2019-20 Certificate of CoverageIssue Date
7/1/2019MEMBER'S CERTIFICATE OF COVERAGE
Special District Risk Management Authority
1112 'I' Street, Suite 300
Sacramento, California 95814
800.537.7790 www.sdrma.org
Provider
Costa Mesa Sanitary District Member Number: 6819Member
290 Paularino Avenue
Costa Mesa, California 92626
This is to certfy that coverages listed below have been issued to the Member named above for the period indicated. This certfcate is not an insurance
policy or an agreement of coverage and does not amend, extend or alter the coverage aforded by the agreements listed herein. Notwithstanding any
requirement, term, or conditon of any contract or other document with respect to which this certfcate may be issued or may pertain, the coverage
described herein is subject to all the terms, exclusions, and conditons of the specifc coverage document. This certfcate of coverage evidences the limits
of liability in efect at the incepton of the agreements shown; limits shown may have been reduced by paid claims. This certfcate is issued as a mater of
informaton only and confers no rights upon the certfcate holder.
Type of Coverage LimitsExpiraton DateEfectve DatePolicy Number
Property 7/1/2019 Per Occurrence017471590/06 7/1/2020
Property $ 1,000,000,000
Boiler & Machinery $ 100,000,000
Polluton $ 2,000,000EIL1000037
Cyber Limits on FilePH1933928
Replacement cost for Scheduled Property
Mobile Equipment 7/1/2019 Per OccurrenceLCA-SDRMA-201920 7/1/2020
Mobile/Contractors Equipment $ 1,000,000,000
Actual cash value for Scheduled Property
General Liability 7/1/2019 Per OccurrenceLCA-SDRMA-201920 7/1/2020
Bodily Injury $ 10,000,000
Property Damage $ 10,000,000
Public Ofcials Personal $ 500,000
Employment Benefts $ 10,000,000
Employee/Public Ofcials E & O $ 10,000,000
Employment Practces Liability $ 10,000,000
Employee/Public Ofcials Dishonesty $ 1,000,00001-583-58-64
Auto Liability 7/1/2019 Per OccurrenceLCA-SDRMA-201920 7/1/2020
Auto Bodily Injury $ 10,000,000
Auto Property Damage $ 10,000,000
Uninsured Motorist Limits on FileUMI-SDRMA-201920
Auto Physical Damage 7/1/2019 Per OccurrenceLCA-SDRMA-201920 7/1/2020
Auto PD - Comp Limits on File
Auto PD - Collision Limits on File
High Dollar Vehicles Limits on File
Trailer 7/1/2019 Per OccurrenceLCA-SDRMA-201920 7/1/2020
Trailer Limits on File
Workers' Compensaton 7/1/2019 Per OccurrenceWCP-SDRMA-201920 7/1/2020
Employers Liability $ 5,000,000
Workers' Compensaton Statutory
Description: All listed coverage is in effect only for the time period specified.Laura S. Gill - Chief Executve Ofcer