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HomeMy WebLinkAbout84-0529 Pyro Mania 34- 05 act CONTRACT tc This agreement made and entered into this 00— day of May, 1984, by and between PYRO-MANIA FIREWORKS, INCORPORATED, a corporation of Illinois, hereinafter called the Corporation, of Des Plaines, Illinois, and CITY OF ELGIN, a municipal corporation, hereinafter called the Purchaser, WITNESSETH: I. The Corporation hereby agrees to provide all fireworks required by Purchaser for Fireworks Display Program No. I as submitted, said program to be fired at Elgin, Illinois, on the following date or dates: July 4, 1984. 2. Purchaser agrees to pay Corporation the sum of $5700.00, payable as follows: full payment within 30 days after fireworks display. 3. Purchaser agrees to procure all permits or licenses which may be required by municipal or county authorities. 4. The Corporation agrees to provide experienced and competent personnel to supervise and operate said display. 5. The Corporation agrees to furnish the proper insurance to Purchaser, as follows: Comprehensive Liability - $1,000,000 Combined Limits Bodily Injury and Property Damage. It is further agreed that the Corporation will assume all liability that may be incurred on any of the workmen in their employ, during the entire operation, assembling, firing, and clearing the grounds of the fireworks, furnished to Purchaser. 6. In the event that rain or other Act of God shall prevent holding of the display on the date herein set forth it shall be held on the next clear night if so directed by Purchaser unless the Corporation has otherwise contractually committed all of its available personnel in which case the parties hereto may agree on another date. IN WITNESS WHEREOF, the parties have signed this agreement, in duplicate. PYRO-MANIA FIREWORKS, INCORPORATED ,--Z-e-C-)-- / ,..-"--e- ..e ../ President Attest: Aecretary C-17 ELGI City anager Attest: City Clerk .41 - _,.L uy l. .Lb . uu . Leighton Ins . Agency .EffectivE5/22/84rii , 19 • 2510 Dempster Expires 12:01 am 0 Noon6/22/84.•, 19 Des Plaines, Il . 60016 ❑This binder is issued to extend coverage in-the above named company per expiring policy # (except as noted below) NAME AND MAILING ADDRESS OF INSURED - Description of Operation/Vehicles/Property •. Pyro-Mania Fireworks for Exibitions & Fairs • P.O .BX. 151 • Des Plaines, I1 . 60018 . Type and Location-of Property Coverage/Perils/Forms Amt of Insurance Ded. c P R . 0 P E • R T .r Y ii Limits of Liabili • Type of Insurance Coverage/Forms Each Occurrence Aggregate {,. BodilyInju ❑ Scheduled Form aComprehensive Form Fireworks Injury $ $ A ❑ Premises/Operations Pro ert - B Exhibitions Damage $ $ I 0 Products/Completed Operations L • ❑Contractual Bodily Injury & • - I 0 Other (specify below) Property Damage 1,000,00 $1,000,00 ;- Combined Y 0 Med. Pay. $ person $ Accident Personal Injury $ • 0 Personal Injury .CIA ❑ B ❑ C A • Limits of Liability U ❑Liability 0 Non-owned ❑ Hired Bodily Injury (Each Person) $ i. T ❑Comprehensive-Deductible $ Bodily Injury (Each Accident) $ O 0 Collision-Deductible $ M 0 Medical Payments $ Property Damage $ B •❑ Uninsured Motorist $ I 0 No Fault (specify): Bodily Injury & Property Damage L ❑Other (specify): Combined $ E • Q WOR. /S COMPENSATION — Statutory Limits (specify states below) 0 EMPLOYERS' LIABILITY — Limit . $ - - 1 inoi s SPECIAL CONDITIONS/OTHER COVERAGES • . F, NAME AND ADDRESS OF 0 MORTGAGEE 0 LOSS PAYEE 0 ADD'L INSURED City of Elgin - LOAN NUMBER Elgin, Il . 