A&P TOWING (METRO PRO ROAD SERVICES) - 2013

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AC01?o CERTIFICATE OF LIABILITY INSURANCE 0 D2/20 20IDDIV13 02/20 3 / 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 1-800-955-8700 Arthur J G ll h CONTACT NAME: Arthur J. Gallagher & Co. . a ag er & Co. Insurance Brokers of California, Inc. jJSN?_IW1 (949) 349-9800 qIG No). (949) 349-9967 18201 Von Karmen Ave, Suite 200 EMAIL ADDRESS: Irvine, CA 92612 INSURERS AFFORDING COVERAGE NAIC$ Jerry Niewiadomski INSURER A: EXPLORER INS CO 40029 INSURED M t P R INSURER B e ro ro oad Services INSURER C 2550 South Garnsey Street _ INSURER D: Santa Ana, CA 92707 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 32091737 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. NOR LTR TYPE OF INSURANCE ADDL MSR SUBR MD POLICY NUMBER POLICY EFF MMIDDIVYYV POLICY EXP MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY MAGETO RENTED DAPREMISES (Ea occurrence) $ CLAIMS-MADE OCCUR _ MED EXP (Any one person) _$ PERSONAL & ADV INJURY _ $ PRaOV E ''? L`®- GENERAL AGGREGATE _ $ ` GEN'L AGGREGATE LIMITAPPLIES PER - y ^^ PRODUCTS-COMPIOPAGG $ 0 F 1 }}}} ^"V /''L(1 '$ ?[???? ? ?evL 3I4J1 ? n v POLICY " LOC i j °°°° ?,,,, $ ""'--'"'""°^^°-- - COMBINED SINGLE LIMIT AUT OMOBILE LIABILITY a - d'p' .9 A " f °--^-a ' i ' (Ea accident) $ ANY AUTO !Li e , a . 6 q 1);2.4 nv BODILY INJURY (Per person) $ ALL OWNED SCHEDULED Assimrrd 3_aty /-'a" G me AUTOS AUTOS ' BODILY INJURY (Per accident) $ HIREDAUTOS _ NON-OWNED AUTOS PROPERTY DAMAGE - Per acdtlent) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE - AGGREGATE $ _ OED RETENTION$ $ A WORKERS COMPENSATION X WSD502077100 04/01/13 WC STATU- TH C- X AND EMPLOYERS' LIABILITY 04/01/1 ARV LINLTS ER YIN AN' PROPRIETOR/PARTNER/EXECUTIVE OFf CEWMEMBER EXCLUDED? ? NIA E.L. EACH ACCIDENT $1,000,000 -- (Mandatory In NH) E.I.. DISEASE - EA EMPLOYEE $ 1, 000, 000 If yes, describe under DESCRIPTIONOFOPERATIONSbelow - -- E L. DISEASE - POLICY LIMIT --- $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ADDED 101, Additlonal Remarks Schedule, If mere space le renuired) Blanket Workers Compensation waiver of subrogation WC990634 8/00 attached, where required by written contract. City of Santa Ana Clerk of the Council 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 ACORD 25 (2010/05) kriatinl23 32091737 USA 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 © 1988.2010 ACORD CORPORATION. All rights The ACORD name and logo are registered marks of ACORD