Loading...
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