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<br />EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: <br /> <br />CERTIFICATE OF INSURANCE , <br />EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPUCATIONS FOR NOMINEE EVENTS. <br />SPECIAL EVENT UABILITY PROGRAM <br /> <br />PRODUCER: <br /> <br />PUBUC ENTITY (ADDmONAL INSURED) <br /> <br />Driver Alliapt Insurance Services <br />P. O. Box 28323 <br />Santa Ana, CA 92799-8323 <br />(949) 660-8163 <br />License No: OC 36861 <br />NAMED INSURED (EVENT HOLDER): <br />E6mVtalda .]uaJtez tV - f)£¡05- D"-D <br /> <br />Cily 011 Sa.n:ta. AM <br />20 Civi~ CentVt Plaza, M-28 <br />Santa Ana, CA 92701 <br /> <br />EVENT INFORMATION: <br />TYPE: I nldJLUc;tj onal - CJtaktJ.. <br />DATE(S): ? /07 /0" - h /30 /0" <br />LOCATION: ~nfl:tI"AIO^:t ~r"¡nJl Cr":trJl <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 />indicàted. Notwithstanding any requirements, terms or conditions of any conlIaCt 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 CAlUUER: Evanston Insurance Company <br /> <br />MASTER POUCY NUMBER: 05SEPlOOOOOI <br /> <br />MASTER POLICY DATES: EFFECTIVE: JANUARY I, 2005 <br /> <br />EXPIRATION: JANUARY 1,2006 <br /> <br />COMMERCIAL GENERAL UABIUTY <br />Genera) Aggregate Untit <br />Products & Compl- Opemtions <br />Personal & Advertising Injury <br />Each Occurrence Unút <br />Fire Damage (Any One Fino) <br />Medical Payments (Any One Person) <br /> <br />OCCURRENCE FORM <br /> <br />DEDUCTIBlE: NONE <br /> <br />$ 2,000,000 <br />1,000.000 <br />1,000,000 <br />1,000,000 <br />50,000 <br />S ,000 <br /> <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 respect to Hability arising oul of the <br />ownership, maintenance or use of the ¡xemiscs used by the named insured (event hoJder). This insurance does not app1y to: Any"occurrence" which takes place <br />after tbe event holder ceases to'be a tenant in thRt premises. <br />OTHER ADDITIONAL INSUREDS <br /> <br />APPROVED AS TO FORM <br /> <br /> <br />CANCEl LA TION' Should the above described poHcy to cancelled before the expiration date thereof, the issuing company will maH 30 days written notice to the <br />certificate holder and additionaJ insureds listed. <br /> <br />AUTHORIZED REPRESENTATIVE: <br /> <br />ú;£~ <br /> <br />DATE ISSUED: <br /> <br />2/07/05 <br />