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EVANSTON INSURANCE COMPANY CERTIFICATE NO.: 2009-10 CERTIFICATE OF INSURANCE EXCLUDES COVERAGE FOR NOMINECE ,NTS- SEE IAL E NT LIABILIITY4PROGTE PRAMATION5FQR NOMINEE EVENTS. SPE Alliant lnsumnce Services, Inc. in Apex Insurance Services p, O. Box 6450 Newport Beach, CA 92658 (949) 660-8135 T.icense No: OC 36861 Flor Hernandez 1621 N. Linwood Ave. Santa Ana, CA 92701 City of Santa Ana To —civic Center Plaza Santa Ana, CA 92701 TYPE: Aerobics DATE(S): San. 12 - Dec. 31 LOCATION: Southwest Senior Center *Liquor Liability Yes ❑ No ❑ r.r r ;nl,ility after 12 am an before 2 am ❑ This is to certify that the policies of insurance listed below have been issued to the insured named above for the policy p er od indicated Notwithstanding any re4ui ements, terms or conditions of any contract or other document with respect m which this certificate 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 policciie'Ss ance Limits shown wnymay have been reduced by paid claims. INSURANCE CARRIER� Evanston MASTER POLICY NUMBER: 04SEP1000001-5 MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2009 EXPIRRATION: JANUARY 1, 2010 _ thi OCCURRENCE FORM DEDUCTIBLE: NONE COMMERCIAL GENERAL LIABILITY $ Z 000,000 General Aggregate Limit 1.000,000 Products & Completed Operations 1,000,000 Personal & Advertising injury 1,000,000 Each Occureence Limit 50,000 Fire Damage (Arty One Fire) 5,000 Medical Payments (Any One Person) 1,000,000 Liquor Liability (If purchased) lic as if a sepatate policy of insurance has been issued for that The limits Of insurance apply separately to each event insured by s po y "Who is insured" is amended to include, as an insure, the pization shown m this schedulq but only with respect to liability insured, or organarising out of the maintenance duse of the remises used by the named insured (event holder). This insurance does not apply to: Any °occurrence" which tykes place ownership, p after the event the expiration date thereof, the issuing.eon"ny will mail 30 days written notice to the rexrgLLAT10N: Should the above described policy to cancelled before c=tMcate holder and additional insureds listed- Wt/' AUTHORIZED REPRESENTATIVE: DATE ISSUED: