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Home My Public Portal About101-2012 - HR - Hylant Administrative ServicesINDIANA MUNICIPAL INSURANCE PROGRAM INSURANCE PROPOSAL FOR: City of Richmond, Indiana PACKAGE POLICY TERM: 07/01/2012 — 07/01/2013 Presented and Serviced by Pillar Group Risk Management 301 Pennsylvania Parkway, Suite 100 Indianapolis, IN 46280 Administered Bv: Hylant Administrative Services Bill Horn -- Indiana State Manager Laura Hamman — Indiana Underwriter 1-800-249-5268 www.indianamip.com 1NSVRANC£ PR666AY This quotation is valid for thirty (30) days from the date of quotation or the inception date, whichever is later. Extensions may be granted upon request to Hylard Administrative Services, Ino. 07/06r2012 Contract #101--201.2 COVERAGE — INDIANA MUNICIPAL INSURANCE PROGRAM IMIP offers coverage through the Argo Groug of Companies, (www.argooroupus.corn . The following insurance carrier delivers solid financial support and service to our Indiana policyholders: Argonaut Insurance Company • AM Best Rating "A" Stable • Size — XII ($1.0 Billion - $1.25 Billion) • Admitted Carrier - State of Indiana SERVICE — INDIANA MUNICIPAL INSURANCE PROGRAM Service for IMIP is shared between Hvlant Administrative Services, Inc. and Trident insurance Services LLC. Trident is Argonauts public entity division. Both organizations are dedicated to servicing the needs of preferred governmental entities throughout the state of Indiana. Tridents CLAIMS department brings the experience of having settled over 100,000 Public Entity claims in the past 20 years. This brings an unsurpassed level of knowledge and expertise to the program. H lams UNDERWRITING staff specializes only in governmental entities. We help to identify the needs of our customers and provide solutions to those needs. Hvlant's RISK MANAGEMENT staff will assist your public entity in identifying existing or potential property and liability exposures. Technical assistance and resource materials are available to our customers at no cost. Hvlant's MARKETING department partners with local Indiana independent agents to seek out and gather information from select governmental entities. This results in a tailored insurance package that focuses on the specific need of each entity. POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE You are hereby notified that under the Terrorism Risk Insurance Act, as amended, that you have aright to purchase insurance coverage for losses resulting from acts of terrorism, as defined in Section 102(7) of the Act. The term "act of terrorism" means any act that is certified by the Secretary of the Treasury -in concurrence with the Secretary of State, and the Attorney General of the United States to be an act of terrorism; to be a violent act or an act that is dangerous to human life, property, or infrastructure; to have resulted in damage within the United States, or outside the United States in the case of certain air carriers or vessels or the premises of a United States mission; and to have been committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. YOU SHOULD KNOW THAT WHERE COVERAGE IS PROVIDED BY THIS POLICY FOR LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM, SUCH LOSSES MAY BE PARTIALLY REIMBURSED BY THE UNITED STATES GOVERNMENT UNDER A FORMULA ESTABLISHED BY FEDERAL LAW. HOWEVER, YOUR POLICY MAY CONTAIN OTHER EXCLUSIONS WHICH MIGHT AFFECT YOUR COVERAGE, SUCH AS AN EXCLUSION FOR NUCLEAR EVENTS. UNDER THE FORMULA, THE UNITED STATES GOVERNMENT GENERALLY REIMBURSES 85% OF COVERED TERRORISM LOSSES EXCEEDING THE STATUTORILY ESTABLISHED DEDUCTIBLE PAID BY THE INSURANCE COMPANY PROVIDING THE COVERAGE. THE PREMIUM CHARGED FOR THIS COVERAGE IS PROVIDED BELOW AND DOES NOT INCLUDE ANY CHARGES FOR THE PORTION OF LOSS THAT MAY BE COVERED BY THE FEDERAL GOVERNMENT UNDER THE ACT. YOU SHOULD ALSO KNOW THAT THE TERRORISM RISK INSURANCE ACT, AS AMENDED, CONTAINS A $100 BILLION CAP THAT LIMITS U.S. GOVERNMENT REIMBURSEMENT AS WELL AS INSURERS' LIABILITY FOR LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM WHEN THE AMOUNT OF SUCH LOSSES IN ANY ONE CALENDAR YEAR EXCEEDS $100 BILLION. IF THE AGGREGATE INSURED LOSSES FOR ALL INSURERS EXCEED $100 BILLION, YOUR COVERAGE MAY BE REDUCED. Acceptance or Rejection of Terrorism Insurance Coverage I hereby elect to purchase terrorism'coverage for a prospective premium of $TBD. rpe' I hereby decline to purchase terrorism coverage for certified acts of terrorism. I understand that 1 will have no coverage for losses resulting from certified acts of terrorism. �L Policyholder/Ap licants Signature Print Name -/ G - Iola Date Trident Insurance Services, LLC Company 4629168-00 Policy Number GENERAL LIABILITY Occurrence Form Standard Coverage Limit Bodily InjurylProperty Damage $1,000,000 Personal Injury/Advertising Injury $1,000,000 Fire Damage $100,000 Employee Benefits ($1,000 deductible applies) $1,000,000 General Aggregate $3,000,000 Products/Completed Operations Aggregate $3,000,000 Deductible (Expenses not included within retention) —Sewer Backup Only $10,000 Each Occurrence PREMIUM $164,964 General Liability P.E. 2 Limit Deductible Day Care, Day Camp, Nursery or similar facility Included None Emergency Medical Service Included None Fire District or Department Included None Firework Display or Exhibition Included None Golf Course Included None Landfill, Dump, Refuse Site or Incinerator Included None Professional Services provided by any Lawyers and Engineers Included None Public Transportation System, including but not limited to Included None transport, operations and premises Public Water Utility Included None Sewer System Included $10,000 Waterslide Included None Limited Pollution Liability Coverage Included None Limited Failure to Supply Included None General Liability Features and Benefits Description "Pay On Behalf` form Additional Insured by Written Agreement, Contract or Permit Blanket Collapse, Explosion, Underground property damage Broad Form Named Insured Chartered Aircraft Liability Contracted Liability Defense Costs in Addition to Limit of Liability Extended Property Damage Host Liquor Liability Independent Contractors Liability Non auditable Policy Premises 1 Operations Products ! Completed Operations Sewer Backup Coverage Special Events (subject to company approval) Supplementary Payments — Sail Bonds Supplementary Payments — Daily Loss of Earnings Watercraft Liability Worldwide Coverage Territory PUBLIC OFFICIALS' LIABILITY Claims Made Form Standard Coverage Limit Per Wrongful Act $1,000,000 Annual Aggregate $3,000,000 Deductible $25,000 Each Wrongful Act Prior Acts Date 01/01/1998 PREMIUM $11,098 Miscellaneous: Description Deductible Limit Non Monetary Defense Coverage None $10,000/$50,000 Professional Services provided by any Lawyers $25,000 Included or Engineers Firework Display or Exhibition $25,000 Included Public Water Utility $25,000 Included Waterslide $25,000 Included Public Transportation System, including but not $25.000 Included limited to transport, operations and premises Golf Course $25,000 Included Fire District or Department $25,000 Included Emergency Medical Service $25,000 Included Landfill, Dump, Refuse Site or Incinerator $25,000 Included Sewer System $25,000 Included Aircraft, Airfield, Runway, Hanger, Terminal or other property in connection with aviation $25,000 Included activities Public Officials' Liability Features and Benefits Description Broad Form Named Insured Civil Rights Violations Defense Costs in Addition to Limit of Liability Licensing & Permitting Coverage Loss of Compensation ('Wage') Claims - $50,000 per person, $10,000 ded Non Auditable Policy "Pay On Behalf" Form Wrongful Act "Incident" Reporting Zoning Coverage EMPLOYMENT PRACTICES LIABILITY Claims Made Form Standard Coy_era�e Limit Per Wrongful Employment Act $1,000,000 Annual Aggregate $3,000,000 Deductible $25,000 Each Wrongful Act PREMIUM $20,647 Prior Acts Date 01/01/1998 LAW ENFORCEMENT LIABILITY Occurrence Form Standard Coveraue Limit Per Wrongful Act $1,000,000 Annual Aggregate $3,000,000 Deductible $10,000 Each Wrongful Act PREMIUM $36,359 Law Enforcement Liability Features and Benefits Uescriation "Pay On Behalf Form Authorized Moonlighting Bodily Injury, Assault & Battery Broad Form Named Insured Canine And Equine Exposures Civil