ISSUE DATE
CERTIFICATE OF COVERAGE 06/25/2021
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.
PO BOX 6450
NEWPORT BEACH, CA 92658-6450
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
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 GRANT AGREEMENT BETWEEN CITY OF REDONDO BEACH AND DEPARTMENT OF PARKS AND RECREATION DIVISION OF
BOATING AND WATERWAYS FOR ALL PURPOSES FOR WHICH GRANT MONIES AWARDED UNDER THIS CONTRACT ARE UTILIZED, INCLUDING, BUT NOT LIMITED TO, RENTAL OR SPECIAL USE OF EQUIPMENT PURCHASED BY GRANT FUNDS.
DEPARTMENT OF PARKS AND RECREATION DIVISION OF BOATING AND WATERWAYS IS INCLUDED AS AN ADDITIONAL COVERED PARTY, BUT ONLY INSOFAR AS THE OPERATIONS UNDER THIS CONTRACT ARE CONCERNED.
CITY OF REDONDO BEACH
ATTN: DIANE STRICKFADEN
415 DIAMOND STREET
REDONDO BEACH, CA 90277
DEPARTMENT OF PARKS AND RECREATION
DIVISION OF BOATING AND WATERWAYS
ATTN: AMY RIGBY
1 CAPITOL MALL, SUITE 500
SACRAMENTO, CA 95814
LICENSE #0C36861
CERTIFICATE NO.
GL1-11085
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
DEPARTMENT OF PARKS AND RECREATION
Excess General Liability PRISM PE 21 EL-110 07/01/2021 07/01/2022 $1,000,000 Limits inclusive of the Member's
Self-Insured Retention of
$500,000
X
CITY OF REDONDO BEACH
REDBC
June 25, 2021
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 21 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
Issued to: ALL MEMBERS
PUBLIC RISK INNOVATION, SOLUTIONS, AND MANAGEMENT
Public Risk Innovation, Solutions, and Management