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<br />DATE (MM/DD/YYYY) <br />CERTIFICATE OF LIABILITY INSURANCE <br />9/16/2025 <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 />3/5/20253/5/2026 <br />BYEIG4719708 04 <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 />Ejhjubmmz!tjhofe!cz! <br />Uv!Usbo! <br />Uv!Usbo!Ohvzfo! <br />Ebuf;!3136/1:/27! <br />Ohvzfo 26;47;12!.18(11( <br />CzUvUsboOhvzfobu4;44qn-Tfq27-3136 <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 <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, Ca. 92703 <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 />