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EVIDENCE OF COVERAGE DATE(MM/OD/YYYY) <br /> --- 6/21/2024 _ <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: 144 <br /> JOINT POWERS AUTHORITY(JPA) VA MEMBER _ <br /> Alliance of Schools for Cooperative Insurance Programs Santa Ana Unified School District <br /> 16560 Bloomfield Avenue 1601 E.Chestnut Avenue <br /> Cerritos, CA 90703 Santa Ana CA 92701-6322 <br /> www.ASCIP.org <br /> CONTACT NAME: Mr.Reshan Caaray <br /> PHONE:(562)4048020 cooray@asclp.org <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 N9R MEMORANDUM NUMBER(MCC) (L MMNg1YYYVI POLICY <br /> 1201 a.mP LIMIT OF LIABILITY!COVERAGE <br /> GENERAL LIABILITY COMBINED SINGLE LIMIT PER OCCURRENCE $ $5,000,000 <br /> ✓ OCCURRENCE ,/ MOO #144 7/1/2024 7/1/2025 AGGREGATE $ none <br /> _Personalising_fig_ — $ <br /> _,/ Errors d Omission <br /> ✓ Employment Practices _ $ <br /> ... <br /> AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT PER OCCURRENCE $ $5,000,000 <br /> AUTOMOTIVE PHYSICAL DAMAGEI <br /> MOO #1447/i(2024 7/1/2025 ACTUAL GASH VALUE $ <br /> COMPREHENSIVE/COLLISION <br /> $ <br /> ANY AUTO "•""' ---.— <br /> Hired Auto $ <br /> _ T_ $ <br /> PROPERTY ANPLCEMENNOBI SUBJECT TO POLICY LIMITS,TERMS, <br /> ;WILDING fCONTENTS <br /> El <br /> FIRE,THEFT,RENTAL INTERRUPTION - ^ -- —^" <br /> $ <br /> $ <br /> ................_ ..r ...... _-" $ <br /> WORKERSCOMPENSATION N/A EACEI ACCIDENT <br /> AND EMPLOYERS'LIABILITY— <br /> $ <br /> WC STATUTORY LIMITS PER EMPLOYEE $ <br /> POLICY LIMIT $ <br /> OTHER SUBJECT TO POLICY LIMITS,TERMS,AND CONDITIONS <br /> EMPLOYEE OISHONESTY(CRIME) -^—^--- <br /> $ <br /> ADDITIONAL REMARKS: <br /> • <br /> As respects to Agreement between the City of Santa Ana and Santa Ana Unified School District <br /> CERTIFICATE HOLDER 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 mall '30 days written notice to the <br /> Certificate Holder,but failure to mall such notice shall Impose no obligation or liability of <br /> City of Santa Ana any kind upon ASCIP,Its agents,or representatives. <br /> Parks, Recreation and Community Services <br /> 20 Civic Center Plaza <br /> Santa Ana CA 92701 <br /> AUTHORIZED REPRESENTATIVE: Fritz J.Heirich <br /> "ASCIP Is a Joint powers authority pursuant to Article 1(commendeg with Section 0500)Chapter Sat Division 7of Titlel of Die Government Code and Sections 39603 and 81603 of the Education Code. aev4e7 <br /> 00591297 I L44 12f125 All 'Pipes I Nancy Lopez 16/21/2024 10:50;21 AN IPDT) I ease 1 on 2 <br />