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Philip Morris

Comprehensive Liability Policy 1al13219rry 600101 - 630101

Date: 01 Jan 1960 (est.)
Length: 95 pages
2040025723-2040025817
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Fields

Author
Beers, K.S.
Ellison, E.W.
Knudsen, H.
Senger, L.F.
Type
CONT, CONTRACT, AGREEMENT RESOLUTION
CHAR, CHART, GRAPH, TABLE, MAPS
INVO, PAY REQUEST, INVOICE
Area
LUTTRELL,JERRY/INSURANCE POLICIES
Site
N530
Named Person
Yates, C.H.
Recipient (Organization)
PM, Philip Morris
Characteristic
ILLE, ILLEGIBLE
MARG, MARGINALIA
Author (Organization)
Aetna Casualty + Surety
PM, Philip Morris
Litigation
Ieyo/Produced
Date Loaded
19 May 1999
UCSF Legacy ID
dxc77e00

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Page 21: dxc77e00
1 rl•St.lt_II' I IUN UP 11A'LAItI Lti: I• Ownrd_d AJ,Jea 1•:nln Yr Nr.c ---- -- Ilaliny; Clas,ifirnlinn Lisl Nu, ~ of ~ or •1•radr Namr Tank Gallnn:rl;c; 1'rirr Ahnl llsrd Ihn Seating (:apar~ily For all automobiles mortgaged when covered for C.omprehensive, Fire. Theft or Collision, show, all Information c.lled for on reverse hereof. ~Ihvchnsrvl i ------{.~11I- 111--- nrk S ' ~o .~vr Ihhlv'1 yp • andMo~hd drulifiralinu Nn. 'ocl 1o Imrncd Town and Stale where principally ~ garaged and'i err. Cndr • !,mril of Liabilily - Cump.. Fire aml Theft I'IlEM1U\IS-(1'flEM1UM BASIS-1'lilt A(/TOMOHILI•:1 As resprets each automobtle described herern, the insurance afforded applies anly with respn•t to sucF and so many of dre following coverages as are indicated by specific premium chargc or charges. _ AA_TE '- ~- - - - - - Bolily Inlury Aulwnnbil@ PrnnertY Damagc ~~ 'Firc ('ornprc- Fire Thrfl Drvl. Liabilily Mni• Pay. Liabllity ~~ hrnsive Colli.inu i UNDErt 01 iSI.N I•F - - HE - EaCP.IPTI.N • ---- -- F HAZAP g7 T• HE MAINT fIANCE •~ U E f nLL •t'1NE AUT.f1.Dl EE A610 UNDE UI I11.N ?•F T HE f)ERC IPTI~II •F f~AZAR Sr T• THE 'JSE F AL .D AUT.M.DI EE AND I1NDF ~l ISI.IJ ~•F T HE nESC IPTI.N f/F HAZAR S T• HE 11 SE • • ALL I N.N-.WNE AUTgM.RILE LL VEHIC E3 R RA E PER EHICLE/ Aov NCE REM - - - EFINED A - - - •VE VEH - --- --- CLE - ---- (~ 1 PD ~ PO 6 ~ P 60. 82 ~ I .' %~ P 3t. R03. 16 - 207 - 5. _ E 2.75 • . . 1- 1 5n. ,0• E I, t'70. 12 - _ A L~ ST_ATEJ WITH THE E XCEPTI.N F THE STATE T E' AB.VE ATES ARE N• •F h1AE3. FLEf:T IlA•1•E (IF APPLICABLE) _ Total Div. t. . ~ o, - 20 25.55 - FP ' Ilnlrss otherwise stated in each entry the Limit of Liabilily lur Comprrhtatsive, firr, autl 'I'hcft Coverages is ' Achrel l:aqh Valirc.'• / I' l l f h h h l Total Div- 2. E E -" - Tutal Div. 3• -"•~ -- ~ 3 70• - - 2' '- ~ ~ - - ----- - - _ - IIfIH1tiRti or w Nlvr l r.scrl iCh t e e etl mltomnhi CS ar@ tu br. n rd are "Plrasurc awl Ilusiness" s" for private passrnger I E~P-.~~~_ _~ NO ; ~. , - EN h!. ---~- ----~ amJ "Cumtut•rc•ial" for cnmmrrrial or truck type. 1'his rntloru•ment Inmu a part of the policy to which altarh f m it l ff tiv f i l t d h i SI'F.C. C(JV. and - E. 5 . - - --- -- -° _ --.~ .---- -- a , e ec e ro s ( e o ssue m tss ot erw a se stalt'lI !IPrri1L (JrlJorrnatinn hrlnw required only whrn rn- F.NI?OflSEMENT:F '~ ~ I --- - - ------ --- d rs~ •n1tr/ tr is issued sub.crquenf tn preparation of policy.) 2 Y ' ~-- - - --~87 _ - - - - -- '-- - -• ~-- 1•: rd.7AfY Pnl. No. I AL I 12I nRRY F.nil. Nn. Namt•d Insurnl P H 1 L 1 P ~~. R R 1 S 1 N C, ~ ,~~ ~~ (-----"-"-'-" - --- -- -- l1 U T.TA Th e fEfna Casualty and Surely Compatrtty Hartford, Connecticut (11177•A) COUnterSignetl 5~1 A • 7•f~% 2Q7~7.o9• Allthnri2ttl Agent. P"ndau. 2040025743
