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\W w* '*u November 28, 1950 B3a0r2b0e rB-teBprlirdeg eA reD*r illing Corp., ltd* & &w O ' Burbank, California ? ^ \y Gentlemen: EE WXQ® PACIFIC BAI1B0AD COMPANY Contract Cleaning out water tells, las Vegas, Nevada. Referring further to our letter of 1 0 A 8 / 5 0 with which we enclosed: Pacific Employers Insurance Company Cover Note No. X-*frl5l_____ Lloyd's Cover Note(s) if _______ ~_____ if "*_______ $ ? .?*—--- we are now enclosing the following policies and forms for your attention: PACIFIC EMPLOYEES INSURANCE COMPANY Workmen's Compensation Insurance Policy NO. Contractors' Liability Insurance Policy No. LLOYD'S Certificate(s) # - ______ #____ Payroll Audit Report Forms Accident Report Forms lot covered UP-3358— - ' # For premium calculation purposes, the following reports will be required when the contract work has been completed: 1. Contractual Liability: Contract value (total amount of contract) 2. All Other Coverages: The total labor payroll under the contract divided according to the classification ap­plicable to the work performed. As soon as possible, after the job is finished, please complete the payroll report form showing total remuneration of employees for each classification of work per­formed. The completed forms should then be returned to us. We require two copies. DA Eifnfc losures Mr. J. F. Cox CCj; Mr. V. W. S m i t h / Yours very truly, M & T T & CHANDLER David Ay£e Form 3-3/50