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HomeMy WebLinkAbout6286 - COI_AESCS Inc._1StateFarm • • • STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED OCT 5 2021 z. Ws RI hardson9TX 75085 3925 Addl Insured -Section II Only M-15-2761-FBBC F N 001389 3123 CITY OF BREMERTON 345 6TH ST STE 100 BREMERTON WA 98337-1891 ICI,I�����I�III��I�II�����IIIIII'l�'��II'III�IIII�IJ��I'�'�III'� Businessowners Policy Policy Number 98-CD-W066=6 Policy Period Effective Date Expiration Date 12 Months AUG 5 2021 AUG 5 2022 The policy period begins and ends at 12:01 am standard time atthe premises location. Named Insures! AESCS INC Automatic Renewal If the policy period is shown as 12 months ,this policy will be renewed automatically subjectto the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Entity: Corporation Reason for Declarations: Your policy is amended OCT 5 2021 ADDITIONAL INSURED ADDED PREMIUM ADJUSTMENT FORM CMP-4786 ADDED e �'�1 �✓ Endorsement Premium None Discounts Applied: Renewal Year Years in Business Claim Record Prepared OCT 22 2021 CMP-4000 009693 290 Al N I�iOV 0 1 2021 City of Bremerton Risk Malagement Cc� Copyright, State Fann Mutual Automobile Insurance Company, 20D8 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Continued on Reverse Side of Page Page 1 of 6 ,It ug * As ..� R .. 4 ..�. R •Described Premises 001 I 3472 NW LOWELL SILVERDALE WA 98383-9120 s policy, the Limit of Insurance as Cov A -Inflation Coverage Index: Cov D - Consumer Price Index: Earthquake 10% Equipment Breakdown $1,000 Other deductibles may apply - refer to policy. Prepared OCT 22 2021 CMP-4000 220.2 267.1 $ 124,100 own includes any increase in the limit due to Money and Securities ©Copyright, State Farm Mutual Automohile Insurance Company, 20D8 Includes copyrighted material of Insurance Services Office, hoc., with its permission. 25% n 009693 Continued on Next Page Page 2 of 6 I? u w4wivagivRommagm we •' •i - cif.•.. Elm SECTION I EXTENSIONS OF COVERAGE LIMIT OF INSURANCE EACH DESCRIBED PREMISES The coverages and corresponding limits shownbelow •!ly separately to each described premises shown in these Declarations, unless indicated by "See Schedule," If a coverage does not have a corresponding limit shown below, but has "Included" indicated, please refer to that policy provision for an explanation of that coverage, LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $10,000 Off Premises $5,000 Arson Reward $5,000 Collapse Included Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25% of covered loss Equipment Breakdown Included Fire Department Service Charge $2,500 Fire Extinguisher Systems Recharge Expense $55000 Forgery Or Alteration $105000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Money And Securities (Off Premises) $2,000 Money And Securities (On Premises) $53000 Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property (applies only if this policy provides $100,000 Coverage B -Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A -Buildings) Prepared OCT 22 2021 ©Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 009694 290 Continued on Reverse Side of Page Page 3 of 6 N MIAIDIOW Ordinance Or Law - Equipment Coverage Included Outdoor Property $5,000 Personal Effects (applies only to those premises provided Coverage B -Business $2,500 Personal Property) Personal Property Off Premises $15,000 Pollutant Clean Up And Removal $101000 Preservation Of Property 30 Days Property Of Others (applies only to those premises provided Coverage B -Business $2,500 Personal Property) Signs $2,500 Valuable Papers And Records On Premises $105000 Off Premises $5,000 Water Damage, Other Liquids, Powder Or Molten Material Damage Included Loss Of Income And Extra Expense Coverage L -Business Liability Prepared OCT 22 2021 CMP-4000 Actual Loss Sustained - 12 Months C7 Copyright, State Farrn Mutual Automohile Insurance Company, 7.000 Includes copyrighted material of Insurance Services Office, Inc„ with its permission, $1,000,000 009694 Continued on Next Page Page 4 of 6 Coverage M - Medical Expenses (Any One Person) cimage To Premises Rented To You 0 Products/Completed Operations Aggregate General Aggregate Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements. $10,000 $300,000 $2,000,000 $2,000,000 Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. CMP-4102 Businessowners Coverage Form C1V1P-4786 *Add, Insd Owners Lessee Sched CMP-4787 *Waiver of Trans Rgt of Recov CMP-4247.1 Amendatory Endorsement CMP-4720.1 Earthquake Volcanic Eruption FE-6999.3 Terrorism Insurance Cov Notice CMP-4709 Money and Securities CMP-4705.2 Loss of Income & Extra Expnse CMP-4785 Addl Ins Owners Lessee Blkt CMP1114859 Al Engineer Architect Survey FE-3650 Actual Cash Value Endorsement CMP-4779 Employers Liability CMP-4572 Amendment of Premium Cond CMP-4561 A Policy Endorsement CMP-4870 Addl Insd Primary Non Contrib FD-6007 Inland Marine Attach Dec NOTICE: INFORMATION CONCERNING CHANGES IN YOUR POLICY LANGUAGE IS INCLUDED, PLEASE CALL YOUR AGENT IF YOU HAVE ANY QUESTIONS. * New Form Attached Prepared OCT 22 2021 n Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 htcludes copyrighted material of Insurance Services Office, if with its permission. 009695 290 Continued on Reverse Side of Page Page 5 of 6 N This policy is issued by the State Farm Fire and Casualty Company, Participating Policy Yau are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in accordance with the Company's Articles of Incorporation, as amended. In Witness Whereof, the State Farm Fire and Casualty Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois, Secretary President Prepared OCT 22 2021 CMP-4000 009695 290 N © Copyright, State Farm Mutual Automohile Insurance Company, 20D8 Includes copyrighted material of Insurance Services office, Inc., with its permission, Page 6 of 6 STATE FARM FIRE AND CASUALTY COMPANY _} I STOCK COMPANY WITH HOME OFFICES INBLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATION NI 1 Pp zc koxardson8539f5 75085-3925 R, Named Insured M-15-2761-FBBC F N AESCS INC Policy Period Effective Date Expiration Date 12 Months AUG 5 2021 AUG 5 2022 The policy period begins and ends at 12:01 am standard time atthe premises location. Ail'AChIING INLN® MRIiVE Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subjectto the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Annual Policy Premimn $ 1,540.00 The above Premium Amount is included in the Policy Premium shown on the Declarations. Your policy consists of these Declarations, tine INLAND MARINE CONDITIONS shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequentto the issuance of this policy. Forms, Options, and Endorsements FE-8724 Inland Marine Conditions FE-8744.1 Inland Marine Computer Prop FE-8760 Mobile Equipment Form See Reverse for Schedule Page with Limits Prepared OCT 22 2021 ©Copyright, State Fann Mutual Automobile hisurance Company, 2008 FD-6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 009696 s�o suyo.z o5 ��so�i i�nazaz�i ENDORSEMENT LIMIT OF DEDUCTIBLE NUMBER COVERAGE INSURANCE AMOUNT F&8744.1 Inland Marine Computer Prop S 25 , 0 0 0 $ 500 Loss of Income and Extra Expense $ 25 , 0 0 0 F&8760 Mobile Equipment Form S 144 , 0 0 0 5 1, 0 0 0 Prepared OCT 22 2021 FD-6007 OTWER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY © Copyright, State Fann Mutual Automobile Insurance Company, 2009 Includes copyrighted material of Insurance Services Office, Ina, with its permission. ANNUAL PREMIUM 009696 Sao sus u.z near -zap r�rrazas�r StateFarm 96-CD-W066-6 009697 CMP-4786 .1 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, CMP 786 ADDITIONAL INSURED OWNERS, LESSEES,CONTRACTORS (Scheduled) This endorsement modifies insurance provided under the fallowing: BUSINESSOWNERS COVERAGE FORM SCHEDULE 0 Policy Number: NwMW066-6 �o Named Insured: 49411111 1. SECTION II � WHO IS AN INSURED of SECTION II - LIABILITY is amended to in- clude, as an additional insured, any person or organization shown in the Schedule, but only with respect to liability for "bodily inju- ry", "property damage", or "personal and ad- vertising injury" caused, in whole or in part, by: a. Ongoing Operations (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf; in the performance of your ongoing opera- tions for that additional insured; or CMP-4786 "Your work" performed for that additional insured and included in the "products - completed operations hazard". 