HomeMy WebLinkAboutC07-107 Eagle County Charter AcademyLEASE AGREEMENT
Between
THE COUNTY OF EAGLE, STATE OF COLORADO
and Eagle County Charter Academy
This LEASE AGREEMENT entered into this day of April_, 2007, by and between the Board of
County Commissioners of the County of Eagle, State of Colorado, a body corporate and politic
(hereinafter referred to as the "County") and, _Eagle County Charter Academy—(hereinafter referred to
as "Lessee").
Business Name (Lessee): _Eagle County Charter Academy
Contact Name: _Jen Burger or Susan Gruber
Address: P.O. Box 169 Wolcott, CO 81655
Business phone #: Home Phone #: Cell # 390-0242
RECITALS
WHEREAS, the County represents it is duly authorized to enter into this Lease Agreement pursuant to
Sections 30-11-101, 30-11-107, and 10-11-103, C.R.S., as amended; and
WHEREAS, _Jen Burger or Susan Gruber , represents that he/she is duly authorized to enter into this
Lease Agreement on behalf of the Lessee for its intended purposes.
COVENANTS
NOW, THEREFORE, in consideration of the recitals stated above and the mutual covenants and
promises of the parties hereto, the receipt and sufficiency of which is acknowledged, the County and the
Lessee agree as follows
1. SCOPE - The County does hereby lease to the Lessee the following premises, as indicated and
marked under paragraph six below, situated within the Eagle County Fairgrounds property,
County of Eagle, State of Colorado, hereinafter referred to as the "Leased Premises".
Cancellation Provision- Lessee(s) reserving multiple dates hereby agree that the County
reserves the right to cancel reserved dates for use of the facilities giving seven (7) days advance
notice to Lessee. Check whether or not cancellation provision applies below:
X Cancellation Provision does not apply.
❑ Cancellation Provision applies.
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2. PURPOSE -Lessee's use of the leased premises is solely for:
Children's Carnival
Estimated number of persons attending: _200 . Estimate as accurately as possible. NOTE:
Lessee may forfeit any damage deposits made if the number of persons attending the event is
fifteen (15) percent greater than the estimate provided. It is the Lessee's responsibility to limit
attendance to that indicated herein. '
❑ Commercial Events and other events using multiple facilities involving vendors and/or exhibitors
must provide a building and site event layout plan for approval.
3. FEE CATEGORIES - Refer to the Eagle County Fairgrounds Policies and Procedures Manual
for criteria. Check applicable use category below:
❑ Commercial / Non - Resident
❑ County Resident
X Non -Profit
4. PERIOD OF AGREEMENT - The term of this Lease Agreement shall be, check
applicable category:
Month / Day
X Exhibit Hall- 10:00 a.m. on 4/5 , 2007, to
10:00 a.m. on 4/7 , 2007.
❑ Other facilities high use days- 7:00 a.m. to 12:00 p.m. on 52007.
❑ Other facilities low use days- 7:00 a.m. to 10:00 p.m. on , 2007.
❑ Term for multiple date lease shall be:
5. LICENSES / PERMITS - Prior to the Lessee's event at the Leased Premises, Lessee shall
obtain any and all licenses, permits and/or inspections as may be required by law, (food vendors
must contact the Eagle County Community Development Department- Environmental Health
Division for requirements. If serving alcohol you must contact the Clerk & Recorders Office).
6. RENTAL FEES AND DAMAGE DEPOSITS - Lessee must pay one-half of the required
damage deposit to reserve the Leased Premises on the requested date(s). The balance of the
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damage deposit and fee is due and payable fourteen (14) days prior to the event and thirty (30)
days prior to the event for the Arena and Grandstands. Events in the Arena and Grandstands
must be reserved no less than sixty (60) days prior to the event. Failure to pay the damage
deposit and fee, as required, prior to the event will result in terminating and voiding this Lease
Agreement. A cancellation fee of $25 will be withheld from the initial damage deposit if the
event is canceled within two weeks of the event. Cancellation policy for the Arena and
Grandstands- Events canceled more than sixty (60) days prior to a reserved event shall receive
a full refund of damage deposit and fees paid. Events canceled less than sixty (60) days prior to
a reserved event shall forfeit one-half of the damage deposit and any fees paid. Any and all fees
and charges shall be agreed to, in advance, and shown on the applicable Exhibit and attached
hereto. If the Lessee requires additional services, subsequent to signing the Lease Agreement,
the Lessee agrees to execute an additional services form indicating the services required and the
amounts to be paid. Lessee agrees to pay for additional services within thirty (30) days after the
event ends.
The damage deposit and fee for an event will vary depending on the facilities selected, the day of
the week used, the use category into which the user falls and whether or not alcohol is consumed.
Lessee agrees to pay the County the following rental fees and damage deposits for each
Fairgrounds facility leased.
Damage Deposit and Fees Worksheet
Please refer to "exhibits " attached to this contract for facility fees.
Exhibit(s) indicating facilities, damage deposits and fees attached? .................................... E NO
Check all that apply:
3
Fee Damage Deposit
Parking Lots Included with Lease
Pro -rodeo Arena And Grandstands
Exhibit A
Exhibit Hall / North Lawn
75.00_ 500.00 _Exhibit B
Livestock Barn (Indoor Arena)
Exhibit C
ERC Parking Lot
Exhibit D
Horse Stalls/East Parking Lot
Exhibit E
North Lawn/Picnic Area
Exhibit F
Events Office
Exhibit G
Warm-Up/Practice Arena (Outdoor Arena)
_ Exhibit H
Concession Stand
Exhibit I
Eagle River Center
Exhibit J
Midway parking
Exhibit K
Lower Event Parking Lot
Exhibit L
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Combined Damage Deposit for multiple facilities use
$500 no alcohol / $1,000 alcohol served or
sold
Total Damage Deposit Due: / Total Fees Due: 75.00 500.00
TOTALAMOUNT DUE:............................................................................................575.00
Minus one-half damage deposit due:....................................................................250.00_
Balance due after one-half damage deposit received: ......................................... 325.00
Damage Deposit Date Due:
Date Received. 2/9/2007_
Balance of Damage Deposit and Fees Date Due:
Date received: 3/20/2007
Educational Event Fee Waiver Applies
Facilities Admission Surcharge (FAS) Applies
FACILITIES ADMISSION SURCHARGE POLICY -
A Facilities Admission Surcharge (FAS) of $.50 per seat sold or five percent (5%) of gross
revenues collected, whichever is greater, shall be paid by all users who charge a gate admission
fee, to the general public, for admission to their event. These events include, but are not limited
to, craft shows, concerts, dances, rodeos, tradeshows or livestock events. Eagle County will
allow users to provide their own numbered admission tickets for the event. Eagle County staff
shall have the right to inspect tickets and monitor ticket sales periodically throughout the event.
Within forty-eight (48) hours after the event has concluded, the user shall submit to the
Fairgrounds office a total count of tickets sold for the event. If the user fails to notify the
Fairgrounds office within forty-eight (48) hours after the event of the total number of tickets
sold, then the count used to determine payment to the County shall be the maximum occupancy
of the facility. The Fairgrounds office will bill the user within five (5) working days and
payment shall be due no later than 30 days after receipt of billing. Failure to pay the FAS
charge within 30 days after an event may result in cancellation of future events and/or loss of
the right to book future reservations at the Eagle County Fairgrounds.
*Please make checks payable to Eagle County.
_n/a_ Initials here stating that you read the following rules and regulations
Animal Welfare: County Regulations and PRCA Animal Welfare
Guidelines Set Standards for Rodeo
Eagle County strictly prohibits the events of horse tripping and steer tailing at any/all rodeos.
