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v <br />California point Il~owers <br />IRisk 1~'Ilanagement d~uthority <br />CERTIFICATE OF COVERAGE <br />CERTIFICATE HOLDER: County of Alameda <br />THIS CERTIFICATES THAT THE COVERAGE <br />DESCRIBED HEREIN HAS BEEN ISSUED TO: City of San Leandro <br />DESCRIPTION OF ACTIVITY: Advanced Life Support (ALS) First Responder <br />Services Agreement between County of Alameda <br />and City of San Leandro <br />DATE (S) OF ACTIVITY: Commencing January 1, 2000 through June 30, 2004 in <br />accordance with above-captioned contract. <br />LOCATION OF ACTIVITY: City of San Leandro <br />ENTITY PROVIDING COVERAGE LIMITS CERTIFICATE <br />COVERAGE EXPIRATION DATE' <br />City of San Leandro $1,000,000 June 30, 2000 <br />835 East 14~' Street <br />San Leandro, CA 94577 <br />California Joint Powers Risk $5,000,000 June 30, 2000 <br />Management Authority excess of $1,000,000 <br />The following coverage is in effect and is provided through participate in a risk sharing joint powers <br />authority: comprehensive general and automobile liability as defined in the Memorandum of Coverage on <br />file with the entity and which will be made available upon request. <br />The coverage being provided is subject to all the terms, conditions and exclusions of the Memorandum of <br />the California Joint Powers Risk Management Authority. <br />Coverage is in effect at this time and will not be cancelled, limited or allowed to expire at a date other than <br />that indicated herein except upon 30 days written notice to the certificate holder. <br />Date Authorized Signature <br />Mazy Richazdson, Risk Management Analyst <br />Name and Title (print or type) <br />THIS CERTIFICATE DOES NOT PROVIDE COVERAGE TO THE CERTIFICATE HOLDER <br />Form A <br />Revised:l0/07/98 <br />6140 Stoneridge Mall Road• Suite 380 • Pleasanton, CA 94588-3235 • (925) 734-9670 <br />