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<br />l'IRr,-06-2007 15: 29
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<br />P.02/03
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<br />Orange County Department of Educatio":
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<br />:MEM... "O~" .:n..... .'
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<br />rbi' Evidence of Covetage is used as a maller of infDmUltion only and eonfers no rights upon the Certificate Holder. This Evidence of Coverage
<br />do., not amend. extend. or alter the coverage afforded by the mel\lorande listed below.
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<br /> 0 an 4- d.005- :2...) 9
<br /> Attn: Donna Estrada
<br /> 20 Civic Center Plaza A -J...ODl., - :2.10
<br /> Santa Ana, CA 92701
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<br />Cove!:!.ge Period: Effective: 7-1-06 Expires 12:01 a.m.: 7-1-07 '.
<br />This is tn certify that the Alliance of Schools for Cooperative Insurance ProgJ:8llls (ASCIP) Memorandum of Coverages on insurance listed below
<br />have been i.sued to the Covered Party nomed above for the period indicated. Notwithstanding any requirement, term, or condillon of any conlnlct
<br />or orher document with respect to which this Evidence of Coverage may be used or may perta.in. tho coverages afforded by the Memorandum of
<br />C {. ~.erage& described herein are $Ubject to all the tenns, exclusions, and conditions of such Memorandum of Covef2g~s.
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<br /> TYPROF COVERAGE LIMIT OF LIABILITY/COVERAGE
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<br /> General Liability $1,000,000 Combined Single Limit Pet Occurrence
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<br />"ould any of the above coverages for the Covered Potty be changed or withdrawn prior to the e.pil'lltion date issued. .bove. ASClP will mail 30
<br />day' wrinen notice to the Certificate Holder, but failure to mail such notice shall impose no obligation or liability of any I:Jnd upon ASClP, its agents.
<br />or represental:ives, If you have any questions, contact:
<br /> Ms. Paula Chu Tangnay, ChiefExeculive Officer
<br /> ASCIP . 12750 CenICr Court Drive . Suite 205 . Cerritos, CA 90703 . (562) 4034640
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<br />Authoriled Representative: \7/VI"(~71 Z-
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<br />Date Issued: 8-21-06 i
<br />. ....SCII' is a joint powers authority pursuant to Article I (commencing witb Se<tion 6500) of Chapter 5 of Division 7 of Title 1 of the Govomment
<br />Code .nd Seclions 39603 and g 1603 of tho Education Code.
<br />ReV $-97
<br />74 -06/07'04C
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<br /> llUane.of Schoo" foe Coope""v.'"."~nc. ~a",!
<br /> 12150 Cmw Coun om.... SMite 205', c.m~"" CA 9070.3 (S62J 403.4640
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<br />CER11FICATEHOLDERINFORMATION
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<br />City f S
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<br />ta Ana
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