Eagle County adheres to the PRCA Animal Welfare Guidelines and Set Standards for Rodeo.
Members of the Professional Rodeo Cowboys Association believe, as do most people, that
animals should be treated humanely. The PRCA staunchly protects its animals with rules
designed to insure proper care and treatment. More than 60 rules and regulations that govern all
aspects of care, treatment, travel and competition are a part of the PRCA's animal welfare
program. A veterinarian is required to be on-site at all PRCA rodeo performances and sections of
slack. (Youth Rodeos may not be subject to this requirement)
The PRCA publishes factual information regarding humane treatment of rodeo livestock. In
addition, the PRCA has educational information available to schools, 4-H and FFA clubs, rodeo
committees and others interested in learning more about the PRCA and the animals involved.
PRCA Animal Welfare Rules
The 60 rules and regulations that are a part of the PRCA's extensive animal welfare program are
enforced by professional rodeo judges on-site at each PRCA sanctioned event.
The following are a few of the rules that safeguard the animals:
• No locked rowels, or rowels that will lock on spurs may be used on bareback horses or
saddle broncs. Spurs must be dulled.
• Animals for all events shall be inspected before the draw. No sore, lame, or sick animals,
or animals with defective eyesight, shall be permitted in the draw at any time.
• A rodeo committee shall insure that a veterinarian is present for every performance and
section of slack.
• If a member abuses an animal by any unnecessary, non-competitive or competitive
action, he may be disqualified for the remainder of the rodeo and fined $250 for the first
offense, with that fine progressively doubling with each offense thereafter. Any member
guilty of mistreatment of livestock anywhere on the rodeo grounds shall be fined $250 for
the first offense, with that fine progressively doubling with any offense thereafter.
• No stock shall be confined or transported in vehicles for a period beyond 24 hours
without being properly fed, watered and unloaded.
• No timed -event cattle that have been used may be held over from one calendar year to the
next.
• All team roping cattle shall be protected by horn wraps
5
A complete copy of the PRCA Animal Welfare Guidelines and Set Standards is on file at the
Fairgrounds office and can also be obtained at htlp://www.]2rorodeo.org/animals/
BOARDING ANIMALS
A. Unless authorized by the county, the boarding of animals is prohibited on fairgrounds
property. When authorized, user shall pay a $25.00 deposit and $5.00 per day fee for
each stall or pen used. The user is responsible to leave the premises in a clean and
undamaged condition. Cleaning and damage expenses shall be deducted from the
deposit and/or additional charges shall be assessed to the user in the event the premises
are not left in a clean and undamaged condition.
B. If boarding of animals is authorized, all owners of animals shall sign a lease agreeing to
hold the county harmless and assume full responsibility for all claims asserted against
the county.
C. Users shall be responsible for the daily cleaning of stalls and holding pens. If the user
fails to clean any stall or pen, the county shall clean them and charge the user
$25.00/day per stall or pen.
D. Unless authorized by the county, only one horse or mule shall be permitted in any single
stall.
E. Animals shall not be relocated from their assigned stalls.
F. The county reserves the right to inspect any animal kept on the fairgrounds property.
Incoming animals that appear sick shall not be admitted without a veterinarian's
certificate of health stating the animal is healthy. Any animal that
contracts a contagious disease must be removed immediately from the fairgrounds at the
owner's expense.
G. Owners of any animal kept on the fairgrounds property shall be responsible for ensuring
that the animal is properly fed and watered on a daily basis. No bulk feed shall be
permitted in the barns at any time. The county shall designate a feed storage area.
H. Animals shall not be permitted to be kept or stalled in the arena area.
I. At the discretion of the county, the stalls and pens shall not be available for use on days
when scheduled events or maintenance is planned.