6 c2- -ey : - • • ignature of Authorized Representative Date ACORD 75(11-77) q i 1 , CERTIFICATE OF INSURANCE . ti This is to certify that policies in the name of: v: Named PYRO MANIA, INC. Co-Insured Insured 7500 E. Elmhurst Rd. and and Box 151 Address Elgin, Il, Address Des Plaines, IL 60618 • L J L J are in force at the date hereof, as follows: i Kind of Insurance Policy Numbers Policy Period Limits "r FIREWORKS DISPLAY • Eff: 05-25-84 $1,000,000. *CSL :,; LIABILITY INSURANCE 1 Company: • THE CITY GL 1694534 Exp 05-25-85 INSURANCE COMPANY Eff: . . • Exp: `. Company: li J . Eff: A`. Exp: Company: * CSL — COMBINED SINGLE LIMIT ', In the event of any material change in, or cancellation of, said policies; the undersigned company will endeavor to iv 9 P Y give,: written notice to the party to whom this certificate is issued, but failure to give such notice shall impose no obligation nor liability upon the company. , CERTIFICATE ISSUED TO: r NAME DATE OF DISPLAY 7/ /8 4 AND ADDRESS RAIN DATE 7/7/84+ DISPLAY AMOUNT 5700 (,_ _ 1,/,-4, LOCATION OF DISPLAY Elgin, Il. AUTHORIZED SIGNATURE This certificate of insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded byif: any policy described herein. • i' • k. 1 5.6 ' i• L • OMER w437Z:771J .'gpy . 71F`S,7!sk: •-;_.;1,..A' •s _ ,°vac.: - . ._ .. • 1'VT GENERAL LIABILITY POLICY - GL- ' G • 4 (- Insurance is provided by the Stock Company designated by (X) and hereinafter called the Company. yRgp CITY INSURANCE COMPANY ri THE HOME INSURANCE COMPANY iMililMe Short Hills, N.J. Manchester. N.H. " ppM A (1 THE HOME INSURANCE COMPANY OF INDIANA THE HOME INDEMNITY COMPANY Indianapolis, Ind. • Manchester. N.N. DECLARATIONS PRODUCER Item 1. PYRO MANIA, INC. • FRANK B. HALL &.CO. Named 7500 E. Elmhurst Road, Box 151 • OF TEXAS, INC. Insured Des Plaines, IL 60618 and 85 NORTH EAST LOOP 410 Address SAN ANTONIO, TEXAS 78217 :: L _J L . Item 2. Policy Period: From 05-25-84 to 05-25-85 3 J 1 ' 12:01 A.M.. standard time at the address of the named insured as stated herein. Producer No. OPC - The named insured is: e. 1 0 Individual Ei Partnership © Corporation 0 Joint Venture ❑Other: •Business of the named insured is: (ereTe...tow) Audit Period:Annual,unless otherwise stated. (c.Ttry tectow) FIREWORKS . Item 3. The insurance afforded is only with respect to the Coverage Part(s) indicated below by specific premium charge(s) and attached to and forming a part of :`r this oolicv - Coverage Parts Form Number •tAuvance Premiums Comprehensive General Liability Insurance $ - 176395f1 f INCLUvEu . Premises Medical Payments Insurance $ . Contractual Liability Insurance $ r. Completed Operations and Products Liability $ Insurance '; Manufacturers'and Contractors.liability $ ,,, • Insurance tr. Owners',Landlords'and Tenants'liability $ 711 - Insurance n:i", • ti*•' Personal Injury Liability Insurance $ Owner's and Contractor's Protective Liability $ - Insurance Storekeeper's Insurance $ t ' Other $ Et; t•- Y- • - {)f, Policy Period is more. than Effective Datett . 