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. Or <br />�-✓I'r 64 <br />EVIDENCE OF COVERAGE <br />06/4/2012 <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 />MEMORANDUM NUMBER: 77 <br />JOINT POWERS AUTHORITY (JPA) <br />Alliance of Schools for Cooperative Insurance Programs <br />16550 Bloomfield Avenue <br />Cerritos, CA 90703 <br />www.ASCIP.org <br />CONTACT NAME: ML Fritz HBirich, Chlef Executive Officer <br />PHONE. (562) 404.8029 <br />JPA MEMB ER <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 herein are subject to all the terms, exclusions, and conditions of such Memorandum of Coverages. <br />TYPE OF COVERAGE <br />IN R <br />MEMORANDUM NUMBER (MOC) (IP��YnEFF� <br />PO Sa m P <br />LIMIT OF LIABILITY I COVERAGE <br />GENERAL <br />LIABILITY <br />OCCURRENCE <br />Personal Inlury <br />V <br />MOC #77 <br />7/1/2012 <br />7/1/2013 <br />COMBINED SINGLE LIMIT PER OCCURRENCE <br />$ $6,000,000 <br />AGGREGATE <br />$ N/A <br />$ <br />Errors & Omission <br />$ <br />Employment Practices <br />$ <br />AUTOMOBILE <br />LIABILITY <br />AUTOMOTIVE PHYSICAL DAMAGE <br />COMPREHENSIVE I COLLISION <br />ANYAUTO <br />COMBINED SINGLE LIMIT PER OCCURRENCE <br />$ <br />ACTVALCASH VALU£ <br />$ <br />$ <br />$ <br />$ <br />PROPERTY <br />BUILDING I CONTENTS <br />FIRE, THEFT, RENTAL INTERRUPTION <br />REPLACEMENT COST SUBJECT TO POLICY LIMITS, <br />AN m <br />TERMS, <br />$ <br />$ <br />$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />WC STATUTORY LIMITS <br />NIA <br />EACHACCIDENT <br />$ <br />PER EMPLOYEE <br />$ <br />POLICY LIMIT <br />$ <br />OTHER <br />EMPLOYEE DISHONESTY (CRIME)� <br />A _&1r'V' ppF <br />SUBJECT TO POLICY LIMITS, TERMS, AND CONDITIONS <br />$ <br />$ <br />ADDITIONAL REMARKS: <br />1.15A t CtitY Attorney <br />As respects to Vocational Classes Assfstan l <br />CERTIFICATE HOLDER <br />City of Santa Ana <br />Attn: Julle Castro - Cardenas <br />1000 F. Santa Ana Blvd., Suite 200 <br />Santa Ana CA 92701 <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 />any kind upon ASCIP, Its agents, or representatives. <br />A /UTHORIZEDREPRESENTATN£; Fritz Heirich <br />*ASCIP Is a )dnt powers authority pursuant to Arttde 1(commencing with Section 6500) Chapter 5 of D vision 7 of Trde 1 of the Government Code and Sections 39603 and 81603 of the Wuatian Cade. Rav &97 <br />CERS NO,t 132 43650 CLIR4r CODE, 77 Nancy Lopes 6/412012 7159:30 AN Page 1 of 2 <br />