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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 I! 04, illl�lllllli111llll11111lllllllil'l1Jillr,l11lti1 coots Amended Declarations aw QAN� u Qx_� ' �� ^ StateFarm- 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