Document 5kwLXV2dk3vYdDj95L4pQr5MN
Th. TrovLr. In,.,TM.. Companies H
Policy Jackal-- Edition January 1, 1973
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SB Declaration* end
Coverage Forts (pies any endorsements)
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Policy Title Named Insured
and
Address:
COMPREHENSIVE AUTOMOBILE-GENERAL LIABILITY POLICY
N11029
The Travelers Insurance Companies
Hartford, Connecticut
(Each a Stock Insurance Company)
The member of The Travelers Insurance Companies designated in the declarations as the insurer (herein called the company), in consideration of the payment of the premium, in reliance upon the statements in the declarations made a part hereof and subject to all of the terms of this policy, agrees with the named insured as follows: -
Definitions
AID 000113
When used in this policy (including endorsements forming a part hereof):
"automobile" means a land motor vehicle, trailer or semitrailer designed for travel on public roads (including any machinery or apparatus attached thereto), but does not include mobile equipment;
"bodily injury" means bodily injury, sickness or disease sustained by any person which occurs during the policy period, including death at any time resulting therefrom;
"completed operations hazard" includes bodily injury and property damage arising out of operations or reliance upon a representation or warranty made at any time with respect thereto, but only if the bodily injury or properly damage occurs after such operations have been com pleted or abandoned and occurs away from premises owned by or rented to the named insured. "Operations" include materials, parts or equipment furnished in connection therewith. Operations shall be deemed completed at the earliest of the following times: (1) when all operations to be performed by or on behalf of the named
insured under the contract have been completed, (2) when all operations to be performed by or on behalf of the named
insured at the site of the operations have been completed, or (3) when the portion of the work out of which the injury or damage
arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in perform ing operations for a principal as a part of the same project.
Operations which may require further service or maintenance work, or correction, repair or replacement because of any defect or deficiency, but which are otherwise complete, shall be deemed completed.
The completed operations hazard does not include bodily injury or property damage arising out of
(a) operations in connection with the transportation of property, unless the bodily injury or property damage arises out of a condition in or on a vehicle created by the loading or unloading thereof,
(b) the existence of tools, uninstalled equipment or abandoned or unused
"elevator" means any hoisting or lowering device to connect floors or landings, whether or not in service, and all appliances thereof including any car, platform, shaft, hoistway, stairway, runway, power equipment and machinery; but does not include an automobile servicing hoist, or a hoist without a platform outside a building if without mechanical power or if not attached to building walls, or a hod or material hoist used in alteration, construction or demolition operations, or an inclined conveyor
used exclusively for carrying property or a dumbwaiter used exclusively for carrying property and having a compartment height not exceeding four feet;
j :
"incidental contract" means any written (1) lease of premises. (2) ease
ment agreement, except in connection with construction or demolition operations on or adjacent to a railroad, (3) undertaking to indemnify a municipality required by municipal ordinance, except in connection with work for the municipality, (4) sidetrack agreement, or (5) elevator main
tenance agreement;
"insured" means any person or organization qualifying as an insured in the "Persons Insured" provision of the applicable insurance coverage.
The insurance afforded applies separately to each insured against whom claim is made or suit is brought, except with respect to the limits of the company's liability;
"mobile equipment" means a land vehicle (including any machinery or
apparatus attached thereto); whether or not self-propelled, (l) not sub ject to motor vehicle registration, or (2) maintained for use exclusively on premises owned by or rented to the named insured, including the ways immediately adjoining, or (3) designed for use principally off public roads, or (4) designed or maintained for the sole purpose of affording mobility to equipment of the following types forming an integral part of or permanently attached to such vehicle; power cranes, shovels, loaders, diggers and drills; concrete mixers (other than the mix-in-transit type); graders, scrapers, rollers and other road construction or repair equipment: air-compressors, pumps and generators, including spraying, welding and building cleaning equipment; and geophysical exploration and well
servicing equipment;
`named insured" means the person or organization named in Item 1. of the declarations of this policy;
Page 2
but "named insured's products" shall not include a vending machine or any property other than such container, rented to or located lor use of
others but not sold:
"occurrence" means an accident, including Continuous or repeated ex- (
posure to conditions, which results in bodily injury or property damage j
neither expected nor intended from the standpoint of the insured;
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"policy territory" means:
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(1) the United States of America, its territories or possessions, or Canada. ! or
(2) international waters or air space, provided the bodily injury or property damage does not occur in the course of travel or transporta tion to or from any other country, state or nation, or
(3) anywhere in the world with respect to damages because of bodily injury or property damage arising out of a product which was sold
for use or consumption within the territory described in paragraph (1) above, provided the original suit tor such damages is brought within such territory;
"products hazard" includes bodily injury and property damage arising out of the named insured's products or reliance upon a representation or warranty made at any time with respect thereto, but only if the bodily injury or property damage occurs away from premises owned bv or rented to the named insured and after physical possession of such products has been relinquished to others:
"property damage" means (1) physical injury to or destruction of tangible property which occurs during the policy period, including the loss of use thereof at any time resulting therefrom, or (2) loss of use of tangible property which has not been physically injured or destroyed provided such loss of use is caused by an occurrence during the policy period.
Supplementary Payments
The company will pay, in addition to the applicable limit of liability:
(a) all expenses incurred by the company, all costs taxed against the insured in any suit defended by the company and all interest on the
entire amount of any judgment therein which accrues, after entry of the judgment and before the company ha? paid or tendered or de posited in court that part of the judgment which does not exceed the limit of the company's liability thereon;
(b) premiums on appeal bonds required in any such suit, premiums on
bonds to release attachments in any such suit for an amount not in excess of the applicable limit of liability of this policy, and the cost
of bail bonds required of the insured because of accident or traffic law violation arising out of the use of any vehicle to which this policy applies, not to exceed <250 per bail bond, but the company shall have no obligation to apply for or furnish any such bonds;
(c) expenses incurred by the insured for first aid to others at the time of an accident, for bodily injury to which this policy applies;
(d) reasonable expenses incurred by the insured at the company's request in assisting the company in the investigation or defense of any claim or suit, including actual loss of earnings not to exceed <25 per day.
Nuclear Energy Liability Exclusion (Broad Form)
1. The policy does not apply:
A. Under any Liability Coverage, to bodily injury or property damage
"nuclear material" means source material, special nuclear material or byproduct material;
(1) with respect to which an insured under the policy is also an
insured under a nuclear energy liability policy issjied by Nuclear Energy Liability Insurance Association. Mutual Atomic Energy Liability Underwriters or Nuclear Insurance
Association of Canada, or would be an insured under any such policy but for its termination upon exhaustion of its limit of liability; or
"aource material", "special nuclear material", and "byproduct material" have the meanings given them in the Atomic Energy Act of; 1954 or in any law amendatory thereof;
"apent fuel" means any fuel element or fuel component, solid or liquid, which has been used or exposed to radiation in a nuclear reactor;
(2) resulting from the hazardous properties of nuclear material and with respect to which (a) any person or organization is required to maintain financial protection pursuant to the Atomic Energy Act of 1954, or any law amendatory thereof, or (b) the insured is, or had this policy not been issued would be, entitled to indemnity from the United States of America, or any agency thereof, under any agreement entered into by the United States of America, or any agency thereof, with any person or organization.
B. Under any Medical Payments Coverage, or under any Supple mentary Payments provision relating to first aid, to expenses in curred with respect to bodily injury resulting from the hazardous properties of nuclear material ana arising out of the operation of a nuclear facility by any person or organization.
C. Under any Liability Coverage, to bodily injury or properly damage resulting from the hazardous properties of nuclear material, if
(1) the nuclear material (a) is at any nuclear facility owned by, or operated by or on behalf of, an insured or (b) has been dis charged or dispersed therefrom:
(2) the nuclear material is contained in spent fuel or waste at any time possessed, handled, used, processed, stored, transported or disposed of by or on behalf of an insured; or
(3) the bodily injury or properly damage arises out of the furnishing
"waste" means any waste material (1) containing byproduct material and (2) resulting from the operation by any person or organization of any nuclear facility included within the definition of nuclear facility under paragraph,(a) or (b) thereof;
"nuclear facility" means
(a) any nuclear reactor,
(b) any equipment or device designed or used for (1) separating the isotopes of uranium or plutonium, (2) processing or utilizing spent fuel, or (3) handling, processing or packaging waste,
(c) any equipment or device used for the processing, fabricating or alloying of special nuclear material if at any time the total amount of such material in the custody of the insured at the premises where such equipment or device is located consists of or contains more than 25 grams of plutonium or uranium 233 or any combination thereof, or more than 250 grams of uranium 235,
(d) any structure, basin, excavation, premises or place prepared or used for the storage or disposal of waste,
and includes the site on which any of the foregoing is located, all operations conducted on such site and all premises used for such operations;
by an insured of services, materials, parts or equipment in connection with the planning, construction, maintenance, operation or use of any nuclear facility, but if such facility is located within the United States of America, its territories or possessions or Canada, this exclusion (3) applies only to properly damage to such nuclear facility and any property thereat.
11 As used in this exclusion:
"hazardous properties'1 include radioactive, toxic or explosive properties;
"nuclear reactor" means any apparatus designed or used to sustain nuclear fission in a self-supporting chain reaction or to contain a critical mass of fissionable material;
"property damage" includes all forms of radioactive contamination of property.
III. This exclusion modifies the provisions of the policy relating to all
Automobile Liability. General Liability and Medical Payment* Insurance other than Comprehensive Personal and Farmer'* Com-
Conditions
1. Premium. All premiums for this policy shall be computed in accord- ance with the company's rules, rates, rating plans, premiums and minimum premiums applicable to the insurance afforded herein.
Premium designated in this policy as "advance premium" is a deposit premium only which shall be credited to the amount of the earned premium due at the end of the policy period. At the close of each period (or part thereof terminating with the end of the policy period) desig nated in the declarations as the audit period the earned premium shall be computed for such period and. upon notice thereof to the named insured, shall become due and payable. If the total earned premium for the policy period is less than the premium previously paid, the com pany shall return to the named insured the unearned portion paid bv the named insured.
The named insured shall maintain records of such information as is necessary for premium computation, and shall send copies of such records to the company at the end of the policy period and at such times during the policy period as the compafiy may direct.
2. Inspection and Audit. The company shall be permitted but not ob ligated to inspect the named insured's property and operations at any time. Neither the company's right to make inspections nor the making thereof; nor any report thereon shall constitute; an undertaking, on behalf of or for the benefit of the named insured or others, to deter mine or warrant that such property or operations are safe or healthful, or are in compliance with any law, rule or regulation.
The company may examine and audit the named insured's books and records at any time during the policy period and extensions thereof and within three years after the final termination of this policy, as far as they relate to the subject matter of this insurance.
3. Financial Responsibility Laws. When this policy is certified as proof of financial responsibility for the future under the provisions of any motor vehicle financial responsibility law, such insurance as is afforded by this policy for bodily injury liability or for properly damage liability shall comply with the provisions of such law to the extent of the cover age and limits of liability required by such law. The insured agrees to reimburse the company for any payment made by the company which it would not have been obligated to make under the terms of this policy except for the agreement contained in this paragraph.
6. Other Insurance. The insurance afforded by this policy is primarv insurance, except when stated to apply in excess of or contingent upon the absence of other insurance. When this insurance is primary and the insured has other insurance which is stated to be applicable to the loss on an excess or contingent basis, the amount of the company's liability under this policy shall not be reduced by the existence of such other insurance.
When both this insurance and other insurance apply to the loss on the same basis, whether primary, excess or contingent, the company shall not be liable under this policy for a greater proportion of the loss than that stated in the applicable contribution provision below:
(a) Contribution by Equal Shares. If all of such other valid and collectible insurance provides for contribution by equal shares, the company shall not be liable for a greater proportion of such loss than would be payable if each insurer contributes an equal share until the share of each insurer equals the lowest applicable limit of liability under any one policy or the full amount of the loss is paid, and with respect to any amount of loss not so paid the remaining insurers then continue to contribute equal shares of the remaining amount of the loss until each such insurer has paid its limit in full or the full amount of the loss is paid.
(b) Contribution by Limita. If any of such other insurance does not provide for contribution by equal shares, the company shall not be liable for a greater proportion of such loss than the applicable limit of liability under this policy for such loss bears to the total applicable limit of liability of all valid and collectible insurance against such loss.
7. Subrogation. In the event of any payment under this policy, the company shall be subrogated to all the insured's rights of recovery therefor against any person or organization and-tne insured shall execute and deliver instruments and papers and do whatever else is necessary to secure such rights. The insured shall do nothing after loss to prejudice such rights.
8. Changes. Notice to any agent or knowledge possessed by any agent or by any other person shall not effect a waiver or a change in any part of this policy or estop the company from asserting any right under the terms of this policy; nor shall the terms of this policy be waived or changed, except by endorsement issued to form a part of this policy.
4. Insured's Duties in the Event of Occurrence, Claim or Suit.
(a) In the event of an occurrence, written notice containing particulars sufficient to iderttify the insured and also reasonably obtainable information with respect to the time, place and circumstances thereof, and the names and addresses of the injured and of available witnesses, shall be given by or for the insured to the company or any of its authorized agents as soon as practicable.
(b) If claim is made or suit is brought against the insured, the insured shall immediately forward to the company every demand, notice, summons or other process received by him or his representative.
(c) The insured shall cooperate with the company and, upon the com pany's request, assist in making settlements, in the conduct of suits and in enforcing any right of contribution or indemnity against any person or organization who may be liable to the insured because of injury or damage with respect to which insurance is afforded under this policy; and the insured shall attend hearings and trials and assist in securing and giving evidence and obtaining the attendance of witnesses. The insured shall hot, except at his own cost, voluntarily make any payment, assume any obligation oh incur any expense other than for first aid to others at the time of accident.
5. Action Against Company. No action shall lie against the company unless, as a condition precedent thereto, there shall have been full compliance with all of the terms of this policy, nor until the amount of the insured's obligation to pay shall have been finally determined either by judgment against the insured after actual trial or by written agreement of the insured, the claimant and the company.
Any person or organization or the legal representative thereof who has secured such judgment or written agreement shall thereafter be entitled to recover under this policy to the extent of the insurance afforded by this policy. No person or organization shall have any right under this policy to join the company as a party to any action against the insured to determine the insured's liability, nor shall the company be impleaded by the insured or his legal representative. Bankruptcy or insolvency of the insured or of the insured's estate shall not relieve the company of any of its obligations hereunder.
9. Assignment. Assignment of interest under this policy shall not bind the company until its consent is endorsed hereon; if, however, the named insured shall die, such insurance as is afforded by this policy shall apply (1) to the named insured's legal representative, as the named insured, but only while acting within the scope of his duties as such, and (2) with respect to the property of the named insured, to the person having proper temporary ciistody thereof, as insured, but only until the appointment and qualification Of the legal representative.
10. Three Year Policy. If this policy is issued for a period of three years any limit of the company's liability stated in this policy as "aggregate" shall apply separately to each consecutive annual period thereof.
11. Cancellation. This policy may be canceled by the named insured by mailing to the company written notice stating when thereafter the cancellation shall be effective. This policy may be canceled by the company by mailing to the named insured at the address shown in this policy, written notice stating when not less than ten days thereafter such cancellation shall be effective. The mailing of notice as aforesaid shall be sufficient proof of notice. The effective date and hour of can cellation stated in the notice shall become the end of the policy period. Delivery of such written notice either by the named insured or by the company shall be equivalent to mailing.
If the named insured cancels, earned premium shall be computed in accordance with the customary short rate table and procedure. If the company'cancels, earned premium shall be computed pro rata. Pre mium adjustment may be made either at the time cancellation is effected or as soon as practicable after canrellation becomes effective, but payment or tender of unearned premium is not a condition of cancellation.
12. Declarations- By acceptance of this policy, the named insured agrees that the statements in the declarations are his agreements and repre sentations; that this policy is issued in reliance upon the truth of such representations and that this policy embodies all agreements existing between hiniself and the company or any of its agents relating to this insurance.
(continued on Page 3)
AID 000115
Page 3
New York Special Provision--If a Comprehensive Automobile Liability Insurance. Garage Insurance or Automobile Medical Payments Insurance Cover age Part forming a pare of this policy insures premises located or automobiles principally garaged in New York, the Xuciear Energy Liability Exclusion (Broad Form) does not apply to such premises or automobiles.
Puerto Rico Special Provision--It is agreed that the Action Against Company Condition applicable to any liability coverage afforded by the policy with respect to occurrences which take place in Puerto Rico is amended to read:
No action shall lie against the company unless as a condition precedent thereto, the insured shall have fully complied with all the terms of this policy.
South Carolina Special Provision--If a Comprehensive General Liability, Manufacturers' and Contractors' Liability. Owners', Landlords' and Tenants' Liability, Druggists' Liability, Storekeeper's. Completed Operations and Products Liability. Contractual Liability. Premises Medical Payments or Garage Insurance Coverage Part forming a part of this policy insures premises located in South Carolina, it is agreed that with respect to such insurance that part of the alcoholic beverage exclusion which relates to the selling, serving or giving of any aicohoiic beverage ia) to a person under the influence of alcohol or (b) which causes or contributes to the intoxication of any person, is deleted.
Texas Special Proviaion--With respect to such insurance as may be afforded by this policy by The Charter Oak Fire Insurance Company for premises located or automobiles principally garaged in Texas, it is agreed as follows:
Dividend Provision--Participating Companies. The named insured shall be entitled to participate in a distribution of the surplus of the company, as determined by its Board of Directors from time to time, after approval in Accordance with the provisions of the Texas Insurance Code of 1951, as amended.
Vermont Special Provisions--
1. If this policy affords a Liability Coverage with respect to a premises located or an automobile principally garaged in Vermont, it is agreed that the policy is amended in the following particulars with respect to such Coverage:
The Policy is issued and delivered subject to the Laws of Vermont and particularly to Section 9242, Chapter 391 "The Vermont Statutes, Revision of 1947," including the following statutory requirements forming a part of such Laws: The company shall pay and satisfy any judgment that may be recovered against the insured upon any claim covered by this Policy to the extent and within the limits of liability assumed thereby, and shall protect the insured against the levy of any execution issued upon any such judicial judgment or claim against the insured. So limitation of liability in this Policy shall be valid if. after a judgment has been rendered against the insured in respect to his legal liability for damages in a particular instance, the company continues the litigation by an appeal or otherwise, unless the insured shall stipulate with the company, agreeing to continue such litigation.
No action shall lie against the company to recover for any loss under this Policy, unless brought within one year after the amount of such loss is made certain either by judgment against the insured after flnal determination of the litigation or by agreement between the parties with the written consent of the company.
The insolvency or bankruptcy of the insured shall not release the company from the payment of damages for injury sustained or loss occasioned during the life of the Policy, and in case of such insolvency or bankruptcy an action may be maintained by the injured person or claimant against the company under the terms of the Policy for the amount of any judgment obtained against the insured not exceeding the limits of the Policy. Payment of any judicial judgment or claim by the insured for any of the company's liability hereunder shall not bar the insured from any action or right of action against the company. In case of payment of loss or expense under this Policy, the company shall be subrogated to all rights of the insured .against any party, as respects such loss or expense, to the amount of such payment, and the insured shall execute all papers required and shall cooperate with the company to secure to the company such rights.
2. If a Comprehensive General Liaoility, Manufacturers' and Contractors' Liability, Owners' and Contractors' Protective Liability, Owners', Landlords' and Tenants' Liability, Premises Medical Payments or Storekeeper's Coverage Part forming a part of this policy insures premises located or operations conducted in Vermont, the exclusion relating to the operation or use of any Snowmobile of trailer designed for use therewith applies only if the bodily injury or property damage occurs away from premises, owned by, rented to or controlled by the named insured.
In witness whereof, the company has caused this policy to be signed by its President and Secretary at Hartford, Connecticut, and counter
signed on the declarations page by a duly authorized agent of the company.
' Secretary C-16216 Edition 1-1-73 pr in t c o in u .s .a. IC.S. (GA)
Hi *c A.
President
AID 000116
i
COMPREHENSIVE GENERAL LIABILITY INSURANCE COVERAGE PART
I. Coverage A--Bodily Injury Liability
Coverage B--Property Damage Liability
The company will pay on behalf of the insured all sums which the insured shall become legally obligated to pay as damages because of
Coverage A. bodily injury or
Coverage B. property damage
to which this insurance applies, caused by an occurrence, and the company shall have the right and duty to defend any suit against the insured seeking damages on account of such bodily injury or property damage, even if any of the allegations of the suit are groundless, false or fraudulent, and may make such investiga tion and settlement of any claim or suit as it deems expedient, but the company shall not be obligated to pay any claim or judgment or to defend any suit after the applicable limit of the company's liability has been exhausted by payment of judgments or settle ments.
*
Exclusions
This insurance does not apply:
(a) to liability assumed by the insured under any contract or agreement except an incidental contract; but this exclusion does not apply to a warranty of fitness or quality of the named insured's products or a warranty that work performed by or on behalf of the named insured will be done in a work manlike manner;
bto bodily injury or properly damage arising out of the ownership, maintenance, operation, use, loading or unloading of
(1) any automobile or aircraft owned or operated by or rented or loaned to any insured, or
(2) any other automobile or aircraft operated by any person in the course of his employment by any insured;
but this exclusion does not apply to the parking of an automobile on premises owned by, rented to or controlled by the named insured or the ways immediately adjoining, if such automobile is not owned by or rented or loaned to any insured;
icl to bodily injury or property damage arising out of (1) the ownership, maintenance, operation, use, loading or unload ing of any mobile equipment while being used in any pre arranged or organized racing, speed or demolition contest or in any stunting activity or in practice or preparation for any such contest or activity or (2) the operation or use of any snowmobile or trailer designed for use therewith;
but this exclusion (f) (1) does not apply to property damage arising out of any emission, discharge, seepage, release or escape of petroleum or petroleum derivatives into any body of water;
(2) tp property damage arising out of any emission, discharge, seepage, release or escape of petroleum or petroleum derivatives into any body of water, but this exclusion (f)(2) does not apply to property damage resulting from Are or explosion arising out of any emission, discharge, seepage, release or escape which neither
(i) is expected or intended from the standpoint of any insured or any person or organization for whose acts or omissions any insured is liable, nor
(ii) results from or is contributed to by any condition in violation of or non-compliance with any govern mental rule, regulation or law applicable thereto.
(g) to bodily injury or property damage due to war, whether or not declared, civil war, insurrection, rebellion or revolution or to any act or condition incident to any of the foregoing, with respect to
(1) liability assumed by the insured under an incidental eonlraet, or
(2) expenses for first aid under the Supplementary Pay ments provision;
(h) to bodily injury or property damage for which the inssered or his indemnitee may be held liable
(1) as a person or organization engaged in the business of manufacturing, distributing, selling or serving alcoholic beverages, or
(2) if not so engaged, as an owner or lessor of premises used for such purposes,
if such liability is imposed
(i) by, or because of the violation of, any statute, ordinance or regulation pertaining to the sale, gift, distribution or use of any alcoholic beverage, or
(ii) by reason of the selling, serving or giving of any alcoholic beverage to a minor or to a person under the influence of alcohol or which causes or contributes to the intoxication of any person;
but part (ii) of this exclusion does not apply with respect to liability of the insured or hi- indemnitee as an owner or lessor described in (2) above;
(i) to any obligation for which the insured or any carrier as his insurer may be held liable under any workmen's compensa tion, unemployment compensation or disability benefits law, or under any similar law;
id' to bodily injury or property damage arising out Of and in the course of the transportation of mobile equipment by an auto mobile owned or operated by or rented or loaned to any insured;
(e 1 to bodily injury or properly damage arising out of the ownenhip, maintenance, operation, use, loading or unloading of
(1) any watercraft owned or operated by or rented or loaned to any insured, or
(2) any other watercraft operated by any person in the course of his employment by any insured;
but this exclusion does not apply to watercraft while ashore on premises owned by, rented to or controlled by the named insured;
(f) (1) to bodily injury or property damage arising out of any emission, discharge, seepage, release or escape of any liquid, solid, gaseous or thermal waste or pollutant
(i) if such emission, discharge, seepage, release or escape is either expected or intended from the standpoint of any insured or any person or organiza tion for whose acts or omissions any insured is liable, or
(ii) resultinc from or contributed to by any condition in violation of or non-compliance with any govern mental rule, regulation or law applicable thereto;
(j) to bodily injury to any employee of the insured arising out of and in the course of his employment by the insured or to any obligation of the insured to indemnify another because of damaged arising out of such injury; but this exclusion does not apply to liability assumed by the insured under an ineidesual contract;
(k) to property damage to
(1) property owned or occupied by or rented to the insured,
(2) property used by the insured, or
(3) property in the care, custody or control of the injured or as to which the insured is for any purpose exercising physical control;
but parts (2) and (3) of this exclusion do not apply with respect tp liability under a written sidetrack agreement and part (3) of this exclusion does not apply with respect to property damage (other than to elevators) arising out of the use of ah elevator at premises owned by, rented to or con trolled by the named insured;
(l) to properly damage to premises alienated by the named insured arising out of such premises or any part thereof;
(m) to loss of use of tangible property which has not been physi cally injured or destroyed resulting from
(1) a delay in or lack of performance by or on behalf of the named insured of any contract or agreement, or
(Continued on Page 2)
AID 000117
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0000/18
COMPREHENSIVE AUTOMOBILE LIABILITY INSURANCE COVERAGE PART
I. Coverage C--Bodily Injury Liability
Coverage D--Property Damage Liability
The company will pay on behalf of the insured all sums which the insured shall become legally obligated to pay as damages liecause of
Coverage C. bodily injury or
Coverage D. property damage
to which this insurance applies, caused by an occurrence and arising out of the ownership, maintenance or use. including loading and unloading, of any automobile, and the company shall have the right and duty to defend any suit against the insured seeking damages on account of such bodily injury or property damage, even if any of the allegations of the suit are groundless, false or fraudulent, and may make such investigation and settle ment of any claim or suit as it deems expedient, but the company shall'not'be obligated to pay any claim or judgment or to defend any suit after the applicable limit of the company's liability has been exhausted by payment of judgments or settlements.
Exclusions
This insurance does not apply:
(a) to liability assumed by the insured under any contract or agreement;
(b) to any obligation for which the insured or any carrier as his insurer may be held liable under any workmen's compen sation, unemployment compensation or disability benefits law, or under any similar law;
(c) to bodily injury to any employee of the insured arising out of and in the course of his employment by the insured, but this exclusion does not apply to any such injury arising out of and in the course of domestic employment by the insured unless benefits therefor are in whole or in parr either pay able or required to be provided under any workmen's compensation law;
(d) to property damage to
(1) property owned or being transported by the insured, or
(2) property rented to or in the care, custody or control of the insured, or as to which the insured is for any purpiose exercising physical control, other than property damage to a residence or private garage by a private passenger automobile covered by this insurance;
(e) to bodily injury due to war, whether or not declared, civil war, insurrection, rebellion or revolution or to any act or condition incident to any of the foregoing, with respect to expanses for first aid under the Supplementary Payments provision.
II. Persons Insured
Each of the following is an insured under this insurance to the extent set forth below:
(a) the named insured;
(b) any partner or executive officer thereof, but with respect to a non-owned automobile only while such automobile is being used in the business of the named insured;
(c) any other person while using an owned automobile or a hired automobile with the permission of the named insured, provided his actual operation or (if he is not opierating) his other actual use thereof is within the scopie of such piermission, but with respect to bodily injury or property damage arising out of the loading or unloading thereof, such other person shall be an insured only if he is:
(1 i -i Ic-see 'ir bummer <i! the .m.'cm.i'u.v. ,,r
(2> an employee uf the named insured nr >ii -m h 1< --ee ur borrower.
(d) any other picrMin or organization lmt .mis with rv-nect to his or its liabilitv liecause of act- or omi-uins oi an insured under (uI, (bi or tc) above.
None of the following is an insured:
(i) any pierson while engaged in the business of hi- entplovcr with re-pect to bodily injury to an\ lesion' eniplovce of such pierson injured in the course of hi- employment;
(ii) the owner or lessee (of whom the named insured i- a sub lessee) of a hired automobile or the owner ol a non~<rwned automobile, or any agent or emploxee of any -uch owner or lessee;
(iii) an executive officer with respect to an automobile owned by him or by a member ol his household;
(iv) any pierson or organization, other than the named insured, with respect to:
(1) a motor vehicle while used with any trader owned or hired by such pierson or organization and not covered by like insurance in the company (except a trailer designed for use with a private passenger automobile and not being used for business purposes with another typ>e motor vehicle), or
(2) a trailer while used with any motor vehicle owned or hired by such pierson or organization and not covered by like insurance in the compiany;
(v) any pierson while employed in or otherwise engaged in duties in connection with an automobile business, other than an automobile business operated In the named insured.
This insurance does not apply to bodily injury or property damage arising out of (1) a non-owned automobile used in the conduct of any partnership or joint venture of which the insured is a partner or member and which is not designated in this pioliey as a named insured, or (2) if the named insured is a partnership, an automobile owned by or registered in the name of a pjartner thereof.
III. Limits of Liability
Regardless of the number of (1) insureds under this pxilicv, (2) piersons or organizations who sustain bodily injury or property damage, (3) claims made or suits brought on account of bodily injury or property damage or (4) automobiles to which this pioliey applies, the company's liability is limited as foltows:
Coverage C---The limit of bodily injury liability stated in the declarations as applicable to "each pierson" is the limit of the company's liability for all damages because of bodily injury sustained by one pierson as the result of any one occurrence; but subject to the above provision respecting "each pierson", the total liability of the company for all damages liecause of bodily injury sustained by two or more persons as the result of any one occur rence shall not exceed the limit of bodily injury liability stated in the declarations as applicable to "each occurrence".
Coverage D--The total liability of the compiany for all damages because of all property damage sustained by one or more piersons or organizations as the result of any one occurrence shall not exceed the limit of property damage liability stated in the declarations as applicable to "each occurrence".
(Continued on page 2)
AID 000119
L2A
Gap Sheet
000
There is a gap between
_ES-
OOC0 UO
ENDORSEMENT
THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Amending Effective fromat the time of day the policy becomes effective. Policv N'c
Monin. Day, Year}
TRL=*BL-123T692=1=75
Issued to...................................... ..... ........... ... . Date of Issue:
............................................................................................................................................
Additional Premium $
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued lor attachment to the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
THE NAME OF INSURED TO READ:
THE ANACONDA OCMPANY AND/OR ITS AFFILIATED, ASSOCIATED AND SUBSIDIARY COMPANIES, AND THEIR SUBSIDIARY COMPANIES, AS NOV CONSTITUTED OR AS MAY HEREINAFTER BE ACQUIRED OR CREATED AND INSPIRATION CONSOLIDATED COPPER COMPANY AND WARRIOR CO-OPERATIVE MERCANTILE COMPANY AND BUTTE COPPBt AND ZINC COMPANY, CONTINENTAL HIRE * CABLE CORPORATION AND ANY OTHER SUBSIDIARY OR AFFILIATED COMPANY ORGANIZED CR ACQUIRED BY NAMED INSURED SUBSEQUENT TO THE EFFECTIVE DATE OF THIS POLICTo
C-17820 New 8-74 opmTto s u s *
Countersigned By.
AID 000121
MBOC NO.. k BOOO(A)
ENDORSEMENT
iO;
i
THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from___________________________at the time of day the policv becomes effective. Amend,ng TRIp-Kk-123T692-l-75
(ATimM. Day. Ytar)
Issued to______________________________________________________
Date of Issue:
Additional Premium $
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment tc the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
WITH RESPECT TO IBB ffiODUCTS HAZARD AS DSHD IV IBB FOLICT, SUCH BBtBAVCB AS IS AFFCRDD BT IBB PCUCT SHALL APFLZ WITH RESPECT TO AVX AOCTDJST OCCIBKDC DISDC THE FOLIC! PERIOD OUTSIDE OP IBB HITS) STATES OP AMERICA, US TERRITORIES OR POSSESSION GR CAUDA fBOVIDD CLAIM IS MADE AD CRICTlAt SUIT IS BROUGHT AOADBT THE XBOQB HTBEQI THE IKTTD STATES OF AMERICA CR THE DGMZBZCM CP CAIADA.
C-I7S20 NcwS-74 p*trcc < u.s *
Countersigned B
SfClp. .
AID 000122
Srmoc No.
8000(B)
ENDORSEMENT
THE TRAVELERS INSURANCE COMPANIES
u
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from.at the time of dav the policv becomes effective. Policv Nc TBL"MSL~123T692M.-*7S
iicxth. Day. Ycarj
'
PATrfi j$f]
Issued to----------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------ ----
Date of Issue:
Additional Premium $
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment to the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
DETERMINATION 0? ADVANCE AND EARNED FBOIXIM ENDORSEMENT
1. FOR THE PERIOD JANUARY 1, 1975 TO JANUARY 1, 19769 THE ADVANCE "S" STANDARD PREMIUM FOR POLICY TBL-SSL-123T692-1-75 IS TO BE AN AMOUNT WHICH WHEN ADDED TO THE SUM OF THE ADVANCE "S" STANDARD PREMIUM FOR ALL THE LIABILITY POLICIES ISSUED TO THE INStRED BY THE COM PANY WILL PRODUCE THE StM OF:
(A) THE AMDtKT OBTAINED BY THE APFLICATICH OF THE RATES BELOW
DESIGNATED BY THE LETTER
TO THE ESTIMATED PATROLL OF
THE INSURED UNDIE ALL THE LIABILITY POLICIES ISSUED BY THE
COMPANY TO THE INSURED*
BODILY INJURY T.TATjTT.Tpr
PROPERTY DAMAGE T.TABTT.TTY
GENERAL LIABILITY "S" =0537
GENERAL LIABILITY "S" .0358
AUTO LIABILITY "S"
.0295
AUTO LIABILITY "S"
.0197
(B) THE ADVANCE "S" STANDARD PftEHIIM FOR POLICY TR-JWKL23T694-5-75 ISSUED TO ALUMINUM COMPANY OF AMERICA.
So ADVANCE "E* rarraft mwrm
1. FOR THE PERIOD JANUARY 1, 1975 TO JANUARY lt 1976 THE ADVANCE "ET EXCESS PREMItM FOR POLICY TRL-NSL-123T692-1-75 IS TO BE AN AMOUNT WHICH WHEN ADDED TO THE SIM OF THE ADVANCE "E" EXCESS PREMIUM FOR ALL THE LIAEtLITY POLICIES ISSUED TO THE INSURED BY THE COM PANY WILL PRODUCE THE SIM OF:
C-J7820 New 8-74
*. * s *
(CONTINUED ON PAGE #2)
Countersigned By
AID 000123
SrwftOi No.
aooo(e
ENDORSEMENT
1 THE TRAVELERS INSURANCE COMPANIES J
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from_
Sfontn. Day. Year)
Amending .at the time of day the policy becomes effective. Policy No.
TRL-NSL-123T692-1-75 p a mu--------------------- --
Issued to____________________________________________________________________________________________________________
Date of Issue:
Additional Premium $
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment to the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
(A) THE AMDTHT OBTAINED BT THE APPLICATION CP THE RATES BELOW DESIGNATED BT THE LETTER "E" TO THE ESTTMATB) PAYROLL OF THE IHStBED UNDER ALL THE LIABILITY POLICIES ISSUED BY THE COMPANY TO THE INSURED*
b c p p t t o ffwmn
GENERAL LIABILITY "E" *0460
FRQPERTy pAMAfiS tiMME GENERAL LIABILITY "E" *0320
AUTO LIABILITY "E"
<>0178
AUTO LIABILITY "E"
*0118
Co EARNED MS" STANDARD fl
lo PGR THE PERIOD JANUARY 1, 1975 TO JANUARY 1, 1976, THE EARNED "S" STANDARD PREMIUM FOR POLICY TRL-NSL-123T692-1-75 IS TO BE AN AMOUNT WHICH WHEN ADDED TO THE SUM OF THE EARNED "S" STANDARD PREMIUM FOR ALL THE LIABILITY POLICIES ISSUED TO THE INSURED BY THE COMPANY WILL PRODUCE THE SUM OF:
(A) THE AMDINT OBTAINS} BY THE APPLICATION OF THE RAZES BELOV
DESK21ATED BY THE LETTER "S" TO THE ACTUAL PAYROLL OF THE INSURED UNDER ALL THE LIABILITY POLICIES ISSUED BY THE COMPANY TO THE INSURED.
BODILY INJURY LIABILITY
PROPERTY DAMAGE LTABTT.TTY
GENERAL LIABILITY BS" *0537
GENERAL LIABILITY "S" .0358
AUTO LIABILITY "S"
O0295
AUTO LIABILITY "S"
O0197
(B) THE EARNED "S" STANDARD PREMIUM FOR POLICY TR-PRO-123T694~5"75 ISSUH) TO ALUMINUM COMPANY OF AMERICA
D0 EARNS) "E" F3HTBRS PRyny (cormrus) o h p a s s
AID 000124
fMftOU No. 8000(C)
C-17820 New 8-74 tINTc
Countersigned Bv
JC.i'S LIUKatiKItH i
l
THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from____________________
(Month. Day, Year)
Issued to__________________________ Date of Issue:
at the time of day the policy becomes effective. Policy NY
Additional Premium $
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment tc the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
l . f c x t h x mam jorour 1,1999 s> warn "X" asm IBJOBM KB FGtZdT VMSMJQI AMDOT WXCi HOB BUM tO SB 9BI OP SB
HLEXEBI KB ALL SB UABXXJTI RUSi 19
BT SB (XflPBB KELL HKSBBSB WE Oft
(a) s b soar asaamm u s b muasnm <w t * urn warn
nimamp nr s b u h j b
w e io w l paw bu . or w e
nmimmt* nrnw ALL SB
vrr.jnrm. JOEW W SB
muwmwmn G9SSAL I2ABH2T7 *W* .0*80
tlABCMCTT VF *0320
AUTO LXAKL2SX "W
J3VJE
ADTO LIAKLZZT "W
.0118
e . is bo Bfiarr sat* s o b j d t a b g i SICES PEBfXOL ntamm
s t a ba b d f b u r b , mom mr
p mmt t m, aB)
"W EE3DB
macm b i m isn o b d c l l b r x b u s son iawriiii
p. araanra w il l m mm mani j s c t bt x , 1971 m j abbbi i, 1977
SXODB SB1A3B AB PBBTTBB AFLICUBLX KB SB PflUKB JUOKX 1 1976/77
m urnm i* i977/r# ssncnvoz.
C-17820 New 8-74 p r ih t e o <* u s a
Countersigned By __________;
AID 000125
Sy mbo l . No .
aooo(c)
,l'(UUK3.JlVlJC,l't i.
i THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Amending 18I^iBSZeB123T69!Mi^5 Effective from:----------------------------------------- at the time of day the policy becomes effective. Policy Nc.
{Month. Day. Year)
Issued to_________________________________________ _____________________________________________
Date of Issue:
Additional Premium $
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment tr the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
THE POLICY FRXQD STATS) 31 THE D1CXJBJTICBS IS OOKBISD OF THEBE (XSSBCanVX AfflTCAL PERIODS. OCKPUtATiai AS) ADJUSBflST OF EABHD RBEEW SHALL BE SHOE AY SB OF 3AC2 ABR2AL PffilCD.
C-17820 New 8-74 p r in t e d j * u 5 *.
Countersigned By-
s<
AID 000126
u
Sy mb o l No .
aooo(r)
tJMUUKbtiyitW i
THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Amending L-4BL-J23T692-l-?5 Effective fromat the time of day the policy becomes effective. Policy Nc
{Month. Day. Ytar)
Issued to________________________________________
Date of Issue:
Additional Premium $
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment to the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
THE LIMITS Of LIABUJTT AS SOBERS 31 THE PCUCT SMT.T. a mo snag b e c o c u l at x v e h u h t h e mens or l ia b il it i
BOBESSB) II cat&mat POUCr !S^CL-1^2T6S9-*3<j 75
C-37820 New g-74 min t ed in y.s a
Countersigned Bv_
AID 000127
4-*
ENDORSEMENT
, THE TRAVELERS INSURANCE COMPANIES
J:
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Amending Effective fromat the time of day the policy becomes effective. Policv Nc
.Month. Day. Year)
TRWBL-123T692-1-75
Issued, to!__________________________________ ______________________________________________________________________________ ______________
Date of Issue:
Additional Premium $
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment to the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
POLLUTICS ESaiBICH (ERQAD f c r h )
XT IS AGREED THAT SUCH UEEBANCE AS IS AFFORDED BI THE POLICY FOB
BODILY ISJUBY AMD PROPERTY DAMAGE DOES HOT APPLY TO POLLUTICS OF THE
AIR, LAND OR WATER, NOR TO 5CDXLY INJURY CR HtOPERTY DAMAGE RESULTING FROM SUCH POLLUriCK.
C-17820 New 8-74
0 " if
AID 000128
Countersigned By_____________________________________ ______ __________
SrMSQu No.
^8000(P)
X-/ IVUUUii
THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from
Issued to Date of fssue:
-----at the time of day the policy becomes effective.
Amending Policy Nc.
THHBL-123T692-1-75
(Moxlk. Day. Ytar)
Additional Premium $
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment t the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
THE BABES) HLEHEM KB POLICT m-KL~I23T693-l-4? KB LUXES OP HSXXX IB*
.mrf T.TAMrr.rrr op $29,000 EE3J PHEESCB. $29,000
OGCOBBBKS. AID FCB LIMB
OF HtOPHOT DAKAC3 T.TABUJTT CP $25,000 SACK OCCtBBSKX, 23 TO BE COBTEm Z1
ACOORDAECB WITH IBS FOULOKOO FBOVCSZCBBi
la STAiHn arm rnntrm* THE STAEDAS 0PM FBBOIK 23 IBB BABES HuaoiM g c mpo t s b x t h e a p f u c a u c b o f b a x b d e s u x a t o b i t h e
LSTTES "S" 21 A00GBDAICK HUH THE HbOmiCB OF THE KZZONXK POLICT, B0GLQ3XVE CP THIS EBDGRSBQST:
.2 STAqn^m SIM CP:
THL^HL-123T69S-l-75
' arnmni THE STASABD OOSD FREKUM 13 THE
(A) TEE EASES HOKUM 00MP0TS H AC0QB0AK9E WITH THE I3CI7ISICBS
OF TEE FCXIOUB POLICIES, AS THE KBBMAI3 THHUBP, HCCLUSIVS OF AST KEZBQSPBCXX7E HOMim SHDCESBOBT, BSKHB 188001 FLAM
SSCBSBOflff, 01 PISfllM D2SOOIBT EMXBSBCTT KAOS A PASS OF AK7 SOCK PCLICTl
TSEEL0B-mTI99^-75
T3UB-111T196-W5 mEKro^nm95~a-75
TDRKQSrllIT197-^75
T3KSLDB-111T206-9,J75
TaQB-nisaoo-d-75
AID 000129
(B) THE EASES HtaOW OQMPlffS BI THE AfflLXGASXCi CP HAZES DSSHBAGH)
ar THE LXTTR "S" IS ACCCBDAICS WITH THE IBCHISECB3 CP THE FCUOW2S
POLICIES, AS THE H2EEEA13 THBBKP, OCLQBZ7B OP THE APHJCA3TCB OF AHI
HBBQSncmS FBEKXTM SBXSSEMEBT, ROTH PH8Q0I PLAI SDCBSaSTT CB
h ib k h w d is o o v t mxBsasaa h id e a pas t o p a ix s u c h k x j c t : '
SYW80t n-
C-17820 New 8-74 reisrco < u.s...
(CCVnHHEB CB P^#?),
Countersigned By_____________ / vtf/.Oy
9000(G)
e n d o k s e mEw t
S J
THE TRAVELERS INSURANCE COMPANIES
i
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
THE TRAVELERS INDEMNITY COMPANY
Effective from. 01-01-75
(Month, Day, Year)
at the time of day the policy becomes effective. PPooTliccvyd,N^cTRL-NSL-123T692 -1 - 75
Issued to.
THE ANACONDA COMPANY ET AL PER END 8000(A)
05.0^7f-
Date of Issue:
Additional Premium $
BS/DH
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment tc the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
ENDORSEMENT 8000(6), PAGE 2, ITEM A(A) IS AHEN0E0 TO READ AS FOLLOWS:
(A) ALLOCATED LOSS EXPENSE INCURRED IN CONNECTION WITH INSURANCE PROVIDED UNDER COVERAGE A OF THE WORKMEN'S COMPENSATION POLICIES DESIGNATED IN PARAGRAPH 2(A) FOREGOING, SHALL NOT'BE INCLUDED HEREIN; BUT THE PROVISIONS SHALL NOT APPLY WITH RESPECT TO ALLOCATED LOSSES INCURRED IN CONNECTION WITH LOSSES ARISING OUT OP THE INSURED1S OPtRATIONS IN THE STATE OF ALASKA.
C-J7820 New 8-74 >n To <* u s a
Countersigned By
AID 000130
SrmOL No.
8000
ENDORSEMENT
V
THE TRAVELERS INSURANCE COMPANIES
V
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from
{Month. Day. Year)
.Amending TBWEL-123T692-1-75 at the time of day the policy becomes effective. Policy Nc
PEGS IS-------------------------
Issued to---------------- ------------------------------------------------------------------------------------------------------------------------------------------------------
Date of Issue:
Additional Premium $
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment tc the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
TRCJUVl 11T203-g-75
mUG-12I1209-4-75
TBBL-223T693*->75 IRK3EM211D68-9-74
TBS3IWJ?3l695"7-75 TEFI*>llIT205-7-75 TBSUD-1231696-9-75 Tsckc-mno9-y-75
3. mm ram naggi.
CLQSM) HOKUM 23 IBS SOI OP*
(A) THE BABBD PB3QM DBflSXDOD H ACOCHDASGB VX9 THE fWVXSXOB OF THE FQLLOKOC POLICES AS) THE WHHUI THMCTt
!HEHUa-lIin99^A-75
TR-IllT19Mr-75
TDBECB-lim99-a-75 DBEQMUX197-6-75
TSKB-a3I390fr-9-75 THBMIliaDO-6-75
(B) THE SAHIB) ISOCIW PP--MB) BT THE APHICAIXC* OF SIZES DS3BXATH) BT THE LPZB "S" 11 AOOQBAICS HUH THE FBOmZOB QT THE FOLLOHIX} POLICIES m THE SOBOLS THffiSDFt
TiBio-amw-a-Ts TWMILI2DVH75 TBSLOO-123T696-9-75
TSESPL^U3T695-/M5
TRC4C-3llZZ>9-4-75 AID 000131 THESL-123T693-3-75 TEKSPL-1213066-9-74
h IHCOHUP LOSSES* 3EC0BD LQS3B MEM THE ACTUAL PAID LQSSESt THE ?:> BESSHVES AS ESTIMATE) IT THE OOttMT IT* VBA2D LOSSES, AS ALLOCATE) LOSS
BOBOS USDS THE POLICIES DESZOttHD II PMIffiAFBS 1 AH) 2 F0BH3QEDD AS OF THE OOffOTAfld DAZES HBEOttFZK SFKDIH), H10F3DH) THAT*
CM 7820 New 8-74
(A) ALLOCATE) LOSS 2ZFSMSE MCOBH) II OMOTICI HUH THE DBORAMCB
Hojmsm mm comum a cr t h e w i p s c c mf o c iz io i p o l ic e s
vssimam m p ar a g r ap h 2(a ) f c b b o o d d , s h a l l wot h e h c l c d d h e ee z s i
BUT THE HOnSICBS SHALL WOt APPLT HITH BESPICZ TO ALLOPATH) LOSSES
zi cxwracnaM uim l o s s e s a k is t ir o t j t or t h e mw*s c f er a t ic r s SrMeoC No.
IS THE STATE OF ALASKA (COmSUBD CB PA3 #3)
8000(G)
Countersigned By----------- , ^ ^ - -f? . ,. -------------------------------------------
ENDORSEMENT
THE TRAVELERS INSURANCE COMPANIES
u
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from__________.__________
Month. Day. Year)
at the time of day the policy becomes effective. te?v5
TSWBL-123T692-1-75
'p a g e n
Issued to_________--.--------------------------------------------------------------------------------------------------------------------------------------------------
Date of Issue:
Additional Premium $
Return Premium %
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment to the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
(B) IHDER THE WORKMBTS COMPENSATION PQLICT DESIGHATED IB PARAGRAPH 2(A) FOREGOING, THE LIMIT OF SUCH IBCUBBED LOSSES TO BE IHCLIDS) HEREIN BECAUSE OF IBJURZ TO CR DEATH OF ONE CR MGBE PERSONS A ANT CSS A0CIDE8? SHALL BE $25,000. FOB THE PURPOSE OF THIS PARAfflLAPH, RESERVES AHD PAID LOSSES ARISING OUT OF OCCUPATIONAL DISEASE, IN CLUDING DEATH AT ANT TIME RESULTING THERHUOM, SUSTAINED BT ANT ONE PERSON, SHALL BE DEEMED TO ARISE OUT OF A SINGLE ACCIDENT;
(C) USDS ALL THE LIAB3UTT POLICIES DESIOUGSD IN PARAGRAPHS 1 AND 2(B) FOREGOING, THE LIMIT OF SUCH INCURRED LOSSES TO BE INCLUDED HMKEN BECAUSE OF ANX ONE OCCURRENCE, SHALL BE $25,000.
.5 THE TAX MULTIPLIER IS FACTOR 1.00.
6 OfflMTO QPW m&;i !r
(A) THE EARNED OPEN FRSCUUH AS DETIEMIBH) BT THIS ENDORSEMENT SHALL BE
THE ffiHfllH FOR POLICI TRl^NSL-123T69^-l-75 AS APPLICABLE TO THE LIMITS OF LIABILITI STATED IN THE OPENING PARAGRAPH OF THIS ENDORSEMENT, AND SHALL BE AN AMDUHT WHICH WHEN AIDED TO THE EARNED re/grep ffiEHIUM, LESS ANT DIVIDEND DECLARATION, WILL PRODUCE THE AMOUNT OBTAINED BT THE APPLICATION OF THE TAX MULTIPLIHl TO THE SUM OF:
(1) THE AMOUNT OBTAINED BT THE APPLICATION OF THE PERCENTAGE STATED
AS APPLICABLE IB THE "BASIC PREMIUM" COLUMN OF THE "TABLE OF RATING VALUES" MADE A PART THEREOF TO THE SUM OF THE STANDARD GLOSS) AND STANDARD OPEN PREMIUMS, AND
(IX) U3.0 OF THE INCURRED LOSSES.
