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<br />. <br /> <br />" <br /> <br />EVIDENCE OF COVERAGE <br /> <br />Orange County Department of Education <br /> <br />MEMORANDUM NUMBER: 74 <br /> <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 <br />does not amend, extend, or alter the coverage afforded by the memoranda listed below. <br /> <br /> CERTIFICATE HOLDER INFORMATION <br /> City of Santa Ana <br /> Attn: Donna Estrada <br /> 20 Civic Center Plaza <br /> Santa Ana, CA 92701 <br />Covera!!e Period: Effective: 4-1-04 Expires 12:01 a.m.: 4-1-05 <br /> <br />This is to certify that lhe Alliance of Schools for Cooperative Insurance Programs (ASCIP) Memorandum of Coverages on insurance listed below <br />have been issued to the Covered Party named above for the period indicated. Notwithstanding any requirement, term, or condition of any contract <br />or other document with respect to which this Evidence of Coverage may be used or may pertain, the coverages afforded by the Memorandum of <br />Coverages described herein are subject to all the terms, exclusions, and conditions of such Memorandum of Coverages. <br /> <br />TYPE OF COVERAGE <br /> <br />LIMIT OF LIABILITY/COVERAGE <br /> <br />General Liability <br /> <br />$1,000,000 Combined Single Limit Per Occurrence <br /> <br />Should any of the above coverages for the Covered Party be changed or withdrawn prior to the expiration date issued above, ASCIP will mail 30 <br />days written notice to the Certificate Holder, but failure to mail such notice shall impose no obligation or liability of any kind upon ASCIP, its agents, <br />or representatives. If you have any questions, contact: <br /> <br />Ms. Paula Chu Tanguay, Chief Administrative Officer <br />ASCIP . 12750 Center Court Drive' Suite 205 . Cerritos, CA 90703 . (562) 403-4640 <br /> <br />flfrr <br /> <br /> <br />* ASCIP is ajoint powers authority pursuant to Article 1 (commencing with Section 6500) of Chapter 5 of Division 7 of Title 1 of the Government <br />Code and Sections 39603 and 81603 of the Education Code. <br /> <br />Rev 5-97 <br />74-03/04-64C <br /> <br />Authorized Representative: <br />Date Issued: 5-4-04 <br /> <br />(fVAJfJ-W~)cdy / b <br /> <br />I <br />I 1\ lliance of Schools for Cooperative Insurance Programs <br />1112750 Cm'" COO" D,iw. Suit< 205, Cmi'o" CA 90703 (562) 403,4640 <br />