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<br /> NAME
<br /> EmarSAsADDRESS
<br /> sociates, Inc'CeAlfdl AN@ S AEE®13 MG COVERAGESs
<br />,L
<br /> East Orange, N.J . 07018 COMPANY
<br /> " Transportation Insurance Co
<br /> 4),931,4
<br /> 7). COMPANYel
<br /> LETTER Mission Insurance Co . k
<br /> esNAME AND ADDRESS OF INSURED SCA Services, Inc. and COMPANYin
<br /> Ili:
<br /> ,944 GREAT WESTERN RECLAMATION LETTER
<br /> P.O. Box 2337 COMPANY 0
<br /> pas;s Santa Ana, CA 92707 LETTERPAgyp
<br /> iiuwi q 9
<br /> puz) COMPANY
<br /> LETTER 9,et3^
<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
<br /> w of any contract or other document with respect to which this certificate may he issued or may pertain,the insurance afforded by the policies described herein is subject to all the
<br /> .
<br /> terms,exclusions and conditions of such policies. �� _ +•
<br /> `+ COMPANY POLICY Limits of Liability in Thousands(OBI ,h.;:.
<br /> r fz LETTER TYPE OF INSURANCE POLICY NUMBER EXPIRATION DATE EACH AGGREGATE
<br /> _ OCCURRENCE
<br /> gAt
<br /> Es'.A, GENERAL LIABILITY
<br /> Asa N COMPREHENSIVE FORM BODILY INJURY $ $ 'a i�.
<br /> s � ® PREMISES-OPERATIONS PROPERTY DAMAGE $ $ ST.
<br /> s 1 0 EXPLOSION AND COLLAPSE ,�
<br /> 3U,4 HAZARD " �,4'.
<br /> o L UNDERGROUND HAZARD - R%
<br />�} FA PRODUCTS/COMPLETED a
<br /> A+ OPERATIONS HAZARD BODILY INJURY AND
<br />^" .5 A ®CONTRACTUAL INSURANCE CCP005312610 1-1-82 PROPERTY DAMAGE $500, $ 500, to,
<br /> ®
<br /> BROAD FORM PROPERTY COMBINED .
<br /> T` LJ INDEPENDENT CONTRACTORS — eel
<br /> 44-1 EA PERSONAL INJURY 500 ` +
<br /> Vet PERSONAL INJURY $ f
<br /> fltlgINJO
<br />'El _
<br /> AUTOIYMOBILE LIABILITY BODILY INJURY o ;_ ,
<br /> 10
<br /> A ® (EACH PERSON) $ h '
<br /> Al COMPREHENSIVE FORM BODILY INJURY $ .i?p P
<br />+4 uU ®r'JJ OWNED r� n (EACH ACCIDENT) y� x
<br /> Is LSI HIRED BUA004636943 PROPERTY DAMAGE $ h*ny$ Y L Aix).'
<br /> NON-OWNED MP4055333 1-1-82 BODILY
<br /> Rrvonwnce $500, r x glt-s' '
<br /> "'+� COMBINED 'f,i+' S ..:�,:3
<br /> EXCESS LIABILITY ,+
<br /> I'��]] o BODILY INJURY AND
<br /> H B [ UMBRELLA FORM M871480 1-1-82 r
<br /> PROPERTY DAMAGETxXxi $ 1 ,000 $ 1 ,000 }
<br /> f - El OTHER THAN UMBRELLA y:
<br /> COMBINED X
<br />)0�m..._.�. FORM
<br /> ;; WORKERS'COMPENSATION
<br /> ✓^ STATUTORY ,,: e r�
<br /> ,k and WC005432733 „�
<br /> L WS;`. EMPLOYERS'LIA®If.@TY r S
<br /> .--A OTHER _WC408_4-827-34 - -82 $:$,,,,,,,,1,,,-.-..: ,,`",,',$ . $ 100, aACHACCIDENTI ';
<br /> ' sAt
<br /> ,„.%
<br /> % . ll- —.
<br /> � DESCRIPTION OF OPERA(IONS/LOCATIATIONSNEHICLCS
<br /> s L�
<br /> The City of Santa Ana, its officers , agents and employees are named as
<br /> 24, additional insureds.
<br /> tomCancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing corn
<br /> pany will criA gis mail .3Q. days•.written notice to the below named certificate holder,%; thtfiu`k.3€ pdi + 'I
<br /> Xx IQ ' ' R3beR IAMOVEARM 4bsb r k xPogStxMitxiN x
<br /> NAME AND ADDRESS OF CERTIFICATE HOLDER: 'ST-
<br /> City of Santa Ana DATE ISSUED:January 27 ,_1 81 REVISED >¢
<br /> City Attorney ' s Office
<br /> 26 Civic Center Plaza /f�p
<br /> Santa Aria, CA 92701 A __.,_ED REPRESENTATIVE
<br /> Att:Edw-and—J,--Goo-pe-r-,—C ty—A-tto-r- .y Emil olimine, President
<br /> ';;ACORD 25(91-79) j..
<br /> y' K Y :€.,�� ;', . 6” .�, -3y . 1 ,4'."L�'e �% '".-6p.: VF ` 4' y, '$#-. a 4'. " L..pl`.
<br /> - 3... r, i . ..5.'Y. rt.,.. ...:J 54.`4b r,y+. yf1$✓a'i^ ' b<`E�`� �i '�
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