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EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: - <br />CERTIFICATE OF INSURANCE <br />EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTS. <br />SPECIAL EVENT LIABILITY PROGRAM <br />PRODUCER: N� _ <br />PUBLIC ENTITY (ADDITIONAL INSURED) <br />N.- 2A:v3 -a- 5 <br />Driver Alliant Insurance Services N 213D1, — ()14 <br />City o6 Santa Ana <br />P. 0. Box ,n <br />CA <br />20 Civic CenteA Ptaza, M -28 <br />to Ana, <br />Santa Ana, CA 92799 -8323 <br />9 <br />Santa Ana, CA 92701 <br />(949) 660 -8163 <br />License No: OC 36861 <br />NAMED INSURED (EVENT HOLDER): <br />EVENT INFORMATT N: <br />In6tAUcti.onat -Set6 Imphovement <br />TYPE: <br />Tony Detgado <br />DATE(S): - <br />LOCATION: <br />This is to certify that the policies of insurance listed below have been issued to the insured named above for the policy period <br />indicated. Notwithstanding any regmrieme>Ks, terms or conditions of any contract 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 05SEP10000o1 <br />MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2005 EXPIRATION: JANUARY 1, 2006 <br />COMMERCIAL GENERAL LIABILITY OCCURRENCErORM <br />DEDUCTIBLE: NONE <br />General Aggregate limit f 2,000,000 <br />Products & Completed Operations 1,000.000 <br />Pauxud & Advertising Injury 11000,000 <br />Each Occurrence Limit 110001000 <br />Fire Damage (Any One Fire) 50,000 <br />Medical Payments (Any One Person) 5,000 <br />The limits of insurance apply separately to each event maned by this policy w if a separate policy of irumance hu been issued for that event <br />"Who is insured" is amended to include, as an insured, the person or organiration shown in this schedule, but only with respect to liability arising out of the <br />ownership, maintenance or use of the p pauses used by the named irasned (went holder• This insurance does not apply to: Any "occurrence" which to = plaoe <br />after the event holder ceases to be a terent in that prendses. <br />OTHER ADDITIONAL INSUREDS <br />CANCELLATION: Should the shove desenbed policy to cancelled be fore the expiration dace thereof, the issuing conpany will mail 30 days written notice to the <br />certificate holder and additional insureds listed. <br />AUTHORIZED REPRESENTATIVE. - <br />DATE ISSUED: Januahy 6, 2005 <br />