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<br /> NAME AND ADDRESS OF AGENCYI¢
<br /> COMPANIES AFFORDING COVERAGES a'Ga,GlI
<br /> Emar Companies _ , .,
<br /> - 354 Eisenhower Parkway COMPANYA Hartford Accident & Indemnity Company i
<br /> LETTE
<br /> Livingston, New Jersey 07039 R *
<br /> COMPANY rtes,
<br /> LETTER MISSION INSURANCE COMPANY a:,al
<br /> NAME AND ADDRESS OF INSURED A''`PP
<br /> SCA Services Inc and COMPANY C
<br /> LETTER
<br /> ° Great Western Reclamation Inc
<br />' r 1800 South Grand Ave `OMEAANY
<br /> 0 Santa Ana CA 92707 -- - ` E
<br />{ K COMPANY „tx:.'
<br /> ` LETTER T-° ,
<br /> r "
<br /> w, Phis Is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time. Notwithstanding ally requirement,term or condition ".
<br /> giiifrl. 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 CnT,_:'-‘V., terms,exclusions and conditions of such policies. „lt
<br /> l'aCCOMPANY POLICY Limits of Liability in Thousands(000) `-lel'i
<br /> TYPE OF INSURANCE POLICY NUMBER
<br /> S , OCCURRENCE
<br /> LETTER OCCEXPIRATION DATE EACH AGGREGATE '•a'i
<br /> :; URR "
<br /> r `SP GENERAL LIABILITY _. —._—_
<br /> Xr„ (}�(�, BODILY INJURY $ $ $ 'a :.
<br /> IJ COMPREHENSIVE FORM a -
<br /> ARA PREMISES—OPERATIONS 10 CLR C30114E 1/1/85 PROPERTY DAMAGE $ $ PP
<br /> A{ Y� ❑EXPLOSION AND COLLAPSE
<br />$i$?-...0$ HAZARD "' `
<br /> r ='` ❑�q� UNDERGROUND HAZARD -- '
<br /> LJ PRODUCTS/COMPLETED 4,0' `
<br /> Z�vyi� OPERATIONS HAZARD BODILY INJURY AND `
<br /> zt f$ LD CONTRACTUAL INSURANCE PROPERTY DAMAGE $ $
<br /> BROAD FORM PROPERTY COMBINED 500 5
<br /> DAMAGE
<br /> ❑ INDEPENDENT CONTRACTORS _ — 0..H
<br /> �i IJ PERSONAL INJURYPERSONAL INJURY $ s 5 '_r - AUTOMOBILE LIABILITY BODILY INJURY E
<br /> { (EACH PERSON) $ ‘$ ;,,,,-0.-..`,-,;$;;„j1
<br /> COMPREHENSIVE FORM $ } ^ a ` '" ,
<br /> A XL] 10 ABR C30115E 1/1/85 (EACHOACCIDENT)
<br /> ` :: ryry''-�I OWNED Nw't 0$0,
<br /> , - rJ HIRED PROPERTY DAMAGE $ x'%y `�
<br /> BODILY INJURY AND -. AftF
<br /> 3 YJ NON-OWNED PROPERTY DAMAGE $ 500 4,-.$r`Eu 0k °£p'
<br /> COMBINED -.. ^$,%JY'e"44-,`'s.
<br /> Nd�� EXCESS LIABILITY
<br /> dV � BODILY INJURY AND .s.
<br /> I B LTJ UMBRELLA FORM MN007966 1/1/85 PROPERTY DAMAGE $ 1,000 _ „ $ 1 ,000 , -
<br /> IL .t” ❑ OTHER THAN UMBRELLA
<br /> y" FORM COMBINED
<br /> 14
<br /> sTATUToav t ?' v / t ,
<br />$0%;-, WORKERS'COMPENSATION
<br />{ A and 10 WBR C30116E 111185 ' ' �L'-kir
<br /> ' EMPLOYERS'LIABILITY $ ' $ 100
<br /> _.....�.__... — .- ..._._.,. ICAC rl ncc ocnTr4.
<br /> flialt OTHER
<br /> sP ' ,
<br /> Fat
<br /> T -- DESCRIPTION OF OPERATIONS/LOCATIONBNEH ICL
<br /> ES „tis
<br /> 7 5
<br /> The City of Santa Ana, its officers, agents and employees are named as additional insureds ,
<br /> 4:
<br /> t" Cancellation: Should any of the above descr� ed policies be cancelled before the expiration date thereof, the issuing Com ''"g` `
<br /> x _.
<br />'Wit44pany will g ^�xgxto mail ._ days written notice to the below named certificate holder, k l t&k2`xt c M.;.
<br /> airtbr Klanx41s kht x am st>ftlzartxi aireinytacint Erttk mmitxxx "t'
<br /> NAME AND ADDRESS OF CERTIFICATE HOLDER. '12/1 / J
<br /> City of Santa Ana City Attorney's office DATE ISSU " aavaa
<br /> y= 26 Civic Center Plaza
<br /> "ire'.- Santa Ana CA 92701
<br /> E_ it Solimine, President _
<br /> 7 AUTHORIZED REPRESENTATIVE
<br /> Att: E J Cooper, City Attorney M,,I
<br /> ADORE/25(1.79)
<br />
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