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�4-216-Z97
<br />ACOKO CERTIFICATE OF LIABILITY INSURANCE
<br />`�
<br />OwTe�'
<br />11/21/22017017
<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(les) 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 endorsement(s).
<br />PRODUCER
<br />Woodruff -Sawyer& Co.
<br />2 Park Plaza, Suite 500
<br />Irvine CA 92614
<br />CONT Sergio Nilchian
<br />PHONE 949.435.7358 FAX No,, 949.476.3118
<br />a)
<br />EMAIL ,snilchian@wsandco.com
<br />B
<br />INSURERS AFFORDING COVERAGE NAIC#
<br />INSURERA:TWIn City Fire Insurance Company 29459
<br />INSURED HDLCOMP-01
<br />INSURER e:National Fire Insurance Company of Hartford 20478
<br />Hinderliter de Llamas & Associates
<br />HdL Software, LLC.
<br />INSURER c:Continental Insurance Company 35289
<br />DAMAGE TO RENTED
<br />PREMISES urrence $1000,000
<br />1340 Valley Vista Dr # 200
<br />INSURER D:
<br />INSURER E:
<br />Diamond Bar CA 91765
<br />INSURER F
<br />COVERAGES CERTIFICATE NIIMRPM. 1421412735 cEV!S!C a 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 />MISR
<br />LTR
<br />TYPE OF INSURANCE
<br />IN
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDD
<br />POLICY EXP
<br />MMIDD/YYYY
<br />LIMITS
<br />B
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE X�OCCUR
<br />Y
<br />6056953483
<br />11/15/2017
<br />5/26/2019
<br />EACH OCCURRENCE $1,000,000
<br />DAMAGE TO RENTED
<br />PREMISES urrence $1000,000
<br />MED EXP (Any oneperson) $15,000
<br />PERSONAL &ADV INJURY $1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />X PR-
<br />POLICY ❑JECT LOC
<br />GENERAL AGGREGATE $2,000,000
<br />PRODUCTS - COMP/OPAGG $2,000,000
<br />$
<br />OTHER:
<br />8
<br />AUTOMOBILE
<br />LIABILITY
<br />6056953466
<br />11/15/2017
<br />5/26/2019Ea
<br />I $1,000,000
<br />1,000,000
<br />BODILY INJURY (Per person) $
<br />X
<br />ANY AUTO
<br />DUNNED SCHEDULED
<br />AUTOS ONLY
<br />BODILY INJURY (Per accident) $
<br />HIRED NON N
<br />NO
<br />ON -
<br />AUTOS ONLY AUTOSS ONLLYY
<br />PERTV $
<br />DAMAGE
<br />Peraccldenl
<br />$
<br />B
<br />X
<br />UMBRELALIAB
<br />X
<br />OCCUR;
<br />6056953502
<br />11/15/2017
<br />5/26/2019
<br />EACH OCCURRENCE $3,000,000
<br />AGGREGATE $3,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED I X I RETENTION $10,000
<br />1 $
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y I N
<br />6056953497
<br />11/15/2017
<br />17/75/2078
<br />X PTATUT ETH
<br />E.L. EACHACCIDENT $1,000,000
<br />OFFICER/MEMBER EXCLUORIE
<br />ANVPROPRIETORIPARTNDED? CUTIVE F—]
<br />MIA
<br />E.L. DISEASE - EA EMPLOYEd $1,000,000
<br />(Mandatory In NN)
<br />IfY deacdbe under
<br />DESCRIPTION OF OPERATIONS be.
<br />E.L. DISEASE -POLICY LIMIT 1 $1,000,000
<br />A
<br />Professional Liability
<br />Claims Made Form
<br />Retroactive Date 2/15/03
<br />T
<br />72PGO246728
<br />11/15/2017
<br />5/26/2019
<br />Each Claim $1,000,000
<br />Aggregate $2,000,000
<br />Deductible $25,000
<br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be anached if more space is required)
<br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as additional insured. Pri a7an
<br />non-contributory to the General Liability. 5—
<br />A —✓I
<br />e y.
<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 />i
<br />©1988-2015 ACORD
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
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