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EVANSTON INSURANCE COMPANY <br />CIJRTMCATE NO.: - <br />CERTIFICATE OF INSURANCE <br />EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTS. <br />SPECIAL EVENT LIABILITY PROGRAM <br />PRODUCER: <br />PUBLIC EMM Y (ADDITIONAL INSURED) <br />Driver Alliant Insurance Services <br />City o j Santa Ana. <br />P. O. Box 28323 <br />20 Civic Centex Ptaza, M -28 <br />Santa Ana, CA 92799 -8323 <br />Santa. Ana, CA 92701 <br />(949) 660 -8163 <br />License Not OC 36861 <br />NAMED INSURED (EVENT HOLDER): <br />EVENT INFORMATION: <br />Achievement Inbxttate o6 Sei.enti.j.cc Studies <br />TYPE: In6tweti.onat - SetA Imtutovement <br />1621 ButteAd Lane <br />DATE(S): 7101104 - 12/31/04 <br />Santa Ana, CA 92705 <br />LOCATION: VahiauA Gifu Lneatiana <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 contact 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 terate, <br />exclusions and conditions of such policies. Limits shown tiny 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 />COMMERCIAL GENERAL LiABRM <br />OCCURRENCE FORM <br />DEDUCTIBLE: NONE <br />General Aggregate Limit S 2 000,000 <br />Products dt Completed Operations 1,000,000 <br />Personal d: Advertising Injury 1000000 <br />Each Occurrence Limit 1000000 <br />Fire Damage (Any One Fire) 30000 <br />Medical Payments (Any One Person) 3000 <br />The linrits of insurance apply separately to each event insured by tam policy as ifs separate policy of insurance has been issued for dst event. <br />"Who is insured" is arnended to include, as an insured, the person or organization dum in this schedule, but only with respect to liability arising out of the <br />ownership, maintenance or use of the premises used by the named insured (event holder} This h wave does not apply to: Any 'beewre nce" which takes place <br />after the event holder ceases to be a tenant in that <br />OTSER ADDITIONAL INSUREDS <br />CANCELLATION: Should the above deseribcd policy m cancelled before the aspiration date thereof, the issuing cmgmy will mnl 30 days written notice to the <br />certificate holder and additional irnwleds listed. <br />AUTHORMED REPRESENTATIVE: <br />DATE ISSUED: <br />6/29/04 <br />�Q ' E:, .r <br />I V <br />