Insurance - ORCO - 1990-03-12 sH..0^
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C E R T I F I C A T E O F INSURANCE ISSUE DATE 03/12/91
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PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
THE RULE COMPANY, INC NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
P 0. BOX 7072 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PASADENA, C A
COMPANIES AFFORDING COVERAGE
ZIP CODE 91109
COMPANY LETTER A CALIF INS CO (IND)
COMPANY LETTER B
INSURED
COSTA MESA DISPOSAL, INC COMPANY LETTER C
3883 EAGLE DRIVE
ANAHEIM, CA COMPANY LETTER 0
ZIP CODE 92807 COMPANY LETTER E
COVERAGES Aggregate limits shown may have been reduced by paid claims.
THIS IS TO CERTIFY THAT 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 SUBJEC,
TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. °'
CO POLICY POLICY
LTR TYPE OF INSURANCE POLICY NUMBER EFF DATE EXP DATE ALL LIMITS IN THOUSANDS
GENERAL LIABILITY
A (X) COMMERCIAL GENERAL LIABILITY OR104-7111 03/11/90 03/11/91 GENERAL AGGREGATE $2,00-
( ) CLAIMS MADE (X) OCCURRENCE PRODUCT-COMP/OPS AGGREGATE $1,00'
( ) OWNERS E CONTRACTORS PROTECTIVE PERSONAL E ADVERTISING INJURY $1,00'
( ) EACH OCCURRENCE $1,00'
( )
MEDICAL EXPENSE(ANY FIRE) 5
EXPENSE (ANY ONE PERSON) $ .
AUTOMOBILE LIABILITY
A (X) ANY AUTO OR704-1111 03/11/90 03/J3/91 CSL $1,000
( ) ALL OWNED AUTOS V" BODILY INJURY
( ) SCHEDULED AUTOS F (PER PERSON) $
( ) HIRED AUTOS .\O BODILY INJURY
( ) NON-OWNED AUTOS PS (PER ACCIDENT) $
( GARAGE LIABILITY io �Ay DAMAGE TT $
------------------------------------- Q ' --------------
---------------------
(EXCESS LIABILITY PQ ��tL I OCCURRENCE AGGREGAT
( ) UMBRELLA FORM
( ) OTHER THAN UMBRELLA FORM �O'V'� $ $
---------------------------------------- -'$►r- -------------- --—•.----...-- ».»
STATUTORY
WORKERS' COMPENSATION $ (EACH ACCIDENT)
AND $ (DISEASE-POLICY LIMIT)
EMPLOYERS' LIABILITY $ (DISEASE-EACH EMPLOYEE)
__i _ --------------- ---I _ _
1OTHER
AI PHYSICAL DAMAGE I OR704■7111 03/11/90 03/11/91 $1,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS
AS RESPECTS: RUBBISH HAULING
GL 20 10 ENDORSEMENT ATTACHED
CERTIFICATE HOLDER CANCELLATION
COSTA MESA SANITARY DISTRICT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX-
P.D. BOX 1200 PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS
COSTA MESA, CA WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE
ATTN FLO TO MAIL SUCH NOTICE SHAL MPOSE NO OBLIGATION OR LIABILITY OF ANY KIND
ZIP CODE 92626 UPON THE COMPANY, ITS "ITS OR REPRESENTAT V
I `pTHOAIZED REPRESENTAT ` ,. �
POLICY NUMBER: OR7047111 COMMERCIAL GENERAL LIABILITY
'1
r. THIS ENDORSEMENT i.i1ANGES tri_ POLICY PLEASE READ IT CAREFULLY
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS (FORM B)
This endersema modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization: AS RESPECTS RUBBISH HAULING
COSTA MESA SANITARY DISTRICT
P 0 BOX 1200
COSTA MESA --CA 92626— -- —
ATTN FLD
(If no entry appear-above. information required to complete 'his endorsement will be shown in the Decfara ions
asaccl:cab!e endorsement.)
WHO IS AN INSuRED (Sec-:on II) is amended to include as an insured -he person or organization shown in -he
Scnedule. but niy with respec- to liability arising out of your work ror that insured y or ror you.
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CG 201011E_ Copyright Ir_uran• Services Office. Inc. 198