Laserfiche WebLink
EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: 2018-08 <br />CERTIFICATE OF INSURANCE <br />SPECIAL EVENT LIABILITY PROGRAM <br />PRODUCER <br />PUBLIC ENTI'TY (ADDITIONAL INSURED) <br />Alliant Insurance Services, Inc. in conjunction with <br />City of Santa Ana <br />Apex Insurance Services <br />20 Civic Center Plaza <br />P. O. Box 6450A/� g O _ OF/ <br />a✓ O V <br />O/ <br />Santa Ana, CA 92701 <br />Newport Beach, CA 92658 /V <br />License No: OC 36861 <br />NAMED INSURED (EVENT HOLDER): <br />EVENT INFORMATION: <br />TYPE: Gymnastics <br />Geraldine Valencia <br />DATE(S): 1/01/18-12/31/18 <br />940 W Chapman, Ste 100 <br />LOCATION: Garfield Center <br />Orange, CA 92868 <br />*Liquor Liability Yes ❑ No N <br />**Liquor Liability after 12 am ends before 2 am ❑ <br />This is to certify that the insurance policy listed below has been issued to the above insured named (event holder) for the policy <br />period indicated. The insurance described herein is subject to all the terms, exclusions and conditions of such policy(ies) unless <br />amended as described in Special Conditions. <br />INSURANCE CARRIER: Evanston Insurance Company <br />MASTER POLICY NUMBER: SEP41026 <br />MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2018 EXPIRATION: JANUARY 1, 2019. <br />COMMERCIAL OENERAL LIABILITY <br />OCCURRENCE FORM <br />DEDUCTIBLE: NONE <br />General Aggregate Limit $ 2,000,000 <br />Products Sr. Completed Operations 1,000,000 <br />SPECIAL CONDITIONS: <br />Personal & Advertising Injury 1,000,000 <br />The following endorsements attached to <br />Each Occurrence Limit 1,000,000 <br />the Master Policy do not apply to this <br />Damage To Premises Rented To You (Any One Premises) 100,000 <br />Certificate Of Insurance: <br />Medical Payments (Any One Person) 5,000 <br />MEiG1,643 <br />Liquor Liability (If purchased) 1,000,000 <br />Optional Limits Purchased <br />11 $1,000,000/$3,000,000 <br />❑ $2,000,000/$2,000,000 <br />Damage To Property (If purchased) <br />The limits of insurance apply separately to each event insured by this policy as if separate policy of insurance has been issued for that event. <br />OTHER ADDITIONAL INSUREDS <br />Goceline Valencia <br />Flor Hernandez <br />CANCELLATION, Should the above described policy be cancelled before the expiration date thereof, notice will be deliveredin accordance with the policy <br />provisions. <br />AUTHORIZED REPRESENTATIVE: <br />DATE ISSUED: <br />��\4\ <br />9�GG't, <br />