Rights Violations Defense Costs in Addition to Limit of Liability False ArrestlWrongful Imprisonment False Or Improper Service or Process Non Auditable Policy Property Damage COMMERCIAL AUTOMOBILE LIABILITY Standard Coverage Limit Symbol Liability Limit $1,000,000 1 Deductible None Uninsured Motorist Rejected Underinsured Motorist Rejected Total Units Quoted 304 PREMIUM $117,898 COMMERCIAL AUTOMOBILE PHYSICAL DAMAGE Standard C vera a OCN Deductible Units Valuation Symbol Comprehensive $14,421,331 $1,000 300 ACV 10 Comprehensive $20,000 $1,000 1 Agreed Value 10 Comprehensive $1,046,380 $1,000 3 Replacement Cost 10 Total Comprehensive $15,487,711 304 Collision $14,421,331 $1,000 300 ACV 10 Collision $20,000 $1,000 1 Agreed Value 10 Collision $1,046,380 $1,000 3 Replacement Cost 10 Total Collision $15,487,711 304 PREMIUM $102,810 Commercial Automobile Features and Benefits Description Fleet Automatic Hired & Non Owned Auto Garagekeepers Coverage - $1,000,000 Limit of Liability - $1,000 Deductible for both Comp and Collision Fellow Employee Exclusion Deleted Supplementary Payment — Bail Bonds Supplementary Payments — Daily Loss Of Earnings Hired Car Physical Damage - $100,000 Limit Permanently Installed Audio, Visual Or Electronic Equipment Loss Payable Clause Transportation Expense For Theft Of Private Passenger Auto - $50 Per Day/$1,000 Maximum Airbag Coverage — Up To $1,000 — Deductible Waived Deductible Reimbursement -- Up To $500 For Owned Autos Of Volunteers Or Employees Deductible Waived For Glass Repaired Rather Than Replaced — Private Passenger Autos The premium quoted is the final annual premium. Subject to the conditions described in Item #2 below, this coverage will not be audited. # 7 -Commercial Automobile Liability Coverage is automatically provided for ANY AUTO the entity owns or acquires during the Policy Period. # 2 - Commercial Automobile Physical Damage Coverage is provided on a "Fleet Automatic" basis. This means that any auto(s) the entity acquires during the term of the policy will be covered automatically, provided it is an additional new auto or replaces an auto the entity previously owned which had Physical Damage coverage. The entity must inform Trident that they desire Physical Damage coverage for these autos within 30 days after the entity acquires the auto(s). The entity must submit a request for coverage for any auto(s) which do not meet the conditions outllned above. Coverage for these autos will be added by endorsement. IMPORTANT NOTE: The Insured should continue to submit all change request to their agent and the agent should submit copies of all requests to Trident to insure accurate record keeping and claims verification. COMMERCIAL PROPERTY Standard Coverane Building Contents TOTAL INSURED VALUES Loss Limit Blanket Limit Applies Cause of Loss Form Co-insurance Deductible *Valuation TOTAL PREMIUM Other Perils Causes of Loss - Earthquake Form Exclusion Amendment - Flood Total Insured Values $1,000, 000 $1,000,000 Limit $119,462,029 $27,761,639 $147,223,668 No Special Agreed Amount% $5,000 RC $145,693 Deductible $50, 000 $50, 000 `Please mote the vacant dwellings will be covered on an ACV basis. The vacancy permit will not be attached. Commercial Prop" Features and Benefits Description Limit Accounts Receivable $100,000 Arson Reward $7,500 Building Ordinance or Law Loss to Undamaged Portion of Building Building Limit Demolition Cost Coverage $100,000 Increased Cast of Construction $100,000 Changes in Temperature or Humidity $50,000 Commandeered Property $100,000 Common Deductible Provision Included Communications Equipment $50,000 Computer Equipment $50,000 Crime Reward Per Person $1,OGO Maximum $5,000 Detached Signs $5,000 Electrical Damage $50,000 Extra Expense and Business Income $100,000 Fairs, Exhibitions, Expositions or Trade Shows $50,000 Fine Arts $60,000 Fire Department Service Charge $5,000 Fire Equipment Recharge Included Flagpoles $5,000 Foundations Included Glass Included Glass Display or Trophy Cases $5,000 Grounds Maintenance Equipment $50,000 Lock Replacement $500 Money and Securities Inside Premise $5,000 Outside Premise $5,000 Newly Acquired or Constructed