2021/22 Crime Insurance Program & Cert - CJPIA (Alliant)05-06 HARPP Crime Evidence Pri
EVIDENCE OF CRIME INSURANCE ISSUE DATE (MM/DD/YY)
06/30/2021
THIS EVIDENCE OF COMMERCIAL PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY
AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND
THE ADDITIONAL INTEREST.
PRODUCER
ALLIANT INSURANCE SERVICES, INC.
1301 DOVE STREET, SUITE 200
NEWPORT BEACH, CA 92660
PH (949) 756-0271 / FAX (949) 756-2713
LICENSE NO. 0C36861
COMPANY
National Union Fire Insurance Company of Pittsburgh,
PA (AIG)
CODE SUB-CODE
INSURED ALLIANT CRIME INSURANCE PROGRAM (ACIP)
CRIME POLICY PARTICIPANT:
EVIDENCE NUMBER
POLICY NUMBER
01-424-97-61
EFF DATE (MM/DD/YYYY)
07/01/2021
EXP DATE (MM/DD/YYYY)
07/01/2022
CONT. UNTIL
TERMINATED
IF CHECKED
THIS REPLACES PRIOR EVIDENCE DATED:
PROPERTY INFORMATION
THE POLICIES OF INSURANCE LISTED ABOVE 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
EVIDENCE OF PROPERTY INSURANCE 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.
CRIME COVERAGE INFORMATION
COVERAGE / PERILS / FORMS
AMOUNT OF INSURANCE DEDUCTIBLE
EMPLOYEE THEFT INCLUDING FAITHFUL PERFORMANCE OF DUTY
FORGERY OR ALTERATION
INSIDE PREMISES THEFT OF MONEY AND SECURITIES
INSIDE PREMISES ROBBERY AND SAFE BURGLARY OTHER PROPERTY
OUTSIDE THE PREMISES
COMPUTER FRAUD
FUNDS TRANSFER FRAUD
MONEY ORDERS AND COUNTERFEIT PAPER CURRENCY
$1,000,000
$5,000
REMARKS (INCLUDING SPECIAL CONDITIONS)
ISSUED FOR PURPOSES OF EVIDENCING CRIME INSURANCE COVERAGE UNTIL RECEIPT OF COMPANY POLICY LISTED
ABOVE.
SUBJECT TO POLICY TERMS, CONDITIONS AND EXCLUSIONS.
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL
BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
ADDITIONAL INTEREST
NAME AND ADDRESS NATURE OF INTEREST
MORTGAGEE ADDITIONAL INSURED
LOSS PAYEE X (OTHER)
SIGNATURE OF AUTHORIZED AGENT OF COMPANY
EVIDENCE OF INSURANCE
EVIDENCE OF INSURANCE
California JPIA Member
City of La Quinta
78495 Calle Tampico
La Quinta, CA 92253
Providing innovative risk management solutions
for our public agency partners
Protection period:
July 1, 2021 to July 1, 2022
Overview 1
Detail 2-5
Definitions 6
Member Roster 7
Schedule of Insurers 8
CRIME INSURANCE PROGRAM
INTEGRITY
EXCELLENCE
INNOVATION
TEAMWORK
Rev: 07/1/21 Page 1
CRIME INSURANCE PROGRAM
Overview
July 1, 2021 C 17
(Supersedes C 16)
Program Crime Insurance Program (formerly Blanket Fidelity Bond)
Protection Period July 1, 2021 at 12:01 a.m. to July 1, 2022 at 12:01 a.m. Pacific Time
Covers Faithful Performance
Employee dishonesty, including theft, and failure of any employee to faithfully
perform their duties. Includes all employees, the Agency Treasurer, Agency
Clerk and/or Tax Collector and any employee required by law to be individually
bonded.
Depositor’s Forgery
Loss by forgery or alteration of, on or in any check, draft, promissory note or
similar written promise, order or direction to pay money that is made or drawn
upon the Member’s accounts, including credit, debit, or charge cards, by
someone acting as the Member’s agent or that are purported to have been so
made or drawn. This coverage protects you against forgery or alteration losses
caused by a person other than an employee.
Crime - Money and Securities
Covers loss of your money or securities by theft, disappearance or destruction
while they are on your premises or on banking premises, or while your money
or securities are outside your premises in the possession of a messenger. This
coverage protects you from theft, robbery and safe burglary caused by
persons other than an employee.
Computer Fraud
Theft directly related to the use of any computer to fraudulently cause a
transfer of money, securities or other property from inside the premises or
banking premises to a person or place outside those premises.
Limits $1,000,000 to $5,000,000 per Member (as selected by Member)
Deductible $5,000 to $100,000 per occurrence
Coverage Note CALIFORNIA JPIA Members’ individual premium calculations are based on total
number of employees and the insurer’s minimum premium requirements.
Excess limits are available for additional premium.
THE ABOVE IS A SUMMARY ONLY. IT DOES NOT MODIFY THE MEMORANDUM
OF COVERAGE, NOR THE REINSURANCE OR EXCESS INSURANCE
DOCUMENTS.
FOR FULL COVERAGE DETAILS SEE THE FULL CONTRACTS AND POLICIES ON FILE AT THE
CALIFORNIA JPIA OFFICE. EFFECTIVE JULY 1, 2021
PROGRAM SUMMARY
Rev: 07/1/21 Page 2
CRIME INSURANCE PROGRAM
Detail
July 1, 2021 - July 1, 2022
Covered Parties California Joint Powers Insurance Authority and participating members
Insurance Company/
Policy Number
National Union Fire Insurance Company of Pittsburgh,
PA a Subsidiary of Chartis / Policy # 14249761
*A.M. Best Guide Rating A, Excellent;
Financial Size Category XV;
Greater than
$2,000,000,000
*Standard & Poor’s Rating A+, Strong Financial Security
California Status Admitted
Protection Period July 1, 2021 at 12:01 a.m. to July 1, 2022 at 12:01 a.m. Pacific Time
Optional Limits & Deductible
(Per Member)
Limit Options Available: Deductible Options Available
$1,000,000 $5,000
$2,000,000 $10,000
$3,000,000 $25,000
$5,000,000 $25,000
Can also offer $50,000, $75,000 and $100,000
for any limit
Coverage Government Crime Policy on Discovery form including the following coverages:
• Employee Theft – Per Loss Coverage
• Forgery or Alteration including Credit, Debit or Charge Card Forgery
• Inside the Premises – Theft of Money and Securities
• Inside the Premises – Robbery & Safe Burglary of Other Property
• Outside the Premises (Money, Securities and Other Property)
• Computer Fraud
• Funds Transfer Fraud
• Money Orders & Counterfeit Money
Major Exclusions
(Including but not limited to)
• Unauthorized disclosure of confidential information
• Governmental Action
• Indirect Loss
• Legal Fees and Expenses
• Nuclear Hazard
• Pollution
*SEE LAST PAGE FOR ADDITIONAL DETAILS
THE ABOVE IS A SUMMARY ONLY. IT DOES NOT MODIFY THE MEMORANDUM
OF COVERAGE, NOR THE REINSURANCE OR EXCESS INSURANCE
DOCUMENTS.
FOR FULL COVERAGE DETAILS SEE THE FULL CONTRACTS AND POLICIES ON FILE AT THE
CALIFORNIA JPIA OFFICE. EFFECTIVE JULY 1, 2021 PROGRAM SUMMARY
Rev: 07/1/21 Page 3
CRIME INSURANCE PROGRAM
Detail
July 1, 2021 - July 1, 2022
Major Exclusions
(continued)
• War and Military Action
• Inventory Shortages
• Trading losses
• Accounting or Arithmetical Errors or Omissions
• Exchanges or Purchases
• Fire
• Money Operated Devices
• Motor Vehicles or Equipment and Accessories
• Transfer or Surrender or Property
• Vandalism
• Voluntary Parting of Title to Possession of Property
Endorsements
(Including but not limited to)
• State Changes
• Additional Named Insured – Endorsement identifies individual member’s
limit and deductible
• Omnibus Named Insured – Coverage extended to all Agencies,
Authorities and Districts (including Special Districts) which are
governed directly by the governed body of the Named Insured
• Faithful Performance of Duty for Government Employees/Amended –
Individual Member Limit
• Revision of Discovery and Prior Theft or Dishonesty $25,000 Sub-Limit
• Bonded Employees Exclusion Deleted
• Credit, Debit or Charge Card Forgery
• Includes Volunteer Workers as Employees
• Includes Specified Non Compensated Officers as Employees
• Includes Chairperson and Members of Specified Committees as
Employees (blanket coverage)
• Includes Designated Persons or Classes of Persons as Employees – Any
Director or Trustees of any of those named as insured-Amended to
include any elected or appointed official as employee
• Includes Treasurers or Tax Collectors as Employees
• Includes Expenses Incurred to Establish Amount of Covered Loss -
$75,000 Sub- limit
• Employee Post Termination - 90 Days
• Cancellation of Policy – 120 Days NOC
• Includes Leased Workers as Employees
• Notice of Claim Reporting by Email
• Coverage Territory (excludes loss payments in violation of economic or
trade sanctions)
• Vendor Fraud - $1,000,000 Limit excess of vendor insurance policy
required by contract. If vendor policy is not valid or collectible, this sublimit
applies to loss excess of $500,000. Coverage not applicable if crime
insurance is not required in a written agreement
THE ABOVE IS A SUMMARY ONLY. IT DOES NOT MODIFY THE MEMORANDUM
OF COVERAGE, NOR THE REINSURANCE OR EXCESS INSURANCE
DOCUMENTS.
FOR FULL COVERAGE DETAILS SEE THE FULL CONTRACTS AND POLICIES ON FILE AT THE
CALIFORNIA JPIA OFFICE. EFFECTIVE JULY 1, 2021
PROGRAM SUMMARY
Rev: 07/1/21 Page 4
CRIME INSURANCE PROGRAM
Detail
July 1, 2021 - July 1, 2022
Endorsements
(Including but not limited to)
• Subrogation of Faithful Performance of Duty Claims – With respect to
losses resulting from the failure of any employee to faithfully perform his
or her duties as prescribed by law, the company may subrogate only due
to actual fraud, corruption, actual malice, or where the employee or a
person or entity was unjustly enriched
• Client’s Property - $250,000 Sublimit with $25,000 Deductible
• Blanket Joint Loss Payable (if any)
• Coverage for Cal Works Program/Definition of Employees amended
• Impersonation Fraud Coverage - $250,000 Limit
Claims Reporting Complete the incident reporting form on the California JPIA website,
CJPIA.org and report to:
Alliant Insurance Services, Inc.
Robert Frey, Claims Manager
Akbar Sharif, Claims Advocate
Akbar.Sharif@alliant.com
100 Pine Street,
11th Floor San Francisco, CA 94111
Phone: 415-403-1400
Fax: 415-403-1466
Submit a copy of a completed Notice to:
AIG
Financial Lines Claims
P.O. Box 25947
Shawnee Mission, KS 66225
Fax: 866-227-1750
Email: c-claim@AIG.com
Broker Alliant Insurance Services,
Inc. Newport Beach CA
Tom E. Corbett, Senior Vice President
Christopher Gray, Account Manager – Lead
Mariana Salyer, Account Manager
THE ABOVE IS A SUMMARY ONLY. IT DOES NOT MODIFY THE MEMORANDUM
OF COVERAGE, NOR THE REINSURANCE OR EXCESS INSURANCE
DOCUMENTS.
FOR FULL COVERAGE DETAILS SEE THE FULL CONTRACTS AND POLICIES ON FILE AT THE
CALIFORNIA JPIA OFFICE. EFFECTIVE JULY 1, 2021
PROGRAM SUMMARY
Rev: 07/1/21 Page 5
CRIME INSURANCE PROGRAM
Detail
July 1, 2021 - July 1, 2022
THIS SUMMARY IS FOR INFORMATION PURPOSES ONLY AND DOES NOT AMEND, EXTEND OR ALTER THE
POLICY IN ANY WAY PLEASE REFER TO THE POLICY FORM FOR COMPLETE COVERAGE TERMS,
CONDITIONS AND EXCLUSIONS
This summary of insurance is provided as a matter of convenience and information only. All information included in this summary, including
but not limited to personal and real property values, locations, operations, products, data, automobile schedules, financial data and loss
experience, is based on facts and representations supplied to Alliant Insurance Services, Inc. by you. This summary does not reflect any
independent study or investigation by Alliant Insurance Services, Inc. or its agents and employees.
Please be advised that this summary is also expressly conditioned on there being no material change in the risk between the date of this
summary and the inception date of the proposed policy (including the occurrence of any claim or notice of circumstances that may give rise to
a claim under any policy which the policy being proposed is a renewal or replacement). In the event of such change of risk, the insurer may, at
its sole discretion, modify, or withdraw this summary whether or not this offer has already been accepted.
This summary is not confirmation of insurance and does not add to, extend, amend, change, or alter any coverage in any actual policy of
insurance you may have. All existing policy terms, conditions, exclusions, and limitations apply. For specific information re garding your
insurance coverage, please refer to the policy itself. Alliant Insurance Services, Inc. will not be liable for any claims arising from or related to
information included in or omitted from this summary of insurance
Alliant embraces a policy of transparency with respect to its compensation from insurance transactions. Details on our compensation policy,
including the types of income that Alliant may earn on a placement, are available on our website at www.alliantinsurance.com. For a copy of
our policy or for any inquiries regarding compensation issues pertaining to your account you may also contact us at: Alliant Insurance Services,
Inc., Attention: General Counsel, 701 B Street, 6th Floor, San Diego, CA 92101.
Analyzing insurers’ over-all performance and financial strength is a task that requires specialized skills and in-depth technical understanding
of all aspects of insurance company finances and operations. Insurance brokerages such as Alliant Insurance typically rely upon rating agencies
for this type of market analysis. Both A.M. Best and Standard and Poor’s have been industry leaders in this area for many decades, utilizing a
combination of quantitative and qualitative analysis of the information available in formulating their ratings.
A.M. Best has an extensive database of nearly 6,000 Life/Health, Property Casualty and International companies. You can visit them at
www.ambest.com. For additional information regarding insurer financial strength ratings visit Standard and Poor’s website at
www.standardandpoors.com.
Our goal is to procure insurance for you with underwriters possessing the financial strength to perform. Alliant does not, however, guarantee
the solvency of any underwriters with which insurance or reinsurance is placed and maintains no responsibility for any loss or damage arising
from the financial failure or insolvency of any insurer. We encourage you to review the publicly available information collected to enable you to
make an informed decision to accept or reject a particular underwriter. To learn more about companies doing business in your state, visit the
Department of Insurance website for that state.
Important Notice: The non-admitted & reinsurance reform act (NRRA) goes into effect on July 21, 2011. Accordingly, surplus lines tax rates
and regulations are subject to change which could result in an increase or decrease of the total surplus lines taxes and/or fees owed on this
placement. If a change is required, we will promptly notify you. Any additional taxes and/or fees owed must be promptly remitted to Alliant
Insurance Services, Inc.
THE ABOVE IS A SUMMARY ONLY. IT DOES NOT MODIFY THE MEMORANDUM
OF COVERAGE, NOR THE REINSURANCE OR EXCESS INSURANCE
DOCUMENTS.
