Insurance Certificates 2023/24 SunlineINSURANCE REVIEW
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CALIFORNTA
RE: Sunline Transit Agency Certificate of Insurance (PERMA) document to provide
informational services at the Wellness Center.
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
7/1 /2023
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:
F—]$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:
F-1$1,000,000 per occurrence/loss
Other:
List other insurance types such as - molestation, harassment, etc.
Approved by:
Date:
L
Cp
PERMA
DATE: July 08, 2023
72-811 Highway 111 #1014
Palm Desert, CA 92260
(760) 360-4966 tel
(760) 360-3264 fax
PUBLIC ENTITY RISK MANAGEMENT AUTHORITY
CERTIFICATE OF LIABILITY COVERAGE
CERTIFICATE HOLDER AND
ADDITIONAL COVERED PARTY:
CITY OF LA QUINTA
78495 CALLE TAMPICO
LA QUINTA, CA 92253
COVERED PARTY:
SUNLINE TRANSIT AGENCY
32-505 HARRY OLIVER TRAIL
THOUSAND PALMS, CA 92284
COVERAGE PROVIDED BY: Public Entity Risk Management Authority (PERMA)
COVERAGES:
THIS IS TO CERTIFY THAT THE COVERAGES LISTED BELOW HAVE BEEN ISSUED TO THE PARTY NAMED ABOVE FOR THE
PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
DOCUMENT WITH RESPECT TO WHICH THIS CERTICATE MAY BE ISSUED OR MAY PERTAIN. THE COVERAGE PROVIDED IS
LIMITED TO THE ACTIVITY DESCRIBED HEREIN AND IS SUBJECT TO ALL TERMS, EXCLUSIONS AND CONDITIONS OF THE
MEMORANDUM OF LIABILITY COVERAGE.
TYPE OF
CERTIFICATE
EFFECTIVE
EXPIRATION
COVERAGE
NUMBER
DATE
DATE COVERAGE LIMITS
General Liability
# LMOC-2023-24
7/1/2023
7/1/2024 Each Occurrence - $1,000,000
Auto Liability
# LMOC-2023-24
7/1/2023
7/1/2024 Combined Single Limit - $1,000,000
any automobile
DESCRIPTION OF ACTIVITY:
CERTIFICATE HOLDER IS INCLUDED AS AN ADDITIONAL COVERED PARTY BUT ONLY INSOFAR AS REQUIRED BY THE AGREEMENT
AS RESPECTS SUNLINE TRANSIT AGENCY'S INSTALLATION OF SIGNAGE AND POLES ON THE CERTIFICATE HOLDER'S PROPERTY.
CANCELLATION:
SHOULD ANY OF THE ABOVE DESCRIBED COVERAGES BE CANCELED BEFORE THE EXPIRATION DATE THEREOF PERMA
WILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED ABOVE BUT FAILURE TO MAIL SUCH NOTICE
SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE AUTHORITY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED SIGNATURE
Seth Cole, Authorized Representative
NAME AND TITLE
C. Any person or entity holding a certificate of coverage duly issued by the Authority,
as limited therein ("Additional Covered Party"). An Additional Covered Party is not
covered for claims arising from the Additional Covered Party's sole negligence or
for claims by another Covered Party;
D. Any person who is an official, employee or volunteer of an entity covered by A., B.,
or C., whether or not compensated, while acting in an official capacity for or on
behalf of such entity, including while acting on an outside board at the direction of
such entity, except a hospital board, regardless of how such body is denominated;
and
E. With respect to any automobile owned or leased by a member or loaned to or hired
for use by or on behalf of a member, any person using such automobile with the
permission of the member will be covered under this Memorandum of Coverage
for such use; however, this coverage does not apply to:
1. Any person or organization, or any agent or employee thereof, operating an
automobile sales agency, rental agency, repair shop, service station,
storage garage or public parking place, with respect to an Occurrence
arising out of the operation thereof; or
2. The owner, any lessee, or any agent or employee of such owner or lessee,
other than the Covered Party of any automobile hired by or loaned to the
Covered Party.
F. No person or entity is a Covered Party with respect to the conduct of any current
or past partnership, joint venture, or joint powers authority not named in the
declarations unless all members are Covered Parties under the language set forth
above. However, where any covered individual participates in the activities of a
partnership, joint venture, or joint powers authority while acting for or on behalf of
the Covered Party at the time of the Occurrence, coverage is afforded by this
agreement, excess of any coverage that applies to the partnership, joint venture,
or joint powers authority.
Dam — means any artificial barrier, together with appurtenant works, which does or may
impound or divert water, and which either (a) is 25 feet or more in height from the natural
bed of the stream or watercourse at the downstream toe of the barrier, or from the lowest
elevation of the outside limit of the barrier, if it is not across a stream, channel or
watercourse, to the maximum possible water storage elevation; or (b) has an impounding
capacity of 50 acre-feet or more.
Any such barrier which is not in excess of 6 feet in height, regardless of storage capacity,
or which has a storage capacity not in excess of 15 acre-feet, regardless of height, shall
not be considered a Dam.
Memorandum of Liability Coverage
Effective July 1, 2023
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