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Northern California ReLiEF <br />CERTIFICATE OF COVERAGE <br />Issue Date <br />6/30/2023 <br />Protected Insurance Program for Schools <br />ADMINISTRATOR: LICENSE # 0451271 <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 />1732 North First Street, Suite 100 <br />CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />San Jose, CA 95112 <br />AFFORDED BY THE COVERAGE DOCUMENTS BELOW. <br />ENTITIES AFFORDING COVERAGE: <br />Michael Brown License No. 4264710 916-859-7160 x4161 <br />mbrown@keenan.com <br />ENTITYA: Northern California ReLiEF <br />ENTITY B: Protected Insurance Program for Schools <br />COVERED PARTY: <br />Linden Unified School District <br />San Joaquin Co. Schools P&L Ins. Group <br />ENTITY <br />18527 East Main Street <br />ENTITY D <br />Linden CA 95236 <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 />COVERAGE <br />EFFECTIVE/ <br />RETAINED LIMIT <br />LTR <br />TYPE OF COVERAGE <br />DOCUMENTS <br />EXPIRATION DATE <br />/ DEDUCTIBLE <br />LIMITS <br />A <br />GENERAL LIABILITY <br />COMBINED SINGLE LIMIT EACH OCCURRENCE <br />[ y� GENERAL LIABILITY <br />[ ],CLAIMS MADE [ �/JOCCURRENCE <br />NCR 00801-31 <br />7/1/2023 <br />$ 50,000 <br />$ 1,000,000 <br />[ GOVERNMENT CODES <br />7/1/2024 <br />[ ERRORS & OMISSIONS <br />[ ] SEXUAL ABUSE AND MOLESTATION <br />A <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT EACH OCCURRENCE <br />[ ANY AUTO <br />NCR 00801-31 <br />7/1/2023 <br />$ 50,000 <br />$ 1,000,000 <br />[ HIRED AUTO <br />7/1 /2024 <br />[ NON -OWNED AUTO <br />[ GARAGE LIABILITY <br />[ AUTO PHYSICAL DAMAGE <br />A <br />PROPERTY <br />NCR 00801-31 <br />7/1/2023 <br />$ 25,000 <br />$ 500,250,000 <br />[ ALL RISK <br />7/1/2024 <br />EACH OCCURRENCE <br />[ EXCLUDES EARTHQUAKE & FLOOD <br />[ ] BUILDER'S RISK <br />A <br />STUDENT PROFESSIONAL LIABILITY <br />NCR 00801-31 <br />7/1/2023 <br />$ 50,000 <br />$ Included <br />7/1/2024 <br />EACH OCCURRENCE <br />B <br />WORKERS COMPENSATION <br />[ ] WC STATUTORY LIMITS OTHER <br />[ �J EMPLOYERS' LIABILITY <br />PIPS12721 <br />7/1/2023 <br />$ <br />7/1/2024 <br />$ 1,000,000 <br />E. L. EACH ACCIDENT <br />$ 1,000,000 <br />EXCESS WORKERS COMPENSATION <br />[ ] EMPLOYERS' LIABILITY <br />$ <br />E. L. DISEASE- EACH EMPLOYEE <br />$ 1,000,000 <br />E.L. DISEASE- POLICY LIMITS <br />OTHER <br />$ <br />$ <br />DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIREST RICTIONSISPECIAL PROVISIONS: <br />Proof of Coverage as respect to the Agreement between Linden Unified School District and County of San Joaquin for the purpose of <br />Linden High School Homecoming Parade on Front Street between Duncan Road and State Highway 26. <br />September 15, 2023 <br />$1,000,000 annual aggregate, as required by contract <br />CERTIFICATE HOLDER: Agreement Term 09.15.2023 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />County of San Joaquin <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Attn: General Services Department <br />ACCORDANCE WITH THE POLICY PROVISIONS <br />44 North San Joaquin Street, Suite 590 <br />Stockton CA 95202 <br />John Stephens AUTHORIZED REPRESENTATIVE <br />www. eCertsOnlinex m <br />75132549 1 LINDEUNI 123/24 Super Pool P&L I Michael Brown 16/30/2023 11:07:13 AM (PST) I Page 1 of 2 <br />