2021-22 Declarations - Uninsured-Underinsured Motorist CoverageDeclarations – Uninsured/Underinsured Motorist Coverage
2021-22 Property/Liability Coverage Documents Uninsured/Underinsured Motorist:1 of 2 Tel 800.537.7790
Special District Risk Management Authority Fax 916.231.4111
Rev. 07/01/2021 www.sdrma.org
MEMBER COVERED:Costa Mesa Sanitary District
290 Paularino Avenue
Costa Mesa, California 92626
Your District/Agency/City has elected to participate in the risk
financing coverage programs described below as “THE PACKAGE
PROGRAM” and in such other programs as are indicated herein. These
DECLARATIONS together with the Memorandum, the
Uninsured/Underinsured Motorist Coverage Agreement attached as
Exhibit C, the terms and conditions of the Sixth Amended and
Restated Joint Powers Agreement and Bylaws, or successor documents
thereto, constitute the entire agreement concerning risk-financing
coverage between the Special District Risk Management Authority and
your District/Agency/City.
Please read the Sixth Amended and Restated Joint Powers Agreement
and Bylaws of the Special District Risk Management Authority
(hereinafter “SDRMA”), or successor documents thereto, together
with the Memorandum of Coverages, hereinafter referred to as the
“Memorandum” and the Uninsured/Underinsured Motorist Coverage
Agreement, to ascertain all of your District's/Agency's/City’s rights and
obligations regarding its relationship with the Special District Risk
Management Authority.
COVERAGE PERIOD: July 1, 2021 at 12:01 a.m. to July 1, 2022 at 12:01 a.m.
COVERAGE – BODILY INJURY SDRMA will pay those sums a Covered Individual or anyone occupying
an Owned Auto, as defined in the Uninsured/Underinsured Motorist
Coverage Agreement, is legally entitled to recover as Damages
because of Bodily Injury from the owner or driver of an Uninsured
Motor Vehicle. The term Uninsured Motor Vehicle includes
Underinsured Motor Vehicles. The damages must result from Bodily
Injury sustained by anyone occupying an Owned Auto. The owner’s or
driver’s liability for these damages must result from the ownership,
maintenance or use of the Uninsured Motor Vehicle. This Agreement
does not apply to any persons who are entitled to workers’
compensation benefits as a result of the accident.
LIMIT(S)$1,000,000 per accident, subject to the terms, conditions and
exclusions as provided in the Memorandum, and subject further to the
terms, conditions and exclusions of the Uninsured/Underinsured
Motorist Coverage Agreement contained in Exhibit C. The maximum
Uninsured/Underinsured Motorist Coverage when more than one
covered individual is covered under different Memorandums of
Coverage issued to different Member/Agency(s) injured in the same
accident, is limited to a maximum of $1,000,000 under all such
Memorandums of Coverage.
COVERAGE – PROPERTY SDRMA will pay those sums up to $10,000 which the Member, or any
Declarations – Uninsured/Underinsured Motorist Coverage
2021-22 Property/Liability Coverage Documents Uninsured/Underinsured Motorist:2 of 2 Tel 800.537.7790
Special District Risk Management Authority Fax 916.231.4111
Rev. 07/01/2021 www.sdrma.org
DAMAGE owner or operator of an Owned Auto as defined in the Coverage
Agreement, is legally entitled to recover as Property Damage (but not
loss of use) from the owner or driver of an Uninsured Motor Vehicle.
The Property Damage must result from actual direct physical contact
between the Owned Auto and the Uninsured Motor Vehicle provided
that the owner or operator of the Uninsured Motor Vehicle is
identified, or the Uninsured Motor Vehicle is identified by its license
number.
LIMIT(S)$10,000 per accident, subject to the terms, conditions and exclusions
as provided in the Memorandum, and subject further to the terms,
conditions and exclusions of the Uninsured/Underinsured Motorist
Coverage Agreement contained in Exhibit C.
MEMBER DEDUCTIBLE $25,000 per occurrence per auto accident, Property Damage only.
7799643.1