Laserfiche WebLink
DocuSign Envelope ID: 43EO2F51-7A2C-4361-B8BB-6A57EFD149CD <br />,acoRo° CERTIFICATE OF LIABILITY INSURANCE <br />FDATE/DD/YYYY) <br />024 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Marsh & McLennan Agency LLC <br />Marsh & McLennan Ins. Agency LLC <br />1 Polaris Way #300 <br />CONTACT <br />NAME: Amber Wisher <br />PHONE FAX <br />A/c No Ext): AIC No): <br />ADDRESS: OCCerts@MarshMMA.com <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />Aliso Viejo CA 92656 <br />INSURER A: StarNet Insurance Company <br />40045 <br />License#: OH 18131 <br />INSURER B: Hamilton Ins Designated Activity CO <br />55555 <br />INSURED INFOSENDI <br />InfoSend, Inc. <br />4240 E. La Palma Avenue <br />INSURERC: Arch Insurance Company <br />11150 <br />INSURER D: American Casualty Company of Reading PA <br />20427 <br />Anaheim CA 92807 -CA <br />INSURER E: The Continental Insurance Company <br />35289 <br />DAMAGES( RENTED <br />PREMISES Ea occurrence) $ 1,000,000 <br />INSURER F: <br />MED EXP (Any one person) $ 15,000 <br />COVERAGES CERTIFICATE NUMBER: 136387187 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />NUMBER <br />PICPOLICY <br />MM DDY/YYYY <br />EXP <br />MM DDY/YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />TCP702532010 <br />2/1/2024 <br />2/1/2025 <br />EACH OCCURRENCE $ 1,000,000 <br />CLAIMS -MADE � OCCUR <br />DAMAGES( RENTED <br />PREMISES Ea occurrence) $ 1,000,000 <br />MED EXP (Any one person) $ 15,000 <br />PERSONAL &ADV INJURY $1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ 2,000,000 <br />X JECT <br />POLICY PRO F—]LOCPRODUCTS <br />F—I$ <br />- COMP/OP AGG $ 2,000,000 <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />TCP702532010 <br />2/1/2024 <br />2/1/2025 <br />COMBINED SINGLE LIMIT $1,000,000 <br />Ea accident <br />BODILY INJURY (Per person) $ <br />X <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE $ <br />Per accident <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />A <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />TCP702532010 <br />2/1/2024 <br />2/1/2025 <br />EACH OCCURRENCE $5,000,000 <br />AGGREGATE $ 5,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I X RETENTION $ n <br />$ <br />D <br />E <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />Y <br />7064059628 <br />7064059631 <br />2/1/2024 <br />2/1/2024 <br />2/1/2025 <br />2/1/2025 <br />X STATUTE ERH <br />ANYPROPRIETOR/PARTNER/EXECUTIVE Y <br />E.L. EACH ACCIDENT $ 1,000,000 <br />OFFICER/MEMBEREXCLUDED? I <br />N / A <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />B <br />Prof Liab/Cyber <br />AMWIN1018 <br />2/1/2024 <br />2/1/2025 <br />Agg./Claim $5,000,000 <br />C <br />Retro 12/01/06 <br />Crime <br />PCD100556501 <br />2/1/2024 <br />2/1/2025 <br />Retention $100,000 <br />Limit/Retention $500,000 /$10,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Certificate Holder is included as additional insured as respects to General Liability per attached endorsements. Waiver of Subrogation applies to Workers <br />Compensation per attached endorsement. <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2016/03) <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />City of Pleasanton <br />P.O Box 520 <br />AUTHORIZED REPRESENTATIVE <br />Pleasanton CA 94566-0000 <br />ACORD 25 (2016/03) <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />