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<br />bV ANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: <br /> <br />CERTIFICATE OF INSURANCE <br />EXCLUUES COVERAGE ~'OR NOMINEE EVENTS. SEE SEPARATE APPLlCATIO]'(S FOR NOMINEE EVE:'ITS. <br />SPECIAL EVENT LIABILITY PROGR~M <br /> <br />PRODL;CER: PUBLIC ENTITY (ADDITIONAl. INSURED) <br /> City of Santa Ana <br />Driver AHiant Insurance Sl:fvices in conjunction with 20 Civic Center Plaza, 1\1-28 <br />Apex Insurance Services Santa Ana, CA 92701 <br />P. O. Box 2R32J <br />Sanla Ana, CA 92799-8323 <br />(949) 66U.R 163 <br />Lil:tl1se No~ OC 36861 <br />],(A~1ED lliSL:RFD (EVENT HOLDER): EVENT I"iL'ORVlA TION: <br />l,cticia Quiroz 1v',(J.OVI-/33- 01 TYPE: lnstructional/Self-J mnrovemenl <br /> DATE(S): .January 1- December 31. 2006 <br /> LOCATION: Santa Ana Jail <br />This i" to certify Lhat the policies of insurance hstcd below have been issued to the insured named above for the policy period <br />indIcated. Notwithstanding any requirements, teffilS 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 lu all the terms, <br />exclusions and conditions of such policies. Limits shown may have been reduced by paid claims. <br />I~SlJRAXCE CARRIER: Evanston Insurance Company <br />:VIASTER POLICY NUMBER: 04SEPIOOOOOI <br />MASTER POLICY DATES: E~'FECTlVE: JANUARY 1,2006 EXPIRATI01>": JANUARY 1,2007 <br />COMMFRCIAL GE:-.!FRAL LlARILllY QCCURRENCF FORM DFI1{JCTlBLE: ;-';ONE <br />GencralAggl"cgalc Limit $2,000,000 <br />Produ~ts & Clllllpkled Operations 1,000,000 <br />Pnsonal & Adverli~ing Injury \,000,000 <br />Facl1 OCClllTl:nce Limil 1.000.000 <br />Fin: Dnmngc(AnyOne Fine) 50,000 <br />\1eJicall',tymcnts (AnyOne Persoll) 5,000 <br />The limits of insurancc apply separately to each even< in~llltd hy this policY as iea scparah; pulicy of insuram:e Ilas hecn Issued for tllat evcnt <br />"\Vho is ill~lIrtd" is amended to im:llIJe, as an insured, the person or organization .hOWll ill this schedule, but only with re~pcct to liubility arisil1E, nut 01 the <br />u\vner~hip, maintcnan\:e ur u.e uCtlle premises used hy 1\1<.: mllll\:d insured (event holun) This insurance does not apply to: i\ny "uc..:um:nn:" whid1 tukes place <br />alter till: event hulder ccase's to hc, a tenant in tllut prc\TIisc~. <br /> OTHER ADDITIONAL I:'iSLJREDS <br />rANC1:lL\T\ON~ SliL1llld the above describ<.:u prllicy to cancelled bermc: Ihe expiration date thL,reoL the issuing cumpany will mail 30 days written n()\ict to tile <br />certificate hL1IJ<.:r awl additiOl1ul insureds li~ted <br /> <br />ALiTHORlZED REPRESE'orl A TIVE: <br /> <br />/ -- <br />,J~ p: ~N <br /> <br />DATE ISSl~ED: _lanuarv 20.2006 <br /> <br />Ifl<.t>'-d'l <br /> <br />, <br /> <br />c <br />