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Ac"OR� CERTIFICATE OF LIABILITY INSURANCE DATD/YYYI� CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 9 /17/2 9/17/2012 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 CONTACT NAME: MARSH USA INC. 6500 SHERIDAN DRIVE, SUITE 114 WILLIAMSVILLE, NY PHONE 1 -866 616 -0088 Arc, No, Ext : FAX 416 - 349 -4564 ac, No EMAIL ADDRESS: U.S.A. 14221 INSURERS AFFORDING COVERAGE NAIC # INSURER A: LIBERTY MUTUAL FIRE INSURANCE COMPANY 23035 INSURED Dynamex Operations West, Inc. INSURER B: INSURER C: DAMAGE TO RENTED PREMISES Ea occurrence 2051 Raymer Avenue INSURER D: $ Unit A Fullerton, CA U.S.A. 98233 INSURER E: $ INSURER F: GEN'L AGGREGATE LIMIT APPLIES PER: COVERAGES CERTIFICATE NUMBER: 1016 -WC DYNA 12 -13 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE ❑ COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE ❑ OCCUR ❑ ❑ DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ ❑ POLICY ❑ PRO- ❑ LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ❑ ANY AUTO BODILY INJURY (Per person) $ ❑ALL OWNED SCHEDULED AUTOS ❑ AUTOS BODILY INJURY (Per accident) $ NON -OWNED ❑ HIRED AUTOS ❑ AUTOS PROPERTY DAMAGE Per accident $ ❑ ❑ $ ❑ UMBRELLA LIAB ❑ OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑ CLAIMS -MADE AGGREGATE $ ❑ DIED ❑ RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ® WC STATU- TORY LIMITS ❑ OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE NO OFFICER/MEMBEREXCLUDED7 (Mandatory IN NH) If yes, describe under NIA Y WA2 -B7D- 170841 -012 07/01/2012 07/01/2013 E.L. EACH ACCIDENT $1'000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more 7V r�g@��I h AS T O FORM EVIDENCE OF US WORKERS COMPENSATION & EMPLOYERS LIABILITY COVERAGE.V Y C A //�qn 0 -- / Laura Stitt S edy CERTIFICATE HOLDER CANCELLATION Assistant City Attorney Pitney Bowes Presort Services, Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE A Pitney Bowes Company THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 101101 Street ACCORDANCE WITH THE POLICY PROVISIONS. Omaha, NE AUTHORIZED REPRESENTATIVE U.S.A. 68127 I ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD