Page 3 - Combined_82_OCR
P. 3
ADDITIONAL INSURED
(Premises Leased to the Named Insured)
Named Insured and Address
35CL Al8500 E CHRYSLER CORPORATI ON
35C A1850I E
This endorsement forms a par t of Policy No. CHRYSLER MOTORS CORPORATION, ETAL«
issued by THE HARTFORI ) INSURANCE GROUP company desig- 341 MASSACHUSETTS AVENUE
nated therein, and takes eff :ct as of the effective date of said policy
unless another effective date is stated herein. HIGHLAND PARK, MICHIGAN
Effective date. 1-1-70. .12:01 A. M., standard time at the address of the named insured as
stated herein.
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following:
COMPREHENSIVE GENERAL LIABILITY INSURANCE
MANUFACTURERS’AND CONTRACTORS’ LIABILITY INSURANCE
OWNERS’, LANDLORDS’ AND TENANTS’ LIABILITY INSURANCE
STOREKEEPERS’ LIABILITY INSURANCE
It is agreed that the “Persons Insured” provision is amended to include as an insured the person or organization designated below, but only with respect
to liability arising out of the ownership, maintenance or use of that part of the premises designated below leased to the named insured, and subject
to the following additional exclusions:
The insurance does not apply:
1. to any occurrence which takes place after the named insured ceases to be a tenant in said premises;
2. to structural alterations, new construction or demolition operations performed by or on behalf of the person or organization designated below.
SCHEDULE
Premiums
Bodily Property
Designation of Premises Name of Person or Organization Injury Damage
(Part Leased to Named Insured) (Additional Insured) Liability Liability
Old Huntsvi City cf Huntsvi 11e
Al rport Huntsville, Alabama
Nothing herein contained shall be held to vary, waive, alter, or extend any of the terms, conditions, agreements or declarations of the policy, other
than as herein stated.
This endorsement shall not be binding unless countersigned by a duly authorized agent of the company; provided that if this endorsement takes
effect as of the effective date of. the policy and, at issue of said policy, forms a part thereof, countersignature on the declarations page of said policy
by a duly authorized agent of the company shall constitute valid countersignature of this endorsement.
THE HARTFORD Hartford Fire Insurance Company New York Underwriters Insurance Company
INSURANCE GROUP Hartford Accident and Indemnity Company Twin City Fire Insurance Company
HARTFORD, CONNECTICUT Citizens Insurance Company of New Jersey
Countersigned by
Authorized Agent
J 'i
Form L-3025-0 Printed in U. S. A. 5-’67 (NBCU: G 109)