Laserfiche WebLink
CERTIFICATE'_ <br /> OF INSURANCE <br /> LIBERTYtel <br /> ` �. <br /> MUTUAL _ � � <br /> LIBERTY MUTUAL INSURANCE COMPANY•LIBERTY MUTUAL FIRE INSURANCE COMPANY•BDStON <br /> This is to Certify that <br /> ECA ser,vicps,4_,Ixic. T <br /> Great w" tern Reclamation Name and <br /> — <br /> 1 8• Grand Ave. -4-41 address of <br /> Santa 9270, California 9Insured. <br /> is, at the date of this certificate, insured by the Company for the types of insurance and in accordance with the limits of liability, <br /> _ exclusions, conditions, and other terms of the policies hereinafter described. This certificate of insurance neither affirmatively or neg- <br /> atively amends, extends or alters the coverage afforded by the policies listed below. <br /> EXPIRATION <br /> TYPE OF POLICY DATE POLICY NUMBER LIMITS OF LIABILITY <br /> COVERAGE AFFORDED UNDER W.C. LIMIT OF LIABILITY COV B <br /> LAW OF FOLLOWING STATE(S): <br /> WORKERS' <br /> COMPENSATION 1/1/78 wC1-612—oo4135-o17 California $100,000 <br /> INDICATE LIMIT FOR EACH ETATEI <br /> COMPREHENSIVE BODILY INJURY PROPERTY DAMAGE <br /> FORM EACH EACH <br /> ❑SCHEDULE FORM OCCURRENCE $ OCCURRENCE <br /> } ❑ PRODUCTS COM <br /> PLETED OPERATIONS $ AGGREGATE $ AGGREGATE <br /> 'C t- INDEPENDENT CON <br /> w= ❑TORSTPPROTEONVEAG 1/1/78 L01-612-004135-027 $500,000 Single Limit <br /> wm <br /> Q CONTRACTUAL (Bodily Injury & Property Damage Combined)O 7 ® LIABILITY <br /> CI <br /> } EACH <br /> � OOWNED $ $50Q,Q00; PERSON Single Limit <br /> NON-OWNED 1/1/78 AEI-612-004135-037 $ yCCIDENT ACH $ AC EACH <br /> DENT <br /> qQ Bodily Injury oR Property Damage OR <br /> :3 ®HIRED OCCURRENCE Combined OCCURRENCE <br /> LU <br /> I <br /> 0 <br /> LOCATION(S) OF OPERATIONS 8 JOB I. (It Applicable) DESCRIPTION OF OPERATIONS: <br /> ADDITIONAL INSURED: City of Santa Ana <br /> l )'A <br /> tier ..,;a"v"d <br /> NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW). RENEWAL CERTIFICATE <br /> BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER <br /> THE ABOVE POLICIES PRIOR TO DAYS AFTER NOTICE OF SUCH CANCELLATION OR REDUCTION HAS BEEN MAILEs <br /> 41111111, <br /> [-City of Santa Ana <br /> 20 Civic Center Plaza gailiiCia, <br /> �� P <br /> Santa Ana, California 92701 AUTH RIZED REPRESENTATIVE <br /> Attru Janes Conbey October 26, 1976 B•-ton, Massachusetts <br /> L J DATED OFFICE <br /> This certificate is executed by LIBERTY MUTUAL INSURANCE COMPANY as respects such insurance as is afforded by That Company,it is executed by LIBERTY MUTUAL FIRE INSURANCE <br /> COMPANY as respects such insurance as is afforded by That Company. BS 234A RG <br />