Property Building $1,000,000 Personal Property $500,000 Off Premises Utility Failure $50,000 Outdoor Property Any one Tree, Shrub or Plant $1,000 Total Limit $50,000 Personal Effects and Property of Others Anyone Employee or Volunteer $1,500 Any One Occurrence $50,000 Replacement Cost Valuation Included Pollutant Clean up and Removal $25,000 Premises Boundary Increased Limit 1,000 Feet Property in Transit $50,000 Property Off Premises $50,000 Sewer Back -Up Included Spoilage $10,000 Valuable Papers $100,000 Revised Limit $250,000 $500,000 Deductible $5,000 $5,000 COMMERCIAL INLAND MARINE Standard Coverage Limit Deductible Valuation Emergency Services $39,000 $1,000 RC Hired, Leased, Borrowed Equipment $131,000 $1,000 ACV Miscellaneous Scheduled $3,158,456 $1,000 RC Miscellaneous Unscheduled $20,000 $1,000 ACV Subject to maximum amount of: 2,500 per item Parks and Recreation $143,044 $1,000 RC PREMIUM $7,183 Inland Marine Features and Benefits Description New Acquisitions covered up to 90 Days Rental Expense Reimbursement $2,500 per policy COMMERCIAL CRIME Standard Coverage Limit Deductible Forgery and Alteration $100,000 $500 Public Employees Dishonesty including Faithful Performance $100,000 $500 PREMIUM $977 COMMERCIAL EXCESS LIABILITY Standard Covera a Limit Each Occurrence, Offense, Accident, or Wrongful Act $5,000,000 Annual Aggregate $5,000,000 Underlying Insurance General Liability $1,000,000 Public Officials' Liability $1,000,000 Law Enforcement Liability $1,000,000 Commercial Automobile Liability $1,000,000 Employment Practices Liability $1,000,000 PREMIUM $46,036 Miscellaneous: Description limit Uninsured Motorists Exclusion Done Underinsured Motorists Exclusion None *Please note the Excess Liability quote includes a separate aggregate limit for each line of business as quoted above The following is a price breakdown for this quotation: Option 1 COVeEgge Premium General Liability $164,964 Public Officials' Liability $11,098 Employment Practices Liability $20,647 Law Enforcement Liability $36,359 Commercial Automobile Liability $117,898 Commercial Automobile Physical Damage $102,810 Commercial Property $145,693 Commercial Inland Marine $7,183 Commercial Crime $977 Commercial Excess Liability $46,036 TOTAL $653,665 The total premium shown includes a charge for Certified Acts of Terrorism coverage. The 0 amount of premium attributed to this coverage is: ADDITIONAL INFORMATION Risk in General Quote is subject to receipt of the following items at time of binding coverage: • Signed Trident Application • Signed Terrorism Form, page 3 of the proposal • Signed UM/UIM rejection form • Per email request of other items. Risk Control will be ongoing throughout the year. Quote is subject to receiving insured's written response to the current outstanding recommendation within the next 60 days. — This item is still open and awaiting confirmation on which recommendations Trident wants addressed. Commercial Property Quote is subject to receiving a signed statement of values by month end. Commercial Inland Marine Quote is subject to receiving a complete schedule of park equipment by month end. If you would like a quote for UM/UIM, please advise. GENERAL CONDITIONS This proposal is based on information provided to TRIDENT by the Agent. An application signed and dated by an official of the entity and the agent/broker must be received within thirty (30) days of binding coverage. The quotation in this proposal does not necessarily match the coverages or limits requested in the bid specifications and/or application. No warranty is made or implied with respect to the total compliance to bid specifications or applications. Each individual policy contains the actual terms, conditions and exclusions. This proposal highlights certain features and benefits of the Trident program. Specifically excluded exposures include, but are not limited to: airports/aviation activities, medical facilities or medical professional liability, mechanically operated amusement devices, injury to volunteers, lead contamination, pollution liability, etc. Please note that any professional liability lines quoted (Public Officials Liability, Law Enforcement Liability, Educator's Legal Liability, and Employment Practices Liability) include defense costs within the deductible. AN EXCLUSION FOR MOLD OR A SUSLIMIT MAY APPLY. The quoted premium for the Terrorism Risk Insurance Program Reauthorization Act of 2007 and Total Estimated Taxes and Fees are based on quoted limits and coverages. Final premium is subject to adjustment based on any changes to those limits and coverages. A TERRORISM EXCLUSION MAY APPLY. INSURANCE BINDER 12 THIS BINDER IS A TEMPORARY INSURANCE CONTRACT SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. AGENCY COMPANY Policy # Hylant Administrative Services 811 Madison Avenue P.O. Box 2083 Toledo, Ohio 43604-2083 Argonaut Insurance Company EFFECTIVE DATE TIME EXPIRATION DATE TIME 7-1-12 12.01 x AM 94-12 X 12:01AM PMJ NOON PHONE AIC, No. ea): 800-249-5268 -7 FAX Arc, No. ; 419-259-13099 THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THEABOVE NAMED COMPANY PER EXPIRING POLICY# INSURED DESCRIPTION OF OPERATIONSAMRICLESIPROPERTY (Including Location) City of Richmond 50 North 6 ' Street Richmond, IN 47374 Public Entity Coverage is bound per the attached Summary of Coverage nntizenr_¢c LIMITS TYPE OF INSURANCE COVERAGEIFORMS DEDUCTIBLE COINS% AMOUNT PROPERTY CAUSES OF LOSS BASIC ❑ BROAD ❑ SPEC GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR RETRO DATE FOR CLAIMS MADE: EACH OCCURRENCE $ DAMAGETO RENTED PREMISES $ MED EXP (Anyone parson) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS— COMPIOP AGG $ AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIRE] AUTOS NON4YMEDAUTOS COMBINED SINGLE LIMIT $ BODILY INJURY (Per parson) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ MEDICAL PAYMENTS $ PERSONAL INJURY PROT $ UNINSURED MOTORIST $ $ AUTO PHYSICAL DAMAGE cmxn= COLLISION: OTHER THAN COL: ALL VEHICLES Li SCHEDULED VEHICLES ACTUAL CASH VALUE $ STATED AMOUNT OTHER GARAGE LIABILITY ANY AUTO AUTO ONLY —EA ACCIDENT $ OTHER THAN AUTO ONLY' ; EACHACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: EACH OCCURRENCE $ AGGREGATE $ SELF4NSURED RETENTION $ WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY WC STATUTORY LIMITS E.L. EACH ACCIDENT— $ E.L. DISEASE —EA EMPLOYEE $ E.L. DISEASE —POLICY LIMIT $ SPECIAL CONDITIONS OTHER COVERAGES AUTHORIZED REPRESENTATIVE NOTE: IMPORTANT STATE INFORMATION ON REVERSE SIDE CONDITIONS This Company binds the Wind(s) of insurance stipulated on the reverse side. The Insurance is subject to the terms, conditions and limitations of the policy(ies) in current use by the Company. This binder may be cancelled by the Insured by surrender of this binder or by written notice to the Company stating when cancellation will be effective. This binder may be cancelled by the Company by notice to the Insured in accordance with the policy conditions. This binder is cancelled when replaced by a policy. If this binder is not replaced by a policy, the Company is entitled to charge a premium for the binder according to the Rules and Rates in use by the Company. GENERAL LIABILITY Occurrence Form Standard Coverage Limit Bodily injury/Property Damage $1,000,000 Personal Injury/Advertising Injury $1,000,000 Fire Damage $100,000 Employee Benefits ($1,000 deductible applies) $1,000,000 General Aggregate $3,000,000 ProductstCompleted Operations Aggregate $3,000,000 Deductible (Expenses not included within retention) — Sewer Backup Only $10,000 Each Occurrence General Liability P.E. Z Limi# Deductible Day Care, Day Camp, Nursery or similar facility Included None Emergency Medical Service Included None Fire District or Department Included None Firework Display or Exhibition Included None Golf Course Included None' Landfill, Dump, Refuse Site or Incinerator Included None Professional Services provided by any Lawyers and Engineers Included None Public Transportation System, including but not limited to Included None transport, operations and premises Public Water Utility Included None Sewer System Included $10,000 Waterslide Included None Limited Pollution Liability Coverage Included None Limited Failure to Supply Included None General Uability Features and Benefits Description "Pay On