Document DDjVZ9prj74ZwErL87XaowzJ5
COMMERCIAL GENERAL LIABILITY COVERAGE PART -- DECLARATIONS
THE HARTFORD
POLICY NUMBER: 42 UEN AQ3200
PLAINTIFFS
I EXHIBIT FWS-19
This COMMERCIAL GENERAL LIABILITY COVERAGE PART consists of:
A. This Declarations, B. Commercial General Liability Schedule, C. Commercial General Liability Coverage Form, and D. Any Endorsements issued to be a part of this Coverage Part and listed below.
LIMITS OF INSURANCE
The Limits of Insurance, subject to all the terms of this Policy that apply, are:
Each Occurrence Limit
$
Personal and Advertising Injury Limit
$
Fire Damage Limit -- Any One Fire
$
Medical Expense Limit -- Any One Person
$
1,000,000. 1,000,000.
300,000. 10,000.
General Aggregate Limit, (other than Products-Completed Operations)
$ 2,000,000.
Products-Completed Operations Aggregate Limit
$ 2,000,000.
ADVANCE PREMIUM: $ 111,593.
Except in this Declarations, when we use the word "Declarations" in this Coverage Part, we mean this "Declarations" or the "Common Policy Declarations."
Form Numbers of Coverage Forms and Endorsements that are part of this Coverage Part: CG-000K11/88), CG-2503( 11/85) , CG-2504r( 11/85) , HC-2600(03/90), HC-2602(03/90), HC-7001(03/90), HC-1210(11/85)
Form HC 00 101185 Printed in U.S.A. (NS)
S02543
COMMERCIAL GENERAL LIABILITY SCHEDULE
THE HARTFORD
Policy Number:
42 UEN AQ3200
This Schedule Forms a part of theGeneral Liability__________________ _ Coverage Part.
Entries herein, except as specifically provided elsewhere in this policy, do not modify any of the other provisions of this policy.
Bating Classifications
334) Premises/Operations
Loc 001/001
T-007
1500 Humphrey Avenue Dayton, OH 45410
Machinery or Machinery Parts Mfg - Industrial Type
Code No. 56652
Premium Basis 13,000,000.
Rate 1.43
Premium 18,590.
336) Products/ Completed Operations
Loc 001/001
Machinery or Machinery Parts Mfg - Industrial Type
Machinery or Equipment Industrial - Installation Servicing or Repair
Distributors - no food or drink'
56652 97222 12362
417) Employee Benefits,
(Refer to Employee Benefits Liability Coverage Part HC-0020)
30195
4,550,000.
15.59
1,300,000.
13.02
4,500,000 1
1.13
200.
70,935.
16,926. 5,142.
200.
Include on HC-002-
Form HC1210 11 85 Printed in U.S.A.
ADVANCE PREMIUM: S 111,793. S02544
EMPLOYEE BENEFITS LIABILITY COVERAGE PART -- DECLARATIONS (CLAIMS MADE)
THE HARTFORD
POLICY NUMBER: ^2 ueN AQ3200
This EMPLOYEE BENEFITS LIABILITY COVERAGE PART (CLAIMS MADE) consists of:
A. This Declarations, B. Commercial General Liability Schedule, C. Employee Benefits Liability Coverage Form, and D. Any Endorsements issued to be a part of this Coverage Part and listed below.
Retroactive Date: 08-08-88
. if no date is entered, the Retroactive Date is the
Inception Date of the Policy Period stated in Item 2 of the Common Policy Declarations.
LIMITS OF INSURANCE The Limits of Insurance, subject to all the terms of this Policy that apply, are:
-5^ Each Claim
$ 1,000,000.
Aggregate
$ 1,000,000.
ADVANCE PREMIUM: $ 2Q0
Except in this Declarations, when we use the word "Declarations" in this Coverage Part, we mean this "Declarations" or the "Common Policy Declarations".
Form Numbers of Coverage Forms and Endorsements that are part of this Coverage Part: HC-002K06/86), HC-7011(02/86)
Form HC 00 20 02 86 Printed in U.S.A. (NS)
S02549
POLICY NUMBER 42 UEN AQ3200 .
THE HARTFORD
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NAMED INSURED:
Frank W. Schaefer, Inc. Richard L. Schaefer Frank W. Schaefer FWS, Inc. Plibrico Sales and Service, A Division of Frank W. Schaefer, Inc. Fabricated Ceramics, A Division of Frank W. Schaefer, Inc. Wernli Reality, Inc.
This endorsement does not change the policy except as shown.
Form IH12 00 1185 Printed in U.S.A.
S02579
POLICY NUMBER
42 UEN AQ3200
THE HARTFORD
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
ADDITIONAL INSURED:
Consumers Power Company 212 West Michigan Avenue Jackson, MI 49201
This endorsement does not change the policy except as shown.
Form IH12 001185 Printed in U.S.A.
S02580
POLICY NUMBER
42 UENAQ3200
THE HARTFORD
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED:
It is hereby understood and agreed that the following is added as an Additional Insured. A.T.I.M.A.
Ashland Oil Inc. P.0. Box 391 Ashland, KY 41104
This endorsement does not change the policy except as shown. Form IH12 001185 Printed in U.S.A.
S02581
POLICY NUMBER
42 UEN AQ3200
THE HARTFORD
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED:
It is hereby understood and agreed the following is added as Additional Insured for the above policy:
Armco Steel Company LP 621 Curtis Street Middletown, OH 45043
This endorsement does not change the policy except as shown. Form IH12 00 1185 Printed in U.S.A.
S02582
POLICY NUMBER 42 UEN AQ3200 -
THE HARTFORD
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOTICE OF CANCELLATION
Should this policy be cancelled before the expiration date thereof, the issuing Company will endeavor to mail 30 day written notice of cancellation to the below named Certificate Holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the Company.
Armco Steel Company LP 621 Curtis Street Middletown, OH 45043
This endorsement does not change the policy except as shown.
Form !H 12 001185 Printed in U.S.A.
S02583