Document yp1No1pjbQ3Q1JqvVE19zOLYV
DUP 1075226
PRIMARY L IA B IL IT Y -D U PONT & CONTRACTORS
(4YM 579 000)
&ESSELTE
NO. X752
MADE IN U.S.A.
Oxford8
'
1 0 /1 /7 4 -1 0 /1 /7 5
LUMBERMENS MUTUAL CASUALTY COMPANY
(A Mutual (nsuranco Company, herein called the Company} Home Office: Long Grove, Illinois 60049
AMERICAN MOTORISTS INSURANCE COMPANY
(A Stock Insurance Company, herein called the Company) Home Office: Long*Grove. Illinois 60049
AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY
{A Mutual Insurance Company, herein called the Company) Home Office: 90 William Street, New York 10038 Executive Offices: Long Grove. Illinois 60049
FEDERAL MUTUAL INSURANCE COMPANY
IA Mutual Insurance Company, herein called the Company) Home Office: Long Grove, Illinois'60049 Executive Offices: 3001 East Mound Road, Decatur, Illinois 62526
The company providing the insurance afforded by this policy is designated on the Declarations Page
\\\
If, Kemper
i INSURANCE
i DUP 1075227
Tha 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.
&
Tha annual meeting of the American Manu facturers Mutual Insurance Company is held at its home office in New Vork. New York,
on the Thursday following the first Tuesday
in June of each year at eleven o'clock A.M.
The annual meeting 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
each year at eleven o'clock A.M.
GENERAL INSURING AGREEMENT
In consideration of the payment of the premium, in reliance uponlhe statements in the declarations made a part hereof and subject to all of the terms of this coiic/ 'he --
pany agrees with the named insured as follows-.
' ......
- , 1 Ws Policy is composed of this jacket, the declarations page with the applicable Coverage Parts, and any supplementary declarations or schedule pages and e'.dcr*e-.-j
mace 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 accrues after entry ot 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 inexcess 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 5250 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, for bodily injury to which this policy applies;
Id) 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 525 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;
"completed 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 it 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) when all operations to he 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 injuryor property damage arises out of a condition in or on a vehicle created by the loadingor 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 thecompany's manual specifies "including completed operations";
"elevator" 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;
"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 i: each insured against whom claim is made or suit is brought, except with respect to the limit: of the company's liability;
"mobile equipment" means a land vehicle (including any machinery or apparatus attacne: 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 vafiicfe power cranes, shovels, loaders, diggers and drills,- concrete mixers (other than the mixdn-transit type); graders, scrapers, rollers and other road construction or repai' equipment; air-compressors, pumps and generators, including spraying, welding and tuilcing cleaning equipment; and geophysical exploration and well servicing equipment;
"/lamed insured" means the person or organization named in Item 1 of the 'declarations of this policy,-
"named insured's products" means goods or products manufactured, sold, handled or distribute: 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 :r 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 injur/ or property damage neither expected ncr intended fr:m the standpoint 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 nci occur in the course of travel or transportation to or from any other country, state :r nation, or
(3) anywhere in the world with respect to damages because of bodily injury or proper;* 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 (he bodily injury or property damage occurs away from premises owned by or rented to the named insured and after physical possession of such products has been relinquished to others;
"property damage" means (1) physical injury to or destruction of tangible proper;/ whir occurs during the policy period, including the loss of use thereof at any time resulting therefrom, or (2) loss of use of tangible property which has not been physically injured or destroyed provided such loss of use is caused by an occurrence during the policy period;
CONDITIONS
1. Proaiu. 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 tne policy period. At the dose of each period (or part thereof terminating with the end ol 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 fo the company at the end of the policy period and at such times during the policy period as the company may direcL
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, on behalf of or for the benefit of the named insured or others, to determine or warrant that such property or operations are safe or healthful, or are in compliance with any law, rule or 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 termination of this policy, as far as they relate to the subject matter of this insurance.
(Cmditloas art coiliiied it Jacket Page 3)
MCKET PACE 1
DUP 1075228
ATTACH DECLARATIONS PACE, 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 INSURANCE OTHER THAN COMPREHENSIVE PERSONAL AND FARMER'S COMPREHENSIVE PERSONAL INSURANCE hut 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 ot 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.
8. 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
(3) the bodily injur? 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
t
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 1354 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 (I) 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 materia! in the custody of the insured at the premises where such eouipment 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 tor 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 net a complete and valid contract wllioot an accompanying Dedaratiais Rage, properly countersigned, together with ini ir mere Coverage Farts.
JACKET PACE 2
DUP 1075229
CONDITIONS (Continurd)
3. Financial Responsibility Laws. W-ti 3 p:; cy is Ui as pipe! iTt-j-c at 'ecpccsiblii:/ f;r the future under the prav;s.cns of any meter ven;cle financial respcnsipiiity la*, such
nsarmes as .$ afforded by th.'s pciicy f;r tcd.iy injury liacuity cr for prjpe-ty damage liaciiity
shall csiady with the prcvis.cns :f such lee ta the extent of the coverage and limits of liability
'ecuired ty such taw. The .rrsurad ag'aes to rs:.rtu:se the company for arty payment made ty
the company whicn it would net have teen pci'jated to mare oncer ute--ter--s' :f this pcl'cy
except for the agreement cents.ned ci this paragraph.
---
4. Insured's Duties in the Erent of Occurrence. Claim or Suit, (a! In the s/ent 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 miured and of available witnesses, snail be given by or for 1 the insured to the company or any of its authorized agents as seen 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 bv him or
, his representative.
i'
! (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
j 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 gwing evidence and
' obtaining the attendance of witnesses. The insured shall not, except at his own cost, voluntarily
1 make any payment, assume any obligation or incur any expense other than for first aid to
I others at the time of accident.
5. Action Against Company. No action shall lie against the company unless, as a condition i 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 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
pr.mary, excess or contingent, the company shail 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 procortion 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
SC Ci C !".r' .'i'"-3
"SUfifS
CCC.' *2 CSCtr C^Vj
reran,eg a-ciit :f the -css cnti each suer, .nsurer ras
full amour: of the lass is said.
(b) Contribution by Limits. If ary :f soon ether haurance ores ret :::i :
acua. sra'es. Se.corpany s.-a ' - - r
5 rater
van tre aac.casie "cat of fa:-.tty urae- fs poi.cv suer lass tar;
apciicao.e f m:t :f liability of ail vai.d arc eclectic.e csuia-ce aga nsVsue- ,:;'a. "
7. Subrogation. In tre event of any payment wear toils cc.'.cy, the company shad be s_-- ta all the insured's r grts of recovery there::.' aga.ns: ary person or organ :et";.-f insured shall execute and deliver instruments and papers ano do whatever else is" nece^e.-,'secure such rights. The insured shail do nothing 3fter toss to prejudice such rights........ '
%. Changes. Notice to any agent or knowledge possessed by any agent or by any other -erso
shall not effect a waiver or a change in any part of this policy or estep the comcary frc
asserting any right under the terms of this policy; nor shall the terms of this pciicy be waive
or changed, except by endorsement issued to form a part of this pciicy, signed bv 3 d " authorized officer or representative of the company.
9. Assignment. Assignment of interest under this policy shall net bind the Cbmpany
consent is endorsed hereon; if, however, the named insured snail de, such nsura.-ce 3S
afforded by this policy Shalt apply (1) to the named insured's Ieg3i reoresent3t.ve. 33
named insured, but cnly while acting within the scope of his duties as sue.-., and Z) wit
respect to the property of the named insured, to the person having proper temporary r.stcc
thereof, as insured, but only until the appointment and qualification of the legal representative
IQ. Three Year Policy. If this policy is issued for a period of three years e-y company's liability stated in this policy as "aggregate" shail apely separate y: 1 jc----
secutive annual period thereof.
11. Cancelation. This policy may be canceled by the named insured by surrender the'eef t the company or any of its authorized agents or by mailing to the company written not ce itat'r when thereafter the cancelation shall be effective. This policy may be canceled by the ::roar by mailing to the named insured at the address shown in this policy written notice statin when not less than ten days thereafter such cancelation shall be effective. The maiim.g c notice as aforesaid shall be sufficient proof of notice. The time of the surrender :r th effective date and hour of cancelation stated in the notice shall become the end of the ceil: period. Delivery of such written notice either by the named insured or by the company snail b equivalent to mailing.
If the named insured cancels, earned premium shall be computed in accordance w'th th customary short rata table and procedure. If the company cancels, earned premium s-s1 : computed pro-rata. Premium adjustment may be made either at the time cancelation`s sheet; or as soon as practicable after cancelation becomes effective, but payment cr tracer ; unearned premium is not a condition of cancelation.
12. Declarations. By acceptance of this policy, the named insured agrees that the statement in the declarations are his agreements and representations, that this poT'cy is issued 1 ; 'arcupon the truth of such representations and that this policy emccdles ail agreements ectn. between himself and the company or any of its agents relating to this insurance.
As respects the company previously designated, the following correlative provision forms a part of this policy:
Mutual Policy Conditions.
lumbermens .mlival 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 nan-assessable, participating policy under which the Bear: of D tec:;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:
Motuals--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 m oers: 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.
Motuals--Participation Clausa Without Cootingent Liability. No Contingent Liability: This policy is nan-assessable. The policyholder is a member of such company and shun carte pate, to the extent and upon the conditions fixed and determined by the 8oard of Directors in accordance with the provisions of law, in the distribution of dividends so <ec 3-
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 1075230
As respects the State of Texas, such provision is amended to read as follows: Dividend Provision--Participating Companies. The named insured shall be entitled to participate in a distribution of the surplus of the company, as determined by .he 5-3,- . 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 sha.l not te va jnless 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
'^Lj t
$<crcUfy
preuitnt
JACKET PACE 3
f/pfpr1r
Prtndtnl
C< 90'-* 3-74 25^
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following:
ALL INSURANCE AFFORDED BY THE POLICY
ICemPER
msuRancE1 ctunrerues
LOSS LIMITATION PROVISION AMENDED
IT IS AGREED THAT THE LOSS LIMITATION PROVISION OF ENDT. 5A, LARGE RISK CONTRIBUTORY DIVIDEND PLAN ENDT. IS AMENDED TO STATE THAT INCURRED LOSSES RESULTING FROM A SINGLE ACCIDENT SHALL BE UNLIMITED FOR THE PRUPOSE OF DETERMINING THE DIVIDEND UNDER THE PLAN, BUT THE PROVISIONS OF THIS ENDT. SHALL APPLY ONLY TO WORKERS COMPENSATION OPERATIONS IN THE STATE OF COLORADO.
LUMIERMENS MUTUAL
J I AMERICAN MOTORISTS
I--J AMERICAN MANUFACTURERS
|--I FEDERAL KEMPER
CASUALTY COMPANY
X--' INSURANCE COMPANY
I--I MUTUAL INSURANCE COMPANY
I--1 INSURANCE COMPANY
ISSUDT THE CPPC CONTRACTORS
POLICY EFFECTIVE MONTH DAY YEAR
PRODUCER'S NUMBER
'______ C l___ nil POLICY NUMBW *
POK1T___ CTAI
ENDORSEMENT EFFECTIVE DATE
in _i___2J1________ ____*Q inn*___
COUNTERSICNATUfcrttf AUTHORIZED REPRESENTATIVE w / -'***"
MONTH DAY YEAR
_kYM_5-29-QQQ________ __ 13___ -8- L .77_______
AK 034 2-77 100M
PRINTED IN U.S.A.
DUP 1075231
This endorsement modifies such insurance as is afforded.by the
provisions of the policy relating to the following:
"
ALL INSURANCE AFFORDED BY THE POLICY
Kemper?
imsuRancE; rampants
ii
LOSS LIMITATION PROVISION AMENDED
IT IS AGREED THAT THE LOSS LIMITATION PROVISION OF ENOT. 5A, LARGE RISK CONTRIBUTORY DIVIDEND PLAN ENDT. IS AMENDED TO STATE THAT INCURRED LOSSES RESULTING FROM A SINGLE ACCIDENT SHALL BE UNLIMITED FOR THE PRUPOSE OF DETERMINING THE DIVIDEND UNDER THE PLAN, BUT THE PROVISIONS OF THIS ENDT. SHALL APPLY ONLY TO WORKERS COMPENSATION OPERATIONS IN THE STATE OF COLORADO.
LUMBERMENS MUTUAL
I--| AMERICAN MOTORISTS
j--I AMERICAN MANUFACTURERS
I------ ] FEOERAL KEMPER
CASUALTY COMPANY
)(LJ INSURANCE COMPANY
,ssuEDr THE cppc C0NTRACT0RS
I--I MUTUAL INSURANCE COMPANY
(--I INSURANCE COMPANY
PMOOLNICTYHEFDFEACYTIVEYEAR
PRODUCER'S NUMBER
POLICY NUMeBE_RJ_______ _w_nilR P"WfldMT.T'tt_o._gTAEMNIO.DONRTSHEMDEANYT EFYFEEACRTIVE DATE
COUNTERSIG_NAT_Uf_tft_tf _At_lTH_OfiflZkEt_) R_E_PRES_EN_TAT_IV_E__9___--___
4YM 579 000
__ L3___ --1-.L-7?______
AK 634 2-77 100M
PRINTED IN U.S.A.
DUP 1075232
This endorsement modifies such insurance as is afforded, by the provisions of the policy relating to the following:
ALL INSURANCE AFFORDED BY THE POLICY
`\
KemPER
msuRancE comrancs,
LOSS LIMITATION PROVISION AMENDEO
IT IS AGREED THAT THE LOSS LIMITATION PROVISION OF ENDT. 5A, LARGE RISK CONTRIBUTORY DIVIDEND PLAN ENDT. IS AMENDED TO STATE THAT INCURRED LOSSES RESULTING FROM A SINGLE ACCIDENT SHALL BE UNLIMITED FOR THE PRUPOSE OF DETERMINING THE DIVIDEND UNDER THE PLAN, BUT THE PROVISIONS OF THIS ENDT. SHALL APPLY ONLY TO WORKERS COMPENSATION OPERATIONS IN THE STATE OF COLORADO.
LUMBERMENS MUTUAL
AMERICAN MOTORISTS
{--| AMERICAN MANUFACTURERS
|--} FEDERAL KEMPER
cppcCASUALTY COMPANY ISSUED TO
X * INSURANCE COMPANY C0NTRACT0RS
I I MUTUAL INSURANCE COMPANY
I--I INSURANCE COMPANY
POLICY EFFECTIVE MONTH DAY YEAR
PRODUCER'S NUMBER
POLICY
F
NUMStlT
1"_*___"______mi
PflMT__ FTfil
IMd't.'FTo.
ENDORSEMENT EFFECTIVE DATE
ini5ii____ ___ afl T*on__COUNTERSIGNATURE^* aLiTHORIZEC) REPRESENTATIf? w 9
4YM 579 000
.. 13
MOgTH t^AY Y^fy
AK 834 2*7? 100M
PRINTED IN U.SA
DUP 1075233
This endorsement modifies such insurance as is affordecTby the provisions of the policy relating to the following:
ALL INSURANCE AFFORDED BY THE POLICY
KcmpcR
msuRancE. camranes.
LOSS LIMITATION PROVISION AHENDEO
IT IS AGREED THAT THE LOSS LIMITATION PROVISION OF ENOT. 5A, LARGE .RISK CONTRIBUTORY DIVIDEND PLAN ENDT. IS AMENDED TO STATE THAT INCURRED LOSSES RESULTING FROM A SINGLE ACCIDENT SHALL BE UNLIMITED FOR THE PRUPOSE OF DETERMINING THE DIVIDEND UNDER THE PLAN, BUT THE PROVISIONS OF THIS ENDT. SHALL APPLY ONLY TO WORKERS COMPENSATION OPERATIONS IN THE STATE OF COLORADO.
LUMBERMENS MUTUAL
CASUALTY COMPANY
ISSUDTO THE CPPC
r--I AMERICAN MOTORISTS
Jf--I INSURANCE COMPANY
CONTRACTORS
I 1 AMERICAN MANUFACTURERS I----- 1 MUTUAL INSURANCE COMPANY
I----- 1 FEOERAl KEMPER *----- 1 INSURANCE COMPANY
POLICY EFFECTIVE MONTH OAY YEAR
PRODUCER'S NUMBER
POLICY
F_
NUMotR"
J'_*______'__--_"n' il
PfIMT___PTAI
TNDTfTt).
ENDORSEMENT EFFECTIVE DATE
in i ni,____ ___no
COUNTERSIGNATURE**!* AlJTHOfZE6 REPRESENTATIVE w
__
UYH S79 000
-.13
MOgFH ^\Y Y^AR^
AK 034 2*77 100M
PRINTED IN U.S.A.
DUP 1075234
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following:
ALL COVERAGE AFFORDED BY
THE POLICY
ENDORSEMENT
LARGE RISK CONTRIBUTORY OIVIOEND PLAN ENDORSEMENT
(THREE YEAR PLAN)
THE INSURED UNDER THE POLICY SHALL BE 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 CONTRI BUTORY DIVIDEND PLAN APPLICABLE TO THIS POLICY. SUCH CONTRIBUTORY DIVIOENO PLAN IS ONE UNDER WHICH PREMIUM EARNINGS IN EXCESS OF REQUIRE MENT FOR LOSSES. EXPENSES. RESERVES AND SURPLUS ADDITIONS ARE DECLARED BY THE BOARD OF DIRECTORS TO BE PAID TO SUCH INSURED.
IT IS MUTUALLY AGREED THAT THE FOLLOWING PROVISIONS SHALL APPLYi
I (A) PRELIMINARY AND ANNUAL INTERIM DETERMINATION AND REDETERMINATION AGREEMENT
THE DIVIDEND SHALL BE DETERMINED ON A CUMULATIVE BASIS. ENCOMPASSING ALL POLICIES FOR THE INSURED DESCRIBED IN PARAGRAPH V BELOW WHICH ARE EFFECTIVE ON OR AFTER OCTOBER I. 197* AND TERMINATING ON OR BEFORE OCTOBER 1. 1977. THE PRELIMINARY AND INTERIM DIVIDEND DETERMINATION SMALL BE BASED UPON INCURRED LOSSES VALUED AS OF A DATE APPROXIMATELY SIX MONTHS AFTER EACH ANNUAL ANNIVERSARY OF OCTOBER I. 197* AND SUCH DETERMINATION SHALL BE MADE BY THE BOARD OF DIRECTORS AS SOON AS PRACTICABLE AFTER SUCH VALUATION DATE. SUCH DIVIDEND SHALL BE SUBJECT TO ANNUAL REDETERMINATIONS. EACH TO BE MADE BY THE COMPANY AT APPROXIMATELY TWELVE MONTH INTERVALS FOLLOWING THE THIRO ANNUAL INTERIM DETERMINATION. THE FIRST SUCH REDETERMINATION AT WHICH (1) ALL CLAIMS HAVE BEEN CLOSED OR (2) ON THE BASIS OF THE TOTAL LOSSES FROM CLOSED CLAIMS NO DIVIDEND WOULD BE EARNED. OR (3) THE INSURED AND THE COMPANY MUTUALLY AGREE THAT FURTHER REDETERMINATIONS SHALL BE WAIVED. SHALL BE FINAL.
Effective Dele: 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
X
NAMED INSURED "THTT!pprr(^ACfORS~OF"| '
i. . nE'-.li..Tii .PI--U-- - PONtT. iiTE--TA L38-7922
POLICY NUMBER
ENDT. NO.
EFFECTIVE DATE*
FEDERAL MUTUAL INSURANCE COMPANY
SEQUOIA INSURANCE COMPANY
ted subsequent to policy preparation.
ENDORSEMENT AK 834 12-73 IOOM
Kemper
INSURANCE
DUP 1075235
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following;
ALL THE COVERAGE AFFORDED BY THE POLICY
ENDORSEMENT
(B) CANCELLATION OR NON*RENEWAL OF POLICY:
CANCELLATION OR NON-RENEWAL, PRIOR TO THE END OF THE PLAN PERIOD, OF ONE OR MORE OF THE POLICIES LISTED IN THE SCHEDULE OF POLICIES BELOW AND IDENTIFIED BY AN ASTERISK, SHALL TERMINATE THE DIVIDEND PLAN AS OF THE DATE SUCH CANCELLATION OR NON-RENEWAL BECOMES EFFECTIVE. IN THE EVENT OF SUCH CANCELLATION OR NON-RENEWAL THE NEXT DIVIDEND DETERMINATION SHALL BE BASED UPON IN CURRED LOSSES VALUED AS OF A DATE APPROXIMATELY SIX MONTHS AFTER SUCH TERMINATION OF THE PLAN AND SUCH DETERMINATION SHALL BE MADE BY THE BOARD OF DIRECTORS AS SOON AS PRACTICABLE AFTER SUCH VALUATION DATE. REDETERMINATION OF DIVIDEND AT SUCCEEDING TWELVE MONTH INTERVALS SHALL BE AS STATED IN I (A) ON THE PRECEDING PAGE.
II PAYMENT OR RECALL OF DIVIDEND
IF ON RE6ETERMINATION OF THE DIVIDEND THE DIVIDEND SO DECLARED ISt
(A) LESS THAN THE DIVIDEND PREVIOUSLY PAID THE INSURED, THE INSURED. UPON REQUEST BY THE COMPANY, SHALL IMMEDIATELY RETURN TO THE COMPANY THE AMOUNT BY WHICH SUCH PREVIOUS DIVIDEND EXCEEDS THE LATEST DIVIDEND SO DETERMINED.
(B) GREATER THAN THE DIVIDEND PREVIOUSLY PAID THE INSURED,
THE COMPANY SHALL IMMEDIATELY PAY TO THE INSURED THE ADDITIONAL DIVIOEND DUE.
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
1
NAMED INSURED
CPPCJjONTRACTORS OF
[1
POLICY HUMBTh" ' * '^01.^07*' ' "EffEcTiVE DATE*
AYH-S7X 000 s
-io/im--------------
Completion necessary only when issued subsequent to policy preparation.
PACE X
ENDORSEMENT
AK 834 12-73 lOOM
Kemper
INSURANCE
FEDERAL MUTUAL ' INSURANCE COMPANY
SEOUOIA INSURANCE COMPANY
DUP 1075236
TgE3im!ii*:i.aiMifflyaa
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following:
ALL THE COVERAGE AFFORDED BY THE POLICY
ENDORSEMENT
III LOSS LIMITATION PROVISION
FOR THE PURPOSE OF DETERMINING THE DIVIDEND UNDER THIS PLAN THE INCURRED LOSSES RESULTING FROM A SINGLE OCCURRENCE OR A SINGLE ACCIDENT SHALL BE LIMITED TO $200,000. FOR WORKMEN'S COMPENSATION (INCLUDING EMPLOYER'S LIABILITY). GENERAL LIABILITY AND AUTOMOBILE LIABILITY C0M8INED INCLUDING ALLO CATED CLAIM EXPENSES FOR GENERAL LIABILITY AND AUTOMOBILE LIABILITY. FOR THE PURPOSE OF THIS PARAGRAPH, INCURRED LOSSES ARISING OUT OF BODILY INJURY BY DISEASE, INCLUDING DEATH AT ANY TIME RESULTING THEREFROM, SUSTAINED BY ANY ONE EMPLOYEE SHALL BE DEEMED TO ARISE OUT OF A SINGLE ACCIDENT.
(A) "INCURRED LOSSES" AS USED IN THIS PROVISION III MEANS THE SUM OF:
(1) ALL LOSSES, INCLUDING MEDICAL, ACTUALLY PAID,
(2) RESERVES FOR UNPAID LOSSES AS ESTIMATED BY THE COMPANY,
(5) PREMIUMS ON BONDS PAID FOR BY THE COMPANY IN ACCORDANCE WITH THE PROVISIONS OF THE POLICIES.
(k) INTEREST ACCRUING AFTER ENTRY OF THE JUDGMENT
AGAINST THE INSURED,
(5) ALLOCATED CLAIM EXPENSES, AND
(6) EXPENSES INCURRED IN SEEKING RECOVERY AGAINST A THIRD PARTY, PROVIDED AS RESPECTS THE INSURANCE AFFORDED UNDER ANY WORKMEN'S COMPENSATION AND EMPLOYERS' LIABILITY 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
X
THENAMED INSURED
E.l
POLICY NUMBER
LYM 579 000
CPPC CONTRACTORS OF
. DU PONT. ETAL
ENDT, HO.
EFFECTIVE DATE*
S io/im
JL-~
Completion necessary only when issued subsequent to policy preparation.
PAGE |
ENDORSEMENT AK 834 12-73 tOOM
Kemper
INSURANCE
SEQUOIA INSURANCE COMPANY
PRINTED IN U.*,A.
DUP 1075237
This endorsement modifies such insurance is is afforded by Die provisions of the policy relating to the following:
ALL COVERAGE AFFORDED BY THE
POLICY.
ENDORSEMENT
(A) ITEM (3) ABOVE SHALL HOT APPLY, AND
(B) ITEM (5) ABOVE SHALL APPLY AS RESPECTS - EMPLOYERS* LIABILITY COVERAGE ONLY.
(B) "ALLOCATED CLAIM EXPENSES" MEANS ACTUAL PAYMENTS AND . - RESERVES FOR LEGAL EXPENSES, EXCLUDING THE COST OF
INVESTIGATION AND ADJUSTMENT OF CLAIMS BY SALARIED COMPANY EMPLOYEES AND FEE ADJUSTERS, BUT INCLUDING ATTORNEY'S FEES. COURT COSTS, INTEREST, EXPENSE FOR EXPERT TESTIMONY, EXAMINATION, X-RAY, AUTOPSY OR MEDICAL EXPENSES OF ANY KIND NOT INCURRED FOR THE BENEFIT OF THE INJURED OR ANY OTHER EXPENSES INCURRED UNDER THE POLICIES OTHER THAN PAYMENT OF INDEMNITY OR MEDICAL TREATMENT, PROVIDED THAT ONLY THOSE ITEMS OF EXPENSE WHICH CAN BE DIRECTLY ALLOCATED TO A SPECIFIC CLAIM INVOLVING LITIGATION OR POSSIBLE LITIGATION WHEN NECESSARY TO DETERMINE THE INSURED'S LIABILITY SHALL BE INCLUDED.
IV AGENT FOR ALL INSUREDS*
E.l. DU PONT DE NEMOURS * COMPANY SHALL BE OEEMEO THE AGENT FOR ALL INSUREDS WITH RESPECT TO ALL DIVIDEND DEBITS OR CREDITS DECLARED BY THE BOARD OF DIRECTORS FOR THIS POLICY AND ALL OTHER POLICIES DESCRIBED IN PARAGRAPH V BELOW.
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 w AMERICAN MOTORISTS
CASUALTY COMPANY
A INSURANCE COMPANY
AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY
FEDERAL MUTUAL INSURANCE COMPANY
SEQUOIA INSURANCE COMPANY
named ihsu*edThe CPPC CONTRACTORS OF
E.l- DU PONT. ETAL.
POUCV HUMBER
ENDT. NO.
EFFECTIVE DATE*
kYM 573 OOP --5--------- IQ-1-7*_______i
'Completion necessary only when issued subsequent to policy preparation.
PAGE k
ENDORSEMENT
AK 834 7-74 lOOM
J~~
PRINTED IN U.S.A.
DUP 1075238
This endorsement modifies such Insurance as is afforded hy the provisions of the policy relating to the following:
ALL COVERAGE AFFORDED BY THE POLICY
ENDORSEMENT
V COMBINATION OF POLICIES}
FOR THE PURPOSE OF DETERMINING THE DIVIDEND UNDER THIS PLAN THE POLICY TO WHICH THIS ENDORSEMENT IS ATTACHED SHALL BE COMBINED WITH THOSE POLICIES INDICATED BELOW IN THE SCHEDULE OF POLICIES
ANO ANY OTHER POLICY WHICH CARRIES AN ENDORSEMENT STATING THAT SUCH POLICY SHALL BE COMBINED WITH THIS POLICY FOR DIVIDEND PURPOSES.
SCMEfiyiJLJJFJflLJ CIES
*4CM 579 200A
*F*C f 200
F5M 17 661 AYM $79 205
4CM 579 001 ACM 579 002 ACM 579 003
ACM 579 005
5CM 579 000 5CM 579 007 ACM 579 008 ACM 579 015 ACM 579 017 ACM 579 018 ACM 579 019 ACM 579 020 ACM 579 02A
ACM 579 028 ACM 579 031 ACM 579 036 ACM 579 038
ACM 579 039
ACM 579 040 ACM 579 041
ACM 579 042 5CM 579 OAA ACM 579 046 ACM 579 047
ACM 579 048 ACM 579 049 ACM 579 050 ACM 579 051 ACM 579 052 ACM 579 053 ACM 579 054 ACM 579 055 ACM 579 056 ACM 579 057 ACM 579 058 ACM 579 059 ACM 579 060A ACM 579 061A
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
X
AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY
---vs.varw"
POLICY NUMBER
1 EHOT. HO.
AYM 579 OOP C
EFFECTIVE DATE*
10/1/74
Completion necessary only when issued subsequent to policy preparation.
PAGE $
ENDORSEMENT AK 834 12-73 lOOM
Kemper
INSURANCE
FEDERAL MUTUAL * INSURANCE COMPANY
SEQUOIA INSURANCE COMPANY
PRINTED IN U.*.A.
DUP 1075239
% LUMBERMENS MUTUAL
CASUALTY COMPANY
AMERICAN MOTORISTS" ,
INSURANCE COMPANY ..
\r'*'] AMERICAN MANUFACTURERS I MUTUAL INSURANCE COMPANY
f [ 'FEDERAL MUTUAL
) ) INSURANCE COMPANY
DECLARATIONS
NAMED JNSUREO
COMBINATION AUTOMOBILE--GENERAL LIABILITY POLICY NUMBER
_L
4YM 579 000
THE CPPC CONTRACTORS OF E.I. DU PONT AND ANY OTHER CONTRACTOR DESIGNATED BY E.l. DU PONT
MAIL ADDRESS <numk*-~city or fo%t office--some --county--state--zif cooei
DU PONT BUILDING. WILMINGTON. DELAWARE
INDIVIDUAL
PARTNERSHIP
JOINT VENTURE
BUSINESS OF THE NAMEO INSURED
d( CORPORATION
OTHER:
POLICY PERIOO: FROM
jal*o tatk time if other than Uioi a.m.)
tO/1/74
10/1/75
17:01 A.M. STANDARD TIME AT THE A00RE5S OF THE NAMED INSUREO AS STATED HEREIN.
The 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 PART
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)
512.318.00 7--Comprehensive General Liability Insurance
8--Owners', landlords' and Tenants' liability insurance
9--Manufacturers' and Contractors' liability Insurance
10--Completed Operations and Products liability insurance
INCLUDED
11--Contractual Liability Insurance (Designated Contracts Only) 1 2--Independent Contractors Liability Insurance
13--Premises Medical Payments Insurance
INCLUDED
14--Personal Injury liability Insurance 15--Comprehensive Personal Insurance
Special charge for endorsement
B. I
23,3557 (P)
2.310. (E)
25,653.
P.P. T57520. (P)
1.544. fE) TVtoBT. '
42.717.
51 2.3 f 8.oqTOTAL ADVANCE PREMIUM
ANNUAL
THREE YEAR
""INC THE FAST THUS TEAKS NO IKSUKEK MAS CANCELED ANY INSUKANCE ISSUED TO THE NAMED INSURED, SIMILAR TO THAT AFFORDED HEREUNDER, UNLESS OTHERWISE STATED HEREIN.
COUNTERSIGN^ AT
,10ml
FORM CK 80122 \W-73 SOM ED. 66
COUNTERSIGNATURE DATE
MONTH
OAT
YKAft
11 25_____7A
COUNTERSIGNATURE OF LICENSED RESIDENT AGENT
attorney-Io-?<-'
DUP 1075240
wm a
m;
COVERAGE PART 7 DECL-ARATIONS-Appljcabie 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: $ 500,000
UABIUT> Coverage 8--Property Damage Liability: $ 250,000
each occurrence; $ 500,000 aggregate.
each occurrence; $ 250.000 aggregate.
LOCATION DESIG 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.l. DU PONT
AND ANY OTHER CONTRACTOR DESIGNATED
BY E.l. DU PONT
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.
LOCATION
OCflO* NATION
DESCRIPTION OP HAZARDS (ANY RATING CLASSIFICATION SHOWN HEREUNDER DOES NOT MODIFY THE EXCLUSIONS OR OTHER TERMS OF THIS POLICY |
SECTION !--PREMISES--OPERATIONS
PREMIUM BASES
COV. A
COV. B
(A) AREA (SO. FT.) (a) REMUNERATION (C)
(A) PER 100 SQ. FT; (e) PER $100
(C)
ADVANCE PREMIUMS
COVERAGE A-- BODILY INJURY '
LIABILITY
COVERAGE BPROPERTY DAMAGE LIABILITY
, .2 51?
B- 184,287,042 .152 .101 280,116 186,130
B- 184,287,042 .015 .010 27.645 18,429
.4) Z-S*
-ESCALATORS (NUMBER AT PREMISES)
MINIMUM PREMIUMS- COV,A$
COV. B $
SECTION 2-INDEPENDENT CONTRACTORS
INCLUDED IN COMPOSITE RATE
MINIMUM PREMIUMS: COV. A $
COV. B
SECTION 3 --COMPLETED OPERATIONS
.INCLUDED JJI COMPOSITE, RATE
NUMBER INSURED
PER LANOING
PER $100 OF COST
RECEIPTS
MINIMUM PREMIUMS: COV, A S SECTION 4-- PRODUCTS
I
i DUP 1075241
MINIMUM PREMIUMS: COV. A S
POUCV NUMBER
COV. PART 7 THIS COVERAGE PART IS EFFECTIVE
PAGE NO.
"Ou*
month oat year
4YM 579 000
1 12:01 A.M 10 1 74
* No? ro tit' tnjrooci unless exposure exists
I POLICY EFFECTIVE
month day
10 1 74
.or.. t*07.7se. zo4.e.
--
Zli ZtR
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`,,aie6aj66e,, se suouejepap aqi ui paieis Aiiqqeq Ajnlui Aqpoq jo nujt| aqi paaoxa iou qeqs pjezeq sionpojd aqi mqiiM papnpui Ajnlui Aqpoq qe (3) pue pjezeq suoiiejado paiaidujoo aqi uiqi;M pap"" npui Ajnlui Aqpoq qe ([) jo asneoaq saBeuiep qe joj Auedujoo aqi jo Auqq ei| jeioq-aqK foaouaijno^o i^ee*^ Buuoadraj suojsuvoJd aAoq,e qqi .01 wafq*s. V ..aodajitaoo qo'ea,;6^ djqeoqdde se suouejepap aqj ui paieis Afqjqmi Xinfoi Aftpoq
jo kuji| aqi paaoxa iou qeqs aouajjnooo auo Aue jo ijnsaj aqi se suosjad ajou; jo auoMq*pauieisns AinJur Aqpoq*o asne^ea-'-s^omjas to-ssoi pueiaieoi-joi -a6euje|> 6uipnpui`*sa6eujep qaJJoj*Auedujoo ai!|V }0*Auiiqeiq feior*a6ej8AOO `
.SMoqoj se paiiujq st i_ uej a6ejaAO0 japun Auqqet^ s.AueduJOO aqi 'aSeujep Auadojd jo Ajnlui Aqpoq jo lunoooe uo iq6nojq suns jo apeuj sujiep jo 'a6eujep AuadOJd jo Ajnfui Aqpoq uieisns oqM suoueziue6 jo jo suosjad (3) *Aoi|Od siqi japur* spajnsui (t) jo jaqujnu aqi jo ssa|pje6ay
jo 'saBejaAaq oqoqooie 6uiAjas jo 6ui||as 'Buunquisip `Buunioejnueuj jo ssauisnq aqrj^r pa^e6ua uoueziue6JO jo^uosjad e se {(}
-S'--''!-.
aiqeq ppq aq'A'eui aauuuiap
ui siq jo pajnsui aqi qoiqM joj o6eujep Auadojd jo Ajnfui Aqpoq 01 (q)
`uotsiAojd.siuauiAey Ajemaujajddns aqi japun'pp/uajjrscqs^jadxa (3)
jo `loejiuoo leiuapiouf ueTapun pajnsui aqi Aq paujnsse^Aiqiqeq (i)
01 loadsaj qiiM '6uio6ajoj aqi jo Aue 01 luapioui uonipuoo jo pe Au'd 6i^^u6fwqoAaj jo Uoi|ja^a>'yg)>aaJ^isui *jeM imp 'pajppap iou jo jaqiaqM 'jeM oi anp a6euiep Auadojd jo Ajnlui Aqpoq 01 (6)
(jeiuapiooe pue uappns si adeosa jo aseapj 'psjadsip 'aBjeqosip qons ji A|dde iou saop uoisnpxa
stqi mq (jaieM jo Apoq jo asjnoo jaieM Aue jo aiaqdsoujie aqi `puei uodn jo
oiui sitiemuod jo siueuiuieiuoo `siueiuji jaqio jo sieuaieui aiseM 'saseB jo spinbq
Aitqqen jo siiuii-j III
`pajnsui pauueu e se Aoqod siqi ui paieuBisap iou si qoiqM pue jaqujauj jo jauued . e si pajnsui aqi qoiqM jo ajniuaA luiol jo diqsjauued Aue jo lonpuoo aqi jo mo 6uisue a6eujep Auadojd jo Ajnlui Aqpoq 01 A|dde iou saop aouejnsui siqx
'sieotujaqo oixoi 'sqexie 'spioe 'saumj '100s 'sjodeA 'axouis jo adeosa jo aseapj 'jesjatisip 'a6Jcqosip aqi jo mo Guisue aBeujep Auadojd jo Ajnlui Aqpoq 01 (j)
rpajnsui pauieu aqi Aq paqojiuoo jo 01 paiuaj 'Aq pauMo sasiuiajd uo ajoqse aqqM ijeJojaieM 01 A|dde iou saop uoisnpxa siqi mq
(ii) qdejBejed _
(pajnsui Aue Aq iusuj
qns.ui paquosap uosjad Aue jo jaAo;duja aqi jo pajnsui pauieu aqi Aq
Ao|duia siq jo asjnoo aqi ui uosjad Aue Aq paiejado ijejojaieM jaqio Aue (3}
paidnooo jo jo a6jeqo ui 'oi paiuaj `Aq pauMO Auadojd oi abetuep Auadojd {3)
jo *iuaujAo|duja siq jo asjnoo aqi ui pajnlui uosjad qons jo aaAoiduia Moqaj Aue 01 Ajnlui Aqpoq -(~f)-------
;oi loadsaj qiiM (ay
jo 'pajnsui
Aue 01 paueo| jo paiuaj jo Aq paiejado jo pauMo ijejojaieM Aue (1)
jo 6uipeo|un jo"6uipeo| 'asn 'uouejado 'aoueuai uieui `diqsjauMo aqi ;o mo 6u;sue aBeuiep Auadojd jo Ajnfui Aqpoq 01 (a)
qdej6ejed siqi japun pajnsui ue aq ijeqs uoueziueBJO jo uosjad ou leqi papiAoid
(pajnsui Aue 01 paueoi jo paiuaj
.`uoueziue6jo jo uosjad qons 01 'siseq ssaoxa joAjeujud e uo jaqua `aiqeqeAe aouejnsui aiquoanoo pue pqeA jaqio ou si ajaqi q A|uo inq 'uouejado qons joj ajqisuodsaj AqeBai uoueziue6jo jo uosjad Aue pue pajnsui pauieu aui jo aujeu aqi ui pajaisiBaj luaujdinba qons Aue pajnsui pauieu aqi jo uoissiuuad aqi qiiM Buuejado aqqM uosjad Jaqio Aue (ii)
pue `luauiAoiduia siq jo asjnoo .aqi ui luaujdinba qons Aue 6uuejado aqqM pajnsui pauieu aqi jo aaAoiduia ue (1)
- ~
`mbj uoueii" si6ai apiqaA joiouj Aue japun paJaisiBaj luauidinba sqqoui jo `AeMqBiq oqqnd-
e uocin uoiioujoooi jo asodjnd aqi jo) `uouejado aqi 01 loadsaj qiiM {a)
pue (pajnsui pauieu aqi jo; jaBeueuj aieisa ieaj se 6uuoe aqqMuoiieziueBio jo (pajnsui pau/eu aqi jo aaAotduia ue ueqi jaqio) uosjad Aue (p)
jo Aq paiejado jo pauMo aqqouiome ue Aq luauJOinba aqqoui jo uoiieuodsueji aqi jo asjnoo aqi ui pue jo mo 6uisije a6eiuep Auadojd jo Ajnfui Aqpoq 01 (p)
(qqMdJaqi asn joj pau6isap ap ja(ien jo aqqouiMous Aue jo asn jo uouejado aqi (3) jo Aimuoe jo isaiuoo qons Aue jo| uouejedajd jo aotpejd ui Jo Airntpe Guuunis Aue ui jo isaiuoo uouqouiap jo paads 'Buioej paztueBjo jo pa6uejjeaid Aue ui pasn Buiaq aqqM luauidinba aqqoui Aue jo Buipeoiun jo 6uipeoi 'asn 'uouejado 'aoueuaiuieui 'diqsjauMo aqi (i) |0 mo Buisue a6euiep Auadojd JO'Ajnfui Aqpoq 01 (0)
(pajnsui Aue 01 paueoi jo paiuaj jo Aq pauMo ;ou si aqqouiome qons ji '6uiuiolpe Ajaieipaui uii sAeM aqLiP ,P3jnsui paujeu ai)iAq panojiu.oo m oi^aiuaj 'Aq pauMo
oisasiuiajd uo dmouTorni 0e|i^6uh|!bd}a^i Aidds ioiiU^D'uolsnpxa siqi mq
'qons se saunp siqyq
'pajnsui Aue Aq luauiAoiduia siq
adoos aui uiqitM 6uuoe aqqM joajaqi japToqxoois jo joiobjip 'jaoiuo aAimoa'xl- /o asjnoo aqi ui uosjad Aue Aq paiejado ijejOJte jo aqqouiome jaqio Aue (3)
Aue pue paieu6isap os uoueziueBiO aqi 'ajniuaA ruiol jo diqsjauued 'jenpiAip"
jo 'pajnsui Aue
u ue uem jaqio se suouejepap aqi ui paieu6isap si pajnsui pauieu aqi ji (oi- 01 paueoi jo paiuaj jo Aq paiejado jo pauMo ijejojie jo aiiqocuome Aue (1)
qons se Aiqiqeii siq 01 loadsaj qiiM Ajuo mq joajaqi jaquiau
jo 6uipeo|un jo 6uipeoi 'asn 'uouejado 'aoueuai
jo jauued Aue pue paieuBtsap os ajniuaA xuiof jo diqsjauued aqi `ajniuaA lurol uieuj 'diqsjauMo aqi fo mo 6utsue a6eujep Auaclojd jo Ajnlui Aqpoq 01 (qj
cjo diqsjauued e se suouejepap aqi ui paieu6isap si pajnsui pauieu aqi }i (q)-- (jauueui ax'lueuivoM u nuop aq qiM pajnmr pauieu aqi jo qeqaq uo jo
uoiaudojd aios aqi si sq~ Aq pauiJopachxKXA leqi 'AiucueM^e'Jo sionpojd s.pajnyui pauieu aqi 10 Aiqenb jo
uoiqM jo ssauisnq e jo lonpuoo aqi 01 loadsaj mum A|uo mq paieu6isap os uosjad ssaunj 10 AiuejieM-e'oi'Aidde'lou saop'Ooisftftica siqT'irtq rTOfrnooo unuapoui u.e
aqi 'lenpiAipui ue se suouejepap aui ui paieubisap si pajnsui pauieu aqi ji (e)
loaoxa luauiaaiBe jo' idgjiuoo Aue japun pajnsui aqi Aq pauinsse Anqqei| 01 {e)
Mopq quoj lasiuaixaaqi 01 aouejnsui siqi japun pajnsui ue si SuiMoqoj aqi jo qoeg-
:A|dde iou saop aouejnsui siqj.
pajnsui suosjaj *||
uiajaqi Aouaijap io loajap paioadsns jo umoux Aue jo asneoaq ^SFT ujojj jo laxieuj aqi uiou uMejpqpM aje Auadojd jo xiom 'sionpojd uons 'jiued e ujjoj xjom jo sionpojd qons qoiqM jo Auadojd Aue jo jo pajnsui paiueir aui .01 jo Aa paiaiauioo xjom jo sronpoJd s,pajnsoi pauieu aqi jo asn )o sstJp jo '.uaujaoeidai 'jieaai `uouoadsui `(eMejpqiiM aqi joj oaujiep saoeuiep 01 ioj
suoisnpxg
siuaurailias jo siuaui6pnl jo luaujAed Aq paisneqxa uaaq seq Aiiqqeq s,Aueduioo aui jo iiuiq afqeoijdde aqi jar^e uns Aue puajSp 01 jo iuaui6pnl jo ujiep Aue Aed 01 paie6i|qo aq iou qeqs Auedujoo aqi inq 'luaipadxa suiaap u se tfnsyi^ujTep'Aue" jo luaujamas pue
UKMajaqi uouoauuoo ui paqsiumj luaujdinba jo sued 'sieuaieui jo mo jo 'joajaqi uouiod Aue jo x^om aqi jo mo Buisue paTfis' ui oaujeu aui jo jieqaq uo jo Aq paujjojjad xjom 01 a6eujep Auadojd 01 i0)
sionpojd qons jo ued Aue jo sionpcnd uons jo mo Buisue sionpojd s,pajnsui pauieu am oi aBeujep Auadojd 01 (u)
uO'ieinisaAui tpns axeuj apuj pne 'luainpnejj jo`4s|ej 'ssaipunojB aje uns am jo suouebaiie aqi jo Aue p uaAa 'a6euiep AuadOJd jo Ajnlui Aqpoq qons jo lunoooe uo saBeuiep 6uixaas pajnsui am lsuieBe 11ns Aue puajap oi Amp pue iq6u aqi aAeq qeqs Auedujoo aqi pue 'aouajjnooo ue Aq pasneo^satidde aouejnsui sjqi qoiqM 01
a6eujep Auadojd 'g jo Ajnftji Aqpoq `v
T *. "*. ?
