ACE INSURANCE COMPANY COMMON POLICY DECLARATIONS RENEWAL DECLARATION ACCOUNT NUMBER: NAMED INSURED AND MAILING ADDRESS AGENCY AND MAILING ADDRESS 200
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1 COMMON POLICY DECLARATIONS POLICY NO PR /00 RENEWAL OF PR COND PASEO DE LA REINA COLONIAL INS. CAGUAS 1560 BOULEVARD MIGUEL A POU PO BOX 6630 PONCE PR CAGUAS PR THE NAMED INSURED IS : ASSOCIATION BUSINESS DESC : CONDOMINIUM IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE INSURANCE AS STATED IN THIS POLICY. THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED. THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT. PREMIUM 34,400 COMMERCIAL GENERAL LIABILITY 2,587 COMMERCIAL CRIME NOT COVERED COMMERCIAL INLAND MARINE NOT COVERED ESTIMATED TOTAL PREMIUM $36,987 POLICY FEE GRAND TOTAL $36, PREMIUM SHOWN IS PAYABLE: $36,987 AT INCEPTION; 1ST ANNIVERSARY; 2ND ANNIVERSARY AMOUNT DUE THIS INVOICE $36,987 FORMS AND ENDORSEMENTS APPLICABLE TO ALL COVERAGE PARTS IL0136 (05-04) IL0985 (01-08) IL0017 (11-98) ALL20887(1006) IL0020 (11-85) THESE DECLARATIONS AND THE COMMON POLICY DECLARATIONS, IF APPLICABLE, TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE FORM(S) AND FORMS AND ENDORSEMENTS, IF ANY, ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY. COLONIAL INS. CAGUAS COLONIAL INS. CAGUAS COUNTERSIGNED AT: SAN JUAN, PR RLC RUTHI Page 1 of 12 BY: AUTHORIZED REPRESENTATIVE
2 POLICY NO PR /00 RENEWAL OF PR COND PASEO DE LA REINA COLONIAL INS. CAGUAS 1560 BOULEVARD MIGUEL A POU PO BOX 6630 PONCE PR CAGUAS PR PREM. NO. 1 BLDG. NO MIGUEL A POU BOULEVARD, PONCE PR ON A THREE STORY CONCRETE BUILDING OCCUPIED AS (24) RESIDENTIAL APARTMENTS CLUSTER "A" COVERAGES PROVIDED INSURANCE AT THE DESCRIBED PREMISES APPLIES ONLY FOR COVERAGES FOR WHICH A LIMIT OF INSURANCE IS SHOWN COVERAGE CAUSE OF LOSS DED COINS LIMIT OF INSURANCE $ $ BUILDING SPECIAL-Incl theft % 2,981,860 EARTHQUAKE 5% 100% 3,138,800 OPTIONAL COVERAGES BUILDING: REPLACEMENT COST WINDSTORM & HAIL DEDUCTIBLE: 2% FOR $ AMOUNT OF WINDSTORM OR HAIL AND EARTHQUAKE DEDUCTIBLES, SEE 'SCHEDULE OF DEDUCTIBLES'. PREM. NO. 1 BLDG. NO MIGUEL A POU BOULEVARD, PONCE PR ON A THREE STORY CONCRETE BUILDING OCCUPIED AS (18) RESIDENTIAL APARTMENTS CLUSTER "B" COVERAGES PROVIDED INSURANCE AT THE DESCRIBED PREMISES APPLIES ONLY FOR COVERAGES FOR WHICH A LIMIT OF INSURANCE IS SHOWN COVERAGE CAUSE OF LOSS DED COINS LIMIT OF INSURANCE $ $ BUILDING SPECIAL-Incl theft % 2,236,395 EARTHQUAKE 5% 100% 2,354,100 OPTIONAL COVERAGES BUILDING: REPLACEMENT COST WINDSTORM & HAIL DEDUCTIBLE: 2% RLC RUTHI Page 2 of 12
3 POLICY NO PR /00 RENEWAL OF PR COND PASEO DE LA REINA COLONIAL INS. CAGUAS 1560 BOULEVARD MIGUEL A POU PO BOX 6630 PONCE PR CAGUAS PR FOR $ AMOUNT OF WINDSTORM OR HAIL AND EARTHQUAKE DEDUCTIBLES, SEE 'SCHEDULE OF DEDUCTIBLES'. PREM. NO. 1 BLDG. NO MIGUEL A POU BOULEVARD, PONCE PR ON A THREE STORY CONCRETE BUILDING OCCUPIED AS (12) RESIDENTIAL APARTEMENTS CLUSTER "C" COVERAGES PROVIDED INSURANCE AT THE DESCRIBED PREMISES APPLIES ONLY FOR COVERAGES FOR WHICH A LIMIT OF INSURANCE IS SHOWN COVERAGE CAUSE OF LOSS DED COINS LIMIT OF INSURANCE $ $ BUILDING SPECIAL-Incl theft % 1,466,562 EARTHQUAKE 5% 100% 1,543,749 OPTIONAL COVERAGES BUILDING: REPLACEMENT COST WINDSTORM & HAIL DEDUCTIBLE: 2% FOR $ AMOUNT OF WINDSTORM OR HAIL AND EARTHQUAKE DEDUCTIBLES, SEE 'SCHEDULE OF DEDUCTIBLES' RLC RUTHI Page 3 of 12
4 POLICY NO PR /00 RENEWAL OF PR COND PASEO DE LA REINA COLONIAL INS. CAGUAS 1560 BOULEVARD MIGUEL A POU PO BOX 6630 PONCE PR CAGUAS PR PREM. NO. 1 BLDG. NO MIGUEL A POU BOULEVARD, PONCE PR ON A THREE STORY CONCRETE BUILDING OCCUPIED AS (12) RESIDENTIAL APARTMENTS CLUSTER "D" COVERAGES PROVIDED INSURANCE AT THE DESCRIBED PREMISES APPLIES ONLY FOR COVERAGES FOR WHICH A LIMIT OF INSURANCE IS SHOWN COVERAGE CAUSE OF LOSS DED COINS LIMIT OF INSURANCE $ $ BUILDING SPECIAL-Incl theft % 1,466,562 EARTHQUAKE 5% 100% 1,543,749 OPTIONAL COVERAGES BUILDING: REPLACEMENT COST WINDSTORM & HAIL DEDUCTIBLE: 2% FOR $ AMOUNT OF WINDSTORM OR HAIL AND EARTHQUAKE DEDUCTIBLES, SEE 'SCHEDULE OF DEDUCTIBLES'. PREM. NO. 1 BLDG. NO MIGUEL A POU BOULEVARD, PONCE PR THREE BUILDINGS ALL CONCRETE, THREE STORIES OCCUPIED AS (15) RESIDENTIAL APARTMENTS CLUSTER "E-1" COVERAGES PROVIDED INSURANCE AT THE DESCRIBED PREMISES APPLIES ONLY FOR COVERAGES FOR WHICH A LIMIT OF INSURANCE IS SHOWN COVERAGE CAUSE OF LOSS DED COINS LIMIT OF INSURANCE $ $ BUILDING SPECIAL-Incl theft % 1,870,160 EARTHQUAKE 5% 100% 1,968,590 OPTIONAL COVERAGES BUILDING: REPLACEMENT COST WINDSTORM & HAIL DEDUCTIBLE: 2% RLC RUTHI Page 4 of 12
5 POLICY NO PR /00 RENEWAL OF PR COND PASEO DE LA REINA COLONIAL INS. CAGUAS 1560 BOULEVARD MIGUEL A POU PO BOX 6630 PONCE PR CAGUAS PR FOR $ AMOUNT OF WINDSTORM OR HAIL AND EARTHQUAKE DEDUCTIBLES, SEE 'SCHEDULE OF DEDUCTIBLES'. PREM. NO. 1 BLDG. NO MIGUEL A POU BOULEVARD, PONCE PE ON A THREE STORY CONCRETE BUILDING OCCUPIED AS (18) RESIDENTIAL APARTMENTS CLUSTER "E-2" COVERAGES PROVIDED INSURANCE AT THE DESCRIBED PREMISES APPLIES ONLY FOR COVERAGES FOR WHICH A LIMIT OF INSURANCE IS SHOWN COVERAGE CAUSE OF LOSS DED COINS LIMIT OF INSURANCE $ $ BUILDING SPECIAL-Incl theft % 2,236,395 EARTHQUAKE 5% 100% 2,354,100 OPTIONAL COVERAGES BUILDING: REPLACEMENT COST WINDSTORM & HAIL DEDUCTIBLE: 2% FOR $ AMOUNT OF WINDSTORM OR HAIL AND EARTHQUAKE DEDUCTIBLES, SEE 'SCHEDULE OF DEDUCTIBLES' RLC RUTHI Page 5 of 12
