HomeMy WebLinkAboutZambelli Fireworks Manufacturing Company - 2010-04-01CONTRACTS SUBMITTAL Ta';
CITY CLERKS OFFICE 2010 APR p �j 1: 09
To: JOAN FLYNN, City Clerk
Name of Contractor: Zambelli Fireworks Manufacturing Company
Purpose of Contract: For Example: Audit Services or Water Quality Testing Huntington Lake— Huntington Central Park
Fireworks Display on the Fourth of July
Amount of Contract: $40,000.00
Copy of contract distributed to: The original insurance certificate/waiver distributed
Initiating Dept. F-1 to Risk Management El
Finance Dept. El ORIGINAL bonds sent to Treasurer ❑
Date: el &
jTaee#ion
City Attorney's Office
ltiA.1470 CZ
G:AttyMisc/Contract Forms/City Clerk Transmittal
SERVICES CONTRACT BETWEEN THE
CITY OF HUNTINGTON BEACH AND
ZAMBELLI FIREWORKS MANUFACTURING COMPANY, INC.
FOR FIREWORKS DISPLAY ON THE FOURTH OF JULY
THIS AGREEMENT ("Agreement') is made and entered into by and between the
CITY OF HUNTINGTON BEACH, a California municipal corporation, hereinafter
referred to as "CITY," and ZAMBELLI FIREWORKS MANUFACTURING
COMPANY, INC., a Pennsylvania corporation, hereinafter referred to as
"CONTRACTOR."
WHEREAS, CITY desires to engage the services of a contractor to produce and
display fireworks for the 2010 Fourth of July on the Huntington Beach Municipal Pier, in
the City of Huntington Beach; and
The provisions of HBMC Chapter 3.02 relating to procurement of services
contracts has been complied with; and
CONTRACTOR has been selected to perform said services,
NOW, THEREFORE, it is agreed by CITY and CONTRACTOR as follows:
1. WORK STATEMENT
CONTRACTOR shall provide all services as described in herein for the
Fourth of July, 2010 fireworks display. The display is scheduled for approximately 9:00
p.m. and will last a minimum of twenty-five (25) minutes in duration, and shall consist of
the following:
09-1966.001/44553 1
AERIAL PROGRAM
Fanfare
Three Inch Finale Shells
80
Four Inch Finale Shells
18
Five Inch Finale Shells
10
Six Inch Finale Shells
12
Body
Four Inch Display Shells 174
Five Inch Display Shells 145
Six Inch Display Shells 116
Eight Inch Display Shells 32
Finale
Three Inch Finale Salutes
Four Inch Finale Shells
Five Inch Finale Shells
Six Inch Finale Shells
Eight Inch Finale Shells
110
240
55+
44/
TOTAL SHELLS 1037
The program will fire at a rate of 28 (or more) shells per minute. This
ensures that the sky will not be "black" unless called for in the
choreography. Shells will open to overlap previous shells to keep the
action continuous.
The display shall be accompanied by a musical soundtrack appropriate for
the 41h of July and the show will be fired electrically.
CONTRACTOR's services shall also include, without limitation, the provision of
a licensed pyrotechnic operator, full ectronic firing of the fireworks display, show
choreography and design, insurance coverage, sales tax and delivery and the processing
of the necessary permit applications. These services shall sometimes hereinafter be
referred to as "PROJECT."
2. DESIGNATED CONTACTS
CITY shall assign a staff coordinator to work directly with
CONTRACTOR in the performance of this Agreement.
09-1966.001/44553 2
CONTRACTOR hereby designates Irving Perry, who shall represent it
and be its point of contact in all consultations with CITY during the performance of this
Agreement.
3. TIME OF PERFORMANCE
Time is of the essence of this Agreement. The services of
CONTRACTOR are to commence as soon as practicable after the execution of this
Agreement to ensure that the fireworks show occurs at the agreed upon time on the
Fourth of July. This schedule may be amended to benefit the PROJECT if mutually
agreed by CITY and CONTRACTOR.
4. COMPENSATION
In consideration of the performance of the services described herein,
CITY agrees to pay CONTRACTOR a fee of Forty Thousand Dollars ($40,000.00).
