# Document

## Header
- **#4**

## Fields
- **INSURED**
- **POLICY NUMBER**
- **PRODUCER**
- **EFFECTIVE DATE**

## Body
IN CONSIDERATION OF THE PREMIUM CHARGED, IT IS UNDERSTOOD AND AGREED THAT THIS POLICY IS ISSUED IN CONJUNCTION WITH POLICY XLX 186 64 75. THE POLICY PROVISIONS OF THIS POLICY AND XLX 186 64 75. SHALL IN ALL WAYS, INCLUDING LIMITS OF LIABILITY, BE CONSTRUED AS THOUGH ONE SINGLE POLICY HAS BEEN ISSUED EXCEPT, AS RESPECT ITEM 5, PREMIUM, IN WHICH CASE ALONE - THE POLICIES ARE CONSIDERED SEPARATE.

CANCELLATION OF THIS POLICY OR POLICY XLX 186 64 75. SHALL AUTOMATICALLY CANCEL THE OTHER POLICY.

## Footer
- **6/19/87 IB**
- **ONE OF THE FIREMAN'S FUND INSURANCE COMPANIES AS NAMED IN THE POLICY**
- **William H. Holman**
- **PRESIDENT**
- **10-X**
- **COUNTERSIGNATURE OF AUTHORIZED AGENT**
- **180001-1-65**