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METRO PRO ROAD SERVICES, INC. DBA A&P TOWING (2) - 2014
INSURANCE ON RILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES L /-Y..IY CLERK OR COUNCIL DATE: AJ—/71,V SECOND AMENDMENT TO AGREEMENT N-2043-047-002 ®' S I� THIS SECOND AMENDMENT TO AGREEMENT effective as of April 1, 2014, by and S ra M' �C between Metro Pro Road Services„ Inc., dba A&P Towing, a California corporation SbOt � ("Contractor") and the City of Santa Ana, a charter city and municipal corporation organized and existing ander the Constitution and laws of the State of California ("City"). A. The parties entered into Agreement # N-2013-047, dated April 1, 2013, (hereinafter "said Agreement") by which Contractor will provide police tow services on a rotational basis for a one year period with four (4) additional one-year extension periods excercisable at the option of the Chief of Police. B. The parties entered into the First Amendment to Agreement #N-2013-047-001 on May 28, 2013, amending the Fee Schedule (Exhibit B) and authorizing the recovery of the Dispatch and Tracking Solutions fee from the vehicle owner. C. In accordance with the terms and conditions of said Agreement, the parties wish to amend the said Agreement by extending for the first additional year. WHEREFORE, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, except those amended in this Second Amendment to Agreement, the parties agree as follows: 1, Section 3 of said Ag'reeme'nt, "Tenn" is hereby amended and extended through March 31, 2015. 2. Except as hereinabove amended, all terms and conditions of said Agreement, as amended, shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to Agreement on the date and year first written above. ATTEST: aria Fluizar Clerk of the Council APPROVED AS TO FORM.: Sonia R. Carvalho City Attorney By: 41 c lAsa Storck Assistant City Attorney CITY F SA'NT'A ANA Carlos Rojas Acting Chief of Police CONTRACTOR: Metro Pro Road $crvipes, Inc. UA4/i RnDYYYYI ACORQ„ CERTIFICATE OF LIABILITY INSURANCE I PRODUCER 1 Ceata fate Insurance Service California License #0735759 807 - B Camarillo Springs Road Camarillo, CA 93012-9464 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIL# INSURED M.ETROPRO TOWING, INC. DBA: SANTA ANA TOWING DBA: METROPROO;T ^INSURERS: 2550 S GARNBRY STREET N -6W 13 .�0y�. SANTA ANA, CA 92707 Al 16� (),,5-C) / 97 ' METR00 INSURERA', NATIONWIDE MUTUAL INSURANCE CO 23787 *REVISED* INSURER C: NSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR T, UDL �Pn"mAURANCE POLICY NUMBER POLICYDATEEMMQDdYIVE POUCY EXPIRATION UMI78 A GENERAL LIABILITY ACP 7825094878 07/24/2013 07/24/2014 EACH OCCURRENCE $ 11000,000 nce $ 100,000 X COMMERCIAL GENERAL LIABILITYPREMISESaxcu CLAIMSMADE ©OCCUR MED EXP (Any mammon) $ 51000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENLAGGREGATE LIMITAPPLIES PER PRODUCTS - COMP/OP AGO $ 2,000,000 POLICY %NT LOC A AUTOMOBILE LIABILITY ANYAUTO ACR 7825094878 07/24/2013 07/24/2014 COMBINED SINGLE LIMB (Ea amiden0 $ 1,000,000 BODILYINJURY (Perpeman) $ X ALLOWREDAUTOS SCHEDULED AUTOS BODILYINJURY (Pereccident) $ X X HIRED AUTOS NON-OWNEDAUTOS PROPERTY DAMAGE $ (Peraxident) A GARAGE LIABILITY ACP 7825094678 07/24/2013 07/24/2014 AUTOONLY-EAACCIDENT $ OTHERTHAN EA ACC $ 1,000,000 HANYAUTO X OTHER THAN AUTO AUTOONLY: AGG $ EXCESS)UMBRELLA LIABILITY OCCUR FICLAIMSMADE DEDUCTIBLEe_�rs_....-.tee• APPROVED AS TO FOR)I EACH OCCURRENCE $ AGGREGATE $ $ $ $ RETENTION $ Laaura WORKERSCOMPENSATIONAND Assistant Assistant CI Attorney TATO• OTM- E.L. EACH ACCIDENT 8 EMPLOYERS LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? y E.L. DISEASE - EA EMPLOYE ;$ E.L. DISEASE -POLICY LIMB I S I}yea,d0ecribeunder SP EC IAL PROVISIONS below A OTHER ACP 7825094878 07/24/2013 07/24/2014 PER VEH.SCH. $600,000 ON-HOO&/GARAGEKEEPERS $1000 DEDUCTBL DESCRIPTION OFOPERA71ONS I LOCATIONS/ VEHICLES/ EXCLUSIONSADDED BY ENDORSEMENTISPECIAL PROVISIONS GARAGEKEEPERS LEGAL LIABILITY -$600,000 LIMIT PER LOCATION UNINSURED MOTORIST B.I: -$1,000,000 THE CITY OF SANTA ANA, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS, AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSURED AS RESPECTS TO THE GENERAL LIABILITY AND AUTOMOBILE