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CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />09/20/21 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES FrailClil D'gitallysigne <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED by FrancineR. <br />Villareal <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. a R. Date: <br />21-19.22 <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to Villareal 14:37:53-0 <br />14:37:53 -0T0 <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT <br />NAME: <br />INSURANCE SUPER STORE.NET PHONE 760 770-2827 FAx (760)770-0447 <br />A/C No Ext : ) (A C, No): <br />35-400 Bob Hope Dr. Suite 107 ADDRIESS:Bill@insurancesuper store. net <br />Rancho Mirage, CA 92270 <br />INSURER(S) AFFORDING COVERAGE NAIC# <br />OD28797 INSURER A: USLI: AM Best "A++" 25895 <br />INSURED CV STRATEGIES, INC. INSURER B : EMPLOYERS: AM Best "A—" 11512 <br />73-700 Dinah Shore Unit 402 INSURERC: <br />PALM DESERT, CA 92211 INSURER D : <br />INSURER E <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />(MM/DD/YYYY) <br />POLICY EXP <br />(MM/DD/YYYY) <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE CI OCCUR <br />PREMISES (Ea occurrence) <br />$ 50,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />A <br />Y <br />Y <br />CX 1554764C <br />9/26/2021 <br />9/26/2022 <br />PERSONAL & ADV INJURY <br />$ <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />POLICY C O CI LOC <br />X <br />PRODUCTS - COMP/OP AGG <br />$ <br />SIR: $0 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />MBINED IN LE LIMIT <br />(Ea accident) <br />$ 1 000 000 <br />r r <br />X <br />BODILY INJURY (Per person) <br />$ <br />A <br />ANYAUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />CX 1554764C <br />9/26/2021 <br />9/26/2022 <br />BODILY INJURY (Per accident) <br />$ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />A <br />UMBRELLA LIAB <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />XL 1573038E <br />6/13/2021 <br />6/13/2022 <br />EACH OCCURRENCE <br />$ 2,000,000 <br />X <br />AGGREGATE <br />$ 2,000,000 <br />DED I RETENTION $ <br />SIR: $ 0 <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y N <br />OFFICER/MEMBER EXCLUDED? C <br />(Mandatory in NH) <br />N/A <br />Y <br />EIG 4719708 00 <br />3/05/2021 <br />3/05/2022 <br />X PER TH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1, 000, 000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />Professional <br />$2,000,000 Occ <br />A <br />Errors and Omissions <br />CX 1554764C <br />9/26/2021 <br />9/26/2022 <br />$2, 000, 000 Agg <br />5IR:$2500 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are <br />Additional Insureds with respect to General Liability per the attached endorsements as required by <br />written contract. Insurance is Primary and Non —Contributory. <br />Certificate of Insurance shall provide thirty (30) day prior written notice of cancellation. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Risk Management D1V1S1on THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />g ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 AUTHORIZED REPRESF�NTA�Ti\/F�Jy/�f�_ �y <br />RAMwIstgt'.11 ad Di isian <br />k4e \'x REVIEWED & APPROVED BY: <br />©1988 2014 ACORD CORI � VdLwd <br />ACORD25(2014/01) The ACORD name and logo are registered marks of ACORD Risk Management Analyst <br />