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Insurance Certificates 2025/26 Southwest Aquatics,aco CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 08/27/2025 I•x THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Albert Zamora NAME: Relation Insurance Services, Inc. PHONE Ext : (760) 772-1700 FAX A/C, No(760) 772-1775 79440 Corporate Center Drive ADpRIEss: albert.zamora@relationinsurance.com Suite 114 INSURER(S) AFFORDING COVERAGE NAIC # La Quinta CA 92253 INSURERA: Certain Underwriters at Lloyds INSURED INSURER B : Infinity Select Insurance Company 2 2260 Desert Limnologists, Inc., DBA: Southwest Aquatics INSURER C : Redwood Fire and Casualty Insurance Company ^11673 PO Box 13212 INSURER D : Platte River Ins Co 18619 INSURER E : Palm Desert CA 92255 INSURER F :Ell COVERAGES CPaTICIf'ATG K11 IRRDcc. ?r9s_9a Au I;— ___ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 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 INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP (MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F OCCUR Y EC0055617OR9 09/01/2025 09/01/2026 EACH OCCURRENCE $ 1,000500 DAMAGE TO RENTED PREMISES Ea occurrence 50,000 $ IVIED EXP (Any one person) $ 10,000 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO ❑ JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG 2,000,000 $ Pollution Liability $ 1,000,000 B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY X AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY 50014189001 09/Ol/2025 09/Ol/2026 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY Per accident) $ X PROPERTY DAMAGE Per accident $ Uninsured motorist $ 1,000,000 C UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE N/A Y DEWC631422 04/01/2025 04/01/2026 ...,��Z6 �.,,.,,..,y,,,E, . EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in If yes, describe under DESCRIPTION OF OPERATIONS below PER OTH- X1 STATUTE I I ER $ E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000.000 D CSLB Bond 41047527 02/12/2025 02/12/2027 Limit $15,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) DIVISION: Public Works - Parks Project 2019-11 City of La Quinta is recognized as an Additional Insured and coverage is Primary & Non -Contributory, per form BW-EILPACK-0005A, as related to General Liability. Waiver of Subrogation applies to City of La Quinta as respects to workers' compensation, per written contract. City of La Quinta 78495 Calle Tampico La Quinta CA 92253 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (D 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Endorsement Effective: Policy No.: Insured: WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 04 10 C (Ed. 01-19) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA BLANKET BASIS We have the right to recover our payments from anyo ne 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 th e extent that you perform work under a written contract that requires you to obtain this agreement from us.) The additional premium for this endorsement shall be c alculated by applying a factor of 2% to the total ma nual premium, with a minimum initial charge of $350, then a pplying all other pricing factors for the policy to this calculated charge to derive the final cost of this endorsement. This agreement shall not operate directly or indire ctly to benefit anyone not named in the Schedule. Schedule Blanket Waiver Person/Organization Blanket Waiver –Any person or organization for whom the Named Insur ed has agreed by written contract to furnish this waiver. Waiver Premium (prior to adjustments) This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement No.: Premium $ Insurance Company: WC 99 04 10 C Countersigned by ______________________________________ (Ed. 01-19) Job Description All CA Operations Redwood Fire and Casualty Ins Co DEWC631422 1583.00 04/01/2025 B• • •• ·.•u··.•.•. • .. ·r· .• •· ... ··n•· ... s··.··, .. 8'... •··.•· ·. ' ' :. : ... : : .·.• . . . . Wl'lcox·· ADDITI ONAL INSURED ENDORSEMENT-OWNERS, LESSEES OR CONTRACTORS (PRIMARY AND NON-CONTRIBUTORY) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: COMMERCIAL GENERAL LIABILITY COVERAGE CONTRACTOR'S POLLUTION LIABILITY COVERAGE PART SCHEDULE Name of Person or Organisation Any person or organization that is an owner of real property or personal property on which you are performing operations, or a contractor on whose behalf you are performing operations, and only at the specific written request of such person or organization to you, wherein such request is made prior to commencement of operations. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A.For the purposes of this endorsement, Section II. WHO IS AN INSURED is amended to include as an insured the person or organization shown in the SCHEDULE above, but only with respect to liability arising out of your ongoing operations performed for that insured. B.With respect to the insurance afforded to these additional insureds, the following paragraph is added to Section I COVERAGES Paragraph 2. EXCLUSIONS: This insurance does not apply to bodily injury or property damage occurring after: (1)All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed; or (2)That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project C.The coverage provided hereunder shall be primary and non-contributing with any other insurance available to those designated above under any other third party liability policy All other terms and conditions remain the same. BW-EILPACK-0005A 01-15 Page 1 of1 Policy#ECOC556170R9 9/1/2025-9/1/2026