HomeMy WebLinkAboutEvangelica Certificate of InsuranceEVANSTON INSURANCE COMPANY
CERTIFICATE NO.:
CERTIFICATE OF INSURANCE
COVERAGE EXCLUDED FOR NOMINEE EVENTS SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTS.
SPECIAL EVENT LIABILITY PROGRAM
PRODUCER
PUBLIC ENTITY (ADDITIONAL INSURED)
Alliant Insurance Services, Inc. in conjunction with
Apex Insurance Services
P. O. Box 6450
Newport Beach, CA 92658
License No: OC 36861
City of National City
1243 National City Boulevard
National City, CA 91950
NAMED INSURED (EVENT HOLDER):
Ivette Sanchez
San Pablo Choir
224 W. PIaza Boulevard
National City, CA 91950
EVENT INFORMATION:
TYPE: Haz 1.- Musical - Tenant
DATE(S): 04/23/11
LOCATION: MLK Center
*Liquor Liability Yes ❑ No x
**Liquor Liability after 12 am ends before 2 ant ❑
This is to certify that the insurance policy listed below has been issued to the above insured named (event holder) for the policy
period indicated. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This
certificate does not affirmatively or negatively amend, extend or alter the coverage afforded by the policy listed and it does not
constitute a contract between the insurance carrier, authorized representative, producer and certificate bolder. The insurance
described herein is subject to all the terns, exclusions and conditions of such policy(ies).
INSURANCE CARRIER: Evanston Insurance Company
MASTER POLICY NUMBER: 11 SEP 1000001
MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2011 EXPIRATION: JANUARY 1, 2012
COMMI3RCIAL GENERAL LIABILITY
General Aggregate Limit 12,000,000
Products & Completed Operations 1,000,000
Personal & Advertising Injury 1,000,000
Each Occurrence Limit 1,000,000
Fire Damage (Any One Fire) 50,000
Medical Payments (Any One Person) 5,000
Liquor Liability (If purchased) 1,000,000
OCCURRENCE FORM
DEDUCIBLE: NONE
The limits of insurance apply separately to each event insured by this )olicy as if a separate policy of insurance has been issued for that event.
"Who is insured" is amended to include, as an insured, the person or organization shown in this schedule, but only with respect to liability arising out of the
ownership, maintenance or use of the premises used by the wanted insured (event holder). This insurance does not apply to: Any "occurrence" which takes place
after the event holder ceases to be a tenant in that premises.
OTHER ADDITIONAL INSUREDS
Community Development Commission (CDC)
City of National City
CANCELLATION: Should the above described policy be cmccllcrt hcfnre. Ihr. Kgoi,aIinn (late (hereof, notice will be delivered in accordance with the policy
provisions. Every effort will be made to deliver 30 days wr , n --- dilional insured(s) listed.
AUTHORIZED REPRESENTATIVE:
DATE ISSUED: 03/24/11