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TyT11 L. Vi tITlawI <br /> i ' Bid No. 85-1 <br /> This is to-certify to: i <br /> contract No.. 10A514 <br /> (1'} Deputy Director; Project Deveiopment and:Construction <br /> Department of Transportation- <br /> State- <br /> ransportation Page 19 of 48 <br /> State-of California. <br /> P-.0.. Box 1499, Sacramento, Cal ifornia 95807 <br /> (2) and:to,the following Railroad Company <br /> that: such insurance as is.afforded by.the policy or policies described below for bodily injury IiabiIity and property.. <br /> damage I;iability is in full force and effect as-of the date of this,certificate-and:covers:the following. contractor as:a- <br /> named insured with respect to.liability for-damages arising out of operations:performed by or for the named insured: <br /> in connection with the°contract or work described.below. <br /> 1.. Named Insured and Address- <br /> - � <br /> This, is!Ito certify that policies. of,insurance-listed below have been issued.to the:insured named above-and are in <br /> force at?this time: Notwithstanding anyrequirement,.term-or condition of any contract or-other document.withrespect <br /> to which- thin certificate may be issued-or may,pertain, the insurance-afforded,by the policies described herein is: <br /> subject to all the-terms, excl usions.and conditions.of such policies. <br /> 2. Description of Work <br /> Contract:No. <br /> i <br /> a <br /> i <br /> Policy:- Limits:of Liability <br /> 3: Covera es- Expiration Date Each Occurrence !�q,gregate <br /> I <br /> Contractor's. <br /> Bodily Injury Liability and <br /> Property Damage Liability <br /> ;Umbrella or Excess.Liability <br /> All of the°coverages include:coverage for the completed operatlons�hazard and X, C and U exposures. <br /> Name of Insurance Company by Coverage <br /> (Coverages Compaq Policy Number <br /> Bodily Injury Liability <br /> jl'roperty. Damage Liability <br /> ;Umbrella or Excess Liability <br /> 4. The policy or policies described above will not be amended, altered, modified or cancelled until thirty (30) days <br /> after written notice thereof has been given by registered mail to the(1) Deputy Director, Project Development and <br /> jConstruction, Department of Transportation, and-(2) the Railroad named as certificate holder in this certificate. <br /> Certificate Date: <br /> For <br /> (Insurance Company) <br /> `r <br /> State of California <br /> By Department of Transportation <br /> (Authorized Agent or Representative) DH-OS'A104-(I 27-81) <br />