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EVIDENCE OF COVERAGE <br />DATE (1/202YVV) <br />_ <br />6/2/2024 <br />This Evidence of Coverage is used as a matter of information only and confers no rights upon the Certificate Flo Ider. This Evidence of Coverage does not <br />amend, extend, or alter the coverage afforded by the memoranda listed below. <br />MEMORANDUM NUMBER: 144 <br />JOINT POWERS AUTHORITY (JPA) <br />JPA MEMBER <br />Alliance of Schools for Cooperative Insurance Programs <br />16550 Bloomfield Avenue <br />Cerritos, CA 90703 <br />Santa Ana Unified School District <br />1601 E. Chestnut Avenue <br />Santa Ana CA 92701-6322 <br />www.ASCIP.org <br />CONTACT NAME: Mr. Reshan Ccoray <br />PHONE: (562) 404-8029 cooray@ascip.Grg <br />This is to certify that the Alliance of Schools for Cooperative Insurance Programs (ASCIP) Memorandum of Coverages on insurance listed below have <br />been issued to the Covered Party named above for the period indicated. Notwithstanding any requirement, term, or condition of any contract or other <br />document with respect to which this Evidence of Coverage may be used or may pertain, the coverages afforded by the Memorandum of Coverages <br />described herein are subject to all the terms, exclusions, and conditions of such Memorandum of Coverages. <br />TYPE OF COVERAGE <br />INSR DL <br />MEMORANDUM NUMBER (MOC) <br />(MMIDDNYYY) <br />POLIY Err <br />POLICY <br />LIMIT OF LIABILITY I COVERAGE <br />GENERAL <br />LIABILITY <br />COMBINED SINGLE LIMIT PER OCCURRENCE <br />$ $5,000,000 <br />OCCURRENCE <br />V <br />MOC #144 <br />7/1/2024 <br />7/1/2025 <br />AGGREGATE <br />7 none <br />_Personal Injury <br />,L <br />Errors & Omission <br />'—' <br />Employment Practices <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT PER OCCURRENCE <br />$ $5,000,000 <br />AUTOMOTIVE PHYSICAL DAMAGE <br />MOC #144 <br />7/1/2024 <br />7/1/2025 <br />ACTUAL CASH VALUE <br />$ <br />COMPREHENSIVE I COLLISION <br />ANYAUTO <br />Q�ned Aulo — <br />$ <br />Hired Auto <br />PROPERTY <br />ANDCONDITREPLACEMENTCOST SUBJECT TO POLICY LIMITS, <br />TERMS, <br />$ <br />BUILDING I CONTENTS <br />FIRE,THEFT, RENTAL INTERRUPTION <br />- <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />NIA <br />EACH ACCIDENT <br />$ <br />PER EMPLOYEE <br />$ <br />WC STATUTORY LIMITS <br />POLICY LIMIT <br />$ <br />OTHER <br />SUBJECT TO POLICY LIMITS. TERMS, AND CONDITIONS <br />EMPLOYEE DISHONESTY (CRIME) <br />ADDITIONAL REMARKS: <br />As respects to Agreement between the City of Santa Ana and Santa Ana Unified School District <br />CERTIFICATE HOLDER <br />CANCELLATION <br />Should any of the above coverages far 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 />City of Santa Ana <br />Parks, Recreation and Community Services <br />20 Civic Center Plaza <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 />Santa Ana CA 92701 <br />AUTHORIZED REPRESENTATIVE: Fritz J. I-Ieirlch <br />*ASCIP Is a jolntpowers authority pursuant MAMIcIe'1(commencing with section 6500)Chapters of Division 7ofTitle l ofthe Government Code and5ections 39603 and 81603 ofthe Education Code. nev5W <br />8,,59429- 1 144 1 24,25 All 'types I .Nancy Lopez 1 6!21/2023 10:50;21 AN i2DT) I Page 1 3= 2 <br />