Laserfiche WebLink
EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: 2015-23 <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 />20 Civic Center Plaza <br />P. 0. Box 6450 <br />Santa Ana, CA 92701 <br />Newport Beach, CA 92658 <br />-LtettseNo-OC-36861 _ __-. I <br />NAMED INSURED (EVENT HOLDER): <br />EVENT INFORMATION: <br />Karina Morales Martinez <br />TYPE: Ballet <br />9772 Santiago Blvd. <br />DATE(S): 02/18/15 -12/31/15 <br />Villa Park, CA 92867 <br />LOCATION: Santa Anita Center <br />N -�6 IL4- lb 1 <br />*Liquor Liability Yes ❑ No <br />"Liquor Liability 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. The insurance described herein is subject to all the terms, exclusions and conditions of such policy(ies) unless <br />''. amended as described in Special Conditions. <br />INSURANCE CARRIER: Evanston Insurance Company <br />MASTER POLICY NUMBER: SEP41017 <br />MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2015 EXPIRATION: JANUARY I, 2016 <br />COMMERCIAL GENERAL LIABILITY <br />OCCURRENCE FORM <br />DEDUCTIBLE: NONE <br />General Aggregate Limit $ 2,000,000 <br />Products & Completed Operations 1,000,000 <br />SPECIAL CONDITIONS: <br />Personal & Advertising Injury 1,000,000 <br />'the following endorsements attached to <br />Each Occurrence Limit 1,000,000 <br />the Master Policy do not apply to this <br />Damage 1'o Premises Rented "I'o You (Any One Premises) 100,000 <br />Certificate Of htsuranee, <br />Medical Payments (Any One Person) 5,000 <br />Liquor Liability (If purchased) 1,000,000 <br />Optional Limits Purchased <br />11 $1,000,000/$3,000,000 <br />❑ $2,000,000/$2,000,000 <br />Damage To Property (if purchased) <br />The limits of insurance apply separately to each event insured by this policy as if a separate policy crhrswance has been issued fpr that event. <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. <br />AUTHORIZED REPRESENTATIVE: <br />DATE ISSUED: _ February 18. 2015 by, Briza Morales <br />