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Insurance Certificate: Cascade Charter Company, LLC (2)
State Farm insurance U Po Box 2915 Bloomington, IL. 61702-2915 AStateFarm AT1 001466 1200 01 State Farm Fire and Casualty Company CITY OF ASHLAND PUBLIC WORKS A stock company with home offices in Bloomington, Illinois 90 N MOUNTAIN AVE ASHLAND OR 97520-2014 oa 0 'll1111ni1l}ll1rurl111[IIll'r1r1I1Il11llll1rlllrllllrrlllrrllrll Relnewal Declarations Policy number:97-CP-R296-3 Effective date:April 1,2026 Policy period: 12 months Expiration date:April 1, 2027 The policy period begins and ends at 12:01 am standard time at the premises location. OFFICE PODUCY 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 by law, NIAMEDMEURED CASCADE CHARTER COMPANY, LLC E TTY Limited Liability Company POLICYPREIt iU 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: $1,761,00 - Total Premium: $1,761.00 Discounts applied: Business Experience Rating Renewal Discount Years in Business IMPOR€ANT MESSAGES; Notice - Information concerning changes in your policy language is included, Please call your agent if you have any questions. Policy number:97-0P-R2983 Page 1 of 5 ©Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP Dec 3P OR.1 CMP-4000 1009482 2014 153090 214 05.17-2025 Prepared:Fsbruary 6,2026 Fi Coverage Limit of Insurance Increased Cost of Construction and Demolition Costs(applies only when buildings are insured on a 10% replacement cost basis) Money Orders and Counterfeit Money $1,000 & Money and Securities On Premises n a B $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 Ciean 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-Llf,41T 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 Policy number:97-CP-R2963 Page 3 of 5 ©Copyright, State Farm Mutual Automobile Insurance.Company, 2008 CUP-4000 L1 A& State Farm, SC4EC ALE OF ADDITIONAL INTEREST(S) i Interest type: Owners,Lessees, or Contractors(Schedul Endorsement number. CMP-4684.1 Loan number: NIA City of Ashland Public Works 90 N Mountain Ave a Ashland OR 97520-2014 n� 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. WLfl� 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 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 actuaE 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-CP-R296-3 Page 5 of 5 QQ Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 I State Farm Insurance iJ PO Box 2915 Bloomington, IL 81702-2995 A State Farm- State Farm Fire and Casualty Company CITY OF ASHLAND PUBLIC WORKS A stock company with home offices in Bloomington, Illinois 90 N MOUNTAIN AVE ASHLAND OR 97520-2014 g� Inland Marine Attaching Declarations 0 Policy number: 97-CP-R296-3 Effective date:April 1, 2026 Policy period: 12 months Expiration date:April 1, 2027 The policy period begins and ends at 12:01 am standard time at the premises location. ATTACHING INLAND MARINE E 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 by law. Annual policy premium: Included The above premium amount is included in the Policy Premium shown on the Declarations, 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 pDlicy, FORMS,CPTiO S AND ENDORSEMENT'S FE-1403 Exclusion-Cyber Incident 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 ATTACMNG INLAND MA i E 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-CP-R296-3 Page t of 1 ©Copyright, State Farm Mutual Automobile Insurance Company, 20D8 CIM Att D=3?OP.1 FD-6007 1009481 2002 1530B9 202 03ZB-2021