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HERRERA, MELINA (2)
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HERRERA, MELINA (2)
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Last modified
6/15/2022 10:03:35 AM
Creation date
8/29/2019 5:57:03 PM
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Contracts
Company Name
HERRERA, MELINA
Contract #
N-2019-152
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
6/30/2020
Destruction Year
2025
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EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: 2019-09 <br />CERTIFICATE OF INSURANCE <br />SPECIAL EVENT LIABILITY PROGRAM <br />Alliant Insurance Services, Inc. in conjunction with <br />Apex Insurance Services City of Santa Ana <br />P. 0. Box 6450 20 Civic Center Plaza <br />Newport Beach, CA 92658 Santa Ana, CA 92701 <br />License No: OC 36861 <br />• <br />Melina Herrera <br />7830 lympic Ave <br />R JA I IUN: <br />Pre-School/Dayeare <br />Costa Mesa, CA 92626 <br />01/01/2019-12/31/2019 <br />L--',iSanta Ana Corbin Center <br />lity Yes ❑ No <br />ili 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 the <br />all <br />amended as described in Special Conditions. <br />terms, exclusions and conditions of such policy(ies) unless <br />INSURANCE CARRIER: Evanston Insurance Company <br />MASTER POLICY NUMBER: SEP41028 <br />MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2019 EXPIRATION: JANUARY 1, 2020 <br />COMMERCIAL GENERAL LIABILITY <br />General Aggregate Limit 3 z 000,000 <br />OCCURRENCE FORM DEDUCTIBLE: NONE <br />Products & Completed Operations 1 000 Wn <br />Personal & Advertising Injury 1000 <br />SPECIAL CONDITIONS: <br />Each Occurrence Limit I (100 <br />The following endorsements attached to <br />Damnge To Premises Rented To You (Any one Premises) I W ppp <br />the Master Policy do not apply to this <br />Medical Payments (Any One Person) 5 000 <br />Certificate Of Insurance: <br />Liquor Liability (If purchased) 1000 Wn <br />MEGL643 <br />Optional Limits Purchased <br />❑ S1,000,00033,000,000 <br />❑ $2,000,000/52,000,000 <br />Damage To Property (If purchased) <br />II ...... <br />m u, insurance apply separately to each event insured by this policy as if separate policy of insurance has been issued Far that PVP�t <br />Should the above described policy be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy <br />AUTHORIZED REPRESENTATIVE: <br />DATE ISSUED: <br />43 <br />132019 <br />M. M <br />
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