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Insurance - Costa Mesa Disposal - 1995-10-06 Aclli:ii. CERTIFICATE OF INSURANCE ISSUE DATE(MMM6/DD/YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAT ONLY AN I& N D CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE The Rule Company, Inc POLICIES BELOW. P 0 Box 7072 COMPANIES AFFORDING COVERAGE Pasadena, CA 91109 __ ___ COMPANY A LETTER __--- -- __-_ __ COMPANY B - - ._ _.__ _ INSURED LETTER Costa Mesa Disposal ,Inc COMPANY C Worker Compensation LETTER _- 2051 Placentia Ave COMPANY LETTER D Costa Mesa Ca 92627 Golden Eagle _Insurance Co __ _ 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. T CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE'POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) ■ DATE(MM/DD/YY) I GENERAL LIABILITY I GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY I PRODUCTS-COMP/OP AGG $ i__J CLAIMS MADE i OCCUR I PERSONAL&ADV INJURY_ $ OWNER'S&CONTRACTOR'S PROT! I EACH OCCURRENCE $ FIRE DAMAGE(Any fi e) $ _J___ _—___ -_ + _ _. 1 MED EXPENSE(Any o person) $ I AUTOMOBILE LIABILITY COMBINED SINGLE I LIMIT $ ANY AUTO I _ _ ALL OWNED AUTOS BODILY INJURY $ r ;SCHEDULED AUTOS Pe pa n) HIRED AUTOS BODILY INJURY Pe (dent $ _�NON-OWNED AUTOS (_ -) GARAGE LIABILITY I ;--- -j I PROPERTY DAMAGE I $ I I I I EXCESS LIABILITY I I EACH OCCURRENCE $ I UMBRELLA FORM I AGGREGATE $ F-- J OTHER THAN UMBRELLA FORM DI I NWC32424103 10/01/95 10 /01/96; _ I STATUTORY LIMITS I WORKER'S COMPENSATION - 1 I EACH ACCIDENT AND -- - $ - 1000000 I I DISEASE-POLICY LIMIT $ 1000000 EMPLOYERS'LIABILITY - -- I I I DISEASE-EACH EMPLOYEE 5 1(]00000 OTHER i I i . DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS RE RUBBISH HAULING 10 DAY NOTICE OF CANCELLATION IN THE EVENT OF NON PAYMENT PREMIUM CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO COSTA MESA SANITARY DISTRICT MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE ATTN ROBIN B HAMERS , MGR LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR P 0 BOX 1200 LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. COSTA MESA, CA 92628 w o� AUTHORIZED REPRESENTATIVE}$ .,�� FCC/ e14 r�'- j(0.404 — ACORD 25-S (7/90) ©ACORD CORPORATION 1990 1— 10