2022/10/01 TS Worldwide, LLC dba HVSaiQo'
COVERAGES CERTIFICATE NUMBER. C122121489862 REVISION NUMBER
DATE (MWDO/YYYY]
12t14t2422
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORI ANON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOTAFFIRMANVELY OR NEGATIVELY AMENO, EXTENO OR ALTER THE COVERAGE AFFOROED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE OOES NOT COI,ISTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEo
REPRESENTATIVE OR PROOUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: It tho cortificate holder is an AODITIONAL INSUREO, tho policy(ies) must havo ADOITIONAL INSURED provisions or bo endorsed
tf SUSROGATION lS WAIVED, subjsct to tho torms and conditions of tho policy, cartain policies may requiro .n ondo6qment. A 3tatement on
thi3 cortificate do€s not conror rights to the cortificate holder in llou of guch endoBem
PROOUCER
Brown & Brown of Colorado, lnc
4532 Boardwalk Dr, Suiie 200
Fort collins co 6052s
CdN'TACI Karen Slwek
l97O) 482-7747 (970) 484-416s
AODRESS:266 Certilic€les@bbrown.com
INSURER(S) AFFORDING COVENAGE
tNsuRERA. Gr6al Norlhern lnsurance Company 20303
INSUREO
TS Woddwid6. LLC dba HVS
HotelAppraisals. LLC
1615 Foxtrail Drive. Suite 230
Loveland co 80538
tNsuREi B. Federal lnsurance Company 20281
t suRER c. Chubb lndemnrty lnsuranc€ Company
tNsuRER o , Neulilus lnsurance Company
INSURER E
THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTEO BELOWHAVE BEEN ISSUED TO THE INSURED NAMEOABOVE FOR THE POLICY PERIOD
INOICATED NOTWTHSTANDING ANY REOUIREMENI, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WT]ICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDEO BY THE POLICIES DESCRIBEO HEREIN IS SUEJECT TO ALL THE TERMS.
EXCLUSIONSAND CONDITIONS OF SUCH POLICIES LIMITS SHOff.I MAY HAVE AEEN REDUCEO BY PAID CLAIMS.
INSR tNso
POI'CY EXP LIMITS
COMMERCIAL GENERAL LIABILITY
CLA MS,MAOE ffi o"",.,^
GEN'LAGGREGATE LIM T APPLIES PER
POLICY
OTHER
JECT LOC
3605-04-37 01to1t2023 01ta1t2024
EACH OCCURRENCE 51,000,000
DAMAGE TO RENTEO
PREMISES (Ea o@ur6nco)r 1.000,000
M€O EXP (Any d€ peEon)510,000
PERSONAL&AOVINJURY r 1,000,000
GENERALAGGREGATE r 2,000 000
PROOUCTS. COMPOP AGG s 2,000,000
t
AUIOMOBILE LIABIIITY
O\M.IED
AUTOS ONLY
HIREO
AUTOS ONLY
SCHEDULED
AUTOS
NON€VINED
AUTOS ONLY
7359-81,63 01t01na23 o1to1l2a24
COMSINEOSINGLE LIM T $
BOOILY INJURY (P6T FT'ON)$ 1,000,000
BoorLY TNJURY (Pd eid6nt)s
s
B
x UMBRELLALIAB
EXCESS LIAB
x OCCUR
CLA MS.MADE 7818-46-33 o l01t2023 01t01Da24
EACH OCCURRENCE 5 5,000,000
AGGREGATE $ 5,000,000
OED aerEtr,ol. s 0 s
c
WORKERS COMPEN8IIION
AND EIIIPLOYERS' UABIUIY
ANY PFCPRIETORIP'RINEP"€XECUTIVE
OFFICER,l,IEMBER EXCLUOEO'
OESCRIPTTON oF OPERATIONS bold
7176-50-66 41101t2023
xl OTH
E L EACHACCICENI . I 000,000
EL OISEASE. EA EMPLOYEE 31,000,000
E L D]SEASE. POLICY LIMIT $ 1,000.000
D
Professional Liability REA9059245'1022 10t41t2022 101a112423
Eech Claim
Aggregale
R€tention
$1,000,000
$1,000,000
$50,000
oEacitplloN oF oPER tlo|ls / localloNs /vEHtcLEs (acoRD lo1, addlllon.l fLm.rb !rch.dul., m.y l,..lt&h.d r mr.P.c.l. rtqulrld)
The City of M6nifee, its officers agents and employe€s are included as addilionally insured per policy forms and condiiions listed on page 2
CERTIFICATE HOLDER CANCELLATION
City of Menifee
29644 HBun Rd
cA 92586
SHOULDAiIY OF THE ABOVE OESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRA]ION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDAT{CE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESEI{IANVE
€+.-4,-
O 1988-20'15 ACORD CORPORATION. All rights reservod
Thg ACORD namo and logo .ro regBtsrod mark6 ofACORDACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCE
12717
o1to112024
ACORDL-.
AGENCY CUSTOMER tO. 00313s12
LOC #:
ADDITIONAL REMARKS SCHEDULE Pago of
AGENCY
Brown I Brown ofcolorado. lnc
NAMEO INSURED
TS Wbrldwide. LLC
POLICY NUMBER
!'lAlC CODE
EFFECTIVE DATE:
ADOITIONAL REMARKS
O 2008 ACORD CORPORATION. All righE rosorvod.
The ACORD nam6 and logo are registorod marks oTACORD
Gre6l Nolhem lnsurance Co Policy #3605-04-37
Employ€e Benefils Enors or Omissions - Claims l\,lad€
Efr aclile O I lO 1 12023 lo 01 l0l 12024
$1,000,000 - Each Claim Limit - Retro Date: 05.17.2017
$1.000,000 - Aggregate Limil
$1.000 - Each Claim Deductrble
Vvhen required by writton contract lh€ following form(s) may apply
G6neralLiabilityl
Elankel Additional lnsured - Form 80-02-2367
Pnmary & Noncontribulory . Form 80-02-2367
Blankol \ hiver ofSubrogation - Form 80-02-2362
V\blkers Compensation
Blankel l biver ofSubrogatDn - Fom WC 00 03 13
Umbr6lla - Follow form ovor General Liability, Employee Benefts Liability, Employers Ljability, and Non-Owned & Hired Auto Liabitily
ACORO.t01 (2008/01)
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORO FORM,
FORM NUMBER: 25 fOnU ITLE. Cerlifcate ofLiabil{y lnsurence Notes