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Home My WebLink AboutInsurance Certificate: Cascade Charter Company, LLCState Farm Insurance 17 PO Box 2915 Bloomington, It 61102-2915 AT1 000"184 1200 01 ti CITY OF ASFILAN[) 20 E MAIN ST ASHLAND OR 97520-1814 "I i l l I 11111111111111111 [1111 111111 111111111111 1111 Dodarations him Statti Farm Fire and Casualty Company A stock company wlih home offices in Blowiiington, Illinois Policy nUmbar:9Z-GP -R296-3 Effective date: Januai y 24, 2025 Policy period; 12 months Expiration date: ApJl 1, 2025 The policy pedod begins and ends at 12:01 am standard Ume at tits premises location. UNCE 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 forins, in effect for each succeeding policy period. If this policy is terminated, we will give you and 010 MortgageeiLlenholder written notice in compliance with the policy provisions or as required by kj%v, NAMEDINGURED CASCADE CHARTER COMPANY, LLC 04 Limited Liabllity Company P01 =I IIREMIUIA This Is not a bill. If air amount is due, than a soijarate SWORIOnt will'be sent prior to the dire date. The pte initrai(s) shown, belotv are for the policy period and policy characteristics as described in this Declarations, Increase In premium: $1.00 Discounts applied: Business Experience Rating Renewal Discount Years in Business REA'SOI4S F,C)R DI,1`.(' N-ARA]IONS Your policy is,amended effective January 24, 2025 due to some recent policy changes you reqUosted,. Enclosed is a COPY Of Your now endorsernents, if any, .. I . . ........ I . . Policy nurnbtr, 97-CP-R296 3 @ copyright, State Farm Mutual Automobile Insurance Company, 2QV� Page I of 5 CPAP Dec 3P OR I UMP-400D Prepared: Janumy 31, 20211, 1009482 2012 16M910 212 11-16-2024 "i E G I l 0 N I - P R 0 l"" E "ZIFY 8 C H E DU L E Location Location of described promises number Llinit of Insurance* Hmit of linsuranG0 Coverage A - Coverago B - Business Buildings Personal Property lk .0 iti""!'If "�"(UP lri , Seasonal Increase - Business Personal Property 001 2800 BIDDLE RD $595,400 $43,700 25% MEDFORD OR 97504,4115 As of the offecOic date of this policy, the Limit of Insuranoo as shown includes any Increase 41 the Nnit due to inflation Coverage. '311110114 l - 14H,ATINIJ COVE l?AG1,l l B`l D EX (E 1,,,3 E I Cow A. Inflation Coverage Index: 230,3 Cov B - Consumer Price Index: 307.8 (11 C) 114 1 D E D Lt C11 B L E 8 BASIC DEDUCTIBLE $1,000 SPECIAL DEDUCTIBLES: Employee Dishonesty: $250 Equipment Breakdown: $1,000 Money and Securities: $250 Other deductibles may apply - refer to policy, 111,13 T l (") N l X T E ,C,,3 10 t4 S 0 F G (,) V I`� A (E - L IN11 1 T I[) F t N S U R 1), `1 C l� EA(31 The covet -ages and oorresponding limits shown below apply separately to each described promises 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 art explanation of that coverage. Coverage Limit Of 111SUrance Accounts Receivable On Prernises $50,000 Off Prernises Arson Reward $5,000 Back-up of Sevier or Drain $15,000 collapse Included Darnago to Non-ovined Buildings front Theft, Burglary or Robbery . .... . .... . ... ..... Covet -age B Lit -nit DeNis Removal — - — ----- ------- 25% of coveted 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 Construcfion and Demolition Costs (applies only whom buildings are insured on a 10% replacernent cost basis) Policy numbor, 97AY-14296-3 @ Copyright, State Farm Mutual Autornot)jle Insurance Company, 2008 Page 2 of 5 MPAUGO I A st, Coverage Llmit of Insurance Money Orders and Counterfeit Money $1,000 Money and Securities On Premises $10,000 . ......... . ..... Off Premises $5,000 NeWy 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 $,5,0001 Personal Effects (applies only to those premises provided Coverage B - Business Personal Property) $6,000 Personal; Property Off Premises $15,000 Pollutant Clean Up and Removal $10,000 Prosewatron of Property 30 days Property of Others (applies only to those premises provided Coverage B - Business Personal $2.600 Property) Signs $2,500 Unauthorized Business Card Use $5,000 Valuable Papers and Records On Premises $,50,00!0 Off Premises $15,000 Water Damage, Other Liquids:, Powder or Molten Material Damage Included SEC71014 EKTI"NSIONS Of"GOVERAGE - HfAll'OF i N!'E',;Lf RAN PER POLWY 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 Limll of Insurance Dependent Property - Loss of Income $5,000 Employee Dishonesty $10,000 Loss of Income and Extra Expense 12 Months Actual Loss SusWnacl Utility Interruption - Loss of Income $10,000 Poky mummer. 97•GP- R296-3 @ Copyright, State Farm Mutual Automobile Insurance Company, 2008 Pago, 3 at 5 WP14000 L( CAmm Location Location of described promise,,, nurnbor 001 2800 13IDDLE RD MEDFORD OR 97504-4115 SSG '[K,',,)N H - Il IIAl3lli..tTY Coverage Limit of Insurance Govotage L - Business Liability Per Occurrence $2,000,000 Govefage M - Medical Expensps, $10,000: Any One Person Dama!#,, to Premises Rented to You $300,000 Aggregate Limits 01irle'al Aggregate Product',i/Compieted Operations Aggregate t.hrlit of Insurance $4,000,000 $4,000,000 ail, h"""YA Each paid clairri for Liability Coverage reduces the amount of insurance we provide during (lie applicable annual poriod. Ploa; e refor to Section 11 — Liability in tire {overage Form and any attachad endorsements. YOW poky consists of those Declarations, the BU&NESSOWNERS COVERAGE FORM shown Wow, and ariy othei ftx ins eared endorsements that app;y, including those shown 1,,)elow as well as those issued subsequent to the iSSUarlV8 of this policy. F (") lR N1 S A N D V hi D 0 R IA F kFFS CMP-4100 Businossowners Coverage Form CMP-4237,2 /VnenclatGry Endorsement (Oregon) CIVIPA527 Marijuana Exclusion CIVIP-4561A Policy Endorsement CMP,4683,1 Additional Insured - Owners, Lessees or Contractors (Blanket) CMIIP-4684.1 Additional Insured - Oviners, Lessees or Contractors (Scheduled) QW-47031 Utility Interruption - Loss of Income CNIP-4704.1 Dependent Property - Loss of Income CMP-4705.2 Loss of Income and Extra Expense CMP,4706 Back -tip of Sewer or Drain CMP-4709 Money and Securities OMP-47,10 Employee Dishonesty CMP-4787 Waiver of Transfer of flights of Recovery Against Others To Us CMP4810.1 Unuuthorized Business Card Use PO-6007 Inland Marine Attaching Declarations FE-3650 Actual Cash Value Endorsement FS69993 Policyholder Disclosure Notice of Terrorism Insurance Coverage tutrll It 01 U D F A 131 D �1 I110 N A lllN T l bIF S I (S) Intermit type: Owners, Lessees, or Contractors (Schedul Endorsourient ritiniber: CIVIP-46841 Loan Trumber: NIA CITY OF ASHLAND 20 1,-" Main St Ashland OR 97520.1814 ['Di�Cy llffllb0r. 97-CII.R296 3 0 Copyright, State Farm Mutuot AiftnoNle filStr"Ifice Company, 2008 Page 4 of 9 ("W, a000 I A St,,i:ife Thais policy is isqued by the State Farm Fire and Casualty Company, MPAR'fWH,,)A"flNG FIDLICY You are entitled to paiticipate in a distribution of the earnings of the company as determined by,:ur Board of Directors in accordance with the Company',. Aiticles of Incorporation, as amended, In Witness Whereof, the State Farm Fire and Casualty Company has caused this policy to be x, .fined by its President and Secretary at Bloomington, Illinois, President Secretary . ..... .... - Policy nurnbw: 97-10,P-R296:3 Page 5 of 5 Copyright, State Farm Mutual Automobile rnsurance Company, 20W State Farm Insurance 11 PO Box 2915 Bloomington, IL 61702.2915 CITY OF ASHLAN[D 20 E MAIN ST ASHLAND OR 97520-1814 State Farrn Fire and Casualty Company A stock company with home offices in Bloomington, Illinois Inland Marine Attaching Declarations Policy number, 97-CP-R296-3 Effective date: January 24, 2025 Policy period: 12 months Expiration date: April 1, 2025 The policy period begins and ends at 12:01 am standardUnie at the pienrises location.. ATTACI,1114G KLAND MW'�M[." Automatic renewal - If the State Farm(9 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 arid the Mortg agoo/1- ion hold or written notice in compliance with the policy provisions or as required by law, Annual pollcy premium: Included The above premium amount is included in the Policy Premium shown on the Declarations, I Your policy consists of these Declarations, the INLAND MARINE CONDITIONS shown below, and any other forrns and andorsernonts that apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORIAlk, OPT]ONG AND I-END,DRSEMENTS FE-6867 Amendment of Inland Marine Conditions FE-8739 Inland Marine Conditions FE-87431 Inland Marine Computer Property Form See below for schedule page with limits ATTAO-flNG IN' LAND MARINE SC1,+[','J)U1,,E Endorsaivient Coverage Limit of insurance Deductible amount Annual premium —number FE-8743.1 Inland Marine Computer Property Form $25 , 000 $50 0! Included Loss of Income and Extra Expense $25,000 Other Urnits and exclusions may apply - refer to your policy, Pd4cy flutnbur : 91.(,P- R296-3 UM Aft Duvv C341 OR I Oc Copyright, State Farm Mutual Automobile Insurance Company, 2008 F0-('W1 included Ryie I at I I DOM 1 2002 1530&9 202 03 055-2021