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0 <br />004279 <br />6.2.A. - Page 34 <br />" ' S,1 One Tower Square, Hartford, Connecticut 06183 <br />TRAVELERS CORP. TEL: 1-800-328-2189 <br />OFFICES - NOT OTHERWISE CLASSIFIED(NOC <br />COMMON POLICY DECLARATIONS <br />ISSUE DATE: 05/26/95 <br />POLICY NUMBER: BA -6651W070 -i5 -SEL <br />INSURING COMPANY: <br />THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT <br />1. NAMED INSURED AND MAILING ADDRESS: <br />PAULS OPERATIONS, INC. <br />AND A5 PER CA TS 00 <br />270 ST PAUL ST. <br />SUITE 300 <br />DENVER, CO 80206 <br />2. POLICY PERIOD: From WOOS S to 06/01/IG 12-,01 A , M . Standard Time at <br />your mailing address. <br />3. LOCATIONS <br />Premises Bldg. <br />Loc. No, No. Occupancy Address <br />4. COVERAGE PARTS FORMING PART OF THIS POLICY AND INSURING COMPANIES: <br />COMMERCIAL AUTOMOBILE COV PART DECLARATIONS CA TO 01 02 07 TCT <br />5. NUMBERS OF FORMS AND ENDORSEMENTS <br />FORMING A PART OF THIS POLICY: SEE IL T8 01 10 93 <br />6. SUPPLEMENTAL POLICIES: Each of the following is a separate policy <br />containing its complete provisions: <br />Policy Policy No. Insuring Company <br />7, PREMIUM SUMMARY: <br />Provisional premium $ 8.335 <br />Due at Inception $ 8,335 <br />Due at Each $ <br />NAME AND ADDRESS OF AGENT OR BROKER: COUNTERSIGNED BY: <br />MOODY INS AGCY INC (AS446) <br />8055 E TUFTS AVE STE 1000 <br />DENVER, CO 80237 Authorized Representative <br />DATE: <br />IL TO 02 11 89(REV. 08-07) PAGE 1 OF 1 <br />OFFICE: DENVER <br />