ARCEO, BLANCA E. 1 - 2010 - Laserfiche WebLink

Home Browse Search

EVANS ' N INSURANCE COMPANY CER'T'IFICATE .: 2010 -039 CERTIFICATE OF INSURANCE EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTS. SPECIAL EVENT LIABILITY PROGRAM 11PRODUCER PUBLIC ENTITY (ADDITIONAL INSURED) Alliant Insurance Services, Inc. in conjunction with City of Santa Ana Apex Insurance Services 20 Civic Center Plaza P. 0. Box 6450 Sarkta Ana, CA. 92701 Newport Beach, C. 92658 License No: OC 36861 NAMED INSURED (EVENT HOLDER): EVENT INFORMATION: Blanca Arceo TYPE: Zumba Class 2022 West A.lco Avenue DATE (S)-. 06/30/10-12/31/10 Santa Aqua, CA 92703 LOCATION: El Salvador Center `Liquor Liability Yes El No Li uor Liablli after an ends before 2 am El This is to certify that the policies of insurance listed below have been issued to the insured named above for the policy period indicated. Iot% l th stand i ng any requirements, terms or conditions of any contract or other document Nvith respect to NvhIch 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 1r1ASTER P 0 L1CY NUM ER: I O EI' 10 0000 1 MASTER POLICY DATES: EFFECTIVE: JANUARY f � 2010 EX P I RATION: JANUARY 11 2011 C UR UAL GENERAL LIABILITY OCCURRENCE FORD DEDUCTIBLE: IBLE: i NE General Aggregate Limit $2,000,000 Products & Completed Operations 1,0()0,000 Personal & Advertising Injury 1,000,E Each Occurrence Limit 1,000,E APPRO 1 s TO FORM Fire Damage ray One Fire) 50,000 Medical Payments Any One Verson) 5,000 Liquor Liability If purchased) W9. FLETCHE -Me limits ofinsurance apply separately to each event insured by this policy as i f s separate y o ranc TaT Uffli Ud for that event. "Who is insured #> is amended to include, as an insured, the person or organization shorn i �sschedu l e, but only with respect to IiabiIity arisIng otit of the omership, maintenance or use of the premises used by the named insured (event bolder). This insurance insuirance does not apply to: Any "occurrence" which takes place after the event holder ceases to be a tenant in that premises. E'ER ADDITIONAL INSUREDS CANCE LLATION, Shou ld the above described policy be cancelled before the expiration date thereof, the issuing company 1viII mail 3 0 days witten notice to the certificate bolder and additional insu red s listed. lal AUTHORIZED REPRESENTATIVE: DATE ISSUED: June O 2010 by Brun Morales