Laserfiche WebLink
Northern California ReLiEF CERTIFICATE OF COVERAGE Iseue Date <br /> Protected Insurance Program for Schools 9/812009 <br /> ADMINISTRATOR: LICENSE# 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 Technology Drive, Suite 300 CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE <br /> San Jose, CA 95110 AFFORDED BY THE COVERAGE DOUMENTS BELOW. <br /> ENTITIES AFFORDING COVERAGE: <br /> 408-441-0754 <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 ENTITY C <br /> 18527 East Main Street 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 TYPE OF COVERAGE COVERAGE EFFECTIVE/ RETAINED LIMIT <br /> LTR DOCUMENTS EXPIRATION DATE /DEDUCTIBLE LIMITS <br /> A GENERAL LIABILITY COMBINED SINGLE LIMIT EACH OCCURRENCE <br /> L vjGENERAL LIABILITY` NCR 00801-16 7/1/2009 $ 50,000 $ 1,000,000 <br /> ( CLAIMS MADE (v)OCCURRENCE <br /> [ GOVERNMENT CODES 7/1/2010 <br /> ( ERRORS&OMISSIONS <br /> [ I <br /> A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT EACH OCCURRENCE <br /> [ ANY AUTO NCR 00801-16 7/1/2009 $ 50,000 $ 1,000,000 <br /> ( HIRED AUTO <br /> ( NON-OWNED AUTO 7/1/2010 <br /> [ GARAGE LIABILITY <br /> [ AUTO PHYSICAL DAMAGE <br /> A PROPERTY NCR 00801-16 7/1/2009 $ 25,000 $ 250,000,000 <br /> [ ALL RISK 7/1/2010 EACH OCCURRENCE <br /> ( EXCLUDES EARTHQUAKE&FLOOD <br /> [ j BUILDER'S RISK <br /> A STUDENT PROFESSIONAL LIABILITY NCR 00801-16 7/1/2009 $ 50,000 Included <br /> 7/1/2010 EACH OCCURRENCE <br /> B WORKERS COMPENSATION <br /> ( EMPLOYERS'LIABILITY PIPS12706 7/1/2009 $ ( IWC STATUTORY LIMITS [ OTHER <br /> 7/1/2010 $ 1,000,000 <br /> E.L.EACH ACCIDENT <br /> EXCESS WORKERS COMPENSATION $ 1,000,000 <br /> [ j EMPLOYERS'LIABILITY $ E.L.DISEASE-EACH EMPLOYEE <br /> $ 1,000,000 <br /> E.L.DISEASE-POLICY LIMITS <br /> OTHER <br /> $ <br /> DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/RESTRICTIONSISPECIAL PROVISIONS: <br /> As respects to the closure of Front Street,Linden,CA,for Homecoming Parade by <br /> participating Linden High School on September 25,2009 from 1:30 pm-3:00pm. <br /> CERTIFICATE HOLDER: CANCELLATION......SHOULD ANY OF THE ABOVE DESCRIBED COVERAGES BE <br /> CANCELED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING ENTITY/JPA <br /> San Joaquin Count WILL H61D ]�Q»MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE <br /> q y HOLDER NAMED TO THE LEFT,P(OfDCiCdAl4�bl�q�C <br /> PO Box 1810 �Ii�t�O�EC)41w(G4IfiX?O�fDCX>f�42fDIBfG41C4C+9K)Q1G1( M1D(INBQ2f�xXCQ4XDtk1�2b10�x <br /> Stockton CA 95210 <br /> AUTHORIZED REPRESENTATIVE <br /> CERT NO.: 5757519 CLIENT CODE: LINDEUNI Prances Freeman 9/8/2009 4:23:03 PM Page 1 Of 1 <br />