CITY agrees that the full and final payment for CONTRACTOR's services is due within
ten (10) calendar days after the Fourth of July or by July 14.
5. SPECIAL PROVISIONS
A. CONTRACTOR will provide a fireworks show that is a minimum
of twenty-eight (28) minutes in length on July 4, 2010. The fireworks shall be launched
off of the Huntington Beach Pier, beginning at approximately 9:00 P.M.
B. CONTRACTOR will provide a California licensed pyrotechnic
operator (Jeffrey Eidemiller) and crew including sufficient qualified technicians and
laborers to execute the event. The assigned employee of contractor (Eidemiller) will be
available for up to three on -site, pre -event meetings with the 4th of July Board and CITY
09-1966.001/44553 3
staff. If, in the event that Mr. Eidemiller's service cannot be provided, CONTRACTOR
will provide a pyrotechnic operator with similar credentials and experience.
C. CONTRACTOR will obtain all applicable federal, state, county
and CITY permits. All CITY permit paperwork must be submitted and fees for CITY
permits will be waived. CONTRACTOR is responsible for the processing of other
permits.
D. CONTRACTOR will meet or exceed all provisions of the
Huntington Beach Fire Code Article 78 and California Code of Regulations, Title 19-
Public Safety, Chapter 6, Articles 1 through 15. In the event of a conflict in standards
between the codes, the more stringent shall prevail.
E. Alternate materials and methods must be submitted by
CONTRACTOR and may be approved by the Fire Chief provided that the Fire Chief
finds that the proposed design, use or operation satisfactorily complies with the intent of
Article 78 or other recognized national standards acceptable to the CITY. Furthermore,
the method of work performed or operation, shall be for the purpose intended, and at least
equivalent to that prescribed in the code in quality, strength, effectiveness, fire resistance,
durability and safety.
F. CONTRACTOR is responsible to provide all necessary
pyrotechnic equipment.
G. CONTRACTOR is responsible for the removal of unexploded
fireworks and event equipment. A plan detailing the route and destination of unexploded
fireworks must be submitted to the authorities having jurisdiction as required.
09-1966.001 /44553 4
H. CONTRACTOR must submit a fire protection plan, subject to the
review and approval of CITY's Fire Chief to provide for the protection of Ruby's
restaurant at the end of the Pier from fire or other damage.
I. CONTRACTOR will provide a musical score that corresponds
with the fireworks display. Operator will work with the event's radio partner and the
Fourth of July Board to coordinate the live radio broadcast of the event. CITY will
provide sound equipment.
J. CITY will permit an accessible location to launch fireworks.
K. CITY will provide for barricades, police and security to clear the
public from the set-up area and to maintain the necessary safety zone throughout the set-
up, the event and the take down.
L. CITY will provide sand, including delivery and pick up.
M. CITY and CONTRACTOR will work together and mutually agree
on a timeline for fireworks delivery, set up and access to the Pier.
N. If either party deems conditions unsafe, the fireworks display will
be delayed or postponed until conditions are corrected. If conditions are not corrected,
either party may cancel the display without further liability to either party.
O. CITY shall have the option to unilaterally cancel this display prior
to the date of the display. If CITY exercises this option, CITY agrees to pay to
CONTRACTOR, as liquidated damages, the following percentages of the agreed contact
price: 1) twenty-five percent (25%) if cancellation is three (3) or more days prior to the
scheduled day of the display; 2) fifty percent (50%) if cancellation occurs within two (2)
days of the actual date set for the display; 3) seventy-five percent (75%) if cancellation
09-1966.001/44553 5
occurs on the date set for the display but prior to the time physical set-up of the display
actually begins; 4) one hundred percent (100%) thereafter. If cancellation occurs prior to
the date set for the display, CITY agrees to pay CONTRACTOR in addition to the above
percentages, the value associated with any specific custom work performed by
CONTRACTOR or its agents including but not limited to music/narration tape
production and/or sponsors' logos.
