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Insurance - SDRMA - 2013-07-01 Issue Date MEMBERS CERTIFICATE OF COVERAGE 07/01/2013 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 A� policy or an agreement of coverage and does not amend,extend or alter the coverage afforded by the agreements listed herein.Notwithstanding any �"1�,��1J'_♦ tL 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 described herein is subject to all the terms,exclusions,and conditions of the specific coverage document. 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 7 Street,Suite 300 Costa Mesa,CA 92627-2716 Sacramento,California 95814 800.537.7790 www.sdrma.org Type of Coverage Policy Number Effective Date Expiration Date Limits El General Liability LCA-SDRMA-201314 07/01/2013 07/01/2014 Personal Injury and Property Damage j ! Per Occurrence $10,000,000 ',Public Officials and Employees Errors I LCA-SDRMA-201314 07/01/2013 07/01/2014 i Per Occurrence $10,000,000 Occurrence Form j General Aggregate $10,000,000 ©Personal Liability Coverage for Board LCA-SDRMA-201314 07/01/2013 07/01/2014 Members ' Per Occurrence $500,000 Occurrence Form General Aggregate $500,000 ',Employment Practices Liability ' LCA-SDRMA-201314 07/01/2013 07/01/2014 Per Occurrence $10,000,000 Occurrence Form ! General Aggregate $10,000,000 Q Employee Benefits Liability LCA-SDRMA-201314 07/01/2013 ! 07/01/2014 I Per Occurrence $10,000,000 Occurrence Form General Aggregate $10,000,000 ©Employee Dishonesty Coverage EDC-SDRMA-201314 j 07/01/2013 07/01/2014 Per Occurrence $400,000 El Auto Liability LCA-SDRMA-201314 07/01/2013 07/01/2014 Personal Injury and Property Damage I ! Per Occurrence $10,000,000 ©Auto Physical Damage LCA-SDRMA-201314 07/01/2013 07/01/2014 Limits on File ',Uninsured/Underinsured Motorists ! UMI-SDRMA-201314 .07/01/2013 ! 07/01/2014 Each Accident $750,000 Trailer Coverage I i ' I ! Property Coverage PPC-SDRMA-201314 07/01/2013 07/01/2014 Includes Fire,Theft and Flood Per Occurrence $1,000,000,000 Replacement cost for Scheduled Property ',Boiler and Machinery Coverage BMC-SDRMA-201314 07/01/2013 1 07/01/2014 Each Occurrence $100,000,000 Replacement cost for Scheduled Property ©Workers'Comp. ! WCP-SDRMA-201314 07/01/2013 07/01/2014 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. H I-Chief Executive Officer