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EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: 2016-02 <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. 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 />Bertha Jauregui <br />TYPE: Preschool/Daycare <br />2422 S. Shelton Street <br />DATE(S): 01/01/16 — 12/31/16 <br />Santa Ana, CA 92707 <br />LOCATION: Memorial Center <br />*Liquor Liability Yes ❑ No <br />**Li uor Liabili 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 />MASTER POLICY NUMBER: SEP41020 <br />MASTER POLICY DATES: EFFECTIVE: JANUARY I, 2016 EXPIRATION: JANUARY 1, 2017 <br />COMMERCIAL GENERAL. LIABILITY <br />OCCURRENCE FORM <br />DEDUCTIBLE: NONE <br />General Aggregate Limit $ 2,000,000 <br />Products & Completed operations 1,000,000 <br />SPECIAL CONDITIONS: <br />Personal & Advertising Iniury 1,00thow <br />Ilre following endorsements attached to <br />Each Occurrence Limit 1,000,000 <br />the Master Policy do not apply to this <br />Damage To Premises Rented To You (Any One Promises) 100,000 <br />Certitieate Of Insurance <br />Medical Payments (Any One Person) 5,000 <br />Liquor Liability (If purchased) 1000,000 <br />Optional Limits Purchased <br />❑ $1,000,000/$3,000,000 <br />❑ $2,000,000/$2,000,000 <br />e6by <br />�e�ie`N <br />Damage To Property (If purchased) <br />The limits of insurance apply separately to each event insured by this policy as if a separate policy o' anc Yiton i u at event. <br />OTHER ADDITIONAL INS REDS Q` <br />CANCEI I A"CION; Should the above described policy be cancelled before the expiration darn thereof, notice will be delivered in accordance with the policy <br />rovisions. <br />AUTHORIZED REPRESENTATIVE: <br />DATE ISSUED: December 15, 2015 by Briza Morales <br />