FOR FULL COVERAGE DETAILS SEE THE FULL CONTRACTS AND POLICIES ON FILE AT THE
CALIFORNIA JPIA OFFICE. EFFECTIVE JULY 1, 2021
PROGRAM SUMMARY
Rev: 07/1/21 Page 6
CRIME INSURANCE PROGRAM
Definitions
July 1, 2021 - July 1, 2022
Employee Theft Including
Faithful Performance of Duty
Provides coverage for loss of money, securities and other property resulting
from theft committed by an employee. Coverage is also provided for loss of
money, securities and other property resulting from the failure of any employee
to faithfully perform his or her duties as prescribed by law, when such failure
results in the loss of covered property.
Forgery or Alteration Incl. Credit,
Debit or Charge Card Forgery
Provides coverage for loss resulting directly from forgery or alteration of
checks, drafts, promissory notes or similar written promises, orders or
directions to pay a certain sum of money. Coverage is extended to include
credit, debit or charge card forgery.
Inside The Premises –
Theft Of Money And Securities
Provides coverage for loss of money and securities inside the premises or
banking premises resulting directly from theft, disappearance or destruction.
Inside The Premises – Robbery
Or Safe Burglary Of Other
Property
Provides coverage for loss of or damage to other property inside the premises
resulting directly from robbery.
Outside The Premises Provides coverage for loss of money and securities outside the premises in the
care, custody or control of a messenger (employee) or armored motor vehicle
company resulting directly from theft, disappearance or destruction; and loss of
or damage to other property outside the premises in the care, custody or
control of a messenger (employee) or armored motor vehicle company
resulting directly from robbery.
Computer Fraud Provides coverage for loss of or damage to money, securities and other
property resulting directly from the use of any computer to fraudulently transfer
that property from inside the premises or banking premises to a person or place
outside those premises.
Funds Transfer Fraud Provides coverage for loss funds resulting directly from a fraudulent instruction
directing a financial institution to transfer, pay or deliver funds from your
transfer account.
Money Orders And Counterfeit
Money
Provides coverage for loss directly resulting from your having accepted in
good faith, in exchange for merchandise, money, or services – money orders
that are not paid upon presentation or counterfeit money acquired during the
regular course of business.
THESE DEFINITIONS ARE ABBREVIATED AND SHOULD BE USED ONLY AS A QUICK
REFERENCE. REFER TO THE MOC — P FOR FULL DEFINITIONS.
PROGRAM SUMMARY
Rev: 07/1/21 Page 7
CRIME INSURANCE PROGRAM
Member Roster
July 1, 2021 - July 1, 2022
Agoura Hills Lakewood
Agoura Hills Calabasas Community Center Lawndale
Alhambra Lemon Grove
Aliso Viejo Loma Linda
Apple Valley Lomita
Arroyo Grande Malibu
Artesia Mammoth Lakes
Atascadero Midpeninsula Regional Open Space District
Azusa Mission Viejo
Bell Gardens Monrovia
Bellflower Monterey Peninsula Regional Park District
Big Bear Community Services District Moorpark
Big Bear Fire Authority Morro Bay
Big Bear Lake Mountain Area Regional Transit Authority
Bishop Needles
Black Gold Cooperative Library System Norwalk
Bradbury Ojai
Brawley Pacific Grove
Buellton Palm Desert
Calabasas Palos Verdes Estates
California Joint Powers Insurance Authority Paramount
Camarillo Pismo Beach
Carpinteria Port Hueneme
Cerritos Poway
Chino Hills Rancho Palos Verdes
Claremont Rolling Hills
Coachella Valley Assoc. of Governments Rolling Hills Estates
Commerce Rosemead
Dana Point Rossmoor CSD
Desert Recreation District San Clemente
Diamond Bar San Dimas
Duarte San Juan Capistrano
Eastern Sierra Transit Authority San Luis Obispo
El Centro San Marcos
El Paso De Robles San Marino
Fillmore Santa Clarita
Gateway Cities Council of Governments Santa Fe Springs
Goleta Santa Paula
Guadalupe Seal Beach
Hawaiian Gardens Seaside
Hemet Signal Hill
Hidden Hills Solvang
Indian Wells South El Monte
Indio Southern California Association of Governments
Irwindale Stanton
La Canada Flintridge Temple City
La Habra Heights Ventura Port District
La Mirada Villa Park
La Palma Vista
La Puente Walnut
La Verne West Cities Police Communication Center
Laguna Niguel West Covina
Laguna Woods West Hollywood
Lake Elsinore Westlake Village
Lake Forest PROGRAM SUMMARY
Rev: 07/1/21 Page 8
Important Notice: The non-admitted & reinsurance reform act (NRRA) goes into effect on July 21, 2011. Accordingly, surplus lines tax rates
and regulations are subject to change which could result in an increase or decrease of the total surplus lines taxes and/or fees owed on this
placement. If a change is required, we will promptly notify you. Any additional taxes and/or fees owed must be promptly remitted to Alliant
Insurance Services, Inc.
