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2021-22 Declarations - Pollution LiabilityDeclarations – Pollution Liability Coverage 2021-2022 Pollution Liability Coverage Documents Pollution Liability Coverage: 1 of 3 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 Public/Educational Entity Pollution Liability Insurance Policy attached as Exhibit G, 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 policy attached as Exhibit G to ascertain all of your District's/Agency's/City’s rights and obligations regarding its relationship with the Special District Risk Management Authority and the insurers issuing the policies as part of “THE PACKAGE PROGRAM.” COVERAGE PERIOD: July 1, 2021 at 12:01 a.m. to July 1, 2022 at 12:01 a.m. COVERAGE(S) LIMITS $ 1,000,000 Blanket Limit per Pollution Condition, during the coverage period, to which this insurance applies, subject to terms, conditions and exclusions as provided in the policy contained in Exhibit G, subject to both the per pool aggregate limit shown below and subject to the aggregate limit for all pollution conditions and the total policy aggregate limit. $ 25,000,000 Aggregate Limit for All “Pollution Conditions”, all pools in addition to SDRMA. $ 25,000,000 Total Policy Aggregate Limit, all pools in addition to SDRMA $ 2,000,000 Per Aggregate Limit for each SDRMA Member. $ 2,000,000 Per Aggregate limit for all SDRMA Members $ 2,000,000 Per Pollution Incident Declarations – Pollution Liability Coverage 2021-2022 Pollution Liability Coverage Documents Pollution Liability Coverage: 2 of 3 Tel 800.537.7790 Special District Risk Management Authority Fax 916.231.4111 Rev. 07/01/2021 www.sdrma.org The maximum limit of liability for all Damages shall not exceed the highest limit of any of the applicable limits. Upon satisfaction of any one of the applicable limits, no further coverage is afforded. Blanket Limit includes the following sub-limits: $ 100,000 Disinfection Event Expenses Per Pollution Incident $ 100,000 Disinfection Event Expenses Program Aggregate $ 250,000 Image Restoration Expenses Per Pollution Incident $ 250,000 Image Restoration Expenses Coverage Aggregate $ 1,000,000 Restoration Costs Program Aggregate (Mold Matter Only) $ 1,000,000 Legionella Per Pollution Incident $ 2,000,000 Sewer Backup or Overcharge Per Pollution Incident $ 250,000 Any Punitive, Exemplary and Multiplied Damages and Civil Fines, Penalties and Assessments Fines $ 2,000,000 Products Pollution and Exposure Liability Per Pollution Incident $ 5,000,000 Products Pollution and Exposure Liability Aggregate $ 2,000,000 Contractor’s Pollution Per Pollution Incident - All other Operations $ 2,000,000 Contractor’s Pollution Aggregate Note: the above sub-limits payable under this coverage do not increase and are not in addition to the applicable limit of liability. SPECIFIC COVERAGE PROVISIONS EXCLUSIONS MEMBER RETENTION Please refer to the Specific Coverage Provisions under the attached Exhibit G for explanatory descriptions of specific coverages and claims. Please refer to the exclusions as per the terms of the attached Exhibit G. $ 250,000 Each Pollution Incident After July 1, 2021 (except where noted below) Declarations – Pollution Liability Coverage 2021-2022 Pollution Liability Coverage Documents Pollution Liability Coverage: 3 of 3 Tel 800.537.7790 Special District Risk Management Authority Fax 916.231.4111 Rev. 07/01/2021 www.sdrma.org SPECIFIC RETENTION Other Insurance $ 500,000 Each Pollution Incident Prior to July 1, 2021 $ 500,000* Aggregate Sublimit for Mold Matter Per Member that is a K-12 School only (*or $50,000 per room impacted, whichever is greater – a room is considered equal to 250 sq ft of floor space) $ 750,000 Underground Storage Tanks (less than 25 years old) $ 1,000,000 Underground Storage Tanks (more than 25 years old) The insurance afforded by this Policy shall apply as primary to any other valid, collectible insurance, with the exception of the following: policies specifically written to be in excess of this policy, the APIP Property policy, any standalone pollution policy, losses due to or associated with products pollution, any tank fund, or any loss arising in whole or in part to microbial matter or legionella pneumophila. NOTE 1: AS POLLUTION LIABILITY COVERAGE, ABOVE: POLLUTION LIABILITY COVERAGE is furnished solely by the insurance policy(ies) referred to herein. 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. 7776551.1