1*0 HI 1065COUNUftSIGMINGcoots

NATTONAl PRESTO INDUSTRIE, INC. 107COW

ANU INt i lAt i

A CASUALTY AND •UftaTTV COMPANY

NAMEDINSURED

COMPREHENSIVE LIABILITY POLICYFor

NATIONAL PRESTO INDUSTRIES (SEE OOORSftCNT)E*U CtAIR£ t WISCONSIN

(Show Number »ndTHE NAMED INSURED IS

[~] Joint Venture

POLICY NUMBER (Ofe. Cod.-ST*W~S«itf No.-3.Ai)37 AL 90738 «»(Y)2. POUCV.PERJOD . .From 2/33/67 ,0 2/20/70 12:01 A.M.Standard Time at the address of the named inured asstated herein.AUDIT PERIODAnnual, unless otherwise stated:

QOOOS3. The insurance afforded iK!Ry"wTtn rvSD&t'taL^plipfMfTFfollowing Parts and Coverages as are Indicated by specific

premium charge or charges. The llmitflMhnompany's liability against each such Coverage shall be as stated herein,subject to all the terms of this policy having reference thereto.

PART

CAL

CGL

AMP

UM

PHD

GAR

COVERAGES LIMITS OF LIABILITYEach Person Each Occurrence Each Accident ADVANCEPREMIUM

COMPREHENSIVE AUTOMOBILE LIABILITY INSURANCEBodily Injury LiabilityProperty Damage Liability

COMPREHENSIVE GENERAL_LIABILITY INSURANCE (Except Automobile)Bodily Injury LiabilityProperty Damage Liability

AUTOMOBILE MEDICAL PAYMENTS INSURANCEAutomobileMedical Payments

INSURANCE AGAINST UNINSURED MOTORISTS.Damages for Bodily Injury .000

AUTOMOBILE PHYSICAL DAMAGE INSURANCE1 Comprehensive2 Fire, Lightning or Transportation3 Theft4 Windstorm, Hail, Earthquakeor Explosion5 Combined Additional Coverage6 Collision7 Towing

Insurance is afforded only with respect to such covered auto*mobiles as are designated in the attached Automobile Schedule,subject to the limits of liability indicated therein.FLEET AUTOMATIC Q Y« D No

GARAGE INSURANCECoverages and Limits as stated in separate declarations

ENDORSEMENTS MADE PART OF THE POUCY (designated by H or Endorsement number)K ffi Contractual Uabfllty. CC-_?tt__ T-JaVt f-39fir-AHP Q Premises Medical Payments 0-219?-C SPECIALS (i>)CPL D Comprehensive Personal Liability TH4o C-2196-8PI K} Personal Injury Liability T"S>4I

A. The declarations are completed on the attached General Liability and AutomobileSchedules.The Automobile Schedule contains a complete Mat of ~(a) all automoMes and trailers owned by the nannd toewred and(b) att persons within the definition of Class 1 persons,at the effective date of thto policy, unless otherwise stated herein:

The General UabOty Schedule disclose* a* hazard* Insured hereunder knownexist at the effective date of this poKy, unless otherwise stated herein:5. During the past three years no insurer has cencsied Insurance, issued to theunless otherwise itatad h«r*in-

9045.3 Year Policy Installments

ia j forded hereunder.

PERSONAL INJURY LI/ 'LITY INSURANCEThe company, in coosiderolion a' > . , _ payment of the premium and sub|CCi 10 nit of theagrrfs with the named insured os follows

SCHEDULE

Piof ihe policy not e»prc«ly herei

The insurance afforded is only with r especi lo personal injury arising out of on oHense included within such ol the tallowing groups ofofrenses as are indicated by specific premium charge or charges.

GROUPS OF OFFKNSeSA False Arrest, Detention or Imprisonment, or

Malicious Prosecution8. Libel, Slander, Defamation or Viololion of Right

of PrivacyC Wrongful Entry or Eviction or Other Invasionof Right of Private OccupancyMinimum Premium $

LIMITS OF LIABILITY

$ ,000 each person aggregate

$ ,000 general aggregate

TOTAL ADVANCE PREMIUM I

ADVANCE PREMIUM^In eluded in Composite

sss ineinasa in ircmposit

OCJ An "X" in this block indicates that Exclusion (c) does not apply to this insurance.

I. PiRSONAL INJURY LIABILITY CQVERAOC. The company willpay on behalf of the insured oil sums which the insured shall becomelegally obligated to pay as damages because of injury (herein called"personal injury") sustained by ony person or organization and orisingout of one or more of the following offemes:

Group A — False arrest, detention or imprisonment, or maliciousprosecution;

Group B-me publication or utterance of a libel or slander or of otherdefamatory or disparaging material, or a publication orutterance in violation of on individual's right of privacy;except publications or utterances in the course of or relatedto advertising, broadcasting or telecasting activities con-ducted by or on behalf of the nomed Insured;Group C —wrongful entry or eviction, or other invasion of the rightof private occupancy;if such offense is committed during the policy period within the United

States of America, its territories or possessions, or Canada, and thecompany shall hove the right and duty to defend any suit against themsnred seeking damages on account of such personal Injury even ifany of the allegations of the suit are groundless, foist or fraudulent,and may make such investigation and settlement of any claim or suitas it deems expedient, but the company shall not be obligated to payany claim or judgment or to defend any suit after the applicable limitof the company's liability has been exhausted by payment of judgmentsor settlements.Ixcfuslons. TMs Insurance does not apply:(a) to ttobiBty assumed by the Insured under any contract or agree-ment;(b) to personal Injury orising out of the wilful violation of a ptndstatute or ordinance committed by or with the knowledge or con-sent of any insured;(c) to personal injury sustained by ony person os a result of onoffense directly or indirectly related to the employment of suchperson by the named Insured; but this exclusion shall be inappli-cable if so indicated in the schedule;(d) to personal Injury arising out of ony publication or utterancedescribed in Group 8, if the first injurious publication or utteranceof the same or similar material by or on behalf of the named in-sured was made prior to the effective date of this insurance;(e) to personal Injury arising out of o publication or utterance de-

scribed in Group 8 concerning ony person, organization or business

enterprise, or his or its products or services, made by or at thedirection of any insured with knowledge of the falsity thereof.

It. PiRSONS INSURID. Each of the following is an insured underthis insurance to the extent set forth below:(o) if the nomad insured is designated in the declarations as anindividual, the person so designated;(b) if the nomad Insured is designated in the declarations as a part-nership or joint venture, the partnership or joint venture so desig-nated and any partner or member thereof but only with respect tohis liability as such;(c) if the named Insured is designated in the declarations as otherthan on individual, partnership or joint venture, the organizationso designated and any executive officer, director or stockholderthereof while acting within the scope of his duties os such.