6 POLICY NO PR /00 RENEWAL OF PR COND PASEO DE LA REINA COLONIAL INS. CAGUAS 1560 BOULEVARD MIGUEL A POU PO BOX 6630 PONCE PR CAGUAS PR PREM. NO. 1 BLDG. NO MIGUEL A POU BOULEVARD, PONCE PR ON A THREE STORY CONCRETE BUILDING OCCUPIED AS (12) RESIDENTIAL APARTMENTS CLUSTER "E-3" COVERAGES PROVIDED INSURANCE AT THE DESCRIBED PREMISES APPLIES ONLY FOR COVERAGES FOR WHICH A LIMIT OF INSURANCE IS SHOWN COVERAGE CAUSE OF LOSS DED COINS LIMIT OF INSURANCE $ $ BUILDING SPECIAL-Incl theft % 1,466,562 EARTHQUAKE 5% 100% 1,543,749 OPTIONAL COVERAGES BUILDING: REPLACEMENT COST WINDSTORM & HAIL DEDUCTIBLE: 2% FOR $ AMOUNT OF WINDSTORM OR HAIL AND EARTHQUAKE DEDUCTIBLES, SEE 'SCHEDULE OF DEDUCTIBLES'. PREM. NO. 1 BLDG. NO MIGUEL A POU BOULEVARD, PONCE PR POOL GAZEBO, POOL PUMPS AND (2) BATHROOMS COVERAGES PROVIDED INSURANCE AT THE DESCRIBED PREMISES APPLIES ONLY FOR COVERAGES FOR WHICH A LIMIT OF INSURANCE IS SHOWN COVERAGE CAUSE OF LOSS DED COINS LIMIT OF INSURANCE $ $ BUILDING SPECIAL-Incl theft % 37,180 EARTHQUAKE 5% 100% 37,180 POOL SPECIAL-Incl theft % 38,250 EARTHQUAKE 5% 100% 38, RLC RUTHI Page 6 of 12
7 POLICY NO PR /00 RENEWAL OF PR COND PASEO DE LA REINA COLONIAL INS. CAGUAS 1560 BOULEVARD MIGUEL A POU PO BOX 6630 PONCE PR CAGUAS PR OPTIONAL COVERAGES BUILDING: REPLACEMENT COST WINDSTORM & HAIL DEDUCTIBLE: 2% FOR $ AMOUNT OF WINDSTORM OR HAIL AND EARTHQUAKE DEDUCTIBLES, SEE 'SCHEDULE OF DEDUCTIBLES'. PREM. NO. 1 BLDG. NO MIGUEL A POU BOULEVARD, PONCE PR PAVED AREAS $150,000 / OPEN AREAS $9,000 COVERAGES PROVIDED INSURANCE AT THE DESCRIBED PREMISES APPLIES ONLY FOR COVERAGES FOR WHICH A LIMIT OF INSURANCE IS SHOWN COVERAGE CAUSE OF LOSS DED COINS LIMIT OF INSURANCE $ $ EARTHQUAKE 5% 100% 159,000 OPTIONAL COVERAGES BUILDING: REPLACEMENT COST WINDSTORM & HAIL DEDUCTIBLE: 2% FOR $ AMOUNT OF WINDSTORM OR HAIL AND EARTHQUAKE DEDUCTIBLES, SEE 'SCHEDULE OF DEDUCTIBLES' RLC RUTHI Page 7 of 12
