SERVICE INDUSTRIES PACKAGE POLICY
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I N" 4N~' qcHP4NY Of NVR TH 4H~~ J\'i!r iDO';~ ''tI'\lSul
INDUSTRIES P4CKAGE POLICY _-----n--~ --- ~___n_____-,-___
PRODUCER 109'11 COMMl
I 'OE AND ASSOCI~TES
PO 80X 13lt8
fl3351S1 T4"P4 fl 33601
r4MPA
l DfCLA~ATIONS - SH:VICE
!i6MJD.lNSURED
! CLEARW4TEFt GOlf PARK,
1181' AIRPORT ROAD
I ClURW4tER
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GENERAL SEfW1CES
THf NAMED INSU~ED IS# CORPOPATICN
pOLtey peRICO
WHeN CnVIPAGE BEGINS I 04/01/8'
WHEN COVf~AC€ ENOS s 04/01/86
PAYMENT PLAN : MO~THLY
PREMIUM
TotAL
9,812
$9,812
pp StH UM
.~.....-.-............,.-----
-....-....-....
PAYA8lE MONTHLY
O INSURANC IN 11 PAYMENTS OF
. " E CONTR'''CT 4NO 1 f lNAL "PAYMENl OF
HARGED IN THIS POLICY IS M ". - THE RAil TOTAL PReM(U~ DUE wHEN
PON USE OF A Co." IN BASED COVERACE BEGINS
IT SURANCE CLAU
F ATHCHED HERETO, WITH THE CONSEN' SEI P~fMIUMS DUE wtTH f(EPOPTS \]P
E ASSURED. ." , FItOH AUDITS ARE Nell lNClUOEO
ABOVE PREMIUM
iSle
Slit
$-818
RESULTING
IN THE
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CeVERAGES AND COVfP.AGE liMITS
SECTION t I P~OPE_TY
SECTION It : llA81llTY
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INFORMATION ABOUT youfl, PROPEATY
COVER4GE ts SHOWN BELOW AND ON
THE FOLLOWING PAGES.
BODilY t~JU~Y. PE~SON.l [NJURY
PAOPEPTY DAMAGE
$1.000.000 EACH OCCURFE~CE
$1,000.000 ACGRECATE
MEDICAL COVER,AGE
$1.000 EACH PERSGN
$1,000,000 EACH _C(TDENT
AND
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leave_ED lOCATION
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__d.L'U.._....t>.-...;_ ..... Ll ----LI.~..J...
LIst DF COVEMeo leCATIONS
DESCRIPTION O~ ADDRESS
b.. .... __...._ __.......d_~_... J
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1815 AIRPO~T ROAD. CleARWATe~. Fl
SAME lCCATtDN- STa~AGE BUILDiNG '1
SAME lOCATtC~- stO~AGf BUILDING '2
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COPIES OF THIS DOCUMENT HAVE BEEN SENT TO:
"RODUCER SIO L.----'f(p
YOu;-p~ope~Ty-COvip.Aces A~C ccve~~Ge'ltMtrs--------------------
((ONTINUeo ON NEXT PAGEl
$ilAGE
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...__w .-l~AHY Of NOInHAM~--==1--)vpiroo't~lIC{i-on
- DE.t.lM4TIPNS~c'SE~VICE INDUSTRIES PACKAGE POLICY _ --=---- .J ---' ----,<-
~~6."0I[)IN5URED
CLEARWATER GOLf PAR~. INC.
