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Nor =q-1 <br /> IJABILrrY <br /> CERTIFICATE OF COVERAGE REQUEST <br /> Today's Date.- September 29,2006 <br /> JPA-- Property Liability <br /> District: Linden Unified School District <br /> Contact, Rebecca Hall Phone. 209-887-3894 <br /> Cettificate,Holder San Joaquin County <br /> Name&Address <br /> PO Box 1810 <br /> ............... ..................... . ......... ........ <br /> Ann. Stockton CA 95210 . .. <br /> .................... ...... ....... ......... .............. <br /> Description of Closure of Front St Linden CA for Home Coming Patade& en r LindHigh School <br /> Operations .......... ........ ...................... ........ ....... <br /> Is this a Special Yes ❑ No <br /> Event .......-11------..-..—..—................................. <br /> Event Date(s)&Titne'October 13th <br /> ............. .............. w.,......_......................._....... <br /> Location Front Street <br /> .............. ............... <br /> Sponsor <br /> articipants Linden High School <br /> ......................,........ <br /> ................................ ...... ......... —----- <br /> Provide Details of Event-Home Coming Parade <br /> .................................. ............................. .......... <br /> Special Requirements <br /> Cross-Out Endeavor Clause M Yes ❑ No <br /> Additional luouted/Additional Covered Party ❑ Yes No <br /> Other Additional Insured/Covered P" ❑ Yes Ej No <br /> wg=e& <br /> Address Linden Unified School District AT1-N.-Rebecca Hall, 13usiness Manager <br /> 18527 E. Main Street <br /> Linden CA 95236 <br /> Q/P&C admin/Ccrtificates of Ins 99-OOINCR OL cert request <br /> Rev:6-1-00 <br /> k88-d V00/800'd 892-1 918828880z+ 100HOS HnIH N30NII-wojd WE19:80 9002-60-100 <br />