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C O V E R NOTE PACIFIC EMPLOYERS INSURANCE COMPANY Home Office: Los Angeles 15 through EMETT and CHANDLER 610 So. Broadway • Los Angeles 14 X 2193 Insured’s Address. 1 5 3 1 S * l a i n S t r e e t y h a s V e g a s . ^ a v a d a I n accordance with our arrangements with the U n i o n P a c i f i c R a i l r o a d C o m p a n y , we have effected with the P a c i f i c E m p l o y e r s I n s u r a n c e C o m p a n y , insurance as noted below and covering only at the location or locations stated. The insurance afforded is only with respect to such and so many of the kinds of insurance as are indicated by limits of liability or location of operations. Effective date. 2 /2 5 /A 6 at 12:01 A.M., standard time, at the place where this binder has been countersigned. Kind of Insurance Workmen’s Compensation and Employers’ Liability Public Liability (Bodily Injury) Public Liability (Property Damage) Contractual Liability (Public Liability) Contractual Liability (Property Damage) Limits of Liability As provided in applicable law One Accident One Person One Accident One Accident Aggregate One Person One Accident One Accident Aggregate t t o t c a r e r e d $ 1 0 0 . 0 0 0 $ _ $ 2 5 , 0 0 0 $ 1 0 0 ! 0 0 0 i S n t . ' n c w f i r o d $ a tr $ * it $ n n Location of Operations Equipment for diggin gf uplilpye opleirnaet deidt ch, Mh&esS eVielg aCso,n sNtervuacdtai,on Co*, General Contrs.ctor Your complete policy or policies of insurance will be forwarded to you in due course and such policy or policies will supersede this Cover note. Whenever the words " N o t S p e c i f i e d ” appear under the Limits of Liability, the.lim its of the Companies liability hereunder shall not exceed $50,000 for bodily injury to or death of one person and $100,000 for bodily injury to or death of two or more persons in any one accident, and $25,000 for damage to or destruction of property in any one accident, with an aggregate property damage coverage of $25,000. Secretary-Treasurer President Countersigned a t ....L o S ....^ J ^ .0 X e S > ...C a l l f A this.......... 2 5 - t H ...... day of..... F S b i m r y . .................... 19...^ 6 . ....... W - t L i M ............ Form TD-68 500 9*45 Authorised Representative