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<br />. <br /> <br />N-,;(003- {):X~ <br />EVIDENCE OF COVERAGE <br /> <br />Orange County Department of Education <br /> <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 /> ... ...... <br /> .........:.::....:::...:.. ......:...::.:..:....... ..:.:........... .. ":: <br /> CERTIFICATE HOLDER INFORMATION <br /> C i ty of S a nta A na <br /> A ttn . C h ri s La uge n our Pri nei p al M an ageme nt A nal yst <br /> . , <br /> 20 C i vie C ent e r Plaza <br /> S anta A n a, C A 9 2 7 0 1 <br />Covera~e Period . Effective: 2-2S'.{)3 Expires 12 . 01 a.m.: 7-1-03 <br />. . <br /> <br />This is to certify that the Alliance of Schools for Cooperative Insurance Programs (ASCI?) 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 /> ..".",.,........ ... <br /> ~......,........ .....,,,,..,,...... <br />TYPE OF COVERAGE LIMIT OF LIABILITY/COVERAGE <br />Ge neral L i ab i I ity $ 1 ,000 ,000 C omb i ned S i n g Ie Li m it Per Occ urre nc e <br />Auto mobi Ie L i abi I i ty $ 1 ,000 ,000 C omb i n cd S ingle L i mit Per Oc c Uffence <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Should any of the above coverages for the Covered Party be changed or withdrawn prior to the expiration date issued above, ASCIP will mail 30 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. If you have any questions, contact: <br /> <br />Ms. Paula Chu Tanguay, Chief Administrative Officer <br />ASCIP . 12750 Center Court Drive . Suite 220 . Cerritos, CA 90703 . (562) 403-4640 <br /> <br />Authorized Representative: <br />Date Issued: 3-12-03 <br /> <br />~1 <br /> <br />* ASCIP is ajoint powers authority pursuant to Article I (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 />74-02/03-40C <br /> <br />APPROVED AS TO FORM <br /> <br />L~d:1Pd7 <br /> <br />Deputy City Attorney <br />. . <br />I \ <br />/11\ lIiance of Schools for Cooperative Insurance Programs <br />11112750 C'n'" Court D,i." Suit< 220. C",""" CA 90703 (562) 403.4640 <br />