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OCEAN BLUE ENVIRONMENTAL SERVICES, INC. 1D
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OCEAN BLUE ENVIRONMENTAL SERVICES, INC. 1D
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Last modified
8/2/2016 11:12:46 AM
Creation date
7/14/2016 10:35:18 AM
Metadata
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Template:
Contracts
Company Name
OCEAN BLUE ENVIRONMENTAL SERVICES, INC.
Contract #
A-2013-115-03
Agency
PUBLIC WORKS
Expiration Date
6/30/2017
Insurance Exp Date
7/1/2017
Destruction Year
2022
Notes
A-2012-106;, A-2013-115 & 01 & 02
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OCEAN BLUE ENVIRONMENTAL A -2013- 115 -02 REVIEWED BY: <br />P.W. BuN.n Sbemoul <br />EUNICE HEREDIA (PG 9 OF 16) <br />OMB NO: 21204000 <br />fallura b comply with u mlledlon of <br />in Conm Number The OMB cmt-1 Number <br />par rnsponee, IncluOMq Ilm nme br malnwinq <br />me6'on ere mantlatory. Soml mmmonlo <br />c nsllcn CalincW clearance otnmp Fetleaal <br />NWF ENDORSEMENTFOR <br />MOTOR CARRIER POLICIES OF INSURANCE FOR PUBLIC <br />U.S. Department of Transportation LIABILITY UNDER SECTIONS 29 AND 30 OF THE MOTOR <br />Federal Motor Carrier CARRIER ACT OF 1980 <br />Safety Administration <br />Issued to Ocean Blue Environmental Services, In of 925 West Ester Street Long Beach, CA 90813 <br />Dated at New York New York this 1�.' day of July, 2015 <br />Amending Policy No. SISIPCA08268415 Effective Date 71112915 <br />Name of Insurance Company <br />Starr Indemnity &. Liability Company <br />Countersigned by <br />Authorfied Representative <br />The policy to which this endorsement is attached provides primary or excess insurance, as indicated by "[X]," for the <br />limits shown: <br />[X ] This insurance is primary and the company shall not be liable for amounts in excess of $1.000.000 for each accident. <br />[ ] This insurnnce is excess and the company shall not be liable for amounts in excess of5_ for each <br />accident in excess of the underlying limit of I for each accident. <br />Whenever mqui red by the Federal Motor Carrier Safety Admi niso'ation (FMCSA), the company agrees to furnish the <br />FMCSA a duplicate of said policy and all its endorsements. The company also agrees, upon telephone request by an <br />authorized representative of the FMCSA, to verify that the policy is in force as of a particular date. The telephone <br />number to call is: (215) 399 -2939 <br />Cancellation of this endorsement may be effected by the company of the insured by giving: <br />(I) thirty -five (35) days notice in writing to the other party (said 35 days notice to commence from the date the notice is <br />mailed, proof of mailing shall be sufficient proof of notice), and (2) if the insured is subject to the FMCSA's registration <br />requirements wider 49 U.S.C. 13901, by providing thirty (30) days notice to the ['MCSA (sold 30 days notice to <br />commence from the date the notice is received by the FMCSA at its office in Washington, D.CJ. <br />Form MCS -90 (page I of ) <br />
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