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EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: <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 />Apex Insurance Services <br />P. O. Box 6450 <br />Newport Beach, CA 92658 <br />License No: OC 36861 <br />NAMED INSURED (EVENT HOLDER): <br />EVENT INFORMATION: <br />City of Santa Ann <br />TYPE: Annual Festival and Parade <br />P O Box 1988 <br />DATE(S): Sentember 10, 11, 12,13,14,15, 2015 <br />Santa Ana, CA 92702 <br />LOCATION: Downtown Santa Ann <br />*Liquor Liability Yes® No ❑ <br />**Liquor Liability after 12 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: SEP41017 <br />MASTER POLICY DATES: EFFECTIVE: JANUARY I, 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 1,000,000 <br />SPECIAL CONDITIONS. <br />Personal & Advertising hLimy 1,000,000 <br />The allowing endorsements attached to <br />Each Occurrence Limit 1,000,000 <br />the Master Policy do not apply to this <br />Da nage't'o Premises Rented To You (Any One Premises) 100,000 <br />Certificate Ofinsurunce- <br />Medical Payments {Any One Person) 5,000 <br />Liquor Liability (Ilpurclrase/l) I,000,000 <br />K <br />'° <br />1I1e\Ne6 <br />OptionalE$1000,0 Purchased <br />❑ $1,000,000/$3,OOD,OOD <br />❑ S2,000,000/$2,000,000 <br />Damage To Property (If purchased),5''Ula <br />Guev11 <br />$50,000 <br />lrl <br />PRCS <br />The limits of insurance apply separately to each event insured by this policy as its separate policy of insurance has been issued for that event. <br />OTHER ADDITIONAL INSUREDS <br />Jose L Rome <br />Liquor Liability September 12, 13, 2015 <br />Bobby Nava Advertising & Entertainment Agency <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 />41 <br />AUTHORIZED REPRESENTATIVE: <br />DATE ISSUED: <br />