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EVANSTON INSURANCE COMPANY CERTIFICATE NO.: CERTIFICATE OF INSURANCE SPECIAL EVENT LIABILITY PROGRAM ~ oj".... \ L) t., 1--0 ,/ PRODUCER: PUBLIC ENTITY (ADDITIONAL INSURED) Driver Alliant Insurance Services City of Santa Ana 20 Civic Center Plaza, M-28 P. O. Box 28323 Santa Ana, CA 92701 Santa Ana, CA 92799-8323 (949) 660-8163 License No: OC 36861 NAMED INSP?aiD [!'eVENT I!OLIWIJ= . EVENT INFORMATION: The Amer can enter or cat10n TYPE: January I, 2003 - June 30, 2003 Rich Greger DATE(S): Instructional/Self Improvement 17561 Brent Lane LOCATION: The Work Center Tustin, CA 92780 This is to certify that the policies of insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any requirements, terms or conditions of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. Limits shown may have been reduced by paid claims. INSURANCE CARRIER: Evanston Insurance Company MASTER POLICY NUMBER: 02SEPlO0000I MASTER POLICY DATES: EFFECTIVE: JANUARY I, 2003 EXPIRATION: JANUARY 1,2004 COMMERCIAL GENERAL UABILITY OCCURRENCE FORM DEDUCTIBLE: NONE Geneml Aggregate Limit $ 1,000,000 Products & Coroplc:led Operations 1,000,000 Persooa! & Advertising InjuJ)l 1,000,000 Each Occurrence Limit 1,000,000 Fire Damage (Any One Fire) 50,000 Medical Payments (Any One pen;on) 5,000 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. "Who is insured" is amended to include. as an insured, the person or organization shown in this schedule, but only with respect to liability arising out of the ownership. maintenance or use oftbe premises used by the named insuR:d (event holder). This insurance does not apply to: Any "occurrence" which takes place after the event holder ceases to be a tenant in that premises. OTHER ADDITIONAL INSUREDS CANCElLATION: Should the above described policy to cancelled before the expiration date thereof, the issuing company will mail 30 days written DOtice to the certificate holder and additional insureds listed. AUTHOR<W> """",err"''''' 't?~c7'- 2/7/03 DATE ISSUED: