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ACCW " CERTIFICATE OF LIABILITY INSURANCE DATE 1 /312001VYYY) <br />1!3(2014 <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 be endorsed. If SUBROGATION IS WAIVED; subject to <br />the teems and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights 4o the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER -- -- - <br />CONTACT <br />POLICY EXP <br />_. MooryYYY <br />NAME; <br />MARSH USA INC, <br />6500 SMERIDAN DRIVE, SUITE 114 <br />WILLIAMSVILLE, NY <br />acmExt: 1-666 - 016 -0088 Np. 410- 349 -4584 <br />EMAIL _ -- <br />ADDRESS; <br />INSURER (S) AFFORDING COVERAGE <br />NAIC N <br />`U. &:A. 14221 <br />©/1-,// -0O <br />INSURER N. <br />EACH OCCURRENCE <br />/" W J <br />IN RED' <br />Dynamex- Operations West, LLC <br />2051Raymor Ave, Unit A <br />Fullerton, CA 92833 <br />INSURER B:. <br />INSURER C: <br />•- -- <br />INaea D: LIBERTY MUTUAL FIRE INSURANCE CO. w <br />— 23035 <br />WSuSURER e: <br />DAMAGE TG :NED <br />PREMISES. Me occurrence) <br />$ <br />INSURER F: <br />MEOE-XP(Any One parson) <br />$ <br />COVERAGES CERTIFICATE NUMBER: 13114.252 -WC REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE. LISTED BELOW HAVE SEEN 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 TERM$, <br />EXCLUSIONS AND CONDITIONS OF 'SUCH POU014B.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INUR <br />LTR <br />- - <br />TYPE OF INSURANCE <br />APOL <br />INSR <br />short <br />WVD <br />POLICY NUMBER. <br />POLICY EFF <br />MMOD <br />POLICY EXP <br />_. MooryYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />DAMAGE TG :NED <br />PREMISES. Me occurrence) <br />$ <br />MEOE-XP(Any One parson) <br />$ <br />PERSONAL SAOV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN' {AGGRBGATELIkUT APPLIES <br />PER <br />PRODUCTS' - COMP /OP AGG. <br />$ <br />$- <br />oUCY PRO- <br />LOO <br />aurDMOaILELlaeluTY <br />[IITP12� <br />? <br />COMBINED LIMIT <br />ES accident) <br />$� <br />BOOILY INJURY (Per parson) <br />$ <br />ANYAUTO <br />ALLOWNRD SCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />HIREDAUTG$ AUTOS <br />I UTB . <br />stout <br />- <br />Od <br />'ltt. �)4G y <br />itY A ttD "B <br />- <br />-^" `" <br />w <br />BODILY INJURY (Per accident) <br />$. <br />J?ROPERTYDAMAGE <br />Per accident <br />$ <br />L_JUMBIIELLAIIA8 <br />OCCUR <br />EACH OCCURRENCE <br />,$ <br />AGGREGATE <br />$ <br />6KORSS LIAD <br />I <br />ICIAIMS-MADE <br />OLD I I RETENTION $ <br />1 <br />$ <br />D <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY YIN <br />x <br />WCSTATU- <br />TORYLIMITS <br />0TH - <br />ER <br />E,L EACH ACCIDENT <br />$1.,000,000 <br />ANYPROPRIETDRIPARTNEWEXECUTtVE NQ <br />OFF10FRIMEMBER EXCLUDED! <br />(Mdndatpryin NH) <br />It yea; describe antler <br />DESCRIPTIONOFOPERATIONSbaloiv <br />NIA <br />W(� -BAD- 1%0641- <br />013 <br />11130/2013 <br />09I3O/2014. <br />E.L. DISEASE - IEMPLOYEE <br />:$1,000,000 <br />- <br />E.L. DISEASE - POLICY LIMIT <br />$1,000;000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS .I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) <br />Evidence of coverage. <br />CERTIFICATE HOLDER CANCELLATION <br />na <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED' BEFORE <br />Plaza <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />F <br />AUTHORIZED REPRESENTATIVE <br />y� <br />- @1988.2010 ACORD CORPORATION. All rights. reserved. <br />ACORD 25;(2010/05) The ACORD name and logo are registered marks of ACORD <br />