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EVANSTON INSURANCE E COMPANY <br />CERTIFICATE NO.: 2017-13 <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): 01/01/17 — 12/31/17 <br />Santa Ana, CA 92707 <br />LOCATIOM Memorial Center <br />ility YesF] <br />**Liquor e <br />� <br />Liauor bility after 122 am d before 2 am [� <br />This is to certify that the insurance policy listed below has been issued to tree 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 pollcy(1es) 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, 201.8 <br />COMMERCIAL GENERAL LIABILITY <br />OCCURRENCE. FORM <br />DEDUCTIBLE: NONE <br />General Aggregate Limit S 2,000,000 <br />Products & Completed Operations 1,000,000 <br />SPECIAL CONDITIONS: <br />Personal & Advertising injury 1,000,000 <br />The following endorsements attached to <br />Each Occurrence Linllt 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 Irtsadrance: <br />Medical Payments (Airy One Person) 5,000 <br />'` <br />Liquor Liability (If Purchased) 1,000,000 <br />x) <br />Optional Limits Purchased <br />❑ <br />ON <br />A <br />$1,000,000/$3,000,000 <br />❑ $2,000,000/$2,000,000 <br />Damage To Property (If purchased) <br />l <br />The limits of insurance apply separately to each event insured by this policy as rfa, separate <br />policy of Insurance has been issued <br />for that event. <br />OTHER ADDITIONAL INSUREDS <br />C'ANCELI.ATION: 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: December 21, 2016 by Stella Fajardo <br />