1875 AIRPORT ROAD
Cl~ARWATEft
COVERED
LOCATION
NUMBER A.REAL PROPERTY
a.PERSONAL PROPERTY (.LOSS Of INCOME
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SEPV1C( OfFICEl TAMPA
----..- ....-....-------------
-----..........................-----
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1-1 $135.000
2-1 $39.000
]-1 $2~.OOO
$1.5.00e
NOT COVEREtl
NOT COVERED
NOT COVERED
NOT CQVEPEO
NOT COVEPEO
$5.000
$5.000
$ 5.000
E. PERSONAl PROPERTY OfF YOUR paEMISES
--_---._....--....-.---------....---~......._-....,..,.....................-
CeVERAGE LIMIT
S10,OOO
SPECIAlDEOUCTt8lE $100
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OPTIONAL PROPEPTV COVERAGES
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OPTION 1 - SUPPlEMENTARV VALUABlE PA'ERS AND RECOROS i
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ALL LOCATIONS ARE COVERED UNDER EXTENSION 4 ONLY I
--~~~--~~----~---~~~~---~~-~~--------~~~~ Y~~~--~~~-----~-----~~~~1
OPTION 2 - SUPPLEMENTARY .CCQUNTS RECEIVABLE
ALL LOCATIONS ARE COVERED UNOE~ EXTENSION 6 ONLY
~~---~~~~----~~~~---~-~~~~~----------~~~---------------------------~
i OPTICH 3 - MONEY AND sec~ ITIES i
1-1 $1.000 eN PREMIses
1-1 $1,000 OFF PREMISES
THIS CPT tONAL COVERAGE DOES NOT APPlV TO ANY OTHER LOCATION
$0
$0
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COV. LOC. NUMBER COVERAGE LkMIT
SPECIAL OEDUCltBLE
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OPT! ON it - peRSOHAl PROPERTY - 'fUME
COV. LOC. NUMBER COVEItAGE LIMIT
lEVEL OF PROTEtTtO~
SPECIAL OEDUCTI8LE
--..-.......-.........-......-.-.-........ ---~~-......-
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1-1
THEFT IS INCLUDED UNDER CO"p~eHENstve PROTECTION
THIS OPTIONAL COVE~AGE Does NOT APPLY TO ANY OTHe~ LOCATION
- ~
LEVELS OF PRCPERTY PROTECTION
COVEREO LOCATION
NUM8~
-... ........
-...-.---"
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COVE' AGE
lEVEL CF p~OTeCTtoN
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ALL
A,e.e
COMP~EHENStve
lun~~~___________ (CONT INUEO ON NE XT PAGE)
COPlfS OF THIS DOClIlvlENT HAVE BEE'" Sf NT TO:
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r NSUltEO L_______________
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1NSJrANCe COMPANY OF NORTH A"E41CA
INDUSTRIes PACKAGE POLICY
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'j)EC-LAR~tlCNS - SERVICE
.~~M E lLLN.:o'LLE l [) __
I CLeAAw'TE~ GOt.F PARK.
i 1815 AIRPORT ReAO
I CLEARWATER
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. Fl335U I
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S~VICE OfFICe= TAMPA
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COINSURANCE AG~EeMENT
COVERED LOCATION
NUMBER
COVERAGE
COINSU~ANce pe~CENTAGE
----~-~~~-~~---
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ALL
i oeCUCT teLE
CCVEPED LOCATION
NUMBER
A,e
80
AMOUNl
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ALL
S100
______........ A4
REPLACEMENT COST
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PERSONAL PIOPERTY WILL BE VALUEO USING THE REPLACEMENT COST METHOD AT THE
FOLLOWING lOCATIONS:
COY. lOC.
NU M8fR
......--......--.........
ALL
__ ...._...." "'lW _-.4-..........._ .......~
cOMP~eHENSlve CRIME ENDORSEMeNT
COVERAGE
-- ..,
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SPECIAL OEOUCTt8L~
------------~---l
$0 I
$0 !
COVep.AGE LUHT
_..-...----
--........--................-...-
COM~ERCIAL BLANKET
BL ANKET HONESTY
FORGE~Y
COUNTERfEIT CURRENCY ANO MONEV ORaERS
PRIOR BONO HUMBER.: NEW
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COVERAGE LIMIT
$10,000
NOT COVERED
$1,000
Sl,OOO
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SPECIAL DEDUCTIBLE
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$110,300
AS PEP SCHEDULE ON FIle WITH COMPANY.
$250
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:ADOt1'IONAL INSURED ENDORSEMENT (lIAS)
COV. toe.
NU"Be~ ADDITIONAL INSURED
1 CITY Of CLEARWATER, FLORIDA
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U(K-7204 _ (CONTINUED ON NEXT PAGE)
COPI[') Of THIS DOCUMENT HAVE BEEN SENT TO:
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TAS
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" . INSfNKE CQtJ'ANY Of NORTH A"~tCA
I OEClA~ATtONS - sr;:p.VICe INOUS1'UES PACKAGE POLICY
NAMED1NSURED ...
ClEAflWATEtt Galf PA~K. INC.
1815 AtRPOAT ROAD
I ClEAItWA1E~ Fl ])515
l
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L lAB III TV COVERAGE OEDUCT! It.E INfl1l
COVERAGE
81/PI llABILITV
PO llA81llTY
I NON=OWNED i""RENTED AUToMOiitrtlAB ENOt"'
........ .-...,............
seMVlce OfFlcel TAMPA
...Ai -..:I.... "1",'-'l!..J H TP'
~ ~ IIllV.. __ ........_.__.__.
lMOUNT AND BASIS Of Or:OUCTtBLE
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E ~CH nee Uft
$100 EACH OCCUR
Mld_Ito...d1 Ill..... .........._..~.........--A>. ....--- "I
cov.. LOC.
NUMseR CtlVERAGf COYE~AGe LIMIT
ALL BOOllY INJURY/PRo,t_TY DAMAGE $1.000.000 eACH OCtUR~ENCF.
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FORMS AND eNDORSEMENTS
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KK-5l18A
KK-5L21
Kt(-Sl68
f(K-5l31
I<K-5L7~
KtI;-5l'8
KK-6l00
1<1(-6LOO
KK-6L12
KK-6LOO
$VP POLICY BOOKLET
GENEPAl SERVICES SPECIAL CONDITIONS
II ABll tTY COVefUU1E DEOutTI8lE ENOl
ADDITIONAL tNSUFlEO EflfOOIlSf:MENT (Lll8)
NON-OWNEO ( RENTED AU10M081lE LIA8 eNOT
COMPREHENSIVF. CFIME EHOORSEMENT
MORTGAGEE
HOST LIQUOR liABILITY
SPECIAL P~OPE'lV FlCATE- ENOORSEMENT
GENERAL ENDO_SEMEHl
COUNTERS IGltEgA~~~-~~,(#AUTHORlZED All
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LIABILITY COVERAGE DEDUCJBLE
ENDORSEMENT -
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Name of person or organization insured
Date this endorsement takes effect
Endorsement Number
Policy Number
Policy Period
Name of company issuing this endorsement
(We will not fill in the above unless we issue this endorsement after we issue your policy.)
The Liability Coverage Deductible shown in the Declarations applies to YOUR LIABILITY COVERAGE. This deductible will be
shown as applying either on an each occurrence basis or an each claim basis. If the each occurrence deductible applies, it will
be subtracted once from the total of all damages that arise out of anyone occurrence. If the each claim deductible applies, it
will be subtracted separately from every claim that is brought by anyone person or organization as a result of anyone
occurrence,
We may pay all or part of the deductible in order to settle a claim or suit. If we notify you that we have done so, you agree to
reimburse us for any part of the deductible we have paid.
Your responsibilities in the event of a claim or suit are not changed because a deductible applies. This is also true of our
responsibilities and rights in defending suits.
A division of Insurance Company of North America, a CIGNA company
KK-5L68 16/821 Ptd. in U.S.A.
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thorized Agent //
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ADDITIONAL INSURED
ENDORSEMENT (Liability- Leased Premises)
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Name of person or organization insured
Date this endorsement takes effect
Endorsement Number
Policy Number
Policy Period
Name of company issuing this endorsement
(We will not fill in the above unless we issue this endorsement after we issue your policy.)
Any person or organization shown as an "Additional Insured " in the Declarations is added to the WHO IS COVERED section
of YOUR LIABILITY COVERAGE. However, that person or organization is covered only against liability that arises out of the
ownership, maintenance or use of premises that are leased to the named insured and listed and described in the Declarations.
And we won't cover that person or organization against liability:
. that arises out of an occurrence that takes place when the named insured is no longer a tenant of the described
premises;
. that arises out of construction, structural alteration or demolition activities performed by, or on behalf of, the person
or organization; or
· that is assumed under a contract or agreement.
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KK-5L31 Ptd. in U.S.A. 16/821
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NON-OWNED AND RENTED AloMOBILE LIABILITY
ENDORSEMENT
Name of person or organization insured
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Date this endorsement takes effect
Policy number
Name of company issuing this endorsement
(We will not fill in the above unless we issue this endorsement after we issue your policy.)
This endorsement modifies the paragraph of your policy
entitled AUTOMOBILES under LIABILITY CLAIMS WE
WON'T COVER. Under this endorsement, we will pay
claims for damages that are your legal responsibility to
pay for bodily injury or property damage arising out of the
use of non-owned automobiles and rented automobiles in
your business.
A "non-owned automobile" is one that isn't:
. owned, or registered in your name; or
. owned by, or registered in the name of one of
your partners if your organization is a
partnership.
A "rented automobile" is one you don't own, when it is
lent to you or used under contract on your behalf.
However, such an automobile will not be covered if it is
owned by or registered in the name of any of your
partners or executive officers.
