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upr000198-041
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    RAILROAD CONTRACTORS’ LIABILITY POLICY No. UPMC 5 1 4 4 0 tJlidemmly' jfin&ummce S$nm e m m PHILADELPHIA A STOCK COMPANY D E C L A R A T I O N S Item 1. Nam ed Insured B&RMR-BRIflQK DRILLING COHP . V&. Item 2. POLICY PERIOD F ro m Q O -tO b ^ y | | | | f| | _________ j____aL 1 2 -J .Q IA m ., to) standard time at the place where any operations covered hereby are conducted. Item 3. The Company's liability under each coverage specified in Paragraph I, "Insuring Agreements," shall be limited to the following sums respectively as to each such coverage and applicable as set forth in paragraphs 3 and 4 of the Conditions hereinafter stated. _at 12:01 A .M ., C O V E R A G E A Bodily Injury Liability jQPQ11 00 C O V E R A G E B Property Dam age Liability— C O V E R A G E C Bodily Injury Liability.----- !— j f e l | | Q Q Q 1 0 0 C O V E R A G E D Property Dam age Liability S Q Q Q , 0 0 -Each Person___ -Each Accident- -Each Person___ -Each A ccident- ,505-05 -Each Occurrence -------------A ggregate -Ea ch Occurrence -A g g re g a te Item 4. Description of principal work covered by this policy and classification of risk. P r o d u c t i o n t e s t on f i v e rn te j? w e l l s a t l a s Y e g a a , N e v a d a («l© b # l ) Brllling-H. 0 < 0, -if. P,D, m Hi fcS*w &PHmIi W m m m l SV5 ^<y a V6 Clerical 0 m e g ^ o‘vSy Minimum Premiums: ? ? Code No. 6204 H m m m B H I .f&Sal Ip? B PREMIUM BASES (a ) Estimated Remuneration (b ) Estimated ^ ^ Contract PayroJ I cflr m C overage A \C q vc ftq e B/\ --i-(p-KEt1ff X'. XP v*\'MemuneTV LiA»ii ** S t l B.1i14 mm .645 Coverage C C overage D (b ) Per $100 o f Contract Payroll (Inc. Sub Contractor) .432 .196 Coverage A $ 1 * 3 6 Coverage C $ 1 . 3 1 Coverage B $ Coverage D $ Total Advance Premium $ 9.11 The Provisions, Agreements, Exclusions and Conditions printed or written by the Com pany on the First and Second Pages (Face and Reverse sides) hereto are a part of this Policy as fully as if recited over the signatures hereto affixed. IN W ITN E S S W H E R E O F , the IN D E M N IT Y IN S U R A N C E C O M P A N Y O F N O R T H A M E R IC A has caused this policy to be signed by its President and Secretary, but the same shall not be binding.upon the Com pany until countersigned by a duly authorized representative of the Company. 9 Secretary Countersigned at-L p S A n g e l e S , C a l i f o r n i a FO RM U P 1 8 6 9 12<51 -this___1 3 __ ____ da y of_ -October Agent; E M g | ^ | ^ | C f l A ^ l ^ ) CHANDLER By-------- -- PROTECT WHAT YOU HAVE CAPITAL $5,000,000 JfyiAwrjmce zA/cwtfi, S^mewica PHILADELPHIA RAILROAD CONTRACTORS’ LIABILITY POLICY NO. UPMC 51440 Expiration Date NOVEMBER I Q . 1352__________ Insured BARBER^BRIDGE DRILLING C0RP.LTD. B3U0R2B0A NSnKi,p iCrAe LIStFrOeReNtI,A EMETT and CHANDLER Agent Los Angeles, California Address