AID 000132
(B) THE RESULTING EARNED OPEN PREMIUM IS THE PREMIUM FOR POLICI TRL-HSL-
123T692-1-75, PROVIDED THAT SUCH PREMIUM SHALL HOT BE LESS THAN THE MINIMUM EARNED OPEN PREMIUM, AS HEREINAFTER DEFINED AND SHALL NOT BE G&EATHI THAN THE MAHMIH EARNED OPEN PREMIUM AS HEREINAFTER DEFINED,
SYMBOL NO,
(CONTINUED ON PAGE #U)
8000(G
C-I7820 N`cwS-74 Aftmrco <* u s *
Counrersigned By
P
ENDORSEMENT
THE TRAVELERS INSURANCE COMPANIES
J
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from____________________
Sfontn. Day. Year)
at the time of day the policy becomes effective. PTMrvd\> TEWJSL-123T692-1-75
' ' FAGS'-----------------------
Issued to____________________________________________________________________________________________________________
Date of Issue:
Additional Premium $
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment to the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
7. min imu m e a r n e d o p e n p r e miu m;
(A) THE MINIMUM EARNED OPES PEOHm SHALL BE AH AMOUNT IfflICH WHEN ADDED TO THE EARNED GLOSS) iRSilCM (LESS ANT DIVIDEND DECLAREDON POLICIES INCLUDS) IN COMPUTATION OF SUCH fSaHW) HILL PRO DUCE A TOTAL AMOUNT EQUAL TO THE AMOUNT OBTAINED BI THE APPLICA TION OF THE PERCENTAGE STATED AS APPLICABLE IK THE "MINIHUM PREMIUM* COLUMN OF THE "TABLE OF RATING VALUES" MADS A PART HEREOF TO THE SIM OF THE STANDARD CLOSED AND STANDARD OPS! EREMUKS, SUBJECT TO THE FURTHER PROVISION THAT IN NO EVHTT SHALL SUCH EARNED OPEN PREMIUM BE LESS THAN 1$ OF THE STANDARD OPEN PREMIUM,
(B) IN THE EVENT OF CANCELLATION BX THE INSURE) OF POLICT TRL-NSL123T692-1-75 FRICR TO (EXPIRATION DATE OF POLICT), THE MDUMIM EARNED OPEN PREMIUM SHALL BE THE SOM CFs
(1) THE STANDARD OPSI PRSOUK AS APPLICABLE TO ANT COMPLETED ANNUAL PERIOD OR PERICDS, AND
(11)
THE SHORT RATE PORTION OF THE STANDARD OPEN PREMIUM AS APP
LICABLE OH THE INCEPTION DATE OF THE LAST ANNUAL PffilCD DURING WHICH THE INSURANCE WAS IN FORCE TO THE DATE OF CANCELLATION,,
Bo MAHMIM EARNED OFS PBT^UMi
(A) THE MAXIMUM EARNED OPEN PREMIUM SHALL NOT BE MORE THAN AN AMOUNT WHICH WHS! ADDED TO THE EARNED CLOSED FREMIUM (LESS
ANT DIVIDEND DECLARED (BI POLICIES INCLUDED IN COMPUTATION OF SUCH PREMIUM) WILL PRODUCE A TOTAL AMOUNT EQUAL TO THE
AMOUNT OBTAINED BI THE APPLICATION OF THE PERCENTAGE STATS) AS APPLICABLE IN THE "MAXIMUM PREMIUM" COUMf OF THE "TABLE QF RATING VALUES" MADE A PART THEREOF TO THE SQM OF THE STANDARD CLOSED AND STANDARD OPEN FRBilUKS,
(CONTINUED ON PAGE #5)
/\1U UUUi,
Sy mb o l No .
flOOO(G)
C-17820 New 8-74 c iu t c d *. u s a
Countersigned B>
ENDORSEMENT
r
THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from____________________
(Month. Day. Year)
Issued to__________________________ Date of Issue:
at the time of day the policy becomes effective. PoTcvd\c THI^BL-123T692-1^5 PASS #5
Additional Premium $
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment to the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
(b) ii t h e wan cr cAiragiirrai ar pc l ic t t x l b&-u b t 69b-4^75 b i t h b wsmm, c b n t o t k ran or c aic bl as x o i b i t br c o mmix k b . wxpxDon cr p s h h ix , k b t h b k b io s b cr {jamamm cr t h e k at d r m BASIS) on reseat, t h s emeu s anmnB s h al l b
OCNPCCB AS TES SIM QT IBB AUDITS STASIS OFHI HEffEI HKM THB
HBiiarap cr t s b t e e mimi p b e x c b id t b b b a r cr cwaumai a s
meatt h b zsmusm s t a id a b d on
k b t h b b a l a d c x or ib b t h s e b -
XXAB FBXCD.
(A) THB OCMPAK SHALL HAKE Al HTBllf OCMPOEATItB CT IBB EASED On P8BIHM APPLICABLE KB THE ZOBT ABEAL FBXGD BASS} UPQI THB SXASASD an AS) BASED OQSS HOHXIIB APPLICABLE KB THB FDBT ABEAL PHtXQD AB) THB HOBBS) LOSSES KB SUCH PERIOD, SUCH LOSSES TO SB VALOBB AS QT A DATS SIX MOTHS AFTS THB 3EPXBAZKB CT SOB FBXCD, URBH 60 DA23 CK AS SOCB AS HUCTIGABB TKERSAFTB.
(B) A SUBSBJDBff HTBOX OCHVTATICB CT THB BASIS) OF9 FfiSdOf SHALL SB KAOS 22 BBSHS THBQMFTB BASB) UFCS THB 3TASABD QPBBKIX AB) THB BOB mrrsm FBSBM KB THB F2BST TWO ASHQAL FBBXCSS ASD CKB THB HOBBS LOSSES KB SUCH AERIAL PERIODS, SUCH LOSSES TO
m 1wm AS OF A n'yix SIX MOTHS AFTB THB EXFXBAXKE OF THB
SB09RD ABEAL PERIOD, UITHZI 60 DAS CB. AS SOCB AS FBACTICABJS THBRSAFTBU
(C) UPCB OGMKJBKB CT THB THIS AERIAL PEED, THS OGMPASX SHALL
MAXB A aCMPCVAXIClI OF THB BASED an RBfltM BASS UPCI THB
ons z ab )Ab d
reran* a s t h b e a s e s g l o s s reran* k r b
laOB-XBAI PEED AB) UFCB THB HOMES LOSSB PCS SUCH
PERIOD, SUCH LOSSES TO SB TALUS AS CT A DAXB SIX MOTHS
AFT THB BFEBA3XGI QT THB TUBS AERIAL PEED, WOTU 60
DAIS OR AS SOCB AS PRACTICABLE THB1AFTBU
(ccrmn c b p a c k #6) AID 000134
SYMaQL No.
6000(0}
C-17&20 New 8-7* s r iw t eo in u s
Countersigned By
THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from
Month. Day. Year)
PoTcvdl\c_ mL-SSU123f692~l~75 at the time of day the policy becomes effective.
PAGE #6
Issued to_______ --_____________________________________________________________________________________________
Date of Issue:
Additional Premium $
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment to the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
(D) THE PREMIUM 50 COMPUTED FCB THE THREB-IEAR PHLIOD SHALL BE THE
FINAL EARNED OPEN PREMIUM IF ALL CLAUS HAVE BEEN GLOSH) CR
IF IT IS APPARENT THAT THE EARNED OPEN PHSfUM HILL EXCEED
THE MAXIMUM EARNED OPEN PB&IM. UNLESS SUCH COMPUTATION IS A
FINAL COMPUTATION, FTHTH COMPUTATIONS OF THE EARNS) OP
PREMIUM SHAH. HE MADS BI THE COMPANX IF FURTHER ADJU5SS9RS
ARE REQUESTED EITH21 BI THE C0ffi>ANT CE BI THE
UP
RATIFYING THE OTHER PARTI WITHIN 60 DAIS OF THE IROMULGATXON
OF THE RESULTS OF SUCH COMPUTATION, WITH THE FORTH FROTTSICU
THAT IN THE MAKING OF SUCH FURTHER C0MPUTA3ICBS THE INCURRED
LOSSES SHALL BE VALUED AS OF THE DATE 12 MONTHS AFT THE
DATE USED BI VALUATION OF THE INCURRED LOSSES FOR THE B-
CXNG COMPUTATION OF THE EARNED OPEN PREMIUM.
(E) IF, DURING THE THREB-IEAR PERIOD, THE OOMPANI CEASES TO BE
THE INSURER OF THIS IKStR, THE OOMPANI SHALL MAKE A COMPU TATION OF THE EARNED OPEN IR&IUM BASED UPON THE STANDARD OPEN PREMIUM AND THE EARNED CLQSS) PREMIUM FOR THE PSIICD TO THE DATE THE OOMPANI CEASES TO BE THE ISSIB AND ON THE IN CURRED LOSSES FOR SUCH PERIOD, SUCH LOSSES TO BE VALUED AS OF A DATE SIX MONTHS AFT THE EXPIRATION OF SUCH PERICD, WITHIN 60 DAIS CR AS SOON AS PRACTICABLE THEREAFTER* THE PREMIUM SO COMPUTED FCR THE PERIOD SHALL BE THE FINAL EARNED OP PREMIUM IF ALL CLAIMS HAVE BE CLOSED QR IF IT IS APPARENT THAT THE EARNED OP PREMIUM WILL EXCEED THE MAXI MUM EARNED OF IREMIUM. UNLESS SUCH COMPUTATION IS A FINAL COMPUTATION, FURTHER COMPUTATIONS OF THE EARN OP IREMIUM SHALL BE MADE BI THE OOMPANI IF FIRTH ADJUSIMTS ARE REQUESTED EITHER BI THE OOMPANI CR BI THE INSUB UPON NOTXFHMG THE OIH PARTI WITHIN 60 DAIS OF THE PROMULGATION OF THE RESULTS OF SUCH COMPUTATION, WITH THE FURTHER FBOVISXCM THAT IK THE MAKING OF SUCH FIBTHER COMPUTATIONS THE INCURRED LOSSES SHALL BE VALU AS OF THE DATE 12 MCKTHS AFT THE DATE US IN VALUATION OF THE IHCIBR LOSSES FCB THE HfflCffilHG COMPUTATION OF THE EARN OF PREMIUM.
f __
C CGNmm ON p a c k
AID 000135
Sy mbo l No .
9000(G)
C-17820 Sew 8-74 p k ih iid <* n s *
Coun tersigned By_______________________ _-
THE TRAVELERS INSURANCE COMPANIES
U
This endorsement is issued by that member ol The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from_____________________
Month, Day. Year)
Issued to__________ ;________________ Date of Issue:
pAZd^ at the time of day the policy becomes effective.
TRL-jSL~12TT692"I"J75 PAGE #7
Additional Premium $
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment to the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
100
f in a l gamm THE FINAL PREMIUM FOB POLICY TRL-NSL-123T692-1-75 SHALL BE THE SUM OF:
(A) THE EARNED OPES PREMIUM AS DETHUGKH) IS ACCORDANCE HUH THE PROVISIONS OF DIVISION 9o OF THIS ENDORSEMENT, AND
(B) THE EARNED "W PREMIUM COMPUTED IN ACCORDANCE HUH THE PRO
VISIONS OF POLICY TSL-NSL-123T692-1-75 SUCH OCMPUTAHCH TO BE MADE IK ACCORDANCE WITH THE TERMS OF THE POLICY EXCLU SIVE OF THIS ENDORSEMENT-
lie
PAYMBIT OF PRSMXtMt
(A) THE STANDARD OPEN PREMIUM SHALL BE PAYABLE IN ACCORDANCE KITH THE PROVISIONS OF POLICY TRL-KSL-123T692-1-75 RELATING TO THE PAYMBTC OF PREMTUMo
(B) ADJUSTMENTS OF THE EARNED OPEN PRSCIUM SHALL BE MADE IMMEDIATELY FOLLOWING EACH COMPUTATION (INCLIDING INTERIM COMPOTATIOHS OF THE EARNED OPEN PREMIUM) ON THE BASIS OF THE DIFFERENCE BETWEEN THE
EARNED OPEN' PREMIUM THSf COMPUTED, SUBJECT TO THE MINIMUM AND MAXIMUM AMOUNTS HEREIN SPECIFIED, AND THE AMOUNT OF PREMIUM PREV IOUSLY PAID TO AND RETAINED BY THE COMPANY UNDER POLICY TBL-KSL123T692-1-75, EXCLUDING FROM THESE COMPUTATIONS ANY PRaOUH PAID BY
THE INSURE) TO THE COMPANY BY REASON OF THE APPLICATION OF RATES DESIGNATED BY THE LETTER "E" IN SUCH POLICY-
12o CAWflCT.T.ATTfW
AID 000136
CANCELLATION OR TStMINATION OF THE POLICY PRICK TO (EXPIRATION DATE 3 YEARS), OF WHICH THIS ENDORSEMENT FORMS A PART SHALL NOT BE DEEMED TO AFFECT SUCH ADJUSTMENTS OF PREOUMS WHICH ARE PROVIDED FOR IN THIS ENDORSEMENT AND WHICH TAKE PLACE SUBSEQUENT TO THE DATE OF SUCH
CANCELLATION OR TERMINATION-
C-17820 Newg-74 pr in t ed in u.S.a.
Countersigned By
(CCNTHtUH) ON PAGE #8)
eooc
ENDORSEMENT
i THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from_______________ ____
{Hoiu*. Day. Year)
Issued to__________________________ Date of Issue:
at the time of day the policy becomes effective. Additional Premium $
TBL-B5L-I23T692-1-75 PAGE #8
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment to the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
ar ana?mm
IF THB 3M Of THB STABABD CLOMP AM) STUPH) OPS
DESXOttnD S iiTrrgmw i JUB 2 OF
FIGURES 31 TBS "TOTAL
n maffM " COLDM, IBS
BE OBTAISB B7 LZXEAB. OTERPOLASIOi 10 SB
a h wo of ns
APPUCABLB 3UIA
or yL
TOTAL
^TAKnim ram
$ 2,311,520 CR LESS
BASIC 19-93*
KAXXMOf raamn
BASIC X TAX MX2IFLIB 130.0*
$ 4,623,237 $ 6,934,357 <*
19-32*
19-20*
BASIC X TAX MOLIZFLZBl 120o0jC BASIC X TAX MXsTXPLDB 119-5*
C-I7320 New 8-74 *iwrco m* u s *.
Countersigned By.
AID 000137
Srweoi No.
8000(H)
aB?Kpntr*iaai^wrt-^hTmgiagiip;ii
.J.^ J \-/X\.*0.CATA..C*X1 A
l
THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from_______________ _____
(Month. Day. Year)
Issued to---------------------------------------Date of Issue:
at the time of day the policy becomes effective. Additional Premium 1
TBI^SL-123T692-l-?5 Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment tc the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
SUCH IH5URASCE AS IS AFFORDED BY THE POLICY DB THE XBOFEBTY DAMAGE LIAHIUTT COVERAGE THffiHCF SHALL ALSO APFLI TO LIABILITY IMPOSED DPCS THE XHStKSD BX AST FCBB5T FIBS FREVHTCIOB ACT OB BT AHY SIMILAR ACT FOR THE COST OF OCHTBOLLMG CB SOIKUISBDB FIRES, WHETHER OR HOT SUCH FIRES OCCUR CB PREMISES OWB) BT OCCUPIED BT, RENTED TO, CB IH TEDS CARE, CUSTCDT AND CCUTRCX. OF THE INS, SUBJECT TO THE FOLLOWING ADDITICHAL PBOVISIORS,
(X) THE LIMITS OF LIABILITY AS STATED BELOV AS APPLICABLE TO "EACH ACCIDEHT* IS THE TOTAL LIMIT OF THE COMPARTS LIAflUTT UNDER COVERAGE B FOB ALL DAMAGES ARISING OUT OF DAMAGE TO CB DESTRDCTICH OF ALL PROPERTY OF ORE OR MORE F3RSCRS CR CRGAMIZATICBS, BICHDING THE LOSS OF USE THEREOF AS THE RESULT OF AST CHE ACCIDENT.
(2) LIMITS OF LIABILITY $500,000 EACH OCOTEBHK26.
AID 000138
C-17820 New 8-74 pc j n t c d r* u s *
Countersigned By- -__________________ _
____________________________
Sy mbo l No .
3000(H)
ENDORSEMENT
THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective fmm
01-01-76at che time of day the policy becomes effective. Policy Nn 'J.'1<L--NSL--1 23T692--1 --75 (Mow*. D*y. Fur)
issued to______The__Anaconda Company etal per End 8000(A)
Date of Issue: . 6~24"76 CD/DP
Additional Premium $
Return Premium f
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attarhment to the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
For the first anniversary O1-O1-76 to O1-O1-77. Prem to be coll under TPB #01947.
C-i7120 REV. 8-75 mimt io *> u *.&.
Countersigned Bv_
AID 000139
>t ime*. Ho.
8000
ENDORSEMENT
THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from.___*"76 at the time of day the policy becomes effective. Policy Nn. TRL--NSL--1 2 3T69 8--1 --7 5
v,t,) page 2
iS!>ued The Anaconda Company etal per End 8000 fA-)_________________________
Date of Issue:
6--24--76CD/DP
Additional Premium $
Return Premium S
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment to the policy subsequent to its effective date.)
It it agreed that as of the effective date hereof the policy is amended in the following particulars:
I the sum of the standard closed and standard open premiums for the
policies designated in divisions 1 and 2 of this endorsement lies be tween any two of.the figures in the "Total Standard Premium" column, the percentages applicable shall be obtained by linear interpolation to the nearest one-tenth of 1%.
Total Standard Premium
$4,466,732 8,933,463
11,166,830
Basic Premium
15.69% 15.21% 15.04%
Percentages of Standard Premium Minimum Premium Maximum Premium
B"asic "x Ta"x Mu"ltiplier 112300..00%%
" ""
"
119.5%
C-I7MO REV. S-T5 i<ce . u l.t.
Countersigned By_
AID 000140
tVMXX MO.
