~~I~b~rh~Od 5~8Nt11;~i~~- ~i!~r3tio2;j~~~" The polihcy period begins and ends at 12:01 am standard time at t e premises Iocanon.

Transcription

1 - ;;j I A I t:: t-ahm fire AND CASUAL TV COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS e.o. Box Da7las, rx Named Insured PLANTATION HOMEOWNERS ASSOCIATION STE A AMBASSADOR CAFFERY PKWY LAFAYETTE LA M FBC6 F V i-poiicynumbar ~~I~b~rh~Od 5~8Nt11;~i~~- ~i!~r3tio2;j~~~" The polihcy period begins and ends at 12:01 am standard time at t e premises Iocanon. '-----_._ I~TTACHING INLAND MARINE Automatic Renewal - If the policy period is shown as 12 months,this policy will be renewed automatically subjectto the premiums, rules and forms in effect for each succeeding policy period. if this policv is terminated, we will give you and the Mortgagee/Lienholder written notice ill compliance with the policy provisions or as required_by law....., Annual Policy Premium file above Premium Amount is mcluded in the Policv Premium snown on the Declarations. Your policy consists of these Declarations, the INU-\I\lO MARII\lE 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..---"_._ " "----" - --"- " ---"-~ _ i-orms, Options. and Endorsements FE-8739 FE FE-8743 Inland Marine Conditions Amendatory Endorsement Inland Marine Computer Prop See Reverse for Schedule Page with Limits SEP FD-6007 Copyright, State Fartn Mutual Automobile insurance Compan'l,2.008 Includes collyriglned matenal 01 Insurance Services Office, me, with Its permission.

2 ATTACHING INLAND MARINE SCHEDULE PAGE ATTACHING INLAND MARINE ENDORSEMENT NUMBER UIVlIT OF DEDUCTIBLE AMOUNT ANNUAL PREMIUM FE-8743 Inland Marine Computer Prop Loss of Income and Extra Expense $ $ 10,000 10,000 $ OTHERLIMITSANDEXCLUSIONSMAYAPPLY REFERTOYOURPOLlCY Copyright, State Farm Mutual Automobile Insurance Company, 2008 FO-6007 Includes copyrighted material of Insurance Services Office, lnc, with its permission UliGB 0.2 1) l3233cl

3 STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY W/Tf-' HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED AUG P.O BoiS Dallas, IX Policy Number Named Insured 00287( M FBC6 F V Policy Period Effective Date Expiration Date 12 Months JAN ,JAN The policy period beuins and ends at 12:0'1am standard time atthe premises location. PLANTATION HOMEOWNERS ASSOCIATION STE A AMBASSADOR CAFFERY PKWV LAFAYETTE LA Agent and Mailing Address JOEY JOHN JR 4041 AMB CAFRY PKWY STE C LAFAYETTE LA PHONE: (337) Fiesidential Community Association Policy Automatic Renewal - Ifthe policy period is shown as 12 months, this policy will be renewed automatically subjectto 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: HOMEOWNERS ASSOCIATION Reason for Declarations: Your policy is amended AUC; ADDITIONAL INSURED DELETED FORM CMP-4788 DELETED Endorsement Premium None Discounts Applied: Renewal Year Claim Record Copyright, State Farm rvlutllal Automobile Insurance Company, 2008 Includes copvl'igllted material ot lnsurance Services Office, InG., with its permission. Continued Heverse Side of Page

4 (CONTINUED) Residential Community Association Policy for PLANTATION HOMEOWNERS ~S~EC~T~I~O~N~I_-~P~R~O~P~E~R~T~Y~S~C~H~E~D~U~L~E. _ Location Location of Limit of Insurance" Limit of lnsurance" Number Described Premises Coverage A- Coverage B Buildings Business Personal Property LONG PLANTATION BLVD No Coverage No Coverage LAFAYETTE LA AUXILIARY STRUCTURES Location Description Number r Limit of Insurance* Limit of Insurance* Coverage A- Coverage B- Buildings Business Personal Property 001B CARPORT $ 357,600 See Prop Sch ~ As of the effective date of this policy, the Limit of Insurance as shown Includes any Increase In the limit due to Inflation Coverage. SECTION I INFLATION INDEXlES) Inflation Coverage Index: SECTION I - DEDUCTIBLES Basic Deductible $1,000 Copyright, State Farm Mutual Automobile Insurance Company, Z008 Includes copyrighted material of Insurance Services Office, Inc., with its permission Continued on Next Page Page 2 of 6

