INFOSEND, INC. 1A -2008 - Laserfiche WebLink

Home Browse Search

/~ '.?oo7-c~ v -o/ AcoRU,~ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YY) 4/20/2009 PRODUCER JONES AND COMPANY INSURANCE AGENCY THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 505 S. VILLA REAL ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE SUITE 115 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ANAHEIM HILLS CA 92807 (877) 566-3726 INSURERS AFFORDING COVERAGE INSURED - --------- _ . - - -. --- -. _. -- - .._ _.- INSURERA Employers Fire Ins Co N 2048 INFOSEND INC. ___ , INSURERS United Financia! Casualty Go N~' IC#11770 ` - --- 1041 S. PLACENTIA AVE ~ _ _ - -"- -~ - -- wsuRERC: AXIS Surplus Insurance Compa3ny NAIC#26620 I --------- -- - _._. INSURER D FULLERT N t CA 92831 - -- _--- ----- --_- ----- ---.-~- - -- INSURER E: r~nvconr_c~ 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 ~" BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS~\MD C019DITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS ----.-_. , ~. . ,,, __--.......------ INSR' LTR TYPE OF INSURANCE I --~~~----POLICY EFFECTIVE POLICY EXPIRATION -~~--~--- ~"yam--~--""--' ---~-~- POLICY NUMBER DATE MMIDD/YY DATE MM/DDIYY LIM --------~ ---~__...__. GENERAL LIABILITY f- ~ I EACH OCCURREN ~ ~0 -- 2,000,000 I X I. COMMERCIAL GENERAL LIABILITY ~-- ~ 1 CLAIMSMADE i X _ -------- --._......__.._ -.------- FIRE DAMAGE (Any one fire) $ - _-- ---- _- --------' ----- 300 000 -------- i OCCUR r q ~ ' MED EXP (Any one person) $ - ___ - - - ---- 5,000 - - --- ---_ 1046885 2/24/2009 2/24/2010 PERSONAL&ADV INJURY $ ~~ 2 OOO,OOO GE ~ N L AGGREGATE LIMIT APPLIES PER: I ! GENERAL AGGREGATE _$_ $ PRODUCTS -COMP/OP AGG ~ 4,000,000 4,000 000 i X POLICY ~ PRO- ~ ~ LOC JECT I I - _ ~ - _ _ _- , AUT OMOBILE LIABILITY I ~_ ] _ __ ANY AUTO I I I COMBINED SINGLE LIMIT j $ (Ea accident) 1 000 000 ~ r ALL OWNED AUTOS '' ~ I - ~- X ~ ' SCHEDULED AUTOS BODILY INJURY $ B X '.. 06546.590-0 i HIRED AUTOS 2/13!2009 8/13!2009 I (Per person) I f -- ----- -- NON-OWNED AUTOS ~ ~h ~~~{J~ ~,3~ A ~ ~rl ~:; . /", ~ V y ~~i~;'a BODILY INJURY i $ (Per accident) i ~ t___ ___.-__._ .. _.____.. r____ _ ___-... l-_ I _ _ .........-.. -----_.-_ -. ..---__--- i / ~ 'G, , ~. I ~ PROPERTY DAMAGE j ~ (Per accident) i $ GARAGE LIABILITY I 1 ANYA - -' _ '`~_+._._--~----^-°""' ~ ~~L gUt~ J -lT. ~L!C ~~~ AUTO ONLY-EA ACCIDENT $ _._ ~. UTO ~ 1 ice, I L -~ 1 ~ ~' '-'- A SJ IS L'd~I- Y rti ~ OTHER THAN EA ACC ~ $ ~---_ ~ ------~~ , . i AUTO ONLY: AGG $ E CESS LIABILITY i-, I ~ X J OCCUR I CLAIMS M I ~ ~ EACH OCCURRENCE j $ - t-.----- 2 000 OOO -~--- ~ ADE A ~ ~ ~ ~ ~ ~ ~ AGGREGATE _ --~" - -- ~ 2 000 0 -__- , , OO -- 1046885 2/24/2009 j I 2/24!2010 I $ -- - ~ X~ DEDUCTIBLE 10,000 I --- --_ '- --.. - $ -- - __- I RETENTION $ G ~ ----- - --..-.- -I--. -. _ _--- - - --- i $ ;WORKERS COMPENSATION AND I EMPLOYERS' LIABILITY I ~ WC STATU- OTH i ~ TORY LIMITS _ J ER _I - - - - _ .- i --- --- -- ~ i E.L. EACH ACCIDENT ~ $ I ' i I E.L. DISEASE - EA EMPLOYEp $ OTHER j E.L. DISEASE • POLICY LIMIT i $ C /PROFESSIONAL LIABILITY EC EACH ACT 1,000,000 N9970801 j 12/1/2008 12/1/2009 TOTAL LIMIT 1,000,000 I RETENTION 5 000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESJEXCLUSIONSADDED BY ENDORSEMENTISPECIAL PROVISIONS , ADDITIONAL INSURED: CITY OF SANTA ANA, PER FORM CG2010 07/04. (attached) '"'10 DAYS NOTICE OF CANCELLATION FOR NON-PAYMENT OF PREMIUM. (`FRTICIf ATC LIAI nGn _-- , i .. n..., n.a~rtcu- wsuntK Lhr IhR: CANCELLATION i -_ CITY OF SANTA ANA MARELLA VARGAS PO BOX 1964 SANTA ANA '25 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OB~ION OR LIABILITY OF ANV KIND UPON THE INSURER, ITS AGENTS OR CA 92702 ACORD 25-S {7/97) ©ACORD CORPORATION 1988 LM: LPW vt.9.8 on 4!20/09 - 9:51 by UserName LP: LPW v1.9.8 on 4/20109 - 9:52 by rName PF v1.0.1