Insurance Certificates 2023/24 DRD Joint Facility UseCERTIFICATE NO
ISSUE DATE
CAPRI-1410
CERTIFICATE OF COVERAGE
06/29/2023
Primary Insurance Provided by:
CALIFORNIA ASSOCIATION FOR PARK AND
RECREATION INDEMNITY (CAPRI)
ATTN: MATTHEW DUARTE
1075 CREEKSIDE RIDGE DRIVE, SUITE 240
ROSEVILLE, CA 95678
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).
COVERAGE A - CALIFORNIA ASSOCIATION FOR PARK RECREATION
AFFORDED BY: INDEMNITY
CAPRI MEMBER:
DESERT RECREATION DISTRICT
COVERAGE
AFFORDED BY: B
COVERAGE
AFFORDED BY: C
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
A
OTHER
PERMISSIBLY SELF -INSURED
- WORKERS' COMPENSATION
- EMPLOYERS' LIABILITY
CAPRI 2023-2024 WC
07/01/2023
07/01/2024
WORKERS'
COMPENSATION:
$350,000
EMPLOYERS' LIABILITY:
$350,000
Description of Operations/LocationsNehicles/Special Items:
AS RESPECTS EVIDENCE OF COVERAGE BETWEEN DESERT RECREATION DISTRICT AND CITY OF LA QUINTA REGARDING RECIPROCAL
PROGRAMS/JOINT USE OF FACILITIES
Certificate Holder
CITY OF LA QUINTA
7 8 495 CALLE TAMPICO
QUINTA, TAMPICO
LA 2253
Cancellation
SHOULD ANY OF THE ABOVE DESCRIBED MEMORANDUMS OF COVERAGE/POLICIES
BE CANCELLED BEFORE EXPIRATION THEREOF, NOTICE WILL BE DELIVERED IN
WITH THE MEMORANDUMS OF COVERAGE/POLICIES PROVISIONS
AUTHORIZED REPRESENTATIVE
PAGE 1 of 3
CERTIFICATE NO.
ISSUE DATE
EIA PE-WC-1410
CERTIFICATE OF COVERAGE
06/29/2023
Public Risk Innovation Solutions and
> >
Management
g
C/O ALLIANT INSURANCE SERVICES, INC.
18100 VON KARMAN AVENUE, 10TH FLOOR
IRVINE, CA 92612
PHONE (949) 756-0271 / FAX (619) 699-0901
LICENSE #0C36861
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
IMPORTANT: If the certificate holder is requesting a WAIVER OF SUBROGATION, the Memorandu r
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).
COVERAGE A - See attached Schedule of Insurers
AFFORDED BY:
MEMBER:
CALIFORNIA ASSOCIATION FOR PARK AND RECREATION
INDEMNITY (CAPRI)
ATTN: MATTHEW DUARTE
1075 CREEKSIDE RIDGE DRIVE, SUITE 240
ROSEVILLE, CA 95678
CAPRI MEMBER:
DESERT RECREATION DISTRICT
COVERAGE B
AFFORDED BY:
COVERAGE C
AFFORDED BY:
COVERAGE D
AFFORDED BY:
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
A
EXCESS WORKERS'
COMPENSATION &
EMPLOYERS' LIABILITY
See attached
Schedule of
Insurers for policy
numbers
07/01/2023
07/01/2024
WORKERS' COMPENSATION:
Difference between
Statutory and Member's
$350,000 Retention
EMPLOYERS' LIABILITY:
Difference between
$5,000,000 and Member's
$350,000 Retention
*LIMITS APPLY PER OCCURRENCE FOR ALL PROGRAM MEMBERS COMBINED.
Description of Operations/Locations/Vehicles/Special Items:
AS RESPECTS EVIDENCE OF COVERAGE BETWEEN DESERT RECREATION DISTRICT AND CITY OF LA QUINTA REGARDING RECIPROCAL
PROGRAMS/JOINT USE OF FACILITIES
DESERT RECREATION DISTRICT IS A MEMBER OF CALIFORNIA ASSOCIATION FOR PARK AND RECREATION INDEMNITY (CAPRI)
Certificate Holder
CITY OF LA QUINTA
78-495 CALLE TAMPICO
LA QUINTA, CA 92253
Cancellation
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
AUTHORIZED REPRESENTATIVE
Public Risk Innovation, Solutions, and Management
PAGE 2 of 3
PUBLIC RISK INNOVATION, SOLUTIONS, AND MANAGEMENT
EXCESS WORKERS' COMPENSATION PROGRAM
2023/2024 SCHEDULE OF INSURERS
CALIFORNIA ASSOCIATION FOR PARKS AND RECREATION INDEMNITY (CAPRI)
PROVIDER
MEMORANDUM /
POLICY NUMBER
LIMIT
Public Risk Innovation, Solutions,
PRISM -PE 23 EWC-15
Workers' Compensation:
and Management
$50,000,000 each accident/each employee
for disease
(Difference between $50,000,000 and the
individual member's retention)
Employers' Liability:
$5,000,000 each accident/each employee
for disease
(Difference between $5,000,000 and the
individual member's retention)
Liberty Insurance Corporation
EW7-64N-444785-013
Statutory each accident/each employee
for disease excess of
$50,000,000