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<br />" <br />, <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 BY 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 />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 subjf:ct to all the terms, conditiQns and exclusions of such coverage documents. <br />rune of Covera e Certificate # Effective Date Exniration Date Limits <br />General Liability <br />Commercial General Liability <br />Contractual Liability <br />Products/Completed Operations <br />Occurrence <br />Auto Liability <br />Owned Autos <br />Hired Autos <br />Non-Owned Autos <br />Auto Physical Damage <br />Scheduled Autos <br />Hired Autos \ 4->. I <br />Property //- 37' /J /...;> <br />Special Form <br />Mobile Equipment <br />Boiler and Machinery <br />Crime <br />Workers' Compensation MOWC&EL-070103 7/112003 7/1/2004 <br />It! Coverage A - Workers' Compo Per Accident Statutory limit <br />It! Coverage B - Employer's Liability Per Accident $2,000.000 <br />CERTIFICATE HOLDER DESCRIPTION <br />The City of Santa Ana MWD Long-Term Groundwater Storage Program <br />Attn: City Manager <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br /> <br />CANCELLATION: Should any of the coverage documents herein be cancelled before the expiration date thereof. ACWNJPIA will 6REiea"er te provide 30 days written <br />notice to the certificate holder named herein. <br /> <br />Signed by: <br /> <br /> <br />Date: March 30. 2004 <br />