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CERTIFICATE OF COVERAGE <br />=DATE YY, <br />PRODUCER <br />❑ Marsh b McLennan, Incorporated <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AN: CONFERS N. <br />RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES N07 AMEND EY -EN: <br />OF OR ALTEP THE COVERAGE AFFORDED BY THE MEMORANDUM OR POLICY BELOv. <br />TYPE <br />Three Embarcadero Center <br />AUTHORITIES AFFORDING COVERAGE <br />P.O. Box 3880 <br />ALL LIMITS IN THOUSANDS <br />AUTHORITY INDEPENDENT CITIES RISK <br />LETTER A MANAGEMENT AUTHORITY <br />San Francisco, CA 94119 <br />COMPANY 8 <br />LETTER <br />DATE tMM•'DD'YYI <br />DATE IMM'DD YY, <br />INSURED <br />City of Colton <br />650 N. La Aceena Drive <br />COMPANY C <br />LETTER <br />EXCESS LIABILITY <br />Colton, CA 92324 <br />COMPANY p <br />LETTER <br />COMPANY E <br />LETTER <br />Cvvtnwuta <br />THIS IS TO CERTIFY THAT THE POLICIES OR MEMORANDUMS OF COVERAGE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCH O° <br />CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WNICH THIS <br />MEMORANDUM PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT. TERM OR CONDITION OF ANY <br />MAY BE ISSUED OR MAY PERTAIN. THE COVERAGES AFFORDED BY THE POLICY OR MEMORANDUM DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. ExCLU <br />CERTIFICATE <br />SIGNS AND CONDITIONS OF SUCH POLICY OR MEMORANDUM <br />CO <br />TYPE <br />POLICY OR <br />MEMORANDUM <br />POLICY OR <br />MEMORANDUM <br />POLICY OR <br />MEMORANDUM <br />ALL LIMITS IN THOUSANDS <br />LTR <br />OF <br />COVERAGES <br />NUMBEc <br />DATE tMM•'DD'YYI <br />DATE IMM'DD YY, <br />EXCESS LIABILITY <br />Difference between <br />$ 10,000. <br />A <br />CLAIMS MADE OCCURRENCE <br />ICAPL 1023 <br />7/1/88 <br />7/1/89 <br />at d PD <br />COMBINED <br />andSelt•InauredRetention Of <br />OTHER THAN UMBRELLA <br />250 <br />= <br />FORM <br />Coverage A Difference between <br />COVERAGE <br />= <br />and Sell -Insured Retention o' <br />EXCESS <br />WORKERS COMPENSATION <br />AND <br />s <br />Coverage B difference between <br />COVERAGEB <br />EMPLOYER'S LIABILITY <br />f <br />and Sell -Insured Retention of <br />S <br />OTHER <br />I <br />` <br />DESCRIPTION OF OPERATIONS/ LOCATIONS IVEHICLESIRESTRICTION S!SPECIAL ITEMS <br />The Certificate Holder is hereby included as Additional Insurd with respect to the <br />City of Colton operations at the Bridge Street crossing of Reche Canyon Channel. <br />CERTIFICATE HOLDER <br />Transportation/Flood Control Department <br />County of San Bernardino <br />825 East Third Street <br />San Bernardino, CA 92415-0836 <br />ATTN: Mina Ghaly, Chief <br />rss (»Ies <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED COVERAGES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF. THE ISSUING AUTHORITIES WILL ENDEAVOR TO MAIL <br />70 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY OF <br />ANY KIND UPON THE COMPANY. AVTHORITY.ITS AGENTS OR REPRESENTATIVES <br />AUTHORIZED AIMSENTATIVE <br />