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<br />INFOINC-01 $HEHNER
<br />ACO CERTIFICATE OF LIABILITY INSURANCE DAT211/2019 YI
<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(les) 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 endorsements).
<br />PRODUCER License a OM70471
<br />CONTACT
<br />Ml
<br />Orion Risk Management Insurance Services, An Alera Group Insurance
<br />Agency, LLC
<br />1800 Quail Street, Suite 110
<br />Newport Beach, CA 92660
<br />aCNN Eat : 949) 263-8850 lac NaI:(949) 263-8860
<br />E-MAIL
<br />Dggp,as.
<br />INSURERjSI AFFORDING COVERAGE NAIGIj___
<br />INSURE A: Federal Insurance Company20281
<br />INSURED
<br />INSURER B:AXIs Insurance Company .37273
<br />INSURER C'
<br />INFOSEND, Inc./ Rezai & Son, LLC
<br />INSURGltD:
<br />4240 E. La Palma Ave
<br />Anaheim, CA 92807
<br />INSURER E:
<br />INSURER F:
<br />rH1VCon CCc P POTICN`ATC MI IMRCO- DFVICInlUAn1UPPD-
<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 />LNSR
<br />LTR
<br />TYPE OF INSURANCE
<br />IADOLNSD UBR
<br />POLICY NUMBER
<br />POLICY EPF
<br />POLICY E%P
<br />MM(aaIYYYYI
<br />UMITS
<br />A I
<br />X I
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE FX] OCCUR
<br />i
<br />1
<br />36031149
<br />211/2019 '
<br />2l112020 ,
<br />EACH OCCURRENCE IS 1,000,000
<br />DAMAGE TO RENTED ^— 1,000,000
<br />P I I s _
<br />10,000N 3
<br />NAL & DV INJURY I S 1,000,000
<br />LAGGREGATE LIMIT APPLIES PER:
<br />_
<br />r—ox]POLICY JECT LOG
<br />2,000.000
<br />GENERALAGGREGATE S�-2,000,000
<br />�
<br />I
<br />PRODUCTS-COMPGPFOCr-tea __...._.__-
<br />OTHER
<br />S
<br />A
<br />AUTOMOBILE LIABILITY
<br />COMNINED SINGLE LIMIT 3 1,000,000
<br />eoDLy INJURv Poi arson S ----
<br />1 BODILY INJURY per aceeonl S
<br />X ANY AUTO
<br />OWNED BCHEIXILEO--
<br />AUTEO�S ONLY AUpTryOpSWN�
<br />73587120
<br />21112019
<br />2/1/2020
<br />_
<br />PO DAMAGE S
<br />X AUTOS ONLY X AUTOB ONLOY
<br />'3
<br />A
<br />X
<br />UMBRELLA UAS
<br />X OCCUR
<br />EACH OCCURRENCE S 5,000,000
<br />AGGREGATE S S,OOQ000
<br />EXCESS UAe
<br />CLAMS-MAOE
<br />79896856
<br />21112019
<br />2/1/2020
<br />X
<br />I DED I I RETENTIONS 0
<br />S
<br />A
<br />WORKERS COMPENSATION
<br />ANDEMPLOYERS'UADIUM YIN
<br />ANY PROI'RIETORUPARTWIUEXECUTNE
<br />ppFFFlCERNAEMBS&g EXCLUDED] Y
<br />Imentlatery In NT1j
<br />RescTIONOFOPERATIONSbelow
<br />'IrCyyes. dIPribe alder
<br />NIA
<br />LLI
<br />p1749812
<br />II
<br />211120111
<br />IJ112020
<br />)( PER j OTH-
<br />I STAID
<br />E.L EACH ACGDEW S 1,000,000
<br />_____
<br />E.. DI EASE - ' Cm OYE a 1,000,000
<br />-
<br />E.L.DISEASE-POLIYLIMI'r s 1,000,000
<br />B
<br />,D8,0; $26,000 DED
<br />P001D0007249801
<br />21112019
<br />2/1/2020
<br />E80 Limit 5,000.000
<br />B
<br />iCyber, $25,000 DED
<br />POOIO0007249801
<br />21112019
<br />V112020
<br />ICYBER-sea dose bolowl
<br />OESCRIPTIONOFOPERATIUNSILOC nONS/VEHICLES (ACORD let, Additional Remarks Schedule, may be attached a mom space is required)
<br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and repliesBB'yjj��II lives are hereby named
<br />as an additional insured with regards to General Liability. Waiver of subrogation applies to workers compensation. - /Z 11 z jl t7
<br />J/
<br />CYBER:
<br />- SECURITY AND PRIVACY LIABILITY COVERAGE Limit $5,000,000
<br />PPR
<br />- CRISIS MANAGEMENT AND COMPUTER SYSTEM EXTORTION COVERAGE ENDORSEMENT Limit $1,000,000
<br />-1 d s'"el` R/
<br />City of Santa Ana
<br />PO Box 1954
<br />Santa Ana, CA 92702
<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 />-wf,'Wjy-."14
<br />ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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