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DATE(MMlDDIYYYY) <br /> AC(7R�e CERTIFICATE OF LIABILITY INSURANCE <br /> 3/25/2025 <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 <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsements . <br /> PRODUCER CONTACT <br /> NAME; <br /> INSURANCE SUPER STORE,NET PHONEWG No.ExII: (760)770-2827 zi No: <br /> 72-877 Dinah Shore Dr Ste 103 -MAIL <br /> ADDRESSP <br /> bill lnsurancesu erstore,net <br /> Rancho Mirage, CA 92270 INSURERS AFFORDING COVERAGE NAIC# <br /> OD28797 INSURER A: CFC 5241 <br /> INSURED INSURER B; Employers Compensation Ins. Co 10346 <br /> CV STRATEGIES, INC. INSURER C: <br /> 73-700 Dinah Shore Unit 402 INSURER D: <br /> -- —__._-------------__ -._- <br /> PALM DESERT, CA 92211 INSURERE: <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 /> INST R ADDL TYPE OF INSURANCE INgn wyn SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 <br /> CLAIMS-MADE �• OCCUR $DAMAGE TO RENTED 50,000 <br /> PREMISES E occurrenC <br /> MED EXP(Any one person) 5,000 <br /> A Y . Y ESN0240068513 9124/2024 9/24/2025 PERSONAL a ADV INJURY $ 4,000,000 <br /> hGEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 <br /> POLICY EC ❑ LOC PRODUCTS-COMPIOPAGG $ 4,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINEDaccident)SINGLE LIMIT <br /> fEa $ 4,000,000 <br /> x ANY AUTO BODILY INJURY(Per person) $ <br /> A AWNED SCHEDULED AUTOS ONLY AUTOS (Per accident)ESN0240068513 W2612024 9/2612025 BODILY INJURY Pi $ <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY (Per Ldentl $ <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION S $ <br /> WORKERS COMPENSATION IPFR OTH- <br /> AND EMPLOYERS'LIABILITY YIN STAT T ER <br /> ANY PROPRIETORIPARTNERIEXECUTIVE E,L,EACHACCIDENT : $ 1,000,000 <br /> 8 OFFICERfMEMBEREXCLUDED? NIA Y EIG471970804 3/512025 3/512026 <br /> tMandalwy In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 <br /> If yyes,describe under ------ - _-- <br /> BESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> Occurrence 2,000,000 <br /> A Professional E & O ESN0240068513 8l2612024 9J21312025 Aggregate 2,000,000 <br /> Cyber Liability <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may he attached H more space Is required) <br /> Project Name: On-Call Public Relations Outreach Services Strategic Communications Support <br /> The District, its directors officers, employees,agents ,and Volunteers are named as additional insured on the Certificate of Insurance for <br /> general liability. Digitally signed <br /> Tu Tran uy N F�7 <br /> ROVED <br /> NguyennN U en Date:2025.04.02g Y iz:4za7-o7oo Tran Nguyen at 12:41 pm,Apr 02,2025 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> PWA Water Resources ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 215 S. Center Street AUTHORIZED REPRESENTATIVESanta Ana, Ca. 92703 <br /> 01908-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />