Insurance Certificates 2023/24 Riverside County - University Health System - Use Permit - Testing & VaccinationsRIVCO AR
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CERTIFICATE OF INSURANCE OR SELF-INSURANCE
THIS IS TO CERTIFY THAT THE SELF -INSURED COVERAGE LISTED BELOW IS CURRENTLY IN EFFECT FOR
THE POLICY 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 THIS CERTIFICATE DESCRIBED HEREIN IS SUBJECT TO ALL THE
TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH CERTIFICATE.
COVERAGE PROVIDED IS SUBJECT TO THE TERMS AND CONDITIONS OF THE EXCESS POLICY.
Type of Coverage
Company and
Policy Period
Limits of Liability
Policy Number
Bodily Injury/Property Damage
Commercial General
Self -Insured
07/01/2023
$1,000,000 Combined
Liability Including
to
Single Limit Per
Vehicle Liability
07/01/2024
Occurrence with No
Aggregate Limit
Workers'
Permissibly
07/01/2023
$2,000,000 Per Occurrence
Compensation
Self -Insured
to
with No Aggregate Limit
& Employers'
07/01/2024
Liability
The County of Riverside certifies that the above self -insured program is in effect as respect to:
RUHealth vaccination events: COVID-19 and similar public health testing and vaccinations on 7/12/23
Certificate Holder
Cancellation
La Quinta Wellness Center
In the event of cancellation of the self-insurance program or
Attn: Caroline Doran
policy designated below, it is the intent of the County of
78450 Avenida La Fonda
Riverside to mail 30 days' prior notice thereof.
La Quinta, CA 92253
This certificate is not valid unless signed by an authorized representative of the County of Riverside, Risk Management Division
Date: July 3, 2023
cc: Preston Carr, Real Estate Intern, FM -RE
Lari Camarra
® P.O. Box 1210, Riverside, CA92502 `,(951)955-3540 Am(951)955-4027 ®riskmanagement@rivco.org