ALDAZ, GIL 4A-2006 - Laserfiche WebLink

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EVANSTON INSURANCE COMPANY CERTIFICATE NO.: CERTIFICATE OF INSURANCE EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTS. SPECIAL EVENT LIABILITY PROGRAM PRODUCER: PUBLIC ENTITY (ADDITIONAL INSURED) Cily of Santa Ana Driver Alliant Insurance Services in conjunction with 20 Civic Cenler Plaza, M-28 Apex Insurance Services Santa Ana, CA 92701 P. O. Box 28323 Santa Ana, CA 92799-8323 (949) 660-8163 License No: OC 36861 NAMED INSURED (EVENT HOLDER): EVENT INFORMATION: Gil A1dAz N .-.;;walt> - 0 3'+ TYPE: GvrnnasticslTumblin2" 3725 Ramona Drive DA TE(S): April - December 2006 Santa Ana, CA 92707 LOCATION: Jerome Community Center 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 poJicies. Limits shown may have been reduced by paid claims. INSURANCE CARRIER: Evanston Insurance Compaoy MASTER POLICY NUMBER: 04SEPlOOOOOl MASTER POLICY DATES: EFFECTIVE: JANUARY I, 2006 EXPIRATION: JANUARY 1, 2007 COMMERCIAL GENERAL LlABILITY OCCURRENCE FORM DEDUCTIBLE: NONE General Aggregate Limit $ 2,000,000 Products & Completed Operations 1,000,000 Personal & Advertising Injury 1,000,000 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 uscd by the named insured (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 II CANCELL~ TION: Should the above described policy to cancelled before the expiration date thereof, the issuing company will mail 30 days written notice to the certificate holder and additional insureds listed. ~/~ AUTHORlZED REPRESENTATIVE: "; ,"/.- i 'I,) l..' <~ DATE ISSUED: Mav 2. 2006 ,jJ:'" / , ,.-' . / .!--'I....___",. ,- ,.' c", / . -..~-,___.._c./ " .,,"!' -:;;,_.,_;1\.' ; '- ,[