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CERTIFICATE gf
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION O
<br />N
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AM D,
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, th
<br />licyl
<br />the terms and conditions of the policy, certain policies may require aIN,
<br />rs�
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />INSURANCE SUPER STORE.NET
<br />35-400 Bob Hope Dr. Suite 107
<br />Rancho Mirage, CA 92270
<br />OD28797
<br />INSURED CV STRATEGIES, INC.
<br />73-700 Dinah Shore Unit 402
<br />PALM DESERT, CA 92211
<br />DATE (MM/DD
<br />LIABILLTY INSURA� (�Eti�����ll.� ��&
<br />N�Efl=SCOVERAGE FUPON THE I' O IFICA P. THIS
<br />A CON ETWEEN THE ISSUING 1,A ( iA H vedo
<br />TION "..UJc�.,jb0ktloGZ.VJ•V
<br />does not confer rights to the
<br />i c.-14.r i nollnnll
<br />CONTACT
<br />NAME:
<br />(A/CO,No,EXtJ: (760) 770-2827
<br />(A/C,No): (760) 770-0447
<br />E-MAIL ADDRESS: A P
<br />Bill@insurancesu erstore.net
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC#
<br />INSURER A:
<br />CF—Lloyds
<br />32727
<br />INSURER B
<br />: EMPLOYERS: AM Best
<br />"A-"
<br />11512
<br />INSURER C
<br />:
<br />INSURER D
<br />:
<br />INSURER E
<br />:
<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/ YYY)
<br />POLICY EXP
<br />(MM/DD/ YYY)
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />CLAIMS -MADE CI OCCUR
<br />PREMISES (Ea occurrence)
<br />$ 50, 000
<br />MED EXP (Any one person)
<br />$ 5, 000
<br />ESM0139772256
<br />9/26/2023
<br />9/26/2024
<br />PERSONAL & ADV INJURY
<br />$ 4,000,000
<br />A
<br />Y
<br />Y
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 4,000, 000
<br />POLICY C O CI LOC
<br />X
<br />PRODUCTS - COMP/OPAGG
<br />$ 4,000, 000
<br />SIR: $1000
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />(Ea accident)
<br />$ 4,000, 000
<br />X
<br />BODILY INJURY (Per person)
<br />$
<br />ANYAUTO
<br />ESM0139772256
<br />9/26/2023
<br />9/26/2024
<br />BODILY INJURY (Per accident)
<br />$
<br />A
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />NON -OWNED
<br />PROPERTY DAMAGE
<br />$
<br />HIRED AUTOS AUTOS
<br />(Per accident)
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DIED RETENTION $
<br />$
<br />WORKERS COMPENSATION
<br />X PER TH-
<br />AND EMPLOYERS' LIABILITY Y N
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />EIG 4719708 01
<br />3/05/2024
<br />3/05/2025
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />B
<br />C
<br />N/A
<br />Y
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1, 000, 000
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<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 />ESM0139772256
<br />9/26/2023
<br />9/26/2024
<br />$2, 000, 000 Agg
<br />Cyber Liability
<br />SIR:$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, officials, employees, and volunteers are Additional Insureds with
<br />respect to General Liability per the attached endorsements as required by written contract.
<br />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 D1V1S10n THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />g ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza, 4th Floor
<br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE
<br />`./".F"-",T-p• j.,,.on.�y �ISIE �1i8178�t:lYlCYIf DRR810R
<br />e ° REVIEWED & APPROVED BY:
<br />©1988-2014 ACORD COI
<br />ACORD25(2014/01) The ACORD name and logo are registered marks of ACORD — �� — Hi5k Management Specialist
<br />
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