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CERTIFICATE OF COVERAGE
<br />PRODUCER:
<br />Alliant Insurance Services, Inc.
<br />P.OBOX 6450
<br />NEWPORT BEACH, CA 92658-6450
<br />PH (949) 756.0271 / FAX (949) 756.2713
<br />LICENSE NO. OC36861
<br />BIG INDEPENDENT CITIES EXCESS POOL MEMBER:
<br />CITY OF SANTA ANA
<br />ATTN: ED RAYA
<br />RISK MANAGER
<br />P.O. BOX 1988
<br />SANTA ANA, CA 92702-1988
<br />07/05/2016
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO
<br />RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND,
<br />EXTEND OR ALTER THE COVERAGE AFFORDED BY THE MEMORANDUM OR POLICY
<br />BELOW:
<br />COMPANIES AFFORDING COVERAGE
<br />COMPANY LETTER (A)
<br />COMPANY LETTER (8)
<br />BIG INDEPENDENT CITIES EXCESS POOL
<br />COMPANY LETTER (C) !
<br />COMPANY LETTER
<br />(D)
<br />COMPANY LETTER
<br />(E)
<br />COMPANY LETTER
<br />(F)
<br />THIS IS TO CERTIFY THAT THE MEMORANDUM OF COVERAGE OR POLICY(IES) LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE
<br />FOR THE POLICY OR MEMORANDUM PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR
<br />OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE COVERAGES AFFORDED BY THE
<br />MEMORANDUM OR POLICY(IES) DESCRIBED HEREIN ARE SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH MEMORANDUM
<br />OR POLICY. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br />CTYPES MEMORANDUM MEMORANDUM MEMORANDUM
<br />O
<br />LOF OR OR POLICY OR POLICY LIMIT
<br />COVERAGES POLICY NUMBER EFFECTIVE EXPIRES
<br />I
<br />EXCESS LIABILITY DIFFERENCE BETWEEN
<br />A OCCURRENCE FORM BI & PC $3,000,000 POOL LIMIT
<br />BO-05 07/01/2016 07/01/2017 COMBINED AND
<br />INCLUDING AUTOMOBILE $1,D00,000
<br />LIABILITY SELF -INSURED RETENTION
<br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS:
<br />AS RESPECTS USE OF FACILITIES AT CERTIFICATE HOLDER'S PREMISES AT VARIOUS TIMES THROUGHOUT THE POLICY YEAR.
<br />CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED SOLELY WITH RESPECT TO BODILY INJURY AND PROPERTY DAMAGE
<br />ARISING OUT OF OPERATIONS AS DESCRIBED BY OR ON BEHALF OF THE NAMED INSURED \!
<br />SUBJECT TO POLICY TERMS, CONDITIONS AND EXCLUSIONS.
<br />CERTIFICATE HOLDER .r
<br />SHOULD ANY OF THE ABOVE DES RIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
<br />MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN
<br />RANCHO SANTIAGO COMMUNITY COLLEGE DISTRICT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
<br />FACILITIES DEPARTMENT LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR
<br />ATTN: MARIA GARCIA REPRESENTATIVES.
<br />1530 W. 17TH STREET w.,...,-,»,.»,-.,,,.....M,_......,..,,...,,.,.............,_Mr_-....,,,-..,_.,..,....,...»...,_-._._,.,,.,.,.,....,,,,,
<br />SANTA ANA, CA 927C5 AUTHORIZED REPRESENT TIVE
<br />HI
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