P. Liquidated Damages/Delays: It is agreed by the parties hereto that in case
CONTRACTOR fails to perform the fireworks show referenced herein, damage will be
sustained by CITY; and that it is, and would be, impractical and extremely difficult to
ascertain and determine the actual damage which CITY would sustain in the event of and
by reason of CONTRACTOR'S failure to perform. It is therefore agreed that
CONTRACTOR will pay to CITY, as liquidated damages and not as a penalty, the sum
of Forty Thousand Dollars ($40,000.00), which represents a reasonable endeavor by the
parties hereto to estimate a fair compensation for the foreseeable damages CITY would
sustain in the event of and by reason of CONTRACTOR'S failure to perform the
fireworks show; and CONTRACTOR agrees to pay these damages herein provided, and
further agrees that CITY may deduct the amount thereof from any monies due or that
may become due to CONTRACTOR hereunder. As used herein, the phrase "failure to Q
1,4,
perform" does not refer to issues concerning the quality or completeness of the display. 6 6�d ' -
5ti� �
Q. Upon mutual written agreement of the parties, the term of this Agreement ./
may be extended for a period not to exceed three (3) years. Add
�� �Q
Q,C�t.l
09-1966.001/44553 6
6. EXTRA WORK
In the event CITY requires additional services not included herein or
changes in the scope of services described herein CONTRACTOR will undertake such
work only upon mutual written agreement of CONTRACTOR and CITY. Additional
compensation for such extra work shall be allowed only if the prior written approval of
CITY is obtained.
7. INDEMNIFICATION, DEFENSE, HOLD HARMLESS
CONTRACTOR shall defend, indemnify and save and hold harmless
CITY, its officers, officials, employees and agents from and against any and all liability,
loss, damage, expenses, costs (including without limitation, costs and fees of litigation)
arising out of the performance of this Agreement by CONTRACTOR, its officers, agents
or employees except such loss or damage which was caused by the sole negligence or
willful misconduct of CITY or any other person. CONTRACTOR will conduct such
defense at its sole costs and expense. CITY shall be reimbursed by CONTRACTOR for
all costs and attorney's fees necessarily incurred by CITY in successfully enforcing this
obligation.
8. WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY
T\TCT TT? 0 ATC-P
Pursuant to California Labor Code Section 1861, CONTRACTOR
acknowledges awareness of Section 3700 et seq. of said Code, which requires every
employer to be insured against liability for workers' compensation; CONTRACTOR
covenants that it will comply with such provisions prior to commencing performance of
the work hereunder; and shall indemnify, defend and hold harmless CITY from and
09-1966.001/44553 7
against all claims, demands, payments, suit, actions, proceedings, and judgments of
every nature and description, including attorney's fees and costs presented, brought or
recovered against CITY, for or on account of any liability under any of said acts which
may be incurred by reason of any work to be performed by CONTRACTOR under this
Agreement.
CONTRACTOR shall maintain workers' compensation and employers'
liability insurance in amounts not less than the State statutory limits.
CONTRACTOR shall cover all subcontractors or require such
subcontractors to provide such workers' compensation and employers' liability insurance
for all of the subcontractors' employees. CONTRACTOR shall furnish to CITY a
certificate of waiver of subrogation under the terms of the workers' compensation and
employers' liability insurances and CONTRACTOR shall similarly require all
subcontractors to waive subrogation.
9. INSURANCE
In addition to the workers' compensation and employers' liability
insurances, CONTRACTOR shall obtain and furnish to CITY, a policy of commercial
general liability insurance covering the PROJECT, and a policy of automobile bodily
injury and property damage insurance covering all automobiles owned or operated by
CONTRACTOR. The policies shall cover CONTRACTOR, its officers, agents and
employees, while acting within the scope of their duties, against claims arising out of or
in connection with the PROJECT, and shall provide coverage in not less than the
following amount: combined single limit bodily injury and property damage, including
products/completed operations liability and blanket contractual liability, of Two Million
09-1966.001/44553 8
Dollars ($2,000,000.00) per occurrence. If coverage is provided under a form which
includes a designated general aggregate limit, the aggregate limit must be no less than
Four Million Dollars ($4,000,000.00) for this PROJECT. The policies shall name CITY,
its agents, its officers, employees and volunteers as Additional Insureds, and shall
specifically provide that any other insurance coverage which may be applicable to the
PROJECT shall be deemed excess coverage and that CONTRACTOR's insurance shall
be primary.
