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it J— r -7L m C ,. ... .. . , .... . .. ... ...._..._.. , ,_... . .,. ._. .. � _ <br /> CERTIFICATE OF INSURAN(. t5 � <br /> (This Certificate of Insurance neither affirmativery nor negatively <br /> amends, extends or alters the coverage, limits, terms or conditions <br /> of the policies it certificates.) <br /> COMPANY CODES <br /> This is to Certify to <br /> 2❑ CIGNA INSURANCE COMPANY <br /> City of Stockton <br /> P Works <br /> a❑ CIGNA INS . CO . OF TEXAS <br /> Department of Public <br /> 425 North El Dorado 5❑ PACIFIC EMPLOYERS INS . CO. <br /> Stockton , CA 95202-1997 9❑ INSURANCE COMPANY <br /> L ❑ OF NORTH AMERICA <br /> ❑A CIGNA INS . CO. OF ILLINOIS <br /> that the following described policy or policies, issued by The Company as coded below, <br /> providing insurance only for hazards checked by "X " below, have been issuedo: B❑ <br /> NAME \ Atlantic Richfield Company , its Subsidiaries and subsidiaries CIGNA INS . CO. OF OHIO <br /> ADDRESSi thereof as now or hereinafter constituted , Atlantic Richfield ❑ (OTHER ; — SPECIFY) <br /> OFI Plaza , 515 South Flower Street , Los Angeles , California 90071 OF <br /> INSURED <br /> covering in accordance with the terms thereof, at the following location (s) : <br /> TYPE OF POLICY KAZARDSCO. CODE1 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 /> (b) General Liability <br /> Premises—Operations ( including " in - <br /> cidental Contracts" as defined below) ® ❑9 ISLG 1 1-1 -90 to $ See Each Person <br /> 077856-6 1-1 -93 Below ❑ Accident <br /> Each { El Occurrence <br /> — Independent Contractors ® � $ <br /> c Completed Operations/Products ® ❑9 <br /> m <br /> Contractual , (Specific type as AggregateCompleted <br /> described in footnote below ) $ _ — _ _ Operations/ Products <br /> Premises—Operations ( Including ❑ Accident <br /> "Incidental Contracts" as defined Each } <br /> below) ® ISLG 1 1 -1-90 to $*See ❑ occurrence <br /> E 077856-6 1 -1-93 Below <br /> D Independent Contractors ® $ Aggregate—Prem ./Oper . <br /> $ Aggregate—Protective <br /> o Completed Operations/Products ® $ Aggregate—Completed <br /> i <br /> Contractual , (Specific type as Operations/ Products <br /> described in footnote below ) $ Aggregate—Contractual <br /> (c) Automobile Liability � l <br /> OwA�iomobiles ❑ <br /> � $ Each Person <br /> V ,, l Hired Automobiles ❑ Each {1 ❑ Accident <br /> m -1=l Nono_wned Automobiles _ — _ _ ❑ _❑ _ — _ _ _ _ _ _ _ _ _ _ $ — _ — _ ❑ Occurrence <br /> _ <br /> Accident <br /> bile <br /> d Automobiles ❑ <br /> a �I F-1F 1 $ Each ❑ Occurrence <br /> t Hired Automobiles )( <br /> Nonowned AuLHolder <br /> ❑ <br /> (d) Certif cois in uded s Add tional Insure with respect *$ 500 , 000 Combined Single <br /> to installatoffsite ound ater onitoring wel s near ARCO Limit Per Occurrence/ <br /> Contractual Footnote: Subject to all the policy terms applicable , specific contractual <br /> coverage is provided as respects or policies by the comthat, nir v r+,tib(ancellation of <br /> � Check 1 ❑ a contract 11 the policy pany ,7{�$Jdays' yritten notice <br /> Applioble' ❑ purchase order agreements > between the Insured and : of such cancellation will be given to you at the address stated above . <br /> Block / ❑ all contracts f1 <br /> NAME OF OTHER PARTY DATE (if applicable) CONTRACT NO . ( if any ) <br /> DESCRIPTION (OR JOB) <br /> Definitions: " Incidental contract " means <br /> any written ( 1 ) lease of premises (2 ) easement agreement , except in connection with construction or demolition opera. <br /> tions on or adjacent to arailroad , (7 ) undertaking to indemnify a municipality requireckilpyicipal orde , excepti connection with work for <br /> the municipality , (4 ) sidetrack agreement , or (5 ) elevator maintenance agreement. <br /> iii uthorized Representative <br />