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<br />ISANSTON rNSURANCE COMPANY
<br />CERTIFICATE NO,: 2007-09
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<br />CERTlFICA'fIC OF INSURANCE
<br />F:XCl.l;OE~ CUVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPLICATlONS FOR NOMIXEE EVENTS.
<br />SPECIAL EVENT LIABILITY PROGRAM
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<br />t I'KOUU'LK PUBLIC ENTITY (ADDlTIONAllNSUREO)
<br /> City of Santa Ana
<br />~ . \lhOl.lIl1n')ur,lIll.:t' Sl:lvicesl 1nl.:. in conJuncUon wIth 20 Civic Center Plaza, M-28
<br />~ \p<x Insurance ~crvices Santa Ana, CA 92701
<br /> I' {) 1>u' h4'i1l
<br /> :' "<~l''''t Bead], CA 92658 )I-{j.C()f.,... /07
<br /> I"~~) {)()i1-811>1
<br /> ,,,en,e N,,.. 0(' 36861
<br /> "AMEll INS\!RL'D (EVENT HOLDER): EVENT INFORMATION:
<br /> Felice Stinsoll TYPE: Self_Imnrovement
<br /> 320 S. Pixley Slreet DATE(S): 01101107 - 12131107
<br /> orange. (' ^ 92868 LOCATION: Santa Ana .Jail
<br /> dUauor Liabilitv after 2am 0
<br /> ThIS" 10 ce,1ify that tbe policies of insurance listod below have beon issued tn the insured named above for the policy period
<br /> ,ndi<al"ct. NOTwithstanding any requirements, terms l1r conditiOns of any contract or other doo;unwnt with I'espect to wInch th;,
<br /> ,er!lticatc may be ISsucd or may penain. the insurance afforded by the policies described hetein IS subject to all the terms,
<br />i ".\llu,'''"' and GOodino'" uf such policics, Limit, shown may have boon reduced by paid clauns.
<br /> I~SlIRANCE ('ARRIER: Evanslouln.,urance Company
<br /> 'lASTER POLICY NUMBKR: 04SEP10OOOOI
<br /> "lASTER POLICY DATES. EFFECTIVE: lA..1\lUARY I. 2007 EXPIRATION: JANUARY 1, 2008
<br /> I I V\lI\lr-Rt.'lr\L \iFNU{AI \ IA'dlllT'i UCCURRENCE fOR M DEUUCTffiU;, NONE
<br /> a:III:I'411 "~rcg3li.: 11\1111 S 2.000,000
<br /> .'lI\i.hl":l~ A.:. ('Qmr1C1f"d Opmdimi:;' I,ooO,UllO
<br /> 1\:'1'i\11l:.L1 ~\:. ^dv(.'rti3m~ h,jUl") 1.001>.000
<br /> .J.hOcI.:LI~t\\.'cLll11it 1 .1I00.QUU
<br /> ~-ih' I ;JmJ.~c iJ\lIY Dnc I'm; I 50.000
<br /> \l,:.l\l':lll'~)'lllt:'LlI'i 1.o\:IY ()ru.: P'enmn) 5,000
<br />! 11. linn" ,,' ",sur.""' .pply "'1,.r.lrly t" ",ch evenl insur,d by th" pell'y ..,fa SOP"''' pelicy of insuran,e.as been i"ucd for th<>l oven',
<br /> 'WI"" ,,,"n,d" i, ."""de<! to lOdude.'''.'' onsared. 'h,p,rson or or@.nizatlon silO"" in Ihi, schedule. bulonly with ,"spOCI to liab,lltyarisons out ofll1,
<br /> ,"" ""hi p, n..",,,nan,"'" 10" 0",he pro:m;'" usod oy ,"" named i"su"d l"".m ho\<krl. This in,uran,e do" not .pply to: I\.ny "OC'WTenc<" which uk" pi",'
<br /> ~ (no,; l.:\eI1111l1tu...'T I2ca~~ III bt:.a \..manl ill du!.t pl'tmise:;
<br /> OTIlliR ADDInONAL INSUREDS
<br /> 1 " '"VI
<br /> ~--
<br /> .,
<br /> ,,1\1.')' Ll~t1l; Shuuld Ihcobov, ol"w-.,d polICY \0 c.n,olkd be'an: tbe ..pir.ti..., da,,,hc,,of, the ,...;ng com"..'y will mati 30 days wrillen "ot;ce "' In<
<br /> ':~llirICol1r.:: holder arid a~dlliooSll ill~UIlXb 11~tcd
<br />
<br />~"/~
<br />
<br />\\:THVRtZED REPRESENTATIVE.
<br />
<br />DATE ISSUED; Januarv 01.2007
<br />
<br />~I.Jur:nlH:rl hr RiJN. Management Dil-.i.sion hy'
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<br />J'} ~ "IYh'l':V?t1i:"
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