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NV3UKMIVLC % aivirk IN I ur fl JKI re MIYICKII.M <br /> • <br /> AND <br /> PACIFIC 'M )YERS GROUP OF INSURANCE 1M"INA'. . <br /> CERTIFICATE OF INSURANCE ' 0 . <br /> (This Certificate of Insurance neither affirmatively nor negatively amends, extends <br /> or alters the coverage, limits, terms or conditions of the policies it certificates.) <br /> Ellie its to Certify to <br /> • <br /> COMPANY CODES • <br /> City of Santa Ana ® ALLIED INSURANCE CO. <br /> 20 Civic Center Plaza <br /> Santa Ana, California 92701 O PACIFIC EMPLOYERS INDEMNIFY CO. <br /> [] PACIFIC EMPLOYERS INSURANCE CO. • <br /> !_ J L7 INSURANCE COMPANY <br /> • OF NORTH AMERICA • <br /> that the following described policy or policies, issued by The Company as coded below, providing insurance only for • <br /> hazards checked by "X" below, have been issued to: ' <br /> • <br /> Name and Address SCA Services, Inc. & Wholly Owned Subsidiaries Including <br /> of Insured— Great Western Reclamation Inc. <br /> 1800 So Grand �$�anta Ana, California 92705 <br /> covering in accordance with the terms thereof, d <br /> at 3U Dd IRt4 loeahon(s): . <br /> All <br /> TYPE OF POLICY HAZARDS CO.CODE POLICY NUMBER POLICY PERIOD LIMITS OF LIABILITY - — <br /> (a) Standard Workmen's — —' <br /> Statutory W. C. <br /> Compensation & E] [9_ •NWC475190 11/14/74-75 $100000 One Accident and • <br /> Employers' Liability ., Aggregate-- Disease <br /> CO) General Liability • <br /> Premises Operations (including "In- n , <br /> cidental Contracts" as defined below) [� `�-' $ Each Person <br /> Elevators [ii (9 GLP456963 \11/14/74-75 50 Accident <br /> r, � $ Each l/ <br /> „ Independent Contractors LAI l9 • p l❑ Occurrence <br /> II Completed Operations/Products lid- ® $500,000 Combined Single <br /> 31 nke 1ConhactualViNXKIX*IIXXOUX $ Agg egate—Completed <br /> xXitiOtX&fVllDl�d0041 8416 M F91 \ _ _ _ _ _ Operations/Products <br /> • Premises - Operations, (Including <br /> "Incidental Contracts" as defined5[1] Accident <br /> °i - below) IT] 19 1 /% . 4 Each ( -Occurrence <br /> o Elevators . 111 p1 p6456963 11/14/74-75 $ I-ncludedAggregate—Prem,/Oper, <br /> 1.3 <br /> Independent Contractors X Ni/ $ Aggregate—Protective <br /> Completed Operations/Products p IAF� <br /> � 9� $ Aggregate—Completed <br /> /11, nketontractual,XfX(yeXOliXN Xd'c%dE- Operations/Products <br /> XXiiX*X0000()MXIMMX X /9 $ Aggregate--Contractual <br /> • <br /> Cc) Automobile Liability — — (p'7 '- <br /> Owned Automobiles h Fri $ Each Person <br /> B= Hired Automobiles — — i [q] CAL120688 11/14/74-75 $500,000 C Each <br /> i�� Accident <br /> e <br /> r� $ Limit <br /> Non-owned Automobiles 0 (n Occurrence <br /> i <br />