Under no circumstances shall the above -mentioned insurance contain a
self -insured retention, or a "deductible" or any other similar form of limitation on the
required coverage in excess of Two Thousand Five Hundred Dollars ($2,500.00).
10. CERTIFICATES OF INSURANCE
Prior to commencing performance of the work hereunder,
CONTRACTOR shall furnish to CITY certificates of insurance subject to approval of the
City Attorney evidencing the foregoing insurance coverages as required by this
Agreement; the certificates shall:
A. provide the name and policy number of each carrier and policy;
B. shall state that the policy is currently in force; and
C. shall promise that such policies shall not be suspended, voided or
canceled by either party, reduced in coverage or in limits except
after thirty (30) days' prior written notice.
CONTRACTOR shall maintain the foregoing insurance coverages in force
until the work under this Agreement is fully completed and accepted by CITY.
09-1966.001/44553 9
The requirement for carrying the foregoing insurance coverages shall not
derogate from the provisions for indemnification of CITY by CONTRACTOR under the
Agreement. CITY or its representative shall at all times have the right to demand a copy
of all said policies of insurance. CONTRACTOR shall pay, in a prompt and timely
manner, the premiums on all insurance hereinabove required.
11. INDEPENDENT CONTRACTOR
CONTRACTOR is, and shall be, acting at all times in the performance of
this Agreement as an independent contractor and not as an employee of CITY.
CONTRACTOR shall secure at its expense, and be responsible for any and all payments
of all taxes, social security, state disability insurance compensation, unemployment
compensation and other payroll deductions for CONTRACTOR and its officers, agents
and employees and all business licenses, if any, in connection with the services to be
performed hereunder.
12. ASSIGNMENT AND SUBCONTRACTING
This Agreement is a personal service contract and the supervisory work
hereunder shall not be delegated or subcontracted by CONTRACTOR to any other
person or entity without the prior written consent of CITY.
13. CITY EMPLOYEES AND OFFICIALS
CONTRACTOR shall employ no CITY official nor any regular CITY
employee in the work performed pursuant to this Agreement. No officer or employee of
CITY shall have any financial interest in this Agreement in violation of the applicable
provisions of the California Government Code.
09-1966.001 /44553 10
14. NOTICES
Any notices or special instructions required to be given in writing under
this Agreement shall be given either by personal delivery to CONTRACTOR's or to
CITY'S Director of Community Services, as the situation shall warrant, or by enclosing
the same in a sealed envelope, first class postage prepaid, and depositing the same in the
United States Postal Services, addressed as follows:
TO CITY:
TO CONTRACTOR:
City of Huntington Beach Irving Perry
Attn: Director of Community Services Zambelli Fireworks Manufacturing Corp.
2000 Main Street Inc.
Huntington Beach, CA 92648 P. O. Box 986
Shafter, CA 93263
Notice shall be deemed effective when delivered or three (3) business days after
deposit in the mail.
15. IMMIGRATION
CONTRACTOR shall be responsible for full compliance with the
immigration and naturalization laws of the United States and shall, in particular, comply
with the provisions of the United States Code regarding employment verification.
16. LEGAL SERVICES SUBCONTRACTING PROHIBITED
CONTRACTOR and CITY agree that CITY is not liable for payment of
any subcontractor work involving legal services, and that such legal services are
expressly outside the scope of services contemplated hereunder. CONTRACTOR
understands that pursuant to Huntington Beach City Charter § 309, the City Attorney is
the exclusive legal counsel for CITY; and CITY shall not be liable for payment of any
legal services expenses incurred by CONTRACTOR.
09-1966.001/44553 11
17. MODIFICATION
No waiver or modification of any language in this Agreement shall be
valid unless in writing and duly executed by both parties.
18. SECTION HEADINGS
The titles, captions, section, paragraph, subject headings and descriptive
phrases at the beginning of the various sections in this Agreement are merely descriptive
and are included solely for convenience of reference only and are not representative of
matters included or excluded from such provisions, and do not interpret, define, limit or
describe, or construe the intent of the parties or affect the construction or interpretation of
any provision of this Agreement.
19. INTERPRETATION OF THIS AGREEMENT
The language of all parts of this Agreement shall in all cases be construed
as a whole, according to its fair meaning, and not strictly for or against any of the parties.
If any provision of this Agreement is held by an arbitrator or court of competent
jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate
or affect the remaining covenants and provisions of this Agreement. No covenant or
provision shall be deemed dependent upon any other unless so expressly provided here.
As used in this Agreement, the masculine or neuter gender and singular or plural number
shall be deemed to include the other whenever the context so indicates or requires.
Nothing contained herein shall be construed so as to require the commission of any act
contrary to law, and wherever there is any conflict between any provision contained
herein and any present or future statute, law, ordinance or regulation contrary to which
the parties have no right to contract, then the latter shall prevail, and the provision of this
09-1966.001/44553 12
Agreement which is hereby affected shall be curtailed and limited only to the extent
necessary to bring it within the requirements of the law.
20. DUPLICATE ORIGINAL
The original of this Agreement and one or more copies hereto have been
prepared and signed in counterparts as duplicate originals, each of which so executed
shall, irrespective of the date of its execution and delivery, be deemed an original. Each
of the parties hereto shall retain an originally signed copy hereof. Each duplicate original
shall be deemed an original instrument as against any part who has signed it.
21. ATTORNEY' S FEES
In the event suit is brought by either party to enforce the terms and/or
provisions of this agreement or to secure the performance hereof, each party shall bear its
own attorney's fees.
22. GOVERNING LAW
This Agreement shall be governed and construed in accordance with the laws of
the State of California.
REST OF PAGE NOT USED
09-1966.001 /44553 13
23. ENTIRETY
The Agreement contains the entire agreement between the parties
respecting the subject matter of this Agreement and supercedes all prior understanding
and agreements whether oral or in writing between the parties respecting to subject
matter hereof.
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
executed by and through their authorized officers on
ZAMBELLI FIREWORKS MANUFACTURING
COMPANY, INC.
ITS
AN
By: J- c-
�o3�T G 144'-tSA
print name
ITS: (circle one) Secret Chief Financial Offic /Asst.
Secretary — Treasurers
ity Attorney I)vo 3kzW3'
'�/ / 1
2010.
CITY OF HUNTINGTON BEACH, a
muni i 1 corporation oft
77State of California
Finance Director
(Pursuant to HBMC Chapter 3.02)
INITIAT,, A D7VED.
Deputy City Admi rator
APPROVED AS TO FORM:
w.
09-1966.001/44553 14
City of Huntington Beach
Huntington Beach, California
SYNOPSIS
January 13, 2010
July 4, 2010
Description 2008 2010
budget budget
$40,000 $40,000
Fanfare
Finale
AERIAL PROGRAM
Three Inch Finale Shells 80 80
Four Inch Finale Shells 18 18
Five Inch Finale Shells 10 10
Six Inch Finale Shells 12 12
Four Inch Display Shells
180
174
Five Inch Display Shells
150
145
Six Inch Display Shells
120
116
Eight Inch Display Shells
33
32
Three Inch Finale Salutes
120
110
Four Inch Finale Shells
264
240
Five Inch Finale Shells
60
Six Inch Finale Shells
48
44
Eight Inch Finale Shells
1
�,a
TOTAL SHELLS
1096
1037 I
Proposal price includes all services except audio support for music playback which fs to
be provided by the customer
U.S. CORPORATE
HEADQUARTERS
P.O. Box 1463
NEW CASTLE, PA
16103
BCC-245-0397
724-658-661 1
724-65B-B31 B FAX
SOUTHERN REGION
1 W. CAMINO REAL BOULEVARD
SUITE 1 00
BOCA RATON, FL
33432
BCC-86❑-0955
561 -395-C955
561-395-1799 FAX
0
March 19, 2010
G
P.O. Box 986
MBELLI Shaffer, CA 93263
800 322-7142 Voice
E W ® R K S 661 746-2844 Fax
INTERNATIONALE e-mail boom@lightspeed.net
Ms. Sharon Griffin
4th of July Event Director
City of Huntington Beach/Purchasing
2000 Main Street
Huntington Beach, CA 92648-2702
Dear Ms. Griffin:
Here is the contract with our corporate signatures.
I noted an error on the second page in the listing of the display's finale.
