2021/07/01 University Enterprises Corporation at CSUSBCERTIFICATE OF COVERAGE
DATE
6/28/2DIYYYY)
/28/2021
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
Alliant Insurance Services
NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
MEMORANDUM(S) OF COVERAGE BELOW.
100 Pine Street
THIS CERTIFICATE OF COVERAGE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE
11th Floor
ISSUING COVERAGE PROVIDER, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE
San Francisco CA 94111
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
NAMED COVERED PARTY
University Enterprises Corporation at CSUSB
MEMORANDUM(S) OF COVERAGE AN ENDORSEMENT MAY BE REQUIRED. A STATEMENT ON
5500 University Park
y Parkway
San Bernardino CA 92407
THE CERTIFICATE DOES NOT CONFER RIGHTS TO THE CERTIFICATE HOLDER IN LIEU OF SUCH
ENDORSEMENT(S).
PROGRAM AFFORDING COVERAGE
A: CSURMA AORMA
B: AORMA WC/Safety National Cas.
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, NOTWITHSTANDING 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/DDIYY)
COVERAGE EXPIRATION
DATE (MMIDD/YY)
LIMITS
A
GENERAL LIABILITY
AORMA-2122-01
7/1/2021
7/1/2022
EACH OCCURRENCE
$5,000,000
X COMMERCIAL GENERAL LIABILITY
FIRE DAMAGE (Any one fire)
$
CLAIMS MADE El OCCUR
IVIED EXPENSE (Any one person)
$ 5,000
X Prof LlabMty
PERSONAL & ADV INJURY
$ 5,000,000
X
I Contractual Liab
GENERAL AGGREGATE
$ 5,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OP AGG
$ 5,000,000
)( MORgM,EDUM PROJECT nLOC
A
AUTOMOBILE LIABILITY
AORMA-2122-01
7/1/2021
7/1/2022
COMBINED SINGLE LIMIT
$5.000.000
X ANY AUTO
(Ea accident)
$
X ALL OWNED AUTOS
X SCHEDULED AUTOS
X HIRED AUTOS
X NON -OWNED AUTOS
B
WORKERS' COMPENSATION AND
EMPLOYERS LIABILITY
AORMA-WC-2122
7/1/2021
7/1/2022
'/[ WC OTHER
STATUTORY
LIMITS
ANY PROPRIETOR/PARTNER/
E.L. EACH ACCIDENT
$ 5,000,000
EXECUTIVE/OFFICER/MEMBER
EXCLUDED?
E.L. DISEASE - EA EMPLOYEE
$5,000,000
IF YES, DESCRIBED UNDER SPECIAL
E.L. DISEASE -POLICY LIMIT
$5,000,000
PROVISION BELOW
OTHER
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIALIPROVISIONS
Nose: Workers' Compensation Coverage is provided as evidence only.
City of Menffee 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
v x1u 1-1G "WVL n
City of Menifee
Attn: Economic Development Department
29844 Haun Road
Menifee CA 92586
UAI ILA
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
ffmi M�J c a.RE
California Slate University Risk Management Authority
Auxiliary Organizations Risk Management Alliance
Endorsement No.:
Effective:
Forms a part of MOC No.:
Issued to:
Issued by:
Issued on behalf of Member:
Per Blanket Additional Covered Party attached to Memorandum of
Coverage of Coverage listed below
07/01 /2021
AORMA-2021-01
Per Attached Certificate of Coverage
CSURMA Auxiliary Organizations Risk Management Authority
AORMA Member On File With Company
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
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 coverage provided does not apply to any occurrence taking place:
Prior to the Members' operations or occupation of the premises; or
After the Members' operations have been completed or occupation of the premises has ceased.
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.
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, and would not seek contribution from any other insurance available to the Additional Covered Party for
sole negligence of Member, 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: .6, 4—?
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Date: 7/ 1 /2021