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EVIDENCE OF COVERAGE <br />DATE (MM/DD/YYYY) <br />6/20/2024 <br />This Evidence of Coverage is used as a matter of information only and confers no rights upon the Certificate Holder. This Evidence of Coverage does not <br />amend, extend, or alter the coverage afforded by the memoranda listed below. <br />MEMORANDUM NUMBER: 58 <br />JOINT POWERS AUTHORITY (JPA) <br />Alliance of Schools for Cooperative Insurance Programs <br />16550 Bloomfield Avenue <br />Cerritos, CA 90703 <br />www.ASCIP.org An <br />CONTACT NAME: Mr. ReShan COora e� <br />I <br />PHONE: (562) 404-8029 cooray.org <br />gas <br />JPA MEMBER <br />Whittier Union High School District <br />9401 South Painter Avenue <br />Whittier CA 1060D7fg9itally signed <br />by Angie Acevedo <br />to ha e <br />This is to certify that the Alliance of Schools for Cooperative Insurance Programs (ASCIP Mem�dum of Covera s o� 1� ra e li e7fcc"ov <br />been issued to the Covered Party na d above for the period indicated. Notlndi g any r, o�ld�i'oy/ny o ootr <br />er h I •e/ra 2c o rags <br />document with respect to which t ide IL pigV164 <br />described herein are subject to all m exclu sand of Coverages. <br />TYPE OF COVERAGE <br />INSR <br />EMO DUM BER OC) <br />(MMIDP12:01a.m.P <br />IIv1;T <br />IA LITY I E AG <br />GENERAL <br />LIABILITY <br />OCCURRENCE <br />Personal Injury <br />,/ <br />MOC #58 <br />7/1/2024 <br />7/1/2025 <br />COMBINED SINGLE LIMIT PER OCCURRENCE <br />$ $5,000,000 <br />AGGREGATE <br />$ none <br />$ <br />Errors & Omission <br />$ <br />Employment Practices <br />$ <br />AUTOMOBILE <br />LIABILITY <br />AUTOMOTIVE PHYSICAL DAMAGE <br />COMPREHENSIVE / COLLISION <br />ANY AUTO <br />Owned Auto <br />�/ <br />MOC #58 <br />7/1/2024 <br />7/1/2025 <br />COMBINED SINGLE LIMIT PER OCCURRENCE <br />$ $5,000,000 <br />ACTUAL CASH VALUE <br />$ <br />$ <br />$ <br />$ <br />Hired Auto <br />$ <br />PROPERTY <br />BUILDING / CONTENTS <br />FIRE, THEFT, RENTAL INTERRUPTION <br />REPLACEMENT COST SUBJECT TO POLICY LIMITS, TERMS, <br />AND CONDITIONS <br />$ <br />$ <br />$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />❑✓ WC STATUTORY LIMITS <br />N/A <br />MOC #58 <br />7/1/2024 <br />7/1/2025 <br />EACHACCIDENT <br />$ $2,000,000 <br />PER EMPLOYEE <br />$ $2,000,000 <br />POLICY LIMIT <br />is $2,000,000 <br />OTHER <br />EMPLOYEE DISHONESTY (CRIME) <br />SUBJECTTO POLICY LIMITS, TERMS, AND CONDITIONS <br />$ <br />$ <br />$ <br />$ <br />ADDITIONAL REMARKS: <br />As respects to Adult School Contract between Adult School and Santa Ana Workforce Development Board <br />(Includes Professional Liability) <br />CERTIFICATE HOLDER <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza;/ <br />Santa Ana CA 92702 <br />CANCELLATION <br />Should any of the above coverages for the Covered Party be changed or withdrawn prior <br />to the expiration date issued above, ASCIP will mail 30 days written notice to the <br />Certificate Holder, but failure to mail such notice shall impose no obligation or liability of <br />any kind upon ASCIP, its agents, or representatives. <br />/," `�/ / RA ManagementDiviaian <br />% REVIEWED <br />/y& APPROVED BY. <br />AUTHORIZED REPRESENTATIVE: Fritz J. H21f1 �-5-11�1,-I--�L: - T'Ig,�z AaN 44 <br />7 of Title 1 of the Government Code and Sections 396 Risk Management Specialist <br />*ASCIP is a joint powers authority pursuant to Article 1(commencing <br />with Section 6500) Chapters of Division <br />80572268 1 58 1 24/25 All Types WC I Sonia Rojas 1 6/20/2024 4:43:16 P61 (PDT) 1 Page 1 of 3 <br />