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EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: 2016-14 <br />CERTIFICATE OF INSURANCE <br />SPECIAL EVENTLIABILITY PROGRAM <br />PRODUCER <br />I1UBL[C ENTITY (ADDITIONAL INSURED) <br />Alliant Insurance Services, Inc. in conjiunction 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 />License No: OC 36861 <br />NAMED INSURED (EVENT F HOLDER): <br />EVENT` INFORMATION: <br />Dosis Music <br />TYPE: Music <br />c/o Joel Hernandez <br />DATE(S): 01/07/16 — 12/31/16 <br />809 E. Chestnut Avenue <br />LOCATION: Santa Ana Senior and Garfield Centers <br />Santa Ana, CA 92701 <br />*Liquor Liability Yes E] No Z <br />"Liquor Liability after 12 ant ends before 2 arn E] <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(iCS) unless <br />amended as described in Special Conditions. <br />INSURANCE CARRIER: Evanston Insurance Company <br />MASTER POLICY NUMBER: SEP41020 <br />MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2016 EXPIRATION: JANUARY 1, 2017 <br />COMMERCIAL. GENERAL, UA1311-ITY <br />OCCURRENCE. FORM <br />DEDUCTIBLE: NONE <br />General Aggregate Um4 $2,000,000 <br />ProdLIC(S & Completed Operations 1,000,000 <br />SPECIAL CONDITIONS: <br />Personal & Advertising Injury 1,000,000 <br />The loftwing endorsements attached to <br />Each Occurrence l.irnit 1,000,000 <br />the Master Policy do not apply to this <br />Damage To Premises Rented To You (Any One Premises) 100,000 <br />Cerbficute Offrisurance: <br />Medical Payments (Any One Person) 5,000 <br />Liquor Liability (if purchased) 1,000000 <br />0000" <br />Optional Limits Purchased <br />F1 S1,000,00063,000,000 <br />2 <br />El S2,000,00062,000,000 <br />e <br />Damage To Property (if purchased) <br />The limits of insurance apply separately to each event insured by this policy as ifa separate policy of insurance has been issued for 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 />Provisions, <br />0 10:53 <br />DATE ISSUED: — January 7, 2016 by Briza Morales <br />