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<br />A.~.- <br /> <br />,-, <br /> <br />'. ,:... I. .. .".,e <br /> <br />: : ' , . . . '/.. .......,. ..' 0'" :... .:,......,:'......,:.;, <br /> <br />....Indemnity Underwriters Insurance Company,. . <br /> <br />- <br /> <br />- <br /> <br />r..\ <br />. '," <br /> <br />I .... , a i: ~", I . , <br /> <br />P,' ,:fJ,~~I,C~ .~u~~er "I <br /> <br />.. ,., '2917 '1' . <br />~~I. ; .... . t . ..' .=. <br /> <br />. . l . ~. ~ . <br /> <br />, ,.'.. .:. (918) 542.1&71- · 515 East Central. ... P,O. Bo%..1225 '.. Miami, Oklahoma.743S5.. ..: (0 iJ <br />. .. ." . '.;.1..' ,..j! ,'. ;1';\I'';\:''~:;'JII'~:.:)'''L.:.''I:'i:'1 <br />Clrtrtifirau uf 1Insuranrr ,:'.:; .,;,..' " . NeW. " <br /> <br />.... .',. -. :. '. : Denewal of.Nw:nber <br />' "I.' . ,. J ,.. . ....' , .... ". J ..r/. ~... "-h.T:;I._. <br /> <br />" ..rr.:.':' ..J i <br />,'.' ~ J' <br /> <br />ACTING UPON YOUR INSTRUCTIONS and/or your'representative's, and In accordance with <br />authorization granted us, we have effected insurance with the insurance'.company shown <br />above for those coverages shown in Item 4 below and in accordance -with all terms,..condi. <br /> <br />t1ons, fo'.ms .and ~ndorsem~ntsattaChed to,th I.s cartl !l~~;:,. t..;., . "'" .>,c''''"''''_;- ".. c?", <br /> <br />. .. .' '. .. . - ,r:'!t,._roil=i~~<>M.~:"""''';:~~":,., <br />DECLARATIONS . . ..;t.."',.. ...,..., . . . ~...., <br />1: N~8d Inlured and Mallin9 Addr...:' , . ..,. . .""'PIJ... ' <br />.. . Hughes Sand' Pi ts, Inc.' Pi t Operations, 'Inc. ' L.. ;, :~ <br />':... . P.O. Box 1487 : .'" " .' :'.' . <br />"- ~""Pasadena, :;exas 77502 '~". . <br /> <br />"I " <br /> <br />. '.. .'~ >. \ ~"I 'f' ,;".;.z <br /> <br />2. PolIcy Period: <br /> <br />, 09-15-88 <br /> <br />'- <br /> <br />09-15-89 <br />.... <br /> <br /> <br />3. 1'JIe Named 11IIlnll1a:. O'!IldMdUil )(j CoI1lORllan .. 0 ~ID OJalnr Ventu,.. '0 Other:,', .. . llllUlld'l BualI1tII: ,Lan.dfiU <br /> <br />12.g, UI. srMllMD fllIl ~r LllC4rlOll W' IIISUEII PRUlIIU <br /> <br />. I' .~. <br /> <br />. ..I", <br /> <br />(; <br /> <br />" , . . "J ,. ':: " . ';". '.J!! . ',. .....~)oIf" ::.,;.,! <br />4. Inlurance Is Provided With respect to ~ c:averig. iIICl kJnt. 01 Pl'ClptIty lor whlC/l a &pICI1/c limit ollliOwty 'I allown, SUlljlClra ill of IJIt tlfl'!ll. GOIldlllQ!1., fonnl iIld <br /> <br />endorllmenll lNde a Dan hereof. <br /> <br />IECTION 0 PROPERTY CaVEIWII . 1I1l1111c1t1d br u I <br /> <br />UMITOFUAlIUTY' I, " '."_', <br />La .... ..... ... LIL ... _ NL <br /> <br />., <br /> <br />.,., ..:' <br /> <br />:"'01 I........ <br /> <br />,oj <br /> <br />BuildlnalSI <br />., I " Personal Property of thl Insul'lCf <br />PROPERTY Personal Property of Olhers <br />CDVEU8E Additi0nai Coverage ISpecjfy) <br /> <br />s <br />s <br />S .f <br /> <br />.:.11"_... .' . . :1; ,........, <br /> <br />" ... If" I..;~i':'.,. ,. J:I <br /> <br />.. I'. :J ,..~ ! i . : i... .= I . <br /> <br />" .' XX UAlILlTY COVERAGE. If Iadlatell by II X <br />Bodily Injury Liability <br />Property Damagl liability <br />/I Bodily Injury and Prapeny llamigl UaIllUly CombinlCl <br />= Addltionil CovlfigIISpec:lfy) <br /> <br />S. <br /> <br />S <br />, UMITOFLIA8IUTY ..,! j. ...,.. ,;,.") <br />S . . 8iICII occurflllC8 S , <br />S each occurrencI S <br />S 5nn .noo-. 06 eacnoccurrlnce S SOD .000 ~OO <br /> <br />S <br /> <br />. ~ ... : .. <br /> <br />. .' '. , j'" . aggntgatl <br />aggntgatl <br />aggregate <br /> <br />.1 <br /> <br />,', :J. ',r., J~.,\..:::..'.. ~ :,:;s <br /> <br />AUGII Pw1od: Annual. ullleU aUllrwlll awed: C Mon~ly C. Quanlrty . ,!=J Seml-Al'!nlli! 0 IOthlr) <br />".' '., ... . .. ,.' .f I, .' '.. oJ. ..;. "" I <br /> <br />:.. ;'/8 '... [J' OTHER COVEIlAGC :.. As 'stated lri; tile endorsement,' made part at this Policy, If IndlcatlCl by X" , . I , :. <br /> <br />'oW ": 2 :: .. 0_ <br /> <br />.~.. -'-.. ... ..... I :j..,.; . I... I <br /> <br />5. forma and Endorsementl /IIiGa PiIIt of tills Policy i1l1me ollssuI: IlIISUT NO. AND ElllTlDlIlMTEllApPllcailllto Secrlonl IndlcatlCl) <br />. <br />L Secuon I Only: ' . <br />, : i Not Covered .'!' . <br />!'usmnolb~(7;86),'iuic1002{7/86) ,Iuicloo3:(7/86)':~ulciO~O~('5/88) .. .. <br /> <br />c.Secaon IU Only: -. '", .._.1 ~ ..... . ," "0, .".... <br />. Not Covered . ..... . .. .. <br /> <br />i. .....:. ~:.... ~'. ,_ <br /> <br />Sa. Pr8mJums applicable by SICllon <br /> <br />.j <br /> <br />s '.Not;'Covered~ .- <br />, ,.! .,.; '-"., .' ';Minimum & <br />~ 9,000.00 Deposit <br />~'~"''':~'I:'~::: ~ <br /> <br />IUIC 8-87 <br /> <br />d. All Sections: <br />*25% Minimum Earned Premium <br />**Policy Fee Fully Earned <br /> <br />Insured Loacation: 2122 Genoa Red Bluff Rd. <br />l:...:,:'t....:..... ;~". ::'i...i'...i Houston' 'Texas 77034" .:; <br />t . . <br />...."...'=i'----/ . :;.,~'.:.:I_~1::/:.,.... .....J..:..;...c '. <br />:"':'~~1lI"~~.:,.Li::I'~"'" .j. <br />American Underwriters A enc , 'Inc. 8544 <br />Authorized Representative Agent , <br />WHITE.INSURED GREEN-AGENT CANARY.copy <br /> <br />" <br /> <br />,.'" . <br /> <br />". s . Not:'Covered.~:.' <br />s 9 000.00* M&D <br />...... :.,...,. ._~; . "- Fee' s' ..1.0:"200:.-00** . ' <br />4.62% S.l. Tax S 425 ~ 04' ....~, ': <br />S~ampi.ns Fee ~. 36:80 <br />: '. ." '...1 ',' ~ . _... '. . ... . I .' <br />s <br />,'.:' I. . .;' - .: ; ... . :' .': Total ~ . s ; 9,661'. 84 ..... . <br /> <br />.' ~ ,i:n.':: 1.,'1. '. ";I...~ ,li",I. I.... I.....~,... ......., <br /> <br />09-28-88 ,...1.., ...., .'_ <br />Dated WED/clh <br /> <br />.! . .... <br /> <br />P1NK.coMPANY <br /> <br />GOc.DGENERALAGENT <br /> <br />../ <br /> <br />",.. <br />