Laserfiche WebLink
<br />1'11- 2 D OLf - DI.v ()- /.) 2 <br /> <br />EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: 1007-13 <br /> <br />CERTlFlCATE OF INSURANCE <br />EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPllCATIONS FOR NOMINEE EVENTS. <br />SPECIAL EVENT llABILITY PROGRAM <br /> <br /> PRODUCER: PUBLIC ENTITY (ADDmONAL INSURED) <br />- .,--- -,'.. - City4f-SaDta~... <br /> - - <br /> - <br /> Alliant InsuranCe Services, Inc. in conjunction with 20 Civic Center Plaza, M-28 <br /> Apex Insurance Services Santa Ana, CA 92701 <br /> P. O. Box 6450 <br /> Newport Beach, CA 9265& <br /> (949) 660-8163 <br /> License No: OC 36861 <br /> NAMED INSURED (EVENT HOLDER): EVENT INFORMA nON: <br /> Jauet Schermer TYPE: Music Class - Piano <br /> 34 Brisbane Way DATE(S): 02/1.7107 - 12131107 <br /> IrvIne, CA 91612 LOCATION: Corbin Senior Center <br /> ""Lianor Liability after 2am rl <br /> This is to certify that the policies of insurance listed below havc been issued to the insured named above for the policy period <br /> indicated. Notwithstanding any requirements, tenUS or ConditiollS 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 berein is subject to all the tennS, <br /> "exclusiODS and COIIllliioos of such policies. Limits shown may have been reduced by paid claims. <br /> INSURANCE CARRIER: EvanstOn Insurance Company <br /> MASTER POllCY NUMBER: 04SEPlOOOOOI <br /> MASTERPOUCYDATES: EFFECflVE: JANUARY 1,2007 EXPIRATION: JANUARY 1,2008 <br /> COMMERCIAL GENERAL UABILlTY OCCURRENCE fORM DEDUCTIBLE: NONE <br /> Galeral AweJaIO Umi' $ 2,000,000 <br /> Products & Cmq>Ietod 0pcnIi0ns 1,000.00o <br /> _ & Mvaming InjUJY 1,000,000 <br /> Each Occ:umnce Umit 1,000,000 <br /> Fire Dama&c (Any One Fire) 50,000 <br /> Medical Paymen" (Any One Penon) s,ooo <br /> The limits oftnsurancc apply scpatatdy to each GV'CI\t insured by thili palioy as if a separate policy of insurance bas been issued for thatevcnt. <br /> - <br /> "Wbo is. insUred" is amended to include. as In in5uted,. the person or organi1.ation shown in this schedule. but only with respect to liabmty arismg out of the <br /> ownenhip. n\lint:nance or use of the: premises used by the n.amed insured (event holder). This insurance does not appl)1lo: Any "occurrence" whicl1 takes place <br /> after 1he event holder ceases to be a tenant in Ihat premises. <br /> OTHER ADDmONAL rNSUREDS <br /> C'ANCF.t j ATION: Should the above described policy to cancelled before the expiration date thCfCof. the issuing company will mail 30 days written notice to the <br /> tertificatc hold<< and additional insureds listed. <br /> <br />~-;Z' ~ <br /> <br />" AUTHORIZED REPRESENTATIVE: <br /> <br />. DATE ISSUED: Fl'!bruarv 27.2007 <br />Generated by Risk Management Division by: -b ;-. ~ i-z"1-"~ <br />