Insurance - Atlas Underground - No Date " .,Lt� r;r i!l-��5,wi',".'"`'i �e r#'n M1.Ljr Y•r �r c�i.. F l r:.�. # t :.;," ? ,r., .r. ¶t� w: �.4.N..�-
Produc THIS CERTIFICATE IS ISSUED AS A MATTER CF IHFORMAIIDN ONLI AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMMEND
Certified Bond & Insurance EXTEND OR ALTER TOE COVERAGE AFFORDED SY THE POLICIES BEIM.
23901 Calabasas Rd. Ste 2010
Calabasas CA 91302 COMPANIES AFFORDING COVERAGES
(818) 222 1419 Company
Letter A Transamerica Insurance Company
Insured National Insurance Co
lured l0YHE0) JOT lettter B Century
Cowpony C
Letter •
Hector Loya
Atlas Underground Company
P.O Box 951 latter D
Chino, CA 91708
Company
Letter E
Ili allIBIMair !
HIS IS 10 COT FY "MAT THE PCLIC:ES OF 'MSURANCE L•STED BELOW HAVE BEEN ISSUED TO THE INSUPEO NAMED ABOVE FOR THE FOLIC' PER-
IOD INDICArEO, NOTWITHSTANDING ANY REQUIREMENTS, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT with RESPErT TO WMICM THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL 'NE TERMS,
EXCLUSION AND CONDITIONS OF SUCH POLrCIES LIMITS SHOWN MAY NAVE BEEN REDUCED BY °AID CLAIMS. ^
CO TYPE OF INSURANCE POLICY NUMBER POLICY fir DATE POLICY EXP DATE LIMITS
LTR (em/dd/Yy) (om/dd/w)
GENERAL LIABILITY General Aggregate $ 2 000 000
Prod•Cary/Ops App $ 2 00Q 000
(✓I Camel-Oat General Ueb. Pere & Adv Injury S 59 000
®( 1Clairei Mode I (Occur Each Occurrence s 1 000 000
A t I Owne & _ontractors 91444-9311347 11/29/94 11/29/95 F re Damage s 50 000
Protective (Any one fire)
(✓) Modified Medical Payments S 5 000
( 1 Occurence (Any one parson)
AUT000111LE LIABILITY Combined s 1 000 000
Single Limit
I I Any Auto
I 1 All Owned Autos Bodily Injury $
B (✓1 Scheduled Autos 1BAP 53404 12/01/94 12/01/95 (Per Person)
( ) Hired Autos
(✓I Non Owned AUtOS Bodily Injury $
I I Geroge Liability (Per Accident)
( ) II
n i.() 4"` Property Dosage a
EXCESS LIABILITY QQQ�O`Z;t1� \ Ea Occurrence $
I I Other To Porn Nf • ��
( 1 other Thar Umbrella Form _
WORKER'S COMPENSATION c •.rsI ( I Statutory
0 {.O' Fach Accident s
EMPLOYER'S AND 't ' Disease-Pot Limit $
AA' •x Nt Disease-Each Enpl $
OTHER rr
Descr ption Of 0 retions/Locations/Veh oleo/Special Items
REt CMSD PR oleo/Special OJECT 1112100 135
RECOMOTAIICTINC PORCH ]OLIN DOR HLDHN PIIB@ 6TATION DYAOY LI
TEE CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED
1017 Should any cf The ahoy descr bed pot'ties be el led before the
expiration date thereof the issuing ca'peny will endeavor to
Fail /0 dey, written notice to the certificate holder nomad to the
Costa Mesa Sanitary District left, but failure to mail such notice shell impose no obligation or
77 Pair Drive habit ty of any kind upon the cempeny it s agent's or epreSentatives.
P O. Box 1200
Coats Mesa CA 92628 1200 Autho zed Rye entative/0 i.B
7 .
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