ARCEO, BLANCA E. 1 - 2010 - Laserfiche WebLink

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EVANSTON INSURANCE COMPANY CERTIFICATE NO.: 6342793951 875361 93 CERTIFICATE OF INSURANCE y.y, p�� q EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SE�I rt9[�PL�A'R6PY� FOR NOMINEE EVENTS. SPECIAL EVENT LIABILITY PROGRAM ...ry n:: ,fTA ©W� PRODUCER P I 1�'TI'�Y (Ape)�'Q}�IAL INSURED) Alliant Insurance Services, Inc. in conjunction with City of Santa Ana Apex Insurance Services P. O. Box 6450 Newport Beach, CA 92658 License No: OC 36861 NAMED INSURED (EVENT HOLDER): EVENT INFORMATION: Blanca Arceo TypE: Health &Fitness (Non Sport) 2022 West RICO AVe. DATE(S): 01/03/20'19 - 06/30/20'11 Santa Ana, CA 92703 LOCATION: EI Savlador, Jerome Center l ` S` l � *Liquor Liability Yes (] No O�� `O`� c� * *Li uor Liabili a$er 12 am ends 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 period indicated. Notwithstanding any requirements, terms or conditions of any contract or other document with respect to 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 policies. Limits shown may have been reduced by paid claims. INSURANCE CARRIER- Evanston Insurance Company MASTER POLICY NUMBER: 11SEP1000001 MASTER POLICY DATES: EFFECTIVE: January 01, 2011 EXPIRATION: January 01, 2012 COMMERCIAL GENERAL LIABILITY OCCURRENCE FORM DEDUCTIBLE: NONE General Aggregate Limit $ 2,000,000 Products 8c Completed Operations I,OOQ000 Personal .4c Advertising Injury 1,000,000 Each Occurrence Limit 1,000,000 Fire Damage (Any One Fire) 50,000 Medical Payments (Any One Person) 5,000 Liquor Liability (If purchased) 1,000,000 The 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 ownership, maintenance or use of the premises used by the named insured (even[ holder). This insurance does not apply to: Any "occurrence" which takes place after [he event holder ceases to be a tenant in [hat premises. OTHER ADDITIONAL INSUREDS CANCELLATION Should the above described policy be cancelled before the expiration date thereof, the issuing company will mail 30 days written notice to the certificate holder and additional insureds listed. AUTHORIZED REPRESENTATIVE: �� c� -vitM APPR DATE ISSUED: 12/14/2010 - ----�� Lauca -,�t;e,t Shore Y assistant City Attorney