2024/01/29 California Intergovernmental Risk Authority (CIRA) (2)ISSUE DATE
01/29/2024CERTIFICATE OF COVERAGE
Public Risk Innovation,
Solutions, and Management
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 BELOW. THIS CERTIFICATE OF COVERAGE DOES NOT CONSTITUTE A
CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE
CERTIFICATE HOLDER.
C/O ALLIANT INSURANCE SERVICES, INC.
18100 VON KARMAN AVENUE, 10TH FLOOR
IRVINE, CA 92612
PHONE (949) 756-0271 / FAX (619) 699-0901
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED and/or requesting a WAIVER OF
SUBROGATION, the Memorandums of Coverage must be endorsed. A statement on this certificate does
not confer rights to the certificate holder in lieu of such endorsement(s).
AI
Coverages
THIS IS TO CERTIFY THAT THE MEMORANDUMS OF COVERAGE LISTED BELOW HAVE BEEN ISSUED TO THE MEMBER NAMED ABOVE FOR
THE PERIOD INDICATED, 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 MEMORANDUMS
DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH MEMORANDUMS. LIMITS SHOWN MAY
HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR TYPE OF COVERAGE MEMORANDUM
NUMBER
COVERAGE EFFECTIVE
DATE
COVERAGE EXPIRATION
DATE LIABILITY LIMITS
Cancellation
AUTHORIZED REPRESENTATIVE
Public Risk Innovation, Solutions, and Management
Member:
Certificate Holder
CITY OF MENIFEE IS A MEMBER OF CALIFORNIA INTERGOVERNMENTAL RISK AUTHORITY (CIRA)
COVERAGE
AFFORDED
COVERAGE
AFFORDED
COVERAGE
AFFORDED
COVERAGE
AFFORDED
A- Public Risk Innovation, Solutions, and Management
B
C
D
Description of Operations/Locations/Vehicles/Special Items:
AS RESPECTS AGREEMENT BETWEEN CITY OF MENIFEE AND VALLEY-WIDE RECREATION AND PARK DISTRICT FOR USE OF
WHEATFIELD PARK FOR CITY'S ANNUAL COMMUNITY EVENT JUNE 28 THROUGH JUNE 30, 2024.
VALLEY-WIDE RECREATION AND PARK DISTRICT, ITS OFFICERS, EMPLOYEES, AGENTS, AND VOLUNTEERS ARE INCLUDED AS
ADDITIONAL COVERED PARTIES, BUT ONLY INSOFAR AS THE OPERATIONS UNDER THIS CONTRACT ARE CONCERNED.
CALIFORNIA INTERGOVERNMENTAL RISK
AUTHORITY (CIRA)
ATTN: KIN ONG
2330 E. BIDWELL STREET, STE 150
FOLSOM, CA 95630
VALLEY-WIDE RECREATION AND PARK DISTRICT
ITS DIRECTORS, OFFICERS, EMPLOYEES AND AGENTS
901 W ESPLANADE AVE
SAN JACINTO, CA 92582
LICENSE #0C36861
CERTIFICATE NO.
GL1-8952
PAGE 1 OF 2
SHOULD ANY OF THE ABOVE DESCRIBED MEMORANDUMS OF COVERAGES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WIL BE DELIVERED IN ACCORDANCE
WITH THE MEMORANDUMS OF COVERAGE PROVISIONS.
A
VALLEY-WIDE RECREATION AND PARK DISTRICT
PRISM PE 23 EL-76Excess General Liability $5,000,00007/01/2023 07/01/2024
Limits inclusive of the
Member's Self-Insured
Retention of $1,000,000
General Liability Aggregate $10,000,000
X
X
CALIFORNIA INTERGOVERNMENTAL RISK AUTHORITY (CIRA)
PARSA
CITY OF MENIFEE
DocuSign Envelope ID: 1A433EF6-BD9A-4450-A1C9-6E24D82C43DA
June 29, 2023
It is agreed that the “ , Covered Persons or Entities” section of the Memorandum is amended
to include the person or organization named on the Certificate of Coverage, but only with respect to liability
arising out of premises owned by or rented to the Member, or operations performed by or on behalf of the
Member or such person or organization so designated.
Coverage provided under this endorsement is limited to the lesser of the limits stated on the Certificate of
Coverage or the minimum limits required by contract.
ADDITIONAL COVERED PARTY:
It is further agreed that nothing herein shall act to increase PRISM’s limit of liability.
This endorsement is part of the Memorandum and takes effect on the effective date of the
Memorandum unless another effective date is shown below. All other terms and conditions
remain unchanged.
Authorized Representative
ENDORSEMENT NO. U-1
GENERAL LIABILITY 1
ADDITIONAL COVERED PARTY AMENDATORY ENDORSEMENT
Covered Party
Memorandum No.: PRISM 23 EL-00
AS RESPECTS:
NAME OF PERSON OR ORGANIZATION SCHEDULED PER ATTACHED CERTIFICATE OF COVERAGE
PER ATTACHED CERTIFICATE OF COVERAGE
Issue Date:
Effective Date:
PAGE 2 OF 2
CITY OF MENIFEE
ALL MEMBERSIssued to:
PUBLIC RISK INNOVATION, SOLUTIONS, AND MANAGEMENT
Public Risk Innovation, Solutions, and Management
DocuSign Envelope ID: 1A433EF6-BD9A-4450-A1C9-6E24D82C43DA