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<br />FV ANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: <br /> <br />CERTIFICATE OF INSURANCE <br />EXCLUDES COVERAGE FOR NOMI:'iEE EVENTS. SEE SEPARATF APPLICATIONS FOR NOMINEE EVENTS. <br />SPECIAL EVENT LIAlJILlTY PROGRAM <br /> <br /> ---- <br />PRODUCER: PUBLIC ENTITY (ADDlTlONAL INSURED) <br /> City of Santa Ana <br />Driver AlIiant Insurance Services in conjunction with 20 Civic Center Plaza, M-28 <br />Apex lnsurance Services Santa Ana. CA 92701 <br />P. O. Box 2!S323 <br />Santa Ana, CA 92799.!jJ2J <br />(949) 660-8163 <br />License No: OC 36~61 <br />:-lA"1ED INSURED (EVENT HOLDER): EVE" r INFURMATHT\: <br />Kathleen Nelson N -200b-\ ICj TYPE: TnstructionalfSelf-T mprovemcnt <br /> DAI E(S} JanuarY 1 - Decemher 31. 2006 <br /> LOCATION. Santa Ana Jail <br />This is to certify that the policies of insurance listed below have been issued Lo tht: insun:u named above for the policy penod <br />indicated. Notwithstanding any requiremenls, terms or conditions of any contracl or ulht'T duwment \V1th respect to which tillS <br />certiflcate may he issued or may pertain, the insurance afforded by the policies described hen:iu 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 />MASTlm POLICY '1IJMBER: 04SEPI00000l <br />MASTI<:R ..OLlCY OATES: EFFECTIVE: JANUARY 1.2006 EXPIRATION: JA:\CARY 1.2007 <br />COMMERCIAl flENER}\1 I.lABILlTY OCCURRHNCEFORM DEDL:CTlHUi: NONE <br />CJ~ncral Aggregate Limit $2,000,000 <br />Products & Completed Operation, 1,000,000 <br />Pcrsonal&Advcl,ti,ing Injury 1,000,000 <br />Fac:h Oc(;unence Limit I ,000,000 <br />Fire Damage (AllY One Fire) 50,UUU <br />Medical I'ayments (Any One Person) 5,000 <br />The limits of insurance apply separately to each event ins::rcd by tlm policy as if a separate poliey or insurance has been issued for that L'venl <br />"\I,'ho is insured" is amended tu illduJe, as all inslllnl, 111(; person or organization ShOW11 in this schedule, but only with respect to liability arising out of the <br />0\~11et'ship, mainwnan~L' or llse uCthe pl"lCmiSt~'i lIsed hy the IlOomed in~lIl'cd (event holder), This insurance docs not apply to: Any "oecurren~e" which take~ plalT <br />:If'1cr the event hohJerCl;,lscs to hlCOl tell<lnt in Ihatprc111iscs. <br /> OTHER ADUlTIONAI. []'(SIJREDS <br /> - I --- <br /> - <br />CANCr:LLATIO:-.i: Should the UbtlVC described policy III c:lTlcelled before the lO,llpiratiun date Ihnen!: the issuing ~ompuny .will mail 3D (jays writtcn notice to lhe <br />ccrtitical~ holder and additional insureds listed. <br /> -- <br /> <br />~/7' ~ <br /> <br />AUTHORIZED REPRESENTATIVE: <br /> <br />DATE ISSUED: <br /> <br />Januarv 20. 2006 <br /> <br />;/ff'-"_Zj't7 <br />/ <br />