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<br /> NAME AND ADDRESS OF AGENT riEJei
<br /> COMPANIES AFFORDING COVERAGES �lAb Emar Companies COMPANY gn 354 Eisenhower Parkway LETTER HartfoltA aidennslemnity Co
<br /> rim Livingston, N.J. 07039 COMPANY •FMission Insurance Company ; 1,
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<br /> t NAME AND ADDRESS OF INSURED _ *9'
<br /> SCA Services, Inc , and COMPANY eI,
<br /> ' Great Western Reclamation, Inc , R '
<br /> 1,,Ap 1800 South Grand Ave. COMPANY f
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<br /> 2401 PO Box 2337 '
<br /> Santa Ana, CA 92707 COMPANY e
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<br /> This 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 any requirement,term or condition ,•TWk41 kV{'
<br /> r. 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
<br /> terms,exclusions and conditions of such policies.
<br /> Itt COMPANY POLICY
<br /> Limits of Liability in Thousands(000) ;e 10 '.:
<br /> TVPF.OF INSURANCE POLICY NUMBER EACH
<br /> LETTEREXPIRATION DATE. AGGREGATE
<br /> s OCCURRENCE
<br /> GENERAL LIABILITY c+''�'
<br /> i., BODILY INJURY $ $ ,.,3.�>
<br /> AliJ' O COMPREHENSIVE FORM x7n
<br /> VtAgmt: El PREMISES OPERATIONS PROPERTY DAMAGE $ $No �`@
<br /> ❑EXPLOSION AND COLLAPSE 4p
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<br /> LeL- ' E. UNDERGROUND HAZARD i$,
<br /> 11A © PRODUCTS/COMPLETED `uu,'P,
<br /> OPERATIONS HAZARD o BODILY INJURY AND
<br /> r A ❑x CONTRACTUAL INSURANCE CLR3O100E 01/01/84 PROPERTY DAMAGE $ 500, $ 500, S;
<br /> SL'V k ❑I BROAD FORM PROPERTY COMBINED - E
<br /> rbi y DAMAGE ` r.
<br /> y! ”; El INDEPENDENT CONTRACTORS �_.�. _..._.__ J�':
<br /> z Y L PERSONAL INJURY `
<br /> 4 PERSONAL INJURY $ 500,
<br /> AUTOMOBILE LIABILITY BODILY INJURY
<br /> (EACH PERSON) $Ell n
<br /> COMPREHENSIVE FORM $
<br /> BODILY INJURY i
<br /> (EACH ACCIDENT)
<br /> ® OWNED
<br /> © HIRED PROPERTY DAMAGE $ y
<br /> A ONONOWNED CLR30100E 01/01/84 BopuvINJURY AND $ 500, T
<br /> 1 PROPERTY DAMAGE
<br /> 'r• ._ _. COMBINED ._,.__
<br /> EXCESS LIABILITY
<br /> BODILY INJURY AND
<br /> UMBRELLA FORM2F
<br /> Tx ' B M871408 01/01/84 PROPERTY DAMAGE $1,000, $ 1,000, �'
<br /> k,..$ OTHER THAN UMBRELLA COMBINED E '
<br /> FORMi
<br /> WORKERS'COMVPENSATION.
<br /> STATUTORY =
<br /> TTTZB and
<br /> >t �....._ $ �”
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<br /> r A EMPLOYERS'LIABILITY WBRC30104E 01/01/84 � 100, ILncecemrvn�
<br /> OTHER
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<br /> r e DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES ��- '12
<br /> The City of Santa. Ana, its officers, agents and employees are named "'
<br /> as additional insureds. ?
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<br /> Caflcaliadden: Should any of theabove described policies be cancelled before the expiration date thereof, the issuing corn- ;,,,..,
<br /> pany will algX1B2AXItxtBxmail days written notice to the below named certificate holder, iNF€ x ;,
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<br /> at NAME AND ADDRESS OF CERTIFICATE HOLDER: Itter
<br /> P1'41-.1', City of Santa Ana, City Attorney's office DATE ISSUED:December 1, 1982 f
<br /> ,vr4g 26 Civic Center Plaza Emil W. Solimin- Pres ,
<br /> rati Santa Ana, CA 92701 ` -
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<br /> Att: Edward J. Cooper, City Attorney • _ --' .,
<br /> AUTH01 ZED PRESENTATIVEItia
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<br /> mux ACORD 25(1.29)
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