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3),- <br />EVIDENCE OF COVERAGE <br />Rancho Santiago Community College District <br />MEMORANDUM NUMBER: 77 <br />'riiis Evidence of Coverage is used as a matter of informaimn oniv and confers no rights upon the Certificate Holder. This Evidence ofCovenfie <br />does not amend, extend, or after the coverage afforded by the memoranda listed below, <br />CERTIFICATE HOLDER INFORMATION <br />City of Santa Ana <br />Attu: Bill Watson <br />Santa Ana Fire Department <br />1439 S. Broadway <br />Santa Ana, CA 92707 <br />I Coverage Period: Effective: 12-9-09 Expires 12:01 a.m.: 12-9-10 1 <br />I I his is to certify- that the Alliance of Schools for Cooperative Insurance Programs (ASCIP) Memorandum of Coverages on insurance listed btloix <br />nave been issued to the covered Party named above for the period indicated- Notwithstanding any requirement. term, or condition of arty contnct <br />or other document with respect to which this Evidence of Coverage may beused or may pertain, the coverage-, afforded by the Memorandum of <br />Coveriges described herein are subject to all the terms. exclusions, and conditions of such Memorandum of Coverages, <br />TYPE OF COVERAGE <br />LIMIT OFLIABILITY/COVERAGE <br />General Liability (Includes Professional <br />$I.000.000 Combined Single Limit Per Occurrence <br />Liability) <br />($5.000.000 aggregate} <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Should any of the above coverages for the Covered Party be changed or withdrawn prior to the expiration date issued above, ASCIP will mail 30 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, but failure to mail such notice shall impose no obligation or liability of any kind upon AS(.,'IP, its agents, <br />or representatives. If you have any questions, Contact: <br />Ms. Paula Chu Tanguay, Chief Executive Officer <br />ASCIP • 16550 Bloornfield Avemw • Cerritos, CA 90703 • (562) 404-8029 <br />Authorized Representative: <br />Date Issued: 11-12-09 <br />* ASCIP is a joint powers authority pursuant to Article I (commencing with Section 6500) of'chapter 5 of Division 7 of Tide I of the Government <br />Code and Sections 39603 and 81663 of the Education Code. <br />Rev 5-97 <br />77-09ilO-0)C <br />ED AS TO FORM <br />Teresa i6dd <br />Deputy City Attorney <br />Iliance of Schools for Cooperative Insurance Programs 49� <br />IN16550 Blomfl4vld Arnue, Cerritos, CA W703 (562) 4(4-8029 <br />1� I <br />