8000
ENDORSEMENT
THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from-
issued m
Date of Issue:
01 --01 ***76at the time of day the policy becomes effective. Policy N'nTRIr-NSL--1 23T692--1--75
[Uantk. Dty. fur)
The Anaconda Company etal per End 8000(a )
. 6--24~76 CD/DP
Additional Premium t
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment to the policy subsequent to its effective date.)
k is agreed that as of the effective date hereof the policy is amended in the following particulars:
It is agreed that endorsement 8000(C), Determination of Advance and Earned Premium Endorsement, is amended as follows:
For the period January 1,1976 to January 1,1977 the advanced and earned "S" standard premium rates are to read:
Bodily In.iurv Liability
Property Damage Liability
General Liability "S" .0864
General Liability "S" .0576
Auto Liability "S" .0464
Auto Liability "S" .0309
For the period January 1,1976 to Januaryl,1977* the advanced and earned "E" excess premium rates are to read:
Bodily In.iurv Liability
Property Damage Liability
General Liability "E" .0356 Auto Liability "E" .0129
General Liability "E" .0235 Auto Liability "E" .0089
C-I7S2U RfcV. 8-JS mini
Countersigned Rv
t
AID 000141 8000
ENDORSEMENT
THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from
U>ued to------Date of Issue:
01-01-76
at the time of day the policy becomes effective.
lilomtM. D*t. fu'l
The Anaconda Company etal per End 8000(A)
6-24-76 CD/DP
Additional Premium I
TRL--NSL--123T692-1-75 Return Premium t
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued (or attachment tu the policy subsequent to its'effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
Effective 01-01-76 the premium computation endorsement 8000(G) is hereby amended as follows:
'The earned premium for the policy TRL-NSL-123T692-1-75 for the period 01-01-76 to 01-01-78 for limits of bodily injury liability of $50,000 each person $50,000 each occurrence, and for limits of property damage liability of $50,000 each occurrence, is to be computed in accordance with the following provisions:"
Endorsement 8000(G) is further amended as follows:
Item 4(B) & (C), page 3 is amended to read:
"(b ) Under the workmen*s compensation policy designated in paragraph 2(A) foregoing, the limit of such incurred losses to be included herein because of injury to or death of one or more persons and any one accident shall be $50,000. For the purpose of this paragraph, reserves and paid losses arising out of occupational disease, including death at any time resulting therefrom, sustained by any one person, shall be deemed to arise out of a single accident;
(C) Under all the liability policies designated in paragraphs 1 and 2(B) foregoing, the limit of such incurred losses to be included herein because of any one occurrence, shall be $50,000."
Endorsement 8000(G) is further amended as follows:
For the period January 1, 1976 to January 1,1978
Table of Rating Values to read:
(Cont*d on page 2)
AID 000142
It mo w Mo .
8000
C-J7A2U KEV. *-7S
to ,* u * *.
Cumitervigned By
i
Page 2
but "named insured's products" shall not include a vending machine or any property ocher than such container, rented to or located for use of others but not sold:
"occurrence" means an accident, including continuous or repeated ex posure to conditions, which results in bodtly injury or property damage neither expected nor intended from the standpoint of the insured;
"policy territory" means:
(1) the United States of America, its territories or possessions, or Canada, or
(2) international waters or air space, provided the bodily injury or property damage does not occur in the course of travel or transporta tion to or from any other country, state or nation, or
(3) anywhere in the world with respect to damages because of bodily injury or property damage arising out of a product which was sold
for use or consumption within the territory described in paragraph (1) above, provided the original suit for such damages is brought within such territory:
"products hazard" includes bodily injury and property damage arising out of the named insured's products or reliance upon a representation or warranty made at any time with respect thereto, but only if the bodily injury or property damage occurs away from premises owned by or rented to the named insured and after physical possession of such products has been relinquished to others;
"property damage" means (I) physical injury to or destruction of tangible property which occurs during the policy period, including the loss of use thereof at any time resulting therefrom, or (2) loss of use of tangible property which has not been physically injured Or destroyed provided - such loss oL uaeiaxaused by an occurrence during the policy period.
Supplementary Payments
The company will pay, in addition to the applicable limit of liability:
(a) all expenses incurred by the company, all costs taxed against the insured in any suit defended by the company and all interest on the entire amount of any judgment therein which accrues after entry of the judgment and before the company has paid or tendered or de posited in court that part of the judgment which does not exceed the limit of the company's liability thereon;
(b) premiums on appeal bonds required in any such suit, premiums on bonds to release attachments in any such suit for an amount not in excess of the applicable limit of liability of this policy, and the cost 4
of bail bonds required of the insured because of accident or traffic law violation arising out of the use of any vehicle to which this policy applies, not to exceed $250 per bail bond, but the company shall have no obligation to apply for or furnish any such bonds;
(c) expenses incurred by the insured for first aid to others at the time of an accident, for bodily injury to which this policy applies;
(d) reasonable expenses incurred by the insured at the company's request in assisting the company in the investigation or defense of any claim or suit, including actual loss of earnings not to exceed $25 per day.
Nuclear Energy Liability Exclusion (Broad Form)
1. The policy does not apply: A. Under any Liability Coverage, to bodily injury or property damage
"nuclear material" means source material, special nuclear material or byproduct material;
(1) with respect to which an insured under the policy is also an insured under a nuclear energy liability policy issued by Nuclear Energy Liability Insurance Association, Mutual Atomic Energy Liability Underwriters or Nuclear Insurance Association of Canada, or would be an insured under any such policy but for its termination upon exhaustion of its limit of
liability; or
"source material", "special nuclear material", and "byproduct
material" have the meanings given them in the Atomic Energy Act of 1954 or in any law amendatory thereof;
"spent fuel" means any fuel element or fuel component, solid oc liquid, which has been uped or exposed to radiation in a nucleai reactor;
(2) resulting from the hazardous properties of nuclear material and with respect to which (a) any person or organization is required to maintain financial protection pursuant to the Atomic Energy Act of 1954, or any law amendatory thereof,
v or (b) the insured is, or had this policy not been issued would be, entitled to indemnity from the United States of America, or any agency thereof, under any agreement entered into by the United States of America, or any agency thereof, with any person or organization.
B. Under any Medical Payments Coverage, or under any Supple mentary Payments provision relating to first aid, to expenses in curred with respect to bodily injury resulting from the hazardous properties of nuclear material and arising out of the operation of a nuclear facility by any person or organization.
C. Under any Liability Coverage, to bodily injury or property damage resulting from the hazardous properties of nuclear material, if
(1) the nuclear material (a) is at any nuclear facility owned by, or operated by or on behalf of, an insured or (b) has been dis charged or dispersed therefrom;
(2) the nuclear material is contained in spent fuel or waste at any time possessed, handled; used, processed; stored, transported or disposed of by or on behalf of an insured; or
(3) the bodily injury or property .damage arises out of the furnishing
"waste" means any waste material (1) containing byproduct material and (2) resulting from the operation by any person or organization of any nuclear facility included within the definition of nuclear facility under paragraph (a) or (b) thereof;
"unclear facility" means
(a) any nuclear reactor,
(b) any equipment or device designed or used for (1) separating the isotopes of uraniumor plutonium, (2) processing or utilizing spent fuel, or (3) handling, processing or packaging waste,
fc) any equipment or device used for the processing, fabricating or alloying of special nuclear material if at any time the total amount of such material in the custody of the insured at the premises where such equipment or device is located consists of or contains more than 25 grams of plutonium or uranium 233 or any combination thereof, or more than 250 grams of uranium 235,
(d) any structure, basin, excavation, premises or place prepared or used for the storage or disposal of waste,
and includes the site on which any of the foregoing is located, all operations conducted on such site and all premises used for such operations;
by an insured of services, materials, parts or equipment in connection with the planning, construction, maintenance, operation or use of any nuclear facility, but if such facility is located within the Lnited States of America, its territories or possessions or Canada, this exclusion (3) applies only to property damage to such nuclear facUity and any property thereat.
II. As used in this exclusion:
"hazardous properties" include radioactive, toxic or explosive
"nuclear reactor" means any apparatus designed or used to sustain
nuclear fission in a self-supporting chain reaction or to contain a
critical mass of fissionable material;
"property damage" includes all forms of radioactive contamination of property.
HI- This exclusion modifies the provisions of the policy relating to all
Automobile Liability, General Liability and
pInreshuerannscivee oPtrhrsenrwtahlaiinxsCuoramnpcere.hensive Personal
aMndedFicaarlmePra'symCeonmts
.a., c . -3
Conditions
i
1. Premium. All premiums for this policy shall be computed in accord- ance with the company's rules, rates, rating plans, premiums and minimum premiums applicable to the insurance afforded herein.
Premium designated in this policy as "advance premium" is a deposit premium only which shall be credited to the amount of the earned premium due at the end of the policy period. At the close of each period (or part thereof terminating with the end of the policy period! desig nated in the declarations as the audit period the earned premium shall be computed for such period and, upon notice thereof to the named insured, shall become due and payable. If the total earned premium for the policy period is less than the premium previously paid, the com pany shall return to the named insured the unearned portion paid by the named insured.
The named insured shall maintain records of such information as is necessary for premium computation, and shall send copies of such records to the company at the end of the policy period and at such times during the policy period as the company may direct.
2. Inspection and Audit. The company shall be permitted but not ob ligated to inspect the named insured's property and operations at any time. Neither the company's right to make inspections nor the making thereof nor any report thereon shall constitute an undertaking, on behalf of or for the benefit of the named insured or others, to deter mine or warrant that such property or operations are safe or healthful, or are in compliance with any law, rule or regulation.
The company may examine and audit the named insured's books and records at any time during the policy period and extensions thereof and within three years after the final termination of this policy, as far as they relate to the subject matter of this insurance.
3. Financial Responsibility Laws. When this policy is certified as proof of financial responsibility for the future under the provisions of any motor vehicle financial responsibility law, such insurance as is afforded by this policy for bodily injury liability or for property damage liability shall comply with the provisions of such law to the extent of the cover age and limits of liability requited by such law. The insured agrees to reimburse the company for any payment made by the company which it would not have been obligated to make under the terms of this policy except for the agreement contained in this paragraph.
6. Other Insurance. The insurance afforded by this policy is primar\ insurance, except when stated to apply in excess of or contingent upon the absence of other insurance. When this insurance is primary and the insured has other insurance which is stated to be applicable to the lo-> on an excess or contingent basis, the amount of the company's liability under this policy shall not be reduced by the existence of such other insurance.
When both this insurance and other insurance apply to the loss on the same basis, whether primary, excess or Contingent, the company shall not be liable under this policy for a greater proportion of the loss than that stated in the applicable contribution provision below:
(a) Contribution by Equal Shares. If alt of such other valid and collectible insurance provides for contribution by equal shares, the company shall not be liable for a greater proportion of such los> than would be payable if each insurer contributes an equal share until the share of each insurer equals the lowest applicable limit of liability under any one policy or the full amount of the loss is paid, and with respect to any amount of loss not so paid the remaining insurers then continue to contribute equal shares of the remaining amount of the loss until each such insurer has paid its limit in full or the full amount of the loss is paid.
(b) Contribution by Limits. If any of such other insurance does not provide for contribution bv equal shares: the company shall not be liable for a greater proportion of such loss than the applicable limit of liability under this policy for such loss bears to the total applicable limit of liability of all valid and collectible insurance against such loss.
7. Subrogation. In the event of any payment under this policy, thi company shall be subrogated to all the insurers rights of recovery therefor against any person or organization and tne insured shal execute and deliver instruments ana papers and do whatever else i necessary to secure such rights. The insured shall do nothing after los to prejudice such rights.
8. Changes. Notice to any agent or knowledge possessed by any agent or by any other person shall not effect a waiver or a change in any part of this policy or estop the company from asserting any right under the terms of this policy; nor shall the terms of this policy be waived ot changed, except by endorsement issued to form a part of this policy
4. Insured's Duties in the Event of Occurrence, Claim or Suit.
(a) In the event of an occurrence, written notice containing particulars sufficient to identify the insured and also reasonably obtainable information with respect to the time, place and circumstances thereof, and the names and addresses of the injured and of available witnesses, shall be given by or for the insured to the company or any of its authorized agents as soon as practicable.
(b) If claim is made or suit is brought against the insured; the insured shall immediately forward to the company every demand, notice, summons or other process received by him or his representative.
(c) The insured shall cooperate with the company and, upon the com pany's request, assist in making settlements, in the conduct of suits and in enforcing any right of contribution or indemnity against any personior organization who may be liable to the insured because of injury or damage with respect to which insurance is afforded under this policy; and the insured shall attend hearings and trials and assist in securing and giving evidence and obtaining the attendance of witnesses. The insured shall not, except at his own cost, voluntarily make any payment, assume any obligation or incur any expense other than for first aid to others at the time of accident.
5. Action Against Company. No action shall lie against the company unless, as a condition precedent thereto, there shall have been full compliance with all of the terms of this policy, nor until the amount of the insured's obligation tp pay shall have been finally determined either by judgment against the insured after actual trial or by written agreement of the insured, the claimant and the company.
Any person or organization or the legal representative thereof who has secured such judgment or written agreement shall thereafter be entitled to recover under this policy to the extent of the insurance afforded by this policy. No person or organization shall have any right under this policy to join the company as a party to any action against the insured to determine the insured's liability, nor shall the company be impleaded by the insured or his legal representative. Bankruptcy or insolvency of the insured or of the insured s estate shall not relieve the company of any of its obligations hereunder.
9. Assignment. Assignment of interest under this policy shall not bine the company until its consent is endorsed hereon; if, however, tin
" named insured shall die, such insurance as is afforded by this polic; shall apply (1) to the named insured's legal representative, as thi named insured, but only while acting within the scope of his dutieas such, and (2) with respect to the property of the named insured, t< the person having proper temporary custody thereof, as insured, but only until the appointment and qualification of the legal representative
10. Three Year Policy. If this policy is issued for a period of three year: any limit of the company's liability stated in this policy as "aggregate' shall apply separately to each consecutive annual period thereof.
11. Cancellation. This policy may be canceled by the named insured b\ mailing to the company written notice stating when thereafter the cancellation shall be effective. This policy may be canceled by thi company by mailing to the named insured at the address shown in thi: policy, written notice stating when not less than ten days thereaftei such cancellation shall be effective. The mailing of notice as aforesaic shall be sufficient proof of notice. The effective date and hour of can cellation Stated in the notice shall become the end of the policy period Delivery of such written notice either by the named insured or by thi company shall be equivalent to mailing.
If the named insured cancels, earned premium shall be computed ii accordance with the customary short rate table and procedure. If thi company cancels, earned premium shall be computed pro rata. Pre mium adjustment may be made either at the time cancellation i effected dr as soon as practicable after cancellation becomes effective but pqyment or tender of unearned premium is not a condition o cancellation.
12. Declaration*. By acceptance of this policy, the named insured agree that the statements in the declarations are his agreements and repre sentations, that this policy is issued in reliance upon the truth of suci representations and that this policy embodies all agreements existim between himself and the company or any of its agents relating to thi
(continued on Page 3)
AID 000144
Page 3
New York Special Provision--If a Comprehensive Automobile Liability Insurance. Garage Insurance or Automobile Medical Pavments Insurance Cover age Part forming a part of this policy insures premises located or automobiles principally garaged in New York, the Nuclear Energy Liability Exclusion (Broad Form) does not apply to such premises or automobiles.
Puerto Rico Special Provision--It is agreed that the Action Against Company Condition applicable to any liability coverage afforded by the policy with respect to occurrences which take place in Puerto Rico is amended to read:
No action shall lie against the company unless as a condition precedent thereto, the insured shall have fully complied with all the terms of this policy.
South Carolina Special Provision--If a Comprehensive General Liability, Manufacturers' and Contractors' Liability. Owners', Landlords' and Tenants' Liability, Druggists^ Liability, Storekeeper's. Completed Operations and Products Liability, Contractual Liability, Premises Medical Payments or Garage Insurance Coverage Part forming a part of this policy insures premises located in South Carolina, it is agreed that with respect to such insurance that part of the alcoholic beverage exclusion which relates to the selling, serving or giving of any alcoholic beverage (a) to a person under the influence of alcohol or (b) which causes or contributes to the intoxication of any person, is deleted.
Texas Special Provision--With respect to such insurance as may be afforded by this policy by The Charter Oak Fire Insurance Company for .premises located or automobiles principally garaged in Texas, it is agreed as follows:
Dividend Provision--'Participating Companies: The named insured shall be entitled to participate in a distribution of the surplus of the company, as determined by its Board of Directors from time to time, after approval in accordance with the provisions of the Texas Insurance Code of 1951, as amended:
Vermont Special Provisions-- 1. If this policy affords a Liability Coverage with respect to a premises located or an automobile principally garaged in Vermont, it is agreed that the
policy is amended in the following particulars with respect to such Coverage:
The Policy is issued and delivered subject to the Laws of Vermont and particularly to Section 9242, Chapter 391 "The Vermont Statutes, Revision of 1947," including the following statutory requirements forming a part of such Laws: The company shall pay and satisfy any judgment that may be recovered against the insured upon any claim covered by this Policy to the extent and within the limits of liability assumed thereby, and shall protect the insured against the levy of any execution issued upon any such judicial judgment or claim against the insured. No limitation of liability in this Policy shall be valid if, after a judgment has been rendered against the insured in respect to his legal liability for damages in a particular instance, the company continues the litigation by an appeal or otherwise, unless the insured shall stipulate with the company, agreeing to continue such litigation. No action shall lie against the company to recover for any loss under this Policy, unless brought within one year after the amount of such loss is made certain either by judgment against the insured after final determination of the litigation or by agreement between the parties with the written consent of the company. The insolvency or bankruptcy of the insured shall not release the company from the payment of damages for injury sustained or loss occasioned during the life of the Policy, and in case of such insolvency or bankruptcy an action may be maintained by the injured person or claimant against the company under the terms of the Policy for the amount of any judgment obtained against the insured not exceeding the limits of the Policy. Payment of any judicial judgment or claim by the insured for any of the company's liability hereunder shall not bar the insured from any action or right of action against the company. In case of payment of loss or expense under this Policy, the company shall be subrogated to all rights of the insured against any party, as respects such loss or expense, to the amount of such payment, and the insured shall execute all papers required and shall cooperate with the company tc secure to the company such rights.
2. If a Comprehensive General Liability, Manufacturers' and Contractors' Liability, Owners' and Contractors' Protective Liability, Owners', Landlords' and Tenants' Liability, Premises Medical Payments or Storekeeper's Coverage Part forming a part of this policy insures premises located or operations conducted in Vermont, the exclusion relating to the operation or use of any snowmobile or trailer designed for use therewith applies only if the bodily injury or property damage occurs away from premises owned by, rented to Or controlled by the named insured.
