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EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: 2011 -21 <br />CEpR�TIFICATEI�O�F INS�U�RANCE <br />COVERAGE EXCLUDED FOR NO SPEALr +)LL4�tB�I'P1t'PROGRAMATIONS FOR NOMINEE EVENTS. <br />PRODUCER � � "� iii � } i- ^ ` <br />U NTITY (ADDITIONAL INSURED) <br />Alliant Insurance Services, Inc. in conjunction � _`s;� � ._ ".ice' <br />ants Ana <br />Apex Insurance Services <br />20 Civic Center Plaza <br />P. O. Box 6450 - <br />Santa Ana, CA 92701 <br />Newport Beach, CA 92658 <br />License No: OC 36861 <br />NAMED INSURED (EVENT HOLDER): <br />EVENT INFORMATION: <br />Janet Schermer <br />TYPE: Music (Pianol <br />34 Brisbane Way <br />DATE(S): 03/07/11 — 12/31/11 <br />Irvine, CA 92612 <br />LOCATION: EI Salvador Center <br />�O <br />N `� -bl�� -b0� <br />*Liquor Liability Yes Q No <br />* *Li uor Liabili after 12 am ends before 2 am <br />This is to certify that the insurance policy listed below has been issued to the above insured named (event holder) for the policy <br />period indicated. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This <br />certificate does not affirmatively or negatively amend, extend or alter the coverage afforded by the policy listed and it does not <br />constitute a contract between the insurance carrier, authorized representative, producer and certificate holder. The insurance <br />described herein is subject to all the terms, exclusions and conditions of such policy(ies). <br />INSURANCE CARRIER: Evanston Insurance Company <br />MASTER POLICY NUMBER: 1 1 SEP 1000001 <br />MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2011 EXPIRATION: JANUARY 1, 2012 <br />COMMERCIAL GENERAL LIABILI "I "Y <br />General Aggregate Limit $ 2,OOQ000 <br />OCCURRENCE FORM <br />DEDUCTIBLE: NONE <br />Products �. Completed Operations 1,000,000 <br />Personal 8c Advertising Injury 1,000,000 <br />Each Occurrence Limit 1,000,000 <br />Fire Damage (Any One Fire) SQ000 <br />Medical Payments (Any One Person) 5,000 <br />Liquor Liability (If purchased) 1,000,000 <br />The limits of insurance apply separately to each event insured by this policy az if a separate policy of insurance has been issued for that event. <br />"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 <br />ownership, maintenance or use of the premises used by the named insured (event holder). This insurance does not apply to: Any "occurrence" which takes place <br />after the event holder ceazes to be a tenant in that premises. <br />OTHER ADDITIONAL INSUREDS <br />CANCELLATION Should the above described policy be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy <br />rovisions. Eve effort will be made to deliver 30 da s written notice to the certificate holder and additional insureds listed. <br />AUTHORIZED REPRESENTATIVE: � � c� <br />DATE ISSUED: March 7. 2011 by Briza Morales <br />