1st Anniversarytt. 2nd Anniversarytf $1 OQO,QO 9 one year premium is payable - TOTAL ADVANCE PREMIUM L6395a, GL9916, GL0300, FBH115; FBH126, DepositFt�l-1, FW-2, F4v-3, FW-10 • Endorsements attached to policy I San Antonio, Texas f� °�� 06-20-84/PC/ Countersigned by J. Authorized Representative II the Policy Period is mare than one year; tine premiums shown for Fixed Exposure hazards are the full three year premiums. Any premiums shown for Subject-To-Audit hazards are the annual deposit Pre- ,miums. ttAny annual deposit premiums for Subject-To-Audit hazards are payable as of the effective date and each anniversary date, whether or not the remainder cf premium is payable on installments. - • t. iI I e ,.,.. . _ .._ • .. . „ • ig* T . . •.• -.'.. - .` ,.;:'-',"--'?: ?..0.'" 'Crum and Forster , - ,'.',.. .. ..,-,:•-•-,-,V,Vitt• i log.t..§.^$,,-.40;4*.,t,,•:4-4... ,,.: WOPKERS' COMPENSATION AND EMPLOYERS' ILIABICITY INSUkANCE POLICY • • ' ,- -.7',.--..,T4M•NUWIftal.,411*441.-i&M-4 . .i.'-. • _:•?• • •-•-•,-: ?.:;iky,T,.: 75,Ar. .4,wrc,.:-...10. '",k.'it (44,g- t-459)Vi.,' .':..-• g`-1.t-•;'''7...iiA:404•1-A.Vi:'-::",,-0';',V•AW-V,-:44,04,'.V--'' ';' .1,-- • ng: ;;Iii ..-41.-t,ce ' ifilWNATItt0:1.4!:;15.ti APW.ti,::il,i P; --,' ' • INFORMATION."P A GE•i,-,:. (AR I.I.,...;-,?>:,,,•:,,k,: j.?*1.54z, . -;rm.11...t1P-,•:•.'i-,ik7r.fg- ..31:;•,,,ct•%:, ,,.;•,, ; FORM -14.0 i'll.'14''''CH'i..7.1r6;'-'16,k'tV1,.*.,%'iLIPIR76#N•Sifg-i;,,i7. -• - • - ,.::", -- ------- • •-•,n,,,,.,-•,' - : ,--,:,4,:•••,,- INSURING CCMPANY: • POLICY';-.NO:,--k.;407. 99.7F.C(5,-7,504i UNITEii STATES FIRE • • -.- :.::NEW -BUS I NE S!t%•••-:: ::-:•9i4.r.,44_,:.0.14.--,isT A.-,',-q-._,---kti--,1::4-v.:17-,.---•:-:-, * INSURANCE COMPANY . CARRIER NO::.7:12 777/,;i'atcOrtWi::.&'441.--4,114 '• 1: •,,,•,.,v)•.,, p4,r-;...;: e1,.,••••,-v-,..§t-P;'41.-r•,:i -HOMF OFFICE; NEW YORK,• NY . • ,•- ..-,•;•.....:•:•‘,,,AyViv-;!-:&444;•;•:yA,'51, .,.vf:Av-, •'; . - ..-.:,:•••••.•,-.:(4;-'••:.,• ,iii'.4*:7.:: ;;;U:1"'-'.•:;glit, ..-.'.,:,-V:!:il 1 A S1TCK INSU.RANCE COMPANY , • '• - ,1.-.-.,•..--••,.', ,,,7,.,c.i:1!,:?, ..,....•4i• -:-•:-.•,..4:54,t.•;1,1*.iai•'• ', . - . . .. PRODUCER. NO 1:•-•-,:-'5 44115.:::=Vf; -,•-• •- •1•',•,'4g3ii:t* 1. THE INSURED AND MAILING ADDRESS: ' PRODUCER NAME-AND.2rADDRESSIfl's•eA,' PYRO-MANIA7 . INC Leighton Insurance Agency P.C. ','CX 151 2510 Dempster, 'Jtoom .205 • „?-,-,--v ES PLAIS , IL 6001C Des Plaines, IL 60016 T A 0 1..' INSU:.H-. (.10'..:PTI til •LJN . . _ . .c. : ,•: .: . ,. M • ..:::JiA-. .-: LACS :• CT S.1-!0 A",OVE : ( See ,Iteffl- i.OSchedule Attached) - -p„,,•,,i -,/;qe •...,..'5tC37, . '-' . • _.,:'-:,,, 2. POLI(IY P.:Ii-:.L-:': From 05/13/ To 06/11/854Ay . i."--1•-•'-14''.'W., •. •.. . .. . ,-... i,.1-f,i,s-,,,,s.,;,y• . . .,_•ts.::-.• 0 - 11`.1 i-ff.:.:!C ..AV'-'-' 1. : ill A.M. Standard Time .atV;044Asure-d' s .MailingfAddret .- spv -,.4.7 ": - ' - 4-. :, : 4-f.±.VW, ...:„ ••: 4,i7,,,=,s.!,?;•41,441/4*..,,t4wv.r,„6, ,4 , ...- , .,,,.:: . :• ; ,,-,4-r,. .f-qitt.',I Ayr:4ftywntg.tlia •,::,,., ,,:o•iy,,,,,,z.,...., $..,A,,..v,,, ;s,..5,./t,R.:..',c;•_,1:f0,;;:iz: -, 3. CUVER : .1••:, •3'k-•;:zeel,:.-•':. -•:',:: ,;,1-#•W;B•2.' '0' '44,-i:..siy, .47tI, :i•- ••Aqii.0.!*•;?;•• ,1,4.:.;,..,,..x -•i,, --- ••••,•-,:i14:*,:V.---•••••" 4A1:1,1•Pr -• •• • - 'Y••• - v• ''*-i. ',<5')•"4:4fri 7 -41Pr;, -',.„,.':!,-?:j1::::'.c,F: • A. •!c;r k:. r ' C.o ffi 2 ei-It7at 1'Oilab Sil eantd, ft .r,*••c .- ,.:* ?1,,,,, he4F,c9op, ,i,tt,.pRs11:F 47,-:,,,,CP,-:,!?:,,,:c:•-f '... .,...it.,„i--,,,s,aket:•3,,, „.1„....4rrtzp- ,. - ..F.4 .---&--- .;e•i;- .;•.0.w,.1 ,,.,..-Itt;t7,140,q.r..,,,i1.4-v.,'......"-",:i;i-:.:c•-:.';:- . t 0 t:-1:! Xorkers :Compn-satfott.ttat,i);-•-wtn7-,k, ,i,. -• -,,4--.:g.,14s,:tegreret,--7,mi,2, ,ar„,, ,-, :,.. 7 ,,';•fr,...-r;r,e--,..c,-V.i.t.:41,',:',:-;,•44..t4,.. .t.'.LAI ',,ii..li f'7'LP •,il•Str.e.I'40:'-itATT4re . hlo. A e.o.''-f V•vr.i.,--;:1'.... . e• I"L I N C I S !•::,-0,e,,,i61T...,),ArKttglitfil.,-1150r60,11)-:°:'444w-Pf.'W.**WfW--4,41:4";(4,:p''•let,.g• •!:4142,;: :_lpls, .4444V,i--:-:.....,f; .;:- • • ,' ;.''17WMi,e42.0.7a,/.- ,-P-"Vi--,i'w--Aiii•',P ,,,-',..4u4.:„-41M5172-g6.0*-ii:IVVEfd,N3P-,'::'‘. le111' 1 --z.'r -14.1;::,.. !, ...4.,. : , ...,,xf;lam,,,.,,,-;'0,-*3,-,- - — -,..•,A,.2 . ---,,, i4a j•:,•,,,,, -.„,,..- ••• •••,,„:,•„,;•,,,,.,:,_,-.::,,,A,6 ,,,.,, ,..:•,..1..f ,.. .,I.,..0,,,,,,,....,..:•;;,;,4-,0-.‘,.v.4zigtwtti,•., ,••-•,- .: ,r.:, .T.,-c,-- : .-:,',- 04- , ,I.),'- .... -,-,;-..:,r*:,:o.,,,.01,,,, 4P1.1r..-$.-4c*.qt4 .'":"• !'' e,'.;:e.. . ..'t.a-co..:''-',%Oil T3. F-.In p 1 oy e r s.' L.rab:iViify Insurance ZWTtr'W-Tof'..-.7i.-thOlr.,p7I.J.tnapp;Nie5:,..4i ..,...24,iaiw4- -': work i n e a h -'s--Cai'e'fl i s ted in I flitii.U4. --- tie '1 finrizi'f.tilVilegrt--aliiitti*.g'f .--4:•:' .._ 1'4 j,•'Afit 41.0 ,.44.. . . ..:..'i'':."''''t, :;'; -0..,r; .: • :i 1!. =:14 ..V:i*:. undar Part Two are ;,A,miv;~',. • , , - .• •,4,..„••,!.....0,-i•,-.•,,- ,..,:i . - ily Injury by Accident : $-,: rokr0- - 00 Each Accident • ..:';I‘. ti`;'-'' .. n: . • :,,,- • :.,...-,Jilv Injury by Ilisse: v.:-,:aGa-tdoo Each Employee -'!5.1 ,:. - ,-.:H., 1 ,, fnjury by Cisse: $ 500000 Policy. Limit 0i . . C. 1-„th. r -..;-tt.2s Insurance: Part Three of th Policy applies to all the States of th-7.-• United Etatos, except thes listed in Item 3A above and . in '-:.evT:(i / .- crta Oakotal Ohio, Washin9ton, ',lest Vir9inia, and Wyoming. Co This i,olicy inclus thrs.,? 1:m_j:)rsemnts and Schedules : !•!1.-,1zrc. . . . •-. . • • •,:4 4. The Pi,.'.....:::f ), for this Policy v; ill h:- datc.!rmined by our Manuals of Rules, Clasific,: tic)nst Rat.::-,s- ,•;r1d i:;:..t. ind Plans. All information required on the .. att.::-ci!c.,'n sco on1e is subjcct to veriFication and chanqe by audit. "'"-- Total Estimated . Mihiup.! :r--f;;ium: ::, 459 Annual Premium: .$ 459'1: Auit P -riot!: AT FXPIRATION De ...„ ' Premium: $ 459 . i• _ ‘s,.... k .., Issued ;-‘J. : ..! .. : ; .1. , IL - . Date: o(1/1.,/*:i Authorizo.d. Repro*sbntative . _ . __ [ . , -?,.: