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SEP-06-2011 13: 1.7 From: To:2094659324 P.2/3 <br /> Nortivrn California ReUEFCERTIFICATE OF COVERAGE Issua Date <br /> ProtoCtod Insurance Program for Schools 9/6/2011 <br /> ADMINISTRATOR: LICENSE a 0451271 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br /> Keenan &Associates AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> 1740 Te�llnol y Drive, Suite 300 CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE <br /> AFFORDED BY THE COVERAGE DOCUMENTS BELOW, <br /> San Joss;, CA 95110 <br /> ENTITIES AFFORDING COVERAGE! <br /> 40$-441-0?54 <br /> wwuv,&r.:m.com ENTITY A; Northern Califomia ReLiEF <br /> COVERED PARTY: ENTITY 8- Protected insurance P <br /> Linden Unified,School District Program for Schools <br /> San Joaquin Co. Schools P&L Ins, Group ENTITY C. <br /> 18527 East Main Street ENIIIY O: <br /> Linden CA 95236 <br /> ENTITY E: <br /> THIS IS TO CERTIFY THAT t HE COVERAGES LISTED BELOW MAV;.BEEN ISSUED TO THE COVERED PARTY NAMED ABOVE KOR THE PERIOD INDICATED, NOTWITHSTANDI%ANY <br /> REQUIREMENT,TERM OR CONDITION Or ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CEN 1'IVICATE MAY BE ISSUED OR MAY PERTAIN. THE COVERAGE <br /> AFFORDED HEREIN 151 SUBJECT TO ALL THE TERMS ANO CONDITIONS OF SUCH COVHRAGF_OOCUMENTS. <br /> MEMBER <br /> ENTTYpE;OF COVERAGE COVERAGE EFFECTIVE/ RETAINED LIMIT LIMITS <br /> LTR DOCUMENTS EXPIRATION DATE IDEDUCTIBLE <br /> A GENERAL LIABILITY COMBINED SINGLE UMIT FACH OCCURRENCE <br /> [yjMNERAL;JAAILrrY NCR OO8U1-18 7/1/2011 s 50,000 $ 1,000,000 <br /> [ IMSMd# c400CURRCNCC 7/1/2012 <br /> (gVERNW-NTCODES <br /> [ RCRSt:OMISSIONS <br /> A AU`TOMOBILI.LIABILITY COMBINCO SINGLE LIMIT EACH OCCURRENr,F <br /> Iy ANY AUTC NCR 00801-18 7/1/2011 $ 50,000 $ 1,000,000 <br /> ( MIREDAUTO <br /> [ NON-CWNE'.D AUTO 7/1/2012 <br /> I GARAGE I IANUTY <br /> I /AUTO PHYiICAL DAMAGE <br /> A PROPERTY NCR 00801-18 7/1/2011 = 25,000 = 250,000,000 <br /> I ALL RISK 711/2012 EACH OCCURRENCE <br /> I EXCLUDES EARTHQUAKE&FL000 <br /> [ I BUILDER'S RISK. <br /> A STUDENT PROFESSIONAL LIABILITY NCR 00801-18 7/1/2011 = 50,000 Imcluded <br /> 7/1/2012 EACH OCCURRENCE <br /> WQRKER$COMPENSATION I j WC STATUTORY LIMITS I OTHER <br /> F J(EMPLOYCR.'>'LIAW4irY PIPS12708 7/1/2011 $ <br /> 7/112012 1,000,000 <br /> E.L.EACH ACCIDENT <br /> EXCESS WORKERS COMPENSATION = = 1,000,000 <br /> [ ]EMPLOYER LIA8IUTY E.L.DISEASE,EACH EMPLOYEE <br /> $ 1,000,000 <br /> El,DISLASE-POLICY LIMIT$ <br /> OTHER <br /> _ <br /> S <br /> DWRIPTKON OF OPERATIONWI OCATIONW19HICLEBIMTRICTIONNSPECULL PROVMONS: <br /> As respect$to the ch)sure of Front Street In Undan,Califomia for the Homecoming Parade by participating Unden Hlgh School on <br /> September 16.2011 at 1.00 p.m. <br /> CERTIFICATE HOU71iR: Homecorrfj 3 Parade CANCELLATION......SHOULD ANY OF THE ABOVE DESCRIBED COVERAGES BE <br /> CANCELED BEFORE THE EXIIIBATION DATE THEREOF.THE ISSUING ENTRY/JPA <br /> WILL ENDEAVOR TO MAIL 3U DAY$WRITTEN NOTICE TO THE CERTIFICATE <br /> San Joaquin County HOLDER NAMED TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL <br /> Risk Mana er IMPOSE NO OBLIGATION OR LIAQILITY OF ANY KIND UPON THE ENTITYIJPA,ITS <br /> PO Bax 1810 AGENTS OR REPRESENTATIVES. <br /> Stockton CA 95210 1 <br /> (5 <br /> V�;-' <br /> Graham Grice AUTHORIZED REPRESENTATIVE <br /> CiRT ti0.: 1107 1107166 40 ia,l$!rr Cpyg; LINDI3UrvY Lori c;e11e0her 9/fi/2011 3:14:09 OH Pag@ 1 OC 2 <br />