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INFOS-1
<br />ACORa"
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATE IMMIDD/YYYYI
<br />01/24/2017
<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 949-253-8000
<br />CONTACT Kevin K. O'Connor
<br />Friedmann a Friedmann Ins Svcs
<br />CA License #0769373
<br />PHONE 949-253-8000 FAX 949.263-8009
<br />INC, No E(AIC, No):
<br />3990 Westerly Place Suite 100
<br />Newport Beach, CA 92660
<br />INSURER 5 AFFORDING COVERAGE
<br />NAIC N
<br />Kevin K. O'Connor
<br />INSURER A: Federal Insurance Company
<br />20281
<br />INSURED INFOSEND, Inc.
<br />INSURER B: Axis Surplus Insurance Company
<br />2662D
<br />Rezai and Son, LLC
<br />4240 E. La Palma Ave
<br />INSURERC:
<br />INSURER D:
<br />Anaheim, CA 92807
<br />NSURER E:
<br />INSURER F:
<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 IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />TYPE OF INBURANCE
<br />ADDL
<br />SUB
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXP
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERALLIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAMS -MADE OCCUR
<br />X
<br />36031149
<br />02I24/2019
<br />02I01/2018
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence)MED
<br />$ 1,000,000
<br />EXP (Any one erson
<br />10,000
<br />PERSONAL & ADV INJURY
<br />1,000,000
<br />GEN'L AGGREGATE LI MIT APPLIES PER:
<br />X POLICY LOG
<br />GE NERAL AGGREGATE
<br />210001000
<br />PRODUCTS - COMP/OPAGG
<br />$ 2,000,000
<br />OTHER'
<br />A
<br />LIABILITY
<br />COMBINEDSINGLE LIMIT
<br />1,000,000
<br />BODILY INJURY Per erson
<br />$
<br />NY ATO
<br />73587120
<br />02I812017
<br />02/0112018
<br />VmostLE
<br />INJURY Per accident
<br />S
<br />OWNESCHEDULED
<br />UTEO�ONLY XAUUTOSS
<br />BOryDILY
<br />Pe�aarlRtlenl DAMAGE
<br />$
<br />AUTOONLY X AUTOS ONLY
<br />A
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />AGGREGATE
<br />$ 6,000,000
<br />EXCESS LIA9
<br />CVJMS-MADE
<br />79896856
<br />02/24/2017
<br />OV0112018
<br />DED I I RETENTION$
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />X PER OTH-
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOR/PARTNER,EXECUTIVE
<br />IMantlatory in NNj EXCLUDED?
<br />N/A
<br />X
<br />71749872
<br />02101/2017
<br />02/01/2018
<br />.L. FACH ACCIDENT
<br />$ 1,000,000
<br />DISEASE - EA EMPLOYE
<br />1,000,000E.L.
<br />$
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 1,000,000
<br />B
<br />Enrore a Omission
<br />MCN000222831601
<br />12/01/2016
<br />IV01/2017
<br />Limit
<br />5,000,000
<br />Ded
<br />25,000
<br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES IACORD 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;
<br />its officers, emolo east agents volunteers and representatives are hereby //
<br />named as an additionainsureb with regards to General Liability. Waiver of ( I /'Z7// 7 evi el*44
<br />subrogation applies to workers compensation.
<br />OI)`
<br />APPROVED
<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 />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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