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EVIDENCE OF COVERAGE <br />Orange County Department of Education <br />MEMORANDUM NUMBER: 74 <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 />CERTIFICATE HOLDER INFORMATION <br />City of Santa Ana <br />- ao()zl- r q3 <br />Attn: Clerk of the Council Al - '00 `/' O 40 <br />20 Civic Center Plaza (M-30) <br />Santa Ana, CA 92702-1988 <br />Coverage Period: Effective: 7-1-04 Expires 12:01 a.m.: 7-1-05 1 <br />Phis is to certify that the 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 />TYPE OF COVERAGE I LIMIT OF LIABILITY/COVERAGE, <br />General Liability I $1,000,000 Combined Single Limit Per Occurrence <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Should any of the above coverages for the Covered Party be changed or withdrawn prior to the expiration date issued above, ASCIP will mail 30 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 />Ms. Paula Chu Tanguay, Chief Executive Officer <br />ASCIP - 12750 Center Court Drive - Suite 205 - Cerritos, CA 90703 - (562) 4034640 <br />Authorized Representative: <br />Date Issued: 10-29-04 <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 />Rev 5-97 <br />74-04/05-25C <br />j <br />'� <br />1J� ``. Iliance of Schools for Cooperative Insuran4gr,)amts dy <br />s r. <br />��� 12750 Center Court Drive, Suite 205, Cerritos, CA 90703 (562) 403-46400 S'' "a''t i"ty <br />