ROBLES, DENISE 2 - 2013 - Laserfiche WebLink

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EVANSTON INSURANCE COMPANY CERTIFICATE NO.: 2013-19 CERTIFICATE OF INSURANCE SPECIAL EVENT LIABILITY PROGRAM PRODUCER PUBLIC ENTITY (ADDITIONAL INSURED) Alliant Insurance Services, Inc. in conjunction with City of Santa Ana Apex Insurance Services 20 Civic Center Plaza P. O. Box 6450 Santa Ana, CA 92701 Newport Beach, CA 92658 License No: OC 36861 NAMED INSURED (EVENT HOLDER): EVENT INFORMATION: Denise Robles TYPE: Aerobics 1664 W. Cindy Lane, Apt. D DATE(S): 01/17/13 —12/31/13 Anaheim, CA 92802 LOCATION: Saleado Community Center *Liquor Liability Yes ❑ No N _ **Liquor Liability after 12 am ends before 2 am ❑ This is to certify that the insurance policy listed below has been issued to the above insured named (event holder) for the policy period indicated. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not affirmatively or negatively amend, extend or alter the coverage afforded by the policy listed and it does not constitute a contract between the insurance carrier, authorized representative, producer and certificate holder. The insurance described herein is subject to all the terms, exclusions and conditions of such policy(ies). INSURANCE CARRIER: Evanston Insurance Company MASTER POLICY" NUMBER: SEP4I Ol l MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2013 EXPIRATION: JANUARY 1, 2014 COMMERCIAL GENERAL LIABILITY OCCURRENCE FORM DEDUCTIBLE_ NONE General Aggregate Lirnit $2,000,000 Products & Completed Operations 1,000,000 Personal & Advertising Injury 1,000,000 Each Occurrence Limit 1,000,000 Fire Damage (Any One Pire) 100,000 Medical Payments Any One Person) 5,000 Liquor Liability (If purchased) I D00,000 Optional Limits Purchased 7 $1,000,000/$3,000,000 ❑ $2,000,000/$2,000,000 The limits of insuranceapply separately to each event insured by this policy as if e separate policy of insuraneehas been issued for that event. "Who is insured" is amended to include, as an insured, the person cr organisation shown in this schedule, but only with respect to liability arising out ofthc ownership, maintenance or use ofthe premises used by the named insured (event holder). This insurance does not apply to Any `becunEnce" which tales place atter the event holder ceases to be a tenant in that premises, OTHER ADDITIONAL INSUREDS Hortensia Nunez CANCELLATION: Should the above described policy be, cancelled before the expiration date thereof notice will be delivered in accordance with the policy provisions, AUTHORIZED REPRESENTATIVE: DATE ISSUED: Assistant City Attorney /s/