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EVIDENCE OF COVERAGE <br />DATE, I2018YYY) <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 />JPA MEMBER <br />Rancho Santiago Community College District <br />16550 Bloomfield Avenue <br />2323 North Broadway <br />Santa Ana CA 92706 <br />Cerritos, CA 90703 <br />A-2017-336 <br />www.ASCIP.org <br />CONTACT NAME: Mr. Fritz J. Heidch, 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 />ADDU. <br />INSR <br />MEMORANDUM NUMBER MOC POLICY <br />( ) (MWDDIYYYY) <br />EFF <br />POUCYExP <br />12:01.... <br />LIMIT OF LIABILITY I COVERAGE <br />COMBINED SINGLE LIMIT PER OCCURRENCE S $5,000,000 <br />GENERIILLIABIIITY <br />S N/A <br />OCCURRENCE <br />MDC #77 71112017 <br />711/2018 <br />AGGREGATE <br />S <br />Personal Iniury <br />Errors 8 Omission <br />S <br />s - <br />Employment Practices <br />COMBINEDSWGLELIMITPEROCCURRENCE S $5,000,000 <br />AUTOMOBILE LIABILITY <br />S <br />AUTOMOTIVE PHYSICALDAMAGE <br />MDC 1177 711/2017 <br />711/2016 <br />ACTUALCASH VALUE <br />S <br />COMPREHENSIVE I COLLISION <br />S <br />ANY AUTO <br />S <br />Ow0ed,e{dt0 <br />S <br />Hired Auto <br />REPLACEMENT COST SUBJECT TO POLICY LIMITS, TERMS. <br />PROPERTY <br />NDC N N <br />5 $600,000.000 <br />BUILDING/CONTENTS <br />MOC#77 <br />711/2017 <br />7/1/2018 <br />S <br />FIRE. THEFT. RENTAL INTERRUPTION <br />S <br />S <br />EACH ACCIDENT S $1,000,000 <br />WORKERS COMPENSATION <br />AND EMPLOYERS LIABILITY <br />NIA <br />Moc #77 <br />7I112017 <br />7I112018 <br />PER EMPLOYEE S $1,000,000 <br />- <br />POLICYLIMIT s $1,Ooo,000 <br />WC STATUTORY LIMITS <br />SUBIECTTO POLICY LIMITS, TERMS. AND CONDITIONS <br />OTHER <br />S $5,000,000 <br />EMPLOYEE DISHONESTY (CRIME) <br />MCC#77 <br />7/1/2017 <br />711/2018 <br />S <br />S <br />S <br />ADDITIONAL REMARKS: {� I <br />by the state to be a peace officer. <br />As respects to professional training to remain certified <br />CANCELLATION <br />CERTIFICATE HOLDER <br />Should any of the above coverage s for the Covere arty be changed or withdrawn prior <br />to the expiration date Issued a ve, 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 />Santa Ana Police Department <br />any kind upon ASCIP, its agents, or representatives. <br />Attn:Teresa Velasco <br />60 Civic Center PlazapQ/ <br />Santa Ana CA 92702 <br />AUTHORIZED REPRESENTATIVE: Fritz J. I lelrlch <br />_ ._.___—__.:__....—...av¢na. Io,e rd,mridn rude. Rzv5.91 <br />-ASCIP is a Joint powers authority punuanttoafide l IcommeHoMwith section 6500) Chapter S of Division 7 of TUe 1 of Ne <br />39788781 1 71 117/18 EvitlBnce Only I Dialie Hill 11/B/]038 10:08:10 NI tPST) I e.'. 1 of 1 <br />