HomeMy WebLinkAboutSanta Clara County Registrar of Voters
Board of Supervisors: Sylvia Arenas, Cindy Chavez, Otto Lee, Susan Ellenberg, S. Joseph Simitian
County Executive: Jeffrey V. smith
Revised Ins. Cert. No. FY24-002
CERTIFICATE OF COVERAGE
ISSUED BY
COUNTY OF SANTA CLARA
This is to Certify to: All Vote Centers, Training Sites, Outreach and Presentation Sites
And Election Related Activity Sites in County of Santa Clara
County of Santa Clara Registrar Voters
That the following described coverages are in force on this date as set forth below:
Assured: County of Santa Clara
70 W. Hedding Street
San Jose, CA 95110
Insurer Expiration
1. Self-Funded Retention Continuous
2. Self-Funded Retention Continuous
3. Self-Funded Retention Continuous
4. PRISM Excess Insurance 06/30/2024
Type of Coverage Limits
1. Comprehensive General
& Automobile Liability $5,000,000 Per Occurrence
2. Workers’ Compensation Statutory
3. Pollution Liability $ 250,000 Per Occurrence
4. Pollution Liability $1,000,000 Per Occurrence
This certificate of coverage is provided by the County of Santa Clara to the above named certificate holder.
The coverage specified herein will not be cancelled or reduced without thirty (30) days written notice from
County of Santa Clara to the certificate holder. This certificate pertains to the County of Santa Clara,
Registrar of Voters for 2023 and 2024 elections, Election Officer Training, delivery, set-up and retrieval of
equipment. This certificate expires June 30, 2024.
Hank Ford
Insurance Contracts & Claims Manager
June 23, 2023
HF:td
FY24-002Election2023ROV
County of Santa Clara
Office of the County Executive
Office of Risk Management
Liability/Property Insurance Division
2310 North First Street, Suite 203
San Jose, California 95131
Tel. No. (408) 441-4340 FAX (408) 441-4341
___________________________________________________________________________________
DocuSign Envelope ID: 1A2F088C-D3A2-4843-8F9D-EE869092059E