7. CLEANING AND DAMAGE CHARGES - Prior to the commencement of the Lease
Agreement, Lessee and an authorized representative of the County shall inspect the Leased
Premises, and shall make written note of any damaged or unclean property, (for the Exhibit Hall
only there will be no pre -event inspection, lessee accepts the facility as -is). At the termination of
the Lease Agreement, the County's representative shall make a post -event walk through.
ro
If the Leased Premises are left in a clean, usable and undamaged condition, the damage deposit
will be refunded in full to the Lessee within approximately four (4) weeks. If Lessee fails to
clean the Leased Premises to the satisfaction of the County, or if the Leased Premises incur any
damage during the Lessee's occupancy, all cleaning and damage expenses incurred by the
County shall be deducted from the damage deposit. In the event that the damage deposit does not
cover the damage, the excess cleaning and damage expenses shall be charged to Lessee who
shall pay that excess within thirty (30) days of billing. Lessee agrees to comply with the facility
cleaning procedures contained in the Eagle County Fairgrounds Policies and Procedures Manual.
❑ Concessionaire and Housekeeping supplemental agreement required.
1. RULES AND REGULATIONS - Lessee agrees to abide by the Eagle County Fairgrounds
Rules and Regulations as set forth in the "Eagle County Fairgrounds Policies and Procedures
Manual- Rules and Regulations", attached hereto and made a part hereof by this reference.
Lessee is responsible for enforcing the Rules and Regulations during its event and with all guests
and participants.
9. INSURANCE FOR EVENTS - Eagle County requires all users (Lessees) to purchase
and maintain insurance as described below under paragraph A insuring against all claims,
damages, losses or expenses arising out of or resulting from the use of the leased premises. The
county does not provide Lessees or their guests insurance protection. Insurance certificates
shall name Eagle County as an "Additional Insured". Lessee agrees to provide the county with
a Certificate of Insurance acceptable to the county, naming Eagle County as an "Additional
Insured" fourteen (14) days prior to commencement of this Lease Agreement. Insurance may
be available through CTSI s Tenant User Liability Insurance Program (TULIP), c% Arthur J.
Gallagher & Co. 1-303-889-2614.
General Liability Coverage shall be carried in the minimum amount of $500,000 per
injury and $1,000,000 per occurrence for claims or damages arising from Lessee's use of the
Fairgrounds, including but not limited to personal injury, death, property damage, and other
damages imposed by law upon the parties hereto.
The County requires all Lessees to purchase and maintain insurance as described below under
paragraphs A, B & C, insuring against all claims, damages, losses or expenses arising out of or
resulting from the use of the leased premises. The County does not provide Lessees or their
guest's insurance protection. Insurance certificates shall name Eagle County as an "Additional
Insured". Lessee agrees to provide the County with a Certificate of Insurance acceptable to the
County, naming Eagle County as an "Additional Insured" fourteen (14) days prior to
commencement of the Lease Agreement. Insurance may be available through CTSI's Tenant
User Liability Insurance Program (TULIP), c% Arthur J. Gallagher & Co. at 1-800-889-
2614.
D.�YENO
Proof of Insurance attached?.
7
10. INDEMNIFICATION -
Initials
here:
To the extent permitted by law, any Lessee or User(s) shall indemnify, defend and hold the
County harmless from and against any and all claims arising from the Lessee or User(s) use of
the Eagle County Fairgrounds and associated structures, or from the conduct by the Lessee or
User(s) of any activity, program or thing that may be permitted or suffered by the County in or
about the Eagle County Fairgrounds, except that neither the Lessee or User(s) will be liable
under this paragraph for any claim, loss, damage, cost, charge or expense arising out of any
negligent or intentional act of the County. The Lessee or User(s) shall also indemnify, defend
and hold the County harmless from and against any and all claims arising from any breach or
default in the performance of any obligation on the Lessee or User(s) part to be performed under
the provisions of these policies and procedures or arising from any negligence, recklessness,
intentional acts or omissions of the Lessee or User(s) from any and all costs, attorney fees,
expenses and liabilities incurred in the defense of any such claim or action or proceeding brought
on any such claim.
