Insurance - Costa Mesa Disposal - 1997-04-01 imhipitik DATE (MM DDM
CERTIFICATE; OF LIABILITY INSURANCE 03/2&97 r
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_W A RECEIVED
INSURED COMPANY
COSTA MESA DISPOSAL INC. B ZURICH INSURANCE CO.Rjr At APR 0 1 1997
2051 PLACENTIA AVE. COMPANY
COSTA MESA CA 92627 CIA MESA SW IIM Q=IG =
COMP(4NY aarK L1^ 14 --I-°1-1
COVERAGES -"
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TAP—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 EFFECTIVE POLICY EXPIF;TION LIMITS
LTR DATE (MMDDIYY) DATE (MMIDDIYY)
A GENERAL LIABILITY MXG80666605 03/11/97 03/11/98 GENERAL AGGREGATE $ 2 000 000
X COMMERCIAL GENERAL LIABILITY PRODUCTS COMP/OP AGG $ I 000 000
CLAIMS MADE U OCCUR PERSONAL 8 ADV INJURY $ 1 000 000
X OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1 000 000 J
FIRE DAMAGE Any fire) $ 1 000 000
MED EXP(Any person) $ 10 000
A AUTOMOBILE LIABILITY MXG80666605 03/11/97 03/11/98 COMBINED SINGLE LIMIT $ 1 000 000
X ANY AUTO
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS
(Pe person) $
X HIRED AUTOS BODILY INJURY $
X NON-OWNED AUTOS (Pe accident)
' PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY EA ACCIDENT $
1 ANY AUTO OTHER THAN AUTO ONLY' .
$
B EXCESS LIABILITY AU0365435801 03/11/97 03/11/98 EACH OCCURRENCE $ 10 000 000
X UMBRELLA FORM
R AGGREGATE $ 10 000 000
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND WC SfATU OR
TORY LIMITS
EMPLOYERS'LIABILITY EL EACH ACCIDENT $
THE PROPRIETOW INCL EL DISEASE POLICY LIMIT $
PARTNERS/EXECUTIVE
OFFICERS ARE EXCL EL DISEASE EA EMPLOYEE $
OTHER
EN SBJNENT O032010N ATTACHED ERE-E RUBBIISHT HAULI NG /
10 DAY NOTICE OF CANCELLATION IN
THE EVENT OF NON PAYMENT PREMIUM
u CANCELLATION_ _CERTIFICATE HOLDER _ _
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
COSTA MESA SANITARY DISTRICT / EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
ATM: ROBIN B. HAMERS, MANAGER / V 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
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES
AUTHOR D REPRESENT /
_ � _
ACORD 25S 1/95° ... .. . ,... , - _r—_ , P� '/
ACORD CORPORATION 1988 .,06u
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 GENERAI LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
COSTA MESA SANITARY DISTRICT RE. RUBBISH HAULING.
77 FAIR DRIVE
P O BOX 1200
COSTA MESA, CA 92628-1200
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 ❑
COSTAMESA DISPOSAL, INC.
' Named Insureds
COSTA MESA DISPOSAL, INC
J-X, INC
R.R. INVESTMENT ACCOUNT
RMS LEASING, INC