Document Lgg2aJBLNLraGzrNnzykMnJo7
Cable Oceanber Bermuda
Telex 3276 OCEANBA BA
Telephones 809-29 2-2317
2-7402
MIDDLESEX ASSURANCE COMPANY LIMITED
REID HOUSE CHURCH ST P.O. BOX 1826 HAMILTON 5 " BERMUDA
Poling Poling Poling Poling
#
34034004 0434004 34004 34004
Sum Insured
Premium Rate
Premium
250,000
O 15,000,000
Flat Charge
15,000,000 excess of
30,000,000 30,000,000 30,000,000
Primary excess of WHEREAS
JOHNSON &
2,500.00
JOHNSON ET AL
Term
One Year
From
Jan. 1 1977
To
Jan. 1 1978
hereinafter called the Insured
Assurance Middlesex has paid the sum of
contained to the
2,500.00
as consideration for the insurance hereinafter
Company Limited hereinafter called the Com-
pany the Company hereby agrees to indemnify the Insured to the extent and in the
manner hereinafter provided but subject always to the Terms Conditions and Provisions
contained herein or endorsed or otherwise expressed hereon which shall so far as the
nature of them respectively will permit be deemed precedent to the right of the Insured to
recover hereunder
This Insurance is in respect of
Excess Umbrella Liability
If the Insured shall make any claim knowing it to be false or fraudulent in any way this Policy shall become unenforceable by the Insured from the date of such claim and all claims from
that date shall be forfeited
In Witness Whereof this Policy is signed by a Director of the Company and countersigned
by an authorised Official of the Company this
1st
day of July
one thousand nine hundred and Seventy
Countersigned by
Exd
3m 33 m m
fA Ly Va
Director
CONFIDENTIAL
LTL 0005395
DECLARATIONS
The Company agrees with the Insured named below in consideration of the premium paid
and subject to all the terms and conditions set forth below that the Insurance afforded by this Policy shall follow all the terms and conditions of Policy number to follow issued by Lloyds and London Companies including all renewal and rewrites thereof The Named Insured - Johnson & Johnson as per Lloyds and London Companies Policy number to follow Policy Period - January 1 1977 to January 1 1978 Coverage - Excess Umbrella Liability Insurance
Excess following form Umbrella Liability Limit of Liability 250,000 each
occurrence subject to aggregate of 250,000 where aggregate is applicable part of 15,000,000 each occurrence subject to aggregate of 15,000,000 where aggregate is applicable excess of 30,000,000 each occurrence subject to an aggregate of 30,000,000 where aggregate is applicable which in turn is excess of primary
insurances
Premiums - for 15,000,000 layer - 150,000 Annually Premium for this Policy - 2,500
In Witness Whereof this Declaration is signed by an Authorized Official of The Company
this 8th day of August One Thousand Nine Hundred and Seventy
34,004 Policy Number
7 q
CONFIDENTIAL
iat | LTL 0005396
Policy No.
34,004
MIDDLESEX ASSURANCE COMPANY LIMITED
HAMILTON BERMUDA
INSURED AS ATTACHED
COVERAGE AS ATTACHED
CONFIDENTIAL
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Printed in Bermuda by Eng
Limited
LTL 0005397