8 POLICY NO PR /00 RENEWAL OF PR COND PASEO DE LA REINA COLONIAL INS. CAGUAS 1560 BOULEVARD MIGUEL A POU PO BOX 6630 PONCE PR CAGUAS PR PREM. NO. 1 BLDG. NO MIGUEL A POU BOULEVARD, PONCE PR GUARD HOUSE COVERAGES PROVIDED INSURANCE AT THE DESCRIBED PREMISES APPLIES ONLY FOR COVERAGES FOR WHICH A LIMIT OF INSURANCE IS SHOWN COVERAGE CAUSE OF LOSS DED COINSURANCE LIMIT OF INSURANCE $ $ BUILDING SPECIAL-Incl theft % 23,850 EARTHQUAKE 5% 100% 23,850 OPTIONAL COVERAGES BUILDING: REPLACEMENT COST WINDSTORM & HAIL DEDUCTIBLE: 2% FOR $ AMOUNT OF WINDSTORM OR HAIL AND EARTHQUAKE DEDUCTIBLES, SEE 'SCHEDULE OF DEDUCTIBLES'. PREM. NO. 1 BLDG. NO MIGUEL A POU BOULEVARD, PONCE PR BASKETBALL 1/2 COURT & SPECIAL CLASSES COVERAGES PROVIDED INSURANCE AT THE DESCRIBED PREMISES APPLIES ONLY FOR COVERAGES FOR WHICH A LIMIT OF INSURANCE IS SHOWN COVERAGE CAUSE OF LOSS DED COINS LIMIT OF INSURANCE $ $ BUILDING SPECIAL-Incl theft % 15,000 EARTHQUAKE 5% 100% 15,000 VEHICULAR GATES SPECIAL-Incl theft % 8,840 EARTHQUAKE 5% 100% 8,840 ILLUMINATION POLES SPECIAL-Incl theft % 34,000 EARTHQUAKE 5% 100% 34, RLC RUTHI Page 8 of 12
9 POLICY NO PR /00 RENEWAL OF PR COND PASEO DE LA REINA COLONIAL INS. CAGUAS 1560 BOULEVARD MIGUEL A POU PO BOX 6630 PONCE PR CAGUAS PR COVERAGE CAUSE OF LOSS DED COINSURANCE LIMIT OF INSURANCE $ $ EXTERIOR BENCHES SPECIAL-Incl theft % 1,125 EARTHQUAKE 5% 100% 1,125 ELECTRICAL TRANSFORMERS SPECIAL-Incl theft % 60,000 EARTHQUAKE 5% 100% 60,000 DECORATIVE FOUNTAIN SPECIAL-Incl theft % 7,500 EARTHQUAKE 5% 100% 7,500 MAILBOX STATION SPECIAL-Incl theft % 9,520 EARTHQUAKE 5% 100% 9,520 WASTE BIN SPECIAL-Incl theft % 5,280 EARTHQUAKE 5% 100% 5,280 PERIMETER FENCES SPECIAL-Incl theft % 117,251 EARTHQUAKE 5% 100% 117,251 OPTIONAL COVERAGES BUILDING: REPLACEMENT COST WINDSTORM & HAIL DEDUCTIBLE: 2% FOR $ AMOUNT OF WINDSTORM OR HAIL AND EARTHQUAKE DEDUCTIBLES, SEE 'SCHEDULE OF DEDUCTIBLES' RLC RUTHI Page 9 of 12
10 POLICY NO PR /00 RENEWAL OF PR COND PASEO DE LA REINA COLONIAL INS. CAGUAS 1560 BOULEVARD MIGUEL A POU PO BOX 6630 PONCE PR CAGUAS PR POLICY PERIOD: From 01/22/2013 to 01/22/ :01 A.M. AT THE INSURED'S MAILING ADDRESS MANUSCRIPT FORMS: COND EXT END - CONDOMINIUM EXTENSION ENDORSEMENT TERRORISM EXCLUSION APPLIES - TERRORISM INSURANCE ACT REJECTED TOTAL PROPERTY PREMIUM $34,400 FORMS AND ENDORSEMENTS APPLYING TO COVERAGE PART AND MADE PART OF THIS POLICY AT TIME OF ISSUE: CP0090 (07-88) CP0117 (12-90) IL0935 (08-98) CP0175 (07-06) CP1650 (09-89) CP0330 (05-01) CP1030 (10-90) CP0299 (11-85) CP1042 (05-01) IL0941 (01-02) IL0953 (01-08) COND EXT END CP0017 (10-90) CPN001 (11-05) CP-1089 THESE DECLARATIONS AND THE COMMON POLICY DECLARATIONS, IF APPLICABLE, TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE FORM(S) AND FORMS AND ENDORSEMENTS, IF ANY, ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY. COLONIAL INS. CAGUAS COLONIAL INS. CAGUAS COUNTERSIGNED AT: SAN JUAN, PR RLC RUTHI Page 10 of 12 BY: AUTHORIZED REPRESENTATIVE
