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N -2011- 154 -001 <br />EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.c 634598948977724265 <br />CERTIFICATE OF INSURANCE <br />SPECIAL EVENT LIABILITY PROGRAM <br />PRODUCER <br />PUBLIC ENTITY (ADDITIONAL INSURED) <br />Alliant Insurance Services, Inc. in conjunction with <br />City Of Santa Ana <br />Apex Insurance Services <br />P. O. Box 6450 <br />Newport Beach, CA 92658 <br />N- 2011 -154 <br />License No: OC 36861 <br />NAMED INSURED (EVENT HOLDER): <br />EVENT INFORMATION• <br />Nora Sanchez <br />TYPE: Preschool /Daycare <br />11832 Peacock Court <br />DATE(S): 0'1/09/20'12 - '12/20120'12 <br />Garden Grove, CA 92841 <br />LOCATION: EI Salvador CommuniH Center <br />*Liquor Liability Yes � No <br />* *Li uor Liabili after 12 am ends before 2 am � <br />This is to certify that the policies of insurance listed below have been issued to the insured named above for the policy period <br />indicated. Notwithstanding any requirements, terms or conditions of any contract or other document with respect to which this <br />certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the tetras, <br />exclusions and conditions of such policies. Limits shown may have been reduced by paid claims. <br />INSURANCE CARRIER: Evanston Insurance Company <br />MASTER POLICY NUMBER: t2SEP100000� <br />MASTER POLICY DATES: EFFECTIVE: January 01, 202 EXPIRATION: January 01, 2013 <br />COMMERCIAL GENERAL LIABILI'T'Y <br />OCCURRENCE FORM <br />DEDUCTIBLE: NONE <br />Gmetal Aggregate Limi[ S 2,000,000 <br />Products 8< 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) 50,000 <br />Medical PeymenU (Any Onc Person) 5,000 <br />Liquor Liability (IP pnrehased) 1,000,000 <br />The limits of insurance apply separately to each event insured by this poll as if a se orate oli of insurance has been issued for that event. <br />"Who is insured" is amended ro include, as an insured, the person or orgmization 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 rutmed insured (event holder). This insurance does not apply to: Any "occurrence" which takes place <br />after the event holder ceases to be a tenon[ in that premises. <br />OTHER ADDITIONAL INSUREDS <br />i';2U VL:I7 AS TO f=i =)ice.. <br />Assistant City i +:, �. r. -;��. <br />AN >_ - ATION- Should the above described polity be cancelled before the expiration date therewf, the issuing company will mail 30 days written notice [o the <br />certificate holder and additional insurods listed. <br />AUTHORIZED REPRESENTATIVE: �� � �� <br />DATE ISSUED: � <br />