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Republic
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Western Be Republic Insurance Company V,
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Phoenix Arizona
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A Stock Insurance Company herein called the Company
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POLICY No. R10-
002
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The Company agrees with the Insured named below in consideration of the
premium paid and subject to all the terms and conditions set forth below that the
insurance afforded To be advised
by this policy shall follow all the terms
issued by North River
including all
Insurance Company
and conditions of Policy No.
renewals and rewrites thereof
NAMED INSURED Umbrella Form
ADDRESS
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Johnson & Johnson and as more fully described in the Primary e n Pa
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New Brunswick New Jersey
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POLICY PERIOD
January 1 1977 to January 1 1978
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250.000 250.000
Ai COVERAGE
Excess Umbrella Liability
250.0 0
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LIMIT OF LIABILITY
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15,000,000 15,000,000
15,000,000 -- excess of
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30,000,000 - each occurrence aggregate
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PREMIUM 14,963 on<= so ft
& RATE 15,000 per million
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IN WITNESS WHEREOF the Company has caused this policy to be signed
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by its President and Vice President and countersigned by a duly authorized representative
of the Company
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Vice President
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SE S. 4740 PRINTED IN U.S.A.
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President
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Countersigned by 7 Authuvi
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Authorized Representative
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CONFIDENTIAL
LTL 0005432
Republic WESTERN Insurance Company
a PNENERNENSUESRNEINN:
Endorsement
Effective
December 30 1977
reduced to
250,000
excess of
30,000,000
Policy number R10-002 , Limit of liability is hereby
part of 15,000,000
Revised premium
14,963
Return premium
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John Julliv...
President
Authorized Representative
2721 NORTH CENTRAL AVENUE PHOENIX ARIZONA 85004
602 263-6755
CONFIDENTIAL
LTL 0005433