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EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: 2015.20 <br />CERTIFICATE OF INSURANCE <br />SPECIAL EVENT LIAIIILITY PROGRAM <br />PRODUCER <br />PUBLIC ENTITY (ADDITIONAL, INSURED) <br />Alliant Insurance Services, Inc, !it conjunction with <br />City of Santa Ana <br />Apex Insurance Services <br />20 Civic Center Plaza <br />P. 0. Box 6450 <br />Santa Ana, CA 92701 <br />Newport Beach, CA 92658 <br />License No: OC 36861 <br />NAMED INSURED (EVENT HOLDER): <br />EVENT INFORMATION: <br />Mellon Herrera <br />TYPE: Preschool/Daycare <br />783 Olympic Ave. <br />DATE(S): 02/18/15—12/31/15 <br />Costa Mesa, CA 92626 <br />LOCATION: Corbin Center <br />*Liquor Liability Yes ❑ 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. The insurance described herein is subject to 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 />MAST Ell POLICY NUMBER: SEP41017 <br />MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2015 EXPIRATION: JANUARY 1, 2016 <br />COMMERCIAL OENERAL LIABILITY <br />OCCLIRRENCE FORM <br />DEDUCTIBLE: NONE <br />General Aggregate Linna $ 200,000 <br />Products & Completed Operations 1,000,000 <br />SPECIAL CONDITIONS: <br />Personal & Advertising Injury 1,000,000 <br />The following endorsements attached to <br />Hitch Occurrence Unit 1,000,000 <br />the Master Policy do not apply to this <br />Damnge'ro Premises !tented To You (Any One Premises) 100,000 <br />Certificate Of Insurance. <br />Medical Payments (Any One Person) 5,000 <br />Liquor Liability (Ifpurchosed) 1,000,000 <br />Optional Limits Purchased <br />❑ $110001000/$3,000,000 <br />❑ $210001000/$210001000 <br />Damage To Property (If purchased) <br />The limits of insurance apply separately to each event insured by this policy as if separate policy of insurance has been issued for that even. <br />OTHER ADDITIONAL INSUREDS <br />CAA- CELLA7'IGN: Should the above described policy be cancelled before the expiration ditto thereof, notice will be delivered in accordance with the policy <br />rtnvisiuns. <br />AUTHORIZED REPRESENTATIVE: <br />DATE ISSUED: Febr rarer 8. 2015 by Briza Morales_ _� _� <br />