2020/07/01 University Enterprises Corporation at CSUSBCERTIFICATE OF COVERAGE
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF EVIDENCE 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
MEMORANDUM(S) OF COVERAGE BELOW.
THIS CERTIFICATE OF COVERAGE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE
ISSUING COVERAGE PROVIDER, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE
CERTIFICATE HOLDER.
IMPORTANT: IF THE CERTIFICATE HOLDER IS AN ADDITIONAL COVERED PARTY, THE
MEMORANDUM OF COVERAGE MUST BE ENDORSED. A STATEMENT ON THIS CERTIFICATE
DOES NOT CONFER RIGHTS TO THE CERTIFICATE HOLDER IN LIEU OF SUCH
ENDORSEMENT(S).
IMPORTANT: IF SUBROGATION IS WAIVED, SUBJECT TO THE TERMS AND CONDITIONS OF THE
MEMORANDUM(S) OF COVERAGE AN ENDORSEMENT MAY BE REQUIRED. A STATEMENT ON
THE CERTIFICATE DOES NOT CONFER RIGHTS TO THE CERTIFICATE HOLDER IN LIEU OF SUCH
ENDORSEMENT(S).
NAMED COVERED PARTY
PROGRAM AFFORDING COVERAGE
A:
B:
C:
COVERAGES
THIS IS TO CERTIFY THAT THE COVERAGE IS AFFORDED TO THE ABOVE NAMED MEMBER, AS PROVIDED BY THE MEMORANDUM(S) OF COVERAGE, FOR THE PERIOD SHOWN BELOW, NOT WITHSTANDING ANY
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE COVERAGE AFFORDED BY THE PROGRAM
DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH MEMORANDUM(S) OF COVERAGE. THE FOLLOWING COVERAGE IS IN EFFECT.
JPA
LTR TYPE OF COVERAGE MEMORANDUM NUMBER COVERAGE EFFECTIVE
DATE (MM/DD/YY)
COVERAGE EXPIRATION
DATE (MM/DD/YY)LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $
CLAIMS MADE OCCUR MED EXPENSE (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
GEN’L AGGREGATE LIMIT APPLIES PER:PRODUCTS-COMP/OP AGG $
MEMOR-ANDUM PROJECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
(Ea accident)
$
ANY AUTO $
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
WORKERS’ COMPENSATION ANDEMPLOYERS LIABILITY
ANY PROPRIETOR/PARTNER/
EXECUTIVE/OFFICER/MEMBER
EXCLUDED?
IF YES, DESCRIBED UNDER SPECIAL
PROVISION BELOW
WCSTATUTORYLIMITS
OTHER
E.L. EACH ACCIDENT $
E.L. DISEASE – EA EMPLOYEE $
E.L. DISEASE – POLICY LIMIT $
OTHER
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL/PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED MEMORANDUM(S) OF COVERAGE
BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
DELIVERED IN ACCORDANCE WITH THE MEMORANDUM(S) OF COVERAGE
PROVISIONS.
AUTHORIZED REPRESENTATIVE
DATE (MM/DD/YYYY)
4/16/2021
Alliant Insurance Services
100 Pine Street
11th Floor
San Francisco CA 94111
University Enterprises Corporation at CSUSB
5500 University Parkway
San Bernardino CA 92407
CSURMA AORMA
AORMA WC/Safety National Cas.
A 5,000,000
X
X 5,000
X Prof Liability
X Contractual Liab 5,000,000
5,000,000
X
AORMA-2021-01 7/1/2020 7/1/2021
5,000,000
A 5,000,000
X
X
X
X
7/1/2020
X
AORMA-2021-01 7/1/2021
B AORMA-WC-2021 7/1/2020 7/1/2021 X
5,000,000
5,000,000
5,000,000
Note:Workers'Compensation Coverage is provided as evidence only.
City of Menifee and its officers,employees,agents,and authorized volunteers are named as additional covered parties as respects the Space Use
Memorandum of Agreement to SBDC to use a designated space.Term of Agreement:July 1,2020 -June 30,2022.
City of Menifee
Attn:Economic Development Department
29844 Haun Road
Menifee CA 92586
Endorsement No.: Per Blanket Additional Covered Party attached to Memorandum of
This endorsement modifies the Memorandum of Coverage of Coverage. Please read it carefully.
ADDITIONAL COVERED PARTY
Additional Covered Party means any person(s), entity(ies), or organization(s) to whom the Member is obligated by virtue
of any written contract to provide coverage solely with respect to bodily injury, property damage and personal injury
arising out of the Member’s operations or premises owned by or rented to the Member; and
The coverage provided does not apply to any occurrence taking place:
1. Prior to the Members’ operations or occupation of the premises; or
2. After the Members’ operations have been completed or occupation of the premises has ceased.
For which a certificate of coverage has been issued to such person(s), entity(ies) or organization(s) and is on file with
CSURMA AORMA evidencing their status as an additional insured under this coverage.
The limits of coverage will be limited to the limits required within the terms of the written contract of the limits of liability
of this Memorandum of Coverage, whichever is less, and will apply in excess of the Members’ retained limit shown in the
Declarations. CSURMA AORMA will not be obligated for limits of coverage shown in the written contract that are greater
than the limits of liability of this Memorandum of Coverage.
Issued by: CSURMA Auxiliary Organizations Risk Management Authority
Issued on behalf of Member: AORMA Member On File With Company
Coverage of Coverage listed below
Effective: 07/01/2020
Forms a part of MOC No.: AORMA-2020-21
Issued to: Per Attached Certificate of Coverage
The inclusion of more than one Covered Party under this policy shall not operate to impair the rights of one Covered Party
against another Covered Party and the coverages afforded by this Memorandum of Coverage shall apply as though separate
Memorandum of Coverage had been issued to each Covered Party. The inclusion of more than one Covered Party shall
not, however, operate to increase the limit of the Company’s liability.
Any other insurance carried by a certificate holder which may be applicable shall be deemed excess and the Covered Party’s
coverage primary notwithstanding any conflicting provisions in the Covered Party’s Memorandum of Coverage.
A certificate holder shall not, by reason of their inclusion under this Memorandum of Coverage, incur liability for payment
of premium for this Memorandum of Coverage.
In the event of reduction in coverage or cancellation of this Memorandum of Coverage before the expiration date thereof,
notice will be delivered in accordance with the Memorandum of Coverage provisions to each entity added as per certificates
on file with CSURMA AORMA which specify that a written contract exists and requires that the entity be an additional
covered party.
All other terms and conditions in the Memorandum of Coverage remain unchanged.
Signed: __________________________________________ Date: 7/1/2020