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3' INFOINC-01
<br />EHNER
<br />'4� CERTIFICATE OF LIABILITY INSURANCE tr
<br />Dq E13112I18
<br />01/31/2018
<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 BYTHEPOLICIES
<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 # OD28764
<br />C NTACT
<br />Orlon Risk Management Insurance Services, Inc.
<br />1800 Quail Street, Suite 110
<br />Newport Beach, CA 92660
<br />PHONE Eztl: (949) 263.8850 FNC,No: 949 263-8860
<br />INC,1( )
<br />E
<br />INSURERS AFFORDING COVERAGE
<br />NAICN
<br />INSURER A: Federal Insurance Company
<br />20281
<br />INSURED
<br />INSURERB:AXis Insurance Company
<br />37273
<br />INSURERC:
<br />INFOSEND, Inc. I Rezai and Son, LLC
<br />INSURER D
<br />4240 E. La Palma Ave
<br />Anaheim, CA 92807
<br />INSURER E
<br />INSURER F :
<br />COVERAGES CERTIFICATF NIIMRER• 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 RESPECTTO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTOALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />TYPE OF INSURANCE
<br />ADDLSUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />02101/2018
<br />POLICY EXP
<br />02 O112019
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERALLIABILITY
<br />CLAIMS -MADE [X] OCCUR
<br />36031149
<br />EACH OCCURRENCE
<br />1,000,000
<br />$
<br />DAMAGE TO RENTED
<br />PREMISES (Ea occurrence)MED
<br />$ 1,000,000
<br />EXP (Any one arson
<br />$ 10,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER
<br />POLICY jpi LOD
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />PRODUCTS-COMP/OPAGG
<br />S 2,000,000
<br />$
<br />OTHER
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINEDSINGLE LIMIT
<br />$ 1,000,006
<br />BODILY INJURY Per arson
<br />S
<br />X
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUU�TryryO�pSSyWyNNEEpp
<br />73587120
<br />0210112018
<br />02/01/2019
<br />BODILY INJURY Peraoudent
<br />$
<br />X
<br />PPerOaccde�DAMAGE
<br />$
<br />AUTOS ONLY X AUr000
<br />S
<br />A
<br />X
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />AGGREGATE
<br />$ 5,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />79896856
<br />02/0112018
<br />02101/2019
<br />DED I I RETENTION$
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS'LIABILITY YIN
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH(
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />71749812
<br />02I0112018
<br />02101I2019
<br />X( I SPTERTUT OIR
<br />E ER
<br />E. L. EACHACCIDENT
<br />1,000,000
<br />$
<br />E.L. DISEASE - EA EMPLOYE
<br />$ 1,000,000
<br />E.L. DISEASE- POLICY LIMIT
<br />1,000,000
<br />$
<br />B
<br />Errors & Ommissions
<br />MCN00222831701
<br />1210112017
<br />12101/2018
<br />Limit
<br />5,000,000
<br />B
<br />Errors & Ommissions
<br />MCN00222831701
<br />12/0112017
<br />12/0112018
<br />Deductible
<br />25,000
<br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
<br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; Its officers, employees, agents, volunteers and repr entatives are hereby named
<br />as an additional insured with regards to General Liability. Waiver of subrogation applies to workers compensation.
<br />�f,APPR�V�
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />PO BOX 1964 ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Santa Ana, CA 92702 -
<br />I AUTHORIZED REPRESENTATIVE
<br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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