T .`pamsut ue ueqi jaqio uofieziueB
jo asneoaq saBeuiep se Aed 01 paie6qqo Aqe6a| aujooaq qeqs
jo jo uosiad Aue ac5 asn- 01 'rnd uaaq aAeq xjoaa. jp sionpojd qons jaije pajrrsrn- pajnsui at|^ qoiuM sujns jje pajnsui aqt jo qeqaq uo
iqM ^qe^uioo xeqx
nau^e- aqi jc ^Bqaq'wb'Jo aq oaujjojiad- vjom jo sionodjd s,p4jhsu> pauieu'aqi Uiqiqeiy afeeujeQ AiJadojj--g a6ejaAoo Anpqeiq /tnit` limnolw afiPMAtv-i 1
30NVanSNI Ainiavil "IVa3N30 3AISN3H3adlAi03-I iy Vd 30VU3A00
DUP 1075242
i
COVERAGE PART 11
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
DESIGNATION OF CONTRACTS (ANY RATINGS CLASSIFICATION SHOWN HEREUNDER DOES NOT MODIFY THE EXCLUSIONS OR OTHER TERMS OF THIS POLICY)
CODE
PREMIUM BASIS
(A) NUMBER (B) COST
RATES
ADVANCE PREMIUMS
COV. Y
COV. Z
| A ) PER CONTRACT (B) PER ft OOOF COST
COVERAGE Y-- COVERAGE Z-
BODILY
PROPERTY
INJURY
DAMAGE
LIABILITY
LIABILITY
ALL WRITTEN CONTRACTS RELATING TO THE BUSINESS OF THE NAMED INSURED
BY DESIGNATED INDEPENDENT CONTRAC TORS UNDER CPPC PROGRAM FOR WORK DONE FOR E.l. DU PONT DE NEMOURS AND COMPANY INCORPORATED
INCLU DED II 1 COMPOS1 fE RATE
MINIMUM PREMIUMS: COV. Y $
COV. Z $
POLICY NUMBER .... _ _ _
-.. 579 000
COV.PARTIlt THIS COVERAGE PART IS EFFECTIVE
PAGENO. 1 HOUR
MONTH
OAY
YEAR
1 12:01 Am. 10 1 71
CK 813--1 8-73 25M ED. 73
POLICY EFFECTIVE
MONTH O A Y
YEAR
10 1 71 1
TOTAL. ADVANCE PREMIUM
INC! HDFD
(COVERAGE PART 11 CONTINUED ON REVERSE SIDEI
DUP 1075243
COVERAGE PART 11--CONTRACTUAL LIABILITY INSURANCE (Designated Contracts Only)
I. Coverage Y-Contractual Bodily injury Liability Coverage Z--Contractual Property Damage 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
or equipment furnished in connection therewith;
^,
The company will pay on behalf of the insured all sums which the insured, by
reasonof contractuaJ liability assumed by him underafcbntraordesighated in the
schedule'Tor tfTi$" insurance, shall become legally obligated to pay'as damages
becausaof.
... . ___ . ... . ..
(k| to damages claimed for the withdrawal, inspection, repair, replacement, or
lo*s ;of use of the*, named insUr^d's products or, wofkTcpffpTe^ed or for the na'med insured or"'of anV property of which such products' o7 work form a part, if .such products, work or property are withdrawn from the market or from use
. . r - ,Y. bodily injury or Z. property damage
, because of any known or suspected defect or deficiency therein;
to which this insurance applies, caused by an occurrence, and the company shall (l) to bodily injury or property damage arising out of the ownership, main have the right and duty to defend any suit against the insured seeking damages tenance, operation, use, loading or unloading of any mobile equipment while
on account of such bodily injury or property damage, even if any of the allega being used in any prearranged or organized racing, speed or demolition contest
tions of the suit are groundless, false or fraudulent, and may make such investi or in any stunting activity or in practice or preparation for any such contest or
gation and settlement of any claim or suit as it deems expedient, but the activity;
i
company shall not be obligated to pay any claim or judgment or to defend any (m) to bodily injury or property damage arising out of the discharge, dispersal,
suit after the applicable limit of the company's liability has been exhausted by release or escape of smoke, vapors, soot, fumes, acids, alkalis, toxic chemicals,
payment of judgments or settlements.
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
Exclusions
exclusion does not apply if such discharge, dispersal, release or escape is sudden and accidental.
This insurance does not apply:
(a) if the insured or his indemnitee is an architect, engineer or surveyor, to bodily injury or property damage arising out of the rendering of or the failure to
render professional services by such insured or indemnitee, including
(1) the preparation or approval of maps, plans, opinions, reports, surveys,
designs or specifications and
: (2) supervisory, inspection or engineering services;
! (b) 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
tD any of the foregoing;
-=
(c) to bodily injury or property damage for which the indemnitee may be*
held liable
j
(1) as a person or organization engaged in the business of manufacturing,'
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
(i) in violation of any statute, ordinance or regulation,
(ii) to a minor,
(iii) to a person under the influence of alcohol, or
Ii. Persons Insured
;
Each of the following is aninsuredunderthislnsurancetotheextentsetforthbelow:
(a) if the named insured is designated injthe 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, 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,
j
III. Limits of Liability
j,
Regardless of the, number of| (1) insureds under 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 under Coverage Part 11 lis limited as follows:
Coverage Y--The total liability of the company for all damages, including dam
ages for care and loss of services, because of bodily injury Sustained by one 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".
j
of the indemnitee as an owner or lessor described in (2) above;
1 (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 any obligation for which the insured may be held liable in an action on a contract by a third party beneficiary for bodily injury or property damage arising out of a project for a public authority; but this exclusion does not apply to an action by the publicauthority or any other person or organization engaged in the project;
(f) to property damage to
(1) property owned or occupied by or rented to the insured,
(2) property used by the insured, or
(3) property in the care, custody or control of the insured or as to which the 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
(2)rlhe failure of the named, insured's .products or work performed by or on behalf of thenfcmed Insured to-meet the tevel^f; performance/quality, fitness or durability'Warranted 6r represented,by. the*named; insured;: '
but this exclusion., does. not apply to Joss of use .of other tangible property resulting'fronrf the sudderrarld^aCcid^ntal physical injury To b'r destruction of the nam^d insrils(prbdij!cti'or worK tebormad'bv.-Qr on.behblf. ofJthe named
Coverage Z-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 the above 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". Such aggregate limit of liability applies separately
with respect to each project away from premises owned by or rented to the
named insured.
j1
Coverages Yand Z-- For the purpose of determining the limit of the company's
liability, all bodily, injury andjproperty damage arising out of continuous or
repeated exposure to substantially the same general condition? shall be considered
as arising out of one occurrence.
IV. Additional Definitions
When used in reference to this insurance:
"contractual liability" means liability expressly assumed under a written contract or agreement; provided, however, that contractual liability shall not be constiued 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; "suit" includes an arbitration proceeding to which the insured is required to submit or to which the insured has submitted with the company's consent.
V. Policy Territory This insurance applies only to bodily injury or property damage which occurs
within the policy territory.
insured;afteri-euchrproducts oq.wojk have beervipuf to use by/any person or VI. Additional Condition
organizationIdtherThaiTan jnsuTedr)^*-
^ .V
Arbitration
,
i >; r fiV1 h/iM
. (U {tcTprpfjertyJdansaje to(ihejnameuiisured!stpro3tCTdrising,,Put of such
The company shall be'entmed*to-exerfcrse airofrtho'msurtd's Tigfrtsnn the
products or any part of such products;
choice of arbitrators and in the conduct of any arbitration proceeding.
't vainiy '
..Z:rV'.E i
. -I
j. ,, )j
`.i 1 t'. . a-l. . . VS .,
1075244
dup
COVERAGE PART 14 DECLARATIONS--Applicable to Coverage Part 14 only
The limit of the company's liability against this Coverage shall be as 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
0 % | Minimum Premium $
EXCLUSION C IS
POLICY NUMBER
4YM 579 000
ELIMINATED
CO V. PART Ml THIS COVERAGE PART IS EFFECTIVE
IPAGE NO.
HOUR
MONTH
OAY
TEAR
1 12:01 A.m. 10 t 7k
RATE
CODE ADVANCE PREMIUM
$ INCLUDED 9840 $ IN
$ C0HP0SI ti: Total Advance Premium $ RATE
POLICY EFFECTIVE MONTH DAT TEAR
___ 10 I___ 7k
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 insiifed 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 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 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 pena!~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 utterance described 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 the following is an insured under this insurance to the extentset forth 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 1075245
v*vj v li\mUu r Mrt 1 i - UvviMuno aim*-' ouim umu iOnc rhu t luI i vl uabiti ( r liVbLmMiVLC:
COVERAGE FOR OPERATIONS OF DESIGNATED CONTRACTOR
LUMBERMENS MUTUAL CASUALTY COMPANY
a
AMERICAN MOTORISTS INSURANCE COMPANY
AMERICAN MANUFACTURERS
I I FEDERAL MUTUAL
MUTUAL INSURANCE COMPANY I____| IIfN, SURANCE COMPANY
DECLARATIONS
1. NAMED INSURED
COMBINATION AUTOMOBILE-GENERAL LIABILITY POLICY NUMBER
4YM 579 000
E.l. DU PONT DE NEMOURS & CO.. INC.
ADDRESS
(numiih-imaer--city or post oprics--county--state--zip cooe)
DU PONT BUILDINS. WILMINGTON. DELAWARE
0 INDIVIDUAL
0 PARTNERSHIP
0 JOINT VENTURE BUSINESS OF THE NAMED INSURED
CORPORATION
Q TRUSTEE
POLICY PERIQQ; also STATS m*e F other than iz: oi ,
FRM 10/1/74_________________
10/1/75
IZI01 A.M. STANOARO TIME AT THE AOORESS OP THE NAMEO 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
$
$
$
5. SCHEDULE-GENERAL LIABILITY HAZARD
DESCRIPTION OF HAZARDS ANY RATING CLASSIFICATION SHOWN HEREUNDER DOES NOT ___MOOIFY THE EXCLUSIONS OR OTHER TERMS OF THIS POLICY
INDEPENDENT CONTRACTORS
CONSTRUCTION OPERATIONS--OWNER--NOT OTHERWISE CLASSIFIED (NOT RAILROADS) -- EXCLUDING OPERATIONS ON BOARD SHIPS ....
500.000
250,000
250,000
each occurrence each occurrence aggregate
TOTAL AOVANCE PREMIUM
$
INCLUDED
INCLUDED -INCLUDED
PREMIUM BASIS
PER $ 100 OF COST
ADVANCE PREMIUM
INCLUDED INCL. INCL.
INCL.
INCL.
MINIMUM PREMIUMS $ DESIGNATED CONTRACTOR
ALL INDEPENDENT CONTRACTORS UNDER CPPC PROGRAM
MAILING ADDRESS
DU PONT BUILDING. WILMINGTON, DELAWARE
LOCATION OF COVERED OPERATIONS
VARIOUS LOCATIONS COVERED UNDER THE CPPC PROGRAM
THE PERSON ON ORGANIZATION DESIGNATED ABOVE AS THE CONTRACTOR HAS UNDERTAKEN TO RAY THE PREMIUM POR THIS POLICY AND SHALL BE ENTITLED TO RE CEIVE ANT RETURN PREMIUMS ANO U N ABSORBED PREMIUM DEPOSIT REFUNDS (OIVIOENOS), IF ANY, WHICH MAY BECOME PAYABLE UNOER THE TERMS OF THIS POLICY.
AUDIT PERIOD: ANNUAL UNLESS OTHERWISE STATED COUNTERSIGNED AT
FORM CK 821-1 3-73 5M ED. 73
COUNTERSIGNATURE DATE
COUNTERSIGNATURE OF LICENSED RESIDENT AGENT
____ 11725/74___
(COVERAGE PART 19 CONTINUED ON REVERSE SIDE)
CRINTEO IN U.S.A.
