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INFOS -1 OP ID. KO
<br />CERTIFICATE OF LIABILIW INSURANCE
<br />DATE (MMIDDNYYY)
<br />02/2312015
<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 be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder In lieu of such endorsements .
<br />PRODUCER
<br />Friedmann & Friedmann Ins Svcs
<br />CA License #0759373
<br />CONTACT
<br />NAME:.,._ Kevin K O'Connor
<br />FAx,N
<br />AtaNN Exty9- -253 8000 (A/C eI949- 253 -8009
<br />3990 Westerly Place Suite 100
<br />Newport Beach, CA 92660
<br />E-MAIL Kevin@fapdfins.com
<br />._..d
<br />_..__,__.._.
<br />X
<br />Kevin K. O'Connor
<br />INSURERIS) AFFORDING COVERAGE
<br />NAIL R
<br />INSURER A; Chubb Group of Insurance Co's
<br />EACH OCCURRENCE.
<br />'$ 1,000,00
<br />INSURED INFOSEND, Inc.
<br />4240 E. La Palma. Ave
<br />om
<br />INSURER B ; Axls. Surplus Insurance Company
<br />...26520
<br />MED EXP (Anyone person) _...,_
<br />Anaheim, CA 92807
<br />INSURER C:
<br />INSURER, D;
<br />INSURER E
<br />INSURER F:
<br />$ 1,0'00,00
<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, NOTNTHSTANDING 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 />-..-
<br />iNSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />POLICY NUMBER,
<br />POL1CirEFF
<br />MMIDDNYYY
<br />POLICY EXP
<br />/Y
<br />MMIDDYYY
<br />_.v. .__ .................... ..._
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE IK I- - OCCUR
<br />X
<br />36031149
<br />0212412015
<br />0212412016
<br />EACH OCCURRENCE.
<br />'$ 1,000,00
<br />AGE TO RENTED
<br />PREMISES (Ea cc rrrence) .....
<br />$ 1,000,00
<br />MED EXP (Anyone person) _...,_
<br />W$ 1'.0,000.
<br />PERSONAL R AD V INJURY
<br />$ 1,0'00,00
<br />GEN'LAGGREGATE LIMITAPPLIES PER:
<br />POLICY PRO-
<br />JECT [:] LOC
<br />..........
<br />GENERAL AGGREGATE
<br />$ 2,000,00
<br />PRODUCTS - COMP/OP AGG
<br />$ 2,00'0,000
<br />.........,.
<br />$
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />$ 1,000,00
<br />A
<br />ANY AUTO
<br />73587120
<br />02118/2015
<br />02111812016
<br />BODILY INJURY (Per person)
<br />''', S
<br />ALL OWNED .. -..� SCHEQULEO-
<br />AUTOS " AUTOS
<br />BODILY INJURY (Per accident)
<br />° ° ° ° ° °°
<br />S
<br />X NON - OWNED
<br />HIRED AUTOS AUTOS
<br />PROPERTY DAMAGE
<br />tPer accidenl
<br />$
<br />$
<br />X
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 5,000,00
<br />AGGREGATE
<br />$ 5,000,00
<br />A
<br />EXCESS LAB
<br />CLAIMS-MADE
<br />79896856
<br />0212412015
<br />02/24/2016
<br />DED RETENTION $W�
<br />S
<br />A
<br />'...WORKERS COMPENSATION
<br />AND EMPLOYERS" LIABILITY
<br />ANY PROPRIETORIPARTNER/EXECUTIVE YtN
<br />OFFICERlMEMBER EXCLUDED?
<br />IMandatoryinNH)
<br />If yes, describe under
<br />DESOWPTION OF OPERATIONS below
<br />N/A
<br />71749812
<br />0210112015
<br />02101120'16
<br />PER OTH-
<br />STATUTE ER..__,_
<br />E. L. EACH ACCIDENT
<br />- --
<br />E. L. DISEASE - EA EMPLOYE
<br />S 1,000,00
<br />$ 1,000,00
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,00
<br />B
<br />Errors &Omi!ssion
<br />MCN000222831401
<br />12/0112014
<br />1,210112015
<br />Limit 5,000,000
<br />Ded 25 „000
<br />DESCRIPTION OF OPERATIONS i LOCATIONS! VEHICLES (ACORD 141, Additional Remarks Schedule, may be attached if more space Is required)
<br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; Z 4
<br />its officers, employees, agents, volunteers and representatives are hereby t'
<br />named as an additional insured with regards to General Liability. Waiver of 0 subrogation applies to workers compensation.
<br />4f✓1 ° vw) i
<br />Il3iLo1mlRJai1
<br />SAN2003
<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 />AUTHORIZED REPRESENTATIVE
<br />r--
<br />O 1988 -2014 ACORD CORPORATION. All rights reserved'.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />P�
<br />
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