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

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: (205) 854-5899 CERTIFICATE OF INSURANCE NO. 215087 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. CA000016477-11 NAMED INSURED Garden State Fireworks, Inc. ‘New Vernon Fireworks P.O. Box 403 Millington, NJ 07946 POLICY TERM March 1, 2022 to March 1, 2023; Both Days 12:01 A.M. Standard Time COVERAGE Commercial General Liability: XX] Occurrence Basis C1 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 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 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 the Named

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. NAME(S) OF ADDITIONAL INSURED(S) MONTCLAIR GOLF CLUB PO BOX 194 MONTCLAIR, NJ 07043 TOWNSHIP OF WEST ORANGE 66 MAIN STREET WEST ORANGE, NJ 07052 DISPLAY LOCATION DISPLAY DATE(S) CLUB GROUNDS JULY 2, 2022; RAID DATE JULY 3, 2022 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. MAY 16, 2022 SF es DATE OF ISSUE 4cd. STRINGER, PRESIDEN?