Commoji Policy Detlwations

Transcription

1 Commoji Policy Detlwations FAKMERS INSURANCE EXCHANGE (A RECIPROCAL COMPANY) Members (tfthe Fanners bsoronce Group Of Convanies Home Office: 4680 Wilsmre Blvd., Los Angeles, California CONDOMINIUM PRIMARY 1. Named Insured Mailing Address ELLIOTT COURTS RAMONA BLVD STE 7 EL MONTE CA a91 F Account Number Agent No. Prod. Count Policy Number The named insured is an individual unless otherwise stated: Partnership EH Corporation Joint Venture Organization (Any other) Type of Business CONDOMINIUM 2. Policy Period from 1 0/^25/1 4 (not prior to timeapplied for) to 1 0/25/1 5 12:01 a.m. Standard Time If this policy replaces other coverage that ends at noon standard time of the same day this policy b^ins, this policy will not take effect until the other coverage ends. This policywill continue for successive policyperiods as follows: If we elect to continue this insurance, we will renew this policy if you pay the required renewal premium for each successive policy period subject to our premiums, rules andforms then in effect. This Policy Consists Of The Following Parts Listed Below And For Which A Premium Is Indicated. This Premium May BeSubject To Change. Premium After Applicable Discountand Modification CONDOMINIUMS OWNERS POLICY $3, DIRECTORS AND OFFICERS LIABILITY COVERAGE PART $ CYBER LIABILITY AND DATA BREACH COVERAGE $35.00 CERTIFIED ACTS OF TERRORISM - SEE DISCLOSURE ENDORSEME»T INCLUDED Total *seeadditional Fee Information below See Invoice Attached FARMERS INSURANCE ST EDITION 6-13 S66169-ED1 C Pdfl8 1 of 2

2 Forms applicable to all Parts; E0002-ED Countersigned Agent: HEIDI VINCENT AgentPhone: SZG-S'JS-Syeg By. (Authorized Representative) Additional Fee Information The following additional fees apply on an account, not a par-policy, basis. * A service fee will beassessed on every installment invoice and will be included in the minimum amount due. However, if youchoose to paythe entireaccount balance in full upon receipt of the first installment, the fee will bewaived. In addition, for accounts fully enrolled in online billing and scheduled for recurring Electronic Funds Transfer (EFT) payments the fee 1 be waived. State Installment Fee All states except Florida, NewJersey and WestVirginia $6.00 Florida 18% of outstandingbalance, annualized, subject to $6.00 cap New Jersey $7.00 West Virginia $5.00 A returned p^onent fee applies per check, electronic transaction or other remittance which is not honored by your financial institution for any reason including but not limited to insufficient funds or a closed account. NOTE: If the returned payment is in response toa Notice of Cancellation, coverage stillcancels on thecancellation effective date setforth in the notice. State All states except Florida, Indiana, Maine, Nebraska, New Jersey, North Dakota, Oklahoma, Virginia, and WestVirginia NSF Fee $30.00 North Dakota and Oklahoma $25.00 Nebraska and Indiana $20.00 Florida and WestVirginia $15.00 Maine $10.00 NewJersey and Virginia Not applicable ate fee will be assessedon each Notice ofcancellation that is issued and will be included in the minimum amount due. State All states except Florida, Maryland, Missouri, Nebraska, NewJersey, Rhode Island, Virginia and WestVirginia Late Fee $20.00 Maryland, Nebraska and Rhode Island $10.00 Florida, Missouri, New Jersey, Virginia and West Virginia Not applicable The ollowing applies on a per-policy basis. * A reinstatement fee of $25.00 will be assessed if the policy is reinstated over 30 days but under 6 months from the cancellation date. Thisfee does not apply to Florida, Indiana &Maryland orto Workers' Compensation policies. One or more ofthe fees orcharges described above may be deemed a part ofpremium under applicable state law. SM169 ISTEDITION 6-13 C Pegs 2 of EDl

3 Attach to your policy with the same policy number shown on this endorsement. Effective Date 1 0/25/1^ ENDORSEMENT 6051^-^^-86 Policy Number of the Company designated in the Declarations NAMED INSURED(S) ELLIOTT COURTS C/0 MOLLER PROPERTY MAAGEMENT This endorsement is part of your policy. It supersedes and controls anything to the contrary. It is otherwise subject to all other terms of the policy. COUNTERSIGNED (E0002) 1STEDITION 3-88 PRINTED IN U.S.A.

4 1. FARMERS INSURANCE EXCHANGE Named Insured * Mailing Address ELLIOTT COURTS RAMONA BLVD STE 7 Members Of The Fonners InsDrance Group Of Compflraes Home Office: 4680 Wilshire Blvd., Los Angeles, CoBfomia Policy Declarations CONDOMINIUM - PRIMARY EL MONTE CA i*91 The named insured is an individual unless otherwise stated: Partnership Corporation JointVenture Organization (Any other) F Account Number ^ Agent No. Prod. Count 6051^-^4-86 Policy Number Type of Business CONDOMINIUM 2. Policy Period from l n /o i; i i^nnt prior to timeapplied for) to _1_QZ2SZ192:01 a.m. Standard Time If this policy replaces other coverage tnat ends at noon standard time of the same day this policy begins, this policy will not take effect imtil the other coverage ends. This policy will continue for successive policy periods as follows: If we elect to continue this insurance, wewill renew this policy if you pay the required renewal premium for each successive policy period subject to our premiums, rules andforms then in effect. 3. Insured location sameas mailing address unless otherwise stated: ELLIOTT AVE EL MONTE CA Weprovide insurance only for those coverages described below and for which aspecific limit ofinsurance isshown. Property s And L!m!ts Of Insurance COVERAGES PREMISE NO. 001 BUILDINGS BUILDING ORDINANCE AND LAW CONDOMINIUM UNIT COVERAGE SPECIFIED PROPERTY ASSOCIATION FEE AND EXTRA EXPENSE AUTOMATIC BUILDING INCREASE PROPERTY DEDUCTIBLE COV 1 COV 2 COV 3 $1,725,800 COVERED $28,100 $11,200 INCLUDED $2,500 $100,000 $5,000 The limit of liability for thi s structure ( A) is based on an estimate of the cost to rebuild your home, incj. uding an approximate cost for labor and materials in your area, and specific information that you have provided about your home. Additional s All Premises MASTER KEY $100/$5, S65991-ED6 FARMERS INSURANCE C PAGE 1 OF 3

5 Coveroge Extensions Optional Higher LimHs of Insurance Per Occurrence All Premises ACCOUNTS RECEIVABLE $5,000 VALUABLE PAPERS $5,000 EDP $5,000 NEHLY ACQ PROP OR CONST BLDG $250,000 PERS PROP AT NEHLY ACQ PREMISE $100,000 Optional s; We provide Insurance for those Optional s described below. All Premises OUTDOOR SIGNS EMPLOYEE DISHONESTY MONEY AND SECURITIES OUTDOOR PROPERTY $2,500 $10,000 $5,000 $2,500 $500 DEDUCTIBLE $2,500 DEDUCTIBLE $500 DEDUCTIBLE DIRECTORS & OFFICERS LIABILITY $1.OOO.OOOEACH CLAIM $1.OOP.OOOANNUAL AGGREGATE Liability And Medical Payments - Except for Fire Legal Liability, each paid claim for the following coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Paragraph D.4. of the Liability Form. Limits OfInsurance LIABILITY MEDICAL EXPENSES TENANTS LIABILITY $2,000,000 PER OCC/ $4,000,000 GEN AGG $5,000 PER PERSON $75,000 PER OCCURRENCE Mortgage Holders:" Premises No. Mortgage Holder Name, Address Countersigned By. (Authorized Representative) CS991WZ PACE 2 OF 3

6 Poliq'Number: 6051'»-t'l-86 Poliqr Forms and Endorsements attached at inception: Effective Date: 10/25/1^ Number E3024-ED3 E331*»-ED3 E3422-ED3 J6353-ED1 E3015-ED2 E3331-ED3 E0125-ED ED5 Eeogy-ED^t E^OOg-ED^t '» ED2 S9913-ED2 E0147-ED1 E0104-ED1 S9936-ED1 E3037-ED1 J6316-ED1 J63a7-ED1 J6350-ED1 J6739-ED1 J6829-ED ED J6351-ED1 J6300-ED2 E2038-ED2 J68'I9-ED1 E6288-ED3 E3'H8-ED2 E9122-ED6 J6857-ED1 E9126-ED5 W1191-ED J6610-ED1 Tide CONDOMINIUM COMMON CONDITIONS CONDOMINIUM LIABILITY COVG FORM CONDOMINIUM PROPERTY COVG FORM CHANGE TO LIMITS OF INSURANCE CALCULATION OF PREMIUM LIMIT OF COVG TO DESIG PREM OR PROJ LEAD POISONING & CONTAMINATION EXCL ADDITIONAL CONDITIONS EXTENDED REPLACEMENT COST MOLD & MICROORGANISM EXCLUSION WORK COMP EXCLUSION INVESTIGATIVE PRACTICES CALIF DEPT OF INS CALIFORNIA CHANGES WAR LIABILITY EXCLUSION BUSINESS LIAB COV-TENANTS LIAB ASBESTOS & SILICA EXCLUSION END NO COVG-CERTAIN COMPUTER RELATED LOSSES EXCL OF LOSS DUE TO VIRUS OR BACT EXCL-VIOLATION OF STATUTES EMPLOYEE DISHONESTY-PROPERTY MGR TWO OR MORE COVERAGE FORMS LTD COVG FOR FUNGI, WET/DRY ROT CALIF RESIDENTIAL PROP INS DISCL CALIF RESIDENT PROP INS BILL OF RIGHTS LIMITED TERRORISM EXCLUSION DISCL OF PREM-CERT ACTS OF TERROR CONDITIONAL EXCLUSION OF TERRORISM DEDUCTIBLE PROVISIONS EXCL-BUILDING CONVERSIONS CONDO ASSOC UNIT COVG END D & 0 LIAB COVG FORM AMENDMENT OF D&O LIAB COVG D & 0 LIAB-DISCRIM EXCL BUYBK CALIFORNIA AMENDATORY ENDORSEMENT CYBER LIABILITY DEC CYBER LIABILITY & DATA BREACH Countersigned By. (Authorized Representative) ( PAGE 3 OF 3

7 FARMERS INSURANCE DECLARATIONS CYBER LIABILITY AND DATA BREACH EXPENSE COVERAGE THIS IS CLAIMS MADE AND REPORTED COVERAGE. SUBJECT TO ITS TERMS, THE COVERAGE FORM APPLIES ONLY TO ANY CLAIM FIRST MADE AGAINST THE INSURED DURING THE POLICY PERIOD OR THE EXTENDED REPORTING PERIOD, IF APPLICABLE, PROVIDED SUCH CLAIM IS REPORTED IN WRITING TO THE COMPANY AS SOON AS PRACTICABLE. WITHOUT NEGATING THE FOREGOING REQUIREMENTS, SUCH NOTICE OF CLAIM MUST ALSO BE REPORTED NO LATER THAN 30 DAYS AFTER THE END OF THE POLICY PERIOD OR, IF APPLICABLE, DURING THE OPTIONAL EXTENDED REPORTING PERIOD. AMOUNTS INCURRED AS CLAIMS EXPENSES, WHICH INCLUDES DEFENSE COSTS, SHALL REDUCE AND MAY EXHAUST THE LIMIT OF LIABILITY AND ARE SUBJECT TO THE RETENTIONS. THE COMPANY SHALL NOT BE LIABLE FOR ANY CLAIMS EXPENSES OR FOR ANY JUDGMENT OR SETTLEMENT AFTER THE LIMIT OF LIABILITY HAS BEEN EXHAUSTED. PLEASE READ THE COVERAGE FORM CAREFULLY AND DISCUSS THE COVERAGE WITH YOUR INSURANCE AGENT. PolicyNumber: 6051'»-4'l-86 Item L Named Insured: ELLIOTT COURTS Item 2. Address: RAMONA BLVD STE 7 EL MONTE CA PolicyPeriod: From: 10/25/1 To: 10/25/15 Both dates at 12:01 a.m. Local Time at the Address stated in Item 1. Item 3. Retroactive Date: 10/25/13 Item 4. Limit of Liability: $50,000 FormAggregate Limit of Liability for Insuring Agreements LA. (Information Security & Privacy Liability), LB. $ 50,000 (Privacy Breach Response Services), and LC. (Regulatory Defense & Penalties): Item 5. Item 6. Item 7. Retentions: A. Insuring Agreements LA (Information Security & Privacy Liability) and LC. (Regulatory Defense & Penalties) - each $ 2500 Claim (includes Claims Expenses): B. Insuring Agreement LB. (Privacy Breach Response Services) Each Incident, event or related incidents or events giving rise to coverage of Privacy Breach Response Services: $ 2500 Notification under this coverage form: Help Point Claim Services Forms and endorsements at Inception: Refer to Policy Declaration, Policy forms and Endorsements section for applicable Cyber Liability and Data Breach Expense Forms C5931I01 PAGE 1 OF 1