Insurance - Hamers - 1997-09-30 ACORD. CERTIFICATE OF INSURANCE ISSUE DATE (LNA➢O/YY)
9/30/971
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
POUCIES BELOW.
ARIS INS SERVICES COMPANIES AFFORDING COVERAGE
2101 BUSINESS CTR DR #230
IRVINE CA 92612 COMPANY
LEITER RECEIVED
COMPANY
MSURED OCT - 2. 1997
ROBIN B HAMERS & COMPANY
ASSOCIATES INC LETTER C COSTA NA SANITARY DISI,.;I
234 E 17TH ST #205 COMPANY D
COSTA MESA CA 92627 LETER AMERICAN GUARANTEE/1.
LCOMEITEERRY E\lA{:.es.a.
COVERAGES
This IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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 POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
•
LIT TYPE OF MSURANDE POLICY NUMBER POLICY(MM,GD/YY) Pp TE(MUM/NY) Lams
GENERAL DABDRY GENERAL AGGREGATE A
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPOP AGO. $
CLAWS MADE OCCUR. PERSONAL&ADV.INJURY $
OWNERS&CONTRACTOR'S PROT. EACH OCCURRENCE j
FIRE DAMAGE(My LOB En) $
LED.EXPENSE(My one piton) $
AUTOMGBtE LIABLGT
COMBINED SINGLE
• ANY AUTO LWIT
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Pr pH.on)
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per Acdd.nt $
GARAGE LIABILITY
PROPERTY DAMAGE S
EXCESS LIABILITY EACH OCCURRENCE S
UMBRELLA FORM AGGREGATE S
OTHER THAN UMBRELLA FORM
D WORKER'S COMPENSATIOR 2043575 9/01/97 9/01/98- X STATUTORY LIMITS
AND EACH ACCIDENT 11, 000,000
DISEASE-POLICY WAR $1 000 000
EMPLOYERS'LIABIRY
DLLPAcF-EACH EMPLOYEE $1, 000, 000
OTHER
DESCAPTON OF OPERAn SILOCAT ONSNEHECLEIDSPEC AL ITEMS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO
AWL"30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
• COSTA MESA SANITATION DISTRICT LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATX)N OR
ATTN JOAN REVAK LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES.
P 0 BOX 1200
COSTA MESA CA 92628 AUTHORIZED REPRESENTATNE j,& nI *cull--
SHERRY YOUNG FOR ARIS Y
ACORD 25-S (7/90) OACORD CORPORATION.1990