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No: LLNL # 88-� Oegal & Risk Cepartment <br /> This certificate is issued to: Lawrence Livermore Laboratory <br /> Physics International Company Lq, - r <br /> p 0. - L709 <br /> Box 808 <br /> 2700 Merced Street amCA, evermore, CA 94550 <br /> P.O. Box 5010 AUG 2 + ' (415) 422-1542 <br /> San Leandro, CA 94577-0599 <br /> 1=NV1RONC+��'frl'I AIL HEALTH <br /> LAWRENCE LIVERMORtIN TIONAL LABORATORY <br /> CERTIFICATE OF SELF-INSURANCE <br /> This is to certify that Lawrence Livermore Laboratory is self-insured for the following coverages: <br /> Type of Coverage Self-Insured Limits <br /> I. GENERAL LIABILITY: <br /> Each Occurrence $ 1 ,000,000 <br /> Products and Completed Operations Aggregate $ 11000,000 <br /> Personal and Advertising Injury $ 11000,000 <br /> Other $ <br /> General Aggregate (Bodily Injury & Property Damage) $ 1 ,000,000 <br /> II. AUTOMOBILE LIABILITY: <br /> Vehicles owned, Non-owned and Hired $ 1 ,000,000 (CSL) <br /> III. SPECIAL TERMS & CONDITIONS: <br /> Physics International Company <br /> its officers, agents and employees are hereby named as additional <br /> insureds, but only in connection with regards to the attached <br /> Right of Entry Agreement. <br /> The provisions under Paragraph (1) of this Section III., therefore, <br /> shall apply to claims, costs, injuries or damages but only in <br /> proportion to and to the extent such claims, costs, injuries or <br /> damages are caused by or result from the negligent acts or omissions <br /> of Lawrence Livermore National Laboratory, its officers, agents, or <br /> employees. <br /> Should any of the above described programs of seif-insurance ry ified or cancelled before the expir- <br /> ation date shown below, Lawrence Livermore National Labor ill give 30 days wri n notice to the <br /> named certificate holder. _ <br /> DATE ISSUED: May 22, 1990 <br /> AUTHOR® SIGNATURE <br /> CERTIFICATE EXPIRES. October 1 , 1990 Richard Dyer, Legal & Risk Coordinator <br />