2022/07/01 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.
JPALTR TYPE OF COVERAGE MEMORANDUM NUMBER COVERAGE EFFECTIVEDATE (MM/DD/YY)COVERAGE EXPIRATIONDATE (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/MEMBEREXCLUDED?
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) 7/1/2022
Alliant Insurance Services560MissionStreet,6th FloorSanFranciscoCA94105
University Enterprises Corporation at CSUSB5500UniversityParkwaySanBernardinoCA92407
CSURMA AORMA
AORMA WC/Safety National Cas.
A 5,000,000
X
X 5,000
X ProfLiability
X Contractual Liab 5,000,000
5,000,000
X
AORMA-2223-01 7/1/2022 7/1/2023
5,000,000
SexualAbuse $5,000,000
A 5,000,000
X
X
X
X
7/1/2022
X
AORMA-2223-01 7/1/2023
B AORMA-WC-2223 7/1/2022 7/1/2023 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 ProfessionalServicesAgreementforInlandEmpireSmallBusinessDevelopmentCenter(Business-Related Technical Assistance Services).Term of Agreement:July1,2022 -June 30,2023.
City of Menifee29844HaunRoadMenifeeCA92586
DocuSign Envelope ID: F04ADC49-4126-4748-A9F0-A527464E5250