In witness whereof, the company has caused this policy to be signed by its President and Secretary at Hartford, Connecticut, and counter
signed on the declarations page by a duly authorized agent of the company.
' Secretary
C-16216 Edition 1-1-73 min t e d in u .s .a . If.S. (GA)
President
AID 000145
t
The insurer tor this Policy is that member ot The Travelers Insurance Companies designated by an 'X' below:
THE TRAVELERS INDEMNITY COMPANY
THE CHARTER OAK FIRE INSURANCE COMPANY
THE TRAVELERS INDEMNITY COMPANY OF AMERICA THE TRAVELERS INDEMNITY COMPANY OF ILLINOIS
[
THE TRAVELERS INDEMNITY COMPANY OF RHODE ISLAND
THE TRAVELERS INSURANCE COMPANIES
(Each A Stock tnsurmeo Company} HARTFORD CONNECTICUT
POLICY NUMBER
DECLARATIONS Horn 1. Named Insured
COMPREHENSIVE AUTOMOBILE-GENERAL LIABILITY POLICY
_Lir?. MlsS.-ji'Jx .
f Zi; . .-.H.
r>. --
r
Address (No., ztreet. town, county, state, zip code)
: t t ? vjcoi
Horn 2. Policy Period:
From QX*=0!V-7`5
to C','=CjV=7S
Item 3.
Parte
Comprehensive General Comprehensive Automobile
Cng
Umit tl Liability
each I each person [occurrence aggregate
Bodily Injury Liability
~Q M ic-no M
Property Damage Liability Bodily Injury Liability 1XC Ml LOCO M
t CQ
M
Property Damage Liability
Ml
Advance Premium ?2SH
_2L
Contractual
Bodily Injury Liability
Ml
Liability
Property Domoge Liability
Premises
Medical Payments
Automobile Medical Payments
Uninsured Motorists
(Damages for Bodily Injury)
Mi M each person M each accident each person M each person M each accident
-BS. XiLL.
Comprehensive
Automobile Physical
Collision Fito, Lightning or Transportation
ACV Less $
Deductible
NPiR
Damage
Theft
Combintd Additional
12:01 A.M.t
The insurance afforded is only with respect to such of the Coverage Parts as are indicated by Symbol Number and the Coverages therein as are indicated by specific premium charge. The limit of the company's liability against each such Coverage shall be as stated herein, subject to all the terms of this policy having reference thereto. In any Limits of Liability space the letter "M" means "Thousands of Dollars" and the letters "ACV" mean "Actual Cash Value".
Symbol numbers of Schedules, Endorsements, and additional Coverage Forts forming a port of this policy on its effective date.
6GCQ(a =H)
Total Advance Premium
Ham 4. (a) The named insured is:
individual ; partnership ; corporation^; joint venture ; other:
(b) Audit Period: Annual, unless otherwise stated: semi-annual ; quarterly ;_______________ monthly
Itam 5. During the past three years no insurer has canceled insurance, issued to the named insured, similar to that afforded hereunder, unless otherwise statec ________ herein:________________________________
General Liability Coverage Parts--The declarations are completed on an accompanying schedule designated "General Liability Hazards". Automobile Liability Coverage Parts--The declarations are rompleted on an accompany ing schedule designated "Automobile Liability Hazards".
fStandard time at the address of the named insured as stated herein.
Countersigned by.
*
C
000146
Keep this declaration* page in your ^Policy Jacket Edition January 1,1973", Form C-16216. These declarations and all Coverage Parts, Schedules and En dorsements issued to form a part hereof, together with your Policy Jacket, form your complete insurance policy.
C-1A243 Edition January l, 1973 p r in t e d in u .s .a .
DUPLICATE
I COMPREHENSIVE GENERAL UAUUTY INSURANCE COVERAGE PART
I. Coverage A--Bodily Injury Liability
Coverage B--Property Damage Liability
The company will pay on behalf of the insured all sumi which the insured shall become legally obligated to pay as damages
because of Coverage A. bodily injury or
Coverage IB. property damage
to which this insurance applies, caused by an occurrence, and the company shall have the right and duty to defend any suit against the insured seeking damages on account of such bodily injury or properly damage, even if any of the allegations of the suit
are groundless, false or fraudulent, and may make such investiga tion and settlement of any claim or suit as it deems expedient, but
the company shall not be obligated to pay any claim or judgment
or to defend any suit after the applicable limit of the company's liability has been exhausted by payment of judgments or settle
ments.
Exclusions
This insurance does not apply :
(a) to liability assumed by the insured under any contract or agreement except an incidental contract; but this exclusion does not apply to a warranty of fitness or quality of the named insured's products Or a warranty that work performed by or on behalf of the named insured will be done in a work manlike manner;
' b) to bodily injury or property damage arising out of the ownership, maintenance, operation, use, loading or unloading of
(1) any automobile or aircraft owned or operated by or rented Or loaned to any insured, or
(2) any other automobile or aircraft operated by any person in the course of his employment by any insured;
but this exclusion does not apply to the parking of an automobile on premises owned by, rented to or controlled by the named insured at the ways immediately adjoining, if such automobile is not owned by or rented or loaned to any insured;
(c) to bodily injury or property damage arising out of (1) the ownership, maintenance, operation, use, loading or unload ing of any mobile equipment while being used in any pre arranged or organized racing, speed or demolition contest or in any stunting activity or in practice or preparation for any such contest or activity or (2) the operation or use of any snowmobile or trailer designed for use therewith;
but this exclusion (f) (11 does not apply to property damage arising out of any emission, discharge, seepage, release or escape of petroleum or petroleum derivatives into any body of water:
(2) to property damage arising out of any emission, discharge, seepage, release or escape of petroleum or petroleum derivatives into any body of water, but this exclusion (f)(2) does not apply to property damage resulting from fire or explosion arising out. of any emission, discharge, seepage, release or escape which neither1
(i) is expected or intended from the standpoint of any insured or any person or organization for whose acts or omissions any insured is liable, nor
(ii) results from or is contributed to by any condition in violation of or non-compliance with any govern mental rule, regulation or law applicable thereto.
(g) to bodily injury or property damage due to war, whether or not declared, civil war, insurrection, rebellion or revolution or to any act or condition incident to any of the foregoing, with respect to
(1) liability assumed by the insured under an incidental contract, or
(2) expenses for first aid under the Supplementary Pay ments provision;
(h) to bodily injury or property damage for which the insured or his indemnitee may be held liable
(1) as a person or organization engaged in the buriness of manufacturing, distributing, selling or serving alcoholic beverages, or
(2) if not so engaged; as an owner or lessor of premises used for such,purposes,
if such liability is imposed
(i) by, or because of the violation of, any statute, ordinance or regulation pertaining to the sale, gift, distribution or use of any alcoholic beverage, or
(ii) by reason of the selling, saving or giving of any alcoholic 'beverage to a minor or to a person under the influence iof alcohol or which causes or contributes to the intoxication of any person;
but part (ii) of this exclusion does not apply with respect to liability of the insured or hi' indemnitee as an owner or lessor described in (2) above;
(i) to any obligation ifor which the insured or any carrier as his insurer may be held liable under any workmen's compensa tion, unemployment compensation or disability benefits law, or under any similar law;
id) to bodily injury or property damage arising out of and in the course of the transportation of mobile equipment by an auto mobile owned or operated by or rented or loaned to any insured;
(e) to bodily injury orproperty damage arising out ofthe ownership, maintenance, operation, use, loading or unloading of
(1) any watercraft owned or operated by or rented or loaned to any insured, or
(2) any other watercraft operated by any person in the course of his employment by any insured;
but this exclusion does not apply to watercraft while ashore on premises owned by, rented to or controlled by the named insured;
(f) (1) to bodily injury or property damage arising out of any emission, discharge, seepage, release or escape of any liquid, solid, gaseous or thermal waste or pollutant
(i) if such emission, discharge, seepage, release or escape is either expected or intended from the standpoint of any insured or any person or organiza tion for whose acts or omissions any insured is liable, or
(ii) resulting from or contributed to by any condition in violation of or non-compliance with any govern mental rule, regulation or law applicable thereto;
(j) to bodily injury to any employee of the insured arising out of and in the course of his employment by the insured or to any obligation of the insured to indemnify another because of damages arising out of such injury; but this exclusion does not apply to liability assumed by the insured under an
incidental contract;
(k) to property damage to
(1) property owned or occupied by or rented to the insured,
(2) property used by the insured, or
(3) property in the care, custody or control of the insured or as to which the insured is for any purpose exercising physical!{control;
but parts (2) and (3) of this exclusion do not apply with respect to liability under a written sidetrack agreement and part (3) of this exclusion does not apply with respect to property damage (other than to elevators) arising out of the use of an elevator at premises owned by, rented to or con trolled by the named insured;
(l) to property damage to premises alienated by the named insured arising out of such premises or any part thereof;
(m) to lots of use of tangible property which has not been physi cally injured or destroyed resulting from
(1) a delay in or lack of performance by or on behalf of the named insured of any contract or agreement, or
(Continued on Page 2)
AID 000147
L 1A
COMPREHENSIVE AUTOMOBILE LIABILITY INSURANCE COVERAGE PART
I. Coverage C--Bodily Injur; Liability
Coverage D--Property Damage Liability
The company will pay oil behalf of the insured all sums which the insured shall become legally obligated to pay as damages because of
Coverage C. bodily injury or
Coverage D. properly damage
to which this insurance applies, caused by an occurrence and arising out of the ownership, maintenance or use, including loading and unloading, of any automobile, and the company shall have the right and duty to defend any suit against the insured seeking damages on account of such bodily injury or properly damage, even if any of the allegations of the suit are groundless, false or fraudulent, and may make such investigation and settle ment of any c|aim or suit as it deems expedient, but the company shall not be obligated to pay any claim ,or judgment or to defend any suit after the applicable limit of the company's liability has been exhausted by payment of judgments or settlements.
Exclusions
This insurance does not apply :
(a) to liability assumed by the insured under any contract or agreement:
(b) to any obligation for which the insured or any carrier as his insurer may be held liable under any workmen's compen sation, unemployment compensation or disability benefits law, or under any similar law;
(c) to bodily injury to any employee of the insured arising out of and in the course of his employment by the insured, but this exclusion does not apply to any such injury arising out of and in the course of domestic employment by the insured unless benefits therefor are in whole or in part either pay able or required to be provided under any workmen's compensation law;
(d) to property damage to
(1) property owned or being transported by the insured, or
(2) property rented to or in the care, custody or control of the insured, or as to which the insured is for any purpose exercising physical control, other than property damage to a residence or private garage by a private passenger automobile covered by this insurance;
(e) to bodily injury due to war, whether or not declared, civil war, insurrection, rebellion or revolution or to any act or condition incident to any of the foregoing, with respect to expenses for first aid under the Supplementary Payments provision.
n. Persons Insured
Each of the following is an insured under this insurance to the extent set forth below:
(a) the named insured;
(b) any partner or executive officer thereof, but with respect to a non-owned automobile only while such automobile is being used in the business of the named insured;
(c) any other person while using an owned automobile'or a hired automobile with the permission of the named insured, provided his actual operation or (if he is not operating) his other actual use thereof is within the scope of such per mission, but with respect to bodily injury or property damage arising out of the joading or unloading thereof, such other person shall be an insured only if he is:
(1) a lessee or borrower of the automobile, or
(2) an empiovee of the named insured or of -nt h U--ee or borrower:
(d) any other person or organisation but unlv with rei>cct to his or its liability localise of acts or omissions ui an insured under (a), (b) or (c) above.
None of the following is an insured:
(i) any person while engaged in the business of his emplover with respect to bodily injury to auv fellow empiovee of such person injured in the course of his employment:
(ii) the owner or lessee (of whom the named insured is j sub lessee) of a hired automobile or the owner of a non-owned automobile, or any agent or employee of any such owner or lessee:
(iii) an executive officer with respect to an automobile owned by him or by a member of his household;
(iv) any person or organization, other than the named insured, with respect to:
(1) a motor vehicle while used with any trailer owned or hired by such person or organization and not covered by like insurance in the company (except a trailer designed for use with a private passenger automobile and not being used for business purposes with another type motor vehicle), or
(2) a trailer while used with any motor vehicle owned or hired by such person or organization and not covered by like insurance in the company;
(v) any person while employed in or otherwise engaged in duties in connection with an automobile business, other than an automobile business operated by the named insured.
This insurance does not apply to bodily injury or property damage arising out of (1) a non-owned automobile used in the conduct of any partnership or joint venture of which the insured is a partner or member and which is not designated in this policy as a named insured, or (2) if the named insured is a partnership, an automobile owned by or registered in the name of a partner thereof.
UI. Limiti of Liability
Regardless of the number of (1) insureds under this policy, (2) persons or organizations who sustain bodily injury or property damage, (3) claims made or suits brought on account of bodily injury or property damage or (4) automobiles to which this policy applies, the company's liability is limited as follows:
Coverage C--The limit of bodily injury liability stated in the declarations as applicable to "each person" is the limit of the company's liability for all damages because of bodily injury sustained by one person as the result of any one occurrence; but subject to the above provision respecting "each person", the total liability of the company for all damages because of bodily injury sustained by two or more persons as the result of any one occur rence shall not exceed the limit of bodily injury liability stated in the declarations as applicable to "each occurrence".
Coverage D--The total liability of the company for all damages because of all property damage sustained by one or more persons or organizations as the result of any one occurrence shall not exceed the limit of property damage liability stated in the declarations as applicable to "each occurrence".
(Continued on page 2)
l 2A
a id 000149
ENDORSEMENT
J i THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Amending TRL={SL=123T692=1=75 Effective fromat the time of day the policy becomes effective. Policy Nc____________________________________
iSfonth. Day. Ytar)
issued tO_____________________ ____________________
Date of Issue:
Additional Premium $
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment to the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
THE NAME OF INSURED TO READ:
THE ANACONDA OCMPANT AND/OR ITS AFFILIATED, ASSOCIATED AND SUBSIDIARY COMPANIES, AND THEIR SUBSIDIARY COMPANIES, AS NOW CONSTITUTED CR AS MAY HEREINAFTER BE ACQUIRED OR CREATED AND INSPIRATION CONSOLIDATED COPPER COMPANY AND WARRIOR CO-OPERATIVE MERCANTILE COMPANY AND BUTTS COPPER AND ZINC COMPANY, CONTINENTAL WIRE & CABLE CORPORATION AND ANY OTHER SUBSIDIARY OR AFFILIATED COMPANY ORGANIZED CR ACQUIRED BY NAMED INSURED SUBSEQUENT TO THE EFFECTIVE DATE OF THIS POLICYe
C-17S20 New 8-74 "tmuc .
AID 000!5C-J\
Countersigned By
___________________________ ___________
Sy mb o l NO.
8000(A)
ENDORSEMENT
;i
1
THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Amending m4BUl23T692-l-75
Effective fromat the time of day the policy becomes effective. Policy N'c;
{Month. Day. Year)
Issued to: Date of Issue:
Additional Premium $
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment tc the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
23B
WITH RESPECT TO THE FSODUCTS HAZARD AS DEFINED HI THE POLICY, SUCH 3BSURAICE AS IS AFFORDED BI THE POLICY SHALL AFftX WITH RESPECT TO AST ACdDHET OCCURRING DURING THE POLICY PStXCD OUTSIDE OF THE KITED STATES OF AMERICA, ITS T5ZRIT0RIE3 CB POSSESSIONS CB CANADA PROVIDE) CLAIM IS MADE AHD ORIGINAL SUIT IS BPOU3TT AGAINST THE INSIBB) WITHIN THE KITE) STATES OF AMERICA CB THE DCMNICN OP CANADA.
C-17820 Newft-74 r .t c o V.S A.
Countersigned By.
AID 000151
Svawqk Up.
accow
ENDORSEMENT
THE TRAVELERS INSURANCE COMPANIES
U
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from
\\antk. Day. Year)
at the time of day the policy becomes effective.
Amendmft pi. c>Nt-
THL-NSL-123T692-1-75 p a g e n------------------------- --
Issued to____________________________________________________________________________________________________________
Date of Issue:
Additional Premium $
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment to the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
DETERMINATION OF ADVANCE AND EARNED FREHIUH ENDORSEMENT
Ac ADVANCE S" STANDARD ffiEMTOM
lo FCR THE PERIOD JANUARY ls 1975 TO JANUARY 1, 1976s THE ADVANCE "S" STANDARD PREMIUM FCR POLICY TRL-NSMJ23T692-1-75 IS TO BE AN AMOUNT WHICH WHEN ADDED TO THE SUM OF THE ADVANCE "S" STANDARD PREMIUM FOR ALL THE LIABILITY POLICIES ISSUED TO THE INSURED BY THE COM PANY WILL PRODUCE THE SUM OF:
(A) THE AMOUNT OBTAINED BY THE APPLICATION OF THE RATES BELOW DES531AT2D BY THE LETTER "Sn TO THE ESTIMATED PAYROLL OF THE INSURED UNDffi ALL THE LIABILITY POLICIES ISSUED BY THE COMPANY TO THE INSURED,
BODILY INJURY LIABILITY
PROPERTY DAMAGE T.TABTT.TTY
GENERAL LIABILITY "S" .0537
GENERAL LIABILITY "S" .0358
AUTO LIABILITY "S"
,0295
AUTO LIABILITY "S"
.0197
(B) THE ADVANCE "S" STANDARD PREMIUM FOR POLICY TR-^Rf>-123T694-5-75 ISSUED TO ALUMINUM COMPANY OF AMERICA.
