ICRMA 2019 - Kyocera Document Solutions
INDEPENDENT CITIES RISK MANAGEMENT AUTHORITY
1802 Von Karman Ave., Suite 200, Irvine, CA 92612
949.349-9882
Liability Certificate of Coverage
Evidence of Coverage
Certificate Number:2018-0071
Certificate Holder:
Kyocera Document Solutions
(Attn:)
225 Sand Rd
Fairfield, NJ, 7004
City of El Segundo
Covered Party:
Description of
Ev idencing coverage for the City of El Segundo as respect the copier lease agreement.
Covered Activity:
Memorandum of
Coverage Number:ICRMA GL2018 Effective Date:7/1/18 Expiration Date:7/1/19
$1,000,000 (per occurance)
Limits:
Member Retained
$ 750,000
Limit:
The FollowingGeneral and automobile liability as defined in the memorandum of coverage on file with the covered party
Coverage is inparty named above.Sexual misconduct not specifically excluded for the city.
effect:
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.
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. *Such limits are inclusive of the city’s MRL.
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-daynotice to the certificate holder.
Date Issued:7/4/2018
Renewal:Yes
Authorized Representative Signature: