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CE ' 5-7-92 ajt CIGNA Prope' )nd Casualty Companles <br /> either affirmatively nor negatively <br /> ff <br /> ,4the coverage, limits, terms or conditions <br /> aicates.l <br /> - s <br /> to Certify to COMPANY CODES <br /> ❑ © CIGNA INSURANCE COMPANY <br /> City of Stockton <br /> Department of Public Works © CIGNA INS . CO . OF TEXAS <br /> 425 Horth Sl Dorado 5❑ PACIFIC EMPLOYERS INS . CO. <br /> Stockton, CA 95202-1997 INSURANCE COMPANY <br /> L ❑ OF NORTH AMERICA <br /> that the following described policy or policies, issued by The Company as coded below, E CIGNA INS . CO. OF ILLINOIS <br /> providing insurance only for hazards checked b ' X " below, have been i sued o : <br /> = - e❑ <br /> NAME Atlantic Richfield Company , its bee <br /> and subsidiaries CIGNA INS . CO. OF OHIO <br /> thereof as now or hereinafter constituted , Atlantic Richfield <br /> ADDRESS ❑ (OTHER ; — SPECIFY) FOLD <br /> OF Plaza , 515 South Flower Street , Los Angeles , California 90071 — <br /> INSURED <br /> covering in accordance with the terms thereof , at the following location( s) : <br /> TYPE OF POLICY HAZARDSCO. CODE POLICY NUMBER POLICY PERIOD LIMITS OF LIABILITY <br /> (a) Standard Workmen 's statutory W . C . <br /> Compensation & ❑ ❑ $ One Accident and <br /> Employers' Liability Aggregate Disease <br /> III (b) General Liability <br /> Premises—Operations ( including "in - ® ISLG 1 1-1-90 to $*See Each Person <br /> eidental Contracts" as defined below) <br /> 077856-6 1-1-93 Below ❑ Accident <br /> Independent Contractors ® ® $ Each ❑ Occurrence <br /> o Completed Operations/Products <br /> to <br /> Contractual , (Specific type as Aggregate—Completed <br /> described in footnote below ) _ _ _ _ _ — _ — _ _ _ _ $ _ — _ _ Operations/Products <br /> Premises—Operations ( Including Accident <br /> j bIncidental Contracts" as defined ® 9 inn 1 1-1. 90 to $*See Each ElOccurrence <br /> Mw below) <br /> 077856-6 1-1-93 Below <br /> o Independent Contractors ® ® $ Aggregate—Prem ./Oper . <br /> $ Aggregate—Protective <br /> Completed Operations/Products ® ® $ Aggregate—Completed <br /> Ow Operations/Products <br /> Contractual , (Specific type as <br /> described in footnote below ) $ Aggregate—Contractual <br /> (c) Automobile Liability <br /> Owned Automobiles ❑ ❑ � $ -. - - Each Person <br /> m —� Hired Automobiles ❑ ❑ ❑ Accident <br /> _Non _wned Automobiles ❑ ❑ $ Each # ElOccurrence <br /> Owned Automobiles ❑ ❑ Each ( ❑ Accident <br /> o m Hired Automobiles ❑ ❑ $ ( ❑ Occurrence <br /> a O� <br /> Non-owned Automobiles El <br /> (d) Certificate Holder is included 3s AddLtional Insured with respect *$500 ,000 Combined Single <br /> to installation of offsite ground water mnitoring wel1s near ARCO Limit Per Occurrence/ <br /> Contractual Footnote : Subject to all the policy terms applicable , specific contractual <br /> coverage is provided as respects thaa"'fin&lreeven((j)],pf,55ancellation of <br /> Chergt )F1 <br /> acontractthe policy or policies by the campan . .—r vs 3vritten notice <br /> (Appliwbl ❑ purchase order agreements between the Insured and : of such cancellation will be given to you at the address stated above . <br /> Block all contracts )1 <br /> NAME OF OTHER PARTY DATE ( it applicable) CONTRACT NO . ( if any ) <br /> DESCRIPTION (OR JOB ) <br /> Definitions: "Incidental contract' means any written ( t ) lease of premises (2 ) easement agreement , except in connection with construction or demolition opera- <br /> tions on or adjacent to a railroad , (3 ) undertaking to indemnify a municipality require icipal ordinan , except ' connection with work for <br /> M <br /> the municipality , (4) sidetrack agreement, or ( 5) elevator maintenance agreement . <br /> i Grrrhnri7od Rnnrocuntarivn <br />