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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.