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The automobiles described on the reverse hereof under Entry Numbers corresponding to those indicated below are mortgaged as follows and Loss, if any, under Compreheruive, Fire, Theft or CoUision shall be payable, as their interest may appear, to the named Insured and mortgagee - named below Entry ' Down Due Date of Na. • Payment Final Payment Name of Mortgagee Entry No. Down Payma -Due Date of Final Payment i_ Name of Mortcattee ( { J _ ,( The fol low!ng parts of the schedule are for use with Comprehensive and Schedule policies only )-• '~ 2 Hired Automobiles j LIABII.ITY • .) > > Ptenium Buis°• Cost of' Hire • , . • • , i •_ ', 't Rata per f1T0 ' - Advance Premtums ' Loranons where autmrobilea ' Types Purpoaes Ertimated t ') Bodily Property ` Bodtly Propety wJf be pnnctpally used 7 I-Lred of Use' Ceu of Fhre - Injury Damage . Injury ( Damaae )(!f other than in declatatton 1 Y Liabiltry L:.b luy ;I abiliry Liab bry . _ ...t 'State "a"-for °Pteasure and Busine.ss"; "b" for "Cotttmercial" 3 Non•Owned Automobiles remium tasR. Gass I Persons and ayts 2 ~mplovees -l -t Advance Prantums aaas iiPasonr Location of Hsadqnhten of J J.1 . Bodily Property l Name of Eadt Persons @Oamed Hnein I Injury _ Damage l• ( If other than in declaratson 1) -1Jabiliry Llabthty - 1 t i C .~ 1 .- _i .~ .., j .~ .1 ..~ C) 1 ~ ~ -; 1 1 . ^ :t •I 7 y L y ~p ~ J ~ - Class 2 Empiovea ~( Aeadquarren of Eanmated Average hiumber ~ • Gase-2-farekrvees ^( Q other tF~iart in declaration 1) _a -_ r- Rates pv_Emp~osx : , , Bodtiy ~ P~opartY I Bodily -~ Intury t ~ Damage ~ J Inlury Liabdtry- I LAbilny I _Liabiiu,v I Propeay Damage Lubihcy 2040025744
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iY i"D t4(,PZtilf D4rft.YI; :.t:P~`iL:: IEI3T ?HE STAT-_ CJRFJRATICi1 CJMaSSIU?: STA r OF KANSAS Doc!cet NQ. 15600 "It is uaderstood and agreed that the policy to which tnis endcrsemer.t '_s attaened i: written in oursuar.ce of and such policy shall fulfill the insurance i•e, irements of r-ection 66-1, 123, General.Statutes of Kansas 1935, or as t:ay . be hereafter amended and the rules and regulations of the State Corporation L;c=mussion adopted thereunder with respect to liability for injurieo t.) persons (except employees of the assured injured in the course of their es.pieyment) ^n.l for damage to property (ex_cept Targo). The obligations and promises of tYis cndorsement, howev,:r, shall be effective on].y while the equipment covered by this policy is being operated within the State of Kansas.° "It is further understood and agreed that the com;any waives a description of th.; notor vehicles, trailers or semi-trailers insured hereunder and the policy is hereby amended and extended so as to cover any and all motor vehicles, trailers and semi-trailers operated or used by the assured pursuant to the certificate, permit or license issued by tne State Ccrporation Comm~Asion of hansas." "Nothiagcontained in the policy or any endorsement thereon, nor the violation of any of the provisions thcreof by the assured, shall relieve the company frcm liability thereunder as an insurer; provided that nothing herein shall be con- strued to prohibit the company from providing for tne right of reimbursement or subrogation as between itself and the assured in cases where the carrier is ,iperating equipment in violation of the permit, license or certificate issued to him by the Commission." "The cancellation of the policy to which this endorsement is attached shall not take effect until after ten (10) days notice in writing, by the Company, shall have first been given to the State Corporation Commission of Kansas, at its office at Topeka, Kansaa. Said ten (10) days notice to commense from the date notice ia actually received at the office of the Commission." Attached to and forming part of policy number 1AL13219RRY of the rcTFJA CASUALTY & SURETY COt3PANY of NEW YIRK aame of insuring Company issued to P HIL IP t1e'W/ 9 1 t. Ca ^ M-13 2 G1a @.A 2040025745
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FORM 5-INS REVISEO 60 , THE PUSUc UTILITIES COMMISSION OP THE STATE OF COLORADO UNIFORM PUBLIC LIABILITY AND PROPERTY DAMAGE ENDORSEMENT The policy to which this endorsement is attached is written in pursuance of, and is to be con- strued in accordance wtth- any one or more of the following laws of the State of Colorado: C. R. S. 1953-CHwPTER ' 15-9-19 C. R. 5. 1953-CNArTER 115-11-17 C. R. 5. 1953-CHAPTER 115-10-28 and the rules and regulations of the Public Utilities Commission of Colorado adopted thereunder. In consideration of the premium stated in the policy to which this endorsement is attached. the Insurer hereby waives a description of the motor vehicle or motor vehicles to be insured thereunder. and agrees to pay any final judgment within the limits set forth in the policy or endorsements attached thereto. for injury to, and/or death of persons (with the exception of any employee of the Insured) and damage to property (excluding' property of the Insured or property which is rented or leased by the Insured or property other than the baggage or passengers in the custody of the Insured or carried in or upon any automobile of the Insured) resulting from the ownership. maintenance or use of any and all motor vehicles and/or trailers. pursuant to a Certificate of Public Convenience and Necessity or a permit issued by the Public llttiities Commission of Colorado. and further agrees that upon the failure of the Insurer to pay any such final judgment, such judgment creditor may maintain an action in any court of competent jurisdiction to compel such payment. It is understood and agreed by and between the Insurer and the Insured that the right of any person to recover hereunder shall not be affected by any act or omission of the Insured or of any employee of the Insured with regard to any condition or requirement of said policy, but all the terms and conditions of the policy shall remain in full force and be binding as between the Insurer and the Insured: and the Insurer shall be reimbursed by the Insured for any loss. costs or expenses paid or incurred by the Insurer which the Insurer would not be obligated to pay under the provisions of the policy independently of this endorsement. MINIMUM SCHEDULE 'On each motor vehicle used for the transportation of persons and/or property: PasseaQer Not to Exceed for Dcath or Injury to Property Capacity Any One Person All Persons Datnape 12 or less .......................................... $25,000 $ 50,000 i5'.0oo 13 to 18. inclusive ............................ 25,000 70.000 5,000 19 to 24, inclusive ............................ 25,000 90,000 5.000 More than 24 .................................... 