2022/09/30 HHS Construction, LLC (3)08t31t2022
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.
NE
PROOUCEE LocktonCompenies
444 W. 47th Street. S'rite 900
Kansas CiV MO 64112-1906
(816)960-9000
kctsu@lockton.com
tNsuRERA I Hartford Fire lnsurance company 19682
rNsuRER B: Hartford Casualty lnsurance Company 29424
INSURER C
INSURER D
lNsuRED HHS coNSTRUcIoN, LLc
'1451971 2042 s. GROVE AVE.
oNTAR|O CA 91761
,A(-()Rn"CERTIFICATE OF LIABILITY INSURANCE
TIFICATE NUMBER: 166 254
9t30t2023
REVISION NUMBER: XXXXXXX
ee ments
@ 1988-2015 CORD CORPORATION. All rights reserved
c RTIFICA H NC
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
PERIOD INDICATED NOTW|TIISTANOING ANY REOUIREMENT. TERM OR CONDITION OF ANY CONIRACT OR OTHER DOCUMENT WITH RESPECT TO
WHICH THIS CERTIFICATE MAY BE ISSUEO OR MAY PERTAIN, THE INSURANCE AFFORDED BY TI]E POLICIES DESCRIBED I]EREIN IS SUBJECT TO
AIL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSD SUBF
EACH OCCURRENCE $ 1.000.000
OAMAGE TO REN'TED $ 300 000
MEo EXP lAnY one o€rcon)s 10,000
PERSONAL & AOV INJURY 5 1.000 000
GENERAL AGG REGATE s 2,000,000
PRODUCTS, COMP/OP AGG $ 2.000.000
COMMERCIAL GENERAL LIABILTY
L AGGREGATE LIMI-TAPPLIES PER
X
X
X
CLAIMS-MAOE
OTI.lER
JECT
Y N
37 ECSOL5825 09t30t2422 09t30t202?
s
COMBINED SINGLE LIMIT $ $1.000,000
SOD|LY INJURY (Pd p.6on)$ XXXXXXX
BODILY INJURY (Per.ccrdent)$ XXXXXXX
$ XXXXXXX
AUTOMOBILE LIABILIIY
OWNEOAUTOS ONLY
HIRED
SCHEOULEOAUTOSNON-O!/NEOX
X
X
X
Y N
37 UENOL5831 09t30t2022 0s/30i2023
$ XXXXXXX
X EACH OCCIJRRENCE , 10,000,000UMBRELLA LIAB
EXCESS LIAB
X
$ 10,000,000
B
DED X RETENTION I1O OOO
N N
37XHUOL5832 a9t3at2a22 a9t3at2a23
S
E L DISEASE. EA EMPLOYEE $ xxxxxxx
woRxERs corPEtls^troAND EXPLOYERS' LTABLI'Y
E L OISEASE. POLICY LIM T $ XXXXXXX
OESCRIPT|oN OF OPERATIOiIS / LOCAIIONS / VEHICIES {ACORD 101, AddltoDl Rm.*. Sch.dul., m.y b..tach.d It moE.prc.lr FquiEd)
CITY OF MENIFEE, IiS COUNCILMEMBERS OFFICERS, AGENTS AND EMPLOYEES ARE ABDITIONAL INSUREO AS RESPECTS TO GENERAL AND AUTOMOBILE
LIABILIry ON A PRIMARY NONCONTRIBUTORY BASIS AS REOUIRED BY WRITTEN CONTFIACT COVERAGE IS SUEJECT TO THE TERMS AND CONDITIONS OF
THE POLICY
SHOULD ANY OF IHE ABOVE DESCRIAEO POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, r'lOTlCE wlLL BE DELIVEREO lN
ACCORDANCE IVITH THE POLICY PROVISIONS,
AUTHORIZED REPRESENTATIVE
//*Z
ACORO 25 (2016/03)
The ACORO name and logo are registered marks of ACORD
IMPORTAiIT: lf rhe certificate holder i3 an AODITIONAL INSUREO, tho policy(ie3) must hav€ ADDITIONAL INSURED provirion! or bo 6ndorsed. lf
SUBROGATION lS WAIVED, 3ubject to th6 terms and conditionB of lhe policy, certain policic! may .6quire .n enclorssmsnt. A ltatement on this
certific.te does not confer right! to the certilicate holder in lieu ot auch ondoB6m6nt(3).
I
s XXXXXXXNOT APPLICAELE
16663254
CITY OF MENIFEE
DEPARTMENT OF FINANCE
29714 HAUN ROAD
MANIFEE CA 92586 f/--
Attachment Code : D555319 Certiflcate lD : 16663254
POLICY NUMBER: 37 UENOL5831
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOTICE OF CANCELLATION TO CERTIFICATE
HOLDER(S)
This policy is subject to the following additional Conditions
A. lf this policy is cancelled by the Company, other than for nonpayment of premium, notice of such cancellation
will be provided at least thidy (30) days in ad\ance of the cancellation effecti\€ date to the certifcate holde(s)
with mailing addresses on fle with the agent of record of the Company.
B. lf this policy is cancelled by the Company for nonpayment of premium, or by the insured, notice of such
cancellation will be pro\,ided within (10) days of the cancellation effecti\e date to the certificate holde(s) with
mailing addresses on file with the agent of record or the Company.
lf notice is mailed, proof of mailing to the last known mailing address of the certificate holde(s) on file with the
agent of record or the Company will be suffcient proof of notice.
Any notification rights pro\,ided by this endorsement apply only to the acti\,e certificate holde(s)who were issued
a certificate of insurance applicable to this policy's term.
Failure to prolide such notice to the ce(ificate holder(s) will not amend or extend the date the cancellation
becomes effecti\e, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of
any kind upon the Company or its agents or representati\€s.
Form lH 03 13 06'l'l
Attachment Code : D555319 Certificate lD : 16663254
Attachment Code : D558764 Certificate lD : 16663254
POIICY NUMBER: 37 ECSOL5825
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Itris policy is subject to the following additional Conditions
A. tf this policy is cancelled by the Company, other than for nonpayment of premium, notice of such cancellation will
be pro\,ided at least thirty (30) days in ad\ance of the cancellation efiecti\e date to the certiicate holder(s) with mailing
addresses on file with the agent of record of the Company.
B. tf this policy is cancelled by the Company for nonpayment of premium, or by the insured, notice of such
cancellation will be provded within (10) days ofthe cancellation effecti\€ date to the certificate holde(s)with maiting
addresses on file with the agent of record or the Company.
lf notice is mailed, proof of mailing to the last known mailing address of the certificate holde(s) on file with the agent
of record or the Company will be suffcient proof of notice.
Any notification rights provided by this endorsement apply only to the acti\e certificate holde(s) who were issued a
certificate of insurance applicable to this policy's term.
Failure to pro\,ide such notice to the certificate holder(s)will not amend or extend the date the cancellation becomes
effecti\e, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon
the Company or its agents or representati\es.
Form lH 03 13 06 11
NOTICE OF CANCELLATTON TO CERTTFTCATE HOLDER(S)
.AC()Ri7.CERTIFICATE OF LIABILITY INSURANCE 08t31t2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BOLDER, THIS
CERTIFICATE OOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEIIO 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, AT{D THE CERTIFICATE HOLOER.
IMPORTANT: lf the ce.tific.t6 hold6r i3 an ADDITIONAL INSURED, th6 policy(iss) must have ADOITIONAL INSUREO provilion! or be 6ndors6d. lf
SUBROGATION lS WAIVED, subject to ths terms and condiiion! of the policy, ce(ain polici.r may .equire .n endoGement. A Btatement on this
certificate does not confor .ight! to tho cenficate holder in lieu olsuch endorsement(s).
INSURER(SI AFFORDING COVERAGE
tNsuRER A: Harlford Fare lnsorance Company 19682
INSUREO HHs coNSTRUcTIoN, LLc
1451971 2042 S. GROVE AVE.
ONTARIO CA 91761
rNsuRER B: Hartford Casually lnsurance Company 29424
INSURER E :
9t30t2023
COVERAGES CERTIFICATE NUMBER:REVIS N MBE R
men s
o 1988-2015 CORD CORPORATION. All .ights resewed
CERTIFICATE HOLDER CANCELLATION
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO ABOVE FOR THE POLICY
PERIOD INDICATED, NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO
WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO
AI I TI]E TERI\'S EXCI TISIONS AND CONOITIONS OF SI]CH POI ICIFS LIMITS SHOWN MAY HAVF BFEN REDt]CFD BY PAID CI AIMS
SUBRrNso
EACH OCCIJRRENCE $ 1,000,000
PRFMISFS rFe...rtr.n..l $ 300.000
MED ExP (Anv one oe6o.)$ 10.000
PERSONAL 8 AOV IN.JURY r 1.000.000
GENFRAI AGGRFGAIF $ 2.000.000
PRODI]CTS, COMP/OP AGG s 2 000 000
Y N
09t3012422 o9t30t2023COMMERCIAL GENERAL LIABILITY
GEN'L AGGREGATE LIM TAPPLIES PER
X
X
X
JECT L ]
CLAII\iS-lrrADE
LOC
OTHER
37 ECSOL5825
s
INED SINGLE LIM $ $1,000,000
BODILY lN.lURY (Per pe6on)5 XXXXXXX
BODILY INJURY (Per accdenll 5 XXXXXXX
S XXXXXXX
AUTOilloBILE LIAAILITY
o!4NEO
AUTOS ONLYHIREDAUTOS ONLY
SCHEDULED
NON.OWNEO
X
X
x X
Y N
37 UENOL5831 49t30t2022 0s/30/2023
S XXXXXXX
x EACI] OCCURRENCE s 10,000,000UiIBREILA LIAB
EXCESS LIAB
x
AGGREGATE s 10.000,000
B
DED X
N N
37XHUOL5832 09t3412422 4913012423
S XXXXXXX
E L O]SEISE- EA EMPIOYEE $ XXXXXXX
woixERs cofPENsaltotl
ANO E PLOYERS' LIABIIITY
^NY
PROPRETOMNINERTErcCfi Nt NOT APPLICABLE
$ XXXXXXX
OESCRTPITON OF OPERATIoNS / LOCATIONS /VEHICLES (ACORO lOl,Addltloul R.nl.lo Sch.dule, h.y b..tt!ch.d lrmoE.p.@ l. EquiEd)
CITY OF MENIFEE, ITS COUNCILMEMBERS OFFICERS, AGENTS AND EMPLOYEES ARE ADDITIONAL INSURED AS RESPECTS TO GENERAL AND AUIOMOBILE
LIAEILITY ON A PRIMARY NONCONTRIBUTORY BASIS AS REOUIRED BY WRITTEN CONTRACT COVERAGE IS SUBJECT TO THE TERMS AND CONDITIONS OF
THE POLICY
SHOULO ANY OF IHE ABOVE DESCRIBED POLICIE5 BE CANCELLEO BEFORETHE EXPIRAIION DATE THEREOF. NOTICE wlLL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
AUTHORIZED REPRESENTATIVE
4?*e^*'l r-1
't6563254
CITY OF MENIFEE
DEPARTI'ENT OF FINANCE
29714 HAUN ROAD
MANIFEE CA S2586
ACORD 25 (2016/03)
The ACORD name and logo are registered marks of ACORD
PRooucEn Locktoiiompanies
444 W 47th Street. Suite 900
Kansas City MO 64112-1906
(816) 960-9000
kctsu@lockton.com
l
I
IRETENToN s 10 000 I
Attachment Code : D555319 Certiflcate lD : 16663254
POLICY NUMBER: 37 UENOL5831
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOTICE OF CANCELLATION TO CERTIFICATE
HOLDER(S)
This policy is subject to the bllowing additional Conditions
A. lf this policy is cancelled by the Company, other than br nonpayment of premium, notice of such cancellation
will be provided at least thirty (30) days in ad\6nce of lhe cancellation effecti\e date to the certificate holde(s)
with mailing addresses on fle with the agent of record ofthe Company.
B. lf this policy is cancelled by the Company for nonpayment of premium, or by the insured, notice of such
cancellation will be provded within (10) days oflhe cancellation effecti\€ date to the certifcate holde(s) with
mailing addresses on fle with the agent of record or the Company.
lf notice is mailed, proof of mailing to the last known mailing address of the certificate holde(s) on file with the
agent of record or the Company will be suffcient proof of notice.
Any notification rights provided by this endorsement apply only to the acti\,e certificate holder(s)who were issued
a certificate of insurance applicable to this policy's term.
Failure to pro\,ide such notice to the certificate holder(s)will not amend or extend the date the cancellation
becomes efiecli\e, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of
any kind upon the Company or its agents or representati\es.
Form lH 03 13 06 11
Attachment Code : D555319 Certiflcate lD : 16663254
Attachment Code: D558764 Certiflcate lD: 16663254
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOTTGE OF CANCELLATTON TO CERTTFTCATE HOLDER(S)
'lhis policy is subject to the following additional Conditions
A. lf this policy is cancelled by the Company, other than for nonpayment of premium, notice of such cancellation wjll
be provded at least thirty (30) days in ad\ance of the cancellation efiecti\€ date to the certificate holder(s) with mailing
addresses on file with the agent of record of the Company.
B. lf this policy is cancelled by the Company for nonpayment of premium, or by the insured, notice of such
cancellation will be provided within (10) days ofthe cancellation effecti\e date to the certificate holde(s) with mailing
addresses on file with the agent of record or the Company.
lf notice is mailed, proof of mailing to the last known mailing address of the certificate holde(s) on file with the agent
of record or the Company will be suffcient proof of notice.
Any notification rights provded by this endorsement apply only to the acti\e certificate holder(s)lvho were issued a
certificate of insurance applicable to this policy's term.
Failure to pro\,ide such notice to the certificate holde(s)will not amend or extend the date the cancellation becomes
effecti\,e, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon
the Company or its agenls or representati\es.
Form lH 03 13 06'11
POLICY NUMBER: 37 ECSOL5825