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GENERAL DECLARATIONS AND POLICY INFORMATION . I ~ "! :> .: '0 e .: c.. N C) ,.:. C) ~ C) ':' c.. u THE T,RA~~F~~'~O~E~3MPANIES ~/~1 . SPECIAL BUSINESS (812) GENERAL DECLARATIONS 650-607G516-7-COF-87~, .'i' GOLF COURSETHIS POLICY PROVIDES L1i.,1iTED COVERAGE FO P,- ".'.Ji IOI'~ LIABILITY. READ YOUR POLICY CAREFULL Y. . ' ", ~_ ;~', '. t ~: ; · POLICY NO. . BUSINESS NAMED INSURED AND MAILING ADDRESS . CHI CHI RODRIQUEZ YOUTH FOUNDATION, . 1345 COURT STREET . CLEARWATER, FL 33516 INC. Effective from 02/01/87 ' to 02/01/88 ..--X 12:01 AM _ 12 Noon Standard Time. at the Named Insured's addless, (Month, Day. Yead . LO C. NO. (Month, Day. Yead BLDG. NO. AD 0 R ESS (Same as mailing address L1nless specified otherwisel OCCUPANCY SEE GEN 4 The Named Insured is: ~ Corporation _ Individual _ Partnership PO L1CY SECTIONS AND INSURING COMPANY - The Travelers agrees with the Named insured to provide insurance under a section 01 lhis policy as designated by an "X" and in the company leach a stock company) for which an abbreviation is shown, ---X- PROPERTY ---X. INLAND MARINE _ BOILER AND MACHINERY - SECTION I. . Insuring Company: COF Insuring Company: -1L GENERAL LIABILITY - SECTION II. Insuring Company: COF -1L AUTOMOBILE LIABILITY _ GARAGE LIABILITY - SECTION III. Insuring Company: IND - AUTOMOBILE PHYSICAL DAMAGE _DEALERS PHYSICAL DAMAGE - SECTION IV. Insuring Company: -1L CRIME - SECTION V. Insuring Company: COF SUPPLEMENTAL POLICIES - Each of the following is a separate policy containing its complete provisions: , Policy Policy No. Insuring Company: PREMIUM SUMMARY NUMBER SUMMARY - Except lor the loll owing, numbers of lorms and endorsements are indicated On the applicable coverage declarations: General Endorsements: GEN 1-1, GEN4, GEN51 Provision Dividers: PR1-2, IM1, GL1-1, CAll0, CRl Coverage Declarations: PR 16, 1M2, GL2-1, CA 111, CR2 Provisional Premium Payable at Inception Payable at the end of each 1 month period. $ 9161 $ 779 $ 762 IN WITNESS WHEREOF. each company designated for the sections of this policy for which such company is designated as insurer has exe. cuted and attested these presents, but this policy shall not be valid unless countersigned by the duly authorized Agent of such company. THE TRAVELERS INDEMNITY COMPANY (lND) THE TRAVELERS INDEMNITY COMPANY OF AMERICA (TIA) THE TRAVELERS INDEMNITY COMPANY OF ILLINOIS (TIL) THE TRAVELERS INDEMNITY COMPANY OF RHODE ISLANO (TRI) THE PHOENIX INSURANCE COMPANY (PHX) THE CHARTER OAK FIRE.INSURANCE COMPANY (COF) THE TRAVELERS INSURANCE COMPANY (INS) ~ " ~I?J ' S'Cf<~ ~~\.~~~~[,~~ President '\ Q A/LL44 President COUNTERSIGNATU,RE DATE GEN '.' 1 of 2 <i. "l ::> c 'C ~ E 0.. N co ,.:. ~ co N a.. U THE T,RA ~~F~~.~o~E~3MPANIES . SPECIAL BUSINESS (812) GENERAL DECLARATIONS 650~607G516-7-COF-87~, ,'i' GOLF COURSETHIS POLICY PROVIDES L1tvliTED COVERAGE FO P~ ~.'.jj IOI'~ LIABILITY. READ YOUR POLICY CAREFULL Y. . '., ~ ;.'. \. I:: _ · POLICY NO. · BUSINESS NAMED INSURED AND MAILING ADDRESS . CHI CHI RODRIQUEZ YOUTH FOUNDATION, . 1345 COURT STREET . CLEARWATER, FL 33516 INC. .'" -p.." :0-" Effective from 02/01/87' to 02/01/88 ~ 12:01 AM _ 12 Noon Standard Time, at the Named Insured's address, (Month. Day. YeM) LOC. NO. IMonth. Day. Year) BLDG. NO. ADDRESS (Same as mailing address unlcss spccilied othcrwise) OCCUPANCY SEE GEN 4 The Named Insured is: ~ Corporation _ Individual _ Partnership PO LI C Y SE CTI 0 N S AN 0 INS U R IN G CO MP AN Y - The Travelers agrees with the Named Insured to pro~ide insurance under a section of ihis policy as designated by an "X" and in the company (each a stock company) for which an abbreviation is shown, -L PROPERTY ----X.. INLAND MARINE _ BOILER AND MACHINERY - SECTION I. Insuring Company: COF Insuring Company: -L GENERAL LIABILITY - SECTION II. Insuring Company: COF -L AUTOMOBILE LIABILITY _ GARAGE LIABILITY - SECTION III. Insuring Company: IND - AUTOMOBILE PHYSICAL DAMAGE _DEALERS PHYSICAL DAMAGE - SECTION IV. Insuring Company: -L CRIME - SECTION V. Insuring Company: COF SUPPLEMENTAL POLICIES - Each of the following is a separate policy containing its complete provisions: Policy Policy No. Insuring Company: PREMI UM SUMMARY NUMBER SUMMARY - Except lor the following, numbers of forms and endorsements are indicated on the applicable coverage declarations: General Endorsements: GEN 1-1, GEN4, GEN51 Provision Dividers: PR1-2, IM1, GL1-1, CA110, CR1 Coverage Declarations: PR 16, 1M2, GL2-1, CA 111, CR2 Provisional Premium Payable at Inception Payable at the end of each 1 month p~riod. S 9161 $ .779 $ 762 IN WITNESS WHEREOF, each company designated for the sections of this policy for which such company is designated as insurer has exe- cuted and attested these presents, but this policy shall not be valid unless countersigned by the duly authorized Agent of such company. THE TRAVELERS INDEMNITY COMPANY (IND) THE TRAVELERS INDEMNITY COMPANY OF AMERICA (TlA) THE TRAVELERS INDEMNITY COMPANY OF ILLINOIS (TIL) THE TRAVELERS INDEMNITY COMPANY OF RHODE ISLAND (TRI) THE PHOENIX INSURANCE COMPANY (PHX) THE CHARTER OAK FIRE.INSURANCE COMPANY (COF) THE TRAVELERS INSURANCE COMPANY (INS) ~ ~:':b- " l~~W:-\(~~ AJ~~4 PrerideTlt COUNTERSIGNATURE DATE G HI ,., Page 1 of 2 ~ TheTravelersJ POLICY NO The Travelers Insurance companiesl (Eo en 0 Srock In,uronee Compony) ADD I T I 0 ~ fl L L 0 CAT ION S C H LOU L E Hartford, CT 06183 , 650-607G5167-COF-87 (AM[NDING THE Gr::NERAL OECLAKATIONS) EFFECTIVE DI\TE - SAME ^S POLICY UNLESS OTHER~ISE S~[CIFIED: SCHEDULE OF AOJITIONAL LOCATIONS AND BUILDINGS: LOC IJLDG \10 "J8 8 C CUP A ~! C y AOlJRESS 0001 001 CLU8 HOUSE 131;5 COURT STREC::T CLE!\R~JI\T[R FL 33516 0001 002 CLUB '-lOUSE SA:--\l: CL~I\R~~TER FL 3351& 0001 003 OFFICE SA;"1C CL[ARWATER FL 33516 DATE OF ISSUE 02/25/87 OFFICE TAMPA 212 DISTRICT (-01 - PRODUCER ML ROGERS & CUMMINGS 76126 PAGE 1(LAST) A30 '7Q56 0668 87057 0607 ~ . TheTravelersJ POLICY fila The Travelers Insurance companieJ (Each a Srock Insurance Company) ADD I T I 0 to.' r. L L 0 CAT ION S C H r:: D U L E Hart ford, CT 06183 , 650-607G5167-COF-87 (AMENDING THE GENERAL DECLARATIONS) EFFECTIVE DATE - SAME AS peLICY UNLESS OTHERWISE S~[CIFIEO: SCHEDULE OF ADJITIONAL LOCATIONS AND BUILDINGS: LClC fJLDG \10 "J:J o C CUP A ~! C y ADCJRESS 0001 001 CLU8 HOUSE 13'-15 COURT STREt:T CLE4R~JAT[R FL 3351G 0001 002 CLUB "lOUSE SA~[ CL~f\fHJ~ TER FL 33516 0001 003 OFFICE SA;'1[ CL[ARWATER FL 3351G RA30~: DATE OF ISSUt: 02/25/87 OFFICE TAMPA 212 DISTRICT (-01 PRODUCER ML ROGERS & CUMMINGS 76126 PAGE l(LAST) ~7056 0668 87057 0607 " I I 1 AMPA ...... 212 C;';l Hui..:..i>ll U. LvLL I:..;:.:., ~L_ L.,. I::. FULIC f L.UUE.. ! GEN 1-1 ~___r_'J. CUMMINGS NEW IlEMIUM ~ M L ROGE S 76126 I f:~". >. uP-CSP SEe ATTACtED · SPECIAL BUSINESS ( GENERAL DECLARATIONS · POLICY NO, 650-60 7G516-] -COF-86 ; ," · BUSINESS GOLF COURSE NAMED INSURED AND MAILING ADDRESS · CHI CHl RODRIQUEZ; Y)QUTH ,FOUNDATION, .'1345 COURT'STREET! '", · CLEARWATER, FL 33516"'; lNC. (:.' i:', " ADDRESS (Same as mailing address unless specified otherwise) r - ':.", ~ ~ "_ SAME ' ,,' " sAUe"".:t.:., , ",'''' ".' ~~ .1_:,_' I; tl: ' , ':"2 ,j .j'i ( "J'~"'l" '10 ~ ~ I d! ;, .' I . ',: .'! :_ l :): 1 ~ ~ I ~ ," , 'rl .., I!"'''! " ::1 . ":(f' "11 .,,,I:'.I;(OI'I.'!" ,! I '1 I I, ) II !;, \ . ~ or', . I ' ! I,ll' . Iii I ""$'CorporatloI1i"': '" , t '.-- ""-; 1.-_, I." -,i', ".1 r't l' '.. '_', ). _ 'i" "" l' ',,' ; ;->,POLlCY.,SECTIO,NS,ANDII\,I$URING COMPANY,"" The Travelers.agreeswith the Narnedlnsured to provide illsuranceunder.a section ,i1of this policy as deslgnated'by anll'X" and in the compahyt(each a stock compariy) for which an abbreviation is shown, "" --X- PROPER;g.,y ~;\~,I~'~~~~~'~~l~i.~~l"':.' ,~BIOILER AND ~~I~HiN.E~Y~, ~~CTION I. ", Insuring Company: COF ,r- ' . '-'I j" ?; r.; ~ ~'h r.:~ ':ff~_';f'.q f ') The Namedlnsu red ,is: ""--'..:-,' Individual',,' , -:....:.. Par,tnersh ip II n! I il;,:I"'n:"\ Insuring Company:' ;, I IJ'i,- ') ~ : i -',~. v~;'!'\q .-:1(:: L"): ",f:~.I"I' tr rj: '-.i' l ;j ii ~ ':' ';~ i 'I r~-~it!- ,~.-., , -:"''':j' ,~~I~i~ ""1 H.,I":"'_J :,:LIGENERALLlABILITY" SEf.:T10 N.I I.: ? "I 'r(-' "j '.1 l,"_ 1 " insuring Company: COF :,1 I, ; ~) ~.' I '. . i ; ;.' r f I j 1 _1 "\: 1 'lL... AUTOMOBILE LIABILITY h:~ lr'" : ,,, 'i ~ GARAGE LIABILITY - SECTION Ill. f'\ ~:!'r-l:l1C '; .,' ilt :~f", ~'! '-'-.:-"1 ~-'f'" I"II~' ,- , ~ _-1'!"" "',(J '-.4\:'" 'i'1 C' ( , ) ~--! I ~ :~AUTOMOBILEPHYSIOALDAMAGE, lI:.L.......:.DEALERS PHYSICAL DAMAGE ..,S~CnON IV. ., ", ~'1'7 '-',' ;!"~i ;!f' i.;,I" - "; ,l" 1 !;1 '"' ~),,: ..~'1i!~;d ',' I~ 1:_1 l~j:'-' n!lf , Insuring Company: I NO ...:~ l: I! J I . '" , 'Insurio!! Company: _ CRIME - SECTION V. ',- '!!i '"'' ~1 '.-11 'I~suring Climpariy:' . ~ ;.'! ' , I r ! ; ,1'~ " rl i ! ,,- -' -~ ,,. _ ~ j . ~ ; _ \: ,: ~'~ :! i ,. ~ .- I l ' j : ! : r l : Ii rli,~ If i -; '1_ ;'JH1~'" '~ ., I:,., 'It! t""l' I.:. " " '. ',' r ~ '-' I t ,I SUPPLEMENTAL,POLlCIES - EaCh,,of, th~1 follpWing isa separate policy'c,ontaining its completll provisions: ,.ni', :t, ~'T1;r ,'-.,'~ Polley; I.,,' !:"i ";Ioq' 'tt" Policy No, 'I,' ., "':"''-'1,'.,-:,''1 n,!;?~! ",i .;'J \': ':)~1 '-irf~il 'H1J lc; 1 I~j L;liJ ,"!, l:",~,d::-'f} IC1 'F) F1t:.- r' , 1'; 1, !, Insuring Company:, i, ',_ "I" 1 ~, " Ii: ',! ' ; ~ ' . I..,', r '; 1nq ? ,'1' 'I' f1 'J :1, I." ~Ll, , . ,jo, j ~l;- .~ I['j. '~'q'l f il l1;d1!'~ <i. uj ::> t\c..e. q PREMIUM SUMMARY'I'Lf11 t' "ii" ,,"'1' ',,' :'NUMBER SUMMJ\RV"':"ExcePtforthef~lIowing, ;'um~ers of forms and I. , .r' ,:::i', .,:" :"'1 tlld!;lrl'-l'~) lo~nrTi~8,)p'1,I:endQrsementsare,indicated,on:theapplicablecoveragedeclarations::" Proy!si?nal, P~erT)ip,m, ,I,',/,I1:rr'$'-;7'8 2 '),:~",.'~1 I,t, ~ General Endorsements:')' GEN 1-1, GENS 1 \. ,_,I, PayableatJnc~pt!qn ""',,.$,: 0.57, '!',j, "ProvisionDivid,ers,:",PRl_2" IMl" GLl::"~,. tRi '1' Payable'attheend,ofeach,CoverageDelc,~~rt~'!tJn~:~"pkl0,. 1M2; 'GL2-t,' CR2" ; 'I 'month:period;' $, '652' Ii ' " "" "';'\ ~_-'- ~; , -. 1 'w' ~, I :"JrJ1 I fL.'" c: -0 " ... c: .t .-'........,,'.)-.,..... ;LJ:rlJil)1fJ \ I,,: " '1 P';' ' C,IV'D ':~. ',I I N CXl ,.:. -.'j.... (-:;ll "I <1: CXl ~ CXl N rl.. u :>nj c' i r i r to ~ I " ! d r\ __, :-: f---r :')- ... l' :: Ii ',1 . t r ,( I;!,' l !fO'lt \ . ' ) ! :, 't ~' ; --" ,- I : ':.1 . , ' ! t I ; f ~ 1 ; ,':: ''';,! ':.; ,r":J,' I~ ;H,I ~ II 1f186:l! \:~ ; 1 r r-i ,_ _ ' ;; l r I ; r: i - J : ~ , , ;i,'.~\l:r; ,~;:Ii:r',,; NIL' l'RODGERS & CUMMINGS ,! ,;IJ!'IU ), I.', tNSUI1ANCE INC " !j '.' '1:1.> ?f1'-I:tr;-! ~t.', 1\) x~,'~: ~.' . ." '.' '- i:,; 1 L' ~}llJ1 ,\^,l~! f ':-'_ dl ,;110 <1:"1 I:J, :.1.-,. Ii I", ., '. ,11 , .' r I " . (J 1:' I ' , , ;~, -I'" C - Il ' I I .' i -Jt! .Iin, ,. ': 1~11", l' "iI "----,. '!r':~:'''''('Y-l 10 '~:IVIAW l-El 3~';:,\tf;) ~ ; It;" :, : f; V.., ,t: ~'"'" ; '-1 ", I ! I, d" '''.' i! I? i d t f1 j; ::. 'n 'J :., di 1f.J \. ;f~,~,r~,_, . _\ .- ~1 -l-" : ""1'2~i rlli~\rfir:-:v,!)p') '<ll itl' '. t1~lil :-:lp'lpr I ''1 . If; ,J Ii' .Ii ~ ...: .. ,",. F'''' ~EN 1-1 AGENT COpy " Page 1 of 2 . ICOMMON PROVISIONS (Sections I't It and -V) , , J , GEN ,-, ,,' The Travelers ,. ,\ These provisions apply to all Sections I, II and V declarations, forms and endorsements unless otherwise specified, Terms in boldface, italics or underlined in this policy apply in accordance with the "Definitions" contained in such declarations, forms and endorsements,' , J A. ASSIGNMENT-Assignment cif interest under this pol-" F. icy shall not bind the Company until its consent is en- dorsed on this policy, However, if the Named Insured shall , die, this insurance shall apply to: 1, the Named Insured's legal representative, as the Named Insured, but only while acting within the scope of the representative's duties as such; or 2, with respect to property of the Named Insured, the per- son having temporary custody of such property, as In-" sured, but only until the appointment and qualification of the legal representative, INSURANCE UNDER MORE THAN ONE SECTION, COV- ERAGE OR ENDORSEMENT-In the event that more than one section, coverage or endorsement of this policy insures the same loss, damage or claim, the Company shall not be liable in total for more than the actual loss or damage sustained by the Insured.! G. LIBERALIZATION CLAUSE-With respect to Sec- tions I and V, when a filing is submitted to the insurance supervisory authorities on behalf of the Company and: 1, it is approved or accepted by the authorities to be effective while this policy is in force or within 45 days prior to its inception; and ' i 2, it includes forms or other provisions ,that would extend or broaden this insurance by endorsement or substitu- tion of form, without additional premium, the extended or broadened insurance shall benefit the In- suted as though the endorsement or substitution of form had been made, B. CANCELLATION 1, BY THE NAMED INSURED-The Named Insured may cancel this policy by returning it to the Company or by giving the Company written notice, stating the date cancellation is to take effect. 2, BY THE COMPANY-The Company may cancel this policy or any Section of it by mailing or delivering to the Named Insured at the mailing address shown in the GENERAL DECLARA nONS' written notice' stating I' I H. NO BENEFIT TO BAILEE-With respect to Sections I when, not less than 30 days after, the cancellation and V, this insurance shall not benefit directly or indirectly shall be effective, If the Named Insured ,fails to pay", '; " any carrier or other bailee, when due, the policy premium or any premium install- I PREMIUM, RECORDS AND AUDITS ment, the number of days specified above is amended . 1, PREMIUM 10 "10", ' , The mailing of the notice shall be sufficient proof of a, Premiums for this policy shall be computed in ,notice and notice of cancellation addressed to the accordance with the Company's rules, rates, rating Named Insured 'and mailed to the mailing address plans, premiums and minimum premiums applicable shown in the GENERAL DECLARATIONS shall be to this insurance, : sufficient notice to effect cancellation of this policy, 'j" ,b, In the event that this policy is written for a period 3, CANCELLATION EFFECTIVE DATE-The time of exceeding one year, premiums shall be recomputed the return of the policy or the effective date, and hour as of each policy anniversary in accordance with of cancellation when tfie Company cancels; stated in the then current Company's rules, rates, rating the notice shall become the end of the policy period, plans, premiums and minimum premiums applicable 4, PREMIUM ADJUSTMENT-If the Named Insured to this insurance, cancels, earned premium shall be computed in accor- 2, RECORDS--The Named Insured shall maintain such dance with the Company's customary short rate can- records as are necessary for premium computation, cellation procedures, If the Company cancels, earned '; , and shall send copies of them to the Company at the premium shall be computed pro rata,' end of the policy period and at such time during the Premium adjustment may be made either at the time policy period as the Company may direct. cancellation is effected or as soon after as practicable, but payment or tender of unearned premium is not a 3, AUDIT-The Company may examine and audit the condition of cancellation, Named Insured's books and records at any time during . ' , L.., th~ pqlicy ~eriod and extensions anl1, within three years C. COMPA,NY DE~IGNA~ION-:-The nght~ and duties ~x-L:- '-"~after'the fihal terminatron0fthe po~cy, as far as they pressed in a $ectlon ,of thiS P?hcyare the n~hts and dutl.es" 'I" "'~. ry,.. . relate to the subject matter of this insurance, of the company deSignated in the declarations as the in- surer for such section, Reference in this policy to the' J." SUBROGATION (Applicable unless otherwise specified "Company" or "The; Travelers" means the company so.',, , : In other forms or endorsements) designated, ' . ' In the event of any payment under this policy, the Com- D. CONCEALMENT OR FRAUD.,.-Sections I and V of this r' "pany shall be subrogated to all the,lns,ured's rights of re- pOlicy are void if, whether before or after a toss, including . covery against any pe~son, or organrzatlon and the Insured damage, the Named In~uJe(Lhaswillfully concealed or shall execute a~d dehver instruments and pap~rs and do misrepre. senteCl.' a. ny ...m. ateria.I.. .~' ct 9f~ircLlmstance con- whatever else IS necessary to secure such. nghts, The cern!ng: this insurance,' qr ,lfq' Naril'ka InSured has en- Name~ Insured shall do nothing after loss to prejudice gag~ in any fra\,ldor, faLs~:'swQ ring relatiny to this insur- such nghts, anc \ I K. TIME OF INCEPTION-To the extent that this insur- E. INSp'ECTION- The Company shall be permitted but not ance replaces insurance in other policies terminating 12 obligpted to inspect the 'Named Insured'si property and noon Standard Time on the inception date of this policy, oper~tions at any time, Neither the Company's right to this insurance shall not become effective untit such other mak~ ir:\SPE:lcti,?.I}~.,Qo~111;lE~)1,!a~in~:of t,tl~~, ~or any report insurance has terminated, concerniriQ,theni'sh'alt-'Cbnstitute ah u~~ll"a ing on behalf of orj for the bennW of,the NaMed rn~ure or others to L. CHANGE OR WAIVER OF PROVISIONS--Nothing determine or wai+l:i'nt'ihalthe property or operations are contained in this policy shall be changed, waived or modi- safe or hea>>hf\1l,orare-in CbmpOance with any law, rule or fied, except by endorsement issued by the Company or its regulation, authorized agents, GEN ,-, Page 2 of 2 I " ~ I " N~ICE OF COMMERCIAL P,~ase kf'eo with your policy pouly CHANGE ,l!J I THE TRAVELERS ,HART~ORD, CbNNECTICUT ,! 'I Effective Date of Change:2/1/86 POLICY NO, 650G07G576-7-COF-B6 .. Please record the following changes on the Companies! records for the above designated policy: I. ", NUllle, Address and Zip Code, . of Insured " ~, o o '0 Name of Insured i~ changed as shown. ,Address of Named Insured is changed as shown. Lo~ation of Property Insured ,I s changed as shown, I ' I I ; I , ' ' !., I ,i j 'j :1,. ., I, (New address j( applicable) L:' , ,: 'I, ' , ; ~ 1 .J, Ii , I '.'i I",' 'I' 2. ANY LOSS UNDER ANY PROPERTY COVERAGES AFFORDED BY.THE POLICY is PAYABLE AS INTEREST ....AY APPEAR TO THE NAMED INSUREO AND' (Enter Name rind address including 2i" code) I 'I' r :;~, 3. TO AFFORD INSURANCE WITH RESPECT TO THE AUTOMOBILE DESCRIBED HEREIN. SUBJECT TO ALL OF THE TERMS OF THE POLICy EXCEPT AS AMENDED HEREIN: GROSS VEHICLE WEIGHT OR GARAGE LOCATION YEAR & MAKE 'BODY TYPE. SIZE OR MODEL IDENTIFICATION # GROSS COMBINED WEIGHT (Town and SIole) RADIUS OF OPERATIONS 1/ Radius aver 200 Miles show Places USE: 0 SERVICE o RETAIL 0 COMMERCIAL Miles From To O 0 SPECIFIED COMPREH. WITH $_DED PERILS 0 OTHER o COLLISION WITH $ _ DEDUCTIBLE $ COST NEW o o ACV SlATED AMT. $ Complete For Physical Damage Coverage Only: Complete Only If Private Passenger Cor Registered in Nome a( Individual OR Not Used (or Business Purposes: ANNUAL MILEAGE DRIVEN TO WORKl 0 YES 0 NO MILEAGE ONE WAY NAME OF DRIVER LICENSE /I OF OPERATOR MASS. ONLY-PLATE NO.-REGISTRATION EXPIRATION DATE DATE OF BIRTH: ANY VIOLATIONS IN PAST 36 MOl "NO-FAULT" STATE OPTIONS: USED\N BUSINESSl 0 YES 0 NO o MALE 0 FEMALE 0 MARRIED 0 SINGLE DYES 0 NO IF YES, DESCRIBE IN ITEM 5. OPTION 4, TO DELETE THE FOLLOWING AUTOMOBIL E: YEAR & MAKE TYPE OR MODEL IDENTIFICATION # GARAGE LOCATION 5. ANY OTHER CHANGE (addition, deletion, amendment of coverage or limits of liability,) ADDITIONAL INSUREDs City of Clearwater P. O. Box 4748 Clearwater, Fla. 33518 i :.~~~. If any premium adjustment by endorsement is required because of these changesr the policy will be so endorsed. Otherwise. it is agreed thatr if the policy provides for audit adjustment, the additional or return premiums required because of the above changes will be determined and become payable at the end of the audit period, as provided in the policy conditions. OFFICE 6< DISTRICT , AGENCY NAME SI GN ED DA TE Tam at Fla. rIT. RODGERS & CU11MINGS NS INC. HAROLD DAIUJ! R 3/11/86 THE TRAVELERS INSURANCE COMPANY THE TRAVELERS INDEMNITY COMPANY THE CHARTER OAK FIRE INSURANCE COMPANY THE TRAVELERS INDEMNITY COMPANY OF ILLINOIS THE TRAVELERS INDEMNITY COMPANY OF RHODE ISLAND THE TRAVELERS INDEMNITY COMPANY OF AMERICA C-15435 REV. 10-82 PRINTED IN U.s..... AGENT'S COpy ..: ui ::) ,!;; '0 Q) c it C') OJ .t .... 0> o C') cL o The Travelers - , FLORIDA, ~TATI)TORY NOTICE GEN 51 I If H,is policy, or any of its parts, is subject to a coinsurance provision, the following applies: COINSURANCE CONTRACT-The rate charged in this policy is based upon the use of a coinsurance provision, with the consent of the Named Insured, GEN 51 Page 1 of 1 The li'avelers I PROPERTY I;>>ROVISIONS I . (Section I) PR 1.2 These provisions apply to all SECTION I-PROPERTY declarations, forms and endorsements unless otherwise specified. This form does not apply to SECTION I-INLAND MARINE AND BOILER AND MACHINERY declarations, forms and endorsements. .( <I.i ::j ,5 -0 Q) .s 0: A. DUTIES OF THE NAMED INSURED IN THE EVENT OF LOSS-In the event of loss, the Insured named in the GENERAL DECLARATIONS shall: 1. protect the property from further loss, including, when insured, further loss with respect to loss of earnings, rental income and tuition fees and extra expense that might result in extension of the period of interruption or restoration of business; make reasonable temporary repairs required to protect the property and keep an accurate record of repair expenses; 2. immediately notify the proper police authority of any loss which is due to a violation of law; 3. give written notice of the loss to the Company as soon as practicable; 4. prepare a complete inventory of property to which loss occurs, showing in detail, quantities, descrip- tion, actual cash value or replacement value of such property and amount of loss; and attach to the inventory all pertinent records and accounts, or certified copies thereof if originals be lost, for verifi- cation of each claim made under this policy, and its amount, and permit extracts and copies thereof to be made, if needed; 5. exhibit the remains of the damaged property as often as may be reasonably required by the Company; 6. submit to examination under oath; produce employees or others for such examination to the extent that it is within the Insured's power to do so; and as often as may be reasonably required, pro- duce for examination all pertinent records and ac- counts, or certified copies thereof if originals be lost, at such reasonable time and place designated by the Company and permit extracts and copies thereof to be made if needed; 7. .cooperate with the Company in all matters pertaining to loss or claim; 8. furnish a copy of all descriptions, schedules and declarations in all policies; and 9. submit to the Company within 60 days, when requested, a signed sworn statement of loss stating: a. the place, time and cause of loss, including, when insured, the origin of loss causing loss of earnings, rental income and tuition fees and ex- tra expense, when insured; b. the interest of the Insured and all others in the property involved and all encumbrances thereon and in the business; c. other insurance, whether or not valid, covering in any manner the loss; d. any change in the title, nature, location, occupancy, encumbrances or possessions of property or the business during the term of this policy; e. specifications of any damaged building and detailed estimates for repair of the damage; <0 cb M M U'l C\I cl. () PR 1-2 f. when requested, the actual cash value or replacement value of all undamaged property; and g. an inventory of the property to which loss occurred as described in 4. above, and, when insured, the actual amount of loss of earnings, rental income and tuition fees and extra ex- pense, and loss claimed, accompanied by de- tailed exhibits of all values, costs and estimates upon which such amounts are based. B. LEGAL ACTION AGAINST THE COMPANY-No ac- tion shall be brought against the Company unless the Insured has complied with all the policy provisions and such action shall have commenced within 12 months after the loss occurs. C. MORTGAGEE PROVISION-BUILDINGS ONLY This provision applies to mortgagees named in the declarations. The word "mortgagee" includes . 'trustee" , Loss to buildings shall be payable to each named mortagee as interest may appear under all present or future mortgages on the building designated in the declarations in order of precedence of mortgages on them. As to the mortgagee's interest, this insurance shall not be affected by: 1. any act or neglect of the. mortgagor or building owner; 2. any foreclosure or other proceedings or notice of sale relating to the property; 3. any change in the title or ownership of the property; or 4. the occupancy of the premises for purposes more hazardous than are permitted by this policy, If the Insured shall neglect to pay any premium due under this policy, the mortgagee shall, on demand, pay the premium. The mortgagee shall notify the Company of any change of ownership or occupancy or increase of haz- ard which shall come to the mortgagee's knowledge. Unless permitted by this policy, such change of own- ership or occupancy or increase of hazard shall be noted on the policy and the mortgagee shall, on de- mand, pay the premiums for the increased hazard for the term it existed under this policy; otherwise, insur- ance under this Section shall be null and void. The Company may cancel this policy by notifying the Insured in accordance with the policy's cancellation provisions. If so canceled, the policy shall continue in force for the benefit only of the mortgagee, unless like notification has also been sent to the mortgagee. The Company may also cancel this mortgagee provision in accordance with the policy's cancellation provisions. When the Company pays the mortgagee any sum for loss under this policy and states that the Company had no liability for loss, the Company shall, to the Page 1 of 2 I PR 1.2 The Travelers fROPERTY PROYISIONS (Section I). extent of its payment, be legally subrogated to all rights of the mortgagee to whom such payment shall have been made under the mortgage debt. In lieu of taking 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 thereon to the date of such payment, and shall there- upon receive a full assignment and transfer of the mortgage and of all such other securities. However, no subrogation shall impair the right of the mortgagee to recover the full amount of said mortgagee's claim. If the Insured fails to submit a statement of loss, the designated mortgagee, upon notice, shall submit statement of loss in the form specified in the "Duties of the Named Insured In the Event of Loss" provision of this form within 60 days after receipt of such re- quest and be subject to the provisions of the policy relating to appraisal and time of payment and of bringing suit. D. WAR RISK AND GOVERNMENTAL ACTION EXCLU- SION- This insurance shall not apply to loss caused, directly or indirectly, by or due to any act or condition incident to the following: 1. Hostile or warlike action in time of peace or war, including action in hindering, combating or defend- ing against an actual, impending or expected at- tack by: (a) any government or sovereign power (de jure or de facto); (b) any authority maintaining or using military, naval or air forces; (c) military, naval or air forces; or (d) an agent of any such government, power, authority or forces, it being un- derstood that any discharge, explosion or use of any weapon of war employing nuclear fission or fusion shall, be conclusively presumed to be such a hostile or warlike action by such a government, power, authority or forces; 2. 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 quar- antine or custom's regulations, confiscation by or- der of any government or public authority, or risks of contraband or Illegal transportation or trade; or 3. Order of any civil authority, except acts of destruction at the time of and for the purpose of preventing the spread of fire, provided that such fire did not originate from any of the perils ex- cluded by this policy. E. NUCLEAR CLAUSE AND NUCLEAR EXCLUSION 1. NUCLEAR CLAUSE-The word "fire" is not intended to and does not embrace nuclear reac- tion or nuclear radiation or radioactive contamina- tion, all whether controlled or uncontrolled, and loss by nuclear reaction or nuclear radiation or rad- ioactive contamination is not intended to be and is PR 1-2 not insured against, whether such loss be, direct or indirect, proximate or remote, or be in whole or in part caused by, contributed to, or aggravated by fire or any other perils insured against. However, subject to the foregoing and all provisions of this insurance, direct loss by "fire" resulting from nuclear reaction or nuclear radiation or radioactive contamination is insured against. 2. NUCLEAR EXCLUSION - Loss by nuclear reaction or nuclear radiation or radioactive con- tamination, all whether controlled or uncontrolled, or due to any action or condition incident to any of the foregoing is not insured against, 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 insured against and . nuclear reaction or nuclear radiation or radioactive contamination, all whether controlled or uncon- trolled, is not explosion or smoke. This exclusion applies to all perils insured against except the peril of fire, which is otherwise provided for in the nu- clear clause above. F. OTHER INSURANCE- This insurance is excess over any other insurance available to a Named Insured or any other party having an insurable interest and which would apply in the absence of this insurance. The Company shall be liable only for the excess of loss beyond the amount due from the other insurance, whether or not collectible, not exceeding the applica- ble limit of liability. If the Insured has other insurance against a loss insured under Section I, and the other insurance con- tains an excess insurance provision equivalent to the foregoing, the Company shall not be liable for a greater proportion of the loss than the applicable limit of liability bears to the total applicable limit of liability of all insurance against such loss. G. SUBROGATION (Applicable unless otherwise spec- Ified In other forms or eridorsements)- The Com- pany shall not be bound to pay any loss if the Insured has impaired any right of recovery for loss. The In- sured may, however, release others in writing from lia- bility for loss prior to its occurrence, Such release shall not affect the Insured's right of recovery under this insurance. H. PERIOD OF INSURANCE AND TERRITORY - This in- surance applies only to loss occurring during the pol- icy period and which .occurs within or between the United States of America, its territories or posses- sions, Puerto Rico and Canada. I. REINSTATEMENT -In the event of loss, the applica- ble limit of liability is not reduced. Page 2 of 2 The Travelers BUILDING A~\lrERSONAl PROPERTY SPECIA\. FJ:.>RM - (Section I) , . PR 24' 2. UNDER BUILDINGS a. to the interior of a building caused by rain, snow, sand or dust, all whether driven by wind or not, unless: (1) the building shall first sustain an actual damage to roof or walls by the direct ac- tion of wind or hail, and then the Company shall be liable only for direct loss to the interior of the building as may be caused by rain, snow, sand or dust entering the building through openings in the roof or walls made by direct action of wind or hail; or (2) direct loss results from specified perils other than windstorm or hail; b, to bridges or dams; piers, wharves and docks; outdoor swimming pools; beach or div- ing platforms; growing crops; or land; c. to walks, roadways, curbing and paved surfaces; fences; retaining walls not a part of the building; lawns; trees, plants and shrubs grown for other than commercial purposes; all while located outdoors and except as pro- vided in the "Coverage Extensions". d. to foundations of buildings, machinery, boilers, engines, or other supports of the building or its equipment which are below the undersurface of the lowest basement floor, or, where there is no basement, below the sur- face of the ground; e. to pilings, piers, pipes, flues and drains which are underground; or pilings which are below the low water mark; or f. for the cost of excavations, grading or filling. 3. UNDER PERSONAL PROPERTY a. to live animals, birds or fish except when held for sale but not delivered, and then only against death or destruction directly resulting from or made necessary by specified perils; b. to property while being used in any test, experiment or research project; except for di- rect loss by specified perils; c. to aircraft; d. to watercraft (including motors and equipment) unless held for sale or sold but not delivered but excluding all watercraft while afloat; e. to automobiles, motor trucks or trailers, all if licensed for use on public thoroughfares or held for sale or sold; but this exclusion does not apply to trailers designed for use with pri- vate passenger vehicles if such trailers are held for sale or sold and not licensed; f. to any other self-propelled vehicle or machine (not specified in e, above) if licensed for use on public thoroughfares; g. to money and securities; 'or h. to growing crops. PR 24 D. PERILS EXCLUDED OR SUBJECT TO LIMIT A- TIONS--This form does not insure against loss or damage: 1. TO BUILDINGS AND PERSONAL PROPERTY a, caused by deterioration, inherent vice, inherent or latent defect, wear and tear, rust, corrosion, insects, termites or vermin; unless direct loss by specified perils ensues and then the Company shall be liable only for such ensuing insured loss; b. caused by animals or birds; mold, mildew, wet or dry rot; smog; smoke, vapor or gas from agricultural or industrial operations; unless di- rect loss by a peril not otherwise excluded en- sues, and then the Company shall be liable only for such ensuing insured loss; c. caused by actual work upon or installation or erection of property, unless direct loss by specified perils ensues, and then the Com- pany shall be liable only for such ensuing in- sured loss; d. occasioned directly or indirectly by enforcement of any ordinance or law regulat- ing the construction, repair, demolition or condemnation, including debris removal ex- penses, or use of any property; e. caused by failure, breakdown or derangement of machinery or equipment; unless direct loss by specified perils ensues, and then the Company shall be liable only for such ensuing insured loss; f. caused by continuous or repeated seepage or leakage of water or steam from within a plumbing, heating or air conditioning system or domestic appliance which occurs over a period of weeks, months or years; g. resulting directly or indirectly from artificially generated electric current, except for an en- suing insured loss by fire; h. caused directly or indirectly by the failure, fluctuation or interruption of power or other utility service furnished to the premises if the cause of such failure, fluctuation or interrup- tion occurs away from the premises; however, if loss by a peril not otherwise excluded en- sues at the premises, the Company will be lia- ble only for such ensuing insured loss; i. caused by explosion of steam boilers, steam pipes, steam turbine~ or steam engines (ex- cept 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 com- bustion therefrom) if owned by, leased by or operated under the control of the Insured, or for any ensuing loss except by fire or explo- sion not otherwise excluded, and then the Page 2 of 10 .( r.ti ::J ,!: -0 '" c: & co ";' " co " N N 0.. u , The Travelers BUILtll\4p AND PERSONAL PROPERTyt~4cIAL FORM , . .(Section I) PR 24 A. INSURING AGREEMENT-The Company agrees to provide insurance in accordance with the provisions of this form and the declarations and other provi- sions which apply, except as may be modified by endorsement. than 60 consecutive days immediately pre- ceding the loss, but unoccupancy is permit- ted except for loss by vandalism and mali- cious mischief while the building is unoccu- pied beyond 60 consecutive days immediately preceding the loss; c. to plumbing, heating, air conditioning or other equipment or appliances (except fire protec- tive equipment) or by discharge, leakage or overflow from such equipment or appliances caused by or resulting from freezing while the building is vacant or unoccupied; however, this exclusion does not apply to loss: (1) occurring during unoccupancy of the building; or (2) if the building has not been vacant beyond 60 consecutive days immediately preceding the loss; and providing, during the unoccupancy or vacancy, the Insured shall have exercised due diligence with respect to maintaining heat in th~ building or unless such equipment and appliances had been drained and the water supply shut off; d. to machines or machinery caused by rupture, bursting or disintegrating of their rotating or moving parts resulting from centrifugal or re- ciprocatingforce; e, to a building under construction, including materials, equipment and supplies therefore; except for direct loss by specified perils other than burglary, robbery, collapse of building, falling objects or weight of snow, ice or sleet; f, to property more specifically insured in whole or in part by this or any other contract of in- surance except for the amount of loss in ex- cess of the amount due from such more spe- cific insurance; g. to outdoor signs, except as provided in the "Coverage Extensions"; h. to trees, plants and shrubs grown for other than commercial purposes, except for direct loss by specified perils other than windstorm or hail (unless the property is contained in a building) or weight of snow, ice or sleet; or i. to steam boilers, steam pipes, steam turbines or steam engines caused by any condition or occurrence within such boilers, pipes, tur- bines or engines, except direct loss resulting from explosion of accumulated gases or un- consumed fuel within the fire box or combus- tion chamber of any fired vessel or within the flues or passages which conduct the gases of combustion therefrom; or to hot water boilers or other equipment for heating water caused by any condition or occurrence within such boilers or equipment other than an explosion. The Company insures against all risks of direct physical loss or damage except as otherwise pro- vided in this form and any other provisions of the policy which apply. B. PROPERTY INSURED 1. BUILDINGS designated in the declarations and yard fixtures; materials, supplies and temporary structures to be used for construction, repairs or alterations to such buildings; building service equipment; all of which is owned by the Insured and on or within 100 feet of the premises desig- nated in the declarations, 2. PERSONAL PROPERTY OF THE INSURED while in or on a building where such personal property is designated as insured in the declarations, in- cluding such property in the open or within vehi- cles, while on or within 100 feet of the premises designated in the declarations, consisting of: a. business personal property usual or incidental to the Insured's occupancy as specified in the GENERAL DECLARATIONS; b. tenant's improvements and betterments to buildings occupied but not owned by the In- sured; and c. the Insured's interest in property of others to the extent of the value of- services performed by the Insured. 3. PERSONAL PROPERTY OF OTHERS in the care, custody or control of the Insured while in or on a building where such personal property is designated as insured in the declarations, in- cluding such property in the open or within vehi- cles, while on or within 100 feet of the premises designated in the declarations. C. PROPERTY EXCLUDED OR SUBJECT TO LIMIT A- TIONS- This form does not insure against loss or damage: 1. UNDER BUILDINGS AND PERSONAL PROPERTY a. to awnings, outdoor equipment, or other property, all while outside of buildings, caused by rain, ice, snow or sleet; b. except as otherwise provided in this policy, while the building, whether intended for occu- pancy by owner or tenant, is vacant for more PR 24 Page 1 of 10 +- <( ui :i ,!:; al ~ a: <Xl r-- ~ M C\l C\l ci. u , The Travelers I . BUilDING, PERSONAL PROPl:RTY AND TIME ELEMENT DEClAR~nONS (Section 1-Standard, Broad or Special Forms) PR 10 1. POLICY NO: 650-607G576-]-COF-86 ISSUE DATE: 02-21-8658 2. EFFECTIVE DATE-Same as policy unless otherwise specified: 3. COVERAGES, LIMITS OF LIABILITY AND APPLICABLE FORMS-Insurance applies only to a coverage and at a premises for which a limit of .liability is inserted. A limit under "Blanket" applies to a coverage and at a premises for which "'ncluded" is inserted. An "X" indicates the applicable form. Coverages Limits of Liability Premises at Bldg. No..l.- Bldg. No. -.L Bldg. No. _ Blanket $ 110,000 $ 25,000 $ $ $ 25,000 $ 2,500 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Applicable Form Standard Broad Special ~ -X- Buildings Pers. Prop. of Insured Pers. Prop. of Others Business Interruption Extra Expense Rental Income 4. BUILDINGS AND PERSONAL PROPERTY OF THE INSURED AND OTHERS a. Deductible-$100. b. Colnsurance-80%. c. Mortgagee-Building Coverage only Exception: Exception: Bldg. No.: Name and Address d. Optional Coverages-Applies to the following only when indicated by an "X" and provided for in the form: Personal Property of the Insured and Others Replacement Cost Provision Burglary and Robbery (Broad Form) -X Buildings .....x Theft (Special Form) _ Personal Property of the Insured .....x Transportation Extension-Personal Property of the Insured. 5. BUSINESS INTERRUPTION-a, Coinsurance: %. b. Ordinary Payroll Expense-Included. Exceptions: - Excluded. _ Included only for consecutive calendar days or part thereof. c. Extended Period of Indemnity: consecutive calendar days. 6. EXTRA EXPENSE-Restoration Period and Monthly Percentage Limit-Three months at 40-80-100%. Exceptions: 7. RENTAL INCOME-a. Coinsurance: % b. Monthly Limitation: 0/0 c. Extended Period of Indemnity: consecutive calendar days. 8. STATE EXCEPTIONS-Insurable Value-Minnesota and South Carolina Bldg. No. Bldg. $ Bldg. No. Bldg. $ Bldg. No. Bldg. $ 9. NUMBERS OF FORMS AND ENDORSEMENTS AT INCEPTION: PRl-~ PR2~,. PRIOS-I, PR136, PRI~6 10. SPECIAL t"t10VISIONS, if any: PR 10 The Travelers BUILDINt AND PERSONAL PROPERTY SP,CIAL FORM ,(Section I) PR 24 Company shall be liable only for such ensuing insured loss; j. caused by: (1) shortage of property disclosed by taking inventory; (2) mysterious or unexplained disap- pearance; or (3) voluntary parting with title or possession of any property by the Insured or others to whom the property may be entrusted if in- duced to do so by any fraudulent scheme, trick or device, or false pretense; k. caused by, resulting from, contributed to or aggravated by 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, release of water im- pounded by a dam, or spray from any of the foregoing, or other water from natural sources whether on or below ground; (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. driveways, foundations, walls or floors; however, this, exclusion does not apply: (a) to an ensuing insured loss by fire or explosion; (b) with respect to Exclusions (2) and (4) above, to loss by water: (i) from any plumbing, heating or air conditioning system above or below ground on the designated premises; or (ii) indirectly caused by fire, vehicles or aircraft or vandalism or malicious mis- chief, all originating on or away from the premises; or (c) with respect to Exclusion (3) above, to loss by water back-up, other than from a septic tank or cesspool, when the cause of the water back-up originates on the premises; 2. TO BUILDINGS a. caused by settling, cracking, shrinkage, bulging or expansion of pavements, founda- tions., walls, floors, roofs or ceilings; unless direct loss by a peril not otherwise excluded ensues, and then the Company shall be liable only for such ensuing i,nsured loss; b. caused by theft of property that is not an integral part of the building at the time of loss PR 24 unless direct loss by a peril not otherwise ex- cluded ensues and then the Company shall be liable only for such ensuing insured loss; 3. TO PERSONAL PROPERTY a. caused by theft unless shown as applicable in the declarations; b. caused by: (1) any legal proceeding or threat thereof; (2) delay or loss of market; or (3) consequential loss of any kind except as provided in the "Debris Removal" or "Ex- tra Expense" Coverage extension; c. caused by error, omission or deficiency in design, specifications, workmanship or materials; unless direct loss by specified per- ils ensues, and then the Company shall be liable only for such ensuing insured loss; d. caused by marring, scratching, shrinkage, evaporation, leakage, loss of weight, contami- nation, or change in flavor, color, texture or finish; except for direct loss by specified perils; e. caused by dampness or dryness of atmosphere or changes in temperature; f. caused by breakage of patterns, dies, molds, models or forms; except for direct loss by specified perils; g. caused by breakage of glass, glassware, statuary, marbles, bric-a-brac, porcelains and other articles of a fragile or brittle nature; ex- cept for direct loss by specified perils; how- ever, this exclusion does not apply to bottles or similar containers of property for sale, or sold but not delivered, or to lenses of photo- graphic or scientific instruments; or h. due to: (1) any fraudulent, dishonest or criminal act or omission 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; or (2) pilferage, appropriation or concealment of any property due to any fraudulent, dis- honest or criminal act of: (a) any employee while working or otherwise, or whether acting alone or in collusion with others; (b) an agent of an Insured; or (c) any person to whom the property may be entrusted; however, this exclusion does not apply to an ensuing insured direct loss by speci- fied perils other than burglary or rob- bery, if the loss arises from an act or omission by a person other than the In- sured. Page 3 of 10 The Travelers BUILDING AND.rERSONAL 'pROPERTY SPECIAL 1)RM (Section I) , ' PR 24 E. COVERAGE EXTENSIONS-Such insurance shown as applicable in the declarations for this form for Building or Personel Property also applies to the following extensians. Except for the "Coinsurance Pravisian", all af the pravisions af this form, including the "Deductible Provision", apply to these extensians. These extensians apply as additional amaunts of insurance, except for "Debris Remaval" which ap- plies as specified. When this and any other farm contain like "Caverage Extensions", the amount recaverable shall nat exceed the largest amount recoverable un- der any applicable extension, 1. BUILDING DAMAGE BY THEFT (when theft is insured under "Persanal Praperty of the In- sured") to that part of the building accupied by the Insured and containing insured property, and to building service equipment within the building, pravided the Insured awns the build- ing or is liable for damage, The Campany shall nat be liable for damage by fire or explosion, or to. glass (ather than glass building blocks) ar to any lettering or ornamen- tatian on glass, 2. DEBRIS REMOVAL expense incurred in the removal af debris of insured property occa- sioned by a loss insured against, The tatal amount recoverable under this farm far bath loss to. property and debris remaval expense shall nat exceed the limit of liability applying to. the praperty insured; except that if the amount of insurance pravided by this form at the time af lass is at least 80% of the value of praperty, the Insured may apply up to 10% of the limit af lia- bility applicable to the property to which the loss occurs as an additional amaunt of insur- ance for debris removal expense, but not to. ex- ceed $25,000 in anyone occurrence. Value shall be determined in accardance with the "How Lass Is Settled" provision, 3. EXTRA EXPENSE up to $1,000 in anyone occurrence for extra expense necessarily in- c!Jrred to. continue as nearly as practicable the normal aperation of business following a loss to. a building ar personal property at the desig- nated premises. 4. NEWLY ACQUIRED PROPERTY a, Property as described belaw and acquired during the policy period and used or to. be used far the Insured's business when such property is not otherwise insured, (1) Under "Building" coverage, up to $100,000 in anyone accurrence on ad- ditians and buildings under construction or buildings newly acquired; and PR 24 (2) Under "Persanal Praperty of the Insured" coverage, up to. $50,000 in any ane accurrence an property at a newly acquired premises awned ar cantralled by the Insured and within 100 feet of such premises, b, This extension ceases: (1) at the time such property is more specifically insured; (2) 30 days fram the date canstructian begins; (3) 30 days from date af acquisitian; (4) the date the values of such property are reported to the Company; or (5) the date the policy is terminated; whichever accurs first. c. Additional premium is due and payable far values sa reported fram the date canstruc- tian begins or the date of acquisition. 5. OFF PREMISES up to. $5,000 in any ane occurrence for property insured under "Build- ings" and "Persanal Property af the Insured" as described below while away fram the desig- nated premises and when its remaval is inci- dental and nat usual to. the Insured's business aperatians: a, far not mare than 90 cansecutive days, property while temporarily remaved fram the designated premises and at a lacatian nat owned, leased, aperated ar cantralled by the Insured. This insurance does not apply to lass: (1) while the praperty is rented or laaned by the Insured to. others; (2) after the praperty is delivered to customers ar prospective customers; ar (3) to. outside signs, b, in the care, custady ar cantrol af a custodian, but excluding such property while in vehicles, 6. OUTDOOR SIGNS up to. $1,000 in any ane accurrence while at the designated premises under insurance covering "Buildings"; and, un- der insurance cavering "Persanal Property of the Insured", when the building is nat awned by the Insured; only against direct lass by spec- ified perils, other than vandalism ar maliciaus mischief. 7, PERSONAL EFFECTS belonging to the Insured ar the Insured's officers, partners or employ- ees, up to $250 for any ane person or $1,000 in anyone occurrence, under insurance caver- ing persanal praperty while lacated at the des- ignated premises, anly against direct lass by specified perils. 8, PERSONAL PROPERTY OF OTHERS up to. $5,000 in anyone occurrence an persanal property similar to that insured by this palicy Page 4 of 10 The Travelers BUILDI~G AND PERSONAL PROPERTY S1=CIAL FORM , . (Section I) . PR 24 while in the Insured's care, custody or contro.l and in or an a building where "Personal Prop- erty of the Insured" is designated as insured in the declarations, including such property in the open ar within vehicles, while on or within 100 feet of the designated premises. 9. PROPERTY REMOVAL under insurance cavering buildings and persanal property of the Insured and athers for direct lass by removal of property from premises endangered by a peril nat atherwise excluded, including caverage pro rata far 30 days at each proper place to which the praperty shall necessarily be removed for preservatian from, or repair of, damage caused by such peril. 10. REPLACEMENT COST under insurance cavering "Buildings" when the full cost of re- pair or replacement (without deduction for de- preciation) of that part of the property sus- taining loss is less than $1,000. This extension does not apply to loss by windstorm or hail. In the event of loss, the "Replacement Cost" provision of "How Loss Is Settled" applies in lieu of the "Actual Cash Value" provisian. 11. TRANSPORTATION up to $2,000 in any ane accurrence under insurance covering "Per- sanal Property of the Insured" away from the designated premises in due course af transit on land vehicles owned ar aperated by the In- sured, including loss while the property is being laaded or unlaaded incidental to transit. This extension daes nat apply: a. unless sa indicated in the declarations; b. to property while waterborn except while on ferries aperated on the navigable waters of the Continental United States and Canada other than to and from Alaska; c, to lass caused by the transporting vehicle coming into contact with any portion of the roadbed or curbing or with any stationary object while backing up for loading or un- laading purpases; d. to loss caused by the property coming into cantact with any object unless the transport- ing vehicle an which the property is being transparted also collides with the object; e, to loss to. the conveying vehicle (including any part or equipment thereof) or contain- ers; f, to loss by theft from any vehicle while unattended unless the vehicle is af entirely closed constructian and, at the time of loss, its doors shall have been securely locked and its windaws firmly closed, and the loss is a direct result of forcible entry of which there shall be visible evidence; PR 24 g. to loss by ice, hail, rain, snaw or sleet to. property in a vehicle not equipped with a bady af entirely enclosed canstructian; ar h. to. loss by chipping, denting, bending, chafing, spotting, leakage of liquids ar breakage; but this exclusion daes nat apply to direct loss by specified perils. Only Exclusians C,1,f., C.3,a" C.3,c" C,3,d" and C,3.e., under "Property Excluded Or Sub- ject To Limitatians" and 0.1,a" O,1,b" O,1,j" O,3,b" O,3.d" and O,3,h, under "Perils Ex- cluded Or Subject To Limitatians" apply to. this extensian. 12, TREES, PLANTS, SHRUBS AND OTHER SPECIFIED PROPERTY-Trees, plants and shrubs grown for other than cammercial pur- poses; lawns; walks, roadways, curbing and paved surfaces; fences; and retaining walls not a part of the building; under insurance cavering buildings or persanal property and all while 10.- cated outdaors an the designated premises, against direct lass by fire, lightning, explasian, riat, riot attending a strike, civil cammotian or aircraft. The Company shall only be liable up to. $500 an anyone tree, plant ar shrub, including ex- penses incurred in removing their debris, but not for more than $5,000 in the aggregate an trees, plants and shrubs in any ane accurrence, 13. VALUABLE PAPERS AND RECORDS up ~ $1,000 in anyone occurrence, under insur- ance cavering "Personal Property af the In- sured", for the cast af research and other ex- penses necessarily incurred to reproduce, re- place or restore valuable papers and records and recording or storage media at the desig- nated premises, F. DEDUCTIBLE The deductible amount specified in the declaratians shall be deducted from the amount of loss in any one occurrence, G. HOW LOSS IS SETTLED-The fallawing valuatian pravisions apply to that part of the property sus- taining lass, Value, unless otherwise specified; means the value at the time and place af loss. 1. ACTUAL CASH V ALUE~Applicable unless the "Replacement Cost" provision applies)-- Property will be valued at its actual cash value, except for the follawing property for which the value will be determined as described and will not exceed: a. BUSINESS PROPERTY SOLD BUT NOT DELlVERED--the price at which such prop- erty was sold by the Insured, less discaunts, allowances and expenses not incurred; Page 5 af 10 The Travelers BUILDING AND P~SONAL ,PROPERTY SPECIALFOtM -. . (Section I) , . PR 24 b. PERSONAL PROPERTY OF OTHER5--the amount shown in the Insured's receipt is- sued to customers, or the actual cash value; whichever is less; c. PROPERTY IN TRANSIT-the actual cash value of such property at point of shipment; d. RECORDING OR STORAGE MEDIA- (except finished property held for sale}--the cost of such media in unexposed or blank form, except as provided in the "Valuable Papers and Records" extension; e. STOCK IN PROCESS OF MANU- FACTURE-the cost of raw materials and labor expended plus the proper proportion of overhead charges; f. TENANT'S IMPROVEMENTS AND BETTERMENTS (1) if repaired or replaced at the expense of the Insured and within a reasonable time after loss, the actual cash value; or (2) if not repaired or replaced within a reasonable time after loss, that propor- tion of the original cost of the property which the unexpired term of the lease or rental agreement, whether written or oral, and in effect at the time of loss, bears to the periods from the dates the tenant's improvements and better- ments were made to the expiration date of the lease or rental agreement; however, if the property is repaired or replaced at the expense of others, the Com- pany shall not be liable for the loss; and g, VALUABLE PAPERS AND RECORD5--the cost of blank books, blank cards or other blank materials for valuable papers and records plus the cost of labor incurred by the Insured for transcribing or copying such records, except as provided in the "Valuable Papers and Records" extension. 2. REPLACEMENT COST-(Applicable when the declarations indicate the provision applies). Re- placement cost means the full cost of repair or replacement of that part of the property sus- taining the loss at the time and place of loss, without deduction for depreciation. a. If the property is repaired or replaced, its value will be its replacement cost not ex- ceeding the lesser of; (1) the replacement cost of the property equi,valent to the property sustaining the loss and intended for the same occu- pancy a'nd use and on the same prem- ises; or (2) the amount actually and necessarily expended in repairing or replacing the property. PR 24. If the property is not repaired or replaced, it shall be valued in accordance with the "Ac- tual Cash Value" provision. The Insured may elect to disregard this provision and make claim on an actual cash value basis, However, further claim for any additional amount on a replacement cost ba- sis may then be made, provided the Com- pany is notified in writing within 180 days after the date of loss. b. THE REPLACEMENT COST PROVISION DOES NOT APPLY: (1) unless the declarations so indicate; (2) to stock or merchandise, including materials and supplies therefor; (3) unless and until the property sustaining the loss is actually repaired or replaced with due diligence and dispatch; or (4) to the following property which shall be valued in accordance with the "Actual Cash Value" provision: (a) obsolete property which is not in use; (b) household contents, personal effects, domestic appliances, carpet- ing, awnings, air conditioners, out- door equipment, or articles of art, rarity or antiquity; or (c) personal property of others; business property sold but not deliv- ered; recording or storage media; tenants improvements and better- ments; stock in process of manufac- ture; or property in transit. 3. COINSURANCE-The Company shall not be liable for a greater proportion of any loss to the property than the applicable limit of liability bears to the amount produced by multiplying the value of such property to which such limit applies by the coinsurance percentage speci- fied in the declarations, The value of the property shall be determined in accordance with the "How Loss Is Settled" provisions, The "Coinsurance" provision does not apply to insurance provided under "Coverage Exten- sions" or which is subject to special or re- stricted limits of liability, 4. LIMITS OF LIABILITY-The Company shall not be liable in anyone loss for more than: a. the interest of the Ins'ured in the property (except personal property owned by others for which insurance is specifically provided); or b. the applicable limit specified in the declarations or in this or any form or en- dorsement; whichever is less. Page 6 of 10 The Travelers , I BUILDING ANI\ ptRSONAL ,PROPERTY SPECIAL r~M ,. (Section I) , .. PR 24 I. CONDITIONS 1. INCREASE OF HAZARD-The Company shall not be liable for loss occurring while the hazard is increased by any means within the control or knowledge of the Insured unless the Company has received prior written notice. However, ex- cept as otherwise provided, permission is granted to make alterations and repairs. 2. NO CONTROL-This insurance shall not be prejudiced by any act or neglect of any person (other than the Insured) or by the failure of the Insured to comply with any warranty or condi- tion of this policy when such act, neglect or fail- ure is not within the control of the Insured. J. DEFINITIONS 1. "ACTUAL CASH VALUE" means replacement cost less depreciation (including obsolescence) of that part of the property sustaining loss at the time and place of loss, but not exceeding the cost to repair or replace with material of like kind and quality within reasonable time after the loss. 2. "BREAKAGE OF GLASS" means only the breakage of glass forming a part of the build- ing, but does not include loss: a. to neon tubing attached to the building; or b. if the building had been vacant beyond 30 consecutive days immediately preceding the loss, 3. "BUILDING" or "BUILDINGS" includes structures, additions and extensions attached to the building or structure; fixtures, machinery and equipment; all forming a permanent part of and pertaining to the service of a building. 4. "BUILDING SERVICE EQUIPMENT" means personal property used for the maintenance or service of the premises, including fire extin- guishing apparatus, floor coverings, outdoor furniture and appliances for refrigerating, venti- lating, cooking, dishwashing and laundering; but does not include other personal property in apartments or rooms furnished by the Insured. 5. "BURGLARY" means the felonious abstraction of property from within the premises by a per- son feloniously entering or exiting from such premises by actual force and violence as evi- denced by visible marks made by tools, explo- sives, electricity, or chemicals upon, or physi- cal damage to; the exterior of such premises at the place of such entry, or to the interior of such premises at the place of such exit. "Burglary" also includes damage by burglary or attempted burglary. PR 24 "Premises", with respect to burglary, means the interior of the portion of the building con- taining the Insured property and a showcase or show window inside the building line of such building. Premises does not include public en- trances, halls or stairways. 6. "COLLAPSE OF BUILDING" means only the sudden falling in of a substantial structural por- tion of the building. 7. "CUSTODIAN" means the Insured, a partner or an officer of the Insured or any employee who is in the regular service of and authorized by the Insured to have the care, custody or control of the property. 8. "EXTRA EXPENSE" means the excess of the total cost incurred during the period of indem- nity and chargeable to the operation of the In- sured's business over and above the total cost that would normally have been incurred to con- duct the business during the same period had no loss occurred, but does not include loss of income, Any salvage value of property obtained for temporary use during the same period of indemnity and remaining after the resumption of normal operations shall be taken into consid- eration in the adjustment of any loss, 9. "FALLING OBJECTS" means loss caused by falling objects, but excluding loss to: a. the interior of the building or property within the building unless the building shall first sustain an actual damage to the exterior of the roof or walls by the falling object; or b. personal property in the open, 10. "FIRE PROTECTIVE EQUIPMENT" means tanks, water mains, hydrants, or valves and any other equipment whether used solely for fire protection or jointly for fire protection and for other purposes but does not include: a. branch piping from a joint system where such branches are used entirely for pur- poses other than fire protection; b. any underground water mains or appurtenances located outside of the prem- ises or forming a part of a public water distri- bution system; or c. any pond or reservoir. 11. "FIRE PROTECTIVE EQUIPMENT DAMAGE" means direct loss by leakage or discharge of water or other substance from within any part of the fire protective equipment and collapse or fall of a tank forming a. part of such equipment. In the event of such loss, and when the building is insured, fire protective equipment damage also includes the cost of repairs or replacement of such equipment when the loss is directly Page 8 of 10 t The Travelers BUILrfN(-i AND PERSONAL .PROPERTY ,. PEtCIAL FORM i. . (Section I) J PR 24 In no event shall the Company be liable for a greater proportion of loss than the applicable limit of liability bears to the total applicable limit of liability of all insurance covering such loss. 5. PAYMENT OF LOSS-The Company will pay all adjusted claims within 30 days after presen- tation and acceptance of the statement of loss. 6. APPRAISAL-If the Insured and the Company fail to agree on the amount of the loss, either can demand that the amount of loss be set by appraisal. If either party makes a written de- mand for appraisal, each shall select a compe- tent independent appraiser. Each shall notify the other of the selected appraiser's identity within 20 days of the receipt of the written de- mand. The two appraisers shall select a competent and impartial umpire. If the appraisers are un- able to agree upon an umpire within 15 days, the 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 um- pire. The appraisers shall then set the amount of loss. If the appraisers submit a written report of an agreement to the Company, the amount agreed upon shall be the amount of loss. If the appraisers fail to agree within a reasonable time, they shall submit their differences to the umpire. A written 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 Insured and the Com- pany. 7. PRIVILEGE TO ADJUST LOSSES WITH OWNER OF PROPERTY- Loss shall be ad- justed as follows: a. On property owned by the Insured or in which the Insured has an interest, loss shall be adjusted with and payable to the Insured. b. Where another payee is specifically named in the policy, loss shall be adjusted with the Insured but shall be payable to the Insured and such other payee as interest may ap- pear. c. In the event claim is made for loss to property of others held by the Insured, the right to adjust such loss 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 payment has been made. PR 24 If legal proceedings be taken to enforce a claim against the Insured as respects any such loss, 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 its liability under the policy, nor increase the applicable limits of liability specified in the policy. 8. COMPANY'S OPTIONS--If the Company gives notice within 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 to which the loss occurred at an agreed value, or to repair, rebuild or replace it with equivalent property, 9. WAIVER OF INVENTORY--H the total claim for any loss is both less than $10,000 and 5% of the applicable limit of liability, no special inven- tory or appraisal of the undamaged property will be required, but this shall not be construed to waive the application of the "Coinsurance" provision. 10. ABANDONMENT OF PROPERTY-There can be no abandonment of the property to the Com- pany without the consent of the Company. H. RESTRICTED LIMITS OF LIABILITY-The Com- pany shall not be liable for loss in anyone occur- rence: 1. by theft of: a. patterns, dies, molds, models and forms, for more than $1,000 in the aggregate; b. furs or articles containing fur which represents their principal value, for more than $1,000 in the aggregate; c. jewelry, bullion, gold, silver, platinum and other precious alloys or metals, for more than $1,000 in the aggregate; however this limitation shall not apply to jewelry valued at $50 or less per item; or d. stamps, tickets and letters of credit, for more than $250 in the aggregate; or 2. to glass forming a part of the building (other than glass building blocks), for more than $50 per plate, pane, multiple plate, insulating unit, radiant heating panel, jalousie, louvre or shut- ter, nor for more than $250 in anyone occur- rence. This restriction, however, does not apply to direct loss by specified perils other than burglary, vandalism or malicious mischief or breakage of building glass. Page 7 of 10 'The Travelers BUILDtG AND PERSONAL PROPERTY SfECIAL FORM , .(Section I) . PR 24 caused by breakage of any o' its parts or by freezing. 12. "JEWELRY" means watches, watch movements, jewels, pearls, precious and semi- precious stones. 13. "MONEY" means currency and coins, bank notes, travelers checks, registered checks and money orders held for sale to the public. 14. "PERIOD OF INDEMNITY" means the length of time required with the exercise of due diligence and dispatch to rebuild, repair or replace that part of the property sustaining loss, commenc- ing with the date of the loss but not limited by the date of termination of this insurance. 15. "RECORDING OR STORAGE MEDIA" means film, tape, disc, drum, cell and other recording or storage media for electronic date process- ing. 16. "ROBBERY" means the felonious taking of property: a. by violence or threat of violence inflicted upon a custodian; b. by any other overt felonious act committed in a custodian's presence and of which he was actually cognizant; or c. from the person or direct care, custody or control of a custodian who has been killed or rendered unconscious. "Robbery" includes attempted robbery. 17. "SECURITIES" means all negotiable and non- negotiable instruments or contracts represent- ing either money or other property and in- cludes revenue or other stamps, tokens and tickets; but does not include money. 18. "SONIC BOOM" means only direct loss by shock waves caused by aircraft. 19. "SPECIFIED PERILS" means, subject to the applicable exclusions and limitations of this pol- icy, direct loss: a. With respect to property not in due course of transit: by fire; lightning; windstorm; hail; explosion; smoke; riot; riot attending a strike; civil commotion; vandalism or mali- cious mischief; breakage of building glass; burglary; robbery; collapse of building; falling objects; fire protective equipment damage; sonic boom; vehicles or aircraft; water damage; or weight of snow, ice or sleet; and; b. With respect to property in due course of transit: by fire; lightning; windstorm; hail; explosion; smoke; riot; riot attending a strike; civil commotion; vandalism ,or mali- cious mischief; earthquake; flood; collapse or subsidence of docks, wharves, piers or PR 24 bridges; stranding, sinking, burning or colli- sion of ferries on which the insured property is being transported, including General Av- erage or salvage charges incurred; the transporting conveyance's collision (except contact with the roadbed), upset or overturn; or theft from the transporting conveyance. 20. "TENANT'S IMPROVEMENTS AND BETTERMENTS" means the Insured's use in- terest in fix-tures, alterations, installations or ad- ditions comprising a part of the building occu- pied but not owned by the Insured and made or acquired at the Insured's expense exclusive of rent paid by the Insured, but which are not le- gally subject to removal by the Insured. 21. "THEFT" includes, but is not limited to, burglary or robbery and also includes damage by attempted theft, burglary or robbery. 22. "UNOCCUPIED" or "UNOCCUPANCY" means containing contents pertaining to occupancy of the building while operations or other custom- ary activities are suspended. A suspension of operations or period of inactivity during part of the year which is usual and incidental to the occupancy of the building shall not be deemed as unoccupancy. 23. "VACANT" or "VACANCY" means containing no contents pertaining to operations or activi- ties customary to occupancy of the building, but does not apply to a building under con- struction. 24. "VALUABLE PAPERS AND RECORDS" means written, printed or otherwise inscribed docu- ments and records pertaining to the Insured's business, including books of account, card in- dex systems, maps, drawings, abstracts, deeds, mortgages and manuscripts, but does not mean money, securities, recording or stor- age media, or property held as samples or for sale or for delivery after sale, 25. "VEHICLES OR AIRCRAFT" means only direct loss by actual physical contact between aircraft (including objects falling therefrom) or vehicles and the insured property or buildings contain- ing the insured property. "Aircraft" also in- cludes self-propelled missiles and spacecraft. This peril does not include loss: a. by any vehicle owned or operated by the Insured or any tenant of the premises, in- cluding their employees; or b. to any aircraft or vehicle including its contents, 26, "WATER DAMAGE" means the accidental discharge, leakage or overflow of water or steam from within: Page 9 of 10 The Travelers I FLORIDA AMENDATORY ENDORSEtnENT , . (Section I) I PR 105-1 The Standard, Broad or Special form is amended as follows: A. When insurance is written subject to coinsurance, the rate charged for the insurance is based upon the use of a coinsurance provision, with the consent of the Named Insured, B. Properties located in the Counties of Broward, Dade, Martin, Monroe and Palm Beach, and in all areas east of the West Bank of the Intracoastal Waterway in the Counties of Indian River and St. Lucie-When such forms insure the peril of windstorm, they do not insure loss caused in any manner by windstorm to paint or waterproofing material applied to the exterior of a building, The value of such paint or waterproofing material shall not be considered in the determination of the amount of deductible or value when applying the "Coinsur- ance" provision, if applicable, to loss from windstorm, C, SINKHOLE COLLAPSE 1, Such insurance as is afforded on: a, dwelling buildings designed for occupancy by not more than four families and occupied principally for dwelling purposes, and b, personal property in such dwelling buildings, under "Buildings" and "Personal Property of the Insured", also applies to direct loss by sinkhole collapse, 2, With respect to the property insured by this provision, any other provision in the policy which excludes loss by "earth sinking" is amended to exclude loss by "earth sinking other than sinkhole collapse", 3, ADDITIONAL DEFINITION-"SINKHOLE COLLAPSE" means direct loss by actual physical damage to the property specified above arising out of, or caused by, sudden settlement or collapse of the earth supporting such property and only when such settlement or collapse results from subterranean voids created by the action of water on limestone or similar rock formations, 4. Under "Property Not Insured-Buildings", the following are added: a. patios: and b, other surface improvements. PR 105-1 CP-3443 3-84 Printed in U,S,A, , The Travelers PR 136 J FLORIDA SINKHOLE ENDORSElMENT Section I-Stan~ardt Broad or Sp'cial Form) PROVISIONS-Such insurance as is afforded under the Standard, Broad or Special form also applies to direct physical loss to buildings and personal property contained in such buildings resulting from the sudden sinking or collapse of the land supporting such property into underground empty spaces created by action of water on limestone or similar rock formation, The provisions of this policy which exclude loss to earth movement or earth sinking do not apply to loss insured by this endorsement, ADDITIONAL EXCLUSIONS- This endorsement does not insure: ( 1 ) the cost of filling sinkholes; (2) indirect or consequential loss; or (3) loss of use. The insurance provided under this endorsement is subject to the other provisions of this policy which apply except that any such provisions which are in conflict with any provisions of this endorsement are declared null and void to the extent that they conflict. < u:i :> ,S: '0 Ql .s D: co 6 '" o co N 0.. <..J PR 136 Page 1 of 1 ,- ,. < cr.i ::i ,S u Q) C ct C') <Xl ... ~ C') d.. u The Travelers . I AMENDATORY EN,DORSEMENT-,ROPERTY . , (Section I) PR 146 The following forms are amended as follows: I. COMMON PROVISIONS and PROPERTY PROVI- SIONS Subrogation- The "Subrogation" provisions applicable to Section I-Property Coverage are replaced by the following: "Subrogation (Applicable unless otherwise specified in other forms or endorsements). 1. In the event of any payment for loss under Section I-Property Coverage of this policy, the Company shall be subrogated to all the Insured's right of recovery against any per- son or organization and the Insured shall ex- ecute and deliver instruments and papers and do whatever else is necessary to secure these rights. The Insured shall do nothing af- ter loss to prejudice these rights except as provided below. 2. As respects insurance provided under Sec- tion 1- Property Coverage, this insurance shall not be invalidated should the Insured waive in writing any or all right of recovery against any party for loss. However, in the event the Insured waives only a part of these rights against any particular third party, the Company shall be subrogated with respects to all rights of recovery which the Insured may retain against any such third party for a loss insured against to the extent that pay- ment for the loss is made by the Company; all subject to the following additional provi- sions. a, This provision does not apply to Boiler and Machinery, Inland Marine or Glass coverage written under Section I-Prop- erty Coverage of this policy; b. This agreement, if- made before loss has occurred, may run in favor of any third party; c. This agreement. if made after loss has occurred, may run only in favor of a third party falling within one of the following categories at the time of loss: ( 1 ) a third party insured under this pol- icy, or (2) a corporation, firm, or entity: (i) owned or controlled by the Named Insured or in which the Named In- sured owns capital stock or other proprietary interest or (ii) owning or controlling capital stock or other proprietary interest in the Named Insured; or (3) a tenant of the Named Insured. 3. Except as provided in Item 2, above, the Company shall not be bound to pay any loss PR 146 Amendatory Endorsement-Property if the Insured has impaired any right of recov- ery for loss. However, it is agreed that the Insured may, as respects property in transit, accept such bills of lading, receipts or con- tracts of transportation as are ordinarily is- sued by carriers containing a limitation as to the value of such goods or merchandise." II. STANDARD, BROAD or SPECIAL FORM A. Volcanic Eruption Exclusion-The following additional exclusion applies: The Standard, Broad or Special form, which- ever applies, does not insure against loss or damage caused directly or indirectly by vol- canic eruption, Volcanic eruption includes but is not limited to: 1. explosion; 2. volcanic action meaning: a, airborne shock waves; b, ash, dust or particulate matter; or c. lava flow; 3. other expelled matter; 4, earth movement, earthquake, landslide, mUdflow, earth sinking, earth rising or shift- ing; or 5. flood, surface water, waves, tidal water or tidal wave, overflow of streams or other bodies of water, release of water im- pounded by a dam, or spray from any of the foregoing; resulting from the eruption of a volcano. However, this exclusion does not apply to an ensuing insured loss by: 1. fire: or 2, the breakage of building glass or safety glazing material if breakage of building glass is an insured peril or is not otherwise excluded. The Company shall not be liable for more than those limits specified for building glass under "Restricted Limits of Liabil- ity" , B. The Increase of Hazard Condition is replaced by the following: 1. a. Permits and Use-Permission is granted for increased hazards and for change in use or occupancy. b, Error in Description- This insurance shall not be prejudiced by error in stat- ing the name, number, street or loca- tion of any building insured under this The Travelers I INLAND MARINE, PROVISIONSI .(Section I) 1M 1 These provisions apply to all INLAND MARINE declarations. forms and endorsements unless otherwise specified. <i en ::J .!: u Q) c & A. DUTIES OF THE INSURED IN THE EVENT OF LOSS-In the event of loss, the Insured shall: 1. protect the property from further loss, make reasonable temporary repairs required to protect the property and keep an accurate record of re- pair expenses; 2. immediately notify the proper police authority of any loss which is due to a violation of law; 3. give written notice of the loss to the Company as soon as practicable; 4. prepare a complete inventory of property to which loss occurs showing in detail quantities, description, actual cash value or replacement value, amount of loss; and attach to the inventory all pertinent records and accounts for verification of the claim and its amount and permit copies of records to be made if needed; 5. exhibit the remains of the damaged property as often as may be reasonably required by the Company; 6. submit to examination under oath and, to the extent that it is within the Insured's power to do so, produce employees or others for such exami- nation; 7. cooperate with the Company in all matters pertaining to loss or claim; and 8. submit to the Company within 60 days, when requested, a signed sworn statement of loss stat- ing: a, the place, time and cause of loss; b. the interest of the Insured and all others in the property involved and all encumbrances on the property; c. other insurance which may cover the loss; and d. an inventory of the property to which loss occurred as described in 4. above. B. HOW LOSS IS SETTLED 1. ACTUAL CASH VALUE-Unless otherwise specified, that part of the property sustaining loss will be valued at its actual cash value at the time and place of loss but not exceeding the amount which it would cost to repair or replace such part of the property with material of like kind and quality within a reasonable time after loss, 2. PAYMENT OF LOSS-Unless a claim has been paid by others, the Company will pay all adjusted claims within 30 days after presentation and ac- ceptance of the statement of loss. 3. APPRAISAL-If the Insured and the Company fail to agree on the amount of the loss, either can demand that the amount of loss be set by ap- praisal. If either party makes a written demand for appraisal, each shall select a competent inde- pendent appraiser. Each shall notify the other of the selected appraiser's identity within 20 days of the receipt of the written demand. <Xl .... ~ ~ N cl.. U 1M 1 The two appraisers shall select a competent and impartial umpire. If the appraisers are unable to agree upon an umpire within 15 days, the In- sured 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 submit 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, Written 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 Insured and the Company. 4. PAIR, SET OR PARTS a. Pair or Set--ln case of a loss to a pair or set the Company may elect to: (1) repair or replace any part to restore the pair or set to its value before the loss; or (2) pay the difference between actual cash value of the property before and after the loss. b, Parts--ln case of a loss to any part of the insured property, consisting of several parts when complete: the Company shall be liable only for the value of the part to which the loss occurs, 5. ABANDONMENT OF PROPERTY-Property cannot be abandoned to the Company without the Company's consent, C. LEGAL ACTION AGAINST THE COMPANY-No action shall be brought against the Company unless the Insured has complied with all the policy provi- sions and such action shall have commenced within 1 2 months after the loss occurs. D. NUCLEAR EXCLUSION-The Company shall not be liable for loss by nuclear reaction or nuclear radi- ation or radioactive contamination, all whether con- trolled 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 aggra- vated by any of the perils insured against, However, subject to the foregoing and all provisions of this insurance, direct loss by "fire" resulting from nuclear reaction or nuclear radiation or radioactive contamination is insured against. E. REINSTATEMENT-The applicable limit of liability is reinstated in the event of payment of loss except for total loss of a scheduled item, The Company will refund the unearned premium on such item after the loss or it may be applied to the premium due for the replacement of the scheduled item. F. SUBROGATION--lf, in the event of loss, the In- sured shall acquire any right of action against any individual, firm or corporation for loss to property, Page 1 of 2 -U- .( en ::i ,E; "0 Q) c & IX) ";- ..,. '" l!) N ";- LL The Travelers 1M 2 I INLAND MARINE DECLARA TI(fNS . (Section I) I POLICY NO: 650-607GS16-]-COF-86 ISSUE DATE: 02-21-8658 EFFECTIVE DATE-Same as policy unless otherwise specified: A. NUMBERS OF DECLARATIONS, FORMS AND ENDORSEMENTS AT INCEPTION: 1M 1, F7139, 8000IM(1) B. LOSS PAYABLE PROVISION-Loss, if any, shall be adjusted with the Insured and payable to the Insured and the following payee as interest may appear: Form or Endorsement No. Item No., if any Name and Address C. Such declarations, forms and endorsements made a part of this policy: 1. shall be part of Section I when this policy contains more than one section; and 2. are subject to the INLAND MARINE PROVISIONS and other provisions of this policy which apply except that any such provisions which are in conflict with any provisions of those forms and endorsements made a part of this policy are declared null and void to the extent that they conflict. D. SPECIAL PROVISIONS, if any: 1M 2 ,\ The Travelers Commercial Policies I PROPERTY FLOATER ~ SPECIAL FOR' Page 1 Of 2 Policy No: 6S0-607G576-7-COF-86 Issue Date: 02-21-8658 A.PROPERTYINSURED This form applies to personal property, owned by the Named Insured or in his custody or control, described in the declarations. B. DECLARATIONS 1. Description of Property limit of Liability $ 2~,655 SEE 80001M(1) , '. ,:: .!" ",' . ': ~ Iii"" "",.. ',\ \" . ! i: ~ ~:' I ! ,-,II \ .' . ~ f" ~ :': i" i ; "I:: : , !:' :)'";/'lr"'I: '," I '" ' '{' t r; , . , . . . !. . "';.. '" ;,,, , ' 2. Deduct~ble,Amo\lnt: , $ 2~O 3. Special Provisions, if any: 1"1 ~ I' i ~ ~ ;': ' .. '. (. ,,; ". " ,1 !'-! , ' 'I' "l , j' lit .: i -'I',! C. INSURING AGREEMENT The Travelers insures against all risks of direct physical loss except as otherwise provided. F-7139 New 10-75 Printed inU,S,A, The Travelers Commercial Policies PFfPERTY FLOATER - SPECIAL FORM I Page 2 of 2 D. EXCLUSIONS This form does not insure against loss: (1) to automobiles; motor trucks, trailers or other vehicles designed and licensed for highway use to transport persons or property; aircraft; (2) to accounts, bills, documents, records, deeds, evidences of debt, money, securities or stamps; (3) to property while waterborne except while on ferries operating on the navigable waters of the Continental United States and Canada other than to or from Alaska; (4) due to any fraudulent, dishonest or criminal act or omission by the Named Insured or a partner of the Named Insured; or by theft by any employee of the Named Insured, while working or otherwise, or by any person to whom the property is entrusted but this exclusion does not apply to property in the custody of a carrier for hire; (5) by wear and tear, deterioration, inherent vice, latent defect; rust or corrosion; dampness or dryness of atmosphere or changes in temperature; insects or vermin; , ' (6) by failure, or breakdown of machinery or equipment; or by electrical currents artificially generated; (7) by any process or work upon the property; or by faulty workmanship or materials; but this exclusion does not apply to property in transit; (8) by unexplained or mysterious disappearance of property; or shortage of property disclosed by taking inventory; (9) caused by or resulting from flood (meaning waves, tidal water or tidal waves, mudflow, overflow of streams or other bodies of water or spray from any of the foregoing, release of water impounded by a dam or other water from natural sources whether on or below the ground), unless loss by fire or explosion ensues, and then The Travelers shall be liable only for such ensuing insured loss; but this exclusion does not apply to property in transit; (10) by delay, loss of market, loss of use or consequential loss of any kind; or (11) by: (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; (ii) by military, naval or air forces; or (iii) by an agent of any such government, power, auth ority or forces; (b) any weapon of war employing atomic fission or radioactive force whether in time of peace or war; or (c) insurrection, rebellion, revolution, civil war, usurped power, or action taken by governmental authority in hindering, combating or de- fending against such an occurrence, seizure or destruction under quarantine or customs regulations, confiscation by order of any govern- ment or public authority, or risks of contraband or illegal transportation or trade; however, with respect to exclusions (4) through (9) of this Part 0, if a loss ensues which is not otherwise excluded or for which coverage is not more specifically limited, The Travelers will then be liable for such ensuing loss. E. DEDUCTIBLE The Travelers shall be liable in anyone occurrence only for the amount of loss in excess of the deductible amount specified in the declarations. F. BASIS OF LOSS PAYMENT- ADDITIONAL PROVISIONS 1. Coinsurance - The Travelers shall not be liable for a greater proportion of any loss than the applicable limit of liability bears to the actual cash value of the property insured at the time and place of loss. This provision applies separately to each item described in the declarations when this form insures two or more items. 2. Limit of Liability - The Travelers shall not be liable in anyone loss for more than the applicable limit of liability specified in the declarations. 3. Payment for Property of Others - At the option of The Travelers, any loss to property of others may be adjusted with and paid to the owners of such property. G. DEFINITIONS 1. "Declarations" means the declarations contained in this form. 2. "Loss" includes damage. H. ADDITIONAL CONDITIONS 1. Other Insurance - If at the time of loss there is available to the Named Insured or any other interested party any other insurance which would apply in the absence of this form, the insurance under this form shall apply only as excess insurance over such other insurance. 2. Territory - This form applies only to loss which occurs within the United States of America, its territories or possessions, Puerto Rico and Canada. 3. This form is subject to any policy, declarations, form or endorsement indicated as applicable to it, except that any provisions therein in conflict with the provisions of this form are declared null and void to the extent that they conflict. ; (I' \"", F-7139 (Back) 0- Q) ~ <i en ::i ,S; '0 CIJ c d: Q) ..... ..;. <0 Ol o N 0.. t) The Travelers I POLICY NO: 650-607G576-]-COF-86 TORO 3 GANG MOWER (TOW BEHIND) JACOBSEN TRIPLEX (BLOWN MOTOR) 80 YAlOO 42" ROTARY HOWER 80 FORD 3000 TRACTOR 80 JACOBSEN TRIPLEX MOWER 80 PARKER VACUUM 81 CUSMAN TRUCKSTER W/AERATOR 81 TORO 3 GANG MOWER 84" CUT 81 LELY FERTILIZER SPREADER TRACTOR MOUNTED SARLO 26 DEGREE ROTARY MOWER-1982 82 LAWNBOY 2211 ROTARY MOWER 2" PROTEX PUMP 83 POWER TRIM EDGER 83 TORO WEEDEATER 83 TOP DRESSER FOR CUSMAN I 8000IH(I) ISSUE DATE: 02-21-8658 $200 300 350 6,000 3,500 350 5,000 6,000 400 200 130 100 150 175 1,800 24, 655 8000IM(I) Pagel ofl "the Travelers I LIABILITY PROVISIONS , (S'ection II) I GL 1-1 These provisions apply to all Section II-Liability declarations, forms and endorsements, unless otherwise specified. FOR ADDITIONAL PROVISIONS APPLICABLE .TO SECTION II-LIABILITY, REFER TO "ADDITIONAL LIABILITY PROVISIONS" . A. ACTION AGAINST THE COMPANY - No action shall lie against the Company unless, as a condition prece- dent thereto, there shall have been full compliance with all of the provisions of this Section 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 of either who has secured such judgment or written agreement shall thereafter be entitled to recover un- der this Section to the extent of the insurance af- forded by this Section. No person or organization shall have any right to join the Company as a party to 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 in- solvency of the Insured or of the Insured's estate shall not relieve the Company of any of its obligations. B. ANNUAL AGGREGATE-If this policy is issued for a period in excess of one year, any limit of the Com- pany's liability' stated in the declarations as "aggre- gate" shall apply separately to each consecutive annual period or part thereof. C. DECLARATIONS-By acceptance of the insurance afforded by Section II, the Named Insured agrees that statements in the declarations are his agreements and representations, that such insurance is issued in reliance upon the truth of such representations and that such insurance embodies all agreements existing between the Named Insured and the Company or any of its agents relating to this insurance. < ui ::i ,!;; '0 Q) .5 a: D. FINANCIAL RESPONSIBILITY LAWS-When insur- ance under Section II is certified as proof of financial responsibility for the future under the provisions of any motor vehicle financial responsibility law. such insur- ance as is afforded for bodily Injury liability or for property damage liability shall comply with the provi- sions of such law to the extent of the coverage and limits of liability required by such law. The Named In- sured agrees to reimburse the Company for any pay- ment made by the Company which it would not have been obligated to make under such insurance except for the agreement contained in this provision. "il M ,... ~ '" a.. <..) E. INSURED'S DUTIES IN THE EVENT OF OCCUR- RENCE, CLAIM OR SUIT 1. In the event of an occurrence, written notice . containing particulars sufficient to identify the In- sured and also reasonably obtainable information with respect to the time, place and circumstances of the occurrence, and the names and addresses GL 1-1 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. 2. 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 the Insured or the In- sured's representative. 3. The Insured shall cooperate with the Company and, upon the Company's request, assist in mak- ing settlements, in the conduct of suits and in en- forcing any right of contribution or indemnity against any person or organization who may be liable to the Insured because of injury or damage with respect to which insurance is afforded under this Section; and the Insured shall attend hearings and trials and assist in securing and giving evi- dence and obtaining the attendance of witnesses. The Insured shall not, except at his own cost, vol- untarily make any payment, assume any obligation or incur any expense other than for first aid to others at the time of accident. F. LIMITS OF LIABILITY - TWO OR MORE POLlCIES- In the event of an injury, damage or loss covered by this policy and any other policy containing this provi- sion or a similar provision issued by the Company to the Named Insured, the maximum that will be paid under all such policies combined for such injury, dam- age or loss is the highest applicable limit of liability of anyone of such policies. This provision does not ap- ply with respect to any policy issued by the Company which has a policy number containing the letters CUP or EX. G. OTHER INSURANCE-'- The insurance afforded by this Section is primary insurance, except when stated to apply in excess of or contingent upon the absence of other insurance. When this insurance is primary and the Insured has other insurance which is stated to be applicable to the loss on an excess or contingent ba- sis, the amount of the Company's liability under this Section 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 Section for a greater proportion of the loss than that stated in the applicable contribution provision below: 1. Contribution by. Equal Shares-If all of such other valid and collectible insurance provides for contribution by equal shares, the Company shall Page 1 of 5 d~ 4 -r ~ "":; The Travelers I COMBINATION CRIME FOR1 (Section V) o co ~ A. INSURING AGREEMENTS-Subject to the COMBI- NATION CRIME FORM DECLARATIONS, the Com- pany insures against: I-Employee Dishonesty-Loss of money, securities and other property which the Insured shall sustain through any fraudulent or dishonest act or acts committed by any of the employees, acting alone or in collusion with others; II-Loss Inside the Premises-Loss of money and securities by the actual destruction, disappearance or wrongful abstraction thereof within the premises or within any banking premises or similar recognized places of safe deposit; loss of: 1. other property by safe burglary or robbery within the premises or attempt thereat, and 2. a locked cash drawer, cash box or cash register by felonious entry into such container within the premises or attempt thereat or by felonious ab- straction of such container from within the prem- ises or attempt thereat; Damage to the premises by such safe burglary, robbery or felonious abstraction, or by or following burglarious entry into the premises or attempt thereat, provided with respect to damage to the premises the Insured is the owner thereof or is liable for such damage; As respects the Single Limit Option, loss by robbery within the premises from any employee of money or checks paid to such employee from payroll funds during the work period when such robbery occurred, provided there was on the same occasion a robbery or attempt thereat from a custodian; III-Loss Outside the Premises-Loss of money and securities by the actual destruction, disappear- ance or wrongful abstraction thereof outside the premises while being conveyed by a messenger or any armored motor vehicle company, or while within the living quarters in the home of any messenger; Loss of other property by robbery or attempt thereat outside the premises while being conveyed by a mes- senger or any armored motor vehicle company, or by theft while within the living quarters in the home of any messenger; IV-Money Orders and Counterfeit Paper Currency-Loss due to the acceptance in good faith, in exchange for merchandise, money or services, of any post office or express money order, issued or pur- porting to have been issued by any post office or ex- press company, if such money order is not paid upon presentation, or due to the acceptance in good faith in the regular course of business of counterfeit United States or Canadian paper currency; V':"-Depositors Forgery-Loss which the Insured or any bank which is included in the Insured's proof of loss and in which the Insured carries a checking or savings account as their respective interests may ap- pear, shall sustain through forgery or alteration of, on ~ <Ii ::i ,~ '0 Q) C ;t co ..... "" o ... N 0.. () CR 4 or in any check, draft, promissory note, bill of ex- change, or similar written promise, order or direction 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: (1) Any check or draft made or drawn in the name of the Insured, payable to a fictitious payee and en- dorsed in the name of such fictitious payee; (2) 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 impersonat- ing another and made or drawn payable to the one so impersonated and endorsed by anyone other than the one so impersonated; and (3) Any payroll check, payroll draft or payroll order made or drawn by the Insured, payable to bearer as well as to a named payee and endorsed by anyone other than the named payee without au- thority from such payee; whether or not any endorsement mentioned in (1), (2) or (3) is 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 sustained by any bank aforesaid, Loss under this Insuring Agreement, whether sustained by the In- sured or such bank, shall be paid directly to the In- sured 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 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, If the Insured or such bank shall refuse to pay any of the aforegoing instruments made or drawn as herein before 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 enforce 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 Insured 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 Insuring Agreement. B. GENERAL AGREEMENTS 1. Consolidation - Merger-If, through con- solidation or merger with, or purchase of assets of, some other concern, any persons shall be- come employees or if the Insured shall thereby acquire the use and control of any additional premises, the insurance afford~d by this form shall also apply as respects such employees and Page 1 of 7 e 'fravele'rs COMBI'~ATION CRIME FORM (Section V) CR 4 premises, provided the Insured shall give the Company written notice thereof within 30 days thereafter and shall pay the Company an addi- tional premium computed pro rata from the date of such consolidation, merger or purchase to the end of the current policy period. . 2. Joint Insured -If more than one Insured is covered under this form, the Insured. first named shall act for itself and for every other Insured for all purposes of this form. Knowledge possessed or discovery made by any Insured or by any part- ner or officer thereof shall, for the purpose of Conditions 7 and 8 of this form, constitute knowl- edge possessed or discovery made by every In- sured. Cancellation of the insurance hereuhder as respects any employee as provided in Conditon 7 of this form shall apply to every Insured. If, prior to the cancellation or termination of this form, this form 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 termination. Payment by the Company to the Insured first named of any loss under this form shall fully re- lease the Company on account of such loss. If the Insured first named ceases for any reason to be covered under this form, then the Insured next named shall thereafter be considered as the In- sured)irst named for all purposes of this form. 3. Loss Under Prior Insurance a. This form applies to loss which would have been recoverable by the Insured (or any pred- ecessor in interest) under prior insurance ex- cept for the fact that the time within which to discover loss under such prior insurance had ex~ired, provided that: ( 1) There is no lapse between the time this form becomes effective and the time of cancellation or expiration of such prior in- surance; and (2) Such loss would have been covered by this form had it been in effect when the acts or events causing such loss were committed or occurred. b. The insurance under this General Agreement is part of and not in addition to the amount of insurance afforded by this form and shall not exceed in amount the lesser of: ( 1) The limit of liability applicable to such loss under this form as of its effective date, or (2) The amount recoverable under such prior insurance had it continued in effect. CONDITIONS-The foregoing Insuring Agreements and General Agreements are subject to the following conditions: 1. Policy Period, Territory, Discovery- Loss is covered under this form only if discovered not 4 I later than one year from the end of the policy period. Subject to General Agreement 3: a. This form, except under the Employee Dishonesty and Depositors Forgery Insuring Agreements 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 Zone or Canada; b. The Employee Dishonesty Insuring Agreement applies only to loss sustained by the Insured through fraudulent or dishonest acts commit- ted during the policy period 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. The Depositors Forgery Insuring Agreement applies only to loss sustained during the policy period. d. If this Policy or Section V of this Policy is canceled in accordance with the "Cancella- tion" provision of the COMMON PROVISIONS or if any Insuring Agreement of Section V is terminated or deleted by endorsement, the ef- fective date of such cancellation, termination or deletion shall, as respects Section V or such Insuring Agreement, whichever is affected, be- come the end of the policy period. 2. Exclusions-Except as may be specifically stated to the contrary in this form or in any en- dorsement applicable to it, this form does not in- sure against: a. Loss due to any fraudulent, dishonest or criminal act by any Insured or partner therein, whether acting alone or in collusion with others; b. Under the Employee Dishonesty Insuring Agreement, loss, or 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 inventory computation or a profit and loss computation. c. Under the Loss Inside the Premises and the Loss Outside the Premises Insuring Agree- ments, loss due to any fraudulent, dishonest or criminal act by an employee, director, trustee or authorized representative of any Insured, while working or otherwise and whether acting alone or in collusion with others; provided, this exclusion does not apply to safe burglary or robbery or attempt thereat; d. 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 the Loss Inside the Premises and the Loss Outside the Premises Insuring Agree- ments, loss: Page 2 of 7 The Travelers I COMBINATION CRIME FORM I (Section V) - CR."4 ' '..:', ( 1) due to the giVing or surrendering of money or securities in any exchange or purchase; (2) due to accounting or arithmetical errors or omissions; or (3) of manuscripts, books of account or records; f. Under the Loss Inside the Premises Insuring Agreement, loss of money contained in coin operated amusement devices or vending ma- chines, unless the amount of money depos- ited within the device or machine is recorded by a continuous recording instrument therein; g. Under the Loss Outside the Premises Insuring Agreement, 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 Insured under: (1) the Insured's contract with said armored motor vehicle company; (2) insurance carried by said armored motor vehicle company for the benefit of users of its service; and (3) all other insurance and indemnity in force in whatsoever form carried by or for the benefit of users of said armored motor vehicle company's service; and then this form shall cover only such excess; h. Under the Loss Inside the Premises and the Loss Outside the Premises Insuring Agree- ments, loss due to nuclear reaction, nuclear radiation or radioactive contamination, or any act or condition incident to any of the foregoing; i. Under the Loss Inside the Premises Insuring Agreement, loss, other than to money, secur- ities, 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 in- sured against. j. 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 in any ca- pacity by the Insured; provided, however, these exclusions do not apply; (a) To the Employee Dishonesty Insuring Agreement, if coverage is afforded there- under, or (b) Under the Loss Outside the Premises Insuring Agreement,. if coverage is af- forded thereunder, to loss of money, se- curities or other property while being conveyed by a messenger when there was no knowledge by the Insured of any CR 4 such threat at the time the conveyance was initiated. k. Loss which is the indirect or consequential result of direct loss covered by this form, in- cluding but not limited to: (1) failure to realize anticipated earnings or other income; (2) damages for which the Insured is legally liable, except direct compensatory dam- ages arising from a loss covered by this form; and (3) expenses incurred by the Insured in establishing the existence of or amount of loss recoverable under this form. I. The defense of any legal proceeding brought against the Insured or to expenses incurred by the Insured in prosecuting or defending any legal proceeding. 