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i~ACCURATE BUSINESS SERVICES <br />EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: 2DDSA3 <br />FAX N0. :949-786-9015 Jan. 30 2008 02:44PM P2 <br />CERTIFICATE OF INSURANCE <br />EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPLICATIONS FOR tiQMINEE EVENTS. <br />SPECIAL EVENT LIABILITY PROGRAM <br />PRODUCER: PUBLIC ENTIIY (ADDITIONAL INSURED) <br />Alliant Instuance Sen'ices, Inc. in conjtmclion with <br />Apex Insurance Services <br />P. O. Box 6450 <br />Newport Beach, CA 92658 <br />(949)660-8]35 <br />License No: OC 3Ei861 <br />~ <br />NAMED INSURED (EVENT BOLDER): EVENT INFORMATION: <br />Sue McCullough TYPE: Employability R'orkshop <br />44Snepdragon DATE(S): Jan. 08-Dec. 08 <br />Irvine, CA 926D4 LOCATION: Santa Ana WORK Center <br /> `Liquor Liability Yes ^ No ^ <br /> **L~ nor Liabilit aRer 12 am ends before 2 am ^ <br /> <br />This is to certify that the policies of insurance listed below have been issued to the insured named above for the policy period <br />indicated. Notwithstanding any requirements, terms or conditions of any contract or odter document with respect to which this <br />certifteate maybe issued or may pertain, the insurance afforded by the policies descnbcd herein is subject to all the terms, <br />exclusions and conditions of such policies. Limits shown may have been reduced by paid claims. <br />INSURANCE CARRIER: Evanston Insurance Company <br />MASTER POLICY NUMBER: 04SEP] 000001.4 <br />MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2008 EXPIRATION: JANUARY 1, 2009 <br />COMMEKCfAL GEhTRAL LL1IIILlTY OCCIJaaF:NCf: M?KM UE.n11C11HL5: NONE <br />General Aggregate Limit 5 2,000,000 <br />Products & Completed Operctions 1,000,000 <br />persaoal&Adverlving injury 1,000,00(1 <br />Each Occurrence Gmit 1,000,000 <br />Fire Danwge (Any Onz Pin) $0,[aH1 <br />Medical Payments (Any One Yentm) $,000 <br />Liquor Liabi]ity (If purchased) 1,000,(10(1 <br />The ]invite of insurance apply scpnrakly to each event irtstrtud by This polity as if a szparale polity of insurartCC has been issued fur Ihat evcnL <br />"Wlfo is insured" IS amended m include, as an insured, the person pr nrganivadon shown in this schedule, but only with respect to liability arising out of the <br />ownership, maintenance or use o1'the prrmiscs usai by thenamed insured (event holder). This insurance does not apply to: Any °occurcznez" which takes place <br />aver the event holdlx ceases to bz a tensnt ht that premises. <br />OTAER ADDITIONAL INSUREDS <br /> <br /> <br />CANCELIATION'. Should me above described polity [o canccpcd before the cxpimtinn dote thcreUf, the issuing company will moil 30 days wrinen nonce to dte <br />cettitSwtc holdCr aM additional insutcds listed. <br /> <br />AUTHORIZED <br />DATE ISSUED: <br />