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HomeMy WebLinkAboutInsurance Certificate: Don's Lock LLC Allstate. You're In good hands. CUSTOMER NUMBER: 1156323 RUN DATE: 12-07-21 BILL JOHNSON 210 OAK STREET SUITE 1 SILVERTON, OR 97381 CITY OF ASHLAND 20 E MAIN ST - • ASHLAND,. OR 97520-1814 N. •. • • BU114-3 • 100002112076487457870104000030001006 0AIIstate. You're In good hands. Policy Number 648745787 SCHEDULE OF LOCATIONS Allstate Insurance Company Named Insured DON'S LOCK LLC Effective Date: 02-01-22 12:01 A.M., Standard Time Agent Name BILL JOHNSON Loc. Bldg. Designated Locations Occupancy No. No. (Address, City, State,Zip Code) 001 001 2940 N PACIFIC HWY, MEDFORD, OR 97501-1324 BU114-3 DM CW 14 01 10 Allstate Insurance Company Allstate. You're in good hands. Policy Number: 648745787 BUSINESSOWNERS POLICY DECLARATIONS Allstate Insurance Company Named Insured: DON'S LOCK LLC Effective Date: 0 2-01-2 0 2 2 12:01 A.M., Standard Time Agent Name: BILL JOHNSON Described Premises: See Schedule of Locations Mortgage Holder Name and Address: See Schedule Of Mortgagees SECTION I-PROPERTY Blanket Insurance Blanket # Type of Property - Limit of Insurance Deductibles(Apply per location, per occurrence) Property Optional Coverage(Other Than Equipment Windstorm or Hail Percentage Prem. No. Deductible Breakdown Protection Coverage) Deductible Deductible 001 $ 1, 000 $ 500 For Additional Deductible Information: See Schedule of Deductibles Additional Coverages=Optional Higher Limits/ Extended,Number Of Days(Per Policy) Additional Limit of Insurance / Coverage. Premium Extended Number of Days Forgery or Alteration $ 12 5 0 0 Business Income—Extended'Number of Days for Ordinary Days Payroll Expense Extended Business Income—Extended Number of Days Days Electronic Data-Increased Limit(Section I Property) Interruption of Computer Operations -Increased Limit Additional Coverages-Optional Higher(Per Premises) Additional Coverage Prem No. Premium Limit of Insurance Other: See Schedule of Additional Coverages-Per Premises Optional Optional Revised Time Prem No. Deductible Deductible Equipment Breakdown Protection Coverage THESE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND THE POLICY PERIOD. ' }` 4ti• DB CW 01 01 16 Copyright, Insurance Services Office, Inc., 2009 Allstate Insurance Company BU114-3 ®Allstate. You re In good hands. SECTION II—LIABILITY AND MEDICAL EXPENSES Each paid claim for the following coverages reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II-Liability in the Businessowners Coverage Form and any attached endorsements,, Coverage Limit of Insurance Liability And Medical Expenses $ 2, 0 0 0, 0 0 0 Per Occurrence Medical Expenses $ 10, 0 0 0 Per person Damage To Premises Rented To You $ 5 0, 0 0 0 Any One Premises Other Than Products/ Completed Operations Aggregate $ 4, 0 0 0, 0 0 0 Products/Completed Operations Aggregate $ 4, 0 0 0, 0 0 0 Optional Coverages—Applicable only if an 'X"is shown in the boxes below: Coverage Limit of Insurance Broadened Coverage For.Damage to Premises Per Occurrence Rented to You Self-storage Facilities—Customer Goods Legal Per Occurrence Liability(Optional Increased Limits) Motels Liability for Guests'Property ' Per Occurrence (Optional Limits) Per.Guest nMotels—Liability for Guests'Property In Safe Per Occurrence Deposit Boxes Deductible Optional Property Damage Liability Deductible: $ 1, 0 0 0 Per Claim Per Occurrence Forms and Endorsements: See.Schedule of Forms and Endorsements Premium for this Businessowners Policy: $6 54 . 0 0: ` • • • ��_ THESE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND THE POLICY PERIOD. g' DB CW 01 01 16 Copyright, Insurance Services Office, Inc., 2009 Allstate Insurance Company BU114-3 JAIIstate. You're In good hands. Property Details Property Coverage Limits of Insurance Actual Business Cash Personal Value of Auto Property- Type of Property Building Increase Seasonal Blanket # Premises Building (Building Or Business Option Limit Increase If Number Number And Personal Property (Y/N) (%)** (%) applicable Limit of Insurance* Building Business Personal N 2 25 $ 75, 771 001 0 01 Property *Includes Automatic Increase Building and/or Business Personal Property Limit Percentage **This percentage can only vary by premises,not by building. Optional Coverages-Applicable only if an'X"is shown in'the boxes,below: Coverage - Limit of Insurance Outdoor Signs $ , 2,'5 0 0 Per Occurrence X Money And Securities $ 10;000 Inside the Premises $ 5, 000 Outside the Premises X Employee Dishonesty $ 10 , 000 Per Occurrence X Equipment Breakdown Protection Coverage' Included Burglary Md Robbery (Named Peril Endorsement only) • Money And Securities (Amount included when '. • Inside the Premises Burglary and Robbery Option is selected). Outside the Premises Other(specify)::Please see the Schedule of Optional Coverages Additional Coverages/ Coverage Extension Optional Higher(Per Classification) Coverage Class Code Additional"Premium Limit of Insurance Business Income-Dependent Properties $ 10, 000 Accounts Receivable _ $ 50, 000 Valuable Papers and Records $ 50, 000 Outdoor Property $ 10, 000 Business Personal Property Temporarily In -- Portable Storage Units Additional Coverage-Business Income From Dependent Properties Secondary Dependent Properties n Yes No Theft Limitations-Optional Higher Limits(Per Policy) Description of Property Additional Premium Limit of Insurance Earthquake/Volcanic Act Percentage Deductible: THESE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND THE POLICY PERIOD. DB CW 02 01 16 Copyright, Insurance Services Office, Inc., 2012 BU114-3 Allstate Insurance Company ®Allstate. You're In good hands. POLICY NUMBER:648745787 BUSINESSOWNERS BP 04480713 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Name Of Additional Insured Person(!)Or Organization(s): CITY OF ASHLAND Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II—Liability is amended as follows: B. With respect to the insurance afforded to these A. The following is added to Paragraph C.Who Is An additional insureds, the following is added to Insured: Paragraph D. Liability And Medical Expenses Limits Of Insurance: 3. Any person(s) or organization(s) shown in the Schedule is also an additional insured, but only' If coverage provided to the additional insured is with respect to liability for "bodily injury", required"by a contractor agreement, the most we "property damage" or"personal and advertising will pay on behalf of the additional insured is the injury"caused, in whole or in part, by your acts- amount of insurance:. or omissions or the acts or omissions of those 1. Required by the contract or agreement; or acting on your behalf in the performance of , 2. Available under the applicable Limits Of your ongoing operations or in connection with . Insurance shown in the Declarations; your premises owned by or rented to you. whichever,is less. However: a. The insurance afforded to such additional This endorsement shall not increase the applicable insured only applies to the extent permitted Limits Of Insurance shown in the Declarations. by law; and b. If coverage provided to the additional - insured is required by a contract or- - agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. rtµ 1 . BU114-3 BP 04 48 0713 ©Insurance Services Office, Inc., 2012 Page 1 of 1