Laserfiche WebLink
CERTIFICATE OF SELF-INSURANCE AND RISK MANAGEMENT <br /> Operator Operator Address <br /> Solid Waste Division <br /> San Joaquin County 1810 E. Hazelton Ave., Stockton, CA 95205 <br /> Risk Manager Risk Manager Address <br /> Resources Divisi <br /> Human on <br /> Richard Pietz 44 N. San Joaquin Street, Suite 330, Stockton, CA <br /> 95202 <br /> Solid Waste Disposal Facilities covered: LIMITS OF <br /> LIABILITY <br /> Facility <br /> Annual <br /> Name Address Information Occurrence rAggregate" <br /> Number <br /> North County 17720 E. Harney Lane $ 1,000,000 <br /> Recycling Center Lodi, CA 39-AA-0022 $ 1,000,000 <br /> & Sanitary Landfill <br /> Corral Hollow 31130 S. Corral Hollow Rd. 39-AA-005 $ 1,000,000 $ 1,000,000 <br /> Sanitary Landfill Tracy, CA <br /> Foothill Sanitary 6484 N. Waverly Rd. 39-AA-0004 $ 1,000,000 $ 1,000,000 <br /> Landfill Linden, CA <br /> Harney Lane 14750 E. Harney Lane 39-AA-0003 $ 1,000,000 $ 1,000,000 <br /> Sanitary Landfill Lodi, CA <br /> TOTAL: TOTAL : <br /> $4,000,000 $4,000,000 <br /> *Excluding legal defense costs <br /> CERTIFICATION: <br /> 1. The operator and risk manager named above hereby certify that the facilities listed above are self- <br /> insured for third party bodily injury and property damage in connection with the operator's obligation <br /> to demonstrate financial responsibility under Title 14, California Code of Regulations, Division 7, <br /> Chapter 5, Article 3. The coverage applies to the above-listed facilities for accidental occurrences <br /> arising from the operations of the facilities. <br /> 2. The limits of liability are the amounts stated above for"per occurrence"and"annual aggregate", <br /> exclusive of legal defense costs. <br /> 3. Coverage is prima <br /> 4. Upon request by the Board, the operator agrees to furnish to the Board any documents pertinent to <br /> this coverage. <br /> 5. Termination of this coverage will be effective only upon written notice, sent by certified mail, and only <br /> after the expiration of 60 days after a copy of such written notice is received by the Board and the <br /> local enforcement agency for the jurisdiction in which the facility is located, as evidenced by the return <br /> receipts. <br /> From CIWMB 133(11/91) PAGE 1 OF 2 <br />