ACHIEVEMENT INSTITUTE - 2005 - Laserfiche WebLink

Home Browse Search

EVANSTON INSURANCE COMPANY CERTIFICATE NO.: CERTIFICATE OF INSURANCE EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTS. SPECIAL EVENT LIABILITY PROGRAM PRODUCER: PUBLIC ENTITY (ADDITIONAL INSURED) Driver Alliapt Insurance Services City y o J Santa Ana P. O. Box 28323 20 Civic Center, Ptaza, M -28 Santa Ana, CA 92799 -8323 Sancta Ants, CA 92701 (949) 660 -8163 License No: OC 36861 NAMED INSURED (EVENT HOLDER): EVENT INFORMATION: Achievement Inbt state o� Sci.e.nti.j-ic S.tud-ie6 TYPE: InA,thu tionap -S tj Imigovement 1621 ButtoAd Lane DATE(S): 11011Q; - 12/31/05 Santa Ana, CA 9270E A- -AOCYd- OSSq-p•2 OCATION: Unhinrtx ('i1y InrnxinklA This is to certify that the policies of insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any requirements, berms or conditions of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. Limits shown may have been reduced by paid claims. INSURANCE CARRIER Evanston Insurance Company MASTER POLICY NUMBER 05SEPI000OO1 MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2005 EXPIRATION: JANUARY 1, 2006 COMMERCIAL GENERAL LIABILITY OCCURRENCE FORM DEDUL -MLE: NONE General Aggregate Knit S 2,000,000 Products& Completed Operations 1,000,000 Personal & Advertising Injury 1,000,000 Each Occurrence Urnit 1 AWAW Fire DarnW (Any One Fire) 50.000 Medical Payments (Any One Person) SAM The limits of insurance apply separately to each event innued by this policy as if a separate policy of insurance has been leaned far that event "Who is insured" is amended to Include, as an insured, the person or organization shown in this schedule, but only with respect to liability arising out of the ownership, maintenance or use of the premises used by the named insured (event holder). This insurance does not apply to: Any "occurrence" which takes place after the event holder erases to be a tenant in the prcrnizes. OTHER ADDITIONAL INSUREDS CANCELLATION Should the above described policy to cancelled before the expiration date thereof, the issuing company will nail 30 days written notice loft - certificate holder and additional insureds listed. AUTHORIZED REPRESENTATIVE: DATE ISSUED: