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EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: 636130941981605222 <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 />P. O. Box 6450 <br />Newport Beach, CA 92658 <br />License No: OC 36861 <br />NAMED INSUREDVENT HOLDER): <br />EVENT INFORMATION: <br />Indigo Cook Cra is c/o Lir Cook <br />TYPE: Arts And Crafts (Various) <br />7232 9th Street <br />DATE(S): 1-145A 16 11/03/2016 <br />Buena Park, CA 90621 <br />LOCATION: Santa Ana Public Library <br />*Liquor Liability Yes} No <br />"Liquor Liab lity 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: SEP41020 <br />MASTER POLICY DATES: EFFECTIVE: January 01, 2016 EXPIRATION: January 01, 2017 <br />COMMERCIAL GENERAL LIABILITY General <br />OCCURRENCE FORM <br />DEDUCTIBLE: NONE <br />Aggregate Limit $ 2,000,000 <br />Products & Completed Operations 1,000,000 <br />SPECIAL CONDITIONS: <br />Personal & Advertising Injury __1,000,000_ <br />-__. <br />The following endorsements attached to <br />Each Occurrence Limit 11000,000 <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 purchased) 1,000,000 <br />Optional Limits Purchased <br />❑ $1,000,000/$3,000,000 <br />GV\p+ <br />❑ $2,000,000/$2,000,000 <br />Property Damage (If purchased) <br />$ <br />No Property Damage CoveragecVBV <br />•.\r <br />The limits of insurance apply separately to each event insured by this policy as if a separa e policy of i(,' , been issued 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: 10/26/2016 Revised 11/01/16 by Briza Morales <br />