Be ADVANCE "f anass
1. FOR THE PERIOD JANUARY 1, 1975 TO JANUARY 1. 1976 THE ADVANCE "E" EXCESS PREMIUM FOR POLICY TBL-3BL-123T692-1-75 IS TO BE AN AMOUNT WHICH WHEN ADDED TO THE SUM OF THE ADVANCE ''E" raffESS IRIMUM FOR ALL THE LIAPTLITY POLICIES ISSUED TO THE INSURED BY THE COM PANY WILL PRODUCE THE SUM OF:
C-I7820 New 8-74 *e.Tts .
(CONTINUED ON PAGE #2) Countersigned By.
AID 000152
St ms q i No . 8ooo(e;
ENDORSEMENT
THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from
(Month. Day. Y*ar)
.at the time of day the policy becomes effective.
XXv* TRL-NSL-123T692-1-75 1C> ` c'?AtiE #2
Issued tO------------------------------------------------------------------------------- -----------1_________________________________________________________________________________________
Date of Issue:
Additional Premium $
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment t the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
(A) THE AMOUNT OBTAINED BI THE APPLICATION CP THE RATES BOOH
DESIGNATED HI THE LETTS ^ET* TO THE ESTIMATED PA2B0LL OF THE IBSIEED UNDER ALL THE LTABHLTI POLICIES ISSUED BI THE COMPANY TO THE INSURE).
gcpiLT ^
fgppagri PAyACa T.Tm.Trr
GENERAL LIABILITT
,0480
GENERAL LIABILITY ''E" ,0320
AUTO LIABILTPI "ET
,.0178
AUTO LIABILITT "E"
,0118
SAEEEP "S" STANDARD PREMIUM
1. FOR THE PERICD JANUARY 1, 1975 TO JANUARX 1, 1976, THE EARNED "S" STANDARD PREMIUM FCR POLICY THL-WfiL-123T692-l-75 IS TO BE AN AMOUNT ianai n h s i a d d e d t o t h e s u m o f t h e e a r n e d "S" s t a n d a r d p r e miu m P0R ALL THE LIABILITT POLICIES ISSU3) TO THE INSURED BY THE COMPANY 'WILL PRODUCE THE SUM OF:
(A) THE AHOIMT OBTAINED 3T THE APPLICATION OF THE RATES BELCH DES&XATZD BT THE LETHE "S** TO THE ACTUAL PAYROLL OF THE IB5URB) ODER ALL THE LIABILITT POLICIES ISSUED BT THE OOHPAHI TO THE INSURED.
b c p il t ranEr u a b il x t i
e h o p e r t t d a ma g e l ia b il it y
GENERAL LIABILITY "S" ,0537
GENERAL LIABILITY "S" ,0358
AUTO LIABILITT "S"
.0295
AUTO LIABILITT "Sw
.0197
(B) THE EARNS) "5" STANDARD PREMIUM FOR POLICT TRrfRO-123T694-5-75 ISSUED TO ALUMINUM COMPANY OF AMHtIGA
D. EARNED "g> EXCESS FREMITM
(CCBTTNUED 01 PAGE #3)_
AID 000153
St w o l No.
8000(C)
C-I7820 Sew ^74 *,Nrco <*. u s *
Countersigned By_
ENDORSEMENT
THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from
\Month. Day. Year)
at the time of day the policy becomes effective. PoTcvdiv?
THL4EL-323T692-175 PAGE #3
Issued to____________________________________________________________________________________________________________
Date of Issue:
Additional Premium t
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment to the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
lo FOB THE PERIOD JANUARY 1, 1975 TO JANUARY lt 1976, THE EARNS) E" EXCESS HfEHUH FOB FQLICX TBL4EL-123T692-1-75 IS TO BE AH AMOUNT WHICH WHEN ADDS} TO THE SUM OF THE EARNS) "S' EXCESS fRHCEUH FOB ALL THE LIABILITY POLICIES ISSUED TO THE TBSURK) BY THE COMPANY KELL PRODUCE THE SUM OF:
(A) THE AMOUNT OBTAINS) BY THE APPLICATION CP THE RAXES BELOV
DESIGNATED BY THE LETTER "E" TO THE ACTUAL PAYROLL CP THE
TMRTffttn UNDER ALL THE LIABILITY POLICIES ISSUED BY THE
COMPANY TO THE INSURED.
PROPERTY nMCATCR T.TABTLTTT
GENERAL LIABILITY "IT .0480
GENERAL LIABILITY "B* .0320
AUTO LIABILITY "E"
.0178
AUTO LIABILITY
.0218
Ec IN NO EVENT SHALL SUCH ADVANCE "S" STANDARD PREMIUM, ADVANCE "S' EXCESS FREMItM, EARNED "S" STANDARD PREMIUM, AND EARNS) "S' EXCESS PREMIUM BE LESS THAN ONE DOLLAR FOB EACH SUCH PHSOUM.
F. ENDORSEMENTS KILL BE ISSUB) EFFECTIVE JANUARY 1, 1976 AND JANUARY 1, 1977 STATING THE RAXES AND PREMIUMS APPLICABLE FOR THE PERIOD JANUARY 1, 1976/77 AND JANUARY 1, 1977/78, RESPECTIVELY.
C-17820 New 8-74 p r ih t e d i ms *
Countersigned By.
AID 000154
Sy mbo l No .
8000(C
ENDORSEMENT
i
THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Amending THM23*692W
Effective fromat the time of day the policy becomes effective. Policy Nc_____________________________________
{Manik, Day. Ytar)
Issued to--------- -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Date of Issue:
Additional Premium $
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment tc the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
nm t ear pnr.TCT urasim
THE PQLICT PBBICD STATH) II THE DBCLABATICBS IS 0GMF8XSED QF THRHB tXHSBUUCm AMMUAL PBRXCDS. QGHFOTATICI A ADJusnoar o f s a s h e d ream* s h a l l b e ma d s a t e o f s a c s
ANNUAL miCD.
C-V820 Sew 8-74 **'*Tto n V.S A.
AID 000155
~a C '
Countersigned By____________________________________________________
Sy mbo l No.
3X5
ENDORSEMENT
i
THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Amendin' TMWB^-I23T692-l-^5
Effective fromat the time of day the policy becomes effective. Policy Nc-----------------------------------------------
{Idonlh. Day. Ytar)
Issued to .......................................................... -------------------------------------------------------------------------------------------------------------------------------------
Date of Issue:
Additional Premium t
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment tt the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
THE LIMITS OP LIABILITY AS EXPRESS!) 21 IBB POLICY
wartnr 20
b e c u mu l a t iv e k it h t h e u k e t s o p l ia b il it y
EUKESSD II OCBCOBBarr POLICY m4BL-123l6$3-3-7$.
C-17&20 New 4-74 irco * u s*
Countersigned By___________________
AID 000156
SrmOL No.
aoosOST
ENDORSEMENT
i
THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
AmendinKTHL-iiSIr-123T69a-l-75
Effective fromat the time of day the policy becomes effective. Policy Nc_____________________________________
[Month. Dcy. Year)
Issued to____ ____________________________________________________________________________________________________________________ ______ _
Date of Issue:
Additional Premium $
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment tc the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
paLLonca satBia (sow f c bh )
IT IS AGREED THAT SUCH XSStEAXCS AS IS AFFORDED EX THE FOLKS FOB SCOUT UHtBI AMD PROPffiTT DAMAGE DOES HOT APFLI TO PCULDTICB QT THE
AIR, LAND OR WATER, HOB TO BCDILI IBJTBX CB FRQPEETT DAMAGE RESULTUD
FROM SUCS PQLLOTICK.
C-17S20 N<* ft-74 **iTD u s a
Countersigned By.
AID 000157
Sy mbo l No .
8CTOT
ENDORSEMENT
i j ji THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from
Day. Year)
Amending THL-SSL-123T692-1-75
at the time of day the policy becomes effective.
y "p b c b o i---------------
Issued to.. ------------------------------------------------------------------------------------------------------------------------------------------------------------------
Date of Issue:
Additional Premium $
Return Premium %
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment tc the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
THE SASHED Sam* FOB POLICT TBL4E^-123T69-W5 FCR L3XEE3 OF BCDUX JTET r.TAHILXTT OF $25,000 KKH FER30H, $25,000 SUB OOCOBHBKS, A KB LZHZES OF HtOPEKR DAMAGE T.TABTTJTT OF $25,000 SIGH OGCBBaOE, IS TO BS UGHHUTB) II ACOOBDAICS HUH THE TOLL0HXH0 FBOTiSZOBt
SIAHDiBD 0PM fgggatl ms STAB1AB) OPS HUKIM JS IBS EARED
maam o o k p o t e d h i t h e a p p l ig a u c h o f b a t s d e s z o u x b b i t h e
LSTTM "S" IH AC006DAICE HUB THE HBWIS3XBB OF THE FOLLOW*} POLICI, SXCLOSCTS OF THIS SDCRSSKaT:
2, sm art
THWBL-I23T692-I-75
1 Hoarmit THE STAH2ABD CLOSS) FREWTM IS THE
(A) THE FARMED FRBAXW OOMPOTS II ACOOBDAICS HUH THE FS07ISICKS OF THE FOLLOW*} POLICIES, UD THE REHKHALS THEREOF, ECCLUSIVE OF AMT REZBQSPSCXXVS ffiaOTM BQXXSBOBR, RSTtEB FSEHUK FLU aocBsanr, o h p b s o m Disooarr 9d o b s me h t ma d e a p a r t o f a it
sm RXJCTt
THEEL0B-lIIT19%A-75
t h -iiij i96h w 75
TDRKDB-111T195-3-75
I33RMB-111T197-6-75
TRmAB-lIlT2D6-^75
TRDB-1I1I200-0-J75
AID 000158
(B) THE EARIED HU9QCM OONPOTB) BT THE AFIUCATKB OF RA3Z3 DESMUGH)
BT THE LETTS "S" IX ACOOBDAICS WITH THE HU373SICBS OF THE FOLLOW*}
POLICIES, AID THE RSEXALS THSBOF, EZCLCSI7S QF THE APHJCATIOI OF AST
RSQBDSPBCTIVE HUMUM EHXBSEMOT, MB FREHUM PLAI 9DCBSSGHT 0B
SBHIM DISG0WT SOCBSEXaff MADE A PART OF AIT SUCH PQLXCI: %
Sy mi
C-17820 New $-74 p *it c c iw u s *
(OOHTHUED OH PACT #2)
Countersigned By------- ^
aooo(G)
e n d o r s e me n t
THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
THE TRAVELERS INDEMNITY COMPANY
Effective from. 01-01-75 {Month. Day. Ytor)
at the time of day the policy becomes effective. P^r^N^RL-NSL- 1 23T692 1 ~75
Issued to_ t h e ANACONDA COMPANY ET AL PER END 8000(A)
Date of Issue:
05-07-75"
Additional Premium I
8S/0H
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment tc the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
ENDORSEMENT 8000(6), PA6E 2, ITEM A(A) IS AMENDED TO READ AS FOLLOWS:
(A) ALLOCATED LOSS EXPENSE INCURRED IN CONNECTION WITH INSURANCE PROVIDED UNDER COVERAGE A OF THE WORKMEN'S COMPENSATION POLICIES DESIGNATED IN PARAGRAPH 2(A) FOREGOING, SHALL NOT BE INCLUDED HEREIN; BUT THE PROVISIONS SHALL NOT APPLY WITH RESPECT TO ALLOCATED LOSSES INCURRED IN CONNECTION WITH LOSSES ARISING OUT OF THE INSURED*S"DERATIONS IN THE STATE OF ALASKA.
C-17820 New 8-74 p r in t e d >* u s *
-------
Countersigned By________________________
I
AID 000159
Sy mbo l No .
8000
ENDORSEMENT
v
U
.
THE TRAVELERS INSURANCE COMPANIES
s
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forrns a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from
(Month. Day. Year}
AmendinK TM^5L-123T692-l-75 .at the time of day the policy becomes effective. Policy Nc.^^------------------------------
Issued to------------------------- ------ -------------------------------------------------------------------------------------------- ---------------------- --------
Date of Issue:
Additional Premium $
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment tc the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
TRCAOI11T20&-2-75 TBCAOmT209-*-75 TEHSL-123T693~3-75 TRKSH/-mro66-9J74
TRKSFL-123T695-7-75
THFMC-lUT205"7-75 TBSLQC-123T696-9-75 THCAC-1211209-3-^5
3,, flrnsRD PSBtnMt THE EARNED CLOSED HtSUlM IS THE SOf OP*
(A) THE EABHTO HtEKIQK DETERMINED IS ACOCGDAHCE WITH THE ffiOVISICHS CT THE FOLLOWED POLICIES A THE RHJEKALS THHLBCT:
TRKELi-lUTl99^75
T?.IB-niT196-4-75
TDRKOB-mT195-a-75 TDEKDB-lllT197-6-^5 TREELUB-U1T206-9-75 TR-lllT200-d-75
(B) THE EARNED FBEmW DETERMINED BI THE APPLICATION OP HATES DESIGNATED
El THE LETTER "S" IS ACOCGDAHCE WITH THE FROVISICatS OF THE FOLLOWED
POLICIES AID THE RENEWALS THEREOF:
TBCAC-lU320d-2-75 THPU0-mT205-7-75 TESLG0-123T696-9-7 5 THKSiW23T695-7-75
TRCiiC-lllT209-4-75 TBSSL-123T693-3-75 TRKSPL-121TO68-9-74
AID 000160
4. INCURRED LOSSES: INCURRED LOSSES MEAN THE ACTUAL PAID LOSSES, THE RESERVES AS ESTTMATS) BI THE 00MPANT FOB UNPAID LOSSES, AND ALLOCATED LOSS EXPENSE ISDS THE POLICIES DESIGNATED 3H PARAGRAPHS 1 AND 2 FOREGOING AS
OF THE COMPUTATION DATES HEREINAFTER SPECIFIED, PROVIDED THAT:
(A)
C-S7820 New 8-7* *k i*T0
ALLOCATED LOSS ElflfltSE EICCRRED IN CONNECTION HUH THE INSURANCE
FROVIDBD UNDS COVERAGE A OF THE WORKMEN'S COMPUTATION POLICIES
DESIGNATED IN PARAGRAPH 2(A) FCHEQQZBG, SHALL NOT BE INCLUDED HEREIN
BUT THE HIDVISICIIS SHALL NOT APftl WITS RESPECT TO ALLOCATE) LOSSES
IN CONNECTION WITH LOSSES ARISING OUT OF THE INSURED'S OPERATIONS
Sy mbo l No .
IN THE STATE OF ALASKA (CONTINUED CH PAGE #)
0000(G)
USA Countersigned By---- jf
^^
-----------------
e n d o r s e me n t
/Os!
I
THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from____________________
[Month. Day. Year)
5.at the time of day the policy becomes effective.
pTM'"dv* THL-NSI/-123T692~L-7 ,C> . C , r.j
Issued to.--------------------------------------------- :-----------------------------------------------------------------------------------------------------------------------
Date of Issue:
Additional Premium $
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment t( the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
(B) UNDER THE WCBXM3TS COMPENSATION POLICY DESIGNATED HI PARAGRAPH 2(A) FCRB303BG, THE LIMIT OF SUCH IHCOBBED LOSSES TO BE HHXIDED HEREDI BECAUSE OF INJURY TO CE DEATH OF OHE CE MQBE PERSONS AHD . AST CNE ACCIDENT SHALL BE $25,000. FOR THE PURPOSE CF THIS PARAf2AFH, RESERVES AHD PAID LOSSES ARISING OUT OF OCCDPATHHAL DISEASE, 3CLUD30 DEATH AT AST TIME RESULTING THBIEFHOK, SUSTAINED BY ANY CUE PESSCH, SHALL BE DESED TO ARISE OUT OF A SINGLE ACCIDENT;
(C) TED ALL THE LIABILITY FQLICIE3 DESIOIAGH) IN PARAGRAPHS 1 AHD 2(B) FCREGOIBS, THE LIMIT GP SUCfc 3C9SED LOSSES TO EE INCLUDED HEREIN BECAQ5E OF ANY ONE OCCURRENCE, SHALL BE $25,000.
.5c TAX MDUTPLTBR.I THE TAX MULTIPLIM IS FACTOR loL0.
6
(A) THE EARNS) Of PP.EMIUM AS DETERMINED BY THIS EHDCESEMEXT SHALL 3E
THE PBSOUM FOB POLICY 1RWEL-123T692-1-75 AS APPLICABLE TO THE LIMITS OF LIABILITY STATS) IN THE OPHUNG PARAGRAPH OF THIS ENDORSEMENT, AHD SHALL BE AN AMOUNT WHICH WHEN ADDS) TO THE EARNED CLOSED PREMIUM, LESS ANY DIVIDEND DECLARATION, WILL PRODUCE THE AMOUNT OBTAINS) BY THE APPLICATION OF THE TAX MULTIPLIER TO THE SUM OF:
(1) THE AMOUNT OBTAINED BY THE APPLICATION OF THE PERCENTAGE STATED
AS APPLICABLE 3 THE "BASIC PREMIUM" COLUfl OF THE "TABLE OF RATING VALUES" MADE A PART THEREOF TO THE SUM OF THE STANDARD CLOSED AND STANDARD OPEN PREMIUMS, AND
(11) USoOjt CF THE INCURRED LOSSES.
