2021/05/26 Hinderliter de Llamas and AssociatesCERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
5/25/2021
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 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).
PRODUCER ONTACT
Woodruff Sawyer NAME: Audrey Curtis
2 Park Plaza. Suite 500 PHONs • 949.435.7345 Fvc Nn:949-A76.3118
Irvine CA 92614 E-MAIL
A DRESS: acurus Wolxiruifsa . er.com
INSURERS AFFORDING COVERAGE NAIC it
_
INSURER A: National Fire Insurance Company of Hartford 20478
INSURED HDLCOMP-01
Hinderliter de Llamas & Associates
INSURERS -, Continental Insurance Company 35289
HdL Software, LLC.
INSURERc: Continental Casualty Company 20443
120 S State College Blvd., Suite 200
INSURER D : Lloyds of London
Brea CA 92821
INSURERS: Faderal Insurance Company 20281
INSURER F,. Valley Fore Insurance.Company 20508
COVERAGES CERTIFICATE NUMBER:1557544779
REVISION NUMBER:
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
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE
THE TERMS,
BEEN REDUCED BY PAID CLAIMS.
fNSR I DDL.S BR
LTR TYPE OF INSURANCE POLICY NUMBER
POLICY EFF POLICY EXP
(MMIDONYYYI IMM1001YYYYjLIMITS
F X COMMERCIAL GENERAL LIABILITY 6056953483
5/26/2021 5/26/2022 EACH OCCURRENCE S 1,000,000
CLAIMS -MADE OCCUR
TG PREMISES Ee ptturrence $ 1,000,000
MED EXP (Any oneperson) $ 15,000
PERSONAL & ADV INJURY $1,000,00D
GEN'L AGGREGATE LIMIT APPLIES PER:
X
Jai
GENERAL AGGREGATE S 2,000,000
POLICY LOC
PRODUCTS -COMP/OP AGG $2.000,000
OTHER:
A AUTOMOBILE LIABILITY 6056953466
5/26/2021 5/26/2022 SINGLE LIM $ 1,000,000
X ANY AUTO
BODILY INJURY (Per person) $
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident) $
X HIRED Ix NON -OWNED
ONLY AUTOS ONLY
PROPER DAMAGEAUTOS $
per axldenl
B X UMBRELLA LIAB X OCCUR 6056953502
5/26/2021 5/26/2022 EACH OCCURRENCE S5,000,000
EXCESS LIAB CLAIMS -MADE
AGGREGATE $ 5,000.000
I
DE7 X RETENTIONS
$
B WORKERS COMPENSATION 6056953497
B AND EMPLOYERS' LIABILITY
5/26/2021 5/26/2022 X f p�
STATIn ERH
YIN 6056677063
ANYPROPRIETOR/PARTNER/EXECUTIVE
5/26/2021 5/26/2022
OFFICER/MEMBER EXCLUDED? ❑ IN/ A
E.LEACHACCIDENT $1,000,000
(Mandatory in under
I f yes, de sGlhe undaf
E.L. DISEASE - EA EMPLOYEE $ 1,000.000
DESCRIPTION OF OPERATIONS below
E-L. DISEASE - POLICY LIMIT S 1,000,000
D Professional Liability/Claim Made MPL1007921
C CyherLiability
5/26/2021 5/26/2022 Each Claim/Aggregate $2,000,000
1
E Crime 6078657761
5/26/2021 5/26/2022 CyberLimit $2,000,000
82556901
5/26/2021 jl 5/26/2022 Crime Limit $1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
A notice of cancellation applies with respect to General Liability per attached forms.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Menifee ACCORDANCE WITH THE POLICY PROVISIONS.
29714 Haun Road
Menifee CA 92586 AUTHORIZED REPRESENTATIVE
C 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
CNACNA Paramount
Changes - Notice of Cancellation or Material
Restriction Endorsement
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
EMPLOYEE BENEFITS LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
RAILROAD PROTECTIVE LIABILITY COVERAGE PART
STOP GAP LIABILITY COVERAGE PART
TECHNOLOGY ERRORS AND OMISSIONS LIABILITY COVERAGE PART
SPECIAL PROTECTIVE AND HIGHWAY LIABILITY POLICY — NEW YORK DEPARTMENT OF TRANSPORTATION
SCHEDULE
Number of days notice (other than for nonpayment of premium):
Number of days notice for nonpayment of premium:
Name of person or organization to whom notice will be sent:
Address:
30 Days
10 Days
City of Menifee
29714 Haun Road
I0enifee, CA 92586
no entry appears above, the number of days notice for nonpayment of premium will be 10 days.
It is understood and agreed that in the event of cancellation or any material restrictions in coverage during the policy
period, the Insurer also agrees to mail prior written notice of cancellation or material restriction to the person or
organization listed in the above Schedule. Such notice will be sent prior to such cancellation in the manner prescribed in
the above Schedule.
All other terms and conditions of the Policy remain unchanged.
This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes
effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below,
and expires concurrently with said Policy.
CNA74702XX (1-15)
Page 1 of 1
CNA
Insured Name: HDL Companies
Policy NO: 6056953483
Endorsement No: TBD
Effective Date: 5/25/2021
Copyright CNA All Rights Reserved.