INSURANCE CERTIFICATES 09/19/81 TO 03/15/86
Roger Bouchard Insurance, Inc.
P.O. Box 6090
Clearwater, FL 33518
Clearwater Shuffleboard Club
1020 Calumet Steeet
Clearwater, FL 33515
TYPE OF INSURANCE
POLICY NUMBER
GENERAL UAIIlLITY
X COMPREHENSIVE FaW
X PflEMlSESIOPfAA T10NS
~~COll.APSE HAZARD
PROOUCTSICOMPlmo OPERATIONS
CONTRACTUAl
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY OAMAGE
PERSONAl INJURY
MP 59 253 171
AUTOMOIIIU LlAIllUTV
ANY AUTO
AlL OWNED AUTOS (PRlV PASS)
AlL lMNEO AUTOS ('MrJRp~)
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
I!xer.. L1A8I.lTV
.- "-----"--~._-~--- --
UMBREllA FORM
OTHER THAN UMBRELLA FORM
WOMI!.... COMPfNaA TION
AND
IMPLOV!.... L1AIIlLITY
WC 30 557 681
OTHER
DESCRIPTION OF OPERATIONSIlOCATIONSNEHICLESlSPECIALITEMS
City of Clearwater
Department of Recreation & Parks
P.o. Box 4758
Clearwater, FL
Attn: Bridgett
THII C!fmFlCATI! . IHUeD AI A MATTI!A OF INFORMATION ONLY AND CONFIA8
NO NOHTI UPON THI CI!ATlI"ICAT! HOI.DIA. TMII C1!ATIIElCATI DOlI NOT AMEND.
IXT!ND OR AL TEA THE COVERAGE A~OAMD BY THE POUCI!I BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY A
LETTER
COMPANY .
LETTER
COMPANY C
LETTER
COMPANY D
LETTER
COMPANY .
LETTEFI
POlICY HFtCTIYf
OA TE (MM/OOIYV)
POlICY EXPIRATION
OA TE IMM/lJOlYY)
$ $
3/15/86 I'AOPl!RTV
DAMAGE $ S
81IPD $ $
COMBINED
500 500,
3/15/85
3/15/85
3/15/86
PERSONAL INJURY $
m.v
IIWlY
(!'fR P(RlOII $
IlIIU
IIWlY
IP(R mfNT) $
PAOP!RTV
DAMAGE $
811 PO
COM8INl':D$
-I PDu -
COMBINED $
9TATUTOAY
,~, $ 100
$ 500
$100
(EACH ACCIOENn
(DISEASE -POlICY LlMln
(DISEASE -EACH EMPlOYfE)
~-
,.;.Ar
--~
.,~,
~.
~
3CJS-O
1
I
-
Elizabeth S. H.seker, Asst. City Manager
Birgitt Dowd, City Wide Evanu S~v.
City Clerk'. Office, Steve Miller
Shuffleboard and aawn Bowls Club Insurance
May 16, 1984
I wanted to inform you that I haw personally contacted each of the insurance
CQq)anies, Roger Bouchard In8uranCl8, Inc. for the Shuffleboard Club and
Lee King Insurance Agency for Lawn Bowls Club in regard to their insurance
COYerage. They haw ..sured 11I8 that they will shortly be sending a certif-
icate of insurance and I sugvested a copy of the policy to us, showing the
proper liability amounts and listing the City as additional insured.
Please contact me should you haw any quastion. Also attached is copy of
what we have OIl file now.
Attachment
BSD/ev
RECEIVED
MA Y 16 1984
CITY CLERK
.......1:
1
'~
~~~\io) ,.,." ~ - ,'."," '!r) .\~ I 1.,' ,<"_J 1 '~l q I ' , 'l II I, I' ~ I ,^
~ . '. 'J.~'" . ~'("''''$i'l '~' ,'."." 't ","' II'" ." t ."".g ~." ..~ ';'l~q ~. i-l" ',;.," 'I. . ",' , " ' " "
\~'i!~~~ ~~li-(:~ .:"/"I,,.,,':{"?!tJ,f,.t: !~a .;1~ ~ "~t 'j,~~.''''.,(~l''~ 1, f,' ".~I -.!,t i'" . r': ,II' ,l. . I" J \ ',', ..,. ..
:~(I,~~"~.lri.:,.~{, "'~" >::;':'j~ ~i. !,)~:: ~'. Cert,fle~te,of, I"suran~e "" . ;. ,,' .;-;, ' " .
~\:--.: J^'i"'J1". i' if:. ' ( ~.. t' ~,,~ ~ C. -' ' "', ,
~ ',;:" ."HI~.'~~R1'AF]eATE I~ J~SI :0 ,AS' A ~AP'J;R or"IN~ORMATION ,ONLY 'AND. CONFEl ) NO RI~NTS UPON' THE CERT.IFICATE I-tOlOER. . r
'J;.. \.rHI5,yCEflTIF'ICAT~,l QqtS lI\~T, AMEND, ttx.rtND,;OR 'Al TER THE CQVERA,GE AI\fORtJtD .Qy TfJE POLICIES LISTED BELOW.. . . .
",AM[ ANU ADDRESS OF AGENCY
COMPANIES AFFORDING COVERAGES
Roger Bouchard Insurance, Inc.
P.O.Box 6090
Clearwater, Fl . 33518
COMPANY A
I~!~~____lo.wa National Mutual Insurance Co.
((\Mf'ANY B
(11111l
--_...~_._----------,---,_."--._----_.__.-
j,AME AND ADDRESS Of IN:',URlD
Clearwater Shuffleboard Club
1020 Calumet Street
Clearwater, Fl. 33515
CUMP.\NY C
III T! R
CUMI'ANY 0
1111111
COMPANY E
--_ ----- _ ________ L[f[I~___~QLTHE POLICY PERIOD INDICATED.
This is to certify that policies of insurance list~ below hay!' been issued to the insured named above 1\'Q~~~iKWKJtft~ Notwithstanding any requirement, term or condition
of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance-iiHorcled by the policies described herein is subject to all the
te'ms, exclusions and condition$ of such policies.
---~ 1
'~)~~';~~Y I 1 YP[ 01 INSURANCE
---'--j-GiNERAllIAB,lI1Y...-- r-----
A IX] COMPREHENSIVI IORI.1
[X] PREMISES--OPERAI IONS
o EXPLOSION A",O COLLAPSE
HAZARD
o UNDERGROUND HAZARD
o PRODUCTS.COMPIIHD
OPLRAT IONS HAiARIJ
o CONTRACTUAL INSUR,\NCf
o BROAD fORM PROPlf?l 'f
DAMAGE
o If<Dt:PENDENT CONTRAC JailS
o PERSONAL INJURY
, .
POliCY NIJMIJUl
-r- 1'01 ICY
I f Xf'IIIM ION DATE
Limits of Liab~lit in Thousands (000)
OCC~~~~NCE AGGREGATE
BOD;l't INJURV
s
Under Binder-Rolicy
number to be assigned.
3/15/84-
3/15/85
PROPERTY DAMAGE
,
,
BODIL Y INJURY AND
F'RlJPlRTY DAMAGE
COMBINED
, 500
'500
PERSONAL INJURY
s
A
WORKERS' COMPENSATION
Under Binder-Policy
number to be assigned
3/15/84-
3/15/85
BODIL Y INJURY
(EACH PERSON)
BODll Y INJURY
(EACH ACCIDENT)
PROPERTY DAMAGE
BODIL Y INJURY AND
PROPERTY DAMAGE
COMBINED
s
s
AUTOMOBILE LIABILITY
o COMPREHENSIVE fORM
o (;WNED
o Hlf~ro
o NON.OWNlD
s
EXCESS LIABILITY
o UMBRELLA fORM
[] UTHER THAN UMBRElLA
fORM
BODIL Y INJURY AND
PROPERTY DAMAGE
COMBINEO
s
and
. ------L EMPLOYERS' LIABILITY
I OTHER
I
/EN;H ACCIDENT)
,.t'
_ UESCRiPTlO~' OF OPERATIONS/LOCATIONS/VEHICLES
Inland Marine - Miscellaneous Equipment Floater $2,096.
Commercial Blanket Coverage $2,500. )
---------______________ =<~ -? 11)r'/
I .
Cancellation: Should any of the L.bove deSCribed polices be cancelled [Ie/ore the expiration date thereof, the issuing com-
pany will endeavor to mail --1.0.- days written notice to the below named certificate holder. but failure to
m," so'h cot'ce ,h,II -mpnse no ob".,"oo 0' "'b~::~::iC::~>4.st ~~
NAME AND ADDRlSS Of CERTIFIC.\TE HOLD[R I
City of Clearwater ----- r-,,~ I DATE ISS~~GER o~;J;~~C~RD 1984. ks\,\
Department of Recreation & Parks ~vi ~ ~ ~ ~ ~
P.O. Box 4758 {
~~~~~a~;~d'~~: ~~~~~____~_~~ ~~~,:r>'~~~, I
',~~~ll~",'J$j,.~,~.,.. ,II.......... .,.......,~""'!IJ'".'~,~...~..."'~~,,"",=~,. _~ 1!'''''..-,~..~'l''.;~.~,~~~;(!....s;:,I~ . ..."'......,........,.."'I~LI
.. ....
Roger Bouchard Insurance, Inc.
P. O. Box 6090
C1eailNater, Florida 33513
THIS CERTIFICATE IS ISSUED S A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFlCA TE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY A
LETTER
INSURED
Clearwater Shuffleboard Club
1020 Calumet Street
Clearwater, Florida 33515
COMPANY 8
LETTER
COMPANY C
LETTER
COMPANY D
LETTER
OVJ;ff~GE~ ~i',,,~ '~~';;'-.~;'l 4.'; :6\"'L~cr"l C~I~ .'~:.}~ ~. :.." ~ - ;H~ '.. : ,,: ~"'~'~r"'!~:",\~;:ff: ~.~j, ~ '~~ :~;t'L: ~~~~ >~ ~~(''''~(~ +; 'J, .,'. .
COMPANY E
LETTER
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO HIE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTllER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY
BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI.
TIONS OF SUCH POLICIES.
g~ TYPE OF INSURANCE
GENERAL LIABIUTY
A COMPREHENSIVE FORM
PREMISEs/OPERATIONS
UNDERGROUND
EXPLOSION & COLLAPSE HAZARD
PRODUCTSlCOMPlETED OPERATIONS
CONTRACTUAL
INDEPENDENT COIITRAOTORS
BROAD FORM PROPERTY DAMAGE
PERSONAl INJURY
POLICY NUMBER
POLICY EffECTIVE POliCY EXPIRATION
OAI [ (MM/llOlYY) DATE (MMIllO/YY)
BODILY $ $
3/15/84 3/15/85 INJURY
PROPERTY $ $
DAMAGE
BI & PO $500, $500,
COMBINED
MP 59 246 486
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS (PRIV. PASS.)
ALL OWNED AUTOS (OTHER TH~N)
PRN. PASv.
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
PERSONAL INJURY $
IrolV
INJURY $
(PER I'fRSON)
BOOIl V
INJURY $
(PER AOOllENl]
PROPERTY $
DAMAGE
BI & PO $
COMBINED
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA fORM
~t.:~ED $
$
A
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
HC 30 536 505
STAT\JTORY
, ~~"iJ': v " '.
,. 'f'"' ,'li-" . '\ ~'l.
3/15/84
3/15/85
(EACH ACCIDENT)
(DISEASE.POlICY LIMIT)
(DISEASE. EACH EMPlOYEE)
OTHER
DESCRIPTION OF OPERA T10NSlLOCA TIONSlVEHICLESlSPECIAL ITEMS
nnRCATE.HOLDER,..' -;~<.^ "; . '"l!:>.:;'I:., ': -. . '.,< -1 'CANCELLATION / ',~ ";" . ' v,'_ to" ;., /":.' '. y' . ,
.. .\ '"
City of Clearwater
Department of Recreation & Parks
P. O. Box 4758
Clearwater, Florida
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX.
PIRATIQ'i DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL_--1l1_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILUF:E TO MAIL SUCH NOTICE SHAll IMPOSE NO OBLIGATION OR UABlUTY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHO RESENTATlVE
PRODUCER
Ro9n" .....rcI Iv........ lac.
P. O. loa 6890
(1........, fl..... Dill
THIS CERTifICATE IS ISSUED AS A MATTER OF INFOMIATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOU)EA, THIS CERTIFICATE DOES NOT AMINO,
EXTEND OR ALTER THE COVERAGI AfIIORDED BY THE POUCII8IELOW.
COMPANIES AFFORDING COVERAGE
INSURED
Clu.twater SlMaff1~ Cl_
1028 Cal'" sw.t
Cl....._. f1art4a JIIl1
COMPANY A
LETTER 101M IAT
COMPANY . RECEIVED
LETTER
COMPANY C
LETTER
COMPANY D
LETTER
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED.
NOTWITHSTANDING ANY REQUIREMENT, TEAM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CEATlFICATE MAY
BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DE8CAl8ED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUIIONS, AND C0NDI-
TIONS OF SUCH POLICIES. .
LIABILITY LIMITS IN TH0U8AN08
AOOREOATE
TYPE OF INSURANCE
POLICY NUMBER
POlICY EFFEClM
DATE IMWllOM'l
POlICY EXPIAA lION
DATE (MNIDM'Yl
OENERAL UABlLlTY BOOIl Y $ $
COMPREHENSIVE FORM .. it 146 411 111M II. ~RY
PREMISESIOPERATIONS =:r" $ $
UNDERGROUND
EXPlOSION & COLLAPSE HAZARD
PAOOUCTSICOMPLffiD OPERATIONS
CONTRACTUAL Bl & PO ...
COM8IHED .
INOEPENOENT CONTRACTORS
BROAD FORM PROPERr1 DAMAGE
PERSONAl INJURY PERSONAl INJURY
AUTOMOBILE UA8IUTY IlOOl y
IIWIY $
ANY AUTO lPfR PBllDIl
ALL OWNED AUTQi (PRlV. PASS) IlOOl y
ALL OWNED AUTOS (WER THAN) IIWIY $
v. PASS. (PER AlXIl8fI)
HIRED AUTOS ~TY$
NON-OWNED AUTOS
GARAGE LIABILITY ~$
EXCESS UABlLlTY
UMBRELLA FORM ~$
OTHER THAN UMBRELLA FORM
WORKERS' COMPENSATION "'.131_ ilIA If.
ANO (EACH ACCIDENT)
EMPLOYEAII' UA8IUTY (DlSEASE.fIOllCY LIlT)
(DlSEASE-EACH EMPlOYEE)
OTHER
DESCRIPTION OF OPERATIClHSILOCATIONSNEHlClBlIS ITEMS
C1 ty of Cl.arwlter
Dep......t ef ......U. . P.u
,. O. 80. 4158
Cl....ter. fleri.
ATTN- ADrN:fTT Illlloln
. .
lowa"Nat.ona. M.,.........uranc. ~D.,_~~~r _~~.,,,._., ."...-............ .......--. ..... --.., ..,-r---
.," '\\'~'-'
-I
~ 0S'~<'8-/~ I
Uilderwrlte(s Co"1~ents
Policy No.. 59 246 486
HtIlWED by Po/icy No.: CMckld.,
Agency (City and State)
.... IOU[... 11&1.. I&.
~~11.. ,L.
1. l.macllnlUf8d and Mllllna Address (No., Str.... Town, Counl~, Sllll, Zip Code)
. CU-.Tla IU'RIIIMI a..-
... CAt ~,.T IT.
CLl1'MtIdI.,.... >>515
2. Policy P~
From12:01 A.M. Standali?i~cation of Desi~~ate~"
3. The Named Insured is: 0 Individual 0 Corporation
4, Location of Premises (Enler "Same" if I.me loc.llon .. above)
M.P.
CocM
Cl_
c
Ip Dtd.
% .....
z-
Mllluat
o Partnership
o Joint Venture
(] Other:
Occupancy of Premi..s
..
.......
SECTION I - PROPERn COVERAGE
UMIT Of UABlLln
Lee. Ie. _. ....
Loc.
_....
Building(s) S S
Personal Property of the Insured S S
Personal Property of Others $ S
Addl. Cov. (Specify)
$ S $
Deductible: $ each occurrence. $ aggregate each occurrence.
If no deductible stated above, the deductible shall be $100 each occurrence. $1,000 aggregate each occurrence.
SECTION II - llABlUn COVERAGE LIMIT OF UAIIUTY
Bodily InJury and Property Damage
liability Form MP 00 93 Combined Single limit
Premises Medical Payments
Bodily Injury liability
Property Damage liability
Premises Medical Payments
Addl, Cov. (Specify)
S
$
each occurrence S
each person $
aaarepte
each accident
III L '..
.. L '...
IF NO LIMIT SHOWN FOR
MP 00 93 REFER TO COVERAGE
PART OR ENDORSEMENT
Audit Period: Non-Auditable Unless Indicated By l8J 0 Annual 0 Semi-Annual 0 Quarterly 0 Monthly Other:
SECTION 11I- CRIME COVERAGE lj t As stated '" the endorsement, made part of this Policy, if indicated by 181
SECTION IV - BOilER AND MACHINERY COVERAGE 0 ~
6. Forms and Endorsements, which apply to both Section I and Section II, made part of this poliCY at time of issue. (lnllrt No and Ed. Dale):
a. Section I-Forms and Endorsements only: .. . IIC"") .. II IlUJ-lt) .. II 1ICf-tJ)
b. Section 11- Forms and Endorsements only:
c. Section III Forms and Endorsements only:
d. Section IV - Forms and Endorsements only:
Mortgagee: IIIL
(Name and Address)
The Total Advance Premium is S and IS payable S at inception, and S at each anniversary.
Unless indicated by an X in the box below as "NOT APPLICABLE", the premium for Installments subsequent to the initial installment shall be subject to adjustment
D he basis of the rates in effect at each anniversary date. 0 NOT APPLICABLE.
., I~,,,~~,t'.( '~/_ '. '1'H! llA 1t ~f.I~
"f; """,; ~;,'.~lJ :'; ~~~:7'f:;M ~~, (.,.~, ~.
. ,!\I'ln 'I, I,. iii ,'. ~II~ N"t W'1Iw ''*
IWmb ~IUlMll II 111M '" ,
7.
8.
flJH R."I""'.IiV.
.MCi
<m
I
C~ANGEENDORSEMEtT
MP 12 01
(Ed. 02 79)
THIS ENDORSEMENT FORMS A PART OF THE POLICY NUMBERED BELOW:
END~RSEMW.j~'VE DAT~__. PO~Y;~~t~ ~ ___n .~~_J
COMPANY IOWA NATIONAL INSUlWtCI COMPANY
INSURED'S NAME AND MAILING ADDRESS AUTHORIZED REPRESENTATIVE'S NAME AND MAILING ADDRESS
CLEARWATER $HUffLlIOMD CLUI ItOGlR IOUCHMD JII., lIet.
1020 CAUNT ST CUAlhMTII, 'L
CLEARWATER, FL JJS1S
TERM I FROM
I YRS . J/.fIWt
[,t;~~-~~~
RODUCER CODE
HeTlON I POLICY CHANGES
DILETI ...12 MI ADD ALL IlK ...1"(1o.aJ) ATTACHID
I[CTIOII II
ADOI. ADlITIGIAL I.UIO fiLJOIJ(7-'6) AnACHU
SPECIFY FORM NOS. AND EDITION DATES AFFECTED BY POLICY CHANGES:
SECTION I-PROPERTY COVERAGE
LIMITS Of LIABILITY RATES
Loc. Blda.
No. No.
Previous
New
Previous New
Previous
PREMIUMS
New
$ $
$ $
$ $
$ $ $
SECTION II-LIABILITY COVERAGE
COVERAGE LIMITS OF LIABILITY PREMIUMS
Previous New Previous New IJ Add'1 0 Return
SMP liability Insurance Form: $ $
Bodily Injury and Property ea. Occurrence ea. Occurrence
Damage liability $ $ $ $ $
(Combined Single limit) Allreaate Aagregate
Premises Medical Payments $ $
o SMP liability Insurance
Form ea. Person ea. Person
o Medical Payments $ $ $ $ $
Coveraae Part ea. Accident ea. Accident
o Forms other than BODILY INJURY LIABILITY
SMP liability Insurance
Form $ $
Specify Coverage Part ea. Occurrence ea. Occurrence $ $ , $ ,
auOll $ $
Aureaate Aggregate
PROPERTY DAMAGE LIABILITY
$ $
ea. Occurrence ea. Occurrence $ $ $
$ $
o Revised Dual limits: Allreaate Allregate
INSTAlLMENT PAYMENT PREMIUMS
Previous AdditionII
InstaUments Prenllunt
Dates of subsequent installments, 2. $ $
if payable in annual installments: 3. $ $
PREMIUM DUE AT EFFECTIVE DATE OF ENDORSEMENT: $
Total for remainder of policy term: $
Return
PnmIttm
RevIsed
Instllments
$
$
$
$
$
$
MP 1~ 01 (Ed. 02 79)
~ency, By
I
CLlMWATU SHUf'LIIOMI CLUI
\
HI
HI Sf Z't6 ....
I
J/1 s/IIt
<m
GL 20 12
(Ed. 07 66)
This endorsement forms a part of the policy to which attached. effective on the Inceplion date of the policy unless otherwise stated herein.
(The following information is required only when this endorsement is issued subse~entto preparation of policy.)
Endorsement effective Policy No. Endorsement No.
Named I nsu red
Additional Premium S
,
Cou ntersigned by
(Authorized Representative)
This endorsement modifies such Insurance as IS afforded by the provisions of the policy relating to the following:
COMPREHENSIVE GENERAL LIABILITY INSURANCE
MANUFACTURERS AND CONTRACTORS LIABILITY INSURANCE
OWNERS AND CONTRACTORS PROTECTIVE LIABILITY INSURANCE
OWNERS, LANDLORDS AND TENANTS LIABILITY INSURANCE
ADDITIONAL INSURED
(Stat.. '1I1Iiuf Subdlvisions-'ermits)
It is agreed that the "Persons Insured" provision includes as an insured any state or political subdivision thereof designated in the schedule below, subject
to the following additional provisions:
1. The Insurance applies only with respect to operations performed by or on behalf of the named insured for which the state or political subdiVIsion
has issued a permit.
2. The Insurance does not apply to bodily injury or property damage
(a) arising out of opera lions performed for the state or mUnicipality, or
(b) Included within the completed operations hazard.
3. If the Property Damage liability Coverage IS not otherWise afforded, such insurance shall nevertheless apply with respect to operations performed
by or on behalf of the named insured for which such permit has been Issued subject to the limits of liability stated herein.
SCHEDULE
Designation of State or Political Subdivision:
City of Clearwater
Department of Recreation &
Parks
P.o. Box 4758
Clearwater, Fl. 33518
Attn: Bridgett Dowd
limits of Property Damag. Liability LIlUTI or IOOIL Y lIMY
$ each occurrence III "'''11
$ aurllate III ""17
Annual Premium $ IKL
$6
GL 20 12 07 66
e
-
SEITION
SPECIAL MULTI-PERIL POLICY
I-SPECIAL PERSONAL PROPERTt
I. PROPERTY COVERED
FORM
MP 00 14
(Ed. 01 83)
COINSURANCE CONTRACT
, '''B''-
~ i",
~ 0
'tl,.. ,-.
@)' 0 . 1982
PERSONAL PROPERTY OF THE INSURED: Business personal property
owned by the insured and usual to the occupancy of the insured, including
the insured's interest in personal property owned by others to the extent
of the value of labor, materials and charges furnished, performed or in-
curred by the insured; all while (1) in or on the building(s), or (2) in the
open (including within vehicles) on or within 100 feet of the designated
premises.
This coverage shall also include Tenant's Improvements and Betterments,
meaning the insured's use interest in fixtures, alterations, installations
or additions constituting a part of the building(s) occupied but not owned
by the insured and made or acquired at the expense of the insured exclu-
sive of rent paid by the insured, but which are not legally subject to a re-
moval by the insured.
PERSONAL PROPERTY OF OTHERS: This insurance shall cover for the
account of the owner(s) (other than the named insured) personal prop-
erty belonging to others in the care, custody or control of the insured,
while (1) in or on the building(s), or (2) in the open (including within vehi-
cles) on or within 100 feet of the designated premises.
Loss shall be adjusted with the named insured for the account of the
owners of the property. except that the right to adjust any loss with the
owners is reserved to the Company and the receipts of the owners in
satisfaction thereof shall be in full satisfaction of any claim by the named
insured for which payments have been made.
II. PROPERTY NOT COVERED
This policy does not cover:
A. Property sold by the insured under conditional sale, trust agreement,
installment payment or other deferred payment plan, after delivery to
customers.
B. Aircraft, watercraft, including motors, equipment and accessories (ex-
cept rowboats and canoes, while out of water and on the designated prem-
ises); and automobiles, trailers, semi-trailers or any self-propelled vehi-
cles or maclJines, except such property not licensed for use on public
thoroughfares and operated principally on the premises of the insured.
This provision does not apply to the following types of property when held
for sale or sold but not delivered:
1. Watercraft (including motors, equipment and accessories)
while not afloat;
2. Motorcycles, motorscooters and snowmobiles; or
3. Trailers designed for use with private passenger vehicles for
general utility purposes or carrying boats
This provision does not apply to the follOWing types of property when
manufactured, processed or warehoused by the insured:
1. Aircraft;
2. Watercraft, including motors, equipment and accessories,
while not afloat; or
3. Automobiles, trailers, semi-trailers or any self-propelled vehi.
c1es or machines.
C. Personal property while waterborne.
D. Household and personal effects contained in living quarters occupied
by the insured, any officer, director, stockholder or partner of the insured
or relatives of any of the foregoing, except as provided in the Extensions
of Coverage.
E. Accounts, bills, currency, deeds, evidences of debt, money and securi-
ties.
F. Outdoor signs, whether or not attached to a building or structure.
G. Growing crops and lawns.
H. Property which is more specifically covered in whole or in part by this
or any other contract of insurance, except for the amount of loss which is
in excess of the amount due from such more specific insurance.
III. PROPERTY SUBJECT TO LIMITATIONS
-
The following property is subject 10 these addilionallimilations:
1. Except for loss caused by the "specified perils":
(a) Fur and fur garments are covered for not exceeding
loss in the aggregate of $2,500 in anyone occurrence for
all contributing insurance.
(b) Jewelry and watches, watch movements, jewels, pearls,
precious and semi-precious stones, bullion, gold, silver,
platinum and other precious alloys or metals are covered
for not exceeding loss in the aggregate of $2,500 in any
one occurrence for all contributing insurance. This limita-
tion shall not apply to jewelry and watches valued at $50
or less per item.
(c) Patterns, dies, molds, models and forms are covered
for not exceeding loss in the aggregate of $2,500 in any
one occurrence for all contributing insurance.
(d) Stamps, tickets and letters of credit are covered for
not exceeding loss in aggregate of $250 in anyone occur-
rence for all contributing insurance.
2. Valuable papers and records meaning computer programs and
books of account, manuscripts, abstracts, drawings, card index
systems and other records including film, tape, disc, drum, cell
and other magnetic recording or storage media for electronic data
processing, are covered only against loss caused by the "specified
perils".
MP 00 14 (Ed. 01 83)
3. Animals and pets are not covered, except when held for sale or
sold but nol delivered, and then only against death or destruction
directly resulting from or made necessary by the "specified perils".
4. Outdoor trees, shrubs and plants are not covered, except: (a)
when held for sale or sold but not delivered, and then only against
direct loss by the "specified perils", or (b) as provided in the
Extensions of Coverage.
5. Glass, glassware, statuary, marbles, bric-a-brac, porcelains and
other articles of a fragile or brittle nature are covered against loss
by breakage only if directly caused by the "specified perils". This
limitation shall not apply to bottles or similar containers of property
for sale, or sold but not delivered, nor to lenses of photographic or
scientific instruments.
6. Steam boilers, steam pipes, steam turbines and steam engines
are not covered againsl loss caused by bursting, rupture, cracking
or explosion originating therein (other than explosion of accumu.
lated gases or unconsumed fuel within a fire box or combustion
chamber).
7. Machines and machinery are not covered against loss caused
by rupture, bursting or disintegration of their rotating or moving
parts resulting from centrifugal or reciprocating force.
The term "specified perils" shall mean direct loss by fire, lightning, air-
craft, explosion, riot, civil commotion, smoke, vehicles, windstorm or
hail to properly contained in any building, vandalism and malicious mis-
chief, leakage or accidental discharge from automatic fire protective
systems.
Page 1 of 4
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IV. EXTENSIONS OF COVERAGE
Each of the limits of liability specified for the fOllowing Extensions of Coverage applies as an additional amount of insurance. The Coinsurance Clause shall
not apply to loss under the Extensions of Coverage.
Th, I~.I ''''',' """,,,., "><I,, th, En,,,.,, " C"" '" i, thi, 1m" ..d ''''''i." " C."'", i, .., .thm 1m" ",d, , "rt .'thl, ,.Ii" '"
not cumulative and shall not exceed the largest amount recoverable under any single form made a part of this policy.
When, in accordance with the Other Insurance condition, there is Contributing Insurance, the Company shall not be liable for more than its pro rata share
of the limits set forth in the following Extensions of Coverage.
A. Property at Newly Acquired Locations: The insured may apply up to
10% of the limit of liability specified for Personal Property of the Insured,
but not exceeding $10,000, to cover direct loss in anyone Occurrence by a
peril not otherwise excluded to such property at any location (except
fairs and exhibitions) acquired by the insured for similar occupancies or
warehousing purposes, elsewhere than at the designated premises within
the terrjtoriallimits of this pOlicy. This coverage shall cease 30 days from
the date. of such acquisition or on the date values at such locations are
reported to the Company, or on the expiration date of the policy, whichever
Occurs first. Additional premium shall be due and payable for values so
reported from the date the property is acquired.
B.Personal Effects: The insured may apply up to $500 to Cover direct loss
in anyone occurrence by the perils not otherwise excluded to personal
effects while located on the designated premises, belonging to the insured,
officers, partners or employees thereof, and limited to $100 on personal
effects owned by anyone individual. This Extension of Coverage does not
apply if the loss is covered by any other insurance, whether collectible or
not, or which would have been covered by such other insurance in the
absence of this policy. At the option of the Company, loss under this Ex-
tension of Coverage maybe adjusted with and payable to the insured.
C. Valuable Papers and Records: The insured may apply up to $500 to
Cover direct loss in anyone occurrence by a peril not otherwise excluded
to valuable papers and records consisting of computer programs and
books of account, manuscripts, abstracts, drawings, card index systems,
film, tape, disc, drum, cell and other magnetic recording or storage media
for electronic data processing, and other records, all the property of the
insured at designated premises. This Extension of Coverage covers only
the cost of research and other expense necessarily incurred by the in-
sured to reproduce, replace or restore such valuable papers and records.
The total amount payable in anyone occurrence under this Extension
of Coverage shall not exceed the limit specified above. regardless of the
number of premises designated in the Declarations.
D. Outdoor Trees, Shrubs and Plants: The insured may apply up to
$1,000 to Cover outdoor trees, shrubs and plants at the designated
premises against direct loss in anyone occurrence by the perils of fire,
lightning,. explosion,riot, civil commotion or aircraft, but only to the
extent such perils are insured against herein. The Company shall not
be liable for more fhiln $250 on anyone tree, shrub or plant, including
expense incurred for removing debris thereof.
E. Extra Expense: The insured may apply up to $1,000 to cover the
necessary extra expense incurred by the insured in order to continue as
nearly as practicable the normal operations of the insured's business
immediately fOllOWing damage by a peril not otherwise excluded under this
form to the buildings or personal property situated at the designated
premises.
"Extra expense" means the excess of the total cost incurred during the
period of restoration chargeable to the operations of the insured's business
over and above the total cost that would normally have been incurred to
conduct the business during the same period had no loss occurred. Any
salvage value of property obtained for temporary use during the period of
restoration, which remains after the resumption of normal operations,
shall be taken into consideration in the adjustment of any loss hereunder.
"Period of restoration" means that periOd of time, commencing with the
date of damage and not limited by the date of expiration of this pOlicy, as
would be required with the exercise of due diligence and dispatch to repair,
rebuild or replace such part of said buildings or personal property as have
been damaged.
The Company shall not be liable under this Extension of Coverage for:
1. lossot income;
2. the cost of repairing or replacing any of the described property,
or the cost of research or other expense necessary to replace or
MP 00 14 (Ed. 01 83)
restore computer programs and books of account, manuscripts,
abstracts, drawings, card index systems, film, tape, disc, drum,
cell and other magnetic recording or storage media for electronic
data processing, and other records that have been. damaged by
a peril not otherwise excluded, except cost in excess of the normal
cost of such repair, replacement or restoration necessarily in-
curred for the purpose of reducing the total amount of extra
expense. In no event shall such excess exceed the amount by
which the total extra expense otherwise payable under this Exten-
sion of Coverage is reduced; or
3. any other consequential or remote loss.
F. Damue to Buildings from Theft,Burglary or Robbery: This pOlicy in-
cludes loss (except by fires or explosion) to that part of the building oc-
cupied by the insured and containing property covered, and to equipment
therein pertaining to the service of the building but not building property
or equipment removed from premises, directly resulting from theft,
burglary or robbery (including attempt thereat), provided the insured is
the owner of such building or equipment or is liable for such damage, but
in no event shall this coverage apply to glass (other than glass building
blocks) or to any lettering or ornamentation thereon.
G. Transportation: The insured may apply up to $1,000 to cover insured
personal property (other than property," the care, custOdy or control of
salesmen) during transportation by motor vehicles owned, leased or oper-
ated by the Insured for loss in anyone occurrence caused by:
1. fire, lightning, windstorm and hail, explosion, smoke, riot, riot
attending a strike and civil commotion. vandalism and malicious
mischief: or
2. collision, overturning or upset of the vehiCle; meaning thereby
the violent and accidental contact of the vehicle conveying the
property described herein with any other vehicle or object exclud-
Ing any loss or damage done by coming In contact with any portion
of the road bed or by means other than as expressly indicated; or
3. theft of an entire shipping bale, case or paCkage from a vehicle
while such property is contained in a fully enclosed and securely
locked bOdy or compartment and theft results from forcible entry,
evidenced by visible marks upon such bOdy or compartment.
H. Non-Owned Personal Property: The insured may apply at each loca-
tion up to 2% of the limit of liability specified for Personal Property of
the Insured at such location, but not exceeding $2,000, as an additional
amount of insurance, to cover for the account of the owners thereof
(other than the named insured) direct loss by a peril insured against
to personal property, similar to that covered by this policy, belonging
to others while in the care, custody or control of the named insured and
all while (1) in or On the bUilding(s), or (2) in the open (including within
vehicles) on or within 100 feet of the designated premises.
Loss shall be adjusted with the named insured for the account of the
owners of the property, except that the right to adjust any loss with the
owners IS reserved to the Company and the receipts of the owners in
satisfaction thereof shall be in full satisfaction of any claim by the named
insured for which payments have been made. As respects persOnal property
belf)nging to others, this provision shall replace any loss payable prOvision
of this policy.
I. Off-Premises: The insured may apply up to 2% of the limit of liability
specified for Personal Property of the Insured, but not exceeding $5,000
nor less than $1,000, at a described location to cover direct loss in any
one occurrence by a peril not otherwise excluded to the property covered
under Personal Property of the Insured (other than merchandise or
stock) while removed from designated premises. This Extension of Cov.
erage shall not apply: (a) to loss by theft, (b) to property in transit nor
(c) to property on any premises owned, leased, operated or controlled
by the insured.
Page 2 of 4
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GL 99 17
(Ed, 03 81)
This endorsement forms a part of the policy to which attached, effective on the inception date of the policy unless otherwise stated herein.
(TIle feIIowInIlnfonutioIIlI rtqIIinId 0lIIy when this endorsement is Issued ......... to pllplratIon of poIIc,.)
Endorsement effective PoIic, No. Endorsement No,
Named Insured
Countersi,ned by
(Authorized Representative)
This endorsement modifies such insurance as is afforded by the provisions of the policy relatin, to the followin,:
COMPREHENSIVE GENERAL LIABILITY INSURANCE
COMPLETED OPERATIONS AND PRODUCTS LIABILITY INSURANCE
CONTRACTUAL LIABILITY INSURANCE
MANUfACTURERS AND CONTRACTORS LIABILITY INSURANCE
OWNERS AND CONTRACTORS PROTECTIVE LIABILITY INSURANCE
OWNERS, LANDLORDS AND TENANTS LIABILITY INSURANCE
AMENDMENT -LIMITS OF LIABILITY
(Sin,le Limit)
(Individual Covera,e Aure,ate Limit)
Covera e
Bodily Injury Liability and Property DaNIt Liability
It is agreed that the provisions of the policy captioned "LIMITS Of
LIABILITY" relating to Bodily Injury Liability and Property Damalt lia-
bility are amended to read as follows:
LIMITS Of LIABILITY
Regardless of the number of (1) insureds under this policy, (2) persons
or organizations who sustain bodiIr injury or property damlp, or (3)
claims made or suits brought on account of bodily Injury or property
damalt, the company's liability is limited as follows:
BcldiIy Injury UabiIity and Property DIfIIII' LiabilIty:
(a) The limit of liability stated in the Schedule of this endorsement
as applicable to "each occumnce" is the total limit of the com-
pany's liability for all damages including damages lor care and loss
of services because of bodily injury and property daN,' sustained
by one or more persons or organizations as a result of anyone
occumnce, provided that with respect to any OCCUITIIlCI for which
notice of this poliCY is given in lieu of security or when this policy
is certified as proof of financial responsibility under the provisionS
of the Motor Vehicle Financial Responsibility law of any state or
province such limit of liability shall be applied to provide the sepa.
rate limits required by such law for Bodily Injury Liability and
Property Dama,e Liability to the extent of the covera,e required
by such law, but the separate application of such limit shall not
increase the total limit of the company's liability.
(b) Subject to the above provision respectin, "each OCCUITIIlCI", the
total liability of the company for all dama,es because of all bodily
Injury and ~ datu,. which occurs durina each annual
period while thIS policy is in force commencina from its effective
date and which is described in any of the numbered subparagraphs
below shall not .xceed the limit of liability stated in the Schedule
of this endorsement as "aUrI,at.":
(1) all property daNII arising out of premises or operations
rated on a remuneration basis or Contractor's equipment rat-
ed on a receipts basis, includin, property dame,e for which
liability is assumed under any iIIcIdentaI contract relating to
such premises or operations, but Ixcludin, pnpIIty ....,.
GL 99 17 03 81
included In sUbpara,raph (2) below;
(2) all property daN,' arising out of and occurring in the course
of operations performed for the named Insured by independ-
ent contractors and general supervision thltreof by the named
Insured, including any such property dama,. for which liabili-
ty is assumed under any Incldenul connet relating to such
operations, but this subpara,raph (2) does not include ~
erty dama,. arising out of maintenance or repairs at premises
owned by or rented to the named insured or structural altera-
tions at such premises which do not involve chan,ing the size
of or movin, buildings or other structures;
(3) if Product~mpleted Operations insurance is afforded, all
bodily Injury and property dameI' included within the c0mp-
leted operItIons hazard and all bodily Injury and property
dalllll included within the products hazard;
(4) if Contractual Liability Insurance is afforded, all property
darna,. for which liability is assumed under any contract to
which the Contractual liability Insur.nce applies.
Such aRregate limit shall apply separately:
(i) to the property darnall described in subparagraphs (1)
and (2) and separately with respect to each project
away from premises owned by or rented to the nanIId
Insured;
(Ii) to the sum of the damales for all bodily Injury and
property ......... described in subpar.,r.ph (3); and
(Iii) to the property dalll" described in subparagraph (4)
and separately with respect to each project away from
premises owned by or rented to the ........ Insured.
(c) For the purpose of determining the limit of the company's liability,
all bodily InjUIY and property darnallafising out of continuous or
repeated exposure to substantially the same generel condition shall
be considered al arisin, out of one occutrIIICe.
. :r.-': sLp COMPREHENSIVE CRIME COVERAGI ENDOllSEMENT
.....; SECTION 111- CRIME COVERAGE
This endoriitilt ~i!.I.Lb..eAhei!..tg,1flbH No." . JII6 _
of the MJI ...... I...-a caw M'I
(herein called Company)
The Insuring Agreements, General Agreements, Conditions and limitations and other terms of this endorsement shall apply only as specified
herein and none of the provisions, stipulations and other terms of the policy to which this endorsement is attached shall apply to insurance
hereunder unless so specified.
DECLARATIONS
Item 1. Effective Period: from 12:01 a.m. ~~ to 12:01 a.m, on the
( 0 th, ay, ear)
ellectlve dale of the cancellation or termination of the policy to which thiS endorsement IS attached, standard time at the location of deSignated
premises shown In the policy to which thiS endorsement is attached as to each of said dates, unless this endorsement is canceled or terminated
as hereinafter provided or In any other manner.
Item 2.
o
. MP 04 50
(Ed. 12 79)
Insurance Company.
Table of Limits of Liability
Insuring Agreement IA Employee Dishonesty (Commercial Blanket) Coverage
Insuring Agreement IB Employee Dishonesty (Blanket Position) Coverage
Ins.Jring Agreement II loss Inside the Premises Coverage
Insuring Agreement III loss Outside the Premises Coverage
Insuring Agreement IV Money Orders and Counterfeit Paper Currency Coverage
Insuring Agreement V Depositors Forgery Coverage
If added by endorsement: Insuring Agreement
Item 3. The liability of the Company is subject to the terms of the following endorsements attached hereto: . 51 "
Item 4. The Insured by the acceptance of thiS endorsement gives notice to the Company terminating or cancelling prior bond(sl or policY(lesl
No.(s) such termination or cancellation to be eNective as of the time thiS
endorsement becomes effective.
The Company, in consideration of the payment of the premium, and subject to the Declarations made a part hereof, the General Agreements,
Conditions and limitations and other terms of this endorsement, agrees with the Insured, in accordance with such of the Insuring Agreements
hereof as are specifically designated by the insertion of an amount of insurance in the Table of Limits of liability of this endorsement, to pay the
Insured for:
n
I'"
INSURING AGREEMENTS
EMPLOYEE DISHONESTY COMMERCIAL
BLANKET COVERAGE
IA. loss of Money, Securities and other property which the Insured
shall sustam, to an amount not exceeding in the aggregate the amount
stated in the Table of limits of liability applicable to this Insuring
Agreement lA, resulting directly from one or more fraudulent or dis.
honest acts committeed by an Employee, acting alone or in collusion
with others,
Dishonest or fraudulent acts as used in this Insuring Agreement
shall mean only dishonest or fraudulent acts committed by such Em.
ployee with the manifest intent:
(a) to cause the Insured to sustain such loss; and
(b) to obtain financial benefit for the Employee, or for any other
person or organization intended by the Employee to receive such
benefit, other than salaries, commissions, fees, bonuses, promo-
tions, awards, profit sharing, pensions or other employee benefits
earned in the normal course of employment.
EMPLOYEE Of SHONE STY BLANKET
POSITION COVERASE
lB. loss of Money, Securities and other property which the Insured
shall sustain resulting directly from one or more fraudulent or dis.
honest acts committed by an Employee, acting alone or in collusion
with others, the amount of insurance on each of the Employees being
the amoun,t stated in the Table of limits of liability applicable to this
Insuring Agreement lB.
Dishonest or fraudulent acts as used in this Insuring Agreement
shall mean only dishonest or fraudulent acts committed by such Em.
ployee with the manifest intent:
(a) to cause the Insured to sustain such loss; and
MP 04 50 (Ed. 12 79)
~,
(b) to obtain financial benefit for the Employee. or for any other
person or organization intended by the Employee to receive such
benefit, other than salaries, commissions, fees, bonuses, promotions,
awards, profit sharing. pensions or other employee benefits earned
in the normal course of employment.
LOSS INSIDE THE PREMISES COVERAGE
II. loss of Money and Securities by the actual destruction, disappear.
ance or wrongful abstraction thereof within the Premises or within
any Banking Premises or similar recognized places of safe deposit.
loss of (a) other property by Safe Burglary or Robbery within the
Premises or attempt thereat" and (b) a locked cash drawer, cash box
or cash register by felonious entry into such container within the
Premises or attempt thereat or by felonious abstraction of such con.
tainer from within the Premises or attempt thereat.
Damage to the Premises by such Safe Burllary, Robbery or felonious
abstraction, or by followinl burllarious entry into the Premises or at.
tempt threat, provided with rlS~t to dama.. to the Premises the
insured is the owner thereof or IS liable for such dall1llt.
LOSS OUTSIDE THE PREMISES COVERAGE
III. loss of Money and Securities by the actual destruction, disap-
pearance or wrongful abstraction thereof outside the Premises while
being conveyed by a Messenger or any armored motor vehicle com-
pany, or while within the living quarters in the home of any Mes.
senger,
loss of other property by Robbery or attempt thereat outside the
Premises while being conveyed by a Messenger or any armored motor
vehicle company, or by theft while wit~in the living quarters in the
home of any Messenler.
'ap 1 If 5
(c) any payrol ~heck. p~yroll draft or payroll order made or drawn
by the .Insure~, payable to bearer as well as to a named payee and
endorsed' by anyone other than the named payee without authority
from such payee: ,
whether or not any endorsement mentioned in (a), (b) or (c) be a
forgery within the law of the place controlling the construction
thereof.
Mechanically reproduced facsimile signatures are treated the same
as handwritten signatures.
The Insured shall be entitled to priority of payment over loss sus.
tained by any bank aforesaid. loss under this Insuring Agreement,
whether sustained by the Insured or such bank, shall be paid di.
rectly to the Insured in its own name, except in cases where such
bank shall have already fully reimbtKsed the Insured for such Ion.
The liability of the Company to such bank for such loss' shall be a
part of and not in addition to the amount of insurance applicable to
the Insured's office to which such loss would have been' allocated
had such loss been 6usblined by the Insured.
If the Insured or such bank shall refuse to pay any of the fore.
going instruments made or drawn as hereinbefore set forth, alleging
that such instruments are forged or altered, and such refusal shall
result in suit being brought against the Insured or such bank to en.
force such payment and the Company shall give' its written . consent
to the defense of such suit, then any reasonable attorneys' fees,
court costs, or similar legal expenses incurred and paid by the In.
sured or such bank in such defense shall be construed to be a loss
under this Insuring Agreement and the liability of the Company for
such loss shall be in addition to any other liability urn:ler tWs Insur.
ing Agreement. "
GENERAL AGREEMENTS
(1) the insurance under this General Agreement C shell be a part
of and not in addition to the amount of insurance afforded by the
applicable Insuring Agreement of this endorsement;
',--
, MONEY ORDERS AND COUNTERFEIJ
PAPER CURRENCY COVERAGE
IV. loss due to the acceptance in good faith, in exchange for merchan
dise, money or services, of any post office or express money order, issued
or purporting to have been issued by any post office or express company,
if such money order is not paid upon presentation, or due to the accept-
ance in good faith in the regular course 01 business of counterfeit United
States or Canadian paper currency.
DEPOSITORS FORGERY COVERAGE
V. Loss which the Insured or any bank which is included in the In.
sured's proof of loss and in which the Insured carries a checking or
savings account, as their respective interests may appear, shall sus.
tain through forgery or alteration 01, on or in any check, draft, prom-
issory note, bill of exchange, or similar written promise, order or di.
rection to pay a sum certain in money, made or drawn by or drawn
upon the Insured, or made or drawn by one acting as agent of the
Insured, or purporting to have been made or drawn as hereinbefore
set forth, including
(a) any check or draft made or drawn in the name of the Insured,
payable to a fictitious payee and endorsed in the name of such
fictitious payee;
(b) any check or draft procured in a lace to face transaction with
the Insured, or with one acting as agent 01 the Insured, by anyone
impersonating another and made or drawn payable to the one so
impersonated and endorsed by anyone other than the one soim.
personated; and '
CONSOLlDATION.MERGER
A. If, through consolidation or merger with, or purchase of assets
of, some other concern, any persons shell become Employees, the
insurance afforded by this endorsement shall also apply as respects
such Employees, provided the Insured shall give the Company written
notice thereof within thirty days thereafter and shall pay the Com.
pany an additional premium computed pro rata from the date of such
consolidation, merger or purchase to the end pf the current premium
period,
JOINT INSURED
B. If more than one Insured is covered under this endorsement, the
Insured first named shall act for itself and for every other Insured
for all purposes of this endorsement. Knowledge possessed or dis-
covery made by any Insured or by any partner or officer thereof
shall, for the purposes of Sections 7, 8 and 15, constitute knowledge
possessed or discovery made by every Insured. Cancellation of the tn.
surance hereunder as respects any Employee as prOVided In Section
15 shall apply to every Insured. If, prior to the cancellatton or ter-
mmatlon of thiS endorsement, this endorsement or any Insuring
Agreement hereof IS canceled or terminated as to any Insured, there
shall be no liability for any loss sustained by such Insured unless
discovered wlthm one year from the date of such cancellation or ter.
mination, or as respect5 Insuring Agreement IB, within two years
therefrom, Payment by the Company to the Insured first named of
any loss under this endorsement shall fully release the Company on
account of such loss, If the Insured first named ceases for any rea.
son to be covered under this endorsement, then the Insured next
named shall thereafter be considllred as the Insured first named for
all purposes of this endorsement.
LOSS UNDER PRIOR BOND OR POLICY
C. If the coverage 01 an Insuring Agreement 01 this endorsement
other than Insuring Agreement V, is substituted for any prior bond
or policy of insurance carr ied by the Insured or by any predecessor
in interest of the Insured, which prior bond or policy is terminated,
canceled or allowed to expire as of the time of such substitution,
the Company agrees that such Insuring Agreement applies to 10$$
which is discovered as provided in Section 1 of the Conditions and
limitations and which would have been recoverable by the Insured
or such predecessor under such prior bond or policy except for the
fact that the time within which to discover loss thereUllder had ex.
pired; provided:
MP 04 50 (Ed. 12 79)
(2) such loss would have been covered under such Insuring Agree.
ment had such Insuring Agreement with its agreements, condi.
tions and limitations as 01 the time of such substitution been in
force when the acts or events causing such loss were committed
or occurred; and . .
(3) recovery under' such Insuring Agreement on Account of such
loss shall in no event exceed the amount which would have been
recoverable under such Insuring Agreement in the amount for
which it is written as of the time of such substitution, had such
Insuring Agreement been in force when such acts or events were
committed or occurred, or the amount which. would have been reo
coverable under such prior bond or policy had such prior bond or
policy continued in force until the discovery .of such loss, if the
latter amount be smaller.
Insuring Agreement V' shall also cOlIer loss sustained by the In.
sured at any time before the termlllatlon or cancellatton of Insuring
Agreement V, which would have been recoverable under the cover.
age of some similar form of forgery insurance (exclusive of fidelity
insurance) carried by the Insured or any predecessor In interest of the
Insured, had such prior forgery insurance given all of the coverage
afforded under Insuring Agreement V; provided, with respect to loss
covered by this paragraph:
(a) the coverage of Insuring Agreement V is substituted on or after
the date hereof for such prior forgery coverage and the Insured
or such predecessor, as the case may be, carried such prior for.
gery coverage on the office at which such loss was sustained con.
tinuously Irom the time such loss was sustained to the date the
coveraga of Insuring Agreement V was substituted therefor;
(bl at the time of discovery of such loss, the period for discovery
of loss under all such prior forgerY insurance has expired; and
(c) if the amount of insurance carried under Insuring Agreement V
applicable to the office at which such loss is sU$tained .is larger
than the amount applicable to such offICe under such prior forgery
insurance, and in force at tne time such loss is sultailled. then
liability hereunder for such loss shall not exceed. the .,smalltt
amount.
'11" .. 5 ~
THE FOREGOING INStRING AGREEMENTS AND GENERAL AG~EE~N~S ARE SUBJECT
TO THE FOLLOWING CONDITIONS AND LIMITATIONS:
EFFECTIVE PERIOD, TERRITORY, DISCOVERY
Section 1, loss is covered under Insuring Agreement 18 of this
endorsement only if discovered not later than two years from the
end of the Effective Period of this endorsement. Except under Insur.
ing Agreement IB, loss is covered under this endorsement only if dis.
covered not later than one year from the end of such Effective
Period,
Subject to General Agreement C:
(a) this endorsement, except under Insuring Agreement lA, IB and
V, applies only to loss which occurs during the Effective Period of
this endorsement within any of the States of the United States of
America, the District of Columbia, Virgin Islands, Puerto Rico,
Canal Zone or Canada;
(bl Insuring Agreements IA and 18 apply only to loss sustained by
the Insured through fraudulent or dishonest acts committed duro
ing the Effective Period of this endorsement by any of the Em.
ployees engaged in the regular service of the Insured within the
territory designated above or while such Employees are elsewhere
for a limited period;
(c) Insuring Agreement V applies only to loss sustained during the
Effective Period of this endorsement.
EXCLUSIONS
Section 2, This endorsement does not apply:
(a) to loss due to any fraudulent, dishonest or criminal act by any
Insured or a partner therein, whether acting alone or in collusion
with others;
(b) under Insuring Agreement IA or IB, to loss. or to that part of
any loss, as the case may be, the proof of which, either as to its
factual existence or as to its amount, is dependent upon an inven.
tory computation or a profit and loss computation;
(cl under Insuring Agreements II and III. to loss due to any fraudu.
lent, dishonest or criminal act by an Employee, director, trustee
or authorized representative of any Insured, while working or other.
wise and whether acting alone or in coli usion with others; pro.
vided, this Exclusion does not apply to Safe Burglary or Robbery
or attempt thereat;
(d) under Insuring Agreements II and III, to loss due to war, whether
or not declared, civil war, insurrection, rebellion or revolution, or
to any act or condition incident to any of the foregoing;
(el under Insuring Agreements II and III, to loss (1) due to the giv.
ing or surrendering of Money or Securities in any exchange or pur.
chase; (2) due to accounting or arithmetical errors or omissions;
or (3) of manuscripts, books of account or records;
(I) under Insuring Agreement II, to loss of Money contained in coin
operated amusement devices or vending machines, unless the
amount of Money deposited within the device or machine is reo
corded by a continuous recording instrument therein;
(gl under Insuring Agreement III, to loss of insured property while
in the custody of any armored motor vehicle company, unless such
loss is in excess of the amount recovered or received by the In.
sured under (\) the Insured's contract with said armored motor
vehicle company, (2) insurance carried by said armored motor ve.
hlcle company for the benefit of users of its service, and (3) all
other insurance and indemnity in force in whatsoever form car.
lied by or for the benefit of users of said armored motor vehicle
company's service, and then this endorsement shall cover only
such excess;
(h) under Insuring Agreement II, to loss, other than to money, securi-
ties, a safe or vault, by fire whether or not such fire is caused by,
tOlltllbuted to by, or arises out of the occurrence of a hazard insured
aplnst;
"P 04 50 (Ed. 12 79)
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(i) under Insuring Agreements II and III, to loss due to nuclear reac-
tion, nuclear radiation or radioactive contamination. or to anyac~ or
condition Incident to any of the foregoing;
(j) to and the Company is not liable for:
(i) Potential income, including but not limited to interest and divi-
dends, not realized by the Insured because of a loss covered under
this Policy.
(ii) All damages of any type for which the Insured is legally liable,
except direct compensatory damages arising from a loss covered
under this Policy.
(iii) All costs, fees and other expenses incurred by the Insured in
establishing the existence of or the amount of loss covered under
this Policy,
(iv) Uability of the Insured under contracts or purported contracts
of insurance, indemnity or suretyship, except (1) loss resulting
directly from the fraudulent or dishonest acts of an Employee which
create a liability for the return of unearned premiums upon cancel-
lation of such contracts, or (2) loss resulting directly from the
fraudulent or dishonest acts of an Employee in adjusting or paying
fictitious or fraudulent claims asserted under valid contracts of
insurance, indemnity or suretyship; or
(v) Liability of the insured because an inspection. title search,
surveyor report was made, not made or improperly made;
(k) to the defense of any legal proceeding brought against the in-
sured, or to fees, costs or expenses incured or paid by the insured
in prosecuting or defending any legal proceeding whether or not such
proceeding results or WOIlld result in a loss to the insured covered
by this policy;
(I) to loss due to the surrender of Money, Securities or other property
away from the premises as a result of a threat to do (1) bodily harm
to any person, or (2) damage to the Premises or property owned by
the insured or held by the insured in any capacity; provided,however,
these exclusions do not apply:
(i) to Insuring Agreement IA or IB if coverage is afforded there-
under, or
(ii) under Insuring Agreement III if coverage is afforded there-
under, to loss of Money, Securities or other pr~ty while being
conveyed by a Messenger when there was no knowledge by the
insured of any such threat at the time the conveyanc.was initiated.
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DlFlNITIDNS
Section 3. The followtng terms, as used tn thiS endorsement. shall
have the respective meanings stated in this Section:
"Money" means currency, coins, bank notes and bullion; and travel.
ers checks, register checks and money orders held for sale to the
public,
"Securities" means all negotiable and non. negotiable instruments
or contracts representing either Money or other 'property and in.
cludes revenue and other stamps in current use, tokens and tickets.
but does not include Money,
"Employee" means any natural person (except a director or trustee
of the Insured, if a corporation, who is not also an officer or employee
thereof in some other capacity) while in the regular service of the
Insured in the ordinary course of the Insured's business during the
Effective Period of this endorsement and whom the Insured com.
pensates by salary, wages or commissions and has the right to govern
and direct in the performance of such service, but does not mean
any broker, factor, commission merchant, consignee, contractor or
other agent or representative of the same general character, As
applied to loss under Insuring Agreement IA or IB the above words
"while in the regular service of the Insured" shall include the first 30
days thereafter; subject, however, to Section 15 or 16.
"Premisls" means the interior of that portion of any building which
is occupied by the Insured in conducting its business.
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"Banking Premises" means the interior of that portion of any build.
ing which is occupied by a banking institution in condutting its
business.
"Messenger" means the Insured or a partner of the Insured or any
Employee who is duly authorized by the Insured to have the care and
custody of the insured property outside the Premises.
"Custodian" means the Insured or a partner of the Insured or any
Employee who IS duly authorized by the Insured to have the care and
custody of the insured property within the Premises, excluding any
person while acting as a watchman, porter or janitor.
"Robbery" means the taking of insured property (1) by violen~e
inflicted upon a Messenger or a Custodian; (2) by putting him in fear
of violence; (3) by any other overt felonious act committed in his
presence and of which he was actually cognizant, provided such other
act is not committed by a partner or Employee of the Insured; (4) from
the person or direct care and custody of a Messenger or Custodian
who has been killed or rendered unconscious; or (5) under Insuring
Agreement II, (a) from within the Premises by means of compelling a
Messenger or Custodian by violence or threat of violence while out
side the Premises to admit a person into the Premises or to furnish
him with means of ingress into the Premises, or (b) from a showcase
or show window within the Premises while regularly open for busl'
ness, by a person who has broken the glass thereof from outside the
Premises.
"Safe Burglary" means (1) the felonious abstraction of insured
property from within a vault or safe, the door of which is equipped
with a combination lock, located within the Premises by a person
making a felonious entry into such vault or such safe and any vault
containing the safe, when all doors thereof are duly closed and locked
by all combinatIOn locks thereon, provided such entry shall be made
by actual force and violence, of which force and violence there are
visible marks made by tools, explosives. electricity or chemicals upon
the exterior of (a) all of said doors of such vault or such safe and
any vault containing the safe. if entry is made through such doors,
or (b) the top, bottom or walls of such vault or such safe and any
vault containing the safe throu!!h which entry is made, if not made
through such doors, or (2) the felonious abstraction of such safe from
within the Premises.
"Loss". except under Insuring Agreements IA. IB and V, includes
damage.
LOSS CAUSEO BY UNIDENTIFIABLE EMPLOYEE
Section 4. If a loss is alleged to have been caused by the fraud or
dishonesty of anyone or more of the Employees covered under Insur.
ing Agreement IA or IB, as the case may be, and the Insured shall be
unable to deSignate the specifiC Employee or Employees causing such
loss, the Insured shall nevertheless have the benefit of such appli-
cable Insuring Agreement subject to the provisions of Section 2 (b) of
this endorsement provided that the evidence submitted reasonably
proves that the loss was in fact due to the fr aud or diShonesty of one
or more of the said Employees, and provided, further, that the aggre-
gate liability of the Company for any such loss shall not exceed the
Limit of Liability applicable to such Insuring Agreement
OWNERSHIP OF PROPERTY; INTERESTS COVEREO
Section 5. The Insured property may be owned by the Insured, or
held by the Insured in any capacity whether or not the Insured is Ii.
able for the loss thereof, or may be property as respects which the
Insured is legally liable; prOVided, Insuring Agreements II, III and IV
apply only to the Interest of the Insured in such property, including
the Insured's liability to others, and do not apply to the interest of
any other person or organization in any of said property unless in
cluded in the Insured's proof of loss, in which event the third para.
graph of SectIOn 8 is applicable to them
BOOKS ANO RECOROS
Section 6. The Insured shall keep records of all the Insured prop.
erty in such manner that the Company can accurately determine
therefrom the amount of loss.
MP 04 50 (Ed. 12 79)
PRIOR F'RAUD,lD;SHONESTY OR CANCELLATION
Section 7. The coverage of Insuring Agreement IA or IB shall not
dpply to any Employee from and after the time that the Insured or
any partner or officer thereof not In collUSion with such Employee
shall have knowledge or infor mati on that such Employee has com-
milled any fraudulent or dishonest act in the service of the Insured
or otherwise, whether such act be cummitted before or after the date
of employment by the Insured.
It. prior to the issuance of this endorsement, any fidelity Insurance
In favor of the Insured or any predecessor in Interest of the Insured
and covering one or more of the Insured's Employees shall have been
canceled as to any of such Employees by reason of the giving of
wllllen notiCe of cancellation by the insurer ISSUing such lidelity in.
surance whether the Company or not, and if such Employees shall
not have been reinstated under the coverage of said fidelity insurance
or superseding fidelity insurance, the Company sha~ not be liable on
account of such Employees unless the Company shall agree in writing
to include such Employees within the coverage of Insuring Agreement
IA or IB, as the case may be.
LOSS; NOTICE; PROOF; ACTION AGAINST COMPANY
Section 8. Upon knOWledge or discovery of loss or of an occur.
rence which may give rise to a claim for loss, the Insured shall:
(a) give notice thereof as soon as practicable to the Company or
any of ItS authorized agents and, except under Insuring Agreements
IA or IB, and V, also to the police if the loss is due to a violation of
law; (b) file detailed proof of loss, duly sworn to, with the Company
within four months after the discovery of loss.
Proof of loss under Insuring Agreement V shall include the instru-
ment which is the basis of claim for such loss, or if it shelll be im.
pOSSible to file such instrument, the affidavit of tile Insured or the
Insured's bank of deposit setting forth the amount and cause of loss
shall be accepted in lieu thereof.
Upon the Company's request, the Insured shall submit to examina.
tlon by the Company, subscrrbe the same, under oath if required,
and ploduce for the Company's examination all pertinent records, all
at such reasonable times and places as the Company shall designate,
and shall cooperate with the Company in all matters pertaining to
loss or claims with respect thereto.
No action shall lie against the Company unless, as a condition
precedent thereto, there shall have tleen full compliance with all the
terms of thiS endorsement nor until ninety days after the required
proofs of loss have been filed with the Company, nor at all unless
cummenced Within two years from the date when the Insured dis.
covers the loss. If any limitation of time for notice of loss or any
legal proceedlnl( herein contained is shorter than that permitted to be
II~ed by agreement under any stcltute controlling the construction of
thiS endorsement the shortest permissible statutory limitation of time
shall govern and shall supersede the time limitation herein stated.
VALUATION: PAYMENT; REPLACEMENT
Section 9. I n no event shall the Company be liable as respects Securi-
ties for more than the actual cash value thereof at the close of business
on the business day next preceding the day on which the loss was
discovered, nor as respects other property for more than the acutal cash
value thereof at the time of loss; prOVided, however, the actual cash
value of such other property held by the Insured as a pledge, or as
collateral lor an advance or a loan, shall be deemed not to exceed the
value of the property as determined and recorded by the Insured when
making the advance or loan, nor, in the absence of such record, the
unpaid portion of the advance or loan plus accrued interest thereon at
legal rates.
The Company may, with the consent of the Insured, settle any claim
for loss 01 property with the owner thereof. Any property for which the
Company has made indemnification shall become the property of the
Company.
In case of damage to the Premises or loss of property other than
Securities, the Company shall not be liable for more than the actual cash
value of such property, or for more than the actual cost of repairing
such Premises or property or of replacing same with property or material
of like quality and value. The Company may, at its election, pay such
actual cash value, or make such repairs or replacements. If the Company
PaCI 4 01 5
OTHER INSURANCE
SectIOn IJ If there IS available to the Insured any other in.
surance or indemnity covering any loss covered by Insuring Agree.
/lient lA, 18 or V the Company shall be liable hereunder only for that
pdrt of such loss which IS III excess of the amount recover able or
recovered from such other insurance or indemnity, except that if Section ] 9. The Waiver or Change of Provisions condition
such other insurance or Ifldemnlty is a bond or policy of fidelity in. H1 the PoliCY General Conditions applies
This Endorsement must be attached to Change Endorsement when issued after the Policy is written.
and thl) Insured cannot agree upon such cashJI~e. or sucl1 cost of
repairs or replacements, such cash value or su. cost shall be deter-
mined by arbitralion.
RECOVERIES
SectIOn 10. If fhe Insured shall sustain any loss covered by this
endorsement which exceeds the applicable amount of insurance
hereunder, the Insured shall be entitled to all recoveries (except
from suretyship, insurance, reinsurance, security or indemnity taken
by Oi for the benefit of the Company) by whomsoever made, on ac.
count of such loss under thiS endorsement until fully reimbursed,
less the actual cost of effectin~ the same; and any remainder shall
be applied to the reimbursement of the Company.
LIMITS Of LIABILITY
Section 1]. Payment of loss under Insuring Agreement lA, IB or
Y shall not reduce the Company's liability for other losses under the
applicable InSUring Agreement whenever sustained. The Company's
total liability (a) under Insuring Agreement IA for all loss caused by
any Employee or HI which such Employees is concerned or implicated,
(b) under Insuring Agreement IB as to each Employee or (c) under
Insuring Agreement V for all loss by forgery or alteration committed
by any person or in which such person is concerned or implicated,
whether such forgery or alteration involves one or more instruments,
is limited to the applicable amount of insurance specified in the
Table of Limits of Li~bility or endorsement amendatory thereto. The
liability of the Company for loss sustained by any or all of the Insured
shall not exceed the amount for which the Company would be liable
had all such loss been sustained by anyone of the Insured.
Except under Insuring Agreements lA, IB and V the applicable
limit of liability stated in the Table of Limits of Liability of this
endorsement is the total limit of the Company's liability with respect
to all loss of property of one or more persons or organizations arising
out of anyone occurrence. All loss Incidental to an actual or attempted
fraudulent, dishonest or criminal act or series of related acts at the
Premises, whether committed by one or more persons, shall be
deemed to arise out of one occurrence.
Regardless of the number of years this endorsement shall con.
tinue in force and the number of premiums which shall be payable
or paid, the limit of the Company's liability as specified in the Table
of Limit, of liability of thiS endorsement shall not be cumulative
year to year or period to period.
LIMIT Of LIABILITY UNDER THIS ENDORSEMENT AND
PRIOR INSURANCE
Section ] 2. This Section shall apply only to Insuring Agreements
lA, IB and Y,
, With respect to loss caused by any person (whether one of the
Employees or not) or in which such person IS concerned or implicated
or whletl IS chargeable to any Employee as prOVided In Section 4
and which Occurs partly dUring the Effective Period of thiS endorse.
ment and partly during the period of other bonds or pOlicies Issued
by the Company to the Insured or to any predecessor in interest of
the Insured and terminated or canceled or allowed to explfe and in
which the period for discovery has not expired at the time any such
loss thereunder is discovered, the total liability of the Company
under tillS endorsement and under such other bonds or policies shall
not exceed, in the aggregate, the amount carried under the applicable
Insuring Agreement of this endorsement on such loss or the amount
J~JilatJle to the Insured under such other bonds or policies, as limited
by the terms and conditions thereof, for any such loss, if the latter
amount be the larger.
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MP 04 50 (Ed. ]2 79)
f'
surance, any loss covered ~:der .both such fidelity insurance. and
. Insuring t\greement Y shall t;~t be paid under Insuring Agreement V.
Any loss covered under both Insuring Agreements IA and IB and also
under Insufmg Agreement V shall be first paid under Insuring Agree-
ment Y and the excess, if any, shall be paid under Insuring Agree-
ment IA or IB, as the case may be. The Company waives any right of
contribution whiCh it may have against any forgery insurance carried
by any depository bank which is indemnified under Insuring Agree-
ment V.
Under any other Insuring Agreement. If there is any other valid
and collectible Insurance which would apply in the absence of such
Insuring Agreement, the Insurance under this endorsement shall
apply only as excess insurance over such other insurance; provided,
the insurance shall not apply (al to property which is separately
described and enumerated and specifically insured in whole or in
part by any other insurance; or (b) to property otherwise insured
unless such property is owned by the Insured.
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SUBROGATION
Section 14. Paragraph (a) of the SUbrogation condition found in
the Policy Conditions and Definitions Form applies.
CANCELLATION AS TO ANY EMPLOYEE
Section 15. Insuring Agreements lA or IB shall be deemed cancelled
as to any Employee: (a) immediately upon discovery by the Insured, or
by any partner or officer thereof not in collusion with such Employee,
of any fraudulent or dishonest act on the part of such Employee; or (b)
at noon, standard time as aforesaid, upon the effective date speCified
in a written notice mailed to the Insured. Such date shall be not less
than ten days after the date of mailing. The mailing by the Company
of notice as aforesaid to the Insured at the mailing address shown in
the policy to which thiS endorsement is attached shall be sufficient proof
of notice. Delivery of such written notice by the Company shall be
equivalent to mailing.
CANCElLATION OF ENDORSEMENT OR INSURING AGREEMENT
Section 16. This endorsement or any Insuring Agreement thereof may
be cancelled by the Insured by mailing to the Company written notice
stating when thereafter the cancellation shall be effective. This endorse.
ment or any such I nsuring Agreement may be cancelled by the Company
by mailing to the Insured at the mailing address shown in this policy
to which this endorsement is attached wrrtten nollce stating when not
less than ten days thereafter such cancellation shall be effective. The
mailing of nollce as aforesaid shall be sufficient proof of notice. The
effective date of cancellation stated in the notice shall become the end
of the Effective Period of this endorsement for any affected Insuring
Agreement. Delivery of such written notice either by the Insured or by
the Company shall be equivalent to mailing.
It the Insured cancels, earned premium shall be computed in ac-
cordance With the customary short rate table and procedure, It the
Company cancels, earned premium shall be computed pro rata. Pre-
mium adlustment may be made either at the tllne cancellation IS
ellected or as soon as praclicable alter cancellation becomes eltec.
live, but payment ur lender of unearned premium IS not a conditIOn
at cancellatron.
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NO BENEfIT TO BAILEE
SectIOn ] 7. This Section shall apply only to Insuring Agreements
" and III.
The No Benefit to Bailee condition found in the Policy Conditions
Applicable 10 Sectron I apply
ASSIGNMENT
Section 18 The ASSignment condition found in the Pclicy Gen.
eral Conditions applies
CHANGES
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,COII'l!i.URANCE CONTRACT
,I SPECIAL MULTI-PERil POLllv
SECTION I-GENERAL PERSONAL PROPERTY FORM
MP 00 12
(Ed. 01 83)
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I. PROPERTY COVERED
PERSONAL PROPERTY OF THE INSURED: BUSiness per~onal property
owned by the IIlsured and usual to the occupancy 01 the Insured, including
the In~ured's Interest In personal property owned by others to the extent
of the value of labor. malellals and charge~ furnished, performed or
Incurred by the Insured; all while (I) In or on the bUlldlng(s) or (2) In the
open (including within vehicles) on or within 100 feet of Ihe deSignated
premises
ThiS coverage shall also Inelude Tenant's Improvements and Betterments,
meaning the Insured's use Interest In fixtures, alleratrons, installations
or additions comprising a pari of the bUlldlng(s) occupied but not owned
by the Insured and made or acqUired at the expense of the Insured exelu
slve of rent paid by the Insured, but which are not legally sublect to re'
moval by the Insured,
PERSONAL PROPERTY OF OTHERS: ThiS Insurance shall cover for the
account of the owner(s) (olher than the named Insured) personal prop-
erty belonging to others In the care, custody or control of the Insured,
while (1) In or on the bUlldlng(s), or (2) In the open (Includlni within vehi-
cles) on or within 100 feet of the deSignated premises,
Loss shall be adlustedwlth the named Insured for the account of the
owners of the property, except that the light to adjust any loss with the
owners IS reserved to the Company and the receipts of the owners in
satisfaction thereol be in lull salisfachon of any claim by the named
Insured lor which payments have been made
II. PROPERTY NOT COVERED
This policy does not cover:
A, Ammals and pets, aircraft; watercraft, Including motors, equipment
and accessolles (except rowboals and canoes. while oul of water and on
the deSignated premises); and automobiles, trailers, semitrailers or any
sell. propelled vehicles or machines, except such properly not licensed
for use on public thoroughfares and operated prinCipally on the premises
01 the Insured.
ThiS provIsion does not apply to the lollowlng types of property when
held lor sale or sold but not delivered:
I. Animals and pels;
2, Motorcycles, motor scooters and snowmobiles;
J Trailers deSigned lor use with private passenger vehicles lor
general ulllity purposes or carrYing boats, or
4 Watercraft, including motors, equipment and accessolles.
while not afloat
ThiS provIsion does not apply to the follOWing types 01 property when
manufactured, processed or warehoused by the Insured;
1 Aircraft,
2. Watercraft, Including motors, equipment and accessories.
while not alloat; or
1 Automobiles, trailers, semi-trailers or any sell. propelled vehi-
cles or machines.
B, Personal property while waterborne.
C, Outdoor trees, shrubs and plants, except when held lor sale or sold but
not delivered, or as provided In the ExtenSions of Coverage,
D, Household and personal effects contained In living quarters occupied
by the Insured, any officer, director, stockholder or partner of the Insured
or relatives 01 any 01 the loregolng, except as provided In the ExtenSions
of Coverage,
E. Accounts. bills, currency, deeds. eVidences of debt. money and securi-
ties,
F, Outdoor signs, whether or not attached to a building or structure
G. Growing crops and lawns,
H, Property which is more specifically covered In whole or in part by thiS
or any other contract of Insurance, except lor the amount 01 loss which IS
In excess of the amount due from such more speclllc Insurance,
III. EXTENSIONS OF COVERAGE
Each 01 the limits 01 liability specified for the followinc Extensions of Cover ale applies" an additional amounl of insurance, The Coinsurance Clause
shall not apply 10 loss under Ihe Extensions 01 Coverage,
The lotal amount recoverable under the ExtenSions of Coverage in thiS lorm and Exlensions 01 Cover ale in any olher form made a pari ollhis policy are
not cumulative and shall not exceed Ihe largest amount recoverable under any sinele lorm made a part of this policy.
When, in accordance with the OIher Insurance condilion, there is Contributing Insurance, the Company shall nol be liable lor more than its pro rata share
01 the limits set lorth in the 101l0wing Extensions of Coverage.
A. Properly at Newly Acquired Locations: The Insured may apply up to
10% of the limit of liability speCified for Pmonal Property of the In,uled,
but not exceeding $10.000, to cover dlleclloss In anyone occurrence by
a peril Insured against to such property at any location (except failS and
exhibitions) acqUired by the Insured for Similar occupan(les ur ware
hou~lng purposes, elsewhere than at the deSignated premises Within the
terlltorlallimlts of Ihls poliCY ThiS coverage shall cease 30 days from the
dale of such acquIsition or on the date value, at ,uch locations are reo
ported to the Company. or on the expll alion dale 01 Ihe policy. whichever
occurs fllst. AdditIOnal premium shall be due and payable for values so
reported from the date the property IS acqUired
B. Off-Premises: The named insured may apply up to 2% 01 the limit
of liability specified for Personal Properly 01 the Insured, but not exceed-
ing $5,000, nor less than $1,000, at a deSCribed location to cover direct
loss in anyone occurrence by a peril Insured against to the property
covered under Personal Property of the Insured (other than merchandise
or stock) while removed from designated premises. This Extension of
Coverage shall not apply to property in transit, nor to property on any
premises owned, leased, operated or controlled by the insured.
MP 00 12 (Ed. 01 83)
C Personal Effects: The Insured may apply up to $500 to cover direct
loss In anyone occurrence by a peril Insured against to personal effects
while located on the deSignated premises, belonging to the Insured. Offl'
cers, partners or employees thereof, and limited to $100 on personal el
teels owned by anyone indiVidual. ThiS ExtenSIOn 01 Coverage does not
apply If Ihe loss IS covered by any other Insurance, whether collectible or
nol, or which would have been covered by such other Insurance In the
absence of thiS policy. At the ophon of the Company, loss under thiS Ex
ten~lOn of Coverage may be adJusted With and payable to the Insured.
0, Valuable Papers and Records: The Insured may apply up to $500 to
cover direct loss in anyone occurrence by a peril insured against to
valuable papers and records consisting 01 computer programs and books
of account, manuscripts, abstracts, draWings, card index systems, film,
tape, diSC, drum, cell and other magnetic recording or storage media for
electronic data processing, and other records, all the property of the
insured at deSignated premises. ThiS ExtenSion 01 Coverage covers only
the cost 01 research and other expense necessarily Incurred by the In-
sured to reproduce, replace or restore such valuable papers and records,
T he total amount payable in anyone occurrence under this ExtenSion
of Coverage shall not exceed the limit speCified above, regardless of the
number 01 premises designated In the Declarations.
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E. Outdoor Trees, Shrubs and Plants: The Insured may appl, up to $1,000
to cover outdoor trees, shrubs and plants, except when held tor sale or
sold but not delivered, at the designated premises against direct loss in any
one occurrence by the perils of fire, lightning, explosIOn, riot, civil com.
motIOn or aircraft, but only to the exlent such perils are Insured against
herein. The Company shall not be liable for more than $250 on anyone
tree, shrub or plant, including expense incurred for removlni debriS
thereof.
F. Extra Expense: The Insured may apply up to $1.000 to cover the
necessary extra expense Incurred by the insured In order to continue as
nearly as practicable the normal operations of the Insured's bUSiness
Immediately following damage by a peril Insured against under thiS form
to the bUildings or personal property situated at the deslinated premises.
"Extra expense" means the excess of the total cost Incurred dUrlni the
period 01 restoralton chargeable to the operations of the Insured's busl'
ness over and above the total cost that would normally have been Incurred
to conduct the bUSiness dUring the same period had no loss occurred.
A.ny salvage value of property obtained for temporary use dUrlni the period
of restoration. which remains after the resumption of normal operations,
shall be taken Into conSideration In the adjustment of any loss hereunder.
"Period of restoration" means that period of time, commencing With the
date of damage and not limited by the date of expiration of thiS policy. as
would be required With the exercise of due diligence and dispatch to re-
pair, rebUild or replace such part of said bUildings or personal property
as have been damaged.
The Company shall not be liable under this ExtenSion 01 Coverage for:
\. loss 01 income:
(.
2. the cost of repairing or replacing any of the described property,
or the cost of research or other expense necessary to replace or
restore computer programs and books of account, manuscripts,
abstracts, drawings, card index systems, film, tape, disc, drum,
cell and other magnetic recording or storage media for electronic
data processing, and other records that have been damaged by
a peril not otherwise excluded, except cost in excess of the normal
cost of such repair, replacement or restoration necessarily in-
curred for the purpose of reducing the total amount of extra
expense. In no event shall such excess exceed the amount by
which the total extra expense otherwise payable under this Exten.
sion of Coverage is reduced; or
3. any other consequential or remote loss.
G. Non-Owned Personal Property: The insured may apply at each loca.
tlon up to 2% of the limit of liability speCified for Personal Property of
the Insured at such location, but not exceedini $2.000. as an additional
amount of Insurance, to cover for the account of the owners thereof (other
than the named Insured) dIrect loss by a peril Insured aaalnst to personal
property, Similar to that covered by thiS policy. belongini to others while
In the care, custody or control of the named Insured and all while (1) in or
on the bUlldlni(s), or (2) In the open (Including Within vehicles) on or With.
In 100 feet of the desiinated premises.
Loss shall be adJusted With the named Insured for the acc(\unt of the
owners of the property, except that the right to adjust any loss With the
owners IS reserved to the Company and the receipts of the owners In
saltsfactlon thereof shall be in full satisfaction of any claim by the named
Insured for which payments have been made. As respects personal prop'
erty belonglni to others, thiS prOVISion shall replace any loss payable
prOVISion of this policy.
(
IV. PERILS INSURED AGAINST
This policy insures alainst all direct loss to the property co",1eI under
this form caused by:
A. FIRE.
B. LIGHTNING.
C. WtNDSTORM OR HAIL, excluding loss caused directly or indirectly by
frost or cold weather, or Ice (other than hall), snow or sleet. whether
drIVen by Wind or not.
\. This Company shall hot be liable for loss to the interior of the
bUlldlng(s) or the property covered therein caused:
(a) by rain, snow. sand or dust. whether driven by Wind or
not. unless the bUlldlng(s) covered or containing the prop.
ert, covered shallllrst sustain an actual damage to roof or
walls by the direct action 01 Wind or hall and then shall be
liable for loss to the Interior of the buddlng(s) or the prop-
erty covered therein as may be caused by rain, snow, sand
or dust entering the bUlldlng(s) through openings in the
roof or walls made by direct action of Wind or hall: or (b)
by water from sprinkler equipment or from other piping,
unless such equipment or PIPlni be dilYlaged as a direct
result of Wind or hall.
2. The Company shall not be liable for Windstorm or Had damage
to the lollowlng property:
(a) Windmills, Wind pumps or thell towers;
(b) Crop Silos or their contents;
(c) Metal smokestacks; or
(d) When outside of buildings,
(1) Grain, hay, straw or other crops;
(2) Trees, shru bs or plants;
(3) Awnings of fabriC or slat construction, canopies
of fabric or slat construction, including their sup.
ports;
(4) Radio or teleVision antennas. Includini their
lead.in wiring, masts or towers.
MP 00 12 (Ed. 01 83)
4
D. EXPLOSION. Includlni direct loss resultini from the explosion of ac-
cumulated iases or unconsumed fuel Within the firebox (or combustion
chamber) of any hred vessel or Within the flues or passaatS which con.
duct the lases of combustion therefrom.
\. ThiS Company shall not be liable for loss by explosion of steam
bOilers, steam pipes, steam turbines or steam engines, If owned
by. leased by or operated under the control of the Insured.
2. The followini are not explOSIOns Within the Intent or meaRlng
of these proviSIOns:
(a) Shock waves caused by ancraft, generally known as
"SORlC boom",
(b) ElectriC arclOi.
(c) Rupture or burshni 01 rolahni or movlOg parts 01
machinery caused by centrilulal force or mechanical
breakdown,
(d) Water hammer,
(e) Rupture or bursting of water pipes,
(I) Rupture or burshng due to expansion or swelling 01 the
contents 01 any bulldUlI or structure, caused by or resultn.
from water,
(g) Rupture, bursting or operahon of pressure rehef de.
vices.
E. SMOKE, meaning sudden and aCCIdental damage 'rom smalle. other
than smoke from agricultural smudi1ng or IndurJrlal operations.
F. AIRCRAFT OR VEHICLES. meaning only direct loss resultlOg from K
tual phYSical contact 01 an ancraft or a vehicle With the property covered
or With the bUllding(s) containing the property covered. except that loss
by aircraft IOcludes dneclloss by oblects fallllll therefrom.
ThiS Company shall not be liable for loss:
1. by any vehicle owned or operated by an Insured or by illy
tenant of the deSignated premises;
2. by any vehicle to lences, drIVeways, walks, or when outSIde 01
bUildings, to trees, shrubs or plants;
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3. to any alrcrall or vehicle Inciudlng Its contents other than
stocks of alrcrall or vehicles In process 01 manul acture or lor sale
The word "vehicles" means vehicles running on land Of tracks but not
alrcrall. The word "alrcrall" shall Include self.propelled miSSiles and
spacecraft
G. RIOT, RIOT ATTENDING A STRIKE OR CIVil COMMOTION. including
direct loss by acts of stoking employees 01 the owner or tenanl(s) of the
bUlldlng(s) while occupied by said striking employees and shall also In
c1ude direct loss from pillage and looting occurring duong and at the
Immediate place of a oot. riot attending a strike or CIVil commolion The
Company shall not be liable lor loss resulling Irom damage to or destruc.
lion 01 the property due to change In temperature or humidity or Interrup
tlOn 01 operations whether or not such loss IS covered by thiS policy as
to other peols.
H. VANDALISM OR MALICIOUS MISCHIEF, meaning only the Willful an,1
maliCIOUS damage to or destruclion 01 the property covered
ThiS Company shall not be liable for loss
I .
1. to glass (other than glass bUilding blocks) constitutrng part
of a bUilding. structure or an outSide sign;
2 by pilferage, theil, burglary or larceny, except that thiS Com.
pany shall be liable lor Willful damage to the bUilding (s) covered
caused by burglars In gaining entrance to or eXit 'rom such bUild.
II1g(s) or any part of the bUlldlng(s).
J bf explOSion 01 steam bOilers. steam pipes. steam turbines or
steam engines, If owned by. leased by. or operated under the con.
Irol of the named Insured; or by rupture or burstll1g of rotating
or moving parts of machinery caused by centrifugal force or me.
chanlcal breakdown;
4. from depreciation or deterioration;
5. If the building(s) had been vacant or unoccupied beyond a
period of 30 consecutive days immediately preceding the loss,
whether or not such period commenced prior to the inception date
01 thiS policy; but this unoccupancy proviSion shall not be applica-
ble to such unoccupancy as is usual or incidental to the described
occupancy.
V. EXCLUSIONS
This policy does not insure under this form alainst:
A. loss occasioned dlreclly or II1dlrectly by enlorcement 01 any ordl
nance or law regulating the use, construction. repair. or demolitIOn of
pro~erty including debriS removal expense.
8. loss occasioned directly or indirectly by any electr Ical II1lury or dls
turbance to electocal appliances. deVices. fixtures or wiring caused by
electrical currents artrflclally generated unless fire as Insured against
ensues. and then thiS Company shall be liable lor only loss caused by the
ensull1g fire.
C. loss caused directly or Indlreclly by the II1terruptlon of powe(or other
utility service furrllshed to the deSignated premises If the Interruplion
takes place away Irom the deSignated premises. If a pefll Insured agall1st
ensues on the deSignated premises. thiS Company Will pay only lor loss
caused by the ensuing peril.
D. loss caused by. resulting from. contributed to or aggravated by any
01 the follOWing:
1. earth movement, including but not limited to earthquake. land.
slide. mudflow. earth Sinking. earth rising or Shifting;
2. flood. surface water, waves, tidal water or tidal wave. overflow
01 streams or other bodies of water, or spray Irom any of the fore-
gOing, all whether drrven by Wind or not;
3. water which backs up through sewers or drainS: or
4. water below the surlace 01 the ground including that which
exerts pressure on or flows. seeps or leaks through Sidewalks.
driveways. loulldatrons. walls. basement or other floors, or through
doors, windows or any other openings In such sidewalks, drIVe-
ways, loundations. walls or floors;
unless file or explOSion as Insured against ensues. and then thiS Company
shall be hable for only loss caused by the ensuing Itre or explOSion.
E. Loss caused by volcanic eruption unless direct loss by fire or breakage
of glass or safety glazing material ensues. In this event, this Company
shall be liable lor only the direct loss to the property insured caused by
the ensuing fire and II an insured peril, the ensuing breakage of glass
or safety glazing material.
VolcaRlc eruption means the eruption, explosion or effusion of a volcano.
The follo.inl bases are established for valuation of property:
VI. VALUATION
A. The value 01 all stock actually sold but not delivered shall be the price
at which It was sold. less all discounts and unmcurred expenses
8. Tenant's Improvements and Bellerments
1. If repaired or replaced at the expense of the named II1sured
Within a reasonable time after loss. the actual cash value 01 the
damaged or destroyed Improvements and bellerments
2. If not repaired or replaced wllhln a reasonable time aller loss,
that proportIOn 01 the Original cost at lime of InstallatIOn of the
damaged or destroyed property which 1he unexpired term of the
lease or rental agreement. whether wrrllen or oral. In ellect at the
time 01 loss bears to the periods from the dales such Improve
ments or bellerments were made to the explralron date 01 the lease
1 If repaired or replaced at the expen\e of others lor the use 01
the named Insured, there shall be no habillty hereunder
MP 00 12 (Ed. 01 83)
C. Valuable Papers and Records:
1 Books 01 account. manUSCrIpts, abstracts. draWings, card
Index systems and other records (except film. tape. diSC, drum,
cell and other magnetic recordmg or storage media lor eleclroRlC
data processmg) lor not exceedrng the cost 01 blank books, cards
or other blank materral plus the cosl 01 labor rncurred by the
named rnsured lor transCflblng or cop~rng such records.
2. F 11m. tape, diSC. drum. cell and other magnetic recordrng or
storage media for electroRlc data processrng lor not exceedrng the
cost 01 such media In unexposed or blank lorm.
3. Computer programs for not exceeding the cost of labor in.
curred by the named Insured for transcribing or copying such
programs.
D. All other property at actual cash value at the time 01 loss, but not
exceedrng the amount which it would cost to repair or replace the prop.
erty With materral 01 like krnd and quality Within a reasonable time after
such loss. nor many event lor more than the rnterest of the named insured.
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MP 52 31
(Ed. 07 77)
EXTORTION EXCLUSION ENDORSEMENT
It is agreed that:
With respect to SMP Comprehensive Crime Coverale Endorsement Form, or SMP Blanket Crime Coverall Endorstment Form. to which this endorsement
is attached:
1. The Policy does not apply to loss due to the surrender of money, securities or other property away from the prlmises 1$ a result of a
threat to do
(a) bodily harm to any person, or
(b) damage to the Premises or property owned by the Insured or held by the Insured in any capacity;
provided, however, these exclusions do not apply;
(1) to Insuring Agreement IA or IB of SMP Comprthtnslvt Crime Coverale Endontlltftt Form if cov.rale is afforded thereunder,
or Insuring Agreement I of SMP Blanket Crime Coverage Endorsement Form, or
(2) under Insuring Agreement III of SMP Comprehensive Crime Cover'le Endontment Form if coverage is .fforded thereunder, or
Insuring Agreement III of SM' Blanket Crime Cover'11 EndorsImtftt Form, to loss of Money, Securities or other property whilt
beinl conveyed by . MtlStn.tr when there was no knowledge by the Insured of any such threat at the time the conveyance
was initiated.
ThIs EadorstnItat IRUIt be attached to Chen.. EndorstmtAt ...... iuuId after till Policy II writtIR.
MP 52 31 (Ed. 07 77)
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SPECIAL MUl TI.PERIL . POLICY CONDITIONS AND DEFINITIONS
GENERAL CONDITIONS
MP 00 90
(Ed. 07 77)
Ihe lollowlng ConditIOns apply to Seclion I and II except as otherWise Indicated. Addllional ConditIOns or modlflcallons of the follOWing ConditIOns may
appear In the speclhc coverage seclions.
1. Premium. All premiums for this policy shall be computed In accor.
dance with the Company's rules. rate~, rating IJlans, IJremlums and mini'
mum premiums applicable to the Insurance alforded herein.
II this policy IS Issued lor a period In excess 01 one year With a specified
expiration date and a premium IS payable at each anniversary, such pre
mlum shall be determined annually on the basIs 01 the rates In elfect at
the anniversary date.
If this poliCY IS Issued lor a period Without a specified expiration date. It
may be conlinued by payment of the required premium lor the succeed
Ing annual pellod Such premium must be paid to the Company pllor to
each anniversary date; It nol so paid, this poliCY shall expire on the hrst
anniversary date that the said IJremlum has not been received by Ihe
Company
2. Time of Inception. To the ellent that coverage In thiS policy replaces
coverage In other poliCies terminating noon standard lime on the Incep
lion date of thiS IJolicy, coverage under thiS policy shall not become elfec
tlve until such other coverage has terminated.
3. Cancellation. ThiS policy may be cancelled by the named Insured by
surrender thereof to the Company or any of Its aulhofl/ed agents or by
mailing to the Company written nollce stating when thereatter the callu~l
latlon shall be eltecllve. ThiS poliCY may be cancelled by the CUIIlIMIIY
by mailing to the named Insured althe mailing address shown In the Dec.
laralions, wIIlIen notice slallng when nol less than ten days therealler
such cancellalion shall be elfectlve. The mailing 01 nollLe as aforesaid shall
be sulflclent proof of notice. The lime of surrender or the elfecllve date and
huur 01 cancellallOn stated III the notice shall becume the end ullhe IJOIILY
pellod Delivery of such wlltten notice t!llher hy the named Insuled or by
the Company shall be equivalent to mailing
If the named insured cancels. the Company shall, upon demand and sur.
render 01 thiS policy, relund the excess 01 paid plemlum above the cus
tomary short rates fOI the explr~d lime. If the Company cancels. earned
premium shall be computed pro rata. PremIUm adlustment may be made
either at the time cancellallon IS ellecled 01 as soon as practicable after
cancellatIOn becomes elleclive. but payment or tender of unearned pre
mlUm IS nol a condition of cancellallon
Notice of cancellation addressed to the named insured and mailed 10 the
mailing address shown In the Declarations shall be sulflclent notice to
effect cancellation of thiS policy.
4. Concealment or Fraud. ThiS policy IS VOid If any insured has Inten
tionally concealed or misrepresented any material fact 01 CIrcumstance
relating to thiS Insurance.
5. Assicnment. ASSignment of Interest under thiS poliCY shall nol bind
the Company until its consent IS endorsed hereon However, If the named
insured shall die, thiS insurance shall apply:
(a) to the named insured's legal representative, as the named insured,
but only while acting Within the scope 01 hiS dulles as such; or
(b) to the person having temporary custody of the property of the
named insured but only unlll the appomlment and qualillcalton 01
the legal representative.
MP 00 90 (Ed. 07 77)
6. Subrogation.
(a) In the event of any payment under this policy, the ComlJany shall
be subrogated 10 all the Insured's rights 01 recovery against any
person or organizatIOn and the Insured shall execute and deliver mstru.
ments and papers and do whatever else IS necessary to secure such
rights. The Insured shall do nothing after loss to prejudice such lights.
(b) The Company shall not he bound to pay any loss If the Insured has
Impaired any light 01 recuvery lor loss; however. It IS agreed that
the Insured may:
(1) as respects property while on the premises 01 the msured,
reh~ase nthers In wllllnl: Irom liability for loss pllor to loss. and
sUlh release shall not affect the light 01 the Insured to recover
hereunder, and
(2) as respects property In transit. accept such bills of ladmg.
receipts or contracts of tlansportatlOn as are ordlnallly Issued
by call1ers contallllng a limltalion as to the value of such goods
or merchandise.
7. Inspection and Audit. The Company shall be pellTlIttcd bul nol obll'
gated 10 Inspect the named Insured's property and operations at any
lime Neither the Company's right to make mspectlons nor the making
thereof nor any report thereon shall constitute an undertaking on behalf
01 or for the benefit of the named msured or others to determme or
warrant that such property or operations are safe or healthful or are In
compliance With any law, rule or regulalton.
I he Company may exanllne and audll the named Insured's hooks and
records at any time dUllnK the IlOllcy pellod and extensIOns and Within
three years after the final termlnalton of thiS policy, as lar as they relate
to the sublect matter of thiS Insurance.
8. Liberalization Clause. In the event any fllmg is submitted 10 the In.
surance supervisory authoflties on behalf of the Company, and:
(a) the filing IS approved or accepted by the Insurance aulhollltes
to be effective while this policy IS In force or within 45 days pllor to
ItS InceptIOn; and
(b) Ihe frling Includes Insurance forms or other prOVISions that
would extend or broaden thiS Insurance by endorsement or sub.
stltutlOn of form. Without addllional premIUm;
the bpneflt of such extended or broadened Insurance shall Inure to the
benefit of the insured as though the endorsement or subslltution of form
had been made.
9. Insurance Under More Than One Coverace, Part or Endorsement. In
the event that more than one coverage, part or endorsement of thiS policy
msures the same loss, damage or claim, the Company shall not be liable
lor more than the actual loss or damaRe sustained by the Insured.
10. Waiver or Chance of Provisions. T he terms of thiS Insurance shall not
be waived, changed or modlfred except by endorsement issued to form a
part ot thiS policy
Pili 1 of 6
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CONDITIONS APPLICABLE TO' SECTION I
.'
1. Policy Period, Territory. Section I of this policy applies only to loss
to property dUring the policy period while such property is Within or be.
tween the Ilfty states of the United States of America, the District of Co.
lumbla and Puerto RICO,
2. Deductible. Unless otherwise provided In the Declarations:
(a) The sum of $100 shall be deducted from the amount of loss to
property in anyone occurrence, This deductible shall apply:
(1) separately to each building, including personal property
therein;
(2) separately to personal property in each building If no coverage
is provided on the containing building; and
(3) separately to personal property in the open (including Within
vehicles),
(b) The aggregate amount 01 this deductible in anyone occurrence
shall not exceed $ 1,000.
3. Coinsurance Clause. The Company shall not be liable for a greater
proportIOn 01 any loss to property covered than the limit 01 liability
under this policy lor such property bears to the amount prodUCed by mul.
tiplying the actual cash value 01 such property at the time of the loss by
the coinsurance percentage stated in the Declarations.
In the event that the aggregate claim for any loss is both less than $10.000
and less than 5% of the limit of liability for all contributing Insurance
applicable to the property Involved at the time such loss occurs, no speCial
inventory or appraisement of the undamaged property shall be required
providing that nothing herein shall be construed to waive the application
of the first paragraph of this clause.
II insurance under Section I of this policy is divided into separate limits
of liability, the loregolng shall apply separately to the property covered
under each such limit of liability.
4, Removal. ThiS policy covers loss by removal of the property covered
hereunder from premises endangered by the perils insured against. and
the amount of Insurance applies pro rata for live days at each proper place
to which such property shall necessarily be removed for preservation.
5. Debris Removal. This policy covers expense Incurred In the removal
of debris of the property covered which may be occaSioned by loss by any
of the penis insured against in this policy. The total amount recoverable
under thiS policy lor both loss to property and debriS removal expense
shall not exceed the limit of liability applYing to the property. Cost of re-
moval 01 debris shall not be considered In the determination of actual cash
value when applying the Coinsurance Clause.
6. War Risk And Governmental Action Exclusion. ThiS policy under Sec.
tlon I shall not apply to loss caused, directly or Indirectly, by or due to any
act or condition inCident to the following:
(a) hoshle or warlike action In time of peace or war, including action
In hindering, combating or defending against an actual, impending or
expected attack (i) by any government or sovereign power (de lure or
de facto), or by any authority maintaining or using military, naval or
air forces; or (il) by military, naval or air lorces; or (iil) by an agent
of any such government, power, authOrity or forces, it being under-
stood that any discharge, explosion or use of any weapon of war em-
poying nuclear fission or luslon shall be conclusively presumed to
be such a hostile or warlike achon by such a government, power,
authOrity or lorces;
(b) Insurrechon, rebellion, revoluhon, CIVil war, usurped power. or
achon taken by governmental authority In hindering, combating or
delendlng against such an occurrence; seizure or destruchon under
quarantine or custom's regulations, confiscation by order 01 any gov-
ernment or publiC authority. or risks of contraband or Illegal trans.
portation or trade.
7. Nuclear Clause And Nuclear Exclusion.
(a) Nuclear Clause (Not Applicable In New York). The word "fire" in
thiS policy IS not Intended to and does not embrace nuclear reaction or
nuclear radiation or radioactive contamination, all whether controlled
or uncontrolled, and loss by nuclear reaction or nuclear radiation or
radioactive contamination is not intended to be and IS not insured
against by thiS policy, whether such loss be direct or indirect, proxi-
mate or remote, or be In whole or in part caused by, contributed to,
or aggravated by "fire" or any other perils insured against by this
MP 00 90 (Ed. 07 77)
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policy, However. subject to the foreaoing and all proviSIOns of this
policy, direct loss by "tire" resulting from nuclear reaction or nuclear
radiation or radioactive contamination is insured against by this policy.
(b) Nuclear Clause (Applicable only in New York): This policy does not
cover loss or damage caused by nuclear reaction or nuclear radiation
or radioactive contamination, all whether directly or indirectly result.
Ing from an Insured peril under thiS policy.
(c) Nuclear ExclUSion (Not Applicable in New York): loss by nuclear
reaction or nuclear radiation or radioactive contamination, all whether
controll841 or uncontrolled, or due to any act or condition incident to
any of the foregoing is not insured against by this policy, whether such
loss be direct or indirect, proximate or remote, or be in whole or in
part caused by, contributed to, or aggravated by any of the perilS in-
sured against by thiS policy; and nuclear reaction or nuclear radiation
or radioactive contamination, all whether controlled or uncontrolled,
IS not "explOSion" or "smoke", This clause applies to all perils
Insured against hereunder except the peril of tire, which is otherwise
prOVided for In the nuclear clause above.
a. Other IlI1lIrance.
(a) II at the hme of loss there is other insurance written in the name
of the Insured upon the same plan, terms, conditions and proviSions
as contained In thiS policy, herein referred to as Contributing Insur.
ance, the Company shall be liable for no greater proportion of any loss
than the limit of liability under thiS policy bears to the whole amount
01 insurance covenng such loss.
(b) II at the time of loss there is other Insurance other than that as
described In (a) above. the Company shall not be liable for any loss
hereunder unhl:
(1) the liability 01 such other Insurance has been exhausted, and
(2) then for only such amount as may exceed the amount due from
such other Insurance, whether collectible or nol.
9. Duties Of The Named Insured After A loss. In case of loss the named
Insured shall:
(a) give Immediate written notice of su~h loss to the Company;
(b) protect the bUilding and personal property from further damage,
make reasonable temporary repairs required to protect the property,
and keep an accurate record of repair expenditures;
(c) prepare an inventory of damaged personal property showing in de.
tail, quantity, descnptlon, actual cash value and amount of loss. Attach
to the inventory all bills, receipts and related documents that sub.
stantlate the figures in the Inventory;
(d) exhibit the remains of the damaged property as ollen as may be
reasonably required lIy the Company and submit to examination un.
der oath;
(e) submit to the Company within 60 days alter requested a Signed,
sworn statement of loss that sets forth to the best of the named in.
sured's knowledlle and belief:
(1) the time and cause of loss;
(2) Interest of the insured and all others in the property involved
and all encumbrances on the property;
(3) other policies of insurance that may cover the loss;
(4) changes In title or occupancy of the property durina the term
01 the policy;
(5) specifications of any damaged building and detailed estimates
lor repair of the damage;
(6) an Inventory of damaged personal property described in (c)
above;
(I) give notice 01 such loss to the proper police authority if loss is due
to a Violation of law.
10. Appraisal. II the named insured and the Company fail to agree on the
amount of the loss, lither can demand that the amount of loss be set by
appraisal. II either party makes a written demand for appraisal, each shall
select a competent Independent appraiser. Each shall notily the other of
the selected appraiser's identity within twenty (20) days 01 the receipt of
the written demand.
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The two appraisers shall select a compdent, Impartial umpire If the ap.
praisers are unable to agree upon an umpire WlthlO tllteen (i5) days. the
named IOsured or the Company may peltlton a Judge ot a Court of I{ecord
In the state where the Insured premises IS located to select an umplle
The appraisers shall then set the amount of the loss If the appraisers sub
mlt a wlltten report of an agreement to the Company, the amount agreed
upen shall be the amount of the loss. If the appraisers lallto agree WlthlO
a reasonable time, they shall submit their dlfterences to the umpire Writ.
len agreement Signed by any two of fhese three shall set the amount of loss.
Each appraiser shall be paid by lhe party selecting that appraiser. Other
expenses of the appraisal and compensatIOn of the umpire shall be paid
equally by the named Insured and the Company.
11. Compiny Options. If the Company gives noltce Within thirty (30)
days alter It has received a Signed, sworn statement 01 loss, It shall have
the option to take all or any part of the property damaged al an agreed
value, or 10 repair, rebUild or replace It With eqUivalent property.
12. Abindonment Of Property. The Company need not accept any prop.
erty abandoned by an IOsured.
13. Piymem Of Loss. The Company Will pay all adjusted claims Within
thirty (30) days alter presentalton and acceptam:e of the proof of loss.
14. Privilele To AdJust With Owner.
(a) Except as prOVided 10 (b) below, or unless another payee IS specl'
Iically named In the policy, loss, If any. shall be adJusted With and
payable to the named IOsured.
(b) I n the event claim IS made for damage to property of others held
by the IOsured, the right to adjust such loss or damage With the owner
or owners of the property IS reserved to the Company and the receipt
of payment by such owner or owners 10 satlsfaclton thereof shall be
10 full satisfaction of any claim 01 the IOsured for which such pay
ment has been made.
If legal proceed lOgs be taken to enforce a claim agalOst the IOsured as
respects any such loss or damage, the Company reserves the IIghl at
ItS oplion Without expense to the IOsured to conduct and control
the defense on behalf of and in the name of the IOsured No actIOn of
the Company 10 such regard shall IOcr ease the liability of the Company
under this policy, nor Increase the limits 01 liability speCified In the
policy
IS. Suil. No SUit shall be brought on thiS pulicy unless the Insured has
complied With all the poliCY prOVISions and has commenced the SUit Within
one year after the loss occurs.
16. Permits And Use. Except as otherWise prOVided. permiSSion IS grallled
(a) to make alteraltons and repairs:
(b) In the event 01 loss hereunder, to make reasonable repalls. tern
porary or permanent, prOVided such repairs are conllfled solely to the
protection 01 the property from further damage, and prOVided further
that the IOsured shall keep an accurate record of such repair ex
pendllures. The cost of any such repairs directly attributable to dam.
age by any peril insured against shall be Included In determlmng the
amount of loss hereunder. Nothing here III contalRed IS IRtended to
modify the policy requirements applicable In case loss occurs, and In
particular the requirement that, In case loss occurs, the IRsured shall
prolect the property from lurther damage.
17. ViCancy, Unoccupancy and Increue ul Hazard.
(aj ThiS Company shall nol be liable lor loss occumng while a de
scribed bUilding, whether Intended tor occupancy by owner or tenanl
IS vacant beyond a pellod of slxly consecutive days. "Vacant" or
"Vacancy" means contalmng no contents perlalmng to operations
or activities customary to occupancy of the bUilding. but a bUilding
In process of constructIOn shall nol be deemed vacant.
(b) PermiSSion IS granled lor unoccupancy
(c) Unless otherWise prOVided 10 wrltlRg added hereto Ihls Company
shall not be liable for loss occumng while the hazard IS Increased
by any means wlthlR the control or knowledge of the Insured.
MP 00 90 (Ed. 07 77)
I
18. Protective Sif'luards. If as a condition 01 thiS Insurance that the In.
~ured shall maintain so far as IS Within hiS control such protective safe.
guards as are setlorth by endorsemenl hereto.
f allure to malRtaln such protective ~>afeguards shall suspend thiS Insur.
ance only as respects the localion or situation affected lor the lime at such
dlscontlRuance.
19. Mortlale Clause-Applicable Only To Buildinls. ThiS clause IS ellec
live II a mortgagee IS named In Ihe Declarations. The word "mortgagee"
IRcludes "trustee". Loss to bUildings shall be payable to the named mort
gagee as Interest may appear, under all present or future mortgages on the
bUildings deSCribed 10 the Declaratrons IR order of precedence of mort.
gages on them.
As II applies 10 the Interest of any mortgagee deslgnaled In Ihe Declarations,
thiS IRsurance shall not be affected by any of the followlRg
(a) any act or neglect of the morlgagor or owner of the deSCrIbed
bu IIdl ngs;
(b) any foreclosure or other proceedlRgs or notice of sale relaling 10
the property;
(c) any change In the title or ownership of the property;
(d) occupancy of the premises for purposes more hazardous than
are permitted by thiS policy;
prOVided, that In case the mortgagor or owner shall neglecl to pay any pre.
mlum due under this policy, the mortgagee shall, on demand, pay the pre.
mlum.
The mortgagee shall notlty the Company of any change 01 ownership or
occupancy or increase 01 hazard which shall come 10 the knowledge of the
mortgagee Unless permitted by thiS POliCY, such change of ownership or
occupancy or IRcrease of hazard shall be noled on the policy and the
mortgagee shall on demand pay the premium for the. IOcr eased hazard tor
the term It eXISted under thiS policy. If such premIUm IS not paid, thiS
poliCY shall be null and VOid
1 he Company reserves the light to cancel this poliCY at any lime as pro.
vlded by ItS terms If so cancelled. thiS policy shall contlRue 10 lorce lor Ihe
benelit only of the mortgagee lor ten days after notice to the mortgagee
of such cancellallon and shall then cease. The Company shall have the
light to cancel thiS agreement on ten days notice to the mortgagee.
When the Company shall pay the mortgagee any sum for loss under thiS
policy, and shall claim that. as to the mortgagor or owner, no liability
theretor eXisted, the Company shall, 10 the exlent of such payment, be
thereupon legally subrogated to all the rights of the mortgagee 10 whom
slIrh payment shall have been made, under the mortgage debl In lieu of
taking such subrogation. the Company may. at Its option, pay to the
mortgagee Ihe whole pllnclpal due or to grow due on the mortgage, wllh
Interest accrued and shall thereupon receive a full assignment and trans.
ler of the mortgage and of all such other securities. However, no subroga.
tlun shall Impair the light of Ihe mortgagee to recover the full amount ot
said mortgagee's dalm.
20. Recoveries. In the event the Company has made a payment for loss
under the policy and a subsequent recovery IS made of the lost or dam
aged property, the IRsured shall be entitled to all recovelles In excess of
the amount paid by the Company. less only the actual cost of effecting
such recovelles
21 Loss Clause. Any loss hereunder shall not reduce the amount 01 thiS
Insurance
22. No Benefit To Biilee. ThiS Insurance shall not lRure directly or 10
dllectly to the benefit of any camer or other bailee.
23. No Control. ThiS Insurance shall not be prejudiced:
(a) by any act or neglect of the owner of any bUilding II the Insured
IS not the owner thereof. or by any act or neglect ot any occupant
(other than the IRsured) 01 any bUlldlRg when such act or neglect of
the owner or occupant IS nol wlthlR the control of the Insured, or
(b) by failure of the Insured 10 comply Wllh any warranty or condl'
tlon contalRed 10 any endorsement attached 10 thiS policy With re
gard to any portion 01 the premises over which the IRsured has no
control
Pale 3 of 6
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I I
CONDITIONS APPLICABlE TO'SECTION II
1. Supplementary Payments. The Company Will pay, In addition to the
applicable limit of liability:
(a) all expenses incurred by the Company, all costs taxed against the
insured In any SUit defended by the Company and all interest on the
entire amount of any judgment therein which accrues aller enlry of
the judgment and before the Company has paid or tendered or de.
posited in court that part of the Judgment which does not exceed the
limit of the Company's liability thereon;
(b) premIUms on appeal bonds required in any such SUII. premiums
on bonds to release attachments in any such SUit tor an amount not
in excess ot the applicable limit of liability of thiS policy, and the
cost of ball bonds required 01 the insured because of aCCIdent or traffiC
law Violation arising out of the use of any vehicle to which thiS policy
applies. not to exceed $250 per bail bond, but the Company shall have
no obligation to apply lor or turnlsh any such bonds:
(c) expenses Incurred by the insured for tlrst aid to others at the
time 01 an aCCIdent, tor bodily injury to which thiS policy applies;
(d) reasonable expenses Incurred by the insured at the Company's
request In assisting the Company In the Investigation or detense of
any claim or SUit, including actual loss of earnings not to exceed $25
per day.
2. Premium. Premium deSignated in thiS policy as "advance premium"
is a deposit premium only which shall be credited to the amount of the
earned premium due at the end of the policy period. At the close 01 each
period (or part thereot terminating With the end of the policy period)
deSignated In the Declarations as the audit period the earned premium
shall be computed tor such period and. upon notice thereolto the named
insured shall become due and payable. If the total earned premium for
the policy period IS less than the premium previously paid, the Company
shall return to the f1imed insured the unearned portion paid by the named
insured.
The named insured shall maintain records of such information as IS neces.
sary lor premium computation and shall send copies of such records to
the Company at the end ot the policy period and at such times during the
poliCY period as the Company may direct.
3. Financial Responsibility laws. When thiS policy IS certified as proof
of finanCIal responSibility for the future under the prOVISions of any motor
vehicle financial responSibility law, such Insurance as is afforded by this
policy for bodily injury liability or tor property damale liability shall com.
ply with the prOVISions of such law to the extent of the coverage and limits
of liability required by such law. The insured agrees to reljllburse the Com.
pany for any payment made by the Company which It would not have been
obligated to make under the terms of thiS policy except for the agreement
contained In thiS paragraph.
4. Insured's Duties in the Event 01 Occurrenc., Claim or Suit.
(a) In the event of an occurrence, written notice containing particulars
suffiCient to Identity the insured and also reasonably obtainable In.
formatIOn With respect to the time, place and circumstances thereof
and the names and addresses ot the Inlured and of available witnesses
shall be given by or for the insured to the Company or any of ItS
authOrIZed agents as soon as practicable.
(b) II claim is made or SUit IS brought against the insured, the insured
shall Immediately forward to the Company every demand, notice,
summons or other process received by him or his representative.
(c) The insured shall cooperate With the Company and. upon the Com.
pany's request, assist in making settlements, in the conduct ot SUits
and In enfolClng any right of contribution or Indemnity against any
person or organization who may be liable to the insured because ot
inlury or damage With respect to which Insurance IS afforded under
this policy: and the insured shall attend hearings and trials and assist
In securing and giVing evidence and obtaining the attendance ot wll
nesses The insured shall not, except at hiS own cost, voluntarily make
any payment. assume any obligation or Incur any expense other than
for first aid to others at the time of accident
5. Medical Reports; Proof and Payment of Claim. As soon as practicable
the Insured person or someone on hiS behall shall give to Ihe Company
written proof of claim. under oath If reqUired. and shall, aller each reo
quest trom the Company, execute authonzatlOn to enable the Company
to obtain medical reports and copies of records. The Inlured person shall
submit to physical examination by phYSicians selected by the Company
MP 00 90 (Ed 07 77)
.'
when and as ollen as the Company may reasonably require. The Company
may pay the Inlured person or any person or organization rendering the
services and the payment shall reduce the amount payable hereunder for
such Inlury. Payment hereunder shall not constitute an admission of Iia.
bllity of any person or, except hereunder, of the Company. '
6. Action Alainst Company. No action shall lie against the Company un.
less, as a condlllon precedent thereto. there shall have been full Com.
pllance With all of the terms of thiS policy. nor until the amount of the
insured's obligatIOn to pay shall have been finally determined either by
Judgment agal nst the insured aller actual tflal or by wfllten agreement of
the insured, the claimant and the Company.
Any person or organization or the legal representative thereof who. has
secured such ludgment or written agreement shall thereafter be entitled
to recover under thiS policy to the extent of the insurance afforded by this
policy. No person or organization shall have any right under this policy to
lOin the Company as a party In any action against the insured to determine
the insured's liability, nor shall the Company be impleaded by the insured
or hiS legal representative. Bankruptcy or insolvency of the insured or of
the insured's estate shall not relieve the Company of any of its obligations
hereu nder
7. other Insurance. The Insurance afforded by this policy IS primary In.
surance, except when stated to apply in excess of or contingent upon the
absence 01 other insurance. When thiS insurance IS primary and the in.
sured has other Insurance which IS stated to be applicable 10 the loss on
an excess or contingent basis, the amount of the Company's liability under
thiS poliCY shall not be reduced by the eXistence of such other Insurance.
When both thiS Insurance and other Insurance apply to the loss on Ihe
same baSIS, whether pflmary, excess or contingent. the Company shall
nol be liable under thiS policy for a greater proportion of the loss Ihan that
stated In the applicable contribution prOVISion below:
(a) Contribution by Equal Shares. II all 01 such other valid and collect.
ible Insurance prOVides for contributIOn by equal shares, the Company
shall not be liable for a greater proportIOn of such loss than would be
payable If each Insurer contflbutes an equal share until the share of
each Insurer equals the lowest applicable limit of liability under any
one policy or the full amount of the loss IS paid, and With respect to
any amount of loss not so paid the remaining insurers then continue
to contribute equal shares of the remaining amount of the loss until
each such Insurer has paid ItS limit In full or the full amount of the
loss IS paid.
(b) Contribution by limits. II any of such other insurance does not
prOVide tor contrlbullon by equal shares, the Company shall not be
liable for a greater proportion of such loss than the applicable limit
ot liability under thiS policy lor such loss bears to the total applicable
limit of liability of all valid and collecllble Insurance against such loss.
8. Annual Aurelate. II thiS policy IS Issued tor a period In excess of
one year, any limit of the Company's liability stated In thiS policy as "ag'
gregate" shall apply separately to each consecutive annual period.
9. Nuclear Eaclusion.
I. ThiS policy does not apply:
(a) Under any liability Coveralle, to bodily injury or property damal'
(1 ) With respect to which an insured under this policy is also an
Insured under a nuclear energy liability poliCY Issued by Nuclear
Energy liability Insurance Assoclallon, Mutual Atomic Energy
liability Underwflters or Nuclear Insurance ASSOCiatIOn of Canada.
or would be an Insured under any such policy but for Its termlna.
tlon upon exhaustion of ItS limit of liability; or
(2) resulting from the hazardous properties 01 nuclear mat,f111
and With respect to which (I) any person or organlzallon IS re
quued to maintain finanCial protection pursuant to the AtomiC
Energy Act of 1954. or any law amendatory thereof. or (II) lhe
insured IS. or had thiS policy not been Issued would be, entitled
to Indemnity from the United States of Ameflca, or any agency
thereof, under any agreement entered Into by the Unlled Stales ot
Ameflca. or any agency thereot, with any person or organlzallOn
(b) Under any Medical Payments Coverage. or under any Supplemen
tary Payments prOVISion relatang to first ald. to expenses Inculled
With re~pect to bodily Injury resulting from the hazardous proptftltl
of nuclear material and aflslng out 01 the opera lion 01 a nucN If.
cility by any person or organization.
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(c) Under any liability Coverage, to bodily Injury or property damage
resulting from the hazardous properties of nuclear material, If
(I) the nuclear material (i) is at any nuclear lacility owned by,
or operated by or on behalf of, an insured or (II) has been dls,
charged or dispersed therefrom;
(2) the nuclear material is contained in spent luel or waste at
any lime possessed, handled, used, processed, stored, trans.
ported or disposed of by or on behalf of an insured; or
(3) the bodily Inlury or property damage anses out of the furn.
iShlng by an insured of serVices, matenals, parts or equipment
In connection with the planning, constructIOn, maintenance, op.
eration or use of any nuclear facility, but if such faCility IS located
within the United States of Amenca, its territories or possessions
or Canada, thiS exclusion (3) applies only to property damace to
such nuclear facility and any property thereat.
II. As used in this exclusion
"hazardous properties" include radioactive, tOXIC or explosive prop-
erties;
"nuclear material" means source material, special nuclear material
or byproduct material;
"source material", "special nuclear material", and "byproduct ma.
terial" have the meanings given them In the Alomlc Energy Act of
1954 or In any law amendatory thereof:
"spent fuel" means any fuel element or fuel component, solid or
liqUid, which has been used or exposed 10 radiation In a nuctear
ructor;
-
MP 00 90 (Ed. 07 77)
.~
I
"waste" means any waste material (I) containing byproduct material
and (2) resulting from the operation by any person or organization
of any nuclear facility Included Within the definition of nuclear
facility under paragraph (a) or (b) thereof;
"nuclear facility" means
(a) any nuclear reactor,
(b) any equipment or deVice deSigned or used for (1) separat.
ing the Isotopes of uranium or plutOnium, (2) processing or
utiliZing spent fuel, or (3) handling, processing or packaging waste,
(c) any equipment or deVice used for the processing, fabncat.
Ing or alloying 01 special nuclear material If at any lime the total
amount of such material In the custody of the insured at the
premises where such equipment or deVice is located consists
of or contains more than 25 grams of plutonium or uranium 233
or any combination thereof, or more than 250 grams of uranium
235,
(d) any structure, baSin, excavation, premises or place prepared
or used for the storage or disposal of wast.,
and includes the site on which any of the foregOing IS located. all
operations conducted on such site and all premises used for such
operations;
"nuclear reactor" means any apparatus deSigned or used to sustain
nuclear fission In a self -supporting chain reaction or to contain a
critical mass of fiSSionable malerlal;
"property damace" Includes all forms of radIOactive contamination
of property.
Pace 5 of Ii
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I
DEFINITIONS APPLICABlE TO' SECTION II
When used In the proVISIOns applicable to SectIOn II of this policy (Includ-
Ing endorsements tormlflg a part hereof):
"automobile" means a land molor vehicle, trailer or semitrailer designed
tor travel on public roads (including any machinery or apparatus allached
thereto), but does not Include mobile equipment;
"bodily injury" means bodily Injury, sickness or disease sustained by any
person which occurs dUllng the policy period, Including death at any lime
resulting therefrom;
"collapse hazard" Includes "structural property damage" as defined
herein and property damage to any other property at any time resulting
therefrom, "Structural property damage" means the collapse of or struc-
tural injury to any bUilding or structure due to (I) grading of land, ex-
cavaling, borrowing, filling, back-filling, tunneling, pile dllvlng, cotterdam
work or caisson work. or (2) moving, shollng, underplnmng, raising or
demolition of any bUilding or structure or removal or rebUilding 01 any
structural support thereof. The collapse hazard does not Include property
damage (I) anslng out of operalions performed lor the named insured
by independent contractors, or (2) Included within the completed opera-
tions hazard or the underground property damage hazard, or (3) for which
liability is assumed by the insured under an incidental contract;
"completed operations hazard" I ncludes bodily injury and property dam-
age arising out of operalions or reliance upon a representation or warranty
made at any time with respect thereto, but only If the bodily injury or prop-
erty damage occurs after such operations have been completed or aban
doned and occurs away from premises owned by or rented to the named
insured. "Operalions" Include matenals. parts or equipment furmshed In
connection therewith, Operalions shall be deemed completed at the earliest
of the follOWing times:
(1) when all operations to be performed by or on behalf of the named
insured under the contract have been completed,
(2) when all operations to be performed by or on be hall of the named
insured at the site of the operations have been completed, or
(3) when the portion of the work out of which the Injury or damage
allses has been put to ItS Intended use by any person or orgamzalion
other than another contractor or subcontractor engaged In performing
operations for a pnncipal as a part of the same proJect.
Operalions which may require further service or maintenance work, or
correction, repair or replacement because 01 any detect or defiCiency, but
which are otherWise complete, shall be deemed completed,
The completed operations hazard does not Include bodily injury or prop-
erty damage arISing out 01
(a) operations In connection with the transportalion 01 properly, un-
less the bodily injury or property damage allSes out of a condllion In
or on a vehicle created by the loading or unloading thereot,
(b) the eXistence ot tools, umnstalled equipment or abandoned or
unused matenals. or
(c) opera lions for which the claSSificatIOn stated In the poliCY or In
the company's manual speCIfies "Including completed operalions":
"elevator" means any hOisting or lowenng deVice to connect floors or
landings, whether or not in service. and all appliances thereol Including
any car, platform. shaft, hOlstway, stairway, runway, power equipment
and machinery; but does not Include an automobile servIcing hOist, or a
hOist Without a platform outSide a bUilding if Without mechamcal power
or If not allached to building walls, or a hod or matellal hOist used In altera-
tion. construction or demolition operations, or an inclined conveyor used
exclUSively lor carrYing property or a dumbwaiter used exclUSively lor
carrYing property and haVing a compartment height not exceeding tour feel;
"explosion hazard" Includes property damage allslng out of blasting or
explOSIOn The explosion hazard does not Include property damage (I) ans-
109 out of the explOSIOn 01 air or steam vessels, piping under pressure,
prime movers, machinery or power transmitting equipment, or (?) aflslng
out 01 operatIOns performed for the named insured by Independent con
tractors, or (3) Included Within the completed operations hazard or the
underground property damage hazard, or (4) lor which liability IS assumed
by the insured under an incidental contract;
"incidental contract" means any wllllen (I) lease 01 premises. (2) ease-
ment agreement, except In conneclion with construction or demollhon
MP 00 90 (Ed_ 07 77)
i'
operatIOns on or adlacent to a railroad, (3) undertakln& to Indemmly a
mumclpallty required by muniCipal ordinance, except in connection with
work lor the mUl1lclpality, (4) sidetrack aareement, or (5) e1ewalor malnte.
nance agreement;
"insured" means any person or organization QualifYing as an insured In
the "Persons Insured" proVision of the applicable Insurance coverage.
The Insurance afforded applies separately to each insured against whom
claim IS made or SUit is brought, except with respect to the limits of the
company's liability;
"mobile equipment" means a land vehicle (including any machinery or
apparatus attached thereto), whether or not self-propelled, (\) not subject
to motor vehicle registration, or (2) maintained for use exclusively on
premises owned by or rented to the named insured, including the ways
Immediately adjOining, or (3) designed for use principally off public roads,
or (4) deSigned or maintained for the sole purpose 01 affordllll mobility
to equipment 01 the fOllowing types lormlng an integral part of or per.
manently attached to such vehicle: power cranes, shovels, loaders, dluers
and dnlls; concrete mixers (other than the mlx-In-transit type); graders,
scrapers. rollers and other road construction or repair equipment; air-
compressors, pumps and generators, Includllll spraYing, welding and
bUlldl1ll c1eal1lng equipment; and geophysical exploration and well servic.
Ing equipment;
"named insured" means the person or organization named in Item 1. of the
declaralions of thiS policy;
"named insured's products" means &oods or products manufactured, sold,
handled or distributed by the named insured or by others tradilll under
his name, Includllll any container thereof (other than a vehicle), but
"named insured's products" shall not Include a vending machine or any
property other than such container, rented to or located for use of others
but not sold;
"occurrence" means an accident, including continuous or repeated ex-
posure to conditions, which results in bodily injury or property damace
neither expected nor intended from the standpoint of the insured;
"policy territory" means:
(I) the Ul1Ited States of America, its territories or possessions, or
Canada, or
(2) Inlernalional waters or air space, provided the bodily injury or
property damage does not occur in the course 01 travel or transporta-
tion to or Irom any other country, state or nation, or
(3) anywhere In the world With respect to damages because of bodily
injury or property damage arising out of a product which was sold for
use or consumptIOn Within the territory described In paragraph (1)
above, prOVided the onglnal SUit for such damages IS brought Within
such lerlltory:
"products hazard" Includes bodily injury and property damage allslng
out 01 the named insured's products or reliance upon a representation or
warranty made at any lime With respect thereto, but only lithe bodily in-
jury or property damage occurs away from premises owned by or rented
to the named insured and after physical possession 01 such products has
been relinqUished to others;
"property damage" means (1) physlcallnlury to or destruction 01 tangible
property which occurs during the policy period, Including the loss of use
thereol at any time resulting therefrom, or (2) loss 01 use of tangible prop.
erty which has not been phYSically Inlured or destroyed provided such
loss 01 use IS caused by an occurrence dUring the policy period;
"underground property damage hazard" includes underground property
damage as dellned herein and property damage to any other property at
any time resulting therefrom. "Underground property damage" means
property damage to Wires, condUits, pipes, mall1s. sewers, tanks, tunnels,
any similar property, and any apparatus In connection thereWith, beneath
the surface 01 the ground or water, caused by and OCCUrring dUring the
use 01 mechal1lcal equipment lor the purpose 01 grading land. paving, ex-
cavating, dlllling, borrowll1g. 111I1I1g, back-fllllng or pile driVing. The under-
ground property damage hazard does not Include property damage (\)
arising out 01 operatIOns performed for the named insured by Independent
contractors, or (2) included Within the completed operations hazard, or
(3) for which liability IS assumed by the insured under an incid.ntal con.
tract.
e
e
e
Pac. 6 016
.'~~I,~!II~IIIIIII.".~,IH.,.~",4,!,,'~"I~.
I
SMP AMENDATORY ENDOR~~E~T
MP 01 27
(Ed. 12 79)
'''n~~
" t
, 0
@\ "1979
In consideration of the premium charged, this endorsement is made a
part of this policy.
The SMP Policy is amended as follows:
1.
SUBROGATION
General Condition 6. "Subro~ation" of the SMP Policy Condi.
tions and Definitions Form IS replaced by the following:
6. Subrogation.
(a) In the event of any payment under this policy,
the Company shall be subrogated to all the in-
sured's rights of recovery against any person or
organization and the insured shall execute and
deliver instruments and papers and do whatever
else is necessary to secure such rights. The insured
shall do nothin~ after loss to prejudice such rights
except as provided below.
(b) When SMP Condominium Additional Policy
Provision Endorsement MP 00 80 is attached to
this policy, the waiver of subrogation condition,
paragraph 1. of Form MP 00 80 is deleted and
replaced by the following:
The Company waives its ri,hts to subrogation
against any unit-owner 0 the condominium
described in the declarations.
(c) As respects coverafe provided under Section
I-Property Coverage 0 this policy. this insurance
shall not be invalidated should the Insured waive
in writing any or all right of recovery against any
party for loss. Provided. however, that in the event
the insured waives only a part of his rights against
any particular third party, this Company shall be
subrogated with respect to all rights of recovery
which the insured may retain against any such
third party for loss from the perils insured against
to the extent that payment therefor is made by this
Company; all subject to the following additional
provisions:
(1) This condition does not apply to crime,
inland marine or glass coverage written
under Section I Property Coverage of
this policy;
(2) If made before loss has occurred, such
agreement may run in favor of any third
party;
(3) If made after loss has occurred, such
agreement may run only in favor of a
third party falling within one of the fol-
lowing categories at the time of loss:
(i) a third party insured under this
policy; or
(ii) a corporation, firm. or entity (a)
owned or controlled by the named
insured or in which the named in-
sured owns capital stock or other
proprietary interest, or (b) owning
or controlling the named insured
or owning or controlling capital
stock or other proprietary interest
in the named insured; or
(iii) a tenant of the named insured.
(d) Except as provided in paragraphs (b) and (c)
above the Company shall not be bound to pay any
loss if the insured has impaired any right of recov-
MP 01 27 (Ed. 12 79)
2.
ery for loss. However, it is agreed that the insured
may, as respects property in transit. accept such
bills of lading. receipts or contracts of transporta-
tion as are ordinarily issued by carriers containing
a limitation as to the value of such goods or mer-
chandise.
PERMITS AND USE
In the Conditions Applicable to Section I of the SMP Policy
Conditions and Definitions Form:
A, Condition 16. Permits and Use is amended by adding
the following:
(c) Without prejudice to this insurance, for there to be
an error in stating the name, number I street or location
of any building(s) covered hereunder, or of building(s)
and personal property if covered under a single item 01
insurance, where there is no willful concealment or mis-
representation.
B. Condition 17. Vacancy, Unoccupancy and Increase of
Hazard is replaced by the following:
Permission Is granted for:
(a) The described building(s) to be vacant without Iim.
it of time. subject to a 15% reduction in the
amount of loss payment otherwise due under this
policy while the involved building(s) is vacant
beyond a period of 60 consecutive days. This penal-
ty will not be applicable during the period of any
extension whereby the 60 day period is extended
by endorsement.
("Vacant" or "Vacancy" means containing no
contents pertaining to operations or activities
customary to occupancy of the building. A
building in the course of construction shall
not be considered vacant.)
(b) Unoccupancy.
Provisions (a) and (b) above do not apply to the perils
of vandalism or malicious mischief or sprinkler leakaie.
(c) Increased hazards and for change in use or occu-
pancy.
PERSONAl. PROPERTY Of THE INSURfO
The followin. words are deleted from Personal Property of
the Insured In Section I. Property Covered:
A. "and usual to the occupancy of the insured"
in the General Personal Property Form and Special Per.
sonal Property Form
B. "and usual to the occupancy of the named insured"
in the Condominium Unit-owners General Personal Prop-
erty Form and Condominium Unit-OWll8ls Special Per-
sonal Property Form
EXTENSIONS Of COVERAGE
In the General Building Form
Special Building Form
Condominium General Building Form
Condominium Special Buildinl Form
the followina words are deleted from A. Newly Acquired Prop-
erty under Extensions of Coverage:
"but not exceeding $100,000"
3.
4.
I
I
.
.
FLORIDA AMENDATORY ENDORSEMENT
IL 01 25
(Ed. 09 83)
I. The following provision is added when a Coinsurance Clause applies.
Coinsurance Contract: The rate charged in this policy is based upon use of a coinsurance clause attached hereto with the consent of the Insured.
II. Thefollowins applies to policies covering properties located in Monroe County and east of the west bank of the Inter-Coastal Waterway in Broward,
Dade, Indian River, Martin, Palm Beach and St. Lucie Counties.
The Deductible Clause is replaced by the following 8S respects the perils of Windstorm or Hail, if insured against:
Windstorm or Hail:
The amount determined by using the following percentages of the actual cash value of the property covered, IS designated by In "X" in the boxes
shown in the Deductible Schedule below, shall be deducted from anyone windstorm or hail loss covered under this policy.
(a) The following is applicable to all properties located east of the west bank of the Inter-Coastal Waterway in Broward, Indian River, Martin,
Palm Beach and St. Lucie Counties:
o 1% of the first $1,000,000, or fraction thereof, plus I/z% of the next $2,000,000, or fraction thereof, plus 1/.% of the values in excess of
$3,000,000; however, in no event shall the amount thus established be less than $100 nor more than $25,000.
(b) The following is applicable to all properties located east of the west bank of the Inter-Coastal Waterway in Dade County:
o 1% Windstorm or Hail Deductible Clause
1% of the first $2,000,000, or fraction thereof, plus 0.8% of the next $2,000,000, or fraction thereof, plus 0.6% of the next $2,000,000,
or fraction thereof, plus 0.4% of the next $2,000,000, or fraction thereof, plus 0.2% of the next $2,000,000, or fraction thereof; however,
in no event shall the amount thus established be less than $200 nor more than $60,000.
o 2% Windstorm or Hail Deductible Clause
2% of the first $2,000,000, or fraction thereof, plus 1.6% of the next $2,000,000, or fraction thereof, plus 1.2% of the next $2l()()()'ooo,
or fraction thereof, plus 0.8% of the next $2,000,000, or fraction thereof, plus 0.4% of the next $2,000,000, or fraction thereof; nowever,
in no event shall the amount thus established be less than $1,000 nor more than $120,000.
o 5% Windstorm or Hail Deductible Clause
5% of the first $2,000,000, or fraction thereof, plus 4% of the next $2,000,000, or fraction thereof, plus 3% of the next $2,000,000, or fraction
thereof, plus 2% of the next $2,000,000, or fraction thereof, plus 1% of the next $2,000,000, or fraction thereof; however, in no event shall
the amount thus established be less than $2,500 nor more than $300,000.
(c) The following is applicable to all properties located in Monroe County:
o In the event of loss caused by windstorm or hail, the Company shall be liable for only _% of the amount of the loss in excess of
$ .
The above Windstorm or Hail deductible provisions shall apply (1) separately' to each building, if two or more buildings be covered hereunder,
(2) separately to building and separately to personal rroperty, if a building and Its personal property be covered hereunder, (3) separately to personal
property of each building, if the personal property 0 two or more buildings be covered hereunder, (4) separately to personal property in the open,
and (5) as respects all properties located in Monroe County, separately to all screening and supports except window and door screens.
The above Windstorm or Hail deductible provisions shall not apply to insurance covering Business Interruption, Tuition Fees, Extra Expense, Loss
of Income, Rent or Rental Value or Leasehold Interest.
III. The following is applicable only to properties located in the Counties of Broward, Dade, Martin, Monroe and Palm Beach, and in all areas east
of the west bank of the Inter-Coastal Waterway in the Counties of Indian River and St. Lucie when this policy is extended to include the Extended
Coverage peril of Windstorm:
Windstorm Exterior Paint and Waterproofing Clause: It is hereby stipulated that coverage under this policy does not include damage caused in any
manner by windstorm to paint or waterproofing material, applied to the exterior of the buildings or structures covered hereunder. The value of paint
or waterproofing material shall not be considered in the determination of the amount of deductible and the actual cash value when applying the
Coinsurance Clause, when loss is caused by windstorm.
IL 01 25 (Ed. 09 83)
Copyrllht. Insurance Services Office, Inc., 1983
Copyrilht. ISO Commercial Risk Servlces. Inc., 1983
lJ>.
I '
,. .
GL 00 19 07 78
This endorsement forms a part of the policy to which attached, effective on the inception date of the policy unless otherwise stated herein.
(TIle feIIowlnI ilIformatioR is requiqd only wlIen this IlIdonement is lsallld s~ to pI'IfIIrItlon .. polley.)
Endorsement Effective PoIlcy Ne. EnlIlIr1Imeld No.
Named Insured
Countersianed by
(Authorized ReprlStfltative)
This endorsement modifies such insurance as is afforded by the provisions of the policy rel.tina to the followina:
GENERAL LIABILITY INSURANCE
SMP LIABILITY INSURANCE
BUSINESSOWNERS POLICY
AMENDA TORY ENDORSEMENT-ADDITIONAL DEFINITION
It is agreed that the following definition is added:
"loading or unloadin"" with respect to an .utomoblle, means the handlina of property after it is moved from the place where it is accepted for movement into or onto
an .utonlollile or while it is in or on an .......... or while it is beina moved from an .utCllllClblle to the place where it is fin.lly delivered, but "IoIdlna or unlllldlq"
does not include the movement of property by means of a mechanical device (other than a hand truck) not .ltadIed to the 1lItemelIIIe.
1 ,I,
GL 00 1907 78
. '.
<m
I.
I .
GL 00 26
(Ed. 03 81)
This endorsement forms a part of the policy to which attached, effective on the inception date of the policy unless otherwise stated herein.
(The following Information iuequired only when tills endorsement Is Issued IIbsequent to prIpIl'ltlon of poJlcy.)
Endorsement effective Policy No. Endorsement No.
Named Insured
Countersigned by
(Authorized Representative)
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following:
COMPREHENSIVE GENERAL LIABILITY INSURANCE
MANUFACTURERS AND CONTRACTORS LIABILITY INSURANCE
OWNERS, LANDLORDS AND TENANTS LIABILITY INSURANCE
SMP LIABILITY INSURANCE
NON-OWNED SNOWMOBILE
It is agreed that Part 2 of Exclusion (c) is replaced by the following:
(2) the operation or use of any snowmobile or trailer designed for use therewith
(I) owned or operated by or rented or loaned to any Insured, or
(ii) operated by any person in the course of his employment by any ilIIured;
GL 00 26 03 81
COVIll""
L 8385a
(Ed. \073)
CO~E PAIl I' . I
COIII'IIEIDSIVE Ill.UL LIABILITY INSURANCE
for attachment to Policy No.. if JtI6 ... . 10 complele said policy.
AIIlIITIOllAL DEClARA TlOIIS
location of all premises owned by, rented to or controlled by the ..-HI ...d (UIU" ........ I' ...... L.OCATION U ADD.... .HOWJIIII" IU. I 0' alC:I..."ATIONel
UM nU.-)
Interest 01 namad Inlulld in such premisas ,c.ac. onow,
DOwner D General Lessee I!J Tenant D Other
Part occul.~~.m'd inlured ,a.n. onow,
TIta lollowinl discloses all hazards Insured hereunder known 10 lIist at the effective date 01 this policy, unless otltarwisa staled herein.
SCHEDULE
The insurance affo,ded is only with ,espect to such 01 the follow 109 Coverages as are IOdlcaled by specific premium cha,ge or charges. The limit 01 the company's
liabilily agalOsteach such Coverage shall be as stated herein. sub,ect to all the te,ms 01 thIS policy having reference therelo.
$
ixI $
$
Tolal AdYIIICt Pmalu. $
DelCrlptila el llaurdl
"'.... III..
Ratti
U. P.O.
Premil.1 . Optrllleu
PMU II ,LA__.'
M"JI~
WI
-
IIICL
.....
".
1&11... "
I') Are, (Sq. fl.)
b) front..t
c) R.munlf.UolI
(d) Rocolpb
1:/ =:"10"1
""",lief 1.._
~~ ~~ t?:..s:a' ,::., of Ar..
l~l Per t100 o. lemuR.rlllon
ld Per 100 or ....11>11
') Par nit
f) Per 100 Admlulonl
Por u"'II..
Escalators I"umber at Pr.lliles)
_ AT IKUTI. M1I
ladepeadaRt C.llraclers
~~--
'" ", "j" "".~
l'J ,., 11.000 of S,l..
,
COIl
.. AT 11ICUTI. Mil
Ca.pllled o,eralilu
(.) ..ctlpla
.. I<< 11ItU'T1. MIl
"..."
;bl S,al..
101II. AT IIICLPTUa. UTi
'.- ...> >-
j:...,....
;-:t~J. .
WlI8ft ulId al . "...luIII bllll:
I. "...,,,,..." ll1IInl Ihl 10111 numbll 01 pmon" olher Ihln employeel of th. _141 ""lId, Idmlll.d 10 Ih. .venllnlUlld 0110 .ventl ooIIductld on Ill.
1"'111"11 WillI/III .11 p,'d Id",llIlulIlI.k.tl. "~IIplllll.ntIlY Iwklll Ilr pAU",
2. "...1" IIIUII. Iha 1uI11l.11.1 lu fhe ..... 1I11..d Illlh ,"...ollu oplllllllll' lJt'IUII".d fu' Ih. ..... 1.111" ~UIIII' Ih. pollvy pI'lud b, Illd'Pflldtlll
wnl'lClfulI ul ell wurk I.t Uf ,ub 1.1 In tllll/llollo11 wllh ....h 'I..IIIC; plu,..I, tnoludlllM 1111 ,.,1 ul .1I1.bol, m.terl.111Ild .qullNMnl lu,nll/ltd, ulld u,
dellvlI.d ru, UIIIII IIta ....ullu" oIlUlih work, wh.the' IUIO""'d by 1111 aWI1lI, cunllltla, 01 Iubc;onll 10101 , 1nc;1u41111 .11 ,.." .llowlllOl', bonu...
ur oun,,nl..10111 nlodtl, w.ld UI dllt,
"1I.."Is" m.lIllllh. M"III 1I1101/n' OIIt1411I1Y l.hl'M"' by Ih. ..... 11I1Illld 1111 '11' h ulJtllllun, hy Ihl .... III"" III br Utltell dUlln. Ih. pol '" I 1111 hili
II ... 1.I.d 'HI I '.',Olpl. 1101. ulhl" th.1I IIUtpl. It"", I.,....lln.. 1111I1111...11111 "'lllUllolI pllillllll, tnd I'""udellllll, U hll Ih," I.... I111I1"h I'" .....
11'1'" .1111,,11 .. I IIp.lIl. lIonl ,"d IIHllh d"..II, 10 . I"YlIIHII."lllliljlllloll,
"1I..lllll1l11l1w" "''''11' Ih. .111111 ""ll11l1lllul. 001110'1 dlllllll Iho ",,11"1 1.11 h,,1 hi 1""1111011111 .11I1 III .11 .mplll"" III Iho ..... lilt..., IIlhll 111111
,,11111"0111' 111"'1.1111""""' "' IlIuhll. OI,uIIII,"11 III' 1111,,,11 pllullltld loll Ulllll.. .lIbll'" lu IIIlllil"h". ..,nltt,I" 11tII1l.1I111 II 111111111111.114," lul,
',II,liubl. '" "..."d'lIt. wllh Ih. mlflUil, '" UII b, Ih. LUmp'"I,
"11111" 1/111111 Ih. 1"1" 111111111I1 ullllulla, ~hll..d hy Ih. alll,d 1lI111'.d 01 bl ullt." Ir.dllll Ulldll hll naln. lUI .11 luod. .nd plu4UC;tllOld ur dlltribul.d
dWllII Ih"r.11t' 1Jtlllld .lId ~hIlM.d du'"" Ih. ""III 11Jt1l1M1/UI 1II,1.1I.1IulI. ",vll,lnl III llpall, "ldllKludu lilli, ulltal Ih.n 1...1 whltlh IhI .....
11II1I','.n .uch olhlll coll.ct .. . "p.1I1. IIl1n .1IIl 1111111 dllll:lly lu . IU..III/11lnl., d'vlllOn
luvlIl
I. caVUM I a-IaOllY INIUlY mlll1Tf ,
cawller I-PROPEIITY OAMm lIAlIlITY
Th. clllllplny !VIII pay nn bthll! nr th. Ittlllftd all auma w11lch Ih. 11I..d .h.1I
btttnm. ".ally nbll.a'ad In p,y II dlllla,.. hacalllt 01
A. ~odlly Injury or
B. prDparty dllfttII
In "hi'" thl, InlllrtMa ~pll.., .alll.d by ,n ..ourr."n, ,lid 'h. o',,",IMIY Ih.1I
h... Ih, rll'tl ,lid duty 10 d,"'"' ,n"lIl1 _,.In't Ih' Inlar" ....'n. .1.n,..,1
nn .....IIn! nf IlIth Udlly In"", or pr.,.rty d.ma.a, "VIII U Iny III 'h, 11I1r."I1.1t
af lilt IUU III 11011",,1'11, III.. or llluelllllnl. Ind "',y m.k, IlIrh lllv,,' a.lll1n
andllllll,",n' 01 'ny ..I,'m or 11111 lit It dn,ml "PAdl,nl/. bid lh, rompanv .h.1I
not be obll.al.d In pay tny .lalm or Iudllolnl or to d..nd aoy 11111 .11" lh.
appllcabl. limit at Ih. camplnY'1 1I11llllly hll blln. D,h.1I11.d by paym.n' al
llldl"lttlt. or 1I1I1.m.nll.
"'--
Thlll_ cIIln not 1!IIl1y:
III to 1I1111111y .ssumtd by Ih. ....... und.r 'ny contract or 'Ireement erc.pt
.n Inchl.lltal centract; but Ihis erc'uslOn does not apply to . warranty of
litne" or Quallly 01 lhe IIIIIl8d Illarad'l productl or a warranly thai work
performed by or On behalf 01 fhe namad Insurad will be done in a workmanllk.
man"'r;
(hi to bOd'Iy 1.'." or pre'lrty dam..e "ising oul of the ownership, maintonancr.
Ojle'ol'o'~ use, loodina 0', unlQ.~dill&u[
m IIIIY ......... Of IIICIIlI dIIIllllt'. .'
12I1111Y ='.CCiii"-a;'~ ~ . "Ii. " __ of
~ employmenl by .ny IIIIIrtd,
bullhl. ,"clU1lon do.. nollllPly 10 "" plrkl"l of 1ft ......... on prwmlSM
IMOId by IInt.d to or controlled by the -' ..."" or tho w." hnme-
dlat.l, iCllolnl... If IUCfl ........ II not owntd by Of renltd or Iolnfd to
Iny 110...,
Icl to ntllly IIoI.y Of ".,my ...... Iflsl"l out of m the _""I,. mllft.
Ilftlne.. o,.lIllon. ute. loldl.. or unloadl"l of "" MIll ..-1..... ..h,l.
b.I"I U1.d In .ny ".."....ed or or"niltd rlti"l. spe.d 0' domo:it,on
contul or In "" sIunU"I ICtivily or in "Klln or p~lIlion 10' .ny such
coni est Of Itllvlty or 121 th. operalian or Ole 01 .ny snowmobile or lrailer
d.".ned lor use th.re..ith;
(ef) 10 bo'lly I."" or "",rty dllll", arllln, out of .nd In tI" count of Ih.
lransporl.Uon 01 IIIObll. .qllplIII.' by .n """'111 owned or operattd by
or renlfd or lo.n.d 10 Iny Inllred,
1.1 10 botllly Itllry or prop.rty dim... arlsl"l OUI of lh. ownenhlp, mllnl.nlne.,
operation. use. lolding Of unloadin, 01
1Il any wal.rcllft owned or operated by or rented or loaned to any hmnd. or
(2) any olher ",'.rcrall op.rated by any person In the cours. of his em-
plo~nt by any Inllrad;
bul this IIcllBlon does nol. apply 10 wat.reraft willie ashore on premises
owned by, r.nled 10 or Cllnlroll.d by th.""""III,,":
(fl '0 bodily Injury or """rly dllll", arising out 01 lhe dlschlr,.. dlspenal.
release or escape of smoke. vapors. sool. lumes, acids. alkalis. 10lic chemicals.
liquids or ,lSes, wlSt. materials or other irritlnts, contamin.nts or pollulanls
Inlo or upon land. the Itmosphere or any waler cours. or body 01 waler, but
Ihls IIclusion dnes not Ipply II suth dlscherg.. dlspersll. ref.lSe or escepe
Is slldd.n and accldanlel,
lal 10 bodily I."" or prop.rty d...... due to wlr. whelher or not declartd.
civil wlr. 'nsurrecllon, rebellion or revolution or 10 any ect or Cllndllion
Incld.nllo any of Ih. foregoing. with resp.ctlo
m liability mum.d by th. Inm.d under en Incltlllltal contnct. or
(2) IIp.nses lor IIrsl .Id und.r the Supplem.ntery Peyments provision,
(h) to bodily InJury or prop.rty deml18 for which Ihe Insured or his indemnitee
may be he'd liable
1Il as e p.rson or orgenizallon engeg.d In th. business of manulaclurlng.
dlslrlbullng, selling or servlnlelcohollc bev.rages. or
(2) if not so .ngeged, es an owner or lessor of premises used for sllch
purposes,
If such liability Is Imposed
1II by. or because 01 Ihe violation of. any stltut.. ordinance or regulation
perteinlng to the sale. gift. dlslrlbution or use of eny elcnholic beverage.
or
1II1 by re8l0n of lhellltlne. ..rvlni m giving of eny .Icohollc b.verel' 10 a
minor or 10 . person under the Influence of alcohol or which caus.s or
contributes to Ihe Inlolicallon of eny person,
but part lill 01 this 'Icluslon does nol apply with r.sp.ct to liability of th.
InslIl" or his indemnllee as an owner or lessor descrlb.d In 121 ebov.,
fil to any obligation lor which Ihe i.lUra' or any clrrier es his insurer may
b. hold liable under any workm.n's compensation, unemploymenl compenSl.
lion or disability bene fils law. or under any similar law,
(jl to bedlly lejtlry 10 any .mployee of lhe IMured Irlsing out of and in the
course of his .mploym.nl by Ih. lalur" or 10 .ny obliglllon 01 Ihe 111I111'
to Ind.mnlfy anothar beea.... 01 damag.s Irisin. oul of such InjurYr but Ihls
.rcluslon do.s not apply to liability assum.d by Ihe IlIIUred under .n
Incidental contreet,
(kIlo ,nperty ....... to
(J) property owned or occupltd by Of rented 10 th. 1tIsn,
(2) property used by Ihe 1.lured, or
(3) property In th. care. cU1lody or control of th. 111I.. or " to which
Ih. lImed Is for .ny purpose .urelsln, phr.lcal control:
but parts (2) end (3) of Ihis .lcluslon do nol epp y willt respecl to IIl11l1lty
under . wrltt.n side IrICk agreem.nl 100 plrl (3) 01 this exclusion does nol
apply with respecllo ",,"rty d..... (ollter th.n to .t.....n) Irlsin, oul of
th. us. of en "t"ter al premis.s owned by. rented to or conlrolled by Ihe
nalllld IlIImd;
1II to P"IIIrty dllII", to premis.s all.nat.d by the _d Inlllttl Irlslnl out
of such premises or Ifty part Ihereof:
(m) to loss of UI. of lal1lllbl. property which h" not be.n physlc.lly In)ured or
deslroyed resultlnl from
11l . delay in or lack 01 p.rformllllCl by or on b.hlll of Ih. ....d Inll"d
01 .ny conlracl or agre.m.nt. or
(2) lh. f.lIur. of Ih. nlmed Inltrad'l ,nlllleh or work perform.d by or on
b.hall of the 11IIII" Insulld 10 meel Ihe I.ve' 01 p.rform.ne.. quaflty.
fllness or durability warranl.d or represenltd by Ihe ..",.d Inlare':
but Ihls erclusion do.s nol IIlPly 10 loss of Ole of olh.r t.ngible property
resulting lrom the sudd.n and ICCldental physical injury 10 or destruction of
the o.med IMured'l productl or work performtd by or 00 behalf 01 th.
n~~~o
I................
nam.d Insurt' .1I.r ~.UCh producI! M work hm blln pul Iu U18 by any
pnl\Un or or,.nlr.lIun olhlr Ihnn nn 'nlured,
(nl to Pllperty ....... tn Ih. ..lIIfd InlUled'l p"dum trll'n, out 01 mh
p",oIurls or ."y 1'.' I III IlIrh prlldllcll,
101 III pro"", d.III", III wurk plrlnrntld by or 11I1 b.haU of Ih. """ I...,,,
Irl.lna aul 01 th. work or .ny porllon Ibal.III, or oul 01 m.I.t1.II, p.rlt '"
'qllll".llnl lurnl,h.d In rnll".ell,," th.r.wlth,
Ipl 10 dam.... d.ltll.d 'nr lh. Wlltllh'WII, IIl'Ilo,lll1n. rl,..lf, 1II,I.,.m",'. nr
10.. "I ,,,. III II.. n.m.. "1111'.'1 pr.dllnlt '" Wl1lk '"""pl..,, Ity III Il1f
Ih. _.. InsMlld III III ,"y IIIlIt'mly "I whloh '"' h "",0111I" I1f w"'k fllrm
. ~III, II IIwh IIIIIlhll:h, wlIlk III "'''I,ody AI. wlllllhlWII ""'" 1111 ","hl nr
"11I11 "" It., III.. ", .IIV k'IIIwII III '"'1,.",.01 ,1.1." "' 01.,11:1.11I V Ih."III,
Iql In prepllty d.m..a 11I";lId.oI Wllhll.
III tha 1Ir.IOlloO ha,.,d III ""I1I1I1:IIon wllh IIp.r.llnn' 1".nllll.oI In Ihl.
polity 'Y I cl...llk.lll1n rndl 1111mb., which 1t1l:'""" Ih. 'ymbol "I",
(2) fh. coll,plI hallld 'n connacllon wllh op""lIon, Idont,lIod 'n Ihll
policy hy . Cll"illcalllln cndo nllmber which Includos Iho Iymbol "c",
f31 Ih. ...dtll"la' prop.rty dama.. hartrd In conn.cllon wllh opII.llollt
Id.nllll.d 1n this policy by a dassillc.tlon cod. number which Includes
Ihe symbol "u".
II. PRSONS INSURED
Each of the following Is an lnawed under this Insuranc. to Ih. erlent set forth
below.
(al ,I the n..d Insured is designated In the declarations as an Individual. the
per!\on c;n c1r..i~n.lh~d hut only with respect to lh~ r.ondurt of ;:t hu<;inr"" 01
whlrh Ill' 1<; IIJI' ',nil" no Hielm rtnd thr " nllSr. of the ntlmed Insured wilh
jollIl ...... lit ill . 10 ..rlftlt811 IftII ""
or member therlO bul only ../Ih Nt"",I Iv hfI IIIII"'ly II aucIt,
(el II the -. ....." II doSllOllocl In the doel_ions .. other lhtot III ,...
d1vidual. partnelSh,p Of jolnl ....,u... lhe OOIanlll.ioIl .. dosi""'fd IftIIIffy
.Iocul,,,,, o"'cer, directo. 0' stocllloldor Ihereof ..tll" k"" ..,Ihi. ",. IttlIlf
01 hIS dut"s ., .och:
(ell "" """M lothor Ihl. '" .....".. ar !he __ '-MI or .....11..ioIl
..h,l. tel,.. IS rOil nt.t. m...,.. lor lhe -' .....-. IftII
re' ..,Ih '..""cl to It.. """f1"'on I.f the putllOt' 01 Iocooool",. _ . ,.ehc
h,"''''Y. 01 ...11t .~....., ro,lSlf'td unci.. .oy malnt ..hoelt rtl,"'II,oo
,....
IiI 1ft .mployH 01 lhe _. ...... whil. opIl1'''' .ny luch tqul-' I.
the cou... 01 his ...plo,,"en'. "'"
llll .ny othe, """"" wh,le op..at'n~ ..IIh the "",minioll of IN ..... '-"
.ny .uch equipmenl rerisl.rod ,n t'" '"... of '''' ...., I...... 1M 'OY
""ISOn Of o'l.nilll,on lerally re.pon"ble lor .uch opt"alion. but only If
there is no olh.. valid and collectibl. insunnee ...illbl., .,''''r on I
primary or excess basi!, 10 such ~r~o" or ofR8niution:
provided Ihal no ""rson or Ofrlftilllion shall "" an 1n1,," undtr !hil par.
graph'el with r..pect to,
1Il bedlly I.lury 10 .ny f.llow employ.e of such person injured in Ihe COU'SI
of his employmrnt, or
/21 prop.rty d.III", 10 properly owned by. rented 10, in tharg. 01 or occupied
by the nllned insur.d or Ihe employe, 01 any peltoll deSCIib.d in .ub.
paragraph li,l.
This in.llranc. dn.s not apply to '811l1y lallry or proPlrty d.III", IIlslnR 0111 01
the condllcl 01 ony partnrlShlp or joint venlu.. nf which lhe InlUred is . plllnPl
or member and which is not de.irnated in this policy a, a nlm.d InlUlld.
III. LIMITS OF LIABILITY
R.gardless of Ihe number of 1Il1MUf.ds under this policy. 121 persons or orlan~
IItions who sustain bodily InjllfJ or prop.rty d.III"" or 131 claims mad. or SUitl
broughl On account 01 bodily Injury or proparty dama,., the company's liability il
IImiled as follows:
Coverll' '-- Th. tolel liability of the company lor all damales, including
damages for care and loss 01 services, because of bodily In)ury sustaln.d by one
or more persoos as the reslllt 01 anyone occurrence shall not erceed the IImil of
bodily Inja" liability stated in the schedule as applicable to "each occorrenc.':
Subject to the above provision respecting "each occu".nc.... the total Iiabilily
01 the company for all damages be calise of III all bodily Injury Included wilhln the
COIIIpl.lld ,p'"1Ions hlZard and 121 all bodily injury included wilhin Ihe produell
hll.nl shall not erceed fhe IImil of bodily InJory Iiabitity stated In the schedule
es "aggregale".
CIVil'" I-The tolal lI.bllily 01 Ih. company for all damaR.s b.cause of all
prtperty lalllll8 suslained by one or more persons or organizations as the resull
of anyone oeeurrenc. .hell not erc.ed the limil of proparty daml" liability stated
in the schedule as .pplicable 10 "each occurrenc.",
Subject 10 Ih. above provision respecting "each occurreace", th. total liability
of Ihe company for alt damages because of all property d.m'I' 10 which this
coo.rale applies Ind desc,ibed in any of Ihe numbered subparagraphs b.low
shall not erceed th. limit of property damala liability stat.d In Ihe schedule as
"aggregale" :
(J) all property d..... lIising out of premises or operations raled on are.
munerallon basis or contraclor's equipment ret.d on a rec"pls basis.
ineluding prlfl.rty d.lII811 lor which liability Is assum.d under any In.
cld..,.1 canlrlCt relating 10 such premises or op.rallons, but excludinl
property dllll... Included in subpllagraph (2) b.low,
(2) all P"Plrty d'IllI" lIisinl oul of and occurring In the cours. 01 operallons
perlormed lor Ihe llIlII.d Inll'" by independent contraclors and g.neral
supervision Ihereol by Ih. lIIII.d Iftlured, including any such property
d.... lor which IIl11i1lty Is assumed under any Inclde.I.1 conlllcl
relating 10 such operalions. bul this subparagraph (2) do.s not include
pra,.rty ...... Irising oul 01 mainl.nence or repairs at pr.mlses owned
by or rented 10 Ihe .,m.' IlSurtd or struclural allerallons at such premises
which do nol Involve changing lhe sile of or moving buildings or olher
slructures;
(3) all prop.rty d'IIII.' Included within the producta haz.n! and all prop.rty
d...... included wilhin the compl.,.d op'"Uons hlZard.
Such aggregate limit shall apply separately to Ihe prop.rty dlmll' d.scribed
In subparagraphs (J), 12) and 13) above. and under subparagrlphs (J) and 121.
separat.ty with respecl 10 each projecl away from premises owned by or renled
to the nam.d IlIulld.
Cover.... A and I-For Ih. purpose of delermlning Ih. limit of Ihe compeny's
IIl11l1ity. all bodily injury and prop.rty dam... arising 0111 of continuous or reo
peated llposure 10 substantially the same general conditions shall be considered
as arising out of one .ccurrenc..
IV. POLICY TERRITORY
This insurance applies only 10 bodily InJIIlJ or proplrty dllllll8 which occurs
within Ihe polley t.rrltory.
Roger Bouchard Insurance. Inc.
P. O. Box 6090
Clearwater. Florida 33518
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
INSURED
Clearwater Shuffleboard Club
1020 Calumet Street
Clearwater. Florida 33515
COMPANY A
LETTER
COMPANY B
LETTER
COMPANY C
LETTER
COMPANY D
LETTER
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY
BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI-
TIONS OF SUCH POLICIES.
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMIDOIYY) DATE (MMIDOIYY) AGGREGATE
BODILY $ $
3/15/84 3/15/85 INJURY
PROPERTY $ $
DAMAGE
BI & PO $500. $500.
COMBINED
PERSONAL INJURY $
BOOll Y $
INJURY
(PER PERSON)
BOOll Y
INJURY $
(PER ACCIDENT)
PROPERTY $
DAMAGE
BI & PO $
COMBINED
BI & PO $
COMBINED
STATUTORY
3/15/84 3/15/85 (EACH ACCIDENT)
(DISEASE-POLICY LIMIT)
(DISEASE-EACH EMPLOYEE)
GENERAL LIABILITY
COMPREHENSIVE FORM
PREMISES/OPERATIONS
UNDERGROUND
EXPLOSION & COLlAPSE HAZARD
PRODUCTs/COMPLETED OPERATIONS
CONTRACTUAL
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
MP 59 246 486
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS (PRIV. PASS.)
ALL OWNED AUTOS .(OTHER THAN)
PRIV. PASS.
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
t'JC 30 536 505
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESlSPECIAL ITEMS
City of Clearwater
Department of Recreation & Parks
P. O. Box 4758
Clearwater. Florida
COMPANIES AFFORDING COVERAGES
COMPANY
LETTER
A
B
C
D
E
RECEIV
COMPANY
LETTER
American States Insurance Co.
CLEARWATER SHUFFLEBOARD
1020 Calumet St.
Clearwater, FL 33515
CLUB
COMPANY
LETTER
, -1/",
, ...-"
COMPANY
LETTER
L t:.'::- R' k/
1/ .R",
COMPANY
LETTER
a
COMPANY
LETTER
This is to certify that policies of insurance listed below have been issued to the insured named above~~~~~~~.
Limits of lIablllt 'n ousan I
EACH
OCCURRENCE
TYPE OF INSURANCE
POLICY NUMBER
POL ICY
EXPIRATION DATE
AGGREGATE
GENERAL LIABILITY
BODIL Y INJURY
A
o COMPREHENSIVE FORM
K3 PREMISES-OPERATIONS
o EXPLOSION AND COLLAPSE
HAZARD
o UNDERGROUND HAZARD
o PRODUCTS/COMPI ETED
OPERATIONS HAZARD
o CONTRACTUAL INSURANCE
o BROAD FORM PROPERTY
DAMAGE
o INDEPENDENT CONTRACTORS
o PERSONAL INJURY
01-AM-165~}~~::~,~~, :~' C' ~-,
'~ t:. '",. ' . ! V l-~ U
3/15/83-84
PROPERTY DAMAGE
$
$
"'!0
i.t...'
BODIL Y INJURY AND
PROPERTY DAMAGE
COMBINED
s 500
s 500
'':nTY CLERl<,,-
PERSONAL INJURY
$
A
WORKERS' COMPENSATION
and
EMPLOYERS'L1ABIlITY
OTHER
WC221288-2
3/15/83-84
BODILY INJURY
(EACH PERSON)
BODILY INJURY
(EACH ACCIDENT)
$
$
AUTOMOBILE LIABILITY
o COMPREHENSIVE FORM
DOWNED
o HIRED
o NON-OWNED
PROPERTY DAMAGE
BODILY INJURY AND
PROPERTY DAMAGE
COMBINED
$
EXCESS LIABILITY
o UMBRELLA FORM
o OTHER THAN UMBRELLA
FORM
BODILY INJURY AND
PROPERTY DAMAGE
COMBINED
(f./lCH ACCIDENT)
DESCRIPTION OF OPERATIONS/LOCATIONSiVEHICLES
Cancellation: Should any of the above described poliCies be cancelled before the expiration date thereof, the issuing com.
pany will endeavor to mail ~ days written notice to .the below named certificate holder, but failure to
mail such notice shall impose no obligation or liability of any kind upon the company.
NAME AND ADDRESS OF CERTIFICATE HOLDER:
City of Clearwater
Dept. of Recreation &
P.O. Box 4758
Clearwater, FL 33518
Parks
9/9/83 pb
ACORD 25 (Ed, 11-77)
~... ,~. ,_~~..~ ."1.t, . ':;.;''1
~ -""
CITY OF CLEf WATER ~ 3050
INTER-OFFICE COMMUNICATION
0'
~--~
TO S:: L:::::': :eputy City
FROM . <. - .- _~:s . Parks and
DATE
June q
, 19--32-
Clerk
Recreation
~----------------------
- 1:W
--'~'
SUBJECT
Clearwater Shuffleboard Club
Attached is a copy the insurance policy for the
Sbuffleboard Club. (American States Insurance Company
Policy No. 01-AM-165939-1)
Please attach to Lease.
Thanks.
-',
~
IlEC~
JUM 10 -
~
art p.E.d
[] PLEASE REPLY ON REVERSE SIDE
AMERICAN STATES INSURANCE COMPANY
INDIAN.\POLIS. INDIANA ,.
. l AMPAC PACKAGE POLICY .
********************************** POLICY NUl'1BER:
* DECLARATIONS * RENEWAL OF:
**********************************
,\ -1/
PAGE 1
..
01-AH-165939-1
NEW
INSURED
NAME
AND
ADDRESS:
CLEARWATER SHUFFLEBOARD CLUB
1020 CALUMET STREET
CLEARWATER. FL 33515
AGENT: ROGER BOUCHARD INSURANCE IHe
POBOX 6090
301 S MISSOURI AVENUE
ClEAWATER. FL 33518
09-08580 C 311)
LEGAL
ENTITY:
POLl CY.
TERM:
CORPORATION
FROM 03-15-82 TO 03-15-83
12:01 AM STANDARD TIME AT DESCRIBED LOCATION
***********************************************************************************
* *
* *
* TOTAL' ANNUAL PREMIUM *
* DUE ON EFFECTIVE DATE: $ 181 *
* *
* *
***********************************************************************************
IN CONSIOER~TION OF THE PREMIUM% INSURANCE IS PROVIDED THE NAMED INSURED WITH
RESPECT TO THE DESIGNATED PREMI~ES AND WITH RESPECT TO THOSE COVERAGES AND KINDS
OF PROPERTY FOR WHICH A SPECIFIC LIMIT OF LIABILITY IS SHOWN1 SUBJECT TO ALL OF
THE TERMS OF THIS POLICY INCLUDING FORMS AND ENDORSEMENTS MAuE A PART HEREOF.
SECTION I
cm4MERCIAL FIRE
INLAND MARINE
...........................................-....
.............................................. $
$
16
52
SECTION II
-----
GENERAl,LIABILITY ...........................................$
76
SECTION III
BONDS ....................................................... $
31
FORMS APPLYING TO SECTION I
1________
AM100A( 1277) SECTION I-GENERAL PERSONAL PROPERTY
AMI02(0280) ADDITIONAL PERILS END
F-3B(0680) MISCELLANEOUS ARTICLES-ALL RISK
9-CIM(0181) POLICY PROVISIONS INS. ATTACHMENT CLAUSE
FORMS APPLYING TO, SECTION II
- - --
9-CCGL(0130) ~ . COMPREHENSIVE GENERAL LIABILITYINS.CQV.
9~287(1073) lIMITS LIABILITY (COMBINED SINGLE LIMIT)
9-42(0668) GENERAL CHANGE ENDORSEMENT
fORMS APPLYING TO SECTION III
------------------
~P0450(1279) SMP COMPREHENSIVE CRIME COVERAGE END
FORMS APPLYING TO MORE THAN ONE SECTION
--- ......
AM1(0480) '- POLICY CONDITIONS AND DEFINITIONS
THE DECtAR
AND THE
COUNTERSIGNATURE D4TE
4GENT
Q_A"'" n.&.An'
C'r-n n~nL
GENERAL:lIABILITY
DECLARATIONS EXTENSION >
INSURED: "a..EARWATER SHUFFlEJoARD CLUB
PAGE " 3
P~.JCY NUMBER: OI-AM-165939-1
COVERAGE I
----------..-........
A. BODILY INJURY lIABILITY 1$
8. P,ROPERTY DAMAGE lI,ABlllTY "
E. PREMISES MEDICAL PAYMENTS $
lIMITS OF LIABILITY
----
500,000 PER OCCURRENCE $ 500,000 AGGREGATE-
COMBINED SINGLE LIMIT
PER PERSON $ PER ACCIDENT
LOCATION
1. 1020 CALUMET STREET
CLEARWATER,Fl 33515
CLASS I COVERAGE' INFORMATION
------- --
PREMISES-OPERATIONS - Ol&T
INTEREST OCCUPIED
I EXPOSURE RATE I PREMIUM,
\,
86414
** LOCATION fJ 1**
PARKS OR PLAYGROUNDS -1 ACRE OR LESS
INCLUDING CHARGE FOR ADOITIONAL:INSUREO
EACH ACRE B I
PO
TO MEET COVERAGE MINIMUM BI
TO MEET COVERAGE MINIMUM PO
1
1
15.1500 $ 16
6.3700 6
18
36
---
$ 76
TOTAL
..........
-------~- ------
9-AMM(0480) ,
SOUTHE AST
IKD)
PREPARED 04-12-82 CM2EO SEQ.0498
" Attached To ond forming 0 PoIt 01:
,
Completeon'lI when this endorsement is not prep red with
the 'policy or when the effective date differs from the policy.
Pol. No.:
Insured:
Eff.:
ADDITIONAL INTEREST ENDORSEMENT
Additional premium for this endorsement: $ Incl.
Name V: City of Clearwater
.... Dept. of Recreation &. Parks
P.O. Box 4758
Clearwater, Fla33518
1. It is agreed that such insurance as is afforded by the policy
shall also apply to each interest named herein, as an insured;
but such inclusion of additional interest or interests shall
not operate to increase the limits or the company's liability.
2. It is further agreed that, if this policy is issued to a fiduciary,
the insurance afforded by this endorsement shall not apply to -
any executive officer or employee with respect to injury to or
sickness, disease or death of another executive officer or employee
of the same employer injured in the course of such employment.
this endorsement is subject to the limits of liability, exclusions
conditions and other terms of this policy which are not inconsistent
herewi th.
,<,'~' )>".;-r~~~ ~}~" ;l".\~;' ~~' ~',\
'.' ":': 1 ... :,,#: '. \T.i- "'1.
......,:~., ..~"'" ...... ,", 1i tl \
, ". ,;~" -- " , ,. ." ~ l~iI.
(". Vi".' \ ij
, .... l!e...
i-i.
JL'N T 198?
~ 'I: I' \' ,\ ~ U ~ll" I.' ;'1 L /'
All other terms of this policy remain unchanged.
~
A....rica" State. IlIIwa_ C_pa",
A....rica"rcon_' IlIIwallCe C_pa",
INDIANAPOLIS, INDIANA
,,~~ CL-
President
L~ ~ LfaA..J~I-
Secretary
Countersi,ned by
Form 9-42(5) (5-70)
fl......... c......_,
~.No..
I nsu red:
red with
e policy.
LIMITS OF lABILITY
AMENDATORY Ei..DORSEME~'"T
(COMBINED SINGLE LIMIT)
COmplete only when this endorsement is not pre
the policy or when the eHective date diHers from
Elf..
This eDdorsemeDt modifies such iDsuraDce as is afforded by the
provisions of the policy relating to the followin1l;o
COMPREHENSIVE GENERAL LlABlllTY INSURANCE
CONTRACTUAL LIABnlTY INSURANCE
MANUFACTURERS' AND CONTRACTORS' LIABlllTY INSURANCE
OWNERS', LANDLORDS' AND TENANTS' LIABlllTY INSURANCE
STOREKEEPERS' LIABILITY INSURANCE
ULTRA COMPREHENSIVE LIABILITY ENDORSEMENT
Such insurance as is afforded by the. policy applies subject to the following provisious:
L The limit of the canpany's liability for DAMAGES under all BODILY INJURY liability aDd PROPERTY DAMAGE
liability coverages, shall be a single limit of liability as stated herein:
$
ea$'6c:dIRRENCE'
"
~">
aggregate'
<"'\ .;1 ~' ,,~',.",-
.-' ~,. 'i~,J ."' .'''i. J .... ,~.-1".-\ r- r.. ~ ~.,
"! ~~? ::';;'~ .~1.'itt l:~ j :.'J- >.. ~
'yJ- ,'j -,J",.;
'- :: ,~u ~:.~ ~,.l.;./ <;;:'''~~' '..',"
$
2. All provisious in the policy captioned "Limits of Liability" coDtaiDing reference to the company's liability on accouDt
of BODILY INJURY liability or PROPERTY DAMAGE liability are deleted.
3. The following provision is added to the policy:
LIMITS OF L1ABIUTY
Regardless of the munber of (1) INSUREDS UDder this policy, (2) pe1'IODI or organi2ations who sustain BODILY INJURY
or PROPERTY DAMAGE, or (3) claims made or suits brought on accOUDt of BODD.Y INJURY or PROPERTY DAMAGE,
the company's liability is limited as follows:
The totalliabillty of the company for all damages, iDcluding damages for care and loss of lerVices, under all BODILY
INJURY liability and PROPERTY DAMAGE liability coverages of this policy because of BODILY INJURY or PROPERTY
DAMAGE sustained by one or more persons or organizations as a result of anyone OCCURRENCE shall not exceed the
limit of liability shown above for "each OCCURRENCE".
Subject to the above provisions respectiDg "each OCCURRENCE", the total liability of the company for all damages
arisiDg out of the PRODUCTS HAZARD aDd COMPLETED OPERATIONS HAZARD shall not exceed the limits of liability
stated above as "aggregate".
Subject to the above provision respecting" each OCCURRENCE", the totalliabillty of the company for all damages
because of all PROPERTY DAMAGE to which the policy applies
(1) arising out of premises or operations rated on a remuneration basis 0. contractors ecplpment rated on
All other terms of this policy remain 'unchanged.
~'AJlSlJlU~'!I
~..1'~
_...--.ca
American States Insurance Company
American Economy Insurance Company
INDIANAI"OLlS, INDIANA
,,~~---/ 0-.-
President
Countersigned by
Form 9-287
Ill\.. 7~ \
L ~ LferA.-'~' -
Secretary
'.
,
,
receipts basis, including liability &$SWIled UDder any incideDtal CODtract relatiDg to sum pI'eDliJea
Cll' operatiOllS; or
(il) arisiDg out of aDd occ:mring in the course of operaticas, ocher than m91WnaDCe c:w repairs at pl'emilel
owned by or rented to the NAMED INSURED or stzactural alteratiODl at sum premises which do DOt
involve changiDg the size er of moving baildiDp or ocher stzactures, performed fer the NAMED INSURED
by iDdependeDt CQlltracton aDd general supervisiQll thereof by the NAMED INSURED Including liability
assumed UDder any INCIDENTAL CONTRACT relating to such operatiODl; er
(ili) Included withiu.the CONTRAC1UAL LIABILITY PROPERTY DAMAGE COVERAGE
shan not exceed the limit of liability stated above as "aggregate." Said aggregate limit of liability shall apply
separately to (1), (il) and (ill) and UDder eam separately to each project away from premises owned by er reDted
to the NAMED INSURm.
.JW!i
:t:~
4. For tf?e purpose of determining the limit of the Company. liability, all BODILY INJURY lIIld PROPERTY DAMAGE
arising out of com:iDuous or repeated exposure to substantially the same general conditiOllS shall be CODSidered as
arising out of one OCCURRENCE.
",
"
I
t
THE TRAVELERS
HARTFORD, CONNECTICUT
J,
!
~..
IKJ CANCELLATION NOTICE. Please take notice that the Policy designated below, issued to the insured named below, has been canceled. Your
interest under the Policy is canceled effective on the date stated below.
o NOT TAKEN NOTICE. Please take notice that the Insured named below has not accepted the Policy designated below and therefore no insurance has
come into force thereunder.
o AMENDMENT NOTICE. Please take notice that, effectiv,e on the date stated below, the Policy designated below has been amended as follows:
NAME AND ADDRESS OF INSURED
CLEARWATER SHUFFLEBOARD CLUB
1020 CALUMET STREET CLEARWATER FL 33515
PRODUCER OR AGENT ISSUING OFFICE
BOUCHARD ROGER INS INC CLEARWATER
, POUCY"NO.
WRITTEN NOTICE IS HEREBY
GIVEN TO YOU AS:
THE PERSON TO WHOM AN
o INSURANCE CERTIFICATE
WAS ORIGINALLY ISSUED;
AN ADDITIONAL
~ INSURED UNDER THE
i TERMS OF THE POLICY;
o A MORTGAGEE;
A BANK OR
O FINANCE
COMPANY
r-
CITY OF CLEARWATER, DEPT.
OF RECREATION & PARKS
POBOX 4758
CLEARwaTER FLA 33518
I
THIS NOTICE IS GIVEN ONLY BY THE COMPANY OR
COMPANIES WHICH ISSUED THE POLICY DESIGNATED
ABOVE.
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C-5358 REV.7-77 PRINTED IN U.S.A.
,
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AMfRICAN STAlES 1.N~URANCE COI-1PANY. .
INOIAN.APOl tS. INDIAr\'
AMP^C P~CK~GE POLIWV
POLICY NUMtlER:
RENEWAL OF:
.
PAGE I
3CJ So
.
~*********************************
I:: DECL AHAT IGt\S *
***************.****~.************
Ol-A14-165939
01-AM-165939
INStlHED
~M:;E
UW
\iJDR.ESS:
Cl[AR~^TER ShUFFLEBGAKu (lUe
1020 CALUMET STREET
CLtAl<.WATER, FL 33515
AGENT: ROGER BOUCHARD INSURANCE INC
POBOX 60'10
301 S MISSCURI AVENUE
ClEAkATEK. FL 33518
09-08580 (317)
J:GAl
: NT I TY:
JDLI C Y
"ERM:
COPPCRATICN
FRn~ 03-15-83 TO 03-15-84
12:01 AM STANDARD 'TIME AT DESCRIBED tCCATICN
~*******************************.***********~***********************************:
TCTAl AN~UAL PREMIUM
DUE ON EFFECTIVE CATE:
$
183.00
,;t.
T***************************************************.****************************
N CONSIDERATION OF ThE PREMIUM INSURANCE IS PRUVIDED THE NAMED INSURED WITH
,[SPEer TO THE DESIG~ATEO PREMI~ES AND ~ITH KESPECT TO THOSE COVERAGES AND KINOS
JF PROPERTY FUR kHICH A SPECIFIC LIMIT (f lIABILITY IS SHOWN, SUBJECT TO All Of
fHE TERMS OF THIS POLICY INCLUDING FORMS ANC [NDORSE~ENTS MADE A PART HEREOF.
iECT ION I
~--------
COt-tMERCIAL FIRE
INLAND MA:~H\E
............................................
........................-.................. $
$
18.00
52.00
;ECTHJN II
----------
GENERAL lIABILITy........................................ $
76.00
;ECTION III
BONDS ................................................~... S
37. 00
:ORMS APPLYING TO SECTICN I
.-----.----------------
,MIGOA( 1277)
AMI02(0230)
F-38 (0680 l
9-CIM(0181)
SECTION I-GENERAL PERSO~Al P~GPfRTY
ADDITIONAL PERILS END
MISCELLANECUS ARTICLES-ALL RISK FlCATER
peLICY PROVISIONS INS. ATTACHMENT CLAUSE
ORMS APPLYING TO SECTION II
~--------------------------
I-CCGL (0180)
9-287(1073)
9-42(Ob68)
COMPREHENSIVE GENERAL LIABILITY INS.COV.
LI~ITS LIABILITY (COMBINED SI~GLE LIMIT)
GENE~AL CHANGE ENDORSEMENT
ORMS APPLYING TO SECTICN III
-----------------------------
'P0450(1279) S~? COMPREHENSIVE C~IME COV~RAGE END
ORMS APPLYING Te MORE THAN CNE SECTION
---------------------------
AM1(0480) POLICY CUNDITIGNS ^ND DEFlt\ITfcNS
THE DECLARATIONS PAGE(S) TOGETHEk WITH PUlICY CONDITIONS
AND lHE fORMS ATTACHED H.ER~. . ~ COOMPLE~E.-1;HIS PGlICY..
CUNTERSIGNATURE DATE ( ~ d. ~~
.AMM( 0480) ORLANDO (20pRIGINAL PP.EPAt~ED 02-01-83 CM2EO
AGENT
COMK1:RCIM. FIRE
PAGE 2
ECLARATIONS EXTENSION I
NSURED: CLEARWATER SHUFFLEBOARD CLUB
I
POLICY NUMBER:
Ol-AM-165939-2
JCATION
1 ADDRESS:
1020 CALUMET STREET
ClEAK~ATER, FL 33515
----------------'-------------------------------------------------
_DGIFLOURS I 'CONSTRUCTION IUNITS ISPRINKlfREDI OCCUPANCY
---------------------------------.---------------------------------
1 I 1 I Nct~-CCMEUST I Bl E I Nt A I NO I SHUffL EBOARD CLUB
---------------------------------------------------------------------------------
ITE~(S) AMOUNT I RATE ICOINS %IPERILI PREMIUM
------------------------------------------------------'----------------_--.....
:RSONAL PROPERTY OF IN~URED 1$ 510001 .1551 90 IFIRE 1$ 8
.131 EC 7
.008 VMM 1
.034 Bf 2
AMIC04dO) AMIOOA(1217) AMI02(0280)
TGTAl ...... $
}BJECT Te FORM NelS).
18
-AMM(04dO) ORLANDO
C 20 pRIGINAL
PREPARED 02-01-83
SEQ.086
~~ClARATICNS EXTENS10N I
:NSURED: CLEARWATER SHUFFLEBOARD CLUB
GENERAL :tIAB}lITY
PAGE 3
~GlICY NUMBER: Ol-AM-165939-~
-------------------------------------------------------~-----------------------
COVERAGE lIMITS Of LIABILITY
..-------------------------------------------------------------------.--
· BODILY INJURY LIABILITY 1$ 500,000 PER OCCURRENCE $ 500,oeo AGGREGATE
. PROPERTY DAMAGE LIABILITY COMBINED SINGLE LIMIT
· PREMISES MEDICAL PAYMENTS $ PER PERSON $ PER ACCIDENl
---------------------------------------------------------------------------------
L OCA I I eN INTEREST OCCUP lED
1. 1020 CALUMET STREET
CLEARWATEK,fL ~3515
-------------------------------------------------.-------------------------
CLASS I CCVEf~AGE INFaK~AT I ON J EXPO SU1{E RA TEl PREMI UM
------------------------------,--------------,---------------------------
PREMISES-OPERATIC~S - GltT
:'414
** lCCATICN # 1 **
PARKS OR PLAYG~GUNOS - 1 ACPE OR LESS
INCLUDING CHARGE FOR AD[ITIC~AL INSURED
EACH ACRE BI
PO
TO MEET COVERAGE MINIMU~ BI
TO MEET COVERAGE MINIMUM PD
1
1
15.1500 $ IE
6.3100 E
Hl
3E
--------
$ 111
TCTAL
...........
.,-------------------------------------------------------"-'----------
.AMM( 0480) ORLANDO
(20)
ORIGINAL
PREPARED 02-01-83 CM2EO SEQ.0861
E:C'lARATIONS EXTENSION
~SUPED: CLEARWATER SHUFFLEBOARD CLUB
lOCATION
I
COMM.ERCIAl INl~ANO MARINE
I
PAGE .\
1.
1020 CALUMET STREET
CLEARWAlER, fL 33515
POLICY NUf~BER:
OCCUPANCY
----------
SHUFFLEBOARD CLUB
o l-AM-165939-2
,..-----.-------------------------------------------.--._-----
flOATER(S) 15C~llOcl A~T Df INSI PATE IDEO I PREMIUM
...------..----------------------.--------- -----------------------------------
[SCELlANEOUS ARTICLES-ALL RISK FLCATERIYESI 11 2,0961 2.50CJ 1001 52
T[lAL....... $ 52
100RSH'ENTS ATTACHED:
F-3B(06BOl 9-CIM(OlSl)
-AMH(0480) ORLANDO
(20)
ORIGINAL
PREPARED 02-01-83
SEQ.086;
_ -.J
;'10
i.i<r.I_
. IIlIP'
COMMERCIAL INLAND ~ARINE POLICY
:ClARATIONS EXTENSION t PG~ICY NUMBER :
;~SURED: ClEARWAT ER SHUfFl EBOARD CLUB
:HEDUlED I T EMS
PAGE 5-lASl
Ol-AM-165939-2
',CATION 1
,HfDUlE FOR: MISC~llANEOUS ARTICLES-All RISK FLOATER
~-------------------------------------------------------------------------------
ITEM AND DESCRIPTION AMI OF INS
.-----.------------------------------------------------------------------
HAllfNGER AMPLIFIER ~COEl CH 30 SERIES 1-113 $ 200
LARKS SANOER AND BUFFER ~ITH ATTACHMENTS, SER.NO.110MD 350
~E THOMPSON VACUMM CLEANE~ W/ATTACHMENTS, MODEL AD 150
:0.141311
INGER ELECTkICAl ekCCM
ELL 10 ~ATT AMPLIFIER & SPEAKER, NO.210282
ENNCREST ELECTRICAL ADDING MACHINE, SER.NO.16483
MITH CORONA ELECTRIC V TYPEWRITER SERIES 5 TE
ENITH 17" TElEVISICN MrulEl C22234
ESTBROOK SPINET plANe
30
100
76
190
200
800
.GFM (04U 0) (JRlANOO
(20) ORIGINAL
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American States Insurance Company
American Economy Insurance Company
INDIANAPOLIS, INDIANA
I
Form AMP-1
(Ed. 4-80)
AM PAC.
I
POLICY CONDITIONS AND DEFINITIO~S
. GENERAL CONDITIONS
MP 00 90
The following Conditions apply to Section I and II except as otherwise indicated. Additional Conditions or modifications of the following Conditions may
appear in the specific coverage sectIOns.
1. Premium. All premiums for this policy shall be computed in accor-
dance with the Company's rules, rates, rating plans, premiums and mini-
mum premiums applicable to the insurance afforded herein.
If this policy is issued for a period in excess of one year with a specified
expiration date and a' premium is payable at each anniversary, such pre-
mium shall be determined annually on the basis of the rates in effect at
the anniversary date.
If this policy is issued for a period without a specified expiration date, it
may be continued by payment of the required premium for the succeed-
ing annual period. Such premium must be paid to the Company prior to
each anniversary date; if not so paid. this policy shall expire on the first
anniversary date that the said premIUm has not been received by the
Company.
2. Time of Inception. To the extent that coverage in this pOlicy replaces
coverage in other policies terminating noon standard time on the incep-
tion date of this policy, coverage under this policy shall not become effec-
tive until such other coverage has terminated.
3. Cancellation. This policy may be cancelled by the named insured by
surrender thereof to the Company or any of its authorized agents or by
mailing to the Company written notice stating when thereafter the cancel-
lation shall be effective. This policy may be cancelled by the Company
by mailing to the named insured at the mailing address shown in the Dec-
larations, written notice stating when not less than ten days thereafter
such cancellation shall be effective. The mailing of notice as aforesaid shall
be sufficient proof of notice. The time of surrender or the effective date and
hour of cancellation stated in the notice shall become the end of the policy
period. Delivery of such written notice either by the named insured or by
the Company shall be equivalent to mailing.
If the named insured cancels. the Company shall. upon demand and sur-
render of this policy, refund the excess of paid premium above the cus-
tomary short rates for the expired time. If the Company cancels, earned
premium shall be computed pro rata. Premium adjustment may be made
either althe time cancellation is effected or as soon as practicable after
cancellation becomes effective, but payment or tender of unearned pre-
mium is not a condition of cancellation.
Notice of cancellation addressed to the named insured and mailed to the
mailing address shown in the Declarations shall be sufficient nolice to
effect cancellation of this policy.
4. Concealment or Fraud. This policy is void if any insured has inten-
tionally concealed or misrepresented any material fact or circumstance
relating to this insurance.
5. Assignment. Assignment of interest under this policy shall not bind
the Company until its consent is endorsed hereon. However, if the named
insured shall die, this insurance shall apply;
(a) to the named insured's legal representative. as the named insured,
but only while acting within the scope of his dulies as such; or
(b) to the person having temporary custody of the property of the
named insured but only until the appointment and qualification of
the legal representative.
6. Subrogation.
(a) In the event of any payment under this policy, the Company shall
be subrogated to all the insured's rights of recovery against any
person or organization and the insured shall execute and deliver instru-
ments and papers and do whatever else is necessary to secure such
rights. The insured shall do nothing after loss to prejudice such rights.
(b) The Company shall not be bound to pay any loss if the insured has
impaired any right of recovery for loss; however, it is agreed that
the insured may:
(1) as respects property while on the premises of the insured,
release others in writing from liability for loss prior to loss, and
such release shall not affect the right of t~e insured to recover
hereunder, and I
(2) as respects property in transit, accept such bills of lading,
receipts or contracts of transportation as are ordinarily issued
by carriers containing a limitation as to the value of such goods
or merchandise.
7. Inspection and Audit. The Company shall be permitted but not obli-
gated to inspect the named insured's property and operations at any
time. Neither the Company's right to make inspections nor the making
thereof nor any report thereon shall constitute an undertaking on behalf
of or for the benefit of the named insured or others to determine or
warrant that such property or operations ar~ safe or healthful or are in
compliance with any law, rule or regulation.
The Company may examine and audit the named insured's books and
records at any time during the policy period and extensions and within
three years after the final termination of this policy, as far as they relate
to the subject matter of this insurance.
8. liberalization Clause. In the event any filing is submitted to the in-
surance supervisory authorities on behalf of the Company, and:
(a) the filing is approved or accepted by the insurance authorities
to be effective while this policy is in force or within 45 days prior to
its inception; and
(b) the filing includes insurance forms or other provisions that
would extend or broaden this insurance by endorsement or sub-
stitution of form, without additional premium;
the benefit of such extended or broadened insurance shall inure to the
benefit of the insured as though the endorsement or substitution of form
had been made.
9. Insurance Under More Than One Coverage, Part or Endorsement. In
the event that more than one coverage, part or endorsement of this policy
insures the same loss, damage or claim, the Company shall not be liable
for more than the actual loss or damage sustained by the insured.
10, Waiver or Chanle of Provisions. The terms of this insurance shall not
be waived, changed or modified except by endorsement issued to form a
part of this policy.
AMPAC$ REGISTERED IN u.S. PATENT AND TRADEMARK OFFICE
Form AMP-l (Ed 4-80)
Page 1 of 7
"-_.'''-'--'_N__;'_'<li<~~l!o.,,., ~~,MIII1"~"'-'
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CONDITIONS APPLICABLE TO SECTION I
1. Policy Period, Territory. Section I of this policy applies only to loss
to property during the policy period while such. property IS within or be-
tween the fifty states of the United States of America, the District of Co-
lumbia and Puerto Rico and between such places and the Dominion of
Canada,
2. Deductible. Unless otherwise provided in the Declarations:
(a) The sum of $100 shall be deducted from the amount of loss to
property in anyone occurrence. This deductible shall apply:
(l) separately to each building, including personal property
therein;
(2) separately to personal property in each building if no c~verage
is provided on the containing building; and
(3) separately to personal property in the open (including within
vehicles),
(b) The aggregate amount of this deductible in anyone occurrence
shall not exceed $1,000,
3. Coinsurance Clause. The Company shall not be liable for a greater
proportion of any loss to property covered than the limit of liability
under this policy for such property bears to the amount produced by mul-
tiplying the actual cash value of such property at the time of the loss by
the coinsurance percentage stated in the Declarations,
In the event that the aggregate claim for any loss is both less than $10,000
and less than 5% of the limit of liability for all contributing insurance
applicable to the property involved at the time such loss occurs, no special
inventory or appraisement of the undamaged property shall be required
providing that nothing herein shall be construed to waive the application
of the first paragraph of thiS clause,
II insurance under Section I of this pOlicy is divided into separate limits of
liability, the foregoing shall apply separately to the property covered
under each such limit of liability
4. Removal. This policy covers loss by removal of the property covered
hereunder from premises endangered by the perils insured against. and
the amount of insurance applies pro rata for five days at each proper place
to which such property shall necessarily be removed for preservati~n,
5. Debris Removal. This policy covers expense incurred in the ~emoval
of debris of the property covered which may be occasioned by loss' by any
of the perils insured against in this POliCY, The total amount recoverable
under this policy for both loss to property and debris removal expense
shall not exceed the limit of liability applying to the property. Cost of re-
moval of debris shall not be considered in the determination of actual cash
value when applying the Coinsurance Clause,
6. War Risk And Governmental Action Exclusion. This policy under Sec-
tion I shall not apply to loss caused, directly or Indirectly, by or due to any
act or condition incident to the following:
(a) hostile or warlike action in time of peace or war, including actIOn
in hindering, combating or defending against an actual. impending or
expected attack (i) by any government or sovereign power (de jure or
de facto), or by any authority maintaining or uSing military, naval or
air forces; or (ii) by military, naval or air forces; or (iii) by an agent
of any such government, power, authority or forces, it being under-
stood that any discharge, explosion or use of any weapon of war em-
ploying nuclear fission or fusion shall be conclusively presumed to
be such a hostile or warlike action by such a government. power.
authority or forces;
(b) insurrection, rebellion, revolution, Civil war. usurped power. or
action taken by governmental authority in hindering, combating or
defending against such an occurrence; seizure or destruction under
Quarantine or custom's regulations, confiscalion by order of any gov-
ernment or public authority, or risk of contraband or illegal trans-
portation or trade.
7. Nuclear Clause And Nuclear Exclusion.
(a) Nuclear Clause (Not Applicable In New York) The word "fire" in
this policy is not intended to and does not embrace nuclear reaction or
nuclear radiation or radioactive contamination. all whether controlled
or uncontrolled, and loss by nuclear reaction or nuclear radiation or
radioactive contamination .is not intended to be and IS not insured
against by this policy, whether such loss be direct or indirect, proxi-
mate or remote. or be in whole or in part caused by, contributed to,
or aggravated by "fire" 'or any other penis insured against by this
Form AMP-} (Ed. 4-80)
policy. However, subject to the foregoing and all provisions of this
policy, direct loss by "fire" resulting from nuclear reaction or nuclear
radiation or radioactive contamination is insured against by this policy.
(b) Nuclear Clause (Applicable only in New York): This policy does not
cover loss or damage caused by nuclear reaction or nuclear radiation
or radioactive contamination, all whether directly or indirectly result-
ing from an insured peril under this policy.
(c) Nuclear Exclusion (Not Applicable in New York): loss by nuclear
reaction or nuclear radiation or radioactive contamination, all whether
controlled or uncontrolled, or ;due to any act or condition inci~ent to
any of the foregoing is not insured against by this policy, whether such
loss be direct or indirect, proximate or remote, or be in whole or in
part caused by. contributed to, or aggravated by any of the perils in-
sured against by this policy; and nuclear reaction or nuclear radiation
or radioactive contamination, all whether controlled or uncontrolled.
is not "explosion" or "smoke". This clause applies to all perils
insured against hereunder except the peril of fire, which is otherwise
provided for in the nuclear clause above.
8. Other Insurance.
(a) II at the time of loss there is other insurance written in the name
of the insured upon the same plan, terms, conditions and provisions
as contained in this policy, herein referred to as Contributing Insur.
ance, the Company shall be liable for no greater proportion of any loss
than the limit of liability under this policy bears to the whole amount
of insurance covering such loss.
(b) If at the time of loss there is other insurance other than that as
described in (a) above. the Company shall not be liable for any loss
hereunder until:
(1) the liability of such other insurance has been exhausted, and
(2) then for only such amount as may exceed the amount due from
such other insurance, whether collectible or not
9. Duties Of The Named Insured After A Loss. In case of loss the named
insured shall:
(a) give immediate written notice of such loss to the Company;
(b) protect the building and personal property from further damage,
make reasonable temporary repairs required to protect the property,
and keep an accurate record of repair expenditures;
(c) prepare an inventory of damaged personal property showing in de-
tail. Quantity, description, actual cash value and amount of loss. Attach
to the inventory all bills, receipts and related documents that sub.
stantiate the figures in the inventory;
(d) exhibit the remains of the damaged property as often as may be
reasonably reqUired by the Company and submit to examination un.
der oath;
(e) submit to the Company wit~in 60 days after requested a signed,
sworn statement of loss that sets forth to the best of the named in-
sured's knowledge and belief:
(l) the time and cause of loss;
(2) interest of the insured and all others in the property involved
and all encumbrances on the property;
(3) other policies of insurance that may cover the loss;
(4) changes in title or occupancy of the property during the term
of the policy;
(5) specifications of any damaged building and detailed estimates
for repair of the damage;
(6) an inventory of damaged personal property described in (c)
above;
(I) give notice of such loss to the proper police authority if loss is due
to a violation of law.
10. Appraisal. If the named insured and the. Company fail to agree on the
amount of the los$, either can demand that the amount of loss be set by
appraisal: II either party makes a written demand for appraisal, each shall
select a competent independent appraiseL Each shall notify the other of
the selected appraiser's identity within twenty (20) days of the receipt of
the written demand.
Page 2 of 7
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The two appraisers shall select a competent, impartial umpire. If the ap-
praisers are unable to agree upon an umpire within fifteen (15) days. the
named insured or the Company may petition a judge of a Court of Record
in the state where the insured premises is located to select an umpire.
The appraisers shall then set the amount of the loss. If the appraisers sub-
mit a written report of an agreement to the Company, the amount agreed
upon shall be the amount of the loss. If the appraisers fail to agree within
a reasonable time, they shall submit their differences to the umpire. Writ-
ten agreement signed by any two of these three shall set the amount of loss.
Each appraiser shall be paid by the party selecting that appraiser. Other
expenses of the appraisal and compensation of the umpire shall be paid
equally by the named insured and the Company.
11. Company Options. If the Company gives notice within thirty (30)
days after it has received a signed, sworn statement of loss, it shall have
the optIOn to take all or any part of the property damaged at an agreed
value, or to repair, rebuild or replace it with equivalent property.
12. Abandonment Of Property. The Company need not accept any prop-
erty abandoned by an insured.
13. Payment Of loss. The Company will pay all adjusted claims Within
thirty (30) days after presentation and acceptance of the proof of loss.
14. Privilege To Adjust With Owner.
(a) Except as provided in (b) below, or unless another payee is speci-
fically named in the policy. loss, if any, shall be adjusted with and
payable to the named insured.
(b) In the event claim is made for damage to property of others held
by the insured, the right to adjust such loss or damage with the owner
or owners of the property is reserved to the Company and the receipt
of payment by such owner or owners in satisfaction thereof shall be
in full satisfaction of any claim of the insured for which such pay-
ment has been made.
If legal proceedings be taken to enforce a claim against the insured as
respects any such loss or damage, the Company reserves the right at
its option without expense to the insured to conduct and control
the defense on behalf of and in the name of the insured. No action of
the Company in such regard shall increase the liability of the Company
under this policy, nor increase the limits of liability specified In the
pOlicy.
15.Suil. No suit shall be brought on this policy unless the insured has
complied with all the policy provisions and has commenced the suit within
one year after the loss occurs.
16. Permits And Use. Except as otherwise provided. permission is granted
(a) to make alterations and repairs;
(b) in the event of loss hereunder, to make reasonable repairs, tem-
porary or permanent, provided such repairs are confined solely to the
protection of the property from further damage, and provided further
that the insured shall keep an accurate record of such repair ex-
penditures. The cost of any such repairs directly attributable to dam-
age by any peril insured against shall be included in determining the
amount of loss hereunder. Nothing herein contained is intended to
modify the policy requirements applicable in case loss occurs, and in
particular the requirement that, in case loss occurs. the insured shall
protect the property from further damage.
11. Vacancy, Unoccupancy and Increase of Hazard.
(a) Permission granted to be vacant without limit of time, except as
otherwise provided in any endorsement attached to this policy.
(b) Permission is granted for unoccupancy.
(c) Unless otherwise provided in writing added hereto this Company
shall not be liable for loss occurring while the hazard is increased
by any means within the control or knowledge of the insured.
Form AMP-l (Ed. 4-80)
I
.__._-_......".._~
lB. Protective Safeguards. It is a condition of this insurance that the in-
sured shall maintain so far as is within his control such protective safe-
guards a~ are set forth by endorsement hereto.
Failure to maintain such protective safeguards shall suspend this insur-
ance only as respects the location or situation affected for the time of such
discontinuance.
19. Mortgage Clause - Applicable Only To Buildings. This clause is effec-
tive if a mortgagee is named in the Declarations. The word "mortgagee"
includes "trustee". loss to buildings shall be payable to the named mort-
gagee as interest may appear, under all present or future mortgages on the
buildings described in the Declarations in order of precedence of mort-
gages on them.
As it applies to the interest of any mortgagee designated in the Declarations,
this insurance shall not be affected by any of the fOllowing:
(a) any act or neglect of the mortgagor or owner of the described
buildings;
(b) any foreclosure or other proceedings or notice of sale relating to
the property:
(c) any change in the title or ownership of the property;
(d) occupancy of the premises for purposes more hazardous than
are permitted by this pOlicy;
provided, that in case the mortgagor or owner shall neglect to pay any pre-
mium due under this policy, the mortgagee shall, on demand, pay the pre-
mium.
The mortgagee shall notify the Company of any change of ownership or
occupancy or increase of hazard which shall come to the knowledge of the
mortgagee. Unless permitted by this policy, such change of ownership or
occupancy or increase of hazard shall be noted on the policy and the
mortgagee shall on demand pay the premium for the increased hazard for
the term it existed under this policy. If such premium is not paid, this
policy shall be null and void.
The Company reserves the right to cancel this policy at any time as pro-
vided by its terms. If so cancelled, this policy shall continue in force for the
benefit only of the mortgagee for ten days after notice to the mortgagee
of such cancellation and shall then cease. The Company shall have the
right to cancel this agreement on ten days notice to the mortgagee.
When the Company shall pay the mortgagee any sum for loss under this
policy. and shall claim that, as to the mortgagor or owner, no liability
therefor existed, the Company shall, to the extent of such payment, be
thereupon legally subrogated to all the rights of the mortgagee to whom
such payment shall have been made, under the mortgage debt. In lieu of
taking such subrogation, the Company may, at its option, pay to the
mortgagee the whole principal due or to grow due on the mortgage, with
interest accrued and shall thereupon receive a full assignment and trans~
fer of the mortgage and of all such other securities. However, no subroga-
tion shall impair the right of the mortgagee to recover the full amount of
said mortgagee's claim.
20. Recoveries. In the event the Company has made a payment for loss
under the policy and a subsequent recovery is made of the lost or dam-
aged property, the insured shall be entitled to all recoveries in excess of
the amount paid by the Company, less only the actual cost of effecting
such recoveries.
21. loss Clause. Any loss hereunder shall not reduce the amount of this
insurance.
22. 110 Benefit To Bailee. This insurance shall not inure directly or in-
directly to the benefit of any carrier or other bailee.
23. 110 Control. This insurance shall not be prejudiced:
(a) by any act or neglect of the owner of any building if the insured
is not the owner thereof, or by any act or neglect of any occupant
(other than the insured) of any building when such act or neglect of
the owner or occupant is not wit~jn the control of the insured, or
(b) by failure of the insured to comply with any warranty or condi-
tion contained in any endorsement attached to this policy with re-
gard to any portion of the premises over which the insured has no
control.
Page 3 of 7
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CONDITIONS APPLICABLE TO SECTIONS II & IV
1. Supplementary Payments. The Company will pay, in addition to the
applicable limit of liability:
(a) all expenses incurred by the Company, all costs taxed against the
insured in any suit defended by the Company and all interest on the
entire amount of any judgment therein which accrues after entry of
the judgment and before the Company has paid or tendered or de-
posited in court that part of the judgment which does not exceed the
limit of the Company's liability thereon;
(b) premiums on appeal bonds required in any such suit, premiums
on bonds to release attachments in any such suit for an amount not
in excess of the applicable limit of liability of this policy, and the
cost of bail bonds required of the insured because of accident or traffic
law violation arising out of the use of any vehicle to which this policy
applies, not to exceed $250 per bail bond, but the Company shall have
no obligation to apply for or furnish any such bonds;
(c) expenses incurred by the insured for first aid to others at the
time of an accident, for bodily injury to which this policy applies;
(d) reasonable expenses incurred by the insured at the Company's
request in assisting the Company In the investigation or defense of
any claim or suit, including actual loss of earnings not to exceed $25
per day.
2. Premium. Premium designated in this policy as "advance premium"
is a deposit premium only which shall be credited to the amount of the
earned premium due at the end of the policy period. At the close of each
period (or part thereof terminating with the end of the poliCY period)
designated in the Declarations as the audit periOd the earned premium
shall be computed for such period and, upon notice thereof to the named
insured shall become due and payable. If the total earned premium for
the policy period is less than the premium previously paid, the Company
shall return to the named insured the unearned portion paid by the named
insured.
The named insured shall maintain records of such information as is neces-
sary for premium computation and shall send copies of such records to
the Company at the end of the policy period and at such times during the
policy period as the Company may direct.
3. Financial Responsibility Laws. When this policy is certified as proof
of financial responsibility for the future under the provisions of any motor
vehicle financial responsibility law, such insurance as is afforded by this
policy for bodily injury liability or for property damaee liability shall com-
ply with the provisions of such law to the extent of the coverage and limits
of liability required by such law. The insured agrees to reimburse the Com-
pany for any payment made by the Company which it would not have been
obligated to make under the terms of this policy except for the agreement
contained in this paragraph.
4. Insured's Duties in the Event of Occurrence, Claim or Suit.
(a) In the event of an occurrence, written notice containing particulars
sufficient to identify the insured and also reasonably obtainable in-
formation with respect to the time, place and circumstances thereof
and the names and addresses of the injured and of available witnesses
shall be given by or for the insured to the Company or any of Its
authorized agents as soon as practicable.
(b) If claim is made or suit is brought against the insured, the insured
shall immediately forward to the Company every demand, notice,
summons or other process received by him or his representative.
(c) The insured shall cooperate with the Company and, upon the Com-
pany's request, assist in making settlements, in the conduct of suits
and in enforcing any right of contribution or Indemnity against any
person or organization who may be liable to the insured because of
injlfry or damage with respect to which insurance is afforded under
this policy, and the insured shall attend hearings and trials and assist
in securing and giving evidence and obtaining the attendance of wit-
nesses. The insured shall not, except at his own cost, voluntarily make
any payment, assume any obligation or incur any expense other than
for first aid to others at the time of accident.
5. Medical Reports; Proof and Payment of Claim. As soon as practicable
the injured person or someone on his behalf shall give to the Company
written proof of claim, under oath if required, and shall, after each re-
Quest from the Company, execute authorizallon to enable the Company
to obtain medical reports and copies of records. The injured person shall
submit to physical examination by physicians selected by the Company
Form AMP-! (Ed. 4.80)
when and as often as the Company may reasonably reQu'ire. The Company
may pay the injured person or any person or organization rendering the
services and the payment shall reduce the amount payable hereunder for
such injury. Payment hereunder shall not constitute an admission of lia-
bility of any person or, except hereunder, of the Company.
6. Action Against Company. No action shall lie against the Company un-
less, as a condition precedent thereto, there shall have been full com-
pliance with all of the terms of this policy, nor until the amount of the
insured's obligation to pay shall have been finally determined either by
judgment against the insured after actual trial or by written agreement of
the insured, the claimant and the Company.
Any person or organization or the legal representative thereof who. has
secured such judgment or written agreement shall thereafter be entitled
to recover under this policy to the extent of the insurance afforded by this
policy. No person or organization shall have any right under this policy to
Join the Company as a party in any action against the insured to determine
the insured's liability, nor shall the Company be impleaded by the insured
or his legal representative. Bankruptcy or insolvency of the insured or of
the insured's estate shall not relieve the Company of any of its obligations
hereunder.
7. Other Insurance. The insurance afforded by this policy is primary in-
surance, except when stated to apply in excess of or contingent upon the
absence of other insurance. When this insurance is primary and the in-
sured has other insurance which is stated to be applicable to the loss on
an excess or contingent basis, the amount of the Company's liability under
this policy shall not be reduced by the existence of such other insurance.
When both this insurance and other insurance apply to the loss on the
same basis, whether primary, excess or contingent, the Company shall
not be liable under this policy for a greater proportion of the loss than that
stated in the applicable contribution provision below:
(a) Contribution by Equal Shares. If all of such other valid and collect-
ible insurance provides for contribution by equal shares, the Company
shall not be liable for a greater proportion of such loss than would be
payable if each insurer contributes an equal share until the share of
each insurer equalS the lowest applicable limit of liability under any
one policy or the full amount of the loss is paid, and with respect to
any amount of loss not so paid the remaining insurers then continue
to contribute equal shares of the remaining amount of the loss until
each such insurer has paid its limit in full or the full amount of the
loss is paid.
(b) Contribution by Limits. If any of such other insurance does not
provide for contribution by equal shares, the Company shall not be
liable for a greater proportion of such loss than the applicable limit
of liability under this policy for such loss bears to the total applicable
limit of liability of all valid and collectible insurance against such loss.
8. Annual Aggregate. If this policy is issued for a period in excess of
one year, any limit of the Company's liability stated in this policy as "ag-
gregate" shall apply separately to each consecutive annual period,
9. Nuclear Exclusion.
I. This policy does not apply:
(a) Under any liability Coverage. to bodily injury or property damaee
(I) with respect to which an insured under this policy is also an
insured under a nuclear energy liability policy issued by Nuclear
Energy Liability Insurance Association, Mutual Atomic Energy
liability Underwriters or Nuclear Insurance Association of Canada,
or would be an insured under any such policy but for its termina-
tion upon exhaustion of its limit of liability; or
(2) resulting from the hazardous properties of nuc,lear material
and with respect to which (i) any person or organization IS re-
Quired to maintain financial protection pursuant to the AtomiC
EnergY' Act of 1954. or any law amendatory thereof, or (ii) the
insured is, or had this policy not been issued would be, entitled
to indemnity from the United States of America, or any agency
thereof, under any agreement entered into by the United States of
America, or any agency thereof, with any person or organization.
(b) Under any Medical Payments Coverage, or under any Supplemen-
tary Payments provision relating to first aid, to expenses Incurred
with respect to bodily injury resulting from the hazardous properties
of nuclear material and arising out of the operation of a nuclear fa-
cility by any person or organization.
Page 4 of 7
I
(c) Under any liability Coverage, to bodily injury or property damage
resulting from the hazardous properties of nuclear material. if
(1) the nuclear material (i) is at any nuclear facility owned by,
or operated by or on behalf of, an insured or (ii) has been dis-
charged or dispersed therefrom;
(2) the nuclear material is contained in spenl fuel or waste at
any time possessed, handled, used, processed,. stored, trans-
ported or disposed of by or on behalf of an insured; or
(3) the bodily injury or property damage arises out of the furn-
ishing by an insured of services, materials, parts or eqUIpment
in connection with the planning, construction, maintenance. op-
eration or use of any nuclear facility, but if such facility is located
within the United States of America, its territories or possessions
or Canada, this exclusion (3) applies only to property damage to
such nuclear facility and any property thereat.
II. As used in this exclusion
"hazardous properties" include radioactive, toxic or explosive prop-
erties;
"nuclear material" means source material, special nuclear material
or byproduct material;
"source material", "special nuclear material", and "byprOduct ma-
terial" have the meanings given them in the Atomic Energy Act of
1954 or in any law amendatory thereof;
"spent fuel" means any fuel element or fuel component, solid or
liquid, which has been used or exposed to radiation in a nuclear
, reactor;
"waste" means any waste material (1) containing byproduct material
I
other than the tailings or wastes produced by the extraction or concentra-
tion of uranium or thorium from any ore processed primarily for its source
material content and (2) resulting from the operation by any person or
organization of any nuclear facility included within the definition of
nuclear facility under paragraph (a) or (b) thereof;
"nuclear facmty" means
(a) any nuclear reactor,
(b) any equipment or device designed or used for (1) separat-
ing the isotopes of uranium or plutonium, (2) processing or
utilizing spent fuel, or (3) handling, processing or packaging waste,
(c) any equipment or device used for the processing, fabricat-
ing or alloying of special nuclear material if at any time the total
amount of such material in the custody. of the insured at the
premises where such equipment or device is located consists
of or contains more than 25 grams of plutonium or uranium 233
or any combination thereof, or more than 250 grams of uranium
235,
(d) any structure, basin, excavation, premises or place prepared
or used for the storage or disposal of waste,
and includes the site on which any of the foregoing is located, all
operations conducted on such site and all premises used for such
operations;
"nuclear reactor" means any apparatus designed or used to sustain
nuclear fission in a self-supporting chain reaction or to contain a
critical mass of fissionable material;
"property damage" includes all forms of radioactive contamination
of property
DEFINITIONS APPLICABLE TO SECTIONS II & IV
When used in the provisions applicable to Section II of this policy (includ-
ing endorsements forming a part hereof):
"automobile" means a land motor vehicle, trailer or semitrailer designed
for travel on public roads (including any machinery or apparatus attached
thereto), but does not include mobile equipment;
"bodily injury" means bodily inJUry, sickness or disease sustained by any
person which Occurs during the pOlicy period, including death at any time
resulting therefrom;
"collapse hazard" includes "structural property damage" as defined
herein and property damage to any other property at any time resulting
therefrom. "Structural property damage" means the collapse of or struc-
tural injury to any building or structure due to (I) grading of land. ex-
cavating, borrowing, filling, back-filling, tunneling, pile driving, cofferdam
work or caisson work, or (2) moving, shoring, underpinning, raising or
demolition of any building or structure or removal or rebuilding of any
structural support thereof. The collapse hazard does not include property
damage (1) arising out of operations performed for the named insured
by independent contractors. or (2) included within the completed opera-
tions hazard or the underground property damage hazard. or (3) for which
liability is assumed by the insured under an incidental contract;
"completed operations hazard" includes bodily injury and property dam-
age arising out of operations or reliance upon a representation or warranty
made at any time with respect thereto. but only if the bodily injury or prop-
erty damage Occurs after such operations have been completed or aban-
doned and OCcurs away from premises owned by or rented to the named
insured. "Operations" include materials, parts or equipment furnished in
connection therewith. Operations shall be deemed completed at the earliest
of the Jollowing times:
(1) when all operations to be performed by or on behalf of the named
insured under the contract have been completed,
(2) when all operations to be performed by or on behalf of the named
insured at the site of the operations have been completed; or
(3) when the portion of the work out of which the injury or damage
arises has been put to its intended use by any person or organization
other than another contractor or subcontractor engaged in performing
operations for a principal as a part of the same proJect.
Operations which may require further service or maintenance work, or
correction, repair or replacement because of any defect or deficiency, but
which are otherwise complete, shall be deemed completed.
Form AMP-! (Ed. 4-80)
The completed operations hazard does not include bodily injury or prop-
erty damage arising out of:
(a) operations in connection with the transportation of property, un-
less the bOdily injury or property damage arises out of a condition in
or on a vehicle created by the loading or unloading thereof,
(b) the existence of tools, uninstalled equipment or abandoned or
unused materials, or
(c) operations for which the classification stated in the policy or in
the company's manual specifies "including completed operations";
"eleyator" means any hoisting or lowering device to connect floors or
landings, whether or not in service, and all appliances thereof including
any car, platform, shaft, hoistway, stairway, runway, power equipment
and machinery; but does not include an automobile servicing hoist, or a
hoist without a platform outside a building if without mechanical power
or if not attached to building walls, or a hod or material hoist used ill altera-
tion, construction or demolition operations, or an inclined conveyor used
exclusively for carrying property or a dumbwaiter used exclusively for
carrying property and having a compartment height not exceeding four feet;
"explosion hazard" includes property damal(e arising out of blasting or
explosion. The explosion hazard does not include property damage (lJ aris-
ing out of the explosion of air or steam vessels, piping under pressure,
prime movers, machinery or power transmitting equipment. or (2) arising
out of operations performed for the named insured by independent con-
tractors, or (3) included within the completed operations hazard or the
underground property damage hazard, or (4) for which liability is assumed
by the insured under an incidental contract;
"illcidental cOtltract" means any written (1) lease of premises, (2) ease-
ment agreement, except in connection with construction or demolition
operations on or adjacent to a railroad, (3) undertaking to indemnify a
municipality required by municipal ordinance, except in connection with
work for the municipality, (4) sidetrack agreement, or (5) elevator mainte-
nance agreement;
"insured" means any person or organization qualifying as an insured in
the "Persons Insured" provision of the applicable insurance coverage.
The insurance afforded applies separately to each insured against whom
claim is made or suit is brought, except with respect to the limits of the
company's liability;
Page 5 of 7
..
I
"mobile equipment" means a land vehicle (including any machinery or
apparatus attached thereto), whether or not self-propelled, (1) not subject
to motor vehicle registration, or (2) maintained for use exclusively on
premises owned by or rented to the named insured, including the ways
immediately adjoining, or (3) designed for use principally off public roads,
or (4) designed or maintained tor the sole purpose of affording mobility
to equipment of the tollowing types forming an integral part of or per-
manently attached to such vehicle: power cranes, shovels, loaders, diggers
and drills; concrete mixers (other than the mix-in-transit type); graders,
scrapers, rollers and other road construction or repair equipment alr-
compressors, pumps and generators, including spraying, welding and
building cleaning equipment; and geophysical exploration and well serviC-
ing equipment;
"named insured" means the person or organization named in Item 1 ot the
declarations of this policy;
"named insured's products" means goods or products manutactured. sold,
handled or distributed by the named insured or by others trading under
his name, including any container thereof (other than a vehicle), but
"named insured's products" shall not include a vending machine or any
property other than such container, rented to or located for use of others
but not sold;
"occurrence" means an accident, including continuous or repeated ex-
posure to conditions, which results in bodily injury or property damage
neither expected nor Intended from the standpoint of the insured;
"policy territor( means:
(1) the United States ot America, its territories or possessions, or
Canada, or
(2) international waters or air space, provided the bodily injury or
property damage does not occur in the course ot travel or transporta-
tion to or trom any other country, state or nation, or
......... ~~ ~. ". .~ &' "~~T."""~___'~.
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,
(3) anywhere in the world with respect to damages because of bodily
injury or property damage arising out of a product which was sold for
use or consumption within the territory described in paragraph (1)
above, provided the original suit for such damages is brought within
such territory;
"products hazard" includes bodily injury and property damage arising
out ot the named insured's products or reliance upon a representation or
warranty made at any time with respect thereto, but only if the bodily in-
jury or property damage occurs away from premises owned by or rented
to the named insured and atter physical possession of such products has
been relinqUished to others;
"property damage" means (1) physical injury to or destruction of tangible
property which occurs during the policy period, including the loss ot use
thereot at any time resulting therefrom, or (2) loss of use of tangible prop-
erty which has not been physically injured or destroyed provided such
loss ot use is caused by an occurrence during the policy period;
"underground property damage hazard" includes underground property
damage as defined herein and property damage to any other property at
any time resulting therefrom. "Underground property damage" means
property damage to wires, conduits, pipes, mains, sewers, tanks, tunnels,
any similar property, and any apparatus in connection therewith, beneath
the surtace of the ground or water, caused by and occurring during the
use of mechanical equipment for the purpose of grading land, paving, ex-
cavating, drilling, borrowing, filling, back-filling or pile driving. The under-
ground property damage hazard does not include property damage (1)
arising out of operations pertormed for the named insured by independent
contractors, or (2) included within the completed operations hazard, or
(3) for which liability is assumed by the insured under an incidental con-
tract.
CONDITIONS APPLICABLE TO SECTION III
1. Insured's Duties When loss Occurs. Except with respect to any Glass
Coverage, upon knowledge or discovery ot loss or of an event which may give
rise to a claim for loss. the Insured shall (a) give notice thereof as soon as
practicable to this Company or any ot its authorized agents and also to the
police if the loss is due to a violation of the law; (b) file detailed proof of loss.
duly sworn to, With this Company within four months after the discovery of
loss.
Except with respect to any Glass Coverage, upon this Company's reQuest. (1)
the Insured shall furnish a complete inventory of al\ property not stolen or
damaged, stating the original cost and actual cash value and quantity
thereof, and (2) the Insured and every claimant hereunder shall submit to
examination by this Company, subscribe the same. under oath If reqUired,
and produce tor this Company's examination all pertinent records. all at such
reasonable times and places as this Company shall deSignate, and shall
cooperate With this Company in all matters pertaining to loss or claim With
respect thereto. Undrr any Glass Coverage, upon knowledge of loss, the
Insured shall:
tal give notice thereof as soon as practicable to this Company or any of
its authorized agents;
(bl upon this Company's reQuest, file proof of loss, under oath II required,
on forms provided by this Company.
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2. Action Against Company. Under Glass Coverage, no action shall lie
against this Company unless, as a condition precedent thereto, there shall
have been full compliance with all the terms of this policy, nor until ninety
days after the reqUired proofs of loss have been filed with this Company.
Under Section III, except Glass Coverage, no action shall lie against this
Company unless, as a condition precedent thereto, there shall have been full
compliance with all the terms of this policy, nor until ninety days after the
required proofs of loss have been filed with this Company, nor at all, unless
commenced within two years from the date when the Insured discovers the
loss. If any limitation of time for notice of loss or any legal proceeding herein
contained is shorter than that permitted to be fixed by agreement under any
statute controlling the construction of this policy, the shortest permissible
statutory limitation of time shall govern and shall supersede the time
limitation herein stated.
3. Changes. Notice to any agent or knowledge possessed by any agent or by
any other person shall not effect a waiver or a change in any part of this poliCY
or estop this Company from asserting any right under the terms of this policy;
nor shall the terms of this poliCY be waived or changed, except by endorse-
ment issued to form a part of this policy.
Page 6 of 7
1
4. Appraisal. If the Insured and this Company fail to agree as to the amount
of loss, each shall, on the written demand of either, made within sixty days
after receipt of proof of loss by this Company, select a competent and
disinterested appraiser, and the appraisal shall be made at a reasonable
time and place. The appraisers shall first select a competent and disin-
terested umpire, and failing for fifteen days to agree upon such umpire, then
on the request of the Insured or this Company, such umpire shall be selected
by a judge of a court of record in the county and state in which such appraisal
is pending. The appraisers shall then appraise the loss, stating separately the
actual cash value at time of loss and the amount of the loss, and failing to
agree shall submit their differences to the umpire. An award in writing of any
two shall determine the amount of loss. The Insured and this Company shall
each pay its chosen appraiser and shall bear equally the expenses of the
umpire and the other expenses of appraisal.
This Company shall not be held to have waived any of its rights by any act
relating to appraisal.
5. Other Insurance. This insurance shall not apply to the extent that any
valid and collectible insurance, whether on a primary, excess or contingent
basis is available to the Insured under any other insurance policy.
6. Declarations. With respect to any Burglary or Robbery coverage. the
Insured agrees that if for reasons beyond the Insured's control (a) the Insured
I
fails to maintain the alarm system stated in the declarations (or by endorse-
ment) but, until such alarm system has been fully restored to proper working
condition, the Insured provides at least one watchman within the premises at
all times when the premises are not open for business and such watchman is
in addition to any number of watchinen specified in the declarations (or by
endorsement), or (b) the Insured fails to maintain any other service or
equipment stated in the declarations (or by endorsement), the insurance
under this policy shall apply only in the reduced amount which the premium
for this insurance would have purchased, in accordance with the Company's
manual as of the commencement of such failure, in the absence of any
agreement of the Insured to maintain such service or equipment.
7. Policy Period, Territory. Section III of this policy applies only to loss which
occurs during the policy period within any of the States of the United States of
America, the District of Columbia, Virgin Islands, Puerto Rico, Canal lone or
Canada.
8. The General Conditions found on page I of this form apply to all
coverages except those provided by forms MP 04 50, MP 04 51 and MP 04 52.
9. Nuclear Exclusion. This policy does not apply under any coverage, to loss
due to nuclear reaction, nuclear radiation or radioactive contamination or to
any act or condition incident to any of the foregoing.
In Witness Whereof, the company has caused this policy to be executed and attested, but this policy shall not be valid unless countersigned by a duly authorized
representative of the company.
L~
,.6'~
SECRETARY
Form AMP.! (Ed. 4-80)
~~~o L
PRESIDENT
Page 7 of 7
~
American Jates Insurance Company
American Economy Insurance Company
INDIANAPOLIS, INDIANA
I
Form AMP-I00A
(Ed. 12-77)
AMPAC POLICY
SECTION I - GENERAL PERSONAL PROPERTY FORM
I. PROPERTY COVERED
PERSONAL PROPERTY OF THE INSUREO: Business personal property owned by PERSONAL PROPERTY OF OTHERS: This insurance shall cover for the account
the insured and usual to the occupancy of the insured, including the insured's of the owner(s) (other than the named insured) personal property belonging to
interest in personal property owned by others to the extent of the value of others in the care, custody or control of the insured, while (1) in or on the
labor, materials and charges furnished, performed or incurred by the insured; building(sl. or (2) in the open (including within vehicles) on or within 100 feet
all while (1) in or on the building(s) or (2) in the open (including within of the designated premises.
vehicles) on or within 100 feet of the designated premises. Loss shall be adjusted with the named insured for the account of the owne~s
This coverage shall also include Tenant's Improvements and Betterments, of the property, except that the right to adjust any loss with the owners IS
meaning the insured's use interest in fixtures, alterations, installations or reserved to the Company and the receipts of the owners in satisfaction thereof
additions comprising a part of the building(s) occupied but not owned by the be in full satisfaction of any claim by the named insured for which payments
insured and made or acquired at the expense of the insured exclusive of rent have been made.
paid by the insured, but which are not legally subject to removal by the
insured.
II. PROPERTY NOT COVERED
This policy does not cover:
A. Animals and pets, aircraft; watercraft, including motors, equipment and
accessories (except rowboats and canoes, while out of water and on the
designated premises); and automobiles, trailers, semi-trailers or any self-
propelled vehicles or machines, except such property not licensed for use on
public thoroughfares and operated principally on the premises of the insured.
This provision does not apply to the following types of property when held for
sale or sold but not delivered:
1. Animals and pets;
2. Motorcycles, motorscooters and snowmobiles;
3. Trailers designed for use with private passenger vehicles for general
utility purposes or carrying boats; or
4. Watercraft, including motors, equipment and accessories, while not
afloat.
This provision does not apply to the following types of property when
manufactured, processed or warehoused by the insured;
1. Aircraft;
2. Watercraft, including motors, equipment and accessories, while not
afloat; or
3. Automobiles, trailers, semi-trailers or any self-propelled vehicles or
machines.
B. Personal property while waterborne.
C. Outdoor trees, shrubs and plants, except when held for sale or sold but not
delivered, or as provided in the Extensions of Coverage.
D. Household and personal effects contained in living Quarters occupied by
the insured, any officer, director, stockholder or partner of the insured or
relatives of any of the foregoing, except as provided in the Extensions of
Coverage.
E. Accounts, bills, currency, deeds, evidences of debt, money and securities.
F. Outdoor signs, unless attached to a building or structure containing
insured persona I property.
G. Growing crops and lawns.
H. Property which is more specifically covered in whole or in part by this or
any other contract of insurance, except for the amount of loss which is in
excess of the amount due from such more specific insurance.
III. EXTENSIONS OF COVERAGE
Each of the limits of liability specified for the following Extensions of Coverage applies as an additional amount of insurance. The Coinsurance Clause shall
not apply to loss under the Extensions of Coverage.
The total amount recoverable under the Extensions of Coverage in this form and Extensions of Coverage in any other form made a part of this policy are not
cumulative and shall not exceed the largest amount recoverable under any single form made a part of this policy.
When, in accordance with the Other Insurance condition, there is Contributing Insurance, the Company shall not be liable for more than its pro rata share of
the limits set forth in the following Extensions of Coverage.
A. Property at Newly Acquired locations: The insured may apply up to
$10,000 to cover direct loss in anyone occurrence by a peril insured against
to such property at any location (except fairs and exhibitions) acquired by the
insured for similar occupancies or warehousing purposes, elsewhere than at
the designated premises within the territorial limits of this policy. This
coverage shall cease 30 days from the date of such acquisition or on the date
values at such locations are reported to the Company, or on the expiration
date of the policy, whichever occurs first. Additional premium shall be due
and payable for values so reported from the date the property is acquired.
B. Off-Premises:
1. The insured may apply up to $10,000 In the aggregate at locations not
owned, leased, operated or regularly used by the insured. Property in the
care, custody or control of salesmen or property covered under item 2. of
this extension is not covered.
2. The insured may apply up to $1,000 to property while in transit on any
one vehicle, including direct loss or damage caused by collision, upset or
the stranding, sinking, burning or derailment of any transporting con-
veyance. Property in the care, custody or control of salesmen or property
Form AMP-100A (Ed. 12-77)
shipped by mail from the time it passes into the custody of the Post Office
Department is not covered under this item.
C. Personal Effects: The insured may apply up to $1,000 to cover direct loss
in anyone occurrence by a peril insured against to personal effects while
located on the designated premises, belonging to the insured, officers,
partners or employees thereof. This Extension of Coverage does not apply if
the loss is covered by any other insurance, whether collectible or not. or which
would have been covered by such other insurance in the absence of this
policy. AHhe option of the Company, loss under this Extension of Coverage
may be adjusted with and payable to the insured.
D. Valuable Papers and Records: The insured may apply up to $1,000 to
cover direct loss in anyone occurrence by a peril insured against to valuable
papers and records consisting of books of account, manuscripts, abstracts,
drawings, card index systems, film, tape, disc, drum, cell and other magnetIC
recording or storage media for electronic data processing, and other records,
all the property of the insured at designated premises. This Extension of
Coverage covers only the cost of research and other expense. necessarily
incurred by the insured to reproduce, replace or restore such valuable papers
Page 1 of 3
.___..~____________.________ _..._,....__..-...:... ~1iI...1O.h,:IUI..D.~....._~--- __ _
1
and records. The total amount payable in anyone occurrence under this
Extension of Coverage shall not exceed the limit specified above, regardless of
the number of premises designated in the Declarations.
E. Outdoor Trees, Shrubs and Plants: The insured may apply up to $1,000 to
cover outdoor trees, shrubs and plants, except when held for sale or sold but
not delivered, at the designated premises against direct loss in anyone
occurrence by the perils of fire, lightning, explosion, riot, civil commotion or
aircraft, but only to the extent such perils are insured against herein. The
Company shall not be liable for more than $250 on anyone tree, shrub or
plant, including expense incurred for removing debris thereof.
F. Extra Expense: The insured may apply up to $1,000 to cover the necessary
extra expense incurred by the insured in order to continue as nearly as
practicable the normal operations of the insured's business immediately
following damage by a peril insured against under this form to the buildings
or personal property situated at the designated premises.
"Extra expense" means the excess of the total cost incurred during the period
of restoration chargeable to the operations of the insured's business over and
above the total cost that would normally have been incurred to conduct the
business during the same period had no loss occurred. Any salvage value of
property obtained for temporary use dUflng the period of restoration, which
remains after the resumption of normal operations, shall be taken into
consideration in the adjustment of any loss hereunder.
"Period of restoration" means that period of time, commencing with the date
of damage and not limited by the date of expiration of this poliCY. as would be
required with the exercise of due diligence and dispatch to repair. rebuild or
replace such part of said buildings or personal property as have been
damaged.
. " I' ,
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The Company shall not be liable under this Extension of Coverage for:
1. loss of income;
2. the cost of repairing or replacing any of the described property, or
the cost of research or other expense necessary to replace or restore
books of account, manuscripts, abstracts, drawings, card index
systems, film, tape, disc, drum, cell and other magnetic recording or
storage media for electronic data processing, and other records that
have been damaged by a peril not otherwise excluded, except cost in
excess of the normal cost of such repair, replacement or restoration
necessarily incurred for the purpose of reducing the total amount of
extra expense. In no event shall such excess exceed the amount by
which the total extra expense otherwise payable under this Extension
of Coverage is reduced; or
3. any other consequential or remote loss.
G. Non-Owned Personal Property: The insured may apply at each location
up to 2% of the limit of liability specified for Personal Property of the Insured
at such location, but not exceeding $2,000, as an additional amount of
insurance, to cover for the account of the owners thereof (other than the
named insured) direct loss by a peril insured against to personal property,
similar to that covered by this policy, belonging to others while in the care,
custody or control of the named insured and all while (1) in or on the
building(sl. or (2) in the open (including within vehicles) on or within 100 feet
of the designated premises.
loss shall be adJusted with the named insured for the account of the owners
of the property, except that the right to adjust any loss with the owners is
reserved to the Company and the receipts of the owners in satisfaction thereof
shall be in full satisfaction of any claim by the named insured for which
payments have been made. As respects personal property belonging to others,
this provision shall replace any loss payable provision of this policy.
IV. PERILS INSURED AGAINST
This policy insures against all direct loss to the property covered under 2. The following are not expl1osions within the intent or meaning of these
this form caused by: proviSIOns: '
A. FIRE. (a) Shock waves caused by aircraft, generally known as "sonic
8. LIGHTNING. boom",
C. WINDSTORM OR HAil, excluding loss caused directly or indirectly by frost (b) Electric arcing.
or cold weather, or ice (other than hail), snow or sleet. whether driven by wllld (c) Rupture or bursting of rotating or moving parts of machinery
or not. caused by centrifugal force or mechanical breakdown,
\. This Company shall not be liable for loss to the inteflor of the (d) Water hammer,
building(s) or the property covered therein caused: (e) Rupture or bursting of water pipes,
(a) by rain, snow, sand or dust, whether driven by wind or not, unless (I) Rupture or bursting due to expansion or swelling of the contents of
the building(s) covered or containing the property covered shall first any building or structure, caused by or resulting from water,
sustain an actual damage to roof or walls by the direct action of wind
or hail and then shall be liable for loss to the interior of the building(s) (g) Rupture, bursting or operation of pressure relief devices.
or the property covered therein as may be caused by rain, snow, sand SMOKE f
or dust entering the building(s) through openlllgs in the roof or walls E. , meaning sudden and accidental damage rom smoke, other than
made by direct action of wind or hail; or (b) by water from sprinkler smoke from agricultural smudging or industrial operations.
equipment or from other piping, unless such equipment or piping be F. AIRCRAR OR VEHICLES, m~aning only direct loss resulting from actual
damaged as a direct result of wind or hail. physical contact of an aircraft or a vehicle with the property covered or with
2. The Company shall not be liable for Windstorm or Hail damage to the the building(s) containing the property covered, except that loss by aircraft
following property: includes direct loss by objects falling therefrom.
(a) Windmills, wind pumps or their towers; This Company shall not be liable for loss:
(b) Crop silos or their contents; 1. by any vehicle owned or operated by an insured or by any tenant of the
(c) Metal smokestacks; or designated premises;
(d) When outside of buildings, 2. by any vehicle to fences, driveways, walks, or when outside of build-
ings, to trees, shrubs or plants;
(1) Grain, hay, straw or other crops;
3. to any aircraft or vehicle including its contents, other than stocks of
(2) Trees, shrubs or plants; aircraft or vehicles in process of manufacture or for sale.
(3) Awnings of fabric or slat construction, canopies of fabric or The word "vehicles" means vehicles running on land or tracks but not
slat construction, including their supports; aircraft. fhe word "aircraft" shall include self-propelled missiles and
(4) Radio or television antennas, IIlcluding their lead-in wiring, spacecraft.
masts or towers.
D. EXPLOSION, including direct loss resulting from the explosion of accumu-
lated gases or unconsumed fuel within the firebox (or combustion chamber) of
any fired vessel or within the flues or passages which conduct the gases of
combustion therefrom.
\. This Company shall not be liable for loss by explosion of steam boilers,
steam pipes, steam turbines or steam engines, if owned by, leased by or
operated under the control of the insured.
Form AMP-IOOA (Ed. 12-77)
G. RIOT, RIOT ATTENDING A STRIKE OR CIVIL COMMOTION, including direct
loss by acts of striking employees of the owner or tenant(s) of the building(s)
while occupied by said striking employees and shall also include direct loss
from pillage and looting occurring during and at the immediate place of a riot.
riot attending a strike or civil commotion. The Company shall not be liable for
loss resulting from damage to or destruction of the property due to change in
temperature or humidity or interruption of operations whether or not such loss
is covered by this policy as to other perils.
Page 2 of 3
H. ~ANDAlISM OR MALICIOUS' "MISCHIEF, mJning only the willful and
malicious damage to or destruction of the property covered.
This Company shall not be liable for loss:
1. to glass (other than glass building blocks) constituting part of a
building, structure or an outside sign:
2. by pilferage, theft, burglary or larceny, except that this Company shall
be liable for willful damage to the building(s) covered caused by burglars
in gaining entrance to or exit from such building(s) or any part of the
building(s).
~. by explosion of steal boilels. steam pipes, steam turbines or steam
engines, if owned by, leased by, or operated under the control of the
named insured; or by rupture or bursting of rotating or moving parts of
machinery caused by centrifugal force or mechanical breakdown;
4. from depreciation or deterioration; nor, unless specifically endorsed,
for any loss resulting from change in temperature or humidity;
5. if the building(s) had been vacant or unoccupied beyond a period of 30
consecutive days immediately preceding the loss, whether or not such
period commenced prior to the inception date of this policy.
V. EXCLUSIONS
This policy does not insure under this form against:
A. Loss occasioned directly or indirectly by enforcement of any ordinance or
law regulating the use, construction, repair, or demolition of property includ-
ing debris removal expense.
B. Loss occasioned directly or indirectly by any electrical injury or disturbance
to electrical appliances, devices, fixtures or wiring caused by electrical
currents artificially generated unless fire as insured against ensues, and
then this Company shall be liable only for loss caused by the ensuing fire.
C. Loss caused directly or indirectly by the interruption of power or other
utility service furnished to the designated premises if the interruption takes
place away from tile designated premises. If a peril insured against ensues on
the designated premises, this Company will pay only for loss caused by the
ensuing peril.
D. Loss caused by, resulting from, contributed to or aggravated by any of the
following:
1. earth movement, including but not limited to earthquake, landslide,
mudflow, earth sinking, earth rising or shifting;
2. flood, surface water, waves, tidal water or tidal wave, overflow of
streams or other bodies of water, or spray from any of the foregoing, all
whether driven by wind or not;
3. water which backs up thrbugh sewers or drains; or
4. water below the surface of the ground including that which exerts
pressure on or flows, seeps or leaks through sidewalks, driveways,
foundations, walls, basement or other floors, or through doors, windows or
any other openings in such sidewalks, driveways, foundations, walls or
floors;
unless fire or explosion as insured against ensues, and then this Company
shall be liable only for loss caused by the ensuing fire or explosion.
VI. VALUATION
The following bases are established for valuation of property:
A. The value of all stock actually sold but not delivered shall be the price at
which it was sold, less all discounts and unincurred expenses.
B. Tenant's Improvements and Betterments;
1. If repaired or replaced at the expense of the named insured within a
reasonable time after loss, the actual cash value of the damaged or
destroyed improvements and betterments.
2. If not repaired or replaced within a reasonable time after loss, that
proportion of the original cost at time of installation of the damaged or
destroyed property which the unexpired term of the lease or rental
agreement, whether written or oral, in effect at the time of loss bears to
the periods from the dates such improvements or betterments were made
to the expiration date of the lease.
3. If repaired or replaced at the expense of others for the use of the named
insured, there shall be no liability hereunder.
Form AMP-100A (Ed. 12-77)
C. Valuable Papers and Records:
1. Books of account. manuscripts, abstracts, drawings, card index sys-
tems and other records (except film, tape, disc, drum, cell and other
magnetic recording or storage media for electronic data processing) for
not exceeding the cost of blank books, cards or other blank material plus
the cost of labor incurred by the named insured for transcribing or copying
such records.
2. Film, tape, disc, drum, cell and other magnetic recording or storage
media for electronic data processing for not exceeding the cost of such
media in unexposed or blank form.
D. All other property at actual cash value at the time of loss, but no!
exceeding the amount which it would cost to repair or replace the property
with material of like kind and Quality within a reasonable time after such loss,
nor in any event for more than the interest of the named insured.
Page 3 of 3
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American States Insurance Company
American Economy Insurance Company
INDIANAPO\.lS, INDIANA
I
Form AMP-I02
(Ed. 2-80)
ADDITIONAL PERILS ENDORSEMENT
PROPERTY COVERED
o Building(s)
[] Personal Property
Subject to all the provisions applicable to Section I of this policy of which this endorsement is made a part, except as otherwise provided f~r her~in, the following
perils are added to and made part of the "Perils Insured Against" section of Forms AMP-100: AMP-100A; AMP-24: AMP-27 and AMP-29 of which thiS endorsement is
made a part with respect to the coverage specified by an "X" in the appropriate box above.
PERILS INSURED AGAINST
BROAD VEHICLE DAMAGE, meaning only loss by any vehicle owned by an insured or by any tenant of the designated premises.
BREAKAGE OF GLASS, meaning only the breakage of glass constituting a part of the building(s) covered hereunder, but .excluding neon tu.bing att~ched t.o the
building(s). The Company shall not be liable for: (a) any glass breakage if the building(s) have been vacant beyond a period of 30 consecutive days Immed.lately
preceding the loss: (b) more than $50 per plate, pane, multiple plate insulating unit, radiant heating panel, jalousie, louver or shutter; or (c) more than $250 In any
one occurrence. !
BURGLARS: Loss by burglars shall not include:
(a) property taken by burglars;
(b) loss if the described building(s) had been vacant or unoccupied beyond a period of thirty (30) consecutive days immediately preceding the loss, whether or not
such period commenced prior to the inception date of this endorsement:
(c) loss to glass (other than glass building blocks) constituting a part of the building(s) or to any lettering or ornamentation thereon.
COLLAPSE OF BUILDINGS OR ANY PART THEREOF, but excluding loss: (a) to outdoor radio or television antennas, including their lead-in wiring, masts or towers;
awnings; gutters and downspouts: yard fixtures; outdoor swimming pools: fences; piers, wharves and docks; beach or diving platforms, or appurtenances; retaining
walls; walks, roadways and other paved surfaces; or (b) by settling, cracking, shrinkage, bulging or expansion of pavements, patios, foundations, walls, floors,
roofs or ceilings: all except as a direct result of the collapse of a building.
FALLING OBJECTS, but excluding loss: (a) to the interior of the building(s) or the property covered therein unless the building(s) covered or containing the property
covered shall first sustain an actual damage to the exterior of the roof or walls by the falling object; or (b) to personal property in the open.
FREEZING OF PLUMBING, HEAmlG AND AIR COIIOInONIIIG SYSTEMS AIIO DOMESTIC APPLIANCES: Loss shall not include loss caused byor resulting from freezing
while the building(s) is vacant or unoccupied unless the insured shall have exercised due diligence with respect to maintaining heat in the buliding(s) or unless the
plumbing, heating and storage systems had been drained and the water supply shut off during such vacancy or unoccupancy.
LIMITED BOILER EXPLOSIOII, meaning damage resulting from the sudden and accidental tearing asunder of a low pressure steam or hot water heating system or of
appliances for heating water, caused by pressure of water or steam therein, but excluding: (a) the cost of repairing or replacing the heating or storage system, and,
in the event Business Income, Business Interruption, Earnings, Extra Expense, Leasehold Interest, Rents or Rental Value or Tuition Fees coverage is afforded,loss
under such coverages resulting from the impairment of such heating or storage system; (b) loss caused byor resulting from freezing while the described building is
vacant or unoccupied unless the Insured shall have exercised due diligence with respect to maintaining heat in the building, or unless the heating or storage
system had been drained and the water supply shut off during such vacancy or unoccupancy; or (c) loss caused directly or indirectly by earthquake, landslide or
other earth movement.
LIMITED MACHIIIERY BREAKAGE, meaning damage resulting from the sudden and accidental breaking of an electrical or non-electrical machine into two or more
separate parts, but excluding: (a) the cost of repairing or replacing the electrical or non-electrical machine, and, in the event Business Income,Business
Interruption, Earnings, Extra Expense, Leasehold Interest, Rents or Rental Value or Tuition Fees coverage is afforded, loss under such coverages resulting from the
impairment of such electrical or non-electrical machine: or (b) loss caused directly or indirectly by earthquake, landslide or other earth movement.
lIMI~~O ~ATER DAMAGE, meaning damage caused by the accidental discharge or leakage of water or steam from within a plumbing, sprinkler, heating or air
conditiOning .system or domestic appliance only when such discharge or leakage is the direct result of the breaking or cracking of any pipes, fittings, parts, or
fixtures forming a part of such system or appliance, including the cost of tearing out and replacing any part of the building(s) covered required to effect repairs to
the system or appliance from which the water or steam esca pes, but excluding: (a) the cost of repairing or replacing the system or appliance from which the water or
steam escapes: (b) loss resulting from freezing while the described building(s) is vacant or unoccupied, unless the Insured shall have exercised due diligence with
respec! to maintaining heat in the building(s), or unless the plumbing and heating systems and domestic appliances had been drained and the water supply shut
off during such vacancy or unoccupancy; or (c) loss if the damaged building(s) or building(s) containing the damaged property had been vacant beyond a period of
30 c~nsecutive days immediately preceding the loss: (d) loss caused by continuous or repeated seepage or leakage of water or steam from within a plumbing,
heating or air conditioning system or from within an appliance which occurs over a period of weeks, months or years.
SOIlIC SHOCK WAVE: Loss by sonic shock wave shall mean direct loss caused by sonic shock waves generated by aircraft, generally known as sonic boom.
SUO DEli AND ACCIDENTAL INJURY FROM ARTIFICIAllY GEIIERATED ELECTRICAL CURRENTS to electrical appliances, devices, fixtures and wiring, except tubes
transistors and similar electronic components. '
WEIG~T ~F ICE, SNOW OR SLE.~, meaning only direct loss to the property covered when caused by weight of snow, ice or sleet which results in physical damage to
th,e. bUildings covered or containing the property covered, but excluding loss to: (a) metal smokestacks, outdoor radio or television antennas including their lead-in
WIring, masts or towers: gutters and downspouts; yard fixtures: and, when outside of buildings, awnings and personal property; or (b) fences: outdoor swimming
pools: piers, wharves and docks; bea.ch or diving platforms, or appurtenances; retaining walls not constituting part of the building; walks, roadways and other
paved surfaces; all when such loss is caused by freezing, thawing, or by the pressure or weight of ice or water whether driven by wind or not.
This Endorsement must be attacbed to Challie Endorsem811t AMP-l 01 wilen Issued after the poUey Is written.
Form AMP-I02 (Ed. 2-80)
""'~~~ 1.1l '.jjj n -
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MlseELLANEOUS ARTICLES FLQATER
I (All Risk) I
F-38
(6-80)
Attached to and forming Issued To:
part of Policy No.
(absence of entry means same as policy)
PROPERTY COVERED
This policy covers schedule property described below induding accessory equipment and spare parts designed for use with
the property, owned or used by the Insured while it is within the limits of the Continental United States or Canada.
I
PROPERTY INSURED
Item No.
Description of Equipment and Accessories
Amount of Insurance
SEE SCHEDULE
LIMIT OF LIABILITY
The Company shall not be liable for more than the amount of insurance indicated for each scheduled item.
I n no event, however, shall this Company be liable for a greater proportion of any loss than the amount insured bears to the total
value of all property insured at time of loss.
DEDUCTIBLE
Each claim for loss ?O~amage, separately occurring, shall be adjusted separately and from the amount of each adjusted claim,
the sum of $ shall be deducted. In no event shall the deductible be less than $100.
PERILS INSURED AGAINST
This policy insures against all risks of direct physical loss or damage from any external cause, except as hereinafter provided.
PERILS NOT INSURED
This policy does not insure 1055, damage or expense caused by or resulting from:
a. insect, vermin, inherent vice, denting, marring, scratching, becoming discolored or moulded, leakage or breakage,
wear and tear, gradual deterioration, corrosion, rust, dampness of atmosphere, freezing or extremes of temperature,
mechanical or electrical breakdown or failure, unless such damage is a result of other loss covered by this policy;
b. any cleaning, repairing, restoration or retouching process;
c. misappropriation, secretion, conversion, infidelity or any dishonest act on the part of the Insured or other party of
interest, his or their employees or agents or others to whom the property may be delivered or entrusted (carriers for hire
excepted); nor against mysterious disappearance or shortage disclosed upon taking inventory;
d. delay, loss of market, interrruption of business or other consequential loss extending beyond the direct physical loss of
or damage to the insured property;
e. neglect of the Insured to use all reasonable means to save and preserve the property at and after any disaster insured
against or when the property is so endangered;
f. theft from an unattended vehicle, unless:
1 . the vehicle is equipped with a fully enclosed body or compartment; and
2. the 1055 is a direct result of forcible entry (of which there is visible evidence) into a fully enclosed body, the doors and
windows of which shall have been securely locked or from a compartment which shall have been locked.
(Over)
.,
I
j SPECIAL CONDITIONS
I
Automatic Acquisition. This policy is extended to cover items of a nature similar to those scheduled hereunder, the property
of the Insured, which items the Insured has acquired ownership thereof subsequent to the attachment of this insurance. In
consideration of this extension the Insured agrees to report such additional property within thirty (30) days from the date
acquired and to pay premium thereon from the date acquired at pro-rata of the policy rate. It is specifically agreed and
understood, however, that this policy shall cease to cover such additional items if they are not reported to the Company within
. the said thirty (30) day period. This extension covers such additional equipment for an amount not to exceed $10,000 or 25% of
the total amount ot insurance ot this policy, whichever is the lesser.
Notice to Police. The Insured agrees that all thefts or acts of vandals for which claims are made under this policy will
be reported promptly to the Police Department. .
This endorsement is subject to the conditions of the policy to which this is attached, except that any clauses and conditions in
the printed portions of the policy in conflict with the terms of this special attachment are null and void.
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American Statellnsurance Company
American Econom'lnsurance Company
INDIANAPOLIS. INDIANA
I
9-CIM
(1-81 )
COMMERCIAL INLAND MARINE
POLICY PROVISIONS
INSURANCE ATTACHMENT CLAUSE
IN CONSIDERATION OF THE STIPULATIONS HEREIN NAMED and of the premium specified the Company does insure tbe
Named Insured, hereinater called the Insured, for the policy period shown to an amount not exceeding the amount(s)
specified, as per form(s) attached and described in the Declarations as Commercial Inland Marine. This policy is made and
accepted subject to the foregoing provisions and stipulations, the General Conditions and such other provisions, stipulations
and agreements as may be added hereto, as provided in this policy.
When this policy is issued as a supplement, if any of the property covered by this policy is also covered under any other
provision of the policy to which this policy is made a part, those provisions are hereby amended to exclude such property, the
intent being that the coverage under this supplemental policy is the sole coverage on such property.
Policy Term. The policy term shall be as shown in the Declarations under "Policy Term" and, subject to the consent of the
Company and subject to the premium, rules and forms then in effect, for such succeeding terms as permitted by law as the
policy is extended by certificate.
Notice of Loss. The Insured shall as soon as practicable report in writing to the Company or its agent every loss, damage or
occurrence which may give rise to a claim under this policy and shall also file with the Company or its agent within ninety (90)
days from date of discovery of such loss, damage or occurrence, a detailed sworn proof of loss.
Examination Under Oath. The Insured, as often as may be reasonably required, shall exhibit to any person designated by the
Company all that remains of any property herein described, and shall submit, and in so far as is within his or their power cause
his or their employees, members of the household and others to submit to examinations under oath by any person named by
the Company and subscribe the same, and, as often as may be reasonably required, shall produce for examination all writings,
books of account, bills, invoices and other vouchers, or certified copies thereof if originals be lost, at such reasonable time and
place as may be designated by the Company or its representative, and shall permit extracts and copies thereof to be made. No
such examination under oath or examination of books or documents, nor any other act of the Company or any of its employees
or representatives in connection with the investigation of any loss or claim hereunder, shall be deemed a waiver of any defense
which the Company might otherwise have with respect to any loss or claim, but all such examinations and acts shall be
deemed to have been made or done without prejudice to the Company's liability.
Valuation. The Company shall not be liable beyond the actual cash value of the property at the time any loss or damage
occurs and the loss or damage shall be ascertained or estimated according to such actual cash value with proper deduction for
depreciation, however caused, and shall in no event exceed what it would then cost to repair or replace the same with material
of like kind and quality.
Settlement of Loss. All adjusted claims shall be paid or made good to the Insured within sixty (60) days after presentation and
acceptance of satisfactory proof of interest and 1055 at the office of the Company. No loss shall be paid or made good if the
Insured has collected the same from others.
No Benefit to Bailee. This insurance shall in no wise inure directly or indirectly to the benefit of any carrier or other bailee.
Loss Clause. Any 1055 hereunder shall not reduce the amount of this policy except in the event of payment of claim for total
1055 of an item specifically scheduled hereon. If claim is paid for total loss of one or more scheduled items, the unearned
premium applicable to such items will be refunded to the Insured or applied to the premium due on item(s) replacing those on
which the claim was paid.
Pair, Set or Parts. In the event of loss of or damage to:
1. any article or articles which are a part of a pair or set, the measure of loss of or damage to such article or articles shall be a
reasonable and fair proportion of the total value of the pair or set, giving consideration to the importance of said articl~ or
articles, but in no event shall such loss or damage be construed to.mean total loss of the pair or set; or
2. any part of property covered consisting, when complete for use, of several parts, the Company shall only be liable for the
value of the part lost or damaged.
Protection of Property. In case of loss, it shall be lawful and necessary for the Insured, his or their factors, servants and
assigns, to sue, labor, and travel for, in and about the defense, safeguard and recovery of the property Insured hereunder, or
any part thereof, without prejudice to this insurance, nor shall the acts of the Insured or the Company, in recovering, saving and
preserving the property insured in case of loss be considered a waiver or an acceptance of abandonment. The expenses so
incurred shall be borne by the Insured and the Company proportionately to the extent of their respective interests.
(Over)
) . .. ..,
, Suit. No suit, action or proceeding fl the recovery of any claim under this policy Ihall be sustainable in any court of law or
equity unless the same be commenced within twelve (12) months next after discovery by the Insured of the occurrence which
gives rise to the claim, provided however, that if by the law of the State within which this policy is issued such limitation is
invalid, then any such claims shall be void unless such action, suit or proceeding be commenced within the shortest limit of
time permitted by the laws of such State.
Appraisal. If the Insured and the Company fail to agree as to the amount of loss, each shall, on the written demand of either,
made within sixty days after receipt of proof of loss by the Company, select a competent and disinterested appraiser, and the
appraisal shall be made at a reasonable time and place. The appraisers shall first s'elect a competent and disinterested
umpire, and failing for fifteen days to agree upon such umpire, then, on the request of the Insured or the Company, such
umpire shall be selected by a judge of a court of record in the State in which such appraisal is pending. The appraisers shall
. then appraise the loss, stating separately the actual cash value at the time of loss and the amount of loss, and failing to agree
shall submit their differences to the umpire. An award in writing of any two shall determine the amount of loss. The Insured and
the Company shall each pay his or its chosen appraiser and shall bear equally the other expenses of the appraisal and umpire.
The Company shall not be held to have waived any of its rights by any act relating to appraisal.
Civil Authority. Property covered under this policy against the peril of fire is also covered against the risk of damage or
destruction by civil authority during a conflagration and for the purpose of retarding the same; provided that neither such
conflagration nor such damage or destruction is caused or contributed to by a peril otherwise excluded herein.
Conformity to Statute. Terms of this policy which are in conflict with the statutes of the State wherein this policy is issued are
hereby amended to conform to such statutes.
Nuclear Exclusion Clause. This Company shall not be liable for loss by nuclear reaction or nuclear radiation or radioactive
contamination, all whether controlled or uncontrolled, and whether such loss be direct or indirect, proximate or remote, or be in
whole or in part caused by, contributed to, or aggravated by the peril(s) insured against in this policy; however, subject to the
foregoing and all provisions of this policy. If this policy includes coverage against the perils of fire it is agreed that direct loss by
fire resulting from nuclear reaction or nuclear radiation or radioactive contamination is insured against by this policy.
War Risk Exclusion Clause. This Company shall not be liable for loss by:
1. Hostile or warlike action in time of peace or war, including action in hindering, combating or defending against an actual,
impending or expected attack. (a) by any government or sovereign power (de jure or de facto), or by any authority
maintaining or using military, naval or air forces; or (b) by ;nilitary, naval or air forces; or (c) by an agent of any such
government, power, authority or forces;
2. Any weapon of war employing atomic fission or radioactive force whether in time of peace or war;
3. Insurrection, rebellion, revolution, civil war, usurped power, or action taken by governmental, authority in hindering,
combating or defending against such an occurrence, seizure or, destruction under quarantine or customs regulations,
confiscation by order of any government or public authority, or risks of contraband or illegal transportation or trade.
Other Insurance. Insurance under this policy shall apply as excess insurance of any other valid and collectible insurance
which would apply in the absence of this policy and in no event as contributing insurance and then only after all such other
insurance has been exhausted.
KANSAS EXCEPTION. When this policy is used in the state of Kansas, the Suit Clause is hereby amended to read "sixty (60)
months" instead of "twelve (12) months". It is further understood and agreed wherever the word "warrant" or any derivative
thereof appears in this policy the word "agree" or a derivative thereof is substituted therefor.
MICHIGAN EXCEPTION. When this policy is used in the state of Michigan, the Other Insurance Clause is amended to read: If
a loss covered by this policy is also covered by other insurance the company will pay only the proportion of the loss that the limit
of liability that applies under this policy bears to the total amount of insurance covering the loss.
WYOMING EXCEPTION. When this policy is used in the state of Wyoming. the Suit Clause is hereby amended to read "four
years" instead of "twelve (12) months". The time for the settlement or payment of loss as set forth in the Settlement of Loss
Clause is amended to substitute "45 days" for the period therein stated.
FLORIDA EXCEPTION. The words "warrants," "warranties," "warranted," "warrantee" in the Application, Proposal or
provision(s) of this policy are deemed to be representations.
--
J~'
~'OMPREIENSIVE GENERAL LIABILITY INSURANlE COVERAGE
I PART I
TWO
I. The company will pay on behalf of the Insured all sums which the hi_I"
shall become legally obligated to pay as ~ama.ea because of
Coverage A. bodily Injury or
Coverage B. property dama.e
to which this insurance applies, caused by an occurrence, and the company
shall have the right and duty to defend any suit against the Insured seeking
damages on account of such bodily Injury or property damage, even if any of
the allegations of the suit are groundless, false or fraudulent, and may make
such investigation and settlement of any claim or suit as it deems expedient,
but the company shall not be obligated to pay any claim or judgment or to
defend any suit after the applicable limit of the company's liability has been
exhausted by payment of judgments or settlements.
Exclusions - This insurance does not apply:
(a) to liability assumed by the Insured under any contract or agreement
except an incidental contract; but this exclusion does not apply to a warranty
of fitness or quality of the named insured's products or a warranty that work
performed by or on behalf of the named Insured will be done in a workmanlike
manner;
(b) to bodily Injury or property damage arising out of the ownership.
maintenance, operation, use. loading or unloading of
(1) any automobile or aircraft owned or operated by or rented or loaned to
any insured, or
(2) any other automobile or aircraft operated by any person in the course of
his employment by any Insured;
but this exclusion does not apply to the parking of an automobile on premises
owned by, rented to or controlled by the named insured or the ways im-
mediately adJolmng, If such automobile is not owned by or rented or loaned to
any insured;
(C) to bodily Injury or property damage arising out of (1) the ownership
maintenance, operation, use, loading or unloading of any mobile equipment
while being used In any prearranged or organized racing. speed or demoUion
contest or in any stunting activity or in practice or preparation for any such
contest or activity or (2) the operatIOn or use of any snowmobile or trailer
designed for use therewith;
(d) to bodily Injury or property damage arising out of and in the course of the
transportation of mobile equipment by an automobile owned or operated by
or rented or loaned to any insured;
(e). to bodily Injury. or property damage arising out of, the ownership,
maintenance, operation, use, loading or unloading of
(1) any watercraft owned or operated by or rented or loaned to any Insured,
or
(2) any other watercraft operated by any person in the course of his employ-
ment by any insured;
but this exclusion does not apply to watercraft while ashore on premises
owned by, rented to or controlled by the named Insured;
(f) to bodily Injury or property damage arising out of the discharge, disper-
sal, release or escape of smoke, vapors, soot, fumes, acids, alkalis, toxic
chemicals, liquids or gases, waste materials or other irritants, contaminants
or pollutants .into or u~on land, the atmosphere or any water course or body of
water: but this exclUSion does not apply if such discharge. dispersal, release
or escape IS sudden and accider.tal;
(Q). to bodily Injuryor property damage due to war, whether or not declared,
CIVil war, Insurreclion, rebellion or revolution or to any act or condition
incident to any of the foregoing, with respect to
(1) liability assumed by the Insured under an incidental contract, or
(2) expen~es fo.r first aid under the Supplementary PaYf!1ents provision;
(h) to bodily InjUry or property damage for which the Insured or his in-
demnitee .may be held liable
(1) as a person or organization engaged in the business of manufacturing.
distributing, selling or serving alcoholic beverages, or
(2) If not so engaged, as an owner or lessor of premises used for such
purposes, if such liability is imposed
(i) by, or because of the violation of, any statute, ordinance or regulation
pertaining to the sale, gift. distribution or use of any alcohoHc beverage,
or
(ii) by reason of the selling, serving or giving of any alcoholic beverage to a
minor or to a person under the influence of alcohol or which causes or
contributes to the intoxication of any person;
but part (ii) of this exclusion does not apply with respect to liability of the
I~sured or hiS mdemmtee as an owner or lessor described in (2) above;
(I) to any obligallon for which the Insured or any carrier as his insurer may be
held liable u~der any workmen's compensation, unemployment compensa-
tion or disability benefits law, or under any similar law;
(j) to bodily Injury to any employee of the Insured arising out of and in the
course of his employment by the Insured or to any obligation of the Ins.I" to
indemnify another because of damages arising out of such injury; but this
exclusion does not apply to ~ability assumed by the Insured under an IlIclden-
tal contract;
l k) to property damage to
1) property owned or occupied by or rented to the Insured,
(21 property used by the Insured, or
(3 property in the care, custody or control of the Insured or as to which the
insured is for any purpose exercising physical control;
but parts (2) and (3) of this exclusion do not apply with respect to ~ability
under a written sidetrack agreement and part (3) of this exclusion does not
apply with respect to property damage (other than to elevators) arising out of
the use of an elevator at premises owned by, rented to or controlled by the
IlImed Insured;
(I) to property damage to premises alienated by the named Insured ariSing
out of such premises or any part thereof;
(m) to loss of use of tangible property which has not been physically injured
or destroyed resulting from
(1) a delay in or lack of performance by or on behalf of the named Insured of
any contract or agreement, or
(2) the failure of the named Insured's products or work performed by or on
behalf of the named Insured to meet the level of performance, quality,
fitness or durability warranted or represented by the named Insured;
but thiS exclUSion does not apply to loss of use of other tangible property
resulting from the sudden and accidental physical injury to or destruction of
the named Insured's products or work performed by or on behalf of the
named Insured after such products or work have been put to use by any
person or organization other than an Insured;
(n) to property damage to the named Insured's products arising out of such
products or any part of such products;
(0) to property damage to work performed by or on behalf of the named
Insured anslng out of the work or any portion thereof, or out of materials,
parts or eqUipment furnished In connection therewith'
(p) to damages claimed for the withdrawal, inspection', repair, replacement,
or loss of use of the named Insured's products or work completed by or for
the named Insured or of any property of which such products or work form a
part, if such products. work or property are withdrawn from the market or
from use because of any known or suspected defect or deficiency therein-
(q) to property damage included within: '
(11 the explosion hazard as defined in Coverage Part One,
(2 the collapse hazard as defined in Coverage Part One,
(3) the underground property damage hazard as defined in Coverage Part
One;
(r) to bodily injury or property damage due to the rendering of or failure to
render (1) (a) (i) medical, surgical, dental, X-ray or nursing service or
treatment, or the furnishing of f~od or beverages in connection therewith, (iil
any service or treatment condUCive to health or of a profeSSIOnal nature, or (Iii
any cosmetic or tonsorial service or treatment, (b) the furnishing or dispens-
Ing of drugs or medical, dental, or surgical supplies or appliances, or (c) the
handting of or performing of autop~ies on dead ~odies; (2) any cosmetiC, ear
pierCing, tonSOrial, massage, phYSiotherapy, chiropody, hearing aid, optical
or optometrical services or treatment; (3) any professional service; provided,
however, that only such part of this exclusion as indicated in manuals in use
by the company shall apply to the Insured's operations, and then only to the
extent indicated by such manual.
II. PERSONS INSURED. Each of the following is an Insured under this
insurance to the extent set forth below:
(a) if the named Insured is designated in the declarations as an individual the
person so designated but only with respect to the conduct of a business of
which he is the sole proprietor, and the spouse of the named Insured with
respect to the conduct of such a business;
(b) if the named Insured is designated in the declarations as a partnership or
joint venture, the partnership or joint venture so designated and any partner or
member thereof but only with respect to his liability as such'
(c) if the named Insured is designated in the declarations as' other than an
individual. partnership or joint venture, the organization so designated and
any executive officer, director or stockholder thereof while acting within the
scope of his duties as such;
(d) any person (other than an employee of the named "insured) or organiza-
tion while acting as real estate manager for the named Insured' and
(e) with respect to the operation, for the purpose of locomotion upon a public
highway, of mobile equipment registered under any motor vehicle registra-
tion law,
(i) an employee of the named Insured while operating any such equipment
in the course 'of his employment, and
(ii) any other person while operating with the permission of the named
insured any such equipment registered in the name of the IlImed
Insured and any person or. organization legally responsible for such
operation, but only If there IS no other valid and collectible insurance
available, either on a primary or excess basis, to such person or organiza-
tion;
provided that no person or organization shall be an Insured under this
paragraph (e) with respect to:
(1) bodily Injury to any fellow employee of such person injured in the course
of his employment, or
(2) propeEty damage to property owned by, rented to, in charge of or
occupied by the named Insured or the employer of any person described
in subparagraph (ii).
This insurance does not apply to 1I01llly Injury or property damage arising
out of the conduct of any partnership or joint venture of which the Insured is a
Cartner or member and which is not designated in this poticy as a IlImed
llsured.
III. LIMITS OF LIABILITY. Regardless of the number of (1) Insureds under
this poJicy, (2) persons or organizations who sustain bodily Injury or property
damage, or (3) claims made or suits brought on account bodily Injury or
property damage. the company's "ability is limited as follows:
Coverage A - The total liability of the company for all damages, including
damages for care and loss of services, because of bodily Injury sustained by
one or more persons as the result of anyone occurrence shall not exceed the
~ .. "
limit of bodily Injury liability stated in the decij-ations as applicable to "each
occurrence" .
Subject to the above provision respecting "each occurrence", the total
liability of the company for all damages because of (1) all bodily Injury
included within the completed operations hazard and (2) all bodily Injury
included within the products hazard shall not exceed the limit of bodily Injury
liability stated in the declarations as "aggregate".
Coverage B - The total liability of the company for all damages because 01
all property damage sustained by one or more persons or organizations as the
result of anyone occurrence shall not exceed the limit of property damage
liability stated in the declarations as applicable to "each occurrence".
Subject to the above provision respecting "each occurrence", the total
liability of the company for all damages because of all property damage to
which this coverage applies and described in any of the numbered subpara-
graphs below shall not exceed the limit of property damage liability stated in
the declarations as "aggregate";
(1) all property damage arising out of premises or operations rated on a
remuneration basis or contractor's equipment rated on a receipts basis.
including property damage for which liability is assumed under any
incidental contract relating to such premises or operations. but exclud-
ing property damage included in subparagraph (2) below;
(2) all property damage arising out of and occurring in the course of
9-CCGL (1-80)
-,
operations performl forthe named Insured by independent contractors
and general supervlon thereof by the named Insured, including any
such property damage for which liability is assumed under any Inclden.
tal contract relating to such operations, but this subparagraph (2) does
not include property damage arising out of maintenance or repairs at
premises owned by or rented to the named Insured or structural altera-
tions at such premises which do not involve changing the size of or
moving buildings or other structures;
(3) all property damage included within the products hazard and all property
damage included with the completed operations hazard.
Such aggregate limit shall apply separately to the property damage de.
scrrbed In subparagraphs (1). (2) and (3) above, and under SUbparagraphs (1)
and (2), separately with respect to each project away from premises owned by
or rented to the named Insured.
Coverages A and B - For the purpose of determining the limit of the
company's liability. all bodily Injury and property damage arising out of
continuous or repeated exposure to substantially the same general conditions
shall be considered as arising out of one occurrence.
IV. POLICY TERRITORY. This insurance applies only to bodily Injury or
property damage which occurs within the polley territory.
~
Pol. No.1
Insured:
Eff.:
LIMITS tF LIABILITY
AMENDATORY ~ORSEMENT
(C(!otBINED SINGLE LIMIT)
Complete only when this endorsement is t prepered with
the policy or when the effective dete differ . rom the policy.
This endorsemeDt modifies such lmurance as is afforded by the
provisions of the policy relating to the followin~'
COMPREHENSIVE GENERAL LIABIUTY INSURANCE
CONTRACTUAL LIABnlTY INSURANCE
MANUFACTURERS' AND CONTRACTORS' UABILITY INStJRANCE
OWNERS', LANDLORDS' AND TENANTS' LIABnlTY INSURANCE
STOREKEEPERS' LIABILITY INSURANCE
ULTRA COMPREHENSIVE LIABILITY ENDORSEMENT
Such insurance a. is afforded by the policy applies subject to the following provisiom:
1. The limit of the canpany'. liability for DAMAGES under all BOOn. Y INJURY liability and PROPERTY DAMAGE
liability coverages, shan be a siDgle limit of liability as stated herein:
$ each OCCURRENCE
5<0 ~~, r:> ~ '"
2. All ~bi= m ili~~ :i&.tli~Qb~::g "fe"D~ W the _p~' UnWll~ ~ .=-
of BOOll.Y INJURY liability or PROPERTY DAMAGE liability are deleted.
3. The following provision is added to the policy:
LIMITS OF LIABILITY
Regardless of the munber of (1) INSUREDS under thiJ: policy, (2) persons or organizations who sustain BODILY INJURY
or PROPERTY DAMAGE, or (3) claims made or suits brought on accOUDt of BOOll.Y INJURY or PROPERTY DAMAGE,
the company's liability is limited as follows:
The total liability of the company for all damages, includiDg damage. for care and loss of .ervice., UDder all BODll.Y
INJURY liability and PROPERTY DAMAGE liability coverages of this policy because of BODll.Y INJURY or PROPERTY
DAMAGE sustained by one or more persons 01' organiJati~ u a result of any one OCCURRENCE shall not exceed the
limit of liability shown above fOl' "each OCCURRENCE".
Subject to the above provisions respecting" each OCCURRENCE", the total liability of the company for all damages
arising out of the PRODUCTS HAZARD and COMPU.TED OPERATIONS HAZARD shall not exceed the limits of liability
stated above as "aggregate".
Subject to the above provision respectiDg "each OCCURRENCE.", the total liability of the company fOl' all damages
because of all PROPERTY DAMAGE to which the policy applies
(i) arising out of premises 01' operations rated on a remuneration basis or contractors ecpipmeDt rated on
All other terms of this policy remain unchanged.
~~CC!Al>';/
~~
"""""~
American States Insurance Company
American Economy Insurance Company
INOIANA~OLlS, INDIANA
,,~-u!~ ~
President
Countersigned by
Form 9-287
10-73 )
AuTHORllEO AGENT
~~ ~ .LfaA.-I'~
Secretary
(over)
"
.'~"'-~......",.~....,....~~:'~_IIJIII":'~-''''-'
,
I
I
receipts basis, including liability assumed under any incidental cODtract relating to such premises
or operations; or
(ii) arising out of and occuning in the course of operations, other than maiDtenance or repairs at premises
owned by or rented to the NAMED INSURED 01' structural alterations at IIIch premises which do not
involve changing the size or of mO'ling buildings or other stnl(:tures, performed for the NAMED INSURED
by independeDt contractors aDd generalll1pervision thereof by the NAMED INSURED including liability
assumed under any INCIDENTAL CONTRACT relating to II1ch operati~; or
i
(Iii) included within the CONTRACruAL LlABn.ITY PROPERTY DAMAGE COVERAGE
shan not exceed the limit of liability stated above as "aggregate." Said aggregate limit of liability shall apply
separately to (i), (il) and (iii) and under each separately to each project away from premises owned by or reDted
to the NAMED INSURED.
4. For the purpoIe of determining the limit of the Company's liability, all BODILY INJURY and PROPERTY DAMAGE
arising out of continuous or repeated exposure to subltaDtially the same general conditions shall be considered as
arising out of one OCCURRENCE.
ADDITIONAL INTEREST ENDORSEMENT
Additional premiwn for this endorsement.
Nrune:
City of Clearwater
Dept. of Recreation & Parks
P.O. Box 4758
Clearwater, F1a 33518
1. It is agreed that such insurance as is afforued by the policy sh~ll
also apply to each interest named herein, as an insured; but such
inclusion of additional interest on interests shall not opera.te to
increase the limits of the company's liabil i ty .
2. It is further agreed that, if this poliey is issueu 'to a fiduciary,
the insurance afforded by this endorsement shall not I apply to any
executive officer or employee with respect to injury to or sickness,
disease or death of another executive officer or employ~e of the same
employer injured in the course of such errcploymcnt.
This Endorsement is subject ijo the limits of liabili ~y, exclusion,
conditions and other terms of this policy which are riot inconsistent
herewith.
~".I.,'.
,I
;11
:m<<.. SMP iOMPREHENSIVE CRIM'E' COVERAGE EtjDOR.SEMENT
~ SECTION 111- CRIME COVERAGI .
,I
This endorsement shall be attached to Policy No.
of the Insurance Company.
(herein called Company)
The Insuring Agreements, General Agreements, Conditions and Limitations and other terms of this endorsement shall apply only as .specified
herein and none of the provisions, stipulations and other terms of the policy to which this endorsement is attached shall apply to Insurance
hereunder unless so specified.
DECLARATIONS
Item 1. Effective Period: from 12:01 a.m. to 12:01 a.m. on the
(Month, Day, Year) ...
effective date of the cancellation or termination of the policy to which this endorsement is attached, standard time at the location of deSignated
premises shown In the policy to which this endorsement IS attached as to each of said dates, unless this endorsement is canceled or terminated
as hereinafter provided or 10 any other manner.
Item 2.
Table of Limits of Liability
Insuring Agreement IA Employee Dishonesty (Commercial Blanket) Coverage
Insuring Agreement IB Employee Dishonesty (Blanket Position) Coverage
Insuring Agreement II loss Inside the Premises Coverage
Insuring Agreement III loss Outside the Premises Coverage
Insuring Agreement IV Money Orders and Counterfeit Paper Currency Coverage
Insuring Agreement V Depositors Forgery Coverage
If added by endorsement: Insuring Agreement
Item 3. The liability of the Company is subject to the terms of the following endorsements attached hereto:
Item 4. The Insured by the acceptance of this endorsement gives notice to the Company terminating or cancelling prior bond(s) or policy(ies)
No.(s) such termination or cancellation to be effective as of the time this
endorsement becomes effective. !
The Company, in consideration of the payment of the premium, and subject to the Declarations made a part hereof, the General Agreements,
Conditions and Limitations and other terms of this endorsement, agrees with the Insured, in accorda~ce with such of the Insuring Agreements
hereof as are specifically designated by the insertion of an amount of insurance in the Table of Limits of Liability of this endorsement, to pay the
Insured for:
, ~
..
~
MP 04 50
(Ed. 12 79)
!'!I
$
$ 2 , 500
$
$
$
$
$
-
INSURING AGREEMENTS
EMPLOYEE DISHONESTY COMMERCIAL
BLANKET COVERAGE
IA. loss of Money, Securities and other property which the Insured
shall sustain, to an amount not exceeding in the aggregate the amount
stated in the Table of limits of liability applicable to this Insuring
Agreement lA, resulting directly from one or more fraudulent or dis-
honest acts committeed by an Employee, acting alone or in collusion
with others.
Dishonest or fraudulent acts as used in this Insuring Agreement
shall mean only dishonest or fraudulent acts committed by such Em-
ployee with the manifest intent:
(a) to cause the Insured to sustain such loss; and
(b) to obtain financial benefit for the Employee, or for any other
person or organization intended by the Employee to receive such
benefit, other than salaries, commissions, fees, bonuses, promo-
tions, awards, profit sharing, pensions or other employee benefits
earned in the normal course of employment.
EMPLOYEE DISHONESTY BLANKET
POSITION COVERAGE
lB. loss of Money, Securities and other property which the Insured
shall sustain resulting directly from one or more fraudulent or dis.
honest acts committed by an Employee, acting alone or in collusion
with others, the amount of insurance on each of the Employees being
the amoun.t stated in the Table of limits of Liability applicable to this
Insuring Agreement lB.
Dishonest or fraudulent acts as used in this Insuring Agreement
shall mean only dishonest or fraudulent acts committed by such Em.
ployee with the manifest intent:
(a) to cause the Insured to sustain such loss; and
,,;..#
(b) to obtain financial benefit for the Employee, or for any other
person or organization intended by the Employee to receive such
benefit, other than salaries, commissions, fees, bonuses, promotions,
awards, profit sharing, pensions or other employee benefits earned
in the normal course of employment.
LOSS INSIDE THE PREMISES COVERAGE
II. loss of Money and Securities by the actual destruction, disappear-
ance or wrongful abstraction thereof within the Premises or within
any Banking Premises or similar recognized places of safe deposit.
loss of (a) other property by Safe Burglary or Robbery within the
Premises or attempt thereat,. and (b) a locked cash drawer, cash box
or cash register by felonious entry into such container within the
Premises or attempt thereat or by felonious abstraction of such con.
tainer from within the Premises or attempt thereat.
1
Damage to the Premises by such Slife Burglary, Robbery or felonious
abstraction, or by following burglarious entry into the Premises or at-
tempt threat, provided with respect to damage to the Premises the
insured is the owner thereof or is liable for such damage.
LOSS OUTSIDE THE PREMISES COVERAGE
III. loss of Money and Securities by the actual destruction, disap.
pearance or wrongful abstraction thereof outside the Premises while
being conveyed by a Messenger or any armored motor vehicle com-
pany, 12r while within the living quarters in the home of any Mes-
senger.
loss of other property by Robbery or attempt thereat outside the
Premises while being conveyed by a Messenger or any armored .motor
vehicle company, or by theft while witnin the living quarters in the
home of any Messenger.
MP 04 50 (Ed. 12 79) Pale 1 of 5
"~'" ,.}~~~~
f
.' - _. "_,- ," .:.. .'"I__'._':-'--",PI,...lt.~-~":q::_:.:'~":~"";'i!";';":"'~
2t~'- ..::-;< . -
"'*
6
(e) any payroll clck, payroll draft or payroll orde. r made or drawn
by the Insured, yable to bearer as well as to a na.med payee a~d
endorsed by any ne other than the named payee without authority
from such payee:
whether or not any endorsement mentioned i~ (a), (b) or (c) b~ a
forgery within the law of the place controlling the construction
thereof.
Mechanically reproduced facsimile signatures are treated the same
as handwritten signatures.
The Insured shall be entitled to priority of payment over loss sus.
tained by any bank aforesaid. Loss under this Insuring Agreement,
whether sustained by the Insured or such bank, shall be paid di.
rectly to the Insured in its own name, except in cases where such
bank shall have already fully reimbursed the Insured for such loss.
The liability of the Company to such bank for such loss shall be a
part of and not in addition to the amount of insurance applicable to
the Insured's office to which such loss would have been. allocated
had such loss been sustained by the Insured.
It the Insured or such bank shall refuse to pay any of the fore.
going instruments made or drawn as hereinbefore set forth, alleging
that such instruments are forged or altered, and such refusal shall
result in suit being brought against the Insured or such bank to en-
force such payment and the Company shall give its written consent
to the defense of such suit, then any reasonable attorneys' fees,
court costs, or similar legal expenses incurred and paid by the In.
sured or such bank in such defense shall be construed to be a loss
under this Insuring Agreement and the liability of the Company for
such loss shall be in addition to any other liability under this Insur.
ing Agreement.
GENERAL AGREEMENTS
(1) the insurance under this General Agreement C shall be a part
of and not in addition to the amount of insurance afforded by the
applicable Insuring Agreement of this endorsement;
r- ~.
MONEY ORDERS AND COUNTERFEIT I
PAPER CURRENCY COVERAGE
IV. Loss due to the acceptance in good faith, in exchange for merchan-
dise, money or services, of ~ny post office or expr~ss money order, issued
or purporting to have been Issued by any post office or express company,
if such money order is not paid upon presentation, or due to the accept-
ance in good faith in the regular course of business of counterfeit United
States or Canadian paper currency.
DEPOSITORS FORGERY COVERAGE
V. Loss which the Insured or any bank which is included in the In-
sured's proof of loss and in which the Insured carries a checking or
savings account, as their respective interests may appear, shall sus.
tain through forgery or alteration of, on or in any check, draft, prom.
issory note, bill of exchange, or similar written promise, order or di-
rection to pay a sum certain in money, made or drawn by or drawn
upon the Insured, or made or drawn by one acting as agent of the
Insured, or purporting to have been made or drawn as hereinbefore
set forth, including
(a) any check or draft made or drawn in the name of the Insured,
payable to a fictitious payee and endorsed in the name of such
fictitious payee;
(b) any check or draft procured in a face to face transaction with
the Insured, or with one acting as agent of the Insured, by anyone
impersonating another and made or drawn payable to the one so
impersonated and endorsed by anyone other than the one so im.
personated; and
CONSOLlDATION.MERGER
A. It, through consolidation or merger with, or purchase of assets
of, some other concern, any persons shall become Employees, the
insurance afforded by this endorsement shall also apply as respects
such Employees, provided the Insured shall give the Company written
notice thereof within thirty days thereafter and shall pay the Com-
pany an additional premium computed pro rata from the date of such
consolidation, merger or purchase to the end of the current premium
period.
JOINT INSURED
B. If more than one Insured is covered under this endorsement, the
Insured first named shall act for itself and for every other Insured
for all purposes of this endorsement. Knowledge possessed or dis.
covery made by any Insured or by any partner or officer thereof
shall, for the purposes of Sections 7, 8 and 15, constitute knowledge
possessed or discovery made by every Insured. Cancellation of the in-
surance hereunder as respects any Employee as provided in Section
15 shall apply to every Insured. If, prior to the cancellation or ter.
mination of this endorsement, thiS endorsement or any Insuring
Agreement hereof is canceled or terminated as to any Insured, there
shall be no liability for any loss sustained by such Insured unless
discovered within one year from the date of such cancellatIOn or ter-
mination, or as respects Insuring Agreement IB, within two years
therefrom. Payment by the Company to the Insured first named of
any loss under this endorsement shall fully release the Company on
account of such loss. If the Insured first named ceases for any rea-
son to be covered under this endorsement. then the Insured next
named shall thereafter be considered as the Insured first named for
all purposes of this endorsement.
lOSS UNDER PRIOR BOND OR POLICY
C. If the coverage of an Insuring Agreement of this endorsement
~ther than Insuring Agreement V, is substituted for any prior bond
or policy of insurance carried by the Insured or by any predecessor
in interest of the Insured, which prior bond or policy is terminated,
canceled or allowed to expire as of the time of such substitution,
the Company agrees that such Insuring Agreement applies to loss
which is discovered as provided in Section 1 of the Conditions and
limitations and which would have been recoverable by the Insured
or such predecessor under such prior bond or policy except for the
fact that the time within which to discover loss thereunder had ex-
pired; provided:
MP 04 50 (Ed. 12 79)
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(2) such loss would have been covered under such Insuring Agree.
ment had such Insuring Agreement with its agreements, condi.
tions and limitations as of the time of such substitution been in
force when the acts or events causing such loss were committed
or occurred; and
(3) recovery under such Insuring Agreement on Account of such
loss shall in no event exceed the amount which would have been
recoverable under such Insuring Agreement in the amount for
which it is written as of the time of such substitution, had such
Insuring Agreement been in force when such acts or events were
committed or occurred, or the amount which would have been re-
coverable under such prior bond or policy had such prior bond or
policy continued in force until the discovery of such loss, if the
latter amount be smaller.
Insuring Agreement V shall also cover loss sustained by the In.
sured at any time before the termination or cancellation of Insuring
Agreement V, which would have been recoverable under the cover.
age of some similar form of forgery insurance (exclusive of fidelity
insurance) carried by the Insured or any predecessor in interest of the
Insured, had such prior forgery insurance given all of the coverage
afforded under Insuring Agreement V; provided, with respect to loss
covered by this paragraph:
(a) the coverage of Insuring Agreement V is substituted on or after
the date hereof for such prior forgery coverage and the Insured
or such predecessor, as the case may be, carried such prior for-
gery coverage on the office at which such loss was sustained con.
tinuously from the time such loss was sustained to the date the
coverage of Insuring Agreement V was substituted therefor;
(b) at the time of discovery of such loss, the period for discovery
of loss under all such prior forgery insurance has expired; and
(c) if the amount of insurance carried under Insuring Agreement V
applicable to the office at which such loss is sustained is larger
than the amount applicable to such office under such prior forgery
insurance, and in force at the time such loss is sustained, then
liability hereunder for such loss shall not exceed the smaller
amount.
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THE FOREGOING INSURING AGREEMENTS AND GENERAL AGREEMENTS ARE SUBJECT
TO THE fOLLOWING CONDITIONS AND LIMITATIONS:
EFFECTIVE PERIOD, TERRITORY, DISCOVERY
Section 1. Loss is covered under Insuring Agreement 18 of this
endorsement only if discovered not later than two years from the
end of the Effective Period of this endorsement. Except under Insur.
ing Agreement 18, loss is covered under this endorsement only if dis.
covered not later than one year from the end of such Effective
Period,
Subject to General Agreement C:
(a) this endorsement, except under Insuring Agreement lA, 18 and
V, applies only to loss which occurs during the Effective Period of
this endorsement within any of the States of the United States of
America, the District of Columbia, Virgin Islands, Puerto Rico,
Canal Zone or Canada;
(b) Insuring Agreements IA and 18 apply only to loss sustained by
the Insured through fraudulent or dishonest acts committed dur-
ing the Effective Period of this endorsement by any of the Em-
ployees engaged in the regular service of the Insured within the
territory designated above or while such Employees are elsewhere
for a limited period;
(c) Insuring Agreement V applies only to loss sustained during the
Effective Period of this endorsement.
EXCLUSIONS
Section 2, This endorsement does not apply:
(a) to loss due to any fraudulent. dishonest or criminal act by any
Insured or a partner therein, whether acting alone or in collusion
with others;
(b) under Insuring Agreement IA or IB, to loss, or to that part of
any loss, as the case may be, the proof of which, either as to its
factual existence or as to its amount, is dependent upon an inven-
tory computation or a profit and loss computation;
(c) under Insuring Agreements II and III, to loss due to any fraudu-
lent, dishonest or criminal act by an Employee. director, trustee
or authorized representative of any Insured, while working or other.
wise and whether acting alone or in coli usion with others; pro'
vided, this Exclusion does not apply to Safe Burglary or Robbery
or attempt thereat;
(d) under Insuring Agreements II and III, to loss due to war, whether
or not declared, civil war, insurrection, rebellion or revolution, or
to any act or condition incident to any of the foregoing;
(e) under Insuring Agreements II and III, to loss (1) due to the giv-
ing or surrendering of Money or Securities in any exchange or pur-
chase; (2) due to accounting or arithmetical errors or omissions;
or (3) of manuscripts. books of account or records;
(I) under Insuring Agreement II, to loss of Money contained in coin
operated amusement devices or vending machines, unless the
amount of Money deposited within the device or machine is re-
corded by a continuous recording instrument therein;
(g) under Insuring Agreement III, to loss of insured property while
in'the custody of any armored motor vehicle company, unless such
loss is in excess of the amount recovered or received by the In-
sured under (1) the Insured's contract with said armored motor
vehicle company, (2) insurance carried by said armored motor ve-
hicle company for the benefit of users of its service, and (3) all
other insurance and indemnity.in force in whatsoever form car-
ried by or for the benefit of users of said armored motor vehicle
company's service, and then this endorsement shall cover only
such excess;
(h) under Insuring Agreement II, to loss, other than to money, securi-
ties, a safe or vault, by fire whether or not such fire is caused by,
contributed to by, or arises out of the occurrence of a hazard insured
against;
MP 04 SO (Ed. 12 79)
(i) under Insuring Agreements II and 11\, to loss due to nuclear reac.
tion, nuclear radiation or radioactive contamination, or to any act or
condition incident to any of the foregoing; !
(j) to and the Company is not liable for:
(i) Potential income, including but not limited to interest and divi.
dends, not realized by the Insured because of a loss covered under
this Policy,
(ii) All damages of any type for which the Insured is legally liable,
except direct compensatory damages arising from a loss covered
under this Policy.
(iii) All costs, fees and other expenses incurred by the Insured in
establishing the existence of or the amount of loss covered under
this Policy.
(iv) Liability of the Insured under contracts or purported contracts
of insurance, indemnity or suretyship, except (1) loss resulting
directly from the fraudulent or dishonest acts of an Employee which
create a liability for the return of unearned premiums upon cancel-
lation of such contracts, or (2) loss resulting directly from the
fraudulent or dishonest acts of an Employee in adjusting or paying
fictitious or fraudulent claims asserted under valid contracts of
insurance, indemnity or suretyship; or
(v) Liability of the insured because an inspection, title search,
surveyor report was made, not made or improperly made;
(k) to the defense of any legal proceeding brought against the in-
sured, or to fees, costs or expenses incured or paid by the insured
in prosecuting or defending any legal proceeding whether or not such
proceeding results or would result in a loss to the insured covered
by this policy;
(I) to loss due to the surrender of Money, Securities or other property
away from the premises as a result of a threat to do (1) bodily harm
to any person, or (2) damage to the Premises or property owned by
the insured or held by the insured in any capacity; provided, however,
these exclusions do not apply:
(i) to Insuring Agreement IA or IB if coverage is afforded there-
under, or
(ii) under Insuring Agreement III if coverage is afforded there-
under, to loss of Money, Securities or other property while being
conveyed by a Messenger when there was no knowledge by the
insured of any such threat at the time the conveyance was initiated.
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DEFINITIONS
Section 3: The following terms, as used in this endorsement, shall
have the respective meanings stated in this Section:
"Money" means currency, coins, bank notes and bullion; and travel.
ers checks, register checks and money orders held for sale to the
public-
"Securities" means all negotiable and non-negotiable instruments
or contracts representing either Money or other 'property and in.
c1udes revenue and other stamps in current use, tokens and tickets,
but does not include Money,
"Employee" means any natural person (except a director or trustee
of the Insured, if a corporation, who is not also an officer or employee
thereof in some other capacity) while in the regular service of the
Insured in the ordinary course of the Insured's business during the
Effective Ptriod of this endorsement and whom the Insured com.
pensates by salary, wages or commissions and has the right to govern
and direct in the performance of such service, but does not mean
any broker, factor, commission merchant, consignee, contractor or
other agent or representative of the same general character. As
applied to loss under Insuring Agreement IA or 18 the above words
"while in the regular service of the Insured" shall include the first 30
days thereafter; subject, however, to Section 15 or 16.
"Premises" means the interior of that portion of any building which
is occupied by the Insured in conducting its business. I
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J .~~ "Banking Premises" means the interior ,f that portion of any build.
ing which is occupied by a banking in itution in conducting its
business.
"Messenger" means the Insured or a partner of the Insured or any
Employee who is duly authorized by the Insured to have the care and
custody of the insured property outside the Premises.
"Custodian" means the Insured or a partner of the Insured or any
Employee who is duly authorized by the Insured to have the care and
custody of the insured property within the Premises, excluding any
person while acting as a watchman, porter or janitor.
"Robbery" means the taking of insured property (1) by violence
inflicted upon a Messenger or a Custodian; (2) by putting him in fear
of violence; (3) by any other overt felonious act committed in his
presence and of which he was actually cognizant, provided such other
act is not committed by a partner^or Employee of the Insured; (4) from
the person or direct care and custody of a Messenger or Custodian
who has been killed or rendered unconscious; or (5) under Insuring
Agreement II, (a) from within the Premises by means of compelling a
Messenger or Custodian by violence or threat of violence while out-
side the Premises to admit a person into the Premises or to furnish
him with means of ingress into the Premises, or (t) from a showcase
or show window within the Premises while regularly open for busi.
ness, by a person who has broken the glass thereof from outside the
Premises.
"Safe Burglary" means (1) the felonious abstraction of insured
property from within a vault or safe, the door of which is equipped
with a combination lock, located within the Premises by a person
making a felonious entry into such vault or such safe and any vault
containing the safe, when all doors thereof are duly closed and locked
by all combination locks thereon, provided such entry shall be made
by actual force and violence, of which force and violence there are
visible marks made by tools, explosives, electricity or chemicals upon
the exterior of (a) all of said doors of such vault or such safe and
any vault containing the safe. if entry is made through such doors,
or (b) the top, bottom or walls of such vault or such safe and any
vault containing the safe through which entry is made, if not made
through such doors, or (2) the felonious abstraction of such safe from
within the Premises.
"loss", except under Insuring Agreements IA. IB and V, includes
damage.
..
lOSS CAUSED BY UNIDENTIFIABLE EMPLOYEE
Section 4. If a loss is alleged to have been caused by the fraud or
dishonesty of anyone or more of the Employees covered under Insur.
ing Agreement IA or 18, as the case may be, and the Insured shall be
unable to designate the specific Employee or Employees causing such
loss, the Insured shall nevertheless have the benefit of such appli.
cable Insuring Agreement subject to the provisions of Section 2 (b) of
this endorsement provided that the evidence submitted reasonably
proves that the loss was in fact clue to the fraud or dishonesty of one
or more of the said Employees, and provided, further, that the aggre-
gate liability of the Company for any such loss shall not exceed the
Limit of Liability applicable to such Insuring Agreement.
...
OWNERSHIP OF PROPERTY; INTERESTS COVERED
Section 5. The insured property may be owned by the Insured, or
held by the Insured in any capacity whether or not the Insured is li-
able for the loss thereof, or may be property as respects which the
Insured is legally liable; provided, Insuring Agreements II, III and IV
apply only to the interest of the Insured in such property. including
the Insured's liability to others, and do not apply to the interest of
any other person or organization in any of said property unless in.
cluded in the Insured's proof of loss, in which event the third para.
graph of Section 8 is applicable to them.
BOOKS AND RECORDS
Section 6. The Insured shall keep records of all .the insured prop-
erty in such manner that the Company can accurately determine
therefrom the amount of loss.
MP 04 50 (Ed. 12 79)
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PRIOR FRAUD, DISHDlESTY OR CANCElLATION
Section 7. The covlageof Insuring Agreement IA or 18 shall not
apply to any Employee from 'and after the time that the Insured or
any partner or officer thereof not in collusion with such Employee
shall have knowledge or information that such Employee has com.
mitted any fraudulent or dishonest act in the service of the Insured
or otherwise, whether such act be committed before or after the date
of employment by the Insured. !
If, prior to the issuance of this endorsement, any fidelity insurance
in favor of the Insured or any predecessor in interest of the Insured
and covering one or more of the Insured's Employees shall have been
canceled as to any of such Employees by reason of the giving of
written nolice of cancellation by the insurer issuing such fidelity in-
surance whether the Company or not, and if such Employees shall
not have been reinstated under the coverage of said fidelity insurance
or superseding fidelity insurance, the Company sha~ not be liable on
account of such Employees unless the Company shall agree in writing
to include such Employees within the coverage of Insuring Agreement
IA or IB, as the case may be.
lOSS; NOTICE; PROOF; ACTION AGAINST COMPANY
Section 8. Upon knowledge or discovery of loss or of an occur-
rence which may give rise to a claim for loss, the Insured shall:
(a) give notice thereof as soon as practicable to the Company or
any of its authorized agents and, except under Insuring Agreements
IA or IB, and V, also to the police if the loss is due to a violation of
law; (b) file detailed proof of loss, duly sworn to, with the Company
within four months after the discovery of loss.
Proof of loss under Insuring Agreement V shall include the instru.
ment which is the basis of claim for such loss, or if it shelll be im-
possible to file such instrument, the affidavit of t~e Insured or the
Insured's bank of deposit setting forth the amount and cause of loss
shall be accepted in lieu thereof.
Upon the Company's request, the Insured shall submit to examina-
tion by the Company, subscribe the same, under oath if required,
and prOduce for the Company's examination all pertinent records, all
at such reasonable times and places as the Ccmpany shall designate,
and shall cooperate with the Company in all matters pertaining to
loss or claims with respect thereto.
No action shall lie against the Company unless, as a condition
precedent thereto, there shall have ~een full compliance with all the
terms of this endorsement nor until ninety days after the required
proofs of loss have been filed with the Company, nor at all unless
commenced within two years from the date when the Insured dis.
covers the loss. If any limitation of time for notice of loss or any
legal proceeding herein contained is shorter than that permitted to be
fixed by agreement under any statute controlling the construction of
this endorsement the shortest permissible statutory limitation of time
shall govern and shall supersede the time limitation herein stated.
VALUATION; PAYMENT; REPLACEMENT
Section 9. In no event shall the Company be liable as respects Securi-
ties for more than the actual cash value thereof at the close of business
on the business day next preceding the day on which the loss was
discovered, nor as respects other property for more than the acutal cash
value thereof at the time of loss; provided, however, the actual cash
value of such other property held by the Insured as a pledge, or as
collateral for an advance or a loan, shall be deemed not to exceed the
value of the property as determined and recorded by the Insured when
making the advance or loan, nor, in the absence of such record, the
unpaid portion of the advance or loan plus accrued interest thereon at
legal rates.
The Company may, with the consent of the Insured, settle any claim
for loss of property with the owner thereof. Any property for which the
Company has made indemnification shall become the property of the
Company.
In case of damage to the Premises or loss of property other than
Securities, the Company shall not be liable for more than the actual cash
value of such property, or for more than the actual cost of repairing
such Premises or property or of replacing same with property or material
of like quality and value. The Company may, at its election, pay such
actual cash value, or make such repairs or replacements. If the Company
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andthe.'<lnsured cannot agree upon such cash vie or such cost of
repairs or replacements, such cash value or such ost shall be deter-
mined by arbitration.
RECOVERIES
Section 10. If the Insured shall sustain any loss covered by this
endorsement which exceeds the applicable amount of insurance
hereunder, the Insured shall be entitled to all recoveries (except
from suretyship, insurance, reinsurance, security or indemnity taken
by, or for the benefit of the Company) by whomsoever made, on ac.
count of such loss under this endorsement until fully reimbursed,
less the actual cost of effecting the same; and any remainder shall
be applied to the reimbursement of the Company.
LIMITS OF LIABILITY
Section 11. Payment of loss under Insuring Agreement lA, IB or
V shall not reduce the Company's liability for other losses under the
applicable Insuring Agreement whenever sustained. The Company's
total liability (a) under Insuring Agreement IA for all loss caused by
any Employee or in which such Employees is concerned or implicated,
(b) under Insuring Agreement IB as to each Employee or (c) under
Insuring Agreement V for all loss by forgery or alteration committed
by any person or in which such person is concerned or implicated,
whether such forgery or alteration involves one or more instruments,
is limited to the applicable amount of insurance specified in the
Table of Limits of li~bility or endorsement amendatory thereto. The
liability of the Company for loss sustained by any or all of the Insured
shall not exceed the amount for which the Company would be liable
had all such loss been sustained by anyone of the Insured.
Except under Insuring Agreements lA, IB and V the applicable
limit of liability stated in the Table of Limits of Liability of this
endorsement is the total limit of the Company's liability with respect
to all loss of property of one or more persons or organizations arising
out of anyone occurrence. All loss incidental to an actual or attempted
fraudulent, dishonest or criminal act or series of related acts at the
Premises, whether committed by one or more persons, shall be
deemed to arise out of one occurrence.
Regardless of the number of years this endorsement shall con.
tinuein force and the number of premiums which shall be payable
or paid, the limit of the Company's liability as specified in the Table
of limits of liability of this endorsement shall not be cumulative
year to year or period to period.
LIMIT OF LIABILITY UNOER THIS ENDORSEMENT AND
PRIOR INSURANCE
Section 12. This Section shall apply only to Insuring Agreements
lA, IB and V.
With respect to loss caused by any person (whether one of the
Employees or not) or in which such person is concerned or implicated
or which is chargeable to any Employee as provided in Section 4
and which occurs partly during the Effective Period of this endorse-
ment and partly during the period of other bonds or policies issued
by the Company to the Insured or to any predecessor in interest of
the Insured and terminated or canceled or allowed to expire and in
which the period for discovery has not expired at the time any such
loss thereunder is discovered, the total liability of the Company
under thiS endorsement and under such other bonds or policies shall
not exceed, in the aggregate, the amount carried under the applicable
Insuring Agreement of this endorsement on such loss or the amount
available to the Insured under such other bonds or policies, as limited
by the terms and conditions thereof, for any such loss, if the latter
amount be the larger.
OTHER INSURANCE
Section 13. If there is available to the Insured any other in-
surance or indemnity covering any loss covered by Insuring Agree-
fllent lA, IS or V the Company shall be liable hereunder only for that
part of such loss which is in excess of the amount recoverable or
recovered from such other insurance or indemnity, except that if
such other insurance or indemnity is a bond or policy of fidelity in.
~ . .,. .
surance, any loss covered unLr both such fidelity insurance and
Insuring Agreement V shall firslbe paid under Insuring Agreement V.
Any loss covered under both Insuring Agreements IA and IB and also
under Insuring Agreement V shall be first paid under Insuring Agree-
ment V and the excess, if any, shall be paid under Insurir g Agree-
ment IA or IB, as the case may be. The Company waives any right of
contribution which it may have against any forgery insurance carried
by any depository bank which is indemnified under Insuring Agree-
ment V.
Under any other Insuring Agreement, if there is any other valid
and collectible insurance which would apply in the absence of such
Insuring Agreement, the Insurance under this endorsement shall
apply only as excess insurance over such other insurance; provided,
the insurance shall not apply (a) to property which is separately
described and enumerated and specifically insured in whole or in
part by any other insurance; or (b) to property otherwise insured
unless such property is owned by the Insured,
SUBROGATION
Section 14. Paragraph (al of the Subrogation condition found in
the Policy Conditions and Definitions Form applies.
CANCElLATION AS TO ANY EMPLOYEE
Section 15. Insuring Agreements 1A or 1B shall be deemed cancelled
as to any Employee: (a) immeuiately upon discovery by the Insured, or
by any partner or officer thereof not in collusion with such Employee,
of any fraudulent or dishonest act on the part of such Employee; or (b)
at noon, standard time as aforesaid, upon the effective date specified
in a written notice mailed to the Insured, Such date shall be not less
than ten days after the date of mailing, The mailing by the Company
of notice as aforesaid to the Insured at the mailing address shown in
the policy to which this endorsement is attached shall be sufficient proof
of notice. Delivery of such written notice by the Company shall be
equivalent to mailing.
CANCElLATION OF ENDORSEMENT OR INSURING AGREEMENT
Section 16. This endorsement or any Insuring Agreement thereof may
be cancelled by the Insured by mailing to the Company written notice
stating when thereafter the cancellation shall be effective, This endorse.
ment or any such Insuring Agreement may be cancelled by the Company
by mailing to the Insured at the mailing address shown in this policy
to which this endorsement is attached written notice stating when not
less than ten days thereafter such cancellation shall be effective. The
mailing of notice as aforesaid shall be sufficient proof of notice. The
effective date of cancellation stated in the notice shall become the end
of the Effective Period of this endorsement for any affected Insuring
Agreement. Delivery of such written notice either by the Insured or by
the Company shall be equivalent to mailing.
If the Insured cancels, earned premium shall be computed in ac-
cordance with the customary short rate table and procedure. If the
Company cancels, earned premium shall be computed pro rata. Pre-
mium adjustment may be made either at the time cancellation is
effected or as soon as practicable after cancellation becomes effec-
tive, but payment or tender of unearned premium is not a condition
of cancellation.
NO BENEFIT TO BAILEE
Section 17. This Section shall apply only to Insuring Agreements
II and III.
The No Benefit to Bailee condition found in the Policy Conditions
Applicable to SectIOn I apply.
ASSIGNMENT
Section 18. The Assignment condition found in the Pel icy Gen.
eral ConditIOns applies.
CHANGES
Section 19. The Waiver or Change of Provisions condition found
in the Policy General Conditions applies.
M P 04 50 (Ed. 12 79)
This Endorsement must be attached to Chanle Endorsement when issued after the Policy is written.
~~"~I~~t~
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Binder No. 3C!50
cc--u
EXTENDED ,9G
NAME AND ADDRESS OF AGENCY
~ Itoucbad IuaraDae, IIMr.
P.O. .. 6010
C1Mzw.ter, n.. ')518
April ,1$ ,1982
NAME AND MAILING ADDRESS OF INSURED
C1....Ulc' Sblfile120aEd clU
1020 Ca1....~ ~
Clarwabra" # PL.. 33515
Type and Location of Property
Coverage/Perils/Forms
P
R
o
P
E
R
T
Y
10:C :",..liiliilK Sb:we~# C~, FL.
CoB1:..t:II
Fire, Be, VCMII
$5,000. std.
L
I 0 Scheduled Form
A ~Premises/Operations
B
I 0 Products/Completed Operations
L 0 Contractual
I 0 Other (specify below)
T 0 Med. Pay. $
y 0 Personal Injury
Type of Insurance
Coverage/Forms
DComprehensive Form
Per
Person
$
Per
Ace Ident
OA
DB
DC
Bodily Injury $
Property
Damage $ $
Bodily InjUry &
Property Damage
C mbined 5OG,COO.
Personal Injury
Limits of Liabilit
Bodily InjUry (Each Person)
Bodily Injury (Each Accident)
A
U 0 Liability 0 Non.owned
T 0 Comprehensive-Deductible
o 0 Collision-Deductible
~ I OMedic3lP"yrnents
B 0 Uninsured Motorist
I 0 No Fault (specify):
L 0 Other (specify):
E
o Hired
$
$
$
$
Property Damage. n $
Bodily Injury & Property Damage
Combined $
CXWORKERS' COMPENSATION - Statutory Limits (specify states below)
~ EMPLOYERS' LIABILITY - Limit
$ 100,000.
SPECIAL CONDITIONS/OTHER COVERAGES
ZA1u4 !tariM - MiscellaMOU Equi~~ Ploater - $2095.
Cd._ - ee__rc1al B~ C0gerage - $4500.
NAME AND ADDRESS OF 0 MORTGAGEE
o LOSS PAYEE
LJADDL INSURED
City of C1euwater
Dep~. of Reereattoa . Parka
P.o. !lax 4758
C1earvater, FL. 33511
LOAN NUMBER
Date
ACORD 75 (l1-77)
5A...._', .I __--.
C I T Y 0 F C L I A R W ATE R
Interc1epai-cIn0nt Con: sponoence Sheet
I
""---.- - -><
TO:
Lucille Williams, City Clerk
Ream Wilson, Director, Parks and Recreation
FROM:
Insurance - Clearwater Shuffleboard Club
SUBJECT:
March 30, 1982
DATE:
Attached is certificate of insurance for the Clearwater
Shuffleboard Club, which should be placed with their
agreement with the City.
Please contact me if you have any questions.
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RECEIVED
MAR 31 1982
CITY cLERK
CITY OFtLEARWATER
INTER-OFFICE COMMUNICATION
March 19
DATE
TO
City C,lprk's OfficQ
FROM
Pat Phillips, Parka and Recreation
SUBJECT
Tnl'lllr.<ln('~
Attached is a certificate of insurance
for the Clearwater Shuffleboard Club.
Please attach to agreement.
~~
Thanks.
[] PLEASE REPLY ON REVERSE SIDE
NAME AND. ADDRESS OF AGENCY
ROGER BOUCHARD INS INC
PO BOX 6090
CLEARWATER FL 33518
COMPANY
LETTER
COMPANY
LETTER
NAME AND ADDRESS OF INSURED
CLEARWATER SHUFFLEBOARD CLUB
1020 CALUMET STREET
CLEARWATER FL 33515
COMPANY
LETTER
COMPANY
LETTER
COMPANY
LETTER
This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time. Notwithstanding any requirement, term or condition
of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the
terms, exclusions and conditions of such policies.
TYPE OF INSURANCE
POLICY NUMBER
POLICY
EXPIRATION DATE
limits of Liability in Thousands (
OCC~~~NCE AGGREGATE
A
GENERAL LIABILITY
~ COMPREHENSIVE FORM
o PREMISES-OPERATIONS
o EXPLOSION AND COLLAPSE
HAZARD
o UNDERGROUND HAZARD
o PRODUCTS/COMPLETED
OPERATIONS HAZARD
o CONTRACTUAL INSURANCE
o BROAD FORM PROPERTY
DAMAGE
o INDEPENDENT CONTRACTORS
o PERSONAL INJURY
3
BODILY INJURY
RECE'VED
PROPERTY DAMAGE
$
MAR 22 1982
BODILY INJURY AND
PROPERTY DAMAGE
COMBINED
$ 500
$500
CITY C1 t:~
PERSONAL INJURY
AUTOMOBILE LIABILITY
o COMPREHENSIVE FORM
DOWNED
o HIRED
o NON-OWNED
BODILY INJURY
(EACH PERSON)
BODILY INJURY
(EACH ACCIDENT)
PROPERTY DAMAGE
AODIL Y INJURY AND
PROPERTY DAMAGE
COMBINED
$
EXCESS LIABILITY
o UMBRELLA FORM
o OTHER THAN UMBRELLA
FORM
BODIL Y INJURY AND
PROPERTY DAMAGE
COMBINED
$
WORKERS' COMPENSATION
and
EMPLOYERS' LIABILITY
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES
liTHE CERTIFICATE HOLDER IS INCLUDED AS AN ADDITIONAL INSURED AS RESPECTS
POL I CY NUMBER 650-113B656-7-1 ND-82."
Cancellation: Should any of the above descr1~d pOlicies be cancelled before the expiration date thereof, the issuing com-
pany will endeavor to mail _ days written notice to the below named certificate holder, but failure to
mail such notice shall impose no obligation or liability of any kind upon the company.
NAME AND ADDRESS OF CERTIFICATE HOLDER:
CITY OF CLEARWATER,DEPT. OF
RECREATION & PARKS
PO BOX 4758
CLEARWATER FL 33518
DATE ISSUED
ROGER BOUCHARD INS . Me
POBOX 6090
ClEARWATER FL 33518
COMPANIES AFFORDING COVERAGES
COMPANY
LETTER
A
B
C
D
E
COMPANY
LETTER
TRAVELERS INDEMNITY COMPANY
NAME AN D ADDRESS OF INSURED
CLEARWATER SHUFFLEBOARD CLUB
1020 CALUMET STREET
CLEARWATER FL 33515
COMPANY
LETTER
COMPANY
LETTER
COMPANY
LETTER
This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time. Notwithstanding any requirement. term or condition
of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the
terms, exclusions and conditions of such policies.
TYPE OF INSURANCE
POLICY NUMBER
POLICY
EXPIRATION DATE
Limits of Liability in Thousands ( 0)
EACH
OCCURRENCE
A
GENERAL LIABILITY
I!JCOMPREHENSI\lE FORM 65't-113B6S6-7-1 NO-81
D PREMISES-OPERATIONS
D EXPLOSION AND COLLAPSE
HAZARD
D UNDERGROUND HAZARD
D PRODUCTS/COMPLETED
OPERATIONS HAZARD
D CONTRACTUAL INSURANCE
D BROAD FORM PROPERTY
DAMAGE
D INDEPENDENT CONTRACTORS
D PERSONAL INJURY
03~1S-82
BODILY INJURY
PROPERTY DAMAGE
BODILY INJURY AND
PROPERTY DAMAGE $
COMBINED
500
$ 500
PERSONAL INJURY
$
AUTOMOBILE LIABILITY
D COMPREHENSIVE FORM
DOWNED
D HIRED
D NON-OWNED
BODILY INJURY
(EACH PERSON)
BODILY INJURY
(EACH ACCIDENT)
PROPERTY DAMAGE
BODILY INJURY AND
PROPERTY DAMAGE
COMBINED
EXCESS LIABILITY
D UMBRELLA FORM
D OTHER THAN UMBRELLA
FORM
BODILY INJURY AND
PROPERTY DAMAGE $
COMBINED
WORKERS' COMPENSATION
and
EMPLOYERS' LIABILITY
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES
"THE CERTIFICATE HOLDER tS INCLUDED AS AN ADDITIONAL INSURED AS RESPECTS
POLICY NUMBER 658-1138656-7-IN0-81."
Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing com-
pany will endeavor to mail --10- days written notice to the below named certificate holder, but failure to
mall such notice shall impose no obligation or liability of any kind upon the company.
NAME AND ADDRESS OF CERTIFICATE HOLDER-
CITY OF CLEARWATER
DEPARTMENT OF RECREATION' PARKS
POBOX "758
CLEARWATER fLORIDA 33518
, _.JU"''I'.
-.N' ,III/
. .
1 't(.. ~..
- @ , .1982
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II
V. PERILS INSURED AGAINST
Th., ,,",' ;"i"" ...,,,, ., .,.., of d1,,,, ,h".. ,.., ..~'" " the ,,,.,,,,,. .", .''''.'''' ""';, .", ;, ... """ of whI,h tho ,,,. ;, ..do ,
part.
VII. VALUATION
A. This policy does not insure under this form against loss caused by:
L enforcement of any ordinance. or law regulating the use, con-
struction, repair, or demolition of property, including debris re-
moval expense;
2. unexplained or mysterious disappearance of property, or short-
age of property disclosed on taking inventory;
3. actual work upon, installation or testing of property covered,
failure, breakdown or derangement of machines or machinery,
error, omission or deficiency in design, specifications, workman-
ship or materials; unless loss by fire or explosion not otherwise
excluded ensues and then the Company shall be liable for only such
ensuing loss;
4. any electrical injury or disturbance to electrical appliances, de-
vices, fixtures or wiring caused by electrical currents artificially
generated unless fire as insured against ensues, and then this
Company shall be liable for only loss caused by the ensuing fire;
5. leakage or overflow from plumbing, heating, air conditioning or
other equipment or appliances (except fire protective systems)
caused by or resulting from freezing while the described building
is vacant or unoccupied, unless the insured shall have exercised
due diligence with respect to maintaining heat in the bUildings or
unless such equipment and appliances had been drained and the
water supply shut off during such vacancy or unoccupancy;
6. delay, loss of market, interruption of business, nor consequen-
tial loss of any nature;
7. (a) wear and tear, marring or scratching;
(b) deterioration, inherent vice, latent defect;
(c) rust, mold, wet or dry rot, contamination;
(d) dampness or dryness of atmosphere, changes in or
extremes of temperature;
(e) smog, smoke from agricultural smudging or industrial
operations: or
(f) birds, vermin, rodents, insects or animals;
unless loss by fire, smoke (other than smoke from agricultural
smudging or industrial operations), explosion, collapse of a build-
ing, glass breakage or water not otherwise excluded ensues, then
this pOlicy shall cover only such ensuing loss.
If loss by water not otherwise excluded ensues, this pOlicy shall
also cover the cost of tearing out and replacing of any part of the
building covered required to effect repairs to the plumbing, heat-
ing or air conditioning system or domestic appliance but excluding
loss to the system or appliance from which the water escapes;
8. explosion of steam boilers, steam pipes, steam turbines or
steam engines (except direct loss resulting from the explosion of
accumulated gases or unconsumed fuel within the firebox, or
combustion chamber, of any fired vessel or within the flues or
passages which conduct the gases of combustion therefrom) if
owned by, leased by or operated under the control of the insured,
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The fOllOWing bases are established for valuation of property:
A. The value of all stock actually sold but not delivered shall be the price
at which it was sold, less all discounts and unincurred expenses.
B. Tenants' Improvements and Betterments:
MP 00 14 (Ed. 01 83)
VI. EXCLUSIONS
or for any ensuing loss except by fire or explosion not otherwise
excluded, and then the Company shall be liable for only such
ensuing loss;
9. voluntary parting with title or possession of any property by
the insured or others to whom the property may be entrusted if
induced to do so by any fraudulent scheme, trick, device or false
pretense;
10. any fraudulent, dishonest or criminal act done by or at the
instigation of any insured, partner or jOint adventurer in or of
any insured, an officer, director or trustee of any insured; pil-
ferage, appropriation or concealment of any property covered due
to any fraudulent, dishonest or criminal act of any employee while
working or otherwise, or agent of any insured, or any person to
whom the property covered may be entrusted;
1 L continuous or repeated seepage or leakage of water or steam
from within a plumbing, heating or air conditioning system or
from within a domestic appliance which OCCurs over a period of
weeks, months or years;
12. rain, snow or sleet to property in the open; or
13. volcanic eruption unless direct loss by fire or breakage of
glass or safety glazing material ensues. In this event, this Com-
pany shall be liable for only the direct loss to the property insured
caused by the ensuing fire and if an insured peril, the ensuing
breakage of glass or safety glazing material.
Volcanic eruption means the eruption, explosion or effusion of a
volcano.
L If repaired or replaced at the expense of the named insured
within a reasonable time after loss, the actual cash value of the
damaged or destroyed improvements and betterments.
2. If not repaired or replaced within a reasonable time after loss,
that proportion of the original cost at time of installation of the
B. This policy does not insure under this form against loss caused directly
or indirectly by the interruption of power or other utility service furnished
to the designated premises if the interruption takes place away from the
designated premises. If a peril insured against ensues on the designated
premises, this Company will pay only for loss caused by the ensuing peril.
C. This policy does not insure under this form against loss caused by,
resulting from, contributed to or aggravated by any of the fOllOWing:
L earth movement, inClUding but not limited to earthquake, land-
slide, mudflow, earth sinking, earth rising or shifting;
2. flood, surface water, waves, tidal water or tidal waves, overflow
of streams or other bodies of water, or spray from any of the fore-
going, all whether driven by wind or not;
3. water which backs up through sewers or drains; or
4. water below the surface of the ground inclUding that which
exerts pressure on or flows, seeps or leaks through sidewalks,
driveways, foundations, walls, basement or other floors, or through
doors, windows or any other openings in such sidewalks, drive.
ways, foundations, walls or floors;
unless fire or explosion as insured against ensues, and then this Com-
pany shall be liable for only loss caused by the ensuing fire or explosion;
but these exclusions shall not apply to loss arising from theft.
Page 3 of 4
-"t{".
~ ' ..!..,
. "
@'., "1982
damaged or destroyed property which the unexpired term of the
lease or rental agreement, whether written or oral, in effect at the
time of loss bears to the periods from the dates such improve-
ments or bettermentswere made to the expiration date of the lease
3. If repaired or replaced at the expense of others for the use of
the named insured, there shall be no liability hereunder.
II
I
C. Valuable Papers and Records:
1. Books of account, manuscripts, abstracts, drawings, card
index systems and other records (except film, tape, disc, drum,
cell and other magnetic recording or storage media for electronic
data processing) for not exceeding the cost of blank books. cards
or other blank material plus the cost of labor incurred by the
named insured for transcribing or COPYing such records.
2. Film, tape, disc, drum, cell and other magnetic recording or
storage media for electronic data processing for not exceeding the
cost of such media In unexposed or blank form.
3. Computer programs for not exceeding the cost of labor in-
curred by the named Insured for transcribing or copying such
programs.
D. All other property at actual cash value at the time of loss, but not ex-
ceeding the amount which it would cost to repair or replace the property
with material of like kind and Quality within a reasonable time after such
loss, nor in any event for more than the interest of the named insured.
e
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MP 00 14 (Ed. 01 83)
Page 4 of 4