2. Any insurance provided to the additional in- sured shall only apply with respect to a claim made or a "suit" brought for damages for which you are provided coverage. 3. Primary Insurance. The insurance afforded the additional insured shall be primary insur- ance. Any insurance carried by the additional insured shall be noncontributory with respect to coverage provided by you. There will be no refund of premium in the event this endorsement is cancelled. All other policy provisions apply. ©, Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 1e6009697 StateF ar 98-WmW066-6 009698 CMP-4787 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY OTHERS TO US This endorsement modifies insurance provided under the following: La BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number: 98-MW066-6 Named Insured: • 11 The following is added to Paragraph 10.b. of SECTION I AND SECTION II � COMMON POLICY CONDITIONS: We waive any right of recovery we may have against the person or organization shown in the Schedule because of payments we make for injury or damage arising out of. a. Your ongoing operations; or b. "Your work" done under contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule. All other policy provisions apply. CMP-4787 ©, Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. a ..� ..i"_ !�"� StateFarm • STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED JAN 25 2022 0 0 0 coo RI ha11ordson9TX 75085-3925 Addl Insured -Section II Only M-15-2761-FBBC F N 001676 3123 CITY OF BREMERTON 345 6TH ST STE 100 BREMERTON WA 98337-1891 IIIIIIIIIII'III'll"IIII11111'lllllll'llll'I'll'll"II'llll'lllll Businessowners Policy Policy Number 98-CD=W066=6 Policy Period Effective Date Expiration Date 12 Months AUG 5 2021 AUG 5 2022 The policy period beggins and ends at 12:01 am standard time atthe premisesiocation. Named Insured AESCS INC RECEIVED FB 2 2 2022 City of Bremerton City Attomey's Office Automatic Renewal If the policy period is shown as 12 months ,this policy will be renewed automatically subjectto the premiums, rules and forms in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Entity: Corporation Reason for Declarations: Your policy is amended JAN 25 2022 ADDITIONAL INSURED ADDED PREMIUM ADJUSTMENT FORM CMP-4786 ADDED Endorsement Premium Discounts Applied: Renewal Year Years in Business Claim Record Prepared FEB 07 2022 CMP-4000 014134 290 Al N None © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Continued on Reverse Side of Page Page 1 of 6 53nfinn n7 115-31-71111 lo1f3281r.1 * A� :noLmgmrni e., 1.M, 11 ILUM4 Location Location of Limit of Insurance* Limit of Insurance* Seasonal Number Described Increase - Premises Coverage A ® Coverage B - Business Buildings Business Personal Personal Property Property 001 3472 NW LOWELL $ 564,200 $ 124,100 25% SILVERDALE WA 98383-9120 of the effective date of this policy, the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage Cov A -Inflation Coverage Index: 220.2 Cov B - Consumer Price Index: 267.1 Deductible $ 110 Earthquake 10% Equipment Breakdown $1,000 Other deductibles may apply - refer to policy. Prepared FEB 07 2022 CMP-4000 Money and Securities © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. $250 011134 Continued on Next Page Page 2 of 6 LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $101000 Off Premises $5,000 Arson Reward $5,000 Collapse Included Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25% of covered loss Equipment Breakdown Included Fire Department Service Charge $2,500 Fire Extinguisher Systems Recharge Expense $5,000 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Money And Securities (Off Premises) $2,000 Money And Securities (On Premises) $59000 Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property (applies only if this policy provides $100,000 Coverage B -Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A -Buildings) Prepared FEB 07 2022 ©Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 014135 290 Continued on Reverse Side of Page Page 3 of 6 N [FOUR 11, rWTI ION* Ordinance Or Law - Equipment Coverage Outdoor Property Personal Effects (applies only to those premises provided Coverage B -Business Personal Property) Personal Property Off Premises Pollutant Clean Up And Removal Preservation Of Property Property Of Others (applies only to those premises provided Coverage B -Business Personal Property) Signs Valuable Papers And Records On Premises Off Premises Water Damage, Other Liquids, Powder Or Molten Material Damage CCU �ITa�rl Loss Of Income And Extra Expense Coverage L -Business Liability Prepared FEB 07 2022 CMP-4000 I�iL.7iR.IRIRI $5,000 $2,500 $15,000 30 Days Included Actual Loss Sustained - 12 Months © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission, '� 111 111 014135 Continued on Next Page Page 4 of 6 am il 1011111 •' M it - f ^' 'i •-: �� er.. Coverage M - Medical Expenses (Any One Person) Nrj Damage To Premises Rented To You MI I�TtTol'.i=Ct.T=1i li � �i1i I � i+' 0 a Products/Completed Operations Aggregate �o General Aggregate Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section 11 - Liability in the Coverage Form and any attached endorsements, $300,000 $2,000,000 $2,000,000 Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. CMP-4102 Businessowners Coverage Form CMP-4786 "Add, Insd Owners Lessee Sched CMP-4787 *Waiver of Trans Rgt of Recov CMP-4247A Amendatory Endorsement CMP-4720.1 Earthquake Volcanic Eruption FE-6999.3 Terrorism Insurance Cov Notice CMP-4709 Money and Securities CMP-4705.2 Loss of Income & Extra Expnse CMP-4785 Addl Ins Owners Lessee Blkt CMP-4859 Al Engineer Architect Survey FE-3650 Actual Cash Value Endorsement CMP-4779 Employers Liability CMP-4572 Amendment of Premium Cond CMP-4561 A Policy Endorsement CMP-4870 Addl Insd Primary Non Contrib FD-6007 Inland Marine Attach Dec NOTICE: INFORMATION CONCERNING CHANGES IN YOUR POLICY LANGUAGE IS INCLUDED, PLEASE CALL YOUR AGENT IF YOU HAVE ANY QUESTIONS. * New Form Attached Prepared FEB 07 2022 � Copyright, State Farm Mutual Automobile Insurance Company, 2008 C1v1P-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 014136 290 Continued on Reverse Side of Page Page 5 of 6 N 0 -�.I�. 41 Mum 1 � This policy is issued by the State Farm Fire and Casualty Company, Participating Policy You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in accordance with the Company's Articles of Incorporation, as amended. In Witness Whereof, the State Farm Fire and Casualty Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois, Secretary President Prepared FEB 07 2022 CfVIP-4000 014136 290 N © Copyright, State Farm Mutual Automobile Insurance Company, 20D8 Includes copyrighted material of hisurance Services Office, Ina, with its permission. Page 6 of 6 TATE FARM D CASUALTY STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS7' Po box 8531 75085-3925 Ric ardson, Harmed Insured AESCS INC LA Y M-15-2761-FBBC F N Policy Period Effective Date Expiration Date 12 Months AUG 5 2021 AUG 5 2022 The poll y period begins and ends at 12:01 am standard time at e premises location, ATTACHING INLAN® trnARIIVE Automatic Renewal - If the policy period is shown as 12 months , this policy will be renewed automatically subjeetto the premiums, rules and forms in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law, Annual Policy Premium $ 1,540.00 The above Premium Amountis included in the Policy Premium shown on the Declarations, four policy consists of these Declarations, file INLAND MARINE CONDITIONS shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequentto the issuance of this policy. Forms, Options, and Endorsements FE-8724 Inland Marine Conditions FE-8744.1 Inland Marine Computer Prop FE-8760 Mobile Equipment Form See Reverse for Schedule Page with Limits Prepared FEB 07 2022 ©Copyright, State Farm Mutual Automobile hisurance Company, 2008 FD-6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 014137 530 606 a.2 e5 31 2ut 1 (olt3232ct IT64016- 0, ENDORSEMENT NUMBER COVERAGE FE-8744.1 Inland Marine Computer Prop Loss of Income and Extra Expense F&8760 Mobile Equipment Form Prepared FE@ 07 2022 FD-6007 014137 LIMIT OF DEDUCTIBLE INSURANCE AMOUNT ��g000 s 500 ps.. v� 25,000 $ 144,000 S 1,000 OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY n Copyright, State Fenn Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission, ANNUAL PREMIUM 5311-556 u2 06 31 2a11 lutf9293c1 STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED APR 11 2022 StateFarm • •„ Wo RI hardson9TX 75085-3925 Addl Insured -Section II Only M-15-2761-1`1313C F N 001617 3123 CITY OF BREMERTON 345 6TH ST STE 100 $REMERTON WA 98337-1891 111111111111,1111Il111I'I1IIII1 V,lllll1l"ll1ll111l1ll1llllll11 Businessowners Policy Policy Number 98=CD=W066=6 Policy Period Effective Date Expiration Date 12 Months AUG 5 2021 AUG 5 2022 The poll y period beggins and ends at 12:01 am standard time at e premises Tocabon. Named Insured AESCS INC ECEIVIED MAY 0 9 2022 Automatic Renewal If the policy period is shown as 12 months ,this policy will be renewed automatically subjectto the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Entity: Corporation Reason for Declarations Endorsement Premium Discounts Applied: Renewal Year Years in Business Claim Record Prepared APR 28 2022 CMP-4000 012380 290 Al N Your policy is amended APR 11 2022 ADDL INSURED INFORMATION CHANGED PREMIUM ADJUSTMENT FORM CMP-4859 CHANGED None © Copyright, State Farm Mutual Automobile Insurance Company, 20D8 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Continued on Reverse Side of Page Page 1 of 6 530fiAfi u2 A5312A11 1o11A231c1 • 0^,ZSTIT1.• t, !"Described Premises 001 I 3472 NW LOWELL SILVERDALE WA 98383-9120 • $ 564,200 $ 124,100 25% * As of the effective date of this policy, the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage. SECTION i - INFLATION COVERAGE IN®EX(ES) Cov A -Inflation Coverage Index: 220.2 Cov B - Consumer Price Index: 267.1 Mil VOOMMM I On MOM Earthquake 10% Equipment Breakdown $1,000 Other deductibles may apply - refer to policy. Prepared APR 28 2022 CMP-4000 Money and Securities © Copyright, State Farm Mutual Automohile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. $250 ol2380 Continued on Next Page Page 2 of 6 99-WTUMAV00IMM90 1 ON .iffm W11• •; 1 1. � � A Accounts Receivable On Premises Off Premises Arson Reward Collapse Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Debris Removal Equipment Breakdown Fire Department Service Charge Fire Extinguisher Systems Recharge Expense Forgery Or Alteration Glass Expenses Increased Cost Of Construction And Demolition Costs (applies only when buildings are insured on a replacement cost basis) Money And Securities (Off Premises) Money And Securities (On Premises) Money Orders And Counterfeit Money Newly Acquired Business Personal Property (applies only if this policy provides Coverage B -Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides Coverage A -Buildings) Prepared APR 28 2022 CMP-4000 © Copyright, State Farm Mutual Automobile hisurance Company, 2008 hicludes copyrighted material of Insurance Services Office, Inc., with its permission. EVA $10,000 $5,)00 $5,000 Included Coverage B Limit 25% of covered loss Included $2,500 $5,000 $101000 Included 10% $2,000 $5,000 $1,000 $1001000 $250,000 012381 290 Continued on Reverse Side of Page Page 3 of 6 N R • M x, 1 E Policy !* + Ordinance Or Law - Equipment Coverage Outdoor Property Personal Effects (applies only to those premises provided Coverage B - Business Personal Property) Personal Property Off Premises Pollutant Clean Up And Removal Preservation Of Property Property Of Others (applies only to those premises provided Coverage B -Business Personal Property) Signs Valuable Papers And Records On Premises Off Premises Water Damage, Other Liquids, Powder Or Molten Material Damage Loss Of Income And Extra Expense Coverage L -Business Liability Prepared APR 23 2022 CMP-4000 Included $5,000 $2,500 $15,000 $10,000 30 Days '11 '1 111 4 111 Included Actual Loss Sustained d 12 Months O Copyright, state Farm Mutual Automobile Insurance Company, 2DD8 Includes copyrighted material of Insurance Services Office, Inc., with its permission. '1 111 111 012381 Continued on Next Page Page 4 of 6 Coverage M - Medical Expenses (Any One Person) Equ Damage To Premises Rented To You 0 a Products/Completed Operations Aggregate General Aggregate Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements. $10,000 $300,000 i 1i $2,000,000 $2,000,000 Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. CMP-4102 Businessowners Coverage Form CMP-4859 Al Engineer Architect Survey CMP-4787 *Waiver of Trans Rgt of Recov CMP-4247.1 Amendatory Endorsement CMP-4720.1 Earthquake Volcanic Eruption FE-6999.3 Terrorism Insurance Cov Notice CMP-4709 Money and Securities CMP-4705.2 Loss of Income & Extra Expnse CMP-4785 Addl Ins Owners Lessee Blkt CMP-4786 Addl Insd Owners Lessee Sched FE-3650 Actual Cash Value Endorsement CMP-4779 Employers Liability CMP-4572 Amendment of Premium Cond CMP-4561.1 Policy Endorsement CMP-4870 Addl Insd Primary Non Contrib FD-6007 Inland Marine Attach Dec NOTICE: INFORMATION CONCERNING CHANGES IN YOUR POLICY LANGUAGE IS INCLUDED, PLEASE CALL YOUR AGENT IF YOU HAVE ANY QUESTIONS. * New Form Attached Prepared APR 28 2022 O Copyright, State Fann Mutual Automobile Insurance Company, 2Do8 CMP-4000 hicludes copyrighted material of Insurance Services Office, Inc., with its permission. 012382 290 Continued on Reverse Side of Page Page 5 of 6 N I�494 111111111 0 *Folicy Number« 1:6 this policy is issued by the State Farm Fire and Casualty Company. Participating Policy You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in accordance with the Company's Articles of Incorporation, as amended, In Witness Whereof, the State Farm Fire and Casualty Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois, Secretary President Prepared APR 28 2022 CMP-4000 012382 290 N ©Copyright, State Farm Mutual Autornohile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, hic., with its permission, Page 6 of 6 STATE FARM FIRE AND CASUALTY COMPANY COMPANYA STOCK • OFFICES IN BLOOMINGTON,I kMARINE ATTACHING DECLARATIONS] Pp Poc Soxardson8589 fk5 75085�3925 , Named Insured M-15-2761-FBBC F N AESCS INC Policy Numbor 98wCDmW066-6 Policy Poriod Effectivo Dato Euiration Date 12 Months AUG 5 2021 AUG 5 2022 The policy period begins and ends at 12:01 am standard time atthe premises location. �,i°TCFiING INLAN® iVIIN Automatic Ronewal - If the policy poriod is shown as 12 mouths, this policy will be renewed automatically subjectto the premiums, rules and forms in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lien holder written notice in compliance with the policy provisions or as required by law. Annual Policy Premium $ 1,540.00 The above Premium Amount is included in the Policy Premium shown on the Declarations. Your policy consists of these Declarations, the INLAND MARINE CONDITIONS shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequentto the issuance of this policy. Forms, Options, and Endorsomonts FE-8724 Inland Marine Conditions FE-8744.1 Inland Marine Computer Prop FE-8760 Mobile Equipment Form See Reverse for Schedule Page with Limits Prepared APR 28 2022 ©Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD-6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 012383 530 6�n.'l e531-2011 lott3232c1 l �iI !, RIII I j 434 ENDORSEMENT NUMBER COVERAGE FE-8744.1 Inland Marine Computer Prop Loss of Income and Extra Expense F&8760 Mobile Equipment Form Prepared APR 28 2022 FD-6007 012383 LIMIT OF DEDUCTIBLE INSURANCE AMOUNT � 25,000 5 500 S 25,000 144,000 $ 1000 OTWER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. ANNUAL PREMIUM eau-soo�.� a5-aizo>> rouazaa�� StateFarm • • STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS RENEWAL DECLARATIONS Po 9Oxr8539n?�5k Ric adso, 75085-3925 Addl Insured -Section II Only ATE 003000 3125M-15-2761-FBBC F N CITY OF BREMERTON 345 6TH ST STE 100 BREMERTON WA 98337-1891 I"�IIII�I�I���I�II�IIII�I��IIII�III�II�l�llll�ll�lll��ll���'�I�I Businessowners Policy Policy Number 98=CD-W066-6 Policy Period Effective Date Expiration Date 12 Months AUG 5 2022 AUG 5 2023 The poll y period be4gins and ends at 12:01 am standard time at�ie premises Tocation. Named Insured AESCS INC RECEIVED JUN 21 2022 City of Bremerton frisk Management Automatic Renewal If the policy period is shown as 12 months ,this policy will be renewed automatically subjectto the premiums, rules and forms in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Entity: Corporation NOTICE: Information concerning changes in your policy language is included. Please call your agent if you have any questions. POLICY PREMIUM Discounts Applied: Renewal Year Years in Business Claim Record Prepared JUN 13 2022 CMP-4000 018488 294 Al N $ 4,850.00 © Copyright, State Farm Mutual Automohile h�surance Company, 2008 Includes copyrighted material of Insurance Services Office, h1c., with its permission. Continued on Reverse Side of Page Page 1 of 6 530-ti0ti o.2 05 31 2011 lo1f3231c1 kAll,f5w.- !IN 9 ®01 * As of the ! " ! M•^ �0 - r It 3472 NW LOWELL SILVERDALE WA 98383-9120 cy, the Cov A -Inflation Coverage Index: Cov R - Consumer Price Index: �CiI®N 1®�®l1CiI�LE� Basic Deductible $13000 nsurance as s 239.E 289.1 $ 614,100 includes any increase $ 134,300 t due Earthquake 10% Money and Securities $250 Equipment Breakdown $1,000 Other deductibles may apply - refer to policy. Prepared JUN 13 2022 CMP-4000 O Copyright, State Farm Mutual Automobile Insurance Company, 2UU6 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 25% age. ot3488 Continued on Next Page Page 2 of 6 u� W i 4 * i i w `� " 0 . :no•. i s R l e s EXTENSIONSSECTION I OF • 'AGE LIMIT OF INSURANCE EACH: PREMIqE The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations, i. .••. by .,+ ••..le." If a coverage • i.._ not .a corresponding limit shownbelow, but • " indicated, please refer ti that policyprovision fi i ♦ of i • LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $10,000 Off Premises $59000 Arson Reward $5,000 Collapse Included Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25% of covered loss Equipment Breakdown Included Fire Department Service Charge $2,500 Fire Extinguisher Systems Recharge Expense $5,000 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Money And Securities (Off Premises) $2,000 Money And Securities (On Premises) $55000 Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property (applies only if this policy provides $1009000 Coverage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $2505000 Coverage A -Buildings) Prepared JUN 13 2022 c� Copyright, State Farm Mutual Automobile Insurance Company, loon CIv1P-4000 Includes copyrighted material of hisurance Services Office, Inc., with its permission, 018489 294 Continued on Reverse Side of Page Page 3 of 6 N III NOW r.K 4 M�15MVIMMI.00PL11,111041Ma Ordinance Or Law - Equipment Coverage Outdoor Property Personal Effects (applies only to those premises provided Coverage B -Business Personal Property) Personal Property Off Premises Pollutant Clean Up And Removal Preservation Of Property Property Of Others (applies only to those premises provided Coverage B - Business Personal Property) Signs Valuable Papers And Records On Premises Off Premises Water Damage, Other Liquids, Powder Or Molten Material Damage Loss Of Income And Extra Expense 4 Coverage L -Business Liability Prepared JUN 13 2022 CMP-4000 Included $5,000 $2,500 $15,000 $1 o,onn 30 Days $2,500 $2,500 $1 o,aon $5,000 Included Ackual Loss Sustained - 12 Months © Copyright, State Farm Mutual Automobile Insurance Company, 20D8 Includes copyrighted material of Insurance Services Office, Inc., with its permission. $1,000,000 oi8489 Continued on Next Page Page 4 of 6 +. *" • MEEEH= Coverage M - Medical Expenses (Any One Person) �y Damage To Premises Rented To You a AGGREGATE LIMITS 0 Products/Completed Operations Aggregate General Aggregate Each paid claim far Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements. $10,000 $300,000 $2,000,000 $2,000,000 Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. CMP-4102 FE-6999.3 CMP-4247.1 CMP-4720.1 CMP-4787 CMP-4,709 CMP-4705.2 CMP-4785 CMP-4786 CMP-4859 FE-3650 CMP-4779 CMP-4572 CMP-4561.1 CMP-4870 FD-6007 Prepared JUN 13 2022 CMP-4000 Businessowners Coverage Form *Terrorism Insurance Cov Notice Amendatory Endorsement Earthquake Volcanic Eruption Waiver of Trans Rgt of Recov Money and Securities Loss of Income & Extra Expnse Addl Ins Owners Lessee Blkt Addl Insd Owners Lessee Sched Al Engineer Architect Survey Actual Cash Value Endorsement Employers Liability Amendment of Premium Cond Policy Endorsement Addl Insd Primary Non Contrib Inland Marine Attach Dec * New Form Attached © Copyright, State Farm Mutual Automohile h�surance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 018490 294 Continued on Reverse Side of Page Page 5 of 6 N i*ollicy Number98mCD=W066m6 This policy is issued by the State Farm Fire and Casualty Company. Participating Policy You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in accordance with the Company's Articles of Incorporation, as amended. In Witness Whereof, the State Farm Fire and Casualty Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois. A Secretary President fV�TICE i� P�LICYii()L�ER: For a comprehensive description of coverages and forms, please refer to your policy. Policy changes requested before the "Date Prepared", which appear on this notice, are effective an the Renewal Date of this policy unless otherwise indicated by a separate endorsement, binder, or amended declarations. Any coverage forms attached to this notice are also effective on the Renewal Date of this policy. Policy changes requested after the "Date Prepared" will be sent to you as an amended declarations or as an endorsement to your policy. Billing for any additional premium for such changes will be mailed at a later date. If, during the past year, you've acquired any valuable property items, made any improve merits to insured property, or have any questions about your insurance coverage, contact your State Farm agent. Please keep this with your policy. Prepared JUN 13 2022 CMP-4000 018490 294 N © Copyright, State Farm Mutual Automobile Insurance Company, 20b6 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Staeatrt STATE FARM FIRE AND CASUALTY COMPANY A SB8TOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS RIC hard8on 9f 75085 3925 Named Insured M-15-2761-FBBC F N AESCS INC AND MARINE ATTACHING .._. DECLARATIONS Policy period Effoctivo Dato Expi ation Dato 12 Months AUG 5 2022 AU 52023 The poly period begins and ends at 12:01 am standard time at le premises location. Automatic Renowal If the policy poriod is