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HomeMy WebLinkAboutInsurance Certificate: Kencairn Landscape Architecture LLC (2) State Farm Insurance U PO Box 2915 : , Bloomington, IL,6.1702-2915 6n StateFarrn All 001055 1200 01 • State Farm Fire.and•Casualty,Company CITY OF ASHLAND A stock company with home of ices in Bloomington, Illinois t:fy ATTN: TAMI DEMILLE-CAMPOS•''• ' ' • "•- 20EMAIN ST ASHLAND OR 97520-1814 . _ o , F�� •ililiiiililIll'Ill'�II1u 1"111u1IIuilIIIIiliuiIIlllIllI'II.111111. •.. • . , .. . o ?:-_,;,r,:,."',; 0 .•. , In;- i ,• . J. Renewal Declarations. ,.„: w :. ,t, ;, Policy number:97-AA-G018-8 Effective date:October 29, 2022 Policy period: 12 months Expiration date:October 29, 2023 -. . ... The policy period begins and ends at 12:01 am standard time at the premises location. . ' OFFICE POLICY ..:,::: .. ..:.; . - -,...5Ai,:„-. ••••'•',.' ' . ' . Automatic•renewal"-If the State Farm®-policy period is shown as 12 months, this:policy will be renewed automatically subject to the __premiums, rules and forms in effect for each succeeding policy'period: If this policy:.is terminated,'we will give you and the • MortgageelLienholder written notice in compliance with the policy provisions-or'as required bylaw, . '• ' : • : , :: .: • NAMED INSURED - .. KENCAIRN LANDSCAPE ARCHITECTUR . ENTITY Limited Liability Company , IMPORTANT MESSAGES) . Notice - Information concerning changes in your.poliicy language is included:. Please call your agent if you haveany questions: ' 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 is.the 12 months premium(s)for the characteristics of the policy as described in this Declarations. - . Premium: $300.00 . . . Total Premium: $300.00 • Minimum Premium Discounts applied: • Business Experience Rating Renewal Discount • Years in Business . .. Business in Residence Premises - , - • Policy number:97-AA-3018-8 • . Page 1 of 5 Prepared:August 21,2022 ©Copyright, State Farm Mutual Automobile;Insurance Company,.2008 CMP Dec 3P OR.1 CMP-4000 1009482 2006 153090 206 08-21-2021 004196 . :_ : : • -: o StaiteFarm® SECTION I=PROPERTY SCHEDULE • Location .-Location of described.premises Limit of Insurance* Limit of Insurance": , Seasonal Increase- number Coverage A- Coverage B Business Business Personal Property'. Buildings Personal Property , 002 147 Central Ave No Coverage $34,400 25% . Ashland OR 97520-1714 . *As of the effective date of this policy, the Limit of Insurance as shown includes any increase in the limit d'ue:to Inflation Coverage. : SECTION I-INFLATION COVERAGE INDEX(ES) Coy A-inflation Coverage Index: .NIA . ' Cov B-Consumer Price Index: 292.3 SECTION I-DEDUCTIBLES - BASIC.DEDUCTIBLE. . $1,000. . SPECIAL DEDUCTIBLES:. Employee Dishonesty: ' ' `'$250 ' 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",- I,f•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 i.: '1',,±',:'r•:,' '.'. Accounts Receivable .' On Premises .' $50,000 '_MI.1 Off Premises $15,000. - ' ' Arson Reward . $5,000 . • • • „,' :,•,; Back-up of Sewer or Drain ' . - ' ' ' . $15,000 ' - . Collapse Included . . �t,',..,n. : ` 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 $5,000 Fire Extinguisher Systems Recharge Expense . ' $5,000 • - Forgery or Alteration $10,000 • ' .• • ' Glass Expenses Included . Increased Cost of Construction and Demolition Costs(applies only when buildings are insured on a 10% replacement cost basis) Policy number:97-AA-G018-B . • . • Page 2 of 5 Prepared:August 21,2022 ©Copyright, State Farm Mutual Automobile Insurance Company,•2008 , • CMP-4000- - • u G90 StateFarm® Coverage Limit of Insurance' • . ..'. ' i MoneyOrders and Counterfeit Money.�•,.;,. $1,000.::. • .. 12.A Money and Securities • - -• • On Premises $10,000 Off Premises - $5,000 -• Newly Acquired Business Personal Property(applies only if this policy provides Coverage B-Business$100,000 Personal Property) Newly Acquired or Constructed Buildings(applies only if this policy provides Coverage A-Buildings) $250,000 Ordinance or Law-Equipment Coverage Included Outdoor Property $5,000 Personal Effects(applies only to those premises provided Coverage B-Business Personal Property) $5,000 -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 $2,500' Unauthorized Business Card Use $5,000 Valuable Papers and Records On Premises • • $50,000 Off Premises $15,000' • " ' - • 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 Dependent Property-Loss of Income $5,000 Employee Dishonesty ;$10,000 _ Loss of Income and Extra Expense 12 Months'Actual Loss Sustained I'•+' Utility Interruption-Loss of Income '' '$10,000- " Policy number:97-AA-G018-8Page 3 of 5 Prepared:August 21,2022 ©Copyright;State Farm.Mutual Automobile Insurance Company, 2008 • CMP-4000 004197 . (5)0 State Farms SECTION II-LOCATION SCHEDULE. .. • Location Location of described premises . . , • • number 002 ' 147 Central Ave • . . _. .. • Ashland OR 97520-1714 - . . _ SECTION II-LIABILITY - Coverage Limit of Insurance 'z •Coverage L-Business LiabilityPer Occurrence `' . '' '' ' g $2,000,000 ._ Coverage M-Medical Expenses ,' $10,000 Any One,Person' Damage to Premises Rented to You $300,000 , Aggregate Limits - Limit of Insurance . . General.Aggregate - - . $4,000,000' Products/Completed Operations Liability-Annual Aggregate •- . . • . . : Excluded . . 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-4237.1 Amendatory Endorsement(Oregon) . CMP-4527 Marijuana Exclusion , CMP-4561.1 Policy Endorsement.., . • , CMP-4683.1 Additional Insured.-Owners,Lessees or Contractors(Blanket). . . ' . CMP-4684.1 . Additional Insured-.Owners,Lessees or Contractors(Scheduled) . , .M . . CMP-4703.1 . . Utility Interruption-Loss.of.Income . . '. _. ' _ CMP-4704.1 Dependent Property-Loss of Income CMP-4705.2 Loss of Income and Extra Expense; - ' -- - , ` •,, 4' I .•_. CMP-4706 Back-up of Sewer or Drain , - CMP-4709 '' Money and Securities "' CMP-4710- Employee Dishonesty CMP-4819.1 Unauthorized Business Card Use . CMP-4845 .. Exclusion-Products-Completed Operations Hazard . _. __ ..,... : . 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: Owners,Lessees, or Contractors(Schedul Endorsement number: CMP-4684.9 , . _ - _ . . - _ . ... . _ _ Loan number: N/A CITY OF ASHLAND 20 E Main St . Ashland OR 97520-1814 Policy number:97-AA-G018-8 .. Page 4 of 5 Prepared:August 21,2022 ©'Copyright,'State-Farm Mutual Automobile Insurance.Company, 2008 , CMP-4000 - u ?: StateFarnr, • • FULL NAMED INSURED Named Insured: KENCAIRN LANDSCAPE ARCHITECTURE LLC 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. frit e— '% - President ' Secretary • OTHER MESSAGE(S) NOTICE TO POLICYHOLDER: • For a comprehensive description of coverage and forms, please refer to your policy. Policy changes requested before the "Date Prepared",which appear on this notice, are effective on the Renewal Date of this policy unless otherwise indicated by a separate endorsement, binder;or amended declarations, Any.coverage forms attached to this notice are also effective on the Renewal Date of this policy. Policy changes requested after the "Date Prepared"will be sent to you as an amended declarations or as an endorsement to your policy. Billing for any additional premium for such changes will be mailed at a later date. If, during the past year, you've acquired any valuable property items, made any improvements to insured property, or have any • questions about your insurance coverage,contact your State Farm agent. Please keep this with your policy. Your coverage amount.... • • It is up to you to choose the coverage and limits that meet your needs. We recommend that you purchase a coverage limit equal to the estimated replacement cost of your structure. Replacement cost estimates are available from building contractors and • replacementbost.appraisers,..or,your agent.ban Provide an estimate from_Xactware,.:Inc,.using information you..provide..about..your structure. State Farm does not guarantee that'any estimate will be the actual future cost to rebuild your structure. Higher limits are available at higher premiums. Lower limits are also available; as long as the amount of coverage meets our underwriting requirements. We encourage you to periodically review your coverages and limits with your agent and to notify us of any changes or additions to your structure. • • • • Policy number:97-AA-G018-8 Page 5 of 5 Prepared:August 21,2022 ©Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 004198 State Farm Insurance 'U • PO Box o S . Bloomingtton,, 0 IL 61702-2915 ita i�r tel=arlir State Farm Fire and Casualty Company CITY OF ASHLAND A stock company with home offices in Bloomington, Illinois ATTN: TAMI DEMILLE-CAMPOS 't, . 20EMAIN ST • ASHLAND OR 97520-1814 0 a 0 • Inland Marine Attaching Declarations Policy number: 97-AA-G018-8 Effective date: October 29, 2022 Policy period: 12 months Expiration date: October 29, 2023 The policy period begins and ends at 12:01 am standard time at the premises location. ATTACHING INLAND MARINE Automatic renewal -If the State Farm®policy period is shown as 12 months, this policy will be renewed automatically subject to the premiums, rules andl 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. Annual policy premium: Included The above premium amount is included in the.Policy Premium shown on the Declarations. FULL NAMED INSURED Named Insured: KENCAIRN LANDSCAPE ARCHITECTURE.LLC • . Your policy consists of these Declarations, the INLAND MARINE 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.. FORMS,OPTIONS_AND--ENDORSEMENTS .._ FE-6867 Amendment of Inland Marine Conditions • FE-8739 Inland Marine Conditions FE-8743.1 Inland Marine Computer Property Form See below for schedule page with limits • ATTACHING INLAND MARINE SCHEDULE PAGE Endorsement Coverage Limit of insurance . Deductible amount Annual premium number FE-8743.1 Inland Marine Computer Property Form $25,000 $500 Included • Loss of Income and Extra Expense $25,000 Included • Other limits and exclusions may apply-refer to your policy. Policy number:97-AA-G018-8 . • Page 1 of 1 Prepared:August 21,2022 ©Copyright, State Farm Mutual Automobile Insurance Company, 2006 CIM Att Dec 3P OR.1 FD-6007 1009481 2002 153089 202 03-06.2021 004199