11 COMMERCIAL GENERAL LIABILITY POLICY NO PR /00 RENEWAL OF PR COND PASEO DE LA REINA COLONIAL INS. CAGUAS 1560 BOULEVARD MIGUEL A POU PO BOX 6630 PONCE PR CAGUAS PR POLICY PERIOD: From 01/22/2013 to 01/22/2014 LIMITS OF INSURANCE GENERAL AGGREGATE $ 1,000,000 PRODUCTS-COMPLETED OPERATIONS AGGREGATE $ EXCLUDED PERSONAL INJURY & ADVERTISING INJURY $ 1,000,000 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE $ 50,000 ANY ONE FIRE MEDICAL EXPENSE $ 5,000 ANY ONE PERSON LOCATION OF ALL PREMISES YOU OWN, RENT OR OCCUPY: LOC # 1: 1560 MIGUEL A POU BOULEVARD, PONCE PR PMS PDTS LOC CLASSIFICATION CODE PREMIUM BASIS RATE RATE 1 CONDOMINIUMS - RESIDENTIAL - (ASSOCIATION RISK ONLY) UNITS PRODUCTS-COMPLETED OPERATIONS ARE SUBJECT TO THE GENERAL AGGREGATE LIMIT 1 SWIMMING POOLS EACH PRODUCTS-COMPLETED OPERATIONS ARE SUBJECT TO THE GENERAL AGGREGATE LIMIT HIRED/NON-OWN AUTO LIABILITY LIMIT OF LIABILITY: $ 500,000 CSL RLC RUTHI Page 11 of 12
12 COMMERCIAL GENERAL LIABILITY POLICY NO PR /00 RENEWAL OF PR COND PASEO DE LA REINA COLONIAL INS. CAGUAS 1560 BOULEVARD MIGUEL A POU PO BOX 6630 PONCE PR CAGUAS PR POLICY PERIOD: From 01/22/2013 to 01/22/2014 ADDITIONAL INSURED(S) PER FORM: CG2004 (11-85) MANUSCRIPT FORMS: CG2116 (11-85) : EXCLUSION - DESIGNATED PROFESSIONAL SERVICES: ANY PROFESSIONAL SERVICES OF ANY KIND OR NATURE. TERRORISM EXCLUSION APPLIES - TERRORISM INSURANCE ACT REJECTED TOTAL LIABILITY PREMIUM $2,587 FORMS AND ENDORSEMENTS APPLYING TO COMMERCIAL GENERAL LIABILITY COVERAGE PART AND MADE PART OF THIS POLICY AT TIME OF ISSUE: CG2104 (11-85) IL0021 (04-98) CG0054 (03-97) CG0055 (03-97) CG0001 (01-96) CG2147 (10-93) CG2149 (01-96) CG0062 (12-02) CG0419 (11-85) CG0107 (10-93) CG2116 (11-85) CG2169 (01-02) CG2167 (04-02) CG2173 (01-08) CG2022 (01-96) CG2004 (11-85) LD-1A86 CG2146 (10-93) CG2150 (09-89) Silica Dust Ex Lead Exclusion MBTE Exclusion Mold Fungus Ex PFOA Exclusion THESE DECLARATIONS AND THE COMMON POLICY DECLARATIONS, IF APPLICABLE, TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE FORM(S) AND FORMS AND ENDORSEMENTS, IF ANY, ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY. COLONIAL INS. CAGUAS COLONIAL INS. CAGUAS COUNTERSIGNED AT: SAN JUAN, PR RLC RUTHI Page 12 of 12 BY: AUTHORIZED REPRESENTATIVE
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