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<br /> I PRODUCER,,' ,,._�,° n ���fi_�L'A ., V�A r I 1A �u1(n�"-, N f J ,�195UE DATE(MMND/ Y)/ i
<br /> Dp��,, RR .� ,,- - _. ... �..,., .,.� : 1/24/84 >'"
<br /> TEAS Cali
<br /> )ION ONLY AND
<br /> COR O0IRI RI [ „ACK C1F 0�I�11,11H0(169 (ICS
<br /> + E'x1'DNI7 011 AI FEJT THE-COVERAGE ti➢PFAVCYRFIE='-A+POLICIES DILLOW..ONFEI7.
<br /> BLACK v NO RIGID S UPON THE CERT I ICA r v nob®EN.THIS cvnl MATE DOES NOT A MEND
<br /> I
<br /> 135 South LaSalle SPFeeY
<br /> C(c>)MPARIV8 G\GV=,C)G,6-3) O t BMF IA E,
<br /> I Chicago, Illinois 60603
<br /> — — —
<br /> COMPANY En
<br /> MS. DIANE BRADY (312) 621-4797li
<br /> ETT
<br /> AMERICAN _M011?RISTT__ _1NSURA[�CI ..ZQ1PPIX--_
<br /> rl
<br /> INSURED ._._-_____.
<br /> .._-.,_- COMPANY
<br /> SCA SERVICES, INC. AND COMPANY
<br /> GREAT WESTERN RECLAMATION INC, raa
<br /> 1800 SOUTH GRAND AVENUE COMPANY
<br /> .
<br /> SANTA ANA, CA 92707 RrrER U
<br /> COMPANY
<br /> II I TEII L.
<br /> THIS IS TO CERTIFY TIHAT POLICIES of INSURANCE P-LIS ND DDI.OV'J IAVE BEEN ISSUCU I o THE INSULT/ED NAMED ABOVE Fon fur POLICY PEnIOD INDICATED.
<br /> NOTWITHSTANDING ANY HEODIREME-NT, FERN/on CONDI)VON or ANY C,OGI III C'I off OTHER °
<br /> NT DE ISSUED OR MAY PERTAIN THE-IN;,UDANC C AFFORDS D FAV THE POI ICIE.S DESCHIITE D I IEPIEN IS SIJkOJECT!TOER ALLTILE TERMSESPECT FO ,PFXCP4L ®WAND CONDI-
<br /> TIONS
<br /> OCNDI
<br /> TIONS OE SL/CII POLICIES. `....
<br /> CO
<br /> TYPE OF INSURANCE ---
<br /> LTR. POLICY NUMBER POLICY EFFECTIVE POLICY EXPIMna LIABILITY LIMITS IN THOUSANDS
<br /> BATE(MPA/DEIN') DATE(MMIDD/VYI '-"" -'----'--
<br /> GENERAL LIABILITY
<br /> EACH
<br /> '"-------- ,_ OCCUHRENpE AGGREGATE
<br /> A COMPREHENSIVE FORM � -_ BODaV ---_-�
<br /> 3YM 445335-01INJURY
<br /> PREMISES/OPERATIONS 1-1-84 1-1-86 $ $
<br /> UNDERGROUND DAMAGETv
<br /> EXPLOSION&COLLAPSE HAZARD DAMAGE $S
<br /> PRODUCTS/COMPLETED OPERATIONS T..,,
<br /> CONTRACTUAL
<br /> INDEPENDENT CONTRACTORS -RC2 Co�Ae ED $ 1,000, $ 1,000,
<br /> BROAD FORM PROPERTY DAMAGE C)c,,y C7.2
<br /> PERSONAL INJURY -B1-41 .
<br /> `✓T L-s PM a PERSONAL INJURY
<br /> 1,000,
<br /> AUTOMOBILE LIABILITY
<br /> ---_--a __-__-., _
<br /> X ANY AUPO r C 7 "sem ___- ,.-_. BODILY
<br /> 3ZM 445335-01
<br /> INJURY
<br /> ALL OWNED AUTOS(PRIV. PASS.) 1-1r 4 14 1-1-86 j.IBEB PERSON)
<br /> X Al L OWNED AUTOS ioniER THAN moo
<br /> --
<br /> PRIV. PASS / INJURY
<br /> x HIRED AUTOS (PEB nCCIBENn $ -
<br /> NON-OWNED AUTOS PROPERTY —
<br /> GARAGE LIABILITY DAMAGE $.-._
<br /> COMBINED
<br /> E}(CESS 1&DIE ITV
<br /> UMBRELLA FORM
<br /> BI 6 PD m
<br /> rt OTHER THAN UMBRELLA FORM COMBINED $ $
<br /> WORKERS'COMPENSATIONSTATUTORY I
<br /> Li
<br /> A AND 3CM 445335-01 1-1-84 1-1-861$ 100, (EACH ACCIDENT)
<br /> 'EMPLOYERS'LIABILITY I (DISEASE POLICY LIMIT)
<br /> --------
<br /> O ER - ----- I$ (DISEASE-EACH EMPLOYEE)
<br /> s
<br /> 'ity of Santa Ana, its officers, agents and mployees are named as .dditional insureds.
<br /> DEsr di?EN'CC:fidi nkltilsf5Tgtki€s'�L""EN3 '-Lr(SED1WL[ 'PES
<br /> i_ COLLECTION, TRANSPORTATION, TREATMENT, STORAGE AND DISPOSAL OF LIQUID WASTES
<br /> ALL
<br /> �AUTOMOTIVE EQUIPMENT OWNED AND/OR OPERATED BY THE INSURED
<br /> Mr..07S
<br /> Cooper, City Attorney SI ANY uF YH ABOVE B SC RIP ED POLICIES HE CANCELLED BEFORE Yo-1 Ex-
<br /> City of Santa Ana City Attorney's Off ijc IJAIL 11140 DPAvs IPMITTl�elvl NOTICE IO THE ;-COMPANY
<br /> I HOLD R Nflh WTO TIHI}X
<br /> 26 Civic Center Plaza L E+,X�1¢mxexNFu¢xoxxwxcs�exxxxx�xpcxtSp
<br /> 1-- °xxnPXx s x�t<xncx xx "e, X: XXb Xx a xp�, X� SSS �XvJ&kSIJS1Gw �C
<br /> Santa Ana, CA 92701 IAnro-loemxi e nexxixi rnrl rS/
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