Document k9Yop4qxg9NkJ9zNGwmq7g6zO
DUP 1075269
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LUMBERMENS MUTUAL- *1 1 <
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CASUALTY COMPANY
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(A Mutual Insurance Company, herein celled die Company)
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Home Oifice: Long Grove, Illinois 600^9 -
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' - (X Stock Insurance Company/iie^lal .V.r-.Home .Office: Long Grove, IllindfsteOCJ
AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY
(A Mutual Insurance Company, herein called the Company) Home Office: 90 WiIJiam Street, New York 10038 Executive Offices: Long Grove, Illinois 60049
FEDERAL MUTUAL INSURANCE COMPANY S#
.
(A Mutual Insurance Company, tiereincaHecTtfio Company) Home Office: Long Grove, Illinois 60Q49 * Executive Offices: 2001 East Mound Road, Decatur, Illinois 62526
The company providing the insurance afforded by this policy is designated on the Declarations Page
INSURANCE
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The annual meeting of the Lumbermens Mu
tual Casualty Company is held at its home office in Long Grove, III., on the third Tuesday
In May of each year at eleven o'clock A.M.
DUP 1075270
The annual meeting of the American Manu facturers Mutual Insurance Company is held at its home office in New York, New York, on the Thursday following the first Tuesday in June of each year at eleven o'clock A.M.
. The .annuai meetlrig of the Federal Mutual insurance Company Is held at Its home office in Long Grove, Illinois, on the Wednesday
following the, fourth Tuesday in May of
reach'yearat' eleven o'clock A.M.
general insuring agreement
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, the com-' pany agrees with the named insured as follows:
1. This policy is composed of this jacket, the declarations page with the applicable Coverage Parts, and any supplementary declarations or schedule pages and endorsements made a part hereof;
2. The provisions of one Coverage Part do not apply to the insurance afforded under any other Coverage Part.
SUPPLEMENTARY PAYMENTS
The company will pay, in addition to the applicable limit of liability:
(a) all expenses incurredby the company, all costs taxed against the insured m 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 deposited 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, forbodily 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.
DEFINITIONS
When used in this policy:
"automobile" means a land motor vehicle, trailer or semi-trailer 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;
"compjeted 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 property 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. Opera
tions shall be deemed completed at the earliest of the following times:
_1
(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 sub-
contractor engaged in performing 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, snail 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 materials, or
(c) operations for which the classification stated in the policy or in the company's manual specifies "including completed operations";
"elevator" means any hoisting or lowering device to connect floors or landing^ whether or not in service, and all appliances thereof including any car, platform, shaft, hoistway, stair way, 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;
"incidental contract" means any written (1) lease of premises, (2) easement 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 con nection with work for the municipality,
(4) sidetrack agreement, or
(5) elevator maintenance 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 tc 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,
(1) not subject 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 build ing cleaning equipment; and geophysical exploration and well servicing equipment;
"named insured" means the person or organization named in Item 1 of the declarations o' this policy;
"named insured's products" means goods or products manufactured, sold, handled or distributee by the named insured or by others trading under his name, including any container thereof (other than a vehicle), but "named insured's products" shall not include a vending machine or any property other than such container, rented to or located for use of others but not sold;
"occurrence" means an accident, including continuous or repeated exposure to conditions which results in bodily injury or property damage neither expected nor intended from thstandpoint 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 no: occur in the course of travel or transportation 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 rentec to the named insured and after physical possession of such products has been relinquishec to others;
"property damage" means (1) physical injury to or destruction of tangible property whicoccurs during the policy period, including the loss of use thereof at any time resultin; therefrom, or (2) loss of use of-tangible property which has not been physically injured ; destroyed provided such loss of use is caused by an occurrence during the policy period;
CONDITIONS
1. Premium. All premiums for this policy shall be computed in accordance 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 company 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 obligated 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, or behalf of or for the benefit of the named insured or others, to determine or warrant that suer property or operations are safe or'healthful, or are in compliance with any law, rule o 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 terminaticr of this policy, as far as they relate to the subject matter of this insurance.
(Conditions are continued on Jacket Pago 3)
JACKET PAGE 1
DUP 1075271
- >f attach declarations page, coverage parts, supplementary declarations or schedules and endorsements here
This endorsement modifies the provisions of the policy relating to ALL AUTOMOBILE LIABILITY, GENERAL LIABILITY AND MEDICAL PAYMENTS INSURANCEJIHER THAN COMPREHENSIVE PERSONAL AND FARMER'S COMPREHENSIVE PERSONAL INSURANCE
but is inapplicable with respect to automobiles principally garaged or used in the State of New York.
It is agreed that:
I. The policy does not apply:
A. Under any Liability Coverage, to bodily injury or property damage
(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 Insur
ance Association of Canada, or would be an insured under any such policy
but for its termination upon exhaustion of its limit of liability; or
(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 amenda
tory 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 Supplementary Payments
provision relating to first aid, to expenses incurred with respect to bodily
injury resulting from the hazardous properties of nuclear materialjnd 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 discharged or dispersed there
from;
________
(2) the nuclear material is contained In spent fuel or waste at any time pos
sessed, 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 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 prop
erty damage to such nuclear facility and any property thereat.
A0009 ENDORSEMENT G320 ENDORSEMENT
NUCLEAR ENERGY LIABILITY EXCLUSION (Broad Form)
II. As used in this endorsement:
"hazardous properties" include radioactive, toxic or explosive properties;
"nuclear material" means source material, special nuclear material or byproduct material;
"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 or liquid, which has been used or exposed to radiation in a nuclear reactor;
"waste" means any waste material (1) containing byproduct material and (2) result ing from the operation by any person or organization of any nuclear facility in cluded 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) han dling, 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 con ducted on such site and all premises used for such operations;
"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.
This Is not a complete and valid contract without an accompanying Declarations Page, property countersigned, together with one or more Coverage Parts.
JACKET PAGE 2
DUP 1075272
CONDITIONS OCont^nited)
'
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 coverage 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.
4. Insured's Dities in the Event of Occurrence, Claim or Suit, (a) In the event of an occur rence, written notice containing particulars sufficient to identify the insured and also reason ably 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 repsentative.
(c) The insured shall cooperate with the company and, upon the company'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 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 snail 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.
6. .Other Insurance. The insurance afforded by this policy is primary 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 pro vides 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 Limits. 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 the 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, signed by a duly authorized officer or representative of the company.
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 (1J 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 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 years any limit of the company's liability stated in this policy as "aggregate" shall apply separately to each con secutive annual period thereof.
11. Cancelation. This policy may be canceled by the named insured by surrender thereof to the company or any of its authorized agents or by mailing to the company written notice stating when thereafter the cancelation 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 cancelation shall be effective. The mailing of notice as aforesaid shall be sufficient proof of notice. The time of the surrender or the effective date and hour of cancelation 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. Premium adjustment may be made either at the time cancelation is effected or as soon as practicable after cancelation becomes effective, but payment or tender of unearned premium is not a condition of cancelation.
12. Declarations. By acceptance of this policy, the named insured agrees that the statements in the declarations are his agreements and representations, that this policy is issued in reliance upon the truth of such representations and that this policy embodies all agreements existing between himself and the company or any of its agents relating to this insurance.
As respects tie compaay previoasly designated, tie following correlative provision forms a part of this policy:
Muteal Policy Conditions.
lumbermens mutual
CASUALTY COMPANY
American manufacturers MUTUAL INSURANCE COMPANY
federal mutual
INSURANCE COMPANY
This is a perpetual mutual corporation owned by and operated for the benefit of its members. This is a non-assessable, participating policy under which the Board of Directors in its discretion may determine and pay unabsorbed premium deposit refunds (dividends) to the insured.
As respects of the State of Texas, such provision is amended to read as follows:
Motnals--Membership and Voting Notice. The insured is notified that by virtue of this policy he is a member of the company so designated, and is entitled to vote either in person or by proxy at any and all meetings of said company. The Annual Meetings are held in its Home Office at the place and time stated on the front cover.
Mntoals--Participation Claose Without Contingent Liability. No Contingent Liability: This policy is non-assessable. The policyholder is a member of such company and shall partici pate, to the extent and upon the conditions fixed and determined by the Board of Directors in accordance with the provisions of law, in the distribution of dividends so fixed and determined.
Dividends.
American motorists INSURANCE COMPANY
This policy is participating and shall be entitled to receive unabsorbed premium deposit refunds as apportioned by the directors.
DUP 1075273
As respects the State of Texas, such provision is amended to read as follows:
Dividead Provision--Participating Companies. The named insured shall be entitled to participate in a distribution of the surplus of the company, as determined by the Board of Directors from time to time, after approval in accordance with the provisions of the Texas Insurance Code, of 1951, as amended.
IN WITNESS WHEREOF, the company designated on the Declarations Page has caused this policy to be signed by its President and Secretary, but this policy shall not be valid unless countersigned on the Declarations Page by a duly authorized representative of the company.
LUMBERMENS MUTUAL CASUALTY COMPANY AMERICAN MOTORISTS INSURANCE COMPANY AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY
FEDERAL MUTUAL INSURANCE COMPANY
Secretary CK ROM 1-7* *=>OM FH 7^
president
JACKET PAGE 3
Secretary
President
r;-iiag;aaB:i;iteiatiJi a!na^ ! JsaaiiL:
mm
LUMBERMENS MUTUAL CASUALTY COMPANY
[\7"l AMERICAN MOTORISTS
L&J INSURANCE COMPANY.
| ) AMERICAN MANIIKACTURERS | j MUTUAL INSURANCE COMPANY
( 1 FKOKRAI. MUTUAL 1 j INSURANCE COMPANY
DECLARATIONS
COMBINATION AUTOMOBILE--GENERAL LIABILITY POLICY NUMBER
NAMED INSURED " -------------- ----------------------------------------------------------------------------------------------------------------------- --------
TDHEESIGCNPAPTCEDCOBNYTREAC.TlO.RSDUOPFOENT.l. DU PONT AND ANY OTHER CONTRACTOR
MAIL AUUHlSS (NUHacn--ctrect--city on fost office--zone--county--state--zif cooe>
DU PONT BUILDING. WILMINGTON. DELAWARE
fOQ INDIVIDUAL CORPORATION
Q PARTNERSHIP
OTHER:
JOINT VENTURE
BUSINESS OF THE NAMED INSURED
FflOU*
<AUSO STATE TIME IF OTHER THAN IZjOI A.M.)
OCTOBER 1, 1975
TO
nUUrm* URPF_Dr\
1 1,
1C7 1 17 / O
12:01 A.M. STANDARD TIME AT THE ADORESS OF THE NAMED INSURCO AS STATED HEREIN.
IHe insurance afforded Is only with respect to such of the following Coverage Parts as are indicated by entry of specific advance premium applicable thereto.
ADVANCE PREMIUM COVERAGE PARI
$ 1--Comprehensive Automobile liability insurance
2--Garage Insurance
3--'Automobile Medical Payments Insurance
4--Protection Against Uninsured Motorists Insurance
5--Automobile Physical Damage Insurance {Fleet Automatic)
6--Automobile Physical Damage Insurance (Non-Fleet)
446.107.00 7--Comprehensive General Liability Insurance
8--Owners', Landlords' and Tenants' Liability insurance
9--Manufacturers' and Contractors' Liability Insurance
INCLUDED 1NCLUDED
10--Completed Operations and Products Liability Insurance 11--Contractual Liability Insurance (Designated Contracts Only) 12--independent Contractors Liability Insurance 13--Premises Medical Payments insurance 14--Personal Injury Liability Insurance
15--Comprehensive Personal Insurance
Special charge for endorsement
19,98B7..l0.0 (P) 2,277.00 (E)
IPT.D;4.08.00 (P) 1,521.00 (E)
446.107.00 totAl advance premium
37.193.00
OORIHC THE PAST THREE TEARS NO INSURER HAS CANCELED ANT INSURANCE ISSUED TO THE NAMED INSURED, SIMILAR TO THAT AFFORDED HEREUNDER, UNLESS OTHERWISE STfcltB KwXEIK.
COUNTERSIGNED AT
PHILADELPHIA, PA*
COUNTERSIGNATURE DATE
MONTH
OAT
YKAN
12 1 75
COUNTERSIGNATURE OF LICENSED RESiOENT AGENT
FORM CK 802 5.73 30M ED 66
DUP 1075274
COVERAGE PART 7 DECLARATIONS--Applicable to Coverage Part 7 only
The insurance afforded under this Coverage Part is only with respect to such of the following Coverages as are indicated by'entry of specific advance premium in
the Schedule. The limit of the company's liability against each Coverage shall be as stated herein, subject to all the terms of the policy having reference thereto.
UMITSOF Coverage A--Bodily`Injury Liability: $ UABILITY Coverage B--Property Damage Liability: $
5067009
ISO. 089
each occurrence; $ 580.000 each occurrence; $ 250.000
aggregate. aggregate.
LOCATION OBSIG NATION
LOCATION OF ALL PREMISES OWNED BY. RENTED TO OR CONTROLLED BY THE NAMED INSURED (ENTER -SAME" IF SAME LOCATION AS ADDRESS SHOWN IN DECLARATION 1)
NUMBER--STREET--CITY--STATE
THE CPPC CONTRACTORS OF E.t. SU PONT
OB JftHV OTHER CflHTMCTQR BESIfittATED
iV E.l. Oil FONT
INTEREST OF NAMED INSURED IN SUCH PREMISES
(OWNER. LESSEE. TENANT. ETC.)
PART OCCUPIED BY NAMED INSURED
. ,* '
SCHEDULE-GENERAL LIABILITY HAZARDS
The following summary discloses all hazards insured hereunder known to exist at the effective date of this policy, unless otherwise stated herein.
PREMIUM annual
LOCATION DBSIG-
-NATION
DESCRIPTION OF HAZARDS (ANY RATING CLASSIFICATION SHOWN HEREUNDER DOES NOT
MODIFY THE EXCLUSIONS OR OTHER TERMS OPTH1S POLICY)
SECTION I--PREMISES--OPERATIONS
PREMIUM BASES
COV. A . COV. I
(A) AREA (SO. FT.) (B) REMUNERATION (C|
(A) PER 100SQ. FT; (B) PER $100 (C), .
ADVANCE PREMIUMS
COVERAGE A- COVERAGE B-
BODILY
PROPERTY
INJURY
*'OAMAGE
` LIABILITY
.LIABILITY
*2-20059
la-20050
PLAN
excess
8)1 51.737J87 .158 0)151.737.187 .$18
106 .012
239.7*5. 160.8*1.
27.313; 18.208.
`> U( , `..mUA Hi*..-Jo .4
'Oil* **({
"
1,1 '
II, | `Urn; "{ ; i;
' \'S ` *= -
-ESCALATORS (NUMBER AT PREMISES)
MINIMUM PREMIUMS: CQV.A-S SECTION 2--INDEPENDENT CONTRACTORS
1HCUJKD IN COMPOSITE RATE
MINIMUM PREMIUMS: COV. A $ SECTION 3--COMPLETED OPERATIONS
IMCLUDED IM COMPOSITE RATE
NUMBER INSURED
PER LANDING "
PER $100 OF COST
RECEIPTS
MINIMUM PREMIUMS; COV. A $ SECTION 4-PRODUCTS
DUP 1075275
MINIMUM PREMIUMS- CQV..A S
POLICY NUMBER
COV. PART 7 THIS COVERAGE PART IS EFFECTIVE
PAGE NO.
HOUR
MONTH
OAY YEAR
SYM 579 000
12:01 Am 10 1 75
* Not to be charged unless exposure exists.
POLICY EFFECTIVE
10 1 75 267,058.179.0*9.MONTH
DAY
YEAR
TOTAL ADVANCE PREMIUM
6*6.107.
COVERAGE PART 7-COMPREHENSIVE GENERAL LIABILITY INSURANCE
I. ^Coverage A-Bodily. Injury Liability CoverageB--Property.Damage Liability the named insured's products,or work performed byor'iSh'Whiflf0^ the named
Tlie'cbmpanV^wilH pa'y on behalf of the insured all sums'*which the insured
shall become legally obligated to pay as damages because of
~~
11 A. bodily injuryor 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 acoounr 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 invesjigation 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 settlements.
