Laserfiche WebLink
EVANSTON FNSUR-ANCE COMPANY <br />CERTIFICATE NO.: <br />CERTIFICATE OF INSURANCE <br />SPECIAL EVENT LIABILITY PROGRAM <br />J.PRODUCER <br />PUBLIC ENTITY (ADDITIONAL INSURED) <br />Atliant Insurance Services, Inc. in conjunction with <br />Apex Insurance Services <br />P. O. Box 6450 <br />Newport Beach, CA 92658 <br />Liquor Liability Coverage applies to May 6, 7, 2017 only <br />License No: OC 36861 <br />NAMED INSURED (EVENT HOLDER): <br />EVENT INFORMATION: <br />City of Santa Ana <br />TYPE: Cinco De Mayo Festival <br />P 0 Box 1988 <br />DATE(S): May 5,6,7,8,2017 <br />Santa Ana, CA 92702 <br />LOCATION: Downtown Santa Ana <br />*Liquor Liability Yes E NoE] <br />"Liquor Liability after 12 am ends before 2 amE] <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 FORM <br />DEDUCTIBLE: NONE <br />General Aggregate Limit $2,000,000 <br />Products & Completed Operations 1,000,000 <br />SPECIAL CONDITIONS <br />Personal & Advertising Injury 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 />MEGL1643 <br />Liquor Liability (If purchased) 1,000,000 <br />Optional Limits Purchased <br />F-1 $1,000,000/$3,000,000 <br />[:1 $2,000,0001$2,000,000 <br />Damage To Property (if purchased) <br />The limits of insurance apply separately to each event insured by this policy as if separate policy of insurance has been issued for that event <br />OTHER ADDITIONAL INSUREDS <br />Raul Martinez <br />Jose Manuel Garcia <br />Santa Ana Business Council <br />Jose Romo <br />Bobby Nava <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 />