Behalf"form Additional Insured by Written Agreement, Contract or Permit Blanket Collapse, Explosion, Underground property damage Broad Form Named Insured Chartered Aircraft Liability Contracted Liability Defense Costs in Addition to Limit of Liability Extended Property Damage Host Liquor Liability Independent Contractors Liability Non auditable Policy Premises 1 Operations Products / Completed Operations Sewer Backup Coverage Special Events (subject to company approval) Supplementary Payments — Bail Bonds Supplementary Payments — Daily Loss of Earnings Watercraft Liability Worldwide Coverage Territory PUBLIC OFFICIALS' LIABILITY Claims Made Form Standard Coverage Lrrnit Per Wrongful Act $1,000,000 Annual Aggregate $3,000,000 Deductible $25,000 Each Wrongful Act Prior Acts Date 01/01/1998 Miscellaneous: Descriplion Deductible Limit Non Monetary Defense Coverage None $10,000I$50,000 Professional Services provided by any Lawyers $25,000 Included or Engineers Firework Display or Exhibition $25,000 Included Public Water Utility $25,000 Included Watersiide $25,000 Included Public Transportation System, including but not $25,000 Included limited to transport, operations and premises Golf Course $25,000 included Fire District or Department $25,000 Included Emergency Medical Service $25,000 Included Landfill, Dump, Refuse Site or Incinerator $25,000 Included Sewer System $25,000 Included Aircraft, Airfield, Runway, Hanger, Terminal or $25,000 Included other property in connection with aviation activities Public OfficialsLiability Features and Benefits Descrie ion Broad Form Named Insured Civil Rights Violations Defense Costs in Addition to Limit of Liability Licensing & Permitting Coverage Loss of Compensation ('Wage') Claims - $50,000 per person, $10,000 ded Non Auditable Policy "Pay On Behalf"Form Wrongful Act "Incident" Reporting Zoning Coverage EMPLOYMENT PRACTICES LIABILITY Claims Made Form Standard Coverage Lb At Per Wrongful Employment Act $1,000,000 Annual Aggregate $3,000,000 Deductible $25,000 Each Wrongful Act Prior Acts Date 01/01/1998 LAW ENFORCEMENT LIABILITY Occurrence Form Standard Coverane Limit Per Wrongful Act $1,000,000 Annual Aggregate $3,000,000 Deductible $10, 000 Each Wrongful Act Law Enforcement Liability Features and Benefitl Description "Pay On Behalf Form Authorized Moonlighting Bodily Injury, Assault & Battery Broad Form Named Insured Canine And Equine Exposures Civil Rights Violations Defense Costs in Addition to Limit of Liability False Arrest/Wrongful Imprisonment False Or Improper Service or Process Non Auditable Policy Property Damage COMMERCIAL AUTOMOBILE LIABILITY Standard Covera a Limit Symbol Liability Limit $1,000,000 1 Deductible None Uninsured Motorist Rejected Underinsured Motorist Rejected Total Units Quoted 304 COMMERCIAL AUTOMOBILE PHYSICAL DAMAGE Standard Coverage QCN Deductible Units Value Symbol Comprehensive $14,421,331 $1,000 300 ACV 10 Comprehensive $20,000 $1,000 1 Agreed Value 10 Comprehensive $1,046,380 $1,000 3 Replacement Cost 10 Total Comprehensive $15,487,711 304 Collision $14,421,331 $1,000 300 ACV 10 Collision $20,000 $1,000 1 Agreed Value 10 Collision $1,046,380 $1,000 3 Replacement Cost 10 Total Collision $15,487,711 304 Commercial Automobile Features and Benefits Description Fleet Automatic Hired & Non Owned Auto Garagei<eepers Coverage - $1,000,000 Limit of Liability - $1,000 Deductible for both Comp and Collision Fellow Employee Exclusion Deleted Supplementary Payment — Bail Bonds Supplementary Payments — Daily Loss Of Earnings Hired Car Physical Damage - $100,000 Limit Permanently Installed Audio, Visual Or Electronic Equipment Loss Payable Clause Transportation Expense For Theft Of Private Passenger Auto - $50 Per Dayl$1,000 Maximum Airbag Coverage — Up To $1,000 — Deductible Waived Deductible Reimbursement — Up To $500 For Owned Autos Of Volunteers Or Employees Deductible Waived For Glass Repaired Rather Than Replaced — Private Passenger Autos FLEET AUTOMATIC The premium quoted is the final annual premium. Subject to the conditions described in item #2 below, this coverage will not be audited. # 9 - Commercial Automobile Liability Coverage is automatically provided for ANY AUTO the entity owns or acquires during the Policy Period. # 2 - Commercial Automobile Physical Damage Coverage is provided on a "Fleet Automatic" basis. This means that any auto(s) the entity acquires during the term of the policy will be covered automatically, provided it is an additional new auto or replaces an auto the entity previously owned which had Physical Damage coverage. The entity must inform Trident that they desire Physical Damage coverage for these autos within 30 days after the entity acquires the auto(s). The entity must submit a request for coverage for any auto(s) which do not meet the conditions outlined above. Coverage for these autos will be added by endorsement. IMPORTANT NOTE: The Insured should continue to submit all change request to their agent and the agent should submit copies of all requests to Trident to insure accurate record keeping and claims verification. COMMERCIAL PROPERTY Standard Coverage Limit Building $119,462,029 Contents $27, 761,639 TOTAL INSURED VALUES $147,223,668 Loss Limit No Blanket Limit Applies Cause of Loss Form Special Co-insurance Agreed Amount% Deductible $5,000 *Valuation RC Other Perlis Total Insured Values Deductible Causes of Loss - Earthquake Form $1,000,000 $50,000 Exclusion Amendment - Flood $1,000,000 $50,000 *Please mote the vacant dwellings will be covered on an ACV basis. The vacancy permit will not be attached. Commercial Property Features and Benefits Descri to ion Limit Revised Limit Aomunts Receivable $100,000 Arson Reward $7,500 Building Ordinance or Law Loss to Undamaged Portion of Building Building Limit Demolition Cost Coverage $100,000 Increased Cost of Construction $100,000 Changes in Temperature or Humidity $50,000 Commandeered Property $100,000 Common Deductible Provision Included Communications Equipment $50,000 Computer Equipment $50,000 $250,000 Crime Reward Per Person $1,000 Maximum $5,000 Detached Signs $5,000 Electrical Damage $50,000 Extra Expense and Business Income $100,000 $500,000 Fairs, Exhibitions, Expositions or Trade Shows $50,000 Fine Arts $50,000 Fire Department Service Charge $5,000 Fire Equipment Recharge Included Flagpoles $5,000 Foundations Included Glass Included Glass Display or Trophy Cases $5,000 Grounds Maintenance Equipment $50,000 Lock Replacement $500 Money and Securities Inside Premise $5,000 Outside Premise $5,000 Newly Acquired or Constructed Property Building $1,000,000 Personal Property $500,000 Off Premises Utility Failure $50,000 Outdoor Property Any one Tree, Shrub or Plant $1,000 Total Limit $50,000 Personal Effects and Property of Others Anyone Employee or Volunteer $1,500 Any One Occurrence $50,000 Replacement Cost Valuation Included Pollutant Clean up and Removal $25,000 Premises Boundary Increased Limit 1,000 Feet Property in Transit $50,000 Property Off -Premises $50,000 Sewer Back -Up Included Spoilage $10,000 Valuable Papers $100,000 Deductible $5,000 $5,000 COMMERCIAL INLAND MARINE Standard Covera e Emergency Services Hired, Leased, Borrowed Equipment Miscellaneous Scheduled Miscellaneous Unscheduled Subject to maximum amount of: 2,500 per item ParEcs and Recreation Inland Marine E1=LqJ and Benefits Description New Acquisitions covered up to 90 Days Rental Expense Reimbursement $2,500 per policy COMMERCIAL CRIME Standard Cgverape Forgery and Alteration Public Employees Dishonesty including Faithful Performance Lim t Deductible Valuation $39,000 $1,000 RC $131,000 $1,000 ACV $3,158,456 $1,000 RC $20,000 $1,000 ACV $143,044 $1,000 RC Limit Deductible $100,000 $500 $100,000 $500 COMMERCIAL EXCESS LIABILITY Standard Coverage Limlt Each Occurrence, Offense, Accident, or Wrongful Act $5,000,000 Annual Aggregate $5,000,000 Underlying Insurance General Liability $1,000,000 Public Officials' Liability $1,000,000 Law Enforcement Liability $1,000,000 Commercial Automobile Liability $1,000,000 Employment Practices Liability $1,000,000 Miscellaneous: Description Limit Uninsured Motorists Exclusion None Underinsured Motorists Exclusion None *Please note the Excess Liability quote includes a separate aggregate limit for each line of business as quoted above