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EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: 2017- 30 <br />CERTIFICATE OF INSURANCE <br />SPECIAL EVENT LIABILITY PROGRAM <br />PRODUCER <br />PUBLIC ENTITY (ADDITIONAL INSURED) <br />Alllant 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 92655 <br />License No: OC 36861 <br />NAlv1ED INSURED (EVENT HOLDER): <br />EVENT INFORMATION: <br />Nora Sanchez <br />TYPE: Preschool/ lDayeare <br />12061 Janette Lane <br />DATE S <br />( ): 01./30/1"7—12i31/i7 <br />Garden Grove, CA 92840 <br />LOCATIOM El Salvador Center <br />t. • <br />*Liquor Liability Yes ❑ No <br />"Liquor Liability after 12 am ends before 2 am 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 terins, 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, 2015 <br />COMMERCIAL GENERAL UABILI`I'Y <br />OCCURRFNC E FORM <br />DEDUCTIBLE NONE <br />General Aggregate Limit $ 2,,000,000 <br />Products & Completed Operaliorns 1,000„000 <br />SPECIAL C ONDHTICO"NS: <br />Personal & Advertising Injury 1,000,000 <br />The following endorsements attached to <br />Each Occurrence Limit 1,000,000 <br />the Master PMCy do Ttot 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) 1,000,000 <br />(Optional Limits Purchased <br />❑ $1,000,0001$3,000,000 <br />❑ $2,000,00052,000,000 <br />Damage To Property (If purchased) <br />t^'�a <br />The limits ofinsmanxe apply separately to each event insured by this policy as it'a separate policy of insurance has been qO HdTor 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: January 30 2017 By Stella Fajardo <br />