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EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: 2008-09 <br />CERTIFICATE OF INSURANCE <br />EXCLUDES COVERAGE FOR NOMIN CIAL EVENT LIABILITY pgpGPR4MATIONS FOR NOMINEE EVEiv'fS. <br />City of Santa Ana <br />Inc. in conjunction <br />Apex Insurance Services <br />P. O. Box 645D <br />Newport Beach, CA 92658 <br />(949)660-8135 <br />Deidra Powell-Williams <br />PO Boa 351 <br />Fair Oaks, CA 95628 <br />OLDER): <br />/~,p -1he ~o} <br /> <br />20 Civic Center rtaza <br />Santa Ana, CA 92701 <br />TYPE: ~,_,_.~, o..titc,. t-nurse <br />DATE(S): March 2008 -December 2008 <br />LOCATION: _Various City Locations <br />•Liquor Liability Yes ^ No <br />srr :~.,~. r iah;lity after 12 amends before 2 am_ <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 />indicated. Notwithstanding any regnuernents, temu or conditions of any contract or other docurrlerlt with respect to which this <br />certificate maybe issued o: may pertain, the insurance afforded by the policies described herein is subject to all the terms, <br />exclusions and conditions of such policies. Limits shown may have been reduced by paid claims. <br />INSURANCE CARRIER: Evanston Insurance Company <br />MASTER POLICY NUMBER: 04SEP1000001-4 <br />MASTER POLICY DATES: EFFECTIVE: IANUARY 1, 2008 EXPI1tATION: JANUARY 1, 2009 <br />COMMERCIAL GENERAL LIABILITY OCCURRENCE FORM DEDUCTIDLE: NONE <br />General Aggcgate limit S 2,000,000 <br />000,000 <br />1 <br />. <br />Products & Completed Operations <br />000 <br />000 <br />1 <br />, <br />. <br />Personal & Advertising Injury <br />l 000,000 <br />Each tkcrurence limit <br />000 <br />50 <br />, <br />Fire Darnege (Any Onc Fire) <br />5 <br />000 <br />, <br />Medical Payments (Any One Perton) <br />000 <br />000 <br />1 <br />, <br />, <br />Liquor Liability (Tf purchased) <br />The limits of insurance apply separately to each event insured by this Policy ab if a separate pancy of mawmrw ,ea .....,• •~...-- •-• --- - ~ ---- <br />"Who is insurcA" is amended [o include, as an iruured, the poison w organization shown in this schedule, but only with respect to liability arising out of the <br />ownership, maintenance or use of the premises rued by the namod insured (event holder). This insurance does not apply ta: Any "occuaence" which takes Dlace <br />after the event holder ceases to be <br />(.GJC/ <br />J <br />CANCF t-AT10N: Should the above described policy to cancelled beforo the expiration date thereof, the issuing company will mail 30 days written notice to the <br />holder and additional insureds listed. <br />~~~ <br />AUTHORIZED REPRESENTATIVE: <br />DATE IssuEn: 3 t w <br />