Loading...
HomeMy WebLinkAbout6286 - COI_AESCS Inc._4STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS RENEWAL DECLARATIONS gFBoX 2915 omington IL 61702-2915 Addl Insured -Section II Only Art 002391 3125%15-2761-FBBC F N CITY OF BREMERTON 345 6TH ST STE 100 BREMERTON WA 98337-1891 I'�I�"�I'II�IIIII�IIII�IIIIII"�II""III'll'�I�I�'�I'�'lll'�III Businessowners Policy Policy Number 98-CD-W066=6 Policy Period Effective Date Expiration Date 12 Months AUG 5 2023 AUG 5 2024 The poli y period beggins and ends at 12:01 am standard time att�ie premisesTocation. Named Insured AE;CS 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 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 12 2023 CMP-4000 016885 294 Al N $ 4,965.00 O Copyright, State Fann Mutual Automohile Insurance Company, 20D8 Includes copyrighted material of Insurance Services Office, Inc„ with its permission. Continued on Reverse Side of Page RECEIVED JUN 2 0 2023 City of Bremerton Risk Management Page 1 of 6 5A0-fififia7 fi5312fi11 10113231r.1 iinN ET ! M Described Premises 001 I 3472 NW LOWELL SILVERDALE WA 98383-9120 R 3overage i r R � � r ■�� 4p y. g $ 140,900 � 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 INDE(ES) Cov A -Inflation Coverage Index; Cov R - Consumer Price Index; , UTAXR TO 111 Earthquake 10% Equipment Breakdown $1,000 Other deductibles may apply - refer to policy. Prepared JUN 12 2023 C1V11--4000 250.4 303.4 Money and Securities O Copyright, State Farm Mutual Automohile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission, $250 oi6885 Continued on Next Page Page 2 of 6 INSURANCESECTION I EXTENSIONS OF COVERAGE LIMIT OF DESQ.Rlq. P �. The coverages an1: corresponding limits shownbelow apply•. • described premisesshown 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 $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 cast 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 JUN 12 2023 n Copyright, State Farm Mutual Automohile Insurance Company, 2ooa CMP-4000 Includes copyrighted material of Insurance Services Office; Inc., with its permission. 016886 294 Continued on Reverse Side of Page Page 3 of 6 N Ll r 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 IIiiLB[R:J�:J $5,000 $2,500 Ili $10,000 30 Days $2,500 $2,500 Included ..„ .,. 1.." ••..i • .: ,� l•11111 .. � • ^. 'a R ., Rom. • � Rr R. Loss Of Income And Extra Expense Coverage L -Business Liability Prepared JUN 12 2023 CMP-4000 Actual Loss Sustained - 12 Months O Copyright, State Farm Mutual Automobile hisurance Company, 2D08 Includes copyrighted material of Insurance Services Office, hic,, with its permission. $1,000,000 oi6886 Continued on Next Page Page 4 of 6 `o 1` •; R- 1•� Coverage M - Medical Expenses (Any One Person) $10,000 1•a 1 Damage To Premises Rented To You $3005000 LIMIT OF o AGGREGATE LIMITS INSURANCE a 0 q Products/Completed Operations Aggregate $2,0001000 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-4247.2 *Amendatory Endorsement CMP-4561 A *Policy Endorsement FE-3661 *Actual Cash Value Endorsement FE-6999.3 *Terrorism Insurance Cov Notice CMP-4720.1 Earthquake Volcanic Eruption CMP-4787 Waiver of Trans Rgt of Recov 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 CMP-4779 Employers Liability CMP-4572 Amendment of Premium Cond CMP-4870 Addl Insd Primary Non Contrib CMP-4860 Al Design Person Org FD-6007 Inland Marine Attach Dec * New Form Attached Prepared JUN 12 2023 ©Copyright, State Fann Mutual Automobile Insurance Company, 2poe CMP-4000 Includes copyrighted material of Insurance Services Office, Ina, with its prnnission. 016887 294 Continued on Reverse Side of Page Page 5 of 6 N ill 15iiill 11117 ! i this 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 Mate Farm Fire and Casualty Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois. *VVO�G YYI. Secretary President �®iICE iCi P�LICYFi�LEIEB: For a comprehensive description of caverages and forms, please refer to your policy. Policy changes requested before the "Date Prepared", which appear on this notice, are effective on 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 improvements to insured property, or have any questions about your insurance coverage, contact your State Farm agent. Please keep this with your policy. Prepared JUN 12 2023 CMP-400® d16887 294 N ©Copyright, State Farm Mutual Automohile Insurance Company, 2008 hicludes copyrighted material of Insurance Services Office, Inc., with its permission. STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS 4 0 0 0 n 0 P BoN 2915 eoommgton IL 61702-2915 Named Insured M-15-2761-FBBC F N AESCS INC Policy Period Effective Date Expiration Date 12 Months AUG 5 2023 AUG 5 2024 The poli y period begqins and ends at 12:01 am standard time att�e premisesTocation. ATie4cH�NC �NLAN® MF;<INE 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 Amnunt 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 use 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 wide Limits Prepared JUN 12 2023 n Copyright, State Farm Mutual Automobile Insurance Company, 20D8 FD-6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 016888 530-50G a2 05 31-2011 Io1132J2c1 #.4 1,0,- Milt l►z[f'l�i AILULL BAMIALLW U 11 ENDORSEMENT NUMBER COVERAGE FE-8744.1 Inland Marine Computer Prop Loss of Income and Extra Expense FE-8760 Mobile Equipment Form Prepared JUN 12 2023 FD-6007 LIMIT OF DEDUCTIBLE INSURANCE AMOUNT S 25,000 S 500 25,000 s 144,000 $ r,00o OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY n Copyright, State Farm Mutual Automohile Insurance Company, �008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. ANNUAL PREMIUM •4 O Sao-686 a2 05 31-ze11 (nlia2a9cl I