HomeMy WebLinkAboutAccurate Surveying and MappingState Farm insurance
PO Box 2915
Bloomington, IL 61702-2915
AT2 001144 1200 01
CITY OF CALDWELL
PO BOX 1179
CALDWELL ID 83605
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Amended Declarations
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State Farm Fire and Casualty Company
A stock company with home offices in Bloomington, Illinois
RECEIVED BY
CALDWELL CITY CLERK
NOV 0 5 2024
Policy number:93-AJ-2069-0 Effective date: October 28, 2024
Policy period:12 months Expiration date: May 10, 2025
The policy period begins and ends at 12:01 am stendard time at the premises location
BUSINESSOWNERS POLICY
Automatic renewal - if the State FarmO policy period is shown as 12 months, this policy will be renewed automatically subject to the
premiums, rules and forms in effect for each succeed,ng policy period. If this policy is terminated, we will give you and the
MortgageelLFenholder written notice in compliance with the pol-cy prov sions or as required by law,
NAMEDINSURED
ACCURATE SURVEYING & MAPPING I
ENTITY
Corporation
POLICY PREMIUM
This is not a bill. If an amount is due, then a separate statement will be sent prior to the due date. The premium(s) shown below are for the policy
period and policy characteristics as described in this Declarations.
Change in premium; none
Discounts applied:
Business Experence Rating
Years in Business
REASONS FOR DECLARATIONS
Renewal Discount
Enclosed Building or Shopping Center
Your policy Is amended effective October 28, 2024 due to some recent policy changes you requested. Enclosed is a copy of your new
endorsements, if any.
Poky number. 93-AJ-2069-0 Page 1 of 5
0 Copyright State Farm Mutual Automobile Insurance Company, 2a0t3
CMP Dec 3P ID
CMP-4000 1009482 2011 153090 211 05-18-2024
Prepared: Oclober 28, 2024
StateFarm-
SECTION I - PROPERTY SCHEDULE
Location Location of described premises Limit of Insurance* Limit of Insurance's Seasonal Increase -
number Coverage A - Coverage B - Business Business Personal Property
Buildings Personal Property
001 1520 W WASHINGTON $714,400 $706,700 25%
BOISE ID 83702-4081
* 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 COVERAGE INDEX(ES)
Cov A - Inflation Coverage Index: 233.4
Cov B - Consumer Price Index: 308.4
SECTION I — DEDUCTIBLES
BASIC DEDUCTIBLE $1,000
SPECIAL DEDUCTIBLES:
Equipment Breakdown: $1,000
Money and Securities: $250
Other deductibles may apply - refer to policy.
SECTION I — EXTENSIONS OF COVERAGE - 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". If a coverage does not have a corresponding limit shown below, but has 'Included' indicated,
refer to that policy provision for an explanation of that coverage.
Coverage
Limit of Insurance
Accounts Receivable
On Premises
$10,000
Off Premises
$5,000
Arson Reward
$5,000
Collapse
Included
Damage to Non -owned Buildings from Theft, Burglary or Robbery
Coverage B Limit
Debris Removal
25% of covered loss
Equipment Breakdown
Included
Fire Department Service Charge
$2,500
Fire Extinguisher Systems Recharge Expense
$5,000
Forgery or Alteration
$10,000
Glass Expenses
Included
Increased Cost of Construction and Demoli bon Costs (applies only when buildings are insured on a
replacement cost basis)
10%
Money Orders and Counterfeit Money
$1.000
Policy number 93-AJ-2069-0 Page 2 of 5
Copyright State Farm Mutual Automobile Insurance Company, 2008
CMP-4000
U
&StateFarm-
Coverage Limit of Insurance
'1
Money and Securities
On Premises
$5,000
Off Premises
$2,000
Newly Acquired Business Personal Property (applies only 'f this policy provides Coverage B - Business $100,000
Personal Property)
Newly Acquired or Constructed Buildings (applies only if this policy provides Coverage A - Buildings)
$250,0D0
Ordnance or Law - Equipment Coverage
Included
Outdoor Property
$5.000
Personal Effects (applies only to those premises provided Coverage B - Business Personal Property) $2,500
Personal Property Off Premises $15.000
Pollutant Clean Up and Removal $10,000
Preservation of Property 30 days
Property of Others (applies only to those premises provided Coverage B - Business Personal $2.500
Property)
Signs $2,50D
Valuable Papers and Records
On Premises $10,000
Off Premises $5.000
Water Damage, Other Liquids, Powder or Molten Material Damage Included
SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - 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 Limit of Insurance
Loss of Income and Extra Expense 12 Months Actual Loss Sustained
SECTION II - LOCATION SCHEDULE
Location Location of described premises
number
001 1520 W WASHINGTON
BOISE ID 837024081
Policy number: 93-AJ-2069-0
0 Copyright, State Farm Mutual Automobile Insurance Company, 2006
Page 3 of 5
CMPA000
StateFarw
SECTION A - LIABILITY
Coverage Limit of Insurance
Coverage L - Business Liability Per Occurrence $1,000,000
Coverage M - Medical Expenses $5,000 Any One Person
Damage to Premises Rented to You $300,000
Aggregate Limits Limit of Insurance
General Aggregate $2,000,000
ProductsfCompleted Operations Aggregate $2,000,000
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
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
Businessowners Coverage Form
CMP-4212.2
Amendatory Endorsement (Idaho)
CMP-4536
Additional Insured - Owners, Lessees or Contractors (Scheduled)
CMP-4543
Additional Insured - Designated Person or Organization
CMP-4561.4
Policy Endorsement
CMP-4705.2
Loss of Income and Extra Expense
CMP-4709
Money and Securities
CMP-4785.1
Additional Insured - Owners, Lessees or Contractors (Blanket)
CMP-4787
Waiver of Transfer of Rights of Recovery Against Others To Us
CMP-4875
Loss Payable
FD-6007
Inland Marine Attaching Declarations
FE-3650
Actual Cash Value Endorsement
FE-6999.3
Policyholder Disclosure Notice of Terrorism Insurance Coverage
SCHEDULE OF ADDITIONAL INTEREST(S)
Interest type: Designated Person or Organization
Endorsement number: CMP-4543
Loan number: NIA
City of Caldwell
po box 1179
caldwell ID 83605
FULL NAMED INSURED
Named Insured: ACCURATE SURVEYING & MAPPING INC
Policy number 93-AJ-2669.0
0 Copyright, State Farm Mutual Automobile Insurance Company, 2008
Page 4 of 5
CMP-4000