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Insurance - Revize LLC - 2025-04-18ACORa CERTIFICATE OF LIABILITY INSURANCE `•� DATE(MMIDD/YYYY) 04/18/2025 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, 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). PRODUCER Insurance Providers of Michigan, Inc. 3001 W. Big Beaver Rd. Troy MI 48084 CONTACT NAME: Thomas Dickow PHONE (248) 763-2268 Nc No): (248) 504-5580 E-MAIL tdinsurance roviders mail.com ADDRESS: p @g INSURERS AFFORDING COVERAGE NAIC # INSURER A: HARTFORD UNDERWRITERS INS CO30104 INSURED Revize, LLC 150 Kirts Blvd Suite B Troy MI 48084 INSURER B: NUTMEG INS CO 39608 INSURER C: HARTFORD INS CO OF IL 38288 INSURER D: INSURER E: INSURER F: L;UVtKAUh5 CERTIFICATE NUMBER' DFVICInkl NII IMRf=t?• 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. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMlDD POLICY EXP MWDD LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 A Y 35SBAAZOAOF 09/10/2024 09/10/2025 GEN'L AGGREGATE LIMIT APPPRO- FLIES PER: X POLICY ECT LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 2,000,000 BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS Y 35SBWOAOF 09/10/2024 09/10/2025 BODILY INJURY Per accident) $ XHIRED�/ NON -OWNED AUTOS ONLY /� AUTOS ONLY PROPERTY DAMAGE $ Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 A EXCESS LLIAB CLAIMS -MADE Y 35SBAAZOAOF 09/10/2024 09/10/2025 DED I X I RETENTION $ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y i N ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? a N / A 35WECAZOABB 09/10/2024 09/10/2025 PER OTH- STATUTE I I ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory In NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below Professional Liability Per claim $2,000,000 C Y 35TE0561865 09/10/2024 09/10/2025 Per aggregate $2,000,000 Deductible $2,500 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 181, Additional Remarks Schedule, may be attached if more space is required) Software Design Those usual to the Insured's operations, Costa Mesa Sanitary District, Its Elected and Appointed Officials, Agents, Officers, Volunteers and Employees are Additional Insureds Per The Business Liability Coverage Form SS0008 Or Equivalent attached to this policy CERTIFICATE HOLDER rAMrF:l I ATInM 41988-2815 ACORD CORPORATION. All rights reserved. ACORD 25 (2816/83) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Costa Mesa Sanitary District ACCORDANCE WITH THE POLICY PROVISIONS. 290 Paularino Avenue AUTHORIZED REPRESENTATIVE Costa Mesa CA 92626-3314 41988-2815 ACORD CORPORATION. All rights reserved. ACORD 25 (2816/83) The ACORD name and logo are registered marks of ACORD (2) Premises Rented To You That is fire. lightning or explosion insurance for premises rented to you or tem m�upk� by y� vv�hporn��mkmnofMheoxvne� '°'"'"� ��^ (3) Tenant Liability That ioinsurance purchased byyou tocover your |iobU(tvmootenant for " rented tmyou ortemnponad|yoccupied byyou vv/thpernm|o'/mnofthowner;pnop��ydemogm"toprennio�a (4) Aircraft, Auto Or Watercraft If the |nua ahamm out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion 0.of��eot(on B. Exclusions. (5) Property Damage To Borrowed Equipment OrUse Of Elevators If the loss arises out of "property damage" to borrowed equipment or the use of elevators to the extent not subject toExclusion k.ofSection B.Exclusions. (6) When You Are Added As An Additional Insured TmOther Insurance That is other insurance available to you covering liability for damages arising out of the premises or openat|onn, or products and completed opeuat/ono, for which you have been added an an additional insured bythat insurance; or (7) When You Add Others AsAn Additional Insured TmThis Insurance That iaother insurance available toonadditional insured. However, the following provisions apply to other insurance available to any person or organization who is anadditional insured under this Coverage Part: (a) Primary Insurance When Required By Contract This insurance is primary if you have agreed in o written contract,written agreement or permit that ' this insurance be primary. If other insurance is also primary, wexv|/(share with all that other insurance bythemethoddemcdbedinc.be/ow. (b) Primary And Non -Contributory TmOther Insurance When Required By Contract If you have agreed in a written contract, written agreement or permit that this insurance is primary and non-contributory with the additional inaured'aown inaunonce,this insurance iophnnaryandvvevv///not seek nontr|butionhnn o�ho1other insurance. ' - ' ' '- Paragraphs (m)and (b)donot apply toother insurance towhich the additional insured has been added eo onadditional insured. When this insurance is excess, we will have no duh/ under this Coverage Part to defend the insured against any ^gu|t"|fany other insurer has oduty hodefend the insured against that "muit" |fnuother insurer defends vvevvi||unde�oketodoso, but vvmvvU|beenUt|odtothe inoured'mhghbyagainst all 'those other insurero ' When this insurance is excess over other insurance, we will pay only our mhoua of the amount of — �omo if any, that exceeds the sunmot ' (1) The total amount that all such other insurance would pay for the |oom /n the absence of this insurance; and ' (2) The total of all deductible and self-insured amounts under all that other insurance. We will share the remaining |oum, if any, with any other insurance that is not described /n this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c. Method Of Sharing If all the other insurance permits contribution by equal mhanga, we will follow this method also. Under this approach, each insurer contributes equal amounts until it has paid its applicable limitof( the loss rernoinn.vvhioheveroonneoMrot. nauranoaornon�of Form SL00 00 10 18 �����e17m��� 2O18.TheHarU�rd Declarations: THE—"1 Business Owner's HARTFORD Policy Number: 35 SBA AZOAOF Policy Period: 09/10/2024 to 09/10/2025, 12:01 a.m., Standard time at your mailing address shown here. Exception: 12 noon in New Hampshire. Insurer: Hartford Underwriters Insurance Company, a property and casualty company of The Hartford. One Hartford Plaza, Hartford, CT 06155 Named Insured and Mailing Address: Revize, LLC 150 Kirts Blvd Suite B Troy, MI 48084 Type of Business: Software, Internet, Application & Web Design Policy Name of Agency/Broker: INSURANCE PROVIDERS OF MI INC 3001 W BIG BEAVER RD STE 117 TROY, MI 48084 Code: 35357295 Previous Policy Number: 35 SBA AZOAOF Organization Type: LLC Audit Period: Auditable Insurance Provided: In return for the payment of the premium and subject to all of the terms of this policy, we agree with you to provide insurance as stated in this policy. Total Premium includes the premium for all Coverage Parts issued to you in this policy, as well as any companion policies delivered with this policy. Total Premium includes any applicable fees and surcharges. Total Premium may change based on coverage changes made through endorsement or if your policy is subject to Premium Audit. Countersigned by: 6 08/01/2024 Authorized Representative Date A Business Owner's Policy typically covers property and business liability risks. Generally, Property insurance pays you if a covered cause of loss damages property that you own, rent or lease. Business liability insurance pays in certain cases where something you do or something you own causes injury or damage to someone else, or someone else's property. Please see the coverages and limits described in your Declarations for details regarding the insurance you purchased. This Spectrum® Business Owner's Policy consists of the Declarations, Coverage Forms, Coverage Parts, Common Policy Conditions and any other Forms and endorsements issued to be a part of the Policy. The Hartford® is Hartford Fire Insurance Company and its affiliated property and casualty insurance companies. Form: SC 00 01 10 18 1 1P 6 Glossary of Terms* r =s Audit Period Your Policy period, which may be auditable ornon-auditable. If your Policy is auditable, we will .examine your business records to determine actual exposures for final premium calculation. Base Coverage Form 9 Each Coverage Part has a form that explains, generally, what is and is not covered. This is the first building block of the Coverage Part. All other forms directly or indirectly modify the Base Coverage Form and are attached to it. Coverage Park _. _ g A section of the Policy for a particular coverage. Unless otherwise stated in a specific Coverage Part, a Coverage Part consists of a Declarations page, a Base Coverage Form, all forms that modify the Base Coverage Form, and other forms applicable to the Coverage Part or the entire Policy. Declarations The part of the insurance contract that specifies the named insured, address, policy period, covered locations, limits of insurance and other key information such as forms applicable to the Coverage Part. Policy A contract between you and us to provide you with certain insurance coverages. Your Spectrum Business Owner's Policy consists of all Coverage Parts and forms common to some or all Coverage Parts. A STRETCH® _ unique feature of The Hartford's policy is an optional enhancement to the policy which increases the limit of insurance for several coverages and adds new coverages to the policy. STRETCH® Blanket Limit Provides a single limit of insurance that applies to more than one Coverage. Coverages subject to the STRETCH® Blanket Limit may also have additional limits of insurance which would apply in addition to the STRETCH® Blanket Limit. *The terms and definitions contained in the Glossary of Terms are provided to help you better understand your Business Owners Policy and how it is constructed. These terms and definitions are not definitions that apply to any Coverage Part or Policy you have purchased and should not be construed as such. Please refer to the applicable provisions in your coverage parts or policies for complete details of the defined terms, including but not limited to the applicable Definitions section of such Coverage Part or Policy. Form: SC 00 01 10 18 2 QDeclarations: Locations and U Location -Based Coverages Here's how your Business Owner's insurance coverage and limits apply to your business locations (LOC). if you have more than one location or building (BLDG), we break out your coverage and limits separately for each LOC. LOC 1, BLDG 2 Class: Software, Internet, Application & Web Design Valuation Location: 150 KIRTS BLVD STE B TROY,MI 48084-5312 Business Personal Property (BPP): Construction Type: Fire Resistive Replacement Cost Year Built: 1987 Property Deductible: $1,000 _. . -1 - 1-1 i i WvJ_l Ly, Il Jk,1UUCS. • Tenant's Improvements and Betterments $50,000 • Personal Property of Others Business Personal Property (BPP) - Business Personal Property Limit - Additional 25% -Included Seasonal Increase % Building _ $0 Form: SC 00 01 10 18 3 Declarations: � Property Coverage Part The coverages listed below apply to the location(s) for which you purchased property coverage. The limits in the right-hand column show the maximum amount we'll pay. Read the entire Coverage Part to determine your rights, duties and what is and is not covered under the coverages listed below. STRETCH® Blanket Limit: $50,000 SP 30 23 10 18 ACCOUNTS RECEIVABLE Included in STRETCHO Blanket Limit SP 30 18 10 18 ARSON AND THEFT REWARD $10,000 SP 30 57 10 18 BACK-UP OF SEWERS AND DRAINS COVERAGE _. Included2 SP 30 31 10 18 BRANDS AND LABELS Included2 SP 30 59 10 18 BUILDING PROPERTY OF OTHERS $10,000 SP 30 13 10 18 BUSINESS INCOME AND EXTRA EXPENSE - Extended Business Income 60 days Limit Type _ Actual Loss Sustained Period of Restoration 12 months Waiting Period None SP 30 19 10 18 BUSINESS INCOME FOR CIVIL AUTHORITY ORDERS Duration of Coverage _ 30 days Waiting Period None SP 30 40 10 18 BUSINESS INCOME FOR OFF -PREMISES UTILITY SERVICES Limit _ $25,000 Waiting Period 12 hours SP 30 14 10 18 BUSINESS INCOME FROM DEPENDENT PROPERTIES Limit $25,000 Period of Restoration __ 12 months - Waiting Period None SP 30 45 10 18 BUSINESS INCOME FROM OFF -PREMISES OPERATIONS Extended Business Income 60 days Limit _ $25,000 Waiting Period _ None SP 30 47 10 18 BUSINESS INCOME FROM WEBSITES Limit _ $10,000 Max Period of Restoration 7 days Waiting Period 12 hours _ SP 30 32 10 18 CLAIM EXPENSE _ $10,000 SP 30 00 10 18 COLLAPSE _ Included2 SP 30 60 10 18 COMPUTERS WORLDWIDE Included in STRETCH® Blanket Limit Form: SC 00 01 10 18 4 Declarations: Property Coverage Part CON77NUE©► SP 30 3710 18 CONTRACT PENALTIES SP 30 01 10 18 DEBRIS REMOVAL - $1,000 Included in STRETCH® Blanket Limit SP 30 29 10 18 Limit ELECTRONIC DATA 25% of amount paid for covered loss Policy Year Limit SP 30 42 10 18 EMPLOYEE DISHONESTY COVERAGE - EXCLUDES $50,000 ERISA COMPLIANCE $10,000 SP 30 02 1018 EQUIPMENT BREAKDOWN ^ Includedz Deductible Property Deductible Defense _ Included Expediting Expenses _...: $50,000 Hazardous Substances $50,000 Supplementary Payments SP 30 3810 18 EXPEDITING EXPENSES _ Included _ _.. _ SP 30 551018- - - . FINE ARTS COVERAGE $10,004 SP 30 0310 18 _ __ FIRE DEPARTMENT SERVICE CHARGE $10,000 Included in STRETCHO Blanket Limit SP 3004 1018 FIRE EXTINGUISHER RECHARGE _ _ SP 30 f6 12 19 FORGERY COVERAGE (INCLUDING CREDIT CARDS, Included2 CURRENCY AND MONEY ORDERS) $25,000 SP 30 4610 18 FRAUDULENT TRANSFER COVERAGE _- _ SP 3151 12 23 _ FUNGI, WET ROT OR DRY ROT - LIMITED COVERAGE $10,000 Limit _ $50,000 Period of Restoration SP 30`05 1018 �. GARAGES, STORAGE BUILDINGS, AND OTHER _. 30 days APPURTENANT STRUCTURES $50,000 SP 30 06 10 18 GLASS EXPENSE SP 30 22 06 22 IDENTITY RECOVERY FOR BUSNESSOWNERS AND Included EMPLOYEES Deductible $2$0 Limit _ _. $15,000 Lost Wages and Child and Elder Care Expense P � $254 per day, $5,000 per policy year _ Mental Health Sublimi# $1,500 SP 30 30 10 18 INTERRUPTION OF COMPUTER OPERATIONS Period of Restoration 12 months Policy Year Limit _ $25,000 Waiting Period 12 hours Form: SC 00 01 10 18 Declarations: Property Coverage Part CONTINUED SP 30 07 10 18 ;LEASE ASSESSMENT _ $2,500 SP 30 54 10 18 LEASEHOLD IMPROVEMENTS $25,000 SP 30 08 1018 LOCK AND KEY REPLACEMENT _ _ . $1,000 SP 30 36 03 20 LOST KEYS _ _ $1,000 SP 30 28 10 18 MONEY AND SECURITIES COVERAGE Inside the Premises Limit _ $10,000 Outside the Premises Limit _ $5,000 SP 30 24 12 21 NEWLY ACQUIRED OR CONSTRUCTED PROPERTY Newly Acquired or Constructed BI/EE Limit $250,000 Newly Acquired or Constructed BPP Limit $500,000 SP 30 39 10 18 NON -OWNED DETACHED TRAILERS Included in STRETCH® Blanket Limit SP 30 50 10 18 OFF -PREMISES UTILITY SERVICES - DIRECT DAMAGE $10,000 SP 30 11 12 19 ORDINANCE OR LAW COVERAGE Increased Cost of Construction & Demolition $25,000 Costs Limit Undamaged Part Limit $25,000 SP 30 25 12 21 OUTDOOR PROPERTY $25,000 SP 31 35 10 18 OUTDOOR SIGNS ON PREMISES $10,000 SP 30 33 10 18 PAIRS OR SETS _ Includedz SP 30 53 10 18 PAVED SURFACES _ $15,000 SP 30 09 10 18 PERSONAL EFFECTS _ . Included in STRETCH® Blanket Limit SP 30 20 10 18 POLLUTANTS AND CONTAMINANTS CLEAN UP AND REMOVAL $15,000 SP 30 10 10 18 PRESERVATION OF PROPERTY 45 days SP 30 26 10 18 PROPERTY OFF -PREMISES $25,000 SP 30 34 10 18 SALESPERSONS SAMPLES $1,000 SP 30 51 10 18 SPOILAGE Included in STRETCH® Blanket Limit Business Income Limit _ $10,000 Waiting Period 12 hours SP 30 49 10 18 SUMP OVERFLOW OR SUMP PUMP FAILURE $15,000 SP 30 44 10 18 THEFT DAMAGE TO BUILDING Included2 SP 30 61 10 18 TRANSIT BUSINESS INCOME Limit $10,000 Period of Restoration 12 months Waiting Period None Form: SC 00 01 10 18 6 cm Declarations: J=1 Property Coverage Part CONTINUED P 01 2104 23 MICHIGAN CHANGES - SPECIAL PROPERTY COVERAGE FORM ry SP 200810 18 PERILS SPECIFICALLY EXGEPTED S 00 00 10 18 SPECIAL PROPERTY COVERAGE FORM * Price is subject to fees and surcharges. For more details, refer to Page 11 Form: SC 00 01 10 18 AIR Declarations: .L%**. Business Liability Your policy includes the liability coverages listed below. The limits in the right-hand column show the maximum amount we'll pay. SL 00 00 10 18 BUSINESS LIABILITY COVERAGE FORM Damage To Premises Rented To You Limit $1,000,000 General Aggregate Limit _ -_. $4,000,000 Liability and Medical Expenses Limit _ $2,000,000 Medical Expenses Limit _ _ $10,000 Personal and Advertising Injury Limit _ $2,000,000 Products -Completed Operations Aggregate Limit _ $4,000,000 Property Damage Liability Deductible _ - No Deductible - aI�olTltlAL BusiNEss L1allirTY cor�IcEs '. SL 30 2410 18 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - ONGOING OPERATION - SCHEDULED PERSON OR ORGANIZATION SL 30 40 10 18 ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS SL 30 47 10 18 ADDITIONAL INSURED- VENDORS _ SL 30 32 06 21 BLANKET ADDITIONAL INSURED BY CONTRACT SL 30 2610 18 HIRED AUTO AND NON -OWNED AUTO LIABILITY Included' SL 30 14 09 22 TECHNOLOGY SERVICES COVERAGE EXTENSION Included' SL 30 03 10 18 WAIVER OF SUBROGATION Included' 'Included in Business Liability Limit(s) See schedule below _ _ .,, . , • her +i41' trc.4cCFl� SL 30 03 10 18 WAIVER OF SUBROGATION Madison_ County Government Location: 157 N. Main Street, Suite 154 Edwardsville, IL. 62025 City of Rancho Mirage Location: 69-825 Hwy 111 Rancho Mirage, CA 92270 COSTA MESA SANITARY DISTRICT AND ITS ELECTED AND APPOINTED OFFICIALS, AGENTS, OFFICERS, VOLUNTEERS AND EMPLOYEES 290 PAULARINO AVE, COSTA MESA, CA 92626 N/A Form: SC 00 01 10 18 8