HomeMy WebLinkAboutCertificate of Coverage 6-28-10 CERTIFICATE NO. ISSUE DATE(MM/DDIYYYY)
GLI-1325 Ai CERTIFICATE OF COVERAGE 1--706/28/2010
THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE
CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR
CSAC Excess Insurance ALTER THE COVERAGE AFFORDED BELOW,THIS CERTIFICATE OF COVERAGE DOES NOT CONSTITUTE A
Authority CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE
CERTIFICATE HOLDER.
C/O ALLIANT INSURANCE SERVICES, INC.
PO BOX 6450 IMPORTANT:If the certificate holder is an ADDITIONAL INSURED and/or requesting a WAIVER OF
NEWPORT BEACH,CA 92658-6450 SUBROGATION,the Memafandums of Coverage must be endorsed.A statement on this certificate
does not confer rights to the certificate holder in lieu of such endorsement(s).
PHONE(949)756-02711 FAX(619)699-0901
LICENSE 9OC36661 COVERAGE A_CSAC Excess Insurance Authority
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Member: COVERAGE
BUTTE COUNTY AFFORDED B
ATTN:STEVE MUSSELMAN
25 COUNTY CENTER DRIVE,SUITE 213 COVERAGE
OROVILLE,CA 95965-3316 AFFORDED C
COVERAGE
AFFORDED D
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 TYPE OF COVERAGE MEMORANDUM COVERAGE EFFECTIVE COVERAGE EXPIRATION LIABILITY LIMITS
LTR NUMBER DATE(MM/DDNYYY) DATE(MM/DDIYYYY)
A ® Excess General Liability EIA-10 EL-01 07/01/2010 07/01/2011 Difference between
® Excess Auto Liability $1,000,000 and the Member's
® Excess Errors&Omissions Self-Insured Retention of
$100,000
Completed Operations
Aggregate Applies
Description of Operations/LocationsNehicles/Special Items:
AS RESPECTS LEASE PURCHASE AGREEMENT(JUSTICE FACILITY)2003 REFUNDING CERTIFICATES OF PARTICIPATION
DATED JUNE 1,2003, FOR REAL PROPERTY KNOWN AS ONE COURT STREET, OROVILLE,CA 95965 AND LEASE/PURCHASE
AGREEMENT(FIRE ENGINES)2003 REFUNDING CERTIFICATES OF'PARTICIPATION.
BUTTE COUNTY PUBLIC FACILITIES FINANCING CORP. IS INCLUDED AS AN ADDITIONAL COVERED PARTY,BUT ONLY
INSOFAR AS THE OPERATIONS UNDER THIS CONTRACT ARE CONCERNED.
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Certificate Holder Cancellation
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.
BUTTE COUNTY PUBLIC FACILITIES FINANCING
CORP' AUTHORIZED REPRESENTATIVE
ATTN.CLERK OF THE BOARD OF SUPERVISORS
25 COUNTY CENTER DRIVE
vtOROVILLE,CA 95965
CSAC EXCESS INSURANCE AUTHORITY PAGE 1 OF 2
ENDORSEMENT NO. U-1
CSAC EXCESS INSURANCE AUTHORITY(CSAC EIA)
GENERAL LIABILITY I
ADDITIONAL COVERED PARTY AMENDATORY ENDORSEMENT
It is agreed that the'Covered Party, 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:
NAME OF PERSON OR ORGANIZATION SCHEDULED PER ATTACHED CERTIFICATE OF COVERAGE
AS RESPECTS:
PER ATTACHED CERTIFICATE OF COVERAGE
It is further agreed that nothing herein shall act to increase the Authority'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.
Effective Date:
Memorandum No.: PER ATTACHED CERTIFICATE OF COVERAGE
Issue Date: July 1, 2010
Authorized Representa ve
CSAC Excess Insurance uthori (CSAC EIA)
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