shown as 12 months , this policy will be renewed automatically subjectto the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Annual Policy Pr®mium $ 1,540.00 The above Premium Amountis included in the Policy Premium shown on the Declarations. Your policy consists of these Declarations, the INLAND MARINE CONDITIONS shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequentto the issuance of this policy. Forms, Options, and Endorsemonts FE-8724 Inland Marine Conditions FE-8744.1 Inland Marine Computer Prop FE-8760 Mobile Equipment Form See Reverse for Schedule Page with Limits Prepared JUN 13 2022 Cc� Copyright, State Farm Mutual Automobile Insurance Company, 200g FD-6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 018491 630-GU6 ¢.2 IIG912011 (otr3252c1 ATTACHING INLAND MARINE ENDORSEMENT LIMIT OF DEDUCTIBLE NUMBER COVERAGE INSURANCE AMOUNT FE-8744.1 Inland Marine Computer Prop S 25,000 500 Loss of Income and Extra Expense 2 5 , 0 0 0 FEw8760 Mobile Equipment Form 5 144,000 S 1, 0 0 0 Prepared JUN 13 2022 FD-6007 OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY © Copyright, State Farm Mutual Automobile hisurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc„ with its permission. ANNUAL PREMIUM I luded 00 018491 530-1ii16 a.2 6!i 31 21111 Iolt323 5tateFarm • • • STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED JUL 26 2022 Policy Number 98-CD-W066-6 RU NOrx0on 9TX 75085-3925 Addl Insured -Section II Only 001265 3123 CITY OF BREMERTON 345 6TH ST STE 100 BREMERTON WA 98337- Businessowners Policy 1891 M-15-2761-FBBC F N Policy Period Effective Date Expiration Date 12 Months AUG 5 2022 AUG 5 2023 The poll y period begins and ends at 12:01 am standard time at e premises locabon. Named Insured AESCS INC RECEIVED AUG 2 3 2022 City of Bremerton City Attorney's Office Automatic Renewal If the policy period is shown as 12 months ,this policy will be renewed automatically subjectto the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lien holder written notice in compliance with the policy provisions or as required by law. Entity: Corporation Reason for Declarations: Your policy is amended JUL 26 2022 ADDL INSURED INFORMATION CHANGED PREMIUM ADJUSTMENT FORM CMP4786 CHANGED Endorsement Premium Discounts Applied: Renewal Year Years in Business Claim Record Prepared AUG 12 2022 CMP-4000 010972 290 Al N Other items shown are effective with the policy's 2022 renewal None O Copyright, State Farm Mutual Automohile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Continued on Reverse Side of Page Page 1 of 6 530-ti06 u.2 a5 31 21111 loif3231c1 "4 i' _• 1! , 1 •, i a " " iDescribed Promises 001 I 3472 NW LOWELL SILVERDALE WA 9838M120 Coverage X Coverage B Buildings Business .. Property As of the effective date of #his policy, the Limit of Insurance as shown includes any increase in the limit due to Inflation Cov�ra�a. SECTION I - INFLATION COVERAGE INDEMES) Cov A -Inflation Coverage Index: Cov B - Consumer Price Index: 239.6 289.1 Basic Deductible �Jwf Earthquake 10% Equipment Breakdown $1,000 Other deductibles may apply - refer to policy. Prepared AUG 12 2022 CMP-4000 Money and Securities © Copyright, State Farm Mutual Automobile Insurance Company, 20oU Includes copyrighted material of Insurance Services Office, Inc., with its permission. $250 010972 Continued on Next Page Page 2 of 6 I N Declarations, unless indicated by "See Schedule." It a coverage does not have a corresponding limit shown below, but has "Included" indicated, please refer to that policy provision for an explanation of that coverage. LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $10,000 Off Premises $5,000 Arson Reward $5,000 Collapse Included Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25% of covered loss Equipment Breakdown Included Fire Department Service Charge $2,500 Fire Extinguisher Systems Recharge Expense $55000 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Money And Securities (Off Premises) $29000 Money And Securities (On Premises) $5,000 Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property (applies only if this policy provides $100,000 Coverage B -Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A -Buildings) Prepared AUG 12 2022 n Copyright, State Farm Mutual Automnhile Insurance Company, 200g CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 010973 290 Continued on Reverse Side of Page Page 3 of 6 N .. �:101 MWilk Fill Til4^ RUM I 1 0 Ordinance Or Law - Equipment Coverage Outdoor Property Personal Effects (applies only to those premises provided Coverage B - Burin" Personal Property) Personal Property Off Premises Pollutant Clean Up And Removal Preservation Of Property Property Of Others (applies only to those premises provided Coverage ( - Busi�f�sss Personal Property) Signs Valuable Papers And Records On Premises Off Premises Water Damage, Other Liquids, Powder Or Molten Material Damage Loss Of Income And Extra Expense Coverage L -Business Liability Prepared AUG 12 2022 CMP-4000 ,11101 . � Included $5,000 $2,500 $15,000 $10,000 30 Days $2,500 $2,500 $10,000 $5,000 Included Actual Loss Sustained - 12 Months © Copyright, State Farm Mutual Automobile Insip����r.,�� G4nipany, �008 Inrhides copyrighted material of hisurance Services Oiijr,�� Inu., uul�'h its permission. $1,000,000 010973 Continued on Next Page Page 4 of 6 Coverage M - Medical Expenses (Any One Person) Damage To Premises Rented To You , 0 Products/Completed Operations Aggregate a �o General Aggregate Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period, Please refer to Section II - Liability in the Coverage Form and any attached endorsements. $300,000 $2,000,000 Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. CMP-4102 Businessowners Coverage Form CMP-4786 *Addl Insd Owners Lessee Sched CMP-4247.1 Amendatory Endorsement CMP-4720.1 Earthquake Volcanic Eruption FE-6999.3 Terrorism Insurance Cov Notice CMP4787 Waiver of Trans Rgt of Recov CMP-4709 Money and Securities CMP-4705.2 Loss of Income & Extra Expnse CMP4785 Addl Ins Owners Lessee Blkt CMP-4859 Al Engineer Architect Survey FE-3650 Actual Cash Value Endorsement CMP-4779 Employers Liability CMP-4572 Amendment of Premium Cond CMP-4561.1 Policy Endorsement CMP-4870 Addl Insd Primary Non Contrib CMP-4860 Al Design Person Org FD-6007 Inland Marine Attach Dec * New Form Attached Prepared AUG 12 2022 ©Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 010974 290 Continued on Reverse Side of Page Page 5 of 6 N a,QMM'Tlii This policy is issued by the Mate Farm Fire and Casualty Company. Participating Palicy You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors Ir7 accordance with the Company's Articles of Incorporation, as amended, In Witness Whereof, the State Farm Fire and Casualty Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois, *"tto A � Secretary President Prepared AUG 12 2022 CMP-4000 010974 290 N © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 6 of 6 STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING, DECLARATION Pp b8535 Ric ardsooxn,9f75085-3925 Named Insured M-15-2761-FBBC F N AESCS INC Policy Period Effective Date Expiration Date 12 Months AUG 5 2022 AUG 5 2023 The poly period begins and ends at 12:01 am standard time at le premises locabon. Automatic Renewal If the policy period is shown as 12 months ,this policy will be renewed automatically subjectto the premiums, rules and forms in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Annual Policy Premium $ 1,540.00 The above Premium Amount is included in the Policy Premium shown on the declarations. Your policy consists of these Declarations, the INLAND MARINE CONDITIONS shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequentto the issuance of this policy. Forms, Options, and Endors®menu FE-8724 Inland Marine Conditions FE-8744.1 Inland Marine Computer Prop FE-8760 Mobile Equipment Form See Reverse for Schedule Page with Limits Prepared AUG 12 2022 � Copyright, State Farm Mutual Automobile Insurance Company, 20os FD-6007 hicludes copyrighted material of Insurance Services Office, Inc., with its permission. 010975 sas sus u.z us ai zuii i�uuzaz�i ENDORSEMENT NUMBER COVERAGE FE-8744.1 Inland Marine computer Prop Loss of Income and Extra Expense FE-8760 Mobile Equipment Form Prepared AUG 12 2022 Fo-6007 010975 LIMIT O� INSURANCI S 2 ,t1tf1 $ 2D�Oi0 S 144,000 DEDUCTIBLE ANNUAL AMOUNT PREMIUM $ 500 Included Included s 1,000 s 1,540<00 OTWER LIMITS AND EXCLUSIONS MAY APPLY - RI L�F� 1 O YOUR POLICY © Copyright, State Farm Mutual Automobile h�sAlraltc� Gpir�laany, 7.008 Includes copyrighted material of Insurance Services Dfficg, Ins•, uv1Ph its permission. 530 aaa a.2 U5 31-2U11 (oll3'L'Jacl o IN STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED JUN 17 2022 0 0 0 0 0 �s RQ ha d on 9TX 75085-3925 Addl Insured -Section II Only M-15-2761-FBBC F N 001356 3123 CITY OF BREMERTON 345 6TH ST STE 100 BREMERTON WA 98337-1891 InIIrI�I��INII�II��II��IuI��III��rl�lll�nllllnlllllllll��l� Businessowners Policy Policy Number 98=CD-W066-6 Pollcy Period Effective Date Expiration Date 12 Months AUG 5 2022 AUG 5 2023 The poly period begins and ends at 12:01 am standard time at le premises location. Named Insured AESCS INC RE CEIVE® AUG - 2 Z022 City of Bremerton Risk Management Automatic Renewal If the policy period is shown as 12 months ,this policy will be renewed automatically subjectto the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Entity: Corporation Reason for Declarations: Your policy is amended JUN 17 2022 ADDITIONAL INSURED ADDED FORM CMP-4860 ADDED Endorsement Premium Discounts Applied: Renewal Year Years in Business Claim Record Prepared JUL 13 2022 CMP-4000 010912 290 Al N Other items shown are effective with the policy's 2022 renewal None O Copyright, State Farm Muriral Automobile hisurance Company, 2DD8 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Continued on Reverse Side of Page Page 1 of 6 San-nnr �� � n, aranit tr,uaaat,:r Location Location of Limit of Insurance* Limit of Insurance* Seasonal Number Described Increase - premises Coverage A ® Covers a Business Buildings Business ersonal Personal Property Property 001 3472 NW LOWELL $ 614,100 $ 134,300 25% SILVERDALE WA 98383-9120 of the effective date of this policy, the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage Cov A -Inflation Coverage Index: 239.E Cov R - Consumer Price Index: 289.i 090 Earthquake 10% Equipment Breakdown $1,000 Other deductibles may apply _ refer to policy. Prepared JUL 13 2022 C1v11`4000 Money and Securities O Copyright, State Farm Mutual Automobile Insurance Company, 2D08 Includes copyrighted material of Insurance Services Office, Inc., with its permission. $250 010912 Continued on Next Page Page 2 of 6 Ct j �Niilri I W1,1111111• 0 Declarations, unless indicated by "See Schedule," If a coverage does not have a corresponding limit shown below, but has "Included" Indicated, please refer to that policy provision for an explanation of that coverage, LIMIT • COVERAGE b Accounts Receivable On Premises $10,000 Off Premises $59000 Arson Reward $5,000 Collapse Included Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25% of covered loss Equipment Breakdown Included Fire Department Service Charge $2,500 Fire Extinguisher Systems Recharge Expense $55000 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Money And Securities (Off Premises) $2,000 Money And Securities (On Premises) $55000 Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property (applies only if this policy provides $100,000 Coverage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A -Buildings) Prepared JUL 13 2022 ©Copyright, State Farm Mutual Automohile Insurance Company, 2Do8 CMP-4000 hicludes copyrighted material of Insurance Services Office, Ina, with its permission. 010913 290 Continued on Reverse Side of Page Page 3 of 6 N kRWI �;11117 WIffill M11 0k 1«. Ordinance Or Law - Equipment Coverage Outdoor Property Personal Effects (applies only to those premises provided Coverage B -Business Personal Property) Personal Property Off Premises Pollutant Clean Up And Removal Preservation Of Property Property Of Others (applies only to those premises provided Coverage B -Business Personal Property) Signs Valuable Papers And Records On Premises Off Premises Water Damage, Otlier Liquids, Powder Or Molten Material Damage ! A . Mill I Loss Of Income And Extra Expense Coverage L -Business Liability Prepared JUL 13 2022 CIV1P-4000 Included $5,000 $2,500 $15,000 $10,000 30 Days $2,500 $2,500 $10,000 $5,000 Included r Aotual Loss Sustained - 12 Months © Copyright, State Farm Mutual Automobile hisurance Company, 20D8 Includes copyrighted material of Insurance Services Office, h�a„ with its permission. M $1,000,000 010913 Continued on Next Page Page 4 of 6 ti 4 i •` t iN Coverage M - Medical Expenses (Any One Person) $10,000 Damage To Premises Rented To You $300,000 LIMIT OF AGGREGATE LIMITS INSURANCE Products/Completed Operations Aggregate $2,000,000 a �o General Aggregate $2,0005000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations, the BUSINESSOWNER5 COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the I ssuance of this policy. CMP-4102 Businessowners Coverage Form CMP-4860 Al Design Person Org CMP-4787 *Waiver of Trans Rgt of Recov CMP-4247.1 Amendatory Endorsement CMP-4720.1 Earthquake Volcanic Eruption FE-6999.3 Terrorism Insurance Cov Notice CMP-4709 Money and Securities CMP-4705.2 Loss of Income & Extra Expnse CMP-4785 Addl Ins Owners Lessee Blkt CMP-4786 Addl Insd Owners Lessee Sched CMP-4859 Al Engineer Architect Survey FE-3650 Actual Cash Value Endorsement CMP-4779 Employers Liability CMP-4572 Amendment of Premium Cond CMP-4561 A Policy Endorsement CMP-4870 Addl Insd Primary Non Contrib FD-6007 Inland Marine Attach Dec NOTICE: INFORMATION CONCERNING CHANGES IN YOUR POLICY LANGUAGE IS INCLUDED, PLEASE CALL YOUR AGENT IF YOU HAVE ANY QUESTIONS. * New Form Attached Prepared JUL 13 2022 � Copyright, State Faun Mutual Automohile Insurance Company, 2008 C1vIP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 010914 290 Continued on Reverse Side of Page Page 5 of 6 N F Mi This policy is issued by the State Farm Fire and Casualty Company. Participating Policy You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in accordance with the Company's Articles of Incorporation, as amended. In Witness Whereof, the State Farm Fire and Casualty Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois. Secretary President Prepared JUL 13 2022 cnnP-4000 010914 290 N © Copyright, State Fann Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its pennissivn. Page 6 of 6 STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS Ri hardson 9TX 75085 3925 Named Insured M-15-2761-17BBC F N AESCS INC Policy Period Effective Date Expiration Date 12 Months AUG 5 2022 AUG 5 2023 The poll y period be ills and ends at 12:01 am standard time atticie premises Tocation. iiACHING INLAN® IIAARINE Automatic Renewal If the policy period is shown as 12 months , this policy will be renewed automatically subject to the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Annual Policy Premiwn $ 1,540.00 The above Premium Amount is included in the Policy Premium shown on the Qeclarations. Your policy consists of these Declarations, the INLAND MARINE CONDITIONS shown below, and any other forms and endorsemrvnts that apply, including those shown below as well as those issued subsequentto the issuance of this policy. Forms, Options, and Endorsements FE-8724 Inland Marine Conditions FE-8744.1 Inland Marine Computer Prop FE-8760 Mobile Equipment Form See Reverse for Schedule Page witi� Limits Prepared JUL 13 2022 t7 Copyright, State Fans Mutual Automobile Insurance Company, 20D8 FD46007 hlcludas copyrighted material of Insurance Services Office, Inc„ with its permission. 010915 5;10-(i0ti U.2 05312U11 lu1f3232c1 ENDORSEMENT LIMIT OF DEDUCTIBLE ANNUAL NUMBER COVERAGE INSURANCE AMOUNT PREMIUM FE-8744.1 Inland Marine Computer Prop 2 5, Loss of Income and Extra Expense 5 2 5, 0 0 0 Included FE-8760 Mobile Equipment Form S 14 4, 0 0 0 S 1, 0 0 0 5 1, , 54 0 0 0 0 OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY Prepared JUL 13 2022 ©Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD-6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 010915 531166fia1 U9-31Ygil Io118P:�3cl StateFarm STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED AUG 5 2022 M Rl hard8on9TX 75085 3925 Addl Insured -Section II Only M-15-27614F13130 F N 001899 3123 CITY OF BREMERTON 345 6TH ST STE 100 BREMERTON WA 98337-1891 I III I I I I I' 1' l l l l l l l l l 111111111111111' l l 11 l' l l 1 l 11 l l l 111 l l' I I I III, Policy Number 98-CD-W066-6 Policy Period Effective Date Expiration Date 12 Months AUG 5 2022 AUG 5 2023 The poli y period begins and ends at 12:01 am standard time att�ie premises location, �1LVEIVEDA"E ed CS INC insured AUU 3 0 2U2e City of Bremerton Risk Management Businessowners Policy Automatic Renewal - If the policy period is shown as 12 months , this policy will be renewed automatically subject to the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Entity: Corporation Reason for Declarations: Your policy is amended AUG 5 2022 ADDITIONAL INSURED ADDED PREMIUM ADJUSTMENT FORM CMP4786 ADDED Endorsement Premium None Discounts Applied: Renewal Year Years in Business Claim Record Prepared AUG 16 2022 ©Copyright, State Farm Mutual Automobile Insurance Company, 2008 C1V1P-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 013292 290 Al Continued on Reverse Side of Page N Page 1 of 6 53U 6UU a.2 U5-31 2U11 (0113231c1 0 _ ti k AS Location Location of Limit of Insurance* Limit of Insurance Number Described Premises Coverage A m Coverage B Buildings Business Personal Property 001 3472 NW LOWELL $ 614,100 $ 134,300 SILVERDALE WA 9838M120 �f the effective date of this policy, the Limit of Insurance as shown includes any increase in the limit due to Cov A -Inflation Coverage Index: Cov B - Consumer Price Index: 239.E 289.1 n 25% M , e - '90 i1i Earthquake 10% Equipment Breakdown $1,000 Other deductibles may apply - refer to policy. Prepared AUG 16 2022 CMP-4000 Money and Securities © Copyright, State Fans Mutual Automohile Insurance Company, 2DDU Includes copyrighted material of Insurance Services Office, Inc., with its permission. $250 013292 Continued on Next Page Page 2 of 6 in i • •. • • i.` i " �'• LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $103000 Off Premises $59000 Arson Reward $5,000 Collapse Included Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Coverage B L.imit Debris Removal 25% of covered loss Equipment Breakdown Included Fire Department Service Charge $2,500 Fire Extinguisher Systems Recharge Expense $5,000 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Money And Securities (Off Premises) $29000 Money And Securities (On Premises) $5,000 Money Orders And Counterfeit Money $15000 Newly Acquired Business Personal Property (applies only if this policy provides $1005000 Coverage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A -Buildings) Prepared AUG 16 2022 � Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services 0ffice1 Inc., with its permission, 013293 290 Continued on Reverse Side of Page Page 3 of 6 N Ordinance Or Law - Equipment Coverage Outdoor Property Personal Effects (applies only to those premises provided Coverage B -Business Personal Property) Personal Property Off Premises Pollutant Clean Up And Removal Preservation Of Property Property Of Others (applies only to those premises provided Coverage B -Business Personal Property) Signs Valuable Papers And Retards On Premises Off Premises Water Damage, Other Liquids, Powder Or Molten Material Damage Loss Of Income And Extra Expense C Coverage L -Business Liability Prepared AUG 16 2022 CMP-4000 Included $5,000 $2,500 $15,000 $10,000 30 Days $2,500 Included Actual Loss Sustained - � 2 Months O Copyright, State Farm Mutual Automobile Insurance Company, �D08 Inrludes copyrighted material of Insurance Services Office, Inc., with its permission. $1,000,000 013293 Continued on Next Page Page 4 of 6 •'ROINEEjff Coverage M Medical Expenses (Any One Person) $10,000 e= Damage To Premises Rented To You $300,000 LIMIT OF AGGREGATE LIMITS INSURANCE 0 a Products/Completed Operations Aggregate $2,000,000 �a General Aggregate $2,000,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. CMP-4102 Businessowners Coverage Form CMP-4786 *Add, Insd Owners Lessee Sched CMP-4787 Waiver of Trans Rgt of Recov CMP4247.1 Amendatory Endorsement CMP4720.1 Earthquake Volcanic Eruption FE-6999.3 Terrorism Insurance Cov Notice CMP4709 Money and Securities CMP-4705.2 Loss of Income & Extra Expnse CMP-4785 Addl Ins Owners Lessee Blkt CMP-4859 Al Engineer Architect Survey FE-3650 Actual Cash Value Endorsement CMP-4779 Employers Liability CMP-4572 Amendment of Premium Cond CMP-4561.1 Policy Endorsement CMP4870 Addl Insd Primary Non Contrib CMP-4860 Al Design Person Org FD-6007 Inland Marine Attach Dec NOTICE: INFORMATION CONCERNING CHANGES IN YOUR POLICY LANGUAGE IS INCLUDED, PLEASE CALL YOUR AGENT IF YOU HAVE ANY QUESTIONS. * New Form Attached Prepared AUG 16 2022 n Copyright, State Farm Mutual Automobile Insurance Company, 2D08 C1V1P-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 013294 290 Continued on Reverse Side of Page Page 5 of 6 N I! M zMOM* .Tj Iii This policy is issued by the State Farm Fire and Casualty Company, Participating Policy You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in accordance with the Company's Articles of Incorporation, as amended. In Witness Whereof, the Mate Farm Fire and Casualty Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois, Secretary President Prepared AUG 16 2022 CMP-4000 013294 290 N ©Copyright, State Farm Mutual Automobile Insurance Company, 20Df) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 6 of 6 STATE FARM FIRE AND CASUALTY COMPANY ` A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS PO ox 853926 Ric ardson, TX 75085-3925 Named Insured AESCS INC a M-15-2761-FBBC F N Policy Period Effective Date Exppiration Data 12 Months AUG 5 2022 AUG 5 2023 The policy period be ins and ends at 12:01 am standard tfrne atthe premises�ocation. Automatic Renewal - If the policy period is shown as 12 mouths, this policy will be renewed automatically subjectto the premiums, rules and forms in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Annual Policy Premium $ 1,540.00 The above Premium Amount is included in the Policy Premium shown on the Declarations. Your policy consists of these Declarations, the INLAND MARINE CONDITIDNS shown below, and any other forms and endorsements that apply, including those shown below as well as those issued Subsequentto the issuance of this policy. Fortes, Options, and Ettdorsetnents FE-8724 Inland Marine Conditions FE-8744.1 Inland Marine Computer Prop FE-8760 Mobile Equipment Form See Reverse for Schedule Page with Limits Prepared AUG 16 2022 ©Copyright, State Farm Mutual Automobile Insurance Company, 2ooa FD-6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 013295 sas-sssu,2 os at zstt I�uazatct j :1 1 11,11111 ENDORSEMENT LIMIT OF DEDUCTIBLE ANNUAL NUMBER COVERAGE INSURANCE AMOUNT PREMIUM FE-8744.1 Inland Marine Computer Prop 5 2 5 g 0 0 0 5 0 0 Included Loss of Income and Extra Expense S 2 5, 0 0 0 Included FE-8760 Mobile Equipment Form $ 14 4, 0 0 0 I, 0 0 0 $ I, 54 0. 