VALENCIA, GERALDINE 1B - 2007 - Laserfiche WebLink

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1= VANSTON INSURANCE COMPANY CERTIFICATE NO.: 2009-04 CERTIFICATE OF INSURANCE EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTS. SPECIAL EVENT LIABILITY PROGRAM l"ZODUCER: PUBLIC ENTITY (ADDITIONAL INSURED) City of Santa Ana ii1hant Insurance Services, Inc. in conjunction with 20 Civic Center Plaza Apex Insurance Services Santa Ana, CA 92701 P O. Box 6450 ewport Beach, CA 92658 (1,49) 660-8135 i_icense No: OC 36861 NAMED INSURED (EVENT HOLDER): EVENT INFORMATION: Geraldine Valencia TYPE: Rhthmic Gymnastics 1621 N. Linwood DATE(S): Jan. 5 - Dec. 31 Santa Ana, CA 92701 LOCATION: Southwest Senior Center *Liquor Liability Yes ❑ No "Liquor Liability after 12 am ends before 2 am ❑ 1 ht:; is to certify that the policies of insurance listed below have been issued to the insured named above for the policy period ,r.dicated. Notwithstanding any requirements, terms or conditions of any contractor other document with respect to which this ,:ortificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, 1::cciusions and conditions of such policies. Limits shown may have been reduced by paid claims. INSURANCE CARRIER: Evanston Insurance Company 1IAS"TER POLICY NUMBER: 04SEP100000I-5 MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2009 EXPIRATION: JANUARY], 2010 JNIMERCIAL GENERAL LIABILITY OCCURRENCE FORM DEDUCTIBLE: NONE eneraI Aggregate Limit $ 2,000,000 11,oducts & Completed Operations 1,000,000 i',:rsonal & Advertising Injury 1,000,000 f: tch Occurrence Limit 1,000,000 rare Damage (Any One Fire) 50,000 Vedical Payments (Any One Person) 5,000 Liquor Liability (If purchased) 1,000,000 Fie 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. ulw 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 '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 i :u ler the event holder ceases to be a tenant in that premises. rOTHER ADDITIONAL INSUREDS i i ANCELLATION Should the above described policy to cancelled before the expiration date thereof, the issuing -company will mail 30 days written notice to the .;ertiticate holder and additional insureds listed. , . UTHORIZED REPRESENTATIVE: ()ATE ISSUED: