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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 />: <br />PUBLIC ENTITY (ADDITIONAL INSURED) <br />City of Santa Ana <br />nt Insurance Services in conjunction with <br />FInsurance <br />20 Civic Center Plaza, M-28 , <br />nce Services <br />44,A <br />A, <br />Santa Ana,CA.92701 <br />323 A605— <br />92799-8323 <br />_ J/ f 7J163 <br />oZf10 <br />License No: OC 36861 <br />NAMED INSURED (EVENT HOLDER): <br />EVENT INFORMATION: <br />National Academy of International Dance <br />TYPE: <br />220 E. 410 Street, Ste 202 <br />-Ballet <br />DATE(S): January I - December 31. 2006 <br />Santa Ana, CA 92701 <br />LOCATION: Salgado/Memorial Comm Canters <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 cootrut or other document with respect to which :.`Ls <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: 04SEPI000OOI <br />MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2006 EXPIRATION: JANUARY 1, 2007 <br />COMMERCIAL GENERAL LIABILITY <br />General Aggregaro limit <br />OCCURRENCE FORM <br />DEDUCTIBLL: NONE <br />$ 2,000,000 <br />Products & Completed Operations 1,000,0W <br />Personal & Advertising injury 1,000,000 <br />Each Occumcace Limit 1,000,000 <br />Fire Damage (Any One Fite) 50,000 <br />Medical Payments (Any One Person) 5.000 <br />Tne limits of insurance apply aepmuely to each event insured by this polies,as if- separate policy uri"sumnee has been issued for that i,mt. <br />"Who is insured" is amended to include, as m insured, eha person or oraud,Auon shown In this schcduk, but only with respect to liability snshtg out of the <br />ownership, maintenance or use of the premises used by the mined insured (event holder). Ibis utsumtcc does not apply w: Any "occurtence" which lakes place <br />after the event holder ceases w be a truant in that premises. <br />OTTIER ADDITIONAL INSUREDS <br />C_ A�'�I:1-LAT10N. Should the above described policy io Cancelled before the expiration date thereof, the issuing company will mail 30 days written notice to the <br />ccrtificase heidu and additional insvreda listed. <br />AUTHORIZED REPRESENTATIVF: <br />DATE ISSUED: <br />r: i::a::,r., — <br />Td WIJZ17:60 90OF E0 -dos SOE60SSbU : 'ON XHd <br />alli: WOW <br />