Who Is Covered By This Endorsement
In addition to you, we will cover the following:
. your partners and executive officers, when they
are using a non-owned or rented automobile in
the conduct of your business. However, they are
not covered against damages arising out of the
use of automobiles owned by them or by
members of their households; and
. any other person or organization that is legally
responsible for your acts or those of your
partners or executive officers.
Rented automobiles only. We will cover anyone who is
using a rented automobile with your permission. However,
he or she must use it only for purposes covered by your
permission. And if bodily injury or property damage arises
out of the loading or unloading of the automobile, we will
cover the user only if he or she is:
. a lessee or borrower of the automobile; or
. an employee of yours, or of such a lessee or
borrower.
KK-5L73 (6/82)
We will also cover a person or organization that is legally
responsible for the acts of someone using a rented
automobile.
Those Who are Not Covered
We will not cover any of the following:
. the owner of any automobile or any agent or
employee of an owner;
. a person who is employed by, or working in, an
automobile business unless you operate that
business. An "automobile business" is a
business that sells, repairs, services, stores or
parks automobiles; or
. an employee of any person who injures a fellow
employee while performing his or her job.
Claims We Won't Cover
We won't protect against claims that result from any of
the losses or causes of loss described in this section,
Bodily injury to employees. We won't protect against
claims that arise from bodily injury your employees suffer
on the job. However, we will cover bodily injury your
domestic employees suffer on the job unless they are
entitled to benefits for such injury under a workers'
compensation law.
Your obligation under law. We won't protect against
claims for which you may be held liable under a workers'
compensation law, a disability benefits law, or any similar
law.
Pollutants and contaminants. We won't protect against
claims for contamination or pollution of the land,
atmosphere, or any body of water, or any bodily injury or
property damage resulting from the discharge, dispersal,
release or escape of smoke, vapors, soot, fumes, acids,
alkalis, toxic chemicals, liquids or gases, waste materials,
or any other irritants, pollutants or contaminants.
However, we will pay claims based on a sudden and
accidental discharge or release of pollutants
contaminants or irritants.
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COVERAGE AGAINST CRIME LOSSES
ENDORSEMENT
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Name of person or organization insured
Date this endorsement takes effect
Policy number
Name of company issuing this endorsement
(We will not fill in the above unless we issue this endorsement after we issue your policy.)
By paying an additional premium, you can secure
coverage for your business against certain crime losses,
The kinds of losses we will cover include:
. loss resulting from employee dishonesty;
. loss resulting from forgery; and
. loss resulting from acceptance of counterfeit
currency or uncollectible money orders.
You may purchase one or more of the coverages in this
endorsement. The Declarations show which of the crime
coverages you have purchased and the corresponding
coverage limits.
EMPLOYEE DISHONESTY
If you purchase this coverage, we will cover losses of
money. securities and other property resulting directly
from dishonest acts committed during the endorsement
period by any of your employees.
"Dishonest Acts" means only activities with the obvious
intent to:
. cause you a financial loss; and
. obtain a financial gain for the employee or
someone else the employee wants to benefit.
Financial gain does not include salaries, commissions,
bonuses, promotions, awards, profit sharing or other
employee benefits earned in the normal course of
employment.
This coverage will apply whether an employee acts alone
or together with others.
This coverage applies only to dishonest acts committed
by an employee who is working on a regular basis. For
purposes of this coverage, an employee will be
considered to be working for you for 30 days after his or
her employment actually ends.
Directors or trustees of your corporation who are not also
officers or employees are not considered to be
employees, and we do not provide coverage for
dishonest acts that they commit.
KK-5L98 (6/82)
Prior Dishonest Acts Not Covered, We will not cover
you against dishonest acts committed by any employee
of yours or your predecessor in interest if employee
dishonesty insurance for the employee under any prior
policy was cancelled by the insurer and not reinstated.
This is so whether we or another insurance company
issued the prior policy. However, we may agree with you
separately in writing to extend coverage to such
employees.
Kinds of Coverage
We offer two different Employee Dishonesty coverages
as described below. You may select the one that best
suits the needs of your business.
Commercial Blanket (Limit For Dishonest Acts). Under
this coverage, the Declarations show a limit for dishonest
acts. This limit is the most we will pay for losses resulting
from one or more dishonest acts committed by an
employee acting alone or with others.
Blanket Honesty (Limit Per Employee Coverage).
Under this coverage, the Declarations show a coverage
limit per employee, This limit is the most we will pay for
losses resulting from the dishonest acts of one employee,
However, if two or more of your employees act together
to commit dishonest acts, we will not pay the limit per
employee multiplied by the number of employees
involved. We impose additional limits as follows.
Limit for two employees acting together. If the limit per
employee is more than $250,000, we will pay for losses
up to the limit. If the limit per employee is $250,000 or
less, we will pay twice the limit, up to a maximum of
$250,000.
Limit for more than two employees acting together. If the
limit per employee is more than $500,000, we will pay for
losses up to the limit. If the limit per employee is
$500,000 or less, we will pay the limit per employee
multiplied by the number of employees involved, up to a
maximum of $500,000.
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Unidentified Employee
If you can reasonably establish that a loss was caused by
the dishonest acts of your employees, even if you cannot
identify those responsible, we will cover the loss. The
coverage limit for the kind of Employee Dishonesty
coverage you purchased will apply.
Property of Others
The Employee Dishonesty coverage extends to property
of others that you hold in any capacity, or for which you
are legally liable.
Termination of Coverage for Certain Employees
If you or any partner or officer of your business, who is
not acting together with an employee to commit
dishonest acts, learns that an employee has committed
any dishonest act, coverage under this insurance ends
immediately for that employee's future dishonest acts.
This is so no matter when the dishonest act occurred.
Cancellation of an Employee
In addition, we can cancel coverage for any employee by
giving you 30 days written notice of our intention to do
so. Coverage will end at 12:01 A.M" standard time, on
the date specified in the notice.
FORGERY
We will cover losses resulting from the forgery or
alteration of a check, draft, promissory note, bill of
exchange or other written promise or order to pay a sum
of money. We will cover your losses if:
. the instrument is drawn by or upon your
business;
. the instrument is drawn by someone acting as
your agent; or
. the instrument appears on its face to have been
drawn by or on you or your agent.
Coverage Extends to Banks
This insurance also covers any bank in which your
business maintains a checking or savings account, if you
include the bank in your proof of loss. However, you will
have priority of payment over any bank and our liability to
the bank will be part of, and not in addition to, the
coverage limit we would have paid to you if you had
sustained the loss instead of the bank. Whenever a
covered loss occurs, we will pay you rather than the
bank, unless the bank has already reimbursed you in full
for your loss.
Refusal to Pay an Instrument
If you or your bank refuse to pay a covered instrument
because you believe it to be forged or altered and
someone sues you or the bank to compel payment, you
may ask us for our written consent to defend the suit. If
we give our consent and you then defend the suit, we will
KK-5L98 (6/82)
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pay reasonable attorneys' fees, court costs or similar
legal expenses that you or the bank incur and pay. Our
payment for these expenses will be in addition to our
coverage limit under this coverage.
COUNTERFEIT CURRENCY AND MONEY ORDERS
We will cover you against any loss you suffer as a result
of your accepting counterfeit United States or Canadian
currency in the regular course of your business.
We will also provide coverage if you accept in good faith
a money order issued or apparently issued by any
governmental or private issuer if the money order is not
paid when you present it for payment. However, we will
not pay more than the value of the services, money or
merchandise you gave for the money order.
EXCLUSIONS
The following exclusions apply to all of the Crime
Coverages except as otherwise stated,
Records
We will not cover any loss if its existence or the amount
of the loss is only shown by an inventory or profit and
loss computation.
Your Illegal Acts
We won't cover losses resulting from fraudulent,
dishonest or criminal acts that you commit or that are
committed by any of your partners, whether that person is
acting alone or together with others.
Legal Proceedings
Except as specifically provided in the Forgery coverage,
we will not pay for any costs you incur in prosecuting or
defending a lawsuit.
Potential Income
We will not pay for any interest or dividends or other
income you don't receive because of a loss covered by
this endorsement.
Legal Damages
We will not pay for damages for which you are legally
liable except direct compensatory damages resulting from
a covered loss.
Amount of Loss Costs
We will not pay any costs you incur to either prove there
was a loss or the amount of any loss.
COVERAGE LIMITS
Each coverage limit in the Declarations for the Employee
Dishonesty coverages shOws the most we will pay, under
each coverage, for losses resulting from the dishonest
acts of one or more employees as explained above,
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The coverage limit shown for the Forgery coverage is the
most we will pay for forgery or alteration losses by one
person.
The coverage limit shown for the Counterfeit Currency
and Money Orders coverage is a limit for each
occurrence. And a series of related acts committed by
one or more persons or organizations counts as a single
occurrence for purposes of applying this limit.
The fact that more than one person or organization is
covered by this endorsement will not increase any of the
amounts we will pay. And the payment of any loss will
not reduce the applicable coverage limit for future losses.
SPECIAL DEDUCTIBLES
The deductible amount for each of the Crime Coverages
you have purchased is shown in the Declarations. We
subtract the applicable deductible from the amount of a
loss.
OTHER INSURANCE
This section explains what we will pay if a loss is covered
by other insurance in addition to one or more of our
Crime Coverages.
Under our coverage for Counterfeit Currency and Money
Orders, we will pay only the excess of the loss over any
other valid and collectible insurance.
Under our coverages for Employee Dishonesty and
Forger"y, we will pay only the excess of the loss over the
amount that can be recovered under any of your other
insurance policies.
If a loss is covered under our Forgery coverage and an
employee dishonesty bond or policy is issued by another
company, we will pay for the loss first, up to our
coverage limit. If a loss is covered under both our
Forgery coverage and our Employee Dishonesty
coverage, we will pay first under the Forgery coverage.
Our Employee Dishonesty coverage will pay the excess
of the loss, if any, over the Forgery coverage limit.
LOSS UNDER PRIOR BOND OR POLICY
If any of these Crime Coverages is substituted for prior
bonds or policies that you or your predecessor in interest
carried, we may extend protection to losses that occurred
while the prior insurance was in force. The circumstances
under which this will occur are described below. All of the
requirements set forth in the following paragraphsmust
be met for you to be protected under this section.
Substitution of Insurance
We will cover a prior loss if coverage under this
endorsement was substituted for the prior bond or policy,
which was terminated, cancelled or allowed to expire
when this coverage took effect. A prior loss is one that
would have been covered under the prior bond or policy
except for the fact that it wasn't discovered before the
KK-5L98 (6/82)
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end of that policy's discovery period. However, our
Forgery coverage will only cover loss that would have
been covered under prior forgery coverage and it will not
cover loss covered under prior employee dishonesty
insurance. Our Employee Dishonesty coverage will only
cover loss that would have been covered under prior
employee dishonesty coverage and it will not cover loss
covered under prior forgery insurance.
We will cover a prior loss if:
. you had coverage for that loss in the prior bond
or policy; and
. it would have been covered under this
endorsement if our coverage had been in force
at the time the loss occurred.
Our Forgery and Employee Dishonesty Coverages will
cover a prior loss only if you had continuous insurance
coverage from the date of the loss until the date you
make your claim.
What We Will Pay for Prior Losses
The most we will pay for any prior loss is the smaller of
the following:
. the amount that could have been recovered
under the prior insurance if it had stayed in force
until the loss was discovered; or
. the amount that we would have paid if this
endorsement had been in force when the loss
occurred.
If there is a loss occurring partly during the prior poliCY
period, for which the time for discovery has not expired,
and partly during the period for this insurance, what we
will pay for the prior loss is a part of, and not in addition
to, what we will pay under the applicable Crime
Coverage.
LOSS UNDER PRESENT AND FORMER INSURANCE
ISSUED BY US
This section applies only to the coverages for Forgery
and Employee Dishonesty. It applies when you or your
predecessor in interest had prior crime coverage bonds
or pOlicies issued by us and those were terminated or
cancelled, or allowed to expire.
If there is a loss occurring partly during the prior poliCY
period, for which the time for discovery has not expired,
and partly during the period for this insurance, our total
liability for that loss is limited to the larger of:
. the amount of protection under this policy; or
. the maximum amount payable under the prior
policy.
IF YOU HAVE A CRIME LOSS
This section tells you what you must do in the event of a
loss that is covered under one or more of our Crime
Page 3 of 5
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Coverages. It also sets forth certain other rules that apply
when a loss occurs.
Notice
As soon as possible after you discover a loss or become
aware of an event that could give rise to a claim for ioss,
you must notify us or one of our agents. Also, if the loss
is covered by the Counterfeit Currency and Money Orders
coverage, you must notify the police if the loss results
from a violation of law,
Proof of Loss
Within four months after the discovery of the loss, you
must file a sworn detailed proof of loss with us.
If you are making a claim under the Forgery coverage,
you must send us, with your proof of loss, the instrument
on which the claim is based, If you can not do this, we
will accept an affidavit from you or the bank on which the
instrument was drawn. The affidavit must set forth the
amount and the cause of the loss.
Investigation of Loss
If we requiTe you to, you will have to answer questions
about your claim of loss. We may require you to answer
these questions under oath.
You must also allow us to see any pertinent records that
you have. You must produce these records at any
reasonable time and place that we require.
