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CERTIFICATE OF LIABILITY INSURANCE DATED 3/28M/2013 <br />3/213 <br /> <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(les) must be endorsed, If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER 1-800-955-8700 CONTACT Arthur J. Gallagher a Co. <br />^ <br />Arthur J. Gallagher & Co, Insurance Brokers <br />of California <br />, Inc, VD 5vt, (949) <br />349-9000 ac No: (949) 349-9967 <br /> <br />18201 Von Karmen Ave, suite 200 MAIL <br />ADDRESS, _ <br />Irvine <br />CA 92612 INSURERS AFFORDINO COVERAGE NAIC# <br />, <br />Jerry Niewiadomsk_i__ <br />_ INSURER A: INSURANCB CO OF THB WEST 27847 <br />_ <br />_ <br />INSURED INSURER 8: <br />HetroPro Road Services, Inc, <br /> INSURER C: <br />2550 South Garneey Street INSURER D: <br /> <br />INSURER e: _ <br />Santa Ana, CA 92707 <br /> INSURER P: <br />COVERAGES CERTIFICATE NUMBER: 32775696 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 />ILTR TYPE OF INSURANCE POLICY NUMBER MOILOmW MMIDDY EXP LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> DAMAGE TO RENTED <br /> COMMERCIAL GENERAL LIABILITY EREMISEI) Ee ccumenca $ <br /> <br /> CLAIMS-MADE El OCCUR MED EXP(Any one person $ <br /> PERSONAL dADV INJURY .$ <br /> EX/ A <br />PR TO 1' 1lw <br /> 4l Y GENERAL AGGREGATE $ <br /> CEN'L ACCRECATE LIMIT APPLIES PER: / PRODUCTS-COMPIOP AGG $ <br /> PRO - <br /> PCUCY <br />LOC $ <br /> AUT OMOBILE LIAEILITY A <br />. <br />Laura ®sslni EDMR[NEEDISI GL LM'r Aeo?en <br /> ANYAUTO / <br />? <br />1 <br />Assistant l <br />' AtaLDrn Rr BODILY INJURY (Per person) IL <br /> ALL OWNED <br />AUTOS SCHEDULED <br />O . <br />1 6 <br />L ? BODILY INJURY(Peracdden0 $ <br /> NON <br />WNED PROPERTY DAMAGE ? $ <br /> HIREDAUTOS <br />H <br /> <br />AUTOS <br /> <br />Porarddenl <br /> <br /> UMBRELLALIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ <br /> DEO RETENTIONS $ <br />A WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY X WSD802077001 09(01/1 04/01/14 X WCSTATU- OEN- <br /> <br /> ANY PROPRIETOWPARTNEWEXECUTIVE? NIA EL, EACH ACCIDENT $ 1,000,000 <br /> OFFICEMMEMBER EXCLUDED? <br /> (Mandatory In NH) L-i. DISEASE - EA EMPLOYE $ 1,000,000 <br /> If yes, recent. under <br />DESCRIPTION OF OPERATIONS below <br />GL. DISEASE-POLICY LIMIT 1,000,000 <br />$ <br /> T <br />DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES (Atteeh ACORD101,Addillanal Remarks SCheduie,ifmorespace is required) <br />Waiver of subrogation applies to certificate holder on workers compensation liability policy, par attached form <br />WC990634800. <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Clerk of the Council ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza (M-30) AUTHORIZED REPRESENTATIVE <br />P.O. Box 1988 ?Q <br />Santa Ana, CA 92702-1988 <br />1 USA <br />ID 1988.2010 ACORD CORPORATION. All rights reserved, <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />Sandral23 <br />32775696