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CERTIFICATE OF LIABILITY INSURANCE (7) Client#: 581763 INFOSENDI DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 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 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 CONTACT Rocio Gutierrez NAME: Marsh&McLennan Agency LLC a/CC,"ry,Ext,949 900-1780 (A/C,No): Marsh&McLennan Ins.Agency LLC ADDRESS:SS: rocio.gutierrez@marshmma.com 1 Polaris Way#300 INSURER(S)AFFORDING COVERAGE NAIC# Aliso Viejo, CA 92656 INSURER A:Federal Insurance Company 20281 INSURED INSURER B:CompWest Insurance Company 12177 InfoSend, Inc. Underwriters at Lloyd's London 555555 INSURER C: Y 4240 E La Palma Avenue 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 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 EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY 36031149 2/01/2022 02/01/2023 EACH OCCURRENCE $1,000,000 CLAIMS-MADE 4 OCCUR PREMISESOEa occur ence $1,000,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICYF-1 PRO- F ECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 73587120 2/01/2022 02/01/202 EoaaBcideD SINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ A X UMBRELLA LIAB X OCCUR 79896856 2/01/2022 02/01/2023 EACH OCCURRENCE $5 OOO 000 EXCESS LIAB CLAIMS-MADE AGGREGATE s5,000,000 DED I I RETENTION$ $ B AND EMPLOYERS'LIABILITY WORKERS COMPENSATION WCV5504862* 2/01/2022 02/01/2023 X STATUTE ERRH- ANY PROPRIETOR/PARTNER/EXECUTIVE[/" WCV6217250** 2/01/2022 02/01/2023 E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) *CA/OR/AZ/GA E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under ** DESCRIPTION OF OPERATIONS below FL/TX/IL E.L.DISEASE-POLICY LIMIT 1$1,000,000 C *Prof Liab/Cyber TRICE01743 2/01/2022 02/01/2023 $5,000,000 Agg./Claim C *Retro 12/01/06 $100,000 Retention A Crime 68054862 2/01/2022 2/01/2021 $300,000/$5,000 Ret. DESCRIPTION OF OPERATIONS/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. CERTIFICATE HOLDER CANCELLATION Cit of Clearwater SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 100 S. Myrtle Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Clearwater, FL 33758-0000 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 #S9285805/M9285467 WOROG -------------------------------------------------------- C H U B B Liability Insurance Endorsement int HCY 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 following forms: GE,NERAL 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 there 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 requ ires the person or organization to be afforded status as an insured-, for activities that(lid not occur,in whole or in part,before the execution of the contract or ag,reernent;and with respect to darnages,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(ot'another person or organization)by therm in a contract or aoreernent-'rhis limitation does not apply to the liability(or damages,loss,cost or 0 tl expense for injury or darnage,to which this insurance appl iles,that the person or organization would have in the absence of such contract or agrecinent, Liability Insurance Additional Insured-Scheduled Person Or Organ4atian continued Form 80-02-2267(Rev. 5-07) Endorsement Page I C H U B B" 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 agreerneru,to provide the person or organization Primary, Noncontributory shown in she 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 Clearwater 100 S. Myrtle Avenue Clearwater, FL 33758-0000 All other terms and conditions remain unchanged. Authorized Representatiuse Liability Insurance Additional Insured-Scheduled Person Or 0qlanization, last page Form 80-02-2,367(Rev.5-107) Endorsement Page 2 INSURED: InfoSend, Inc. POLICY#: WCV5504862* POLICY PERIOD: 02/01/2022 TO: 02/01/2023 WORKERS COMPENSATIDNI AIND EMPLOYERS LIABILITY INSURANCE POLICY we 99 03 13 C (Ed. 7-09) WAINER OF OUR RIGHT TO RECOVER FROM OTMERS ENDORSEMENT - CALIFORNIA We have the fight to recover our payments f1'0M anyone liable for mlinjury covered lby this policy.WG w ill not anf:orce our inght against:the parson or organization named in the Schedule. ITI-iis agreement applies only to,the extent that you perform work under a written contirect that marjui res you to obtain this agreement from Ls. ) You miust imaiintaiin 1payrol I rocords,accurately segregating the romun(Gration of your emp4oyeos while engaged in the work described in the Schedule. The additional premium for this-andorsement shall be $ Schedule Any parson or arganization that you perform work for that is [lable for an rqury, covered by this policy, that: prior to the inifury Ihas written contract raquiinng a waiver of our right to recover from them- Person,or Oirganizalon Job Descriijinion, City of Clearwater 100 S. Myrtle Avenue Clearwater, FL 33758-0000 This endorsement,changestKe,jpojliqylawho ch t isattached andits effectine Dinthe datRiissu�ed unlesscAhenvise stated. (The informaflon below lid.req uiredionly mMiL-mithiisL-ndorseniL-ntilsilsSwed rmubsequent.to preparabondihe picdicy.r W'C 99 013 13 C (Ed. 7-09)