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<br />. ~ .~.i.....Y,- ............ . ~ -~ STet 2583097
<br />,.i.,i.,c., ~*,.. i,..... Bond No,
<br />a.t~•1...,{~ ~T~/~ I ;.11.,.1 .V11{Tt i....,..1.,
<br />I f(iL.(M1M .11 YIW .I{111.1„ IY,{M..l. iO.r..lT1.Y
<br />OCYalle3 nllp7a6 .a.,{... V ........ ......... .......
<br />CUA4ANSY EOND !OY 61L!•INSLR INC LOYYAS
<br />l770L' ALL }QN DY 17IISY.PAE SLN':S, That 4• CP 8 i 9raa1 Co norttine
<br />of 225 Canal Scraet. Pueblo. Celora do g100d ___, ar prfaefpal, and pl raaan'a puod
<br />Inau rasa CoeA env a Ca Ii forma Coryera[lon, having an
<br />offte• aad pr lne ipal pieta of bualnera ae 110 VSl !Sam 6crtt t, Nav Yerk, Nrv 7ork 10078,
<br />4 6uracy, are Aeld aad firmly bound unto cha people oL the ltat• o! Colorado for the urn
<br />aad baealit of elaimanu ^oclclad co bua!!ta usda cha Vorkmanh Coapaneofon Aee to r.-
<br />^pDerc to the emplo tea o! acid Prieelpal !a the petal sm a! TBNLE 107.LION ONE NS11tORID
<br />1SIC8SI ONE ILY)USA>~ NU+E2Y 18RYE AND N01100 { 47x161,19].00 ) DOLLIAB, !ot the payaent
<br />of Micn, cha Principal and the ;tiraq bind ri+mtel.ea rerptetl7e.'q, 'avf. ~n•: ~Nprc_~-
<br />hale, abinSacra cots, ereeueers, sate a sore and udgna, leio fly aad seven liy, by there
<br />p rears ca.
<br />V+8173d5, is teeordaae• with the prwtrtona of aaid Wotkrnn'a Companrattes Act of Colerrt:
<br />cha frinelpal has •lacted and been pernttead by cha Industrial CamnLaalon o! CoIotade, c:
<br />oparrte as a ulf-lnaunnee tattler; and
<br />vgDlLAB, !s aoaalderation thereof, and is eoaaidasation o! the aeespeaaea of this Degd,
<br />the lrlaeipal hereby agrees at follwa:
<br />re pay eompmaatloo according to !ha tens and prwSatoaa o! aid Let es !ta
<br />aeQloyeta, of to their dapendsgta vhes death enauee, and to lusalsh awdtcal aid
<br />pu rawest to C. R, S. I977, 9eetlen 8-49-10(1), and co pay funeral etpenaer, a+
<br />provided by raid Aee, and ee pay, perlon and diaeha rgt •ay lawful award aatertd
<br />in regard to aueh tq)urad or killed employees or dependents eE detested tsgloyeea.
<br />And tt Sa la rcher agreed by as td principal aad Survey that any lrvful rva rd
<br />an ce red against raid principal shell 1lkrviaa ba see ep cad a as award age laK
<br />said Surety, aad aotiee to aaid fttnaipal shall b• deemed noetea to the Sur• q.
<br />Aad it !a hrcher agreed by seed Principe! that aaid Seif-Iaauranea pernie is
<br />steep ad sub~eet to authority of uSd IndustrLl Comiaaton o[ Colerade to
<br />prescrtba the twice and regulatloaa, upon which acid pemit shall be granted
<br />or eentlnued, and aub~aee to the full right and autl+erity o! said Co®laafen
<br />to ac any and all ttmae during cha life o! raid permit pttaerLDa sew and
<br />•ddi floss! rules and regale tfona.
<br />And is !a fur that agreed that the Surety dose undertake aad agree chat cha
<br />eblSgatlen o[ thin bond shall toter and extend to all pass liabllfty, aad
<br />further, to dl pnetne ami•eing and potential Iib tiiq e! cha eetd•
<br />Priselpal u a self-Snauur, to th• sxuae of the pond aua hareta nand,
<br />chat Deters while the bond Sa in Lena, .
<br />And !e is particularly undaneoad and agreed that the 1labiltty el aid
<br />Prtnelpal ter any aueh award or eompeasaelon !a net ISnltad to er Dy the
<br />amount et this bond, nor diminished, eurtatlad nor lessened by sgything
<br />ha rein eontalned, and tt la further understood and agraad that th• 6atd Suraq
<br />shall be lSabls to the full penal sum herein mentioned for the default of cha
<br />Triaelpal to fully dtaehargeng any liability on the pace et the Priselpal
<br />eceruing hereunder. Tha liabSlSty hareta imposed shall be Koine and several
<br />u to aad 6etveen aaid prlnelpal and Su»q, and ash aad all of thu. i'ha
<br />word ^Surety" when hersln used, ineludu plural a vdl a aingular,
<br />NW, 1HYALpOR2, it feed Priselpal and Sura 4 shalt perfors er cause to Da performed,
<br />•seh aad every agreement, attpulatlon, tarn and eovemee hen in sae loreh and ce pay
<br />er ceute m b• paid, •11 Nerds amend or mda~yy cha Snduatrial Coeaiatoa of
<br />Colorrde, as provided by thta bond, or under and is ateordasea with the tens, ptov!-
<br />aiona and lfalu cS one of aid Ae t, then this eblfp tion eo ba null and void; orharvi,•
<br />to remain in lull force and •f Gee.
<br />She sucecy shall Aare the right to cancel chic bend at any time by gluing the Prlncti
<br />and the Industrial Co®!aelen of Colerado, 1523 8heeaua ierea e, Eoo~ 520, batter,
<br />Celende 80207, at lust chitty (]0) days prior ne tiu, •ueh eaaediatles hevatar,
<br />Fx-lierr
<br />z
<br />{2 pages)
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