Insurance Certificates 2020/21 - LQ Evidence of Coverage
August 10, 2020
Michael Thompson
insurance@pacificmobile.com
Pacific Mobile Structures
26414 Murrieta Road
Menifee, CA 92585
Member Name: City of La Quinta
Additional Protected Party: Pacific Mobile Structures Inc
Activity: Purchase of Temporary offices for the Public Works Yard
Coverage Period: From 12:01 AM on 6/16/2020 to 11:59 PM on 7/1/2021
This Evidence of Coverage is issued on an annual basis and will be automatically reissued every June until
expiration of the written contract.
The City of La Quinta (Member) along with other California public agencies, is a member of the California Joint
Powers Insurance Authority (California JPIA), and participates in the following self-insurance and commercial
insurance program that is administered by the California JPIA for its members:
Primary Liability Program, Including Automobile Liability
Coverage Limit: $1,000,000 per occurrence
Annual Aggregate Limit: $2,000,000
On behalf of the Member, the California JPIA agrees to include the above-named additional Protected Party as a
Protected Party under the Memorandum of Coverage - Primary Liability Program, subject to the above-stated limits,
but only for "Occurrences" arising out of the described activity, during the described Covera ge Period, and where
required under the terms of a written agreement between the Member and the additional Protected Party. The
California JPIA will endeavor to provide at least thirty (30) days notice of any change in the foregoing information.
If the written agreement requires, coverage shall be primary.
Coverage is subject to all the terms, Definitions, Exclusions, Conditions and Responsibilities of the Memorandum of
Coverage - Primary Liability Program and the Limits of Coverage stated above. Any injury or damage caused by
the sole negligence of the additional Protected Party named above is not covered.
Sincerely,
Jim Thyden
Insurance Programs Manager
cc: Pam Nieto, La Quinta, pnieto@laquintaca.gov
Dianne Hansen, La Quinta, dhansen@laquintaca.gov