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Northern California R®LIEF CERTIFICATE OF COVERAGE Issue Date <br /> Prolected Insurance Program for Srhrmis 9/1212012 <br /> ADMINISTRATOR: I ICEN$E+1 0451271 THIS CERTIFICATE IS ISSUED AS A MATTER OFlNFORMATK)N ONLY <br /> Keenan&Associates AND CONFER$NO RIGHT$UPON 7HE CERTIFICA'm HOLDER. TIMIS <br /> 1740 Technology Drive, Suite 300 <br /> CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE <br /> San Jane,CA 95110 AFFORDED BY THE COVERAGE DOCUMENTS BELOW, <br /> 408 +41-0754 ENTITIES AFFORDING COVERAGE: <br /> www.keenan.com ENTITY A; Northern California ReLiEF <br /> COVERED PARTY! ENTITY B. Protected Insurance Program for Schools <br /> Linden Unified School District <br /> San Joaquin Co.Schools P&L Ins. Group ENTIYY C: <br /> 18527 East Main Street ENTITY D: <br /> Linden CA 95236 <br /> ENTITY E: <br /> THIS IS TO CERTIFY THAT THE COVERAGFS LISTED?EL*W HAVE WEN ISSUED TO THE COVERED PARTY NAMED ABOVE rOR THC PERIOD INDICATED. NOTWITHSTANDING ANY <br /> REQUIREMENT,TERM OR CONOITIC)N OF ANY C(.19I NAUT OR OTHER DOCUMENT WITH RESPECT TO WHICH TFIIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. -nir;COVERAGE <br /> AFFORDED HCREIN IS$UWECT TO AV-THE IVRMS AND CONDITIONS OF SUCH COVERAQE DOCUMENTS. <br /> MEMBER <br /> ENT TYPE OF COVERAGE COVERAGE EFFECTIVE! RETAINED LIMIT <br /> LTR TYPE EXPIRATION DATE I DEDUCTIBLE LIMITS <br /> GENERAL LIABILITY <br /> A COMBINED SINGLE LIMIT EACH OCCURRENCE <br /> I Vi GENERAL LIABILITY NCR 00801-19 7/1/2012 $ 60,000 s 1,000,00 <br /> 1 jjjCLAIMS MADE (OCCURRENCE <br /> GOVERNMENT CODES 7/112013 <br /> ( ERRORSROMISSIONS <br /> 11 <br /> A AUTOMOBILE LIABIL17 Y 00MOINED SINGLE LIMIT EACH OCCURRENCE <br /> IANY AUTO NOR 00801-19 7/1/2012 $ 50,000s 1,000,000 <br /> (INIREDAVTO <br /> 1NON•OWNEDAUIO 7/1/2013 <br /> GARAGE LIASILIYY <br /> AUTO PHYSICAL OAMAC,F <br /> A PROPERTY NCR 00801-19 7/1/2012 $ 25,000 $ 250,000,000 <br /> 1ALT.AISK 7/1/2013 CACH OCCURRENCC <br /> [ EXCLUDES EARTHQUAKE 8 FLOOD <br /> I I BUILDER'S RISK <br /> A $TUOENTPROFES310MAL LIABILITY NCR 00801-19 7/1/2012 $ 550,000 S Included <br /> 7/1/2013 EACH OCCURRENCE <br /> B W9RKERS COMPENSATION ( I WCSTATI)TORY LIMITS [,/j OTHER <br /> 1 I EMPLOYERS'LIAFUI.iTY PIP8127()9 7/1/2012 $ <br /> 7/1/2013 s 1,000,000 <br /> E.L.EACH ACCIDENT <br /> EXCESS WORKERS COMPENSATION $ 1,000,000 <br /> I I EMPLOYER$'LIABILITY S E.L.DISEASE-EACH EMPLOYEE <br /> $ 1,000,000 <br /> E.L.DISEASE-POLICY LIMITS <br /> OTHER <br /> 3 <br /> S <br /> DESCRIPTION OF OPERATION$fLOCATIONSIVENKgXBRESTRICTIONS/SPECIAL PROVISIONS: <br /> AS reSpeGtS 10 the closure of Front Stroat In Linden,California for the Homecoming Parade by participating Linden High School on <br /> September 14,2012 at 12:00 p.m. <br /> CERTIFICATE HOUXR; Homecoming Parade CANCELLATION......SHOULD ANY OF THE ABOVE DESCRIBED COVERAGES BE <br /> CANCELED BEFORE THE EXPIRATION OATS YHEREOF,THE 1$$VING ENTITYIJPA <br /> San Joaquin County WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE <br /> Attn: Risk Manager MOLDER NAMED TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL <br /> P.O. Box 189 0 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE ENYITYMPA,ITS <br /> Stockton CA 95210 AGENTS OR REPRESENTATIVES. <br /> V�^—) 5 <br /> Graham Grine AI1THnRV,Fo RFPRF$FNTATIVF <br /> ..a'c,irinYne„, <br /> CISM'1' 6V.: 19017529 CLIENT' CODE: LINDSUNI l,ort Gallagher 9/12/3012 9:50.29 AM page 1 of 2 <br /> �iZ'd t722689b602:01 :wD.ad 60:TT 2TO2-2T-ddS <br />