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EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: 2017-08 <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 />EVENT INFORMATION: <br />Silvia Salgado <br />TYPE: Zumba <br />610 S Clara St. <br />DATE(S): 01/01/17-12/31/17 <br />Santa Ana, CA 92703 <br />LOCATION: Jerome Center <br />*Liquor Liability YesEl No <br />C I . Lip C) I i cy"�� I <br />"Liquor Liability after 12 am ends before 2 a 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(ies) 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 GE"NFRAL LIABILITY <br />OCCURRENCE FORM <br />DEDUCTIBLE: NONE <br />General Aggregate Limit $2,000,000 <br />Products & Completed Operafions 1,000,000 <br />SPECIAL CONDITIONS: <br />Personal & Advertising Injury 1,000,000 <br />The 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 Premises) 100,000 <br />Cerr t )of. InSffance: <br />Medical Payments (Any One Person) 5,000 <br />Liquor Liability (if purchased) I'mo,000 <br />Optional Limits Purchased <br />k <br />$1,000,0001$3,000,000 <br />$2,000,000/$2,000,000 <br />Coe <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 Of insurance has been issued for that event. <br />OTHER ADDITIONAL INSUREDS <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: <br />DATE ISSUED: December 20, 2016...by Stella Faiard <br />