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HomeMy WebLinkAboutHinderliter de Llams & AssociatesAC®RIY CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 5/27/2020 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 AudreyCurtis PHONE FAx A/C No Ext: 949.435.7345 aC Ne:949.476.3118 A DRIESS: acurtis@woodruffsawyer.com INSURERS AFFORDING COVERAGE NAIC # A INSURER A: National Fire Insurance Company of Hartford 20478 Y INSURED HDLCOMP-01 Hinderliter de Llamas & Associates INSURER B: Continental Insurance Company 35289 INSURER C: Continental Casualty Company 20443 HdL Software, LLC. INSURER D: Lloyds of London 120 S State College Blvd., Suite 200 Brea CA 92821 INSURER E: Federal Insurance Company 20281 INSURER F: t,V VCKAU t.7 CERT IFIGAIE NUMBER: 1221401862 RFVICInM NIIMUF00 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 I TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD Y1 LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR Y 6056953483 5/26/2020 5/26/2021 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 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: X PRO- POLICY JECT LOC GENERAL AGGR EGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: I A AUTOMOBILE LIABILITY 6056953466 5/26/2020 5/26/2021 Ee aBcideDtSINGLE LIMIT $ 1,000,000 AUTO BODILY INJURY (Per person) $ IxANY OWNED SCHEDULEDBODILY ONLY AUTOS INJURYAUTOS (Per accident) $ -DAMAGE HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY Per accident $ B X UMBRELLA LIAB IX OCCUR 6056953502 5/26/2020 5/26/2021 EACH OCCURRENCE $ 3,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 3,000,000 DED I X I RETENTION $ $ B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? NIA 6056953497 6056677063 5/26/2020 5/26/2020 5/26/2021 5/26/2021 XPER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below D C E Professional Liability/Claim Made Cyber Liability Crime MPL1007920 6078657761 82556901 5/26/2020 5!26/2020 5/26/2020 5/26/2021 5/26/2021 5/26/2021 Each Claim/Aggregate $2,000,000 Cyber Limit $2,000,000 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) 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. CERTIFICATE HOLDER CnNrl=l I ATInN ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Los Altos Hills, its elective and appointed officers, employees and volunteers THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 26379 Fremont Blvd Los Altos Hills CA 94022 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CNA Paramount CN- A 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: 26379 Fremont Blvd Address: 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. CNA74702XX (1-15) Page 1 of 1 CNA Insured Name: HDL Companies Copyright CNA All Rights Reserved. Policy No: 6056953483 Endorsement No: TBD Effective Date: 5/27/2020 CNACNA 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 Inlurruation 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: 5/27/2020 Includes copyrighted material of Insurance Services Office, Inc., with its permission. WOODRUFF SAWYER & COMPANY 50 CALIFORNIA ST FL 12 SAN FRANCISCO CA 94111-4646 TOWN OF LOS ALTOS HILLS ITS ELECTIVE AND APPOINT EMPLOYEES AND VOLUNTEERS 26399 W FREMONT RD LOS ALTOS HILLS CA 94022-2624