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<br />EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: 2017-14 <br />CERTIFICATE OF INSURANCE <br />SPECIAL EVENT LIABILITY PROGRAM <br />PRODUCER PUBLIC ENTITY (ADDITIONAL INSURED) <br />Alliant Insurance Services, Inc. in conjunction with City of Santa Ana <br />Apex Insurance Services 20 Civic Center Plaza <br />P. O. Box 6450 Santa Ana, CA 92701 <br />Newport Beach, CA 92658 <br />License No: OC 36861 <br />NAMED INSURED (EVENT HOLDER): EVENT INFORMATION: <br />Music <br />Manuel Ortega TYPE: <br />01/01/17-12/31/17 <br />5108 W First Street, #C DATE(S): <br />Santa Ana Police Athletic & Activity <br />Santa Ana, CA 92703 LOCATION: <br />League (SAPAAL) <br /> <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 <br />: Evanston Insurance Company <br />MASTER POLICY NUMBER <br />: SEP41023 <br />MASTER POLICY DATESEFFECTIVEEXPIRATION <br />: : JANUARY 1, 2017 : JANUARY 1, 2018 <br /> <br />COMMERCIAL GENERAL LIABILITY OCCURRENCE FORM DEDUCTIBLE: NONE <br />General Aggregate Limit $ 2,000,000 <br />Products & Completed Operations 1,000,000 SPECIAL CONDITIONS: <br />Personal & Advertising Injury 1,000,000 The following endorsements attached to <br />Each Occurrence Limit 1,000,000 the Master Policy do not apply to this <br />Damage To Premises Rented To You (Any One Premises) 100,000 Certificate Of Insurance: <br />Medical Payments (Any One Person) 5,000 <br />(If purchased) <br />Liquor Liability 1,000,000 <br /> <br />Optional Limits Purchased <br /> <br /> $1,000,000/$3,000,000 <br /> $2,000,000/$2,000,000 <br />Damage To Property (If purchased) <br /> <br /> <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 /> <br /> <br /> <br /> <br />CANCELLATION: Should the above described policy be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy <br /> <br />provisions. <br /> <br />AUTHORIZED REPRESENTATIVE: <br />DATE ISSUED: December 22, 2016 by Stella Fajardo <br />