,^
insured after such products oh work have been, put to-u.se by any, person oc or
ganization other than an insured;
L
^
0 -c* - *> L*`:'
(n) to property damage to the named insured's products arising out of such
products or any part of such products;
(o) to property damage to work performed by or on behaff of the named in
sured arising out of the work or any.portion thereof, or out of materials, parts
or equipment furnished in connection therewith;
(p) to damages claimed for the withdrawal, inspection, repair, replacement, or loss of use of the named insured's products or work completed by or for the
named insured or of any property of which such products or work form a part, if such products, work or.property, are withdrawn from the market or from
use because of any known orsuspected defect or defiency therein.
Exclusions^
II. Persons Insured
This insurance does not apply:
Each of the following is an tnsuredunderthtsinsurance to theextentsetforth below:
(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 product&or a warranty that work performed by
(a) if the named insured is designated in the declarations as an individual, the
person so designated but only with respect to the conduct of a business of which
he is the sole proprietor;
>
or on behalf of'"the named rnsured wili'be done'in a workmanlike jnanner;
(b) if the named insured is designated in the declarations as a partnership or
(b) to bodily injury or property damage arising out of the ownership, main joint venture, the partnership or joint venture so designated,and any partner or
tenance, operation, use, loading or unloading of
member thereof but only with respect to his;!iabiiity as such;
I
; (t) any-autoroobilfe or aircraft owned or operated-by or rented or loaned to . fc). if 'the named insured is.designated in the declarations as other than an In
'any insured*-
r
dividual',' partnership or joint venture",' the' organization so designated and any
(2) any other automobile or aircraft operated by any person in the course of executive officer, director or stockholder thereof while acting within the scope
his employment by any insured,
of his duties as such;
but this exclusiQn.dpes, not,apply to the parking of a/i automobile on premises :
(d) any person (other than an employee of the named insured) or organization
owned by, rented.to: Decontrolled by. tHe-hbmfed-insured or\the ways im-` while acting as real estate manager for the named insured; and
mediately adjoining, if such automobile is hot owned by or rented or loaned to
(e) with respect to the operation for the purpose of locomotion upon a
any insured; ie
.
------ ...
public highway, of 'mobile equipment-registered under any motor vehicle regis
(CP to bodily., injury, .or property damage arising out of.fl) the ownership, tration law,
maintenance, operation, use, loading or unloading of any mobile equipment
(i) an employee jof the named insured while operating any; such equipment in
while being used in any prearranged or organized racing, speed or demolition;
the course of his employment, and
1
oontest or in any stunting activity or .in practice or preparation for any jfuch!
contest or activity or (2) the operation or use of any snowmobile or trailer de->
designed for use therewith;
__ j
u:. (ii).any other person while operating with the permission of the namedinsured any such equipment registered in the name of the named insured and any person or organization legally responsible for such operation, but only if there
i (d) to bodily injury or property damage arising out of and in the course of the transportation of mobile equipment by an automobile owned or operated by on
is no other valid and collectible insurance available, either on a primary or
excess basis, to such person of organization;
j
|
rented or loaned to any insured;
} provided that no person or organization shall be an insured under this paragraph
{(e) to bodily injury or property damage arising out of the ownership, main-J (e) with respect to: |
`j
*
,
tenance, operation, use, loading or unloading of [ (1) any watercraft owned or operated by or rented or loaned to anyi
(1) bodily injury to any fellowemployee of such person injured in the
course of his employment, or
jj
insured, or
*j
j (2) anyiother watercraft operated by any person in the course of hls.employ-j
ment by any insured;
j
(2) property damage to property owned by, rented to, in charge of or occupied
by the named Insured or the employer of any person described in sub-
paragraph (ii).
;i
;
but this exclusion does not apply to watercraft while ashore on premises owned*
by, rented to or controlled by the named insured;
i
j(f) to bodily injury or property damage arising out of the discharge, dispersal,; release or escape of smoke, vapors, soot, fumes, acids, alkalis, toxic chemicals,!
This insurance does not apply to bodily injury or property`damage arising out of 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,
tit. Limits of Liability
is
fiquidsorgases,wastematerialsor other irritants, contaminants or pollutants intoj Regardless of the;number of (1) insureds under this policy, (2) persons or or
or upon land, the atmosphere or any water course or body of water; but this ganizations who sustain bodily injury or property damage, or! (3) claims made 'or
exclusion does not apply if such discharge, dispersal, release or escape is sudden! suits brought on account of bodily injury or property damage, the company's
and accidental;
' liability under Coverage Part 7 is limited as follows:
j
(g) to bodily injury or property damage due to war, whether or not declared,: Coverage A--The total liability of the company for all damages, including
dvil war, insurrection, rebellion or revolution or to any act or condition incident' damages for care and loss of services, because of bodily injury sustained by one
to any of the foregoing, ^yith respect to
more persons as thp result of agy.one.occurrence jhallno^ exceed .the limit of
! (1) liabiltfyjftsumed by the insureduncfer.an incidental contract, dr~ 1' ; ".bodily injury liability stiteid'in the declarations as^pplicafcueCto!"eafch/Occurrence.''
; (2) expenses for first aid under the Supplementary Payments provision;
Subject to the above provisions respecting "each occurrence", the total lla-
(h) to bodily injury, or^property. damage for which the insured or hi^in-j -bility 0/jthe,compar\y^for. all damagesjrecausa. of*(J) all bodily.injury inclU-
demnitee m5y*wHiefa tfafcle
-/*[ Ccfed within ttie~:'cOmpleted operation's hazard >ahtf'1(2)-'all bodily injury;triduded
1 (1) as a` person^or organization'sin the business of manufacturing, j within the products hazard shall: not exceed the limit of bodily injury liability
1 distributing) selling or serving at.con0iic beverages, or
j stated in the declarations as "aggregate". ! ' ;
i (2) if not so engaged, as an owner or lessor of premises used for such purposes, Coverage B--The total liability'of the company for all damages because of all
by reason of the selling, serving or giving of any alcoholic beverage
property damage sustained by pne or mdre persons or organizations as the
fi) in violation of any statute, ordinance or regulation,
result of any one occurrence shall not exceed the limit of property damage
lii) to a minor
{liability stated in the declaration^ as applicable to "each occurrence". . .
*
(iii)to a person under the influence of alcohol, or
Subject to the above.provision respecting "each occurrence*', the total liability
(iv) which causes or contributes to the fritoxication of any person;
burparts (ii), (iii)and'(iv)df this exclusion do not apply with respecfTo liability of the. insured 6i* his` Indemnitee a>''an, owner or lessor describedin (2) above;
of the company for all damages because of all property damage* to which this
coverage applies and described in any of the numbered, subparagraphs below
shall not exceed the limit of property damage liability stated in the*declarations
as "aggregate":
' " *
fi) to any obligation for which*the insured or any carrier as his insurer may be hetd liable underany workmen's compensation*4inemployment compensation or
(1) ait property damage arising* out of premises or Operations rated on a re muneration basis or contractor's equipment rated on a receipts basis, in
disability benefits law,.or under any similar law;,-.
... ...
cluding property damage for which liability is assumed under any incidental
(j) to bodily injury to any employee of the insured arising out of and in the, , contract * relating ,tor such premises or operations, but excluding property
course of his employment by the insured; but this exclusion does riot apply to *
damage included in subparagraph (2) below;
....
liability assumed by the insured under an incidental contract;
(2) all property'damage arising out of and occurring in the course of oper
(k) to property damage to
ations performed for the named insured by independent contractors and
' (1) property owned or occupied by or rented to the insured,
general supervision thereof by-the named insured, including any such pro
(2) property used by the insured, or
perty damage for which liability is assumed under any incidental contract
i (3) propertyt!in ^he'cfcre, custody.^? control of the insured or as to which the
relating to such operations, but this subparagraph (2) does not include
^-insured isfQrany purpose ex^Vcj^ing'physical.controJ, , ....
property damage arising out of maintenance or repairs at premises owned by
bbt_parU_(2)^rftH(3)W,thiS'e)cdUsi6n do(riotva(5p*lyVwith respect to`liability* for rented to the named insured or structural alterations at such premises
undera wTittehV^tra0^gte?rrrfhrgnd>p^^ ofjthis exclusion doe? not.apply Vi -which do not involve changing the size of or moving buildings or other
with respect-to property damage (otner than to elevators) `arising out of the use of ah' elevator^at'premises owned by^Tenteclj to or controlled by.the named
"'structures;
.
; ..
(3) all property damage jr&iudecl within the products hazard end all property
insured;
- - ..
\ n. . T- -=&7_
*'* damage included within the completed operations hazard.- *- I
(l) to property damage to premises alienated by the named insured arising
Such aggregate limit shall apply separately to the property damage described in
out of such premises or any part thereof;
~~
subparagraphs (1), (2) and (3) above, and under subparagraphs (1) and (2), se
`Jm) to loss of use of tangible property which has not been physicgliy injured
ord*tjt>yed Resulting from
,
parately with respect.tO'eacb;project away.from premises owned by or rented to
the named insured.^ *!* \\t ,
^
--(i).a de'lay-in or lack of performance by or on behalf of the named insured
Coverages A and B^rRflr thtspurpose of determining the limit of the company's
;, iof any 'contractor agreement, or (2) the failure} of the. named:insured's products or work performed by or on behalf of the named insured to meet the level of performance, quality, fit
liability, all bodily injury and. propertyi damage, arising out of continuous or repeated exposure to substantially the same general conditions shall be con sidered as arising out of one occurrence.
ness or durability warranted or represented by the named insured;
IV. Policy,.Territory r
but this exclusion does not apply to loss of use of other tangible property re*,
This insurance applies only to bodily injury c-
suiting from the sudden and accidental physical injury to'of de.struction of within the policy territory.
Hamaae which occurs
r
:
{ * | :
' '
..
DUP 1075276
COVERAGE PART 71 DECLARATIONS--Applicable to Coverage Part 11 only
The insurance afforded under this Coverage Part is only with respect to such of the following Coverages as are indicated by entry of specific advance premium in the Schedule The limit of the company's liability against each Coverage shall be as stated herein, subject to all the terms of the policy having reference thereto.
LIMITS OF Coverage Y-Contractual Bodily Injury Liability: $ 500,000 each occurrence. LIABILITY Coverage Z--Contractual Property Damage Liability: $ 250.000 each occurrence; $ 250,000
aggregate.
SCHEDULE-GENERAL LIABILITY HAZARDS
DUP 1075277
COVERAGE PART 11--CONTHACI UAL LIAtsiLl I Y INSURANCE (Designated Contracts Only)
I. Coverage Y--Contractual Bodily Injury Liability
(j) to property damage to work performed by or on behalf of the named insured arising out of the work or any portion thereof, or out of materials, parts-,
Coverage Z--Contractual Property Damage Liability
The cgmpasy yyijl pay.pn behalf of the insured.alL suips which the ipsured, by
reasonbf'contraciuaf liability assumed by him undeca'Contract designated in the schedule for this insurance, shall become-legally obligated to pay as damages
because'of l'ito.yt- j.
' . _
r.u.;wY. bodily.injury.Or Z. 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 allega tions of the suit are groundless, false or fraudulent, and may make such investi
gation 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
piayment of judgments or settlements.
or equipment furnished in connection therewith;
i.u rciq:
(kj to damages claimed for {he withdrawal, inspection,.repair, replacement, or
Toss'of use of the', named insured's, products or work .compfeied by or for the
named insured or of any propertyvof-which such products or work form a part,
if such products, work or. property are'withdrawn from the market or from use
because of any known or suspected defect or deficiency therein;
''~
(l) to bodily injury or property damage arising out of the ownership, main tenance, operation, use, loading or unloading of any mobile equipment while
being used in any prearranged or organized racing, speed on demolition contest
or in any stunting activity or in practice or preparation for any such contest or
activity;
(m) to bodily injury or property damage arising out of the discharge, dispersal,
release or escape of smoke, vapors, soot, fumes, acids, alkalis, toxic chemicals,
liquids or gases, waste materials or other irritants, contaminants or pollutants
into or upon land, the atmosphere or any water course or body of water; but this
exclusion does not apply if such discharge, dispersal, release.or escape is sudden
Exclusions
and accidental. '
,
This insurance does not apply:
If. Persons Insured
*
(a) if the insured or his indemnitee is an architect, engineer or surveyor, to, Each of the following is an insured under this insurance totheextentsetforth below:
bodily injury or property damage arising out of the rendering of or the failure to (a) if the named insured is designated in {the declarations gs an individual, the
render professional services by such insured or indemnitee, including
j person so designated;
! (1) the preparation or approval of maps, plans, opinions, reports, surveys, j (b) if the named .insured is designated in the declarations as a partnership,or
designs or specifications and
joint venture, the partnership or joint venture so designated and any partner.or
1 (2) supervisory, inspection or engineering services;
member thereof but only with respect to his liability as suchi
j
| (b) to bodily injury or property damage due to war, whether or not declared,, (c) if the named insured is designated in the declarations as other than an civil war, insurrection, rebellion or revolution or to any act or condition incident individual, partnership or joint venture, the organization so'designated and ^ny
to any of the foregoing;
executive officer, director or stockholder thereof while actipg within the scope
I (c) to bodily injury or property damage for which the indemnitee may be of his duties as such,
j
I
held liable I (1) as a person or organization engaged in the business of manufacturing, I distributing, selling or serving alcoholic beverages, or . (2) if not so engaged, as an owner or lessor of premises used for such purposes,
by reason of the selling, serving or giving of any alcoholic beverage
III. Limits of Liability
j
)i
Regardless of the1 number of. (1) insureds under this policy, (2) personsjor
organizations who sustain bodily injury or property damage) or (3) claims made
or suits brought on account of bodily injury or property damage, the company's
liability under Coverage Part 11 is limited as follows:
(i) in violation of any statute, ordinance or regulation,
Coverage Y--The total liability of the company for all damages,including dam
i (ii) to a minor,
ages for care and loss of services, because of bodily injury sustained by one or
; (iii) to a person under the influence of alcohol, or
more persons as a result of any one occurrence shall not exceed the limit of
{ (iv) which causes or contributes to the intoxication of any person;
bodily injury liability stated in the declarations as applicable to "each occur
but parts (ii), (iii) and (iv) of this exclusion do not apply with respect to liability rence".
1
||
of the indemnitee as an owner or lessor described in (2) above;
Coverage Z--The fotal liability of the company for all damages because of'all
; (d) to any obligation for which the insured or any carrier as his insurer may be property damage sustained by! one or more persons or organizations as the
held liable under any workmen's compensation, unemployment compensation, result of any one occurrence shall not exceed the limit of property damage
or disability benefits law, or under any similar law;
liability stated in the declarations as applicable to "each occurrence".
J
I (e) to any obligation for which the insured may be held liable in an action on a: Subject to the above provision respecting "each occurrence", the total liability
contract by a third party beneficiary for bodily injury or property damage arising of the company for all damages because of all property damage to which this
out of a project for a public authority; but this exclusion does not apply to anj
action by the public authority or any other person or organization engaged in the j
project;
-I
(f) to property damage to (1) property owned or occupied by or rented to the insured,
;
j
(2) property used by the insured, or
;
coverage applies shall not exceed the limit of property damage liability stated in
the declarations as "aggregate". Such aggregate limit of liability applies separately
with respect to each project aWay from premises owned by or rented to the
named insured.
jj
^I
Coverages Yand 2---For the purpose of determining the limit of the company's
liability, all bodily-injury and {property damage arising out of continuous 'or
repeated exposure to substantially the same general conditions shall be considered
(3) property in the care, custody or control of the insured or as to which the; as arising out of one occurrence)
I
'
insured is for any purpose exercising physical control:
(g) to property damage to premises alienated by the named insured arising out
of such premises or any part thereof;
(h) to loss of use of tangible property which has not been physically 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
IV. Additional Definitions j When used in reference to this insurance:
I
"contractual liability" means liability expressly assumed under a written contract or agreement; provided, however, that contractual liability shall not be construed
as including liability under a warranty of: the 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'workmanlike manner;
(2) the failure of the named insured's products or work performed by or on, behalf of the named insured to meet the level of performance, quality, fitness,
, o/gdurgbjlity, warranted or represented by the named insured;
"suit" includes an arbitration proceeding ito which the insured is required to submit or to which the insured has submitted with the company's consent.
burthii^exdusion -does'not apply to loss of use of other tangible property V. Policy Territory
!
rasuftihg'frdiTfthejjdfldeh arfd'accf^ntsrpftj'sical injU)^to,'Ofjdeat|`ucti0n of the; This insurance applies only to bodily injury or property damage which occurs
named, insured's products or '.wcu(k, performed' by^qr. ,on .bgftalT'of .'the .named; within the policy territory,.. ...........................