LIABILITY POLICY LIMITS AS PER ATTACHED ENDORSEMENTS. INSURANCE IS PRIMARY / NON-CONTRIBUTORY; CERTIFICATE HOLDER CANCELLATION ACORD26(2001108) ' AGORD CORPORATION 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA71 CITY OF SANTA ANA DATE THEREOF, THE ISSUING INSURER WILIXPE0WAIIIRII01D MAIL30 DAYS WRITTEN ATTN: PURCEM32TG DEPARTMENT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LE L 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701-4010 AUTHORIZED REP? ATIVE a °n DS ACORD26(2001108) ' AGORD CORPORATION 1988 POLICY NUMBER: ACP 7825094878 COMMERCIAL AUTO CA 20 48 0299 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM M(7 MCARRIFRCOVERAGEFORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by this endorsement. This endorsement identifies person(s) or organization(s) who are insureds under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective: 07/24/2013 ,ountersigned By: �,rr Named Insured: METROPRO TOWING, INC. ori SCHEDULE Name of Person(s) or Organization(s): CITY OF SANTA ANA, ITS OFFICERTS, EMPLOYEES, AGENTS AND REPRESENTATIVES (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an insured for Liability Coverage, but only to the extent that person or organization qualifies as an insured under the Who Is An Insured Provision contained in Section II of the Coverage Form. —V ' aura ROSSiul ey Assistant City CA 20 48 0299Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 13 POLICY NUMBER: ACP7825094878 COMMERCIAL GENERAL LIABILITY CO 20 26 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Name Of Additional Insured Person(s) Or Organization(s): CITY OF SANTA ANA, ITS OFFICERTS, EMPLOYEES, AGENTS AND REPRESENTATIVES ATTN:PURCHASING DEPARTMENT 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701-4010 ATEE.OVED AS TO FORM d i!n�i.,viatx°a A. Assisiatit City Attorney A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. will be shown in B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All terms and conditions apply unless modified by this endorsement. CG 20 26 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: ACP 7825094878 COMMERCIAL GENERAL LIABILITY CG 7156 08 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: CITY OF SANTA ANA, ITS OFFICERTS, EMPLOYEES, AGENTS AND REPRESENTATIVES ATTN: PURCHASING DEPARTMENT 20 CIVIC CENTER PLAZA, SANTA ANA, CA 92701-4010 (if no entry appears above, Information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily Injury", "prop- erty damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your on- going operations for the additional in- sured(s) at the location(s) designated above. No such person or organization is an addi- tional insured for liability arising out of the "products -completed operations hazard". B. With respect to the insurance afforded to these additional insureds, the following additional ex- clusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work' out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontrac- tor engaged in performing operations for a principal as a part of the same project. C. The following is added to SECTION III - LIMITS OF INSURANCE: The limits of insurance applicable to the addi- tional insured are those specified in the written contract between you and the additional insured, or the limits available under this policy, which- ever are less. These limits are part of and not in addition to the limits of insurance under this pol- icy. APPROVED AS TO .Laura A. Koossinc Assistant City Atteruer.r CG 71 56 08 04 Includes copyrighted material of 180 Properties, Inc., with its permission. Page 1 of 2 CG 7156 08 04 D. With respect to the insurance provided to the person or organization shown in the Schedule of the Endorsement, Condition 4. Other Insur- ance is replaced by the following: 4. Otherinsurance If other valid and collectible insurance is available to the additional insured for a loss we cover under Coverages A or B of this Coverage Part, our obligations are limited as follows: a. Primary Insurance This insurance is primary except when it is excess as provided under part b., below. When this insurance is pri- mary, we will not seek contribution from other insurance available to the person or organization shown in the Schedule of this endorsement. b. Excess Insurance This insurance is excess over: (1) Any of the other insurance, whether primary, excess, contin- gent or on any other basis: (a) That is Fire, Extended Cover- age, Builder's Risk, Installa- tion Risk or similar coverage for "your work'; (b) That is Fire insurance for premises rented to you or temporarily occupied by you with permission of the owner; (c) That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises rented to you or temporarily occu- pied by you with permission of the owner; or (d) If the loss arises out of the maintenance or use of air- craft, "autos" or watercraft to the extent not subject to Ex- clusion g. of Section I - Cov- erage A - Bodily Injury And Property Damage Liability When this insurance is excess, we will have no duty under Coverages A or B to defend the additional insured against any "suit" if any other Insurer has a duty to defend the additional insured against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the additional Insured's rights against all those other insurers. When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (1) The total amount that all such other insurance would pay for the loss in the absence of this Insur- ance;and (2) The total of all deductible and self- insured amounts under all that other insurance. We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c. Method Of Sharing If all of the other insurance available to the additional insured permits con- tribution by equal shares, we will fol- low this method also. Under this ap- proach pproach each insurer contributes equal amounts until it has -paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other Insurance available to the additional insured does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of in- surance to the total applicable limits of insurance of all insurers. All terms and conditions of this policy apply unless modified by this endorsement. Page 2 of 2 Includes copyrighted material of ISO Properties, Inc., with its permission. CG 7166 08 04 ACORD,N CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) PRODUCER 30 Centerpointe Insurance Service C-Tifornia License #0735759 Aid `Ro /37 -(D Y - S Camarillo Springs Road �V i 1 Camarillo, CA 93012-9464 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED METROPRO ROAD SERVICES, INC. DBAt A&P TOWING, DBAs HARBOR TOWING 2550 S GARNSEY STREETINSURER SANTA ANA, CA 92707 HETR00 INSURER A: NATIONWIDE MUTUAL INSURANCE CO 23767 INSURER B: _ C: INSURER D: INSURER E: COVERAGES 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 WTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. INSR L kDOL 20 CIVIC CENTER PLAZA POLIGV NUMBER POLICY EFFECTIVE DATE MMIDO POLICYEXPIRATION DATE /OO UNITS A GENERAL LIABILITY ACP 7835094878 07/24/2014 07/24/2015 EACH OCCURRENCE $ 1,000,000 TO RE cc rents $ 100,000 X COMMERCIAL GENERAL LIABILITYSET CLAIMS MADE ®OCCUR MED EXP (Any one perean) $ 5,000 PERSONAL & ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP ADD $ 2, 0D0, 000 17 POLICY PRO- LOC A AUTOMOBILE LIABILITY ANVAUTO ACP 7835094878 07/24/2014 07/24/2015 COMBINED SINGLE LIMIT (Eaaccident) $ 1,000,000 BODILYINJURV (Perpereon) $ X ALLOWNEDAUTOS SCHEDULED AUTOS BODILVINJURY (Peramiden0 $ X X HIRED AUTOS NON-OWNEDAUTOS PROPERTY DAMAGE $ (Pereccident) A GARAGE LIABILITY ACP 7835094876 07/24/2014 07/24/2015 AUTOONLY-EAACCIDENT $ OTHERTHAN EAACC S 1,000,000 RX X OTHER THAN AUTO AUTOONLY: AGO $ EXCESSIUMBRELLA LIABILITY OCCUR El CLAIMS MADE APPRO"VEDy S TO FORM EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ g Laura A. Rossini $ WORKERSCOMPENSATIONAND Assistant City ttorneyN1C5 A - OTH- EMPLOYERS LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE E. L. EACHACCIOENT is El DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? IfYye9, tleserlEe under 6PECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT I $ A OTHER Ace 7835094878 07/24/2014 07/24/2015 PER VEH.SCHED. 