Insurance Certificates 2021/2022 - LQ Evidence of Coverage
October 14, 2021
Michael Thompson
insurance@pacificmobile.com
Pacific Mobile Structures
26414 Murrieta Road
Menifee, CA 92585
Member Name: City of La Quinta
Additional Protected Party: Pacific Mobile Structures Inc
Activity: Lease of Temporary offices for the Public Works Yard
Coverage Period: From 12:01 AM on 10/27/2021 to 11:59 PM on 6/30/2022
This Evidence of Coverage is issued on an annual basis and will be automatically reissued every Ju ne until
expiration of the written contract.
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
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.
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, City of La Quinta, dhansen@laquintca.gov
City Clerk, City of La Quinta, cityclerkmail@laquintaca.gov
1
Monika Radeva
From:insurance <insurance@pacificmobile.com>
Sent:Monday, October 18, 2021 4:38 PM
To:Jim Thyden
Cc:Laurie McGinley; City Clerk Mail
Subject:RE: Evidence of Coverage: La Quinta
** EXTERNAL: This message originated outside of the City of La Quinta. Please use proper judgement and caution when opening
attachments, clicking links or responding to requests for information. **
Thank you!
name: Franci Wolf
title: Risk Coordinator
phone: 13603451576
mobile:
LinkedIn: https://www.linkedin.com/company/pacificmobile
street: P.O. Box 1404
city: CHEHALIS
state: WA
zip: 98532‐8710
From: Jim Thyden <jthyden@cjpia.org>
Sent: Thursday, October 14, 2021 4:14 PM
To: insurance <insurance@pacificmobile.com>
Cc: Laurie McGinley <lmcginley@laquintaca.gov>; cityclerkmail@laquintaca.gov
Subject: Evidence of Coverage: La Quinta
Attached is the Evidence of Coverage letter required by your entity. Please let me know if there is anything further I can
do. Jim
Click here to access California JPIA COVID‐19 FAQ and Resources