^
.. j
irisiired `after W(^prodU6te-bp wane haver teen''pdt>tb useLbysanyipdfson or VI. Additional Condition -> HL-I'. i-- v f iPY
) X" i_i I:
Arbitration
such
The company shall be entitled to exercise all of the insured's rights in the
choice of arbitrators and in the conduct of any arbitration proceeding.
?rr wsnsvt w.mzid remise ad
riVI:|r-:,i.*
J UVI'lVir:
| MCT-i-rhXA :-:-or.c. i.:vor s.
I_____ _ ... _____
y- r .: * r, vi rv
i`r' :: .
-vii- . ,\ : {is*, -i,' > " i.* t, :i : **i,;
iRo'aoo ' ^ecroor.
. 'I:. ; '
>AFI.v:;r-
;
'e-os
<;K
Jrt'r.ii t! '*: tr, fC
DUP 1075278
itiiiiUM^
inigir liiFlnf" ffti :rt iii nrHurff ammrii r-------
COVkUAGG I'AKT 19-----O Wl'lU.KS' Al\U CO!\ 1 UAL 1 0113 t'UV IL.1^11 vt LilADlLil 1 X li'OOllAi'il.L
'coverage for operations of designated contractor
LUMBERMENS MUTUAL CASUALTY COMPANY
DECLARATIONS
NAMED INSURED
51 AMERICAN MOTORISTS INSURANCE COMPANY .
AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY
FEDERAL MUTUAL INSURANCE COMPANY
COMBINATION AUTOMOBILE GENERAL LIABILITY POLICY NUMBER
SYM 579 000
E.t. DU PORT DE NEMOURS t CO.,INC.
ADDRESS
(NUMSKft--*TRK*T--CITY ON FO*T OFFICE--COUNTY--STATE--ZIP CODE!
OU PONT BUILDING, WILMINGTON, DELAWARE
a INDIVIDUAL
PARTNERSHIP
JOINT VEHTURE
BUSINESS OF THE NAMED INSURED
St CORPORATION
TRUSTEE
POLICT PERIOD: also stats tihs if other than Usoi a.m.
FRDM 10/1/75
TO
10/1/76
12:01 A. M. STANDARD TIME AT THE ADDRESS OF THE NAMED INSURED AS STATED HEREIN.
The insurance afforded is only with respect to COVERAGE PART 19--OWNERS' AND CONTRACTORS' PROTECTIVE LIABILITY INSURANCE and then only with respect to such of the following coverages as are indicated by entry of a specific advance premium. The limit of the company's liability against each coverage shall be as stated herein, subject to all
the terms of the policy having reference thereto._______________
COVERAGES
LIMITS OF LIABILITY
ADVANCE PREMIUM
A--Bodily Injury Liability B--Property Damage Liability
500,000
250,000 250,000
each person each occurrence each occurrence aggregate
TOTAL ADVANCE PREMIUM
-INCLUDED INCLUDED
-INCLUDED $
SCHEDULE-GENERAL LIABILITY HAZARD
DESCRIPTION OF HAZARDS ANY RATING CLASSIFICATION SHOWN HEREUNDER DOES NOT MODIFY THE EXCLUSIONS OR OTHER TERMS OF THIS POLICY
INDEPENDENT CONTRACTORS CONSTRUCTION OPERATIONS-OWNER-NOT
OTHERWISE CLASSIFIED (NOT RAILROADS)-- EXCLUDING OPERATIONS ON BOARD SHIPS__
CODE -0512
PREMIUM BASIS
COST
COY. A
| COY. B
PER S100 OF COST
INCLUDED INCL. INCL.
ADVANCE PREMIUM
COY. A
COY. B
INCL. INCL.
MINIMUM PREMIUMS ? DESIGNATED CONTRACTOR
B.l. S
P.D.
ALL INDEPENDENT CONTRACTORS UNDER GPPC PROGRAM
MAILING ADDRESS
WILMINGTON, DELAWARE,
-VARIOUS LOCATIONS COVERED UNDER- THE- CPPC PROGRAM
THE PERSON OR ORGANIZATION DESIGNATED ABOVE AS THE CONTRACTOR HAS UNDERTAKEN TO PAY THE PREMIUM FOR THIS POLICY AND SHALL BE ENTITLED TO RECEIVE ANY RETURN PREMIUMS AND UNABSORBED PREMIUM DEPOSIT REFUNDS (DIVIDENDS), IF ANY, WHICH MAY BECOME PAYABLE UNDER THE TERMS OF THIS POLICY.
AUDIT PERIOD: ANNUAL UNLESS OTHERWISE STATED COUNTERSIGNED AT
COUNTERSIGNATURE DATE
UNTERSHWATURREI OF LICENSED RESIDENT AGENT
PHIUDELPMUU-M^.
FORM CK821 5-72 2M ED. 66
11/1/15-
(COVERAGE PART 19 CONTINUED ON REVERSE SIDE) PRINTED IN U.S.A.
DUP 1075279
COVERAGE PART 14 DECLARATIONS--Applicable to Coverage Part 14 only
The limit of the company's liability against this Coverage shall be ay stated herein, subject to all the terms of the policy having reference thereto.
LIMITS OF
500.000LIABILITY Coverage P--Personal Injury Liability: $
aggregate.
SCHEDULE
The insurance afforded under this Coverage Part is only with respect to personal injury arising out of an offense included within such of the following groups of
GROUPS OF OFFENSES
A. False Arrest, Detention or Imprisonment, or Malicious Prosecution
B. Libel, Slander, Defamation or Violation of Right of Privacy
C. Wrongful Entry or Eviction or Other Invasion of Right of Private Occupancy
Insured's Participation
% Minimum Premium $
EXCLUSION C IS ELIMINATED
POLICY NUMBER
5YM 579 000
COV. PART 14 THIS COVERAGE PART IS EFFECTIVE
PAGE NO.
H__O__U__R_
MONTH
DAY
YEAR
i IZtOl A. m. 10 1 75
RATE
CODE ADVANCE PREMIUM
INCLUDED 9840 .$--IH-
$ COMPOSITE
Total Advance Premium $ RATE
POLICY EFFECTIVE
MONTH OAY
YEAR
10 1 75-
COVERAGE PART 14-PERSONAL INJURY LIABILITY INSURANCE
I. Coverage P--Personal Injury 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 injury (herein called "personal injury") sustained by any person or organization and arising out of one or more of the following offenses committed in the conduct of the named insured's business:
Group A--false arrest, detention or imprisonment, or malicious prosecution;
Group B--the publication or utterance of a libel or slander or of other defama tory or disparaging material, or a publication or utterance in viola tion of an individual's right of privacy; except publications or utter ances in the course of or related to advertising, broadcasting or tele casting activities conducted by or on behalf of the named insured;
Group C--wrongful entry or eviction, or other invasion of the right of private occupancy;
if such offense is committed during the policy period within the United States of America, its territories or possessions, or Canada, and the company shall have the right and duty to defend any suit against the insured seeking damages on ac count of such personal injury even if ariy^of the allegations of the suit are groundless, false or fraudulent, and may make such investigation and settlement of any claim or suit as it deems expedient, but the company shall not be ob ligated 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 personal injury arising out of the wilful violation of a penal statute or ordinance committed by or with the knowledge or consent of any insured;
(c) to personal injury sustained by any person as a result of an offense directly or indirectly related to the employment of such person by the named insured;
(d) to personal injury arising out of any publication or utterancedescribed in Group B, if the first injurious publication or utterance of the same or similar material by or on behalf of the named insured was made prior to the effective date of this insurance;
(e) to personal injury arising out of a publication or utterance described in Group B concerning any organization or business enterprise, or its products or services, made by or at the direction of any insured with knowledge of the
falsity thereof.