25,000 100.000 5.000 e'On vehicles used for the transportation of property: For death or injury to any one person. $25.000: all persons.S5o.o00; property damage. i5.000• All conditions and provisions of this policy, and any statements or agreements contained therein or endorsed thezeon in conflict with this endorsement are. by agreement of all parties hereto, held null aad void insofar as they are in conflict herewith. The policy to which this endorsement is attached shall not be cancelled until after ten days' notice in writing shall have first been given to the Public Utilities Commission of Colorado. at its office at Denver. Colorado, said ten days' notice to commence to run from the date notice is actually received at the office of the Commission. Attached to and forming a part of Policy No ................. lAL1.321.3RRY................... issued by the tiTt1A CASUALTY P:. SUPETY Ca:,IPAtdY Insurance Company _ ................................................... __................. .......................... ._..... _............................... .....-----............. to .............................. _............. ................................... •Etlminate tetererce to traasportatloa of paa.ea~e n.hen endorsement is attached to polley luutd to a ptroperty earrter oaly. ••Ellminate reference to trwsportatlon of properiy .txa endortement la attaehed to policy Isauad to a paaatncer carrier only. Full• eehedule applies to carner of both pauenYera aad property. This form of Endortement is required to be attacted to the pollcy ot Public Liability A Property Damge Insurance but sot to the Certitieate of Insurance. wC 2133 E 2040025746
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The automobiles described on the reverse hereof under Entry Numbers corresponding to those indicated below are mortgaged as follows and Loss, if anv, under Comprehensive, Fire, Theft or Collision shall be payable, as their interest may appear, to the named Insured and mortgagee named below Entry Down Due Date of Na. Payment ~ Final Payment ~ Name of Mortgagee ~ Entry No . Down Payment Due Date of Final Payment Name of ~fortgagee ~ ~ ~ 4 - (The following parts of the schedule are for use with Comprehensive and Schedule policiesTttly). 2Hired Automobiles Lncanom rhese automobila a be pnnccpally used r, ll LIABILIIY Premium Baai's - Cast of Hire ' Rates per $IOU Advance Premlums Typea Purpoae Eatimated Bodily Property Baddy Property Hired of Uae. Cost of Hue Injury Damyte In7ury Damage f" ( If other than in declaration 1) , Liab hry Esabiliry L abdiry Gab:hry ~' - _ ..~ . . r- •~tate "a" for "Pleasure and Business", "b" for "Commercial" 3tiD8on-Owned Automobiles Qau I Penoaa Name of Each Premium Ba.sis-qass I Petsons and Cra4s 2~Employees IvcaeSoa of H.adquarren of P"oAs ~Iamed Heseia . :~ .( If other th.n in declaratien 14 Advance Prcmu+ms Bod,ly Injury Liabiliry Property Damage Liability TI J 7 .. ~ ~) .i .. . ~ I .C ~ -. ~ . .a c> t.: ~- a t. £ - ; L lf = l > . L•. 1 r_~ . . _. _. e . = L ..] ~ C•] L- C; ~ Rate per EmpIQye< I ~ Claas 2 Empioyce Lacation of Headquarters of Boddy - PlppetlY i Bodily ~ Property - Esanated AvetaQe Number Clasa 2 Employees Inlury I Damage Injury I Damage ( If other than in declaratton 1) Liabtbtg Labihry Iliab,iiry Labil.ry 2040025747 l
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1)_IE_S(:ItIi'tl0_N 0_1' 1IA7•AItI)S:I-O-M A 1~ nlry Yf.Nrw ._. .. T li:ding Cla.cificatinn Li.t No, o! or Tradr N:mu• Tnnk(:nllnnaAl; Prira t(hl Usrv . Ruc 5ra/iut; Caparily Purrhnslrl ~ `I`n+ck Siir Cost lo For all automobiles mortgaged when covered for Comprehensive, Fire,'Il\eft or Collision, show all Informallon called for on reverce hcreof. r. o. ialy I pr au M«lrl Irn1l1(ca1lnu N nsurnl Tnwn and State where principally /~afAgC<I all(I TCR;C-odP •Linlit of Liability Co'mp., Fire and 71xft PRF.MIUMS-(PREMIUM BASIS-PER AUTOt•10RILE1 Each coverage below applies only with respect to automobiles opposite which a.prcific premiwu charge Is shown for such coverage. R«lily Inlury Automobile Property Damag ~TE- Compre- Llabllity Mod. Pay. Liability ire hensivP Fire Theft Collician t UNDER DI I81ON I CF HE D SCRIPTION 0 FIAZARD ' , To HE MAINT NANCE OR U E 0 ALL OWNE AUTOMOD) E8 AND UNDE R DI 1810N 2 OF HE DESC RIPTtO OF HAZA DS T THE USE OF A L HI ED AUTOM081 E9 AND UNDE R DI ISION.-3-OF__ HE DESC RIPTIO OF HAZA D8 TO THE SE F AL NON-OWNE AUTOMOBIL __ ALL VEHIC ES NUMBER O F - RAT E PER EHICLE ADV NCE DEFINED A OVE VEHICLE S PRE IUM 81 PD 81 PD - -544..~-- --- --- -- P 54• 51 27.11 P 296 3.44 1 2 . 04 N - E .2 17 6 - - --- - E 20.69 1 - 1 - ' - • -- --- - - •- • --- - • , a . •Unless otherwise stntrvl in Ppch entry Ihe Limit of Liability (or (.MHplOhPll\ivP, Firr, nnd Theft Coverages is •'ActuAl • ry-nlal Div. 1 -E __-__.._ -- ~ r ~ -44 ~-__ y_ ~52Cj404- - (.asfl Va1111;. . 1'ur p(rses for which the Alave describal autamobiles arr _Tnla1 Div. il F 68~ _- to be us.(1 are "Pleasure and Uusiness•" for private pnssenger and ••Commercial" frlr commefcial or truck type . l(It~I~~Y f~9 - -- - r7 .8 1 f -- 2. `~ r~ -- -- ' -" Tlus Pndorsement fonnx :1 part af Ihe policy to which ntlarlud, e/fcc•live frnm its date of issue unlrss otherwise stated herein. (Information hela(u required only IuAen Pn- --' -- SPEC. COV. -~-a)~ -.7tL- - -~~------- -- - - - - --•--- --• . dnrsemrnt is issued suhsrquent to preparation n/ pnlicy.) and E 1-_ - -- ---- - F•:nd. F.If.) •~ I'~'~11. Nn. I AL I 32 I 9RRl~nd. Nu. RNI)ORSEMENTS Namalh\sorr•d PH1L1P MORRIS INC. TERM (-1-61 TO 1-1-62 CRAND TOTAL I1• 0 E T~ ~ __ 7.2D The ~tna Casualty and Surety Company ~ Hartford, Connecticut (1]177) Countersi ~ ., .. Authorized Agent. Pruidtrw. 2040025748
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The autom.•rnlea descnbed on the reverse hereof under Entry Numbers corresponding to those indicated below are mo.:haged as follows and Loss, if any. unde Comprehensive. Fire. Theft or Collision shall be payable, as their interest may appear, to the named Insured and mortgagee named beln.. Entr. Down Duc• Date of ` No. Paymer,t Final Pavment Name of Mortgagee Entry I No• I Down Payment Due Date of A'ame of Alortgagee Final Payment - . - i . ~ ' ., i - , -- - , I . ! (The following parts of the sehedulf are for use with Comprehensive and Schedule policies only). .~ ,. 2 Hired Automobiles LIABILITY i ~ ~ -' ~- Ram per $100 ~ I> Advance Prem,oms ~ I.o?anons vher( aura~bila ~ - Types I Purpos~ EatSmaeefl Bodily - JFooeay Bodily Properry : will Ix yns.cipi(ly uscd ~ Hirad of LJse° Caaita~ FLie _ Injury Damage . Inpury Damage ( Iff other than in declaration 1) Gabiliry Liability -I Liability Labdbry . . ~ . - 1 °~ .~ - ) 'Sate='a" for Plerure and Btuinesr't '' fot "Commercial" 3 Non-Ch.~ed Autcmbbiles - j ,, U I ` Preatium Basis-Qass I Persons and Class 2; Etrt>jloyees Advance Praniums Qaaa I Peraoaa Lceadac of Headquenen of •• Bodily Property Name of Each' Penwrrs Named Hszeio - Iniury Damage (If other than in declaration 1) •.t Liability L.bihry .t I U L. ~ W < .~ ~ - Clasa 2 Employea -- Estimated Average Number I 1 Locaoon of He.dquaners of Class 2 Employees (If other than in declaration 1) -:I C •Prenium Bisis - itbsr of Hire Rarea pe9 Emp~osee ' L fSodiiy -~ pfnpe..•• I Bodily L.. Intury 'LDamage j Ia;ary ~Liabiitry ~I Labilmy 1 Liabilay 2040025749 I '
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t tl tit 1r ti, I Ir1N Of' I IA"LAlti )$- 1•(~n..l Mm•io,•Ldr. 1 ~~t~r I T N. •. r I ~ de Nwnr •I'ank (ll nu:tgr; '1'ra de ~L~d lr.,yl SSuc Sratint; Capat•i1y •1'nnrk Siir I f Iftxly'1'ypr IJrnlilirdimt No. 1 ! t htu anJ nLxlrl For all automobiles mortgaged wha( covered for Comprehensive, Fire, Thcft or Collislon, show all Information called for on revr•rie hereof. List Tnwn Stalc an d 1`AEMIUMS-(I'RF.MIUM BASIS-PF.ft AUTOMOBILE) ifi b l h h l l4ir hrrr prittcipall w ' a+ptr c ies nnly with respect to antomo i es opposite w ic Each rnverage below app e crr. (.rw1r and l garaRal premium charge is shown for such coverage. Cast ln Incun•d -- • Limil of Liability (~omp., Fire AATE pre Dnl [Sahly lntury Atdnmobtle Property Damagi Com S 1 L 6) nmp-Firc I Fire Thefl r II' FAM F ia 1 ity tenstve n nioo ia rSlily Mn Pay f rEt and Th . . . - ( . _ 1'PC ' O{ OF UNI N0 S LDCaT IIlN R TE PER UNIT DVA fCE P EM. . . ._ . _.__ ._ PD PD - RICNMOND 78.9A 3•34 292: - 53'3 ~ ~ 4• n VA. E ~ ~ ~ 6 126 1 38 ~;: 9 6n o . -_-- -- -- -- ~ . 7 - - , r~ 6 E 26. 6 E 1 b 6. ' It; 9: '~ 6 ~ i a~ 4~' 3!~8 - ~`y ----- - --- 20 - ~ ~~ - E . zI 3 . 59 E I 20 20. WINCTER 5:1v 25 4 : 0 25•33 - -_ --- _ - .33 5 P VA. E . E I. DANVILLE 4 ' 0 4 : 0 5,33 " -- ------ - - - 5 ~ ~ 25.33 5 P I N VA. . 5• 231• 8 P - 4 M • 2 NEwPORT 4'7 ' 2•37 - --- ----- --- 4 P 1 h NEWS VA. E .0I 2. E 7. 1 1. RISTOL vA• j----- 45:io 25 33 45: 0 5- 33 P --- ------ - -- ~ - - ~ E . • E . - - I . -'(lnlr.. ntherwise St0t1YI in rach entry Ihe Lhnfl nf LiabilitY (or Cuuqvohru.avo, i~irt•. .md 'I6ef1 Coveragrs Is '•Aclual .. ' 7:Mal Dir^. I 4 $ 20(!,7 ,`16- _ -_ 409 ~,~,,. (:.,.I, ~ t'urpu.v. (or wlrich lhe abUVl• ISPSCrllle(1 atqomnbSSes nrr - Tntal-D'sv_ 11 .--_- 4 .4 --_ - - - -- - _ _--- -^-- _-. __ - _- - - - __ tu hr mrd are '•Plrasurr aud tlmmess'• (or private passenger :otd mturrrial" fot eunmu•rofol or Intck type. Total Div. 111 - I Itis rndorsrment fnnna ;t part of the policy to which -- - - -- - -- atl.u-hal, rllrrlive from ils d•de of issuc unicss olhcrwier -- -- - --- -- - ---- (!nA'rutntinn brlotu requirerd only tnhat en_ tt.t hrrrtn L SI'EC COV . : dnrs~•mr~'i( tc i.~.~t`rd suLsrqnrnt (o prepnratinn oJ pnficy. ) . . and 1d. I•:ll i-D fl'nl. Nn. I AL132 IqRRY:nd• Nn. ENDORSEMENTS - -"- N.unrd luwnvl Pfl I L I P I"~ORR I 8 INC • ~ TERM 1-I-61 TO 1-1-62 CflANDTOTAL 3`r71 •2[~ 2047•76 _ _ q.0, The IEtna Casually and Surety Company I-lartford, Connecticut tuurt R O. 2040025750
