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E VA N STON INSURANCE COMPANY <br />CERTIFICATE NO.: 2016-23 <br />CERTIFICATE OF INSURANCE <br />SPECIAL EVENT LIABILITY PROGRAM <br />PRODUCER <br />PUBLIC ENTITY (ADDITIONAL INSURED) <br />Alliant Insurance Services, Inc. in C011JUrIction with <br />City of Santa Ana <br />Apex Insurance Services <br />20 Civic Center Plaza <br />R 0, Box 6450 <br />Santa Ana, CA 92.701 <br />Newport Beach, CA 92658 <br />License No: OC 36861 <br />NAMED INSURED (EVENT IAOUDER): <br />EVENT INFORMATION: <br />Nora Sanchez <br />TYPE: Preschool/Daveare <br />15681 S. Myrtle Avenue <br />DATE(S): 01/13/16 - 12/31/16 <br />Tustin, CA 92780 <br />LOCATION: - El Salvador Center <br />*Liquor Liability Yes [-] No M <br />"Liquor Liability after 12 am ends before 2 any <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 ilISUrance described herein is SUbject to all the terms, exclUSiOns and conditions Of SLICK poficy(ies) unless <br />amended as described it) Special Conditions. <br />INSURANCE CARRIER: Evanston Insurance Company <br />MASTER POLICY NUMBER: SEP41020 <br />MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2016 EXPIRATION: JANUARY 1, 2017 <br />COMMLRCIAL GENLAAL LIABILITY <br />OCCURRENCE FORM <br />DFIDUCTIBLI-i NONE <br />General Aggregate Limit $2,000,000 <br />Products & Completed Operations 1,000,000 <br />SPECIAL CONDITIONS: <br />Personal & Advertising in]LIFY 1,()00,0()0 <br />'1 lie following endorsements attached to <br />Facli Occurrence Limit I ,000'()O(F <br />the Master Policy do not apply to this <br />Damage To Premises Rented To You (Any One Premises) 100,000 <br />Ceuta "hate Of hlAlrdnce: <br />Medical Paymenis (Any One llm;on) 5,000 <br />LiqUor Liability (if purchased) 1,000,000 <br />Optional Limits Purchased <br />❑ S1,000,000/$3,000,000 <br />52,000,00052,000,000 <br />Damage To Property (if purchased) <br />\e <br />The I HE its Of insurance apply separately to each eVellt insured by this policy as i fa <br />separate 1)01 icy of insurance <br />d 6 5 ent, <br />OTHER ADDITIONAL INSL1REj)W0'- <br />V <br />CANCLLLAJJON: Should the above described policy be cancelled before the expiration date thereod' notice will be delivered in accordance with the policy <br />provisions <br />DATE ISSUED: — January 13, 2016 by Briza Morales <br />