PROOF OF INSURANCE (2008) CLOSEDACORDDATE (MM /DDIYYYY)
TM. CERTIFICATE OF LIABILITY INSURANCE 02/26/2006
PRODUCER Phone: (949) 580 -1969 Fax: 949- 580 -1963 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
PACIFIC PARTNERS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
25283 CABOT ROAD SUITE 224 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
LAGUNA HILLS CA 92653 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE I NAIC #
A enc Lic #:OC46086
INSURED
HDL COREN & CONE
1340 VALLEY VISTA DR
DIAMOND BAR CA 91765
INSURER A: THE HARTFORD
ADD' L
INSR
INSURER B: THE HARTFORD
POLICY NUMBER
INSURER C: ACE AMERICAN INSURANCE CO
POLICY EXPIRATION
DATE MMIDDIYY
INSURER D:
INSURER E:
GENERAL LIABILITY
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
ADD' L
INSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDDIYV
POLICY EXPIRATION
DATE MMIDDIYY
LIMITS
AUTHORIZE EPRESEN IVE
GENERAL LIABILITY
72SBATV5035
11/15/07
11/15/08
EACH OCCURRENCE
$ 3,000,000
DAMAGE TO RENTED
PREMISES (Ea occurence)
$ 300 000
X COMMERCIAL GENERAL LIABILITY
MED. EXP (Any one person)
$ 10,000
CLAIMS MADE FX� OCCUR
PERSONAL 8 ADV INJURY
$ 3,000,000
A
GENERAL AGGREGATE
$ 5,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS- COMP /OP AGG.
$ 5,000,000
PRO -
POLICY JECT LOC
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS / UMBRELLA LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR El CLAIMS MADE
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
72WECTZ0882
11115107
11/15108
STATU- OTHER
TO TORY LIMITS
E.L. EACH ACCIDENT
$ 2,000,000
EMPLOYERS' LIABILITY
B
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED?
E.L. DISEASE -EA EMPLOYEE
$ 2,000,000
E.L. DISEASE - POLICY LIMIT
$ 2,000,000
If yes, describe under
SPECIAL PROVISIONS below
C
OTHER: PROFESSIONAL LIABILITY
CRL136480
09/15/07
09/15108
AGGREGATE $1,000,000
OCCURRENCE $1,000,000
DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
FOR THOSE OPERATIONS USUAL TO INSURED.
10 NOTICE FOR NON - PAYMENT OF PREMIUM.
CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED IN REGARDS TO GENERAL LIABILITY PER BUSINESS LIABILITY FORM SS0008.
l.tK I Irn.A1 C n%jLUCK
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF EL SEGUNDO
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL MAIL 30 DAYS WRITTEN
350 MAIN STREET
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
EL SEGUNDO, CA. 90245
AUTHORIZE EPRESEN IVE
Attention:
�-
._....... -... n— nnn0ATrf1W 40RR
ACORD 25 (2001108) cemflGate * ioyc
SPECTRUM POLICY DECLARAT NS (Continued)
POLICY NUMBER: 72 SBA TV5035
Form Numbers of Forms and Endorsements that apply:
SS 00 01 04 93
SS 00 45 12 06
SS 04 19 07 05
SS 04 41 07 05
SS 04 46 07 05
SS 04 86 03 00
SS 41 12 09 05
SS 00 05 12 06
SS 84 32 04 06
SS 04 30 07 05
SS 04 42 07 05
SS 04 47 07 05
SS 40 05 07 05
IH 10 01 09 86
SS 00 07 07 05
SS 01 21 08 97
SS 04 38 06 01
SS 04 44 07 05
SS 04 78 07 05
SS 40 18 07 05
SS 05 47 09 01
SS 00 08 04 0
SS 04 15 07 05
SS 04 39 07 05
SS 04 45 07 05
SS 04 80 03 00
SS 40 93 07 05
SS 38 25 09 05
Form SS 00 02 12 06 Page 006
Process Date: 11/21/07 Policy Expiration Date: 11/15/08
(6) When You Are Added As An
Additional Insured To Other
Insurance
That is other insurance available to
you covering liability for damages
arising out of the premises or
operations, or products and completed
operations, for which you have been
added as an additional insured by that
insurance; or
(7) When You Add Others As An
Additional Insured To This
Insurance
That is other insurance available to an
additional insured.
