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EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: 2017-26 <br />CERTIFICATE OF INSURANCE <br />SPECIAL EVENT LIABILITY PROGRAM <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. O. Box 6450 <br />Santa Ana, CA 92701 <br />Newport Beach, CA 92658 <br />License No: OC 36861 <br />NAMED INSURED (EVENTHOLDER): <br />EVENT INFORMATION: <br />Nancy Alcala <br />TYPE: Arts & Crafts <br />1247 Hickory Street <br />DATE(S): 1/26/17 — 12/31/17 <br />Santa Ana, CA 92707 <br />LOCATION: El Salvador Center <br />*Liquor Liability Yes F-1 No Z <br />**LigLIor Liability after 12 am ends before 2 am E] <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(ics) 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: JAN UARY 1, 2018 <br />COMMERCIAL GENERAL LIABILITY <br />OCCORUNCE FORM <br />DEDUCTIBLENONE <br />General Aggregate Limit $2,000,000 <br />Products & Completed Operatoons 1,000,000 <br />SPECIAL CONDITIONS; <br />Personal & Advertising Injury 1,000,000 <br />The UloNving endorsettients attached to <br />Each Occurrence Limit 1,060,000 <br />the Master Policy do not apply to this <br />Damageo Premises Rented To Yon (Any One Premises) 100,000 <br />Certificate Of lrslarance: <br />Medical Payments (Any One Person) 5,000 <br />Liquor Liability (if purchased) L000,ow) <br />Optional Limits Purchased <br />❑ $1,000,000/$3,000,000 <br />❑ <br />i10 <br />$2,000,000/$2,000,000 <br />\93 <br />Damage To Property (If purchased) <br />\05 <br />............. ..... <br />The lituits of insurance apply separately to each event insured by this policy as if a separate policy Of insurance has beeq, , ya4652a <br />I <br />OTHER ADDITIONAL INSUREDS 7, 1 <br />CANCELLATION; ShOUld the above described policy he cancelled before the expiration date thereof, notice will be delivered in accordance with the policy <br />provisions. <br />AUTHORIZED REPRESENTATIVE: <br />DATE ISSUED: January 26, 2017 by Stella Fa'ardo <br />