2021/10/01 TS Worldwide, LLC dba HVSaiQo'12/2412021
THIS CERTIFICATE IS ISSUED AS A MATTER OF IIIFOR]'ATION ONLYA]{O CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER. THIS
CERTIFICATE OOES r{OT AFFIRMATIVELY OR t{EGATIVELY AMEND, EXTEI{D OR ALTER THE COVERAGE AFFORDEO BY THE POLICIES
BELOW. THIS CERTIFICATE OF II{SURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUII{G II{SURER(S), AUTHORIZEO
REPRESENTATIVE OR PROOUCER, AI{O THE CERTIFICATE HOLDE&
lirPORTAIIT: lf the certificrlo holder b an ADDITIONAL INSURED, the pollcy(ies) mult hsve ADDITIONAL INSURED provl.lona or be ondorged
lI SUBROGATION lS WAIVED, subject to ths terms and conditlona of thc pollcy, cenaln pollclea may ,equire an endoEorr€nt A statoment on
thia ce lflcale door not contor .ights to tha co.tiflcato holder ln l16u of such endoBement(a).
PROOUCEi
Brown & Brolvn ol Colo6do, lnc.
4532 Boardwalk Dr. Suite 200
Fort Collins co 80525
CONTACI Jody Harris
\97q 4A2.7747 (970) 484-4165
certrfic€tes@bbcolorado com
INSURER{S) AFFOROING COVERAGE
tNsuRERA. Great North6m lnsurance Company 20303
TS \,/orldwide. LLC dba HVS
Hotel Appraisals, LLC
4775 Lanrner Pkwy Suiles 2 & 4
co 80534
wsuRER6, Federal lnsurance Company 20241
[,{sURERc, Chubb lndemnity lnsurance Company
tNsuRER o . Naulilus lnsurence Company
CERTIFICATE OF LIABILITY INSURANCE
CERTTFTCATE NUitBERi Ct21122484t44COVERAGES REVISION NUMSER
CO MERCIALGENERAL LIAAILITY
I o""r^
GEN'LAGGREGAIE LIMIT APPLIES PER
OTHER
Er"s E.*
3605-04-37 01t41t2022
EACH OCCURRENCE t 1,000,000
PREMISES lE. o*urence)r 1 000,000
MEO ExP (A.y 0.6 porss)$ 10,000
PERSONAL & AOV INJl]RY 31,000,000
GFNERALAGGREGATE $ 2,000,000
PROOUCTS. COMP/OPAGG s 2,000,000
5
AUTOMOBILE LAAIL]TY
AUTOSONLY
HIRED
AU'IOS ONLY
SCHEOULEDAIJTOS
NO]-O!!NEO
AIJIOSONLY
7359-81-63 01141t2022 01t0112023
r 1 000 000
BOOILY INJURY (P.. EEon)
BODILY INJURY (P.. EccdenO
s
5
B
x x OCCUR
7818-46-33 4110112022 01t0112423
$ 5,000 000
r 5.000.000
OED *eteur,on s 0 s
C
WORKERS COI'PEI{SATION
ANO EII PLOYER9 LIAAILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/VEMBER EXCLUOEO?
DESCFIPTION OF OPERATIONS bd@
7176,50-66 01t01t2022 o1to1t2023
X OTH
E L EACHACCIOENT r 1 000 000
E L OI3EAEE , F-{ $IPICYEE .1.000.000
EL DISEASE.POLICYLMT i 1,000,000
D
Professional Liabilrly REAg048098-1021 1010 t2021 1At0112022
Each Claim
Aggregate
Relentoo
$1,000,000
s1,000,000
s35 000
DESCRTPiON OF OPERAIONS / LOCATiONS / VEHTCLES {ACORO
'Oi,
Addfiion.r R.n.rr. Sch.dur., m.y b. .n.ch.d lr hor .p.o l. oqulDd)
The City ofMenjfee, its ofiicers, agenls and employees are included as additionally insured per policy lorms and conditions lisled on page 2
29844 Haun Rd
cA 92586
STIOULDANY OF THE ABOVE DESCRIBEO POLICIES BE CANCELLED BEFORE
THE EXPIRATION DAfE fHEREOF, NOTICEWLL BE OELIVEREO IN
ACCORDANCE wlTH THE POLICY PROVISIONS.
AUTHORIZED REPRES€]''/TATIVE
e+-- +i
CERTIFICATE HO CANCELLATION
ACORO 25 (2016/03)
@ 1988-2015 AcORo CORPORATIOII. All risht! re.c ed,
The ACORo nrme and logo aro .egbtered marks of ACORD
THIS IS TO CERTIFY THAT THE POLICTES OF INSURANCE LISTEO BELOW HAVE AEEN ISSUED TO THE INSURED NAMEO ABOVE FOR THE POLICY PERIOD
INOICATED NOTWTHSTANDING ANY REOUIREMENI TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT WTH RESPECT TO VI/TIICH THIS
CERIIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOROEO 8Y THE POLICIES DESCRIBED HEREIN IS SUEJECT TO ALL THE TERMS
EXCLUSIONS AND CONOITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REOUCED BY PAID CLAIMS,
x
01to1na23
E)(CESSLIAg
I
o.Go'
AGENCY cusrouER tD. 00313512
LOC *:
ADDITIONAL REMARKS SCHEDULE Pago of
AGENCY
B@wn & Brown ofoolorado lnc
NATIEOINSURED
TS l,Iorldwide. LLC
ADOITIONAL REMARKS
THIS ADOITIONAL RETIARKS FORM IS A SGTIEOULE TO ACORO FOR ,
FORM NUMBER: ?5 FORM TITLE. Ce licate of Liability ln sura nce: Notes
Greal Nothern lnsurance Co Pohcy ,3605-04-37
Employee Benefits Errors or Omrssons - Clarms Maoe
Effe.Itre 011O112n22 h 011O1t2O)7
$1.O0O,OOO - Each Clarm Lrmil - Retro Oate: 05 17 2017
S 1,000,000 - Aggregate Limit
$1,000 - Each Claim Deduclib'e
When required by wntlen contract the following form(s) may appty
General Liability:
BlanketAdditional lnsured - Form 80,02-2367
Primary & Noncontribulory - Form 80-02-2367
Blankel \ biver of Subrogation - Form 80-02-2362
Wbrkerc Compensalion;
Blankel \ biver ofSubrogation - Form IwC 00 03 13
Umbrella - Follow form over all lrnes of @verage
ACORD 101 (2008/0l)O 2008 ACORD CORPORATION, All rlghE reserved.
The ACORD nanre and logo a.o ro0lateaed marks of ACORO