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Association of California Water Agencies /Joint Powers Insurance Authority <br />5620 Birdcage Street, Suite 200, Citrus Heights, CA 95670 <br />CERTIFICATE OF COVERAGE <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 />MEMBER <br />Orange County Water District <br />18700 Ward Street <br />Fountain Vafley, CA 92708 <br />COVERAGE INFORMATION <br />This is to certify that coverage documents listed herein have been issued [o 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 [o 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 />T e of Covers a Certificate # Effective Date Ex iratlon Date Limits <br />General Liability MOLC-100108 1011(2008 10/1/2009 Aggregate $1,000,000 <br />8 Commercial General Liability Per Occurrence $1,000,000 <br />8 Contractual Liability <br />Q Products/Completed Operations <br />D Occurrence <br />Auto Llability MOLC-100108 10/112008 10/1/2009 Per Occurrence $1,000,000 <br />8 Owned Autos <br />8 Hired Autos <br />p 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' Comp. <br />Coverage 8 -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 SGS-11 (Santiago <br />Park). <br />CERTIFICATE HOLDER CANCELLATION <br /> Should any of the coverage documents herein be <br /> cancelled before the expiration date thereof, ACWAIJPIA <br /> will eadeaveHe provide 30 tlays written notice to the <br /> certificate holder named herein. <br />City of Santa Ana <br />Recreation & Community Services Agency <br />Parks <br />AUTHORIZED REPFjE,SENTATIVE DATE <br />, <br />888 W. Santa Ana Blvd., #200 ~~ f ~ i ^"~ 10/22/2008 <br />Santa Ana, CA 92701 <br />f , '-' <br />