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A� a® CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />08 /05IDDI13 <br />08/05/2013 <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 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 <br />Arthur J. Gallagher & Co. Insurance Brokers <br />of California, Inc. <br />NAME: Arthur J. Gallagher & Co. <br />PHONE FAX <br />A (949) 349 -9800 aC No: (949) 349 -9967 <br />E -MAIL <br />ADDRESS: <br />18201 Von Kaman Ave, Suite 200 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />Irvine, CA 92612 <br />INSURER A: INSURANCE CO OF THE WEST <br />27847 <br />Jerry Niewiadomski <br />INSURED <br />MetroPro Road Services, Inc. <br />INSURER B <br />COMMERCIAL GENERAL LIABILITY <br />—71 CLAIMS -MADE � OCCUR <br />Al-9013 J �/�'7 s'r� <br />2550 South Carnally Street Al -9013 �® 7 d`V� I <br />INSURER C: <br />INSURER D: <br />$ <br />NSURER E <br />$ <br />Santa Ana, CA 92707 <br />NS USER F: <br />COVERAGES CERTIFICATE NUMBER: 35085348 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 />INSR <br />R <br />TYPE OF INSURANCE <br />ADDLSUBR <br />INSR <br />POLICY NUMBER <br />MMIDDIYYYVY <br />MMIDDIYVYV <br />LIMITS <br />USA <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />—71 CLAIMS -MADE � OCCUR <br />rove 0-5 <br />\�)��y <br />/� <br />I <br />T9V7 <br />N <br />DAMAGEE( RENTED <br />PREMISES Ee occurrence <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONA 8 PINJURY -0 <br />$ <br />GENERAL )i. II IRIAATE ; �J <br />$ <br />GEN'L AGGREGATE <br />LIMIT APPLIES PER <br />PRODUCT$ COMP /OP AGf^Y <br />$ <br />// ■� ��� J <br />"— <br />POLICY <br />PRO LOD <br />JET F <br />iup"l <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT i <br />He accident .' ., <br />....I ^ <br />BODILY INJURY (Per person <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY {Per acciddR <br />j., <br />$ <br />PROPERTY A� u„ <br />Per accident <br />$ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />�,rPJE <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCU $"' <br />$ <br />AGGREGATE " <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />❑ED RETENTION$ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />X <br />WSD502374500 <br />04/01/1 <br />04/01/14 <br />X TWO STATIC OTH- <br />E <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />ANY PROPRIETORIPARTNERIEXECUTIVE ❑ <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <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 />Waiver of subrogation applies to certificate holder on workers compensation liability policy, per the attached form <br />WC990634800. <br />Re: Work performed by the named insured as required per written contract with respects to City of Santa Ana <br />Certificate holder continued: City of Santa Ana, its officers, officials, employees, agents, and volunteers <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2010/05) <br />Tamie123 <br />35085348 <br />©1988.2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Clerk of the Council <br />20 Civic Center Plaza (M -30) <br />AUTHORIZED REPRESENTATIVE <br />P.O. Box 1988 <br />Santa Ana, CA 92702 -1988 <br />USA <br />ACORD 25 (2010/05) <br />Tamie123 <br />35085348 <br />©1988.2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />