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N, a0o-2-I��-05 EVANSTON INSURANCE COMPANY CERTIFICATE NO.: 2009-03 CERTIFICATE OF INSURANCE ATIONS FOR NOMINEE EVENTS. EXCLUDES COVERAGE FOR NOMINEE SPEEVENT SEE LIABILITY PROGRAM APP AM PRODIJULK: I City of Santa Ana Alliant Insurance Services, Inc. in conjulu $ with 20 Civic Center Plaza Santa Ana, CA 92701 Apex Insurance Services P. 0. Box 6450 Newport Beach, CA 92658 (949)660-8135 License No: OC 36861 NAMED INSURED (EVENT HOLDER): EVENT INFORMATION: Self Imnrovement (Parent & Mel Medical Payments (Any One Person) 1,000,000 TYPE: Felice Ilkeagla DATE(S):Jan. 5 - Dec. 31 3436 S. Taurus LaneLOCATION: Santiago Lawn Bowline Center_ Santa Ana, CA 92704 "Liquor Liability Yes ❑ No ❑ c _ n This s to certify that the policies of nsurance listed below have been issued to the insured named above for the policy period thi indicated. Notwithstanding any requirements, insur terms oraffonrdedby the policies descrins of any contract or bed hereiitin n iser dor with rto allespe t totwhich s certificate may be issued or may pertain, exclusions and conditions of such policies. Limits shown may have been reduced by paid claims. INSURANCE CARRIER: Evanston Insurance Company MASTER POLICY NUMBER: 04SEP1000001-5 MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2009 EXPIRATION: JANUARY 1, 2010 OCCURRENCE FORM DEDUCTIBLE: NONE COMMERCIAL GENERAL LIABILITY S 2 000,000 General Aggregate Limit ] 000 000 Products & Completed Operations 1,000,000 Personal & Advertising Injury 1,000,000 Each occurrence Limit 50,000 Fire Damage (Any One Fire) 5,000 Medical Payments (Any One Person) 1,000,000 Liquor Liability (If purchased) Insured by this policy as if a separate policy of insurance has been issued for that e The limits of insurance apply separately to each even r "Who is insured" is amended to include, as an insured, the person or organization shown in this schedule, bu[only with respect to viability arising out of the ownership, maintenance or use of the premises used by the named insured (event holder). This insurance does not apply to: Any "occurrence" which takes place after the event holder ceases to be a tenant in AL CANCELLATION: Should the above described policy m cancelled before the expiration date thereof, the issuing company will nail 30 days written notice to the mi,ficate holder and additional AUTHORIZED REPRESENTATIVE: DATE ISSUED: