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Mlofkers' Comueusafian and Employers' Llablllry Polley <br />NG09dlh <br />�lI�1mCI11Gle N�IIIIMMA <br />JOHNSON CONTROLS, INC. <br />5757 N. GREENEAYAUENIIE <br />PoIIcyN,unber - <br />N'VLWAIINEE $911 RUM <br />.PolleyPerWd <br />Symbol: WL& Nurrda.C464B77D4 <br />_ <br />EBertlua0aleofFedam�erll <br />10- DI -2D1 'N 1 - - <br />10 -01 -2011 <br />6BUtC Ov Wameof Wurenmeomoeml <br />ACE AMERICAN 1 @SUHANCE CONP <br />Inea9IM dl wmbal!ie iwrendefoittla lNon�luuiu Wbuuulu�aud o0_�NpG �I'.a midgeGir.uiNisuedvbpPsnl laVw m mlMnftlie I' . <br />WANF;R OP OIIR RIGHT TO ReCOVEA FR0�1 �iHEftS @NOpA5�W9ENT <br />We have fha rlyhf fu leuouar um' payl9eula fYem anyone Ilahle for au injury muered by Vu's policy, We will uof <br />ecfnrce our light agalcst the persou or orgaciiUfiao named is the Sohedule. GIs agreemect applies only io fha <br />exfeuY glaf yuu peHoml workacdarawUteo mNh'acf tl�af requlresyou toah�iuthla �riremeel from us, <br />This apreemeclshall cutoperala diraatly urilid'uesVyio benellta�lyone cotoaroed in (ha Sohadule, <br />Schedule <br />ANY PEBSON OR ORCANI2ATIDN AL`A1NS'l' WUUM YOU AAVE AOAEL71 TO WAIPE YUNt <br />EIGHT 04 RECOVERY IN A ME[ETEN CONTRACT, PROVIDED SUCH CUNTNAC3' WAS <br />8N8CU'l'EU PHLUR TU TNN, pA71i CF IASR. <br />forflee elalas of GA, UT, TX, refer to afale spedfceUdo�semeNfs. <br />This eudoraemect Is cat applicable in KY, Nll, and NJ. <br />hudlo�etlAgenl <br />WC 0003131111061PtdUSA, CopyHglu' 1992- B3 ,IlsllocolCowallooCompenaalioo <br />