MENDEZ, BRAULIO 2B - 2009 - Laserfiche WebLink

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E VANSTON INSURANCE COMPANY CERTIFICATE NO.: 2009-08 CERTIFICATE OF INSURANCE EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTS. SPECIAL EVENT LIABILITY PROGRAM PR ODUCER: PUBLIC ENTITY (ADDITIONAL INSURED) City of Santa Ana -- Al Cant Insurance Services, Inc. in conjunction with 20 Civic Center Plaza ,kpex Insurance Services Santa Ana, CA 92701 P A Box 6450 Newport Beach, CA 92658 (94% 660-8135 L,,:ease No: OC 36861 _ NAMED INSURED (EVENT HOLDER): EVENT INFORMATION: I Braulio Mendez TYPE: Piano 71i 1/2 E. Fifth Street DATE(S): Jan. 12 - Dec. 31 (S ) I Santa Ana, CA 92701 LOCATION: Senior Center *Liquor Liability Yes ❑ No "Liquor Liability after 12 am ends before 2 am ❑ T his is to certify that the policies of insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any requirements, terms or conditions of any contract or other document with respect to which this c,:.7iftcate 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 policies. Limits shown may have been reduced by paid claims. II�'SURANCE CARRIER: Evanston Insurance Company MASTER POLICY NUMBER: 04SEPI000001-5 j N1 ASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2009 EXPIRATION: JANUARY 1, 2010 i, C( iMMERCIAL GENERAI. LIABILITY OCCURRENCE FORM DEDUCTIBLE: NONE General Aggregate Limit $ 2,000,000 �j Products & Completed Operations 1,000,000 R_ sonal & Advertising Injury 1,000,()00 Eazh Occurrence limit 1,000,000 Fite Damage (Arty One Fire) 50,000 tvledi;,al Payments (Any One Person) 5,000 Liquor Liability (If purchased) 1,000,000 71 c limits of insurance apply separately to each event insured by this policy as if a separate policy of insurance has been issued for that event. Who is insured" is amended to include, as an insured, the person or organization shown in this schedule, but only with respect to liability arising out of the I c•v,nershiP, maintenance or use of the premises used by the named insured (event holder). This insurance does not apply to: Any `occurrence" which takes place at•er the event holder ceases to be a tenant to that premises. OTHER ADDITIONAL INSUREDS t; kNCELI.•4TIOty _ should the above described policy to cancelled before the expiration date thereof, the issuing company will mail 30 days written notice to the certificate holder and additional insureds listed. /,"/ �Z- J;�� S �, T MORIZED REPRESENTATNE: ATE ISSUED: