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CERTIFICATE <br />OF COVERAGE <br />05/07/2019 <br />PRODUCER: <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO <br />RIGHTS UPON THE CERTIFICATE HOLDER> THIS CERTIFICATE DOES NOT <br />Alliant Insurance Services, Inc. <br />AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER COVERAGE AFFORDED <br />P.O. BOX 6450 <br />BELOW. THIS CERTIFICATE OF COVERAGE DOES NOT CONSTITUTE A CONTRACT <br />NEWPORT BEACH, CA 92658.6450 <br />BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, <br />AND THE CERTIFICATE HOLDER. <br />PH (949) 766-0271 / FAX (949) 756-2713 <br />LICENSE NO, OC36861 <br />IMPORTANT: If the certiffoste holder Is an ADDITIONAL INSURED and/or requesting a WAIVER <br />OF SUBROGATION, the Memarandums of Coverage must he endorsed. A statement on this <br />certificate does not confer rights to the certificate hoiderin lieu of such endorsement(a). <br />BIG INDEPENDENT CITIES EXCESS POOL MEMBER: <br />CITY OF SANTA ANA <br />ATTN: DE13BIE SCOTT-LEISTRA, INTERIM <br />RISKMANAGER <br />P.O. BOX 1988 <br />SANTAANA, CA 92702-1988 <br />COMPANIES AFFORDING COVERAGE <br />COMPANY LETTER (A) BIG INDEPENDENT CITIES EXCESS POOL <br />COMPANY LETTER (B) <br />COMPANY LETTER (C) <br />COMPANY LETTER (D) <br />COMPANY LETTER (E) <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OFANY CONTRACTOR OTFIER <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE COVERAGE AFFORDED BY THE MEMORANDUMS D <br />TYPES MEMORANDUM MEMORANDUM MEMORANDUM <br />CO OF OR OR POLICY OR POLICY <br />LTR COVERAGES POLICY NUMBER EFFECTIVE EXPIRES <br />WITH RESPECT TO WHICH THIS <br />EREIN IS SUBJECT TO ALL THE <br />LIMIT <br />$2,000,000 <br />EXCESS LIABILITY <br />BO-05 <br />BODILY <br />I.IMITINCLUSIVE OF <br />INJURY <br />A <br />OCCURRENCE FORM <br />AND <br />$1,0 <br />07/01/2018 <br />07/0112019 <br />P <br />DRE <br />BELSELF-INSUREDRETENTION <br />INCLUDING AUTOMOB <br />DAILE GE GE <br />AND <br />LIABILITY <br />COMBINED <br />COMBINED <br />$1,000,000 <br />BICEP POOL LAYER <br />ESC JPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/$PECIAL ITEMS: <br />AS RESPECTS SANTA ANA ZOOMOBILE EVENTAT DWYER MIDDLE SCHOOL MAY 14, 2019AND MAY 30, 2019. THERE IS NO SPECIFIC <br />EXCLUSION FOR SEXUAL ABUSEAND MOLESTATION. <br />SUBJECT TO POLICY TERMS, CONDITIONS AND EXCLUSIONS. <br />HUNTINGTON BEACH CITY SCHOOL DISTRICT <br />8750 DORSETT DRIVE <br />HUNTINGTON BEACH, CA 92646 <br />Me <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED MEMORANDUMS OF COVERAGES BE <br />CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WIL BE <br />DELIVERED IN ACCORDANCE WITH THE MEMORANDUMS OF COVERAGE <br />PROVISIONS. <br />ICO <br />