Document Jmg6ar1BEZ15Q2d9Jgm6aqEZ
LEONARD W. RILEY, JR. EXECUTIVE DIRECTOR
TAMPERING WITH THIS LABEL NULLIFIES THE CERTIFICATION
TEXAS WORKERS' COMPENSATION COMMISSION
SOUTHFIELD BUILDING, MS-96, 4000 SOUTH IH-35, AUSTIN, TEXAS 78704-7491 (512)448-7900
PLAINTIFF'S EXHIBIT
STATE OF TEXAS COUNTY OF TRAVIS
CERTIFICATION OF SPECIFIED INSTRUMENT'S!
I, Rachel Solis, Data Entry Operator and Custodian of the Records of the Texas Workers' Compensation Commission of the State of Texas, DO HEREBY CERTIFY that the attached are complete copies of the IAB Form 9's(Notice that employer has become subscriber) for the period of 01-01-79 to 03-01-84 for:
Lone Star Gas Co. MBI#901833700
I FURTHER CERTIFY that I am the lawful possessor and custodian of the records of the Texas Workers' Compensation Commission of the State of Texas.
IN TESTIMONY WHEREOF, I have officially affixed my name and caused to be impressed hereon the seal of the Texas Workers' Compensation Commission at 4000 South IH-35, in the City ofAustin, Texas on this 28th day of February, 2001.
"This document is signed under the authority delegated to me by Leonard W. Riley, Jr., Executive Director, pursuant to the Texas Workers' Compensation Act, Texas Labor Code Sections 402.041-402.042."
Rachel Solis, Insurance Coverage Department
Tex. Lab. Code 402.042, 402.081. Do not remove any of the records or detach this certification page. These actions nullify the certification.
An Equal Opportunity Employer
ifejj$l, 0Bb*M to tMiuttrtat Acoldant Board a;
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*** namadamptoynrhaaMet**a tubaorlbaruntWfMklAondamendmantamvMMtorihojwywgdo .-
ana pro4*ton* tharact Any (nauranca company fallira lo Ilia mu noMoo OhaM ba Hrtte torfl|td afiall Py to to siala of X***a panany^iwraiorail
r>aHwnmodDoairi(tsoooottor*aetioltana,(Aiiiya9306.*i8f
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^>*a eomtaga wffl ramaln in a*ac( unM Motlea o Cancailatlon or Nonranawal of Oompanaattofl toaur*rtb*(tA8 Forth #91 la fitod with (hat
ooas-i-saia*aaquan( notloa o! oovoraea i taeoivaO by Iha inOuatrtal AcoNtanl Board. (Artlcl.t #39fl, tBOa, amandaUIH -Ml
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INSURANCE COMPANY SION HERE (DO not use oroup name)
*JBKL-
POLICY NUMBER:
PLOVERS1 INSURANCE ASSOCIATION iNsimawc* company on ai
759, DALLAS, TEXAI
SH
SlAjlATURE HERE CONSTITUTES NOTICE ON BEhJCF of INSURANCE COMPANY.
EFFECTIVE FROM: 3-1-fll*
' 'W
Kl NEW POLICY
V'
PRIOR POLICY NUMBER:
'
REWRITE:_______
;i-f35risskt
\
r'!` V'.;"
AGENCY WRITING THIS COVERAGE:.
"aTOHESSIMMEDIATE PRIOR COVERAGE WAS IN EFFECT FOR PERIOD FROM: TyiryB Yearn
MfiNfsaWBWr
TO:
THROUGH: (INS. CO.) Zurj0h
(NOT RCPUIIUO IP RENCWCO IN SAME COMPANY)
.POLICY NUMBER:.
,iteSNl&jlL-l,- irr, "Mki
SCOPE OF COVERAGE:
R ENTIRE STATE OF TEXAS (ALL OPERATIONS)
PROPRIETOR AND/OR EXECUTIVE OFFICERS INCLUDED NOTICE: FOR DIVIDED RI8K POLICIES COVERING SPECIFIC JOBS. JOINT VENTURES AND FOREIGN OPERATIONS MUST BE FILED ON I.A.a FORM 154 REINSTATEMENT: REVOKES CANCELLATION EFFECTIVE
OCCUPATION OF
insured: Concrete Conatr HOC ft-D
BOARD* ^f^AMP ^Ja
ANY ADDITION OR DELETION OF A SUBSIDIARY CORPORATION
WILL REQUIRE IMMEDIATE NOTICE TO THE BOARD GIVING DATE EFFECTIVE. A SUBSCRIBER SHALL NC HFY THE BOARD OF A CHANGE OF NAME OR ADDRESS.
BELOW: LIST PRINCIPAL CORPORATE NAMF FIR5T, GIVING HEADQUARTERS ADDRESS: THEN LIST EVERY SUBSIDIARY CGrl- 5
PORATION DOING BUSINESS IN TEXAS AND PROVIDE ITS PRINCIPAL TEXAS ADDRESS. ALSO LIST EVERY OPERATING OR V'
DIVISIONAL NAME USEO IN TEXAS AND PROVIDE THEIR LOCATIONS CONTINUE LIST ON SEPARATE SHEET AND ATTACH./' ,a
EMPLOYER/INSURED:
_________________________________:^_________________________________________
${f
V8L Corporation
i
c/o Michael Wheloni EHSERCH Center *f D QV
300 S, St1. foul Dallas. Texas
_ ____________f.__________________________________________!________________
' V-'V
V
'TV:
h -
Additional location;. .Home, offlaa 1Q1 Albright Wav. Ixm ftatoa, Callf^^
T.ATB TAB EXCUSE:--Me ttnnlnaif.c fnr t.he rlelny In nmUng t.hHn filing.
an na/nemhlp rhanfla nn t.hla rlak.MO Mars rniahla thla m^ng^ug^li thla timau-
-01-gJJ
nN.aln (h4l
I as far* 20 f*#v. 2-031
TEIA3013-H (10-83)
ORIGINAL COt'Y
te^p-wi^oFionWnBl!!!
V -'
--
lnaumn`c
No
NANS GiANOE KNDORHPMKNT
!<'nif>`r*u'm<*nl No,_.
It la agread that the Natse of the Insured In Item 1 of the Dcclaraiiorm of the Policy is lunrndod to read:
ERSERCW Corporation
*
Lone Star Gas Company, a Division of KN3ERCH Corjjor&tion Lone Star Gathering Company LOG Intragsus, Inc.
Lone Star Gas Company of Texas
Lone Star Energy Company
EK3KRCH Exploration, Inc.
EKSERCH International Exploration, Inc. Pool Company
Pool Well Servicing Company, a Division of Pool Company
Pool Offshore Company, a Division of Tool Company
Pool Operations Support Services, a Division of Pool Company
Pool International, Inc.
Samson Ocean Systems, Inc.
Samson Cordage Works
Canada Ropes Limited
Metalex Products Limited Service Brouse and Brass Works, Inc.
Samson Ocean Systems International Corporation
The Livingston Corporation
Livingston OilweirServices, Inc.
D & G Machine Works, Inc. Gulf States Supply & Rental Tools, Iric.
Associated Oiitools, Inc.
EHSERCH Domestic International Sales Corporation
Associated Petroleum Services, Inc,
Pool Americas, Inc.
Intairdril, Ltd, Herb's Fabrication, a Division of Pool Offshore Company
Foam Air, a Division of Pool Well Servicing Company
LS Quergy, Inc.
Northwest Services, Inc. Olltoola Equipment Services, a Division of Associated Oiitools, Inc.
McKinley Oil Field Service, Inc., a Division of EHSERCH Corporation
-----
This endorsement shad be subject to ad of the terms, provisions and conditions of the Policy, and nothing herein contained shad vary, alter or extend any term, provision or condition of the Policy except as herein specifically staled. This endorsement forms a part of (he Policy to which it is attached issued by the Company designated on the Declarations Page and is effective from the incep
tion date of the Policy unless otherwise stated below:
(The information below Is not required when this endorsement is issued with the Policy!
POLICY NUMBER
WC-N-23619
CERTIFICATE NUMBER
ISSUEO TO
EHSERCH Corporation
EFFECTIVE
7-1-82 sioncd *t 51
G5296O
0001" oyk
8-2-32 mak
at the same houi of said date os the hour o( day provided by the Policy tor commencement of the policy period, and this endorsement shall terminate with the Policy.
rSCTHSnuary
Texas EmPLovBHB1 insunancB Associanon
TEJA 36760(12 761
EXECUTIVE"VICE PRESIDENT
AU1HOHIIIO REPRESENTATIVE
lfw*rxncv
Nn 8AMK CHAKOE EBDORSEMKNT
Kffi>ri*`im-iii No.
(" ,\
936
'> 3 ~j
It is *gr*d thnt the Nome of the Insured In Itn 1 of the Declarations of the Micy is amended to read:
EHSKRCH Corporation Lone Star Qua Company, a Division of ENSERCH Corporation Lone Star Gathering Company L8G Intragas, Inc. Lone Star Go* Company of Texan Lone 8tar Energy Company KKSERC11 Exploration, Inc. EHSKRCH International Exploration, Inc. Fool Company Fool Well Servicing Company, a Division of Pool Company Pool Offshore Company, a Division of Pool Company Pool Operations Support Services, a Division of Pool Company
Fool International, Inc. Samson Ocean Systems, Inc. Samson Cordage Works Canada Ropes Limited Ketalex Products Limited 8ervioe Bronse and Brass Works, Inc. Samson Ocean Systems International. Corporation The Livingston Corporation__ Livingston Oilvell Services, Inc. D & G Machine Works, Inc. Oulf States Supply U IVental Tools, Inc. Associated Oiltoola, Inc. EHSERCH Domestic International Sales Corporation Associated Petroleum Services. Inc. Pool Americas, Inc. Intairdril, Ltd. Herb's Fabrication, a Division of Pool Offshore Company Foots Air, a Division of Pool Well Servicing Company
L3 Energy, Inc. northwest Services, Inc. Oiltools Equipment Services, a Division of Associated Oiltoola, Inc. McKinley Oil Field 3ervice, Inc., a Division of EHSERC'.I Corporation '
vv
xis-
/ -
%
This endorsement shall be subject to all of the terms, provisions and conditions of the Policy, and nothing herein contained shall vary, alter otr eef^t^}pdd .any term,
provision or condition of the Policy except as heiein specifically stated. This endorsement forms a part of the Policy to which it is attached issued by the Company designated on the Declarations Page and is effective from the incep tion date of the Policy unless otherwise stated below:
(The information below Is not required when this endorsement is issued with the Policy!
POLICY NUMBER
CERTIFICATE NUMBER
WC-3-23619
ISSUED TO
ENSERCH Corporation
EFFECTIVE
at the same hour of said date as the hour of day provided by the Policy for commencement of the
6-29-82
policy ported, and this endorsement shall terminate with the Policy.
IGNEO -A-T--- 01 052960 0001'syk fl-3^5? Mile ~#30 January
----------
u ?7
^
Texas emPLOvoRS' mauRsnce Associanon
Dallas, Texas
TIU *760 0 2 7
EXECUTIVE VlCr PRESIDENT
ALIHORIZKO REPRESENTATIVE
HAMS CHA90K EHD0R3fcMCNT
It la agreed that tha Ham of the loaured in Item 1 of tin* Declarations of th Palicy la amended to rand:
KJBKRCH Corporation
Lone Star Gas Company, & Difiaton or ENBKRCH Corporation Lone Star Gathering Company L8Q Intrngaa, Inc.
Lone Star Qaa Company of Texas Lone Star Energy Company KKSKRCH Exploration, Inc. EKSERCH International Exploration, Inc.. Pool Company Bool Well Servicing Company, a Division of Pool Company Pool Offshore Company, & Division of Pool CompanyPool Operations Support Services, a Division of Pool CompanyPool International, Inc.
Thermex Energy, Iuc. Samson Ocean Systems, Inc. Samson Cordage Works Canada Popes Limited
Metalex Products Limited Service Bronte and Brass Works, Inc. Samson Ocean Systems International Corporation The Livingston Corporation_
_____________ _ ___________
Livingston Oiivell Services, Inc.
D & G Machine Works, Inc. Gulf States Supply A Rental Tools, Inc. Associated Olltools, Inc. ENGERCH Domestic International. Sales Corporation
Associated Petroleum Services, Inc,
Pool Americas, Inc.
Int&irdril, Ltd. Herb's Fabrication, a Division of Pool Offshore Company
Foam Air, a Division of Pool Well Servicing Company
LS Energy, Inc.
Rorthvest Services, Inc. Olltools Equipment Services, a Division of Associated Olltools, Inc.
McKinley Oil Field Service, Inc., a Division of SHGKRCH Corporation
This endorsement shall be subject to all of the terms, provisions and conditions of the Policy, and nothing herein contained si provision or condition of the Policy except as herein specifically stated. This endorsement forms a part of the Policy to which it is attached issued by the Company designated on the Declarations Page and is etiective tion date of the Policy unless otherwise stated below:
any term, the incep-
(The information below is not required when this endorsement is Issued with the Policy)
POLICY NUMBER
WC-a-236l9
CERTIFICATE NUMBER
ISSUED TO
EH8EWCH Corporation
EFFECTIVE
at the same hour of said date as the houi of day piovulod by the Policy lot commencement of the
5-1-02
policy period, and this enduisement shall terminate with the Policy
sioneoat--5052960 0001"iyk^^-8?"T)r^r5trJairaaTar
Texas EmPLOTeRS' insupance Ausocianon
TtiA 35760 <12-781
EXECUTIVE vlCI rNCSIOCNT
AUTHOHUIO RIRRCSKMTATIVE
Innmut 1\>rorm**frn So,
33SU
NAME CHARGE ERDORbEMETTf
Endnrp**;nfnt No,
It is agrtr>d t.:it the Name of the Insured In Item 1 of the Declarations < the F\>1 icy is amended to read:
KNSERCH Corporation
^i
Lone Star Ran Company, a Division of ENSERCH Corporation Oily \
Lone Star Gathering Company
LSG Intragas, Inc.
Lone Star Gas Company of TexaB Lone Star Energy Company ENSERCH Exploration, Inc. ENSERCH International Exploration, Inc. Pool Company
Pool Well Servicing Company, a Division of Pool Company Pool Offshore Company, a Division of Pool Company Pool Operations Support Services, a Division of Pool Company Pool International, Inc. Therntex Energy, Inc. Samson Ocean Systems, Inc. Samson Cordage Works Canada Ropes Limited Metalex Products Limited Service Bronze and Brass Works, Inc. Samson Ocean Systems International Corporation
The Livingston Corporation LivingstorrOilvell"So'ivices, Inc.
