ICRMA 2017 - University California Los Angeles (UCLA)Independent Cities Risk Management Authority
1750 Creekside Oaks Drive, Suite 200, Sacramento, CA 95833
916-244-1100
Liability Certificate of Coverage
Additional Covered Party
Certificate Number: 30468286
Certificate Holder: University California Los Angeles (UCLA)
Attn: Todd Legassick, Managing Director
10990 Wilshire Boulevard, Suite 1450
Los Angeles, CA 90024
Covered Party: City of El Segundo
Description of As respect pre -hospital care for continuing education and oversight of the Citywide AED Program under
Covered Activity: Contract No. 3375, Certificate Holder is included as an Additional CoveredParty with regard to any
negligent acts or omissions of the Member, its employees, and its elected or appointed officials.
Memorandum of
Coverage Number: ICRMA GL 2016 Effective Date: 7/1/2016 Expiration Date: 7/1/2017
Limps: $5,000,000 (per occurrence)
Self -Insured Retention: $750,000
The Following General and automobile liability as defined in the memorandum of coverage on file with the covered parry
Coverage Is In named above.
effect:
Pursuant to the definition of Covered Party in the Liability Memorandum of Coverage, the certificate holder named
above is an additional covered party for covered claims arising out of the covered activity stated above and is
subject to the limits stated above.
This is to certify that the coverage listed above has been issued to the Covered Party named above for the coverage
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 as described herein is subject to all
the terms, exclusions, and conditions of the Liability Memorandum of Coverage of the ICRMA, which is available for
your review upon request.
Coverage is in effect from 12:01 a.m. Pacific Standard Time of effective date to 12:01 a.m, Pacific Standard Time of
expiration date as stated above and will not be canceled, limited, or allowed to expire except upon 30-day notice to
the certificate holder.
Date Issued: 6/17/2016
Renewal: Yes
Authorized Representative Signature: /C�1_ /1k
30466266 1 IC i 16/17 ®L $5MM LIMITS i Angels Jean i 6/17/2016 6:36:06 PM (PDT) I Page 1 of 1
This certificate cancels and supersedes ALL previously issued certificates.