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11 <br /> - y = - V I ISSUE. DATEMM/DOP <br /> t 01/28/87 <br /> '' PRODUCER <br />, Mos OECIT II If AYE 1 issu ID Ar A MAIL OE INC OINTI TIO ONLY AND CONFERS <br /> HO IC I' UtSON111SE eBBI WICA7 EE mown.FRown. I ICISS K ENT IP01 DI II DOES NOT AlEND, <br /> EXIEND OR ALTER TELE COVET/ADE AFFE NESE-0.3 MY THE FOLICIIIS BELOW. <br /> CORROON & BLACK OF ILLINOIS, INC. <br /> 135 So. LaSalle Street <br /> Chicago, IL. 60603 C°thbru'fMNIM /\Ir 1 C)SnEfW I C (WLV;lAC":,N <br /> COMPANY ANL' <br /> Pam Heintz (312 ) 621 -4718 IIDiE.li � <br /> American Motorists Insurance Co <br /> COMPANY (,-t <br /> INSURED -�� LETTER <br /> Great Western Reclamation, Inc. COMPANY <br /> 1800 South Grand Ave. L.CTiLR �' <br /> Santa Ana, CA 92707 COMPANY [I; <br /> LED TEN <br /> COMPANY <br /> LETTER ' <br /> THIS IS TO©Earn V THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED THE INSUH6 D NAMED ABOVE FOR TI CE POLICY PERIOD INDICATED. <br /> NOTWI ENSTANDIN€C ANY REQUIREMENT,1 EHM ON I ONEMIION OF ANY CONTRA/ 0E3 0111En UOCE&.IE;U T CAPD N RESPECT TO WHICH THIS CERTIFICATE MAY <br /> BE ISSUED OR MAY P1HTAIN, 1tr-0E INSURANCE:AFFORDED DV lc IE;POLICIES RESCRITIFILE I ILNMN IS SUBS BokurcY DO ALL IEEE 1 WI,1;,EXCLUSIONS,ANF)CONDO- <br /> . TIONS OF SUCH POLICIES. <br /> CO POLICY EFFECTIVE POLICY EXPIRATION I IADILITY LIMITS IN THOUSANDS <br /> TYPE OF INSURANCE POLICY NUMBER (MM/DO <br /> /yyf DATE(MMNDNV) EACw <br /> LTR HATE <br /> IOCCURRENCE AGGREGATE <br /> LIABILITY <br /> LIABILI .._._. <br /> BODILY <br /> 1 COMPREHENSIVE FORM 31m 445335-04 1 /1 /87 1/1 /88 INJURY A $ <br /> — <br /> ' _ PREMISES/OPERATIONS PROPERry <br /> -`-_ UNDERGROUND DAMAGE a' <br /> _ EXPLOSION &COLLAPSE HAZARD J <br /> PRODUCTS/COMPLETED OPERATIONS <br /> CONTRACTUAL DI a PD r I ,� <br /> COMBINED `A $ <br /> (— INDEPENDENT CONTRACTORS 5,000,_ 5,000 <br /> BROAD FORM PROPERTY DAMAGE <br /> ( __ <br /> PERSONAL INJURY PERSONAL.INJURY $ <br /> ^_ __,_-_ ..__ 5,000, <br /> I AUTOMOBILE LIAOILI IY BODILY <br /> ANY AUTO 3ZM 445335-04 1/1 /87 1/1 /88 (PEIII PERSON) $ <br /> ELI..OWN 0 AUTOS(PREY. PASS,) -- ! <br /> RDDII Y <br /> g ALL OWNED AUTOS(Em-N A THAM INJURY <br /> L,_ t PRIV. PASS./ (PER nLCmEN71 �k <br /> AIRED AUTOS <br /> NON-OWNED AUTOS PROPERTYL $ <br /> { <br /> GARAGE LIABILITY <br /> q _ DI 8,PD ,I <br /> COMBINED E' 000 <br /> '.I <br /> EXCESS LIABILITY <br /> UMBRELLA FORM DI E Po D. <br /> COMBINED <br /> ■OTHER THAN UMBRELLA FORM <br /> 111/OHICEEYS' COMPENSATION _ - STATUTORY roav 3 <br /> 41_000 (EACH ACCIDENT) �u <br /> A AND I3CM 445335-04 1 /1 /87 1 /1/88 (b5,000 (D EASE-POLICY Limn 1 <br /> EPAPLOVERS, LIABILITY <br /> 1$1_.,000 (DISEASEEACH EMPLOYEE) <br /> OTHER <br /> L <br /> I DESCRIPTION OF OPERATIONS/LOCATION,IONS/VEHICLES/SPECIAL ITEMS <br /> LL OPERATIONS AND THE EQUIPMENT OF THE INSURED - --- <br /> M. Cooper SHEAR D ANY 0E THE ABOVE U( CF II E D POLICIES DNB CANCELLED L f D 67ENs�O�N!�E},THE IDE- <br /> City of Santa Ana [ Cll-i' LULL DATE- IHERE01 'DIE I UINC 44',1PANY WILL qp.,&1i5drw <br /> MALI) 30 DAYS WHITTEN N NUTICE CO EHE CEt36Il ICATE HOLEL I TIB E <br /> 26 Civic Center Plaza - w-+X)PXXXNXXXXX+XhKXNX,INCNNK'XXL{sXNXMXX«Y+X {IXr MOS,,KNIMX-31X <br /> Santa Ana� CA 92 701 XXXelXXXX X <br /> XXXXX3X�XXX X 3§4 �nDf A <br /> 700.110404 <br /> A-yo1YYJohnTKl1y <; APPY( .581eIt-0S <br /> Vffirai'd140,48. <br />