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<br />=, lttiti-tis=7f f2i.S.si:-?:i3ti4•Zgf221y S4•?,yi;A °„- :.;. ??•,r,i, <br />Jfii: <br />i <br />T Fokt TN?U <br />NC <br />kT <br /> , <br />; <br />RA <br />E C <br />IFICATn <br /> Collier Cobb & Associates <br />Inc <br /> , <br />. <br /> of <br />n: <br /> <br /> TO: DAT& • August 1. 1967 <br />` <br />- Board of Cornisaionere of Orange county <br /> uillshorougb. North Carolina <br />. <br /> .'';' <br /> <br /> GREAT AMERICAN INSURANCE COMPANY <br /> <br />- certifies that irourancc ppooGciq. <br />subject to their terms, conditions and exclusions, are at present in force in this Company as folkwa: <br /> Name of Insured: LT. Iie Valentine ;y <br />r Address of Insured: Sharpeburg, North Carolina <br /> Locations Covered: State Of N. C. ?+: <br />c; Description of Work: Lake Orange Dam -'' <br />K1ND OF INSURANCE LIMITS OF LIABILITY <br />orkmen's Compensation As provided by Workmen, <br /> Compensation Late <br />smprehcnsive C;7.,-,.I--- <br />eneral --1007 <br />00 - <br />Thousand Dollars each FEW <br />Bodily Injury Liability 300 Thousand Dollars each Accident <br /> Thousand Dollars Aggregate <br />Property Damage Liability . 50 Thousand Dollar each Accident <br /> 50 Thousand Dollars Ag rcgate <br />imprehensive Automobile 100 Thousand Dollars each Perron <br />Badilr Injury Liability 300 Thousand Dollars each Accident <br />Property Damage Liability 50 Thouund Dollar each Accident <br />X0125-02-66 8-1-66 <br />X0125-02-66 8-1-68 <br />In the event the policy is materially altered or cancelled. <br />written notice will be given to the party to whom this cc gifseate it issued. <br />T AMERICAN INSJRANC_B COMPANY <br />Chapel Hill. North Carolina By/: COLLIER COBB k ASSOCiAT'ES, INC. <br />Authorized Representative <br />POLICY NO. EXPIRATION <br />CIS1-87-60 8-1-68 <br />