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This Certificate is issued by the Company whose name is checked below. C (el <br /> AM j1 <br /> N MUTUAL LIABILITY If NCE COMPANY <br /> Fl AM _.JOAN MUTUAL INSURANCE L JA4PANY OF BOSTON <br /> /, f:;:11.1-47 <br /> f, <br /> pF cgtiye Offices: Wakefield, Massachusetts g�W <br /> CORRECTED d <br /> WIT ,'P F INSURANCE / 2 ,4 <br /> �s I t <br /> As requested, we are pleased to furnish this certificate certifying that on January 1 19 74 <br /> insurance is in effect for the insured named07idreint,,Sh tyspectplg th1 is�sta sce described below subject to the provisions of the policy <br /> designated. ��ft UU���9 44 CC , Ub <br /> Policyholder: <br /> SCA Services , Inc . & Wholly Owned Subsidiaries , including <br /> Great Western Reclamation Inc . <br /> • 126 Dyer Rd . <br /> Santa Ana, California 92707 <br /> LIMITS OF LIABILITY <br /> POLICY TYPE OF BODILY INJURY LIABILITY PROPERTY DAMAGE LIABILITY EXPIRATION <br /> NUMBER POLICY DATE <br /> EACH PERSON EACH OCCURRENCE * AGGREGI�TE PRODUCTS <br /> COMP•\\ae6M• EACH OCCURRENCE' AGGREGATE <br /> WC Workmen' <br /> 636465-16 Compensation 1/1/75 <br /> (*IF EMPLOYER'S LIABILITY COVERAGE—OR MASS. AUTO. <br /> INCLUDED. READ AS "EACH ACCIDENT") <br /> Location of operations: State of California <br /> Specific description of operations: Work incidental to insured ' s opeaations <br /> Contractual Liability Coverage is afforded X Yes No in accordance with the terms of the Company's Contractual Liability Insurance Coverage Part, Form <br /> /45aW,X0XXOW:XtX:lintek BLANKET CONTRACTUAL 1 'eK <br /> and <br /> In the event of the termination of this policy, or any substantial change in the coverage afforded thereunder, 10 days prior written notice will be given <br /> the certificate holder. <br /> This certificate of insurance neither affirmatively nor negatively amends, alters or extends the coverage\afforded by thg...kabovp p limy. <br /> This Certificate Issued To: "97 4 2 <br /> i <br /> Authorized Representative <br /> • City of Santa Ana <br /> 20 Civic Center Plaza <br /> Santa Ana, California 92701 Placing Office Boston <br /> AA.11 BS <br /> { Date 1/9/74 <br /> PRINTED IN U.S.A. <br />