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A-2016-297-01 ;ERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM/DDIYYYY)
<br />11/9/2018
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
<br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endrrsen,anr/CI
<br />PRODUCER CONTACT
<br />Woodruff Sawyer NAME: Sergio Nilchian
<br />PHONE
<br />2 Park Plaza, Suite 500 A c , I, 949.435.73e
<br />Irvine CA 92614 M occcclPh . nilchianwn
<br />INSURED
<br />Hinderliter de Llamas & Associates
<br />HdL Software, LLC.
<br />120 S State College Blvd., Suite 200
<br />Brea CA 92821
<br />COVERAGES CERTIFICATE NUMBER•518310321 REVISIO
<br />N NUMBER.
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />I TYPE OF INSURANCE
<br />ADDL
<br />SU ft
<br />POUCYNUMBER
<br />MMOD YYFYFY
<br />MOIL IEYXYY
<br />LIMITS
<br />B
<br />X
<br />I COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE M OCCUR
<br />Y
<br />6056953483
<br />11/15/2017
<br />5/26/2019
<br />EACH OCCURRENCE
<br />$1,000,000
<br />DAMAGE T -D
<br />PREMISES Ea occurrence
<br />$1,000,000
<br />MED EXP (Any one pel
<br />$15,000
<br />PERSONAL & ADV INJURY
<br />$ 1,000,000
<br />GEN'L
<br />X
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY ❑ PRO- ❑
<br />JECT LOG
<br />GENERAL AGGREGATE
<br />$2,000,000
<br />PRODUCTS - COMP/OP AGO
<br />$2,000,000
<br />OTHER:
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />6056953466
<br />11/15/2017
<br />5/26/2019
<br />SINGLE LIMIT
<br />$1,000,000
<br />X
<br />URY (Per person)
<br />$
<br />INJURY accident)
<br />$
<br />DAMAGE
<br />Mancident)
<br />Pert
<br />$
<br />B
<br />C
<br />X
<br />UMBRELLA LIAB
<br />EXCESSLIAB
<br />X
<br />OCCUR
<br />CLAIMS-MADEE
<br />N/A
<br />6056953502
<br />6056953497
<br />11/15/2017
<br />11/15/2015/26/2119
<br />5/26/2019
<br />URRENCE
<br />$3,000,000
<br />$3,000,000
<br />DED X RETENTION $ in nnn
<br />WORKERSCOMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICERWEMBER EXCLUDED? ❑
<br />X STATUTE �RH
<br />$
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />(Mandatory In NH)
<br />If yes, describe under
<br />E.L. DISEASE - EA EMPLOYEE
<br />$1,000,000
<br />E. L, DISEASE - POLICY LIMIT
<br />$1,000.000
<br />DESCRIPTION OF OPERATIONS below
<br />A
<br />Professional Liability/Claim Made
<br />Date 2/15/03$2,000,000
<br />72PGO246728
<br />:11/15:/201715/26/2019
<br />Each ClaimRetroactive
<br />Aggregate
<br />Deductible
<br />25,000,000
<br />25,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
<br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as additional insured. PrirptB an non-contributory to the
<br />General Liability.�(q, '7Mir
<br />I
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana CA 92702
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />ACORD 25 (2016103)
<br />5ACORD
<br />The ACORD name and logo are registered marks of ACORD
<br />All rin6Yc •mm�.uA
<br />
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