MENDELSON, DAWN 1 - 2007 - Laserfiche WebLink

Home Browse Search

EVANSTON INSURANCE COMPANY CERTIFICATE NO.: 2007-12 CERTIFICATE OF INSURANCE EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTS. SPECIAL EVENT LIABILITY PROGRAM PRODUCER: PUBLIC ENTITY (ADDITIONAL INSURED) City of Santa Ana Alliant Insurance Services, Inc. m conjunction with 20 Civic Center Plaza, M-28 Apex Insurance Services Santa Ana, CA 92701 P. O. Box 6450 Newport Beach, CA 92658 (949) 660-8163 License No: OC 36861 I NAMED INSURED (EVENT HOLDER): EVENT INFORMATION: il Dawn Mendelson TYPE: Art Class 11721 E. 2"' Street DA TE(S): 03104/2007 - 12/3l/2007 , Long Beach, CA 92802 LOCATION: Santiaflo Lawn Bowlin!! "Liquor Liability after 2am D 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 temls, exclusions and conditions of such policies. Limits shown may have been reduced by paid claims. INSURANCE CARRIER: Evanston Insurance Company MASTER POLICY NUMBER: 04SEPIOOOOOl MASTER POLICY DATES: EFFECTIVE: JANUARY 1,2007 EXPIRATION: JANUARY 1,2008 . COMMERCIAL GENERAL LIABILITY OCCURRENCE FORM DEDCCTIBLE NONE General Aggregate Limit $ 2,000,000 Products & Completed Operations 1,000,000 Personal & Advertising Injury t,OOO,OOO Each Occurrence Limit 1.000,000 Fire Damage (Any One Fire) 50,000 Medical Payments (Any One Person) 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 of the premises used by the named insured (event holder). This insurance docs not apply t()" Any "occurrence" which takes place I after the event holder ceases to be a tenant in that premises. OTHER ADDITIONAL INSUREDS 'I CANCELLATION: Should the above described policy to cancelled belixe the expiration date thereof, the issuing company will mail 30 days Written notice to the J! certificate holder and additional insureds listed. ~/~ AUTHORIZED REPRESENT A TlVE: DATE ISSUED: February 26. 2007 . Generated by Risk Management Division by: ~')~ <;:1'?? V? h/J~