosives License/Permit (FEL) Information Card License/Permit Name: GARDEN STATE FIREWORKS, INC t i 1 Busineae Name: }} License/Permit Number; 8-Nu-027+20-4D-00096 " | Lioense/Permit Type:20-MANUFACTURER OF EXPLOSIVES nW . {1 Bxpiration: April 4, 2024 A 1 {Please Note: Not Valid for the Sale or Other Disposition of Explosives. ti

| REWORKS January 2,2022 THE SANTORE BROS. WORLD CHAMPIONS Municipal Excess Join Underwriting Fond 9 Campus Drive Parsippany, NJ 07034 Dear Mr. Hrubash: With reference to your bulletin MEL 17-08, Garden State Fireworks Tnc., agrees that we will make a through search of the firing area and fall out area, after all fireworks Displays, and we will dispos of any all unfired materials. Under NFPA 1123, 2010 edition, section 4-2 12 states: that following the dispay, the firing crew shall conduct an inspections of the fallout area for the purpose of finding any unexploded aerial shells or live components. This information shall be conducted before any public access to the site shall be permitted. Also, enclosed are our automobile and compensation certificates for your review and approval. Please call our office at 800-999-0912 Fax 908-647-6258 if you have any questions. August N. Santore CEO GARDEN STATE FIREWORKS INC. Visit our Website at: gardenstatefireworks.com AAPA Main Office/Plant: P.O. Box 403, Millington, NJ 07946 1-908-647-1086 1-800-999-0912 Fax: 1-908-647-6258 Regional Offices: PO Box 137821, Clermont, FL 34713 1-352-536-1558 7055 Speedway Blvd., Suite E-103, Las Vegas, NV 89115 1-702-453-0808 41152 Mayberry Avenue, Hemet, CA 92544 1-909-223-0454 Visit our website at: www.gardenstatefireworks.com

@ FAAIAir Traffic Organization 1701 Columbia Avenue Eastern Service Center College Park, GA 30337 US. Department of Transportation Federal Aviation Administration. Dear Fireworks Proponent: Thank you for informing us of your proposed fireworks display. Although there are currently no federal regulations specific to fireworks displays, the Federal Aviation Administration (FAA) has been tasked with regulating the safe and efficient use of the navigable airspace (49 U.S.C.§ 40103). In recognition of this role in promoting aviation safety, many jurisdictions require notice to the FAA as a condition of approval of a fireworks permit. We acknowledge your notification and have no objection to the fireworks display provided it is conducted in a manner that does not create a hazard to other persons, or their property. To enhance the safety of your event, we recommend the following actions: } Fireworks staff should remain vigilant to ensure that no aircraft are in the area prior to beginning the fireworks display. +} If your event is within 5 miles of a public use airport. or if the display will exceed 500 feet Above Ground Level (AGL), contact Leidos Flight Service at 1-877-4-US-NTMS (1-877-487-6867) at least 24 hours (but not more than 72 hours) in advance to request a Notice to Airman (NOTAM). You will need to provide the following information: o Name and address of the person filing the NOTAM o Date, time(s), and event location (City, State. and location in reference to the airport) o Maximum altitude of the display This letter should not be construed as superseding or invalidating any existing rules or regulations promulgated by any other federal, state, county, or municipal government which may be required for this display. If you have any questions regarding this information, please contact our office at (404) 305- 5570 or 9-ATO-ESA-OSG-Fireworks@faa.gov. Sincerely, Ryan W. Almasy Manager, Operations Support Group Eastern Service Center, Air Traffic Organization

FIREWORKS DISPLAY HOLD HARMLESS AGREEMENT Between West Orange, NJ and Montclair Golf Club and Garden State Fireworks Inc. (Contractor). WITNESSETH: 1. GARDEN STATE FIREWORKS INC. (Contractor) agrees to release, indemnify, and hold harmless West Orange, NJ and Montclair Golf 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 representatives, 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: NA 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: July 2, 2022 Rain Date: July 3, 2022 _” Should the rain date not be used, this agreement shall apply to any day designated by West Orange, NJ and Montclair Golf Club WITNESS: SIGNED: 7 Ie ocarcte (Contractor) DATED: May 16, 2022

State of New Jersey 5 eee Department of Community Affairs Ss eee Division of Fire Safety a 101 S. Broad St. P.O. Box 809 Trenton, NJ 08625-0809 (609) 633-6132 Fax (609) 633-6330 DISPLAY COMPANY REQUIREMENTS [] Provide total number of shells and sizes (U.S. diameter) being used. [] 2. Provide types and amounts of ground (set pieces) or low-level devices (cakes, candles) to be used. [] 3. For displays fired from barges or roof tops, provide documentation, including all calculations that the discharge area meets or exceeds the requirements of NFPA 1123 (2014 Edition) Section 6.3 Platform Sizing Requirements [] 4 Indicate method in which the display will be fired. If it is an electrically-fired display, provide name of N. J. Department of Labor licensed operator. Operator must have valid license in their possession at display site. [] 5. Provide timetable of: delivery of fireworks to site; set-up; live load; and display time. [] 6 Provide Certificate of Insurance (general and auto liability) in the amount of not less than $500,000.00. The certificate must be valid for duration of event, including rain dates. [] 7. The use of salutes / reports up to 5” in diameter are permitted, provided the requirements of NFPA 1123 (2014 edition) Section 4.1.7 are obeyed. 8. No display shall be fired if winds exceed 25 MPH. 9. Provide the name of the lead operator who will be representing the display company. 0. Submit a post-display report via RIMS Online within 48 hours of display. Report must include the following: display information; time that the search of fallout zone was conducted and the results; any product malfunctions; and any injuries. [] 11. Provide a letter attesting to the understanding of all of the above requirements as well as requirements set forth in Chapter 56 of the 2015 International Fire Code — New Jersey Editions and NFPA 1123 (2014 edition), 1124 (2006 edition), and 1126 (2011 edition) and that the display will be in compliance with the Ahan Lyf (Locke: Displty Company Representative Date ye ALL REQUIRED INFORMATION MUST BE SUBMITTED THROUGH RIMS ONLINE WITH THE PERMIT APPLICATION. FAILURE TO PROVIDE THE REQUIRED INFORMATION WILL RESULT IN DELAYS WHICH COULD AFFECT THE PROCESSING OF THE PERMIT. SPECIFIC CODE SECTIONS FROM THE 2015 INTERNATIONAL FIRE CODE NEW JERSEY EDITION MAY BE VIEWED BY GOING TO THE FOLLOWING

FORMATION WILL RESULT IN DELAYS WHICH COULD AFFECT THE PROCESSING OF THE PERMIT. SPECIFIC CODE SECTIONS FROM THE 2015 INTERNATIONAL FIRE CODE NEW JERSEY EDITION MAY BE VIEWED BY GOING TO THE FOLLOWING WEBSITE: https://codes.iccsafe.org/public/document/details/toc/1172 MUNICIPAL/SPONSOR REQUIREMENTS ARE ON PAGE 1 OF THIS FORM. v P-205/Revised 7/1/2018