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EVANSTON INSURANCE COMPANY <br />CERTIFICATE NW 2015-03 <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 />License No: OC 36861 <br />NAMED INSURED (EVENT HOLDER): <br />EVENT INFORMATION: <br />T <br />Manuel Ortega�(� 1 <br />TYPE: Music <br />5108 W. First Street, #C A �G`�Q <br />DATE(S): 01/05/15 —12/31/15 <br />Santa Ana, CA 92703 /V <br />LOCATION: Santa Ann Police Athletic & Activity <br />League (SAPAAL) <br />*Liquor Liability Yes ❑ No <br />p� c� <br />NV-R®/S-/Z <br />"Liquor Liability after 12 am ends before 2 atm ❑ <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 1, 2016 <br />COMMERCIAL GENERAL LIABILITY <br />OCCURRENCE FORM <br />DEDUCTIBLE; NONE <br />General Aggregate Limit $ 2,000,000 <br />Products & Completed Operations I,0001000 <br />SPECIAL CONDITIONS: <br />Personal & Advertising Injury 1,000,000 <br />The following endorsements attached to <br />Each Occurrence Limit 1,000,000 <br />tilt Master Policy do not apply to this <br />Damage To Premises Reared To You (Any One Prmnises) 100,000 <br />Certificate Of Insurance: <br />Medical Payments (Any One Person) 5,000 <br />Liquor Liability (If purchased) 1,000,000 <br />Optional Limits Purchased <br />1:1 $1,000,000/$3,000,000 <br />❑ $2,000,000/$2,000,000 <br />Damage To Property (If purchased) <br />Tuo limits of insurance apply separately to each event insured by this policy as if a separate policy of insurance has been issued for that event. <br />OTHER ADDITIONAL INSUREDS <br />CANCELLATION: Should the above described policy be cancelled baton the expiration date thereof, notice will be delivered to accordance with the poltey <br />envisions. <br />AUTHORIZED REPRESENTATIVE: <br />DATE ISSUED: <br />