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EVIDENCE OF COVERAGE <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: 144 <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 <br />CONTACT NAME: Mr. Reshan COOray <br />PHONE: (562) 404-8029 roomy@ascip.org <br />JPAMEMBER <br />Santa Ana Unified School District <br />1601 E. Chestnut Avenue <br />Santa Ana CA 92701-6322 <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 />ADDL <br />INSR <br />MEMORANDUM NUMBER (MOC) <br />POLICY EFF <br />(MMIDDIYYYY) <br />POLICY ERP <br />12:01a.m. <br />LIMIT OF LIABILITY/COVERAGE <br />GENERALLIABILITY <br />OCCVRRENCE <br />Personal Injury <br />�/ <br />MOC #144 <br />7/1/2024 <br />7/1/2025 <br />COMBINED SINGLE LIMIT PER OCCURRENCE <br />S $5,000,000 <br />AGGREGATE <br />$ none <br />S <br />Errors & Omission <br />S <br />Employment Practices <br />$ <br />AUTOMOBILE <br />LIABILITY <br />AUTOMOTIVE PHYSICAL DAMAGE <br />COMPREHENSIVE I COLLISION <br />ANYAUTO <br />Owned Auto <br />MOC #144 <br />7/1/2024 <br />7/1/2025 <br />COMBINED SINGLE LIMIT PER OCCURRENCE <br />$ $5,000,000 <br />ACTUAL CASH VALUE <br />S <br />s <br />S <br />S <br />Hired Auto <br />$ <br />PROPERTY <br />BUILDING / CONTENTS <br />FIRE, THEFT, RENTAL INTERRUPTION <br />NIA <br />AND EMPLOYERS' LIABILITY <br />WC STATUTORY LIMITS <br />OTHER <br />EMPLOYEE DISHONESTY (CRIME) <br />ADDITIONAL REMARKS: <br />As respects to use of their facilities by SAUSD schools for sports practices and sports games <br />CERTIFICATE HOLDER <br />City of Santa Ana <br />Attn: Risk Menagement Division <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br />S <br />$ <br />S <br />S <br />EACH ACCIDENT <br />S <br />PER EMPLOYEE <br />S <br />POLICY LIMIT <br />S <br />SUBJECTTO POLICY LIMITS, TERMS, AND CONDITIONS <br />S <br />S <br />S <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 liabilityof <br />any kind upon ASCIP, Its agents, or representatives. <br />AUTHORRED REPRESENTATIVE: Fritz J. HE <br />'ASCIP is ajoint powers authority pursuamto Article 1(commencing with Section 6SOO) Chapter 5 of Division 7 of Title 1 ofthe Government Code and Sections <br />>A"�4q <br />Wde MerMgernerd Dlwirnt = <br />RwswED & APPRw® BY: <br />RISle blanagemenl SpeuXlst -- <br />30534296 1 144 1 24/25 511 T,,ea I Fancy Lopez 1 6/21/2934 t0:50:21 AH IPDT) I Page 1 of 2 <br />