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f 9-uu ] KLfi9, ON XU/YL1 0£-.ZT 1Lr <br /> npr Q9. 02 04: 4ep Ra=err P 1 ock <br /> ie � flssor=i eft c 1 -S <br /> i <br /> AFr-GE-01417FTDR-CFiE3tD1(EE FR>_•�ri+T ilaQta]13ssfif .-015 P.oQ2/ttll3 FRItI <br /> Am <br /> v Certificate of Liability Insuirance <br /> TIRSISTO CSRT[FYTO: Es91 Bay MtsticIpet Uf ty Oisfl (C9MUD) <br /> Dept:Satnea Centrvl <br /> 97611 th 61mm M814 702 <br /> P.O.haat 2AUSS <br /> Oaldand,Cafformla 94(6= I <br /> 'FK9 FOLI-OVANG DESCRIBED POLICY HAS BEEN IS.SUED T'O: <br /> tasured: L',(�q�o�cdr[ FrcRlertir- �rd�f <br /> Addmac: s�{`3 Gtf .�a.c�S•E fLc¢v� ,5'rnc�r-v..+r �� :�5"�IS^' <br /> LOCATION AND OESCMPTION OF PROJECTTgGRGfiMFAT: SO 1:Ttueccd Nan-Haxardous'Klasta Risposal Program � <br /> 'xYPC OF IMSUM&NCe AutomabIWOm scratt Uabillty Carprzgc1Gndor=err,e=as requlra'd by agmenvnt^ t <br /> LlldtTS QF LIAErnsry:ST,tipd.MQ10=urtencr-Bodily Wjurr,Prnpor y Gamaps-Autamobtle Use airy <br /> tMiliihtUKA1 r1,t74fl^000VOoaurrtnc3e.RocI11y Iry'ury.ProperV Damage-Gatrcracl Uatal(4y <br /> SELF LNSURED FLErMRT1Orr: 3, [tf opplfaab(c) Aglimgate Curries—1,Qf%QQp <br /> INSURANUECOmPMMIE SI: G . <br /> PoUcYTERM. F'ro+rc D-A To; _d1 f--Cal �T,PGapp <br /> THE F OLIBWING COVERAGES OR EMi]ORSFAENT`-ARE INCLUDED IN THE POLICittES r � <br /> 1. [sj The Mztdc.I(s Dirossnrs.Orrieers and Elrr t yesz era Ad rx)a2!Fnsureds <br /> in the policyCicl as to work t wing gertartited under u Z3 agracmcnL ENDORSE)KENT'NO. <br /> z [r-1 The coverage Is Primary to any alhsr applicable insur3rwe ra dad br the District- <br /> 3. [rt( The pack =4 oevem canfracfaaf CaWfiy for lfie asxurnpUan t,(Llabilitr Though the inaemnityIm[his agrecrznt_ <br /> 4. Ix 1 The poricy(lez)is written nn on aazuTwr.ae basis_ <br /> s. [A1 The Pc1i+YCesj rovers amad Fortier pr6pettr donsnoe rmbzty. � <br /> 5. [r j The adander,acrd trosposr:]aahwly. <br /> 7. (c j `fhc poliry¢es)c urvers axplaaoer,rnilopsc,and uncwWound hazards, <br /> A. fat) The PoUcy(wilcoveripradwisand Compicledoparnficas. <br /> 9. [1 The taaGgr[et)cavus tttc use o[rtonwwncd trutnrnob[}rx, <br /> 10,(x j The pollcy(oeg)wM trot be cenccted nor tete above covcrayo-3kr rrcrsamenty rcduard r iWvouE 317 days wditcd notice to <br /> Eest lady MUnictpal tingly Mslrid at the Address above. <br /> IT LS HERR-BY CERTIFIED triac tnR aaawin paii6t:.5:pruvldn 14btuty Insuranae as ragtAmA r,y the agreement between rhe <br /> Last Bsy Munfcipal Utility Dituirt and din insumd, <br /> S;gncd Firm <br /> Adare r�- 6151•� o � _ /�o�4�A . d»tc_ 5— fp- <br /> Ph--a <br /> Ph--a__....P.-,•�[r-^ 2�f� / f <br /> FeAQ1S_t2r97(9SrlSl - <br /> 500 ] 'I La 3�2If10S tT(1I4ff� TZ90 18Z OTS; Xyj 9C..ZT ala Z0/8T/t'0 <br /> I <br />