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EVIDENCE OF COVERAGE <br />1 OATe(MMlXffM <br />6/8/2012 <br /> This Evidence of Coverage is used as a matter of Information only and confers no rights upon the Certificate Holder. This Evidence of Coverage does not <br />amend, extend, or alter the coverage afforded by the memoranda listed below. <br /> MEMORANOUM NUMBER: 77 <br /> JOINT POWER$ AUTHORnY tJPA) <br />Alliance of Schools for Cooperative Insurance Programs <br />16550 Bloomfield Avenue <br />Cerritos, CA 90703 <br />www.ASCIP,org <br />CONTACT77ANe: Mr, Fritz Heldch, Chief Executive 0111cer <br />PHONE; (582) 404.8020 JPA MENDER <br />Rancho Santiago Community College District <br />2323 North Broadway <br />Santa Ana CA 92706 <br /> This is to certify that the Alliance of Schools for Cooperative Insurance Programs (ASCIP) Memorandum of Coverages on Insurance listed below have <br />been Issued to the Covered Party named above for the period Indicated, Notwithstanding any requirement, term, or condition of any contract or other <br />document with respect to which this Evidence of Coverage may be used or may pertain, the coverages afforded by the Memorandum of Coverages <br />described heroin are subject to all the terms, exclusions, and conditions of such Memorandum of Coverages, <br /> TYPE OPCOYDRAOE INSR MEHORAND"NUbtaER(MOO) OAUM Y/YYWr POLICY UP <br />LIMIT OfUAOILITYICOVERAGE <br /> OONERALLIAVI 1Y OOMSWEDSING LEUMtrPER000URRENCE S $5,000,000 <br /> OCCURRENOE ? Mac 1x77 71i12012 71112013 AGGREOATE S NIA <br /> Personal Inlurv s <br /> Errors & Omleslon . s <br /> £m to 1 p S <br /> <br /> AVTOMOBILELIAafUTY COMOVEDSWOLSLwtrpen=usne" S $5000,000 <br /> AUTOMOTIVE PtiY81CALDAMAOE MQC 7177 7/112012 7/1/2013 AOTVALCABHVALUE S <br /> COMPR@HeN$WfCOLUSION S <br /> ANYAUTO $ <br /> Owned AU19 S <br /> Hired Auto <br /> S <br /> PROPERTY EP CELT NTC08TStWECTTOPOtJCY VATS <br />MONt <br />6ND ONO . Ride, <br /> OUIEDIN01CONVENT$ _ S <br /> FIRE, TTiEPT,RENTALINTEnRUPTION S <br /> S <br /> i <br /> <br /> WORKERSCOMPENSATION <br />' N/A RACHACCIDENT <br />-" $ <br /> LVWIL1TY <br />AN 0 6WL0YEA8 - <br />PER EMPLOYEe S <br /> El wO STATUTORY UMf18 POL10Y UMIr S <br /> OTH ER SUBJEOT TO POLICY LIMITS, TERMS. AND CONDm ONS <br /> EMPLOYEE DISHONESTY (CRIME) S <br /> S <br /> S <br /> <br /> $ <br /> ADDITIONAL REMARKM <br />As respects to Bridge to Engineering program <br /> CERTIPI_CATE HOLDER <br /> <br /> <br /> <br />ty of anta Ana <br />8 CANCELLATION <br />Should any of the above coverages for the Covered Party be changed or withdravrn prior <br />to the expiration date Issued above, ASCIP will mall 30 days wrhten notice to the <br />Certificate Holder, but failure to mall such notice shall Impose no obllgalion or liability of <br />any kind upon ASGP, Its agents, or representatives. <br /> 1erk o the City Council <br />20 Civic Center Plaza (M-73, M•30) Santa Ana CA 92702 <br /> <br />AUTHORIZED REPRESPATATive; Fritz Heirloh <br />#ALWOBakima6mrsaulherevewsHank toArtideirmmmerdanwld:Sedion65001ChaoterSofWhslm?ofThleIoftheGv.w"otCode vASecUaIC3%03and81603oftheEdvwUmCodM f> ?tlv l <br />'APPRp'Vo <br />CreT 00.1 1)28672) CGIZK7 COOS3 77 Nancy )apex 6/a/2012 10102155 AM 7fago 1 of @ <br />LISA ? ST Attorney <br />Assistant City <br />-1y