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<br />.d►1[ ► p CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDONM)
<br />02123/2015
<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 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 endorsementls).
<br />Kevin K. O'Connor
<br />& Friedmann Ins Svcs
<br />#0759373
<br />fly Place Suite 100
<br />Chubb
<br />INSURED INFOSEND, Inc.
<br />4240 E. La Palma Ave
<br />Anaheim, CA 92807
<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 15 SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />AUDLiLTR TyPEOFiNSURANCE D POLICYNUMeEft MIDDPOLICYEFW MMMO POLICY EW LIMITS
<br />A X COMMERCIAL GENERAL LIABILITY
<br />PO Box 1954
<br />EACH OCCURRENCE $ 1,000,00
<br />CLAIMS -MADE OCCUR
<br />X
<br />36031149 02/24/2015 02/24/2016 PREMISES RE
<br />Ea occurrs ce}„ $ 1,000,00
<br />MED EXP (Any one person) $ 10,000
<br />PERSONAL &ADV INJURY $ 1,000,00
<br />GIOL AGGREGATE LIMIT APPLIES PER:
<br />GENERALAGGREGATE $ 2,000,00
<br />POLICY ❑ PRO I_._J LOC
<br />PRODUCTS-COMPKtPAGG $ 2,000,00
<br />OTHER:
<br />$
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT $ 1i000,00
<br />Ea accltlent
<br />A ANYAUTO
<br />73587120 02/18/2015 02/18/2016 BODILY INJURY (Per person) $
<br />ALLOWNED �y SCHEDULED
<br />BODILY INJURY (Per Accident) $
<br />AUTOS AUTOS
<br />MONOWNEDPROPERTY
<br />X Y`
<br />DAMAGE $
<br />IIL_'
<br />HIRED AUTOS AUTOS
<br />(Per acckknt: _, „
<br />$
<br />X
<br />UMBRELLA LAS X pCCUR
<br />EACH OCCURRENCE $ 5,000,00
<br />A
<br />EXCESS LIAB_ CLAIMS -MADE
<br />79896856 02124/2015 02124/2016 AGGREGATE $ 6,000,00
<br />DED RETE l'IO $
<br />1 1$
<br />WORKERS COMPENSATION
<br />X SEATUTE FRH
<br />AND EMPLOYERS' LIABILITY
<br />A ANY PROPRIETORlPARTNERIEXECUTIVE Y�
<br />X 71749812 0210172015 0210112016 E.L. EACH ACCIDENT $ 1,OOQ00
<br />OFEIEER7MEMBER EXCLUDED?
<br />{Mandarory in NH}
<br />NIA
<br />"
<br />E.L. DISEASE -EA EMPLOYE' $ 1,000,00
<br />Ir qes,descnoeunder
<br />DESCRIPTION OF OPERATIONSbelcw
<br />E.L. DISEASE - POLICY OMIT $ 1,000,00
<br />B Errors &Omission
<br />MCN000222831401 12/01/2014 12/01/2015 Limit 5,000,000
<br />Ded 25,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD UH, Additional Remarks Schedule, may be attached If more space is mqulred} J
<br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; v 2"� Z0/S
<br />its officers, employees, agents, volunteers and representatives are hereby �� A�
<br />named as an additional insured with regards to General Liability. Waiver of
<br />subrogation applies to workers compensation.
<br />U
<br />fa �
<br />CERTIFICATE HOLDER CANCELLATION
<br />SAN2003
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE
<br />Cit of Santa Ana
<br />City
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />PO Box 1954
<br />Santa Ana, CA 92702
<br />AUTHORIZED REPRESENTATIVE
<br />ACORD 25 (2014/01)
<br />1988-2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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