Document mp9oyOppVjOqN16NXO6GEaL44
lumbermens mutual casualty company
AMERICAN MOTORISTS INSURANCE COMPANY AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY FEDERAL KEMPER INSURANCE COMPANY
PLAINTIFF'S
EXHIBIT DTJP-2385
COMBINATION AUTOMOBILE--GENERAL LIABILITY POLICY
Non-assessable
LUMBERMENS MUTUAL CASUALTY COMPANY
A mutual insurance company, herein called the Company
Home Office: Long Grove, IL 60049
AMERICAN MOTORISTS INSURANCE COMPANY
A stock insurance company, herein called the Company Home Office: Long Grove, IL 60049
AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY
A mutual insurance company, herein called the Company
Home Office: long Grove, II 600*49
FEDERAL KEMPER INSURANCE '"OMPANY
lock insurance company, vrein called the Company Home Office: 2001 East Mound Road, Decatur, IL 62526
The company providing the insurance afforded by this policy is designated on the Declarations Page, If such company is a mutual company, the insured is hereby 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 the company.
The annual meeting of the Lumbermens Mutual Casualty Company is held at its home office in Long Grove, IL, on the third Tuesday in May of each year at eleven o'clock A.M. The annual meeting of the American Manufacturers Mutual Insurance Company is held at its home office in Long Grove, IL, on the third Tuesday in May of each year at nine o'clock A.M.
DUP 1075175
GENERAL INSURING AGREEMEN : ___
In considerition of'ttie payment of the premium, in reliance upon the statements in the declarations made a part hereof and subiert to lit of the terms of th s policy, the cc
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 ana endorsee
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 incurred by the company, all costs taxed against the insured in any suit defended by the company and all interest on the entire amount of any judgment therein which accrui
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 the'eci (bl premiums on appeal bonds reouired 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 th
. policy, and the cost of bail bonds reouired of the insured because of accident or traffic law violationarising out of the use of anyvehicle to which thispoucy applies, not to excee ' $250 per bail bond, but the company shall have no obligation to apply tor or furnish any such bonds,-
(c) expenses incurred by the insured for first aid to others, at the time of an accident, for bodily injury to which this policy applies,-
(d) reasonable expenses incurred by the insured at the company's request in assisting the company in theinvestigation or defense ofany claim orsuit,including actual loss earnings not to exceed $25 per day.
DEFINITIONS
Whei ised ii this policy:
"aitMibile" 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 lijiry" means bodily injury, sickness or disease sustained by any person which occurs during the policy period, including death at any time resulting therefrom;
"coapfetod operations board" includes bodily Injury and property damage arising out ol operations or reliance upon a representation or warranty made it any time with respect thereto, but only it the bodily iniury 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) 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, shall 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";
"elevattf" means any hoisting or lowering device to connect Doors or landings, 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;
"uKideital ciitnct" 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 indemnity 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 Insprovision of the applicable Insurance coverage. The insurance afforded aooiies separate each insured against whom claim is made or suit is brought, except with respect to the Iof the company's liability;
"hilt eqaipmeet" means a land vehicle (including any machinery or apparatus atta 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 lo the named insi 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 cf following types forming an integral part of or permanently attached to such veh power cranes, shovels, loaders, diggers and drills; concrete mixers (other than mix-in-transit type); graders, scrapers, rollers and other road construction cr ri equipment; air-compressors, pumps and generators, including spraying, welding and b ing cleaning equipment; and geqphysical exploration and well servicing equipment:
"lamed insured" means the person or organization named in Item 1 of the declaration this policy;
"lamed insured's predicts" means goods or products manufactured, sold, handled or distrib by the named insured or by others trading under his name, including any container the (other than a vehicle), but "named insured's products" shall not include a vending madvn any property other than such container, rented to or located for use of others but not sold "itcirrenei" means an accident, including continuous or repeated exposure to condit which results in bodily injury or property damage neither expected nor intended from standpoint of the insured; "pilicy territim" 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 occur in the course of travel or transportation to or from any other country, stat nation, or
0) anywhere in the world with respect to damages because of bodily injury or proi damage arising out of a product which was sold for use or consumption within territory described in paragraph (1) above, provided the original suit for such damag brought within such territory;
"predicts hazard" includes bodily injury and property damage arising out of the named insu products or reliance upon a representation or warranty made at any time with respect the but only if the bodily injury or property damage occurs away from premises owned by or re to the named insured and after physical possession of such products has been relinqui to others-,
"preperty damage" means (1) physical injury to or destruction of tangible property v occurs during the policy period, including the loss of use thereof at any time resu therefrom, or (2) loss of use of tangible property which has not been physically injure destroyed provided such loss of use is caused by an occurrence during the policy period
CONDITIONS
1. Prealmr 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, Jf the total earned premium tor 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 premum 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. lispjRtiu aid Aidit. The company shall be permitted but not obligated to inspect named insured's property and operations at any time. Neither the company's right to i inspections nor the making thereof nor any report thereon shall constitute an undertake behalf of or for the benefit of the named insured or others, lo determine or warranl that property or operations are safe or healthful, or are in compliance with any law, rul regulation.
The company may examine and audit the named insured's books and records at any during the policy period and extensions thereof and within three yea's after the final termm. of this policy, as far as they relate to the sub|ect matter of this insurance
(Cirtitim an entiiitd m Jackit ffagi 3)
JACKET PACE 1
DUP 1075176
liwiMWiaw--a* wwiitiij*Tf1<m*w*iiawMii mwm
feSiaiS8B
ATTACH OECLARATIO ,GE, COVERAGE PARTS, SUPPLEMENTARY DECLARATIONS OR
IJLES ANO ENDORSEMENTS HERE
This endorsement modifies the provisions of the policy relating to ALL AUTOMOBILE LIABILITY. GENERAL LIABILITY AND MEOICAL PAYMENTS INSURANCE OTHER THAN COMPREHENSIVE PERSONAL ANO 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 (bl 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 material and 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
.,0) 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
C320 ENDORSEMENT
NUCLEAR ENERGY LIABILITY EXCLUSION
(Broad Form)
If. As used in this endorsement: "bazardois properties" include radioactive, toxic or explosive properties: "Hclear material" means source material, special nuclear material or byproduct material; "soorce material", "special aaclear material", and "bypradoct material" have the meanings given them in the Atomic Energy Act of 1954 or in any law amendatory thereof;
"speit fnl" 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; "Nclear 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 m 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 ot the foregoing is located, all operations con ducted on such site and all premises used for such operations;
"(clear rtactar" 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;
"praperty damaga" includes all forms of radioactive contamination of property.
This is (at a eamplata aad valid cantract withait an aceamianying Deelaratiau Page, praparty caaatarsignad, tegttter witt ana r (tare Carnage Parts.
JACKET PACE 2
DUP 1075177
CONDITIONS (Continued)
3. Fiuaeul ItsfNSikility Liwl When this policy is certified is proof of financial responsibility
for the future under the provisions of iny motor vehicle fininciil responsibility law, such
insurance as is afforded by this policy for bodily iniury 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 tile company for any payment maoe by
the company which it would not have been obligated to make under the terms of this policy
except for the agreement contained m this paragraph,
--
4. Iisared's Datles ia the Evtat if Octirmca, Clam tf Slit (a) In the event of an occur rence, written notice contaming 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 inured and of available witnesses, shall be given by or for the insured to the company or any of its authorited 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 representative. (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 iniury 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. Aetna igaiast Cwpaiyr. No action shall lie against the company unless, as a condition
precedent thereto, there shall 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 Ixsirance. The insurance afforded by this policy is primary insurance, exceptTwhen stated to apply in excess ot 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 less on an excess or contingent basis, the amount of the company's liability underjhis 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) Cutribitioi 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 eoual 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 pud the remaining insurers then cont.nue tc conficute eeva- snares 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.
(I) Ciatrihtioa by Limits. If any of such other insurance does not provide for contr.buticn by equal shares, the company shall not be liable for a greater proportion of such less than the applicable limit of liability under this policy (or such loss cears to the teta' applicable limit of liability of all valid and collectible insurance aga-ns! such loss.
