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Insurance Certificates 2019/20 Desert Legal Documents (Volunteer Organization)f1 AC'aR'D CERTIFICATE OF LIABILITY INSURANCE °1ziiaizo s' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED. the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such end❑rsement{s). PRODUCER CYNTHIA L PIEPER INS AGCY, INC. ns,AAECONTACT NATALIE CINDY PIEPER, AGENT P�EH(G n0.�i{1):.TBO_41fi maps rnC,xn]. 760 416- 43fi StateFarm 201 E RAMON RD A wkw; N6TALI�CINDYPIEPER.NET �- PALM SPRINGS, CA 92264 _ E3URRJSIAFFORDINGCOVERAGE _NAIC# _--- I#suRERq_State Fsrm.Cgrigrel.lnsuran(e Corepanp w ^ yg1g1 — INSURED DESERT LEGAL DOCUMENTS LLC 10URERB. P.O BOX 5563 iNSURERC: PALM SPRINGS, CA 92263 irrsu# R°.' COVERAGES CERTIFICATF. MIimmcD• ., . THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. 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 INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF_SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -PI - ITM -- TYPE OF INSURANCE ^ JAQOL 9i:+�l - - - PC]t`` Y>rFF POLICY Fat - -- -" - POLICY NUMBER iMMlQ MIILSIOYY LIMITS GENERAL LIABILITY A Y I I u 90-EM-U107-4 09106/2019 09I0612020 EACH OCCURRENCE $ 1,000,000 - COMMERCIAL GENERAL LIABILITY _ [iALiAdE P4 ffERtEt� — �" PR 41ws 300,000 CLAIMS -MADE Z OCCUR I MEDEXP(Aoyoty-p7sonj $ 5,000 _ I PERSONAL 8 ADV INJURY GENERALAGGREGATE_ $ Z000,000 GEN'L AGGREGATE LIMIT APPLIES PER: P - I_PRODUCTS - COMPIOP AGG $ 2,000,000 POLICY LOC $ j AUTOMOBILE LIABILITY (Ea ecaclNl1 �rvc�Lt LI II $� — 5 ANY AUTO I BODILY INJURY (Per person) ALL OWNED ? SCHEDULED .� AUTOS AUTOS BODILY INJURY (Per accident) t - t NON -OWNED I PIiOPE1iTY - HIRED AUTOS AUTOS I I I (r+4rEcodons} $ _- UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR _ CLAIMS -MADE ! I I AGGREGATE S DID RETENTION $ —� S WORKERS COMPENSATION AND 2MPLOYERS' LIABILITY WC S7R -U• OTFi- ANY PROPRIETOR/PARTNER/EXECUTIVE Y r N OFFICEIMEMBER EXCLUDED? N f AED E.L. EACH AGGDENT S I _- _S _ I (Mandatory In NH) - If yes, describe under E.L. DISEASE - EA EMPLOY S — — — nEaMQRIPT E.L. DISEASE - POLICY LIMIT $ IP19 ,.a. — -rcrvi I rV I LUUA I IUNb I VCHIL Ltb (Anacn ACURU 1U7, Additional Remarks Schedule, If more space Is required) THE CITY OF LA QUINTA, ITS OFFICERS, OFFICIALS, EMPLOYEES, AND AGENTS AS AN ADDITIONAL INSURED UNDER THE ENDORSEMENT CMP 4706.1. LOCATIONS: LOCATION 1: 68100 RAMON RD STE C11, CATHEDRAL CITY. CA 92234 LOCATION 2: 81581 HWY 111 STE 1, INDIO, CA 92201 c:ttt I jrli:R I t HULLikfZ CANCELLATION THE CITY OF LA QUINTA, ITS OFFICERS, OFFICIALS, EMPLOYEES, AND AGENTS 78495 CALLE TAMPICO LA QUINTA, CA 92253 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE i ©1998-2n1n AC n rnRPnRATlnu A11 rink,. rn..-A ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 1001486 132849.8 01-23-2013 DJA Policy No, 90 EMU 107 4 '7033-FA41 CMP-4786.1 Page 1 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CMP-4786.1 ADDITIONAL INSURED — OWNERS, LESSEES, OR CONTRACTORS (Scheduled) This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number: 90 E;MU107 4 Named Insured: DESERT LEGAL DOCUMENTS T,LC PO BOX 5563 PALM SPRINGS CA 92263-5563 Name And Address Of Additional Insured Person Or Organization: THE CITY OF LA QUINTA, ITS OFFICERS, OFFICIALS, EMPLOYEES AND AGENTS 78495 CALLE TAMPICO LA QUINTA CA 92253-2839 1. SECTION II — WHO IS AN INSURED of b. If coverage provided to the additional in - SECTION II — LIABILITY is amended to in- sured is required by a contract or agrqe- clude, as an additional insured, any person or organization shown in the Schedule, but only ment, the insurance provided to the insured with respect to liability For "bodily injury". additional will not be broader than property damage", or "personal and adverbs- that which you are required by the contract ing injury" caused, in whole or in part, by: or agreement to provide for such addition - a. Ongoing Operations al