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Insurance Certificates 2022/23 Southwest AquaticsACCoRL7 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 03/22/202 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 path If SUBROGATION IS WAIVED, subject to the terms and conditions of the p this certificate does not confer rights to the certificate holder in lieu of suc PRODUCER RISI dba Pan American Insurance Services 79-440 Corporate Center Drive Suite 114 La Quinta CA 92253 INSURED Desert Limnologists, Inc., DBA: Southwest Aquatics PO Box 13212 Palm Desert CA 92255 COVERAGES CERTIFICATE NUMBER: 2023 WC 202 y(ies) must have ADDITIONAL INSURED provisions or be endorsed. licy, certain policies may require an endorsement. A statement on 1 endorsement(s). CONTACT Albert Zamora NAME: PHONE (760) 772-1700 FAX [Arc No. Cell: IAIC, Nnl: (760) 772-1775 E-MAIL-ESS: albeit.zamora@relationinsurance.corn 1NSURER(S)AFFDRDING COVERAGE NAIC # INSURER A: Certain Underwriters at Lloyds INSURER e : Infinity Select Insurance Company 20260 INSURER C : Zenith Insurance Company 13269 INSURER D : Platte River Ins Co 18619 INSURER E : INSURER F : THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIC ES DESCRIBED HEREIN IS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R POLICY EXP (MM/99/YYYY) INS LTR A B C D TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY CLAIMS -MADE x OCCUR GEN'L AGGREGATE LIMIT APPLIES PER HOTHER: POLICY j PRO II JECT L 1 LOC AUTOMOBILE LIABILITY x ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY UMBRELLA LIAB EXCESS LIAB 7.2 SCHEDULED AUTOS NON -OWNED AUTOS ONLY OCCUR CLAIMS•MADE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE n OFFICER/MEMBER EXCLUDED? /Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below CSLB Bond ADDL INSD N/A SUBH WVD POLICY NUMBER EC00556170R6 504610143537001 Z133313208 41047527 (MOLICY F AM/DD1YYYY) 09/01/2022 09/01/2022 04/01/2023 02/12/2023 09/01/2023 09/01/2023 04/01/2024 02/12/2025 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is listed as an Additional Insured and coverage is Primary & Non -Contributory, per form BW-EILPACK-0005. Liability. Waiver of Subrogation applies perform WC-04-03-06B as respects to workers' compensation. CERTIFICATE HOLDER CANCELLATION The City of La Quinta 78495 Calle Tampico La Quinta CA 92253 REVISION NUMBER: BOVE FOR THE POLICY PERIOD WITH RESPECT TO WHICH THIS IUBJECT TO ALL THE TERMS, LIMITS EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) - 50,000 5 MED EXP (Any one person] $ 10,000 PERSONAL BADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 Pollution Liability s 1,000,000 COMBINED SINGLE LIMIT {Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE [Per accident) $ Uninsured motorist $ 1,000,000 EACH OCCURRENCE S AGGREGATE S S � v PsI STATUTE PER R" _ EL. EACH ACCIDENT$ 1,000000 EL. DISEASE - EA EMPLOYEE $ 1,000,000 EL. DISEASE - POLICY LIMIT $ 1,000,000 Limit $15,000 k, as related to General 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD A4C" " CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDffYYY) 08/25/2022 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 COACT Albert Zamora NAME: RISI dba Pan American Insurance Services PHONE (760) 772-1700 FAX (760) 772-1775 AIC No Ex! : A/C, No ; 79-440 Corporate Center Drive EMAIL albert.zamora@relationinsurance.com ADDRESS: Suite 114 INSURER(S) AFFORDING COVERAGE NAIC # La Quinta CA 92253 INSURERA: Certain Underwriters at Lloyds INSURED INSURER e : Infinity Select Insurance Company 20260 Desert Limnologists, Inc., DBA: Southwest Aquatics INSURER C : Zenith Insurance Company 13269 PO Box 13212 INSURER DPlatte River Ins Co 18619 INSURER E : Palm Desert CA 92255 INSURERF: t:UVtKAUtb CERTIFICATE NUMBER: zuzu-zs All Lines RFVICIr1N NI INIRPR• 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. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF (MMIDD/YYYY) POLICY EXP (MMIDD LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 �/ X DAMAGE TO RE CLAIMS -MADE OCCUR PREMISES (Fa occurrence) $ 50,000 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 A EC00556170R6 09/01/2022 09/01/2023 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO JECT ElLOC PRODUCTS - COMP/OPAGG $ 2,000,000 OTHER; Pollution Liability $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea aWdenl $ 1,000,000 BODILY INJURY (Per person) $ ANYAUTO B OWNED SCHEDULED AUTOS ONLY AUTOS 504610143537001 09/01/2022 09/01/2023 BODILY INJURY (Per accident) $ HIRED NON -OWNED rx x PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per Bccidonl $ Uninsured motorist $ 1,000,000 UMBRELLA LIAB OCCUR HCLAIMS-MADE ..��,�u .. a,.. • EACH OCCURRENCE S AGGREGATE S EXCESS LIAB DEC) I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N STATUTE ER E.L EACHACCIDENT S 1,000,000 C ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? N/A Z133313207 04/01/2022 04/01/2023 E.L. DISEASE - EA EMPLOYEE S 1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below CSLB Bond D 41047527 02/12/2021 02/12/2023 Limit $15,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is listed as an Additional Insured and coverage is Primary & Non -Contributory, per form BW-EILPACK-0005A, as related to General Liability. Waiver of Subrogation applies per form WC-04-03-06B as respects to workers' compensation. CERTIFICATE HOLDER (.ANrFr I ATIr)N The 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 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD