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COI - InfoSend, Inc. - Expires 2022-02-01Client#: 581763 INFOSENDI ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMR)DYYYY) 2/01/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. THIS POLICIES 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 any rights to the certificate holder In lieu of such endorsement(s). PRODUCER Marsh & McLennan Agency LLC Marsh & McLennan Ins. Agency LLC 1 Polaris Way #300 Aliso Viejo, CA 92656 CONTACT NAME: Rocio Gutierrez PHONE 949 900-1780 FAX ) (A/C, No): E-MAIL°, ADDRESS: rocio.gutierrez@marshmma.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Federal Insurance Company 20281 INSURED InfoSend, Inc. 4240 E La Palma Avenue Anaheim, CA 92807 INSURER B : Compwest Insurance Company 12177 ' INSURER C : y Underwriters at Llo d s London 555555 INSURER D INSURER E : INSURER F : • —"' 1,1� Y 1.71%J. 11 la IVIOGR. 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 LTR A A TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF POLICY EXP (MMIODIYYYY) (MM!DDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY _ 36031149 02/01/2021 02/01/2022 EACH OCCURRENCE 51,000,000 CLAIMS -MADE XI OCCUR PREMISES (Eaoccurrence)RENTED S 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: XI POLICY I JECOT LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $ Included S AUTOMOBILE LIABILITY X ANY AUTO OWNED J AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON-OWNEAUTOS ONEDD 173587120 02/01/2021 02/01/2022 t 0 aBc de00 SINGLE LIMIT 51,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) S S A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 79896856 02/01/2021 02/01/2022 EACH OCCURRENCE s5,000,000 AGGREGATE s5,000,000 DED I RETENTION $ $ B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? I N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WCV5504862/CA-OR WCV6217250/TX-FL-IL 02/01/2021 02/01/2022 I X PER STATUTE OTH- ER 02/01/2021 02/01/2022 /2022 E.L. EACH ACCIDENT $1 000 000 , , E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT S1,000,000 C C A *Prof Liab /Cyber *Retro 12/01/06 Crime TRICE01496 68054862 02/01/2021 02/01/202 02/01/2021.02/01/202 $5,000,000 Agg. /Claim $25,000 Retention $300,000 /$5,000 Ret. DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Certificate Holder is included as additional insured as respects to General Liability per attached endorsements. Waiver of Subrogation applies to Workers Compensation per attached endorsement. CANCELLATION City of Gilroy 7351 Rosanna Street Gilroy, CA 95020-0000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and Togo are registered marks of ACORD #S7015882/M7013059 WOAXB CHUB B` Liability insurance Endorsement Policy Period 02/01/2021 Policy Number 36031149 insured InfoSend, Inc. TO 02/01/2022 Name of Company FEDERAL INSURANCE COMPANY rrr•%`:�:•::. • •••:•• •:•.•. :ti>.G:�C4 rr:.•.... _ _ _ : _ . {:•): i5$ :? C:..O.'..•!,•:<•:•4�%•.:..: r�n��:fiC�:•t�{>:•Y.-:<;0.:,•.:.... ^•%:.....:... - :'?- •Tarr. : •}:•' : rrv.•n This Endorsement applies to the following forms: GENERAL LIABILITY ?,il.,L'v: . ....3:?1.{•'�,:<L_:v:.{.v.:?iY....................::�J:Sn�4t}J�J:•X4•i?i::......... �i� ':v': afiYK-:':. •rr: aray.. :•?:•? :ter : is{?;•:{•''.Y...�:..r...r?.1r:�:v:::•\�:S•:+ir:.ti�:i':Y....: 5���:�.•:i?:?vv:i�:4:�Yi>:^i"=6:•i:�?:::%5?:•n�v�{{?i•:P:'4: �:iv%:: Under Who Is An Insured, the following provision is added. Who Is An Insured Additional Insured - Scheduled Person Or Organization Persons or organizations shown in the Schedule are insureds; but they are insureds only if you are obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by 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 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. -•..................: 2�i�•R>:3.•ri'o;::>.?i'•:+.:?v'rr?YdG.G?i:�S:=S.:l..ti'.'<?.�ri:;'� �•:;• �':ti ��{f:.o`.',•Y.6(-4>.'a:S:�;:`�i9.'??;t .:.•.•.,.., r':_•1 ��:"fi:.'Y:.�Y::...:..... vk�fi�{ti\ri?s�.:na•'.?tiY4�.v'attC&�6:::;•.•fd:r::::::::;;;�: fir'::{?•::<v.;{ti:a:�:<ris: r�;•:;�,n'ktY 4! �: Liability Insurance Additional Insured - Scheduled Person Or organization continued Form 80-02-2367 (Rev. 5-07) Endorsement Page 1 CHUBB° Liability Endorsement (continued) Conditions Other Insurance — Primary, Noncontributory Insurance — Scheduled Person Or Organization Under Conditions, the following provision is added to the condition titled Other Insurance. If you are obligated, pursuant to a contract or agreement, to provide the person or organization shown in the Schedule with primary insurance such as is afforded by this policy, then in such case this insurance is primary and we will not seek contribution from insurance available to such person or organization. •l.Y: •r.YJ N A 'A' h•A•.'.•!. ♦!•J YlJJ :V: JJA•N. Jl.Y Y'!J •!{!. •{ •.Y. • .:�:YJ.� Y.Y:f •A1M1Y. Y�.•.W:n:V?{::.vl.•AY-::•.•%:•.VA•.a•!Jl-- :ti•:.::v}.•rJ.lJn�i<YC.L.•! n+4�e�?:n:•:l: tv.•.•F.•nY:}.Yl:.:v:::�li:?�'�'^GfiL.?w.Y.��:•:: A•i.: ny:S:i{•�4 >.�?�S�r ? i•:.Y:�: i�{::}r.y .Y.t.:�:n�: 4:v. r: }:.?J�-r?:{::. �. �:....:................... • • :h -ny: • ' •r •J.Y.Yn-m� n• •?'n' >: Y.• y�•r•: •G�S:Y. : <••. v..•.?:?'•: .. •:.:..l:.i�::,rfitl'A'r.•.:1.1•:'•'7.Q:::/.?�:...>.J.•A..<}..:n..?ai.?:?.•iSnn'ti•:G•......:. Schedule City of Gilroy 7351 Rosanna Street Gilroy, CA 95020-0000 All other terms and conditions remain unchanged. Authorized Representative Liability Insurance Additional Insured - Scheduled Person Or Organization last page Form 80-02-2367 (Rev. 5-07) Endorsement 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 RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA 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. (This agreement applies 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. The additional 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. Person or Organization City of Gilroy 7351 Rosanna Street Gilroy, CA 95020-0000 Job Description This endorsement changes the policy to which it is attached and is effective on the date issued unless otherw:se stated. ('rhe information below is required only when this endorsement is issued subsequent to preparation of the policy. j WC990313C (Ed. 7-09)