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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 Ana <br />TYPE: Annual Festival and Parade <br />P O Box 1988 <br />DATE(S): September 10, 11, 12, 13,14,15, 2015 <br />Santa Ana, CA 92702 <br />LOCATION: Downtown Santa Ana <br />*Liquor Liability Yes ® No ❑ <br />**Liquor Liability after 12 am 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 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 DEDUCTIBLE: NONE <br />General Aggregate Limit $ 2,000,000 <br />Products & Completed Operations 1,000,000 <br />SPECIAL CONDITIONS. <br />Personal & Advertising Injury 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) 100,000 <br />Certificate Of Insurance: <br />Medical Payments (Any One Person) 5,000 <br />Liquor Liability (If 1,000,000 <br />by ` <br />purchased) <br />R Viewed <br />Optional Limits Purchased <br />F-1$1,000,000/$3,000,000 <br />,.." <br />[_,L(` , <br />El $2,000,00052,000,000 <br />CJS <br />Damage To Property (If purchased) <br />S iV1a Cu ��ld`•-' <br />$50,000 <br />rs,r�'tl. <br />CSAI <br />P <br />The 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 />Jose L Romo <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 />AUTHORIZED REPRESENTATIVE: <br />DATE ISSUED: <br />