Laserfiche WebLink
l <br />EVANSTON INSURANCE COWANY <br />CERTIFICATE NO- - <br />CERTIFICATE OF INSURANCE <br />SPECIAL EVENT LIABILITY PROGRAM <br />PRODUCER: <br />PUBLIC ENTITY (ADDITIONAL INSURED) <br />1 <br />Driver Alliant hmnmee Services <br />City of Santa Ana <br />P. O. Box 28323 <br />20 Civic Center Plaza, M -28 <br />Santa Ana, CA 92799 -8323 <br />Santa Ana, CA 92701 <br />(949) 660 -8163 <br />License No: OC 36861 <br />NAMED INSURED (EVENT HOLDER): <br />EVENT INFORMATION: <br />TYPE: Instructional - Self improvement <br />Robert J. Ash <br />DATE(S): Marc December 31, 3 <br />13361 Prospect Avenue <br />LQCA110N: City Hall, Santa Ana <br />Santa Ana, CA 92705 <br />'This is to certify that the policies of inamuice listed below have been Lgsw i to the ittsrrred named above EX the policy period <br />indicated. Notwithstanding any nxparemetiM terms or cwditioris of any contract or other document with respect to which this <br />certificate tray be isstieti or may pertam, the ' mairmce aMaded by the polities &wxt`betl herem is subject to all the terms, <br />exclusions and conditions of such policies. Limits shown may have been reduced by paid cis. <br />INSURANCE CARRIER Evarrsinn hismwence Compemy <br />MASTER POLICY NUMBER: 02SEPIt30OOOI <br />MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2003 EXPIRATION: JANUARY 1, 2004 <br />COMMERCIAL GENERAL LIABUM <br />OCCURRENCE FORM <br />DEDUCTIBLE: NONE <br />General Aggregate Limit $1,000,000 <br />Products & Comoded Operations 1 UOO,000 <br />Personal & Advertising injury 1,000 00o <br />Each Occurrence Limit 1,000,000 <br />Fire Damage (Any One Fire) 50,000 <br />Medical Payments (Any One Person) 5,000 <br />The limits of iasuaaaice apply sepanttdY to mb evert inwred by this policy as if a separate policy of konimm bas been issued fix that event. <br />"Who is itmued" is anwaded to include, as an insured, the person or oagaatastion flown at this sdkifiule, but only with jewat to ) utility arising out of the <br />ownership, nuumcoaace or use of the premises used by the nsmod iim—d (even bakkr). This inamance dots not amply to Any "tee" why takes place <br />after the event holder ceases to be a tenant in that promimm <br />OTHER ADDITIONAL .INSUREDS <br />CANCEU ATiON: Should the above described policy to cawdW before dw expiraiiaat date tbetaofy the issuing company will mad 30 days written notice to the <br />certificate holder and additional insureds listed_ <br />AUTHORIZED REPRESENTATIVE: <br />DATE ISSUED: <br />3/25/03 <br />APpRV'JFl? AS "1'O WRIM <br />t urn Siucd}' <br />DePULY C icy- :pit <br />