insured; and (1) Your acts or omissions; or c. If the contract or agreement between you and the additional insured is governed by (2) The acts or omissions of those acting California Civil Code Section 2782 or on your behalf; 2782.05, the insurance provided to the in the performance of your ongoing opera- additional insured is the lesser of that which: tions for that additional insured; or b. Products — Completed Operations (1) Is allowed for the satisfaction of a de- fense or indemnity obligation by Cali - "Your work" performed for that additional fornia Civil Code Section 2782 or Insured and included in the "products- 2782.05 for your sole liability; or completed operations hazard". (2) You are required by contract or However, Paragraph 1. above is subject to the agreement to provide for such addi- followirig: tional insured. a. The insurance afforded to the additional We have no duty to defend or indemnify the insured only applies to the extent permit- additional insured under this endorsement un- ted by law; til a claim or "suit" is tendered to us. (D, Copyright, State Farm Mutual Autornahile Insurance Company, 2013 Includes copyrighted material of Insurance Services Office. Inc., with its permission. CONTIMurzo CMP-4786.1 Page 2 of 2 2. Any insurance provided to the additional in- (3) The nature and location of any injury sured shall only apply with respect to a claim "suit" or damage arising out of the "occur - made or a brought for damages for rence" or offense; which you are provided coverage. b. Tender the defense and indemnity of 4ny 3. With respect to the insurance afforded to the claim or "suit' to us and to all other insur- additional insured, the following is added to ers who may have insurance potentially SECTION If — LIMITS OF INSURANCE: available to the additional insured; and If coverage provided to the additional insured c. Agree to make available any other insur- is required by contract or agreement, the most ance the additional insured has for de - we will pay on behalf of the additional insured fense or damages for which we would will be the lesser of the amount of insurance: provide coverage under SECTION II — a. Required by the contract or agreement; or LIABILITY. b. Available under the applicable Limits Of 5. With respect to the insurance afforded the ad - Insurance shown in the Declarations. ditional insured, the following replaces SEC- This endorsement shall not increase the ap- TION II --LIABILITY of Paragraph 7. Other Insurance of SECTION I AND SECTION If — pticable Limits Of Insurance shown in the Declarations. COMMON POLICY CONDITIONS: 4. With respect to the insurance afforded to the a. This insurance is primary to and will not seek contribution from any other insurance additional insured, the following is added to available to the additional insured, provided Paragraph 3. Duties In The Event Of Occur- that the additional insured is a named in- rence, Offense, Claim Or Suit of SECTION sured under such other insurance. If — GENERAL CONDITIONS: b. Regardless of any agreement between The additional insured must: you and the additional insured, this insur- a. See to it that we are notified as soon as `occurrence" ance is excess over any other insurance whether primary, excess, contingent or on practicable of an or an of- cense which may result in a claim. To the any other basis for which the additional in- extent possible, notice should include: sured has been added as an additionali in - sured on other policies. (1) How, when and where the "occur- rence" or offense took place; There will be no refund of premium in the bent this endorsement is cancelled. (2) The names and addresses of any in- jured persons and witnesses; and All other policy provisions apply. CMP-4786.1 1007033 148011 08-21-2014 (0, copy4ht, State; Farm Mutual Automobile Insurance Company, 2013 Includes copyrigiled matarial of Insurance Services Office, Inc., with its permission.