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EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: 201.7-02 <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. O. Box 6450 <br />Santa Ana, CA 92701. <br />Newport Beach, CA 92658 <br />License No: OC 36861 <br />NAMED INSURED (EVENT HOLDER): <br />EVEN I` INFORMATION: <br />Geraldine Valencia <br />TYPE: Gvmnastics <br />940 WC'hapman, Suite 100 <br />DATE(S): 1/01/17 — 12/31/17 <br />Orange, CA 92868 <br />LOCATION: Garfield Center <br />'Liquor Liability Yes El 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(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: JANUARY 1, 2018 <br />COMMERCIAL GENERAL LIABILITY <br />OCCURRENCE FORM <br />DEDUCTIBLE: NONE <br />General Aggregate Limit $ 2,000,000 <br />Products & Completed Operations l,000,000 <br />SPECIAL CONDITIONS: <br />Personal & Advertising Injury 1,000,000 <br />The following endorsements attached to <br />Each O curreTice [Jma t 1,000,000 <br />the Master Policy do not apply to this <br />Damage To Premises Rented To You (Any One Premises) 100,000 <br />Certificate Of Insurance: <br />Medical Payments (Any One Person) 5,000 <br />Liquor Liability (If purchased) 1,000,o00 <br />Optional Limits Purchased <br />❑ $1,000,00053,000,000 <br />S2,000,00 0/$2,000,000 <br />Damage To Property (If purchased) <br />Lhe .limits of insurance apply separately to each event insured by this policy as if a separate policy of insurance has been issued for that event. <br />OTHER ADDITIONAL INSUREDS <br />C;oceline Valencia <br />Flor Hernandez <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:il� gg <br />C.,lk a <br />DATE ISSUED: December 20 2016.by Stella. Fajardo <br />^ C, <br />