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<br />EVIDENCE OF COVERAGE <br />2012WYY) <br />o6/81(KYXD <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 NUMURR' 77 <br /> JOINT P0WV88 AUTfIORnY 1JPA) <br />Alliance of Schools for Cooperative Insurance Programs <br />16550 Bloomfield Avenue <br />Cerritos, CA 90703 <br />www,ASCIP,org <br />CONTACT NALtB, Mr. Fdtz Heldch, Chlei Exeoutive Oificar <br />PHONE, (582) 404.8029 JPA IAEMB ER <br />Rancho Santiago Communfty College District <br />2323 North Broadway <br />Santa Ana CA 92706 <br /> This is to cartify 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 vr(th 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 OFCOVERAOE 400 <br />N(8R MEMORANDUM HUADER (MOO) POLtOYEFf <br />MiAro pp?CYEXP <br />19D LINrrOfLiABILMICOVERAGE <br /> OE NERALL7ADILITY COMOINEO 864GLE LIMITPEn WI)ARENCE b $5,000,000 <br /> OCCURRENCE ? MOO 477 7/1/2011 711120f2 AOOn90ATE $ NIA <br /> Personal Inlury $ <br /> Errors & Issign $ <br /> EmDtovmenl Powlices 3 <br /> AU TOMOBILWAGILITY COLia1NE0SINGLE tWITPEROCOURRENCE s $5,00000 <br /> AUTOf.WYMPHYSIOALD/JMDe MOO d77 71112011 7/1/2012 AOTUALOAaHVkLUB s <br /> COhtPREHENSNE / COLUMN $ <br /> ANYAUTO : <br /> Owned Auto S <br /> Hired Auto $ <br /> <br /> <br />PROPERTY G <br />TOPOL UM98 <br />_ <br />II)1?1{$ <br />,T0! , <br /> 99ILOn70JCONTENTe -__._ i <br /> ME, THEFT, REWAL IHTERRUPTiON S <br /> S <br /> S <br /> wORKERBCOMPER8AT(ON WA P.ACHAOCIOENT <br />" <br />'•-? i <br /> AHOEMPLOYERa' LtASILITY <br />(' " <br />PER E)APLOYEE <br />5 <br /> t WOOTATWORYLIM(TB <br />I <br />POLICY L UiIT <br />$ <br /> OTH ER SUTIJEOTTOPOUOYLV ITS,TeMS,AHDCONDITIONS <br /> EMPLOYEE utS(IONESTY (CRWF) _ <br /> S <br /> S <br /> $ <br /> <br /> AODITIOWIL REMKS: <br />As respects to Bridge to Engineering Program <br /> CERTIFICATE HOLDER <br /> <br /> <br /> <br />ity of Santa Ana CANCELLATION <br />Should any of the above coverages for the Covered Partyba changed or withdrawn prior <br />to the expiration date Issued above, ASCIP wilt mall 30 days wNtten notice to the <br />ConiRcato Holder, but failure to mall such notice shelf tmposo no obligation or llabi(Ity of <br />any kind upon ASCIP, Its agents, or representatives. <br /> Clerk of the Oily Council <br />20 Civic Center Plaza (M-73, M•30) <br />Santa Ana CA 82702 <br /> <br /> <br />UMORILEOREPRESENrAnve, Fritz HelrIch R <br />•ASdPka)ofntpanenatrUwrhyWrsuanttoArtldei(mnvnendnaHithSlttlon6500)CMpterSOfD,`Asbn7oFT'rtktofiha0otemmenhC,vdaand5ect1ons3?3afIIZ?E filOrU1CE6{N2 - !. 597 <br />C19r "011 53297952 CL39NT Coos, 77 Wanoy hopes 4/0/2012 9124133 An raga 1 of : S?CRCKney <br />`gA t ow Poor c/ <br />PASs?stan /I