2016-17 Certificate of Coverage SDRMAThis 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
requirement, term, or condition of any contract or other document with respect to which this certificate may be issued or may pertain, the coverage
described herein is subject to all the terms, exclusions, and conditions of the specific coverage document.
MEMBER'S CERTIFICATE OF COVERAGE 1.02
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.
Issue Date
07/01/2016
Participating Member:Member Number:Entity Affording Coverage:
Costa Mesa Sanitary District
628 West 19th Street
Costa Mesa, CA 92627-2716
BOP-6819 Special District Risk Management Authority
1112 'I' Street, Suite 300
Sacramento, California 95814
800.537.7790 www.sdrma.org
Type of Coverage Policy Number Effective Date Expiration Date Limits
X 07/01/201707/01/2016LCA-SDRMA-201617General Liability
$10,000,000Personal Injury and Property Damage Per Occurrence
X 07/01/201707/01/2016LCA-SDRMA-201617Public Officials and Employees Errors
& Omissions
$10,000,000Per Occurrence
X 07/01/201707/01/2016LCA-SDRMA-201617Elected Officials Personal Liability
$500,000Per Occurrence
X 07/01/201707/01/2016LCA-SDRMA-201617Employment Practices Liability
$10,000,000Per Occurrence
X 07/01/201707/01/2016LCA-SDRMA-201617Employee Benefits Liability
$10,000,000Per Occurrence
X 07/01/201707/01/2016EDC-SDRMA-201617Employee and Public Officials
Dishonesty
$1,000,000Per Occurrence
X 07/01/201707/01/2016LCA-SDRMA-201617Auto Liability
$10,000,000Personal Injury and Property Damage Per Occurrence
X 07/01/201707/01/2016LCA-SDRMA-201617Auto Physical Damage
Limits on File
X 07/01/201707/01/2016UMI-SDRMA-201617Uninsured / Underinsured Motorists
$1,000,000Each Accident
X 07/01/201707/01/2016LCA-SDRMA-201617Trailer
Limits on File
X 07/01/201707/01/2016PPC-SDRMA-201617Property
$1,000,000,000Includes Fire, Theft and Flood Per Occurrence
Replacement cost for
Scheduled Property
X 07/01/201707/01/2016BMC-SDRMA-201617Boiler and Machinery
$100,000,000Each Occurrence
Replacement cost for
Scheduled Property
X 07/01/201707/01/2016WCP-SDRMA-201617Workers' Compensation
StatutoryA. Statutory Workers’ Comp.Each Occurrence
$5,000,000B. Employers' Liability Coverage Each Occurrence
Description; All listed coverage is in effect only for the time period specified.
Gregory S. Hall - Chief Executive Officer