However, the following provisions
apply to other insurance available to
any person or organization who is an
additional insured under this Coverage
Part:
(a) Primary Insurance When
Required By Contract
This insurance is primary if you
have agreed in a written contract.
niritten agreement cr permit that
this nsumnce `Je primary. If other
insurance is also primary, we will
share with all that other insurance
by the method described in c.
below.
(b) Primary And Non - Contributory
To Other Insurance When
Required By Contract
If you have agreed in a written
contract, written agreement or
permit that this insurance is
primary and non - contributory with
the additional insured's own
insurance, this insurance is
primary and we will not seek
contribution from that other
insurance.
Paragraphs (a) and (b) do not apply to
other insurance to which the additional
insured has been added as an
additional insured.
When this insurance is excess, we will
have no duty under this Coverage Part to
defend the insured against any "suit" if any
other insurer has a duty to defend the
insured against that "suit ". If no other
insurer defends, we will undertake to do
so, but we will be entitled to the insured's
rights against all those other insurers.
Form SS 00 08 04 05
BUSINESS LIABILITY COVERAGE FORM
When this insurance is excess over other
insurance, we will pay only our share of
the amount of the loss, if any, that
exceeds the sum of.
(1) The total amount that all such other
insurance would pay for the loss in the
absence of this insurance; and
(2) The total of all deductible and self -
insured amounts under all that other
insurance.
We will share the remaining loss, if any, with
any other insurance that is not described in
this Excess Insurance provision and was not
bought specifically to apply in excess of the
Limits of Insurance shown in the
Declarations of this Coverage Part.
c. Method Of Sharing
If all the other insurance permits
contribution by equal shares. we will follow
this method also. Under this approach,
each insurer contributes equal amounts
until it has paid its applicable limit of
insurance or none of the loss remains,
whichever comes first.
If any of the ether insurance :Ices ,ct cer~7i
Contribution �_v 'yUcl shares, we "N'
contribute Cy Iii-nits. under this I„ethco. each
insurer's share is based on the ratio of its
applicable limit of insurance to the total
applicable limits of insurance of all insurers.
8. Transfer Of Rights Of Recovery Against
Others To Us
a. Transfer Of Rights Of Recovery
If the insured has rights to recover all or
part of any payment, including
Supplementary Payments, we have made
under this Coverage Part, those rights are
transferred to us. The insured must do
nothing after loss to impair them. At our
request, the insured will bring "suit" or
transfer those rights to us and help us
enforce them. This condition does not
apply to Medical Expenses Coverage.
b. Waiver Of Rights Of Recovery (Waiver
Of Subrogation)
If the insured has waived any rights of
recovery against any person or
organization for all or part of any payment,
including Supplementary Payments, we
have made under this Coverage Part, we
also waive that right, provided the insured
waived their rights of recovery against
such person or organization in a contract,
agreement or permit that was executed
prior to the injury or damage.
;► Page 17 of 24
r�
BUSINESS LIABILITY COVERAGE FORM
F. OPTIONAL ADDITIONAL INSURED
3. Additional Insured - Grantor Of Franchise
COVERAGES
4.10 IS AN INSURED under Section C. is
amended to include as an additional insured
If listed or shown as applicable in the Declarations,
the person(s) or organization(s) shown in the
one or more of the following Optional Additional
Declarations as an Additional Insured -
Insured Coverages also apply. When any of these
Grantor Of Franchise, but only with respect to
Optional Additional Insured Coverages apply,
their liability as grantor of franchise to you.
Paragraph 6. (Additional Insureds When Required
by Written Contract, Written Agreement or Permit)
4. Additional Insured - Lessor Of Leased
of Section C., Who Is An Insured, does not apply
Equipment
to the person or organization shown in the
a. WHO IS AN INSURED under Section C. is
Declarations. These coverages are subject to the
amended to include as an additional
terms and conditions applicable to Business
insured the person(s) or organization(s)
Liability Coverage in this policy, except as
sho -wn in the Declarations as an Additional
provided below:
Insured — Lessor of Leased Equipment.
1. Additional Insured - Designated Person Or
but only with respect to liability for "bodily
Organization
injury ", "property damage" or "personal
C. is
and advertising injury" caused, in whole or
WHO IS AN INSURED under Section
in part, by your maintenance, operation or
amended to include as an additional insured
use of equipment leased to you by such
the person(s) or organization(s) shown in the
person(s) or organization(s).
Declarations, but only.with respect to liability
for "bodily injury", "property damage" or
b. With respect to the insurance afforded to
"personal and advertising injury" caused, in
these additional insureds, this insurance
whole or in part, by your acts or omissions or
does not apply to any "occurrence" which
the acts or omissions of those acting on your
takes place after you cease to lease that
behalf:
equipment.
a. In the cerormance of /cur ,nccinc
5. Additionai insured - Owners Or Other
operations; or
Interests From Whom Land Has Been
b. In connection with your premises owned
Leased
by or rented to you.
a. WHO IS AN INSURED under Section C. is
2. Additional Insured - Managers Or Lessors
amended to include as an additional
insured the person(s) or organization(s)
Of Premises
shown in the Declarations as an Additional
a. WHO IS AN INSURED under Section C. is
Insured — Owners Or Other Interests From
amended to include as an additional insured
Whom Land Has Been Leased, but only
the person(s) or organization(s) shown in the
with respect to liability arising out of the
Declarations as an Additional Insured -
ownership, maintenance or use of that part
Designated Person Or Organization; but only
of the land leased to you and shown in the
with respect to liability arising out of the
Declarations.
ownership, maintenance or use of that part of
b. With respect to the insurance afforded to
the premises leased to you and shown in the
these additional insureds, the following
Declarations.
additional exclusions apply:
b. With respect to the insurance afforded to
This insurance does not apply to:
these additional insureds, the following
additional exclusions apply:
(1) Any "occurrence" that takes place
after you cease to lease that land; or
This insurance does not apply to:
(1) Any "occurrence" which takes place
(2) Structural alterations, new
construction or demolition operations
after you cease to be a tenant in that
performed by or on behalf of such
premises; or
person or organization.
(2) Structural alterations, new
6. Additional Insured - State Or Political
construction or demolition operations
Subdivision — Permits
performed by or on behalf of such
person or organization.
a. WHO IS AN INSURED under Section C. is
amended to include as an additional
insured the state or political subdivision
shown in the Declarations as an Additional
P'
Page 18 of 24 Form SS 00 08 04 05
BUSINESS LIABILITY COVERAGE FORM
Insured — State Or Political Subdivision -
(e) Any failure to make such
Permits, but only with respect to
inspections, adjustments, tests or
operations performed by you or on your
servicing as the vendor has agreed
behalf for which the state or political
to make or normally undertakes to
subdivision has issued a permit.
make in the usual course of
b. With respect to the insurance afforded to
business, in connection with the
these additional insureds, the following
distribution or sale of the products;
additional exclusions apply:
(f) Demonstration, installation,
This insurance does not apply to:
servicing or repair operations,
except such operations performed
(1) "Bodily injury", "property damage" or
at the vendor's premises in
"personal and advertising injury"
connection with the sale of the
arising out of operations performed for
product;
the state or municipality: or
(g) Products which. after distribution
(2) "Bodily injury" or "property damage"
or sale by you, have been labeled
included in the "product- completed
or relabeled or used as a
operations" hazard.
container. part or ingredient of any
7. Additional Insured — Vendors
other thing or substance by or for
a. WHO IS AN INSURED under Section C. is
the vendor; or
amended to include as an additional
(h) "Bodily injury" or "property
insured the persons) or organization(s)
damage" arising out of the sole
(referred to below as vendor) shown in the
negligence of the vendor for its
Declarations as an Additional Insured -
own acts or omissions or those of
Vendor, but only with respect to "bodily
its employees or anyone else
injury" or "property damage" arising out of
acting on its behalf. However, this
"your products" which ai e istr ct ted Dr
a:,dusion does ,pct _
sold in the regular course c -he vendor's
i) The exceptions :cc 4 nec In
business and only if this Coverage Part
Subparagraphs (d) or (f); or
provides coverage for "bodily injury" or
(ii) Such inspections,
"property damage" included within the
",
adjustments, tests or servicing
"products- completed operations hazard
as the vendor has agreed to
b. The insurance afforded to the vendor is
make or normally undertakes
subject to the following additional exclusions:
to make in the usual course of
(1) This insurance does not apply to:
business, in connection with
(a) "Bodily injury" or "property
the distribution or sale of the
damage" for which the vendor is
products.
obligated to pay damages by
(2) This insurance does not apply to any
reason of the assumption of
insured person or organization from
liability in a contract or agreement.
whom you have acquired such
This exclusion does not apply to
products, or any ingredient, part or
liability for damages that the
container, entering into,
vendor would have in the absence
accompanying or containing such
of the contract or agreement;
products.
