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Master Contract No. 902012 <br />Procurement Contract No. 24823 <br />ALIFOP,NIA JOINT POWERS <br />RISK MANAGEMENT AUTHORITY <br />rfrerrlltrd sit& B.. rU. cr from the Citl forma A.-3.Sian of Juto[ N.— A—h orl>:i., <br />CERTIFICATE OF COVERAGE <br />Certificate Holder and <br />Additional Cowered Party: County of Alameda, Health Care Services Agency, its Boards of Su pervisors, the <br />individual members thereof, and all County officers, agentsr employees, vo lunteers, <br />and representatives - <br />Attentions: Kerry Abbott <br />1404 Franklin Street, suite 301 <br />Oakland, CA 94612 <br />This certifies that the coverage <br />described herein has been issued to: City of San Leandro <br />Description of Activity: First Amend mentto Agreement dated October 1, 2022: Homeless Coordinating and Financing <br />Council (HICK)for the Homeless H ous ing, Ass ista nce and Prevention [HHAP) Program to address immediate homelessness <br />dtallenges; Master Contract No-13021112; Procu re ment Contract No- 24823 <br />date{sl of Activity: 07-01-2023 to 06-30-2024 <br />Location of Activity, within City of San Leandro bondaries San Leandro, CA 94577 <br />Certificate <br />Entity Providing Coverage <br />Excess Coverage <br />Expiration date <br />S1 SO,flU4 <br />California )ointPowers Risk Management Authority <br />July01, 2024 <br />excess of <br />$ 750rODO <br />The following coverage is in effect and is provided through participation in a risk sharing joint powers authority: general <br />liability and automobile liability pooled self-insurance, as defined in the Memorandum of Coverage on file with the entity <br />and which will be made available upon request. <br />Thecoverage being provided is limited to the activity and the time period indicted herein and is subject to all the terms, <br />conditions and exilusions of the Memorandum of Coverage of the Cal ifomiaJoint Powers Risk ManagernentAuthority. <br />Pursuant to Section II, subsection 8r relating to the definition of a covered party, the certificzte holder named herein is <br />only an additional covered party for covered da ims a risi ng a ut of the activity described herein and is subject to the limirts <br />stated herein. <br />Coverage is in effect at this time and wil not be cancelled, lira ited or allowed to expire at a date other than that indicated <br />herein except upon 30 days written notice to the certificate holder- <br />10-23-2023 <br />Date <br />Authonaed Signature <br />Certificate Numb— FORM242764 <br />Tony Giles, CPCU, ARM -P, General Manager <br />Name and Title (Print or type) <br />3241 Doolan Road, Suite 285 s 1.1aetmorG CA 94551 • Phome (925) 837-OM7 ■ FAX (925) 290-1543 <br />Exhibit C <br />Page 2of3 <br />