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<br />D'A1vIOND STATE INSURANCn'eoMPANY <br />CERTIFICATE NO,: <br /> <br />-' <br /> <br />rJ~LO&<- -o'i5J <br /> <br />CERTIFICATE OF INSURANCE <br />SPECIAL EVENT LIABILITY PROGRAM <br /> <br />PRODUCER: PUBLIC ENTITY (ADDITIONAL INSURED) <br />Robert F. Driver Company, Inc. City of Santa Ana <br />P. O. Box 28323 20- - Civic Center Plaza <br />Santa Ana, CA 92799-8323 M-28 <br />(949) 660-8163 Santa Ana, CA 92702-1988 <br />License No: OC 36861 <br />NAMED INSURED (EVENT HOLDER): ~;;r INFORMAW~al Arts <br />Said Abdelsayed DATE(S): 7/01/02 - 6/30/03 <br /> LOCATION: 700 S. Flower <br /> Santa Ana, CA 92703 <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 descnbed 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: Diamond Stale Insurance Company <br />MASTER POLICY NUMBER: CCL0040170 <br />MASTER POLICY DATES: EFFECTIVE: JANUARY 1,2002 EXPIRATION: JANUARY 1,2003 <br />COMMERCIAL GENERAL LIABILITY OCCURRENCE FORM DEDUCTIBLE: NONE <br />General Aggregate Limit S 1,000,000 <br />Products & Completed Operations 1,000,000 <br />Personal & Advertising Injury 1,000,000 <br />Each Occurrence Limit 1,000,000 <br />Fire Damage (Any One Fire) 50,000 <br />Medical Payments (Any One Pewn) 5,000 <br />The limits of insurance apply separately to each event insured by this policy as jf a separate policy of insurance bas been issued for that event. <br />"Who is insured" is amended to include, as an insured, the person OJ organization shown in this schedule. but only with respect to liability arising out of the <br />ownership, maintenance or use of the premises used by the named insured (event bolder). This insurance does not apply to: A.rrj "occurrence" which takes place <br />after the event holder ceases to be a tenant in that premises. <br /> OTHER ADDITIONAL INSUREDS <br /> ~FORM <br /> CRISTINE SHAW <br /> -. <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 /> <br />AUlHORlZED REPRESENTATIVE: <br /> <br />f:J)Mii~ <br /> <br />DATE ISSUED: <br /> <br />7/01/02 <br />