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Insurance - Costa Mesa Disposal - 1997-10-06 '(Afl oltik®i CERTIFICATE OF LIABILITY INSURANCE � j PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Solid Waste Insurance Managers HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 115 North El Molino Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 7217 COMPANIES AFFORDING COVERAGE Pasadena CA 91109-7317 COMPANY A NATIONAL SURETY CORP y INSURED COMPANY COSTA MESA DISPOSAL INC. B ZURICH INSURANCE CO. RV A+ RE C E I V E D 2051 PLACENTIA AVE. Goo ANY OCT - 6 1997 COSTA MESA CA 92627 , COMPANY D(\0 . , Is 1 $ $Id' MESA SAN TARP DISTRI T COVERAGES HE TN �0=1.�! _- -THIS-TS-TO-CERTIFY-THAT THE POLICIES OF INSURANCE LISTED BELLOWW HAVE BEEN ISSUED TO THE NSURED 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 POUCY NUMBER POUCY EFFECTIVE POUCY EXPIRATION UMnS LiR DATE (M84DDNY) DATE (MMIDDNY)/ A GENERAL LIABILITY MXG8D666605 03/11/97 03/11/98 ✓ GENERAL AGGREGATE $ 2 000 000 X COMMERCIAL GENERAL LIABILITY PRODUCTS COMP/OP AGG $ 1 000 000 CLAIMS MADE © OCCUR PERSONAL . A 1 $ 1 000 000 I X OWNER'S 8 CONTRACTOR'S PROT EACH r 111 111 FIRE DAMAGE(Any we fire) $ 1 111 111 1 (Any poison) 1 111 A AUTOMOBILE LIABILITY MXG80666605 03/11/97 03/11/98 ✓ COMBINED 111 111 i X ANY AUTO ALL OWNED AUTOS BODILY SCHEDULED AUTOS (Pe person) X HIRED AUTOS BODILY X NON'OWNED AUTOS (Pe accident) O . DAMAGE UT GARAGE LIABILITY 1 ONLY 1 1 ANY AUTO OTHER THAN AUTO B EXCESS LIABILITY A10365435801 03/11/97 03/11/98 EACH 1 1 111 111 UMBREL1A FORM 1 111 111 OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND TORY LIMITS I ER EMPLOYERS'LIABILITY EL EACH ACCIDENT — THE PROPRIETORI INCL EL DISEASE POLICY LIMIT $ PARTNERSEXECUTIVE — OFFICERS ARE. EXCL EL DISEASE EA EMPLOYEE S OTHER GEIiTIFIICATE OHDLDEF1N ASOCADDITIONAL)(Meta.UEDT PEA CG2010 ATTACHED T 10 DAY NOTICE OF CANCELUOTON IN THE EVENT OF NON PAYMENT PREMIUM CERTIFICATE HOLDER . CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE COSTA MESA SANITARY DISTRICT /E IRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ATTN: LOIS THOMPSON / 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. P.O. BOX 1200 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY / COSTA MESA CA 92628-1200 OF ANY KIND UPON THE COMPANY, ITS A S EPRESENi� AUTHORED REPRESENTATNE�� ACORD 2.9 (1'/95) 0 ACORD!CORPORATION119663,a' . Du POLICY NUMBER: MXG80666605 COMMERCIAL GENERAL LIABILITY CG 20 10 10 93 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: COSTA MESA SANITARY DISTRICT ATTN: LOIS THOMPSON P.O BOX 1200 COSTA MESA, CA 92628 If no entry appears above, information required to complete this endorsement will be shown in the Declara- tions 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 in- sured. CG 20 10 10 93 Copyright, Insurance Services Office, Inc. 1992 ❑ COSTA MESA DISPOSAL, INC. Named Insureds COSTA MESA DISPOSAL, INC J-X, INC R.R. INVESTMENT ACCOUNT RMS LEASING INC