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COI - InfoSend, Inc. - Expires 2020-02-01INFOINC-01 SHEHNER CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 2/1/2019 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 an ADDITIONAL INSURED, the policy(ies) 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER License # OM70471 CONTACT NAME: Orion Risk Management Insurance Services, An Alera Group Insurance PHONE 949 263-8850 FAX 949 263-8860 Agency, LLC (A/C, No, Ext): ( ) (A/C, No):( ) 1800 Quail Street, Suite 110 E-MAIL ADDRESS: Newport Beach, CA 92660 INSURER(S) AFFORDING COVERAGE NAIC # _ INSURER A: Federal Insurance Company 20281 INSURED I INSURER B :AXIS Insurance Company 37273 INFOSEND, Inc./ Rezai & Son, LLC INSURER C : 4240 E. La Palma Ave INSURER D : Anaheim, CA 92807 INSURER E INSURER F : 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 INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0001 CLAIMS -MADE ® OCCUR 36031149 2/1/2019 2/1/2020 DAMAGE TO RENTED 1,000,000 ` PREMISES (Ea occurrence) $ MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ X POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) 1,000,0001 $ X ANY AUTO 73587120 2/1/2019 2/1/2020 BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X AUTOS X A�TOS Perr accidentDAMAGE $ ONLY ONLY A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,0001 EXCESS LIAB CLAIMS -MADE 79896856 2/1/2019 2/1/2020 AGGREGATE $ 5,000,0001 X 0 DED RETENTION $ $ A WORKERS COMPENSATION X I STATUTE I OETH AND EMPLOYERS' LIABILITY YIN 71749812 2/1/2019 2/1/2020 1,000,000 ANY ECUTIVE � N / A ELEACH EACH ACCIDENT $ OFFICER/MEMPROPRIEBER EXCLUDED (Mandatory in _ E`L_DISEAS_E - EA E_MPLOYEE_$ 1'000,000 If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ B D&O; $25,000 DED P00100007249801 2/1/2019 2/1/2020 E&O Limit 5,000,000 B Cyber; $25,000 DED P00100007249801 2/1/2019 2/1/2020 CYBER-see desc below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is hereby named as an additional insured with regards to General Liability. Waiver of subrogation applies to workers compensation. CYBER: - SECURITY AND PRIVACY LIABILITY COVERAGE Limit $5,000,000 - CRISIS MANAGEMENT AND COMPUTER SYSTEM EXTORTION COVERAGE ENDORSEMENT Limit $1,000,000 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y Y ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD C /� /� " Rage 1 of 1 �� 1- V I'�i 1 DATE (MM/DDIYYYY) E OF LIABILITYINSURANCE I 05/30/2019 THIS CERTIFICATE IS ISSUED AR A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTENT? OR ALTER THE. COVERAGE AFFORDED BY THE. POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) muse have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate_ holder In Meta of such ondorsement(s). wi.ilisPRODUCER CT insurance services of Georgia, Inc. PHONE1-877�-945-737$_....,._„_.........,...,..._,.__......_...,. ....,.__.....'...FAX,......_......._._........_,..._._....,....._............._........._....,.._.....,._ c/o 26 Century Blvd (AID, No, Ext): (A/C, No). 1-88t3-9.C7-2375 P.O. Box 305191 E«MAID. AD RESS, Corti ficates@willis.cam Nashville, 'TN 372305191 US E NAfC# (NSUFIERO,AfaFRDINGCIVERAG,,..._,,................-................. . INSURER A : Phoenix Insurance Company � 25623 INSURED INSURERS., Charter Oak Eire insurance, Company � 25615 Global Payments Inc, and its' Subsidiaries ....... ......_...........,M,.,.._...._...,.. --_,---..- Active Network LLC ...ATaFft,, INSUI;ER' C ,I. Insrurance Compa ny 37885 3550 Lenox. Road NZ, Suite 3000 INSURER D : Travelers Indemnity Company of America 25666 Atlanta, GA 30326 tNSURER.�...............•...,.,.,..,.,.._.........,........_...,..,....._...... .....__........_.,.,.._.,........,..,........._.,.............. ..,._.._,.._....._.,....._......_.,.,........................._..... ,..... .. ,.............,.,._..... INSURER F : COVERAGES CERTIFICATE NUMBER: W1.1444021 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, .,�.._......_.....__,.,,_......,.,.,_..,..,._..,.,.._..............„.,..__.,,�,._..,,..,,.,..,,,.._...,_.,..__...,,...,,....__..,......,._...,,,_,....,,.. 1LT R �AISDL LTR TYPE OF INSURANCE I X COMMERCIAL GENERAL LIABILITY � ..,.. . , ,.,...._,....,... S BR ,.......,.,....,_,,.,...„..,....,..,,.,,...,_,....., ..,.,,,,.,....,....,., '. '..,....,.,......,,....r._,..._...,.„..,........,..,,..,,._,,. POLICY NUMBER 1.. I ....mm.._,...,,, ,.., ...,.,,......,_ ..,...,,....._,.,,, ..,..,,...... ., ..,,._,_...,.. ,,.,_.....».,,.....,...,,,.,..............,.,,....,.r,-........._,...._,. (MM/ YYYFY IhFIIIUIID / YY LIMITS I EACH OCCURRENCE $ .........,.....,,....,...,..,,........,,.,...,_._..._ I 1, Opa, pao .............0 CLAIMSuMADE �.. OCCUR i $ES Ea ,pea, aaa l 'I PREMGETQ...kiE1WTED....µ........_,.....,..... accuxrenc), MED.CXP (Any onape rsan) 0_, p i ....... . . ........ . ,.....I.. ..,. HN 660 188D7542-PtC19 06/01/201306/01/2020 PERSONAL & ADV INJURY "pea,Dap OEN'LAGGREGATE LIMIT APPLIES PER: GENERAL 21000"000 .................f PRO- POLICYEL.........,LOG i ,_,...,$ I pROnUCTS • OOM.,._........____..............�._.,. ,..,_. E,.._..,.......,............................,.., .ca. b ' OTHER, $ AUTOMOBILE I l 2, p0a..0aa NOfAlUTO1.ABILITY BODI�OPLINED Y LYINJURW (Per �r. r� B ; OWNED SCHEDULED AUTOS ONLY AUTOS HOCAP-15SD7566-19 �06/01/2019 06/01 /2020 BObiL'Y INJURY (par accident) $ " HIRED NON -OWNED ..,.,.._.._._...____...,._..__.. j ..__...__ AUTOS ONLY AUTOS ONLY {Pr,ccidAMAC�E__ n, „.. $ C .....', ... UMBRELLA LIAs X OCCUR EXCESSLtAB US00091472LI19A OCCURRENCE EACH _,,...,.. ..._.......... ... OCCURR........................................................ '..............._......,........,...,...,,._.,,...._,.....,.._._...,,.,.. 06 /01./2019 06/01/202a 5, aaa, p CLAIMS -MADE AGGREGATE $ 5,000,000 �._.,....:.,...p.�D,., � µRETENTIC7N$,.. _..._....__.._ _......_ .., 1p rasa .,_...,...„,,._._...._........_..,...____..._......._......,.,._..,m..._.._...,....._,....._.,.....__._.,_._...,_._........,._..... $ WORKERS COMPENSATION se I PER OTH- STATUTE ER AND EMPLOYERS'LIABILITY YIN . ._...0aB RIME BERE CLUDEEXEGUTtl1/E OFYPRO/RIE-ro PARTN R/E NIA HFtgCX8 1i9i1E3"�12- 19 106/01/2019 06i01/2020 "L....._,,,�,_.__...�IDEN..,,., . EACH „�_................._.. ,,,...,.... ...... "......�. . (Nand IE:L, DISEASE �.FrA EMPLOYEE aaa, 00 If es< escnbe Cinder i��SCRIPTION OF OPERATIONS below � , � E.L, DISEASE - POLICY LIMIT $ 1, ae0, oaa 0 Workers Compensation (,Ded) HC2HUB-23331,41_6-19 06/01/2019 06/01/2020 E.L Each Accident $1, 000, a00 & Employers Liability (Per Statute) E.L. Dise - pol Limit $1,000,000 E.L. Oise - Each Empl $1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Sclnediule, maybe y attached It more space Is rer)wl.red) City of Gilroy, its officers, officials and employees are included as additional insured as as required by written contract or agreement. respects General. Liability CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Gilroy AUTHORIZED REPRESENTATIVE 7351 Rosanna Street Gilroy, CA, 95020 @ 1988.2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD sax M: 18036659 BATCH: 1221175 202 7600 INFOINC-01 SHEHNER ACORO' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 2/1/2019 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 an ADDITIONAL INSURED, the policy(ies) 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER License # OM70471 CONTACT NAME: Orion Risk Management Insurance Services, An Alera Group Insurance PHONE FAx Agency, LLC (A/C, No, Ext): (949) 263-8850 (AIC, No):(949) 263-8860 1800 Quail Street, Suite 110 