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2021-22 Employee & Public Officials Dishonesty Coverage Declarations – Employee and Public Officials Dishonesty Coverage 2021-22 Property/Liability Coverage Documents Employee Dishonesty: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 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 Employee and Public Officials Dishonesty Coverage Policy attached as Exhibit D, 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. 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 policy(ies) attached as Exhibit(s) to ascertain all of your District's/Agency'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 12:01 a.m. III. EMPLOYEE AND PUBLIC OFFICIALS DISHONESTY PROGRAM The company identified in Exhibit D will indemnify the Member for any loss of money or securities, belonging to the Member, or in which the Member has a pecuniary interest, or for which the Member is legally liable, or which is held by the Member in any capacity, whether the Member is legally liable therefore or not, which the Member shall, during the term of this Memorandum, sustain or discover that they have sustained, through larceny, theft, embezzlement, forgery, misappropriation, wrongful abstraction, willful misapplication or other fraudulent or dishonest act or acts committed by one or more of the employees, as defined, acting alone or in collusion with others. "Employee" or "Employees": The terms "employee" or "employees" as used herein shall mean, respectively, one or more of the natural persons who on the effective date of this coverage or at any other time during the term of this coverage, are in the regular service of the Member in the ordinary course of the Member’s operations, but does not mean brokers, factors, commission merchants, consignees, contractors or other agents or representatives of the same general character. It is agreed that the terms "employee" or "employees" shall also include volunteers and those officials of the Member, including members of the Board of Directors, who, whether elected or appointed, comprise the governing body of the Member. LIMIT(S)$1,000,000 per loss, subject to terms, conditions and exclusions as Declarations – Employee and Public Officials Dishonesty Coverage 2021-22 Property/Liability Coverage Documents Employee Dishonesty:2 of 2 Tel 800.537.7790 Special District Risk Management Authority Fax 916.231.4111 Rev. 07/01/2021 www.sdrma.org provided in the excess policy contained in Exhibit D. NOTE 1: AS RESPECTS EMPLOYEE DISHONESTY COVERAGE, ABOVE: Coverage for Employee Dishonesty is furnished solely by the insurance policy(ies) referred to herein. SDRMA shall be obligated to pay only the deductible specified in the insurance policy(ies). MEMBER DEDUCTIBLE $0 This information is provided as a general description only and is not intended to supersede specific policy documents. In the event of a conflict in language, the policy(ies) will be the controlling document. 7807496.1