GREAT WESTERN RECLAMATION, INC.- CERTIFICATE OF INSURANCES

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I NA INSURA1, COMPANY OF NORTH MCA CERTIFICATE OF INSURANCE aoi ai-, Mbioi it to Certifp to 'c'J CITY MANAGER a� CITY OF SANTA ANA SANTA ANA, CALIFORNIA , III A _ L J h Q .l, „i 1 S r that the following described policy or policies have been issued to e)/„ �� p`y",,,' Name and Address ,.,::,,;;;;<-:. of Insured— GREAT WESTERN RECLAMATION INCORPORATED 126 East Dyer Road, Santa Ana, California~ covering in accordance with the terms thereof, at the following location(s): All Operations TYPE OF POLICY X' POLICY NUMBER POLICY PERIOD LIMITS OF LIABILITY (a) Standard Workmen's Statutory W. C. Compensation & X WC 148 142 89 9-1-64 to $ One Accident and Employers' Liability 9-1-6.5 Aggregate Disease (b) General Liability X MLP 88199 9-1-64 to Bodily Injury X 9-1-65 Premises-Operations X I $300,000.00 Each Person Elevators X Independent Contractors X $500,000.00 Each Accident Products X Contractual X $500,000.00 Aggregate-Products Property Damage X Premises-Operations X $100,000.00 Each Accident Elevators X $100,000.00 Aggregate-Prem. Oper. Independent Contractors X $100,p00000 Aggregate-Protective Products X $100,000.00 Aggregate-Products Contractual X - $100,000.00 Aggregate-Contractual (c) Automobile Liability X MLP 88199 9-1-6),I. to Bodily Injury X 9-1-65 Owned Automobiles X $300,000.00 Each Person Hired Automobiles X Non-owned Automobiles X $500,000.00 Each Accident Property Damage X Owned Automobiles X Hired Automobiles X $100,000.00 Each Accident Non-owned Automobiles N (d) *Insurance afforded only for hazards indicated by X. I UR.e PpNY .• NORTH AMERICA It is the intention of the company that in the event of � Tp E cancelation of the policy or policies by the company, / 7V ten (10) days' written notice of such cancelation will be b,_S_r ,i,77 F 1_/" given to you at the address stated above. N. L. TAYLOR AGENC:r Authorized Representative LC 35db IOOM I2-12-63 Prmfod In U.S.A.