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Insurance - SDRMA - 2022-07-01NON-MEMBER'S CERTIFICATE OF COVERAGE Issue Date 7/1/2022 Special District Risk Management Authority 1112 'I' Street, Suite 300 Sacramento, California 95814800.537.7790 www.sdrma.org Provider Costa Mesa Sanitary District 290 Paularino Avenue Costa Mesa, California 92626 Member Number: 6819Member Certfcate Number: 29 This is to certfy that coverages listed below have been issued to the Member named above for the period indicated. This certfcate is not an insurance policy or an agreement of coverage and does not amend, extend or alter the coverage aforded by the agreements listed herein. Notwithstanding any requirement, term, or conditon of any contract or other document with respect to which this certfcate may be issued or may pertain, the coverage described herein is subject to all the terms, exclusions, and conditons of the specifc coverage document. This certfcate of coverage evidences the limits of liability in efect at the incepton of the agreements shown; limits shown may have been reduced by paid claims. This certfcate is issued as a mater of informaton only and confers no rights upon the certfcate holder. Type of Coverage LimitsExpiraton DateEfectve DatePolicy Number 7/1/20237/1/2022PPC-SDRMA-202223Property Per Occurrence $1,000,000,000 Deductble $1,000 Replacement Cost for Scheduled Property Cancellaton: Should any of the above-described policies be cancelled before the expiraton dates thereof, the issuing company will mail 30 days writen notce to the above-named certfcate holder, but failure to mail such notce shall impose no obligaton or liability of any kind upon the company. Laura S. Gill - Chief Executve Ofcer endeaver to Certfcate Dates:Additonal Covered Party Evidence of Coverage X Loss Payee Certfcate Holder Certfcate Type:Efectve Date 7/1/2022 Expiraton Date 7/1/2023 Xerox Financial Services LLC c/o Insurance Center Po Box 3547 Bellevue, WA 98009 Xerox Financial Services is named as loss payee regarding two copiers with a total value of $33,000.00. Thef is included in property coverage. This endorsement changes the Memorandum of Coverage. Please read it carefully. COVERAGE PERIOD: 7/1/2022 through 7/1/2023 MEMBER/AGENCY Costa Mesa Sanitary District 290 Paularino Avenue Costa Mesa, California 92626 LOSS PAYEE Xerox Financial Services LLC c/o Insurance Center Po Box 3547 Bellevue, WA 98009 This endorsement changes the Memorandum of Coverage provided under the following: Property - PPC-SDRMA-202223 - Per Occurrence - $1,000,000,000 Property - PPC-SDRMA-202223 - Deductible - $1,000 Replacement cost for scheduled property It is hereby agreed that this endorsement is added to the Memorandum of Coverage issued to Member/Agency named above by Special District Risk Management Authority (“SDRMA”) adding the following as a Loss Payee: Xerox Financial Services is named as loss payee regarding two copiers with a total value of $33,000.00. Theft is included in property coverage. A. LOSS PAYABLE For covered property in which both Member/Agency and a Loss Payee shown in the Schedule have an insurable interest, SDRMA, pursuant and limited to its obligations as outlined in the Memorandum of Coverage, or the insurer identified in the Declaration will: 1.Adjust losses with the Member/Agency; and 2.Subject to any deductible which is the responsibility of the Member/Agency, pay any claim for loss or damage jointly to the Member/Agency and the Loss Payee, as interests may appear. B. LENDER’S LOSS PAYABLE 1.The Loss Payee shown in the Schedule is a creditor, including a mortgage holder or trustee, whose interest in Covered Property is established by such written instruments as: a. Warehouse receipts; b. A contract for lading;c. Bills of lading; d. Financing statements; or e. Mortgages, deeds of trust or security agreements. 2.For Covered Property in which both the Member/Agency and a Loss Payee have an insurable interest: a. SDRMA, pursuant and limited to its obligations as outlined in the Memorandum of Coverage, or the insurer identified in the Declaration will pay for covered loss or damage to each Loss Payee in their order of precedence, as interests may appear.b. The Loss Payee has the right to receive loss payment even if the Loss Payee has started foreclosure or similar action on the Covered Property. c. If SDRMA or the insurer identified in the Declaration denies the Member/Agency’s claim because of the Member/Agency’s acts or because the Member/Agency has failed to comply with the terms of the Coverage Part, the Loss Payee will still have the right to receive loss payment if the Loss Payee: (1) Pays any premium due under this Coverage Part at our request if the Member/Agency has failed to do so; (2) Submits a signed, sworn proof of loss within 60 days after receiving notice from SDRMA of the Member/Agency failure to do so; and (3) Has notified SDRMA of any change in ownership, occupancy or substantial change in risk known to the Loss Payee. All of the terms of this Coverage Part will then apply directly to the Loss Payee. d. If SDRMA or the insurer identified in the Declaration pays the Loss Payee for any loss or damage and denies payment to the Member/Agency because of the Member/Agency’s acts or because the Member/Agency has failed to comply with the terms of this Coverage Part: (1) The Loss Payee’s rights will be transferred to SDRMA or the insurer identified in the Declaration to the extent of the amount SDRMA or the insurer identified in the Declaration pays; and (2) The Loss Payee’s rights to recover the full amount of the Loss Payee’s claim will not be impaired. At our option, SDRMA, pursuant and limited to its obligations as outlined in the Memorandum of Coverage, or the insurer identified in the Declaration may pay to the Loss Payee the whole principal on the debt plus any accrued interest. In this event, the Member/Agency will pay the Member/Agency remaining debt to SDRMA or the insurer identified in the Declaration. 3.If SDRMA cancels coverage, SDRMA will give written notice to the Loss Payee at least: a. Ten (10) days before the effective date of cancellation if SDRMA cancels for the Member/Agency non-payment of premium; or b. Thirty (30) days before the effective date of cancellation if SDRMA cancels for any other reason. 4.If SDRMA elects not to renew this policy, SDRMA will give written notice to the Loss Payee at least 10 days before the expiration date of this policy. C. CONTRACT OF SALE 1.The Loss Payee shown in the Schedule or in the Declaration Page is a person or organization with whom Member/Agency has entered into a contract for the sale of Covered Property. 2.For Covered Property in which both the Member/Agency and the Loss Payee have an insurable interest, SDRMA, pursuant and limited to its obligations as outlined in the Memorandum of Coverage, or the insurer identified in the Declaration will: a. Adjust losses with the Member/Agency; and b. Subject to any deductible which is the responsibility of the Member/Agency, pay any claim for loss or damage jointly to the Member/Agency and the Loss Payee, as interests may appear. 3.The following is added to the OTHER INSURANCE Condition of the PEPIP policy: For Covered Property that is the subject of a contract of sale, the words “Member/Agency” or “Insured” includes the Loss Payee. All other terms and conditions remained unchanged. Coverage provided by this endorsement, under the terms, conditions and exclusions contained in the Memorandum of Coverage issued by SDRMA to Member/Agency named above, shall not be reduced or canceled without thirty (30) days written notice given to the above named Loss Payee via certified mail. Effective date of this endorsement is: 7/1/2022 Laura S. Gill - Chief Executve Ofcer Signed by: