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Insurance Certificates 2024/25 DSUSD - Homecomming Parade September 2024Southern California ReLiEF CERTIFICATE OF COVERAGE Issue Date 7/5/2024 ADMINISTRATOR: LICENSE # 0451271 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Keenan & Associates AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 4204 Riverwalk Parkway Suite 400 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE Riverside, CA 92505 AFFORDED BY THE COVERAGE DOCUMENTS BELOW. ENTITIES AFFORDING COVERAGE: Kimber1V Brunning License No. OH91823 310-212-0363 x1013 kbrunnir)g@keenan.com ENTITYA: Southern California ReLiEF ENTITY B: COVERED PARTY: Desert Sands Unified School District Riverside Schools Insurance Authority ENTlrvc: Star Insurance Company an p y 47-950 Dune Palms Road ENTITYD: La Quinta CA 92253 ENTITY E: THIS IS TO CERTIFY THAT THE COVERAGES LISTED BELOW HAVE BEEN ISSUED TO THE COVERED PARTY NAMED ABOVE FOR THE PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. THE COVERAGE AFFORDED HEREIN IS SUBJECT TO ALL THE TERMS AND CONDITIONS OF SUCH COVERAGE DOCUMENTS. MEMBER ENT COVERAGE EFFECTIVE/ RETAINED LIMIT LTR TYPE OF COVERAGE DOCUMENTS EXPIRATION DATE / DEDUCTIBLE LIMITS A GENERAL LIABILITY COMBINED SINGLE LIMIT EACH OCCURRENCE L LIABILITY CLAIMS MADE CLAIMS SCR 00101-38 7/1/2024 $ 50,000 $ 1,000,000 [ [OCCURRENCE [ GOVERNMENT CODES 7/1 /2025 [ ERRORS & OMISSIONS `_✓'/xl}j [ SEXUAL ABUSE AND MOLESTATION [ 1 A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT EACH OCCURRENCE [✓I ANY AUTO SCR00101-38 7/1/2024 $ 50,000 $ 1,000,000 [ HIRED AUTO 7/1 /2025 [ NON -OWNED AUTO [ GARAGE LIABILITY [ AUTO PHYSICAL DAMAGE A PROPERTY SCR 00101-38 7/1/2024 $ 25,000 $ 250,250,000 [ ALL RISK 7/1 /2025 EACH OCCURRENCE [ EXCLUDES EARTHQUAKE & FLOOD [ ] BUILDER'S RISK A STUDENT PROFESSIONAL LIABILITY SCR 00101-38 7/1/2024 $ 50,000 $ Included 7/1 /2025 EACH OCCURRENCE WORKERS COMPENSATION [ ] WC STATUTORY LIMITS [.A OTHER [ ] EMPLOYERS' LIABILITY $ $ 1,000,000 E.L. EACH ACCIDENT $ 1,000,000 EXCESS WORKERS COMPENSATION $ 500,000 C [ EMPLOYERS' LIABILITY WCE-0990893-24 7/1/2024 E.L. DISEASE - EACH EMPLOYEE 7/1/2025 $ 1,000,000 E.L. DISEASE - POLICY LIMITS OTHER $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL PROVISIONS: For use of the City of La Quinta's facilities by La Quinta High School for their Homecoming Parade on Wednesday, October 16, 2024 from 5:OOPM - 6:30PM. $2,000,000 general aggregate applies to General Liability, as requested by contract. CERTIFICATE HOLDER: La Quinta HS Homecoming Parade 10/16/24 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cltyy of La Quinta THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 78495 Calle Tampico ACCORDANCE WITH THE POLICY PROVISIONS La Quinta CA 92553 John Stephens AUTHORIZED REPRESENTATIVE ww.cCcrsOnlinc.c m 80841285 1 DESERSAN 1 24/25 Super Pool P&L w/WC I Kimberly Brunning 1 7/5/2024 8:07:35 AM (PDT) I Page 1 of 4 DISCLAIMER The Certificate of Coverage on the reverse side of this form does not constitute a contract between the issuing entity(ies), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the coverage documents listed thereon. eCmsOnline.com 80841285 1 DESERSAN 1 24/25 Super Pool P&L w/WC I Kimberly Brunning 1 7/5/2024 8:07:35 AM (PDT) I Page 2 of 4 ENDORSEMENT ADDITIONAL COVERED PARTY COVERED PARTY COVERAGE DOCUMENT ADMINISTRATOR Desert Sands Unified School District SCR 00101-38 Keenan & Associates Riverside Schools' Insurance Authority Subject to all its terms, conditions, exclusions, and endorsements, such additional covered party as is afforded by the coverage document shall also apply to the following entity but only as respects to liability arising directly from the actions and activities of the covered party described under "as respects" below. Additional Covered Party: Cit of La Quinta 78 95 Calle Tampico La Quinta CA 92553 For use of the City of La Quinta's facilities by La Quinta High School for their Homecoming Parade on Wednesday, October 16, 2024 from 5:OOPM - 6:30PM. $2,000,000 general aggregate applies to General Liability, as requested by contract. This coverage shall be primary to the certificate holder's coverage, but only as respects to liability arising directly from the actions and activities of the Covered Party. The insurance of the Additional Covered Party shall not be called upon to contribute to a loss covered by the Covered Party's coverage. Authorized Representative Issue Date: 7/5/2024 80841285 1 DESERSAN 1 24/25 Super Pool P&L w/WC I Kimberly Brunning 1 7/5/2024 8:07:35 AM (PDT) I Page 3 of 4 EXCESS WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY POLICY Waiver of Our Right to Recover From Others Endorsement We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us. This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Any third party who requires you to provide this waiver. This endorsement is effective until the next Anniversary Rating Date of 7/l/2025. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. Company No Insured: Desert Sands Unified School District Policy Number: WCE-0990893-24 Endorsement Number: 9 Endorsement Effective: 7/01/2024 Printed on: 5/28/2024 Form No. 46 93 WC 0807 © Copyright 1983 National Council on Compensation Insurance, Inc. 80841285 1 DESERSAN 1 24/25 Super Pool P&L w/WC I Kimberly Brunning 1 7/5/2024 8:07:35 AM (PDT) I Page 4 of 4