forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in

Transcription

1 0107-ST STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS 2702 Ireland Grove Road Bloomington, IL Named Insured AT CASITA COLONY RECREATION ASSN 7702 E HIGHLAND AVE UNIT 3 SCOTTSDALE AZ R FC16 F V Residential Community Association Policy RENEWAL DECLARATIONS Policy Number Policy Period Effective Date Expiration Date 12 Months MAY MAY The policy period begins and ends at 12:01 am standard time at the premises location. Agent and Mailing Address JOHN HERR CLU 8102 E MCDOWELL RD STE 1B SCOTTSDALE AZ PHONE: (480) (480) Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subject to the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Entity: Corporation NOTICE: Information concerning changes in your policy language is included. Please call your agent if you have any questions. POLICY PREMIUM $ 2, V Discounts Applied: Renewal Year Claim Record E D2 I Continued on Reverse Side of Page Page 1 of a (o1f3231c)

2 M SECTION I - PROPERTY SCHEDULE Location Number Location of Described Premises Limit of Insurance* Coverage A - Buildings Limit of Insurance* Coverage B - Business Personal Property E HIGHLAND AVE UNIT 3 SCOTTSDALE AZ egarevoc on egarevoc on AUXILIARY STRUCTURES Location Number 001A 001B 001C CLUBHOUSE RAMADA Pool Description Limit of Insurance* Coverage A - Buildings 000,221 $ Limit of Insurance* Coverage B - Business Personal Property * As of the effective date of this policy, the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage. 005,01 $ 003,12 $ hcs porp ees 003,53 $ hcs porp ees SECTION I - INFLATION COVERAGE INDEX(ES) Inflation Coverage Index: Continued on Next Page Page 2 of 7

3 M SECTION I - DEDUCTIBLES Basic Deductible Special Deductibles: 005$ 052$ 005$ 000,052$ 000,001$ %01 dedulcni 000,5$ dedulcni ssol derevoc fo %52 timil B egarevoc 052$ 0207-ST Money and Securities Equipment Breakdown Employee Dishonesty Other deductibles may apply - refer to policy. SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF - EACH DESCRIBED PREMISES The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations, unless indicated by "See Schedule." If a coverage does not have a corresponding limit shown below, but has "Included" indicated, please refer to that po licy provision for an explanation of that coverage. Collapse COVERAGE LIMIT OF dedulcni Damage To Non-Owned Buildings From Theft, Burglary Or Robbery Debris Removal Equipment Breakdown Fire Extinguisher Systems Recharge Expense Glass Expenses Increased Cost Of Construction And Demolition Costs (applies only when buildings are insured on a replacement cost basis) Newly Acquired Business Personal Property (applies only if this policy provides Coverage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides Coverage A - Buildings) E Continued on Reverse Side of Page Page 3 of 7

4 000,5$ 000,01$ 005,2$ 005,2$ 000,01$ 000,51$ 005,2$ 000,5$ 000,1$ 000,01$ 000,5$ 000,01$ 000,5$ 000,51$ 000,05$ syad 03 dedulcni M Ordinance Or Law - Equipment Coverage Preservation Of Property SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF - EACH COMPLEX The coverages and corresponding limits shown below ap ply separately to each complex as described in the policy. COVERAGE LIMIT OF Accounts Receivable On Premises Off Premises Arson Reward Forgery Or Alteration Money And Securities (Off Premises) Money And Securities (On Premises) Money Orders And Counterfeit Money Outdoor Property Personal Effects (applies only to those premises provided Coverage B - Business Personal Property) Personal Property Off Premises Pollutant Clean Up And Removal Property Of Others (applies only to those premises provided Coverage B - Business Personal Property) Signs Valuable Papers And Records On Premises Off Premises Continued on Next Page Page 4 of 7

5 M ST SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF - PER POLICY The coverages and corresponding limits shown below are the most we will pay regardless of the number of described premises shown in these Declarations. COVERAGE Back-Up of Sewer or Drain Employee Dishonesty Loss Of Income And Extra Expense LIMIT OF 000,52$ dedulcni Actual Loss Sustained - 12 Months SECTION II - LIABILITY COVERAGE Coverage L - Business Liability Coverage M - Medical Expenses (Any One Person) Damage To Premises Rented To You Directors And Officers Liability AGGREGATE LIMITS Products/Completed Operations Aggregate General Aggregate Directors and Officers Aggregate LIMIT OF 000,000,2$ 000,003$ 000,01$ 000,000,2$ LIMIT OF 000,000,2$ 000,000,4$ 000,000,4$ Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements E Continued on Reverse Side of Page Page 5 of 7

6 M Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORMS AND ENDORSEMENTS CMP-4100 FE CMP-4814 CMP CMP-4550 CMP-4746 CMP-4710 CMP-4508 CMP-4705 FD-6007 Businessowners Coverage Form *Terrorism Insurance Cov Notice Directors & Officers Liability Amendatory Endorsement Residential Community Assoc Hired Auto Liability Employee Dishonesty Money and Securities Loss of Income & Extra Expnse Inland Marine Attach Dec * New Form Attached Continued on Next Page Page 6 of 7

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9 STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS 2702 Ireland Grove Road Bloomington, IL INLAND MARINE ATTACHING DECLARATIONS Policy Number Named Insured R FC16 F V Policy Period Effective Date Expiration Date 12 Months MAY MAY The policy period begins and ends at 12:01 am standard time at the premises location ST CASITA COLONY RECREATION ASSN 7702 E HIGHLAND AVE UNIT 3 SCOTTSDALE AZ ATTACHING INLAND MARINE Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subject to the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Annual Policy Premium Included The above Premium Amount is included in the Policy Premium shown on the Declarations. Your policy consists of these Declarations, the INLAND MARINE CONDITIONS shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. Forms, Options, and Endorsements FE-8739 FE-8743 Inland Marine Conditions Inland Marine Computer Prop See Reverse for Schedule Page with Limits FD a (o1f3232c)

10 a (o1f3233c) M ATTACHING INLAND MARINE SCHEDULE PAGE ATTACHING INLAND MARINE ENDORSEMENT NUMBER COVERAGE LIMIT OF DEDUCTIBLE AMOUNT ANNUAL PREMIUM FE-8743 Inland Marine Computer Prop $ 10,000 $ 500 Included Loss of Income and Extra Expense $ 10,000 Included FD OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY