GARCIA, MANUEL (2)-2017 - Laserfiche WebLink

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EVANS'T'ON INSURANCE COMPANY CERTIFICATE NO.: CERTIFICATE OF INSURANCE SPECIAL EVENT LIABILITY PROGRAM PRODUCER PUBLIC ENTITY (ADDITIONAL INSURED) Alliant Insurance Services, Inc. in conjunction with Apex Insurance Services Liquor Liability applies to only September 16, 17, 2017 P. O. Box 6450 Newport Beach, CA 92658 License No: OC 36861 NAMED INSURED (EVENT HOLDER): EVENT INFORMATION: City of Santa Ana TYPE: Annual Fiestas Patrias P O Box 1988 DATE(S): September 15, 16, 17, 18, 2017 Santa Ana, CA 92702 LOCATION: Downtown Santa Ana *Liquor Liability Yes ® No ❑ "Liquor Liability after 12 am ends before 2 am ❑ This is to certify that the insurance policy listed below has been issued to the above insured named (event holder) for the policy period indicated, The insurance described herein is subject to all the terms, exclusions and conditions of such poliey(ies) unless amended as described in Special Conditions. INSURANCE CARRIER: Evanston Insurance Company MASTER POLICY NUMBER: SEP41023 MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2017 EXPIRATION: JANUARY 1, 2018 COMMERCIAL GENERAL LIABILITY OCCURRENCE FORM DEDUCTIBLE: NONE General Aggregate Limit $ 2,000,000 Products & Completed Operations 1,000,000 SPECIAL CONDITIONS Personal & Advertising Injury 1,000,000 The following endorsements attached to Each Occurrence Limit 1,000,000 the Master Policy do not apply to this Damage To Premises Rented To You (Any One Premises) 100,000 d y ] ° Certificate Of Insurance Medical Payments (Any One Person) 5,000 e�e MEGLl64 Liquor Liability (If purchased) 1,000,000 vle, s I Optional Limits Purchased ❑ $1,000,00053,000,000 ❑ $2,000,00052,000,000 Damage To Property (If purchased) 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. OTHER ADDITIONAL INSUREDS Bobby Nava Andrea USA Start Computer Repair Raul Martinez - Perfect Smile Dental Dr Sheldon Lu Jose Manuel Garcias- CA Work Injury Law Center Santa Ana Business Council Castulo Ramirez Jose Romo - Leonel Torres Mexican Consulate Sixto Romero Virgilio Satelite Novamex-Sergio Buenostro CANCELLATION: Should the above described policy be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy provisions, AUTHORIZED REPRESENTATIVE: DATE ISSUED: