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<br />1/-200 4 ~ 030 <br /> <br />/I r <br /> <br />- . J,-, . <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 /> <br />Orange County Water District <br />10500 Ellis Avenue <br />Fountain Valley, CA 92708 <br /> <br />/~;~::;>. <br />! ; <br /> <br />~ ,~- -. .- <br /> <br />'\ "......-.~ ""-. <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 />Tvne of Coveraae Certificate # Effective Date Exniration Date Limits <br />General Liability MOLC-100107 10/1/2007 10/1/2008 Aggregate $5,000,000 <br />o Commercial General Liability Per Occurrence $5.000,000 <br />o Contractual Liability <br />o Products/Completed Operations <br />o Occurrence <br />Auto Liability MOLC-100107 10/1/2007 10/1/2008 Per Occurrence $5,000,000 <br />o Owned Autos <br />o Hired Autos <br />o Non-Owned Autos <br />Auto Physical Damage <br />Scheduled Autos <br />Hired Autos <br />Property <br />Special Form <br />Mobile Equipment <br />Boiler and Machinery <br />Crime <br />Workers' Compensation <br />Coverage A - Workers' Compo <br />Coverage B - Employer's Liability <br />DESCRIPTION <br />The Certificate Holder. and their respective directors, officers, agents, representatives and employees have been added as Additional Covered <br />Parties to the Liability Program. but solely with respect to those causes of action arising directly out of the activities covered by the MWD <br />Groundwater Storage Program. Agreement No. 49956 <br />CERTIFICATE HOLDER CANCELLATION <br /> Should any of the coverage documents herein be <br /> cancelled before the expiration date thereof, ACWNJPIA <br /> will em:lea'/or to provide 30 days written notice to the <br /> certificate holder named herein. <br />City of Santa Ana <br />Atln: City Manager ~ AUTH?R{;ED ~E<1Gi~~ATIVE DATE <br />,-' t i, c: <br />P.O. Box 1988 .,--+.ll //:z \:~ lJJ. .:( \"""1\=' 8/28/2007 <br />Santa Ana. CA 92702 <br /> i/ , -~ <br /> <br />? <br /> <br />