These rules also apply to any other person or
organization whose interest in property is included in your
proof of loss.
RECOVERY AFTER PAYMENT OF LOSS
This section describes what happens if property is
recovered after we have paid you under any of the Crime
Coverages for loss of that property. However, it does not
apply to the proceeds of any insurance, re-insurance,
suretyship, security or indemnity that is taken by us or for
our benefit.
Here is how an amount that is recovered will be divided:
1. First the funds will be applied to paying the amount
of the loss that exceeded the sum of our coverage
limit plus the applicable deductible,
2. We will be entitled to any funds that remain after
step 1 until we have been reimbursed for the original
payment we made to you.
3. If any funds still remain after steps 1 and 2 have
been followed, they will go to you to pay any
deductible amount that was subtracted from the loss
before we paid you.
4. Finally, the actual cost of making the recovery will
be deducted in the same proportion that recovery
funds are divided in step 1 through 3.
KK-5L98 (6/82)
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GENERAL CONDITIONS AFFECTING CRIME
COVERAGES
The following conditions apply to all of the Crime
Coverages set forth above.
Books and Records
You must keep records in such a way that we can use
them to determine accurately the amount of any loss,
Discovery of Losses
These COVERAGES AGAINST CRIME LOSSES apply to
losses that occur while these coverages are in effect,
only if those losses are discovered not later than one
year after the end of the Crime Coverage effective period.
If any coverage is cancelled or terminated, we will cover
only those losses that are discovered within one year
after the date of cancellation or termination.
If more than one person or organization is named as the
insured in the Declarations, the discovery of a loss by any
such person or by a partner or officer of any such
organization will count as discovery by all of the named
insureds, But this will not be so under the Employee
Dishonesty Coverage if the partner or officer who knows
of a loss is engaged in the commission of the dishonest
acts involved.
Merger or Consolidation
If your business merges or consolidates with, or
purchases the assets of another organization, you may
become the employer of additional employees. We will
cover these employees if you give us written notice of the
changed circumstances within 30 days after the date of
the transaction. You must also pay an additional
premium, which will be computed pro rata from the date
of the transaction to the end of the premium period,
More Than One Insured
The following rules apply in cases where more than one
person or organization is named as the insured in the
Declarations.
Payments. If we make a payment to the insured who is
named first in the Declarations for any covered loss, we
will be fully released from our liability regarding that loss.
Cancellation. If any of these Crime Coverages is
cancelled or terminated with regard to one of the named
insureds, we will not be liable for any loss sustained by
that insured unless it is discovered within one year after
the date of cancellation or termination.
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Suits Against Us
You agree not to sue us under these Crime Coverages
unless you have complied with all of their terms. And you
can't sue us sooner than 90 days after you have filed the
required proofs of loss, or later than 2 years after your
discovery of the loss. However, the period of time for
filing notice or bringing suit may be changed by the laws
of the state in which the loss occurred. If so, those laws
will apply,
Crime Coverage Territories
The Counterfeit Currency and Money Orders coverage
applies only to losses that occur within the policy territory.
The Employee Dishonesty Coverage applies to acts that
your employees commit in the policy territory, or while
they are outside of the territory for a limited time.
The Forgery Coverage applies to acts committed, and
losses occurring, anywhere in the world.
Terms and Conditions of Your Policy
The sections of your policy entitled RECOVERY RIGHTS,
SOLE AGENT, TRANSFER OF LEGAL RIGHTS and
CHANGES apply to these Crime Coverages.
In addition, all other applicable terms and conditions of
the policy apply unless they are specifically contradicted
by provisions of this endorsement.
KK-5L98 (6/82)
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GENERAL
ENDORSEMENT
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Name of person or organization insured
Date this endorsement takes effect
Endorsement Number
Policy number Policy Period
Name of company issuing this endorsement
(We will not fill in the above unless we issue this endorsement after we issue your policy.)
~q,o. LIABILI!T
mB PBR80HAL llIJUBY AJID PROPDft DAMAGE LIABILIlf'!' COftIlAOBS APPLY
'!O PBRSODL IJfJlJlIY OIl P.IOPBBft DAJIlGB ARISI. Oft OP mE SBRVIIG OIl
GIVDIO 01' ALCOIlOLIC JJ.dd.&8D BY OR OR BP~ OP !'BE ..lIIBD Dl30UD.
