Laserfiche WebLink
EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.. 2017-23 <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. O. Box 6450 <br />Santa Ana, CA 92701 <br />Newport Beach, CA 926513 <br />License No: OC 36861 <br />NAMED INSURED (EVENT HOLDER): <br />EVENT INFORMATION: <br />Martin Torres <br />TYPE: Martial Arts <br />12692 Ranchero Way <br />DATE(S): 1/09/17— 12/31/17 <br />Garden Grove, CA 921343 <br />LOCATION: Jerome Center <br />*Liquor Liability Yes [I No <br />"Liquor Liability after 1.2 am ends before 2 and ❑ <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: SEP41023 <br />MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2017 EXPIRATION: JANUARY 1, 2018 <br />COMMERCIAL GENERAL LIABILITY <br />OCCURRENCE, ECRM <br />DEDUCTIBLE: NONE <br />General Aggregate Limit. $ 2,000,000 <br />Products & Completed (Operations 1,000,000 <br />S13EC';IAI, CON <br />Personal & Advertising Injury 1,000,000 <br />The following endorsements attached to <br />Each Ccctsrrence Limit 1,000„000 <br />the Master Policy dosiert apply to this <br />Damage To Preniscs Rented To You (Any One Premises) 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 />❑ 51,000,00013,000,000 <br />❑ $2,000,00012,000,000 <br />Damage'ro Property (If purchased) <br />The: limits of insurance apply separately to each event insured by this policy as if a <br />separate policy of lnsnrance has been isseaed <br />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 />AUTHORIZED REPRESENTATIVE: <br />DATE ISSUED: January 9. 2017 by Stella Fai <br />al <br />