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EVIDENCE OF COVERAGE DATE (M)di1o0A`YYY) <br />1 <br />--__ 7/8/2013 <br />�Evid:e'nco <br />ff1mIThis ��&C'o'v,;�',ageis used as a matter of information only and confers no rights upon the Certificate Holder, This Evidence of Coverage does rot <br />, extend, , <br />,,d, extend, or alter the coverage afforded by the memoranda listed below. <br />IMEMORANCIUM NIJMSER 77 <br />JaNT POWERS AUTHORITY (JPA) <br />JPA MEMSER <br />Alliance of Schools for Cooperative Insurance Programs <br />Rancho Santiago Community College District <br />16550 Bloomfield Avenue <br />2323 North Br 0 adwa <br />Cerritos, CA 90703 <br />Santa Ana CA92709 <br />www.ASCIP.org <br />CONTACT NAME: Mr, Fritz Heinch, Chief Executive officer <br />PHONE: (562) 404-8029 <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 herein are subject to all the terms, exclusions, and conditions of such Memorandum of Coverages. <br />TYPE OF COVERAGE <br />XDDL <br />INSR <br />MEMORANDUM NUMBER (Moci <br />(MWVDtYYYY) <br />POLICY EFF <br />POUCY UP <br />12:01&m. <br />LIMIT OF LMILJTY1 COVERAGE <br />GENERALLIABlUTY <br />COMBINED SINGLE: LIMIT PER OCCURRENCE <br />Z $5,000.000 <br />OCCURRENCE <br />f <br />MOC #77 1 <br />711=13 <br />711/2014 <br />AGGREGATE <br />i N/A <br />Personal Injury <br />S <br />I/ <br />Errors & Qml5slon <br />Employme pt Practices <br />ALITOMOWLE LIABILITY <br />COMBINED SINGLE LIMIT PER OCCURRENCE <br />$ $5=10,000 <br />AUTOMOTIVE PHYSICAL DAMAGE <br />MOC #77 <br />71112013 <br />71112014 <br />ACTUAL CASH VALUE <br />$ <br />COMPREHENSIVE I COLLISION <br />$ <br />ANY AUTO <br />Owned Auto <br />Hired Auta <br />MTY <br />REPLACEMENT COST SUEUECT TO POLICY LIMITS. <br />TERMS, <br />"D <br />I)TSUI.DING <br />I CONTENTS <br />FIRE. THEFT, RENTAL INTERRUPTION <br />$ <br />woFmaRscompeNuTiON <br />MIA <br />EACHAOCMENT <br />ti <br />A1W EMPLOYERS'LIASUrY <br />PER EMPLOYEE <br />EJWC STATUTORY LIMITS <br />POLICY LIMIT <br />OTHER <br />SL19JECTTO POLICY LIMITS, TERMS, AND CONDITIONS <br />EMPLOYEE DISHONESTY (CRIME) <br />A=FnONAI, REMARKS: <br />As respects to Bridge to Eirigineeding Program <br />CERTIFICATE HOLDER <br />CANCELLATION <br />Should any of the above coverages for the Covered Party be changed or withdrawn prior <br />to the expiration date issued above, ASCIP will mail 30 days written notice to the <br />Certificate Holder, but failure to mail such notice shall Impose no obligation or liability of <br />City of Santa Ana <br />any kind upon ASOP, its agents, or representatives. <br />Clerk of the City Council <br />20 Civic Center Plaza (M-73, M-30) <br />Santa Ana CA 92702 <br />C 11 <br />1 ALITHORIZEDREPRE3EN'TAInVE: Fritz Heirich <br />*A501>ts s joint pawafs juftOty Pursuant mo Article 14corxrwdry& with Sm?Jon 61,001 Chapter 5 OfDivisx)n 7 Of T-Me I afiheGovmrneni:C&deand 5--niws 396413 and A15o3 of MSTckacukl ncodP_ Ae S'97 <br />I :� a . 71 4 7 I I ( 2 0 , 3 1 11 '3 'Vt <br />I I El R T I I C, 1 1 1 � 13 �� 1.-'.J 7 , <br />C'15 <br />N" <br />