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EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: 2007-14 <br />CERTIFICATE OF INSURANCE <br />EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATF. APPLICATIONS FOR NOMINEE EVENTS. <br />SPECIAL EVENT LIABILITY PROGRAM <br />/V-zv~~-~~~- <br />/l/- 02006 - 03~/-0/ <br />~~ 020010 - G3~Y-a.2, <br />PRODUCER: PUBLiC ENTITY (ADDITIONAL INSURED) <br /> City of Santa Ana <br />Alliant Insurance Services, Inc. in conjunction with 20 Civic Center Plaza, M-28 <br />Apex Insurance Services Santa Ana, CA 92701 <br />P. 0. Box 6450 <br />Newport Beach, CA 92658 <br />(949)660-8163 <br />License No: OC 36861 <br />NAMED INSURED (EVENT HOLDER): EVENT INFORMATION: <br />Gil Aldaz 'T'YPE: Gymnastics <br />1621 N. Linnwood DA'TE(S): 03/01/07 - 12/31/07 <br />Santa Ana, CA 92701 LOCATION: Jerome Center <br /> **LiquorLiabiliri'after2am ^ <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. 04SEP1000001 <br />MASTER POLICY DATES: EFFECTIVE. JANUARY i, 2007 EXPIRATION: JANUARY !, 2008 <br />COMMERCIAL GENERAL LIABILITY UC'CURRENCE FORM DF,DUC"CI~LE. NONE <br />Genera! Aggregate Limit $ 2,OOg000 <br />Products & Completed Operations 1,000,000 <br />Personal & Advertising Injury 1,000,000 <br />Each Occurrence Limit I,OW OUO <br />Fire Damage (Any One Fire) 50,000 <br />Medical Payments (Any One Person 1 5,0!10 <br />The limits of insurance apply separately [o each event insured by this policy as if a separate pnhcv of insurance has been ¢sued for that event. <br />"Who is insured" is amended to include, as an insured, the perswt or organirelion shown in [his schedule, but only with respect to liability arising out of the <br />ownership, maintenance or use of the premises used by the named insured (event holdeq Thts insurance does no[ apply to: Any "occurrence" which takes place <br />after the event holder ceases to be a tenon[ in that premises. <br />E OTHER ADDITIONAL INSUREDS <br /> <br />CANCELLATION: Should [he above described policy to cancelled before the ezprration date Hereof, the issuing company will mail 3U days written notice [o the <br />certificate holder and additional insureds listed. <br />G AUTHORIZED REPRESENTATIVE <br />,: x :::> ,~ i..~ <br />~~O ~ a ~G <br />. ,., rs[a at ~.t,v ',.'. <br />!~ DATE ISSUED: March 1 2007 ~~~ >/ <br />Generated by Risk ManagementDivtsioniry: a~s~%/_ (/~ <br />