600000 ON-HOOK/GARAGEKEEPERS $1000 DEDUCTEL DESCRIPTION OFOPERATIONS 1 LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS GARAGEKEEPERS LEGAL LIABILITY -$600,000 LIMIT PER LOCATION UNINSURED MOTORIST B.11 -$1,000,000 THE CITY OF SANTA ANA, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS, AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSURED AS RESPECTS TO THE GENERAL LIABILITY AND AUTOMOBILE LIABILITY POLICY LIMITS AS PER ATTACHED ENDORSEMENTS. INSURANCE IS PRIMARY & NON-CONTRIBUTORY; CERTIFICATE HOLDER CANCELLATION ACORD26(2001/08) ' ACORD CORPORATION 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI CITY OF SANTA ANA DATE THEREOF, THE ISSUING INSURER WILIXd6AiZf8 = MAIL3 0 DAYS WRITTEN ATTNt PURCHASING DEPARTMENT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFPMEKXNZXKX%XY_VY=LL 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701-4010 AUTHORIZED REPR ATIVE ' "n DS ACORD26(2001/08) ' ACORD CORPORATION 1988 CL 690 (10-93) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 10 10 93 ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART This endorsement chanaes the noliov effective nn 1ha inrwnHnn date of fhe nnlic, unless Ann+her dA+a is inrliro+ael heln... Endorsement effective Policy No. 12:01 A.M. standard time ACP 7335094975 Named Insured METROPRO ROAD SERVICES, INC, Countersigned by (Authorized Representative) SCHEDULE CITY OF SANTA ANA Name of Person or Organization: a0 CIVIC CENTER PLAZA SANTA ANA, CA 92701-4010 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. GARAGHEEEPERS LEGAL LIABILITY -$600,000 LIMIT PER LOCATION UNINSURED MOTORIST B.I: 41,000,000 T CITY OF SANTA ANA, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS, AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSURED AS RESPECTS TO THE GENERAL LIABILITY AND AUTOMOBILE LIABILITY POLICY LIMITS PER ATTACHED ENDORSEMENTS. INSURANCE IS PRIMARY & NON-CONTRIBUTORY; PPROVED AS TO FORM l A Laura A. Rossini Assistant City Attorney CL 690 (1093) CL 20 10 10 93 Copyright, Insurance Services Office, Inc., 1992 Page i of i Aa Ra CERTIFICATE OF LIABILITY INSURANCE DATE 3/3120 31120 4 Y 14 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(les) must he 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 Arthur J. Gallagher & Co. Insurance Brokers of CA, Inc. LIC #0726293 18201 Von Kerman, Suite 200 MAMEpCTArthur J. Gallagher,& CO PHONE .ENI,ggg_349-9800 AIC Na: IAI�EMAIL N.).949-349-9967 ADDRESS, Irvine CA 92612 INSURERS AFFORDING COVERAGE NAIC9 INSURER Adnsur oce Company of the West 19429 INSURED INSURER B MetrOPro Road Services, Inc, 2550 South Garnsey Street Santa Ana, CA 92707 INSURER C: INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 1997na3711 REVISION NUMIEl 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. (LTR TYPE OF INSURANCE AUDLSUBR INSR MD POLICYNUMBER MMOpY� MMNO� LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR DAMAGE TOR ❑ PREMISES Eaomure S MED EXP (Any oneperson) $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $ 1�pD �1y,� APPROVED APPROVED !� ry+,/� �+ V TO l' ��p RM POLICY F7 PRO- LOC A"1 $ AUTOMOBILE LIABILITY - _..� NN�UE LIMIT Ea eccitleM it Rossini a -✓ Attorney J BODILY INJURY (Perperegn) $ ANYAUTO ALLOWNED SCHEDULED AUTOS AUTOS NON -OWNED HIREDAUTOS AUTOS L A L&I1H'B ♦ Assistant City BODILY INJURY (Perealtlent $ ) PROPERTY AMAGE Peraccitlenl $ UMBRLL EA ILIADOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED L I RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS LIABILITY YIN ANYCEIRMEETORIPARTNDED? CVTIVE OFFICERIMEMBER EXCLUDED? NIA SD502374501 /1/2074 I1/2015 X VUC STATU- OTH- E.L EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandetaryin NH) Il yes,deucribeTION under DESCRIPTION OF OPERATIONS balrnv E.L. DISEASE - POLICY LIMIT $1,000000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remark; Schedule, If more space Is required) Waiver of Subrogation applies to certificate holder, as respects workers compensation policy, as per attached. Waiver of subrogation applies to certificate holder on workers compensation liability policy, per the attached form WC990634800. Re: Work performed by the named insured as required per written contract with respects to City of Santa Ana Certificate holder continued: City of Santa Ana, its officers, officials, employees, agents, and volunteers CITY OF SANTA ANA 20 CIVIC CENTER PLAZA SANTA ANA CA 92701 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. ©1988-2010 AC( ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD reserved.