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Additional Covered Party Endorsement District: Orange County Department of Education Endorsement No. 74-04/05-25A Additional Covered Party: Description of Operations, Vehicle, or Property: City of Santa Ana, its officers, agents and employees As respects to provide a One -Stop Liason, Carol Iffland, to the Santa Ana WORK Center for the Instructional Services Program Agreement #28344 Coverage Period: Effective: 7-1-04 Expires 12:01 a.m.: 7-1-05 The coverage provided to the Covered Party is hereby extended by this endorsement to the Additional Covered Party named above in accordance with the provisions contained in the Memorandum of Coverage (MOC). The coverage extended hereby applies only with respect to liability arising out of activities in the Description of Operations, Vehicle, or Property noted above. It is intended by ASCIP in issuing this endorsement to defend and/or indemnify the Additional Covered Party only if the District is solely negligent. In issuing this endorsement, ASCIP intends and agrees to extend coverage pursuant to the terms and conditions of the MOC to the Additional Covered Party named above only to the extent that the Additional Covered Party faces liability arising out of claims, demands, or lawsuits claiming money damages on account of bodily injury or property damage as defined and limited in the ASCIP MOC. The limits of liability extended to the Additional Covered Party listed above is $1,000,000 per occurrence for liability. A'P")VED AS TO FORM Z� Z�Z Laura Stitt Shaedy Assistant City Attorney Authorized Representative: Date Issued: 10-29-04 ASCIP is ajoint powers authority pursuant to Article I (commencing with Section 6500) of Chapter 5 of Division 7 of Title 1 of the Govemment Code and Sections 39603 and 81603 of the Education Code. Rev 5/97 d �J�11 Iliance of Schools for Cooperative Insurance Programs II' 12750 Center Court Drive, Suite 205, Cerritos, CA 90703 (562) 403.4640