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<br />EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: <br /> <br />CERTIFICATE OF INSURANCE , <br />EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTS. <br />SPECIAL EVENT LIABILITY PROGRAM <br /> <br />PRODUCER: PUBLIC ENTITY (ADDmONAL INSURED) <br />Driver Allia¡J.t Insurance Services C-Lty 0 [, San:ta. AM <br />P. O. Box 28323 20 C~v~e Cent~ Plaza, M-28 <br />Santa Ana, CA 92799-8323 Santa. AM, CA 92701 <br />(949) 660-8163 <br />License No: OC 36861 <br />NAMED INSURED (EVENT HOLDER): EVENT INFORMATION: <br />S~epha~e GeoÆge AI - õl.D()5- 01 '1 TYPE: r n.6 :tJtuc..ü.o YlILt - EYlgwh/SpaYÚ.6h, <br />DATE(S): 2/07/05~6/30/05 HL6~Mlf, PÆe.6eJr.V <br />CenteJr. f,M OÆILt & Pub~e HL6~OÆlf/CSUF LOCATION: S.A. Ubl!.CUttf Pho~a.6 <br />This i~ 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 contIact 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: 05SEPI 000001 <br />MASTER POLICY DATES: EFFECTIVE: JANUARY 1,2005 EXPIRATION: JANUARY 1,2006 <br />COMMERCIAL GENERAL UABIUTY OCCURRENCE FORM DEDUCTIBlE: NONE <br />General Agsregate Limit $ 2.000.000 <br />Products It Completed OpcnIdons 1,000,000 <br />Personal It Advertising Injury 1.000,000 <br />Each OccUITCDCC Limit 1.000.000 <br />Fire Damase (Any One Fire) SO.OOO <br />Medical Payments (Any One Penon) S.ooo <br />The limits of insurance apply separately to each event insured by this policy as jf 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 ¡iability arising out of the <br />ownership, maintenance or use of tile 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 /> APPROVED AS TO FORJv, ' <br /> '--ÂI~~? <br /> LdUW iy -, <br /> Assistant Ci y Alwrn.;, <br />CANCELLATION' Should the above described policy to cancelled before the expiration date thereof. the issuing company wilJ mail 30 days written notice to the <br />certificate ho1der and additionaJ insureds listed. <br /> <br />Ylg <br /> <br />AUTHORlZED REPRESENTATIVE: <br /> <br />úçc~ <br /> <br />DATE ISSUED: <br /> <br />2/07/05 <br />