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The automobiles described on the recerse hereof under Entry NumbetS corrrspoAding to those indihted below dre mortgaged as Fpllows and Loss, if an•r•, under Comprehensive, Fire, Thef-t or Collision sball be paya-ble, as their interest may appear, to the named Insured and mortgagee named below. •• Entry Down Due Date of No• Payment Final Payment N~te ~M~ a - g g~ Eutry $do• Hown Payment - Due Date of • Final Payment ' • T'~ ee of Mortgagee __1 tl' .• .. •, 'L. - r - ,i- . (The following parts of the schedule are for use with Comprehensive and Schedule policies only). 2 Hired Automobiles LIABII.ITY Bu•u - Cost of Hire Preatium "Raes per $tOp Advance Prem,ums r 'Locaaons where auramabile. • ,'l;ype. , Purpos , F}rimared ' ~dy . Ploperty - BodrlY ~ Propem wdl be principally used I~ued r ~ of Uaea ~ C•oi'•yf Hsrq 7 IDNry ~++oaite• _ Intury Dam.ge ( If other than in declaration 1) Liabiliq Liability •' Ltabiliry I Liab•bry • 1 Y. 0 t 2 "Pleastue and Busineu^,1''b" fot "Commetcial" Automobiles 11''= !- '•' t j 3•; (7ass 1 Penooa Name of Each u Y t_j "~ Premivta Buis-Cliis I Petsons-atid Qus 2 Employees - • ~ t: Advance Premmms Lot.rioa of Headquarten of . t Bodily Property . ~tnons Nlfned Hersin Damage (iFother than RC declaratton 1) -i Liability LSabilny JJ U 7 - - Aata Rr Empioyee j , - Uut 2' Eo+piqyees I Locatson of Headquartm of Bodsly Propercy Bodily ; Property - . Esnnated Average Number ! Ctass 2 Employees Irilury Damage In7ury• Damage ( If other than in declaration 1) Lia6shq Liabiluy ~ Liabdny Lu6d¢y I 2040025751 u t 1 I
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IItSrJttf'ttuN clt' IIA'LAI+I,ti i.(l.,nr,I A,.,.•i a,d,~, huU. Nu. l Yr AL,I 9'im 1'r Nrw 'l /s(vl ha+rd AI(1. aJ(' N.n •I'ru(lc Sur B(Nly-fypr all(I AI(NI('I Ilalint; (aaaifiralinn 'I'ank (:alInuagr: Ih(c Sralinl; Capa(ity ldcnli/io:di(m Nn. I.iN I' rirr Coct to brsnml '1'own and State whrrr Principally ~garagr•<I and Terr. (:(>clr •Liwit of Liahility-- Cmnp., Fire ar(rt Theft 1'RF.MIUAIS-(PREMIUAt IIASIS-PF.I( AUTOMORII.EI prcific Eanc ~nveraFe below applicc nnly with respecl to automobiles oplwsiu~ which remium charge is shown for such coverage. -r•c _ bndilyInjury Autnmohilc p ProertyD AAT_E ~mFire Fire ~rPr~ ' Lfahilily Mal. Pay. Liabllltyamage ~ hrnsivc TheftCnDllisinnlFAM . P _ A I~YI E F VEHICLE N0. OF UNI TS LOCATION RA E PER NIT DVA CE P EM. ~ --- -- -- ---- --- ---•- Po ~ e I Po - Ro~qNCKE J5fi 7 2 ~` 4~ 2 -- V " E 0 •3T 3 9 ^ ( - ----- --- - ~ - _ ~ ~ - - - - _ V4_ BA91C_ LIMIT3 DEBI T~ o- VA. INC. IMIT8 CREDI T I o _ F E7 0fsc. E 23•4~° - -= = . -- - I - - -- - r - i i ( . . _- I -- - ~ ---- - .. . • • ~ . 'th(Ir.v n,henvise stntr(I in ca<h entry the 1.imit of Liability fur Cnmprrhrnsivr, Firr• and 'fhcft Caveregcs is 'Aclunl Total Div. 1 - t - - G(.h Valuc... 1'nrpu%ec fur whi<'h thc aLovr drFttihed antnmohiies arc tn 6r u.('rl are "Plras'rr(• and Ilucinrss" for private passrnger _:uNl "Cnnm(rrrial" fhF cnmmrrci:J or tmck type. ~ Total Div. 11 ------------ Total Div. III '----- - --- ---- -- - ----- - - --- - - - --- --- - --- - I hi. rndonrmeut funn% a p ut of Ihr policy to which :d(•Ilrct(ce from ih d:rtc uf isur unlrss nlhrnvi.r• ~I:drel h(•rriu / M/i(rninhnn L(dmu rrquirr•d ordy ruhcn rn• dursr•n(rnt is issurrd subrrqurnt (n preparation oJ troficyJ -.---- •--- ~ SI'EC. COV, anrl ----- --- -- --- - --~~.-- --- ------- - ---. -_.-._ - .._•-. -- ---- --- - --- - -- -- -- - - - - - n. F:nd 1:11I-I-6'~d.N,( IALI3219RR1Fnd.N N.uu(vlln,mcil PHILIP MORRIS INC. h:NDORSEMENTS - -- - - - - - - - ° -- -- - TERM 1-1-61 TO 1-1-62 • GRAND TOTAL The /Etna Casualty and Surety Company Hartford, Connecticut 111N71 Conntersignod For all automobiles mortgaged when covered for Comprehensive, Fire, Theft or Collision, show all Information called for on revrrsr herenf. R 0. 2040025752

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