This insurance does not apply to personal injury arising out of theconduct of any partnership or joint venture ol which the insured is apartner or member and which is not designated in this policy os anamed insured.III. LIMITS OF LIABILITY] fMS0ttD*S PARTICIPATION. Regardlessof the number of (1) Iniureds under this policy, {2} persons or organi-zations who sustain personal injury, or (3) claims mode or suits broughton account Of personal injury, me total liability of the company for alldamages because of all personal mjury to which this coverage applies,sustained by ony one person or organization, shall not exceed the limitof personal Injury liability stated in the schedule as "each personaggregate''.Subject to the above provision respecting "each person aggregate",the total limit of the company's lability under this coverage for alldamages shall not exceed the Bmrt of personal Injury liability stated inthe schedule as "general aggregate".If a participation percentage is stated in the schedule tor the insured,me company shall not be Habit for o greater proportion ot any loss thanthe difference between such percentage and one hundred percent andthe balance of the loss shod be borne by the Insured; provided, the com-pany may pay the inearad's portion of a loss to effect settlement ofthe loss, and, upon notification of the action taken, the named Insuredshall promptly reimburse the company therefor.IV. AMINOffD OIFINITION. When used in reference to this insurance"damages" means only those damages which o/e payable because ofpersonal injury arising out of an offense to which this insurance applies

This endorsement, issued by one of the below nomed companies, forms o port of the policy to which attached, effective on the inceptiondate of the policy unless otherwise stated herein.

(The information below is required only when this endorsement is issued subsequent to preparation of policy.)Endorsement effective Policy No. Endorsement No.Nomed InsuredAddrtionot Premium $ Return Premium $

Trio >Vfna Casualty and Suroty CompanyTho Standard t*lro Insurance Company Countersigned by——————

Hartford. ConnactlcutFOR COMPANY USI ONLY

t Author-nd ft«pf*ww(it!vr)

AGENCY/.BROKER *CODE

couNTcnsiOMNa .coots •StAT 1 ——————— 'PI AN

NAMC

o»« CMC "TEARITODV HMIT< Cf HAftlLlTYirAIt | BA tF Mil |PD

i«

coMM

PAYMENT tAX-BrJTtucf TRAMSTV«E

tAfPOLICY EFFECTIVE DATE

PO.ICY IXFlAATtoN 6ATE

DAT! TYPIDAND INITIALS

" • ( • ' <CY/ .. .• HO I - . I . I * * 1065

COUNTERSIGNING -CODES ~STAI.PUN

TER8ITORVSIATE

w»RAH

11

;i-*-JOFftCI CODf CODE

LIMITS Of LIABILITYBl PD MED.

OR.REC.

i/t,,1S110n

FORM ORCLASS DISC. PREMIUM

•

EXPOSURE

t t , .-; i . ' 't:-: •• """ '" '"" !' "'',-. : ;Q "J •' 2-:, -67 :W

( ;J roucr EXP IRY O* IE ! H--2C-70

ENO'T FORM NO.

• . *S

Advm;ce General Liability premluao for. iju» reriod 2-i'C-69 to .r-2- -70,Btt.icriwl schedule of or«rationn rails'*:e» our prerious sched-loo.

[he

This cndonemeoc, issued by ooe of the below named companies, forms a part of the policy to which attached, effective on the inception date of thepolicy uol«u otberwiK suted hereto.

(Tiff Ja/MMtMi Mt» it nfrirut *dj mbt* tkit ti&ntmtmt it itnu4 /**i»f««ii/ f* fnftfmtim tf fWcc;.)Eodoneoxot effective " 2-30-^9 Policy No. Cap-6 Endoneneac No.

37 AL 90738 SR(T)Named laiored

National Pita to InduotrlMAdditional Prcnium $ J» ]^6M Return Premium I f

£1010.Tha Ina Casualty taTpBitlbraiy CompanyThe Standard Plra Insurance Company Countcnigned by——————___——.-—————-—————

UW* CASUALTY (Off i c e Cc Symbol-Ser ia l No ,-Su) f i « jPolicy No.

Description of Hazards (First Column)—includingI . Location of all premises owned, rented, or cnnlrollciJ by tho named i n su r ed . 2. In t e re s t ol named insuretl >" sur.l i pr fm i ior Tenant) 3. Part occupied by (he named Insured. I do absence ol .my typewr i t ten entry rcMlint: to Har. ird (A). (Oi iC) .known exposure thereunder.

Page No.e* (Owner. G<-n- > fd l un(t l ) . (E) or (F) ind icates

The rating classifications Stated herein except AS specifically proviclcd elsewhere m tti is policy, do not morti'y any ol the other pro>vis ions of this policy.(A) Premises— Operations

(B) Elevators(C) Independent Contractors-Let or Sublet Wdrk(D) Completed Operations(E) Products(F) ContractualIf location same as address in Item 1 of the declarations, check [_j

Double spac* batwttn «n>trie* to allow for coding.A) Trade »a-G$>«ration4

! j !|48 I CO!1 ! 'All op«rnt ion*— y«rywhap«s.2— C--69

to A-2C-7C (tit»lir&ti/;o7)) H(Y)

jLj Included 1 iC} Included •D) Included ; .i i£) Inolud«d I j i1 I 'P) Included ! ! |

i . ' :' ii j j

• j 1

i . i: ' i' , 1; i '' ; i

CodeNumbers

. . : ' / 'i ,• "' • ,'- — • — "• -7

Premium

< 1 ) Aica sq . M.(2) Frontage• Jl Romune ia iron

NumberCOS!ReceiptsSalesNumber

Sale*44aCCOt;r.AA,COO,CC

IUIUS

B, t . P.O.( 1 ) Pet 100 sq Itl2) Per hne.ir II.(3 i P e r S IOO

I'cr e levjtorfor SI (JOPer $1000Per 11000Per contracl

Perof 5t

D.25L3.157'

si/il«a

.143.117

AMvnnce PremiumB.I

lonthlyJ. Ad Juc tire

Pr«aiuo»

9 11062.D 6,935.

t

P .O.

nt of

6315,1

j

»

'.

„*•Detif nates location to which Landlord's Protective Liability Endorsement (O««rit>ed if othtr than (1) . (?) «' ft)

ViftV *•) 1^65COUNTERS ICN IN f . -coots *"

STAT.PLAN

TERfllTOtTSTATE

A*•Alt

3-t -JOfFICt C»0t CODC

L IMITS or uABiurrBI PD MEO.

OR.tic.

•M1s0«

rORM 01CLASS MSC. PREMIUM

——

EXPOSURE

r 2-.2Q-67 mmAis

'SiiBW'a-uoi

tNO'f FORM NO.

IT IS AGREED THAT EFFECTIVE 2-10-68, THE LIABILITYCOVERAGE APPLIES TO THE FOLLOWING PROPERTY*

PALM-AIRE COUNTRY CLUB APARTMENTS CONDOMINIUM2850 PJOt-AIRE DRIVE, NORTHAPARTHENT NO. $04, BUILDING NO. 2POMPANO BEACH, FLORIDA

Thi* cfidonemcet, usaed by ooc of the bdow named companies, form • put of the policy to which Attached, effective on the inception dace of thepolicy wtlca odwrwiac suttd herein.

Policy No. 37 MEodor«nent dfccnvt Eadoneneot Mo.

NATfOM. PHOTO INOUSTRICS, INC.NIC

Th» AMn+ GmuumHy and *ur*ty CompanyTh» Standard Fir* Inaurano* Convpany

Aljllll,./ tBBOKtf f • * 1065

COUNTERSIGN IMG fCODES •* f

STAT.PLANTEBHITWIY

STATCAfi

RATEJ|H

Bl

S-rt-JOFFICI CODE

Vp UAifUTYPD

cooe

MEO.DR.RIC.

•mIi0n

FORM ORCLASS DISC.

•

PREMIUM

rEXPOSURE

p 2-20-68POLICV UPlRr DATE2-3>69

INITIALS

2-14

ENO'T FORH NO.

X

ADVANCED Q8VERAL LIABILITY PREMIUM S FOR THE PERIOD2-20-tt TO 2-20-69.

Slssrvol-.Vinton-Jeatran, Inc.r ~ . . - • . . - « , .~

EAU CLAiRE. WISCONSIN

Thu codonoDent, imed by ooe of the below tuned coapuiies, form* « pan of the policy to which attached, effective en che inception ditc ofpolicy ooleM othcrwir* rxated herein.

CT*» JH/nmtHtm IvtW u fi|n»W Wj wb* fttr imJmtmmft it ittmi tml*f**t $0EadotMiBeoteffcecire 2-20-ot Policy No. 37 *. ^73* ~

HATIOWAL PfCSTO INDUVTHIB, INC.,M$ SBC HDWIAHDUrl

the

EadorwMnc No. 5

Tho Jmtnm Casualty and Suroty CompanyTho Standard Plro Inaurano* Company c*-«rtir*tJ

UtlltHAL UAO IU I I

(Office Co- Symbol-Serial No.-Suffix)Policy No. Page No. I

Description of Hazards (First Column)—including1. Location of all premises owned, rented, or controlled by trie named Insured. 2. Interest of named Insured In such premises (Owner, General Lesseeor Tenant}' 3. Part occupied by the named Inturvd. The absence of any typewritten entry relating to Hazard (A). (B), (C). (0). (E) or (F) indicates noknown exposure thereunder.The rating classifications staled herein, except as specifically pro-vided elsewhere in tnis policy, do not modify any of trie other pro-visions of this policy.(A) Premises— Operations

(B) Elevators(C) Independent Contractors-Let or Sublet Work(D) Completed Operations(E) Products(F) ContractualIf location seme at address in Item 1 of the declarations, cheek {_]

Double *p»c« botwoen en-' • trios to allow for coding.

(A) PREMISES— OPERATIONS)U CLAIRC. WISCONSIN

** 100 !i ' iILL OPERATIONS'- EVBMNHERE2-ao-«e TO feafeft ? (v)

(TOTAL RATE(.660>) E

INCLUDED ;i ;(C) INOVENOEUt CONTRACTORS

tNCLUOCt) j(o) COHPLETD OPERATIC a

INCLUOa ,(t) PRODUCTS j 1

INCLUDE^ |(F) CONTRACTUAL

INCLUDED

! 'iiii •i ;1 !i |I [

|i i

CodeNumbers

--

PremiumBasest

(1) Area-sq. It.(2) Frontage(3) Remuneration

NumberCoilReceiptsSalesNumber

madO.000,000fcO»0009000

RatesB.I. P.O.

( 1 ) Pe r lOOsq . l t .(2) Per linear ft.(3) PerJ IOO

Per elevatorPer J100Per J1000Per $1000Per contract

PERI2LJL-.134

ilOOO,LB.100.026

Advance PremiumB. I .

16,000.5.360.

•**

P.O.

-

4.000.1.0104

'

is*

;: -

SipTf**T*ii

%;m

This endorsement n» « such insuronce as is olfortJcd !•, die pr-wKiorv; he uolu'y 'c lar.n ' jthe following:

COMPREHENSIVE GENERAL LIABILITY INSURANCEMANUFACTURERS' AND CONTRACTORS' LIABILITY INSURANCEOWNERS', LANDLORDS' AND TENANTS' LIABILITY INSURANCE

SMP LIABILITY INSURANCE

G209

REAL PROPERTY —LIABILITY —FIRE

IT is agreed that the Properly Damage Liability Coverage applies to property damage 'o structures or portions thereof renicd to or occupiedbv the nomeri inturtd and described in this endorsement, including fixtures pe"noneriily attached thereto, rf such property damage crises cutof fire, subject to the following additionol provisions:1. All of the exclusions of the policy are deleted and replaced by the following:

This insurance does not apply to liability assumed by the UHvrtd under any contract or agreement.2 The limit of liability stated in this endorsement applies separately to the insurance under this endorsement and is in lieu of any other limit

of liability stated in the policy.Description*f Property Limit of

UbitityRole

(p*r $100 of Limit) Premium

Space at varioushouseware exhibits or shows

***** Incl.

This endorsement, issued by one of the below named companies, forms o port of the policy to which attached, effective on the inceptiondate of the policy unless otherwise stated herein.

(The Information below It required only when this endowment Is Issued subsequent to preparation ot policy.)Endorsement effective - _ „ ,-. Policy No. „_ _-.- . . Endorsement No.1 ?_l -Jv7 ^*7 AT QfVJ^A »iD i V i /Nomtd Insured tlmll Pr« to Indtt-tl-lAdditional Premium T^^^TT f*1***® ^1<*'X8*1FB^ Prtmium $ In Adv. $ $»rrr 1st Armrv. $ J

2nd Armiv. $ $NIL

Th* >*tn« Casualty MM! Surety CompanyTh* Standard Fir* ln*urano« Company

Hartford. Connecticut

Caunttaigned bw

FOR COMPANY USE ONLY

%-•/ 1 J Uv*

S-H-J I06J

(C/S BRANCH KCV

roue* (FFEcnvc

C/S 4 OWIT COOf 4)>*-i<Sf

POLICY EXPIRATION

r*»'T I I .HHI I I 1MI

STAtC •ATCriHEoisrHici •*n1

E

1cft UNtl IMI I i

Bl POt l Ai- j lHLAI iun

ClASS OR rOBMPREMIUM EXPOSURE

irC

SPECIAL

IT IS AC8EED THftTENDORSEMENT*

T-!»04 IS REPLACED BY THE FOLLOWING SOCIAL

LIMITATION OF COVERAGE(OtPLETCD -OPERATIONS HAZARDS AND PRODUCTS HAZARD)

IT IS AGREED THJT SUCH INSURANCE 4$ IS AFFORDED BY THE POLICY FOR 7>CCOMPLETED OPERATIONS HAZARD AIlD PRODUCTS HAZAftO DOES WOT APPLY TOAIRCRAFT PRODUCTS.

This efldorsement. issued by one of the below named companies, forms • part of the policy to which Mtached, effective on the incep-tion date of the policy unlew otherwise seated herein.

(TA* mform*io* Motf it ff^mtrvJ oaly *&*» ikit tmJorttmmt it iimttt mbitqmtmt to t**f+rwtio# of At polity.)

Bodonement Effective 2/20/&7 Policy No.« *,NATIONAL PRESTO INDUSTRIE*

tt tY\ EDdonetnent

Addition*! $ NIL Return I NIL Th« smtnm Caiiumrty and Surety CompanyTt>* Standard Plra Inaurano*

Hartford, ConnecticutAiMhoriaed Ajem

1065 3-H4-6 ocaC/S MANCtt *(Y XJS-^O'CII COOC csf

POLICY tfftCIIVt

PQUCT EXPIRATION

r SIAlt 1*1 1 Ul»l«li,l \

E

L.N ei ^o t uASSO f f r u m

SPED I A.IT IS A6MEED ENDORSEMENT THAQ SHALL BE ATTACHED TO ANDFORH A PART OF THE POLICY AS RESPECTSt

HONTQOHEKY WflD * CO., INC.619 WEST CHICAGO AVEttCCHICAGO, ILLINOIS 60607

MITES FOR THIS COYERAfiE ARE AS FOLLOWS!F (Y) Bl .526E SI .135

S.--J vo.-: j.iO.t-Jcstrn. Inc."

APR -7 1967EAU WISCO.Vj.rt

This endorsement, issued by one of the below named companies, forms * part of the policy to which attached, effective on the incep-tion date of the policy unless otherwise Mated herein.

(Thf information blow it r*fWfW only u>b*n ttit tmloritm**! il itnuJ tmbuqntmt to pffp^r^tion of tb* policy.)

Endorsement Effective ^ fllH<7 ____ Policy No. 37 AL T«I//3o SR \V/ Endorsement No. 2Named Insured NATIONAL PWTO INDUSTRIESPREMIUM:Additional $ AWIT Return $

Tha Mtnm CaauaHy and Suroty CompanyTba atandard Ffra Inauranoa Company

Hartford, Connecticut ^Authorised Ajem <?.

lOo p S— n*27 ocaC/S BRANCH KET

POLICY [fFECmi^,

POLIC* iXW8*fl^JX

-JC/S 4 DtCII CODE CSF

tut i SIAft »*U UUl * i < - l 1i

E

t« _____ Bl I't) CLA-.S OH MJKM C

IT IS AGREED ENDORSEMENT T-U0 SHALL BE ATTACHED TO ANDFORM A PART OF THE POLICY. AS RESPECTS JEWEL COMPARES. INC.

1955 W- NORTH A VENUEMELROSC PARK. ILLINOIS 60lfiO

RATES FOR THIS COVERAGE ARC AS FOLLOWS!P (Y) 8.1. .$26E 8.1. .135

This endorsement, issued by one of the below named compniiet, forms a part of the policy to which attached, effective on the incep*tion date of the policy unless otherwise stated herein.

(Tb« M/orw-rtNM Mom it r*f«prW *mly wfcM tint tnJentmtm u ittuiJ titbuftt^u to pr*p*f*tto* of

Eodorsement EffectiveNamed Insured HftTIOWLPREMIUM:Additional $ *^IT Return I

Th« Standard Pfr* Insursno* CompanyHurtford, Connecticut

Andiarued A«rm

ULNLMAL UA t f l L l l Y

'Office Co 7ymbol-Senal Mo.-Suftii) urt * CASUAL rPolicy No. Page No.

Description o( Hazards (First Column)—includingt. Location of all prom net owned, rented, or controlled by the named insured. 2 (merest ol named Insured in sued premises (Owner. General lessor Tenant)- 3. P»rt occupied by Ih« named insured. Fti« absence ol any lyiicwnllen entry relat ing to Hajard (A). (B), (C). (O), (E) or <F) indicatesknown exposure thereunder.The rating classifications slated herein except as specifically provided elsewhere in this policy, do not modify any ol the other provisions of this policy.(A) Premises— Operations

(8) Elevators(C) Independent Contractors-Let or Sublet Work(D) Completed Operations(E) Products(F) ContractualIf location same as address in Item 1 of th« declarations, chech :

Doubt* f paca b«tw««n tn-tri*t to allow for coding.A) PREHISES-OfCRAT^GM.

-AU CLAIRC, WISCOHSW ji1 i«LL OPERATIONS— €VEfffV«RE

2/20/67 TO 2/20/fifi P (Y,(TOTftL RATE/,785)/ E

8) ELEVATORSIttCUDCO

i i • iC) HCCPENOCIIT WrntACTORS! ! iNCUftCD. i

iU> COMPLETED OPERATIONS;

i ! INCLUDED

E) PRODUCTSINCLUDED

F) CGNTTWCTU*. • :INCLUOCD

i1

' • i~i 1 f

: i i' i ^i i

CodeNumbers

L ; '• '

PtennumBasvsl

• li Area sq. ft.t'h Frontagej; Remtifi era 1 1011

NumberCoslReceiptsSalesNumber

SALES

32.000»OOL'32,000.000

Rales8. 1 . P .O.

t|) Per 100 sq. 1L(2) Per linear (I.i3i Per 1100

Per elevalorPer J100Per (1000Pei $1000Per

PERor

.525• I,M

contract

occJAt£S

.100

.026

Advance PremiumB 1.

HDKTU.YOF PRE

16,8004,238

*

P D

WWUSTrt1IUH

3,200832

CONTRACTUAL LIABIL1* INSURANCE(Blanket Coverage)

The Company, in consideration of the payment of the premium and subject to oil of the piovisions ot the policy not expressly modified herein,agrees with the named insured as follows

SCHEDULEThe insurance afforded for contractual liability is only with respect to such o) the following Coverages as are indicated by o specific premiumcharge applicable fhe<r'o The limit of the Company's liability against each such Coverage shall be as stated herein, subject to aH ihc terms otthis policy having rek'K,'nce thereto.

Coverages Limits of Liability AdvancePremium

Contractual Bodily Iniu'y Liability$ 50J9QQCJ each person$1 pGvJyQX* eoch occurrence

Contractual Property Damage Liabilityeach occurrenceaggregate

Total Advance Premium 4NCL.

Contracts may be designatedin the General LiabilitySchedule or below

JU. tiRITTED C -VTR-CTSCede Premium

BOMSCost

Rate*

B.I.

Per JICXP.O.

3 of Cost

TOTAL

Advance Premium

B.I.

IttCUttCOHKH

$

P.O.

B l«HIE

$I. COVERAOIS - CONTRACTUAL •OOILY INJURY LIABILITY

CONTRACTUAL PROFIRTY OAMAQI UAMUTYThe company will pay on behalf of the insured all sums which theinsured, by reason of ccwtraetltal liability ossumtd by him underany written contract of the type designated in the schedule forthis insurance, shell become legally obligated to pay as dome gelbecause of

bodily Injury orproperty darMo*

to which this insurance applies, caused by on occurrence, and

the company shall have the right and duty to defend any suitagainst the tmmrem leefcjng JamngM on account of such bodilyinjury or property tmmmgt, even if any of the allegations of thesuit ore groundless, false or fraudulent, and may make such in-vestigation and settlement of any claim or twit as it deems ex-pedient, but the company shaft not be obligated to pay any claimor judgment or to defend(I) any arbitration proceeding wherein the company is not en-titled to exercise the Insured"* rights in the choke of arbi-

trators and in the conduct of such proceedings, or(conrmued en reverse side)

This endorsement, fssued by one of the bdow named companies, forms a part of the policy to which attached, effective on the inceptiondate of the policy unless otherwise stated herein.

(The information below is required only when this endorsement is issued subsequent to preparation ot policy.)Endorsement effective Policy No. Endorsement No.Named InsuredAdditional Premium $ Return Premium $

Countersigned by.The> 4Una CMuatty artel *urwty CompanyThe) *l«nct«rd Fir* Insurano* Company

Hartford, ConnecticutPOft COMPANY USI ONLY

(Auihorijvd Rcpmo

At(CC-2441 IO4tAGINCV/.BROKER f

CODE

COM* *STAT

NAMC

1 OFTICTOXX

.—— , JWttTQRV_. . MlMlTSj;

GAUHCoMM

FAVMINT TAX cysTHK.1 TftAMi

ETAr

POLICY fFFECTIVE DATi

fOllCV EXPIIIATION OATI

DATI TVPfOANO INITIALS

t uAfcUTV I

PERSONAL INJURY LIA ITY INSURANCE PITlie company, in consideration of the payment ot the premium and subject lo Gil of tHc provisions ol the policy not expressly modified herein,agrees with tht^ named insured os follow";

SCHEDULEThe msu'arxie afforded is only with inspect to personal injury arising out ol aooflonse included within such of the following groups ofoffenses as ore indicated by specific premium charge or charges

GROUPS OF OFFENSESA False Arrest, Detention or Imprisonment, of

Malicious Prosecution0 Libel, Slander, Defamation or Violation ol Right

o' Privacy

C Wrongful Entry or Eviction or Other Invasionol Right of Private Occupancy

Minimum Premium $

LIMITS OF LIABILITY

$ 500 .000 each person aggregate

$| -OQCPOO genernl (i< j()fcf)ci ie

Insured'* PnMioixiFion %TOTAL ADVANLfc PREMIUM »

ADVANCE PREMIUM

* INCU IN COHHfclTE* IN'CU IK COMPOSITE$$ INCU IN COMPOSITE

LJ An "X" in this block indicates that Exclusion (c) does not apply to thts insurance

I. PERSONAL INJUKY LIABILITY COVCRAGf. The compony willpay on behalf of the insured all sums which the insured shall becomelegally obligated to pay at damages because of injury (heroin called"personal injury") sustained by any person or organization and arisingout of one or more of the following offenses:

Group A - False arrest, detention or imprisonment, or maliciousprosecution;

Group 8 - the publication or utterance of a libel or slander or of otherdefamatory or disparaging material, or a publication orutterance in violation of on individual's right of privacy,except publications or utterances in the course of or related• to advertising, broadcasting or telecasting activities con-ducted by or on behalf of the named insured;

Group C —wrongful entry or eviction, or other invasion of the rightof private occupancy;

if such offense is committed during the policy period within the UnitedStates of America, its territories or possessions, or Canada, and thecompany shall have the right and duty to defend any suit against theEnsured seeking damages on account of such personal Injury even ifany of the allegations of the suit are groundless, false or fraudulent,and may make such investigation and settlement of any claim or suitas it deems expedient, but the company shall not be obligated to payany claim or judgment or to defend any suit after the applicable limitof the company's liability has been exhausted by payment of judgmentsor settlements.Ixclviiens. TMs Insurance does not apply;(a) to liability assumed by the insured under any contract or agree-

ment;(W to personal injury arising out of the wilful violation of o penalstatute or ordinance committed by or with the knowledge or eon-sent of any insured;(c) lopjrjionjil Infuj |_ .sustained by any person.as a result of onoffense directly or inoVectty related to the employment ot suchperson by the named insured; but this exclusion snail be inappfi-cobJe if so indicated in the schedule;

(d) to personal Injury arising out of any pubficotion or utterancedescribed in Group B, if the first injurious publication or utteranceof the same or similar material bv or on behalf of me named in-sured was mode prior to the effective date of this insurance;

(e) to personal injury arising out of a publication or utterance de-scribed in Group 8 concerning any person, organization or business

enterprise, or his or its products or services, mode by or at thedirection of any insured with knowledge of the falsity thereof.

II. PCASONS INSURED. Each of the following is on insured underthis insurance to the extent set forth below:

(a) >f the named insured is designated in the dedorotions as onindividual, the person so designated;

(b) if the named insured is designated in the declarations as a part-nership or joint venture, the partnership or joint venture so desig-nated and any partner or member thereof bur only with respect tohis liability as such;

(c) if the named insured is designated In the declarations as otherthan on individual, partnership or joint venture, the organizationso designated and any executive officer, director or stockholderthereof While acting within the scope of his dunes OS such.This'insurance does not apply to penonal Injury arising out of the

conduct of any partnership or joint venture of which the insured is apartner or member and which is not designated in this policy as anamed insured.ill. LIMITS OP LlAllUTY; IN SUMO'1 PAftTICIPArtON. Regardlessof the number ot (1J insured* under this pottcy, (2) persons or organi-zations who sustain personal mj**7* or (3) claims mode or suits broughton account of personal injury, the total liability of the company for alldamage* because of all personal injury to which this Coverage applies,sustained by any one person or organization, shaft not exceed the limitof personal injury liability stated in the schedule a* "each personaggregate".

Subject to the above provision respecting "each person aggregate",the total limit of the company's liability under this coverage for oHdamages shall not exceed the limit of personal Injury BobWty stated inthe schedule os "general aggregate".It a participation percentage is stated in the schedule for the insured,the company shall not be lioW* for o greater proportion of any toss thanthe difference between such percentage and one hundred percent andthe balance of the loss shall be borne by the Insured; provided, the com-pany may pay the hi«urud*t portion of a loss to effect settlement ofthe loss, and, upon notification of the action taken, the named insuredshall promptly reimburse the company therefor.IV. AMINDf O DEFINITION. When used in reference to this insurance:"damage*" means only those damages which are payable because ofpersonal injury arising out of on offense to which this insurance applies.

This endorsement, issued by one of the below named companies, forms a part of the policy to which attached, effective on the inceptiondote of the policy unless otherwise stated herein.

(The information below is required only when this endorsement is issued subsequent to preparation of policy.}Endorsement effective fewcy No. Endorsement No.Named InsuredAdditional Premium $ Return Premium S

The* smtnm Casually and Sur«ty CompanyThe) •lantfard Fire) Insurance) Company Countersigned by————————

Hartford, ConnecticutfQ* COMPANY USI ONLY

AGENCY/.BACKER *cooe

COUNTEHSIGNWa .COOES 'StAT |Pi AN

otticeTCRRtTORY4TAU s -"*• ——BATE

NAMC

ttx* OS COM

LIMITS Cf IIA0ILITV |Bt |PD I

CoMM

PAYMtNT TAX OrSTIMCT TRAMSTmE

fAP pbtidv frtKTrvC DA«

POtCY CXFMATION DAM

OATC TY«DAND WTIAIS

C/S BRANCH KEV

POLICY fFFCCIIVE

C/S 4 DIGIT C00£ CSF

POLICY EXPIRATION

r»Y r S 1 A I C HA It Dismict Ht

E

[;N

MNl 1 m i HP • U A S j OR M)HMr - n iB n t i . " ' , i • ' • . . ' " i

'-.

THIS ENDORSEMENT MODIFIES SUCH INSURANCE AS IS AFFORDED BYTHE PROVISIONS OF T« POLICY RELATING TO THE FOLLOWINGJCOMPREHENSIVE GENERAL LIABILITY INSURANCE

COMPOSITE RATE

IT IS AGREED THATs(1) T>€ PREMIUM FOR THIS INSURANCE SHALL BE DETERMINED BYAPPCYINO THE COMPOSITE RATE SHOWN IN TIC POLICY TO

(A) Tr€ AUDITED VORKICN'S COMPENSATION PAYROLL IN ALL STATESWHERE T)C COMPANY IS PROVIDING WORKMEN'S COMPENSATIONINSURANCE TO THE NAMED INSURED}(2) THE DEFINITION OF "REMUNERATION" IN THE "DESCRIPTION OF TERMSUSED AS PREMIUM BASES" IS NOT APPLICABLE] AND(3) THE LIMIT OF LIABI ITY STATED AS "AGGREGATE" IN SECTION III.LIMITS OF LIABILITY OF THE COL PART IS THE TOTAL LIMIT OFTHE COMPANY'S LIABILITY FOR ALL DAHA6CS ARISINft OUT OFPROPERTY OAMACE. CAUSED BY THE <UN£RSHIP, MAINTEMAflCE OR USEOF THE PREMISES OR OPERATIONS RATABLE IN ACCORDANCE WITHTHE MANUAL OF MANUFACTURERS* AND CONTRACTORS* LIABILITYINSURANCE IN USE BY THE COMPANY.

This endorsement, issued by one of the below named companies, forms a part of the poliqr to which attached, effective on the incep-tion date of the policy unless otherwise stated herein.

(TW mformMio* Mote it f»fawW only wfa* Ait tmdarttm** u isnuA tmbt*q***t to pr*p*r*tio» of it* policy.)

Endorsement EffectiveNamed InsuredPREMIUM:Additional $

Policy No. Endorsement No.

Return $Tti» smtnm C*su«My and Surety Companym« Standard Plr* Insurano* Company*•Hartford, Connecticut ;

Councer signedAuthor iaed Agent

PrarAnt

TABLE I - PREMIUM SUBJECT TO PLAN D, LIMITATIONS,. LOSS CONVERSIONFACTOR, STATE TAX MULTIPLIERS, EXCESS LOSS PREMIUM FACTORS

The premium for the following policies is to be computed in accordarce withthe provisions of Retrospective Rating Plan D in all states where such planis or becomes applicable on an interstate bas is , sub ject to the limitationsspecified herein;List of Policies:

57 S* <*)2 . Plan D does not apply to the premium forJQtgJ()Dfe*X AIRCRAFT MO DUCTS

MtttttiU

The premium for the general liability and automobile liability insuranceafforded under policies designated in Paragraph 1 above for insurance inexcess of the limits of liability stated below shall not be subject toPlan D:

Automobile Liability policies(Bodily Injury Liability)

General Liability policies(Bodily Injury Liability)

Automobile Liability policies(Property Damage Liability)

General Liability policies(Property Damage Liability)

each personeach accidenteach personeach accidentaggregate productseach accident

each accidentaggregate operationsaggregate protectiveaggregate productsaggregate contractual

Contractual Liability Endorsement (if made a part of any general liabilitypolicy designated in Paragraph 1 above)

Bodily Injury Liability

Property Damage Liability

I0,0f0

10.0*)29.000

each personeach accidenteach accident

The incurred losses to be included in computing the premium for the insurance"subject to Plan D shall not include that portion of the losses actually paidand the reserve* for unpaid losses which is in excess of the limits ofliability stated above, but that part of the incurred losses consisting of

-2-

premiums on bonds, interest accruing after entry of judgment, allocatedloss adjustment expenses and expenses incurred in seeking recovery againsta third party shall not be subject to such l imits. *(The aggregate limitsof liability stated above apply separately to each annual period includedin the three year period .)*Include this sentence only when three-year plan is applicable.

4. Combined Liability Loss Limitation is $5. Compensation Loss Limitation is $6. Automobile Physical Damage Loss Limitation is $7. Loas Conversion Factor is |^0 (NCLUOINO T« MULTIPLIERS8. STATE TAX MULTIPLIERS EXCESS LOSS PREMIUM FACTORSName ofState

Workmen'sCompensation

andEmployers'Liability

AutomobileLiability

GeneralLiability

AutomobilePhysicalDamage

Workmen'sCompensa -tion andEmployers'Liability

Automobileand

GeneralLiability

AutomobilePhysicalDamage

WISCONSINHIINC90TA I.0911.031(.042

TABLE H - PERCENTAGES TO DETERMINE BASIC, MINIMUM, AND MAXIMUMPREMIUMSThe basic premium, the minimum premium, and the maximum premium for insurancesubject to Plan D are percentages of the standard premium for such insurance.Such percentages are computed initially upon an estimate of the standard premiumand finally upon the earned standard premium for such insurance. If the standardpremium lies between any two of the figures on the "Standard Premium" line, thepercentages applicable shall be obtained by linear interpolation to the nearestone-tenth of 1%.

Percentages of Standard Premium50% or less

Standard PremiumMinimum PremiumMaximum PremiumBasic Premium

100%30.000

•AilC TlfCS TAX MULTIPLIESIU7*•9*

150% or more30.000•ASIC TIMESm MULTIPLIER

1*45•W

This endorsement modifies such insurance aa is afforded bythe provisions of the policy relating to the following:

COMPREHENSIVE GENERAL LIABILITY INSURANCECOMPLETED OPKRATIONS AND PRODUCTS LIABILITY INSURANCE

SMP LIABILITY INSURANCE

WORLDWIDE COVERAGE(Claims and Suits in United States Only)

It is agreed that the insurance afforded also applies to BODILY INJURY orPROP2RTY DAMAGE which occurs, during the policy period, outside the POLICYTERRITORY, provided such BODILY INJURY or PROPERTY DAMAGE:

(1) Is included in the Completed Operations Hazard or the Products Hazard, or(2) arises out of activities of persons employed to perform work principally

in the POLICY TERRITORY,, while outside the POLICY TERRITORY, pursuant totheir employment in the business of the NAMED INSURED, subject to thefollowing provisions;

1* Claims or suits on account of such injury or damage .Tnist bebrought and enforced within the United States of America.

2. The insurance afforded by this endorsement does not apply withrespect to BODILY INJURY or PROPERTY DAMAGE arising out of goodsor products manufactured, sold, handled or distributed or workperformed by _____ ___________•

(Name of Subsidiary) ;

AL-SMPThfe endorsement, Jisued by on* ol the below nomtd componte*, font* o part of the poficy to which ottoched, effective on the inceptiondote of the poficy unleu otherwise slot*d herein.

(The Information 6*/ow /t nqtrind only •>*•» 1Mb wrtbfMmeflf it /MUM* tvtoaqvtnt to pnptralion of poOcy.)Endorsement effective Mcy No, Endorsement No.

Nomed Insured

Additional Premium S

THe»Th« *tewtefarel Company bv.

This eu. jraement modiflea auch Insurance *a is afforded bythe provisions of the policy relating to the following i

COMPRfflENSrVE GENERAL LIABILITY INSURANCECOMPUTED OPERATIONS AND PRODUCTS LIABILITY INSURANCE

SMP LIABILITY INSURANCE

ADDITIONAL INSURED(Vendors - United Form)

It ie agreed that the "Persons Insured11 provision la amended to include any per*son or organization (herein referred to aa "vendor"), aa an INSURED, but onlywith respect to the distribution or sale in the regular course of the vendor1*business of the NAMED INSURED'S JftODUCTS subject to the following additionalprovisions t

1. The insurance with respect to the vendor doea not apply tot(a) any express warranty, or any distribution or sale for a purpose,unauthorised by the NAMED INSURED\(b) BODILY INJURY or PROPERTY DAMAGE arising out of*

(i) any act of the vendor which changes the condition of theproducts,(11) any failure to maintain the product In merchantable condi-tion,(ill) any failure to make auch inspections, adjustments, tests orservicing as the vendor has agreed to make or normally under-

takes to make In the uaual course of business, in connectionwith the distribution or sale of the products, or(iv) products which after distribution or sale by the NAMED IN-

SURED have been labeled or relabeled or used aa a container,part of ingredient of any other thing or substance by orfor the vendor|

ALThit endorsement, Issued by one of Ift* bfllow named companies, forms a part ot The poftcy to which attached, etf ectfve on me inceptiondote o* fhe policy unless otherwise stated hereto.

