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Southern California ReLiEF CERTIFICATE OF COVERAGE Issue Date <br /> Protected Insurance Program for Schools 6/27/2025 <br /> ADMINISTRATOR: LICENSE# 0451271 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br /> Keenan &Associates AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> 901 Calle Amanecer, #200 CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE <br /> San Clemente, CA 92673 AFFORDED BY THE COVERAGE DOCUMENTS BELOW. <br /> ENTITIES AFFORDING COVERAGE: <br /> Sophia Canez Llamas License No.4373942 310-212-0363 <br /> sllcmas@keenan.com ENTITY A: Southern California ReLiEF <br /> COVERED PARTY: ENTITY B: Protected Insurance Program for Schools <br /> North Orange County R.O.P. <br /> Northern Orange County Liability& Property SIA ENTITYC: <br /> 385 N. Muller Street ENTITY D: <br /> Anaheim CA 92801 <br /> ENTITY E: <br /> THIS IS TO CERTIFY THAT THE COVERAGES LISTED BELOW HAVE BEEN ISSUED TO THE COVERED PARTY NAMED ABOVE FOR THE PERIOD INDICATED. NOTWITHSTANDING ANY <br /> REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. THE COVERAGE <br /> AFFORDED HEREIN IS SUBJECT TO ALL THE TERMS AND CONDITIONS OF SUCH COVERAGE DOCUMENTS. <br /> MEMBER <br /> ENT TYPE OF COVERAGE COVERAGE EFFECTIVE/ RETAINED LIMIT LIMITS <br /> LTR DOCUMENTS EXPIRATION DATE /DEDUCTIBLE <br /> A GENERAL LIABILITY COMBINED SINGLE LIMIT EACH OCCURRENCE <br /> [Vf GENERAL LIABILITY],CLAIMS MADE [ OCCURRENCE SCR 00104-39 7/1/2025 $ 25,000 $ 1,000,000 <br /> [ <br /> GOVERNMENT CODES 7/1/2026 <br /> [ ERRORS&OMISSIONS <br /> [ SEXUAL ABUSE AND MOLESTATION <br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT EACH OCCURRENCE <br /> [ ANY AUTO SCR00104-39 7/1/2025 $ 25,000 $ 1,000,000 <br /> [ HIRED AUTO 7/1/2026 <br /> [ NON-OWNED AUTO <br /> [ GARAGE LIABILITY <br /> [ AUTO PHYSICAL DAMAGE <br /> A PROPERTY SCR 00104-39 7/1/2025 $ 25,000 $ 500,250,000 <br /> [ ALL RISK 7/1/2026 EACH OCCURRENCE <br /> LL <br /> [ EXCLUDES EARTHQUAKE&FLOOD <br /> [ ]BUILDER'S RISK <br /> A STUDENT PROFESSIONAL LIABILITY SCR 00104-39 7/1/2025 $ 25,000 $ Included <br /> 7/1/2026 EACH OCCURRENCE <br /> B WORKERS COMPENSATION [ ]WC STATUTORY LIMITS OTHER <br /> [�J EMPLOYERS'LIABILITY PIPS0012822 7/1/2025 $ <br /> 7/1/2026 $ 1,000,000 <br /> E.L.EACH ACCIDENT <br /> EXCESS WORKERS COMPENSATION $ 1,000,000 <br /> [ ]EMPLOYERS'LIABILITY $ E.L.DISEASE-EACH EMPLOYEE <br /> $ 1,000,000 <br /> E.L.DISEASE-POLICY LIMITS <br /> Digitally signed <br /> 101 y u ran <br /> OTHER guyen Nguyen APPROVED <br /> Date:2025.11.06 $ <br /> 08:38:57-08'00' <br /> $ By Tu Tran Nguyen at 8:38 am,Nov 06,2025 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL PROVISIONS: <br /> As respects to the Subaward Agreement for Workforce Training by and between the City of Santa Ana and North Orange County Regional Occupational <br /> Program identified by the assigned Unique Entity Identifier Number Y42HCM26UKN1. <br /> $2,000,000 annual aggregate,as required by contract. <br /> CERTIFICATE HOLDER: <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Santa Ana THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> P.O. Box 1988 (M-76) ACCORDANCE WITH THE POLICY PROVISIONS <br /> 20 Civic Center Plaza (M-30) <br /> Santa Ana CA 92702-1988 <br /> John Stephens AUTHORIZED REPRESENTATIVE <br /> www Ce sOniinex m <br /> 25990885 1 NORTHORAI 125/26 Super Pool P&L I Sophia Canez Llamas 6/27/2025 9:42:10 AM (PDT) I Page 1 of 3 <br />