DUP 1075246
COVERAGE PART 19--OWNERS' AlMU CUN I KauiuH^ PiiU I fcoi I Vt liadili i i iwbUttMiYGc COVERAGE FOR OPERATION^ pf DESIGNATED CONTRACTOR
t. Coverage A-Bodily Injury, Liability Coverage B-Property Damage Liability into or upon land, the atmosphere or any water course or body of water; but
The company will pay on behalf of the insured all sums which the insured this exclusion does not apply if such discharge, dispersal, release or escape is
shall become legally obligated to pay as damages because of
sudden and accidental;
A. bodily injury or B.property damage
to which this policy applies, caused by an occurrence and arising out of (1) operations performed for th$ named injured by the contractor.<e?ignated in the declarations at(the`location'desighated>therein<or~(2)-acts oromfesions of the
(j) to loss of use of tangible property which has not been physically injured or destroyed resulting from
(7) a delay inor a lack of performance by or on behalf of the named insured -of any contract or agreement, or
named insured in connection with his general supervision of such operations,
(2) the failure of the named insured's products or work performed by or on
and the company shall have the right and duty to defend any suit against the
behalf of the named insured to meet the level of performance, quality, fit
insured seeking damages on UCBALliu of suen ooany injury or property damage,
ness or durability warranted or represented by the named insured;
even if any of the allegations of the suit are groundless, false or fraudulent; and but this exclusion does not apply to loss of use of other tangible property resul
may make suen investigation and'settlement of any claim or suit as It deems ting from the sudden and accidental physical injury to or destruction of the
expedient, but the company shall not be obligated to pay any claim or judgment named insured's products or work performed by or on behalf of the named
or to defend any suit'after'the applicable, limit of the company's liaBHity has, ~ insu/ecj after such products or work have been put to use by any person or or
been exahusted by payment of judgments or settlements.' *
ganization other than an 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 completed 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 organ ization 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,
7*
(3) property 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 irv-
cident 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; j j ,
(h) to bodily injury or property damage arising out of (1) the ownership,
maintenance, operation, use, loading or unloading of any mobile equipment
while being used in any prearranged or organized racing, speed or demolition
contest or in any stunting activity or in practice or preparation for any such-
contest or activity or (2) the operation or use of any snowmobile or trailer de
signed for use therewith:.; " r
`
(i) to bodily injury or property damage'arising out of the discharge, dispersal/
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, 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; and
(d) any person (other than an employee of the named insured) or organiza tion while acting as real estate manager for the named insured.
IIL Limits of Liability ~
.
^ -
, ~ -
Regardless of the number of (1) insureds under this'policy, (2) persons or or ganizations 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 total liability of the company for all damages, including dam ages for care and loss of services, because of bodily injury sustained by one 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 occur rence".
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 the above provision respecting "each occurrence*, the total liability of the company for all damages because of ail 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 re peated ejxposut'e to substantially the same general conditions shall be considered
as arising out of one occurrence.
IV. Additional Definition
When used in reference to this insurance: "work" includes materials, parts and equipment furnished in connection there with.
V. Policy Territory
release or escape of smoke, vapors, soot, fumes, acids, alkalis, toxic chemicals, This policy applies only to bodily injury or property damage which occurs liquids Or gdses, waste, materials or other irritants, contaminants or pollutants within the policy territory.
DUP 1075247
COVERAGE l'ART 22 ... ' . DECLARATIONS--Applicable to Coverage Ran 22 only
The lirr.it cf the company's liability against this Coverage shall be as stated herein, subject to all the terms pf the policy having reference thereto.
I LIMITS OF {
;
I LIABILITY j Coverage Ml--Malpiactice Liability: $ xjqq .000 . each person afreg3t?; $ 500 .000 . general aggregate,
SCHEDULE
DESIGNATION OF EMPLOYEES (Indicate if physician, surgeon, dentist, nurse or first aid technician)
Rate per Employee
Premium
COVERAGE AFFORDED HEREUNDER APPLIES TO THE INSURED
OR THEIR EMPLOYEES OR PHYS1C1AN$,SURGEONS , DENTISTS NURSES OR ANY PROFESSIONAL EMPLOYEE IN CONNECTION WITH FURNISHING OF FIRST AID SERVICE FOR OPERATIONS nr INnFPFNDFNT CONTRACTORS UNDER CPPC PROGRAM
C00
8011' 8021( 1 8099* 8011:
INCLUDED INCLUDED INCLUDED INCLUDED
Total Premium $
INCLUDED INCLUDED INCLUDED
INCLUDED INCLUDED
' THE CPPC CONTRACTORS OF E.l. DU PONT. ETAL
POLICY NUMBER
4YM 579 000
COV. PART 22 | THIS COVERAGE PART IS EFFECTIVE
PAGE NO.
HOUR
MONTH
DAY
i i 2:01A.M. io 1
YEAR
74
38 7922
POLICY EFFECTIVE
MONTH
10
DAY
1
7t
COVERAGE PART 22--EMPLOYERS' MALPRACTICE AND PROFESSIONAL SERVICES LIABILITY INSURANCE
I. Coverage ML--Malpractice 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 to which this insurance applies, sustained by any person and caused by malpractice, and the company shall have the right and duty to defend any suit against the insured seeking damages on account of such injury, 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 shali not be obligated .to pay any claim or judgment or to defend any suit after the applicable limit cf 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 any use of x-ray apparatus for therapeutic treatment;
(c) to bodily injury or property damage arising out of the ownership, maintenance, operation, use, loading or unloading of any automobile, aircraft or watercraft;
(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 beneffts law, or under any similar law;
(e) to bedily injury to any employee of the insured arising out of and in the course of his employment by the insured.
It. Persons Insured
Each of the following is an insured under this insurance to the extent set forth bitow:
(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 tne named insured is designated in the declarations as other than an .individual, partnership or |0ir,; 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 any person as an insured with respect to his personal
acts or omissions.
---
III. Limits of Liability
Regardless of the number of ft) insureds under this policy, (2) persons who sustain injury, or (3) claims made or suits brought on account of injury, the totai liability of the company for all damages because of all injury to which this coverage applies, sustained by any one person shall nnt exceed the limit of maipraclice liability, stated in the declarations as applicable to "each person aggregate
Subject to the above provision respecting "each person aggregate", the total limit of the company's liability under this coverage for all damages snail not exceed the limit of malpractice liability stated in the declarations as "general aggregate".
IV. Amended Definition
When used in reference to this insurance:
"damages" means only those damages which are payable because of injury caused by mal practice.
V. Additional Definition
When used in reference to this insurance-.
"malpractice" means malpractice, error or mistake, occurring during the policy period within the policy territory,
(a) in rendering or failing to render medical, surgical, dental, nursing or first aid treatment or service, (b) in furnishing or dispensing drugs or medical, dental or surgical supplies or appliances if tne injury occurs after possession thereof has been relinquished to others, or (c) m handling or performing autopsies on deceased human bodies,
by any physician, surgeon, dentist, nurse or first aid tccnnician employed by the insured and designated in the schedule.
1 1 -GO 25 M ED. 6C
I
\ . <r
JJi
DUP 1075248
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following:
COMPREHENSIVE SENERAL 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.
Daignillon 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
named insured THE CPPC CONTRACTORS OR
___________E.j. DU PONT. ETAL
POLICY NUMBER
I ENDT. NO.
EFFECTIVE DATE*
4YM 579 OOP 110/1/74
FEDERAL MUTUAL INSURANCE COMPANY
SEQUOIA INSURANCE COMPANY
Completion necessary only when issued subsequent to policy preparation
CAGLP-114 ENDORSEMENT CK 901 8*73 5M ( REV. 1 O-1 -66 )
Kemper
INSURANCE
PRINTED IN U.S A
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to die 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: $_
RATE
-P.D. 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
NAMED INSURED
l CPPC CONTRACTORS OF
___________ E-J1 . DU PiONT, ETAL
POLICY NUMBER
ENOT. NO.
' EFFECTIVE DATE*
4YM 579 000
2 ___ 10/1/74
Completion necessary only when issued subsequent to policy preparation.
CAGLP-106 ENDORSEMENT CK 893-1 7-73 25M (REV. 1-1-73)
Kemper
INSURANCE
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 GIVEN PROJECT, THE INSURANCE AFFORDED BY THE POLICY OR RENEW ALS 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
THENAMED INSURED CPPC CONTRACTORS OF
E.I. DU PONT. ETAL
POLICY NUMBER
ENDT. NO.
EFFECTIVE DATE*
4YM 579 0001 3
10/1/74
Completion necessary only when issued subsequent to policy preparation.
ENDORSEMENT AK 834 12-73 lOOM
Kemper
INSURANCE
DUP 1075251
PRINTED IN U.g.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 THE POLICY WILL BE PAID BY E.l. DU PONT DE NEMOURS AND COMPANY, INCORPOR ATED, 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
USSi insured THE CPPC CONTRACTORS OF E.l. DU PONT, ETAL
POLICY NUMBER
YM 579 OOP
ENDT. NO.
4
EFFECTIVE DATE'*
10/1/74
Completion necessary only when issued subsequent to policy preparation.
ENDORSEMENT AK 834 12-73 lOOM
Kemper
INSURANCE
FEDERAL MUTUAL INSURANCE COMPANY
SEQUOIA INSURANCE COMPANY
DUP 1075252
MINTED IN U.S A.
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following:
ALL COVERAGE AFFORDED BY THE POLICY
ENDORSEMENT
LARGE RISK CONTRIBUTORY DIVIDEND PLAN ENDORSEMENT ____________ ________
(THREE YEAR PLAN)
THE INSURED UNDER THE POLICY SHALL BE 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 CONTRI BUTORY DIVIDEND PLAN APPLICABLE TO THIS POLICY. SUCH CONTRIBUTORY DIVIDEND PLAN IS ONE UNDER WHICH PREMIUM EARNINGS IN EXCESS OF REQUIRE MENT FOR LOSSES. EXPENSES. RESERVES AND SURPLUS ADDITIONS ARE DECLARED BY THE BOARD OF DIRECTORS TO BE PAID TO SUCH INSURED.
IT IS MUTUALLY AGREED THAT THE FOLLOWING PROVISIONS SHALL APPLY:
I (A) PRELIMINARY AND ANNUAL INTERIM DETERMINATION AND REDETERMINATION AGREEMENT
THE DIVIDEND SHALL BE DETERMINED ON A CUMULATIVE BASIS. ENCOMPASSING ALL POLICIES FOR THE INSURED DESCRIBED IN PARAGRAPH V BELOW WHICH ARE EFFECTIVE ON OR AFTER OCTOBER 1. 1974 AND TERMINATING ON OR BEFORE OCTOBER 1. 1977. THE PRELIMINARY AND INTERIM DIVIDEND DETERMINATION SHALL BE BASED UPON INCURRED LOSSES VALUED AS OF A DATE APPROXIMATELY SIX MONTHS AFTER EACH ANNUAL ANNIVERSARY OF OCTOBER 1. 1974 AND SUCH DETERMINATION SHALL BE MADE BY THE BOARD OF DIRECTORS AS SOON AS PRACTICABLE AFTER SUCH VALUATION DATE. SUCH DIVIDEND SHALL BE SUBJECT TO ANNUAL REDETERMINATIONS. EACH TO BE MADE BY THE COMPANY AT APPROXIMATELY TWELVE MONTH INTERVALS FOLLOWING THE THIRD ANNUAL INTERIM DETERMINATION. THE FIRST SUCH REDETER MINATION AT WHICH (1) ALL CLAIMS HAVE BEEN CLOSED OR (2) ON THE BASIS OF THE TOTAL LOSSES FROM CLOSED CLAIMS NO DIVIDEND WOULD BE EARNED. OR (3) THE INSURED AND THE COMPANY MUTUALLY AGREE THAT FURTHER REDETERMINATIONS SHALL BE WAIVED. SHALL BE FINAL.
