Laserfiche WebLink
EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: <br /> <br /> CERTIFICATE OF INSURANCE <br />EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTSL <br />SPECIAL EVIgNT LIABILITY PROGRAM <br /> <br />I~RODUCER: ~"BLIC ENTITY (ADDITIONAL INSURED) <br />Driver Alliant Insurance Services City of Santa Ana <br />P.O. Box28323 20 Civic Center Plaza, M-28 <br />SantaAna, CA 92799-g323 P,O. Box 1988 <br />(949)660-8163 Santa Aha, CA 92702 <br />License No: OC 36861 <br />NAMED INSURED (EX'CENT HOLDER): '" i EVENT INFORMATION: <br />£/- d2~?O~ - (~q~ ! TYPE: Self Improvement <br />Eatela Anaya _ £J~.~L.C>)~ ~C, C7 DATE(S): 1/~4/04 - 12/31/Q4 ' <br /> LOCATION: S ,A. Jail <br /> <br />This is to certify that the policies of/naurance listed below have been/ssued to the insured named above for the policy period <br />indieated. Notwithstanding any requirements, terms or conditions of any con,act or other document with respect to which this <br />certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, <br />exclusions and conditions of such policies. Limits shown may have been reduced by paid claims. <br />INSURANCE CARRIER: Evanston Insurance Company <br />MASTER POLICY NUMBER: 04SEP1000001 <br />MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2004 EXPIRATION: JANUARY 1, 2005 <br /> <br />COMMERCIAL GENERAL LIABILITY OCCURRENCE FORM DEDUCTIble: NONE <br />G~neral Aggregate Limit $ 2,000,000 <br />Products & Completed Operations 1,000,000 <br />Personal & Advertising injury 1,000,000 I <br />Each OCcurrence Limit 1,000~00 <br />Fire Damage (Any One Fire) 50,000 <br />M~lical Payments (Any One Person) 5,000 <br /> <br />The limits of insurance apply separately to each event insme~ by this policy as if a separate policy of imurance has be~n issu~l foi~ that event. <br />ADnmoN a <br /> <br />DATEISSUED: January 14, 2004 <br /> <br />/ <br /> <br /> <br />