BUSINESSOWNERS POLICY RE THE COLONY LTD.
o 4 BUSINESSOWNERS POLICY ...E.CONOMY CUSTOM
I DECLARATJONS '- l"t DELUXE
In consideration of the premium, insurant. . provided the Named Insured with respect to those J Uses described below,
and with respect to those coverages for whicn a specific limit of liability is shown, except where otherwise indicated. subject
to all the terms of this policy including forms and endorsements made a part hereof, Coverage is provided by the company
designated by entry "X" before the company name.
Royal Indemnity Company Newark Insurance Company
. (A New York Stock Company) {A New Jersey Stock Company)
CO SYM,
POLICY SYMBOL & NUMBER
.
YR
13
34
. Globe Indemnity Company
. (A New York Stock Company)
'Safeguard Insurance Company
. (A Connecticut Stock Compeny)
NAMED
INSURED
AND
ADDRESS
'lhe Colorrl Ltd.
Stiff (\ TIrauer lEA:
33 !:.jorth Ft.. Hattiscn
Cle:m,1ater. Fl. 33515
PRODUCER
POLICY
PERIOD
U Partnership
Other:
X Royal Globe Insurance Company
(An illinois Stock Company)
905
EXECUTIVE OFFICE
150 WILLIAM STREET
NEW YORK. N,Y. 10038
American and Foreign Insuranc.e Company
(A New York Slock Company)
- ~ ~ --...
!he Vet;.ltt.e AgJ!!.ot:f
P.O. Dox 1560
~.an'mb.!r. Fl. 33517
"
Noon Standard Time (12:01 A.M. in California and Oregon) at the address of the
Named Insured stated above.
Individual
Corporation
DESCRIBED
PREMISES
LOCATION 1
421-25 C1e,,"'C.1and St. I Clenn-mter. Fl.
LOCA nON 2
SECTION I ...,... PROPERTY COVERAGES
Coverage A BUILDINGS
Automatic increase in insurance. Coverag~ A Building(s)shaU be auto-
matically increased by ~ at the end of each period of t,
three months after the inception date of the policy. .
Coverage B BUSINESS PERSONAL PROPERTY .
Coverage C LOSS OF INCOME - Note: This coverage is included only when policy
type "CUSTOM" or "DELUXE" is indicated(gJabove.
Coverage D MONEY AND SECURITIES-
Note: This coverage is included only when policy type
"DELUXE" is indicated (gJ aboVEl:' .
ON PREMISES,
OFF PREMISES.
SECTION II - COMPREHENSIVE BUSINESS LIABILITY COVERAGES
Coverage E BUSINESS LIABILITY - The limit ofliability with respect to Druggists' and
Advertising Offense Liability (if included), completed operations and prod-
ucts hazards combined is an aggregate limit for all occurrences during the
policy period. .... ...,.... ....,. .............,., .,. ....."....,.,..... ,. ...... ..........,.,........,. .,...... ...
FIRE lEGAl.lIABILlTY - Note: This coverage is included only when pol-
icy type "CUSTOM" or "DELUXE~' isindicated (gJ above, ..,.............,....,...,..
CoverageF PREMISES MEDICAL PAYMENTS
REPLACEMENT COST COVERAGE is applicable
only when designated by an X in one.of the following
~.P.Cl.xl:l~:~ -'-, .._._~_~._._c~. .'..-,..---......
Form 82980 - with 80% Coinsurance
X Form 82598 - with No Coinsurance
LIMITS OF LIABILITY
Location 1
$
650,000.
$
$
$
Actual loss sustained not exceeding
consecutive months.
$10,000
$ 2,000
$10,000
$ 2,000
$
l,roJ.Oro
Each Occurrence
$50,000
$ :l~\' ..
$ 10,000..
Each Occurrence
Each Person
Each Accident
. .OPTI()foJAL COVEFlAGES -The following optional coverages are afforded under this policy oryly when designated by an "X" in
. - ... ' fhebox(es) shot~m~f~~~iabil~c~--- .'- . - -' ,u--Li~it~ of Li;bilitY .
Each BURGLARY & ON 10% of Coverage B
EMPLOYEE DISHONESTY $5,000 Occurrence' ROBBERY PREMISES- Except for Money &
Securities - $1,000
EXTERIOR GRADE FLOOR GLASS
Included under
Coverage A or
Coverage B
Note: This optional coverage
is available only when policy
type "ECONOMY" or "CUS-
TOM" is indicated (gJ CObOV9.
Money & Securities
Only - $1,000
EXTERIOR SIGNS
$
Included Under Coverage
BOILER AND AIR CONDITIONING UNIT A or B and, if applicable, C
POLICY FORMS 8. ENDORSEMENTS ATTACHED AT INCEPTION
OFF
PREMISES-
TOTAL POLICY PREMIUM
'$ 3.107.00 I
INSTALLMENT PAYMENTS
First installment payable upon policy
issuance. Total premium includes an addia
lional charge 01 $
charge $
,Nt~EiJft>l?!!tt.~tR!lt1~fil~A&ffc1en1'1~t~
4'}J CL:\.T21.."'11d St.>> C1carw3ter>> FL 33516
i.2 Hr..t Cl'..lrCil of exist f,ciE'~"1tist
210 ~.. Turner St.. Clc8rw.ater, fl. 33516
PLA~E . ,~ DATE
COUNTER- 1.,_';:~nIi",'.Tter. fl.. (/11 ;;,1
SIGNATURE AUTHORIZED
AGENT
for each iEeNmment
JUN 23 1981
:--) ,
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d:~'
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PRODUCER'S C
83189
Q ~gn- CLERK 5'