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Insurance - Costa Mesa Disposal - 1996-01-24 '3 h CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) /23/96 •PRODUCER 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 Solid Wa In Mgr RECEIVED POLICIES BELOW PD Bo 7217 COMPANIES AFFORDING COVERAGE JAN 2 4 1996 COMPANY Pa ade CA 91109 LETTER A CALIFORNIA INS.CO COSTA MESA SANITARY DISTRICT COMPANY p B LETTER CALIFORNIA INS. CO INSURED COMPANY C LETTER ZURICH INS. CO. Costa Me Dispo al,ln COMPANY 2051 Pla nila Av LETTER D Costa Me Ca 92627 COMPANY E LETTER -COVERAGES- 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR DATE (MM/DD/YY)DATE (MM/DD/YY) A GENERAL LIABILITY TR9134337 3/11/95 3/11/96 GENERAL AGGREGATE 2000000 X COMM. GENERAL LIABILITY PROD-COMP/OP AGG. 1000000 CLAIMS MADE©OCC PERS.&ADV INJURY 1000000 X OWNER'S&CONTRACT'S PROT EACH OCCURRENCE 1000000 FIRE DAMAGE(One Fire) 50000 - MED. EXP.(One Per) 5000 B AUTOMOBILE LIABILITY TR9134337 3/11/95 3/11/96 COMBINED SINGLE 1000000 X ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Pe pe n) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Pe cadent) GARAGE LIABILITY PROPERTY DAMAGE C EXCESS LIABILITY ZIC002001 3/11/95 3/11/96 EACH OCCURRENCE 10000000 X UMBRELLA FORM AGGREGATE 10000000 OTHER THAN UMBRELLA FORN 'STATUTORY LIMITS WORKER'S COMPENSATION EACH ACCIDENT AND DISEASE•POLICY LIMIT EMPLOYERS' LIABILITY DISEASE-EACH EMP OTHER DESCRIFUBBI SH OAULING NS/LOCATIONS/VEHICLES/SPECIAL ITEMS ENDORSEMENT CG2010 ATTACHED a CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL 5+{ hridyYp6sSP MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE COSTA MESA SANITARY DIST - LEFT - ATTN. ROBIN B HAMERS, MGR. I - _ - . • - .. P O BOX 1200 1 }I 1 COSTA MESA,CA 92628 AUTHORIZED REPRESENTATIVE _ACORD 25-S (7/90) _ 3. 7 Named Insureds COSTA MESA DISPOSAL, INC. J-X, INC. RR INVESTMENT ACCOUNT RMS LEASING, INC. RR&S EQUIPMENT COMPANY INC. ORCO DISPOSAL, INC. RAUL 0 RANGEL AS RESPECTS TO THE FOLLOWING VEHICLES ONLY 1985 WHITE FRONT LOADER, 49218 1985 WHITE FRONT LOADER, #9219 POLICY NUMBER. As Per Certificate AUTHORIZED SIGNATURE Pe . • - POLICY NUMBER: TR 913 433/ COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: RE. RUBBISH HAULING COSTA MESA SANITARY DISTRICT POST OFFICE BOX 1200 COSTA MESA,CALIFORNIA 92628 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 work' for that insured by or for you. CG 20 10 11 85 Copyright. Insurance Services Office, Inc. 1984