7. Slbfigatiin. In the event of any payment under this policy, the company shall be subrcga'ed to all the insured's rights of recovery therefor against any person or o'ganization and tie insured shall execute and deliver instruments and papers and do whatever eise is necessary to secure such rights. The insured shall do nothing after loss to prejudice such rights.
I. Changes. Notice to any agent or knowledge possessed by anv agent cr by any ether pe'scshall 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 th>s policy, signed by a du authorized officer or representative of the company.
!. Assignment. Assignment of interest under this policy shall not bind the companv until its consent is endorsed hereon; if, however, the named insured snail die. suen insurance as -s afforded by this policy shall apply 111 to the named insured s lega* 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
ID. Three Year Policy. If this policy is issued for a period of three years anv limit of the company's liability stated in this policy as "aggregate" shall apply separately to each c;n secutive annual period thereof.
II. Cancelation. This policy may be canceled by the named insured by Si/rende' thereof tc 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 elective, but pavmert or tender of unearned premium is not a condition of cancelation.
12. Declarations. By acceptance of this policy, the named insu-ed agrees that the statements In the declarations are his agreements and representations, that this policy is issued in reliance upon the truth ot 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 the ceapei; previtesl; desigasted, tke fellewiig correlative prevision (eras a part ef this policy;
Meteal Pillcy Ceeditiois.
lumbermens mutual
CASUALTY COMPANY
American manufacturers MUTUAL INSURANCE COMPANY
This is a perpetual mutual corporation owned by and operated for the benefit of its members. This is a non-assessable, participatingpolicy under which the Board of Director 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:
Mitaib--Miabersblp aad Vatiig Natlca. 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 perse 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.
MatiaU--Partkipatin Claasa Witbert Caatiigaat Liability. No Contingent Liability!-This policy is non-assessable. The policyholder is a member of such company and shall part'C
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 an determined.
DiridawdL
American motorists INSURANCE COMPANY
federal Kemper INSURANCE COMPANY
This policy is participating and shall be entitled to receive unabsorbed premium "deposit refunds as apportioned by the directors.
As respects the State of Texas, such provision is amended to read as follows:
Dhrideid Prtvlilae--Partklgatiat CiipMiii. The named insured shall be entitled to participate in a distribution of the surplus of the company, as determined by the Board c 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 vali unless countersigned on the Declarations Pige by a duly authorized representative of the company.
LUMBERMENS MUTUAL CASUALTY COMPANY AMERICAN MOTORISTS INSURANCE COMPANY
AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY
FEDERAL KEMPER INSURANCE COMPANY
Sterttary
i.eai r 7 ^
JACKET PAGE 3
StCTftory
Up 1075178
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DECL VRATIOISS
(OMBINATION Al TOMOBH.E r.F-NFRAt. UABII.ITV POI.IO M.MIIFR
zm 579 ooo
named insured
! THE CPPC CONTRACTORS OF C. 1. 00 PONT AND ANY OTtCR CONTRACTOR
i DCSI GRATED BY E. I. DO PORT
IV 7^1^
! MAIL ADDRESS ,N-Mc*--*THt*T--C.Tr C* POST orncc--ZON --COUNTY-- STATE-- ZiF coot
________ Oil PONT BUILDING- WILMINGTON. OBUNANC
! INDIVIDUAL
QRARTNEJISNIP IOINT VENTURE
| *USINfSS Of THE NAMEO INSURED
| CORPORATION AoUCY PERIOD I FROM
OTHER: A.(j,r-ir,MC,pe-H(.iNANiijiMi
10-1-72
|
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12.01 A V HANOARB TlWf AT THE 400RESS Of THE NAMED WSUPE9 J$ STATED HEREIN,
[ Ihe insurance atloioeo .s cm .viih respect to such of the following Coverage Parts as are indicated 6y entry of specific advance prerr app able thereto-- 1
j ADVANCE PREMIUM COVERAGE PARI
S
j
i__
1
1--Comprehensive Automobile Liability Insurance 1 2--Garage Insurance
J 3---Automobile Medical Payments Insurance
4--Protection Against Uninsured McforistsJ-nsurance
5--Automobile Physical Damage Insurance (Fleet Automatic)
j 6--Automobile Physical Damage Insurance (Non*F!eet]
rtf m 7--Comprehensive Genera! Liability lnsuran.ce
i__ _______________________
8--Owners', Landlords' and Tenants' Liability Insurance 9--Manufacturers'.and Contractors' liability Insurance
i mmm
10--Completed Operations and Products Liability Insurance
im Matt
1 1--Contractual Liability Insurance (Designated Contracts Only)
1 IMS______ 12--Independent Contractors Liability Insurance
f ---------- -
. --Premises Medical Payments Insurance
_ 1 4--Personal Injury Liability Insurance ___
15--Comprehensive Personal Insurance
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1 1 ABILITY INS. |
Special charge for endorsement
8,TT*-0 (R) tt)
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Al ADVANCE PREMIUM
RS NO INSURER HAS CANCEIEI
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ED TO THE HAMEO INSURED, SIMILAR TO THAT AFFORDED HEREUNOER. UNLESS OTHERWISE
COUNTERSIGNED AT FORM CK802 8-70 30M ED. 66
COUNTERSIGNATURE OATE
MONTH
OAY
YEAR
11 1 7*
COUNTERSIGNATURE OF LICENSED RESIDENT AGENT
DUP 1075179
co\ek\ge P\nr : DECLARATIONS-^AppIicahie to CtnerJjre Part . onl'
/ancs allege u-:** ir; > C;faj? P3'* r:r.:; .rf? respect to >jch cf the fc<Jc<v r^ Co/e^eges as <rs .nd-cattC z. e'w spec ' c 3C.2*.- z'~
if the company's !'3fc '-*1 agamst each Coverage sha \ ts as stated here n. subject to ail the terms'f the poi.c^ ha.in? 'eVere
i.MJTS OF Coverage A--8;c.y f,jr. L.a;. t<
> 250,000
liability Coverage 6--P'?c't. Damage l a:' lA_5 00.000
eacn perscr 3 500,000 eacF sccs'-eice S 250,000
eac.-, occurrence. 3 500,000
3gg'5g3:
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THE CPPC CONTRACTORS OF E. 1 . PU PONT
!_____________________ _
AND ANY OTHER CONTRACTOR DESIGNATED
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BY E. 1 . DU PONTI_____________________ 1i
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SCHEDULE-GENERAL LIABILITY HAZARDS
The following summary discloses all hazards insured hereunder known to exist at the effective date of this policy. uniess otherwise stated herein.
LOCATION NATION
DESCRIPTION OF HAZARDS CLASSIFICATION SHOWN HEREUNDER OOES NOT EXCLUS'ONS OR OTHER TERMS OF THIS POLICY}
SECTION 1 - PREMISES - OPERATIONS
COOE
PREMIUM BASES
!At AREA '.SO FT ) (8) REMUNERATION (0
RATES
COV A
COV 8
(A) PER 100 $Q FT. te; per sioo to
advance PPMI,,MS
|
COVERAGE A--
IN/URY L'ABIL'TY
COVERAGE 8PRCpEctt DAMAGE I'Ae'UT' .
i ;
1
COOE
TYPE
i
CO
5
! |
i>a-o5
9380 9380
PLAN EXCESS
B 59,189,000 .178
B 59,189,000
.118 105,356. 69,843.'
7>io3.|
.012 10,654.
'MINIMUM PREMIUMS COV. A % SECTION 2 - INOEPENOENT CONTRACTORS
COV. 8 S .
INCLUDED IN COMPOSITE RATE
'M'NIM'OM P&EM'JV$ COV A S SECTION 3 -- COMPLETED OPERATIONS
CCV B S
INCLUDED IN COMPOSITE RATE
coot
COST
MINIMUM PREMIUMS' CCV A S SECTION 4 -- PRODUCTS
COV B S
SALES
PER SlOO Cf COST PER SIOOO
PER $1000
1 | `MINIVUV PREVIUVS COV AS
| RDltCT NUM8ER
| 2ym 579 000
COV, PART 7 PAGE NO.
1
'Not to be
un-rst eiposure ei.su
:<B09I EC66ITSJ5W
~
COV B S
1
THIS COVERAGE PART IS EFFECTIVE
HOUR
MONTH
DAY
12:01AM. 10 1
TEAR
72
POLICY EFFECTIVE
MONTH
DAY
YEAR
10 1 72
total ADVANCE
116.010.
PREMIUM
1QO
+ *"9*
76.046^
nn *+*+
1 (COVERAGE PART 1 CONTIN.'fr. CN REVERSE DE
qUP 1075180
COVERAGE PART 11 ' DECLARATIONS--Applicable to Coverage Part . only
insurance affctoei unt;- *h,s Coverage "aft s !> wtb respect to sttj.n ct_the foTcw rg Cove'ages as i't Treated t. irt*. :t -sr. * mt o< the company's liability against each Coverage shall be as stated herein, subject to all the terms ot the policy having reference thereto
re~
l LIMITS OfiCoverjge f--Contractual Bodily Injury liability:
$ 250* 000
eacn person, $
500,000
LIABILITY ICoverage Z--Contractual Property Damage liability: ? 250000_______ each occurrence, $ 250* OOP
ease Sss'Sfiate
- -- `
SCHEDULE-GENERAL LIABILITY HAZARDS
OES-CNATION OF CONTRACTS 'ANY rating CLASSIFICATION SHOWN HEREUNDER DOES NOT MOO`FV The EXCLUSIONS or other terms OF This POLICY'
PREMIUM
BASES
RATES
c:v. y ; ccv i
vA) NUMBER 181 COST
A! PEP CONTRACT
:8 PER $100 OF CCS'
ADVANCE PPEV ,,v;
COVERAGE (
80 D< if
INJLRY
LA0iHTi
:C*RAGE 4 -
?BGPC R'v DAMAGE HA8-.-T'
! ALL WRITTEN CONTRACTS RELATING TO
' THE BUSINESS OF THE NAMED INSURED I BY DESIGNATED INDEPENDENT CON-
TRACTORS UNDER CPPC PROGRAM FOR WORK DONE FOR E. I. DU PONT DE NEMOURS AND COMPANY INCORPORATED.
I
1
INCLUDED IN COMPOSITE RATE
j
l1
j
I I
I
i i
11
1
MINIMUM PREMIUMS COV Y $ ................... .
COV. 2 $..... .
j
!:
! 2YM 579 000
COV PART 11 THIS COVERAGE PART IS EFFECTIVE
pace no,
jjbJJS___ __
month pay
1 12(01 AM. io -1
|
vear
72 1
poucy EFFECTIVE------------- ^
month
day
YEAR
10 1 f2
TOTAL
advance 1--------------------------------
PREMIUM
INCLUDEID
'
CK 813 5-71 12M BO. 66
(COVERAGE PART 11 CONTINUED ON REVERSE SIDE/
DUP 1075181
COVERAGE 1'AIU I t .jECLARATIONS--Applicable to Coverage Part
Mils
1 of 'n cnmpanv's l.ab'Uy aga-n! this Coverage shall be as staled he'e r subiecf la al1 Ihe t?---, if the pc!13. -g re'e'er.e 're''.'
d ' j ofj
*ci 1'v $C,'e'ate P-' dr'scnal |n try (..'ab'l'tv 250,000 erk prs- aggregate 5 500,000
jee-' ng";:'*
^(HEnn.E
Toe afc'le: sae- th s Coverage M >s only * lb. respect tc wtom' ' )* eg V. :I r tffr.se .ncuded * tn- a-.:* 9! th* .* ag g-:.;: . - - ,<,, vj .2 -.i bv eni't o' sees Sc advance premium charge or charges
| GROUPS OF OFFENSES_________________________ _________________ _________ RATE________________ 1 COPE i 40V4NCE PREMIUM !
: t false arrest Detention or Imprisonment, or Malicious Prosecution_____________ ______.;i
js__ [ NCLUDEP
1 B libel. Slander, Defamation or Violation of Right cf Privacy"
C Wrongful Entry r Eviction cr Other Invasion of Right of Private Occiipancy
__ ________
Insured's Participation
0 % | Minimum Premium S
EXCLUSION CIS ELIMINATED_____
PCw Zt NUMBER
COV PART ii i THIS COVERAGE PART IS EFFECTIVE
2ym 579 000
PT ' i0bi a m. Tbir
' 9840 ,5 | fvj
.__________________________ _______ .___
I sCOMPOS I TC
Total Advance Premium SR ATE
POLICY ELECTIVE MONTH DAY
10 1
w
!
COVERAGE PART 14--PERSONAE INJURY LIABILITY INSURANCE
I. Coverage P--Persona! Injury liability
me comoan/ w'l oav on behalf of the insured all sums which the insurer; shall become
Sega. 1 ob.'ga'ec to par as damages espa-se ai -aiur, rhere.r Cd-.cO fe'sesa e^T,'
Si.:': nes p, any ce'sor y ygan a a t ` or. a-- ar'smg of ;! one ,1:
' rn' `ti.w-g
jffe-.e:
the ccnouct :! ;he named msjred's busmess
--
r. -C 4 -- li :e =; ae'e-: -- y ,,rzr s:n-en) nr -31 - njc p'nsa'c* --
---
G'o.p B--the fjcl.calon cr utterance at a "fcei or slande' or of o:he- iefamrrjr, f%j carag.ng -atria sr a puhtcaf cn or utte'ance m noli'")". <' an md &r'-. r g-t of cr vaev. except put: calicos or .!terar..s: m tie uwfK cl r ceateu. ac.easing, roactastmg telecastmg 2ctAit.es ccr.duc.e: m v n "Shaft o' the names msu'e:
St:.5 C--ertr. .' e. :!ui cr other o.as.on uf the i.gs; pr-.a;, oc:acam
4 S'.-- :ffe"se a cemcittea d.r ng "re pc' cr oe'icd re.thin the lm ted States ' 4~r --__ c;
tiftc'ies o' pcssessrons. cr Canada, ard the company shall have the ngnt and tfjh to data) any st t ag3ns; ;*>e neared sesxmg damages cm account of suer prs--ni;': eye.-. ' the auegatm-ns f the 5j.- 3^ rerd'es: Gtse n* frauou.ent. and mav Tane'sucn ,r,es* g>* y
It. Persons Insured
Each of the following is an insured under this insurance te the extent set fern beisw a' ` 'he oa-ed visuryd : des-grated in the dec'arsf an; a - -: .
des'g-ated.
1-1 oar--s--,h 0 'r run' venture sc des-gnaiec and any oa''ncr " --i' 's.ce'f nis I'aoiiity as such.
- : - - <~
*** "3~id jnS-'?v " d*r <r'3*S! '
3'34 *"* sr *-! -- --
-c
;L ..
tho
jat
i~Z ;r-v
'.J
.Peis >der the'`f wn.ie act ng wlt-T the -ccpe cf *: j.-t s =: r.r '
*
' r.',,r>r.-- toe: nr' 'priy to :rri
...........
' 1- ;..............
' :r#n an ;na msured 'S a partns' 0' me~:-e' arc fY. ' 1 -' -im=c n-.uf.i.
s if r- -
Ill tUnits at '.'abit'ty, insured's Participation
l fa oar an. - ; - - jpj-r: -r io de'e-c jn, -L1 a'te' `re arc-cat.: m.* ; t-e | l'3t ' N "a: pee- tiziy-'z* Cr pavTPnt " ucgme-lo aeti'emen!'
yny
| Exclusions \ This insurance does not apply:
(31 t: hab'hty assumed by tbe msured unde- any contract cr agreerrerf.
-
' (bl to persona: mrury arising out of the wilful violation of 3 penal statute or ordmancj ! comm tied bv or with the knowledge or consent of anv insured.
tc) tc personal injury sustained by any person as a result ot an offense directly or indirectly related to the emp'oyment of such person by the named insured;
!d) to personal injury arising out of any publication Dr utterance described in Groce B.Tf
the first injurious publication or utterance of the same or similar material by cr 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 con cerning any organiration or business enterprise, or its products or services, made by or at the direction of any insured with knowledge ol the falsity thereof.
r'u'y - ? "jt- -ade or.su:t:
1....................... :
t31 '. -f '.he r.rrp;'. f" a'1 damages be'au'c f a f
.`
rpy--igs asp:es. sustained tv anv one pe'ser or organ-sat .-o r-:-: :
_)Lri n tne declarations a; "earn pe-;-r .n--'
- -z m -s f
d.siec: fc the above provision respecting ''each person aggregetr . "e t:ta - : J the
v'-df.v: f.t ,'ly jnder th s tcveraga for all damages -ha:.' net
- ' - pvsena.
"'s' at'i'ty fated in the deciaraticr.3 as "genera! 3ggr=s?;?
f a r.rtir'p'.cn oercen!age is staled in the srhdU' !.-,r ih
j,'
1 ' :e if.? h' a greater prspo't'on of anv loss than the d'fere-:? ;u??r '.ucn :--age
and me ijndred percent and the taiance cf the 'oss she. ae ooree "e m^ured. cec
f-e ".mcany mjv pay the insured's ocrti-n pf 3 ;oss tc effect setfe-'en' y "
a-:, .c.:"
:3!'-n of the action taven, the nemea insured shah prsmp'.r 'e.mbcr;e tie '-ov-
there'er
IV. Amended Definition
When used in reference to this insurance: "damages" means only those damages which are payable because of pe'ser,ai '"ury a- s ng out of an offense to which this insurance applies.
CK 8)6 1 7 71 15M ED. 66
DUP 1075182
ij,aai'gfea.iaiiit
s,
COVERAGE PARI 22 DECLARATIONS--Applicable lo Coverage Part
onlv
't :i !fe corps-.; ,iat.. ir aga-ns! tto Ccve-age sha." te as states secern. subiec! to all the te'trs cl fee pone, having 'elerer:e
OMITS Of LIABILITY Coverage Ml--Malpractice liability S 2*50,000
aaefi person aggregate, $ CjQQ. QQQ general aggregate.
__ SCHEDULE
DESIGNATION OF EMPLOYEES . . ; (Indicate if physican, surgeon, dentist, nurse or first aid technician,
Rate p_____
per Employee
.
"
i COVERAGE AFFORDED HEREUNDER APPLIES TO THE INSURED OR ,
i THEIR EMPLOYEES OR PHYSICIANS, SURGEONS, DENTISTS, NIHSES
OR ANY PROFESSIONAL EMPLOYEE IN THE COWECTION WITH
Lsmw'MJiism
* INDE~
j
1'
~
............. ...
Total PremuT $ | NCLUDED
POLICY NUMBER i
. 2YM *579 000
COV PART 22 THIS COVERAGE PART <S EFFECTIVE
' PAGE NO ; HOUR
MONTH. DAY
, l ! 12:01Af. 10 f
2YIAfi J
POLICY EFFECTIVE ^gjtTH ^OAY
COVERAGE PART 22--EMPLOYERS' MALPRACTICE AND PROFESSIONAL SERVICES LIABILITY INSURANCE
I. Ctverage Ml--Malpractice liability
I lie company *nt* pa, or benatf of the insured af. sums which ire insured shall become legally obligated to pay is damages because of iniury to which this insurance applies, sustained by any person and caused bv malpractice, and the edmpany shall have the right and duty to defend any set agamst tie insured seexng damages on account of such mu'v. even if any of the allegations of the suit are groundless, false or fraudulent, and may mare suen investigation and settlement of. any claim or suit as it deems expedient, but the empa-, shai net be obligated to oav ary clam cr judgment or to defend any suit after .the aop. cable in'! of the company's iiat i tv has teen exhausted by payment of juegmerts or settlements
Delations
This insurance does not apply
ii! to liability assumed oy the insured under any contract or agreement; ib! to any use of x-'ay apparatus lor therapeutic treatment. (c; to bodny iniury or prope'fy damage arsing out of the ownership, mamtesaxe, operation, use, loading or unloading of any automocle, aircraft or watercraft; !d) to any obligation tor which the insured or any carrier as his insurer may be he'd liable unoer any workmen's compensation, unemployment compensation or disability benefits law, or under any similar law,
.el to bod.ly iniury to any employee of the insured arising out of ana in the course of his employment by the insured.
II. Perseus lasortd
Each af the following is aa insured under this insurance te the extent set forth helow: (a) if the named insured is designated m the declarations as an individual, the person so
designated,
Ib) 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 membe' thereof but only with respect to his liability as such,
'cl if the nameo 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.
Th'S insurance does not apply to any person as an insured with respect to his personal acts of omissions
III. Limits of liability
Regardless of the number of (1) insureds under tnis po'Cj. .2 pe'sems r.". s.s'a - .r-_r. or (3) claims made or suits btougnt on account of injury, the tola' iac..t. :ne cemejv for all damages because of all iniury to which this ccve'ase apf e: s.sta : : r. person shall not exceed the limit of malpractice iiaDn.ty' state: - the pec a-at a: applicable to "each person aggregate".
Subiec! to the above proviso respecting "eacn pe'son aggregate the : > -.......... e company's liability under this coverage for all damages sha" not exceed the \ malpractice liability stated m the declarations as "genera aggregate'
IV. Amended Definition
When used in reference to this insurance.
"damages'' means only those damages whm are payab'e because r` practice.
causes by -a
V. Additional Definition
When used in reference to this insurance.
"malpractice" means malpractice, error or mistake, occurring oumg !r oc: ci per x within the policy territory,
(a) m rendering or failing to render medical, surgical, dental, nursing v f.rs' aid tma'mei" or service, (b! in furnishing or dispensing drugs or medical, dental cr su;g ca sj;p.is - a-p-an-ex if the iniury occurs after possession thereof has been relmouisnec !: cre't r (c) in handling or performing autopsies on deceased nurar -c: e;,
by any physician, surgeon, dentist, nurse or first aid technician enoiovec s. rr msu-x and designated in the schedule.
CK824 11.66 25M ED. 66
UP 1075183
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following:
COMPREHENSIVE GENDUL LIABILITY INSURANCE MANUFACTURERS' AND CONTRACTORS' LIABILITY INSURANCE
CAGLP-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.
Deaigtu ion of Premiaet:
OPERATIONS OF INDEPENDENT CONTRACTORS UNDER THE CPPC PROGRAM
The effective date and hour of this endorsement is stated below and reference to hour shall be Standard Time at the address of the named insured as stated in the policy. This endorsement shall terminate with the policy.
This endorsement is subject to the declarations, conditions, and other terms of the policy which are not inconsistent herewith, and when countersigned by an authorized representative of the company, forms a part of.the policy described below.
LUMBERMENS MUTUAL
PW AMERICAN MOTORISTS
CASUALTY COMPANY
t*j INSURANCE COMPANY
ISSUED TO
THE CPPC CONTRACTORS OF C.l. DU
I----- 1 AMERICAN MANUFACTURERS |___ 1 MUTUAL INSURANCE COMPANY
PONT, ETAL
POLICY EFFECTIVE
"TO ^
j----- 1 FEDERAL MUTUAL \___ | INSURANCE COMPANY
j PRODUCER S NUMBER
!
POLICY NUMBER
tm 57* ooo
Enoomscmckt ENDORSEMENT EFFECTIVE
Number ^ ir*oiA y ro H r
7*
COUNTERSIGNATURE OF L.CENSED RES.DENT AGENT
COUNTERSIGNED AT
COUNTERSIGNATURE DATE
IT 1 71
CAGLP-114 ENDORSEMENT CK 901 4-70 10M {REV. 10*1*66)
KEMPER
INIUMANCC
PR.NTED 'N u S A
DUP 1075184
ft.-M.i-waaaateiEaB3ilblJ;ai l!ilUJir-tri!-Ls
iaSaiKi.LJitalaaijilJttti.Uiia
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 (i) and (m) are replaced by the following:
(i) 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 f 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
(S) 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;
(m) 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 .
_9c of the premium based on remuneration.
INCLUDED IN
Advance Premium for this Endorsement: .$ COMPOS I TE RATE
P r> ^ Additional Included
The effective date and hour of this endorsement is stated below and reference to hour shall be Standard Time at the address of the named insured as stated in the policy. This endorsement shall terminate with the policy.
This endorsement is subject to the declarations, conditions, and other terms of the policy which are not inconsistent herewith, and when countersigned by an authorized representative of the company, forms a part of the policy described below.
LUMBERMENS MUTUAL
CASUALTY COMPANY
lAipCn AMERICAN MOTORISTS INSURANCE COMPANY
ISSUED TO
THE CPPC CONTRACTORS OF E.l. DU
AMERICAN MANUFACTURERS
FEDERAL MUTUAL
MUTUAL INSURANCE COMPANY
INSURANCE COMPANY
POLICY EFFECTIVE
PRODUCER'S NUMBER
PONT, ETAL "16 1 72
POLICY NUMBER
zym 579 000
Endorsement ENDORSEMENT EFFECTIVE
NUMkEft ^ 12Y01A w Iff 1 "72
COUNTERSIGNATURE OF LICENSED RESIDENT AGENT
COUNTERSIGNED AT
COUNTERSIGNATURE DATE
itTM r y7z
CAGUM06 ENDORSEMENT CK 893 7*70 5M (REV. 10-1-66)
KEMPER
INIUAANCI
PRINTED IN U ,S A
DUP 1075185
| 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
"NOT WITHSTANDING 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 GIVEN 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 CO^ETION".
Hie effective date and hour of this endorsement is stated below and reference to hour shall be Standard Time at the address of the named insured as stated m the policy. This endorsement shall terminate with the policy.
This endorsement is subject to the declarations, conditions, and other terms of the policy which are not inconsistent herewith, and when countersigned by an authorized representative of the company, forms a part of the policy described below.
LUMBERMENS MUTUAL
CASUALTY COMPANY ISSUED TO
1771 AMERICAN MOTORISTS 1X1 INSURANCE COMPANY
THE CPPC CONTWN:T0R5 OF E.l. DU
AMERICAN MANUFACTURERS
MUTUAL INSURANCE COMPANY
POLICY EFFECTIVE
PONT, ETAL
to i 71MONTH OAT YtAft
FEDERAL MUTUAL
INSURANCE COMPANY PRODUCER'S NUMBER
POLICY NUMBER
2YM 579 OOO
ENOORSIMtNr| ENDORSEMENT EFFECTIVE
4 1112:01 A M 10 1 72NUMlIRk
MONTH OAT YIA*
COUNTERSIGNATURE OF LICENSED RESIDENT AGENT
COUNTERSIGNED AT
COUNTERSIGNATURE DATE MONTH OAT YtA*
ii i 71
ENDORSEMENT AK 834 6-72 70M
Kemper
insurance
PAINTED IN U.5.A.
Oup
107518*
This endorsement modifies such insurance as is afforded by the provisions I of the policy relating to the following:
ALL IRMUhnCZ AFFOAOCO IT THE NttCt
ENDORSEMENT
IT IS ORICS THAT HOW HAS Oftit Ctfinil AT THC FOLLOWI*0 LOCATIOHi
CONTRACT #OffS2
VICTORIA* TEXAS
The effective date and hour of this endorsement is stated below and reference to hour shall be Standard Time at the address of the named insured as stated in the policy. This endorsement shall terminate with the policy.
This endorsement is subject to the declarations, conditions, and other terms of the policy which are not inconsistent herewith, and when countersigned by an authorized representative of the company, forms a part of the policy described below.
LUMBERMENS MUTUAL
CASUALTY COMPANY ISSUED TO
mumim r.
POLICr NUMBER
UH 079 MO
V* AMERICAN MOTORISTS ET INSURANCE COMPANY
AMERICAN MANUFACTURERS
MUTUAL INSURANCE COMPANY POLICY EFFECTIVE
I 1 FEDERAL MUTUAL | I INSURANCE COMPANY
PRODUCER'S NUMBER
f
1
m V1A^J s mi
Endorsement ENDORSEMENT EFFECTIVE Noi^cr
ItfilA.M tr TO">i
COUNTERSIGNATURE OF LICENSED RESIDENT AGENT
COUNTERSIGNED AT
COUNTERSIGNATURE DATE MOJTM QAY^TIAI^^
ENDORSEMENT AK 834 6-72 70M
Kemper
INSURANCE
DUP 1075187
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 WORK HAS BEEN COMPLETED AT THE FOLLOWING LOCATION:
CONTRACT,# Q71Q1
s/ .
,.~s
The effective date and hour of this endorsement is stated below and reference to hour shall be Standard Time at the address of the named insured as stated in the policy. This endorsement shall terminate with the policy.
This endorsement is subject to the declarations, conditions, and other terms of the policy which are not inconsistent herewith, and when countersigned by an authorized representative of the company, forms a part of the policy described below.
LUMBERMENS MUTUAL
CASUALTY COMPANY ISSUED TO
S.I.P., INC.
POLICY NUMBER
1YM 579 000
LUUNTERSI5NED AT
DALLAS. TEXAS
V--I AMERICAN MOTORISTS ^_l INSURANCE COMPANY
AMERICAN MANUFACTURERS
MUTUAL INSURANCE COMPANY POLICY EFFECTIVE
I--| FEDERAL MUTUAL |___I INSURANCE COMPANY
PRODUCER S NUMBER
IF T 7i
38 7922
ENDORSiatKT ENDORSEMENT EFFECTIVE
COUNTERSIGNATURE OF LICENSED RESIDENT AGENT
T' talBU. B fTlo it
COUNTERSIGNATURE DATE
r-r1y
ENDORSEMENT AK S34 6-72 70M
Kemper
INSURANCE
PRINTED IN U S.A.
DUp 1075188
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 WORK HAS BEEN COMPLETED AT THE FOLLOWING LOCATION:
u;
\
i.
The effective date and hour of this endorsement is stated below and reference to hour shall be Standard Time at the address of the named insured as stated in the policy. This endorsement shall terminate with the policy.
This endorsement is subject to the declarations, conditions, and other terms of the policy which are not inconsistent herewith, and when countersigned by an authorized representative of the company, forms a part of the policy described below.
LUMBERMENS MUTUAL
CASUALTY COMPANY ISSUED TO
AMERICAN MOTORISTS Lfl INSURANCE COMPANY
IM INSULATION, INC#
AMERICAN MANUFACTURERS
MUTUAL INSURANCE COMPANY POLICY EFFECTIVE MONTH OAY Y EAR
tO 1 72
|--| FEDERAL MUTUAL |___| INSURANCE COMPANY
PRODUCER S NUMBER
38 7922
POLICY NUMBER _
2YH 579 000
ENDORSEHtNT ENDORSEMENT EFFECTIVE
NU|IA
NOUN
MONTH DAY YEA*
5 l2:0tA.M. 11 10 72
COUNTERSIGNATURE OF LICENSED RESIDENT AGENT
COUNTERSIGNED AT _^
flALLAS^-IIXAS1
COUNTERSIGNATURE DATE MONTH OAY YEAN
9 73
ENDORSEMENT AK 834 6-72 70M
Kemper
insurance
PRINTED IN U.S.A.
DUP 1075189
This endorser^: r-.od ties such insurance as is afforded by the provisions i of the policy relating to the following:
ALL INSURANCE AFFORDED BY--THE POLICY
ENDORSEMENT
It is agreed that the policy ie extended to include ing location :
Contract #l6ll8 Grassell Works, Linden, New Jresey
Subcontractors;
1. Porter- Hayden Company #16126 I
2. Schoonover Company, Inc. #16133
relic
6,
Q Cb,
^
G
y A,
`\q CfXf
The effective date and hour of this endorsement is stated below and reference to hour shall be Standard Time at the address of the
named insured as stated in the policy. This endorsement shall terminate with the policy.
J
This endorsement is subject to the declarations, conditions, and other terms of the policy which are not inconsistent herewith, and when countersigned by an authorized representative of the company, forms a part of the policy described below.
LUMBERMENS MUTUAL
CASUALTY COMPANY
r~T. AMERICAN MOTORISTS
|_X INSURANCE COMPANY
ISSUED TO
Johansen Company
I---- 1 AMERICAN MANUFACTURERS I___I MUTUAL INSURANCE COMPANY
|----- j FEDERAL MUTUAL I___ | INSURANCE COMPANY
POUCY EFFECTIVE _ _
PRO^OCER^ JO
POLICY NUMBER
2YM 579 000
ENDORSEMENT ENDORSEMENT EFFECTIVE
Nu""$ 12'!'01 A "o,i0 T 72 M.
COUNTERSIGNED AT
COUNTERSIGNATURE DATE
Summit, New Jersey
1`0N,H T3r,72
COUNTERSIGNATURE OF LICENSED RESIDENT AG ENT
ENDORSEMENT AK 834 5-72 50M
iKemper
insurance
PRINTED IN U.3.A.
DUP 1075190
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. I. DU PONT DE NEMOURS AND COMPANY, INCORPORATED, DU PONT BUILDING, WILMINGTON, DELAWARE.
IT IS FURTHER AGREED THAT ANY REFlft RETURN PREMIUM OR DIVIDENDS ATTRIBUTABLE TO THIS POLICY WILL BE PAID TO E. I . DU PONT DE NEMOURS AND COMPANY, INCORPORATED, DU PONT BUILDING, WILMINGTON, DELAWARE.
The effective date and hour of this endorsement is stated below and reference to hour shall be Standard Time at the address of the named insured as stated in the policy. This endorsement shall terminate with the policy.
This endorsement is subject to the declarations, conditions, and other terms of the policy which are not inconsistent herewith, and when countersigned by an authorized representative of the company, forms a part of the policy described below.
LUMBERMENS MUTUAL
CASUALTY COMPANY ISSUED TO
|U"I AMERICAN MOTORISTS INSURANCE COMPANY
THE CPPC CONTRACTORS OF E.1. DU
AMERICAN MANUFACTURERS
MUTUAL INSURANCE COMPANY
POLICY EFFECTIVE
PONT,ETAL
MONTH OAT TCAM
10 1 72
|--I FEDERAL MUTUAL 1___I INSURANCE COMPANY
PRODUCER'S NUMBER
POLICY NUMBER
2YM 579 000
ftr rEndorse.fNT ENDORSEMENT EFFECTIVE 12-rau M
"ft
COUNTERSIGNATURE OF LICENSED RESIDENT AGENT
COUNTERSIGNED AT
COUNTERSIGNATURE DATE MONTH OAT V t Aft
* 11 1 72
ENDORSEMENT AK 834 6-72" 70M
I Kemper
INSURANCE
PRINTED IN U.3.A,
DUP 1075191
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following:
AU IttUMKI BY TM PDLICT
ENDORSEMENT
IT IS AIRSID THAT MOWS MS Dtiai CDMPLITI6 AT THE FALLOWIDA LDCATttMj
CSMTMACT m$t MU8T9H. TtXAS
The effective date and hour of this endorsement is stated below and reference to hour shall be Standard Time at the address of the named insured as stated in the policy. This endorsement shall terminate with the policy.
This endorsement is subject to the declarations, conditions, and other terms of the policy which are not inconsistent herewith, and when countersigned by an authorized representative of the company, forms a part of the policy described below.
|--! LUMBERMENS MUTUAL 1 |___ CASUALTY COMPANY
iff AMERICAN MOTORISTS INSURANCE COMPANY
| 1 AMERICAN MANUFACTURERS 1 I MUTUAL INSURANCE COMPANY
| [ FEDERAL MUTUAL I| INSURANCE COMPANY
ISSUED TO
hammy mmwm
POLICT NUMBER
STM f79 *
COUNTERSIGNED AT
MILAS' TIMAS
cammat idm
ENOOK5(MCNT| ENDORSEMENT EFFECTIVE
T" {itittA. M tr-
*n
COUNTERSIGNATURE DATE MONTH OAt ViAR
> ' 71
POLICY EFFECTIVE
PRODUCER'S NUMBER
T# r A>t St TDtS
COUNTERSIGNATURE OF LICENSED RESIDENT AGENT
ENDORSEMENT AK 834 6-72 70M
| Kemper
INSURANCE
DUP 1075192
This endorsement modifies such insurance as is afforded by the provisions I of the policy relating to the following:
ALL INSURANCE AFFORDED
BY THE POLICY
ENDORSEMENT
IT IS AGREED THAT WORK HAS BEEN COMPLETED AT THE FOLLOWING LOCATION!
CONTRACT # Q6L31 - Y1QIP.RIA,,
1
The effective date and hour of this endorsement is stated below and reference to hour shall be Standard Time at the address of the named insured as stated in the policy. This endorsement-shall terminate with the policy.
This endorsement is subject to the declarations, conditions, and other terms of the policy which are not inconsistent herewith, and when countersigned by an authorized representative of the company, forms a part of the policy described below.
LUMBERMENS MUTUAL
CASUALTY COMPANY
C"} AMERICAN MOTORISTS JkJ INSURANCE COMPANY
AMERICAN MANUFACTURERS
MUTUAL INSURANCE COMPANY
| [ FEDERAL MUTUAL 1 [ INSURANCE COMPANY
ISSUED TO
"'
1--------- POUCT EFFECTIVE
PRODUCER'S NUMBER
EDEN FIELD ELECTRIC. EfAL
MONTH OAT YKAH
1ft 1 71
*8 7<21
POLICY NUMBER
1YM S7S OOP
EnOO***NT ENDORSEMENT EFFECTIVE
NUMIIA
HOUK
MONTH day
i UiOtA.M, \\ fo
TCA*
%
COUNTERSIGNATURE OF LICENSED RESIDENT AGENT
COUNTERSIGNED AT
DAiLAj, TEXAS t 8
COUNTERSIGNATURE DATE MONTH OAT YtAR
73
ENDORSEMENT AK 834 6-72 70M
[Kemper
insurance
**ftfNTEO IN u i ft. A.
DUP 1075193
*ATvS OF SuS-NESS
SEW C RENEWAL
im* *
NClCAE gv
`.^REPLACES PCTL.Cv SC
MIO-TERM
'
! R PlACM EN~* i
* w. fx*
COVERAGE PART 19--OWNERS' AND CONTRACTORS' PROTECTIVE LIABILITY INSIRWE COVERAGE FOR OPERATIONS OF DESIGNATED CONTRACTOR
HOME OFFICE COPY
AMERICAN MOTORISTS INSURANCE COMPANY
DECLARATIONS
combination automobile GENERAL LIABILITY POLICY NUMBER
rm 579 ooo
NAMED INSURED
otmocrocnmkTiotmamr tcc.mim. mer t.j. on met mm mtt on** cmm*cm
ouADDRESS
2. ~ INDIVIDUAL
PARTNERSHIP
JOINT VENTURE
BUSINESS OF THE NAMED INSURED
% CORPORATION
O TRUSTEE
r F :R THAN 12 Of A.