(TH9 information oetow tt reajvfrvo* onty whott thto tmlwEndorsement effective PMcy No.

*vbf*qt/«nf fo pnointton ot pctfCy.)Endorsement No.

Named Insured

AddMonal Premium Ae*um Premium }

THe>THe>

CaeHiaNy ,mrel f*tre> iHertford, Connecticut

lunlerslgned by_T.I,1,1

- 2 -

(c) BODILY INJURY or PROPERTY DAMAGE occurring within the vendor'spremises.2. The insurance does not apply to any person or organization! as INSURED,

from whom the NAMED INSURED has acquired such products or any ingredient,part or container, entering into, accompanying or containing such pro-ducts.

This end ement modifies such insurance' is afforded bythe provisions of the policy relating to Uie following:

COMPREHENSIVE GENERAL LIABILITY INSURANCEMANUFACTURERS' AND CONTRACTORS' LIABILITY INSURANCE

OWNERS', LANDLORDS' AND TENANTS' LIABILITY INSURANCESMP LIABILITY INSURANCE

INCIDENTAL PROFESSIONAL LIABILITY

It is agreed that the insurance afforded applies subject to the followingadditional provisions:1. The insurance also applies to

(a) BODILY INJURY, or(b) PROPERTY DAMAGEoccurring during the policy period and arising out of malpractice, erroror mistake committed at or in connection with the premises

(1) in the rendering of or failure to render medical, surgical, dental,x-ray or nursing service or treatment, or the furnishing of foodor beverages in connection therewith, or

(2) the furnishing or dispensing of drugs or medical, dental orsurgical supplies or appliances*

2. The INSURED shall give written notice in accordance with the conditionsof the policy, upon becoming aware of any claim or allegation of mal-practice, error or mistake*

3. The limit of BODILY INJURY liability stated in the Declarations as appli-cable to each OCCURRENCE shall also be the total lijnit of the Company'sliability under this endorsement.

U« The insurance does not apply(a) to any obligation for which the INSURED or any carrier as his insurer

AL-PS-GS-SMPThia *ndorMm*nt, toucd by on* of th* betow nomtd componiM, form* o port of th* poRcy to which ottoch*d, *H*ciiv« on th* inceptiondot* of th* poMcy unl*u Otherwise tlolcd htnjin.

(Th» Mormttion Mow it nquirtd onty W/IM (MtFndor»«m*nt *ff«cfh«

/* ;**u»o* lubtHjuwt to pr*p*rarton ol policy.)Endor»«m*nt No.

AddWonol Return *«mh«n $

Casualty an*} Buraty C*ma*ny

-2-

may be held liable under any workmen's compensation, unemploymentcompensation or disability benefits law or any similar law, or

(b) to BODILY INJURY to any person to or for whom benefits or DAMAGESon account thereof are payable under any valid and collectible volun-tary compensation or employer's liability insurance available to theINSURED.

5. Exclusion (h) does not apply to this insurance,6. The Supplementary Paymenta provision of the policy shall not apply to

this insurance insofar as it provides for the payment of expensed incurredby the INSURED for first aid at the time of accident.

»UNI ; , COUt A i »D h*Mt

C/S BRANCH RET

POLICY fFFECIlVI

C/S 4 OtCIT CODE

CUM*.

CSF

POLICY EXPIRATION

MY 'ITERR I TORY

STATE RATE(ml

OISTRICT11*NI

E

sGN

HMf1 1MHS

01 PDCl* i i tH< . » IH)»«C lASS OB fORM

FRtMtUM EKPOSURE CP

SPECIALIT IS ACREED THAT THE NAMED INSURED ISiNATIONAL PRESTO INDUSTRIES, INC. WO ALL SUBSIDIARY CORPORATIONSAND COMPANIES—EXCLUDING THE SUBSIDIARY KNOWN AS CENTURY rtTALCRAFT CORPORATION AND ALSO EXCLUDING ALL SUBSIDIARY CORPORATI MS

AMD COMPANIES OF CENTURY METALCRAFT CORPORATION—6UT INCLUDINGPRESTO MANUFACTURING COMPANY OF JACKSON MISSISSIPPI AW) WASTERCOUP. OF TEXAS—SUBSIDIARIES OF CENTURY METALCRAFT CORPORATION.

This endorsement, issued by one of the below named companies, forms a part of the policy to which attached, effective on the incep-tion date of the polky unless otherwise stated herein.

<T4*M/iEndorsement EffectiveNamed InsuredPREMIUM:Additional $

Countersigned

onty

Policy No.

Return $

la pffper*io* of tb* polity.)

Endorsement No.

Tho >Btna CaauaHy and Suroty CompanyTho Standard Plro Inauranoa Company

Hartford, ConnecticutAuthor ixed Agent (7.

C/S BRANCH KCV

WtlCt tfFICTIVt

POLICY £ X PISA I ION

C/S 1 DIGIT CODE CSf

PAT'1""" •

S T A T E IATEFIREDISTRICT «s

E

,cH 91

. . . .PO

•-"•-• -""-""""CLASS OR FORM *•C

SPECIALIT IS AGREED THAT INSURANCE AFFORDED UNDER THE PERSONAL INJURYLIABILITY COVERAGE ENDORSEMENT CC-105 IS EXTENDED TO COVERE.W. ROBEY, CONSULTANT IN INDUSTRIAL RELATIONS WOW AS RESPECTSTHE UNION ORGANIZATION DRIVE.

This endorsement, issued by one of the below named companies, forms a part of the policy to which attached, effective on the incep-tion date of die policy unless otherwise stated herein.

(Taw mformitio* «V/MT is r#f«prW **/y wlwp Ml 0mJorum»mt it ist**t /*£j«f#*** to prtparctto* of tbf policy.)

fiadonenent EffectiveNaMed InsuredPREMIUM:Additional $

CottJMCf»if»cd

Policy No.

Return I

Endorsemeat No.

Th* Mtnm CastiaNy and Sut^ty CompanyTho Mandard nro Inaurano4

Hartford, ConnecticutAndioriaed Agent

c/s BBANCK KEY

POLICY EFfCCTIVE

POLICY EXFIfiAIION

C/S 4 DIGIT COPC CSf

PAY'? ST*!I MilMKL

DISTRICT *kt

E

'Gft Milfll PI)

. . , . - . . .•LASS 0* fOUM C

SPECIALIT IS AGREED THAT EXCLUSION F OF THE CGL PART IS DELETED FROMTHE POLICY.

This endorsement, issued by one of the below named companies, forms a part of the policy to which attached, effective on the incep-tion date of the policy unless otherwise seated herein.

(Tbt OT/of*M«*M MMT if nfawW omty wbtm Ms tmton*m** M u«W mtiffm»mt to pr*p*e*io» of

Bndcrsemcm EffectiveNa*Md tnsuradPREMIUM:Additkmal I

CotMManJfacd

Polier No.

Urmrn

Endorsement No.

TIM >«tnm Casualty and SursHy CompanyTh« Mansard Vrtra btaurane* Oamnjiny

Hartford, Connecticut 'Amhoriaed Ajenc

C/S BflANCH KEY C/S 4 DIGIT CODE csf

POLICY EFFECTIVE

POUU EXPIMTION

PAVTI t H K t l U M T

SIATI HATEMRlDISTRICT •*

NI

E

)cN lINf11 MM .

Bl PP 'ClAiSl l tcAMWCt*SS OR FORM

PttCMIUU txro su » c LPC

SPECIAL— ADO IT I NU. INSURESIT IS JGREEO THAT THFT "PERSONS INSURED" PROVISION IS AMENDED TOINCLUDE >S AN INSURED THE CLEAVER-BROOKS COMPANY BUT ONLY WITHRESPECT TO LIABILITY ARISINC OUT OF THE OWNERSHIP. MAINTENANCEOR USE OF THE BOILERS LEASED TO THE NAMED INSURED AND SUBJECTTO TIC FOLLOWING ADCITI NAL EXCLUSIONS!THE INSURANCE DOES NOT APPLY!1. TO ANY OCCURRENCE WHICH TAKES PLACE AFTER THE NAMED INSURED

CEASES TO LEASE THE BOILERS*2. TO STRUCTURAL ALTERATIONS, NEW CONSTRUCTION OR DEMOLITION

OPERATION PERFORMED BY OR ON BEHALF OF THE CLEAVER-BROOKSCOMPANY.

This endorsement, issued br ooe of the below nuaed companies, forou'i p*R of the poliqr to which inched, effective on the incep-tioo d«ce of the poliqr unless otherwise stated herein. , / - ' '

information Motr it rt^mnJ 9*ty wu^m tmit tmtUmmtmt if ittmtm imkt^utmt to Pfff*r*tio» of At policy-)

EadorseniefU EtfectireNuned InsuredPREMIUM:Addition*! | Return I

Policy No, Endorsement Na

Th« Altnm Casualty and Surety Company•tantfar^ Fir* Inaurano* Company

Hartford, Connecticut

Workmen's Compensation and Employers' Liability PolicyRETROSPECTIVE PREMIUM ENDORSEMENT-THREE YEAR-PLAN D

It is agreed tliat this ctulurst-nwut applies tu the policies designated in Table I Mmv and renewals thereof afford inn insurance withrespect to the tlirrc year period i-oiinitrncitiK \vitli the effective date nf ihj> [policy, Mil) j vet t«' the foHnwinu provisions:

1. Final Premium. The Imul iirenniini [or such imlicics is (he -um of:(a) the premium ior tlic insurance not Mihject t»i Plan D, as Niic-citied in Talik I. computed in accordance with liic provisionsof such policies, other Man tliis endorsement, ;uwl(b) the premium for the insurance subject to Thin D, a* specified in Table I. hereinafter referred to as the retrospective

premium.

2. Retrospective Premium. The retrospective premium shall be the sum of:(a) the basic premiums for each state.(b) the excess loss premiums for each state, and(c) the converted losses for each state,

each multiplied by the applicable state tax multiplier. The retrospective premium shall be subject to the minimum retrospective J

premium and to the maximum retrospective premium,3* Definition of Terms Used in the Computation of the Retrospective Premium. .^ • -_

(a) "Standard premium" means the premium (or the insurance subject to Plan D computed in accordance with the provisions ,. «of the policies, other than this endorsement and exclusive of the application of any premium discount endorsement.

<b) "Basic pnminmi" means the amounts obtained by applying to each port km of the standard premium the basic premiumpercentage stated in Table II as applicable thereto.(c) "ExecM low premiums" means the sum of:

(1) the amounts obtained by applying to that portion of the standard premium under workmen's compensation and"employers' liability policies for each state for which a factor is entered in the Excess Loss Premium Factors(Workmen's Compensation) column of Table I, the applicable factor times the applicable loss conversion factor,

(2) the amounts obtained by applying to that portion of the standard premium for liability insurance under genera!liability and automobile liability policies, the factor stated in the Excess Loss Premium Factors (Liability)column of Table I. times the Applicable loss conversion factor, and * -1 (3). the amounts obtained by applying to that portion of the standard, premium for automobile physical damage insur-ance, the factor stated in the Excess Loss Premium Factors (Physical Damage) eoromn of Table I, times theapplicable loss conversion factor.(d) "Ivmmd I*MM" 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 pud for by the Company, in accordance with the provisions of the policies,(4) interest accruing after entry of a judgment against the Insured,(5) allocated loss adjustment expenses, and(6) expenses incurred in seeking recovery against a third party

under the insurance subject to Plan D, provided (!) as respects the insurance afforded under any workmen's compensationand employers', liability policy, items (3) and (5) above shall not apply and item (6) shall ajn»ly only if recovery isobtained against the third party, and (ii) items (3), (4) and (5) above shall not apply as respects automobile physicaldamage insurance.

(•) "CiMf >•>•«!•• IOM limitatiM**, if stated in Table I, means the limit of incurred losses to be included in computing theretrospective premium under the workmen's compensation and employers' liability policies designated in Table I as subjectto Plan D, applicable to any state for which a factor is shown in the Excess Loss Premium Factors (Workmen's Com-pensation) column of Table I. arising out of bodily injury by accident or disease, including death at any time resultingtherefrom, sustained by one or _more employees in a single accident. For the purpose of thin definition, incurred losses- arising out of bodily injury by disease, including death at any time resulting therefrom, sustained by any one employee shallbe deemed to arise out of a single accidentIf, daring the policy period,

(i) the Insnnd engages in operations in any state for which this policy affords insurance but for which no factor isshown in the Excess Loss Premium Factors (Workmen's Compensation) column of Table I, and(ii) on the date this endorsement becomes applicable with respect to any such additional state, there is a loss limita-tion with respect to all states specifically insured under the policy and subject to Plan D, and(iii) the Insured is eligible to elect such loss limitation in such additional state, ^

such lou limitation shall also apply to incurred kisses pertaining to such additional slate. The excess loss premium factorApplicable to such additional state, determined In accordance with the manuals in me by the Company, shall be deemed tobe entered in Table I.

This endorsement modifies such insurance as is afforded bythe provisions of the policy relating to the followingi

COMPREHENSIVE GENERAL LIABILITY INSURANCESMP LIABILITY INSURANCE

LIMITATION OF COVERAGE(Completed Operations Hazard and Products Hazard)

It is agreed that such insurance as Is afforded by the policy for the CompletedOperations Hazard and for the Products Hazard applies only with respect to themanufacture, sale, handling or distribution of the products described below*

Description of Products*AIRCRAFT PRODUCTS

ALTtwt endorMnwnt, twutd by on* of ihe bctow nomcrf Omponiu, lormt o port o< the poKcy lo which otiochcd, effective on the inceptiondote ot the pofeyunleuotherwiwttoted herein.

information oetow 13 requirfftf Oftty w/ww thtt 9ndOf99tn0nt itr*(«ctiv« Rafcy No.

M/M«qu*nr ro prtpmttofl o/ policy.)No.

Intured

R«*wm

Th« ••n« Casualty «n«t Survey