Insurance Certificates 2024/25 Riverside County (CAP) - LQ EOC Liability (CJPIA)EVIDENCE OF COVERAGE and ADDITIONAL PROTECTED PARTY June 21, 2024 7:02 PM
COVERAGE PROVIDER
MEMBER
California Joint Powers Insurance Authority
La Quinta
8081 Moody Street
78-495 Calle Tampico
La Palma CA 90623
La Quinta, CA 92253-2839
www.cjpia.ora
(760) 777-7123
Contact Name: Jim Thyden, Insurance Programs Manager
Laurie McGinley
Phone: (562) 467-8700
lmcginley@laquintaca.gov
(760)777-7123
EOC Number20230829LQ6318
THIS IS TO CERTIFY THAT THE MEMBER LISTED ABOVE PARTICIPATES IN THE CALIFORNIA JOINT POWERS INSURANCE AUTHORITY'S SELF-
INSURANCE AND COMMERCIAL INSURANCE PROGRAM WITH THE COVERAGES AND LIMITS LISTED BELOW, SUBJECT TO ALL THE TERMS,
DEFINITIONS, EXCLUSIONS, CONDITIONS, AND RESPONSIBILITIES OF THE MEMORANDA OF COVERAGE FOR EACH LINE OF COVERAGE.
COVERAGES
THE COVERAGES LISTED BELOW HAVE BEEN ISSUED TO THE MEMBER NAMED ABOVE FOR THE COVERAGE PERIOD INDICATED,
NOTWITHSTANDING ANY REQUIREMENT, TERM, OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
EVIDENCE MAY BE ISSUED OR MAY PERTAIN, THE COVERAGE AFFORDED BY THE MEMORANDA DESCRIBED HERIN IS SUBJECT TO ALL THE
TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH MEMORANDA. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF COVERAGE
MEMORANDUM
COVERAGE
EFFECTIVE DATE
LIMITS
LIABILITY
AGGREGATE
$1,000,000
X OCCURRENCE
MOC LP
07/01/23-06/30/25
PRODUCTS-COMP/OP AGG
$ N/A
X
PERSONAL INJURY
PERSONAL & ADV INJURY
$1,000,000
X
ERRORS & OMISSIONS
EACH OCCURRENCE
$1,000,000
X
EMPLOYMENT PRACTICES
FIRE DAMAGE (Any one fire)
$ N/A
X
SEXUAL ABUSE AND
MED EXP (Any one person)
$ N/A
MOLESTATION
AUTOMOBILE
LIABILITY
ANY AUTOS
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
07/01/23-06/30/25
COMBINED SINGLE LIMIT
$1,000,000
X
BODILY IN URY (Perperson)
$ N/A
BODILY INJURY (Per
accident)
$ N/A
PROPERTY DAMAGE
$ N/A
WORKER'S
COMPENSATION AND
MOC WC
07/01/23-06/30/25
WC LIMITS
$ STATUTORY
EMPLOYER'S LIABILITY
EMPLOYER'S LIABILITY
$1,000,000
ADDITIONAL REMARKS
When required by written agreement, the California Joint Powers Insurance Authority agrees to include the Evidence Holder as an Additional
Protected Pa rtv under the Memorandum of Coverage Liability Program, subject to the above -stated limits, but only for "Occurrences" caused by the
activity described in the written agreement between the Member and the Evidence Holder for the date(s) and time(s) specified in the written
agreement. If the written agreement requires, coverage shall be primary and non-contributory. If the written agreement requires, subrogation is
waived.
EVIDENCE HOLDER
CANCELLATION
Riverside County - Community Action Partnership (CAP)
The California JPIA will endeavor to provide at least thirty (30) days notice
2038 Iowa Ave. Suite B-102
of any cancellation of coverage or reduction in coverage limits to the
Riverside, CA 92507
Evidence Holder.
Karla Lopez Del Rio
Karlopez@Rivco.org
(951) 955-0204
AUTHORIZED REPRESENTATIVE, Jim Thyden
California Joint Powers Insurance Authority is a joint powers authority pursuant to Article 1 (commencing with Section 6500) Chapter 5 of Division 7 of Title 1 of the California
Government Code.
EVIDENCE OF COVERAGE and ADDITIONAL PROTECTED PARTY June 21, 2024 7:02 PM
ADDITIONAL PROTECTED PARTY
County of Riverside - Community Action Partnership (CAP)
ADDITIONAL COVERAGE NOTES
$0
La Quinta Wellness Center: Cool and Warm Center
To provide support for Community Action's Energy Crisis Response Plan in Riverside County. The plan is a comprehensive response to severe weather
conditions across the county. The plan incorporates the coordination of cool/warm centers countywide to serve as drop-in sites where individuals can
seek temporary relief from the extreme temperatures.