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EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: <br />CERTIFICATE OF INSURANCE <br />SPECIAL. EVENT LIABILITY PROGRAM <br />ti Wo 'L, 6'Ke <br />PRODUCER: <br />PUBLIC ENTITY (ADDITIONAL INSURED) <br />Driver Alliant Insurance Services <br />City of Santa Ana <br />P. O. Box 28323 <br />20 Civic Center Plaza, M -28 <br />Santa Ana, CA 92799 -8323 <br />Santa Ana, CA 92701 <br />(949) 660 -8163 <br />License No: OC 36861 <br />NAMED INSURED (EVENT HOLDER): <br />EVENT INFORMATION: <br />Alfredo Alvarado <br />TYPE: Gymnastics <br />1419 S. Sycamore, #6 <br />DATE(S): 1/1/(13 — 19 /3l /n3 <br />Santa Ana, CA 92701 <br />LOCATION: doroma Caatar <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 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: 02SEP100000I <br />MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2003 EXPIRATION: JANUARY 1, 2004 <br />COMMERCIAL GENERAL LIABILITY <br />OCCURRENCE FORM <br />DEDUCTIBLE: NONE <br />General Aggregate Limit S 1,000,000 <br />Products .@ Completed Operations 1,000,000 <br />Personal & Advertising Nury 1,000,000 <br />Each Occurrence Limit 1,000,000 <br />Fire Damage (Any One Fire) 50,000 <br />Medical Payments (Any One Person) 5,000 <br />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. <br />"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 <br />owner ship, maintenance or use of the premises used by the named insured (event holder), This insurance does not apply m: Any "occurrence" which takes place <br />after the event holder ceases to be a toners in that premises. <br />OTHER ADDITIONAL INSUREDS <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 />AUTHORIZED REPRESENTATIVE: <br />DATE ISSUED: <br />1/22/03 <br />Atli- i3OV, iu AS '10 FORXI <br />4-aur:l Shccdy <br />Deputy City Atlorncy <br />