(b) Any express warranty
8. Additional Insured — Controlling Interest
unauthorized by you;
WHO IS AN INSURED under Section C. is
(c) Any physical or chemical change
amended to include as an additional insured
in the product made intentionally
the person(s) or organization(s) shown in the
by the vendor;
Declarations as an Additional Insured —
(d) Repackaging, unless unpacked
Controlling Interest, but only with respect to
solely for the purpose of inspection,
their liability arising out of:
demonstration, testing, or the
a. Their financial control of you; or
substitution of parts under
b. Premises they oven, maintain or control
instructions from the manufacturer,
while you lease or occupy these premises.
and then repackaged in the original
container;
Form SS 00 08 04 05
`� Page 19 of 24
BUSINESS LIABILITY COVERAGE FORM
This insurance does not apply to structural
alterations, new construction and demolition
operations performed by or for that person or
organization.
9. Additional Insured — Owners, Lessees Or
Contractors — Scheduled Person Or
Organization
a. WHO IS AN INSURED under Section C. is
amended to include as an additional
insured the person(s) or organization(s)
shown in the Declarations as an Additional
Insured — Owner, Lessees Or Contractors,
but only with respect to liability for "bodily
injury ", " property damage' or "personal
and advertising injury" caused. in whole or
in part, by your acts or omissions or the
acts or omissions of those acting on your
behalf:
(1) In the performance of your ongoing
operations for the additional
insured(s); or
(2) In connection with "your work"
performed for that additional insured
and included within the "products -
completed operations hazard ". but
only if this Coverage provides
coverage for "bodily njur!" or
"property damage" included within the
"products- completed operations
hazard ".
b. With respect to the insurance afforded to
these additional insureds, this insurance
does not apply to "bodily injury", "property
damage" or "personal an advertising
injury" arising out of the rendering of, or
the failure to render, any professional
architectural, engineering or surveying
services, including:
(1) The preparing, approving, or failure to
prepare or approve, maps, shop
drawings, opinions, reports, surveys,
field orders, change orders, designs or
drawings and specifications; or
(2) Supervisory, inspection, architectural
or engineering activities.
10. Additional Insured — Co -Owner Of Insured
Premises
WHO IS AN INSURED under Section C. is
amended to include as an additional insured
the person(s) or Organization(s) shown in the
Declarations as an Additional Insured — Co-
Owner Of Insured Premises, but only with
respect to their liability as co -owner of the
premises shown in the Declarations.
Page 20 of 24
The limits of insurance that apply to additional
insureds are described in Section D. — Limits Of
Insurance.
How this insurance applies when other insurance
is available to an additional insured is described in
the Other Insurance Condition in Section E. —
Liability And Medical Expenses General
Conditions.
G. LIABILITY AND MEDICAL EXPENSES
DEFINITIONS
1. "Advertisement" means the widespread public
dissemination of information or images that
has the purpose of inducing the sale of goods,
products or seniices through:
a. (1) Radio:
(2) Television;
(3) Billboard;
(4) Magazine;
(5) Newspaper;
b. The Internet, but only that part of a web
site that is about goods, products or
services for the purposes of inducing the
sale of goods. products or seniices: or
;i Other pUblicaiiof- !,ai giver,
,widespread public Jismcuticn.
However, "advertisement" does not include:
a. The design, printed material, information
or images contained in, on or upon the
packaging or labeling of any goods or
products; or
b. An interactive conversation between or
among persons through a computer network.
2. "Advertising idea" means any idea for an
"advertisement ".
3. "Asbestos hazard" means an exposure or
threat of exposure to the actual or alleged
properties of asbestos and includes the mere
presence of asbestos in any form.
4. "Auto" means a land motor vehicle, trailer or
semi - trailer designed for travel on public
roads, including any attached machinery or
equipment. But "auto" does not include
"mobile equipment ".
5. "Bodily injury" means physical:
a. Injury;
b. Sickness; or
c. Disease
sustained by a person and, if arising out of the
above, mental anguish or death at any time.
