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C <br />CERTIFICATE OF FOR CLOSURE AND/OR <br />POST-CLOSURE <br />MAINTENANCE RE:ASONAI3LY FORESEEABLE• ' <br />if addifional space Is neaded, add attachment. <br />Insurer Name: <br />Address: <br />License Number: <br />Indian Harbor Insurance Company <br />Seaview House, 70 Seaview Avenue <br />'MAIC 36940 <br />Stamford, CT 06902-6040 <br />Identification <br />Insured Name: <br />Address: <br />Forward, Inc. <br />1145 W. Charter Way <br />Stockton. CA 95206 <br />Solid Waste Disposal Facilities Covered: <br />(Enter Closure and Post -Closure Maintenance; and reasonably foreseeable corrective action amounts <br />separately. If coverage is not offered, enter "N/A" as the amount All amounts must total face amount), <br />Name <br />Address <br />Solid Waste <br />Disposal <br />Facility <br />Cloture <br />Insurance <br />Postclosure <br />Insurance <br />Reasonably <br />Foreseeable <br />Corrective <br />Identification <br />Amount <br />Amount <br />Action <br />Number <br />Amount <br />Austin Road <br />9069 S. Austin Road <br />39 -AA -0001 <br />$4,675,711 <br />N/A <br />Landfill <br />Mantica CA 96215 <br />Policy Number: <br />Effective <br />Face Amount: <br />Date: <br />PEC001115 <br />11/6/2001 <br />$4,675,711 <br />insurer Certification <br />The Insurer hereby certifies that it has issued to the Identified policy of insurance identified above to <br />provide financial assurance for post closure for the facilities Identified above. The policy provides that <br />monies identified in the face amount above will be available, as applicable, for the facilities when needed. <br />The terra face amount means the total amount the insurer Is obligated to pay under the policy. Actual <br />payments by the insurer will not change the face amount, although the Insurer's future liability will be <br />lowered by the amount of the payments. The insurer further warrants that such policy conforms in all <br />respects with the requirements of Division 30 of the Public Resources Code; Title 27 of the California <br />Code of Regulations, Division 2, Subdivision 1, Chapter 6; and the regulations of the Callforrila <br />Department of Insurance and under the terms and conditions described in Division 1 of the California <br />insurance Code far the facilities Identified above, as applicable and as such regulations were constituted <br />on the date shown below. It is agreed that any provision of the policy inconsistent with such regulations Is <br />hereby amended to eliminate such inconsistency, <br />The Insurer further certifies that reimbursements for expenditures will be granted only If the remaining <br />value of the policy is sufficient to cover the remaining approved applicable costs, and If the expenditures <br />have been reviewed and approved In writing by the California Integrated Waste Management Board <br />(CIWMB) or its designee. <br />If this policy is used in combination with another mechanism, this policy shall be considered primary <br />coverage. This insurance coverage allows assignment of the policy to a successor owner or operator. <br />isCA -SOLID WASTi=-GPC (1/00) Page 1 <br />CIWMB 106 (4/96) <br />