ACHIEVEMENT INSTITUTE OF SCIENTIFIC STUDIES - 2007

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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 II PRODUCER: A ~~(J07-IOS-OOI PUBLIC ENTITY (ADDITIONAL INSURED) I! City of Santa Ana I' 'I \: ,\ lliant Lnsurance Services, Inc. in conjunction with 20 Civic Center Plaza, M-28 Ii .>\pex Insurance Services Santa Ana, CA 92701 i P 0, Box 6450 'I '\.ewport Beach, CA 92658 I : ('/4')) 660-816:- I License No: OC 36861 I '\.AMED INSLRED (EVENT HOLDER): EVENT INFORMATION: Instructor: Paul J. Riordan TYPE: Instructional - Self I morovement Achievement Institute of Scientific Studies DA TE(S): Jan. 01, 2007 - Dec. 31, 2007 1621 Bullard Lane LOCATION: Various city locations Santa Ana, CA 92705 **Liauor Liability after 2am D ] 'his is to certify that the policies of insurance listed below have been issued to the insured named above for the policy period Illdlcated Notwithstanding any requirements, terms or conditions of any contract or other document with respect to which this .;crtificate 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 policies. Limits shown may have been reduced by paid claims. I~SURANCE CARRIER: Evanston Insurance Company "tASTER POLICY NUMBER: 04SEPI00000l :\tASTER POLICY DATES: EFFECTIVE: JANUARY 1,2007 EXPIRATION: JANUARY 1,2008 f--- (OMMI:/{CIAL (iENERAL I.IAHILlTY OCCURRENCE FORM DEDUCTIBLE: NONE {len~ral Ag.gregale Limit $ 2,000,000 I'roducts & Completed Operations 1,000,000 Personal & Advertising Injury 1,000,000 I-ach Occurrence l.lmlt 1,000,000 lire Damage (Any One Fire) 50,000 i ~ Iedieal Payments (Any One Person) 5,000 i he limits of II1surance apply separately to eaeh event insured by this policy as if a separate policy of insurance has been issued for that event. "Who i, IIls11r~d"" amended 10 include, as an insured, the person or organization shown in this schedule, but only with respect to liability arising out of the ,,\\nershlp, mainlenanee or u,c or thc premises used by the named insured (event holder). Hlis insurance does not apply to: Any "occurrence" which takes place "rter the event holder eeases III be a tenant in that premises, OTHER ADDITIONAL INSUREDS :1 I I '...6'iCFILATION: Should the above described policy to cancelled before the expiration date thereof, the issuing company will mail 30 days written notice to the l eniticate holder and additional insureds listed. \.t ITHORIZED REPRESENTATIVE: ~;Z~ I)ATE ISSUED: December 28, 2006 <iene/'(//ed hy Risk Management DIvision by: &A~A 0- '," . (11 (/1 bt/J1d/~