Surf City
City of Huntington Beach
HB 2000 Main Street
Huntington Beach . Huntington Beach, California 92648
Certificate of Self Insurance
Memorandum Number: FY 24/25, No. 008
This evidence of coverage is used as a matter of information only and confers no rights upon the Certificate Holder. This evidence of coverage does not amend, extend or alter the coverage afforded by the memoranda listed below.
Certificate Holder: City of Costa Mesa, 77 Fair Drive, Costa Mesa, CA 92626 Coverage Effective: 07/01/24 Coverage Expires: 06/30/25 This is to certify that the City of Huntington Beach is self-insured for general liability claims.
Sufficient cash reserves to afford coverage for uninsured losses are maintained at $1,000,000.
Type of Coverage: General Liability, Comprehensive Auto Liability, Employer's Liability, Workers' Compensation Coverage
Limit of Liability/Coverage: $1,000,000 Combined Single Limit per Occurrence Certificate Requested By: Christopher Nesmith, Police Department Description of Operation, Vehicle or Property: This certificate is issued to and additonally insures the Certificate Holder, its agents, officers, representatives and employees as proof of the City of Huntington Beach's self-insurance status in conjuction with the Services Agreement for Public Safety Helicopter Support between the City of Huntington Beach and the City of Costa Mesa. It is provided to Christopher Nesmith of the City of Huntington Beach Police Department at 2000 Main Street, Huntington Beach, CA (92648).
Should any of the above coverage for the Covered Party be changed or withdrawn prior to the expiration date issued above, the City of Huntington Beach will mail a 30-day written notice to the Certificate Holder but, failure to mail such notice shall impose no obligation or liability of any kind upon the City of Huntington Beach, its agents, officers or employees. If you have any questions, contact:
DeAnna Soria, Risk Manager
(714) 536-5519
Authorized Representative: Debarbar
Surf City City of Huntington Beach
HB 2000 Main Street
Huntington Beach. Huntington Beach, California 92648
Additional Insured Endorsement
Memorandum Number: FY 24/25, No. 008
This evidence of additional insured status is provided to the person or organization shown in the schedule below. The coverage is provided on a primary and non-contributory basis.
SCHEDULE
Named of Person or Organization: The City of Costa Mesa, its elected or appointed officers, agents, officials, employees and volunteers.
Coverage Effective: 07/01/24 Coverage Expires: 06/30/25 Type of Coverage: General Liability
Limit of Liability/Coverage: $1,000,000 Combined Single Limit per Occurrence Endorsement Requested By: Christopher Nesmith, Police Department Description of Operation, Vehicle or Property: This additional insured endorsement is issued in conjunction with the Services Agreement for Public Safety Helicopter Support between the City of Huntington Beach and the City of Costa Mesa. It is provided to Christopher Nesmith of the City of Huntington Beach Police Department at 2000 Main Street, Huntington Beach, CA (92648).
Should any of the above coverage for the Covered Party be changed or withdrawn prior to the expiration date issued above, the City of Huntington Beach will mail a 30-day written notice to the Certificate Holder but, failure to mail such notice shall impose no obligation or liability of any kind upon the City of Huntington Beach, its agents, officers or employees. If you have any questions, contact:
DeAnna Soria, Risk Manager
714) 536-5519
Authorized Representative: