SUMMARY OF INSURANCE P.
rep�l� €
For Chi Chi Rodriguez Youth
Foundation, Inc. and The First
3630 McMullen Booth Rd
Clearwater, FL
33761
Coverage, 'Rrount. Company fPf311y Via, eft. Exp; P�emtur>�.
Commercial Application National Casualty Company 02/0/113 02101114
Other Named Insured
Foundation,Inc.
Premises �
Premise 1 Building 1
School
3030 McMullen Booth Rd
Ciearwater, FL I
33761
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Premise 1 Building 2
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Pro Shop
3030 McMullen Booth Rd
Clearwater,FL
33761
Premise 1 Building 3
Maintenance Shed
3030 McMullen Booth Rd
Clearwater, FL
33761
Premise 1 Building 4
School
3030 McMullen Booth Rd
Clearwater, FL I
33761
Premise 1 Building 5
Paviil'son
3030 McMullen Booth Rd
Clearwater, FL I
33761
Premise 1 Building 6
Pump Station
3030 McMullen Booth Rd
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For Chi Ctrl Rodriguez Youth
Foundation, Inc, and The Fire
3430 McMullen Booth Rd
Clearwater, FL
33761
Gverag . l�:riount Corrapar7y:.; Pc?icy. Q EfY xp .W I rer3irrt
Commercial Application(Continued)
Clearwater.FL
33761
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Premise 1 Building 7 €
Workshop
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3030 McMullen Booth Rd �
Clearwater,FL
33761
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Premise 1 Building 8
Horticu3turai Shed
3030 McMullen Booth Rd
Clearwater, FL
33761
Premise i Building 9
Comfort Station
3030 McMullen Booth Rd
Clearwater, FL
33761
Premise 2 Building 1
Driving Range Building
2957 McMullen Booth Rd
Clearwater, FL E
33761 I
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For Chi Chi Rodriguez Youth
Foundation, Inc, and The First
3030 McMullen Booth Rd
Clearwater, FL
33761
Gpuerag Q+ nt G,o., paby F?ollcy t 10 CtF xp emlu ;
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Property Natlonal Casualty Company � 02101!13 02/01/14
Policy Level Information I I
Premise 001 Building 001
BUILDING- 315,873
Coins% 80
Valuation RC i
Cause of Loss SPECIAL
Deductible 5000
Forms# 5%W/H
CONTENTS- 52,000
Coins% 80
Valuation RC
Cause of Loss SPECIAL
Deductible 5000
Forms# 5%W/H
BUSINESS INC- 25,000
Cause of Loss SPECIAL
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E
Premise 001 Building 002
BUILDING- 259,567
Coins% 80
Valuation RC
Cause of Loss SPECIAL
Deductible 5000
Forms# 5%WIH
CONTENTS- 52,000
Coins% 80
Valuation RC
Cause of Loss SPECIAL
Deductib?e 5000
Forms# 5%W/H
I
Premise 001 Building 003
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For Chi Chi Rodriguez Youth
Foundation, Inc. and The First
3030 McMullen Booth Rd
Clearwater, FIL
33761
Coverage.;: Arrounf Carrpany Policy Flo; Elfzp E?remirt
Prop"(Continued)
I
BUILDING- 125,954
Coins% 80
Valuation RC
Cause of Loss SPECIAL
Deductibie 5000
Forms# 5%Wft-i
CONTENTS- 5,200
Coins% 80 9
Valuation RC
Cause of Loss SPECIAL
Deductible 5000
Forms# 5%WIH
Premise 001 Building 004
BUILDING- 839,003
Coins% 80
Valuation RC E
Cause of Loss SPECIAL
Deductible 5000 €
Forms# 5%WIH
CONTENTS- 52,000
Coins% 80
Valuation RC
E
Cause of Loss SPECIAL
Deductibie 5000
Forms# 5%W/H
Premise 001 Building 005
BUILDING- 52,000
COSns% &o
Valuation RC
Cause of Loss SPECIAL
I
Deductible 5000 I
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For Chi Chi Rodriguez Youth
Foundation, Inc. and The First
3030 McMullen Booth Rd
Clearwater, FL
33°761
`overagaor�t.; company i?olieyo. Effp ;Prer � r :. .
Property(Continued) f
Forms# 5%W/H
Premise 001 Building 006
BUILDING- 70,000
Coins% 80
Valuation RC i
Cause of Loss SPECIAL
Deductible 5000
FOrrl1S# 5%W/H
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3
CONTENTS- 13,500
Coins% 80
Valuation RC
Cause of Loss SPECIAL
Deductible 5000
Forms# 5%WH
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Premise 007 Building 007
BUILDING- 7,500
Coins% 80 i
Valuation RC
Cause of Loss SPECIAL
Deductible 5000
Forms# 5%W/H
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Premise 001 Building 008
BUILDING- I 10,400
Coins% 80
Valuation RC
Cause of Loss SPECIAL
Deductible 5000 j
Forms# 5%VVIH
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For Chi Chi Rodriguez Youth
Foundation, Inc, and The Fire
3030 McMullen Booth Rd
Clearwater, FL
33761
;nuerag Air�ountoinpar�y Policy too offX? ;f-reMturt
Property(Continued) i I
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CONTENTS- 2,140
I
Coins% s0
Valuation RC
Cause of Loss SPECIAL
Deductible 5000
Forms# 5%W/H
Premise 001 Building 009
E �
BUILDING- 10,400 i
coins% 80
Valuation RC
Cause of Lass SPECIAL
Deductible 500€3
Forms# 5%W/H
Premise 002 Building 001
BUILDING- 365,699
Coins% 80
Valuation RC
Cause of Loss SPECIAL
Deductible 5000
Forms# 5%W/H
CONTENTS- 30,000
Coins% 80
Valuation RC
Cause of Loss SPECIAL
Deductible 5000 i
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Forms# 5%VV/H
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Policy L.evei Additional Interests I
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7' P .41013
For Chi Chi Rodriguez Youth
Foundation, Inc. and The First
3030 McMullen Booth Rd
Clearwater, FL
33761
..Ooverage
count Corrpar�y:.s PIcy1:i
Equipment Floater National Casualty Company 02/01/13 02/01/14
CoveragelDeductihle
$640,395 Total Scheduled Equipment
$100,000 Total Unsched Misc Prop
$1,000
Unscheduled Equipment
See Attached Equipment Schedule
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