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Employee - Public Official Dishonesty Certificate of CoverageNON-MEMBER'S CERTIFICATE OF COVERAGE Issue Date 7/1/2021 Special District Risk Management Authority 1112 'I' Street, Suite 300 Sacramento, California 95814800.537.7790 www.sdrma.org Provider Costa Mesa Sanitary District 290 Paularino Avenue Costa Mesa, California 92626 Member Number: 6819Member Certfcate Number: 7 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 7/1/20227/1/2021LCA-SDRMA-202122General Liability Per OccurrenceEmployee/Public Ofcials Dishonesty (Crime)$1,000,000 Proof of Coverage: Coverage includes Designated Agent as Employee - Marcus Davis As Independent Treasurer for the Costa Mesa Sanitary District. Cancellaton: Should any of the above-described policies be cancelled before the expiraton dates thereof, the issuing company will mail 30 days writen notce to the above-named certfcate holder, but failure to mail such notce shall impose no obligaton or liability of any kind upon the company. Laura S. Gill - Chief Executve Ofcer endeaver to Certfcate Dates:Additonal Covered Party X Evidence of Coverage Loss Payee Certfcate Holder Certfcate Type:Efectve Date 7/1/2021 Expiraton Date 7/1/2022 Costa Mesa Sanitary District 290 Paularino Ave Costa Mesa, CA 92626