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CALIFORNIA JOINT POWERS <br /> RISK MANAGEMENT AUTHORITY <br /> Accredited with Excellence frorn the California Association of Joint Powers Authorities <br /> CERTIFICATE OF COVERAGE <br /> Certificate Holder and <br /> Additional Covered Party: The State of California,its officers,agents,and employees are included <br /> as additional insureds with respect to the work performed for DBW <br /> under this agreement <br /> One Capitol Mall,Suite 500 <br /> Sacramento,CA 95814 <br /> Susan Sykes <br /> This certifies that the coverage <br /> Described herein has been issued to: San Leandro <br /> Description of Activity: Abandoned Watercraft Abatement Fund(AWAF)Grant Agreement#C7701015 <br /> Date(s)of Activity: January 15,2014 to January 15,2016 <br /> Location of Activity: 40 Mulford Point Drive <br /> San Leandro,CA <br /> Entity Providing Coverage Excess Coverage Certificate <br /> Expiration Date <br /> California Joint Powers Risk Management Authority $500,000 June 30,2014 <br /> excess of <br /> $500,000 <br /> The following coverage is in effect and is provided through participation in a risk sharing joint powers authority: <br /> comprehensive general liability,automobile liability,and public officials errors and omissions,as defined in the <br /> Memorandum.of Coverage on file with the entity and which will be made available upon request. <br /> The coverage being provided is limited to the activity and the time period indicated herein and is subject to all the <br /> terms,conditions and exclusions of the Memorandum of Coverage of the California Joint Powers Risk Management <br /> Authority. <br /> Pursuant to Section II,subsection 8,relating to the definition of a covered party,the certificate holder named herein <br /> is only an additional covered party for covered claims arising out of the activity described herein and is subject to <br /> the limits stated herein. <br /> Coverage is in effect at this time and will not be cancelled,limited or allowed to expire at a date other than that <br /> indicated herein except upon 30 days written notice to the certificate holder. <br /> 019/2014 <br /> ate <br /> l( David J.Clovis,ARM,General Manager <br /> thou ed Signatur Name and Title(Print or type) <br /> Form C <br /> 3201 Doolan Road,Suite 285•Livermore,CA 94551 •Phone(925)837-0667•FAX(925)290-1543 <br />