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Tracv Digitallysigned <br />L. <br />Statewide Association of Community Colleges,ERTIFICATE OF COVERAGE Issue nett) t�, 22 <br />1. J <br />Protected Insurance Program for Schools a co <br />ADMINISTRATOR: LICENSE # 0451271 <br />_s <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 />�enise S�Llfiarez License No. 4181241 310-212-0363 X2221 <br />suarez eenan.com <br />ENTITY A: Statewide Association of Community Colleges <br />ENTITY B. Protected Insurance Program for Schools <br />COVERED PARTY: <br />Rancho Santiago Community College District <br />2323 North Broadwayy <br />ENTITY <br />Santa Ana CA 92706 <br />ENTITY D <br />ENTITY E: <br />THIS IS TO CERTIFY THAT THE COVERAGES LISTED BELOW HAVE BEEN ISSUED TO THE COVERED PARTY NAMED ABOVE FOR THE PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. THE COVERAGE <br />AFFORDED HEREIN IS SUBJECT TO ALL THE TERMS AND CONDITIONS OF SUCH COVERAGE DOCUMENTS. <br />MEMBER <br />ENT <br />TYPE OF COVERAGE <br />COVERAGE <br />EFFECTIVE/ <br />RETAINED LIMIT <br />LIMITS <br />LTR <br />DOCUMENTS <br />EXPIRATION DATE <br />/ DEDUCTIBLE <br />A <br />GENERAL LIABILITY <br />COMBINED SINGLE LIMIT EACH OCCURRENCE <br />[ Vf GENERAL LIABILITY <br />[ LGOVER MADE [VfOCCURRENCE <br />SWC 01515-02 <br />7/1/2023 <br />$ 25,000 <br />s 1,000,000 <br />[ ODES <br />7/1l2024 <br />[ ERRORS&OMISNMENT <br />[ SEXUAL ABUSE AND MOLESTATION <br />SEXUAL ABUSE AND <br />I1 <br />A <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT EACH OCCURRENCE <br />[ ANY AUTO <br />swc01515-02 <br />7/1/2023 <br />$ 25,000 <br />$ 1,000,000 <br />[ HIREDAUTO <br />j NON -OWNED AUTO <br />7/1/2024 <br />[ GARAGE LIABILITY <br />[ AUTO PHYSICAL DAMAGE <br />A <br />PROPERTY <br />SWC01516-02 <br />7/1/2023 <br />$ 10,000 <br />s 500,250,000 <br />[ ALL RISK <br />[ EXCLUDES EARTHQUAKE & FLOOD <br />7/1/2024 <br />EACH OCCURRENCE <br />[ I BUILDER'S RISK <br />A <br />STUDENT PROFESSIONAL LIABILITY <br />SWC01515-02 <br />7/1/2023 <br />$ 5,000 <br />$ Included <br />7/1/2024 <br />EACH OCCURRENCE <br />B <br />wQRKERS COMPENSATION <br />[ I WC STATUTORY LIMITS [ V1 OTHER <br />[ t/I EMPLOYERSLIABILITY <br />PIPS8859 <br />7/1/2023 <br />$ <br />7/1/2024 <br />$ 1,000,000 <br />E.L. EACH ACCIDENT <br />S 1,000,000 <br />EXCESS WORKERS COMPENSATION <br />[ I EMPLOYERSLIABILITY <br />$ <br />E.L. DISEASE- EACH EMPLOYEE <br />$ 1,000,000 <br />E.L. DISEASE -POLICY LIMITS <br />OTHER <br />$ <br />$ <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIRESTRICTIONSISPECIAL PROVISIONS: <br />As respects to the Facilities Use Agreement with Rancho Santiago Community College District for Corbin Center, Southwest Senior Center, Santa Ana <br />Senior Center, Garfield Center, and El Salvador Center. <br />$2,000,000 annual aggregate, as required by contract. <br />CERTIFICATE HOLDER: <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />P.V. BOX 1988 <br />ACCORDANCE WITH THE POLICY PROVISIONS <br />20 Civic Center Plaza (M-30) <br />Santa Ana CA 92702-1988 <br />o„ <br />(/ <br />REv -D6APov <br />'`�- <br />� <br />John Stephens <br />�t <br />�14 y <br />D'ovan <br />ED BY: <br />k44 <br />„ws�.„u,i,n� ��m Risk Management Analyst <br />]6669281 RANCHSAN 123/24 Super Pool I Denise Suarez 110/18/2023 8:36:20 oM (PST) I Page 1 of 3 <br />