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<br />Association of California Water Agencies / Joint Powers Insurance Authority <br />5620 Birdcage Street, Suite 200, Citrus Heights, CA 95610 <br /> <br />CERTIFICATE OF COVERAGE <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN <br />THOSE PROVIDED IN THE COVERAGE DOCUMENT. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />COVERAGE DOCUMENTS LISTED HEREIN. <br /> <br />MEMBER <br />Orange County Water District <br />18700 Ward Street <br />Fountain Valley, CA 92708 <br /> <br />COVERAGE INFORMATION <br />This is to certify that coverage documents listed herein have been issued to the Member Agency herein for the Coverage period indicated. Not withstanding any <br />requirement, term or condition of any contract or other document with respect to which the certificate may be issued or may pertain, the coverage afforded by the <br />coverage documents listed herein is subject to all the terms, conditions and exclusions of such coverage documents. <br />TVDe of Coveraoe Certificate # Effective Date ExDiration Date Limits <br />General Liability MOLC-l 00108 10/1/2008 10/1/2009 Aggregate $1,000,000 <br />o Commercial General Liability Per Occurrence $1,000,000 <br />Ii] Contractual Liability <br />o Products/Completed Operations <br />Ii] Occurrence <br />Auto Liability MOLC-l00108 10/1/2008 10/1/2009 Per Occurrence $1,000,000 <br />0' Owned Autos <br />0" Hired Autos <br />Ii] Non-Owned Autos <br />Auto Physical Damage <br />Scheduled Autos <br />Hired Autos <br />Property <br />Special Form <br />Mobile Equipment <br />Boiler and Machinery <br />Crime <br />Workers' Compensation <br />Coverage A ~ Workers' Compo <br />Coverage B - Employer's Liability <br />DESCRIPTION <br />The Certificate Holder, its officers, employees, agents, volunteers and representatives have been ad Additional Covered Parties to the Liability <br />Program, but solely with respect to those causes of action arising directly out of the License Agreement for monitoring well SCS-12 (Fisher <br />Park). <br />CERTIFICATE HOLDER CANCELLATION <br /> Should any 01 the coverage documents herein be <br /> cancelled before the expiration date thereof, ACWAJJPIA <br /> will eA8ea er Ie provide 30 days written notice to the <br /> certilicate holder named herein. <br />City of Santa Ana <br />Parks, Recreation & Community Services Agency AUTHORIZED REPRIOSENTATIVE DATE <br />888 W. Santa Ana Blvd., #200 I". ""i."'";;}'- <br />Santa Ana, CA 92701 .4~n _~l:0)A 10/22/2008 <br />