5 (CONTINUED) Residential Community Association Policy for PLANTATION HOMEOWNERS Special Deductibles: Money and Securities Equipment Breakdown $1,000 Employee Dishonesty $250 Other deductibles may apply refer to policy SECTION I - EXTENSIONS OF LIMIT OF insurance 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." II a coverage does not have a corresponding limit shown below, but has "" indicated, please refer to that policy provision for an explanation of that coverage. LIMIT OF Collapse Damage To Non-Owned Buildings From Tnett, Burglary Or Hobbery Coverage B Limit Debris Removal 25~/~ at covered loss Equipment Breakdown Fire Department Service Charge Fire Extinguisher- Systems Recharge Expense Glass Expenses Increased Cost 01 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) Ordinance Or l.aw - Equipment Coverage 10% $100,000 $250,000 Preservation or Property Water Damage, Other Liquids, Powder Or Molten Material Damage 300ays D Copyrlyllt. State Farm Mutual Automcbi!e Insurance Company Includes copyrighted material of Insurance Services Office, inc.. with its permission. Continued on Reverse Side of Page Page ::3 ot 6

6 (CONTINUEI)) Residential Community Association Policy for PLANTATION HOMEOWNERS SECTION I - EXTENSIONS OF - LIMIT QF INSURANC:.E - EACH COMPLEX The coverages and corresponding limits shown below apply separately to each complex as described in the policy. Accounts Receivable On Premises Off Premises Arson Reward Forgery Or Alteration LIMIT OF $50,000 $15,000 $10,000 Money And Securities Money And Securities (Off Premises) (On Premises) $10,000 Money Orders And Counterfeit Money $1,000 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 $2,500 $15,000 $10,000 $2,500 $2,500 $10, Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Continued on Next Page Page 4 of 6

7 (CONTINUED) Re~idential Community Association Policy for PLANTATION HOMEOWNERS SECTION I EXTENSIONS OF LIMIT OF - PER POLICY The c?verages <:Indcorresp~:mding limits sh~wn below are the most we will pay regardless of the number of described premises shown In these Declarations.. Back-Up of Sewer or Drain UMITOF Employee Dishonesty $25,000 Loss Of income And Extra Expense Actual Loss Sustained -12 Months SECTION II - LIABILITY Coverage L Business Liability Coverage M - Medical Expenses (Any One Person) LIMIT OF $1,000,000 Damage To Premises Rented To You $300,000 Directors And Officers Liability $-1,000,000 AGGREGATE LIMITS LIMIT OF insurance Products/Completed Operations Aggregate General Aggregate Directors and Officers Aggregate $2,000,000 $2,000,000 $1,000,000 Each paid claim for Liability Coverage reduces the amou0t 01 insurance we provide during the applicable annual period. Please refer to Section II - Liability III tile Coverage Form and any attached sndorsements. CIv1P COPVligin. State FarmlViutuai Automobile Insurance Company, 2008 Includes copvllgllleli material or insurance Services Office, lnc. with Its permission. Continued on f={everse Side of Page Page 501 6

8 (CONTINUED) Residential Community' Association Policy for PLANTATION HOMEOWNERS Your policy consists of these Declarations, the BUSINESSOWNERS 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 CMP CMP-4763 FE CMP-4550 CMP-4746 CMP-4710 CMP-4508 CMP-4705 CMP-4496 FO-6007 Businessowners Coverage Form Amendatory Endorsement Uninsured/Underinsured Cov Terrorism Insurance Cov Notice Residential Community Assoc Hi red Auto Liability Employee Dishonesty Money and Securities Loss of Income & Extra Expnse Directors & Officers Liability Inland Marine Attach Dee This policy is issued by the State Farm Fire and Casualty Company. Participating Policy You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in accordance with the Company's Articles of Incorporation, as amended. In Witness Whereof, the State Farm Fire and Casualty Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois. ~m.~ Secretary /t1ul..~~ President N Copyright, State Farm Mutual Automobile Insurance Cornpanv, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 6 of 6