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EVANSTON INSURANCE COMPANY CERTIFICATE NO.: 2014-14 CERTIFICATE OF INSURANCE SPECIAL EVENT LIABILITY PROGRAM Alliant Insurance Services, Inc. in conjunction with City of Santa Ana Apex Insurance Services 20 Civic Center Plaza P. 0. Box 6450 Santa Ana, CA 92701 Newport Beach, CA 92658 License No: OC 36861 NAMED INSURED (EVENT HOLDER): EVENT INFORMATION: Erna Van Dyk TYPE: Arts and Crafts 14$ Dondrook DATE(S): 01/07/14-12/31 /14 Irvine, CA 92603 LOCATION: El Salvador Center *Liquor Liability Yes[! No Z ✓y { **Liquor Liability after 12 am ends before 2 am C 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 amatter 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: SEP41014 MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2014 EXPIRATION: JANUARY 1, 2015 COMMERCIAL OENE.RAL LIABILITY OCCURRENCE FORM DEDUCTIBLE: NONE General Aggregate limit $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 Fire) 100.,000 Medical Payments (Any One Person) 5,000 Liquor Liability (If purchased) 1,400,000 Optional Limits Purchased 0/smoo00 Q ,0 @si,000,00 C1 '.$2,000;000/$2,000,000 Property Damage (Ifpurchased) El Limit $50,000 Deductible $500 ❑ Limit $10000 Deductible $1,000 The limits of insurance apply separately to each event insured by thispolicy. as if a separate policy of insurance has been issued for that event. "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 ownership, maintenance or use of tho promises used by the named insured (event holder) This insurance dues not apply to: Any "occurrence" which taafter the event holder ceases to tie a tenant in that premisca dtle OTHER ADDITIONAL INSUREDS kANC'ELLA77ON1 Should the above described policy be cancelled" before the expiration date thereof, notice will be delivered in accordance with the p rovision& AUTHORIZED REPRESENTATIVE: DATE ISSUED: January 7. 2014 by Btiza Morales