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EVANSTON [NSURANCE 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 />Liquor Liability applies to only September 16, I7, 2017 <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: Fiestas Patrias <br />P O Box 1988 <br />_Annual <br />DATE(S): September 15,1.6. 17, 18.2017 <br />tf� <br />Santa Ann, CA 92702 t <br />LOCATION: Downtown Santa Ann <br />*Liquor Liability Yes (Z 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. ':'Che insurance described, herein issubject1to 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 1000,000 <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 />DamageTo Promises Rented To YOU (Any One Premises) 100,000 <br />Cennieatc Of hlsumnce: <br />Medical Payments (Any One Person) 5,000 <br />e�J� <br />MF,GLI6d <br />Liquor Liability (If purchased) 1,000,000 <br />0-v` <br />Optional Limits Purchased <br />r y <br />` <br />❑ $1,000,000/$3,000;000 <br />�� N <br />El $2,000,00052,000,000 <br />C,ue <br />Damage To Property (if purchased)��y\ <br />SPI �a <br />The limits of insurance apply separately to each event insured by this policy as as separate policy of insurance has been issued for that event. <br />OTHER ADDITIONAL INSUREDS <br />Bobby Nava <br />li <br />Andrea USA Start Computer Repair <br />Raul : Martinez -. <br />Perfect Smile Dental Dr Sheldon Lu <br />Jose Manuel Garcias <br />CA Work Injury Law Center <br />Santa Ana Business Council <br />Castulo Ramirez <br />Jose Roma <br />Leonel Torres <br />NLexican Consulate <br />Sixto Romero <br />Virgilio Satelite <br />Novamex-Sergio Buenostro <br />C 1N 'Ei LAPION, 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 />DA'L'E ISSUED: <br />