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HomeMy WebLinkAboutInsurance Certificate: Kencairn Landscape Architecture u State Farm Insurance ' , • Bo Box o 0 p S`at`eeFarm® Bloomingtton,,-IC 61702=2915 StateFarm® AT1 000073 1200 01 State Farm.Fire and.,G,asualty Company „ L CITY OF ASHLAND A.stock company with hometoffices in Bloomington, Illinois e. ATTN: TAMI DEMILLE-CAMEOS - `• • 20 E'MAIN'ST .., • . ASHLAND OR 97520-1814 . . o , ,; I'III'II1llilliil1i1l1l1irlrlllnl1i111'111I'll'0IIIIIIIII'llll ; • co. • ) Renewal .Declarations . . . . . Policy number:97-AA-G018-8 • • . • Effective date:October 29, 2023 Policy period: 12 months Expiration date:October 29, 2024 . . , , , .: .• The policy period begins and ends at 12:01 am standard time at the premises location. . OFFICE POLICY a I r it -. . ,: •. .• ,: , ...'/.1i -._, 'ay. „+ `' . . 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 .• . ' . • Mortgagee/Lienholder 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,yourpolicy language is included Please call your agent if you have any 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 prernium(s)shown below is the 12 months premium(s)for the characteristics ofthe policy as described in this Declarations. _ . _ . . _ . Premium: $246.00 ,” Total Premium: $246.00 :.,, . • 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 21,2023 ©Copyright, State Farm..Mutual•Automobile;Insurance Company, 2008,, - CMP Dec 3P OR.1 CMP-4000 1009482 2006 153090 206 08-21-2021 • • • 0-0 State'Farm® • SECTIONI-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 $35,800 25% ' Ashland OR 97520-1714 *As of the effective.date of this policy, the Limit of Insurance as shown includes any.inciease`in the limit due to Inflation Coverage. SECTION I—INFLATION COVERAGE INDEX(ES) • • Coy A-Inflation Coverage Index: N/A Coy B-Consumer Price Index: 304.1 • 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•D.eclarations,,.. unless indicated by`.`See schedule".:If a coverage doesnot have a corresponding'limit shown below;;but has"Included'k indicated, refer to that policy provision•for an explanation of that coverage,:. . Coverage Limit of Insurance ' Ll Accounts Receivable • On Premises $50,000 • Off Premises '. • $15,000 • Arson Reward ' $5,000 ir'>>' ;.:;d .'.';` TO. " Back-up of Sewer or Drain" 0 V 'o $15,000 Collapse-:...-. Included Damage to Non-owned Buildings from Theft,�'Burglaryor 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%. 0 replacement cost basis) • Policy number:97-AA-G018-8 0 Page 2 of 5 Prepared:August 21,2023 ©Copyright, State Farm Mutual Automobile'Insuranoe'Coriipany;'2008• • CMP-0000 ' U co StateFarrm • Coverage Limit of Insuiaiice:�,'fi: '';i "r • EjvMoney Orders and Counterfeit Money $1;,000 ••. • , Money and Securities • . • On Premises • ' $10,000 C Off Premises $5,000 `� f Newly Acquired Business Personal Property(applies'onlif this policyProvides 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 • • • - • - Presenration'ofProperty 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 - 1 • 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 • Utility Interruption-Loss of Income $10,000}` -: "' `• �`r•. :-' • • • Policy.number:97-AA-G018-8 Page 3 of 5 . Prepared:August 21,2023 ©.,Copyright, State Farm Mutual Automobile,Insurance;.Company, 2008 CMP-4000 . , • 00 StateFarme 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 Coverage L-Business Liability Per Occurrence $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 foe Liability Coverage reduces the amount:bf 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-4237.2 ' Amendatory Endorsement.(Oregon) CMP-4527.- Marijuana Exclusion * CMP-4561.4 Policy Endorsernent. = ' , - _CMP-4683.1 . . -Additional Insured.-Owners,Lessees or Contractors.(Blanket).- . _ CMP-4684.1Additional Insured-'Owners,Lessees or Contractors(Scheduled) , • . . • - 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' "i "•r. '6'" + 5 ,. . +''• :, 't . • 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- ompleted,Operations Hazard-.-... FD-6007 Inland Marine Attaching Declarations ' FE-3650 - Actual Cash Value Endorsement FE-6999.3 Policyholder Disclosure Notice of Terrorism Insurance Coverage *New Form Attached SCHEDULE OF ADDITIONAL INTEREST(S) Interest type: - • Owners,Lessees, or Contractors(Schedul - Endorsement number: CMP-4684.1 . - Loan number: NIA • CITY OF ASHLAND ' 20EMain St ' Ashland OR 97520-1814 ' Polley number:97-AA-G018-8 Page 4 of 5 Prepared:August 21,2023 ©Copyright;,State Farm Mutual Automobile Insurance Company, 2008, CMP-400D . • 'u• • • 090.StateFarrne FULL NAMED INSURED ' Named Insured: KENCAIRN LANDSCAPE ARCHITECTURE LLC tS' 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. ' • • ifdte—A-4. 7GI O 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 forrhs 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 . replacement cost appraisers, or,your agent can 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 21,2023 ©Copyright,'State Farm.Mutual Automobile Insurance Company, 2005 ' • CMP-4000 State Farm Insurance • u PO Box 2915 Bloomington, IL 61702-2915 090 StateFarms State Farm Flre and Casualty Company ▪ CITY OF ASHLAND A stock company with home offices in Bloomington, Illinois r: ATTN: TAMI DEMILLE-CAMPOS ▪ 20EMAIN ST ASHLAND OR 97520-1814 O - O o$ Inland Marine Attaching Declarations Policy number: 97-AA-G018-8 Effective date: October 29, 2023 Policy period: 12 months Expiration date: October 29, 2024 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 tothe premiums, rules and 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 issuanceof 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 21,2023 ©Copyright, State.Farm Mutual Automobile Insurance Company, 2005 CIM AK Dec 3P OR.1 FD-6007 1009481. 2002 153089 202 03-06-20211