The quantity of 6-inch shells had been incorrectly typed on the proposal synopsis
page as 444. The correct amount should have been 44. This logically fits with the
numeric progression in the finale as listed for 2008.
Additionally, the Total Quantity reflects the correct number of shells (with 44 6-
inch in the finale)
I apologize for any confusion from this error.
If you have any questions or require additional documentation, I may be reached
at 800 322-7142.
WESTERNJKS.CO
P.O. B
SHAFcerely
800-32
661 -74
661 -746-20WWW. ZAM BELLI FI REWO Rn VE
s 04
Manufacturing Co.
encl- contract (signed)
.�cC>R�� CERTIFICATE OF LIABILITY INSURANCE
�"
DATE(MM100/YYYY)
3/24/2010
THIS CERTIFICATE 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 lieu of such endorsement(s).
PRODUCER
Britton -Gallagher and Associates, Inc.
6240 SOM Center Rd.
Cleveland OH 44139
CONTACT
NAME:
PHONE FAX
A/c No Ext: 44 0 - 2 4 8 - A/C No: - -
ADDRESS:
PRODUCER
CUSTOM ER ID #:
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: Granite State Insurance Co.
23809
Zambelli Fireworks Mfg. Co., Inc..
PO Box 1463
tNsuRERB:Arch Specialty Ins Co
INSURER C:Lexington Insurance Cc
New Castle PA 16103-1463
INSURER D :
INSURER E :
INSURER F
COVERAGES CERTIFICATE NUMBER:1762832127 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED 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.
INSR
LTR
TYPE OF INSURANCE
A L
SUB
WVD
POLICY NUMBER
POLICY EFF
MMlDD
- POLICY EXP
MM/DD
LIMITS
C
GENERAL LIABILITY
1619391-02
2/1/2010
2/1/2011
EACH OCCURRENCE
$1,000, 000
X COMMERCIAL GENERAL LIABILITY
PREM SES Ea occur ence
$50, 000
MED EXP (Any one person)
$
CLAIMS -MADE F] OCCUR
PERSONAL& ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS- COMP/OP AGO
$2 , 000, 000
$
- POLICY X PRO, LOC
A
AUTOMOBILE
LIABILITY
CA93488082
2/1/2010
2/1 /2011
COMBINED SINGLE LIMIT
(Ea accident)
$1, 000, 000
X
BODILY INJURY (Per person)
$
ANY AUTO
t^ AA
ED AS o
BODILY INJURY (Per accident)
$
ALL OWNED AUTOS
INTI
SCHEDULED AUTOS
HIRED AUTOS
R A,yC�srg X�
lat Llbitl
�a }�r
`J
;e�y
PROPERTY DAMAGE
(Per accident)
$
1 X -
X
$
NON -OWNED AUTOS
a I
$
g
UMBRELLA LIAR
X
OCCUR
UFP0024525
2/1/2010
2/1/2011
EACH OCCURRENCE
$9,000,000
X
AGGREGATE
$9, 000, 000
EXCESS UAB
CLAIMS -MADE
DEDUCTIBLE
$-- "-
$
RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFiCEPUMEMBER EXCLUDED?
(Mandatory In NH)
NIA
WC STATU- OTH-
ORY LIMI
EACH ACCIDENT
$
E.L. DISEASE- EA EMPLOYE
$
E.L. DISEASE - POLICY LIMIT
1 $
If yes, describe under
DESCRIPTION OF OPERATIONS below
fl
Hired Car Physical Damage
CA93488082
2/1/2010
2/1/2011
$150,000 limit
$500 Coin Deductibl
$500 Coiiision Deductible
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Display Date: 7/4/10 or alternate date as per contract -
The fallowing are named as Additional Insureds as respects Commercial General Liability Insurance
pertaining to the operations of the Named Insured only. The City of Huntington Beach, its officers,
See Attached...
1.111VLCLLiI
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
IN ACCORDANCE WITH THE POLICY PROVISIONS.
Ms. Naida Osline
City of Huntington Beach
2000 Main Street AUTHORIZED REPRESENTATIVE
Huntinqton Beach CA 92648
V 1933-ZOOS AGOKD cVFa'UKA I IUN. An ngnis reservea.
