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EVANSTON fNSURANCE COMPANY <br />CERTIFICATE NO.: 2017-36 <br />CERTIFICATE OF INSURANCE <br />SPECIAL EVENT LIABILITY PROGRAM <br />PRODUCER <br />PUBLIC ENTITY (ADDITIONAL INSURED) <br />Alliant Insurance Services, Inc, in 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 9265E <br />License No: OC 36861 <br />NAMED INSURED (EVENT HOLDER): <br />EVENT INFORMATION: <br />Pat A. Hurley <br />TYPE: Music <br />149920 Minneola Ct. <br />DATE(S): 3/21/17 — 1-2/31/17 <br />Tustin, CA 92780 <br />LOCATION: El Salvador Center <br />*Liquor Liability Yes 0 No Z <br />**Li nor Li abi I ity after 12 am ends before 2 am El <br />This is to certify that the insurance policy listed below has been issued to the above insured named (event holder) for tile 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 />MASTER POLICY NUMBER: SEP41023 <br />MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2017 EXPIRATION: JANUARY 1, 2018 <br />COMMERCIAL GENERAL LIABILIVY <br />Cieneral Aggregate Litnit <br />OCCURRENCE FORM <br />DEDUCTiBLE: NONE <br />S 2,000,000 <br />Products &Z'ornpleted Operations 1,000,000 <br />SPECIAL CONDITIONS: <br />Personal & Advertising injUry 1,000,00(7 <br />Each Occurrence Limit <br />The fo I lowi rig endorse tents at tac lied to <br />1,000,000 <br />Dmiage'l'o Premises Rented To Yon (Any One Preinkes) l 00,000 <br />the Master Policy do not apply to this. <br />Ctilificale Oi'hIlsurancci <br />Medical Payments (Any One Person) 5,000 <br />Liquor Liability (if purchased) 1,000,000 <br />Optional Limits Purchased <br />0 $1,000,000/$3,000,000 <br />$2,000,00012,000,000 <br />Damage To Property (If purchased) <br />The limits of insurance apply Separately to each event insured by this policy as if separate policy OfiflSUranve has bqe,�q, 4,t k <br />OTHER ADDITIONAL INSUREDS <br />CANCELLATION: Should the above described Policy be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy <br />provisions. <br />AUTHORIZED REPRESENTATIVE: <br />DATE ISSUED: March 21 2017 Stella Fa'rndo <br />