PROVIDED !'BE JWID nrnu:D
(A) IS JIO'l A PBRIOW OR OIlCWllIZAIfIOJl _AOBD 1M mE BUSnmsS
OJ IWIVPACftJlDG. DI8'l'RI.\"IJlG. SBLLIJIG OR SeVIIIG ALCOHOLIC
BBVDAGBS. OR
(B) 18 JIOlf AJI 0_ OJl LBAOR 0.. PltBllIBBS ODD lOR SUCH PURPOSBB
11' LT4Bl'Llft.18 DPOSBD BY. OR BBC.lVU OJP'lHE YIOLl'1'IOB OP.
Aft ft.l!'VB. OJl'DIJIAJlCB OR RBCIULATI05 PBR'fAIlflHO TO ftI SALE.
QIft. D~IO. Off US8 01' AJI'f A1'.l:OJIOLIC BE'IBRlClB.
DAIWIBS IBCLUDES DAIIA_ POR LOSS 0.. SUPJIOJl!l JlB8VLfiIfG PROM PBUODL
DlJURJ.
KK-6LOO
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GENERAL
ENDORSEMENT
Name of person or organization insured
Date this endorsement takes effect
Policy number
Name of company issuing this endorsement
(We will not fill in the above unless we issue this endorsement after we issue your policy,)
MOR'1'G.lOWLOSS PAYEE
EXCBAHGE BANK ,. TRUST CO. 01'
CLEARWATER
P.O. BOX 4550
CLEARWATER, FL 33518
(LOSS PAYEE POR SPECIAL PROPERT! FLOATER)
KK6LOO
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SPECIAL PROPERTY FLOATER
ENDORSEMENT
Name of person or organization insured
Date this endorsement takes effect
Policy number
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Name of company IssUIng this endorsement
(We will not fill in the above unless we issue this endorsement after we issue your policy.)
Under this endorsement, we will cover the special
property described in the Declarations. The described
property will be covered anywhere in the world against
any cause of direct physical loss or damage other than
those listed under Exclusions,
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EXCLUSIONS
The following exclusions shown in the COMPREHENSIVE
PROTECTION - EXCLUSIONS section of your policy will
also apply to this endorsement:
. War
· Nuclear Activity
· Government Activity
· Neglect
· Electrical Currents
· Dishonesty
· Property Being Worked On
· Animals and Vermin
· Wear and Tear
· Mechanical Breakdown
· Inherent Vice
· Latent Defects
Glass Breakage and Surface Damage. We will not cover
breakage of glass or other fragile property, or any loss or
damage from chipping, marring or scratching, However,
we will cover:
· breakage of lenses of scientific instruments;
· breakage or damage to cameras, musical
instruments and stained glass; and
· breaking, chipping, marring or scratching caused
directly by fire, lightning, wind, explosion, aircraft,
a strike, riot and civil commotion, vandalism or
malicious mischief, flooding, earth movement,
volcanic eruption, theft or attempted theft, the
collapse of a building or other structure or an
accident to a vehicle carrying the covered
property,
KK-6L 12 (6/82)
Newly Acquired Special Property
If you acquire any additional special property of the kind
already described in the Declarations for this
endorsement we will automatically cover that property for
up to $10,000.
We will cover the additional items for up to 90 days after
you acquire them or until the policy ends, whichever is
sooner.
You agree to notify us as soon as possible of the value
of the additional items and pay an additional premium
from the date you acquire them.
Coverage Limits
Coverage limits are shown in the Declarations for each
kind of property covered by this endorsement Each limit
is the most we will pay for covered losses to that kind of
property.
If the Declarations show a coverage limit for one item,
the limit shown is agreed to be the value of the item and
the amount we will pay if the item is lost or totally
destroyed.
Special Deductible
The deductible amount that applies to this coverage is
shown in the Declarations, We subtract this deductible
from the amount of a loss,
Other Conditions
The coverage in this endorsement is separate from any
other property coverage in the policy and the
EXTENSIONS OF PROPERTY COVERAGE do not apply.
All sections of Part VIII, GENERAL CONDITIONS apply
and all sections of Part V, IN CASE OF PROPERTY
LOSS apply except:
· COVERAGE LIMIT;
. DEDUCTIBLE;
· COINSURANCE AGREEMENT;
· AGREED VALUE; and
· AUTOMATIC INFLATION ADJUSTMENT.
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GENERAL
ENDORSEMENT
Name of person or organization insured
Date this endorsement takes effect
Policy number
Name of company issuing this endorsement
(We will not fill in the above unless we issue this endorsement after we issue your policy,)
KK6LOO
SEE POLICY IN FILE