**PRODUCER NUMBER:** 170496 * 100  
**DATE OF ISSUE:** 6/24/80  
**RENEWAL OR REPLACEMENT:** NEW

**DECLARATIONS**

**Named Insured:**
- **Address:** 100TH FLOOR-SEARS TOWER, 233 SOUTH WACKER DRIVE, CHICAGO, ILLINOIS 60606
- **Policy Period:** 5/21/80 to 5/21/81

**Producer:**
- **Agent or Broker:** L. W. BIEGLER INC.
- **Office Address:** 100TH FLOOR-SEARS TOWER, 233 SOUTH WACKER DRIVE, CHICAGO, ILLINOIS 60606

**C&F INSURANCE COMPANY**

**Description and Location of Risk**

**Coverage or Conditions:**
- **Amount of Insurance:** $10,000,000. PART OF $50,000,000. ANY ONE OCCURRENCE AND AGGREGATE EXCESS $80,000,000.
- **Premium:** $12,095.00 U.S. FUNDS
- **Premium:** $405.00 CANADIAN FUNDS

**Forms Attached:**
SUBJECT TO THE MANUSCRIPT FORMS ATTACHED HERETO AND MADE A PART HEREOF. ANY PREPRINTED TERMS AND CONDITIONS ARE HEREBY DELETED TO THE EXTENT THAT THEY VARY FROM OR ARE INCONSISTENT WITH THE AFORESAID MANUSCRIPT FORMS.

**This policy is made and accepted subject to the foregoing provisions and conditions and such other provisions, stipulations and agreements as may be added hereto or inserted in the policy.**

**DATE:** 6/24/80