HomeMy WebLinkAboutHdL Software, LLCACERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDD/YYYY)
THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO
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(les) 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
Woodruff Sawyer
2 Park Plaza, Suite 500
Irvine CA 92614
CONTACT
Audre GUrtIS
PHONE
A/C No Ext : 949.435.7345 AIC No): 949.476.3118
ADDRESS: acurtis@woodruffsawyer.com
INSURERS AFFORDING COVERAGE NAIC #
LIMITS
INSURER A: National Fire Insurance Company of Hartford 20478
X COMMERCIAL GENERAL LIABILITY
INSURED HDLCOMP-01
Hinderliter de Llamas & Associates
INSURER 13: Continental Insurance Company 35289
INSURER C: Continental Casualty Company 20443
HdL Software, LLC.
120 S State College Blvd., Suite 200
Brea CA 92821
INSURER D: Lloyds of London
INSURERE: Federal Insurance Company 20281
INSURER F: Valley Fore Insurance Company 20508
--- n"vwwi• 11umoCrc:
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.
INSR
LTR
TYPE OF INSURANCE
ADDL
IN Dwyn
SUBRPOLICY
POLICY NUMBER
EFF
MM/DD/YYYY)
POLICY EXP
(MMIDONYYYI
LIMITS
F
X COMMERCIAL GENERAL LIABILITY
Y
6056953483
5/26/2021
5/26/2022
EACH OCCURRENCE $ 1,000,000
RAMAGE TO TED
CLAIMS -MADE lxl OCCUR
PREMISES Ea occurrence) $1,000,000
MED EXP (Any one person) $ 15,000
PERSONAL & ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
❑ PRO- ❑
GENERAL AGGREGATE $2,000,000
PRODUCTS - COMP/OP AGG $ 2,000,000
POLICY JECT LOC
$
OTHER:
A
AUTOMOBILE
LIABILITY
6056953466
5/26/2021
5/26/2022
Ea aBINEDtSINGLE LIMIT $ 1,000,000
X
ANY AUTO
BODILY INJURY (Per person) $
OWNED SCHEDULED
BODILY INJURY (Per accident) $
AUTOS ONLYAUTOS
X
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
$
Per accident
B
X
UMBRELLA LIAR
X
OCCUR6056953502
5/26/2021
5/26/2022
EACH OCCURRENCE $ 5,000,000
EXCESS LIAB
CLAIMS -MADE
T_
AGGREGATE $ 5,000,000
D—E DTX1 RETENTION$ j n onn
$
B
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
6056953497
5/26/2021
5/26/2022
PER OTH-
X STATUTE ER
Y / N
ANYPROPRIETOR/PARTNER/EXECUTIVE
6056677063
5/26/2021
5/26/2022
OFFICER/MEMBEREXCLUDED?
N / A
E.L. EACH ACCIDENT $ 1,000,000
Mandatory in NH)
(If yes, describe under
E.L. DISEASE - EA EMPLOYEE $1,000,000
E.L. DISEASE - POLICY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS below
D
C
Professional Liability/Claim Made
Cyber Liability$2,000,000
MPL1007921
5/26/20215/26/2022
Each Claim/Aggregate
E
Crime
6078657761
5/26/2021
5/26/2022
Cyber Limit $2,000,000
82556901
5/26/2021
5/26/2022
Crime Limit $1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
The Town of Los Altos Hills, its elective and appointed officers, employees and volunteers are included additional insured as respects to the General Liability
per attached forms.
Notice of Cancellation applies with respect to General Liability per attached forms.
Town of Los Altos Hills, its
employees and volunteers
26379 Fremont Blvd
Los Altos Hills CA 94022
ACORD 25 (2016/03)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
elective and appointed officers, I ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED
(91 !Jt11t5-ZU1 0 AGURD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
CNA CNA 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):
30 Days
Number of days notice for nonpayment of premium:
10 Days
Name of person or organization to whom notice will be sent:
Town of Les Altos Hills, its elective and appointed officers, employees and volunteers
Address:
26379 Fremont Blvd
Los Altos Hills, CA 94022
if 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.
UNA14702XX (1-15)
Page 1 of 1
CNA
Insured Name: HDL Companies
Copyright CNA All Rights Reserved.
Policy NO: 6056953483
Endorsement No: TBD
Effective Date: 5/25/2021
CNA CNA Paramount
Additional Insured - Designated Person
or Organization Endorsement
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person Or Organization: Town of Los Altos Hills, Its elective and appointed officers, employees and volunteers
26379 Fremont Blvd
Los Altos Hills, CA 94022
Information required to complete this Schedule, it not shown above, will be shown in the Declarations.
It is understood and agreed that the section entitled WHO IS AN INSURED is amended with the addition of the following:
A. The person or organization shown in the Schedule is an Insured, but only with respect to such person or
organization's liability for bodily injury, property damage or personal and advertising injury caused in whole or in
part, by: the Named Insured's acts or omissions, or the acts or omissions of those acting on the Named Insured's
behalf:
1, in the performance of the Named Insured's ongoing operations; or
2. in connection with premises owned by or rented to the Named Insured.
B. However, if coverage for the additional insured is required by written contract or written agreement, subject always to
the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional
insured with:
1. coverage broader than required by such contract or agreement; or
2. a higher limit of insurance than required by such contract or agreement.
C. The coverage granted by this endorsement does not apply to bodily injury or property damage included within the
products -completed operations hazard.
Any coverage granted by this endorsement shall apply solely to the extent permissible by law.
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.
CNA74745XX (1-15)
Pagel of 1
PoIUWCompany - CNA Paramount
Insured Name: HdL Companies
Copyright CNA All Rights Reserved
Policy No: 6056953483
Endorsement No: TBD
Effective Date: 5/25/2021
Includes copyrighted material of Insurance Services Office, Inc., with its permission.