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<br />i <br /> <br />. <br /> <br />A . lC)01. OJo <br /> <br />.. <br /> <br />Association of California Water Agencies I Joint Powers Insurance Authority <br />5620 Birdcage Street, Suite 200, Citrus Heights, CA 95610 <br /> <br />CERTIFICATE OF COVERAGE <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN <br />THOSE PROVIDED IN THE COVERAGE DOCUMENT. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED Y THE <br />COVERAGE DOCUMENTS LISTED HEREIN. <br /> <br />MEMBER <br />Orange County Water District <br />P.O. Box 8300 <br />Fountain Valley. CA 92728-8300 <br /> <br /> <br />COVERAGE INFORMATION <br />This is to certify that coverage documents listed herein have been issued to the Member Agency herein for the Coverage period indicated. Not withstanding any <br />requirement, term or condition of any contract or other document with respect to which the certificate may be issued or may pertain. the coverage afforded by the <br />coverage documents listed herein is subject to all the terms, conditions and exclusions of such coverage documents. <br /> <br />T e of Covera e Certificate # Effective Date Ex ¡ration Date <br /> <br />Limits <br /> <br />General Liability <br /> tf Commercial General Liability <br />iii Contractual Liability <br />ø Products/Completed Operations <br />ø Occurrence <br /> <br />MOLC-100103 <br /> <br />10/1/2003 <br /> <br />10/112004 <br /> <br />A9gregate <br />Per Occurrence <br /> <br />$5,000,000 <br />$5,000,000 <br /> <br />Auto Liability <br />ø Owned Autos <br />6::1 Hired Autos <br />6::1 Non-Owned Autos <br /> <br />MOLC-100103 <br /> <br />10/1/2003 <br /> <br />10/112004 <br /> <br />Per Occurrence <br /> <br />$5,000,000 <br /> <br />Auto Physical Damage <br />Scheduled Autos <br />Hired Autos <br /> <br />Property <br />Special Form <br />Mobite Equipment <br />Boiler and Machinery <br />Crime <br /> <br /> <br />Workers' Compensation <br />Coverage A - Workers' Compo <br />Coverage B - Employer's liabil~y <br /> <br />CERTIFICATE HOLDER <br /> <br />The City of Santa Ana <br />Attn: City Manager <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br /> <br />OESCRIPTION <br />The Certificate Holder, and their respective directors, officers, agents, representatives <br />and employees have been added as Additional Covered Parties to the liability Program, <br />but solely with respect to those causes of action arising directly out of the activities <br />covered by the MWD Long-Term Groundwater Storage Program. <br /> <br />CANCELLATION: Should any of the coverage documents herein be cancelled before the expiration date thereof, ACWAlJPIA will eAsea"sr tg provide 30 days written <br />notice to the certificate holder named herein. <br /> <br />Signed by: <br /> <br /> <br />Date: March 30. 2004 <br /> <br />fl'Wr <br />