FARM & RANCH COVERAGE PART DECLARATIONS

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Gwendoline Phillips
6 years ago
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1 POLICY NUMBER: NAMED INSURED: FARM & RANCH COVERAGE PART DECLARATIONS COVERAGES PROVIDED Insurance at the Insured Locations applies only for coverage for which Limits of Insurance are shown. INSURED LOCATIONS* *Identify location by section or civil district, township, range, distance in miles by compass direction from nearest town; town, state. Identify road, where road leads from, location of road as to county and state FARM & RANCH PROPERTY COVERAGE THESE FARM PROPERTY DECLARATIONS AND THE COMMON POLICY DECLARATIONS, TOGETHER WITH THE COVERAGE FORM(S), FORMS AND ENDORSEMENTS COMPLETE THE ABOVE NUMBERED POLICY. Loc # Bldg # Mortgageholder Name(s) And Mailing Address Loss Payee Names And Mailing Addresses Description Of Interest PROPERTY DEDUCTIBLE APPLICABLE TO ALL INSURED PROPERTY PER ANY ONE OCCURRENCE $1,000 $2,500 $5,000 $10,000 TOTAL ADVANCE FARM & RANCH PROPERTY PREMIUM $ U Page 1 of 6

2 FARM PROPERTY COVERAGE A DWELLINGS FARM PROPERTY COVERAGE B OTHER PRIVATE STRUCTURES APPURTENANT TO DWELLINGS FARM PROPERTY COVERAGE C HOUSEHOLD PERSONAL PROPERTY FARM PROPERTY COVERAGE D LOSS OF USE CAUSES OF LOSS VALUATION COVERAGE A and B VALUATION COVERAGE C Basic ACV ACV Broad RC RC Special Year Loc # Bldg # Coverage Occupancy Construction Built Limit Rate $ TOTAL ADVANCE PREMIUM FOR COVERAGES A, B, C, (Per $100 of Insured Values) U Page 2 of 6

3 COVERAGE E SCHEDULED FARM PERSONAL PROPERTY CAUSES OF LOSS Basic Broad VALUATION ACV at time of loss RC if actually replaced Number Item Rate Limit Of Insurance Premium Grain, threshed seeds, beans, ground feed, silage, 1 livestock feed, all in buildings, structures, sacks, wagons or trucks 2 Grain in stacks, shocks, swathes or piles in the open. 3 Hay, straw, fodder in buildings or structures (Maximum available policy limit $25,000) 4 Hay, straw, fodder in the open in stacks, windrows or bales (Maximum available policy limit $10,000) 5 Farm products, materials and supplies. This does not include hay, grain or growing crops. 6 Poultry (excluding Turkeys unless specified) in the open NOT COVERED 7 Poultry (excluding turkeys unless specified) in the following poultry buildings: NOT COVERED 8 Trays, boxes, box shook (unassembled wood crates) Computers & related software that are part of the farming operations and farm management processes Miscellaneous equipment (machinery, vehicles, tools, supplies usual or incidental to farm operations). Borrowed or rented, whether or not under a written contract: farm machinery, vehicles, equipment. Farm machinery, vehicles, equipment on or away from the insured location Year Description Make Model Rate Limit Of Insurance Premium Livestock Actual Death/Destruction (cattle, sheep, swine, goats, horses, mules, donkeys) Livestock Actual Death/Destruction Collision Only (cattle, sheep, swine, goats, horses, mules, donkeys) 15 Bees 16 Worms 17 Fish 18 Other Animal Types NA NA NOT COVERED TOTAL ADVANCE PREMIUM FOR COVERAGE E $ U Page 3 of 6

4 COVERAGE F UNSCHEDULED FARM PERSONAL PROPERTY CAUSES OF LOSS Basic Broad MAXIMUM LIMIT $5,000 VALUATION ACV at time of loss RC if actually replaced COVERAGE F UNSCHEDULED FARM PERSONAL PROPERTY RATE $ N5,000. LIMIT OF INSURANCE TOTAL ADVANCE PREMIUM FOR COVERAGE F INCLUDED COVERAGE G BARNS, OUTBUILDINGS AND OTHER FARM STRUCTURES CAUSES OF LOSS VALUATION Basic ACV at time of loss Broad RC if actually replaced Loc #Bldg # COVERAGE G Description Construction Year Built Rate Per $100 In Insured Values $ Limit Of Insurance TOTAL ADVANCE PREMIUM FOR COVERAGE G $ Optional Property Coverage(s) Rate Limit Of Insurance Premium Disruption of Farming Operations TOTAL ADVANCE PREMIUM FOR OPTIONAL PROPERTY COVERAGE $ U Page 4 of 6

5 POLICY NUMBER: NAMED INSURED: FARM & RANCH LIABILITY COVERAGE THESE FARM LIABILITY DECLARATIONS AND THE COMMON POLICY DECLARATIONS, TOGETHER WITH THE COVERAGE FORM(S), FORMS AND ENDORSEMENTS COMPLETE THE ABOVE NUMBERED POLICY. FORM OF BUSINESS Individual Joint Venture Limited Liability Company Partnership Basic Organization (Other than Partnership, Joint Venture or Limited Liability Company) DESCRIPTION OF PREMISES *Identify location by section or civil district, township, range, distance in miles by compass direction from nearest town; town, state. Identify road, where road leads from, location of road as to county and state The following are NOT covered for Farm Liability and Ranch Liability unless the FL (Business Activities Endorsement) is a part of this policy. Any exceptions for the types of exposures listed below must be specifically named on FL in order for insurance to be provided as stated in this policy. 1. Retail activity (other than onpremises roadside stands selling products produced principally by the insured insured). 2. Mechanized processing operations FARM LIABILITY COVERAGES PROVIDED H Bodily Injury and Property Damage Liability I Personal and Advertising Injury Liability J Medical Payments H Bodily Injury & Property Damage Liability J Medical Payments I Personal & Advertising Injury Liability H Fire Damage Limit J Medical Payments LIMITS OF INSURANCE GENERAL AGGREGATE LIMIT: $ EACH OCCURRENCE LIMIT: $ ANY ONE PERSON OR ORGANIZATION LIMIT: $ ANY ONE FIRE (PREMISES RENTED TO INSURED): $50,000 ANY ONE PERSON LIMIT (EXCEPT RESIDENT EMPLOYEES): $1,000 Coverage is provided on the Additional Farm Premises indicated and for which a premium is charged: Maintained by the Named Insured, Spouse or Resident of the Named Insured s Household* *MANDATORY Rented to Others U Page 5 of 6

6 SCHEDULE OF CLASSIFICATIONS DESCRIPTION CODE BASIS RATE PREMIUM TOTAL ADVANCE FARM & RANCH LIABILITY PREMIUM: $ U Page 6 of 6

FARM & RANCH COVERAGE PART DECLARATIONS

POLICY NUMBER: NAMED INSURED: FARM & RANCH COVERAGE PART DECLARATIONS FARM & RANCH LIABILITY COVERAGE THESE FARM LIABILITY DECLARATIONS AND THE COMMON POLICY DECLARATIONS, TOGETHER WITH THE COVERAGE FORM(S),