3. Definitions a. "BANKING PREMISES" means the interior of that portion of any building which is occupied by a banking institution in conducting its business. b. "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. c. "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 policy period and whom the Insured compensates by salary, wages or commis- sions 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 the Em- ployee Dishonesty Insuring Agreement, the above words "while in the regular service of the Insured" shall include the first 30 days thereafter; subject, however to Condition 7 of this form and the Cancellation Provision of the COMMON PROVISIONS. d. "MESSENGER" means the Insured or 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. e. "MONEY" means currency, coins, bank notes and bullion; and travelers checks, register checks and money orders held for sale to the public. Page 3 of 7 . ",,-} The Travelers I fOMBINATION CRIME FORM . (Section V) f. "PAYROLL FUNDS" means money and securities intended solely for the payroll of the Insured. g. "PREMISES" means the interior of that portion of any building which is occupied by the Insured in conducting its business. h. "ROBBERY" means the taking of insured property: ( 1 ) By violence inflicted upon a messenger or a custodian; (2) By putting a messenger or a custodian 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 uncon- scious; or (5) Under the Loss Inside the Premises Insuring Agreement: (a) from within the premises by means of compelling a messenger or cus- todian by violence or threat of vio- lence while outside 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 business by a person who has broken the glass thereof from outside the premises. i. "SAFE BURGLARY" means: (1) The felonious abstraction of insured property from within a vault or safe, the door of which is equipped with a combi- nation lock, located within the premises by a person making 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, ex- plosives, 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 or such vault or such safe, and any vault containing the safe through which entry is made, if not made through such doors; or CR 4 CR 4 (2) the felonious abstraction of such safe from within the premises. j. "SECURITIES" means all negotiable and non-negotiable instruments or contracts rep- resenting either money or other property and includes revenue and other stamps in current use, tokens and tickets, but does not include money. 4. Loss Caused by Unidentifiable Employees-If a loss is alleged to have been caused by the fraud or dishonesty of anyone or more of the employ- ees and the Insured shall be unable to designate the specific employee or employees causing such loss, the Insured shall nevertheless have the benefit of the Employee Dishonesty Insuring Agreement, subject to Condition 2.b. of this form, provided that the evidence submitted reasonably proves that the loss was in fact due to the fraud or dishonesty of one or more of the said employ- ees, and provided, further, that the aggregate lia- bility of the Company for any such loss shall not exceed the limit of liability applicable to the Em- ployee Dishonesty Insuring Agreement. 5. Ownership of Property; Interests Covered- The insured property may be owned by the In- sured, or held by the Insured in any capacity whether or not the Insured is liable for the loss thereof, or may be property as respects which the Insured is legally liable; provided, the Loss Inside the Premises, the Loss Outside the Prem- ises and the Money Orders and Counterfeit Paper Currency Insuring Agreements 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 included in the In- sured's proof of loss, in which event the third paragraph of Condition 8 of this form is applica- ble to them. 6. Books and Records-The Insured shall keep records of all insured property in such manner that the Company can verify therefrom the amount of loss. 7. Cancellation as to Any Employee-The Employee Dishonesty Insuring Agreement shall be deemed canceled as to any employee: a. From the time that the Insured or any partner, officer or director thereof not in collusion with such employee has knowledge or information that such employee has committed any fraudulent or dishonest act in the service of the Insured or otherwise, whether such act is committed before or after the date of employ- ment by the Insured; b. As of 12:01 A. M., standard time at the address shown in the General Declarations, on the date the Employee Dishonesty Insuring Agreement of this form became effective if such employee was previously canceled from any prior bond or policy of fidelity insurance Page 4 of 7 . The Travelers I COMBINATION CRIME FORM I (Section V) . ~ ~ . issued to the Insured or any predecessor in interest of the Insured unless such employee was reinstated under such prior insurance or the Company agrees in writing to include such employee under the coverage of the Em- ployee Dishonesty Insuring Agreement of this form; or c. As of 12:01 A.M., standard time at the address shown in the General Declarations, on the date specified in written notice mailed or otherwise delivered to the Insured at such ad- dress, such date to be not less than 15 days after the date of mailing or delivery. 8. Duties of the Insured in the Event of Loss a. Upon knowledge or discovery of loss or of an ocCurrence which may give rise to a claim for loss, the Insured shall: (1) Give notice thereof as soon as practicable to the Company or any of its authorized agents and except under the Employee Dishonesty and the Depositors Forgery Insuring Agreement, also to the police if the loss is due to a violation of law; and (2) File detailed proof of loss, duly sworn to, with the Company within four months af- ter the discovery of loss. b. Proof of loss under the Depositors Forgery Insuring Agreement shall include the instru- ment which is the basis of claim for such loss, or if it shall be impossible to file such instru- ment, the affidavit of the Insured or the In- sured's bank of deposit setting forth the amount and cause of loss shall be accepted in lieu thereof. c. Upon the Company's request, the Insured shall submit to examination 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 Company shall desig- nate, and shall cooperate with the Company in all matters pertaining to loss or claims with re- spect thereto. 9. Valuation, Payment, Replacement-In no event shall the Company be liable as respects se- curities 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 actual 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. CR 4 CR'4 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 elec- tion, pay such actual cash value, or make such repairs or replacements. If the Company and the Insured cannot agree upon such cash' value or such cost of repairs or replacements, such cash value or such cost shall be determined by arbitration. 10. Recoveries-If the Insured shall sustain any loss covered by this form which exceeds the applica- ble limit of liability hereunder plus any applicable deductible amount, the Insured shall be entitled to all recoveries made after payment by the Com- pany of loss covered by this form (except from suretyship, insurance, reinsurance, security or in- demnity taken by or for the benefit of the Com- pany) by whomsoever made, less the actual cost of effecting such recoveries until reimbursed for such excess loss: and any remainder, or, if there be no such excess loss, any such recoveries shall be applied first .to the reimbursement of the Com~ pany and thereafter to the reimbursement of the Insured for that part of such loss within such de- ductible amount, if any. 11. Limits of Liability a. Separate Limits Option - Payment of loss under the Employee Dishonesty or Depositors Forgery Insuring Agreements shall not reduce the Company's liability for other losses under the applicable insuring agreement whenever sustained. TheCompany's total liability: (1) Under the Employee Dishonesty Insuring Agreement (per loss baSis) for all loss caused by any employee or in which such employee is concerned or implicated; (2) Under the Employee Dishonesty Insuring Agreement (per employee basis) as to each employee; or (3) Under the Depositors Forgery Insuring Agreement for all loss by forgery or alter- ation cOmmitted by any person or in which such person is concerned or impli- cated, whether such forgery or alteration involves one or more instruments; is limited to the applicable limit of liability specified in the declarations. 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 Page 5 of 7 Tii'e'Tra~lers ~ I CO~r'- INATION CRIME FORM (Section V) such loss been sustained by anyone of the Insured. Except under the Employee Dishonesty and Depositors Forgery Insuring Agreements, the applicable limit of liability stated in the decla- rations is the total limit of the Company's lia- bility 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 or 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 form shall continue in force and the number of pre- miums which shall be payable or paid, the limit of the Company's liability as specified in the declarations shall not be cumulative from year to year or period to period. b. Single Limit Option-Payment of loss under this form shall not reduce the liability of the Company under this form for other losses; pro- vided, however, that the total liability of the Company under this form on account of: (1) All loss incidental to an actual or attempted fraudulent, dishonest or crimi- nal act or series of related acts, whether committed by one or more persons, at the premises in which no employee is concerned or implicated or in which there is no forgery or alteration of an instru- ment covered under the Depositors For- gery Insuring Agreement; or (2) All loss, other than as specified in (a) preceding, caused by acts or omissions of any person (whether one of the em- ployees or not) or acts or omissions in which such person is concerned or implicated; is limited to the limit of liability stated in the declarations. The liability of the Company for loss sustained by any or all of the Insured shall not exceed the amount for which the Com- pany would be liable had all such loss been sustained by anyone of the Insured. Regard- less of the number of years this form shall con- tinue in force and the number of premiums which shall be payable or paid, the Com- pany's total limit of liability shall not be cumu- lative from year to year or period to period. 12. Limits of Liability Under This Form and Prior Insurance- This provision shall apply only to the Employee Dishonesty and Depositors Forgery In- suring Agreements. 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 pro- vided in Condition 4 of this form and which occurs CR4 CR 4 partly during the period of this insurance and partly during the period of other bonds or policies issued by any of The Travelers Insurance Compa- nies to the Insured or to any predecessor in inter- est of the Insurvd and terminated or canceled or allowed to expire and in which the period for dis- covery has not expired at the time any such loss thereunder is discovered, the total liability of the Travelers Insurance Companies under this form and under such other bonds or policies shall not exceed, in the aggregate, the amount carried un- der this form 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. '. 13. Other Insurance a. If there is available to the Insured any other insurance or indemnity covering any loss by the Employee Dishonesty or Depositors For- gery Insurance Agreements, 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 in- surance or indemnity, except, as respects the Separate Limits Option, if such other insur- ance or indemnity is a bond or policy of fidelity insurance: ( 1 ) Any loss covered under both such fidelity insurance and the Depositors Forgery In- suring Agreement shall first be paid under the Depositors Forgery Insuring Agree- ment; and (2) Any loss covered under both the Employee Dishonesty and the Depositors Forgery Insuring Agreements shall first be paid under the Depositors Forgery Insur- ing Agreement and the excess, if any, shall be paid under the Employee Dishon- esty Insuring Agreement. The Company waives any right of contribution which it may have against any forgery insurance carried by any depository bank which is indemnified under the Depositors Forgery Insuring Agreement. b. 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 policy shall apply only as excess insurance over such other insurance; provided, the insurance shall not apply: (1) to property which is separately described and enumerated and specifically insured in whole or in part by any other insur- ance; or (2) To property otherwise insured unless such property is owned by the Insured. 14. Loss Deductible a. Employee Dishonesty Insuring Agreement- The Company shall not be lia- ble on account of any loss through acts or Page 6 of 7 .' . f The Travelers t COMBINATION CRIME FORMI (Section V) CR 4 ~ . defaults committed at any time whether before or after the effective date of any appli- cable deductible amount by any of the em- ployees acting alone or in collusion with others, except for the amount of such loss, after deducting the net amount of all reim- bursement and recovery, including any cash deposit taken by the Insured, obtained or made by the Insured, other than from any bond or policy of insurance issued by a surety or insurance company and covering such loss, or by the Company on account thereof prior to payment by the Company of such loss in excess of the deductible amount stated in the declarations. If the limit of liability stated in the declarations applies per employee, and more than one employee is concerned or impli- cated in such loss, the deductible shall apply to each employee so concerned or implicated. b. Depositors Forgery Insuring Agreement- The Company shall not be liable on account of any loss through forgery or alteration commit- ted by any person or in which such person is concerned or implicated, whether such for- gery or alteration involves one or more instru- ments, except for the amount in excess of the deductible amount stated in the declarations. c. All Other Insuring Agreements-The Company shall not be liable on account of any loss, except for the amount in excess of the deductible amount stated in the applicable declarations for such Insuring Agreement. 15. Legal Action Against The Company-No action shall lie against the Company unless, as a condition precedent thereto, there shall have been full compliance with all the terms of this pol- icy, nor until 90 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 discovers the loss. If any limitation of time for notice of loss or any legal CR 4 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 supercede the time limitation herein stated. 16. Damage - Loss, except under the Employee Dishonesty and Depositors Forgery Insuring Agreement, includes damage. 17. Changes-Changes effected by any -'en- dorsement made part of this form shall apply: a. Except under Insuring Agreement V, as to loss through acts committed or events occurring after the effective date of such change; or b. Under Insuring Agreement V, as to loss sustained after the effective date of such change and also, c. If any Limit of Liability is decreased or coverage restricted or narrowed, as to loss through acts committed or events occurring or sustained before the effective date of such change and discovered after the expiration of one year from the effective date of such change for all Insuring Agreements other than Insuring Agreement 18 and IC, if applicable and three years from the effective date of such change for Insuring Agreements 18 and Ie. As respects changes in the Limits of Liability, no amount applicable to any Insuring Agreement during any period shall be cumulative with the amount or amounts applicable to such Insuring Agreement during any other period or periods re- gardless of the number of changes made. 18. Declarations, Endorsements and Common Provisions- This form is subject to any declara- tions, endorsements or common provisions indi- cated as applicable to it. Page 7 of 7