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EVANSTON INSURANCE COMr'ANY <br />CERTIFICATE NO.: <br /> <br /> CERTIFICATE OF INSURANCE <br />SPECIAL EVENT LIABILITY PROGRAM <br /> <br />PRODUCER: PUBLIC ENTH'Y (ADDITION ,~¢-~ I ~I ~T & eH c >, <br />Driver Alliant Insumce Services City of Santa Aha <br />P. O. Box 28323 20 Civic Center Plaza, M-28 <br />Santa Aen, CA 92799-8323 Santa Ana, CA 92701 <br />(949) 660-8163 <br />License No: OC 36861 <br />NAMED IlqSURED (EVENT HOLDER): EVENT INFORMATION: <br />Achievemeut Institute of Scientific TYPE: Self Improvement <br />Studies DATE{S): 7/18/03 - 12/31/03 <br />1621 Bullard Lane LOCATION: Various Locations in S.A. <br /> <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 requirements, terms or conditions of any con.act or other document with respect to which this <br />certificate may be issued or may per~ain; the ~llraece afforded by the policies described herein is subject to all the temm, <br />exclusions and conditions of such policies. Limits shown may have been reduced by paid claims. <br />INSURANCE CARRIER: E~,anston Insurance Company <br />MASTER POLICY NUMBER: 02SEPI000001 <br />MASTER POLICY DATES: EFFECTIVE: JANUARY l, 2003 EXPIRATION: JANUARY l, 2004 <br />Produ~ & Complclcd Opm~on~ 1,000,000 <br />Fi~ Damage (Any One Fire) 50,000 <br />Medical Payments (Any One Person) 5,000 <br />own~mhip, maintenance or use of th~ premise~ ~ by the named imured (event holder). This illauran~ does no{ apply m: Amy "occurrence" which rakes place <br />OTItER ADDITIONAL IiNSUREDS <br />AI~PRO\/ED AS TO FORM <br />, <br /> <br />AUTHORIZED REPRESENTATIVE: F~/f~ <br />DATE ISSUED: 7/18/03 <br /> <br /> <br />