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
SEOUOIA INSURANCE COMPANY
NAMED INSURED THE CPPC C ONTRACTORS OF E.l. DU PO NT. ETAL
POLICY NUMBER
ENDT. NO.
4YM 579 000 5
EFFECTIVE DATE'
10/1/74
38-7922
Completion necessary
is^ted subsequent to policy preparation.
ENDORSEMENT AK 834 12-73 100M
Kemper
insurance
DUP 1075253
PRINTED IN U.6 A
iJiBwmiiMMi
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following:
ALL THE COVERAGE AFFORDED BY THE POLICY
ENDORSEMENT
(B) CANCELLATION OR NON-RENEWAL OF POLICY:
CANCELLATION OR NON-RENEWAL, PRIOR TO THE END OF THE PLAN PERIOD, OF ONE OR MORE OF THE POLICIES LISTED IN THE SCHEDULE OF POLICIES BELOW AND IDENTIFIED BY AN ASTERISK, SHALL TERMINATE THE DIVIDEND PLAN AS OF THE DATE SUCH CANCELLATION OR NON-RENEWAL BECOMES EFFECTIVE. IN THE EVENT OF SUCH CANCELLATION OR NON-RENEWAL THE NEXT DIVIDEND DETERMINATION SHALL BE BASED UPON IN CURRED LOSSES VALUED AS OF A DATE APPROXIMATELY SIX MONTHS AFTER SUCH TERMINATION OF THE PLAN AND SUCH DETERMINATION SHALL BE MADE BY THE BOARD OF DIRECTORS AS SOON AS PRACTICABLE AFTER SUCH VALUATION DATE. REDETERMINATION OF DIVIDEND AT SUCCEEDING TWELVE MONTH INTERVALS SHALL BE AS STATED IN I (A) ON THE PRECEDING PAGE.
II PAYMENT OR RECALL OF DIVIDEND
IF ON REOETERMINATION OF THE DIVIDEND THE DIVIDEND SO DECLARED IS:
(A) LESS THAN THE DIVIDEND PREVIOUSLY PAID THE INSURED, THE INSURED, UPON REQUEST BY THE COMPANY, SHALL IMMEDIATELY RETURN TO THE COMPANY THE AMOUNT BY WHICH SUCH PREVIOUS DIVIDEND EXCEEDS THE LATEST DIVIDEND SO DETERMINED.
(B) GREATER THAN THE OIVIDEND PREVIOUSLY PAID THE INSURED, THE COMPANY SHALL IMMEDIATELY PAY TO THE INSURED THE ADDITIONAL DIVIDEND DUE.
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
1
NhMEO INSURED THE cpp<;
Qp
F i_____________________mi POUT FTAI POLICY NUMbTr* ' ' "endt/noT" ' "effective date*
JlYM 579 OOP 5
IQ/i/7-4_________
Completion necessary only when issued subsequent to policy preparation.
PAGE 2
ENDORSEMENT
AK 834 12-73 lOOM,
Kemper
INSURANCE
FEDERAL MUTUAL INSURANCE COMPANY
SEQUOIA INSURANCE COMPANY
PRINTED IN U A
.iamjiiSiiii-wirw
m
This endorsement modifies such insurance s is afforded by the provisions of the policy relating to the following:
ALL THE COVERAGE AFFORDED BY THE POLICY
ENDORSEMENT
til LOSS LIMITATION PROVISION
FOR THE PURPOSE OF DETERMINING THE DIVIDEND UNDER THIS PLAN THE INCURRED LOSSES RESULTING FROM A SINGLE OCCURRENCE OR A SINGLE ACCIDENT SHALL BE LIMITED TO $200,000. FOR WORKMEN'S COMPENSATION (INCLUDING EMPLOYER'S LIABILITY), GENERAL LIABILITY AND AUTOMOBILE LIABILITY COMBINED INCLUDING ALLO CATED CLAIM EXPENSES FOR GENERAL LIABILITY AND AUTOMOBILE LIABILITY. FOR THE PURPOSE OF THIS PARAGRAPH, INCURRED LOSSES ARISING OUT OF BODILY INJURY BY DISEASE. INCLUDING DEATH AT ANY TIME RESULTING THEREFROM, SUSTAINED BY ANY ONE EMPLOYEE SHALL BE DEEMED TO ARISE OUT OF A SINGLE ACCIDENT.
(A) "INCURRED LOSSES" AS USED IN THIS PROVISION III MEANS THE SUM OF:
(1) ALL LOSSES, INCLUDING MEDICAL, ACTUALLY PAID,
(2) RESERVES FOR UNPAID LOSSES AS ESTIMATED BY THE COMPANY,
(3) PREMIUMS ON BONDS PAID FOR BY THE COMPANY IN ACCORDANCE WITH THE PROVISIONS OF THE POLICIES,
(4) INTEREST ACCRUING AFTER ENTRY OF THE JUDGMENT AGAINST THE INSURED,
(5) ALLOCATED CLAIM EXPENSES, AND
(6) EXPENSES INCURRED IN SEEKING RECOVERY AGAINST A THIRD PARTY, PROVIDED AS RESPECTS THE INSURANCE AFFORDED UNDER ANY WORKMEN'S COMPENSATION AND EMPLOYERS' LIABILITY 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
X
AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY
named insured THE CPPC CONTRACTORS OF
E.l. DU PONT. ETAL
POLICY NUMBER
4YM 579 000
ENDT. NO.
5
EFFECTIVE DATE*
10/1/74
Completion necessary only when is?sc^
uent to policy preparation.
FEDERAL MUTUAL INSURANCE COMPANY
SEOUOtA INSURANCE COMPANY
ENDORSEMENT AK 834 12-73 lOOM
Kemper
INSURANCE
PRINTCD IN U, A
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to tht following:
ALL COVERAGE AFFORDED BY THE POLICY.
ENDORSEMENT
(A) ITEM (3) ABOVE SHALL NOT APPLY, AND
(B) ITEM (5) ABOVE SHALL APPLY AS RESPECTS - - EMPLOYERS' LIABILITY COVERAGE ONLY.
(B) "ALLOCATED CLAIM EXPENSES" MEANS ACTUAL PAYMENTS AND - - RESERVES FOR LEGAL EXPENSES, EXCLUDING THE COST OF
INVESTIGATION AND ADJUSTMENT OF CLAIMS BY SALARIED COMPANY EMPLOYEES AND FEE ADJUSTERS, BUT INCLUDING ATTORNEY'S FEES, COURT COSTS, INTEREST, EXPENSE FOR EXPERT TESTIMONY, EXAMINATION, X-RAY, AUTOPSY OR MEDICAL EXPENSES OF ANY KIND NOT INCURRED FOR THE BENEFIT OF THE INJURED OR ANY OTHER EXPENSES INCURRED UNDER THE POLICIES OTHER THAN PAYMENT OF INDEMNITY OR MEDICAL TREATMENT, PROVIDED THAT ONLY THOSE ITEMS OF EXPENSE WHICH CAN BE DIRECTLY ALLOCATED TO A SPECIFIC CLAIM INVOLVING LITIGATION OR POSSIBLE LITIGATION WHEN NECESSARY TO DETERMINE THE INSURED'S LIABILITY SHALL BE INCLUDED.
IV AGENT FOR ALL INSUREDS:
E.l. DU PONT DE NEMOURS fr COMPANY SHALL BE DEEMED THE AGENT FOR ALL INSUREDS WITH RESPECT TO ALL DIVIDEND DEBITS OR CREDITS DECLARED BY THE BOARD OF DIRECTORS FOR THIS POLICY AND ALL OTHER POLICIES DESCRIBED IN PARAGRAPH V BELOW.
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
FEDERAL MUTUAL INSURANCE COMPANY
SEQUOIA INSURANCE COMPANY
THENAMED INSURED CPPC CONTRACTORS OF
POLICY HUM)
_____________IVE DATE*
4YM 579 non I--5--__ in-1-74______
Completion necessary only when issued subsequent to policy preparation.
PAGE 4
ENDORSEMENT
AK 834 7-74 lOOM
A0
DUP 1075256
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following:
ALL COVERAGE AFFORDED BY THE POLICY
ENDORSEMENT
V COMBINATION OF POLICIES!
FOR THE PURPOSE OF DETERMINING THE DIVIDEND UNDER THIS PLAN THE POLICY TO WHICH THIS ENDORSEMENT IS ATTACHED SHALL BE COMBINED WITH THOSE POLICIES INDICATED BELOW IN THE SCHEDULE OF POLICIES AND ANY OTHER POLICY WHICH CARRIES AN ENDORSEMENT STATING THAT SUCH POLICY SHALL BE COMBINED WITH THIS POLICY FOR DIVIDEND PURPOSES.
*4CM 579 200A *F4C 1 200
F5M 17 661 4YM 579 205 4CM 579 001 4CM 579 002 4CM 579 003 4CM 579 005 5CM 579 006 5CM 579 007 4CM 579 008
4CM 579 015
4CM 579 017 4CM 579 018 4CM 579 019
4CM 579 020 4CM 579 024 4CM 579 028 4CM 579 031 4CM 579 036 4CM 579 038
4CM 579 039 4CM 579 040 4CM 579 041 4CM 579 042 5CM 579 044 4CM 579 046 4CM 579 047 4CM 579 048 4CM 579 049 4CM 579 050 4CM 579 051 4CM 579 052
4CM 579 053 4CM 579 054 4CM 579 055
4CM 579 056 4CM 579 057 4CM 579 058 4CM 579 059 4CM 579 060A 4CM 579 061A
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
X
AAMMEERRICICAANN MANUFACTURERS MMUUTTUUAALL IIINSURANCE COMPANY
THE CPPC CONTRACTORS OF E.l. DU PONT, ETAL
FEDERAL MUTUAL INSURANCE COMPANY
SEQUOIA INSURANCE COMPANY
hi
Completion necessary only when issued subsequent to policy preparation
PAGE 5
ENDORSEMENT AK 834 12-73 100M
__________ Kemper
INSURANCE
DUP 1075257
PRINTED INUIA
CONTRIBUTORY DIVIDEND ENDORSEMENT.
The insured under this policy shall be 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 arf 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:
1. One Year 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 ode 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 dayy'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.
ft-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 , 1 974 <nrf terminating on or hefnre OCTOBER 1 , 1 977
Preliminary and subsequent apportionment of dividend shall be determined by the company annually at approximately six months following
each annual anniversary of_ OCTOBER 1
-and 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 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.
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. The incurred losses resulting''from a single accident shall be limited to $SEE ENDT #6
(absence of a typed entry means not
applicable).
/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 20TA - F4M 17 661 - F4C 1 200 - 4CM 579 200 - 4YM 579 364 -
4YM 579 205 - 4CM 579 001 - 2-3-5-8-15-17-18-19-20-24-28-31-36-38-3940-41-42-46-47-48-49-50-51-52-53-54-55-56-57-58-59-60A 5CM 579' 006 - 7-44
/
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 authorized representative of the company forms a part of the policy described below.
AMERICAN MOTORISTS INSURANCE COMPANY
DUP 1075258
ISSUED TO THE CPPC C ONtractorS of
E.l. DU PO NT, ETAL
POLICY NUMBER
4YM /579 000
COUNTERSIGNED AT A/j?
Endorsement ENDORSEMENT EFFECTIVE
Number
HOUR
----- MONTH DAY
5 12:01 A.m 10 1
YEAR .
74
{-QlS.
