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<br />,. <br /> <br />:ANTA ANA RISK ~MT. . Fax:714-647-S311 <br /> <br />Mar 82006 11:22 <br /> <br />P.Ol <br /> <br />BV ANSTON INSURANCE COMPANY <br />CERmICATE NO.: <br /> <br />Post-it' Fax Note <br />To <br /> <br />7671 Date.:1 <br />"om <br /> <br /> <br />CERTIFICAl <br />EXCLUDES COVERAGE FOR NOMINEE EVENTS. S <br />SPECIAL EVENT <br /> <br /> <br />- <br /> <br />Co. <br /> <br />Phone # <br /> <br />Fax. <br /> <br /> <br />PRODUCER: PUBLIC ENTITY (ADDmONAL INSURED) <br /> City of Santa Ana <br />Driver Alliant Insurance Services in CoJ\jullction with 20 Civic C....t.r Plaza, M-28 <br />Apex InsU(llnce Services Santa Ana, CA 92701 <br />P. O. Box 28323 <br />Santa Ana, CA 92799-8323 <br />(949) 660-8163 <br />Li=e No: OC 36861 <br />NAMED INSURED (EVENT HOLDER): EVENT INFORMATION: <br />Leticia Quiroz )J - ~~'-I- /33' TYPE: Instruct1onallSelf-Imnrovement <br />N - -;).004 -( 33 -01 DATE(S): January 1 - December 31. 2006 <br />LOCATION: Santa Ana Jail <br />This is to certify that the policies of illsurance listed below have been issued to the insured named above for the policy period <br />indicated. Notwithstanding any requirement>, terms or conditions of any contract or othsr 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 />MASTERPOUCY NUMBER: 04SEPlOOOOOl <br />MASTER POLICY DATES: EFFECTIVE: JANUARY 1,2006 EXPIRATION: JANUARY 1, 2007 <br />COMMERCIAL GENERAL LIABILITY OCCIJRll.ENCE FORM DEDUCTIBLE: NONE <br />General Aggregate Limit $ ;1,000,000 <br />Products & Completed Operations 1,000,000 <br />Personal & Advertising Injury 1,000,000 <br />Bach Occurrence Limit 1;000.000 <br />Fire Damag< (Any One Fire) 50,000 <br />Medical Payments (Any One Person) 5,000 <br />The limits of insurance :apply $ep.ilr~Y to eu:h event insl..lfl!!d by this pOlicy as jf.a separate policy of insurance has been iss.ued for that event. <br /><<Who is insured" is amendoo to include, .as a.n insured, the person or organization ahQwn in thiQ ~hedule, but only with respect to liability arising out of the <br />ownership, maintenance Of use of the premises used by the named insured (evetltholder). this insurance d~ not apply to: Any "occurrence" whicb takes place <br />after the ~cnt holder ceases to be a tenant in that premises. <br /> 011{J!:R ADDITIONAL INSUREDS <br />r.ANrFT T A TION: Should the above de:;lcril::Jed poli.cy to canccl1cd before the expiration date thereof, t1u: issuing company will mail 30 days written notice to tbe <br />certificate holder and addjtional imiurec:1!;; listed. . <br /> <br />~;Z~ <br /> <br />, ' <br /> <br />l ,'.' "-,"""10 .,--.......-.....,- <br />r.",-' 1 ;-: ,I.'" ',,' <br /> <br />AUTHORlZED REPRESENTATIVE: <br /> <br />DATE ISSUED: Januarv 20. 2006 <br /> <br />~ <br />,., ----- <br />"., . ,,~~. < <br />. ..... '~'-.. -......:/ <br /> <br />y . ,_ " _ --.,,:' ",':,1, '\ ':"; :""~.!~: . <br /> <br />\.,. <br />, <br />