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Southern California ReLiEF Issue Date <br />Protected Insurance Program for Schools CERTIFICATE OF COVERAGE 11/11/2014 <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 />4204 Riverwalk Parkway Suite 400 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />Riverside, CA 92505 AFFORDED BY THE COVERAGE DOCUMENTS BELOW. <br />ENTITIES AFFORDING COVERAGE: <br />951 - 715 -0190 <br />www.keenan.com ENTITYA: Southern California ReLiEF <br />COVERED PARTY: ENTITY e: Protected Insurance Program for Schools <br />Val Verde Unified School District <br />Riverside Schools' Insurance Authority ENTITY C: <br />975 West Morgan Road ENTITY D: <br />Perris CA 92571 <br />ENTITY E: <br />ITHIS IS TO CERTIFY THAT THE COVERAGES LISTED BELOW HAVE BEEN ISSUED TO THE COVERED PARTY NAMED ABOVE FOR THE PERIOD INDICATED. NOTWITHSTANDING ANY I <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 />DESCRIPTION OF OPERATION SILOCATIONSNEHICLESIRESTRICTIONSISPECIAL PROVISIONS: <br />Use of The Box facilities located at 3635 Market Street, Riverside 92501 by May Ranch Elementary School for Friday Night Live Kids Holiday <br />Showcase December 19, 2014 from 3:00 p.m. - 10:00 p.m. <br />CERTIFICATE HOLDER: FNL May Ranch ES Holiday Showcase 12/19/14 CANCELLATION ...... SHOULD ANY OF THE ABOVE DESCRIBED COVERAGES BE <br />CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING ENTITY /JPA <br />WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE <br />City of Riverside HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL <br />It's officers, employees and agents IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE ENTITY /JPA, ITS <br />Attn: Risk Management AGENTS OR REPRESENTATIVES. <br />3900 Main Street <br />Riverside, CA 92501 <br />John Stephens <br />. Len�eTdme com <br />CERT NO`: 22328332 CLIENT CODE: VALVERUN Brenda Oliver 11/11/2014 8:15:28 AM IPST) Pagr 1 Of 3 <br />AUTHORIZED REPRESENTATIVE <br />MEMBER <br />ENT <br />LTR <br />TYPE OF COVERAGE <br />COVERAGE <br />DOCUMENTS <br />EFFECTIVE/ <br />EXPIRATION DATE <br />RETAINED LIMIT <br />/ DEDUCTIBLE <br />LIMITS <br />A <br />GENERAL LIABILITY <br />COMBINED SINGLE LIMIT EACH OCCURRENCE <br />( VfGENERALLIABILITY` <br />SCR 00101 -28 <br />7/1/2014 <br />$ 50,000 <br />$ 1,000,000 <br />[ llCLAIMS MADE (V' OCCURRENCE <br />GOVERNMENT CODES <br />ERRORS & OMISSIONS <br />top <br />4 <br />V;D <br />A <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT EACH OCCURRENCE <br />[ ANY AUTO <br />SCR 00101 -28 <br />7/1/2014 <br />$ 50,000 <br />s 1,000,000 <br />[ HIRED AUTO <br />7/1/2015 <br />[ NON -OWNED AUTO <br />[ GARAGE LIABILITY <br />[ AUTO PHYSICAL DAMAGE <br />A <br />PROPERTY <br />SCR 00101 -28 <br />7/1/2014 <br />s 25,000 <br />$ 250,000,000 <br />[ ALL RISK <br />7/1/2015 <br />EACH OCCURRENCE <br />[ EXCLUDES EARTHQUAKE & FLOOD <br />[ ] BUILDER'S RISK <br />A <br />STUDENT PROFESSIONAL LIABILITY <br />SCR 00101-28 <br />7/1/2014 <br />$ 50,000 <br />s Included <br />7/1/2015 <br />EACH OCCURRENCE <br />[ ] WC STATUTORY LIMITS [ OTHER <br />B <br />WORKERS COMPENSATION <br />[ 4EMPLOYERS'LIABILITY <br />PIPS129 -11 <br />7/1/2014 <br />$ <br />7/1/2015 <br />$ 1,000,000 <br />E.L. EACH ACCIDENT <br />1,000,000 <br />EXCESS WORKERS COMPENSATION <br />S <br />[ 1 EMPLOYERS' LIABILITY <br />E.L. DISEASE - EACH EMPLOYEE <br />$ 1,000,000 <br />E.L. DISEASE - POLICY LIMITS <br />OTHER <br />$ <br />8 <br />DESCRIPTION OF OPERATION SILOCATIONSNEHICLESIRESTRICTIONSISPECIAL PROVISIONS: <br />Use of The Box facilities located at 3635 Market Street, Riverside 92501 by May Ranch Elementary School for Friday Night Live Kids Holiday <br />Showcase December 19, 2014 from 3:00 p.m. - 10:00 p.m. <br />CERTIFICATE HOLDER: FNL May Ranch ES Holiday Showcase 12/19/14 CANCELLATION ...... SHOULD ANY OF THE ABOVE DESCRIBED COVERAGES BE <br />CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING ENTITY /JPA <br />WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE <br />City of Riverside HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL <br />It's officers, employees and agents IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE ENTITY /JPA, ITS <br />Attn: Risk Management AGENTS OR REPRESENTATIVES. <br />3900 Main Street <br />Riverside, CA 92501 <br />John Stephens <br />. Len�eTdme com <br />CERT NO`: 22328332 CLIENT CODE: VALVERUN Brenda Oliver 11/11/2014 8:15:28 AM IPST) Pagr 1 Of 3 <br />AUTHORIZED REPRESENTATIVE <br />