E-MAIL ADDRESS: Newport Beach, CA 92660 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Federal Insurance Company 20281 INSURED INSURER B: AXIS Insurance Company 37273 INFOSEND, Inc./ Rezai & Son, LLC INSURER C : 4240 E. La Palma Ave INSURER D : Anaheim, CA 92807 INSURER E INSURER F : I 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 DOLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LTR INSD WVD (MM/DD/YYYYI (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0001 CLAIMS -MADE FX] OCCUR 36031149 2/1/2019 2/1/2020 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,000,0001 MED EXP (Anv one person) $ 10,0001 PERSONAL & ADV INJURY $ 1,000,0001 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,0001 POLICY PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: I A AU-OMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,0001 X ANY AUTO 73587120 2/1/2019 2/1/2020 BODILY INJURY (Per Derson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X AUTOS ONLY X AUUTOS ONLYY (Per accidentDAMAGE $ - -- --- --- -- - ------ - -- - - -- -- - - $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,0001 EXCESS LAB H CLAIMS -MADE 79896856 2/1/2019 2/1/2020 AGGREGATE $ 5,000,0001 X I I 0 DED RETENTION $ $ A WORKERS COMPENSATION X I STATUTE I I OFRH AND EMPLOYERS' LIABILITY YIN 71749812 2/1/2019 2/1/2020 PROPRIETOR/PARTNER/EXECUTIVEANY E.L. EACH ACCIDENT 1,000,0001 OFFICER/MEMBER EXCLUDED? NIA $ (Mandatoryin NH) E.L. DISEASE - EA EMPLOYEE $__ 1,000,000 If yes, describe under _ 1'000°OOO WVVI OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ B b&O; $25,000 DED P00100007249801 2/1/2019 2/1/2020 E&O Limit 5,000,000 B Cyber; $25,000 DED POOIO0007249801 2l1/2019 2/1/2020 CYBER-see desc below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is hereby named as an additional insured with regards to General Liability. Waiver of subrogation applies to workers compensation. CYBER: SECURITY AND PRIVACY LIABILITY COVERAGE Limit $5,000,000 CRISIS MANAGEMENT AND COMPUTER SYSTEM EXTORTION COVERAGE ENDORSEMENT Limit $1,000,000 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y Y ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) U ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD INFOINC-01 SHEHNER CERTIFICATE OF LIABILITY INSURANCE DATE (MMID fY Y) 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 an ADDITIONAL INSURED, the policy(ies) 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 rights to the certificate holder In lieu of such endorsement(s). PRODUCER License # OM70471 I C%TACT Orion Risk Management Insurance Services, An Alera Group Insurance PHONE FAX Agency, LLC iAIC, No, Ext): (949) 263.8850 (AIC, No):(949) 263-8860 1800 Quail Street, Suite 110-MAIL DDRESS: Newport Beach, CA 92660 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A; Federal Insurance Company _ 20281 INSURED INSURERB:AXIs Insurance Company 37273 INFOSEND, Inc./ Rezai & Son, LLC I INSURER C : I 4240 E. La Palma Ave I INSURER D : Anaheim, CA 92807 INSURER E I INSURER F t 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LTR INSD WVO. (MMIDD/YYYY) (MMIDD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0001 CLAIMS -MADE OCCUR 36031149 2/1/2019 2/1/2020 I DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,000,000 MED EXP (Anv one person) $ 10,000 ( PERSONAL & ADV INJURY $ 1,000,000 _ GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ 2,000,000 POLICY ❑ j O LOC I PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,0001 X ANY AUTO 73587120 2/1/2019 2/1/2020 I BODILY INJURY (Per person) $ ( OWNED SCHEDULED ONLY AUpTOS�/ I BODILY INJURY (Per I _ AUTOS p X AUT OS X AU70S aocldenl) $ I Parr accidentDAMAGE ONLY ONNLY $ -.............................................................................................................. $ A X UMBRELLA LIAB u OCCUR EACH OCCURRENCE $ 6,000,000 EXCESS LIAB CLAIMS -MADE 79896856 2/1/2019 211/2020 AGGREGATE $ ^ 6,000,000 X DED I I RETENTION $ 0 A WORKERS COMPENSATION X I STATUTE I ER" AND EMPLOYERS' LIABILITY YIN 71749$12 2/1/2019 2/112020 ANY PROPRIETOR/PARTNER/EXECUTIVE I,000,OOOI E.L.E,L. EACH ACCIDENT FFICE�2/MEME� EXCLUDED? NIA �Manda $ 1,000,000 pry in ) E.L. DISEASE -_EA EMPLOYEE `$ If yes, describo under DESCRIPTION OF OPERATIONS below "-"— E,L, DISEASE_ -.POLICY LIMIT $ 1,000:000 B D&O; $25,000 DED P00100007249801 2/1/2619 2/1/2020 E&O Limit 5,000,000 g Cyber; $25,000 DED POOIO0007249801 2/1/2019 2/1/2020 CYBER-see desc below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Certificate Holder Is hereby named as an additional insured with regards to General Liability. Waiver of subrogation applies to workers compensation. CYBER: - SECURITY AND PRIVACY LIABILITY COVERAGE Limit $5,000,000 - CRISIS MANAGEMENT AND COMPUTER SYSTEM EXTORTION COVERAGE ENDORSEMENT Limit $1,000,000 CERTIFICATE HOLDER__. .. __ .......CANCELLATION........................................................... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y Y ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED REPRESENTATIVE .i.� ............. .. ...... ... ........................................................................................ - .... ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and loao are reaistered marks of ACORD •^ "� INFOINC-01 SHEHNER CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 01/31/2018 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 an ADDITIONAL INSURED, the policy(ies) 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER License # OD28764 CONTACT NAME: Orion Risk Management Insurance Services, Inc. PHONNo, Ext): (949) 263-8850 (Alc, No):(949) 263-8860 1800 Quail Street, Suite 110 E-MAIL Newport Beach, CA 92660 ADDRESS: INSURERS) AFFORDING COVERAGE NAIC # INSURER A: Federal Insurance Company 20281 INSURED INSURER B ;AXIS Insurance Company 37273 INFOSEND, Inc. I Rezai and Son, LLC INSURER C 4240 E. La Palma Ave INSURER D Anaheim, CA 92807 INSURER E INSURER F : 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 'OLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY 'AID CLAIMS, INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DDIYYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ® OCCUR 36031149 02/0112018 02/01/2019I DAMAGE TO RENTED 1,000,000 PREMISES (Ea occurrence) $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jEa� LOC OTHER: A AUTOMOBILE LIABILITY X ANY AUTO 73587120 OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON-OyyNED AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAB OCCUR EXCESS LABCLAIMS-MADE H 79896856 DED I I RETENTION$ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN 71749812 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below B Errors & Ommissions MCN00222831701 B Errors & Ommissions MCN00222831701 MED EXP (Anv one person) $ 10,0001 PERSONAL & ADV INJURY $ 1,000,0001 GENERAL AGGREGATE $ 2,000,0001 PRODUCTS - COMP/OP AGG $ 2,000,0001 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 02/01/2018 02101/2019 BODILY INJURY (Per cerson) $ BODILY INJURY (Per accident) $ PROPERTY pAMAGE (Peraccident) $ $ EACH OCCURRENCE $ 5,000,000 02/01/2018 02/01/2019 AGGREGATE $ 5,000,0001 $ I X I PER 02/01/2018 EERH 02101/2019 EL, EACH ACCIDENT $ 1,000,000 E.L,DISEASE - EA EMPLOYEE_ $ 1,000:000 E.L. DISEASE -POLICY LIMIT $ 1,000,0001 12101/2017 12/01/2018 Limit 5,000,000 12101/2017 12/01/2018 Deductible 25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, me y be attached If more space Is required) Certificate Holder is hereby named as an additional insured with regards to General Liability. Waiver of subrogation applies to workers compensation. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN y y ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street Gilroy, CA 95020 AUTHORIZED iREPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 99 03 04 (Ed. 7-08) ENDORSEMENT- CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement, effective on 02/01/19 at 12:01 A. M. standard time, forms a part of (DATE) Policy No. (20)7174-98-12 of the FEDERAL INSURANCE COMPANY (NAME OF INSURANCE COMPANY) issued to INFOSEND INC Endorsement No. Authorized Representative We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. The additional premium for the blanket waiver offered by this endorsement. shall be 1.00 % of total California premium. Schedule Person or Organization BLANKET WAIVER -ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER Job Description ALL CALIFORNIA OPERATIONS WC 99 03 04 (Ed. 7-08) COMMERCIAL AUTOMOBILE THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM This endorsement modifies the Business Auto Coverage Form 1. EXTENDED CANCELLATION CONDITION Paragraph A.2.b. — CANCELLATION - of the COMMON POLICY CONDITIONS form IL 00 17 is deleted and replaced with the following: b. 60 days before the effective date of cancellation if we cancel for any other reason. 2. BROAD FORM INSURED A. Subsidiaries and Newly Acquired or Formed Organizations As Insureds The Named Insured shown in the Declarations is amended to include: 1. Any legally incorporated subsidiary in which you own more than 50% of the voting stock on the effective date of the Coverage Form. However, the Named Insured does not include any subsidiary that is an "insured" under any other automobile policy or would be an "insured" under such a policy but for its termination or the exhaustion of its Limit of Insurance. 2. Any organization that is acquired or formed by you and over which you maintain majority ownership. However, the Named Insured does not include any newly formed or acquired organization: (a) That is an "insured" under any other automobile policy; (b) That has exhausted its Limit of Insurance under any other policy; or (c) 180 days or more after its acquisition or formation by you, unless you have given us written notice of the acquisition or formation. Coverage does not apply to "bodily injury" or "property damage" that results from an "accident" that occurred before you formed or acquired the organization. B. Employees as Insureds Paragraph A. 1. —WHO IS AN INSURED — of SECTION II — LIABILITY COVERAGE is amended to add the following: d. Any "employee" of yours while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs. C. Lessors as Insureds Paragraph A.1. — WHO IS AN INSURED — of SECTION II — LIABILITY COVERAGE is amended to add the following: e. The lessor of a covered "auto" while the "auto" is leased to you under a written agreement if: (1) The agreement requires you to provide direct primary insurance for the lessor; and (2) The "auto" is leased without a driver. Such leased "auto" will be considered a covered "auto" you own and not a covered "auto" you hire. However, the lessor is an "insured" only for "bodily injury" or "property damage" resulting from the acts or omissions by: 1. You; 2. Any of your "employees" or agents; or 3. Any person, except the lessor or any "employee" or agent of the lessor, operating an "auto" with the permission of any of 1. and/or 2. above. D. Persons And Organizations As Insureds Under A Written Insured Contract Paragraph A.1 —WHO IS AN INSURED — of SECTION II — LIABILITY COVERAGE is amended to add the following: f. Any person or organization with respect to the operation, maintenance or use of a covered "auto", provided that you and such person or organization have agreed under an express provision in a written "insured contract", written agreement or a written permit issued to you by a governmental or public authority to add such person or organization to this policy as an "insured". However, such person or organization is an "insured" only: Form: 16-02-0292 (Rev. 11-16) Page 1 of 3 "Includes copyrighted material of Insurance Services Office, Inc. with its permission" 4 5. (1) with respect to the operation, maintenance or use of a covered "auto"; and (2) for "bodily injury" or "property damage" caused by an "accident" which takes place after: (a) You executed the "insured contract" or written agreement; or (b) The permit has been issued to you. FELLOW EMPLOYEE COVERAGE EXCLUSION B.S. - FELLOW EMPLOYEE — of SECTION II — LIABILITY COVERAGE does not apply. PHYSICAL DAMAGE —ADDITIONAL TEMPORARY TRANSPORTATION EXPENSE COVERAGE Paragraph AA.a. — TRANSPORTATION EXPENSES — of SECTION III — PHYSICAL DAMAGE COVERAGE is amended to provide a limit of $50 per day for temporary transportation expense, subject to a maximum limit of $1,000. AUTO LOAN/LEASE GAP COVERAGE Paragraph A. 4. — COVERAGE EXTENSIONS - of SECTION III — PHYSICAL DAMAGE COVERAGE is amended to add the following: c. Unpaid Loan or Lease Amounts In the event of a total "loss" to a covered "auto", we will pay any unpaid amount due on the loan or lease for a covered "auto" minus: 1. The amount paid under the Physical Damage Coverage Section of the policy; and 2. Any: a. Overdue loan/lease payments at the time of the "loss"; b. Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; c. Security deposits not returned by the lessor: d. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and e. Carry-over balances from previous loans or leases. We will pay for any unpaid amount due on the loan or lease if caused by: 1. Other than Collision Coverage only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto'; 2. Specified Causes of Loss Coverage only if the Declarations indicate that Specified Causes of Loss Coverage is provided for any covered "auto'; or 3. Collision Coverage only if the Declarations indicate that Collision Coverage is provided for any covered "auto. 6. RENTAL AGENCY EXPENSE Paragraph A. 4. — COVERAGE EXTENSIONS — of SECTION III — PHYSICAL DAMAGE COVERAGE is amended to add the following: d. Rental Expense We will pay the following expenses that you or any of your "employees" are legally obligated to pay because of a written contract or agreement entered into for use of a rental vehicle in the conduct of your business: MAXIMUM WE WILL PAY FOR ANY ONE CONTRACT OR AGREEMENT: 1. $2,500 for loss of income incurred by the rental agency during the period of time that vehicle is out of use because of actual damage to, or "loss" of, that vehicle, including income lost due to absence of that vehicle for use as a replacement; 2. $2,500 for decrease in trade-in value of the rental vehicle because of actual damage to that vehicle arising out of a covered "loss"; and 3. $2,500 for administrative expenses incurred by the rental agency, as stated in the contract or agreement. 4. $7,500 maximum total amount for paragraphs 1., 2. and 3. combined. 7. EXTRA EXPENSE — BROADENED COVERAGE Paragraph A.4. — COVERAGE EXTENSIONS — of SECTION III — PHYSICAL DAMAGE COVERAGE is amended to add the following: e. Recovery Expense We will pay for the expense of returning a stolen covered "auto' to you. 8. AIRBAG COVERAGE Paragraph B.3.a. - EXCLUSIONS — of SECTION III — PHYSICAL DAMAGE COVERAGE does not apply to the accidental or unintended discharge of an airbag. Coverage is excess over any other collectible insurance or warranty specifically designed to provide this coverage. 9. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT - BROADENED COVERAGE Paragraph C.1.b. — LIMIT OF INSURANCE - of SECTION III - PHYSICAL DAMAGE is deleted and replaced with the following: b. $2,000 is the most we will pay for "loss" in any one "accident" to all electronic equipment that reproduces, receives or transmits audio, visual or data signals which, at the time of "loss", is: (1) Permanently installed in or upon the covered "auto' in a housing, opening or other location that is not normally used by the "auto' manufacturer for the installation of such equipment; (2) Removable from a permanently installed housing unit as described in Paragraph 2.a. above or is an integral part of that equipment; or (3) An integral part of such equipment. 10. GLASS REPAIR — WAIVER OF DEDUCTIBLE Form: 16-02-0292 (Rev. 11-16) Page 2 of 3 "Includes copyrighted material of Insurance Services Office, Inc. with its permission" Under Paragraph D. - DEDUCTIBLE — of SECTION III — PHYSICAL DAMAGE COVERAGE the following is added: No deductible applies to glass damage if the glass is repaired rather than replaced. 11. TWO OR MORE DEDUCTIBLES Paragraph D.- DEDUCTIBLE — of SECTION III — PHYSICAL DAMAGE COVERAGE is amended to add the following: If this Coverage Form and any other Coverage Form or policy issued to you by us that is not an automobile policy or Coverage Form applies to the same "accident", the following applies: 1. If the deductible under this Business Auto Coverage Form is the smaller (or smallest) deductible, it will be waived; or 2. If the deductible under this Business Auto Coverage Form is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller (or smallest) deductible. 12. AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS Paragraph A.2.a. - DUTIES IN THE EVENT OF AN ACCIDENT, CLAIM, SUIT OR LOSS of SECTION IV - BUSINESS AUTO CONDITIONS is deleted and replaced with the following: a. In the event of "accident", claim, "suit" or "loss", you must promptly notify us when the "accident" is known to: (1) You or your authorized representative, if you are an individual; (2) A partner, or any authorized representative, if you are a partnership; (3) A member, if you are a limited liability company; or (4) An executive officer, insurance manager, or authorized representative, if you are an organization other than a partnership or limited liability company. Knowledge of an "accident", claim, "suit" or "loss" by other persons does not imply that the persons listed above have such knowledge. Notice to us should include: (1) How, when and where the "accident" or "loss" occurred; (2) The "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons or witnesses. 13. WAIVER OF SUBROGATION Paragraph A.5. - TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US of SECTION IV —BUSINESS AUTO CONDITIONS is deleted and replaced with the following: 5. We will waive the right of recovery we Would otherwise have against another person or organization for "loss" to which this insurance applies, provided the "insured" has waived their rights of recovery against such person or organization under a contract or agreement that is entered into before such "loss". To the extent that the "insured's" rights to recover damages for all or part of any payment made under this insurance has not been waived, those rights are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after "accident" or "loss" to impair them. At our request, the insured will bring suit or transfer those rights to us and help us enforce them. 14. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Paragraph B.2. — CONCEALMENT, MISREPRESENTATION or FRAUD of SECTION IV— BUSINESS AUTO CONDITIONS - is deleted and replaced with the following: If you unintentionally fail to disclose any hazards existing at the inception date of your policy, we will not void coverage under this Coverage Form because of such failure. 15. AUTOS RENTED BY EMPLOYEES Paragraph B.5. - OTHER INSURANCE of SECTION IV —BUSINESS AUTO CONDITIONS - is amended to add the following: e. Any "auto" hired or rented by your "employee" on your behalf and at your direction will be considered an "auto" you hire. If an "employee's" personal insurance also applies on an excess basis to a covered "auto" hired or rented by your "employee" on your behalf and at your direction, this insurance will be primary to the "employee's" personal insurance. 16. HIRED AUTO — COVERAGE TERRITORY Paragraph B.7.b.(5). - POLICY PERIOD, COVERAGE TERRITORY of SECTION IV — BUSINESS AUTO CONDITIONS is deleted and replaced with the following: (5) A covered "auto" of the private passenger type is leased, hired, rented or borrowed without a driver for a period of 45 days or less; and 17. RESULTANT MENTAL ANGUISH COVERAGE Paragraph C. of - SECTION V — DEFINITIONS is deleted and replaced by the following: "Bodily injury" means bodily injury, sickness or disease sustained by any person, including mental anguish or death as a result of the "bodily injury" sustained by that person. Form: 16-02-0292 (Rev. 11-16) Page 3 of 3 "Includes copyrighted material of Insurance Services Office, Inc. with its permission" C H U B Bm Liability Insurance Endorsement Policy Period FEBRUARY 1, 2019 TO FEBRUARY 1, 2020 Effective Date FEBRUARY 1, 2019 Policy Number 3603-11-49 NBO Insured INFOSEND INC Name of Company FEDERAL INSURANCE COMPANY Date Issued FEBRUARY 14, 2019 This Endorsement applies to the following forms: GENERAL LIABILITY Under Who Is An Insured, the following provision is added. 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 Additional Insured - Scheduled Person Or Organization continued Form 80-02-2367 (Rev. 5-07) Endorsement Page i CHUG all 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 Persons or organizations that you are obligated, pursuant to a contract or agreement, to provide with such insurance as is afforded by this policy. All other terms and conditions remain unchanged. Authorized Representative Q'—.A—� ,, Liability Insurance Additional Insured - Scheduled Person Or Organization last page Form 80-02-2367(Rev. 5-07) Endorsement Page 2 LeeAnn McPhillips I I I I 11 II II From: Arica Hernandez Sent: Thursday, April 18, 2019 2:18 PM To: LeeAnn McPhillips Cc: Bryce Atkins Subject: FW: Amendment to Infosend agreement with City of Gilroy Attachments: City of Gilroy_COI - Infosend_18-19 Renewal Certs.pdf, CERT FORM_19-20 WC Blanket WOS.pdf; CERT FORM_19-20 Auto AI_WOS.pdf; CERT FORM_19-20 Blanket AI_Primary.pdf Good afternoon LeeAnn, Attached please find Infosend's insurance endorsements. Please let me know if there is any additional information needed. Best regards, Arica Hernandez Accounting Technician City of Gilroy Finance Department Phone: (408) 846-0234 arica.Hernandez @citvofailrov.ora cPsstw a From: Stephanie Cruz rmailto:stephanie.c(ainfosend.comI Sent: Thursday, April 18, 2019 2:07 PM To: Arica Hernandez Cc: Russ Rezai; Pat Mirjahangir Subject: RE: Amendment to Infosend agreement with City of Gilroy Good afternoon Arica, Attached please find Certification of Insurance and endorsement for The City of Gilroy. Please let me know if you have any questions. Thank you, Stephanie Cruzl Trade Show Coordinator / Sales Assistant 1 BillPrint. eBllls. Delivered. Office 714.993.2690 ext 236 Fax 714.993.1306 E-mail steohanie.coinfosend.com Production Facilities Anaheim, CA I Downers Grove, IL I Carrollton, TX This message may contain information that is confidential and/or protected by law. If you have received this communication in error, please contact the sender immediately and delete the message.