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'" CERTIFICATE OF LIABILITY INSURANCE DAT9 Y) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, /30/2 14 9130/2014 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 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 CONTACT GENERAL LIABILITY NAME: MARSH USA INC. 6500 SHERIDAN DRIVE, SUITE 114 WILLIAMSVILLE, NY AlcrvNO Ext): 1 -886- 618 -0088 ac, No): 416- 349 -4564 EMAIL ADDRESS: U.S.A. 14221 INSURERS AFFORDING COVERAGE NAIC# INSURER A: INSURED Dynamex Operations West, LLC INSURER B: COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence 2051 Raynner Ave, Unit INSURER C: CLAIMS -MADE F1 OCCUR INSURER o: LIBERTY MUTUAL FIRE INSURANCE CO. 23035 Fullerton, CA 92833 NSURER E: INSURER F: $ COVERAGES CERTIFICATE NUMBER: 14115.596•WC 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 LTR TYPE OF INSURANCE ADDL INSR sues MID POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYVY LIMITS J GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ CLAIMS -MADE F1 OCCUR MED ERE (Any one person) $ PERSONAL &ACV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ POLICY PRO - LOG S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT COMB $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS " BODILY INJURY (Par accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB Ld CLAIMS -MADE ICED I I RETENTION$ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN X` STATU" TOR WC Y LIMITS OTH- ER ANY PROPRIETORIPARTNERIEXECUTIVE NO OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under NIA WA2 -B7D- 170841- 014 09/30/2014 09/30/2015 E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,009 E.L. DISEASE - POLICY LIMIT $1,000,090 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Evidence of coverage. CERTIFICATE HOLDER CANCELLATION City Of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 Civic Center Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Santa Ana, CA ACCORDANCE WITH THE POLICY PROVISIONS. U.S.A. 92701 AUTHORIZED REPRESENTATIVE J i lA © 1988.2010 ACORD CORPORAiILiAk^AlIN § htbMserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Rp'F',QV r+t""r AlMa 1 tS?T KneY. Ptasistatl �l'