Laserfiche WebLink
CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIOCIYYYY) <br />I -HIS CERTIFICATE 15 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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an A[ <br />the terms and conditions of She policy, certain <br />PRODUCER <br />4rthur J. Gallagher & Co. <br />nsurance Brokers of CA, Inc. LIC 40726293 <br />18201 Von Kerman, Suite 200 <br />rvine CA 92612 <br />INSURED <br />MetroPro Road Services, Inc, <br />2550 South Garnsey Street <br />Santa Ana, CA 92707 <br />AL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />may require an endorsement. A statement on this certificate does not confer rights to the <br />COVERAGES CERTIFICATE NUMBER: 2116095487 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 INSURANCEAFFORDEDBY 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 />IL7R <br />TYPE OP INSURANCE <br />0 <br />CITY OF SANTA ANA <br />POLICY NUMBER <br />POLICY <br />ROLICYEFP <br />POLICY <br />MIDDYBXP <br />YYYYY <br />LIMITS <br />AUTHORIZED REPRESENTATIVE <br />G Get -'L <br />COMMERCIAL GENERAL LIABILITY <br />CI -AIMS -MADE D OCCUR <br />EACH OCCURRENCE $ <br />R7ffDoe $ <br />MED EXP(Any oneperson) $ <br />PERSONAL& ADV INJURY $ <br />GEN'L AGGREGATE LIM IT APPLIES PERS, <br />POLICY [:] PRO. ❑ <br />JECT LOC <br />OTHER: <br />GENERALAGGREGATE $ <br />PRODUOTS-COMP/OP AGE $ <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALLOWNEO GIIEDDLED <br />AUT 8 OTTN OWNED <br />HIREDAUTOS AUTOS <br />EBaaaldent T $ <br />BODILY INJURY (Per person) $ - <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE <br />Per accident $ <br />$ <br />UMBRELLALIAB <br />EXCESS LIAO <br />OCCUR <br />CLAIMS MAbE <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />DED RETENTION, <br />$ <br />A <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABIIuTY YIN <br />ANY PROPRIETOWPARTNCWEXECUTIVE ❑ <br />OFFICERIM(MandatoryEn NH)MBEEXCLUDED4 <br />If yyae,dosorlbe under <br />bESCRIPTION OF OPERATIONS belors <br />NIA <br />y <br />VVSD502374502 <br />11/2015 <br />411/2010 <br />X PER GETH- <br />ER <br />E.L. EACH ACCIDENT $1,000,000 <br />E.L. DISEASE- EA EMPLOPIEF $1,000000 <br />E.L. DISEASE - POLICY LIMIT $1.000,000 <br />DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLES (ACORD 101, Additional Bmnmm 8chedele, may be attached if more space Is required) <br />Waiver of Subrogation applies to certificate holder, as respects workers compensation relicy, as per attached. <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 �o)fficers, officials, employees, agepte-ancl IUlatee <br />t "tip ' . 6 N ' .:..._._.._. �k .- <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2014101) <br />©1988.2014 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 />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />CITY OF SANTA ANA <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 CIVIC CENTER PLAZA <br />SANTA ANA CA 92701 USA <br />AUTHORIZED REPRESENTATIVE <br />G Get -'L <br />ACORD 25 (2014101) <br />©1988.2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />