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<br />~C_ORD.
<br />
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />
<br />OAn ,"M DO YYo
<br />:¿ 7/04
<br />
<br />PR,DOCER
<br />
<br />626/795-9000
<br />
<br />THIS CERTIFICATEIS ISSUED AS A MATTERoFINFORMA;lON
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />
<br />COMPANIES AFFORDING COVERAGE
<br />
<br />Solid Waste Insurance
<br />Managers, Inc.
<br />115N.EIMolinoAve.
<br />Pasadena,CA 91101
<br />
<br />COMPANY
<br />A
<br />
<br />Discover Prop.& Cas.lns.Co.
<br />
<br />INSURED
<br />
<br />WARE DISPOSAL. INC. A-I'1'1v-tJtl(p
<br />(Per Named Insd List Attached) Æ-)'OO~' /1;.
<br />Post Office Box 8206 A- ;'oo3-00;¡
<br />Newport Beach CA 92658 A- .;1.004-010/3
<br />
<br />COMPANY
<br />B
<br />
<br />U.S. Fidelity & Guaranty Co.
<br />
<br />COMPANY
<br />C
<br />
<br />COMPANY
<br />D
<br />
<br />'ØP~\;¡k)..."",."..,.,.....,..""..",.,.",.,.,.""".., "'.' ,. ","" , "",""',,,".'.'.' ,.,.,.,.,. '.' ""."."""'. ,.""".,.'.,"."'.'""""',, ,.",.,.,...",.,.",.."".",.",.,..,..,:'.":"".:'."" ""'."""".""",""',.""."",.".,.".",.,.,......,.,"...'.'",'."'. "."".""",',,".'. ".
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCEO BY PAID CLAIMS.
<br />
<br />CO
<br />LTR
<br />
<br />TYPE OF INSORANCE
<br />
<br />POLICY NUMSER
<br />
<br />POLICY EmcmE POLICY EXPIRATION
<br />DATE IMMIOO/YYI DATE IMMIDD/YYI
<br />
<br />LIMITS
<br />
<br />FIRE DAMAGE IAoy 00"""
<br />MED EXP IAoy 00' p'"ool
<br />
<br />2000000
<br />'000000
<br />1000000
<br />1000000
<br />1000000
<br />10000
<br />
<br />A GENERAL LlASILITY
<br />X COMMERCIAL GENERAL LlASILITY
<br />CLAIMS MADE 0 OCCUR
<br />X OWNER'S' CONTRACTOR'S PROT
<br />
<br />0150PO0190
<br />
<br />2/28/04
<br />
<br />2/28/05
<br />
<br />GENERAL AGGREGATE
<br />PRODUCTS - COMP/OP AGG .
<br />
<br />PERSONAL' AOV INJURY
<br />EACH OCCURRENCE
<br />
<br />B AUTOMOSILE LIABILITY
<br />X ANY AUTO
<br />
<br />D150AOO095
<br />
<br />2/2B/04
<br />
<br />2/2B/05
<br />
<br />COMSINED SINGLE LIMIT
<br />
<br />1000000
<br />
<br />ALL OWNED AUTOS
<br />SCHEDULED AUTOS
<br />
<br />SOOILYINJURY
<br />IP" ","001
<br />
<br />HIRED AUTOS
<br />NON-OWNED AUTOS
<br />
<br />SO OILY INJURY
<br />IP" """'"
<br />
<br />PROPERTY DAMAGE
<br />
<br />
<br />AUTOONLY-EAACCIOENT .
<br />OTHER THAN AUTO ONLY,
<br />
<br />EACH ACCIDENT'
<br />AGGREGATE'
<br />
<br />UMBRELLA FORM
<br />OTHER THAN UMBRELLA FORM
<br />
<br />EACH OCCURRENCE
<br />AGGREGATE
<br />
<br />THE PROPRIETORI
<br />PARTNERSIEXECUTIVE
<br />OFFICERS ARE'
<br />OTHER
<br />
<br />INCL
<br />EXCL
<br />
<br />
<br />EL O'SEASE - POLICY LIMIT
<br />EL DISEASE - EA EMPLOYEE .
<br />
<br />WORKERS COMPENSATION AND
<br />EMPLOYERS'LIASILITY
<br />
<br />"'0 DAYS CANCELLATION NOTICE
<br />FOR NON-PAYMENT OF PREMIUM"
<br />
<br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS
<br />Re: Rubbish Hauling
<br />Certificate Holder Is included as additional insured as per attached
<br />CG2010.pwxxx
<br />
<br />\:Ì~'t!f!Øf411!H!:mt:ì:M~
<br />
<br />..ÞAiNØ¡¡¡¥*t@í\i;,
<br />
<br />'",'
<br />
<br />City of Santa Ana
<br />City Clerk Office
<br />20 Civic Ctr, Plaza, Ross Annex
<br />Santa Ana, CA 92702
<br />
<br />SHOOLD ANY OF THE ASOVE DESCRIBED POLICIES SE CANCELLED SEFORE THE
<br />EXPIRATION DATE THEREOF, THE ISSOING COMPANY WILL '-TO MAIL
<br />~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br />
<br />SOT /'AIL." TO M~IL ..e" NOTleE ." " IMPO.E .0 O.Llo. TION OP U.OIL""
<br />
<br />
<br />'ES.
<br />
<br />~
<br />
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