I OH-73
12:01 A. M. STANDARD TIME AT THE ADORES OF THE NAMED INSURED AS STATED HEREIN
Tf.s ,insurance affo'ded is only with resoect to COVERAGE FART 19--OWNERS' AND CONTRACTORS' PROTECTIVE JABIU'V INSURANCE an: pen cm. *
(allowing coverages as are indicated by entry af a specific advance premium. The limit of the company's liability against eacn coverage saa'i be as state: the terms o( the policy having reference tnereto.__________________ ^____________________________________________
COVERAGES
LIMITS OF LIABILir
VV" OjtCV'"1,*
A--Bodily Injury Liability
each person each occurrence
B--Property Damage Liability
eacn occurrence aggregate
$
TOTAL ADVANCE PREMIUM $
SCHEDULE--GENERAL LIABILITY HAZARD
DESCRIPTION Of HAZARDS ANY RATING CLASSIFICATION SHOWN HEREUNDER DOES NOT MODIFY THE EXCLUSIONS OR OTHER TERMS OF THIS POLICY
PREMIUM BASIS
RATES
AC.ASCE =?EV -9
INDEPENDENT CONTRACTORS CONSTRUCTION OPERATIONS--OWNER--NOT OTHERWISE CLASSIFIED (NOT RAILROADS)-- EXCLUDING OPERATIONS ON BOARO SHIPS-
CODE -.0512
COST
I
PER $100 OF COST
IMCL
MINIMUM PREMIUMS $ DESIGNATED CONTRACTOR
MAILING AODRESS
DO PDm
LOCATION OF COVEXED OPERATIONS
B.l. *
THE FERSOH OX ORGANIZATION DESIGNATED A10VE AS THE CONTRACTOR NAS UNDERTAKEN TO PAT THE PREMIUM FOR THIS POLICY AND SHALL BE ENTITLED TO RECEIVE ANT RETUR PREMIUMS AND UNABSORBED PREMIUM DEPOSIT REFUNDS (DIVIDENDS), IF ANT, WHICH MAT BECOME PAYABLE UNDER THE TERMS OF THIS POLICY,
AUDIT PERIOD: ANNUAL UNLESS OTHERWISE STATED
-
COUNTERSIGNED AT
--------------------------------------- ==s"l COUNTERSIGNATURE DATE
11 1 7*
COUNTERSIGNATURE OF LICENSED RESIDENT ASEN'
FORM CM821 2-67 3M ED, 66
'COVERAGE PAF" 19 CSS"
ON REVERSE S FR.NTD 'N 5* S
DUP 1075194
CONTRIBUTORY DIVIDEND ENDORSEMENT
The insured under this policy shall he entitled to receive such refunds of unabsorbed premium (herein called dividend) as shall be determined in the absolute discretion of the Board of Directors under the contributory dividend plan adopted by the Board of Directors and which may be in effect and applicable to this policy and to such policies as are indicated below. The contributory dividend plan is one under which premium earnings in excess of requirements of losses, expenses, reserves and surplus additions are apportioned to the policyholders who are entitled under the rules of the company to participate therein.
It is mutually agreed that the dividend valuation period and procedure indicated below by "X" shall apply:
G ! One Tear Plan-Preliminary Determination and Redetermination Agreement The initial determination of dividend apportionment shall be made by the company approximately six months following termination of the policy. Such determination shall be deemed preliminary and shall be subject to not less than one and not more than three redeterminations, each to be made by the company at approximately twelve month intervals following the initial determination. The first such redetermination at which all claims have been closed or, on the basis oHhe total losses from closed claims no dividend would be earned, shall be final. In no event shall more than three redeterminations be made unless within forty-five days after promulgation by the company of the dividend ap portionment resulting from the third redetermination, the insured requests a further redetermination and executes with the company a rede termination agreement therefor.
* 2. Three Year Plan--Preliminary Determination and Redetermination Agreement The dividend shall be determined on a cumulative basis, encompassing all policies for the insured subject to cumulative dividend treatment
which are effective on or after__________________ and terminating on or before The initial determination of dividend apportionment shall be made by the company approximately six months following termination of the final policies which are combined for dividend purposes. Such determination shall be deemed preliminary and shall be subject to not less than one and not more than three redeterminations, each to be made by the company at approximately twelve month intervals following the initial determination. The first such redetermination at which all claims have been closed or, on the basis of the total losses from closed claims no dividend would be earned, shall be final. In no event shall more than three redeterminations be made unless within forty-five days after promulgation by the company of the dividend apportionment resulting from the third redetermination, the insured requests a further redetermination and executes with the company a redetermination agreement therefor.
3. Three Year Plan-Preliminary and Annual Interim Apportionment and Redetermination Agreement The dividend shall be determined on a cumulative basis, encompassing all policies for the insured subject to cumulative dividend treatment
which are effective on or after. OCTOBER 1. 1<?71 .and terminating on or before-
OCTOBER 1,1974
Preliminary and subsequent apportionment of dividend shall be determined by the company annually at approximately six months following
OCTOBER 1
each annual anniversary ofand shall be subject to not less than one and not more than three redetermina
tions, each to be made by the company at approximately twelve month intervals following the third annual determination. The first such re
determination at wmch all claims have been closed or, on the basis of the total losses from closed claims no dividend would be earned, shall
be final. In no event shall more than three redeterminations be made unless within forty-five days after promulgation by the company of the
dividend apportionment resulting from the third redetermination, the insured requests a further redetermination and executes with the company
a redetermination agreement therefor.
it is also mutually agreed that if any dividend so determined is greater than the dividend previously apportioned, the company shall immediately pay to the insured the additional dividend shown to be due. Whereas, if such dividend is less than the previous dividend, the insured shall immediately re fund to the company the amount by which the previous dividend exceeds such dividend.
It is also mutually agreed that for the purpose of determining the dividend under this plan:
=- 1 QO QM
1. The incurred losses resulting from a single accident shall be limited to f 1 wa
____________ (absence of a typed entry means not
applicable). |25>000 BUT ONLY RESPECTS DUHERNAL WATER SYSTEMS, PARLIN, N. J.
2. The following policies indicated by policy numbers shall be combined with the policy to which this endorsement is attached (absence of a typed entry means not applicable):
- . Policy Number
2YM 579 201A-F2M 17 66l-F2C 1200A-F2C 1201A-2YM 579 000 2CM 579 001 -2-3-5-6-7-8-1OA-14-1 5-16-17-18-19-20-24-27-26-29-
30-31-32-33-3^a-35-3&-37-38A-39-4o4i
2CM 579 042-0*3-044 *5-46-47-48
The effective date and hour of this endorsement is stated below and reference to hour shall be Standard Time at the address of the named insured as stated In the policy. This endorsement is subject to the declarations, conditions, exclusions and other terms of the policy which are not inconsistent herewith, and when countersigned by an authorised representative of the company forms a part of the policy described below.
AMERICAN MOTORISTS INSURANCE COMPANY
ISSUED TO
THE CPPC CONTRACTORS OF E.l. DU PONT, ETAL
POLICY NUMBER
2YM 579 000
ENDORSEMENT ENDORSEMENT EFFECTIVE
*"`""7 12701 A
fCT T YIA72
POLICY EFFECTIVE
rr r ^
PRODUCER S NUMBER
COUNTERSIGNATURE OF LICENSED RESIDENT AGENT
COUNTERSIGNED AT
COUNTERSIGNATURE DATE
nTM r "fa
------------------.---------------------------------------------------1
CM 984 4-69 5M
' ( KEMPER ) \ NIURANCIJ
printed in u.s.a.
DUP 1075195
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 PLAN ENDORSEMENT
(COMBINATION OF POLICIES)
IT IS MUTUALLY AGREED THAT THIS POLICY IS COWINED FOR DIVIDEND PURPOSES WITH POLICY NUMBER 2CM 579 OOOA UNDER THE CONTRIBUTORY DIVIDEND PLAN DESCRIBED IN THE "LARGE RISK CONTRIBUTORY DIVIDEND PLAN ENDORSEMENT" ATTACHED TO SAID POLICY.
The effective date and hour of this endorsement is stated below and reference to hour shall be Standard Time at the address of the named insured as stated in the policy. This endorsement shall terminate with the policy.
This endorsement is subject to the declarations, conditions, and other terms of the policy which are not inconsistent herewith, and when countersigned by an authorized representative of the company, forms a part of the policy described below.
