1989 AGN JUL 18 I21 - Laserfiche WebLink

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CERTIFICATE OF COVERA.AE ISSUE DATE (MIM DD YY, SIONS. AND CONDITIONS OF SUCH POLICY OR MEMORANDUM 11/8/80 PRODUCER ❑ Marsh b McLennan, Incorporated THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AN: CONFERS N'- =RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND EX'EN: RIGHTS OF OR ALTER THE COVERAGE AFFORDED BY THE MEMORANDUM OP POLICY BELOW POLICY OR MEMORANDUM Three Embarcadero Center AUTHORITIES AFFORDING COVERAGE P.O. Box 3880 COVERAGES AUTHORITY INDEPENDENT CITIES RISK LETTER A MANAGEMENT AUTHORITY San Francisco, CA 94119 COMPANY B LETTER INSURED City of Colton 650 N. La Aceena Drive COMPANY C LETTER Colton, CA 92324 COMPANY D LETTER COMPANY E LETTER bV • GRAYSa THIS IS TO CERTIFY THAT THE POLICIES OR MEMORANDUMS OF COVERAGE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY Or- CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS PMEMORANDUM MEMORANDUMPERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT. TERN OR CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE COVERAGES AFFORDED BY THE POLICY OR MEMORANDUM DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLU• SIONS. AND CONDITIONS OF SUCH POLICY OR MEMORANDUM LTCOR TYPE OF POLICY OR MEMORANDUM POLICY OR MEMORANDUM POLICY OR MEMORANDUM ALL LIMITS IN THOUSANDS COVERAGES NUMBER DATE (MM:)Df'Y1 DATE (MM'D0'YY1 EXCESS LIABILITY Difference between A Z N Bl b PD S 10,000. CLAIMS MADE OCCURRENCE ICAPL 1023 7/1/88 7/1/89 COMBINED and Self-insured Retention of OTHER THAN UMBRELLA= 250 FORM Coverage A Difference between COVERAGE A EXCESS WORKERS' COMPENSATION S and Self -Insured Retention of AND COVERAGES = Coverage B difference between EMPLOYER'S LIABILITY f and Self -Insured Retention of s OTHER DESCRIPTION OF OPERATIONS(LOCATIONSfVEHICLESIRESTRICTIONSISPECIAL ITEMS The Certificate Holder is hereby included as Additional Insurd with respect to the City of Colton operations at the Bridge Street crossing of Reche Canyon Channel. CERTIFICATE HOLDER Transportation/Flood Control Department County of San Bernardino 825 East Third Street San Bernardino, CA 92415-0836 ATTN: Mina Ghaly, Chief rsS ('115 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED COVERAGES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING AUTHORITIES WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BLIT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, AIJTHORITY.ITS AGENTS OR REPRESENTATIVES AUTHORIZED A!►RESEPI TATIVE