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upr000198 218

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upr000198-218
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BINDER No. u p 1686 ^ iic le m n i^ ^ iM ^ c m c e ^ (m ^ h c m u ^A/o^/h S ^ m e m e a PHILADELPHIA MB #1 Through EMETT a n d CHANDLER Agent LOS ANGELES, CALIFORNIA The I nd em nity Insurance Com pany of N orth A merica hereby acknowledges itself bound to the insured named and described herein by insurance as provided in this binder for the kinds of insurance as indicated hereunder, with respect only to operations as a contractor for U n io n Pacific Railroad Co m pany, and/or, its affiliated companies, and subject to the terms, conditions, exclusions, limitations, general agreements and warranties of the applicable printed policy forms used by the Company at the time of inception hereof. N ame of Insured___ ............... g l U M . ........................... :.........S i ........................................ L P. O. Address.. Legal Description of Insured...;.'^ H :®0fpsmtlQU.... Location and Description of W ork Covered by this Binder (Individual, Co-partnership or Corporation) Production te a t on fiv e m&mr w olls at Las ievada * This binder is only with respect to such coverages as are indicated by the letter “X”. KIND OF INSURANCE LIMITS OF LIABILITY *X EACH PERSON EACH OCCURRENCE EACH ACCIDENT AGGREGATE A. Workmen’s Compensation Statutory Not Applicable Not Applicable Not Applicable B. Employer’s Liability $25,000 % Not Applicable $25,000 Not Applicable w G, Bodily Injury Liability — Other than Automobile, Products and Contractual $21,000 $100,000 Not Applicable Not Applicable X D. Property Damage Liability — Other than Automobile, Products and Contractual Not Applicable Not Applicable $21,000 $100,000 E. Contractor’s Contractual Bodily Injury Liability $25,000 $ 10,000 Not Applicable Not Applicable X F. Contractor’s Contractual Property Damage Liability Not Applicable Not Applicable $21,000 $ 25,000 X This binder period commences on ...-day of..— f l e fapfeCE ......................................... . X9..$% at.....12.£.QX...A.«M., and continues until the issuance of a policy by the Company, but in no event, however, shall this binder be in force for more than thirty days. Countersigned at.. X © , < 8 - ‘.- L f e t h - d a y of...........................£ & & & « & . ---- ...----- -------------- ------------ 1I j ^ t Agent: EMETT and CHANDLER TRIPLICATE FO RM U P 1 8 6 9 A 11*51 B By.. This. Binder- Void Unless Countersigned T>y "aT Duly Authorized Representative.