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EVANS'TON INSURANCE COMPANY <br />CERTIFICATE NO.. 2017-18 <br />CERTIFICATE OF INSURANCE <br />SPECIAL EVENT LIABILITY PROGRAM <br />PRODUCER <br />PUBLIC EN°rITY (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 />R O. Box 6450 <br />Santa Ana, CA 92701 <br />Newport Beach, CA 92658 <br />License No: OC 36861 <br />NAMED INSURED (EVENT HOLDER): <br />EVENT INFORMATION. <br />Dosis Music <br />TYPE: Music <br />c/o Joel Hernandez <br />DATE(S): 01/03/17 — 12/31/17 <br />809 E Chestnut Ave. <br />LOCATION: Garfield Center <br />Santa Ana, CA 92701 <br />*Liquor Liability Yes [] No ❑ <br />i `` � "."..... <br />"Liquor Liability after 12 any 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 po'licy(ies) unless <br />amended as described in Special Conditions. <br />INSURANCE CARRIER: Evanston Insurance Company <br />MASTER POLICY NUMBER: SEP4103 <br />MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2017 EXPIRATION: JANUARY 1, 2018 <br />COMMERCIAL GENERAL. LIABILITY <br />OCCURRENCE FORM <br />DEDUCTIBLE: NONE <br />General Aggregate Limit S 2,000,000 <br />products & Completed Operations 1,000,000 <br />SPECIAL, CONDITIONS: <br />Personal & Advertising in,ittty 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'To Premises Rented To YOU (Any One Premises) wo'000 <br />C,ertilicate Of Insurance: <br />Medical Payments (Any One Person) 5,000 <br />Liquor Liability (If purchased) 1,000,000 <br />Optional Limits Purchasers <br />❑ $1,000,000/$3,000,000 <br />❑ $2,000,000/$2,000,000 <br />Damage To Property (If purchased) <br />'` o <br />The limits ofinsurance apply separately to each event insured by this policy as if a separate policy of insurance has 'beet a far 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 />AUTHORIZED REPRESENTATIVE: <br />DATE ISSUED: January 3 2017 by Stella Faiardo <br />