SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
E-MAIL
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or 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).
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.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
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. $
$
$
$ PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOS ONLY AUTOS
NON-OWNED
OWNED SCHEDULED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH- STATUTEPER
(MM/DD/YYYY) LIMITS POLICY EXP (MM/DD/YYYY)
POLICY EFF LTR TYPE OF INSURANCE POLICY NUMBER INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB EACH OCCURRENCE $
AGGREGATE $
$
OCCUR
CLAIMS-MADE
DED RETENTION $
PRODUCTS - COMP/OP AGG $
GENERAL AGGREGATE $
PERSONAL & ADV INJURY $
MED EXP (Any one person) $
EACH OCCURRENCE $
DAMAGE TO RENTED
PREMISES (Ea occurrence) $
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PROJECT LOC
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
11/13/2025 Insurance Providers of Michigan, Inc. 3001 W. Big Beaver Rd. Troy MI 48084 Thomas Dickow (248) 763-2268 (248) 504-5580 [email protected] Revize, LLC 150 Kirts Blvd Suite B Troy MI 48084 HARTFORD UNDERWRITERS INS CO 30104 HARTFORD INS CO OF IL 38288 A Y 35SBAAZ0A0F 09/10/2025 09/10/2026 2,000,000 1,000,000 10,000 2,000,000 4,000,000 4,000,000 A Y 35SBAAZ0A0F 09/10/2025 09/10/2026 2,000,000 A 10,000 Y 35SBAAZ0A0F 09/10/2025 09/10/2026 1,000,000 1,000,000 B Y 35WECAZ0ABB 09/10/2025 09/10/2026 1,000,000 1,000,000 1,000,000 C Professional Liability/Cyber
Y 35TE0561865 09/10/2025 09/10/2026 Per claim $2,000,000 Per aggregate $2,000,000 Retention $10,000 City of Redondo Beach, CA 415 Diamond Street Redondo Beach CA 90277 Policy Change:
Business Owner’s Policy
Form SC 00 06 10 18 Page 1 of 2
Process Date: 11/13/2025 © 2018, The Hartford Policy Expiration Date: 09/10/2026 (May include copyrighted material of Insurance Services Office, Inc., with its permission) Policy Number: 35 SBA AZ0A0F
Policy Period: 09/10/2025 to 09/10/2026
Named Insured and Mailing Address:
Revize, LLC,
150 Kirts Blvd Suite B,
Troy, MI 48084
Policy Change Number: 012
Policy Change Effective Date: 11/13/2025,
Effective hour is the same as stated in the
Declarations Page of the Policy.
Insurer:
Hartford Underwriters Insurance Company, a
property and casualty company of The
Hartford
One Hartford Plaza, Hartford, CT 06155
Name of Agent/Broker:
INSURANCE PROVIDERS OF MI INC
3001 W BIG BEAVER RD STE 117
TROY, MI 48084
Code: 35357295
Coverage Parts Affected:
Common
This is NOT a bill. However, any changes in your premium will be reflected in your next billing statement. You will receive a separate bill from The Hartford. If you are enrolled in repetitive EFT draws from your bank account, changes in premium will change future draw amounts.
As a result of the changes described herein, there is an additional premium in the amount of: $14
*Price is subject to fees and surcharges
Countersigned by: 11/13/2025
Authorized Representative Date
Policy Change:
Business Owner’s Policy
Form SC 00 06 10 18 Page 2 of 2
Process Date: 11/13/2025 © 2018, The Hartford Policy Expiration Date: 09/10/2026 (May include copyrighted material of Insurance Services Office, Inc., with its permission) The following Additional Insured has been added as an Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization.
Name of Additional Insured(s) Person or Organization:
City of Redondo Beach, CA , 415 DIAMOND ST, REDONDO BEACH, CA 90277 Policy is amended to revise the following Endorsement Forms reflecting the changes made to your policy.
FORM NUMBER FORM NAME COVERAGE PART
SC 00 02 10 18
SPECTRUM SUPPLEMENTAL
SCHEDULE OF AUDITABLE
COVERAGES
Common
SC 00 06 10 18 POLICY CHANGE Common
Premium associated with this Policy Change has pro rata factor 0.824.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Form SC 00 02 10 18 Page 1 of 2
Process Date: 11/13/2025 © 2018, The Hartford Policy Expiration Date: 09/10/2026 (May include copyrighted material of Insurance Services Office, Inc., with its permission)
SPECTRUM SUPPLEMENTAL SCHEDULE OF AUDITABLE
COVERAGES
This schedule reflects only those classes and/or coverages that are subject to audit.
POLICY NUMBER: 35 SBA AZ0A0F Revised: 11/13/2025
Entries herein, except as specifically provided elsewhere in this policy, do not modify any of the other provisions of this policy.
Auditable Coverage Description:
LOC 1, BLDG 1:
150 KIRTS BLVD STE BTROY,MI 48084-5312
Class Code: 11171
Class Code Description: Software, Internet, Application & Web Design Coverage Description Rating Basis Exposure Final Rate
Business Income and Extra
Expense
Sales 7,350,000 0.025000
Business Income from Civil
Authority Orders
Sales 7,350,000 0.001000
Business Income from OffPremises OperationsSales 7,350,000 0.001000 Business Income from Websites Sales 7,350,000 0.001000
Collapse Business Income Sales 7,350,000 0.001000
Cyber Virus and Malware
Coverage - BI
Sales 7,350,000 0.001000
Cyber Virus and Malware
Coverage - Digital Ransom and
Extortion Threats - BI
Sales 7,350,000 0.001000
Employee Dishonesty Coverage -
Excludes ERISA Compliance
Sales 7,350,000 0.006000
Fraudulent Transfer Coverage Sales 7,350,000 0.001000
Fungi, Wet Rot or Dry Rot - Limited
Coverage Business Income
Sales 7,350,000 0.001000
Interruption of Computer
Operations
Sales 7,350,000 0.001000
Liability and Med Exp
(Premises/Completed Operations)
Sales 7,350,000 0.013000
Newly Acquired or Constructed
Property BI
Sales 7,350,000 0.001000
Products - Completed Operations Sales 7,350,000 0.006000 Spoilage Business Income Sales 7,350,000 0.001000
Sump Overflow or Sump Pump
Failure BI
Sales 7,350,000 0.001000
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Form SC 00 02 10 18 Page 2 of 2
Process Date: 11/13/2025 © 2018, The Hartford Policy Expiration Date: 09/10/2026 (May include copyrighted material of Insurance Services Office, Inc., with its permission) Coverage Description Rating Basis Exposure Final Rate
Transit Business Income Sales 7,350,000 0.001000