CRIME INSURANCE PROGRAM
Schedule of Insurers
July 1, 2021 - July 1, 2022
This summary of insurance is provided as a matter of convenience and information only. All information included in this summary, including
but not limited to personal and real property values, locations, operations, products, data, automobile schedules, financial data and loss
experience, is based on facts and representations supplied to Alliant Insurance Services, Inc. by you. This summary does not reflect any
independent study or investigation by Alliant Insurance Services, Inc. or its agents and employees.
Please be advised that this summary is also expressly conditioned on there being no material change in the risk between the date of this
summary and the inception date of the proposed policy (including the occurrence of any claim or notice of circumstances that may give rise to
a claim under any policy which the policy being proposed is a renewal or replacement). In the event of such change of risk, the insurer may, at
its sole discretion, modify, or withdraw this summary whether or not this offer has already been accepted.
This summary is not confirmation of insurance and does not add to, extend, amend, change, or alter any coverage in any actual policy of
insurance you may have. All existing policy terms, conditions, exclusions, and limitations apply. For specific information re garding your
insurance coverage, please refer to the policy itself. Alliant Insurance Services, Inc. will not be liable for any claims arising from or related to
information included in or omitted from this summary of insurance
Alliant embraces a policy of transparency with respect to its compensation from insurance transactions. Details on our compensation policy,
including the types of income that Alliant may earn on a placement, are available on our website at www.alliantinsurance.com. For a copy of
our policy or for any inquiries regarding compensation issues pertaining to your account you may also contact us at: Alliant Insurance Services,
Inc., Attention: General Counsel, 701 B Street, 6th Floor, San Diego, CA 92101.
Analyzing insurers’ over-all performance and financial strength is a task that requires specialized skills and in-depth technical understanding
of all aspects of insurance company finances and operations. Insurance brokerages such as Alliant Insurance typically rely upon rating agencies
for this type of market analysis. Both A.M. Best and Standard and Poor’s have been industry leaders in this area for many decades, utilizing a
combination of quantitative and qualitative analysis of the information available in formulating their ratings.
A.M. Best has an extensive database of nearly 6,000 Life/Health, Property Casualty and International companies. You can visit them at
www.ambest.com. For additional information regarding insurer financial strength ratings visit Standard and Poor’s website at
www.standardandpoors.com.
Our goal is to procure insurance for you with underwriters possessing the financial strength to perform. Alliant does not, however, guarantee
the solvency of any underwriters with which insurance or reinsurance is placed and maintains no responsibility for any loss or damage arising
from the financial failure or insolvency of any insurer. We encourage you to review the publicly available information collected to enable you to
make an informed decision to accept or reject a particular underwriter. To learn more about companies doing business in your state, visit the
Department of Insurance website for that state.
NATIONAL UNION FIRE INSURANCE COMPANY
OF PITTSBURG, PA (CHARTIS)
POLICY
#ACIP1719
California Status:
Standard & Poor’s Rating:
Best’s Guide Rating:
Admitted
A+, Strong Financial Security
A, Excellent Financial Size Category 15; Greater than
$2,000,000,000 PROGRAM SUMMARY