HomeMy WebLinkAboutMUNIZ PIPELINE - Certificate of Insurance - Exp. 3/26/711424 E. ARTESIA BLVD. TELEPHONE
LONG BEACH 5, CALIF. nn GArfield 3-0465
c ohe 'gnjurance AYenc NEvada 6-3959
Complete Insurance Service
MEMORANDUM
FROM: John R. Lokey DATE 4/28/70
To City of Huntington Beach
RE Muniz Pipeline
Policy #LC 169 43 92
As per instructions from the above assured, we are inclosing
original certificate of insurance to verify coverage under the
above policy.
We trust this does meet with your approval.
Thank you.
O
John R. Lokey
JRL:gw
YOU r 10
INW& AOENT
-caves TOW MI' e
4-
REh(Arj!2+ MWAOAM FUM0 INSURANCE COMPANY
OF YGURANO
hilt ������ 0� DOlU� I!!StlRAfiCE COMPANY(
TO: City ®f �tingtsas< Beach A�ssoClA MNr "f�oluTroM
City W1, �ltingten Dow% , Calif. 040
AMEWCAN �
I N S U R A N C E C O M i A N I E 50 AMMCAN AUTOMOBILE INSURANCE COMPANY
e
OAT" April 28, 1970
This is to certify that the Company or Companies checked above have in force as of the date hereof the following policy or policies:
ME AND ADDRESS Of INSURED OR EMPLOYER I LOCATION Of PROPERTY, DESCRIPTION Of OPERATIONS, WS1NESS CONDUCTED
Wmiz Pipeli"
e" lwiz said Geraldine Finis
1#281 NWIS td St., citing/Bouh, Calif.
KM OF INSURANCE
POLICY NUMBER
EI mm,6ON
LIIMTS OF UABILRY
WORKMEN'S COMPENSATION
Statutory
EMPLOYERS' LIABILITY
thousand dollars, each penal
thousand dollars, each ac kleat
BODILY INJURY LIAIILITY Other Than Automobile'
Boo thousand dollars, each person
3W thousand dollars, each accident
LC-169 43 92
3/26/71
Soo thousand dollars, aggre"te products
PROPERTY DAMAGE liability other than Automobile'
100 thousand dollars, each accident
LC 169 43 92
3/26/71
25Q thousand dollars, aggregate operations
2so thousand dollars, aggregate protective
2So thousand dollars, aggregate products
thousand dollars, oggregate contractual
AUTOMOBILE:
Bodily Injury Liability`
Boo thousand dollars, each person
LC 169 43 92
3w thousand dollars, each accident
Prole" Liability'
to
100 thousand dollars, each accident
Medical Payment:
$ each person
Compreb &nsive -- Loss of or Damage to the
Actual Cash Volvo Unless Otherwise Stated Herein
Automobile, Except by Collision or Upset
f
but Inelvding fire, Theft and Windstorm
Collision or Upset
Actual Cash Value less
deductible
VESC:KIPTIVN AND LVGATIVN VF VPERATIVNS ANV ^U1TJMVO1LEb GVVEKEV
CfI>tEprehensive 6ensral liability
CUMPLETE INSURANCE FACILITIES
g A23-0465 I° 636-3969 'M 527-6940
1424 E. ARTESIA BLVD.
LONG BEACH, CA.90805`°°�
'N Coelpreheasive, se *left. H net C mprehensivo, for "saw than Auto", list form such as OLT, ELEV., ek.
ADDITIONAL
IT TS AVREED THE FOLLOWING IS ADDED AS AN ADDITIONAL INSURED BUT
OMLY AS RESPEM WORK PERFORMED FOR TRIM NY THE NAMED INSURRD.
CITY OF RUNTINGTON BEACR
.CITY BALL, RUNTINGTON REACH, CA.
pm, Plff luu.
POLICY Num1wit
LC 169 43 92
IN"RFM
1-Muniz Pipeline
sr"11mve,
---I/-2617Q
comr flazLA w" U09SUBARM xxy
PROD
THE ADIUSCANrND 213URAMM COlWAVT
NATIONAL Summ CORPORATION
AS&OCIATM UMMUITY
—Lo
JONUMCM AVIONOOM cowiwr
cou""Rel CW AUFR—MtM
11MINIA" nUMAAM 0OWAJff CW TEXAS
1 PM*tD4m
000ft - 4-0 SETS
1