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- A,aolz- 6i9 <br />Statewide Association of Community College �ERTIFICATE OF COVERAGE <br />Issue Date <br />Protected Insurance Program for Schools <br />7/9/2015 <br />ADMINISTRATOR: LICENSE# - 0451271 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />Keenan & Associates <br />AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />901 Calle Amanecer, #200 <br />CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />San Clemente, CA 92673 <br />AFFORDED BY THE COVERAGE DOCUMENTS BELOW. <br />ENTITIES AFFORDING COVERAGE: <br />949 - 940 -1760 <br />www,keenan.com <br />ENTITY Statewide Association of Community Colleges <br />ENTITY B: Protected Insurance Program for Schools <br />COVERED PARTY: <br />South Orange County Community College Dist <br />28000 Marguerite Parkway <br />ENTITYC <br />Mission Viejo CA 92692 <br />ENTIrr D. <br />ENTITY E <br />THIS IS TO CERTI FY THAT THE COVERAGES LIS ED BELOW HAVE BEEN ISSUED TO THE COVERED PARTY NAMED ABOVE FOR THE PERIOD INDICATED. NOTWITHSTANDING ANY <br />ITION <br />REQUIREMENT,'YERM OR COND OF ANYL NTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. THECOVERAGE <br />AFFORDED HERHN IS SUBJECT TO ALL THE TERMS AND CONDITIONS OF SUCH COVERAGE DOCUMENTS. <br />MEMBER <br />ENT <br />COVERAGE <br />EFFECTIVE/ <br />RETAINED LIMIT <br />LTR <br />TYPE OF COVERAGE <br />DOCUMENTS <br />EXPIRATION DATE <br />IDEDUC11BLE <br />LIMITS <br />A <br />GENERAL LIABILITY <br />COMBINED SINGLE LIMIT EACH OCCURRENCE <br />I ViGENERAL LIABILITY <br />MADE (;f OCCURRENCE <br />SWO 00107 -29 <br />7/1/2015 <br />$ 50,000 <br />$ 1,000,000 <br />( j.CLAINS <br />( GOVERNMENTCODES <br />7/1/2016 <br />{ ERRORS d OMISSIONS <br />tl <br />,A <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT EACH OCCURRENCE <br />IyLMY AUTO <br />SWC 00107.29 <br />7/1/2015 <br />$ 50,000 <br />s 1,000,000 <br />I HIRED AUTO <br />I NON -ONMEO AUTO <br />7/1 /2016 <br />;;Vy/7!'T� <br />I GARAGE LIABILITY <br />I AUTO PHYSICAL DAMAGE <br />A <br />PROPERTY <br />SWCOD107 -2g <br />7/1/2015 <br />s 5,000 <br />s 250,250,000 <br />I AI.L RISK <br />7/1/2016 <br />EACH OCCURRENCE <br />RTHQUAKE d FLOOD <br />UDES <br />I EX L R <br />A <br />STUDENT PROFESSIONAL LIABILITY <br />SWC00107 -29 <br />7/1/2015 <br />5 5,000 <br />5 Included <br />711/2016 <br />EACH OCCURRENCE <br />B <br />W BIKERS COMPENSATION <br />j IWO STATUTORY LIMITS IA OTHER <br />I EMPLOYERS' LIABILITY <br />PIPS11712 <br />7/1/2015 <br />$ <br />711/2016 <br />S 1,000,000 <br />E.L. EACH ACCIDENT <br />s 1,000,000 <br />EXCESS WORKERS COMPENSATION <br />I )EMPLOYERS'LIADILITY <br />S <br />E.L. DISEASE -EACH EMPLOYEE <br />$ 1,000,000 <br />E.L. DISEASE -POLICY LIMITS <br />OTHER <br />S <br />S <br />DESCRIPTION OF OPERATIONS! LOCATONSNEHICLEStRESTRiCTIONS1SPECUL PROVISIONS: ^T <br />As respects to the agreement behreen betMean SAWo and South Orange County CCD (mane Valley Collage). 6, i«�- L-i.,� <br />t <br />CERTIFICATE HOLDER: <br />CANCELLATION ...... SHOULD ANY OF'FHE ABOVE DESCRIBED COVERAGES BE <br />CANCE D B�Fpp THE EXP RATION DATE THEREOF, THE ISSUING ENTITY /JPA <br />i414T <br />City, of Santa Ana._ <br />20 Civic Center Plaza <br />HIW. HAILS yI�[,gV9 IT .EN I TS <br />��24 Kidd <br />TX <br />Santa Ana CA 92702isiSiQi <br />C3�ffitQ2?1IkKg&NY?JkKAS'k: <br />John Stephens AUTHORIZED REPRESENTATIVF <br />,w- rinWx,kro n.x <br />155 ?20J4 ( S3tlTltO%1. j 19ft8 9µ".r Pwl Pk6 ( HE6ANh2 eRR3GH { Tj9f SOte 4A4z12 Pst {Wil9') ( Ps3x I at 6 <br />