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AddWonal Covered Party Endorsement <br />Endorsement No. <br />D1Stl'1Ct: Whittier Union High School District <br />80572268 <br />Additional Covered Party: <br />Description of Operations, Vehicle, or Property: <br />City of Santa Ana <br />As respects to Adult School Contract between Adult School and Santa Ana <br />The City of Santa Ana, its officers, officials, employees, and <br />volunteers are to be covered as additional insureds on the <br />Workforce Development Board <br />CGL policy with respect to liability arising out of work or <br />operations performed by or on behalf of the Contractor <br />including materials, parts, or equipment furnished in <br />connection with such work or operations <br />Coverage Period: Effective:7/1/2024 Expires 12:01 a.m.: 7/1/2025 <br />The coverage provided to the Covered Party is hereby extended by this endorsement to the Additional Covered Party named above <br />in accordance with the provisions contained in the Memorandum of Coverage (MOC). The coverage extended hereby applies only <br />with respect to liability arising out of activities in the Description of Operations, Vehicle, or Property noted above. It is intended by <br />ASCIP in issuing this endorsement to defend and/or indemnify the Additional Covered Party. In issuing this endorsement, ASCIP <br />intends and agrees to extend coverage pursuant to the terms and conditions of the MOC to the Additional Covered Party named <br />above only to the extent that the Additional Covered Party faces liability arising out of claims, demands, or lawsuits claiming money <br />damages on account of bodily injury or property damage as defined and limited in the ASCIP MOC. The limits of liability extended <br />to the Additional Covered Party listed above is $5,000,000 per occurrence for liability. Such insurance as afforded by this policy <br />shall be primary, and any insurance carried by the Additional Covered Party named above shall be in excess and non-contributory. <br />Authorized Representative: <br />Date Issued:6/20/2024 <br />ASCIP is a joint powers authority pursuant to Article 1 (commencing with Section 6500) of Chapter 5 of Division 7 of Title 1 of the Government <br />Code and Sections 39603 and 81603 of the Education Code. <br />Rev 5/97 <br />Risk Management Division <br />REVIEWED & APPROVED BY. <br />Ag�z AaN4 Z <br />® Risk Management Specialist <br />80572268 1 58 1 24/25 All Types WC I Sonia Rojas 1 6/20/2024 4:43:16 PM (PDT) I Page 2 of 3 <br />