Insurance Certificates 2021 - LQ Evidence of CoverageMichael Thompson
Pacific Mobile Structures
26414 Murrieta Road
Menifee, CA 92585
June 20, 2021
Member Name: City of La Quinta
Additional Protected Party: Pacific Mobile Structures Inc
Activity: Purchase of Temporary offices for the Public Works
Yard
Coverage Period: From 12:01 AM on 7/1/2021 to 11:59 PM on 9/6/2021
The City of La Quinta (Member) along with other California public agencies, is a member of the California Joint
Powers Insurance Authority (California JPIA), and participates in the following self-insurance and commercial
insurance program that is administered by the California JPIA for its members:
Liability Program, Including Automobile Liability
Coverage Limit: $1,000,000 per occurrence
Annual Aggregate Limit: $1,000,000
Coverage is subject to all the terms, Definitions, Exclusions, Conditions and Responsibilities of the Memorandum
of Coverage - Liability Program and the Limits of Coverage stated above. Any injury or damage caused by the
sole negligence of the additional Protected Party named above is not covered.
Sincerely,
Jim Thyden
Insurance Programs Manager
cc: Dianne Hansen, La Quinta, dhansen@laquintaca.gov, City of La Quinta
City Clerk, CityClerkMail@laquintaca.gov, City of La Quinta
This Evidence of Coverage is issued on an annual basis and will be reissued every June by the City of La Quinta
until expiration of the written contract.
On behalf of the Member, the California JPIA agrees to include the above-named additional Protected Party as a
Protected Party under the Memorandum of Coverage - Liability Program, subject to the above-stated limits, but
only for “Occurrences” arising out of the described activity, during the described Coverage Period, and where
required under the terms of a written agreement between the Member and the additional Protected Party. The
California JPIA will endeavor to provide at least thirty (30) days notice of any change in the foregoing
information. If the written agreement requires, coverage shall be primary.