Document GKwb5EDJdXGZYkKL5YL5eMRYn

wfc American Excess Insurance Association POLICY APPLICATION (An Excess liability policy which incorporates certain claims made features, but which provides a form of coverage which may differ substantially from other policy forms. Please read the entire policy carefully.) This Policy Application must be completed in its entirety. When appropriate, questions herein may be an swered by specific reference to Form 10K sections(s) or other material attached hereto. 1. (a) Numo and Address ol Applicant (To uppour us Numod Insured If policy Is Issuod): HAwsnw TMnnsTR-res------------------------------------------------------------------------------------------------------------------410 PARK AVENUE MEW YORK. NEW YORK 10022 (b) State of Incorporation:: (c) Effective Date of Coverage: OCTOBER 1. 1987 2. Subsidiaries or affiliates of Applicant whose accounts are consolidated in the financial statements of the Applicant (attach list or make reference to listing in Form 10K or Annual Report of Applicant). SEE 'EXHTRTT ajH 3. If Applicant Is foreign, attach list of subsidiaries or affiliates whose accounts would have been consoli dated in accordance with generally accepted accounting principles in the United States. 4. List on Schedule A (to be attached to and form a part of the policy when issued) any other subsidiary, affiliate, associated company or joint venture to be insured. IN ADDITION TO THOSE ENTITIES SHOWN ON EXHIBIT #1, COVERAGE IS TO BE PROVIDED FOR OPERATIONS OF MARFLEET, IN EXCESS OF ^25M(EEEAHS WERE PREVIOUSLY PROVIDED). rr-t <>'; ;*' AEIA-3 N17562 5. II other than the Named Insured above shall represent all insureds in all matters under this policy (such as but nol limited to: premium payment, negotiation ot renewal terms, payment of claims), indicate name and address (to appear as Named Insured's representative it policy is issued): N/A; 6. Describe each joint venture in which the Applicant has an interest greater than 10% and/or which has assets in excess of $25,000,000: Project Name Participant Brief Description of Joint Venture NONE 7. Attach a copy of the latest Annual Report and Form 10K (or the equivalent if not applicable) of the Applicant and each company listed on Schedule A for the most recent year. 8. Estimates of: (a) Annual Payroll (in U.S. dollars) 1-USA $ 795,504,j43_ 2-Canadian $ TNC^L.________ 3-Foreign $ INC'L, (b) Annual Sales (in U.S. dollars) 1 -USA $ 3,455,837,000. 2-Canadian $INC'L.________ 3-Foreign $ ________________ Describe any "Inter-Company Sales" exceeding 10% of the total: N/A _________________________________________________________________________ ) (c) Number of Employees 1 -USA $ 35,250 2-Canadian $ INC'L._________ 3-f-oreigr $ (d) 1. Annual Advertising Expenditure (in U.S. dollars) at 45.500.000.