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INBOUND NOTIFICATION FAX RECEIVED SUCCESSFULLY <br />TIME RECEIVED REMOTE CSID DURATION PAGES STATUS <br />October 7, 2009 11:14:45 t►M POrr 714 549 4812 42 1 Received <br />OCT-07 -2009 10 =55 714 549 4812 714 549 4812 P.01i01 <br />� 14 -00 � <br />EVIDENCE OF COVERAGE <br />Orange County Department of Education <br />MEMORANDUM NUNXBER: 74 <br />7bla L'Mdmrs o! is used as a matter of ioffortaatinn only and oeatea tto rlshts npam the Carllfls�oe Flnldm 7'bb HvWeaoe o! CovatsQs <br />does not asnm4 astmd, or liter the mvscape a!lotded by dts mamosmda listed blow. <br />City Of 3anffi Ana � V E AS TO FORM <br />Atm: Via�ginis O'LBary , o /�� /o•i <br />62 Civic Center Plara sn Hodge <br />Santa Aas, CA 92702 Depu City Attorney <br />Cov�rrage Period: B.tiective: 7 -1-09 F�cpires 13:01 a.m.: 7 -1 -10 <br />'I'tns :s b rattily that tbs Alliance or St�oaAa stx Ooependve Ltsaranoe Pio•oms U►SCIp) h[etnenwttm d t}avasye tm hmotsaes tutee aaww <br />bass bsm issoee m 16s C�osrdrc:e �ry mmad above !or the period Iadic�ed. NonvlthWOegos W' tagtd� eat. feral. nr amrJitioa of spy et»ttrs� <br />or atba dooraeK riW tmpeet m tvhieh tLis L'rideaoe d Cwacato may he used or aay peruse, the wvets�s asla�ed by We hiaaarmdnm d <br />- L - . w....i- .� e.,,i..,� w. -�f e,- e- ....a_ �d.a•ne,u_ and medftlna� Cr �c8 Memormdum d Oe7•raYR. <br />TYPE OF COVERAGE <br />L1MIT OF LIABiLI'rY1COVRRAGE <br />t3eaersl [ 1.belity <br />s1,o0DAO0 sin�la t�?..+it Ftr Oocurteaee <br />css�000,000 Ate) <br />wtteomob3le r ;.biliey <br />si.000000 G�ombiaad sittala l�i< leer otr.rt�a <br />Aummobila Fhydal Datnaap <br />Aeturl easb vahte <br />(C.CmpeebmsivdGbliisivs) <br />ptopc[ty - Bulltiit>alCbrnents <br />Aepla�.mmt coat subjad m policy litnita, trams. attd coadidocs <br />(Fire.'mdt. Rmtal meeauptton) <br />EmPinya+ liopaq (�im�) <br />Sobjau to p�St may. lama• cad oopditiotts <br />Should aty d the above tavaa®a. bar the Cbvaaad Fatty se riaaPd a< rehes..a prinr b ttte aptesdtao oats moos apova. Aaa-ar � �. �., <br />dye rtitus os4m m ma Cetetiesme Hoidsr, Dtp lYYats m mtll wrb Hallos sia11 � ao °dam° or lisbiiity oiapy tlad apm ASC1P, iu a•ma, <br />or taptssmtsrive� I<you here say qusstioas, oegtaCt <br />ado paala Cbu 1tia•nay, Chief p-- •.•wsve O(rieer <br />ASCIF a 76550 Bt.......teaa w� oen�..- •,ter` —+�ma. G 9070y • (362) 40'�SOtz9 <br />AutLorl>med Repl�mtadve: <br />Date Lysued: 1�a'!so <br />+ ASCCP Is a jodet powssa rtawary pesmt b Axtfsis I (ommtrdtdaj rich 9eatim 6i00) d Chspta S ad' jTiviafm 7 dTitle 1 d t!u <br />Oode and Seubm 39tiO:i and BI�iQi d fps Bdnehm Cods <br />-spa- owlo -ooac ��\Iltance of Schools for Gooperative lnaurance Programs <br />�� lasso iv�.ta�. -.. cb.r.... c+t 9oao� rsazi cos -aos9 <br />TOTRL P.01 <br />