D & G Machine Works, Inc. Gulf States Supply & Rental Tools, Inc. Associated Oiltools, Inc. ENSERCH Domestic International Gales Corporation
Associated Petroleum Services, Inc. Pool Americas, Inc. Intairdril, Ltd. Herb's Fabrication, a Division of Pool Offshore Company
Foam Air, a Division of Pool Well Servicing Company
LS Oiergy, Inc. Northwest Services, Inc. Oiltools Equipment. Services, a Division of Associated Oiltools, Inc. McKinley 013. Field Service, Inc. , a Division of ENSERCH Corporation
|| q/]iJ
%. 6\
`"Is.
This endorsement shall be subject to ail of the terms, provisions and conditions of the Policy, and nothing herein contained shall vary, ^Jter orexUtAd any term,
provision or condition of the Policy except as herein specifically stated.
^ V'>
This endorsement forms a part of the Policy to which it is attached issued by the Company designated on the Declarations Pago anddfr-effeOtive from the incep
tion date of thw Policy unless otherwise stated below:
r . '
`V <V`
(The information below is not required when this endorsement is Issued with the Policyl
Vo'Kh
POLICY NliMflCft
erRTiriCATe NUMBER
ISSUiCD TO
WC-H-23619
_____________
ENSERCH Corporation
effective
at the Eame hour of said data as the hour of day provided by tho Policy for commencement of the
fc-22-82
policy period, and this endorsement shall terminate with the Policy.
eioHto at --(51 052960 OOOr~ByTT8-2-d? Diflk T30 January Texas EmPLOY8RB' inBunance AShacianon
Dallas, Texas
TfcJA 36760112-76)
vicecxccutivc
phcsiosht
Kndornoninnl No._
KAKK CMABCK 23DQ83EMEMT
m *>yi
Xt Is ugreod that the Book of t*e Inaurd In ltn 1 of tbn Dec 3a rat iorui i'! /HO'
th Folicy la tuseadod to road;
^
UfcSEflCH Corporat Ion
,
XiOne Star Gas Company, a Division of FB8EBCM Corporation'
t^ne Star Gathering Company
LSG Intragns, Inc. Oo^
^
hojo Star Goa Company of Toxas Ue Star Eoern>- CoupanyCfcA
EfWSflCK Exploration. Inc.CP-^
'
/'
KKSKKCi) International Exploration. Inc.fcAb POO? Co!firi.n7 Pool Well Sorvlcing Company, a Division of Pool CoapanyO.^^
Pool Offahory Company, a Division of Pool Companyi Pool Operations Support Services, n Division of Pool Company 03t
Pool Intercational, Inc. 0?D
Tcensex Energy. Trjc. Or\0-'/'
3aisson Ocean Systesi. Inc.
Saason Cordage Works Canada Ropes Halted C> "Dt* bl>t>
lietalax Products Liwlt'xi
C?>c\
Service Dronaa and brass rforka. Inc.o4bjViVi("*b`'>
Sanson Ocean Cyst-.* International Corporation 04'c>
The Livingston Corporation 043.j
Livingston Ollvrell Service^ ..Inc. 0^1)
D i G Machine Vorka. Inc. O'l'WkUl Gulf States Supply A Heatal Tools. Inc.0^ >c
Associated Oiltoola. Inc. o4U
.
EHSLRCH Domestic International Sales Corporation 04l
Associated Petroleum Services, Tnc, O^O
Pool Antericas, Inc. 0^
Intalrdrii, Ltd. 0*>'j?
Herb's Fabrication, a Division of .ool Offshore Company04-
Foam Air, A Division of Pool
Oervielnf; Company Obi^
Li> Lnergy. Inc. Oto0 northwest oervleea, Inc. O'^
f
Jerry Plnkley Transports, Inc. , a Division of Pool CoapanyCXpA
^
Plnkley-KIrkley Truck and Ur*ne, Inc. , a Division of Jerry PinklcyO^O
! r&ns portu, Inc. 0l^)
#32
-ai j
This endorsement shall be subject to all of the terms, provisions and conditions nf the Policy, and nothing herein contained shall vary, alter or extend any term, provision or condition of the Policy except as herein specifically stated.
This endorsement forms a part of the Policy to which it is attached issued by the Company designated on the Declarations Page and >s effective from the incep
tion data of the Policy unless otherwise stated below:
(The information below Is not required when this endorsement Is Issued with the Pollcyl
POLICY NUHete
CCPTif(CATC NUMBER
ISSUED TO
received
WC-lS-23619
&SEKCH Corporation
trrtcnvi April 1. 1?2
at the same hour of said daio as the hour of day prrovided bsHf*y ftoffty lor c omrmmcement of the policy period, and this endorsement shall terminate witfjUff UilfcyP^
iioNto'AT---- 01 052960 TXJOryjr5-2f5-52' 111k"y3D-January
Dallas, Texas________
Texas EmmpPLoyens1 inisMuDnU' Bfiexwttiaa8#
AUSliH
T(A 36760(12-781
EXECUTIVE VICE PHCSIOCNT
AUIHOMIJCD ME Pet SENT ATIVC
tMWM* fMtotuin No.
__ NAMF CHANGE mORSSHKNT
Endorsement
rA"'-p 37
It. is isgrr-r'd that the Name of the? Insured ill Ttom 1 of the Doclarationo o: the Policy In amended to read.
KBSERCH Corporation
IjOne Star Goa Company, a Division of ENGERCH Corporation
Lone Star Gathering Company
LSQ IntrngttB, Inc.
Lone Star Gas Company' of Texan
Lone Star Energy Company
EHSERCH Exploration, Inc.
ENSERCH International Exploration, Inc.
Pool Company
Pool Well Servicing Company, a Division of Pool Company
Pool Offshore Company, a Division of Pool Company
Pool Operations Support Services, a Division of Pool Company
Pool International, Inc.
Thenuex Energy, Inc.
Sanson Ocean Systems, Inc.
Samson Cordage Vor\s
Canada Ropes Limited
Hotalsx Products Limited
Service Bronte and Brass Works, Inc.
Sanson Ocean Systems International Corporation
The Livingston Corporation
- Livingston OllvelJ Service, Inc.
D & G Machine Works, Inc.
Gulf States Supply & Rental Tools, Inc.
Associated Oiltools, Inc.
ERSERCH Domestic International Sales Corporation
Associated Petroleum Services, Inc.
Pool Americas, Inc.
Intairdril. Ltd.
Herb's Fabrication, a Division of Poe! Offshore Company
Foam Air, A Division of Pool Well Servicing Company
^
LS Energy, Inc.
^
Horthwest Services, Inc.
3>
Jerry Pinkley Transports, Inc., a Division of Pool Company
Pinkley-Kirkley Truck and Crane, Ire., u Division of Jerry Ptnkley Transports
Inc.
Oiltools Equipment Gervicerj, a Division of Associated Oiltools, Inc.
McKinley Oil Field Gnrvico, Inc., a Division of ENfiEHCH Corporation
Allen's Trucking. Inc,, a Division of ENSERCH Corporation
/
j
This sndorsement shall be subject to all of the terms, provisions and conditions of the Policy, and nothing heroin contained shall vary, alter or extend any term, provision or condition of the Policy except as herein specifically stated.
This endorsement terms a part of the Policy to which it is attached issued by the Company designated on the Declarations Page and is effective from ihj incep tion date of the Policy unless otherwise stated below:
(The information below is not required when this endorsement is issued with the Policy)
policy number
CERTIFICATE NUMBER
EFFECTIVE
-February-25. -LiisLl-
sionecat 01 053060 000! ayfc
Dallas, Toxbs
ISSUED TO
EflSKRCil Corporation
at the same hour o< said date as the hour of day provided by the Policy for commencement of the policy period, and this endorsement shall terminate with the Policy.
ens1 tnauBance Asaoctanon
TEIA 3S7SO 112-78)
EXECUTIVE VICE PRESIDENT
AVItMOHUSQ REPRESENTATIVE
lmuranr* Orwnmlnlon No, .
3381U
NAME CHANGE nNDORSDIKJrr
F r.tnrwraant Nd^
It ib agreed that t.ho Name of the. Injured In Item 1 or the Declaration* of the Mtcy In ajuemU-il to road:
EHSERCH Corporation Lone Star Gas Company, a Division of ENSERCH Corporation Lone Star Oathorlnp Compony LSG Intrugan, Inc. Lone Star Gas Company of Texas Lone Star Energy Corfany ENSERCH Exploration, Inc. ENSERCH International Exploration. Inc. Pool Company Pool Well Servicing Company, a Division of Pool Company Pool Offshore Company, a Divicion of Pool Company Pool Operations Support Services, a Division of Pool Company Pool International, Inc. Thermex Energy, Inc. Samson Ocean Systems, Inc. Somon Cordage Works Canada Roues Limited Metalex Products Limited Service Bronie and Brass Works, Inc. Samson Ocean Systems International Corporation The Livingston Corporation Livingston Oilvell Service, Inc. DAG Machine Works. Inc. Gulf States Supply & Rental Tools, Inc. Associated Oiltools, Inc. ENSERCH Domestic International Sales Corporation
Associated Petroleum Services, Inc. ' Pool Americas, Inc. Intairdril. Ltd. Herb's Fabrication, a Division of Pool Offshore Company Foam Air, A Division of Pool Well Servicing Company LS Energy, Inc. Northwest Services, Inc. Jerry Pinkley Transports, Inc., a Division of Pool Company Pinkley-Kirkley Truck and Crane, Inc., a Division of Jerry Pinkley Tr^portatf^
Inc. 0iltooi3 Equipment Services, a Division of Associated Oiltools, Inc. McKinley Oil Field Service. Inc., a Division of ENSERCH Corporation
This endorsement shall bo subject to all of tho terms, provisions and conditions of the Policy, and nothing herein contained shall vary, alter ^extend any teim,
provision or condition of the Policy except as herein specifically stated. Tbit endorsement forme a part of the Policy to which it is attached issued by the Company designated on the Declarations Page and is effective from the incep tion date of the Policy unless otherwise stated below;
(The information below Is not required when this endorsement is issued with the Policy)
POLICY NUMBER
CERTIFICATE NUMBER
I8SUEO TO
JfC-N-235x2.--
EFFECTIVE
February 2. 19fl2
iohid at
^52960 0001
Dalfas, Toxas
syk
4-2-U2
ENSERCH Corporation
at tne same hour of said date os the hour of day provided by the Policy for commencement of the policy period, and this endorsement shall terminate with the Policy.
Diskyy^cgJyu^jtj^p^r^yQ^Q. masjB&ncB Association
tftnmuM* rnmu.ion No. _
HAMK CHANGE ENDORSEMEriT
fl\ "-j- ';''I/ KntierBCrUOCi No^,
A) ^ `
Tt ia ogrcni Hint the Name of the Insured In Tt't*. the Policy Id srae:;ded to read;
:-T the Declaration;:
SNSKRCh Corj oral ion Lont; Star Gas Company. a Dlviaiou of ENUERCI1 Corporation^ L \
Lone Star Gathering Company V, LSC Intragap., Inc. ill; Lone Star Gao Conjiany of Texan1, Lone Star Energy Corajiany \\
\ )
EWSKRCl! Exploration, Inc. n; ' ENCLRCH International Exploration, Incl ^ j
Pool Con]vnyt. ^
Pool Well Servicing Company, a Division of Pool Company1, > L'\
Pool Offshore Company, a Division of Pool Corapany ^ ,
Pool Operations Support Services, a Divis ..hi of Pool Company^. Pool International, Inc.lJ^O'
, '-\
Thertoex Energy, Inc.
Samson Ocean Systems ,. Inc,f Samson Coi'uOge Works ' j
Canada Ropes Limit .`d
'
Ilet.alex Products Limited'.
Service Bronze and brass Works, Inc.
,I
Samson Ocean Systems International Corporation! H !
The Livingston Corporation
S
Livingston OilWeil Service,
D & G Machine Works, Inc. C,'Al~V
Gulf States Supply fc Rental ^I'ools , Inc. (f.l.' ',
Associated Oiltools. Inc.^^L'
EKSERCIi Domestic International Sales Corporat ion !}\m
Associated Petroleum.Services. Inc. O' %
Pool Americas, Inc. t'v \
Intalrdril, Ltd.
Herb's Fabrication, ^ Division of Pool Offshor.; Company'^'.
Foam Air, A Division of Pool Well Servicing Company
LR Energy, Iim.^X^
,
'
^ <~
^ '%
Northwest Services, Inc.Uuy
,
Jerry Pinkley Transports, Inc., a Division of Pool Company CVi
<- V'\ ^'i
Pinkley-Kirkley Truck and Crane, Inc. , a Divislot of Jerry Pinkley Transport3V
Ir.c. Oiltools Equipment Services, a Division of Associated Oiltools, Inc.
*
This endorsement shall be subject to all of the terms, provisions and conditions of the Policy, and nothing herein contained shall vary, alter or extend any term, provision or condition of the Policy except as herein specifically stated. This endorsement forms a part of the Policy to which it is attached issued by the Company designated on the Declaiations Page and is effective from tho incep
tion date of the Policy unless otherwise stated below:
(The information below Is not requlrod when this endorsement is issued with the Policy)
POLICY NUMBS*........................CIPTIflCATI NUMBS*'
iSSUSD TO
uc-ri~L'di>v.>
crrccTivc
January 1, VJ&2 01 052^6 "0001
syk
i-2-02
KHSCKCH Corporation
at the same hour of said date as the hour of c'-y provided by the Policy for commencement of the policy period, and this endoi moment shall terminate with tho Policy.
WV^^iWpLoyeS' insurance associSt,an
Dallas, Texes_____
(EiA 3S7SO (I! 78)
tKICUTIVX Vice -KCSIDCNT
AUTHOWUCO WCPWCNT*TIVK
gR.
f'
rw* CFtASOX VBCOSSSHm
\ <X
rJUJU*1 -'****
It ! Ar<*rd Ibftt tt a&sy> of tb? Inenrnd in It.vw 1 of th Doclr*tiont of th* Policy Is ar-rsd-M to road'
tSrSRCR Co'-pornt', in
Lon* 3tar Oas CojBjgan/, a Oiir!on cf <HrtniC?l CorporatSon
Lon* Star C*t! t*rln;5 Corirarn
ISf> Intr%<pji . Inc.
Loo* Star Can Company o' Texas
Lots 3tar K*rfcj' Cocr*.r.y>
>3lSRCH Sx;t 1 oral ten , Inc.
SXJIRRCH Intarnat tonal Ejplorat Vers. Inc.
Pool Conpany
Pool Veil Servicing Cospany, a Otvlalon of ?'ool Company
Pool Offshore Coapany. a Pi Piston of Pool Coepany
Pool Operations
"'rviee*, a Division of Pool Coapany
Pool InternalJonal. Tec. fh*r*>x -n'r.-y, Inc. S&sson Ocean fiyst.-rua. Ir.c.
Sanson Cerdag* Vorxs Cana la Ropes 1.1 Rite-.! Metalex Products I.init-*:l
Service Sronrc and Brass Woriin, Ine. Saacon Ocrar ilyst-tas International Corporation
T&c LiYtiiiTStoo Corporation
Lt vtagstorr-Odiw*H
--
Dig Paebln* Vorfca, Inc.
Oulf 3tat<n 3uppJy S Rental Tools. Ir.c.
--- -
.. . ___________
Associate! OlUcols. Inc.
EYHEHCsi Dotcottc Xntrrnat iona! 3al.a .*orpo.~at iou
Associated ?:trelcuc :i<erTlcce . Ire.
Pool Anerlcaa, Ir;c.
4
Jntalrdrlt.
2-rrb's Fabrication, a Division or reel C-ffsbore Coapany
"caa Air, A Division of Poo'. Vli furvlclnf: Coapany
L? Eaersy, Inc. Bcrtbvest Services. Inc. Jerry Plniley Tranapcrts. Inc., n Division of Pool Company Picfcley-lClrV.l-y Tract end Cr*n. Ine.. e Division of Jerry Ptr.kley Trarmporta,
lac01'.tools Ftpiipoetit CttvIccs, a Division of Associated Olltoola. Ire.
(C03TI311O)
__________
This endorsement shall be subject to all of the terms, provisions and conditions of the Policy, and nothing herein contained shall vary, alter or extend any term, provision or condition of the Policy except as herein specifically stated. This endorsement forms a part of the Policy to which it is attached issued by the Company designated on the Declarations Page and is effective from the-incep tion date of the Policy unless otherwise stated below:
(The Information below is not required when this endorsement is issued with the Policy)
POLICY NUMBER
VC-J*-5*o7<>'
ISSUED TO
f rrEcTivE JVbrwry i* . 19ft?
2'GNCO at
DnlUtt, T-?xa
i&S&Rdi Corporation
oi ihn some hour of said data as the hour of day provided by Ihu Policy lur commencement ol the policy period, and this endorsement shall terminate with the Policy.
tmoioveRS casuaLTY company EmPLOYeps fsianonaL insurance company EmPLoyena casuaLTY coppORanan EmPLOyeRB Nanonut insuHance conponaTion
EXECUTIVE VICE PRESIDENT 6NEC 17656 (12 771
AUTHORIZED REPRESENTATIVE
9
mutt oataoK HSDORnrwniT
u 5* ar<fd tJ-at the Ifam of the Inaurnd In Ito i or the acslsni'.i-i'i <^r th* Polity 1b OBcndcl to read :
KKSRUCH Corporation
Lrr.n itar Ota Company. ft Plvlfticn of Tilllf.RCM Corporation
l-cnr ltar Gathering Cop*h7 UCO lotrapae, Inc.
1-one Utur Oas Company of Texao
Uonr >ttar Energy Cowjm.ny
US35S1CI3 Exploration, Inc.
X3Kt'.3CH International exploration, Ine.
Pool Company
Pool Well 3<?rvlcto(; Company, a Division or Pool Coapary
Pool DfCshortr Ccapany, a Dlvistor. of Pool Cowpany
Pool Operation* Support Harriets . u Divio Ion of Pool Company
Pool International, Inc.
Thernox .Mnersy. Inc. Kaaiioo Ocean ''yet-ns. Inc-
Sanson Crjrda&tf VorXs
Canada ttopoa Lisited
Metalox Product* Malted
Service Srooxe and Drncu Vorlcs , Tee.
Damson Ocean :>y*t*cp Intcmatloaal Corporation
The D!vlngaton Corporation
Ltvl-a^rtou
oervicsf, Ine.
DUO Machine Worts. Ir.c.
Gulf vtatc* SoppJy t dental Tools, Ine,
Associated 011 tools. Ice.
K535ERCH DoBostic Internet Sene 1 Galea Corporation
AosocintoJ Petroleum 'it'rriccs. Inc.
root AscrlCft*. Inc.
Intairdri I, Ud.
ilfrl.'s fabrication, a Divio ton -< Pool Offshore Company
Foam Mr, A Division m Pooi '..'-l! Merviclr. Company
I? Inc.
Bortitveat Gervlemo Inc.
Jerry PlnMcy Tranxportu. Inc., a Division or Pool Company
^
*V>,
Pltitiry-Kirn toy True!: -urf Crsns. Ine., a Division of J.'.rry Pittiiay Trans p^qiSjis , ^/v.
IIX.
V-
<
OUtoots ilnuipiscnt Kerviee*, a Division or Associated Olltoola. Ire
McKlrsl7 Oil ricid L`<rvicc, Iric. , a Division of DSTfRC.'l Corporation
&>
This endorsement shall be subject to all of the terms, provisions arid conditions of the Policy, and nothing herein contained shall vary, alter or e^d any term,
provision or condition of the Policy except as herein specifically stated. This endorsement forms a part of the Policy to which it is attached issued by the Company designated on the Declarations Page and is effective from the. incep
tion date of the Policy unless otherwise stated bolow:
(The information below is not required when this endorsement is issued with the Policy)
POLICY NUMBER
VC-H-5^761
ISSUED TO
IHSSRCH Corporation
trrccrtvc `VDruary <?. 1 jf>2
at the same hour of said dato as the hour of aav provided hy the Policy for commencement of the policy period, and this endorsement shall terminate with the Policy.
8ON CD AT
Dallas. Texas
-rn-Otoit--fo?~ Janua ry
EmPLOYens casuauiv company EinPLOvens NariDnai insurance company EmPLOYCRB casuauTv CORPORaTIOn
cmPLOYena ruBTioneu. inaunsncfi nonponenon
EXECUTIVE'VICE PRESIDENT
AUTHORIZED REPRESENTATIVE
St.'s/ 'll A KG >. \3J5CS -bMUr:
1%
it :. ,-) .1 IVb *.lu ar>` 01 tic Lnur-.-i In It -it t K.- !*:>. iJ ,vsr ".<1 c to r.'it-i
a; t:.
I. - 'r( i-totloj.
:
t-ci.-- it.,r C-tva fct%r.j . UI . 11;c: _'l I'-IiCIi Jir; or : 11-m
' t.-. r Oat.'-.iir i r.; `"'c;.-.; a.r,> I,.*o , 1 t:C
Lor t>sr Ct,
,, Tv x*t!
Line 'Air ;:i.iry
fiT.MR"!! 5 uplorftt`o:.. Inc.
/I'..,..-I li.t.-rrtt ior.i 1 ZxvucraLtoii. l:.c.
i'c-oi :'taraiti
I'oo . 'A:!' '...irx lc J :.'ozy4,;.y. n L'l . a ir...
I'o^i Cor-jany
I'-.m! Qi"I'nlior-' Co.uj'n.'ij , ix Dt rlaisi) or i'Go. <Lijr.;inn/
I .Jpcrat idu* `i-.r^rort L *r/tc-a . a LI v I Murt o:' Px.-,'. CovnAr:y
rcoi lot riiuiioiutl . Inc.
rn 'i r.^rs> , luc.
.. triors Cci-an Lyst' sJ . It.t.
.stsor
Ncrt/i
'.JMk.lni f-'oy.ts J.l'sit-A
'Irt.r.I -r.
i I'.iit. J
r.lc-
-.'i ;)<.*3 `I'.ir'i . If-*.
