MENDEZ, BRAULIO 2C - 2010 - Laserfiche WebLink

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EVANSTON INSURANCE COAfPANY CERTIFICATE NO.a 201"10. CERTIFICATE OF INSURANCE EXCLUDES COVERAGE Pon NOMINEE EVENTS. SEE SEPARATE APPLICA-nONS FOR NOMU4FX EVENTS. SPECLAI, EVENT LIABILITY PROGRAM PRODUCER UBLIC ENTITY (ADDITIONAL INSURED) Alliant Instn-ance Services, Inc. in conjunction with of Santa Ana Apex htsuranee Services 0 Civic Center Plaza [City P. O. Box 6450 anta Ana, CA 92701 Newport Beach, CA 92658 License No: OC 36861 NAMED INSURBO (EVENT HOLDER):VENT INFORMATION: Dosis Music _r TYPE: Music (Gultar) Attn: Braulio Mendez -" DATE(S): 01/20/2010 - 6/30/2010 713 V. E_ Fifth Street LOCATION: Seri Center Santa Ana, CA 92701 +Liquor Liability Yes No **L" uor Liability after 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. Notwithatanding any requirements, terms or conditions of any contractor 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 CARRIE=R Evanston Insurance Company MASTF%RPOLICYNUMBER IGSEP1000001 MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 201 EXPIRATION. JANUARY 1, 2011 COMMERCIAL GENERAL LIABIL= OCCURRENCE FORM HI>'tt(-I)BL :NONE General Aggregate Limit $ 2,000,000 Products 8r Completed Operations 1000,000 Personal & Advertising Trdury 1.000,000 Each Occurrence Limit 1,000,000 Fire Damage (Any One Fine) 50.0DO Medical Payments (Any One Person) 5,000 Liquor Liability (If purchased) 1.000.000 The limits of insurance apply scearately to each event insured by this policy as iia separate policy of insurance has been issued for that event. "Who is iosrred" is amended to include, as an insured, the person or organization shown in this schedule, but only with respect to liability arising out ofthe ownership, maintenance or use of the: premises rued by the nerved insured (event holder). This insraanee does not apply to: Any' occurrence" which takes place after the event holder ceases to be s torentin that premises. OTHER ADDITIONAL INSUREDS Julio Chavez CANCELLATION: Should the above deser bod policy be cancelled before the expiration data thereof, the issuing company will mail 30 days written notice to the certificate holder and additional insumda listed. - AUTHORIZED REPRESENTATIVE: DATE ISSUED: Jauuary 20 2010 Briza Morales 'Kr