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dertificate of Public L' -ability insurance <br /> 1 <br /> OHIS IS TO CERTIFY TO East Bay Municipal Utility District (EBMUD) <br /> Dept <br /> 2130 Adeltne Street <br /> P 0 Box 24055 <br /> Oakland, California 94623 <br /> THE FOLLOWING DESCRIBED POLICY HAS BEEN ISSUED TO <br /> Insured <br /> Address <br /> LOCATION AND <br /> DESCRIPTION OF PROJECTIAGREEMENT- <br /> Excavation, removal, and disposal of old fuel tanks from EBMUD locations <br /> TYPE OF INSURANCE Comprehensive Auto/General Liability and Endorsements as Required below <br /> LIMITS OF LIABILITY. S5D0,00010ccurrence, Bodily Injury,Property Damage — Automobile Liability <br /> (MINIMUM) ¢500,DQO1Dccurrence,Bodily Injury,Property Damage — General Liability <br /> SELF INSURED RETENTION $ <br /> INSURANCE COMPANY(IES) <br /> •POLICY NUMBER(S) <br /> PO LiCY TERM From To <br /> THE FOLLOWING ENDORSEMENTS ARE ATTACHED TO THE POLICY(IES) <br /> tX❑ The District,its Directors,Officers and Employees are Additional Insureds in the policy0es) as to work being <br /> performed under this agreement <br /> ® d by the District will be casted upon to contribute to a loss <br /> 2 The coverage is Primary and no other insurance carrie <br /> under the coverage <br /> 3 ® The policy(+es) covers blanker contractual liability <br /> 4 ® The policy(ies) limits of liability are provided on an occurrence basis <br /> b ® The policy(ies) covers Broad form property damage liability <br /> 6 ® The policy0es) covers personal injury liability as well as bodily injury liability <br /> 7 a The policy(tes) covers explosion,collapse and underground hazards (Construction contracts) <br /> g ® The policy(ies) covers products and completed operations (Construction contracts) <br /> g ® The policy(ies) covers the use of non-owned autos <br /> 10 The policy0es) will not be cancelled nor materially altered without 30 days wrrrten notice to East Bay Municipal <br /> Utility District at the address above <br /> IT IS HEREBY CERTIFIED the above pi <br /> policies <br /> provide <br /> liability insurance District send the insured. <br /> ide8srequired by the agreement dated <br /> between the East Bay <br /> Signed <br /> Date Authonzed Signature of Broker,Agent or Underwriter <br /> • Firm <br /> Address <br /> Phone <br /> N-15 • 2/86 <br />