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2021/09/26 CV Strategies, Inc.ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD DATE (MM/DD/YYYY) PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGG $JECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) BODILY INJURY (Per person) $ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $AUTOS (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2014/01) CERTIFICATE OF LIABILITY INSURANCE 09/01/21 INSURANCE SUPER STORE.NET 35-400 Bob Hope Dr. Suite 107 Rancho Mirage, CA 92270 OD28797 (760)770-2827 (760)770-0447 Bill@insurancesuperstore.net CV STRATEGIES, INC. 73-700 Dinah Shore Unit 402 PALM DESERT, CA 92211 USLI: AM Best "A++" 25895 EMPLOYERS: AM Best "A-" 11512 A X X X Y CX 1554764B 9/26/2021 9/26/2022 1,000,000 50,000 5,000 2,000,000 SIR:$0 A X Y CX 1554764B 9/26/2021 9/26/2022 1,000,000 A X X XL 1573038E 6/13/2021 6/13/2022 2,000,000 2,000,000 SIR:$0 B Y EIG 4719708 00 3/05/2021 3/05/2022 X 1,000,000 1,000,000 1,000,000 Professional $2,000,000 Occ A Errors and Omissions CX 1554764B 9/26/2021 9/26/2022 $2,000,000 Agg SIR:$2500 City of Menifee, its officers, agents and employees are named as additional insured City of Menifee 29844 Haun Road Menifee, CA 92586 DocuSign Envelope ID: 18B4C0F6-15A8-4A44-A8AE-BF9457763F45 In consideration of an additional premium of $25 it is hereby agreed that the following All other terms and conditions of this Policy remain unchanged. is(are) amended: BP0448 01/06 - Additional Insured - Designated Person Or Organization ENDORSEMENT #1 This endorsement, issued by United States Liability Insurance Company to CV STRATEGIES INC. forms a part of Policy Number CX 1554764C effective on 9/26/2021 (MO. DAY YR.) at 12:01 A.M. Add/Remove/Amend Businessowners Additional Insured Endorsement ADD_REM (03-01) DocuSign Envelope ID: 18B4C0F6-15A8-4A44-A8AE-BF9457763F45 BP 04 48 01 06 BUSINESSOWNERSCX 1554764CPOLICY NUMBER: SCHEDULE This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM ADDITIONAL INSURED - DESIGNATED PERSON THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OR ORGANIZATION CITY OF MENIFEE, ITS OFFICERS, AGENTS AND EMPLOYEES 29844 HAUN ROAD MENIFEE, CA 92586 09/26/2021 12:01 AMEffective Date: Name of Additional Insured Person(s) Or Organization(s): Information required to complete this Schedule, if not shown above, will be shown in the Declarations. © ISO Properties, Inc., 2004BP 04 48 01 06 Page 26 of 26 The following is added to Paragraph C.Who is An Insured in Section II - Liability: 3. Any person(s) or organization(s) shown in the Schedule is also an additional insured, but only with respect to liability for “bodily injury”, “property damage” or “personal and advertising injury” caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf in the performance of your ongoing operations or in connection with your premises owned by or rented to you. DocuSign Envelope ID: 18B4C0F6-15A8-4A44-A8AE-BF9457763F45