___________________________________ ____ -_____ AEIA-3 2 6LD054964 0049-GLD-000054964 2. Type of media use and proportion of total expenditure on each MAGAZINES-197oi TRADE JOURNALS-ir/.; EXHTRXTS-r/.: PRfMTTTnNAT^ T .TTFr a t i n?F-i270. TFTKVTRTON-1.8%: RADIO-47:; NEWSPAPRRR-1fTTHERS-l fi7. (e) If the Applicant has any exposure under the following, indicate payrolls: 1. .Iftftfls Ar.t $111 f 000 (C0DE702a\- 2. Federal Employers Liability ArNO 'KNOWN `PAVRflTl.S 9. Automotive power units: (estimated total owned & leased by type) (a) Private passenger _________________Trucks and Tractors 505 School buses5_______________________________ Taxi-Livery-------------------------- Q (b) Type of cargo hauled (elaborate where inflammable/explosive substances hauled) INSURED*S OWN PRODUCTS; LIMITED BACKHAUL OPERATIONSMFG.) (c) Give details of long haul (over 500 miles -- one way) operations A&S; ANDERSON-HICKEY; BROWN MOLDING; MW MFG; COLUMBIA LTCHTENG-and PRESCOLTTE TOLL HAUL CWN GOODS IN EXCESS OF 500 KITES fW fiflME TRIPS. 10. Description of Operatfons: (a) Describe any details of operations not otherwise contained In the attached Form 10K or annual report (e.g., occupancy type risks -- number and size: construction type risks -- tunnel and dam work -- turnkey; utilities -- dams; etc.): SEE EXHIBIT #1 (b) Describe any discontinued operations or sold entities for which coverage is required. Describe products and the disposition of product liability: ----------------------------------------------------- ,--------------- SEE EXHIBTf# 11. (c) Describe any areas of expected expansion, change, or new products in next 6 months: HANSON INDUSTRIES HAS AND WILL CONTINUE^TO AnQTHSF. OfiMPANXES wmTH FIT INTO ITS MAJOR BUSINESS SEOTFTTTS TJRFW THE! FRHPER nPPnttTTTMTTY ARISES. _________ _____ __________.... AEIA-3 3 GLD054965 0049-G LD-000054965 11. (a) Describe any non-owned, owned, leased or chartered watercralt or watercraft risks for which cov erage is requested: TUG BOAT "SATIN LADY" (BALTTK>HE,MD) 3 - BARGES (BALTIMORE, HD) 1 - QUTJ30AHD (JOILbT, XL): (b) Describe any railroad exposures including details of any facilities/operations owned or operated (other than incidental sidings and premises grade crossings): INCIDENTIAL SIDE TRACK AGREEMENTS ONLY, (c) Describe any intra-city light-rail exposure (e.g., subway, street car, etc.) for which coverage is requested: NO KNCWN EXPOSURE. Description of Operations Number of Passenger Cars Miles of Track Number of Passengers Annually (d) Describe any bus operations for which coverage is requestedNO KNOWN EXPOSURE. Description of Operations Number of Buses Miles Travelled Numberof Passengers Annually Inter-city ___________________ _______________ _____________ Intra-city ___________________ _______________ ______________ School Buses Tours ___________________ ___ _______________ ______________ _____________ Other ___________________ _______________ _____________ i AE1A-3 4 GLD054966 0049-GLD-000054966 12. With respect lo malpractice and professional liability exposures, stale: A. 1. Medical (incidental to other operations): (a) Number of doctors employed:I-----------------------------------------------------------------------(b) Number of nurses employed:12 (c) If Hospital or Medical facilities are maintained by the Applicant, give location, number of beds, occupancy rate and other pertinent information: U/M----------------------------------------------------------------------------------------------------------------- (d) Do any patients, not employees of the Applicant, use the services of such doctors, nurses or hospitals?------------------------------------------------------ :--------------------------------------- Indicated percentage of non-employee patients 2. Medical (other titan incidental):........... --------------------------------------------------------------------------------- (a) List all hospitals or medical facilities showing location, number of beds and occupancy rate, outpatient'visits: m/a ------------------------------------------------------------------- ------------------------------------:-- (b) List nursing homes operated showing number of beds: K/A------------------ B. Non-medical (&g.. Architects, Engineers, Accountants, Lawyers, etc.). Describe extent to which such services are provided to third parties: NO KNOWN EXPOSURES. ' AEIA-3 5 GLD054967 0049-GLD-000054967 13. Attach a ust or describe below the products manufactured, handled, distributed or sold or services performed under the following classifications: Classification Description SEE EXHIBIT #1. (a) Aiicrall and/or Aerospace Products or any material or substance supplied di rectly to or for the use by the Aircraft and/or Aero space Industry (b) Pharmaceuticals -- Medical {Submit lists of prescription and non prescription medical care products) (c) Birth control drugs or devices (d) Chemical and petrochem icals (e) Nuclear energy (I) Pollution control devices (g) Other products, or major services performed Annual Sales Domestic $ Foreign $ 14. Real & Personal Property: (over $10,000,000 in value per location) (a) Schedule locations of leased premises and indicate use and if Applicant is held harmless and/or named as an additional insured in landlords policy: SEE EXHIBIT #12. (b) Schedule locations where personal property of others is in Applicant's Care, custody or control, (e.g., Data Processing Equipment, Leased Machinery or Equipment, Goods for Storage or Processing, etc.): AEIA-3 6 6LD054968 0049-GLD-000054968 15.Contractual/Hold Harm. ../indemnity Agreements -- provide details jn> ..nich could reasonably be considered to be outside of the scope of those agreements normaly entered into by the Applicant in the normal course of operations and any other such agreements which may be material to the Appli cant's legal liability or where the sole negligence of the indemnity is assumed: NO KNJWN EXPOSURES OUTSIDE OF THOSE WHICH ARE NDIftflILY ENTERED INTO BY THE APPLICANT. 16. Describe loss control and loss prevention measures which Applicant employs and would like the under writer to consider. Attach a copy of the program if appropriate. Is the program self-administered? If administered by a service company or insurance company, name of administrator: VARIOUS VENDORS ARE UTILIZED BY HANSON TO PBBB7IDE UPSS CONTROL SERVICES. TTJrrrjmTNR: F_ S. JAMES. NATL^CO^.SELF-AIMDCTSIERED AND OTHERS. ALSO SEE EXHIBIT #13.; 17. List on Schedule B all liability insurance of the Applicant. List layered policies in: ascending order of attachment, including layers retained by Applicant: SEE EXHIBITS #5. 6 and 7. ________________________ 18. As Respects Underlying Insurance (respond below or in additional comments column on Schedule B): (a) Explain any exclusions to standard General Uablfity Policy coverage: SEE EXHIBHL #10 (PRIMARY CGL) (b) Indicate deductibles, self-insured retentions, retrospective rating plans or other funding mecha nisms in the amount of $1 million or more per occurrence/accident:; THE FIRST-LAYER OF UMBRKTIA rOVERA(^(NATTONAT. 71NTOW -_$RM YS TS_____ RETNSITREn 1CXK TO HANSOM TRUST. (MMiCJ&rrUFZ, THTS PARTTOTPATTfiNl NAY... DECREASE 10 $5M XS $5M AT OCTOBER I, 1987 RENEWAL. 19. List on Schedule C a summary of losses by year (insured and uninsured) for the past 10 years by line of coverage, e.g.: SEE EXHIBIT #8. (a) Automobile Liability (b) General Liability (c) Products and Completed Operations Liability (d) Etc. AEIA-3 7 GLD054969 0049-GLD-000054969 20. Indicate any losses included on Schedule C which are caused by or aileged to be caused by pollution: LOSS EXHIBITS DO NOT INCLUDE ANY POLLUTION RELATED CLAIMS. SEE EXHIBIT #14. 21 On Schedule D itemize and give details on all losses shown on Schedule C which exceed $1,000,000. (Paid, outstanding, and allocated expenses)? EXHIBIT #9 AND #15. (a) cuuscd by single occurrence, and scpuiulcly, (b) caused by any detect or hazard or alleged defect or hazard associated with insured's product or operations completed or abandoned by the Applicant. 22. If any of the losses on Schedules C or D have been handled or reserved amounts established through a service contract rather than by an insurance company for its own account, give details below. (In clude name of individual or organization; if Applicant has se!f*administered his own losses, furnish infor mation about individual(s) responsible for handling and their qualifications and procedures; if a claim audit has been made in the past year by an independent service, attach report). SEE EXHIBIT tflfi. 23. Is the Applicant aware of: (a) any event or conditions which might reasonably be expected to give rise to a loss or liability in excess of $1,000,000? Describe: NONE KBCfrJN: (b) any defect or hazard or alleged defect or hazard associated with the Applicant's products or operations completed or abandoned by the Applicant which might reasonably be expected to give rise to a toss or liability in excess of $1,000,000 in aggregate? Describe: 24. Describe any ongoing investigations into the Applicant's products or operations by any governmental body: ----- NONE KNOWN---------------------------------------------------------------------------------------------------------------- AE1A-3 8 ; GLD054970 0049-GLD-000054970 25. Additional Comments (optional) AGIA-3 0 GLD054971 0049-GLD-000054971 AMw .UCm.4 e x c e s s in s u r a n c e a s s o c i a t e 26. THE APPLICANT. BASED ON REASONABLE INQUIRY (INCLUDING BUT NOT LIMITED TO REASONA BLE INQUIRY OF THE LEGAL AND RISK MANAGEMENT DEPARTMENTS OF THE APPLICANT), WARRAN r:; TO VI ir b e s t o f it s k n o w i f d c .f a n d BFI IFF Tl IAI 11 IF SIAIFMFNIS F.ri l-onril HLULIM AltL I HUE AND I HA! NO MAILWAL INIOHMAIIUN I IAS ULLN WIIHI IELU II IS UNDER STOOD THAT THE COMPANY MAY REQUEST ADDITIONAL INFORMATION WHICH, WHEN SUBMITTED, WILL BECOME PART OF THIS APPLICATION AND SUBJECT TO THE FOREGOING WARRANTY. SIGNING OF THIS APPLICATION DOES NOT BIND THE COMPANY TO OFFER. NOR THE APPLICANT TO ACCEPT INSURANCE. BUT IT IS AGREED THAT THIS APPLICATION SHALL BE THE BASIS OF THE INSURANCE SHOULD A POLICY BE ISSUED. BY SIGNING THIS APPLICATION, THE APPLICANT ACKNOWLEDGES THAT IT HAS RECEIVED THE ATTACHED SPECIMEN POLICY AND AGREES TO BE BOUND BY THE MANDATORY ARBITRATION PROVISION SHOULD A POLICY BE ISSUED. THE APPLICANT FURTHER WARRANTS THAT IF THE INFORMATION SUPPLIED ON THIS APPLICATION CHANGES BETWEEN THE DATE OF THIS APPLICATION AND THE INCEPTION DATE OF THE POLICY PERIOD, IT WILL IMMEDIATELY NOTIFY THE COMPANY. APPLICANT: HANSON INDUSTRIES '(Type) BY (OFFlCEH OF APPLICANT): TITLE: DIRECTOR OF RISK MANAGEMENT {Type) DATE: StlPTLMBER 17. 198 < Hype) Submitted by (a duly authorized insurance producer representing a member of the Association): Name of Firm: FRED. S. JAMES & COMPANY OF NEW KNOT AND TTJf,__________________ (Type) Complete Mailing Address: 40 BROAD STREET isasuCfi 02109- (Type) Phone: <617)357-6600. Telex: 940227- Fax: (617)357-6755 Name ot Authorized Representative: JOSKPH F. ZAVAGNIN, VICE PRESIDENT (Type) Association Member Represented:. AE1A-3 10 GLD054972 0049-GLD-000054972 c Ha n s o m i m h i s t n i i ' hss eo c -SHcEo-lc--ot-tc- u smo>co *i>c wej to 05 = -- SC N-- N--V--, --\ S O ^s \ S S S OC O O a -- ---- -- -- =: = O *r i: i c r. # cj c V. S5 0> ?> ~Di --C. M c?jo ac--ss <oo> s^: O tf> (B CO K s s s N S^o So** S^o N^o S^ m3 9 8 2 chci f- n ^ irt Ch CO 09 CC (4 C} UNPm mSm Npm SN * \S 'vNN O g* 0:>.(0~ 0(- ot- oH oH v> mos mco CtO ifnD o<o oss s ss < -- -- -- -- -- -S S, SSN U "T TO "OP O"1 O (-> &. *r in t* t & UmJ *AJ Wo> W s ~ - - - ~ I fi>CC T U* <0 I" Z go 03 CO CO o ' ft o> oc o 03 CO -- -- -- -- IK t ' ui > '>a f. *r *o co c w ee eo co co co S5t SS 0> O) 0> 0> *--- 2 Vi W n t \cflj s Co-j O (O S N S s. "- PC -- -- - N SS s. *>. 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AUTOMOBILES USA/CANADA/PUERTO RICO EXHIBIT t4 STATE PRIVATE PASSENGER ALL OTHER STATES TEXAS LOUISIANA PUERTO RICO CANADA TOTAL 1085 163 25 2 24 1299 TRUCK/ TRACTORS 431 74 0 0 0 505 TRAILERS 349 82 5 0 1 437 GLD054 980 0049-GLD-000054980 rf IuX: cc Q. < OC oo co i<onM af M V) OO OOOO OOOO OO lui. oO i. < oo o-- o-y Y) Yt 3--o zo IX t- >z It--rt sK: W 2Q HANSON INDUSTRIES. ETAl. GLD054981 0049-GLD-000054981 HANSON INDUSTRIES. F.TAI.. STATUTORY-- 1 UNLIMITED r IT M H CO s? c <n z z <0 M 2 p z w * * s- j J J t* a u O t J aa o-- u CN u z z n z *- z a Is 5fro. S( * H COM 1 <co < >> S3 >o>o OO CE O pO s. S- O 22 MM 11 < CO >ooo>o oo o owCA' co owog P S VwZ *s as c- u: vUz T-ias o-x. z<a o aa 2 gl 'CCsOO.BuUz9 '0vK'2Q 1-1 K 2x egg o VoI s w Oz J< UnBzOHSO M X OMwO>o<- ohsOs o uu o09 xo v<> 5< 2H mXo B<< st-s<s --J --O' COO O aOea'tBc-cswte-. g 2... 8 SO "55 cXo x cOSeCaOX $ 0 GLD054982 0049-GLD-000054982 INCLUOES EMPLOYERS LIABILITY ( Cz9 CvoCi sz O = I-. o ~ O CM % K<t\ a. -< o < ex z to <0 otb UCJS> US OT 111 Q ft! IS 9 US < va >o- ams c-a, < a -- os ---<J Zzo EKII. Ill Id OH> XU O US u> I>OUd <ffl .-4 f*<Jf*l IKSd*u CO to 949 SU>C\ Z ?=? c: ko aar> ooo 9 00 Oo Oo Oo o o a a --< ooouo> cooi aa. -J -- v. ,.l U. I.,Ii. |( ZW -- Q .O4 X a to & a. ca o <o "o J CO in I STATUTCRY 01/01/80 EAGLE STAR 1601628 WORKERS COMPENSATION j a. Cti uf-i ao < >a e > E- .4J MNl K I-- U2J f<fl til N4 OJ HW V> < < U. 092 3 US -- Z3 9vs Um1 GLD054983 0049-GLD-000054983 r V) U V> u Q 2 2O<S *O' -J: WQ s Z< ss D5 3 2<11/>1 a --I tu nu cu t 25 *J 3 ~ O o * o X o Z>" U3 < 5 00 H to O<S Zo 0 = 2 >> (t vs Z z K c: a. m o u O -- US SoS s K O f-- O W id e Poo ec j o h~= osco. 2 KUU WX H Id S -- << X - LU -3 >4ldH> < -5 K O <t yQS 595 W ja g IIi -- -- znUU33 a VUztul I,I * ow2 ca Kxo a. oao: I CX o uo O < SUo uo u o a. o o o o i ii ion iun u um Ii mSSI - os o, oas c/> o aOs vto> hC oin U3 *<- aos >in--a3 s --*< o g= ti o S - --c c c s- sn If. -- M z ss : M ---3 > "< (2 i 3= -J 2 l MS U>cl i' fyoi.. wwst i -- z *: oX-"llil cu w eoc k ** IIIp 2S V> C2 ^u) aUJ. tt OZ J-- O S3 S CO -I > r* h A *-4 S^ IS <3 O Ul >u zo < OS X os oH Vz> Z -d GLD054984 0049-GLD-000054984 INCLUDES THIRD PARTY SUCRES 8 .8 8 5 .0 0 0 oc ooo ft. I ) mM B> -- I CO t?: i ft. / < S EO i* Z< --=S O lI O-- VX) aUs H< "3 -- 3< Z -- V> M os . J ?i HVS fXHt] > c as o u as a. a. zo_o] 2o_e] L> L> ede] aos E> O VI <zc z-- X to s--~ oX 05 31/08 __________________________________________________________ L IA B IL IT Y HlKKIC.N INUKUI.YING INSIIKAiN'I'K St":jKIH!LK $-1-78593 A1U ECUADOR-_ VEHICLES as " UJ ft XC 3S <t - x a. x xa P5 id ui Xtz os_ co g 5S - ft. >-- IwA o os o l4KO/I M<56 Ua<t Zf-- tZ-. Mt-- --ft. Iod Oo Su i ziOd 1i-d aos CO Q << M Z--t uCl) < AC as o 1 es . Z US3 C ft. Id M GLD054985 0049-GLD-000054985 FlWKWN UNIlKKl.VINfi INSURANT SCHKIHII.K 3 o v> tc a. oo o o ooO 10 Xtl! XlO <-- X -4 o. n w <0 >4 Cd JH c Sg OJ >o to . S3 a. a. r U >9 >-* u XOJ iX-- > OJ ao <> O- otf KO H! 8 Nk o-- N '"v WOO M Ot>W o o u a. Xtxa Xus Xuxi ux se w*<ve Oooo*r -< <0 Ol >U >U >u <6. xtsaxxuxuuas XXX U ti) U XXs rt CO ss oa eo oxIo Iii vuo.; a<-- > te EWm >J o_i >a a. < to J 2 - CL > VJ 111 o a: z (A 7: P ' * T. O *J X >-- O CO < <Ko* << <A t/i oo uo as z CO t- CO CO ^ O t9> 9) <*7 <* Irt V) <s <* LJ > "* CO -- oa to S< 5-j GLD054986 0049-GLD-000054986 *33 *-- uj >s- Z > 2ux 2 *jj S! f- i VJ t- a. EL I UJ < S ! S til -- 09 J f t- >> 5: ' j-iinj :iiv iiw u k r i.y in u in s u r a n c e s c h ed u l e c<a ----*s s: t I -5 " 5UOC1 -<--3 > tu-<e3 --<w-1o> EC < aEll *- 2 "^ v> 6* V) DOW H2 sg GLD054987 0049-GLD-000054987 r GLD054988 0049-GLD-000054988 GLD054989 0049-GLD-000054989 GKNKRM.'I'KUDUCTS I. TAWIt. I TV - AGGREGATE LOSSES GLD054990 0049-GLD-000054990 ( oo to CD C*7 CJ O r oo O U> if> AOCKIiOATi; l.tWHl-H- G&NEHAUI'KOHMCTK I.U H IL IT Y GLD054991 0049-GLD-000054991 I*A<SK f O oo fg n*? IO e r vof>> O O i in p> _<HO] N ft 0<'JN0*-'*-i P -- mt" O DFt fvu WW rO- *1 ein~ o O ra n oj c 1-O-rOWOOCM too tl- Va. _! tt V5 Vo. t- > V) `c l --s w v. tv-> S h --H o m ~a az a < GLD054993 0049-GLD-000054993 C/tWEHAUPflODUCTS L IA B IL IT Y - AGGREGATE LOSSES GLD054994 0049-GLD-000054994 1.423,772 421 383.113 378 rr o o rCm* O n P5 oo CO a n I <9 0 O <0 O O O o w o F> too o o N to eia Vk 1mA o o oto> ccoo OoO o < oo oo o o oo 1>1 o v> tQo o <9 t'J o o o c- Oo O o O rv> O H to X. X03 X. Ow < es 1.043.659 43 GENERAL/PRODUCTS L IA B IL IT Y - ACUiRKGATF. LOSSES TOTALS 0049-GLD-000054995 cr e oo o oo oo oo >00000 Ct-4 oO M c. I o o o oooooooooo MOO oo oo o l-o o d o m o ono coooooo oo o * u f oo o Mi o N o on9> o p- o o o o o o o o o o o o o woonor'-ooooo s oooooo^oo > CAK1S8RQ0K INDUSTRIES MW MANUFACTURING GLD054996 0049-G LD-000054996 GLD054997 0049-GLD-000054997 -AUTOMOBILE L IA B IL IT Y ACGKRGATE LOSSES GLD054998 0049-GLD-000054998 GLD054999 0049-GLD-000054999 ( o f \fi IO Oo C<O6 ocooo o * t ni O ^ o m co O oj On u T O o*->< r- O M O <0 o N y-t N o zhi 0c. </ o P4 t M oo OOOOO DO O O OO OO O AUTONOIUU 14A!<;I.ITY - AGGREGATE I.OSSRR GLD055000 0049-GLD-000055000 AUTOMOH I I.F. L I AH I I . I TV AMRKiSATE LOSSES = GLD055001 0049-GLD-000055001 HANSON IN l't'S T U lK S IT ,M .. GLD055002 0049-GLD-000055002 f S r M t* |2 4 GLD055003 0049-GLD-000055003 rr r- n o r- ^ 5? IT) O o> o <oo o r* <0 <y> > coj o oo neoo p- wv-** <n t^o <0 n 4P> <0 CO Mn rt rs t- oa < - -- c m o i c* n CM tts- <--S vO in CM CW~ o cw- o no n Vi v n U5 r- -* <c crt oo wa M CM o CM <a O o o Zu: r- 0> c. c o o a*T t- o CIS o o-*ooooo z a33zo fUIL. HANSON JNO rvrRJRS. F.T.M,. I GLD055004 0049-GLD-000055004 rr PAfiE 8 HAXSON INUIISTKIRH. MTAI,. ss OO 5 c V7 o 10 CS3 O O O lo tr> c H (/> < 8 GLD055005 0049-GLD-000055005 iMNstts is i > :s ii;ii:s . k t a i.. GLD055006 0049-GLD-000055006 { <t-- o o n 9 o r\*a c* <? q u C O O O *7 <0 c Vi <N) 0) C-M* ocooooo^ O CO <A r- w sLrl: ft o o o so * *3* CO 7O. ?: Cj o oo>(U < UCL 7, C tA OCf. o <_s t: CJ if) U A N ^'X lNIH'STIU litf . UTAJ.. --^ w 4j u v / 0049-GLD-000055007 o ao IA U. c <. >U<9 E<-> {as fc. E4 W2 CaUKl KUUn>J sOMft. aUs as M HUCS BBi"- o<<a.