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EVANSTON INSURANCE COMPANY <br />CERTIFICATE NO.: <br />CERTIFICATE OF INSURANCE <br />SPECIAL EVENT LIABILITY PROGRAM <br />11 PRODUCER I PUBLIC ENTITY (ADDITIONAL INSURED) 11 <br />Alliant Insurance Services, Inc. in conjunction with <br />Apex Insurance Services Liquor Liability applies to only September 16, 17, 2017 <br />P. O. Box 6450 <br />Newport Beach, CA 92658 <br />License No: OC 36861 <br />NAMED INSURED (EVENT' HOLDER): <br />AUTHORIZED <br />EVENT INFORMATION: <br />City of Santa Ana <br />TYPE: Annual Fiestas Patrias <br />P 0 Box 1.988 <br />DATE(S): September 15, 16, 17, 18, 2017 <br />Santa Ana, CA 92702 <br />LOC.ATIONT Downtown Santa Ana <br />7 --'7")- <br />*Liquor Liability Yes F No El <br />"Liquor Liability after 12 am ends before 2 am <br />']'his is to certify that the insurance policy listed below has been issued to the above insured narned (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 />MAs'rER POLICY NUMBER: SEP41023 <br />MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2017 EXPIRATION: JANUARY 1, 2018 <br />COMMERCIAL GENLRAL LIABILITY <br />OCCURRENCE FORM DEDUCTIBLE NONE <br />General Aggregate Limit $ 2,000,000 <br />PrOdUOS & Completed Operations 1,000,000 <br />SPECIAL CONDHIONS: <br />PersonaB & Advertising Injury 1,00(),000 <br />The following endorsements attached to <br />Each Occurrence Limit 1,000,000the <br />Master Policy (to nor apply to this <br />Damage To Premises RentcdTo You (Any One Premises) 100,000 <br />Certificate Of IIISLIranCe: <br />Medical Payments (Any One Person) 5,000 <br />11 1�1, L 161 <br />MEGLl64 <br />ON <br />Liquor Liability (if purchased) u'000'000 <br />Optional Limits Purchased <br />F] $1,000,000/$3,000,000 <br />e �Njon <br />52,000,00052,000,000 <br />J '0 <br />Damage To Property <br />(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 />Bobby Nava <br />Andrea USA Start Computer Repair <br />Raul Martinez <br />Pei -feet Smile Dental Dr Sheldon Lu <br />Jose Manuel Garcias <br />CA Work Injury Law Center <br />Santa Aria Business Council <br />Castulo Ramirez <br />Jose Romo <br />Leonel Torres <br />Mexican Consulate <br />Sixto Romero <br />Virgilio Satelite <br />Novamex-Sergio Buenostro <br />CANCELLATION: Should the above described policy be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy <br />pro v i s io ns - <br />s <br />AUTHORIZED REPRESENTATIVE: <br />DATE ISSUED: <br />