Loading...
PROOF OF INSURANCE (2024) CLOSEDClient#: 581763 INFOSENDI ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 D2/031 IDD/vYYY) /03/2023 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 certificate holder is man ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions orm ... �....... 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 CONTACT : Amber Wisher Marsh & McLennan Ins. Agency LLC E AIL xAit ADO N S Ext� .,. _._.,..� , , .. .(A/C, N0I_. ..... g 9 Y RE s. OCCerts�MarshMMA.com Marsh McLennan Agency 1 Polaris Way #300 .M.............................................................INSURER(S) AFFORDING COVERAGE _._�JLL.-..,.,NAIC.#............ Aliso Viejo, CA 92656 INSURER A: Federal Insurance Company w �20281 INSURED InfoSend, Inc. 4240 E. La Palma Avenue Anaheim, CA 92807-CA INSURER B : CompWest Insurance Company 12177 Accident Fund Ins of America ... INSURER C : ACCId __...._ 170 166 .�.. y..--..-. INSURER_ D : Underwriters London ., 555 ..._..--- .......... Arch Insurance Comd,an INSURER E : P Y �111 5O 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 GENERAL LIABILITY yADDL SUBR i*Ok ICY F PO ICY EX+ LTR COMMERCIALOGE INSURANCE I, . ,--... ,_, •..•... e.......- EACH OCCURRENCE LIMITS$„1 OOO O ---�� TYPE (N %t_ Wvi] POLICY NUMBER MIM/DD/YM1NY Mhf dD�yvv 36031149 2/01/2023 02/01/202 FE E , 00 A XL.,... D,pp�, m. C CLAIMS -MADE 14 OCCUR PiiE 4Ip 1GCUiMgnCk!)_ $1 OOO OOO MED EXP (Any one person) $1 O000 .PERSONAL & ADV INJURY � $1 #OOO,O00 -. .. GEN'L AGGREGATE LIMIT APPLIES � $2,000 000 P Xl POLICY RODUCTSCOMPIOP AGG JECT LOC GENERAL AGGREGATE � .Kf ...._-. ��. .__..�..-_.,,,.,.�.,. .. �_.. $Z1,,0O0O0O,t0000O OTHER: COMBINED SINGLE AUTOMOBILE LIABILITY 73587120 2/01/2023 02/01/202 E;A) 0.. ........ X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) �$ AUTOS ONLY AUTOS HIRED NON -OWNED PROPERTY DAMAIC AUTOS ONLY AUTOS ONLY(armaccl, ......._......_._ _._._._._,_.._ _ _._., __..1 ... ......., , ,,,,,...,,, ............. ............. .............. ..._.,..- .... --------- -...------- $.... ................ A EXCESS ABAB OCCUR 79896856 2/01/2023 02/01/202 AGGREGATE OCCURRENCE $5 OOO,OOO 1 UMBRELLA 5,000,000 DED COMPENSATION YIN ..................... ............. Slf�1T lTE ..�_ - ----- .. NN $ *,. PER OTH B AN WORema�ovE sEuaeaITY m...CWWCP100005303 ** 2/01/2023 02/01/202 • X � ,___ ,58 C ANY PROPRIETOR/PARTNER/EXECUTIVE $1 ,00000 * -"-- (Mandatory ACCIDENT 1 OOO OOO (Mande o/ry in NH) EXCLUDED? N / A AZ CA OR UT 5342 2/01/2023 02 01 202 E.L.E L DISEASE EA EMPLOYEE $ n If describe under DESCRIPTION OF OPERATIONS below **FL GA IL TX E.L- DISEASE -POLICY LIMIT $1,000,000 D C-.-.-..-. -.-_. _-.....-_ ,. - -___ , ...-_. ..... yber/E&O e. TRICE2082 02/01/2023 02/01/202 $'5,000,000 Agg. /Claim *Retro 12/01/06 $100,000 Retention E Crime PCD1005565-00 2/01/2023 02/01/2024 $500 000 /$10 000 Ret. DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be 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. CI of El Segundo Attn: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City 9 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 #S12384661 /M12384579 WOAYW C H U BO Liability Insurance Endorsement Policy Period 02/01/2023 Policy Number 36031149 Insured InfoSend, Inc. TO 02/01/2024 Name of Company FEDERAL INSURANCE COMPANY „eF�. ,JsC . �.,�. nr�t ✓. hti;� ,6.. ,n s.n,,, 'ti:'.. o.r '.:o roue, ,.'i::.r,`�t�. -. wF °M�u, „ .�., ��s.'��wh,"'t,��r., r7�zrJ+d��i�. '„� a h. �,. w. Jrl ��. i,�.. .;�u�','.<mf. �r. This Endorsement applies to the following forms: GENERAL LIABILITY 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 contractor 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 Ls 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 Additional Insured - Scheduled Person Or Organization continued Form 80-02-2367 (Rev. 5-07) Endorsement Page 1 9-. 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. 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 . 'j Liability Insurance Additional Insured - Scheduled Person Or Organization last page Form 80-02 2367(Rev. 5-07) Endorsement Page 2 INSURED: Infosend, Inc. POLICY#: CWWCP100005303* POLICY PERIOD: 02/01/2023 TO: 02/01/2024 -A'at'l 'V -a - - * A WNFF 76 -R&TI. t *A not enforce our right against the person or organization named in the Schedule. IThis agreement applies only to the extent that you pQrform work under a written contract that requires you to obtain this ag rearnent from us-) E7771' W-M 711. roTT7771 MAM Vill 1 11 IItitnl premium for this endorsement shall be S Schedule HIM W. M A.A. W N.''. 1010 lR '� " =1 City of El Segundo Attn: Business Services 350 Main Street El Segundo, CA 90245-0989 ffhe istannabon below i5 required only wlKmthils eadusement �i j55iwed 5ubsequemttu prepati6on of the policy-) LAW. OEM)