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City of San Leandro 1 _,� <br /> Civic Center, 835 E. 14th Street - 3 140 a <br /> San Leandro, California 94577 ~ ,. -pi 1, ,,��,,�; , it. �� <br /> www.sanleandro.org �'�'�'=_ <br /> April 3,2014 <br /> State of California <br /> One Capitol Mall,Suite 500 <br /> Sacramento,CA 95814 <br /> Attn: Susan Sykes <br /> SUBJECT: Statement of Self Insurance for the City of San Leandro <br /> Dear Ms.Sykes: <br /> This letter serves as a Statement of Self Insurance for the City of San Leandro regarding the Abandoned <br /> Watercraft Abatement Fund(AWAF)Grant Agreement#C7701015. <br /> The City of San Leandro is self-insured for the first$500,000 for General Liability. As a member of the <br /> California Joint Powers Risk Management Authority (CJPRMA) the City has $40,000,000 in excess <br /> coverage. This coverage includes comprehensive general and automobile liability as defined in the <br /> Memorandum of Coverage. The coverage being provided is subject to all the terms, conditions and <br /> exclusions of the Memorandum of Coverage through CJPRMA. <br /> The City of San Leandro is also self-insured for Workers' Compensation up to the first $250,000 with <br /> excess coverage of$25,000,000 through the Local Agency Workers' Compensation Excess Joint Powers <br /> Authority(LAWCX). <br /> Please do not hesitate to contact me at(510) 577-3324 if you need further information, or copies of the <br /> Memorandum of Coverage. <br /> Sin ~ly, <br /> Mary An ` ini <br /> Budget an ompliance Manager/Risk Manager <br /> cc: Dehnarie Snodgrass <br /> Enclosure <br /> .ens <br /> (':Ri•k R't o:Cet1t tc t s of htsurance FROM the City";Statement of Self Insurance\Sta€ement of Self incurance:4.W AT u'" x <br /> tep�ten �assi�y,Mayor <br /> City Council: Pauline Russo Cutter Michael J.Gregory Benny Lee <br /> Jim Prola Ursula Reed Diana M.Souza <br />