Insurance Certificates 2020/21 DRD Fritz Burns (Pool Management & Operations)INSURANCE REVIEW
RE:
Please list the Contracting Party / Vendor Name, type of agreement to be executed, including any change orders or
amendments, and the type of services to be provided. Make sure to list any related Project No. and Project Name.
Insurance certificates required per the Agreement:
ACCORD Certificate dated 10-days prior or less _____________________________
enter ACCORD issue date
Commercial General Liability Insurance:
$1,000,000 per occurrence/$2,000,000 aggregate OR
$2,000,000 per occurrence/$4,000,000 aggregate
Additional Insured Endorsement naming City of La Quinta
Primary and Non-Contributory Endorsement
Automobile Liability:
$1,000,000 combined single limit for bodily injury and property damage.
Workers’ Compensation:
Statutory Limits / Employer’s Liability $1,000,000 per accident or disease
Workers’ Compensation Endorsement with Waiver of Subrogation
Sole Proprietor
Professional Liability (Errors and Omissions):
Errors and Omissions Liability insurance with a limit of not less than
$1,000,000 per claim
Cyber Liability/Technology Errors and Omissions Liability Insurance:
$1,000,000 per occurrence/loss
Other: ________________________________________________________
List other insurance types such as – molestation, harassment, etc.
Approved by: ________________________
Date: ________________________
Services Contract with Desert Recreation District for the management and
operations at Fritz Burns Pool.
01/11/2021
✔
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✔
✔
DRD is JPIA membership (see attached)
January 11, 2021
Christina Calderon
Ccalderon@laquintaca.gov
CITY OF LA QUINTA
78495 Calle Tampico
La Quinta, California 92253
Member Name: Desert Recreation District
Additional Protected Parties: City of La Quinta, City of La Quinta offices, and City of
La Quinta employees
Activity: Use of building and pool located at 78-060 Francis Hack Lane
La Quinta CA 92253
Coverage Period: From 7:01 AM on 3/1/2021 to 8:59 PM on 6/30/2021
This Evidence of Coverage is issued on an annual basis and will be automatically reissued every June until
expiration of the written contract.
The Desert Recreation District (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:
Liability Program, Including Automobile Liability
Coverage Limit: $1,000,000 per occurrence
Annual Aggregate Limit: $1,000,000
On behalf of the Member, the California JPIA agrees to include the above-named additional Protected Parties as
Protected Parties under the Memorandum of Coverage - Liability Program, subject to the above-stated limits, but
only for "Occurrences" arising out of the described activity, during the described Coverage Pe riod, and where
required under the terms of a written agreement between the Member and the additional Protected Parties. 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 - 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: Maureen Archuleta, Desert Rec, marchuleta@drd.us.com
See attached email from Alex Mellor regarding the errors (highlighted below).
1
Monika Radeva
From:Lisa Chaudhry
Sent:Monday, February 1, 2021 7:17 AM
To:Alex Mellor
Cc:Nichole Romane; Monika Radeva; Laurie McGinley
Subject:RE: Fritz Burns Pool Proposal CRM:00306940
Good morning Alex,
I hope you had a great weekend. Mine was pretty productive সহ
Thanks for confirming with DRD regarding that CAPRI certificate. I’ve including the City
Clerk’s office so that they can file this email with the agreement.
Happy Monday!
Lisa Chaudhry | Administrative Technician
Community Resources Department
City of La Quinta
78495 Calle Tampico | La Quinta, CA 92253
760.777.7106
www.laquintaca.gov
www.playinlaquinta.com
From: Alex Mellor <amellor@cjpia.org>
Sent: Monday, February 1, 2021 6:26 AM
To: Lisa Chaudhry <Lchaudhry@laquintaca.gov>
Subject: RE: Fritz Burns Pool Proposal CRM:00306940
** EXTERNAL: This message originated outside of the City of La Quinta. Please use proper judgement and caution when opening
attachments, clicking links or responding to requests for information. **
Hi Lisa:
Hope you had a good weekend.
Just circling back on this. I confirmed with Barb at DRD that CAPRI issued the liability certificate for DRD in error.
Thanks
1
Lisa Chaudhry
From:Alex Mellor <amellor@cjpia.org>
Sent:Wednesday, January 13, 2021 8:45 AM
To:Lisa Chaudhry
Subject:RE: Fritz Burns Pool Proposal CRM:00306940
** EXTERNAL: This message originated outside of the City of La Quinta. Please use proper judgement and caution when opening
attachments, clicking links or responding to requests for information. **
Hi Lisa:
A liability evidence of coverage (EOC) letter from us to the city on behalf of DRD really isn’t necessary. Regardless of
what the letter says, DRD participate in our Primary Liability Program (just like the city) and receive coverage through
that program up to the limit of $50M per occurrence. What is important is the indemnification language in your
agreement with DRD, since this will determine which agency is responsible for any third‐party claim(s) arising out of the
agreement. And, the cost of individual member claims effects future annual contributions (premium).
As for CAPRI issuing a certificate evidencing liability coverage for DRD, I believe that is an error. DRD have their work
comp coverage with CAPRI but get their liability coverage with us. I will contact DRD and confirm that this is indeed an
error.
Let me know if you have any questions in the meantime. Thanks.
To help protect your privacy, Microsoft Office prevented automatic download of this picture from the Internet.Alex Mellor
Click here to access California JPIA COVID‐19 FAQ and Resources
From: Lisa Chaudhry <Lchaudhry@laquintaca.gov>
Sent: Tuesday, January 12, 2021 4:04 PM
To: Alex Mellor <amellor@cjpia.org>
Subject: FW: Fritz Burns Pool Proposal
Importance: High
[EXTERNAL]
Hi Alex & Happy New Year!
If you have a minute, I’d like to go over the attached insurance certificates. Can you
give me a call?
2
Thanks,
Lisa Chaudhry | Administrative Technician
Community Resources Department
City of La Quinta
78495 Calle Tampico | La Quinta, CA 92253
Ph. 760.777.7106
www.laquintaca.gov
www.playinlaquinta.com
From: Christina Calderon <Ccalderon@laquintaca.gov>
Sent: Tuesday, January 12, 2021 3:49 PM
To: Lisa Chaudhry <Lchaudhry@laquintaca.gov>; Jaime Torres <jtorres@laquintaca.gov>
Subject: FW: Fritz Burns Pool Proposal
Importance: High
Hi Lisa & Jaime,
We received the attached insurance docs and the signed agreement from DRD this
afternoon. Can you please go through and verify we are good to move forward with processing?
Lisa – once verified that we have everything can you please put together the cover memos and
get it ready for processing and signatures?
Thank you,
Christina Calderon |Community Resources
Community Resources Manager
City of La Quinta
78495 Calle Tampico ◦ La Quinta, CA 92253
760.777.7183
ccalderon@laquintaca.gov
From: Maureen Archuleta <marchuleta@drd.us.com>
Sent: Tuesday, January 12, 2021 3:42 PM
To: Christina Calderon <Ccalderon@laquintaca.gov>
Cc: Barb Adair <badair@drd.us.com>; Chris Escobedo <cescobedo@laquintaca.gov>; Lisa Chaudhry
<Lchaudhry@laquintaca.gov>; Jaime Torres <jtorres@laquintaca.gov>
Subject: RE: Fritz Burns Pool Proposal
** EXTERNAL: This message originated outside of the City of La Quinta. Please use proper judgement and caution when opening
attachments, clicking links or responding to requests for information. **
Hi Christina,
I hope you are having a great day. I have attached the contract and all required insurance coverage. In the event
something is missing please let me know so I can gather that item. You will also be receiving a certification via email
from CJPIA . I set it up for reoccurring when I made the request and placed your name in as contact for the City.
ISSUE DATE
01/11/2021CERTIFICATE OF COVERAGE
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 BELOW. THIS CERTIFICATE OF COVERAGE DOES NOT
CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR
PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is requesting a WAIVER OF SUBROGATION, the
Memorandums of Coverage/Policies must be endorsed. A statement on this certificate does not
confer rights to the certificate holder in lieu of such endorsement(s).
Coverages
THIS IS TO CERTIFY THAT THE MEMORANDUMS OF COVERAGE LISTED BELOW HAVE BEEN ISSUED TO THE MEMBER NAMED ABOVE FOR THE 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 COVERAGE AFFORDED BY THE MEMORANDUMS DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS, AND CONDITIONS OF SUCH MEMORANDUMS.
CO
LTR TYPE OF COVERAGE MEMORANDUM
NUMBER
COVERAGE EFFECTIVE
DATE
COVERAGE EXPIRATION
DATE LIABILITY LIMITS
OTHER
CancellationCertificate Holder
COVERAGE
AFFORDED BY:
COVERAGE
AFFORDED BY:
COVERAGE
AFFORDED BY:
B
C
ATTN: MATTHEW DUARTE
1075 CREEKSIDE RIDGE DRIVE, SUITE 240
ROSEVILLE, CA 95678
CITY OF LA QUINTA
ATTN: CHRISTINA CALDERON
78495 CALLE TAMPICO
LA QUINTA, CA 92253
07/01/2020 07/01/2021
CAPRI-212
CERTIFICATE NO.
AS RESPECTS EVIDENCE OF COVERAGE FOR AGREEMENT BETWEEN DESERT RECREATION DISTRICT AND CITY OF LA QUINTA FOR
MANAGEMENT AND OPERATIONS OF FRITZ BURNS POOL.
Primary Insurance Provided by:
DESERT RECREATION DISTRICT
A
PERMISSIBLY SELF-INSURED
- WORKERS' COMPENSATION
- EMPLOYERS' LIABILITY
CAPRI 2020-2021 WC WORKERS'
COMPENSATION:
EMPLOYERS' LIABILITY:
$350,000
$350,000
CAPRI MEMBER:
AUTHORIZED REPRESENTATIVE
A - CALIFORNIA ASSOCIATION FOR PARK RECREATION
INDEMNITY
Description of Operations/Locations/Vehicles/Special Items:
CITY OF LA QUINTA
PAGE 1 of 3
SHOULD ANY OF THE ABOVE DESCRIBED MEMORANDUMS OF COVERAGE/POLICIES
BE CANCELLED BEFORE EXPIRATION THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE MEMORANDUMS OF COVERAGE/POLICIES PROVISIONS
DESERT RECREATION DISTRICT
CALIFORNIA ASSOCIATION FOR PARK AND
RECREATION INDEMNITY (CAPRI)
ISSUE DATE
01/11/2021CERTIFICATE OF COVERAGE
Public Risk Innovation, Solutions and
Management
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 BELOW. THIS CERTIFICATE OF COVERAGE DOES NOT CONSTITUE
A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND
THIS CERTIFICATE HOLDER.
C/O ALLIANT INSURANCE SERVICES, INC.
P.O. BOX 6450
NEWPORT BEACH, CA 92658-6450
PHONE (949) 756-0271 / FAX (619) 699-0901
IMPORTANT: If the certificate holder is requesting a WAIVER OF SUBROGATION, the Memorandum
of Coverage/Polices must be endorsed. A statment on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
Coverages
THIS IS TO CERTIFY THAT THE MEMORANDUMS OF COVERAGE LISTED BELOW HAVE BEEN ISSUED TO THE MEMBER NAMED ABOVE FOR THE 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 COVERAGE AFFORDED BY THE MEMORANDUMS DESCRIBED HEREIN IS SUBJECT TO ALL THE
TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH MEMORANDUMS.
CO
LTR TYPE OF COVERAGE MEMORANDUM
NUMBER
COVERAGE EFFECTIVE
DATE
COVERAGE EXPIRATION
DATE LIABILITY LIMITS
Cancellation
AUTHORIZED REPRESENTATIVE
Public Risk Innovation, Solutions and Management
MEMBER:
Certificate Holder
COVERAGE
AFFORDED BY:
COVERAGE
AFFORDED BY:
COVERAGE
AFFORDED BY:
COVERAGE
AFFORDED BY:
A - See attached Schedule of Insurers
B
C
D
ATTN: MATTHEW DUARTE
1075 CREEKSIDE RIDGE DRIVE, SUITE 240
ROSEVILLE, CA 95678
CITY OF LA QUINTA
ATTN: CHRISTINA CALDERON
78495 CALLE TAMPICO
LA QUINTA, CA 92253
LICENSE #0C36861
07/01/2020 07/01/2021
WORKERS' COMPENSATION:
EMPLOYERS' LIABILITY:
A EXCESS WORKERS'
COMPENSATION &
EMPLOYERS' LIABILITY
EIA PE-WC-212
CERTIFICATE NO.
Difference between
Statutory and Member's
$350,000 Retention
Difference between
$5,000,000 and Member's
$350,000 Retention
AS RESPECTS EVIDENCE OF COVERAGE FOR AGREEMENT BETWEEN DESERT RECREATION DISTRICT AND CITY OF LA QUINTA FOR
MANAGEMENT AND OPERATIONS OF FRITZ BURNS POOL.
THE AUTHORITY WAIVES ITS RIGHTS OF SUBROGATION AGAINST CITY OF LA QUINTA, IT'S OFFICERS AND EMPLOYEES PURSUANT TO
ENDORSEMENT NUMBER U-4.
Description of Operations/Locations/Vehicles/Special Items:
DESERT RECREATION DISTRICT
CAPRI MEMBER:
*LIMITS APPLY PER OCCURRENCE FOR ALL PROGRAM MEMBERS COMBINED.
PAGE 2 of 3
SHOULD ANY OF THE ABOVE MEMORANDUMS OF COVERAGE/POLICIES BE CANCELED
BEFORE THE EXPIRATION THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE
WITH THE MEMORANDUMS OF COVERAGE/POLICIES PROVISIONS
See attached
Schedule of
Insurers for policy
numbers
DESERT RECREATION DISTRICT IS A MEMBER OF CALIFORNIA ASSOCIATION FOR PARK AND RECREATION INDEMNITY (CAPRI)
CALIFORNIA ASSOCIATION FOR PARK AND
RECREATION INDEMNITY (CAPRI)
PUBLIC RISK INNOVATION, SOLUTIONS AND MANAGEMENT
EXCESS WORKERS' COMPENSATION PROGRAM
CALIFORNIA ASSOCIATION FOR PARKS AND RECREATION INDEMNITY (CAPRI)
Public Risk Innovation, Solutions
and Management
PROVIDER MEMORANDUM /
POLICY NUMBER
LIMIT
EIA PE 19 EWC-15
Liberty Insurance Corporation
Workers’ Compensation:
$50,000,000
(Difference between $50,000,000 and the
individual member’s retention)
Employers’ Liability:
(Difference between $5,000,000 and the
individual member’s retention)
each accident/each employee
for disease
$5,000,000 each accident/each employee
for disease
Statutory each accident/each employee
for disease excess of
$50,000,000
2020/2021 SCHEDULE OF INSURERS
EWC-444785-010
ENDORSEMENT NO. U-4
PUBLIC RISK INNOVATION, SOLUTIONS AND MANAGEMENT
EXCESS WORKERS’ COMPENSATION
WAIVER OF SUBROGATION ENDORSEMENT
It is understood and agreed that Section VIII. SUBROGATION of the CONDITIONS section of the
Memorandum of Coverage is deleted in its entirety and replaced by the following:
VIII. SUBROGATION: In the event of any payment under this Memorandum, PRISM shall be
subrogated, to the extent of such payment, to all the Covered Party's rights of recovery therefore,
and the Covered Party shall execute all papers required and shall do everything that may be
necessary to secure such rights. Any amount recovered as a result of such proceedings, together
with all expenses necessary to the recovery of any such amount shall be apportioned as follows:
PRISM shall first be reimbursed to the extent of its actual payment hereunder. If any balance then
remains, said balance shall be applied to reimburse the Covered Party. The expenses of all
proceedings necessary to the recovery of such amount shall be apportioned between the Covered
Party and PRISM in the ratio of their respective recoveries as finally settled. If there should be no
recovery in proceedings instituted solely on the initiative of PRISM, the expenses thereof shall be
borne by PRISM.
However, in the event of any loss payment under this Memorandum for which you have waived the
right of recovery in a written contract entered into prior to the loss, we hereby agree to also waive
our right of recovery but only with respect to such loss.
It is further agreed that nothing herein shall act to increase PRISM's limit of indemnity.
This endorsement is part of the Memorandum of Coverage and takes effect on the effective date of
the Memorandum of Coverage unless another effective date is shown below. All other terms and
conditions remain unchanged.
Effective Date:
Issued to:ALL MEMBERS
Issue Date:June 25, 2020
Memorandum No.:PRISM 20 EWC-00
Authorized Representative
Public Risk Innovation, Solutions and Management