II. Persons Insured
Each of thefollowing isan insured under this insurance to theextentsetforth below:
(a) if the named insured is designated in the declarations as an individual, the person so designated and his spouse;
(b) if the named insured is designated in the declarations as a partnership or joint venture, the partnership or joint venture so designated and any partner or member thereof but only with respect to his liability as such;
(c) if the named insured is designated in the declarations as other than an individual, partnership or joint venture, the organization so designated and any executive officer, director or stockholder thereof while acting within the scope of his duties as such.
This insurance does not apply to personal injury arising out of 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.
III. Limits of Liability, insured's Participation
Regardless of the number of (1) insureds under this policy, (2) persons or or ganizations who sustain personal injury, or (3) claims made or suits brought on account of personal injury, the total limit of the company's liability under this coverage for all damages shall not exceed the limit of personal injury liability stated in the declarations as "aggregate".
If a participation percentage is stated in the schedule for the insured, the com pany shall not be liable for a greater proportion of any loss than the difference between such percentage and one hundred percent and the balance of the loss shall be borne by the insured; provided, the company may pay the insured's por tion of a loss to effect settlement of the loss, and, upon notification of the action taken, the named insured shall promptly reimburse the company therefor.
IV. Additional Definition
When used in reference to this insurance:
"damages" means only those damages which are payable because of personal injury arising out of an offense to which this insurance applies.
CK 816-2 4-73 50M ED. 73
DUP 1075280
'coverage for operations of designated contractor
LUMBERMENS MUTUAL CASUALTY COMPANY
DECLARATIONS
1 NAMES INSURED
AMERICAN MOTORISTS INSURANCE COMPANY
j----1 AMERICAN MANUFACTURERS
mutual insurance company
FEDERAL MUTUAL INSURANCE COMPANY
COMBINATION AUTOMOBILE GENERAL LIABILITY POLICY NUMBER
5YH 579-PQ&
E.t. OU PONT DE NEMOURS > CO.,INC.
ADDRESS
(NUMBSR--STREET--CITY OR POST OFFICE--COUNTY--STATE--ZIP CODE!
OU PONT BUILDING, WILMINGTON. DELAWARE
INDIVIDUAL
PARTNERSHIP
a JOINT VENTURE
BUSINESS OF THE NAMEO INSURED
QPCCORPORATION
TRUSTEE
POLICY PERIOD: also state time if other than izioi a.m.
FR0M 10/1/75
TO
10/1/76
12:01 A. M. STANDARD TIME AT THE ADDRESS OF THE NAMEO INSURED AS STATED HEREIN.
The insurance afforded is only with respect to COVERAGE PART 19--OW/IERS' AND CONTRACTORS' PROTECTIVE LIABILITY INSURANCE and then only with respect to such ot the following coverages as are indicated by entry of a specific advance premium. The limit of the company's liability against each coverage shall be as stated herein, subject to all
the terms of the policy having reference thereto._______________ COVERAGES
LIMITS OF LIABILITY
ADVANCE PREMIUM
A--Bodily Injury Liability B--Property Damage Liability
5oa,ooo250,000
-250,409-
each person each occurrence each occurrence aggregate
TOTAL ADVANCE PREMIUM
$ INCLUDED INCLUDED^
$
SCHEDULE--GENERAL LIABILITY HAZARD
DESCRIPTION OF HAZARDS ANY RATING CLASSIFICATION SHOWN HEREUNDER DOES NOT MODIFY THE EXCLUSIONS OR OTHER TERMS OF THIS POLICY
INDEPENDENT CONTRACTORS
CONSTRUCTION OPERATIONS--OWNER--NOT OTHERWISE CLASSIFIED (NOT RAILROADS)-- EXCLUDING OPERATIONS ON BOARD SHIPS_
CODE _0512
PREMIUM BASIS
COST
RATES
COY. A
COY. B
PER $100 OF COST
INCLUDED IKCL. INCL.
AOVANCE PREMIUM
COY. A
COY. B
INCL, INCL.
MINIMUM PREMIUMS $ DESIGNATED CONTRACTOR
B.I. $
P.D.
ALL INDEPENDENT CONTRACTORS UNDER CPPC PROGRAM
MAILING ADDRESS
WILMINGTON, DELAWARE
VARIOUS LOCATIONS COVERED-UNDER. THE CPP-C-PROGRAM
THE PERSON OR ORGANIZATION DESIGNATED ABOVE AS THE CONTRACTOR HAS UNDERTAKEN TO PAY THE PREMIUM FOR THIS POLICY AND SHALL BE ENTITLED TO RECEIVE ANY RETURH PREMIUMS AND UNABSORBED PREMIUM DEPOSIT REFUNDS (DIVIDENDS), IF ANY, WHICH MAY BECOME PAYABLE UNDER THE TERMS OF THIS POLICY.
AUDIT PERIOD: AHNUAL UNLESS OTHERWISE STATED COUNTERSIGNED AT
COUNTERSIGNATURE DATE
COUOT^StWIATURE OF LICENSED RESIDENT AGEHT
PHILADELPHIA, PA,
FORM CK821 5-72 2M ED. 66
12/1/75_
(COVERAGE PART 19 CONTINUED ON REVERSE SIDE) PRINTED IN U.S.A.
DUP 1075281
CiUt'iiii/lOAj t /UU 1 J>-------KJ > i
4kt Wu.....*...w..
'' COVERAGE FOR OPERATIONS OF, DESIGNATED CONTRACTOR
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 A bodily injury or B. property damage
to which this policy applies, caused by an occurrence and arising out of (1) operations performed for the named insured by the contractor designated in the declarations at the location desig
nated therein or (2) acts or omissions of .the named insured in connection with; his general super vision of such operations, 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 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 payjnent of judgments or settlements.
II. Persons Insured
Each of the following is an insured under this policy to the extent set forth below:
(a) if the named insured is designated in the declarations as an individual, the person so designated;
(b) if the named insured is designated in the declarations as a partnership or joint venture, the partnership or joint venture so designated and any partner or member thereof but only with respect to his liability as such;
(c) if the named insured is designated in the declarations as other than an individual, partner ship or joint venture, the organization so designated and any executive officer, director or stockholder thereof while acting within the scope of his duties as such; and
(d) any person (other than an employee of the named insured) or organization while acting as real estate manager for the named insured.
Exclusions
This policy 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 that work performed by the designated
contractor will be done in a workmanlike manner;
(b) to bodily injury or property damage occurring after (1) all work on the project (other than service, maintenance or repairs) to be performed
by or on behalf of the named insured at the site of the covered operations has been com
pleted or (2) that portion of the designated contractor's 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 performing operations for a principal as a part of
the same project; (c) to bodily injury or property damage arising out of any act or omission of the named insured
or any of his employees, other than general supervision of work performed for the named insured
by the designated contractor;
(d) to any obligation for which the insured or any carrier as his insurer may be held liable
under any workmen's compensation, unemployment compensation or disability benefits law, or
under any similar law; (e) 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 liability assumed by the insured
under an incidental contract;
(f) to property damage to
(1) property owned or occupied by or rented to the insured,
(2) property used by the insured, (3) properly in the care, custody or control of the insured or as to which the insured is
for any purpose exercising physical control, or
(4) work performed for the insured by the designated contractor;
(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 Payments provision of the policy.
ill. Limits of Liability
Regardless of- the number of (1) insureds undef this policy, (2) persons or organizations who sustain bodily injury or property damage, or (3) claims made or suits brought on account of bodily injury or property damage, the company's liability is limited as follows.-
Coverage A--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 provi sion 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 occurrence shall not exceed the limit of bodily injury liability stated in the declarations as applicable to "each
occurrence".
Coverage B--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".
Subject to tue afiove provision respecting ``each occurrence", the total liability of the company-for all damages because of all property'damage to which this coverage applies Shall not exceed the limit of property damage liability stated in the declarations as "aggregate". If more than one project is designated in the schedule, such aggregate limit shall apply separately with respect to each project.
Coverages A and B--For the purpose of determining the limit of the company's liability, all bodily injury and property damage arising out of continuous or repeated exposure to sub stantially the same general conditions shall be considered as arising out of one occurrence.
Ilf. Additional Definition
When used in reference to this insurance."work", includes materials, parts and equipment furnished in connection therewith.
V. Policy Period; Territory
- -:
This policy applies only to bodily injury or property damage which-occurs during the policy period within the policy territory.
1i
DUP 1075282
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following:
COMPREHENSIVE GENERAL LIABILITY INSURANCE MANUFACTURERS' AND CONTRACTORS' LIABILITY INSURANCE
CACLP-114 ENDORSEMENT
LIMITATION OF INSURANCE TO DESIGNATED LOCATION
It is agreed that the insurance applies only to the insured's operations at the location designated below and operations necessary or incidental thereto.
Designation of Premises:
OPERATIONS OF INDEPENDENT CONTRACTORS UNDER THE CPPC PROGRAM
Effective Date: Unless an effective date is entered below, this endorsement shall be effective as of the beginning of the policy period stated in the declarations of the policy.
This endorsement shall form a part of the policy to which it is attached.
LUMBERMENS MUTUAL CASUALTY COMPANY
AMERICAN MOTORISTS INSURANCE COMPANY
AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY
FEDERAL MUTUAL INSURANCE COMPANY
SEQUOIA INSURANCE COMPANY
named insuredTHE CPPC TOMTRACTORSW
E.J. DU PONT. ETAL
POLICY NUMBER
ENOT. NO.
EFFECTIVE DATE*
5YM 579 000 1
10/1/75
Completion necessary only when issued subsequent to policy preparation.
CAGLP-114 ENDORSEMENT CK 901 4-74 5M (REV. 10-1-66 )
nsuiance ctwrenes
PRINTED IN U.S.A.
DUP 1075283
... r Ti 1
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following:
COMPREHENSIVE GENERAL LIABILITY INSURANCE
CAGLP-106 ENDORSEMENT
BROAD FORM PROPERTY DAMAGE LIABILITY INSURANCE
It is agreed that exclusions (k) and (o) are replaced by the following: (k) to property damage to
(1) property owned or occupied by or rented to the insured, property held by the insured for sale or property entrusted to the insured for storage or safekeeping,
(2) property while on premises owned by or rented to the insured for the purpose of having work performed on such property by or on behalf of the insured,
(3) tools or equipment while being used by the insured in performing his work, (4) property in the custody of the insured which is to be installed, erected or used in construction by the insured, or (5) property which is being transported by the insured by motor vehicle, including the loading or unloading thereof, but parts (2), (3) and (4) of this exclusion do not apply with respect to liability under a written sidetrack agreement or to property damage (other than to elevators) arising out of the use of an elevator at premises owned by, rented to or controlled by the named insured; (o) to property damage to that particular part of any property not on premises owned by or rented to the insured
(1) upon which work is being performed by or on behalf of the insured at the time of the property damage and arising out of such work, or
(2) out of which the property damage arises;
Premium; The premium for this insurance shall be_______ % of the premium based on remuneration.
INCLUDED IN Advance Premium for this Endorsement: $ COMPOSITE RATE Q Additional Included
Effective Date: Unless an effective date is entered below, this endorsement shall be effective as of the beginning of the policy period stated in the declarations of the policy.
This endorsement shall form a part of the policy to which it is attached.
LUMBERMENS MUTUAL CASUALTY COMPANY
AMERICAN MOTORISTS INSURANCE COMPANY
AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY
FEDERAL MUTUAL INSURANCE COMPANY
SEQUOIA INSURANCE COMPANY
THENAMED INSURED CPPC C0NTRACT0RS OF E.l. DU PflNT, FTAI
POLICY NUMBER
ENDT. NO.
EFFECTIVE DATE*
5YM 579 000 2 ____10/1/75
*Completion necessary only when issued subsequent to policy preparation.
CAGLP-106 ENDORSEMENT CK 893-1 7-73 25M (REV. 1-1-73)
INSURANCE
PRINTED IN U.S.A.
i07528* D\jp
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following:
ALL INSURANCE AFFORDED BY THE POLICY
ENDORSEMENT
"NOTWITHSTANDING THE TERMINATION OF THIS POLICY AS IT APPLIES TO ANY INDIVIDUAL CONTRACTOR INSURED AT ANY TIME HEREUNDER. IT IS UNDERSTOOD AND AGREED THAT UPON THE COMPLETION OF SUCH CONTRACTOR'S WORK ON ANY GIVE PROJECT, THE INSURANCE AFFORDED BY THE POLICY OR RENEWALS THEREOF FOR COMPLETED OPERATIONS LIABILITY SHALL NOT TERMINATE UNTIL ONE CALENDAR YEAR FROM THE DATE OF SUCH COMPLETION."
Effective Date: Unless an effective date is entered below, this endorsement shall be effective as of the beginning of the policy period stated in the declarations of the policy.
This endorsement shall form a part of the policy to which it is attached.
LUMBERMENS MUTUAL CASUALTY COMPANY
AMERICAN MOTORISTS INSURANCE COMPANY
AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY
FEDERAL MUTUAL INSURANCE COMPANY
SEQUOIA INSURANCE COMPANY
NAMED insuredTHE CppC CONTRACTORS OF
F.l. mi PfiMTFTAl
POLICY NUMBER
ENDT. NO. ' '
EFFECTIVE DATE*
5YM 579 000 --3----- ____ LOil/75
Completion necessary only when issued subsequent to policy preparation.
ENDORSEMENT AK 834 7-74 IOOM
PRINTED IN U.S.A.
DUP 1075285
-Hhi'.HMiteljuntmmi
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following:
ALL INSURANCE AFFORDED BY THE POLICY
ENDORSEMENT
IT IS AGREED THAT THE PREMIUM FOR THE POLICY WILL BE PAID BY E.l. DU PONT DE NEMOURS AND COMPANY INCORPORATED, DU PONT BUILDING, WILMINGTON, DELAWARE.
IT IS FURTHER AGREED THAT ANY REFUND RETURN PREMIUM OR DIVIDENDS ATTRIBUTABLE TO THIS POLICY WILL BE PAID TO E.l. DU PONT DE NEMOURS AND COMPANY, INCORPORATED, DU PONT BUILDING, WILMINGTON, DELAWARE.
Effective Date: Unless an effective date is entered below, this endorsement shall be effective as of the beginning of the policy period stated in the declarations of the policy.
This endorsement shall form a part of the policy to which it is attached.
LUMBERMENS MUTUAL CASUALTY COMPANY
AMERICAN MOTORISTS INSURANCE COMPANY
AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY
FEDERAL MUTUAL INSURANCE COMPANY
SEQUOIA INSURANCE COMPANY
NAMED INSURED
QPPC COtNTRACTORS OF
fi. nn Pmi T ETAL
POLICY NUMBER' '
ENDT. NO. '
EFFECTIVE DATE*
-5YM 579 000 k-- -- -----------------IOA7-75-------
Completion necessary only when issued subsequent to policy preparation.
ENDORSEMENT
AK 834 7-74 lOOM
DUP 1075286
PRINTED IN U.S.A.
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following:
ALL INSURANCE AFFORDED BY THE POLICY
ENDORSEMENT
IT IS AGREED THAT THE PREMIUM FOR THIS POLICY IS DUE AND PAYABLE AS FOLLOWS:
DATE DUE
B.I.(P)
p-p-tpi
B.l.tE)
P.D.fE)
TOTAL
10/1/75
19,987.
13,408.
2,277.
1,521.
37,193.
11/1/75
19,978.
13,403.
2,276.
1,517.
37,174.
12/1/75
19,978.
13,403.
2,276.
1,517.
37,174.
1/1/76
19,978.
13,403.
2,276.
1,517.
37,174.
2/1/76 3/1/76
19,978. 19,978.
13,403. 13,403.
2,276. 2,276.
1,517. 1,517.
37,174. 37,174.
4/1/76
19,978.
13,403.
2,276.
1,517.
37,174.
5/1/76
19,978.
13,403.
2,276.
1,517.
37,174.
6/1/76
19,978.
13,403.
2,276.
1,517.
37,174.
7/1/76
19,978.
13,403.
2,276.
1,517.
37,174.
8/1/76 9/1/76
19,978. 19.978.
13,403. 13.403.
2,276. 2.276.
1,517. 1.517.
37,174. 37.174.
TOTAL
239.745.
160,841.
