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CERTIFICATE NO. EIA PE-WC-605 J CERTIFICATE OF COVERAGE I 03/01/07 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS CSAC Excess N- 200'7-0 I 0 UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND ORAL TER THE COVERAGE AFFORDED BELOW. Insurance Authority c/o ALLIANT INSURANCE SERVICES, INC. P.O. BOX 6450 COVERAGE NEWPORT BEACH, CA 92658-6450 AFFORDED BY: A . CSAC Excess Insurance Authority LICENSE #OC36861 COVERAGE National Union Fire Insurance CO. PHONE (949) 756-0271/ FAX (949) 756-2713 AFFORDED BY: B . of Pittsburg, PA EIA PUBLIC ENTITY MEMBER: COVERAGE BIG INDEPENDENT CITIES EXCESS POOL (BICEP) AFFORDED BY: C - AND ITS MEMBERS CITY OF SANTA ANA ATTN: JEFF STEVENS COVERAGE 20 CIVIC CENTER PLAZA, M-28, BOX 1988 AFFORDED BY: D - SANTA ANA, CA 92702-1988 COVERAGE AFFORDED BY: E - Coverafl8S THIS S TO CERTIFY THAT THE MEMORANDUMS OF COVERAGE AND POLICY LISTED BELOW HAVE BEEN ISSUED TO THE MEMBER NAMED ABOVE FOR THE PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE COVERAGE AFFORDED BY THE MEMORANDUMS AND POLICY DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH MEMORANDUMS AND POLICY. CO TYPE OF COVERAGE MEMORANDUM/ COVERAGE EFFECTIVE COVERAGE EXPIRA TJON LIABILITY LIMITS LTR POLICY NUMBER DATE (MM/DDIYY) DATE (MM/DDIYY) A EXCESS W.C. & EIA-PE 06-EWC-05 07/01/2006 07101/2007 W.C.: $50,000,000' EMPLOYERS' SUBJECT TO LIABILITY S500,000 SIR E.L.: $5,000,000' SUBJECT TO $500,000 SIR B EXCESS W.C. 375-7968 07/01/2006 07/01/2007 W.C. $150,000,000" EACH ACCIDENT $150,000,000" EACH EMPLOYEE FOR DISEASE 'LIMITS APPLY PER OCCURRENCE FOR ALL PROGRAM MEMBERS COMBINED. "ATTACHES ABOVE $50,000,000 RETENTION. "S RESPECTS USE OF ORANGE COUNTY FAIR GROUNDS FOR OFFICER TRAINING Certificate Holder Cancellation SHOULD ANY OF THE ABOVE DESCRIBED MEMORANDUMS OR POLICIES BE CANCELLED BEFORE 32ND DISTRICT AGRICULTURAL ASSOCIATION THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH DBA ORANGE COUNTY FAIR GROUNDS NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS 88 FAIR DRIVE AGENTS OR REPRESENTATIVES. COSTA MESA, CA 92626 AUTHORIZED REPRESENTATIVE ~~~? - . .:::> CSAC - EXCESS INSURANCE AUTHORI.$- ISSUE DATE (MM/DDIYY)