LUMBERMENS MUTUAL
I AMERICAN MOTORISTS
CASUALTY COMPANY ISSUED TO
INSURANCE COMPANY
THE CPPC CONTRACTORS OF E.l. DU
AMERICAN MANUFACTURERS
MUTUAL INSURANCE COMPANY POLICY EFFECTIVE
PONT, ETAL toTM r 72
I I
1 FEDERAL MUTUAL ] INSURANCE COMPANY
PRODUCER'S NUMBER
POLICY NUMBER
2YM 579 000
ENDORSEMENT ENDORSEMENT EFFECTIVE
NUKBtlg 12101 a MicrTM r 7t
COUNTERSIGNATURE OF LICENSED RESIDENT AGENT
COUNTERSIGNED AT
COUNTERSIGNATURE DATE
itTM r ft
ENDORSEMENT AK 834 3-72 50M
Kemper
INSURANCE
PRINTEO IN U.S A,
DUP 1075196
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 1$ AGREED THAT THE PREMIUM FOR THIS POLICY IS DUE AW PAYABLE AS FOLLOWS:
mpah
B.I.O'l
B.l.ft) P-P-fE)
xgiik
10-1 -72 8,77^.00 5.8*3 00
919.00 613.00 16,131.00
11- 1-72 8,780.00 5*820 00
885.00 590.00 16,075.00
12- 1-72 8,780.00 5.8*0 00
885.00 590.00 16,075.00
1-1 -T3
8,780.00 5,820 00
885.00 590.00 16,075.00
2-1 -73 3-1 -73
8,780.00 8,780.00
5.8*0 00 5,to 00
885.00 885.00
590.00 590.00
16,075.00 16,075.00
4-1 -73
8,780.00 5,820 00
885.00 590.00 16,075.00
5-1 -73
8,780.00 5*&fO 00
885.00 590.00 16,075.00
6-1 -73 7-1 -73
8,780.00 8,780.00
5,8so 00 5.*o 00
885.00 885.00
590.00 590.00
16,075.00 16,075.00
8-1 -73 9-1 -73
8,780.00 5.8*0 00 8.780.00 - 5.8*0 00
885.00 885.00
590.00 590.00
16,075.00
'i.n-oo
TOTAL 105,356.00 *9*843 00 10,654.00 7*103.00 IN.5i56.OO
The effective date and hour of this endorsement is stated below and reference to hour shall be Standard Time at the address of the named insured as stated in the policy. This endorsement shall terminate with the policy.
This endorsement is subject to the declarations, conditions, and other terms of the policy which are not inconsistent herewith, and when countersigned by an authorized representative of the company, forms a part of the policy described below.
LUMBERMENS MUTUAL
CASUALTY COMPANY ISSUEO TO
fCl AMERICAN MOTORISTS l&J INSURANCE COMPANY
THE CPFC CONTRACTORS OF E.l . DU
AMERICAN MANUFACTURERS
MUTUAL INSURANCE COMPANY
fYPONT, ETAL
POLICY EFFECTIVE
r"1 FEDERAL MUTUAL |___| INSURANCE COMPANY
PRODUCER'S NUMBER
POLICY NUMBER
2YM 579 000
ENOOftStMCKT ENDORSEMENT EFFECTIVE
Nu""9 I2!8ff A M TO * T Jt
COUNTERSIGNATURE OF LICENSED RESIDENT AGENT
COUNTERSIGNED AT
COUNTERSIGNATURE DATE
rrH r 72
ENDORSEMENT AK 034 3-72 50M
jltemper
INSURANCE
PRINTED IN U.S. A.
DUP 1075197
1 This endorsement modifies such insurance as is afforded by the provisions | of the policy relating to the following:
ALL HfSUlAJfCE AFFORDED BY THE POLICY
ENDORSEMENT
It it mutually agreed that this policy 1 combined for dlvldind purposes with policy number 1YM 579 OOO under the contributory dividend plan described in the "Large Risk Contributory Dividend
Plan Endorsement" attached to said policy.
SUMMIT
RECEIVED
The effective date and hour of this endorsement is stated below and reference to hour shall be Standard Time at the address of the named insured as stated in the policy. This endorsement shall terminate with the policy.
This endorsement is subject to the declarations, conditions, and other terms of the policy which are not inconsistent herewith, and when countersigned by an authorized representative of the company, forms a part of the policy described below.
LUMBERMENS MUTUAL
[~X AMERICAN MOTORISTS
CASUALTY COMPANY
|_J INSURANCE COMPANY
ISSUED TO
Th CPPC Contractor* of I.I.
AMERICAN MANUFACTURERS
| 1 FEDERAL MUTUAL
MUTUAL INSURANCE COMPANY
1 1 INSURANCE COMPANY
POLICY EFFECTIVE
PRODUCER'S NUMBER
duPont,tal. ""ir 1Y""72
30 7922
POUCY NUMBER
2YM 599 000
Endorser ENT ENDORSEMENT EFFECTIVE
Nu"*"ifl is^eiv-to `i "72
COUNTERSISNATURE OF LICENSED RESIDENT AGENT
COUNTERSIGNED AT
COUNTERSIGNATURE DATE
"=irAY 8""72
ENDORSEMENT 72 70M
I Kemper
-----------------"--------INSURANCE
printed in u.s.a.
DUP 1075198
i This endorsement modifies such insurance as is afforded by the provisions j of the policy relating to the following:
| Comprehensive General I Liability Insurance.
ENDORSEMENT
It is agreed that coverage "B!l Property Damage is amended to read as follows:
$250,OOO Each Occurrence $250,000 Aggregate .
aec,
0
5#
o-,
coo,''Nq
The effective date and hour of this endorsement is stated below and reference to hour shall be Standard Time at the address of the named insured as stated in the policy. This endorsement shall terminate with the policy.
This endorsement is subject to the declarations, conditions, and other terms of the policy which are not inconsistent herewith, and when countersigned by an authorized representative oi the company, forms a part of the policy described below.
LUMBERMENS MUTUAL
(71 AMERICAN MOTOBISTS
(--| AMERICAN MANUFACTURERS
j--I FEDERAL MUTUAL
CASUALTY COMPANY
|AJ INSURANCE COMPANY
1___ | MUTUAL INSURANCE COMPANY
I___ | INSURANCE COMPANY
ISSUED TO
POLICY EFFECTIVE
PRODUCER'S NUMBER
The CPPG Contractors of E.I. DuPont. Etal
MONTH OAV VCAR
10 1 72
38-7322
POLICY NUMBER
2YM 579 000
Endorsement ENDORSEMENT EFFECTIVE
NUMBER
HOUR
MONTH OAT
11 12:01 A.M.10 1
VtA*
7?
COUNTERSIGNATURE OF LICENSED RESIDENT AGENT
/
COUNTERSIGNED AT
COUNTERSIGNATURE DATE MONTH OAV YKAN
ENDORSEMENT AK 834 6-72 70M
Kemper
INSURANCE
PRINTED IN U.S.A.
DUP 1075199
This endorsement modifies such insurance as is afforded by "the provisions of the policy relating to the following:
COMPREHENSIVE GENERAL LIABILITY INSURANCE.
ENDORSEMENT
IT IS AGREED THAT COVERAGE "Bn PROPERTY DAMAGE IS AMENDED TO READ AS FOLLOWS:
$250,000 EACH OCCURRENCE 500,000 AGGREGATE
SUMMIT RECEIVED NOV ?,8 1972
DC-CODING
The effective date and hour of this endorsement is stated below and reference to hour shall be Standard Time at the address of the named insured as stated m the policy. This endorsement shall terminate with the policy.
This endorsement is subject to the declarations, conditions, and other terms of the policy which are not inconsistent herewith, and when countersigned by an authorized representative of the company, forms a part of the policy described below.
LUMBERMENS MUTUAL
CASUALTY COMPANY ISSUED TO
AMERICAN MOTORISTS
a INSURANCE COMPANY
AMERICAN MANUFACTURERS
MUTUAL INSURANCE COMPANY POLICY EFFECTIVE
FEDERAL MUTUAL
INSURANCE COMPANY PRODUCER S NUMBER
MONTH DAT YtAR
.THE CPPC CONTRAC3TORS pp E.I. DU PONT. ETA.L. 10 1 72
`38-7022
POLICY NUMBER
Enooxsement ENDORSEMENT EFFECTIVE
NUMEX
hour
month oat
year
COUNTERSIGNATURE OF LICENSED RESIDENT AGENT
2YM 579 QQQ_____ _____ 12:01 M. 10 1 72
COUNTERSIGNED at
countersignature date
MONTH OAY VIA*
- 11__ 22 72
ENDORSEMENT AK 834 6-72 7QM
Kemper
insurance
PRINTED IN U-..A,
DUP 1075200