`.`a sunn yc'iflii iiyntcios I:it.:rivttiofit 1 LoryorAt \cr.
.T. i.I vlr,;toc Ccr;ior.`it ;o:i
rjato.. Oiivii ;; r.cr, i-,;.
Ji 0 like'.', ['m Vfcrtj, Ire".
G\:ir 'it t-a Lu;.;'.y &
Tooiz. I no-
A.* a eel a. !..;! Olltociis. Itic.
:"i*. jd'ni.'l fJowAt it Iiit. rnut lor.*; 3ft I', j Or-.or&t i-jii
Aot.-.c.' at J fYA re. .;i:r '!c-r. . 'Inr.
Poo- fis'rirti. Ir z
rUri - . uj,
P r'..'i
c^t.oi.. u yr'-i^'-.i;, Lu.v. >I itl rr .r-it.y
r.>ir Air, A D: ' i : or. r.r ("..'
: L.-rv tcr.,- "or;-i r.y
' r,-,y . Ir.c.
!Jc-ri.'-,v.-at
ters . I".c.
J.irry j'.tiYI.v
. ir.c. . <- .'3; v. o . on <>: tot.
r I ni. i-j-ti rr. I "rucr. i:.4 Cr-ti'.. It.u., - ti.Muloi; o" J-.-rr/ L-in.t.
,>
^ I egr. r^,rt t. .
ojp
Oi-l'OO-A .
At . r t ic r`i . s
Act f-tl J t-'i*:-,
This endorsement shall be subject to all o! the terms, provisions and conditions o! the Policy, end nothing herein contained shall vary, alter b^noxtend any term, provision or condition of the Policy except as herein specifically staled. This endorsement lorms a pan of the Policy Ic which il is attached issued by the Company design.,,...I on the Declarations Page and is effective fuitn the. incep tion date of the Policy unless otherwise slated below:
IThe Information below is not requirod when this endorsement is issued with the Policyl
roLicj.arupBut
cmv*^n 3.
A*, it n.-ii vA'r,ii,n: l >'i
<v\ at the same hour of said date as the hour of day provided t>y the Policy tor commencement of the policy period, and this endorsement shall terminate with the Policy.
8,ONWLAT:e.*. ,***
li.-JLi/- J(!.ru\ur.
fimPLOvens casuauTv company cmpioYens rsjaTionaL muuHance company tmpLOvena caauaay cofinooaTion empLOYARS Nanonm. msuRonce coRPonaxion
EXECUTIVE VICE RRCSIDCNT
tNCC I7U&&M2 //)
AUTHORIZED RfeRRESiNTATlVE
ffP
BAKV CSMKjr tanORSR-tKHT
(^'^7
It is
that the Star of tixi Tnaurvd in Itna \ of tlia IheUntioM
the Policy is uo>n4<t<i to read-
EB3ERCH Corporation lone Star Oaa Coapany, a Division of EII3FRC1I Corporation Loan Star Gathering Coj>ai\j USO Intragaa, Inc.
Less Star Go* Canpariy of Tmm
Lone Star Energy Ooepany
5X8ERCH Exploration. Inc.
ES3EHCH International Exploration, Inc.
Pool Corspany
Pool Vail Servicing Casipany. a Division of Pool Co*?pnny
Pool Offshore Cacpany, a Division of Pool Corspany
Pool Operations Support Services, a Division of Pool Coapany
Pool International, Inc.
Themes Energy, Inc.
Bosaon Ocean Syateaa, Inc.
Season Cordage UorLs
Canada Ropes Limited
Matalex Products Limitad
Ser ice Bronco and Brass Works, Inc.
Soasou Ocean Systems International Corporation
The Livingston Corporation
Livingston Oi-lvLl Service^.-Inc.
_
D & 0 ttecblnc 'Worts, Inc,
Gulf State* Supply i Rental Tools, Inc.
Associated OJ.ltools, Inc.
SX5ERCIJ Domestic International Sale* Corporation
Associated Petroleua Rarvices. Inc.
Pool Americas, Inc.
Intelrdrll. Ltd. Serb's Fabrication, a Division of Pool Orrshore Company Poa Air, A Division of Pool Well Servicing Company
'i
LS Dtergy, Inc. Northwest Services. Inc.
V,..v
Jerry Pinkley Transports, Inc., a Division of Pool Company
Plnkley-Kirk ley Truck and Crane, Inc., a Division of Jerry PinXley Traru ports,!'
^
1nc. Olltools Equlpocirt Cervices, a Division of Associated Oiltoola, Inc, (CONTINUED)
*^
This endorsement shall be subject to all of the term? provisions and conditions of the Policy, and nothing herein contained shall vary, alter or extend any term, provision or condition of the Policy except as herein specifically stated. This endorsement forms a part of the Policy to which it is attached issued by the Company designated on the Declarations Page and is effective from the Incep tion date of the Policy un'ess otherwise stated below:
(The information below Is not required when this endorsement is issued with the Policy)
EOLICV NUMBER
WC-R-OO50T2 crrecTive
February 25.
1!>P2
SlQNCO AT
Dallas, Texas _0r~O529fTXriiyfc^^^
ENSLTKTH Corporation
at the same hour of said date as the hour of day provided by the Policy for commencement ot the policy period, and this endorsement shall terminate with the Policy.
January
EmPLOVHRs caeuaLTv company emPLOveno ruanonaL maunance company emPLovena caeuatTY conponation empLovenfl Nartonai maunance copPoqaTion
(XKCUTiVC VICK PNCSiOCNT fcNEC 170b* 112 Hi
AUTHOHI7CO ACPNX6CNTATIVE
RANK CRAMS WDORMDtEtr
It ia agread that the Same of the Insured in It-rra 1 of the Dnclamiioini a,
the JVllcy la sswedsd to read:
ER8ERCR Corporation Lone Star Goo Company, a Division of EN3ERCH Corporation Lone Star Gathering Cowpany CSC Intrvujsm, Inc.
Lome Star Gaa Company of Texas Lone 3tar Energy Company ERSERCK Exploration, Inc. K5SS8CH International Exploration, Inc, Pool Company Pool Well Servicing Company, a Division of Pool Company
Pool Offshore Company, a Division of Pool Company Pool Operations Support Services, a Division of Pool Coat*ay Pool International, Inc. Thcnasx Energy. Inc. Sassoa Ocean Systems, Inc. Samson Cordage Works Canada Ropes limited Mctalex Products United Servlca Broute and Brass Works, Inc. Sanson Ocean Systems International Corporation The Livingston Corporation Livingston Ollveli 3ervice, Inc. D t Q Machine Works 7 Inc. Gulf States Supply A Rental Tools, Ine. Associated Olltools, Inc. EUSKRCK Domestic International Galea Corporation Associated Petroleum Services, Inc.
Pool Americas, Inc. Ir.talrdril, Ltd. nnrU'i Fabrication, a Division of Pool Offshore Company Foam Air, A Division of Pool Well Servicing Company
L3 Energy, Inc. Sortbtrest Services, Inc.
Jerry Pinkley Transports, Inc., a Division of Pool Company
Pinkley-Kirkley Truck and Crane, Iuc., a Division of Jerry Pinkley
Inc. Olltools Equipment Services, a Division of Associated Olltools, Inc McKinley Oil Field Service, Inc., a Division of tHSERCIT Corporation
V*.
This endorsement shall be subject to all of the terms, provisions and conditions of the Policy, and nothing herein contained shall vary, alter or extend any term, provision or condition of the Policy except as herein specifically stated. This endorsement forms a part of the Policy to which it is attached issued by the Company designated on the Declarations Page and is effective from the-incep tion date of the Policy unless otherwise stated below:
(The information below is not required when this endorsement is issued with the Policy)
WC-R-005C72
ISSUED TO
ESSKRCB Corporation
crrccTivc February 2, 19^2
at the same hour of said date as the hour of day provided by the Policy for commencement of the policy poriod, and this endorsement shall terminate with the Policy.
IIONCO AT
Dallas, Texas 01 052960 0001 A/k H-2-02 Disk F8T January
emPLOvens casuaLTv company
emPLOveoa NaTionaL insurance company
Emptoyens casuaLTY coRPooaTiun
empioYeRQ Nanonai insurance conPORanon
EXECUTIVE VICE PSESIOENT ENEC I76&6 112-77)
*AMK cruiov STOORODWENT
'It 1b Bfprtnrd that th Ram of the Inaurod In Item 1 of the Declarotior.ii o'. the Policy la aanoded to read:
KSSERCH OorporntIon
Lone Stax Gas Company, r Division of EBSERCH Corporation
Looc Star Gathering Company
LSG intrag&a. Inc.
Lone Star Gao Company of Texas
Lone Star Energy Coapany
SKSKRCU Exploration, Inc.
EHSSKCn International Exploration, Inc.
Tool Company
Pool Vail Servicing Coapany, a Divioloo of Pool Company
Pool Offshore Coapany, a Diviaion of Pool Company
Pool Operations Support Services, a Division of Pool Company
Pool International, Ice.
Thernex Energy. Inc.
Sanson Ocean System, Inc.
Sanson Cordage Works
Canada Hopes Limited
Mrrtalex Products Linlted
Service Bronte and Brass Works. Inc.
Samson Ocean System International Corporation
The Livingston Corporation
Livingston Ollvoll Service. Inc.
___ ____
-D'l>'0^tehin>e"'S6rEiT''Inc'I Gulf States Supply & Rental Tools, Inc.
Associated Oiltools, Inc.
KB8ERCH Domestic International Sales Corporation
Astociatcd Pctrclnuiii Services, Inc.
Pool Americas, Inc.
Int&irdril, Ltd.
Kerb's Fabrication. a Division of Pool Offshore Coniony
Poao Air, A Division of Pool Well Servicing Company L3 Mierr, Inc,
North-cast Services, Inc.
Jerry Plnkley Transports, Inc., a Division of Pool Company
Pink)ey-Kirkley Truck and Crane, Inc., a Division of Jerry Pinkley m-------------
Inc,
Oiltools Equipment Services, a D'vision of Associated Oiltools, Inc
This endorsement shall be subject to all ot the terms, provisions and conditions of the Policy, and nothing herein contained shall vary, altef'brfaKtend any term, provision or condition of the Policy except as herein specifically staled. This endorsement forms a part of the Policy to which it is attached issued by the Company designated on the Declarations Page and is effective from the incep tion date of the Policy unless otherwise slated below:
(The information below is not required when this endorsement is issued with the Policy)
POLICY NUMBER
tfC-B-005072
ISSUED TO
EBSr.RCii Corporation
EFFECTIVE
January 1, 1 <jhZ
at tho samo hour of said data as the hour of day providud by the Policy for commencement of the policy period, end this endorsement shall terminate with the Policy.
SIONEO AT
Dallas, Texas 01 'OfzgfiG OOOl syk k-2-fc? Olak JfftT January
empLOvena caauaLTv company EmpLOvepa NanonaL insurance company emPLOvena caauauv coRPOpanon
EmPLOYena NanonaL maunancs copponanun
EXECUTIVE VICE PRCSIOCHT EHC 17666(12 77)
NAME CHANGE ENDORSEMENT
It io agreed that the Name of the Lnsured in Item 1 of the Declaration!', of the Policy ia amended to read:
KNSKRCH Corporation
Lone Star Gay Company, a Division of ENUKRCII Corpora Lion
Lone Star Gathering Company
LSG l'ntragas. Inc.
Lone Star Gan Company of Texas
Lone Star Energy Coiiiivuty
ENSFRCH Exploration, Inc.
ENSERCH International Exploration, Inc.
Pool Company Pool v'ell Servicing Company, a Division of Pool Company
Pool Offshore Company, a Division of Pool Company Pool Operations Support S ^'^cen, a Division of Pool Company
Pool International. Inc.
Thermex Energy, Inc.
Samson Oceun Systems, Inc.
Samson Cordage Works
Canada Ropes Limited
Metalex Products Limited
Service Bronae and Brass Works, Inc,
Samson Ocean Systems International Corporation
The Livingston Corporation
Livingston Olive!I Service, Inc.
P & G Machine- Works Inc.
Gulf States Supply & Rental Tools, Inc.
Associated Oiltools, Inc.
ENSERCH Domestic International Sales Corporation
Associated Petroleum Services, Inc.
Pool Americas, Inc.
Intairdril, Ltd. Herb's Fabrication, a Division of Pool Offshore Company Foam Air, A Division of Pool Well Servicing Company LS Energy, Inc.
yp. Vi
Northwest Services, Inc.
Jerry Pinkley Transports, Inc., a Division of Pool Company Pinkley-Kirkley Truck and Crane, Inc. a Division of Jerry Pinkley Transports,
V
Inc. Oiltools Equipment Services, a Division of Associated Oiltools, Inc.
t-V-
(CONTINUED)
This endorsement shell be subject to all of the terms, provisions and conditions of the Policy, and nothing herein contained shall vary, alter or %^nd any term, provision or condition of the Policy oxcept as herein specifically stated.
This endorsement forms a part of the Policy to which it is attached issued by the Company designated on the Declarations Page and is effective from the Incep tion date of the Policy unless otherwise stated below:
(The information below Is not required when this endorsement Is Issued with the Policy)
policy wuMata
..............."leouco to
wc-B-878989 crrccrrvc
February 25, 19^2
IVMCO AT
Dallae, Texas __ ___ 01 052960 0001 cylT~!(-2-82
Disk
ENS15HCH Corporation
at the same hour of said date as the hour of day provided by the Policy tor commencement of the pw.`icy period, and this endorsement shall terminate with the Policy.
#87 January
emPLOvens casuairv company emPLavena MPTionac inaunance company
emPLOVens caauaLTY conPOHdnon
emPcoveRO rsjarionsL insupanca conpooanon
exccutivf vicr pncarpewT
AUTHORIZE OJtCPA gggNT A TIV
NAME CHANGE ENDORSEMENT
i
It ia agreed that the Name of the Insured in Item 1 of the Declarations oT the Policy is amended to read:
ENSERCH Corporation
Lone Star Gas Company, a Division of ENSERCH Corporation
Lone Star Gathering Comi-ary LSG Intragan, Inc.
Lone Star Gas Company of Texan
Lone Star Energy Company
ENSERCH Exploration, Inc.
ENSERCH International Exploration, Inc.
Pool Company
Pool Well Servicing Company, a Division of Pool Company
Poo. Offshore Conq'ny, a Division of Pool Company Pool Operations Support Services, a Division of Pool Company Pool international, Inc.
Thermex Energy, Inc.
Samson Ocean Systems, Inc. Samson Cc-rdage Works
Canada Ropes Limited
Metalex Products Limited
Service Bronr.e and Brass Works, Inc.
Samson Ocean Systems International Corporation
The Livingston Corporation
Livingston Oilwell Service, Inc.