6. "Coverage territory" means:
r i
�" Form SS 00 08 04 05
02/26/2008 13:43 9495801963
ACORD CERTIFICATE OF L.IAB
RO CER
P one: 19491 NO-1909 Fax: 949 - 580.1983
PACIFIC PARTNERS
25283 CABOT ROAD SUITE 224
LAGUNA HILLS CA 92653
INSURED
HINDERLITER, DE LLAMAS & ASSCOCIATES & HDL
SOFTWARE, LL
C C/O JSFF SCHMEHR
1340, VALLEY VISTA DR #200
R,l•II�Iw wiw w. r�rr..
A
PACIFIC PARTNERS INP
PAGE 03/03
DATE (MWDDIYYYY)
LITY INSURANCE 02126/2008
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
aL_TF-a THE COVERAGE AFFORDE.Q BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIL #
INSURER A: THE HARTFORD
LIMITS
INSURER B: THE HARTFORD
IN8IJRER C: THE HARTFORD
$
INSURER D: THE HARTFORD
ALGA►1ASi1:0 NEMHO
puaoarmlen
INSURER I
300,000
irMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
N. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 19 SUBJECT TO ALL THE TERMS, EXI
MRCgATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE POLICY NUMBER a � 9FF1cnvE UCY EXPIRATION
MERAL UABILJTY 728BATV4590 11115!07 11 /19160
COMMERCW. GENERAI, LIABILITY
CLAIMS MADE[ 7X OCCUR
GPK AGGREGATE LIMIT APPLIES PER:
FbUCY� LOC
AUTOMOBILE LIABILITY 72UECJ04544 11/15107 11115108
ANY AUTO
ALL OWNED AUTOS
C X SCHEDULED AUTOS
X HIRED AUTOS
X NON.OWNEbAUTOS
GARAGE LIABILITY
ANY AUTO
EXCESS! UMBRELLA LIABILITY
OCCUR I I CLAIMS MADE
DEDUCTIBLE
RETENTION $
�Eqs COMPENSATION AND 721NECTZ0797 1111 5107 11115/08
g ANY PgCIm mat 9XcLuat
O ►FICt7uueraOEk Exa.ua[
I'my��kd�� 01 unMr
a aCW.PROVI81pN8frnlaw
OT ER: PROFBSSI01
D
DESCRIPTION OF OPERATIONStLOCATIONSNEMICLES /EXCLUSIONS ADDED BY ENDORSEMENT
2004 ACURA TSX SEDAN 4 DR VIN# JH40LI15694CO26302 COMPtColllslon $5001$500
FOR THOSE OPERATIONS USUAL TO INSURED.
10 DAYS NOTICE FOR NONPAYMENT OF PREMIUM
CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED IN REGARDS TO GENERAL LIABILITY
ERIDD INDICATED. NOTWITHSTANDING
.MTtFICATE MAY K ISSUED OR
LUS)ONB AND CONDITIONS OF
SUCH
LIMITS
CN OCCU NCE
$
3,000,000
ALGA►1ASi1:0 NEMHO
puaoarmlen
y
300,000
MED, EXP (Any one person)
5
10,000
PERSONAL A ADV INJURY
$
3,000,000
GENERAL AGGREGATE
S
5,000,000
PRODUCTS- COMPtOP AGG.
9
5,000,000
COMBINED SINGLE LIMIT
(Ea accideml
3
2,000,000
BODILY INJURY
(Per person)
S
BODILY INJURY
S
(Par aculdent)
PROPERTY DAMAGE
S
Par aeetdom
AUTO ONLY -EA ACCIDENT
$
OTHER THAN &A A
$
AUTO ONLY; qqG
$
EACHOCCURRENCE
S
AGGREGATE
$
$
S
To v�unera °TM�'
E - EACH ACCIDENT
$
2,000,000
E.L. DISEASE -PA EMPLOYEE.
$
2,000,000
E.L. DISEASE -POLICY LIMIT
$
2,000,000
OCCURRENCE $1,000,000
AGGREGATE
$1,000,000
! SPECIAL PROVISIONS
PER BUSINESS LIABILITY FORM SS0008.
CERTIFICATE HOLDER CANCELLATION
CITY OF EL. SEGUNDO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
350 MAIN STREET EXPIRATION DATE YHERSOF, THE ISSUING INSURER WILL MAIL 30 DAYS WRITTEN
EL SEGUNDO, CA 90245 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Attention: `
�r
ACORD 26 (2001108) — Co� to # 7693 * 0