*<o as h oC0d .o'S". u 12 t1cC Q Uft. h S<S U Wa lil ->i -t- Uf1- ee MB S<C < fcj QBJ X~ OUJ ~ft3. >3 < E ft. J -3 S < u <-i ) I ) rROIlt'CTS/GENBRAI. M A i m . m sn oo o 1<- % I5 6 tcufaotl cM4c ao: cUJ. 59f. GLD055008 0049-GLD-000055008 CLAIMANT SUSTAINED ELECTRICAL SHOCK. RESULTING IN LOSS OP VISIO N. QUESTIONABLE IF OUR PRODUCT ACTUALLY INVOLVED. f O hi W tH t- t/5 2 Oaws wus zu 05 O <a aus ueej es -a BO< <-(0wuaos5->s toz<z--aou-> uKas>a>- ZUO JJ<U<K V> V. O 85 IhII i1l1l1 Qu J S3 m ' hUi 3< 3S "Q tZ- (auods) >f--- B. >3 B, - aen (- tu<h z< zo ~ (J V Ja < - a u z5 g-g O< 1Z--a-J-3H-a3 z tuo Z< H "Z a2 usa Z<oXEo---OZsw>o>Oo"-oua ee a. a <-> o as zs O MH O< h< r- e u a m to < era 125.000 nm in:Ts/ui;nF.R,M . 1.1 a r i i .i t y 0 ' BI ZACKERY PH0CT0R-SCHWAR7Z -- tc -- GLD055009 0049-GLD-000055009 r o g O K ftj H HO -O tJ U] 3 O xa ft. wu na 2< (2 > >1--f is s IU HH 4 0d <e fWt. ft, 1 > j u U OO Va a PRODUCTS. GENERA!. L IA B IL IT Y` H g2 GLD055010 0049-GLD-000055010 PRODUCTS/GENERAL L IA B IL IT Y ( K >H. Wa-. o GLD055011 0049-GLD-000055011 HANSON INIHISTK1KS . ETAI.. (( i l < v. -* GLD055012 0049-GLD-000055012 POLICY YEAR 1982 TO 1983 GLD055013 0049-GLD-000055013 a mz <Jg i iunife t=^ ! s Sd I U E* U- 8$ 'LU Ulli/ -- cn id**- _ li 1 SN ~u Q.1- isa; k'H u~afn- o---o=. u~j uc xi o_ $ 33 $ a. lilui Ju 1(-T4) i1Q00N3 goI"- fc?SS8fcfcSj!:SjP:i9 33!GK! K!8fi SfcRPgS 8S v<oo--3 r^c~no cr -or.rv-- <v !r - v 5* Sw^ s,< s- v s, V-s, >, SV SN NS NN S\ SS NS Ns N q1n iStin nSSirt -?t ^!= s8 (ON iSff ?in *Ca3 OCINSV5. ls>*S-sNCt5TSS*r2SN<sPV1! Nh VS tv!5Ov CCVOCQS) ^Ov5fV* CS.SIsV* 54V J8 ss S3S8SSB3Bg3 8SSSB8 -ah---N----s-a-t----oa----ar----n---n---o-*roo or-*o -* Or*-*o oo n o -o o-- o l 0 3s! dill sis! 3d 3l d3 dd dl $& ds! 3333 1 p^l sis! dd llij fjl di 13 Id d 4, ! ^ " 0 ?? Ilf- o $ 5*55 5*55 55 55 55 55 5 5s 55 5555555 55 55 5| Is 55 5s 5 c) >? GLD055014 0049-GLD-000055014 z u. P i: 1 ...s *4 53 tji V. ?Q3 S 12 a*&s hIJ c '0 g^U1 3ui2tn s=|g Py ft ?r U13U --0. 7i SJ- Ih Srrt r $p ?* ?*5 r ;rP" lrP- :to5 ffijClCf to r- inin r- -o m-< r*- c*- N p~ r- <a ajj ir* ip--.tfrTi->i-1rt***o1*utr-o-j "r-S -r>^>0 ~irv-Qr-f-s- ssSS iJssisSisSa s r 3 gg ggg Ss gg are Nn to a *-*9 r tu aj<o ss ss iMn aDC-5Nfs osS-sN>. Cs.- Os oV oN pV s>. -- a - a i.V3Sfs, NjnS cS'jS^NSaS cN\*osfrs-rss oaoo noa-- - op -s s s ss Ns"*NsQ Cs-s_O ** ss sX NN >30 - w a-* ss ss a!Qta2 oCa: o o o o ooooq o q o q oo go |o o q gg oa gq jo go am gq gg go go gq g Si3^ mw SSi 8$ w wSSi Sl SsSfel SS ul jnS b $$ 88 88 8S! 88 8 ao t u) yjggg ufeujgg igujcijuj ujiijgig ujg uj ujiijuj ujg jgjg ujuj gg gg gg gig gj gg gg g *5 l is I <.- <t !Nm5o _ _ -- --ffi _l< 3 UE U1_J 3S2 n^tijSgp xydo ss 60S3 ~ t_> UU UU CJUOU ObJ GLD055015 0049-GLD-000055015 =.AGE2 * w. H p s Sa Si id -O if> -----f-o ("n-r- sOJa^CgO. rsr-.r'k<-- CIO r-r*sf..S "srh.*-tM MO pg 5v; o O f*> 1 II s V- ta l l 1 tt> o qp 11 d dd tn uun l1 _l Qj 3 9 1 1Su> as U- Oj UjU| U[Oj UjU| U|U| U| dsa si ( GLD055016 0049-GLD-000055016 c m lal 5 >- o 5 500 $bU ( in i. . 4O s Kb gg s LQjU Isi $w SOS a a SU olalo_ ya5 52 65 r* o --. m S{2 Sap in a 54 *S, li-.'$S gQ II m 5 d tngl siEsj Bii PI1*3 iU (p $ ao ^. SEu 300 &y <t iis a 3* o?!S S Bo- i 5 S iMWStXv INDlSTPJf-S* STA. GLD055017 0049-GLD-000055017