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Insurance - SDRMA - 2012-07-01Issue Date — - MEMBER'S CERTIFICATE OF COVERAGE 07/01/2012 1.02 This is to certify that coverages listed below have been issued to the Member named below for the period indicated. This certificate is not an insurance policy or an agreement of coverage and does not amend, extend or alter the coverage afforded by the agreements listed herein. Notwithstanding any ^�]E�; , , requirement, term, or condition of any contract or other document with respect to which this certificate may be issued or may pertain, the coverage J /1�� described herein is subject to all the terms, exclusions, and conditions of the specific coverage document. �A`//� This certificate of coverage evidences the limits of liability in effect at the inception of the agreements shown; limits shown may have been reduced by paid claims. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. Participating Member: Member Number: Entity Affording Coverage: Costa Mesa Sanitary District BOP -6819 Special District Risk Management Authority 628 West 19th Street 1112 'I' Street, Suite 300 Costa Mesa, CA 92627 -2716 Sacramento, California 95814 800.537.7790 www.sdrma.or Type of Coverage I Policy Number Effective Date Expiration Date I Limits Qx General Liability LCA- SDRMA- 201213 0710112012 07/01/2013 Personal Injury and Property Damage Per Occurrence $10,000,000 Public Officials and Employees Errors LCA - SDRMA- 201213 f 0710112012 0710112013 Per Occurrence $10,000,000 Occurrence Form i General Aggregate $10,000,000 Rx Personal Liability Coverage for Board LCA - SDRMA- 201213 07/01/2012 j 07/01/2013 I _ Members Per Occurrence $500,000 Occurrence Form General Aggregate $500,000 ❑x Employment Practices Liability LCA - SDRMA- 201213 07/01/2012 07101/2013 Per Occurrence $10,000,000 Occurrence Form General Aggregate $10,000,000 ❑x Employee Benefits Liability LCA - SDRMA- 201213 07/0112012 07101/2013 Per Occurrence $10,000,000 Occurrence Form General Aggregate $10,000,000 Qx Employee Dishonesty Coverage EDC- SDRMA- 201213 07/01/2012 07/01/2013 Per Occurrence $400,000 Qx Auto Liability I LCA - SDRMA- 201213 07/01/2012 07/0112013 Personal Injury and Property Damage Per Occurrence $10,000,000 ❑x Auto Physical Damage LCA - SDRMA - 201213 07/01/2012 07/01/2013 Limits on File Uninsured / Underinsured Motorists UMI- SDRMA- 201213 07/0112012 07/01/2013 Each Accident $750,000 Trailer Coverage I i I Qx Property Coverage PPC- SDRMA- 201213 07/01/2012 07/01/2013 Includes Fire, Theft and Flood Per Occurrence $1,000,000,000 Replacement cost for Scheduled Property Rx Boiler and Machinery Coverage BMC- SDRMA- 201213 07/01/2012 07/01/2013 I Each Occurrence $100,000,000 Replacement cost for Scheduled Property ❑x Workers' Comp. WCP- SDRMA- 201213 07/01/2012 07/01/2013 A. Statutory Workers' Comp. Each Occurrence Statutory B. Employers' Liability Coverage Each Occurrence $5,000,000 Description; All listed coverage is in effect only for the time period specified. G ory S. Hdfl - Chief Executive Officer Special District Risk Management Authority Maximizing Protection. Minimizing Risk. June 26, 2012 1112 I Street, Suite 300 Sacramento, California 95814 -2865 T 916.231.4141 T 800.537.7790 F 916.231.4111 www.sdrma.org Ms. Anna Sanchez Admin Manager Costa Mesa Sanitary District 628 West 19th Street Costa Mesa, California 92627 -2716 Re: 2012 -13 Coverage Documents Dear Ms. Sanchez, PErEIVIFr_1 JUN 2 9 2012 CUSIA int,� �tiN11AIPYpW�r�,,,, SDRMA On behalf of the Special District Risk Management Authority ( SDRMA) Board of Directors and our entire risk management team, it is my pleasure to take this opportunity to extend our sincere appreciation for your participation in our Property /Liability and Workers' Compensation Programs. The new program year begins July 1 and complete coverage documents will be available by August 1 in the SDRMA MemberPlus Online TM portal. The following coverage documents will be available July 1 in the portal: Property /Liability and Workers' Compensation Programs • Member's Certificate of Coverage (a copy is attached) • California Vehicle Identification Cards (if applicable — available in MemberPlus Online TM portal to print out and place in vehicles) To access the SDRMA MemberPlus Online TIM portal, go to www.sdrma.org — on the Home page click on Member Login. The above listed items will be available in the left navigation window under Quick Links. Your current coverage documents will be archived as in past years and will also be available in the portal under Coverage Documents. Property /Liability contribution invoices for 2012 -13 were mailed in mid -May. SDRMA offers limits of liability of $2.5 million, $5.0 million and $10.0 million. As explained in the Property /Liability Program renewal invoice, if SDRMA did not receive written notice from your Agency of an election to change its present limit of liability by June 15, 2012, the same limit of liability that your Agency has presently will remain in force for the new program year. If you did submit written notice to change your limit of liability before June 15, then upon receipt of your payment, a final revised Member's Certificate of Coverage reflecting your elected limit of liability will be updated in the MemberPlus Onlinelm portal and available for access. If you have any questions regarding the coverage documents listed above please contact Ellen Doughty at 800.537.7790 or 916.231.4141 or edoughty @sdrma.org. Thank you for your continued loss prevention and safety efforts. SDRMA's Board of Directors is looking forward to another successful year in our programs! Sincerely, Special District Risk Management Authority 44 Gregor` Ha , ARM Chief Executive Officer A proud California Special Districts California Special Districts Association CSDA Finance Corporation Alliance partner. 1112 1 Street, Suite 200 1112 1 Street, Suite 200 Sacramento, California 95814 -2865 Sacramento, California 95814 -2865 T 877.924.CSDA (2732) T 877.924.CSDA (2732) F 916.442.7889 F 916.442.7889 C, c' ? SDfiMP.