|
<br />DATE (MM/DD/YYYY)
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />2/18/2026
<br />THISCERTIFICATEISISSUEDASAMATTEROFINFORMATIONONLYANDCONFERSNORIGHTSUPONTHECERTIFICATEHOLDER.THIS
<br />CERTIFICATEDOESNOTAFFIRMATIVELYORNEGATIVELYAMEND,EXTENDORALTERTHECOVERAGEAFFORDEDBYTHEPOLICIES
<br />BELOW.THISCERTIFICATEOFINSURANCEDOESNOTCONSTITUTEACONTRACTBETWEENTHEISSUINGINSURER(S),AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT:IfthecertificateholderisanADDITIONALINSURED,thepolicy(ies)musthaveADDITIONALINSUREDprovisionsorbeendorsed.
<br />IfSUBROGATIONISWAIVED,subjecttothetermsandconditionsofthepolicy,certainpoliciesmayrequireanendorsement.Astatementon
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />CONTACT
<br />PRODUCER
<br />NAME:
<br />FAX
<br />PHONE
<br />INSURANCE SUPER STORE.NET(760)770-2827
<br />(A/C, No):
<br />(A/C, No, Ext):
<br />E-MAIL
<br />72-877 Dinah Shore Dr Ste 103bill@insurancesuperstore.net
<br />ADDRESS:
<br />Rancho Mirage, CA 92270
<br />INSURER(S) AFFORDING COVERAGENAIC #
<br />OD28797CFC Underwriting Limited32727
<br />INSURER A :
<br />INSURED
<br />Employers Compensation Ins. Co10346
<br />INSURER B :
<br />CV STRATEGIES, INC.
<br />INSURER C :
<br />73-700 Dinah Shore Unit 402
<br />INSURER D :
<br />PALM DESERT, CA 92211
<br />INSURER E :
<br />INSURER F :
<br />COVERAGESCERTIFICATE NUMBER:REVISION NUMBER:
<br />THISISTOCERTIFYTHATTHEPOLICIESOFINSURANCELISTEDBELOWHAVEBEENISSUEDTOTHEINSUREDNAMEDABOVEFORTHEPOLICYPERIOD
<br />INDICATED.NOTWITHSTANDINGANYREQUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWITHRESPECTTOWHICHTHIS
<br />CERTIFICATEMAYBEISSUEDORMAYPERTAIN,THEINSURANCEAFFORDEDBYTHEPOLICIESDESCRIBEDHEREINISSUBJECTTOALLTHETERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />ADDLSUBR
<br />INSRPOLICY EFFPOLICY EXP
<br />TYPE OF INSURANCELIMITS
<br />POLICY NUMBER
<br />LTR(MM/DD/YYYY)(MM/DD/YYYY)
<br />INSDWVD
<br />COMMERCIAL GENERAL LIABILITY
<br />2,000,000
<br />EACH OCCURRENCE$
<br />DAMAGE TO RENTED
<br />50,000
<br />CLAIMS-MADEOCCUR$
<br />PREMISES (Ea occurrence)
<br />5,000
<br />MED EXP (Any one person)$
<br />9/24/20259/24/2026
<br />AXYES003404941344,000,000
<br />PERSONAL & ADV INJURY$
<br />4,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$
<br />PRO-
<br />4,000,000
<br />POLICYLOCPRODUCTS - COMP/OP AGG$
<br />JECT
<br />$
<br />OTHER:
<br />COMBINED SINGLE LIMIT
<br />AUTOMOBILE LIABILITY$
<br />4,000,000
<br />(Ea accident)
<br />ANY AUTO
<br />BODILY INJURY (Per person)$
<br />OWNEDSCHEDULED
<br />BODILY INJURY (Per accident)$
<br />9/26/20259/26/2026
<br />AYES00340494134
<br />AUTOS ONLYAUTOS
<br />NON-OWNED
<br />HIREDPROPERTY DAMAGE
<br />$
<br />(Per accident)
<br />AUTOS ONLYAUTOS ONLY
<br />$
<br />UMBRELLA LIAB
<br />EACH OCCURRENCE$
<br />OCCUR
<br />EXCESS LIAB
<br />CLAIMS-MADEAGGREGATE$
<br />$
<br />DEDRETENTION$
<br />PEROTH-
<br />WORKERS COMPENSATION
<br />STATUTEER
<br />AND EMPLOYERS' LIABILITY
<br />Y / N
<br />1,000,000
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />E.L. EACH ACCIDENT$
<br />N / A
<br />3/5/20263/5/2027
<br />BYEIG4719708 05
<br />OFFICER/MEMBER EXCLUDED?
<br />1,000,000
<br />(Mandatory in NH)
<br />E.L. DISEASE - EA EMPLOYEE$
<br />If yes, describe under
<br />1,000,000
<br />E.L. DISEASE - POLICY LIMIT$
<br />DESCRIPTION OF OPERATIONS below
<br />Occurrence2,000,000
<br />Professional E & O
<br />Aggregate2,000,000
<br />9/26/20259/26/2026
<br />AYES00340494134
<br />Cyber Liability
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />On-Call Public Relations Outreach Services Strategic Communications Support
<br />The District, its officers, employees, agents, and volunteers are named as additional insured on the Certificate of Insurance for General
<br />Liability.
<br />CzUvUsboOhvzfobu4;48qn-Nbs1:-3137
<br />CERTIFICATE HOLDERCANCELLATION
<br />SHOULDANYOFTHEABOVEDESCRIBEDPOLICIESBECANCELLEDBEFORE
<br />THEEXPIRATIONDATETHEREOF,NOTICEWILLBEDELIVEREDIN
<br />City of Santa Ana
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />PWA Water Resources
<br />215 S. Center Street, M-85
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana, Ca. 92703
<br />Attn: Heidi Chou
<br />© 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD
<br />
<br />
|