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<br />I <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 />Municipal Water District of Orange County <br />P.O. Box 20895 <br />Fountain Valley, CA 92728-0895 <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 ilsled herein is subject t~ all the terms, r.onditions and exclusions of such coverage documents. <br />Tvee of Coveraae Certificate # Effective Date EXDiration Date .-. Limits <br />General Liability <br />Commercial General Liability <br />Contractual Liability <br />Products/Completed Operations <br />Occurrence <br />Auto Liability <br />Owned Autos ~' tod7 <br />Hired Autos .'J ? <br />c~ ''--\: ,--'C.. <br />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 /> ..' -i <br />Workers' Compensation MOWC&EL-070104 7/1/2004 7/1/2005 <br />0 Coverage A - Workers' Compo Per Accident Statutory Limit <br />0 Coverage B - Employer's Liability Per Accident $2,000,000 <br />CERTIFICATE HOLDER DESCRIPTION <br />City of Santa Ana, City Manager In reference to the Consultant Agreement made <br />P.O. Box 1988 September 1, 2001. <br />Santa Ana, CA 92702-1988 <br /> I <br /> I <br /> <br />CANCELLATION: Should any of the coverage documents herein be cancelled before the expiration date thereof, ACWAfJPIA will cmåea\'er to provide 30 days written <br />notice to the certificate holder named herein. <br /> <br />Signed by: <br /> <br /> <br />Date: Auqust 05, 2004 <br /> <br />(Authþrized Represènt~ve) <br />I, / <br />