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<br />Statewide Association of Community College bERTIFICATE OF COVERAGE 7;7 Date <br />Protected Insurance Program for Schools 11/14/2011 <br />ADMINISTRATOR: LICENSE # 0451271 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />Keenan & Associates AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />901 Calle Amanecer <br />#200 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />, AFFORDED BY THE COVERAGE DOCUMENTS BELOW. <br />San Clemente, CA 92673 <br /> ENTITIES AFFORDING COVERAGE: <br />949-940-17$0 <br />k <br />www. <br />eenan.com ENTITYk Statewide Association of Community Colleges <br />COVERED PARTY: ENTITYa: Protected Insurance Program for Schools <br />South Orange County Community College Dist <br />28000 Marguerite Parkway ENTITYC: <br />Mission Viejo CA 92692 ENTITY D: <br /> ENTITY E: <br />THIS IS TO CERTIFY THAT THE COVERAGES LISTED BELOW HAVE BEEN ISSUEOTO THE COVERED PARTY NAMED ABOVE FOR THE PERIOD INDICATED. NOTTAITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE COVERAGE <br />AFfORDEO HEREIN IS SUBJECT TO ALL THE TERMS AND CONDITIONS OF SUCH COVERAGE DOCUMENTS. <br /> MEMBER <br />ENT <br />LTR TYPE OF COVERAGE COVERAGE <br />DOCUMENTS EFFECTIVE! <br />EXPIRATION DATE RETAINED LIMIT <br />/DEDUCTIBLE LIMITS <br />A GENERAL LIABILITY COMBINED SINGLE LIMIT EACH OCCURRENCE <br /> ( GENERAL <br />( LIABILITY <br />CLAIMS MADE <br />4000URRENCE <br />SWC00107-25 <br />7/1/2011 <br />$ 50,000 <br />$ 1,000,000 <br /> ( <br />( GOVERNMENT CODES 711/2012 <br /> ( ERRORS&OMISSIONS <br />( <br />A AUTOMOBILE LIABILITY COM81NED SINGLE LIMIT EACH OCCURRENCE <br /> ( ANY AUTO SW000107-25 7/1/2011 $ 50,000 $ 1,000,000 <br /> <br />HIREDAUTO <br />ON-OWN DAUTO <br />[ N <br /> <br />7/1/212 <br /> [ GARAGE LIABILITY <br /> [ AUTO PHYSICAL DAMAGE <br />A PROPERTY SWC 00107-25 7/1/2011 $ 5,000 s 250,000,000 <br /> I Jf ALL RISK 7/1 /2012 EACH OCCURRENCE <br /> EXCLUDES EARTHQUAKE & FLOOD <br /> 1 BUILDER'S RISK <br />A STUDENT PROFESSIONAL LIABILITY SWC 00107-25 7/1/2011 $ 5,000 b4cluded <br /> 7/1/2012 EACH OCCURRENCE <br />B WQRKERS COMPENSATION WC STATUTORY LIMITS (,I OTHER <br /> EMPLOYERS'LIABILITY PIPS11708 711/2011 5 <br /> 7/112012 $ 1,000,000 <br /> E.L. EACH ACCIDENT <br /> EXCESS WORKERS COMPENSATION $ 1,000,000 <br /> I ) EMPLOYERS' UA131LITY $ E.L. DISEASE - EACH EMPLOYEE <br /> $ 1,000,000 <br /> E.L. DISEASE • POLICY LIMITS <br /> OTHER $ H TO FOR <br />' <br /> a <br />L <br /> S® <br />DESCRIPTION Of OPERATIONSILOCATIONSNEHICLESIRESTRICTIONSISPECIAL PROVISIONS: <br />As respects to the agreement between between SAWIB and South Orange County CCD (Saddleback College SVORCK <br />.---- 1.1SA City Attofn <br />Assistan <br />CERTIFICATE HOLDER: CANCELLATION ...... SHOULD ANY OF THE ABOVE DESCRIBED COVERAGES BE <br /> CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING ENTITY/JPA <br />Community Development M-25 <br />t7 Agency WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE <br />HOL <br /> <br />Cit <br />of Santa Ana DER NAMED TO THE LEFT, 8UT FAILURE TO MAIL SUCH NOTICE SHALL <br />yy IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE ENTITYMPA, ITS <br />P.O. Box 1988 AGENTS OR REPRESENTATIVES. <br />Santa Ana CA 92702 <br /> Graham Grice AUTHORIZED REPRESENTATIVE I <br />w'1 oor <br />CERT ?O.i 11656159 CLIENT' CODE: SOUTHORA N.el Ssea Kagnitico 11/14/2031 4:53:36 PN Page 1 of 3