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ACHIEVEMENT INSTITUTE - 2004
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ACHIEVEMENT INSTITUTE - 2004
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Entry Properties
Last modified
10/13/2015 1:30:44 PM
Creation date
11/20/2004 11:56:00 AM
Metadata
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Template:
Contracts
Company Name
Achievement Institute of Scientific Studies
Contract #
A-2004-087-02
Agency
Community Development
Council Approval Date
5/3/2004
Expiration Date
6/30/2005
Insurance Exp Date
1/1/2006
Destruction Year
2010
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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: <br />PUBLIC ENTITY (ADDITIONAL INSURED) <br />Driver Alliapt Insurance Services <br />P.O. Box 28323 <br />City o J Santa Ana <br />20 Civic Centro, Haza, 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): EVENT INFORMATION: <br />Achievement Inztitute os Sci.entijic Stud.fea TYPE: Inetthuetionat -Se2i ImptLovement <br />1621 Buttand Lane DATE(S): 1/01/05 - 12/31/05 <br />Santa Ana, CA 92705 R-- ioo4- 0SS•7 -a2 OCATION: UahinriA ri;y IarafiinnA <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 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 05SEP1000001 <br />MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2005 EXPIRATION: JANUARY 1, 2006 <br />COMMERCIAL GENERA[. LIABILITY <br />OCCURRENCE FORM <br />DEDUC BLE: NONE <br />General Aggregate limit $ 2,000,000 <br />Products & Completed Operations 11000,000 <br />Personal & Advertising Injury 11000.000 <br />Esch 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 insurance apply separately to each event insured by this policy as if a separate policy of insurance has been issued for that event <br />"Who is insured' is amended to include, as an insured, the person or organization shown in this schedule, but only with inspect to liability arising out of the <br />ownership, maintenance or use of the premises used by the named insured (event holder). This insurance does not apply to: Any - occurrence" which takes place <br />after the event holder ceases to be a tenant in that premises. <br />OTHER ADDITIONAL INSUREDS <br />CANCELLATION: Should the above described policy to cancelled before the expiration date thereof, the issuing company will mail 30 days written notice to the - <br />certificate holder and additional insureds listed. <br />AUTHORIZED REPRESENTATIVE: <br />DATE ISSUED: <br />
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