000161
(B) THE RESULTING EARNS) OPEN PREMIUM IS THE PREMIUM FOR POLICY TRL-N5L-
123T692-I-75, FR0VTD3) THAT SUCH PREMIUM SHALL HOT BE L3SS THAN THE
MINIMUM EARNED OPEN PREMIUM, AS HEREINAFTER DEFIES) AND SHALL NOT BE GREATER THAN THE MAXIMUM EARNED OPOI FBEMIUM AS HHffiTHAFTBl DEFINED.
St mx x . No .
(CONTINUED GN PAGE jft,) _
8000(G)
C-17S20 NewS-74
,,'--in*T~i[~nri1 fl
__________________
ENDORSEMENT
THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If anv additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from---------- ---------------------
Mon:h. Dsy. Ytcr',
at the time of day the policy becomes effective.
TRL-HSL123T692=l-75 PAGE
Issued to----- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Date of Issue:
Additional Premium $
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment to the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
7, MTKTMTM FJfflNED OPEN PREMIUM;
(A) THE MXB2MQK EARNED OPEN IREHIUK SHALL BE AH AMOUNT WHICH WHEN ADDED TO THE EARNED CLOSED PREMIUM (LESS ANI DIVIDEND DECLARED.
(M POLICIES INCLUDED IH COMPUTATION OF SUCH PREMIUM) WILL PRO
DUCE A TOTAL AMOUNT EQUAL TO THE AMDUNT OBTAINED BI THE APPLICA TION OF THE PERCENTAGE STATED AS APPLICABLE IH THE "MINIMUM PEEKEIM' COLUMN OF THE "TABLE OF RATING VALUES" MADE A PART HEREOF TO THE SUM OF THE STANDARD CLOSED AND STANDARD OPEN PRE MIUMS, SUBJECT TO THE FURTHER FROVISICN THAT IN NO EVENT SHALL SUCH EARNED OPHI PREMIUM BE LESS THAN 1# OF THE STANDARD OPEN
EREMIUMe
(B) IN THE EVENT OF CANCELLATION B7 THE INSURED OF PQLIC7 TRL-NSL123T692-1-75 fSICR TO (EXPIRATION DATE OF FOLICX), THE MINIMUM
EARNED OPEN PREMIUM SHALL BE THE SUM OF:
(1) THE STANDARD OP9I PREMIUM AS APPLICABLE TO ANT COMPLETED ANNUAL PERIOD CR PERIODS, AND
(n)
THE SHORT RATE FCRTICN OF THE STANDARD OPEN IRSHOf AS APP LICABLE OH THE INCEPTION DATE OF THE LAST ANNUAL PERIOD DURING WHICH THE INSURANCE WAS IN FORCE TO THE DATE OF CANCELLATION.,
Be MAXIMUM EARNED OPEN PREMIUM;
(A) THE MAXIMUM EARNS} OPEN PREMIUM SHALL NOT 3E MORE THAN AN AMOUNT WHICH WHEN ADDED TO THE EARNED CLOSED PREMIUM (LESS
ANT DIVIDEND DECLARED ON POLICIES INCLUDED ZN COMPUTATION OF SUCH PREMIUM) WILL FRODUCE A TOTAL AMOUNT EQUAL TO THE AMOUNT OBTAINED BX THE APPLICATION OF THE PERCENTAGE STATED AS APPLICABLE IN THE "MAXIMUM PREMIUM" COLUMN OF THE "TABLE OF RATING VALUES" MADE A PART THEREOF TO THE SUM OF THE STANDARD CLOSED AND STANDARD OPEN PREHItSEo
STMaot NO.
(CONTINUED OS PIGS #$)
AID 000162
dOOO(G)
C-i/820 New 8-74 o r -n t ed v s
Countersigned By.....----------------------------------------------------------------------------------------- --------
ENDOKbMhJN 1
i
THE TRAVELERS INSURANCE COMPANIES
i
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from____________________
(Month. Day. year)
Issued to---------------------------------------Date of Issue:
at the time of day the policy becomes effective. Additional Premium $
THL4BL-123T692-1-75 PASS f$*5
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment to the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
(b ) zs t h e anarr c? g a k g e e l a h w c f p c l ic t t e l -s j >123T65e -i ^75 e t
THS 3BUBH), CR Dl THE E7BT CF CANCffiLAIIW BI THE OGHPAIX FCB
J&BPA3HEHT CF RSmM, FCB THE PtBFOSE CF OWPlffAJnW OF THE
MAHHIM
OPEN WaffiM, THE STANDARD OPEN FSSfltM SHALL HE '
CCMPTTED AS TEE SI* CF THE AUDITED STANDARD OPSI FKEMXI1I FEW THS
Bscnmm or t h e t h s -zear pes t c d t d t h e h at s c f c u bc el u it w a d
THE 3SI3MATHD STANDARD OPS* PEEKHM FCB THE BALANCE GP THE TH82B-
D5AR Fffil.
9c gGMPUIATTBS:
(A) THE XaCPAHT SEAIL HASH AS INTERIM OCHPUTATTCB CF THE EARNS)
OPES FREMTOH APPLICABLE FCB THE PTBST ANNUAL PffilOD BASED UPON THE STANDARD OPSI AID EASES) CLQSS) ffiSCUB APPLICABLE KB THE FIBS? ANNUAL PSUCD AID THE TNCtER3) LOSSES FCB SUCH PERIOD, SUC8 LOSSES TO BE VALUED AS OF A DATS SIX MOBIHS AFTER THE EXPIRinOK CF SUW FERICD, WITHIN 60 DA23 CB AS SOW AS HtACXICABLB TPJREAFTSU
(B) A SUBSEQUENT INTERIM OCHFUTATIW OF THE EARNED OPEH ffiSilUH SHALL
HE KADI 12 MQBZffi THBSEAFTBL BASED UPW TH3 STA1DARD OPES FREHHH
AM THE EARNED CLQSS) PREMIUM FCB THE PIBST TWO ANNUAL PERIODS AND
UPON THE BKXJER1S) LOSSES FCB SUCH ANNUAL PISIODS, SUCH LOSSES TO BE VALUED AS OF A D-XE SIX MWTHS AFTER THE EXPIRAIIW OF THE SECOND ANNUAL PERIOD, WITHIN 60 DAIS GB AS SOW AS PRACTICABLE THEREAFTER*
(c) UPW OOtffLSnW OF THE THIRD ANNUAL PEBKD, THE OCMPANI SHALL
MAKE A QCHPOTAXIW QF THE EARNED OPSI HtEKHH BASED UPW THE
STAHDAEB OPSI fBEHTJI AND THS EARNED OCSBD PaaCIM FOR THE THRE3-EBAR PERIOD AND UFON THE IHCIBRS) LOSSES FCR SUCH
PERIOD, SUCH LOSSES TO BE VALUED AS CP A DAZE SIX KWIHS
AFTER THE SEPIRAXIW QF THE THIRD ANNUAL PERIOD, WITHIN 60 DAIS OR AS SOW AS PRACTICABLE THEREAFTBU
(CCKnHUED W PAGE #6)
AID 000163
Srirtot. NO.
SOOO(G)
C-17820 Sew 8-74 *r i#it c o i u.s a .
Countersigned Rv
^^
f ^ ----------------
ENDORSEMENT
L --"v"*
THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from
(Month. Day. Year)
AmendmR -ffiI^JSI^223T692-L-75
at the time of day the policy becomes effective.
- pflary-------------------
Issued to----------------------------------------------------------------------------------------------------------------------------------------------------------------------
Date of Issue:
Additional Premium $
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment to the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
( ) maam sod t h e
o o mf u t b ) f c b t h e t b s -ie a r f s ic d s h a l l b e t h e
FINAL STOOD QPSS FHBCTtH IF ALL CLAUS HAH BBS CLOSB) CB
IF IT IS APPABMT THAT THE EABNED OPM HtMIM HILL WCfim
THE KAZBflM EASES) OPM HtMHlL ISLESS SUCH CCHPUTAZIQN IS A
FINAL OOMPUZAZXCH, FU33HM C0HFUZA2ICHS OF THE EASES) OPM
PSamM SHALL HE MADS BZ THE OGHPAXT IF FUBZHM ADJUSHCgTS
ABE RBJUSTED SIMM BI THE OOMPAIT CB HT THE DBBBH) UFCH
NUTIFIBKI THE OTHER RAETT WITHBI 60 DAIS CF THE FBCMDLOATKX
OF THE RESULTS OF SUCH OOMPUZATICK, WITH THE FCBBOB IBCFISICX
THAT H THE MAKHKr OF SUCH FURTHER CCHPUTAnCBS THE lECUBBS)
LOSSES SHALL BE ?ALUH) AS CF THE DATE 12 MCR1H3 AFTEB THE
DATE US3) BI VALQITKS OF THE ISCOBB) LOSSES FCB THE ffiE-
CEDTHG CCHFUTATIOB OF THE EARNED OBEX FHEHUm
IF, DUBBB THE THREE-TEAR PERIOD, THE OOMPA1Z CEASES TO BE THE INSURER OF THIS BEXE), THE OOHPAET SHALL MAKE A OGMPUTATICS OF THE EASES OPS B9HIM BASS) UPCE THE STJMDARD OPM reacrw AH} THE EASES) GLOSS) PREMIUM FCB THE FSUOD TO THE DAZE THE GGMPASI CEASES TO BE THE INSURER AS) OH THE IN CURRED LOSSES FOB SUCH FIRICD, SUCH LOSSES TO BE VALUB) AS OF A DATE SIX MONTHS AFTEB THE EXPISA1I0H OF SUCH FHilCD, WUHI* 60 DAIS CB AS SOCS AS HUGTICABLE THMEAFTM. THE FRSSIW SO OCMram FCB THE PERIOD SHALL BE THE FINAL STOOD OPM FBEMIQi IF ALL CLAIMS HAVE BOH CLOSED CB IF IT IS APPASBB THAT THE BABES) OPM MSIIW MILL KICKS) THE MAXIKW STOOD OPM msow. ISLESS SUCH OCMPUTATK* IS A FINAL CCMFOTATIOH, FHtTHM 00HPOTAH0R3 OF THE EABNED OPM PSSHQM SHALL BE MADE BT THE OCHPAHI IF FURTHER ADJQSTMBRS ABB RS3DESTED EITHER BT THEOOMPAEI CB BT THE INSOBS) UPOH NOTIFTBC THE OTHM PABXT WITHIN 60 DAIS OF THE FBOMQLGAZICK OF IPS RESULTS OF SUCH CCMPOTATICH, WITH THE FURTHSl FB07ISICK BUT BI THE MAEBD OF SUCH FUBIHM COMPUTATIONS THE XHCTE&3) LOSSES SHALL BE VALUB) AS CF THE DAZE 12 KSTHS AFTER THE DAZE NED IN 7ALUAZICH OF THE IXCMRED LOSSB FOB THE HtECffiBC
OOMPUTATICH OF THE EABNED OPM HHMUM*
( OCHTIHUH) OH PAGE #7)
AID 000164
Snoot, No.
9000(G)
C-17820 New 8-74 mih t io i
Countersigned By
j_y v_/x\oi^
a
i
THE TRAVELERS INSURANCE COMPANIES
u
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective fromat the time of day the policy becomes effective.
[.Month. Day, year)
Issued to-----------------------------------------------------------------------------------
Date of Issue:
Additional Premium t
PoTirv N'l TBLJiSL-Uy?69^1^5
?a (mm
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment tt the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
10c
THE FOAL FRamM FCE POLICY TRL-EL-123T692-1*^5 s h a l l h e t h e sat apt
(A) THE EARNED OflBH fSBUGK AS DETBSKUHJ ZV ACCORDANCE HTZB THE FEOmiOB CP DI7ISIC1 9. OP THIS SDCSSBOff, AID
(B) THE EARIB) "B* PREHH1I CGMPOTH) II ACOCEDAICS WITH THE FROV3SICB3 OP POLICY TBL-SI^I23T692-l-^5 SUCH CCKPUTAHCH TO BE MADE II ACCORDAHCE VOTE THE TERJB OP THE POLICY EICLUSX7E OP THIS EHDOBSB&TC.
Uo PATMlilfT OF HtStmi#
(A) THE STANDARD OPBI PBSHIX SHALL HE PAYABLE H ACOCBDAICS WITH THE HL07Z3ICHS OP PCLICI TRL-SSL-123T692-1-75 RELATIK TO THE
p a t mh t c o p j b e mit m.
12.
(B) ADJUSTMENTS OP THE SASHED OPES PEEHIW SHALL HE HADE IMMEDIATELY POLLOCK EACH CQMPUTAZICH (INCUDIK IMTERIM 0CMPUIAH0KS OP THE EARNED ORB PEiSQUM) OH THE BASIS OP THE DIFFSiaiCE BETWEEN THE
EARKED OPES JHEHIUH TH3I OQMPUIB), SUBJECT TO THE MZH3MW A
MAZUCQM AMOUNTS HEREIN 3PBCXFIH3, ASD THE AMOUNT OP PHSCIM PREFIOUSLY PAID TO ASD RETAINS) BY THE COMPANY CHDffi POLICY TEL-iEL123T692-1-75, EXCUDJBG FROM THESE CCHPUTATICHS AHY HiEMIW PAID BY THE USERS) TO THE COMPANY BY REASON OP THE APPLICATES GF RATES DESKRATH) BY THE LETTER "S" IN SUCH POLICY.
r.AMRm^fn|f
AID 000165
CANCELLATTCB OR THOGNATICN OP THE POLICY PRICE TO (EXFIHATICK DATE 3 YEARS), GF WHICH THIS ENDORSEMENT FCEMS A PART SHALL NOT BE DEWED TO AFFECT SUCH ADJUSTMENTS OP PR3OTHS WHICH ABE PROVIDED FCE IN THIS ESDGRSMBfT AND WHICH TAKE PLACE SUBSEQUENT TO THE DATE OP SUCH
CANCELLATIGH C TERMIHATIGH.
C-17820 New 8-74 **r n t e o >n u s a
(CCHTIHUH) OH PACK Countersigned By
800r^Q)
ENDORSEMENT
l
THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowledged upon acceptance of this endorsement.
Effective from
(Month. Day. Year)
at the time of day the policy becomes effective.
THL4EL-123T692-1-75
Issued to____________________________________________________________________________________________________________
Date of Issue:
Additional Premium $
Return Premium S
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment tc the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
or mm,mm
IF THE SIM Of THE STUDAED CLOSIP AM) STABDABD 0F3I FBBdS POL THE KXJCXB
msDsncauTS) n d x t x s ic ms i a b d 2 o f
bdc bsbo t u b bet w hi ah w o o f h i
FXQQRSS n THE "TOTAL STABDABD FBEMITM " COUHT, TBS PEBCHIAGES APPLICABLE SHALL
BE CBIAHH) BI LIHEAR BRBtKSAZKa TO THE KEARE3T (MB-TBDH OF
TOTAL
s t a mmb p m&nm
$ 2,311*620 Cfi LESS
$ 4,623,237 $ 6,934,357 Cfi MSS
BASIC
19..93* 19.32* 19ol03C
h ih imim
PREHH1I
ma h mm
PREMIUM
BASIC Z TAX MULTIPLIER 230.0*
BASIC Z TAZ MULTIPLIER 120=0* BASIC Z TAZ KULTIPLm 229.5*
C-I7S20 New 6-74
in v s
Countersigned By.
AID 000166
Sy mx x . No .
8000Ui) t
ENDORSEMENT
i
THE TRAVELERS INSURANCE COMPANIES
This endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this endorsement forms a part.
If any additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is noted below, the receipt thereof is acknowiedgee upon acceptance of this endorsement.
Effective from
Issued to____ Date of Issue:
(JrfcmlA. Day, Year)
at the time of day the policy becomes effective. Additional Premium $
TBL-gL-T23T692-l-75
Return Premium $
(The information provided for above, except the policy number, is required to be stated only when this endorsement is issued for attachment tc the policy subsequent to its effective date.)
It is agreed that as of the effective date hereof the policy is amended in the following particulars:
SUCK INSURANCE AS IS AFFORDED 31 THE POLICT HESt THE PRQPffiTT
DAMAGE LIABTUTI 00V31AGE THEREOF SHALL ALSO KPFLX TO LIABHITT
IMPOSED UPGR THE INSURED 61 AST FCREST FIRE PREVENTICR ACT CB 31 ANT SIMILAR ACT FOB THE COST OF CCHTROLLINCr CB SXTISGUISHIJJO FIRES, UHE3HS CR HOT SUCH FIRES OCCUR OR PREMISES OWNS) 31 OCCUPIED El, RESTED TO, CB IK THE CARE, CIETCDT AND CCRTSQL CF THE XKSIBED, SUBJECT TO THE FOLLOWING ADDITICNAL PROVISIONS,
(X> t h e LIMITS CF UABEUI AS STATED BEj OW AS APPLICABLE TO
"EACH ACdDESTM IS THE TOTAL LIMIT CF THE COMPART'3 LiAinrn u n d e r c o v e r a g e b f c r a il d a ma g e s a r is d c o u t OF DAMAGE TO CB DESTRUCTION CF ALL ESOPHtTT OF ONE CR MCRE PERSONS CR CRGAUZATICNS, IUCHDING THE LOSS CF USE THEREOF AS THE RESULT CF ANT CRE ACCIDENT,
(2) LIMITS OF LIAHUJl TT $500,000 EACH OCCURRENCE,
C-17820 New 5-74
Countersigned By.
C (t
AID 000167
SrMBOc No.
3000(H)