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EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: 2007-14 <br />CERTIFICATE OF INSURANCE <br />EXCLUDES COVERAGE FOR NOMINEE PCIAL EVENT EE SEPARATE <br />PRS LIABILITY <br />FOR NOMINEE EVENTS. <br />Alliant Insurance Services, Inc. in conjunction With <br />Apex Insurance Services <br />P. 0. Box 6450 <br />Newport Beach, CA 92658 <br />(949)660-8163 n <br />11 <br />Geraldine Valencia <br />1621 N. Linwood <br />Santa Ana, CA 92701 <br />City of Santa Ana <br />20 Civic Center Plaza, M-28 <br />Santa Ana, CA 92701 <br />TYPE:2 <br />1 <br />G mnasti <br />DATE(S):131/07 <br />LOCATION: Jerome Censer <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 />pertain, the insurance afforded by the policies described herein is subject to all the terms, <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 p aid claims. <br />exclusions and conditions of such policies. Limits shown may have been reduced by p <br />INSURANCE CARRIER: Evanston Insurance Company <br />MASTER POLICY NUMBER: <br />04SEP100000I <br />EXPIRATION: JANUARY 1, 2008 <br />EFFECTIVE: JANUARY 1, 2007 <br />MASTER POLICY DATES: <br />OCCURRENCE FORM DEDUCTIBLE: NONE <br />COMMERCIAL GENERAL LIABILITY <br />S 2,000,000 <br />General Aggregate Limit <br />1.000,000 <br />Products & Completed Operations <br />1,000,000 <br />personal & Advertising Injury <br />1,000,000 <br />Each Occurrence Limit <br />50,000 <br />Fire Damage (Any One Fire) <br />(Any One Person) <br />5,000 <br />Medical Payments <br />_._ U.. t,..,, issued for that <br />I se arately to each event insured by this policy as it a separaw y, �•-- — i out of the <br />The limits of insurance apply <br />pP Y P g y to liability arising <br />1 m: Any "occurrence" which takes place <br />-,who is insured" is emended [o include, as an insured, the person or organization shown in this schedule, but only with res <br />ownership, maintenance d use of the premises used by the named insured (event ladder)• This insurance does not apply <br />0, the event holder ceases to be a tenant in that Premises OTHER ADDITIONAL INSUREDS •„ <br />LaLm, titan , <br />the issuing company will mat130 days written notice to the <br />r UQE�TION. Should the above described policy to cancelled before the expiration date thereof, <br />certificate holder and additional insureds listed. <br />�r�;;�?' <br />AUTHORIZED REPRESENTATIVE: <br />DATE ISSUED: Jul is Luu, <br />Generated by Risk Management Division by: <br />