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<br />E\.\NSTOh INSURANCE COMPANY
<br />OXIIFlC4TE '\CL 1007-08
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<br />CF.RTlFICATE O~' INSURANCE
<br />I:xcu.m:s (,()VERAG~: FOR Ml\IlNEE F;VEN'J'S. SEE SEPARATE APPLICATIONS FOR NOMINEE EVE'ITS.
<br />SPU'IAL EVENT LIABILITY PROGRAM
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<br />!I I'I(lJDlIC~R PUULlC ENTITY (ADDITIONAL INSURED)
<br />Ii (.:ity of Santa AUa
<br />I! ..\,jl;lIH hbUfill11..1: ServH;e~, In:.:. In conjL..:.nc[ion with
<br />20 Civic Center Plua: M-28
<br />,I.'\p~''\ 11,!;llr,lll\:~ Sel..i~~::. Santa Ana, l'A 92701
<br />'I II () Bu_\ ()-'ISO
<br />i "'''1M' 8m", ('4 92658
<br /> ('J.Jq) 660.816J
<br />~ LlCl:ns<.: ~o: OC 3-61-:61
<br />i "A~-lID I~S\JREO IEVENT HOLDER), EVE~T INFORMATION,
<br />~ Leticia Quiroz ~ -2.004 - 133 TYPE Self-ImDrovement
<br />;: 711 W. FirstStrect, E-103 N-20C,-\-J 3.3-01 DATE(S), 01101/07 -12/31107
<br />I SJllt:J. f\nol. ( A 92701 \ ') '3 Q'L LOCATION, _s.l!!!ta All.. Jail I
<br />. N-2.00'-\- ., ur.lq1lor LLablltty "fie) 2Zuu n I
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<br />:; 'I hi:, b to ct'n~:'y that lill: polic:ic8 of insura.nCe listed below have been iss\J.c'u 10 Ih~ insured named above f01 the policy period
<br />!, lI1dK<Jtcd, ~olw:thstandjng any requm:ments, terms or conditions of any t:ontracr or other document with respect to which tbis
<br />ii ..:.:rtiliCUIl: may he' i<;slled or maypertam, th~ LIlSUr~m;~ alTurdt:c.l by Lht: policies describe,d herein is subject to an the terms,
<br />~ ":\ClUSlIlllS and (Ond:llons uf s.uch pohc1es, Lrnits ~huwn may ha....e been reduced by pald claims.
<br /> I r,suH.ANCE CARKlt:R. EValll>toll Insuranc~ Company
<br />, 'JASTER POLlr'\ NlIMDER: 04SEPIDooOOl
<br /> I \IASTF.R I'OIJL'Y UATICS, KFlECTIVK JA:-IUARY 1,2007 EXPIRATION, JANUARY 1,2008
<br /> I
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<br /> I OCCURREN('E FORM DEDt:CrlBLr::: NON!:
<br /> I . ~ \\]1\111>:(.1 \1 \ iJ.\il:IV.I.llAUll [T'1
<br />;1 ".'p,nl \~gr<,g:Jl~ 1,lmil $ 2,OOU.OOO
<br />I 1':'lllJU(I.;&( ,)mpl<'t.;Juj)eI';Jtll>ll, I,OllJ,OUU
<br />~ I'~r~:'l',ml & _'\uvnIIS:l1g IIl;lJry l.oM.()O{l
<br />, I~,,; 1 \k':UlI ~lt':L ! .'"." 1,Q(lV,OOl)
<br />I III~ D:!llli1fl.l;:lAI1\ One F:I<.!) 50,000
<br />J ~;,:uh.::ll P:i.\-mem, I All\, Ow: Pl.'r.ltTll ),UVO
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<br />~;;;m" "r""",,, ,pply "PM""Y ,,, ",h me: '"'""" hy <he, pO';'y "if, ""',," poL,y" '''''r~, "~,,=, ,,,"OC Ii" th" ~.~,
<br /> '\\;1<, i, il~S~I~'.r l.i ~m~lIdcd l{1 i,'ciudc, J~ an insured, the: pl.'r5olln or orgtlm.l'ahon shown 1n Ihls schtd(jle, bu:onty with rc~pccl to 11<lbilily ari...ing ou: Dfthc
<br />, , ,<I \ lillll' 11l~.iTlkn;'lJ~t' Of u,c ()flh.: pfi:rTLI~~~ utied by the named in~.lrl;d (c~'ent holder}. -11115 insur..~ce doe, ll.Ot APPly to: AllY uoccurrcl'lcc" wl'llcb Ulkcs plllc~
<br />!L d~ _I1'L~~ll h"ldcl U-'~\l:':.w.I"';J '1O"'1rl1 in Ch~l prl'o.isC',;
<br />IL- OTHER ADDITIONAL INSUREDS
<br />- - ~- -~_.-
<br />! ;/20
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<br />! 7/Y~)
<br />L__
<br />, ~ .- ,
<br />II .\\:LI_U...'ITlll"'J 'i11"LII,~ 111.- "bu~c oJ~>l-'lb~u JJolH:j 10 ~':!IlL-elkd before t1",: e~p,I'3ci(Jn dait; tkll:ruof, the i,suin~ oompany will ~il 3(jda~ writll"Tl r,oli;:~ l(ll~,~
<br />~ ...:r:i1i~Jt~ Ill11d':l ..nil a,1.1il:"Tlal in'll""d~ !iM..;J ..
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<br />\L 'THORIZFIJ REPRl'SE!'JT AT[VE,
<br />
<br />i)ATE ISSUED ~II~ Ot.....2007
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<br />I ,('llcH/re,1 bt, R1SR Muml)(emeni DiVi~'iun bv'
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