The URL can be used to link to this page

PROOF OF INSURANCE (2022) CLOSEDClient#: 581763 INFOSENDI DATE (MM/DDNYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 2/01/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: ifftili certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. mm If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). A PRODUCER TCT Rocio Gutierrez E. Marsh & McLennan Agency LLC PHONE 949900 111 . . 78. ...... '-0 _W91.N91 ........ ..... Marsh & McLennan Ins. Agency LLC E-MAIL ,�DDR rocio.gutierrez@marshmma.com 1 Polaris Way #300 . ... ............ . . . . . I ......... .. _ ... . ... . .. ... .... . ....... INSURER(") FFqRDING COVERAGE NAIC # Aliso Viejo, CA 92656 Federal Insurance Company 20�1 INSURED InfoSend, Inc. 4240 E La Palma Avenue Anaheim, CA 92807 INSURER B: Compwest Insurance Company 12177 INSURER C: Underwriters at Lloyd's London 555555 ... . ..... . . . ........ . . . .......... . INSURER E COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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 MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. . .......... . . ..... INSR TYPE OF INSURANCECiDD POLICY NUM POLICY EFF P6_QVdVEX15_ LIMITS YTR_ N$R, wVq (IMNITP ...... , . .... . ....... A X CO COMMERCIAL GENERAL LIABILITY 36031149 02/01/2021 02/0112022 EACH OCCURRENCE $1,000,000 MS;CLAIMS -MADE OCCUR ...... ...... MED EXP (Any one person) PERSONAL e. ADV INJURY $1,000,000 . . ...... ...... Y_ , - --- - ----- GEN'L AGGREGATE LIMIT APPLIES PER: I'GENERAL AGGREGATE $2,000,000 XI POLICY JPEFIEl LOC PRODUCTS- COMP/OPAGG sincluded C01 OTHER: $ _---------- A AUTOMOBILE LIABILITY COMBINED SINGLE Luorr $1,000,000 �73587120 12/01/2021,02/01/2022. LqiPT ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON AWNED AUTOS ONLY AUTOS ONLY $ $ '—$5 _000,00O"", A X OCCUR 79896856 02/0112021 02/0112022 EACH OCCURRENCE UMBRELLA LIA EXCESS LIAB CLAIMS -MADE AGGREGATE $ ............. �T. D RETENTION $ e.w$ PER OTH. B WORKERS COMPENSATION WCV5504862/CA-OR 02/01/202102/01/202 X AND EMPLOYERS* LIABILITY YIN B ANY PR(.)IDRIFOFUPA,RTNERfE-XECUTIVE -FL-IL 02/01/2021 02/01/202 E,L EACH ACCIDENT ABER EXCLUDED? [N WCV6217250/TX $1,000 000 OFFICEMM15 NIA (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $1 If yes, describe under DESCRIPTION, OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 I - - ---------- ---- ---- ----- C *Prof Liab /Cyber TRICE01496 02/01/2021'02/01/202 $5,000,000 Agg. /Claim C *Retro, 12/01/06 $25,000 Retention A Crime 68054862 02101/2021 021011/202 $300,000 /$5,,000 Ret. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is included as additional insured as respects to General Liability per attached endorsements. Waiver of Subrogation applies to Workers Compensation per attached endorsement. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo Attn: THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Business Services ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street El Segundo, CA 90246-0989 AUTHORIZED REPRESENTATIVE .......... . .. @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of I The ACORD name and logo are registered marks of ACORD #S7015870IM7013059 WOAXB CHUBBO Liability Insurance Endorsement Policy Period 02/01/2021 TO 02/01/2022 Policy Number 36031149 Insured InfoSend, Inc. Name of Company FEDERAL INSURANCE COMPANY 1"his Endorsement applies to the following fbrrns� C, GxE N ERA L. 1.1A BRATY Undex Who Is An Insured, thr followiiig provision is added, Who Is An Insured Additional Insured - Persons or organizations shown in the Schedule are insureds; but they are insureds only if you are Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by Or Organization this policy. However, the person or organization is an insured only: • if and then only to the extent the person or organization is described in the Schedule,, • to the extent such contract or agreement requires the person or organization to be afforded status as an insured; • for activities that did not occur, in whole or in part, before the execution of the contract or agreement; and • with respect to damages, loss, cost or expense for injury or damage to which this insurance applies. No person or organization is an insured under this provision: • that is more specifically identified under any other provision of the Who Is An Insured section (regardless of any limitation applicable thereto). • with respect to any assumption of liability (of another person or organization) by them in a contract or agreement. This limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contract or agreement. Liability Insurance Addihonal Insured - Scheduled Person Or Organization continued Form 80-02-2367 (Rev. 5-07) Endorsement Page 1 Liability Endorsement (continued) Under Conditions, the following provision is added to the condition titled Other Insurance, 0 Conditions Other Insurance — If you are obligated, pursuant to a contract or agreement, to provide the person or organization Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy, then in such case Insurance — Scheduled this insurance is primary and we will not seek contribution from insurance available to such person Person Or Organization or organization. Schedule City of El Segundo Attn: Business Services 350 Main Street El Segundo, CA 90245-0989 All other terms and conditions remain unchanged. Authorized Representative Liability Insurance Additional Insured - Scheduled Person Or Organization last page Form 80-022367 (Rev. 5-07) Endowment Page 2 INSURED: InfoSend, Inc. POLICY #: WCV5504862/CA-OR POLICY PERIOD: 02/01/2021 TO: 02/01/2022 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 03 13 C (Ed- 7-09) WAIVER OF OUR RIG14T TO RECOVER FROM OTHERS ENDORSEMENT — CAILIFORMA We h2va the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the parson or organization named [ry the Schedule. dThis agreement 2pplias only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule_ Theadditional premium for this endorsement shall be $ Schedule Any person or organization that you perform work for that is liable for an injury, covered by this policy, that prior to the injury has written contract requiring a waiver of our right to recover from them_ I tganization Job Desc= City of El Segundo Attn: Business Services 350 Main Street El Segundo, CA 90245-0989 This endorsement changes the policy to which it is attached and is effective on the date issued unless othenvise, stated. Pe if1fGFMadDn below is mquired only whm this endorsement is issued subsequent to preparation of the policy.) we 99 03 13 C (Ed. 7-09)