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INA INSURAI COMPANY OF NORTE :RICA <br /> ZrfjiS tit to QC¢Cttfp to CERTIFICATE OF INSURANCE / CAT Y ri <br /> cITy MANAGER 1& <br /> City of Santa Ana cp OC: " � <br /> Santa Ana, California <br /> gee <br /> that the following described policy or policies have been issued to <br /> - <br /> GREAT WESTERN RECLAMATION INCORPORATED <br /> Name and Address 126 East Dyer Road <br /> of Insured— Santa Ana, California <br /> covering in accordance with the terms thereof, at the following location(s): <br /> All Operations <br /> TYPE OF POLICY X* POLICY NUMBER POLICY PERIOD _ LIMITS OF LIABILITY <br /> (a) Standard Workmen's Statutory W. C. <br /> Compensation & $ One Accident and <br /> Employers' Liability Aggregate Disease <br /> (b) General Liability DEP 83471 9•-1-63 to <br /> Bodily Injury 9-1-64 <br /> Premises-Operations X $ 300,000. Each Person <br /> Elevators X <br /> Independent Contractors X $ 500,000. Each Accident <br /> Products X <br /> Contractual X $ 500,000. Aggregate-Products <br /> Property Damage <br /> Premises-Operations X $ 100,000. Each Accident <br /> Elevators Y $ 1.00, 000. Aggregate-Prem. Oper. <br /> Independent Contractors X $ 1.00,000. Aggregate-Protective <br /> Products X $ 100,000. Aggregate-Products <br /> Contractual X ,, $ 100,000. Aggregate-Contractual <br /> (e) Automobile Liability PrP 8471 9-1-63 to <br /> Bodily Injury 9-1-64 <br /> Owned Automobiles X $ 300,,000.. Each Person <br /> Hired Automobiles X <br /> Non-owned Automobiles X $ 500,000. Each Accident <br /> Property Damage <br /> Owned Automobiles X <br /> Hired Automobiles X $ 100,000. Each Accident <br /> Non-owned Automobiles X 1111 <br /> (d) <br /> *Insurance afforded only for hazards indicated by X. <br /> INSUR�p� E P Y Q TH AMERICA <br /> It is the intention of the company that in the event of ➢Vl: �u , VT �' <br /> cancelation of the policy or policies by the company, • <br /> ten (10) days' written notice of such cancelation will be N ' <br /> given to you at the address stated above. Authorized Representative <br /> LC-354b 100(Sets) 5.23-63 Printed in U.S.A. <br /> 7. ORIGINAL <br />