ACORD 26 (2009109) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID:
LOC #:
'`d41:®R1:>� ADDITIONAL REMARKS SCHEDULE
Page 1 Of 1
AGENCY
Britton -Gallagher and Associates, Inc.
NAMEDINSURED
Zambelli Fireworks Mfg. Co., Inc.
PO BOX 14 63
New Castle PA 16103-1463
POLICY NUMBER
CARRIER
NAIC CODE
EFFECTIVE DATE:
j THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE
SCRTPTION OP OPERATIONS J LOCA- TIONS % VkHICLI-S
ected or appointed officals, employees, agents and volunteers, The Redevelopment of The City of
ntington Beach, California.
rm CG2026, Additional Insured - Designated Person or Organization is attached hereto.
ACORD 101 (2008101) (c) 2003 ACORD COi FOKA FION. All rigntsreservea.
The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: 1619391-02
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - DESIGNATED PERSON OR
ORGANIZATION
, i` 1ti 5
This enrinrsement modifiec insurance r, vided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
SC"E RULE
Name of Person or Organization:
The City of Huntington Beach, its officers, elected or appointed officals, employees, agents and volunteers,
The Redevelopment of The City of Huntington Beach, California.
Location: 2000 Main Street, Huntington Beach, CA 92648 With respects to the insureds operations on 7/4/2010 only
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement)
WHO IS AN INSURED (Section li) is amended to include as an insured the person or organization -shown in the
Schedule as an 'insured but only with respect to liability arising out of your operations or premises owned by or
rented to you_
CG 20 26 1185 Copyright, Insurance Services Office, Inc., 1984 Page t of 1
03/30/2010 08:06 6617462844 ZAMBELLI WEST PAGE 02/03
GERTHOLDER COPY
NT
STATE P.O. BOX 420807, SAN FRANCISCO,CA 94142--0807
COMPENSATION
INSuRAMCs
F UP N CERTIFICATE OF WORKERS' COMPrE IISATFON INSURANCE
ISSUE DATE: 08-08-200B GRCIVFf
POLICY NUMBER: 0904030-2009
CERTIFICATE ID: 40
CERTIFICATE EXPIRES:00-05-2010
0®-06-2009/0119-00-2010
4TW OF JULY EXEC BOARD NT
2000 t'AAIN ST
HUNTINGTON BEACH CA 92848-2702
This is to certify that we have issued a valid tNorkers' Gpmpensgtion insurance policy In a form approved by the
California Insurance Cornmissfoner to the employer rimed below for the policy period indic2ted.
This policv is not subject to cancmllation try the i and except upon 30 days advance written nptice to the employer.
We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration.
This certlficaie of insurance is not an insurance policy and clues not amend, extend or alter the coverage afforded
by the policy listed herein, Notwithstanding any requirement, term or cendltion of any Cbntract or other docunnent
with respect to which rhig rFirfifirmto of insurance may be issued or to whist it may partain, the insurance
afforded by the pAliGy described herein is subject to all Lhe terms, exclusion9, and cpntli4ions, of such policy.
t:081D-ZEQ HEEPRESENTATI PRl:-$IDF-NT
eMPLOYEA'S LIABILITY LIMIT INCLUDI 11 DEFENSE COSTS: $1,000,000 PER OCCURRENCE.
ENDORSEMENT #1000 - W DOWLAS TAYLOR PRESIDENT - EXCLUDCO .
ENDORSEMENT #1800 - QEORGE R 7AMSCLLI JR !3OCHNIN - EXCLUOEOQ
w® ENDORSEMENT #1600 R GARLAND MCKNIQ T DIR - EXCLUDED.
ENDORSEMENT #1800 - RICHARD K MCDONALO DIR - EXCLUDED.
ENDORSEMENT #1800 - EDWARD MEYER DIR - CXCLUDEB.
ENDORSEMENT #2005 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 08-09-2004 I5
--�-.m. ATTACHED TO AND FORMS A PART OF T142S POLICY,
EMPLOYER
ZAMELLI FIRfEbMRKS KPO 00 INC NT
PC BOX 1403
NEW CASTLE PA 19103
APPROT',
TO FORM
IFNNIF c�RATH, City Attorney
[JTT, C-R]
Rrv-2-00 PRIfTrED : 08-01-2009