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PROOF OF INSURANCE (2023) CLOSEDClient#: 581763 INFOSENDI ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 2/02/2022 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: If the certifica mm .................................... to holder is an ADDITIONAL INSURED, the polic y(' le s) must have ADDITIONAL INSURED provisions or be endorsed. 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). PRODUCER ucaAl 1 CT Rocio Gutierrez Marsh & McLennan Agency LLC = No Exl) � � . C H°NE 949 900-1780 Ad'C No) Marsh & McLennan Ins. Agency LLCE-MAIL ....... m m ADDRESS, rocio.gutierrez@marshmma.com 1 Polaris Way #300 mm Iso Viejo, CA 92656 INSURER(S) AFFORDING COVERAGE NAIC # � INSURER A Federal Insurance Company 20281 INSURED Com West Insurance Company 12177 � InfoSend, I Inc. s London 55........... .....Underwriters at Lloyd's .... w...m 5555 INSURER C 4240 E La Palma Avenue Anaheim, CA 92807 INSURER D INSURER E ....,.,,.,. .... ............ INSURE_. RF: 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 CONTRACTOR 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 LTR TYPE OF IN SURANCE ---_ ppADDLSUSR: J'INSP W1/D„ -------- POLICY NUMBER--- ,.. POLICY EFF (MM/DD/YYYY), POLICY EXP (MM/DD/YYYY) m �� LIMITS A ' COMMERCIAL GENERAL LIABILITY 36031149 0 2/01 /2022 02/01/2022 EACH OCCURRENCE s 1,000,000, „ . X DAMAGETO RENTED CLAIMS -MADE OCCUR PREMISE-9(E.A99MEggg0. $1�OQO�000, mm „ MED EXP (Any oneperson $10l000 _ PERSONAL & ADV INJURY $1 t000,000 GE GENERAL 2 000�000 $2,000,0 POLICREGATEPLMOITAPPLIESPER: IFCT 1 OC PRODUCTS - COMP/OP AGG $ 00 OTHER: '_........ A ._AUTOMOBILE LIABILITY ---........--- _-........._ -------- 73587120 _- ................... 2/01 /2022 ..... ......:.(�a"�MB�r�r,ED 02/01 /202 SINGLE I, MIT n, l) .1 0OO OOO a X ANY AUTO BODILY INJURY (Per person) $ OWNED SAUTOS CHEDULED AUTOS ONLY ..... .............. BODILY INJURY (Per accident) $ HIRED NON -OWNED X .PROPERT'V"1"XMAdE $ AUTOS ONLY AUTOS ONLY Pray nEcadti�P91), , G. ... ........ X UMBRELLA ... LABAB CLCUR AIMSMADE .. ,,,... ____— - B COMPENSATION ...,.. — ,.__..... _—.._... * _.._._. �............._.,.,.,.,,.., /202 .,-..-.. ... PER OTH F AND EMPLOYERS'LIABILITY E ANY PROPRIETOR/@�"!ARTNER/EX,ECUTIVE WCV6217250** 2/01/2022 02/01/202 L. EACH ACCIDENT $1 00O 0 av 0O OFPICERIM,EMBEREXCLUDED? (Mandatory in NH) N/A *CA/O R/AZ/GA E.L. DISEASE - EA EMPLOYEE .. ...., r000&OOO If yes, describe under OPERATIONS below DESCRIPTION OF OPER, - o - **FL/TX/I L -- --------- - --- ._. E L DISEASE - POLICY LIMIT �.._.�......._........„� . ,. .. e _$1 $1 �OUO�OOO . w_ C *Prof Liab /Cyber TRICE01743 2/01/2022 02/01/202 $5,000,000 Agg. /Claim C *Retro 12/01/06 �2tw $100,000 Retention A Crime 168054862 /2022 02/01/202 $300,000 /$5,000 Ret. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City of El Segundo is included as additional insured as respects to General Liability per attached endorsements. Waiver of Subrogation applies to Workers Compensation per attached endorsement. City of El Segundo Attn: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Business Services ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street El Segundo, CA 90245-0989 AUTHORIZED REPRESENTATIVE / ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S9285791 /M9285467 WOROG C H U B B° Liability Insurance Endorsement Policy Period 02/01/2022 TO 02/01/2023 Policy Number 36031149 Insured InfoSend, Inc. Name of Company FEDERAL INSURANCE COMPANY This Endorsement applies to the fallowing forms: GENERAL LIABILITY ��.�sn ,-�.+.r'....� �„�.,,a �✓.0 v+>:.Mdahr ,. �.. b:n�; .., ...,v,;.t, � Ara �S: r.tonJ fii.'.�, ..... ...a a, t ,.�wMi ., ,a�r,:ar?'�l�C ,�,.'° n .. s, �� r. �., 'a hl� :.. KKKsea... Under Who Is An Insured, the following 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 otherprovision 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. W � ,^' ..,: :w a u... �� � ,... �" �.+ . ��4 .,..; .,.: J�n .k ,. �„+�r ,. ..a � . ,,,,. r..,YrdO"N"'r,k, Liability Insurance Additional Insured - Scheduled Person Or Organization continued Form 60-02 2S67 (Rev. 5.07) Endorsement Page I CHUBB0 Liability Endorsement (continued) Under Conditions, the following provision is added to the condition titled Other Insurance. 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. s,.r� nA�+'1,"'wC�,v,�r:.✓A'v,�n.v....r.:.✓.. .'vS.arF,..✓.vY 3y �Z. ,'v'„ ��P,dr..naor.. ro�'v5 "�'r�,u. hr,r;�. E., �. i'C'�^tiY,,, .. a. ,..,, .aK.., .-�;� ':r.,wa. ".>.,�r,rNM.G.,.>..✓�,�,ti »n,e1:+Si?� ..k Jl... 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 Form 60.02 2367 (Rev. 5-07) Endorsement last page Page 2 INSURED: InfoSend, Inc. POLICY #: WCV5504862* POLICY PERIOD: 02/01/2022 TO: 02/01/2023 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY we 99 03 13 G (Ede 7-09) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT — CAUFORMA We have the right to recover our payments from anyone l[ablIG for an injury covered by this policy- We will not enforce our right against the parson or organizatibn narned in the Schedule, [This agreement applies only tD the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain p2yro[I records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The addifional premium for this endorsement shall be S Schedule Any person or organ i=iOn 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. Person or Organ"tion Job Description City of El Segundo Attn: Business Services 350 Main Street El Segundo, CA 90245-0989 This endorsernent changes the policy why it is attached and Is effective on the date Issued unless otherwise stated. Rbe iF1fQrM35DF1 bRkm is requiredonly when N5 endorsement is issued Subs HMnttG preparation ofthe policy-) FITIMPT, �J