----- ~D &- G~Machine Works! Inc.
.......
Gulf States Supply & Rental Tools, Inc.
AsuociuLeu uiltuGls, Inc.
ENSERCH Domestic International Salen Corporation
Associated Petroleum Services, Inc.
Pool Americas, Inc.
Intairdril, Ltd. Herb's Fabrication, a Division of Pool Offshore Company
Foam Air, A Division of Pool Well Servicing Company
LS Energy, Inc.
Northwest Services, Inc. Jerry Pinkley Transports, Inc., a Division of Pool Company
Pinkley-Kirkley Truck and Crane, Inc., a Division of Jerry Pinkley Transports,
T nc. Oiltools Equipment Services, a Division of Associated O.iltools, Inc.
McKinley Oil Field Service, Inc., a Division of ENSERCH Corporation
This endorsement shall subjet.t to all of the terms, provisions and conditions of the Policy, and nothing herein contained shall vary. all provision or condition of the Policy except as herein specifically stated.'
d any term,
This endowment forms a part of the Policy to which it is attached issued by the Company designated on the Declarations Page end is effective from the-incep tion date of the Policy unless otherwise stated below:
IThe information below is not required when this endorsement is issued with the Policy)
POLICY NUMBER
ISSUED TO
wc-a-878989
effective
ENSKKCH Corporation
at the same hour of said data as the hour of day provided by the Policy for commencement of the
February Z,.1982
StONKO AT
policy period, and this endorsement Jhall terminate with the Policy.
.nallaa, Texaa_____ _______ -__________ ___ 01 052960 0001 oyk Ji-2-82 Disk 087 January
empLOYORs casuaiTY company empLOvena ruanonaL insuRance company EniPLoveRs caauatTv coppananon
EmPLOYflBB NQTionsL inauricince coppopanon
EXECUTIVE VICE PRESIDENT
m
NAME CHANGE ENDORSEMENT
It le agreed that the Name of the Insured In Them 1 of the Declaration!? the Policy to amended to rend:
ENSERCH Corporation
Lone Star Gao Company, a Division of ENSERCH Corporation Lone Star Gathering Company LSG Intragas, Inc.
Lone Star Gas Company of Toxa3 Lone Star Energy Company
ENSERCH Exploration, Inc.
ENSERCH International Exploration, Inc.
Pool Company
'
Pool Well Servicing Company, a Division of Pool Company
Pool Offshore Company, a. Division of Pool Company
Pool Operations Support Services, a Division of Pool Company
Pool International, Inc.
The.-mex Energy, Inc.
Samson Ocean Systems, Inc.
Samson Cordage Works Canada Ropes Limited
Metalex Products Limited
Service Bronze and Brass Works, Inc. Samson Ocean Systems International Corporation
The Livingston Corporation
Livingston Oilwell Service, Inc.
D & G Machine'Works, Inb.
Gulf States Supply & Rental Tools, Inc.
Associated Oiltools, Inc.
ENSERCH Domesi ic International Sales Corporation
Associated Petroleum Services, inc.
Pool Americas, Inc.
Intairdril, Ltd. Herb's Fabrication, a Division of Pool Offshore Company
Foam Air, A Division of Pool Well Servicing Company
LS Energy, Inc. Northwest Services, Inc.
Jerry Pinkley Transports, Inc., a Division of Pool Company Pinkley-Kirkley Truck and Crane, Inc., a Division of Jerry Pinkley Transports
Inc. Oiltools Equipment Services, a Division of Associated Oiltools, Inc.
This endoreemer 1 shall be subject to all of the terms, provisions and conditions of the Policy, and nothing herein contained shall vary, alter or extend any 'erm, provision or com rtion of the Policy except as herein specifically stated. This endorsement forms a part of the Policy to which it is attached issued by the Company designated on the Declarations Page and is effective from theincep* tk>n date of the Pilicy unless otherwise see `ed below:
(The information below is not required when this endorsement is issued with (he Policy]
rOUCY NUMBER
IS8UE0 TO
WC-B-078989
IFFtCTf,!
January 1. 1982
IOMCD AT
Dallas. Texas 01 052960 0001 syk
U-2-&2
Disk
#87
ENSERCH Corporation
at the same hour of said date as the hour of day provided by the Policy for commencement of the policy period, and (his endorsement shall terminate with the Policy.
January
emPLOvens caeuauTv company empiovena Nanonai insuRance company emPLareRS caauaLTY coRpnnanon
EmPtoveRB NanonaL insurance conoanarion
executive vice president
NC 17666 02 771
AUTHORIZED REPRESENTATIVE
iKa-v******<'-*&>*<
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is
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Patoa, Texai jllly#?'.'*: . .
! -|WWIDW
rr"^'f><V^y'
j '^XXXtt
75tiSikift-
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tl/lCtiriVt VICC **IO*NT
. *". "* \{* V-
'JM
3IAHS 'SCSCE 300X1)RMIM*'!1
1% ',? *sx+**S t.?ia of the TnuMrert in It-aa 1 r\f th<* Ti^a\,r'''
f'o l is aisxf-niH'i to
t
V.'n.'iT'vC'"; Car|Mirniian OOQ
!* Star
a :1iviain or I'-TIS*MCli rorr^ratton 0Li~7
Lon-o ,'t ft r r.*ijnr-j u(r Company ,!7aY
Inti's-..TM?, fnc. O O0
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This endorsement shall be subject to all ol tho terms, provisions and conditions ul the Policy. and nothing heroin c..ni imn, shall vary, jltor or extend any term, provis on or condition uf tho Policy except as herein specifically stated. This endorsement forms a part of the Policy to which it is attached issued by tin! Company designated on the l)ct Kaatm-.j r'ago and is effective from tho 11 cep
fion date of tho Policy unless otherwise stated below
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POLICY NUMBCr.
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1 S.GNAtURl HSRfe CONSlllUTE^ NOTICE ON I IWPIOVER
OP i ,
EliSKHC): 0-^ r[. t'u^'s. il. Tine SIhj ina CXsn;>a,Mv', A Divlrfi^M i-f liSfiKHCI i
vat.io.i; ]x>ne StEvr
jAtherlrLi CXKnpQ.:iy; LSO
, lnc; Ipnc Stfu.; iit*3 CXh.piiMj s-f ifixas, Xmc. , to-j iWlivia,
Inc.; U^Greecc, Inc.; t^S Malaysia, Incr; JTipak, Inc.; tone Star Eneriar CXji^any; E.'SERCIi
Energy , Inc.; falStocit Exploration, Igc.; EHSkRCK Service Ctompany of Ippjij EffSEED!
International Exploration, Inc-; HISERCH Canadian Exploration, Ltd.; ENSSRCH India, Inc.;
EIlSfeRCH Iletnerl ands, Inc.; A>bl Oompan;/, tool uffslwre, tool Well Seryicing Companj ,
and tool E-.gineiy-jjj,; aj;d Manufacturing, Divisions of tool Oonpa^m tool Universal Well Service, Inc.; toll Australia, Inc.; tool International, Inc., tool Americas, ln.^
pool Maintenance of oil ^(jltla, Ltd.; tool Arabia, Ltd.; Intairdrll Ltd.; tolus
Sciiall International, Ltd.; Oll&ols International Ltd. and all uialovity owned
subsidiaries nercafter formed or acquired during the policy period.
MAILIIIU ADDRESS:
C/C Frank Robertson P. 0. Box 27 59 Dallas, Texas 7ry2?l
301 South Harwood, Dallas, Texas