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CERTIFICATE OF INSURANCE FOR Ci.OSURE AND/OR POST -CLOSURE MAINTENANCE REASONABLY FORESEEABLE CORRECTIVE ACTION If additional space Is needed, add attachment. Insurer Name; Address: License Nun Indian Harbor Insurance Company Seaviaw House, 70 Seaview Avenue NA1C 36940 Stamford, CT 06902-6040 Insured Name: Address: Forward, Inc. 1145 W. Charter Way Stockton. CA 95206 Solid Waste Disposal Facilities Covered: (Enter Closure and post -Closure Maintenance; and reasonably foreseeable corrective action amounts separately, if coverage is not offered, enter"N/A" as the amount. All amounts roust total face amount). Insurer Certification The Insurer hereby certifies that it has Issued to the identified policy of insurance identified above to provide financial assurance for closure for the facilities identified above. The policy provides that monies identified in the face amount above will be available, as applicable, for the facilities when needed. The term face amount means the total amount the insurer is obligated to pay under the policy. Actual payments by the insurer will not change the face amount, although the insurer's future Ilabliity will be lowered by the amount of the. payments, The insurer further warrants that such policy conforms in all respects with the requirements of Division 30 of the Public Resources Code; Title 27 of the California Code of Regulations, Division 2, Subdivision 1, Chapter 6; and the regulations of the California Department of Insurance and under the terms and conditions described in Division 1 of the California Insurance Code for the facilities identified above, as applicable and as such regulations were constituted on the date shown below. It is agreed that any provision of the policy Inconsistent with such regulations is hereby amended to eliminate such inconsistency. The Insurer further certifies that reimbursements for expenditures will be granted only if the remaining value of the policy is sufficient to cover the remaining approved applicable costs, and if the expenditures have been reviewed and approved in writing by the California Integrated Waste Management Board (CIWMB) or its designee. . If this policy Is used in combination with another mechanism, this policy shall be considered primary coverage, This Insurance coverage allows assignment of the policy to a successor owner or operator. OCA- SOLID WASTE -CPC (1/00) Page 1 CIWMB 106 (4/913) Solid Waste Reasonably Name Address Disposal Closure Postclosure Foreseeable Facility Insurance Insurance Corrective Identification Amount Amount Action Number Amount Austin Road 9069 S. Austin Road 39 -AA -0001 $20,719,275 N/A Landfill Mantica, CA 95215 Policy Number: Effective Face Amount: Date: PEC001114 11/6/01 $20,719,275 Insurer Certification The Insurer hereby certifies that it has Issued to the identified policy of insurance identified above to provide financial assurance for closure for the facilities identified above. The policy provides that monies identified in the face amount above will be available, as applicable, for the facilities when needed. The term face amount means the total amount the insurer is obligated to pay under the policy. Actual payments by the insurer will not change the face amount, although the insurer's future Ilabliity will be lowered by the amount of the. payments, The insurer further warrants that such policy conforms in all respects with the requirements of Division 30 of the Public Resources Code; Title 27 of the California Code of Regulations, Division 2, Subdivision 1, Chapter 6; and the regulations of the California Department of Insurance and under the terms and conditions described in Division 1 of the California Insurance Code for the facilities identified above, as applicable and as such regulations were constituted on the date shown below. It is agreed that any provision of the policy Inconsistent with such regulations is hereby amended to eliminate such inconsistency. The Insurer further certifies that reimbursements for expenditures will be granted only if the remaining value of the policy is sufficient to cover the remaining approved applicable costs, and if the expenditures have been reviewed and approved in writing by the California Integrated Waste Management Board (CIWMB) or its designee. . If this policy Is used in combination with another mechanism, this policy shall be considered primary coverage, This Insurance coverage allows assignment of the policy to a successor owner or operator. OCA- SOLID WASTE -CPC (1/00) Page 1 CIWMB 106 (4/913)