Insurance Certificates 2023/24 Charles Sullivan (Volunteer Coordinator) - Ukulele PracticeEVANSTON INSURANCE COMPANY
CERTIFICATE NO.: 2023 - 101
CERTIFICATE OF INSURANCE
SPECIAL EVENT LIABILITY PROGRAM
PRODUCER
PUBLIC ENTITY (ADDITIONAL INSURED)
Alliant Insurance Services, Inc. in conjunction with
Apex Insurance Services
P 0 Box 8473
Pasadena, CA 91109
License No: OC 36861
CITY OF LA QUINTA
78-495 CALLE TAMPICO
LA QUINTA, CA 92253
NAMED INSURED (EVENT HOLDER):
Chuck Sullivan
48610 VISTA ESTRELLA
LA QUINTA, ca 92253
EVENT INFORMATION:
TYPE: UKULELE STRUMMERS GROUP
DATE(S): 01/06/2022 - 12/29/2023
LOCATION: LA QUINTA WELLNESS CENTER
*Liquor Liability Yes ❑ No
**Liquor Liability after 12 am ends
FA
before
2 am ❑
This is to certify that the insurance policy listed below has been issued to the above insured named (event holder) for the policy
period indicated. The insurance described herein is subject to all the terms, exclusions and conditions of such policy(ies) unless
amended as described in Special Conditions.
INSURANCE CARRIER: Evanston Insurance Company
MASTER POLICY NUMBER MKLV7PBC001381
MASTER POLICY DATES: EFFECTIVE: JANUARY 1, 2023 EXPIRATION: JANUARY 1, 2024
COMMERCIAL GENERAL LIABILITY
General Aggregate Limit $ 2,000,000
Products & Completed Operations 1,000,000
Personal & Advertising Injury 1,000,000
Each Occurrence Limit 1,000,000
Damage To Premises Rented To You (Any One Premises) 100,000
Medical Payments (Any One Person) 5,000
Liquor Liability (If purchased) 1,000,000
Optional Limits Purchased
❑ $1,000,000/$3,000,000
❑ $2,000,000/$2,000,000
Damage To Property (If purchased)
OCCURRENCE FORM
DEDUCTIBLE: NONE
SPECIAL CONDITIONS:
The following endorsements attached to
the Master Policy do not apply to this
Certificate Of Insurance:
MEGL643
The limits of insurance apply separately to each event insured by this policy as if a separate policy of insurance has been issued for that event.
OTHER ADDITIONAL INSUREDS
CANCELLATION: Should the above described policy be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy
provisions.
AUTHORIZED REPRESENTATIVE:
DATE ISSUED: 01/06/2023
From:
To:
Cc:
Subject:
Date:
Attachments:
Alex Mellor
Caroline Doran
Lisa Chaudhry
RE: Insurance Question CRM:00307657
Tuesday, June 15, 2021 8:34:51 AM
image001.png
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 Caroline:
Since you are using our Special Events Program (which is really Alliant's Special Events Program), you don't
need to worry about the endorsements and other items you mention below. This is one of the major benefits
of the program —the city is automatically additional insured, coverage applies on a primary/non-contributory
basis etc.
Does that answer your questions?
Thanks
Alex Mellor
From: Caroline Doran <cdoran@laquintaca.gov>
Sent: Monday, June 14, 20214:44 PM
To: Alex Mellor <amellor@cjpia.org>
Cc: Lisa Chaudhry <Lchaudhry@laquintaca.gov>
Subject: Insurance Question
[EXTERNAL]
Hi Alex,
I am attempting to use Alliant Insurance Services, Inc. (contact Penny DeWitt-Holdren)
to acquire a Certificate of Insurance COI, Additional Insured Endorsement AIE, and
Primary Non Contributory Endorsement PNC for a Volunteer Coordinator who oversees
a Ukulele Oasis Strummers Group at the City of La Quinta Wellness Center.
A policy number is not on the COI, and there is not a policy number that matches on
the AIE, nor on the PNC.
How can I explain there is insurance in place that covers the students, and the
instructor participating in the Ukulele Group.
Attached is an email (Re: Insurance COI & Endorsement Questions) from Ms. Dewitt -
Holdren of Alliant stating the endorsements go with the COI.
The attached Certificate does not have a policy number to compare with the AIE and
PNC and yet can be used with the COI per Ms. Dewitt - Holdren?
Can you please explain to Lisa Chaudry and type of COI this is, and how I would
explain it matches, so I can explain it is legitimate to the City Clerk's office.
Cordially,
Caroline Doran I Community Resources Specialist
Community Resources
City of La Quinta
78495 Calle Tampico . La Quinta, CA 92253
Ph. 760.777.7182
www.laquintaca.gov
www.playinlaquinta.com