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SPECIMEN OF AUTOMOBILE PUBLIC LIABILITY AND PROPERTY DAMAGE POLICY

INSURANCE COMPANY

(Hereinafter called the Company)

HEREBY AGREES WITH THE ASSURED

Named in the Declarations attached hereto and hereby made a part hereof, as respects bodily injuries (or death resultant at any time therefrom) or property damage accidentally suffered or alleged to have been suffered by any person or persons during the term of this Policy, resulting from the ownership, maintenance or use, including loading or unloading, of any of the automobiles described in the Declarations, at any location within the United States of America or the Dominion of Canada, as follows:

TO INDEMNIFY THE ASSURED against loss from the liability imposed by law upon the Assured for such bodily injuries or death so resulting;

TO INDEMNIFY THE ASSURED against loss from the liability imposed by law upon the Assured for such damage or destruction of property of every description so resulting (excluding property of the Assured, or property of others used by or in charge of the Assured or of any of his employees or carried in or upon any of the Assured's automobiles), including loss of use of such property damaged or destroyed;

TO DEFEND, in the name and on behalf of the Assured, all claims or suits for such injuries or damage for which the Assured is, or is alleged to be, liable;

TO PAY all costs and expenses incurred with the Company's written consent;

TO PAY all court costs taxed against the Assured in any such suit; TO PAY all interest accruing upon any judgment in any such suit; TO REPAY to the Assured the expense incurred in providing such immediate surgical relief as is imperative at the time of the accident.

THIS AGREEMENT IS SUBJECT TO THE FOLLOWING

CONDITIONS:

ADDITIONAL A. It is hereby understood and agreed that this ASSURED Policy shall include as additional Assured any person,

firm or corporation, not covered by other insurance against a claim hereunder, who is responsible for the operation of any automobile described in the Declarations and also any person or persons while riding in or legally operating any automobile with the permission of the named Assured or with the permission of an adult member of the Assured's household who is not a chauffeur or domestic servant, except as limited by endorsement attached hereto, provided that this Condition (A) of the Policy shall be null and void as respects any public automobile or any automobile manufacturer's or dealer's risk.

LIMITATION

B. The liability of the Company under this Policy OF LIABILITY is limited as expressed in Item 6 of the Declarations, which limits shall apply to each automobile

covered hereunder.

EXCLUSIONS C. This Policy shall not cover in respect of any automobile: (1) while driven or manipulated in any race or speed test; (2) while driven or manipulated by any person under the age fixed by law or under the age of sixteen years in any event; (3) while being used for towing or propelling any trailer or any vehicle used as a trailer. This Policy does not cover: (a) any liability of the Assured to any employee of the Assured while engaged in the maintenance or use of any automobile; (b) any liability voluntarily assumed by the Assured; (c) any liability imposed by any workmen's compensation law or agreement.

NOTICE AND D. In the event of accident, the Assured shall give SETTLEMENT prompt written notice thereof to the Company, or to one of its duly authorized Agents, and forward to the Company forthwith after receipt thereof every process, pleading or paper of any kind relating to any and all claims, suits or proceedings. The Assured, whenever requested, shall aid in securing information and evidence and the attendance of witnesses and in prosecuting appeals. The Assured shall make no settlement of any claim arising hereunder, nor incur any expense other than for immediate surgical relief, without the written consent of the

Company. The Company shall have the right to settle any claim or suit at its own cost at any time.

CANCELLA-
TION

E. This Policy may be canceled at any time at the request of the Assured, or by the Company, upon written notice to the other party, stating when thereafter cancellation shall become effective, and the date of cancellation shall then be the end of the Policy period. If such cancellation is at the Company's request, the earned premium shall be computed and adjusted pro rata. If such cancellation is at the Assured's request, the earned premium shall be computed and adjusted at short rates, in accordance with the table printed hereon. Notice of cancellation mailed to the address of the Assured as given herein shall be a sufficient notice, and the Company's check, similarly mailed, a sufficient tender of any unearned premium.

SPECIAL
STATUTES

F. If any of the terms or conditions of this Policy conflict with the law of any State in which coverage is granted, such conflicting terms or conditions shall be inoperative in such State in so far as they are in conflict with such law. Any specific statutory provision in force in any State in which coverage is granted shall supersede any condition of this Policy inconsistent therewith.

SUBROGATION G. The Company shall be subrogated in case of any payment under this Policy, to the extent of such payment, to all the Assured's rights of recovery therefor against any party or other entity.

ASSIGNMENT H. No assignment of interest under this Policy shall bind the Company unless its consent shall be

endorsed hereon.

CHANGES

I. No condition or provision of this Policy shall be waived or altered, except by endorsement attached hereto, signed by the President, a Vice-President, Secretary or an Assistant Secretary of the Company, nor shall knowledge possessed by any Agent or by any other person, be held to effect a waiver or change in any part of this contract. Changes in the written portions of the Declarations may be made by the Agent

countersigning this Policy, such changes binding the Company when initialed or signed by such Agent.

BANKRUPTCY J. In the event of the bankruptcy or insolvency of the Assured, the Company shall not be released from the payment of such indemnity hereunder as would have been payable but for such bankruptcy or insolvency. If, because of such bankruptcy or insolvency an execution against the Assured is returned unsatisfied in an action brought by the injured, or by another person claiming by, through or under the injured, then an action may be maintained by the injured, or by such other person against the Company under the terms of this Policy for the amount of the judgment in said action, not exceeding the amount of this Policy.

ACCEPTANCE K. The Assured by the acceptance of this Policy declares the several statements in the Declarations to be true, and this Policy is issued in consideration thereof and of the payment of the premium.

IN WITNESS WHEREOF, the

PANY

COM

has caused this Policy to be

signed by its President and Secretary at

and countersigned by a duly authorized Agent of the Company.

Secretary.

Countersigned;

Agent.

President.

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(Street, town or city and state)

ITEM 3. The Assured's occupation or business is.

ITEM 4. The Policy period shall be .... .months, beginning on 192,... 12.01 A.M., and

the..........day of....

ending on the....

day of.

.192... 12.01

A.M., standard time, at the place where the Policy has been countersigned.

ITEM 5. The automobiles covered by this Policy and the premium charges for same are as follows:

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ITEM 6. The liability of the Company under this Policy is limited

as follows:

(a) ON ACCOUNT OF BODILY INJURIES to one person to
the sum of.....
Dollars ($......) and,
subject to the same limit for each person, for any one

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