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State ofCalifomia <br /> California integrated Waste Management Board <br /> 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 /> Canlis Building,Room 106 <br /> Richard Pietz 24 S. Hunter St.,Stockton,CA 95202 <br /> Solid Waste Disposal Facilities Covered: LIMITS OF LIABILITY <br /> Facility per Annual <br /> Name Address Information Occurrence* Aggregate <br /> Number <br /> North County 17720 E. Harney Lane <br /> Recycling Center Lodi,CA 39-AA-0022 $ 1,000,000 $ 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. <br /> Landfill Linden;CA 39-AA-0044 $ 1,000,000 $ 1,000,0:00 <br /> Harney Lane 14750 E. Harney Lane 39-AA-0003 $ 1,000,000 $ 1,000,000 <br /> SanitaryLandfill Lodi,CA . <br /> TOTAL: TOTAL <br /> $4,000,000 $4,000,00 0 <br /> *Excluding legal defense costs <br /> CERTIFICATION: <br /> I. The operator and risk manager named above hereby certify that the facilities listed above are self-insured for <br /> third party bodily injury and property damage in connection with the operator's obligation to demonstrate - <br /> financial responsibility under Title 14,California Code of Regulations,Division 7,Chapter 5,Article 3. The <br /> coverage applies to the above-listed facilities.for accidental occurrences arising from the operations of the <br /> facilities. <br /> 2. The,limits of liability are the amounts stated above for"per occurrence"and"annual aggregate",exclusive of <br /> legal defense costs. <br /> 3. Coverage isriF mare <br /> 4. Upon request by the Board,the operator agrees to furnish to the Board any documents pertinent to this <br /> coverage_ <br /> 5. Termination of this coverage will be effective only upon written notice,sent by certified mail,and only after the <br /> expiration of 60 days after a copy of such written notice is received by the Board and the local enforcement <br /> agency for the jurisdiction in which the facility is located,as evidenced by the return receipts. <br /> t. <br /> From CrWMB 133(1119 1) PAGE 1 OF 2 <br />