2021/11/15 DaySmart Holdings, LLC1
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 OOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEO
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLOER.
TMPORTANT: lf the certificate holdor is an ADDITIONAL INSURED, tho policy(ies) must have ADDITIONAL INSURED provisions or bo endorsed.
lf SUBROGATION lS WAIVEO, subject to the terms and condltions of the policy, certain policies may roquiro an endorsement. a statem€nt on
this cortificate does not confer riqhts to the certificate holder in lieu of such endorsement(s)
Korotkln lnsurance Group
P O Box 431
So!thtield. Ml 48037-0431
JJ Roiflor
248-350-5818 cr Carolyn Kinsler
248-3s0-5818 248-352-0305
rNsuRER a citizens lns co. of America 3'1534
DavSmart Holdinos- LLCDaiSmart Softwaie: LLCSEE NOTES SECTION3520 Groon Court Suite 250Ann Arbor. M|48105
rNsuRER B Allmerica Financial Benefit 10212
rNsuR€R c . Hanover lns, Co
TNsuRERD Scottsdale lns. Co.
rNsuRER E Admiral lns. Co,
---rAC-()6aI)DAYSM.2
CERTIFICATE OF LIABILITY INSURANCE
O 1988-2015 ACORD CORPORATION AIIrights reserved
The ACORD name and logo are registered marks of ACORD
MENIF-,1
City of Menifee
Office of Finance
29844 Haun Road
Menifee, CA 92586
SHOULO ANY OF THE ASOVE OESCRIBED POLICIES BECANCELLEO BEFORE
THE EXPIRATION OATE THEREOF. NOTICE WILL BE OELIVEREO IN
ACCOROANCE I/YITH THE POLICY PROVISIONS.
AL-ITI]ORIZEO R€PRESENTATIVE
fr?'t*0 l#^*
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISIED BELOW HAVE SEEN ISSUED TO THE INSURED NAMEO ABOVE FOR TIJE POLICY PER OO
INDICATED NOTWITHSTANDING ANY REOUIREMENI TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEC-T TO WHICH THIS
CERTIFICATE IVAY 8E ISSUEO OR t\.,lAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN lS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN I\,4AY HAVE BEEN REDUCED BY PAID CLAIMS.
LIMITS
x
MAGE TO RENTED
2,000,000
100,000
10,000
2,000,000
4,000,000
x 4,000,000
COMMERCIAL GENERAL LIABILITY
x
JECT LOC
X B-D700443-00
1,000,000COMEINEDSINGIE LIM T
x
09t16t2022x-D700443-00 09116t2021
x
OWNEOAUTOS ONLY
HIREO
SCHEOULEOAUIOS
NON OWNEO
AUTOMOBILE LIABILITY
5,000,000sxx
5,000,000TEXCESS LIAA 09t1612022xB-O700484-00 09t1612021
x RETENI ON $0
x OTH
ost1612022 500,000
s00,000
500,0
WORKERS COMPENSATION
AND EMPLOYERS' LIAAILITY 09116t202',12B-D7004'l t-00ANY PROPRIETOR/PARTNER/EXECUT VE
^iLtr'l r,;Mt^,r€aR t:{cr rrD[!r r']
09t16t2024
09t16t2022
C rime
ProflCybe
1,000,000
s,000,000
BOD-D697376
SEE NOTES
ogt16t2021
1'1115t2021
Crlmo
ProflCyber
c
oEscRlpTtoN oF opERATtoNs / tocaTroNs / vEHlcLEs {acoRo 101, addirionll Rem't3 sch.dul. m.y be.t.ch.d il more sp.ce ir r.quiEd)
Certificate holder, its officers agents & employees shall be additional
insured on policies so checkedwhen required by written contract or
greement.
ACORD 2s (2016/03)
."- carolynk@qetkiq.com
)Pl
ogt't 6 I 2021 091',1 61 2022
l"F-tlAE!lecpE!]-l$L!! o 5EA5E EA EMPLoYEE| $
I
rNsuREo s NAME DaySmart Holdings, LLC
DAYSM.2
OP lD: PR
PAGE 2o.t 1210912021NOTEPAD
D - Excess cyber/Prof Lialrality: 11-15-21 to 09-16-2022, Pol"icY
l+8Ks3406585 , aarrier: scoctsdale rns . co . , Limit: $2 , 000 , 000
E - Prinary Cyber/Prof Liability: 11-15-21 to 09-16-2022, Policy
#EoOOOO556rO-01 , carrier: Admiral Ins . co. , Linit: $3, 000,000
Named insuled schedule:DaysBart Holdangs LLcDaysioart Softrara, LLCoak Internediary II, LLC
Oak lntornediary, LLCoak Purchasa!, Inc. (no workers Conpensation)Daysmart Blocker, Inc.storesource, LLc dba Appo1ntmont PlusVetter Sofcware Inc.Dash PLatforn. LLc