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HF&HC-1
<br />OP ID: YO
<br />ACORO CERTIFICATE OF LIABILITY INSURANCE
<br />DATE 1
<br />09/04/201804I2018
<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(ies) 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 925-210-1717
<br />Diablo Valley Insurance Agency
<br />801 Ygnacio Valley Rd, Ste 100
<br />Walnut Creek, CA 94596
<br />Joshua Young
<br />CONTACT Joshua Young
<br />PHONE 925-210-1717 FAX 925-210-1818
<br />(A/C, No, Ext): (A/C, No):
<br />at oRlEss:josh@diablovalleyinsurance.com
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A: Sentinel Insurance Company
<br />�11000
<br />INSURED HF&H Consultants, Inc.
<br />201 N Civic Dr Ste 230
<br />Walnut Creek, CA 94596
<br />INSURER B : Citizen Insurance Co of Amer
<br />Houston Casualty Company 42374
<br />INSURERC: Y P Y
<br />INSURER D :
<br />INSURER E :
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: REVISION 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 />INSR
<br />TYPE OF INSURANCE
<br />DDL
<br />NSD
<br />UBR
<br />POLICY NUMBER
<br />POLICY EFFDDIYYYYI
<br />POLICY EXP
<br />LIMITS
<br />B
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE FxI OCCUR
<br />Y
<br />OBFD68147600
<br />09/06/2018
<br />09/06/2019
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />DAMAGE TO
<br />RENTED orcurren(Eace
<br />$ 1,000,000
<br />-PREMISESMED EXP (Any oneperson)
<br />$ 10,000
<br />PERSONAL & ADV INJURY
<br />$ 2,000,000
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY PEf LOC
<br />GENERAL AGGREGATE
<br />$ 4,000,000
<br />GEN'L
<br />X
<br />PRODUCTS - COMP/OP AGG
<br />$ 4,000,000
<br />OTHER:
<br />B
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />2,000,000
<br />$
<br />BODILY INJURY Perperson)
<br />$
<br />ANY AUTO
<br />OBFD68147600
<br />09/06/2018
<br />09/0612019
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY Per accident
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />X HIRED X NON -AWNED
<br />AUTOS ONLY AUTOS ONLY
<br />B
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />3,000,000
<br />$
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />OBFD68147600
<br />09/06/2018109/0612019
<br />AGGREGATE
<br />$ 3,000,000
<br />DED ' X I RETENTION$ 10,000
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />YIN
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICEMEn BE D? EXCLUDE
<br />(Mandatory )
<br />NIA
<br />57WECZR5765
<br />09/06/2018
<br />09106/2019
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />1,000,000
<br />$
<br />E.L. DISEASE - EA EMPLOYE
<br />1 000,000
<br />$
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1 000 000
<br />C
<br />Professional Liab
<br />H718-112167
<br />09/06/201810910612019
<br />Limit
<br />2,000,000
<br />Reto Date:08/1/89
<br />Retention
<br />10,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />The City of Santa Ana= its officers, employees, agents, volunteers and
<br />respresentatives are listed as additional Insured on the General Liability
<br />with respect to services provided by the Named Insured. Coverage is Primary
<br />& Non -Contributory. 30 day written notice and 10 day notice of cancellation
<br />applies if cancelled for non-payment of premium.
<br />y -
<br />REVIEWED BY: EUNICE HEREDIA (PG P OFC )
<br />CITYSA3
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<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 />AUTHORIZED REPRESENTATIVE
<br />000,
<br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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