27,313.
18,208.
446,107.
Effective Date: Unless an effective date is entered below, this endorsement shall he effective as of the beginning of the policy period stated in the declarations of the policy.
This endorsement shall form a part of the policy to which it is attached.
LUMBERMENS MUTUAL CASUALTY COMPANY
AMERICAN MOTORISTS INSURANCE COMPANY
AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY
FEDERAL MUTUAL INSURANCE COMPANY
SEQUOIA INSURANCE COMPANY
NAMED INSURED POLICY NUMBER
CPPC Ci3NTRACT0RS OF DU PO NT, ETAL
EHDT. NO.
EFFECTIVE DATE*
5YM 57-9- 000 --5------ --10/1/75----------
Completion necessary only when issued subsequent to policy preparation.
ENDORSEMENT AK 834 7-74 lOOM
ITEmpeRSCISE
DUP 1075287
PRINTED IN U.ff.A.
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following:
ALL INSURANCE AFFORDED BY THE POLICY
ENDORSEMENT
IT IS FURTHER UNDERSTOOD AND AGREED THAT THE INSURANCE PROVIDED BY COVERAGE PART 19, IS THE ONLY INSURANCE AFFORDED BY THIS POLICY WITH RESPECT TO E.l. DU PONT DE NEMOURS & CO.,INC.
Effective Date: Unless an effective date is entered below, this endorsement shall be effective as of the beginning of the policy period stated in the declarations of the policy.
This endorsement shall form a part of the policy to which it is attached.
LUMBERMENS MUTUAL CASUALTY COMPANY
AMERICAN MOTORISTS INSURANCE COMPANY
AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY
FEDERAL MUTUAL INSURANCE COMPANY
SEQUOIA INSURANCE COMPANY
THEnamed .hsured' CPPC CONTRACTORS OK E.l. DU PONT. ETAL
POLICY NUMBER
5YM 579 000
ENDT. NO. 6
EFFECTIVE DATE*
10/1/75_____
"Completion necessary only when issued subsequent to policy preparation.
ENDORSEMENT AK 834 7-74 lOOM
DUP 1075288
PRINTED IN U.S.A.
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following:
ALL INSURANCE AFFORDED BY THE POLICY
ENDORSEMENT
IT IS AGREED THAT THE FOLLOWING APPLIES ONLY WITH RESPECT TO BROWN & ROOT, INC., A C.P.P.C. CONTRACTOR:
ITEM (C) OF SECTION II, PERSONS INSURED OF COVERAGE PART 7 COMPREHENSIVE GENERAL LIABILITY INSURANCE OF THIS POLICY SHALL BE AMENDED TO READ IN ITS ENTIRETY AS FOLLOWS:
C) IF THE NAMED INSURED IS DESIGNATED IN THE DECLARATIONS AS OTHER THAN AN INDIVIDUAL, PARTNERSHIP OR JOINT VENTURE, THE ORGANIZATION SO DESIGNATED AND ANY EXECUTIVE OFFICER, DIRECTOR OR STOCKHOLDER THEREOF WHILE ACTING IN THE SCOPE OF HIS DUTIES AS SUCH AND ANY SUPERVISORY EMPLOYEE THEREOF WHILE IN THE COURSE OF HIS EMPLOYMENT.
Effective Date: Unless an effective date is entered below, this endorsement shall be effective as of the beginning of the policy period stated in the declarations of the policy.
This endorsement shall form a part of the policy to which it is attached.
LUMBERMENS MUTUAL CASUALTY COMPANY
AMERICAN MOTORISTS INSURANCE COMPANY
AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY
FEDERAL MUTUAL INSURANCE COMPANY
SEQUOIA INSURANCE COMPANY
NAMED INSURED
f
POLICY NUMBER
QPPC C(INTRACTORS OF
i . nil proIT, FTM
ENDT. NO. ~
EFFECTIVE DATE*
5YM 579 000 _Z___ 10/1/75
Completion necessary only when issued subsequent to policy preparation.
ENDORSEMENT AK 834 7-74 lOOM
in
DUP 1075289
PRINTED IN U.R.A.
This endorsement modifies such Insurance as is afforded by the provisions of the policy relating to the following:
ALL INSURANCE AFFORDED BY THE POLICY
ENDORSEMENT
IT IS UNDERSTOOD AND AGREED THAT THERE ARE MULTIPLE NAMED INSUREDS TO WHOM THIS POLICY IS ISSUED.
IT IS FURTHER AGREED THAT THE LIMIT OF LIABILITY STATED IN THE DECLARATIONS SHALL APPLY SEPARATELY TO EACH NAMED INSURED BUT NOT CUMULATIVELY BETWEEN ANY SUCH NAMED INSUREDS WHO HAVE FINANCIAL OR MANAGERIAL INTERRELATIONSHIP.
Effective Date: Unless an effective date is entered below, this endorsement shall be effective as of the beginning of the policy period stated in the declarations of the policy.
This endorsement shall form a part of the policy to which it is attached.
LUMBERMENS MUTUAL CASUALTY COMPANY
AMERICAN MOTORISTS INSURANCE COMPANY
AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY
FEDERAL MUTUAL INSURANCE COMPANY
SEQUOIA INSURANCE COMPANY
NAMED "THE CPPC CONTRACTORS OF
EJ. .DU-PONT, FTAL
POLICY NUMBER
ENDT. NO.
EFFECTIVE DATE*
5YM 579 0001 8
10/1/75
`Completion necessary only when issued subsequent to policy preparation.
ENDORSEMENT AK 834 7-74 lOOM
DUP 1075290
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following:
ALL INSURANCE AFFORDED BY THE POLICY
ENDORSEMENT
IT IS AGREED THAT THE NAMED INSURED WILL NOT BE CHARGED WITH KNOWLEDGE OF THE OCCURRENCE, CLAIM OR SUIT UNTIL SUCH KNOWLEDGE IS RECEIVED BY AN EXECUTIVE OFFICER OR THE INSURANCE DEPARTMENT OF THE NAMED INSURED.
Effective Date: Unless an effective date is entered below, this endorsement shall be effective as of the beginning of the policy period stated in the declarations of the policy.
This endorsement shall form a part of the policy to which it is attached.
LUMBERMENS MUTUAL CASUALTY COMPANY
AMERICAN MOTORISTS INSURANCE COMPANY
AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY
FEDERAL MUTUAL INSURANCE COMPANY
SEQUOIA INSURANCE COMPANY
NAMED INSURED JHg QPPC CO NTRACTORS OF F .I. DU PON T, ETA!
POLICY NUMBER
ENDT. NO.
EFFECTIVE DATE*
VM- 579 OOP --9------- ...1-0/1/75-----------
"Completion necessary only when issued subsequent to policy preparation.
ENDORSEMENT AK 834 7-74 lOOM
DUP 1075291
PRINTED IN U.S.A.
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following:
ALL INSURANCE AFFORDED BY THE POLICY
ENDORSEMENT
LARGE RISK CONTRIBUTORY DIVIDEND PUN ENDORSEMENT COMBINATION OF POLICIES
IT IS MUTUALLY AGREED THAT THIS POLICY IS COMBINED FOR DIVIDEND PURPOSES WITH POLICY NUMBER 4YM 579 OOO UNDER THE CONTRIBUTORY DIVIDEND PUN DESCRIBED IN THE "LARGE RISK CONTRIBUTORY DIVIDEND PLAN ENDORSEMENT" ATTACHED TO SAID POLICY.
Effective Date: Unless an effective date is entered below, this endorsement shall be effective as of the beginning of the policy period stated in the declarations of the policy.
This endorsement shall form a part of the policy to which it is attached.
LUMBERMENS MUTUAL CASUALTY COMPANY
AMERICAN MOTORISTS INSURANCE COMPANY
AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY
FEDERAL MUTUAL INSURANCE COMPANY
SEQUOIA INSURANCE COMPANY
NAMED insureoTHE CPPC CONTRACTORS OF
E.l DU PONT. ETAL
POLICY NUMBER
ENDT. NO.
5YM 579 000 10
EFFECTIVE DATE*
10/1/75
Completion necessary only when issued subsequent to policy preparation.
ENDORSEMENT AK 834 7-74 lOOM
DUP 1075292