0 0 Prepared AUG 16 2022 FD-6007 013295 OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY © Copyright, State Farm Mutual Automobile hisurance Company, 2008 Includes copyrighted material of Msurance Services Office, Inc., with its permission. 53Uti6fra2 U6-91-2a11 (otl3'i;13c1 StateFarm 44 STATE FARM FIRE AND CASUALTY COMPANY ' A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED JUL 6 2022 0 0 0 0 a I.,r Rq hard Bon 9TX 75085-3925 Addl Insured -Section II Only M-15-2761-FBBC F N 001615 3123 CITY OF BREMERTON 345 6TH ST STE 100 BREMERTON WA 98337-1891 111111111111111111 l l l l 111111 1111111111111111111111111111111111111 Businessowners Policy Policy Number 9&CD-W066-6 Policy Period Effective Date Expiration Date 12 Months AUG 5 2022 AUG 5 2023 The policpy period begins and ends at 12:01 am standard time atthe premises location. Named Insured AESCS INC AUG Z 6 2022 Cify of Bremerton Risk Management Automatic Renewal Ifthe policy period is shown as 12 months ,this policy will be renewed automatically subjectto the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Entity: Corporation Reason for Declarations: Your policy is amended JUL 6 2022 ADDITIONAL INSURED ADDED PREMIUM ADJUSTMENT FORM CMP-4786 ADDED Other items shown are effective with the policy's 2022 renewal Endorsement Premium None Discounts Applied: Renewal Year Years in Business Claim Record Prepared JUL 14 2022 CMP-4000 012060 290 Al N O Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Continued on Reverse Side of Page Page 1 of 6 fi'Ill-fl flF a 7 05.'1I .71111 I n 1 F373 Ld ! ' :.� M �- R^ R 1Premises - 001 I 3472 NW LUWELL SILVERDALE WA 98383-9120 Coverage A Buildings "..>. , '^ Property.. " $ 614,100 � $ 134,300 � 25% * As of the effective date of this policy, the Limit of Insurance as shown includes any increase in tl�c� limit i�ue to Inflation Coverage. SECTION I A INFLATIQN CCWEFiACaE IN®EX(E�) Cov A -Inflation Coverage Index: - Consumer Price Index: Basic Deductible $1 10CE Earthquake 10% Equipment Breakdown $1,000 8. Other deductibles may apply - refer to policy. Prepared JUL 14 2022 CMP-4000 Money and securities © Copyright, State Farm Mutual Automobile Insurance Company, 2DU8 Inoludes copyrighted material of Insurance Services Office, Inc., with its permission. $250 ol2060 Continued on Next Page Page 2 of 6 �• • The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations, unless indicated by "See Schedule," If a coverage does not have a corresponding limit shown below, �N but has "Included" indicated, please refer to that policy provision for an explanation of that coverage, �o LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $10,000 Off Premises $59000 Arson Reward $5,000 Collapse Included Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25% of covered Idss Equipment Breakdown Included Fire Department Service Charge $2,500 Fire Extinguisher Systems Recharge Expense $59000 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Money And Securities (Off Premises) $2,000 Money And Securities (On Premises) $5,000 Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property (applies only if this policy provides $100,000 Coverage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A -Buildings) Prepared JUL 14 2022 � Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Offioe, Inc., with its permission. 012061 290 Continued on Reverse Side of Page Page 3 of 6 N Ordinance Or Law - Equipment Coverage Outdoor Property Personal Effects (applies only to those premises provided Coverage B -Business Personal Property) Personal Property Off Premises Pollutant Clean Up And Removal Preservation Of Property Property Of Others (applies only to those premises provided Coverage B -Business Personal Property) Signs Valuable Papers And Records On Premises Off Premises Water Damage, Other Liquids, Powder Or Molten Material Darriage Loss Of Income And Extra Expense Coverage L -Business Liability Prepared JUL 14 2022 CM P-4000 Included $5,nn0 $2,5n0 $15,On0 $10,000 30 Days $2,50n $2,50Q $10,OOQ $b,000 Included R- Actual Loss Sustained - 12 Months OO Copyright, State Farm Mutual Automobile Insurance Company, 2t)08 Includes copyrighted material of Insurance Services Office, Inc., with its permission. $1,O00,000 012061 Continued on Next Page Page 4 of 5 �:] Will MoTil 110101 RILOU6' Coverage M - Medical Expenses (Any One Person) $10,000 too 090 Damage To Premises Rented To You $300,000 LIMIT OF AGGREGATE LIMITS INSURANCE Products/Completed Operations Aggregate $2,000,000 General Aggregate $2,000,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. CMP-4102 Businessowners Coverage Form CMP-4786 *Add, Insd Owners Lessee Sched CMP-4787 *Waiver of Trans Rgt of Recov CMP4247.1 Amendatory Endorsement CMP-4720.1 Earthquake Volcanic Eruption FE-6999.3 Terrorism Insurance Cov Notice CMP-4709 Money and Securities CMP-4705.2 Loss of Income & Extra Expnse CMP-4785 Addl Ins Owners Lessee Blkt CMP-4859 Al Engineer Architect Survey FE-3650 Actual Cash Value Endorsement CMP-4779 Employers Liability CMP-4572 Amendment of Premium Cond CMP4561.1 Policy Endorsement CMP-4870 Addl Insd Primary Non Contrib CMP-4860 Al Design Person Org FD-6007 Inland Marine Attach Dec NOTICE: INFORMATION CONCERNING CHANGES IN YOUR POLICY LANGUAGE IS INCLUDED, PLEASE CALL YOUR AGENT IF YOU HAVE ANY QUESTIONS. * New Form Attached Prepared JUL 14 2022 n Copyright, State Farm Mutual Automobile Insurance Company, 20D8 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. o12062 290 - Continued on Reverse Side of Page Page 5 of 6 N ,I a I I III ri ibis policy is issued by the Mate Farm Fire and Casualty Company. Participating Policy You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in accordance with the Company's Articles of Incorporation, as amended, In Witness Whereof, the State Farm Fire and Casualty Company has caused this policy to be>igned by its President and Secretary at Bloomington, Illinois, Secretary President Prepared JUL 14 2022 CMP-4000 012062 290 N © Copyright, State Farm Mutual Automobile Insurance Company, z00a Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 6 of 6 STATE FARM FIRE AND CASUALTY COMPANY L A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS Rl hardwn9TX 75085-3925 Named Insured M-15-2761-FBBC F N AESCS INC Policy Period E114ective Date Ex Ration Date 12 Months AUG 5 2022 AUG 5 2023 The poli y period begins and ends at 12:01 am standard time at le premises incation. ATTACHING INLAN® Itn�4RINE Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subjectto the premiums, rules and forms in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Annual Policy Premium $ 1,540.00 The above Premium Amountis included in the Policy Premium shown on the Declarations. Your policy consists of these Declarations, the INLAND MARINE CONDITIONS shown below, and any other forms and erldorsem�nts that apply, including those shown below as well as those issued subsequentto the issuance of this policy, Forms, Options, and Endorsements FE-8724 Inland Marine Conditions FE-8744.1 Inland Marine Computer Prop FE-8760 Mobile Equipment Form See Reverse for Schedule Page with Limits Prepared JUL 14 2022 C7 Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD-6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 012063 53060e u.2 0531-2011 loil3'132c1 �' 16 ." ENDORSEMENT NUMBER COVERAGE FE-8744.1 Inland Marine Computer Prop Loss of Income and Extra Expense FE-8760 Mobile Equipment Form Prepared JUL 14 2022 F®-600i 012063 LIMIT DF DEDUCTIBLE INSURANCE AMOUNT 25 jP S 500 5 25,000 s 164,000 s 1,000 OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY © Copyright, State Farm Mutual Automobile Insurance Company, 20DB Includes copyrighted material of Insurance Services Office, Inc. with its permission, AiVNUAL PREMIUM up I 53U"GUGa.2 U!i-31 2U11 lu1f,9233c)