COUNTERSIGNATURE DATE r MONTH DAY YEAR
11 25 74
Kemper
INSURANCE
POLICY EFFECTIVE MONTH DAY YEAR,
jol 74
/ILi^.flrney-.i.u-ifaoi-
4-72L/3M
PRINTED IN USA.
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 ITEM 1 OF PLAN (3) CONTRIBUTORY DIVIDEND ENDORSEMENT (ENDORSEMENT #5) IS AMENDED AS FOLLOWS:
THE INCURRED LOSSES RESULTING FROM A SINGLE OCCURRENCE SHALL BE LIMITED TO 200,000. COMBINED (WORKMEN'S COMP., GEN.LIAB. AND AUTO LIAB.) INCLUDING ALLOCATED CLAIM EXPENSE, EXCEPT $25,000 COMBINED (GEN. LIAB. JWPgiV'LiM UUU.) INCLUDING ALLOCATED CLAIM EXPENSE FOR DUHERNAL WATER SYSTEM, PARLIN, N.J.
U P 1075259
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 INSUREO CPPC CONTRACTORS OF
E.l. DU PONTt ETAL
POLICY NUMBER
ENDT. NO.
EFFECTIVE DATE*
4YM 579 OOP 6
10/1/74
Completion necessary only when issued subsequent to policy preparation.
ENDORSEMENT AK 834 12-73 lOOM
Kemper
insurance
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
LOSS LIMITATION PROVISION AMENDED
IT IS AGREED THAT SECTION III (LOSS LIMITATION PROVISION) OF URGE RISK CONTRIBUTORY DIVIDEND PUN ENDT. (ENDT. 5-A) IS AMENDED TO INCLUDE THE FOLLOWING:
FOR DUHERNAL WATER SYSTEM, PARLIN, N.J. (POLICY LYM 579 205), INCURRED LOSSES RESULTING FROM A SINGLE OCCURRENCE SHALL BE LIMITED TO $25,000. FOR GENERAL AND AUTOMOBILE LIABILITY COMBINED INCLUDING ALLOCATED CUIM EXPENSE.
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
1HE CPPC PdOaiLIICfvY uNtUluMBBCEDR
CONTRACTORS tuEnNrDT.uaNO.
OF Ftl, nil
EpFrFtrEACTTIiVuEr mDATrErt*
3 8 792
PONT pi "
itYM 579 000_____ 6AJ____ 10/1/711
Inp
Completion necessary only when issued subsequent to policy preparation.
ENDORSEMENT AK 834 7-74 IOOM
HHsssd
HHHnw'i)
DUP 1075260
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.MP)
PaME).
B.I.fE)
P.D.fE)
TOTAL
10/1/74
23.343.
15,520.
2,310.
1,544.
42,717.
11/1/74
23,343.
15,510.
2,303.
1,535.
42,691.
12/1/74
23,343.
15,510.
2,303.
1,535.
42,691
1/1/75
23,343.
15,510.
2,303.
1,535.
42,691.
2/1/75
23,343.
15,510.
2,303.
1,535.
42,691.
3/1/75
23,343.
15,510.
2,303.
1,535.
42,691
4/1/75
23,343.
15,510.
2,303-
1,535.
42,691.
5/1/75 6/1/75
23,343. 23,343.
15,510. 15,510.
2,3032,303.
1,535. 1,535.
42,691. 42,691
7/1/75
23,343.
15,510.
2,303.
1,535.
42,691.
8/1/75
23,343.
15,510.
2,303.
1,535.
42,691.
9/1/75
23.343.
15.510.
2.303.
,1.535.
42.691.
TOTAL
280,116.
186,130.
27,643.
18,429.
512,318.
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 CONTRACTORS OF
E.l. DU PONT. ETAL_____________
POLICY NUMBER
ENDT. NO.
EFFECTIVE DATE*
4YM 579 000 __Z____ 10/1/74
Completion necessary only when issued subsequent to policy preparation.
ENDORSEMENT AK 834 12-73 1O0M
Kemper
INSURANCE
PRINTED IN U.6 A
This endorsement modifies such insurance is 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 S- 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
THEmimed insured CPPC CONTRACTORS OF DU PONT. ETAI
POLICY HUMBER
EKDT. NO.
EFFECTIVE DATE*
4YM 579 000 _____ 8_____ ____ 10/1/7-4_______
Completion necessary only when issued subsequent to policy preparation.
ENDORSEMENT AK 834 12-73 1O0M
Kemper
" INSURANCE
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 S 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 The cppc contractors of E.I DU PONT. ETAL
POLICY NUMBER
ENDT. NO.
EFFECTIVE DATE*
MM._5.Z9 Pool 9___ ____ 10/1/74
'Completion necessary only .when issued subsequent to policy preparation.
ENDORSEMENT AK 834 12-73 lOOM
Kemper
INSURANCE
DUP 1075263
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 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 DECLA RATIONS SHALL APPLY SEPARATELY TO EACH NAMED INSUREDS BUT NOT CUMULA TIVELY 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
X
NAMED INSURED THE CPPC CONTRACTORSI
OF E.l. DU PONT. ETAL
?8 7922
POLICY NUMBER
ENDT. NO.
EFFECTIVE DATE*
4YM 579 OOP 10
10/1/74
Completion necessary only when issued subsequent to policy preparation.
endorsement AK 834 7-74 lOOM
FEDERAL MUTUAL INSURANCE COMPANY
SEQUOIA INSURANCE COMPANY
DUP 1075264
PRINTED IN U 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 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
X
AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY
FEDERAL MUTUAL INSURANCE COMPANY
SEQUOIA INSURANCE COMPANY
POLICY HUMBeP^ ^ : *eW JjP ^^IrfEClftTlAJE* POLICY NUMBEl
kYM 579 QQQl__ n
10/1 m
Completion necessary only when issued subsequent to policy preparation.
ENDORSEMENT AK 834 7-74 lOOM
DUP 1075265
PRINTED IN U.8 A.
This endorsement modif.es such insurance as is afforded by the provisions of the policy relating to the following:
ALL INSURANCE AFFORDED BY THE POLICY
ENDORSEMENT
LOSS LIMITATION PROVISION AMENDED
IT IS AGREED THAT EFFECTIVE 10-1-75, SECTION 111 OF ENDT. 5A (LARGE RISK CONTRIBUTORY DIVIDEND PLAN ENDT.) IS AMENDED AS FOLLOWS:
FOR THE PURPOSE OF DETERMINING THE DIVIDEND UNDER THIS PLAN, THE INCURRED LOSSES RESULTING FROM A SINGLE OCCURRENCE OR A SINGLE ACCIDENT SHALL BE LIMITED TO $300,000 FOR WORKMEN'S COMPENSATION (INCLUDING EMPLOYERS LIABILITY), GENERAL LIABILITY AND AUTOMOBILE LIABILITY COMBINED INCLUDING ALLOCATED CLAIM EXPENSE FOR GENERAL AND AUTOMOBILE LIABILITY, EXCEPT DUHERNAL WATER SYSTEM, PARLIN, N.J. (POLICY 5YM 579 205) WHERE INCURRED LOSSES RESULTING FROM A SINGLE OCCURRENCE SHALL BE LIMITED TO $50,000 ON GENERAL LIABILITY AND AUTOMOBILE LIABILITY COMBINED INCLUDING ALLOCATED CLAIM EXPENSE. FOR THE PURPOSE OF THIS PARAGRAPH ... ETC.
Effective Dare: Unless an effective date is entered below, this endorsement shall be effective as of the beginning of the policy period stated
iinn tthhee drieftcrllnarraatttinonncs onff tthh*e pno/tlliicwy.
'
> r
This endorsement shall form a pari of the policy to which it is attached.
THENAMED INSURED CPPC CONTRACTORS OF
AMERICAN MOTORISTS INSURANCE COMPANY
**YM 579 OOOl 12
10-1-74
Completion necessary only when issued subsequent to policy preparation.
ENDORSEMENT AK 834 9-75 50M
PRINTED IN U.B.A
DUP 1075266
msuRancri conranesl
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
LOSS LIMITATION PROVISION AMENDED
IT IS AGREED THAT EFFECTIVE 10/1/75, THE FIRST PARAGRAPH OF SECTION III OF ENDORSEMENT 5A (LARGE RISK CONTRIBUTORY DIVIDEND PLAN ENDORSEMENT) IS AMENDED AS FOLLOWS:
FOR THE PURPOSE OF DETERMINING THE DIVIDEND UNDER THIS PLAN, THE INCURRED LOSSES RESULTING FROM A SINGLE OCCURRENCE OR A SINGLE ACCIDENT SHALL BE LIMITED TO $300,000. FOR WORKMEN'S COMPENSATION (INCLUDING EMPLOYERS LIABILITY), GENERAL LIABILITY AND AUTOMOBILE LIABILITY COMBINED INCLUDING ALLOCATED CLAIM EXPENSE FOR GENERAL AND AUTOMOBILE LIABILITY, EXCEPT DUHERNAL WATER SYSTEM, PARLIN, N.J. (POLICY 5YM 579 205) WHERE INCURRED LOSSES RESULTING FROM A SINGLE OCCURRENCE SHALL BE LIMITED TO $50,000. ON GENERAL LIABILITY AND AUTOMOBILE LIABILITY COMBINED INCLUDING ALLOCATED CLAIM EXPENSE. FOR THE PURPOSE OF THIS PARAGRAPH, INCURRED LOSSES ARISING OUT OF BODILY INJURY BY DISEASE, INCLUDING DEATH AT ANY TIME RESULTING THEREFROM, SUSTAINED BY ANY ONE EMPLOYEE SHALL BE DEEMED TO ARISE OUT OF A SINGLE ACCIDENT.
THIS ENDORSEMENT CANCELS AND SUPERCEDES ENDORSEMENT #12.
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 CONTRACTORS OF E. I. DU PONT. ET AL
POUCY NUMBER
ENDOT. NO.
4YM 579 OOP I 12A
EFFECTIVE DATE*'
10/1/T4
Completion necessary only when issued subsequent to policy preparation.
ENDORSEMENT AK 834 7-74 lOOM
DUP 1075267
This endorsement modifies such insurance as is afforded by the
provisions of the policy relating to the following:
;
ALL INSURANCE AFFORDED BY THE POLICY
rcfemPEi? tcnosnutRraarniecEs
LOSS LIMITATION PROVISION AMENDED
IT IS AGREED THAT THE LOSS LIMITATION PROVISION OF ENDT. 5A, LARGE RISK CONTRIBUTORY DIVIDEND PLAN ENDT,, IS AMENDED TO STATE THAT INCURRED LOSSES RESULTING FROM A SINGLE ACCIDENT SHALL BE UNLIMITED FOR THE PRUPOSE OF DETERMINING THE DIVIDEND UNDER THE PLAN, BUT THE PROVISIONS OF THIS END.T, SHALL APPLY ONLY TO WORKERS COMPENSATION OPERATIONS IN THE STATE OF COLORADO.
DUP 1075268
I I LUMBERMENS MUTUAL I----- 1 CASUALTY COMPANY
yj I AMERICAN MOTORISTS___ Al---- 1 INSURANCE COMPANY
I----1 AMERICAN MANUFACTURERS I---- 1 MUTUAL INSURANCE COMPANY
I---- 1 FEDERAL KEMPER I---- 1 INSURANCE COMPANY
"LEDTO THE CPPC CONTRACTORS
E.l. DU...PQNL-.............. ETAL.
POLICV NUMBER
4YM 579 000
ENDT NO
13
'ENDORSEMENT EFFECTIVE DATE
m^th cjm vyy
POLICY EFFECTIVE MONTH DAY YEAR
PRODUCER'S NUMBER
10 1 7k
3R 7077
COUNTERSIGNATURE OF AUTHORIZED REPRESENTATIVE
ppiNTrn in i s a