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5tatewlde ASsoclation of Community College .� ���� © tiQ�R�, <br />ER <br />Issuo pate <br />6/30!2014 <br />Protected Insurance Program for Schools <br />ADMINISTRATOM LICENSE ff 0461271 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />Keenan & Associates <br />AND CONFERS NO RIGHT$ UPON THE CERTIFICATE HQLDi R, THIS <br />909 Calle Arn anecer, #200 <br />CERTI FICA TE DOES NOT AMEND, EXTEND OR ALTL -N T HE COVERAGE <br />Sin Clemente, CA 92673 <br />BY THE COVERAGE DOUM:NT5BELOW, <br />- -, <br />.�^.- .•�.�•...� -.,. � <br />ENTITIES AFFORDING COVERAGE; <br />949- 940 -1760 <br />wwrw.keenan,com <br />ENTITY A; Statewide AMSociation of Community Colleges <br />ENTITY B', Protected Insurance Program for Schools <br />COVERED PARTY; <br />SDut} Orange County Community Collego foist <br />28000 Merguorite Parkway <br />ENTITY O; <br />Mission Vleje CA 92692 <br />ENTITY D; <br />ENTITY E' <br />THIS IS TO CERTIFY THAT THE COVERAGE.$ LISTED BELOW HAVE BEEN ISSUCO TO THE CCVER£0 PARTY NAMED ABOVE FOR THE PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RFSPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE COVERAGE <br />AFFORDED HEREIN IS SUBJECT TO ALL TWE TERMS AND CON DITIUNS OF SUCH COVERACa DOCUMeRrS. <br />MEM13ER <br />ENT <br />LTR <br />TYPE OF COVERAGE <br />COVERAGE <br />DOCUMENTS <br />EHFECTIVE! <br />EXPIRATION DATE <br />RETAINED LIMIT <br />tpI3DUC71R"E <br />LIMITS <br />A <br />GENERAL LIABILITY <br />COMBINED SINGLE LIMIT EACH OCCURRENCE <br />I GENERAL LIABILITY <br />MADE OOCURREN32 <br />SVVC00107.2s <br />7/1/2014 <br />ti 50,000 <br />s 1,000,000 <br />[ ICI-AIMS (�} <br />I GOVERNMENTCODCS <br />7/1I2Q1 <br />I ERRORS & OMISSIONS <br />A <br />AUTOMOBILE LIABILITY <br />COMBkNEO SINGLE LIMIT EACH OOCVRRENCS <br />f ANY AUTO <br />SVVC00107 -28 <br />7/1/2014 <br />60,000 <br />4 1,000,000 <br />t HIRED AUTO <br />{ NON-gWN6O AUTO <br />7/1/2016 <br />{ GARAGE LIABILITY <br />AUTO PHYSICAL DAMAGE <br />. <br />A <br />PROPERTY <br />SWC Q0107 -28 <br />7/112014 <br />$ 6,000 <br />25Q,000,000 <br />ALL RISK <br />7/112015 <br />EACH OCCURRENCE <br />[ EXCLUDES EARTHQUAKE &FLOOD <br />[ BUILDER'S RISK <br />A <br />STUDENT PROFESSIONAL LIABILITY <br />SWC 00107 -28 <br />7/112014 <br />S 5,000 <br />s Included <br />7/1/2016 <br />EACH OCCURRENCE <br />WORKERS COMPENSATION <br />I f WC 3A1Y LMIT8 [ti/ g7H R <br />I �EMLOYFR5'LIABILITY <br />PIPS11711 <br />7/1/201;4 <br />7/1/2016 <br />s 1,000,000 <br />E.L, EACH ACCIOENT <br />1,000,000 <br />y <br />EXCESS WORKERS COMPENSATION <br />f I EMPLOYrRS' LIAOILI7'Y <br />EJ., DISEASE- EACH EMPLOYEE. <br />$ 1,000,000 <br />E.L. DISRASE, POLIOY LIMITS <br />OTHER <br />� <br />S <br />DESCRIPTION OF OPEHATIDN$ ILOCATIQ NSNEHICLESIRESTRICTIONSl$PECIAL PROVISIONS: <br />As rospects to Phe agreement between between SAVVIB and South Orange County CCD (Saddlabaack College), <br />0VRTIFi0nT6 HOLDER; <br />CANCELLATION...—SHOULD ANY OF THE AROVE DESCRIBED QOVERAGES BE <br />G E BML E_XP TION 2ATU THER£0;=, THE I $SJ ING ENTIJ'Y /JP A <br />t e <br />Community <br />N17 � <br />WCAILNI. ( Y �I N fCC [� "rHE �CE � TE <br />IMHAE IL „ <br />� <br />Development Agency M ^25 <br />�s*RN6NM�� <br />R O. Box 1958 <br />xya600xKM SWyV". <br />Santa Ana CA 92702 <br />T <br />John Stephons AUTHORIZED REPR5SFNTATIVE <br />u•naVX'r10idinawmi <br />C111'., NC., 2C731023 C7IRPT COPE, 9OUTHORA M7.1��a Moik lgg 0 /30 /PP 14 10,1BI38 AM {@DT) page 1 of 7 <br />10 <br />4 <br />I� <br />