11. ALCOHOL CONSUMPTION- Lessee is responsible for complying with the State of
Colorado liquor laws. Alcoholic beverages may be served inside the Exhibit Hall, in
connection with a private party, without a liquor license. Alcohol is not allowed for any
youth (under 21) events regardless of the age of the Lessee. ANY Lessee requesting
to sell liquor must procure a valid special events liquor license. Special events liquor
licenses may only be obtained by non-profit organizations recognized by the State of
Colorado. Lessee acknowledges that the "sale" of beer and alcoholic beverages includes
indirect sale, for example by cover charge, single — price admission, donations or tips.
Please contact the Eagle County Clerk and Recorder's office for more information.
Check the applicable category below:
❑ Lessee requests to serve and consume alcohol inside the Exhibit Hall, for a private
party.
❑ Lessee requests sell alcohol, or charge admission to our receive donations in
connection with an event where alcohol is provided, on the Eagle County
Fairgrounds' premises; a valid special events liquor license is required.
9_1 X Lessee shall not serve or consume alcohol on the premises.
Proof of special events liquor license received?........................................................................Y 4NO
SECURITY - At all events where alcohol is served, consumed or sold and attendance is
reasonably expected to be greater than 50 persons, security shall be provided. The Lessee shall
be responsible for providing security from a bonded security company or the Lessee can
obtained security by contacting the Eagle County Sheriff's Department at the rate of $50.00
hour. Events where attendance is expected to be greater than 50 persons, security shall be
provided on the below stated schedule:
50 to 100 in attendance
1 uniformed personnel
100 to 150 in attendance
2 uniformed personnel
150 to 200 in attendance
3 uniformed personnel
200-1000 in attendance
4 uniformed personnel
more than 1000 in attendance
5 uniformed personnel
plus one additional uniformed personnel for each additional 1000 attendees.
When required, by the guidelines above, Lessee shall provide, at its sole expense, uniformed
security for events. Lessee shall provide a written, signed confirmation to the Fairgrounds
Managers Office no less than seven (7) days prior to the event. Security must be arranged
through a bonded security firm or the Eagle County Sheriff's Department.
❑ Events with 500 or more in attendance require EMT service on-site.
Securityrequired?...................................................................................................................... YE
Ojo
Proofof security provided?....................................................................................................... ANO
12. KEY CHECKOUVRETURN - Lessee shall obtain a key to the Leased Premises within 48
hours of the event after the fees and damage deposits have been paid in full to the county; proof
of insurance has been submitted; proof of required security has been submitted and any other
requirements have been met. The key must be returned to the County no later than the first
business day following the end of the Lease Agreement. Keys must be returned to the
Fairgrounds Office at: 3289 Cooley Mesa Road, Gypsum, CO If the key is not returned within
48 hours after the end of the event, a lost key fee of $50.00 will be withheld from the damage
deposit.
13. MISCELLANEOUS - Lessee may not assign all or any part of this Lease Agreement without the
express, written consent of County which the County may grant or deny in its sole discretion.
County's consent to any such assignment does not constitute its agreement to consent to any
other assignment. Unless County's written consent to an assignment expressly states to the
contrary, Lessee's assignment of all or any part of this Lease Agreement does not relieve Lessee
from liability for the performance of all duties and obligations to be performed by the Lessee by
the terms of this Lease Agreement.
A. Lessee shall permit the County to have access to the Leased Premises before, during, and
after the scheduled event. The County shall have the right to cancel any event, without
.15
notice, or to stop any event in progress should the County determine that the security or
life -safety of the Lessee and/or attendees is in jeopardy or if the County deems the
facilities necessary for a public emergency.
B. No modification or waiver of this Lease Agreement or of any covenant, condition, or
provision herein contained shall be valid unless agreed to in writing by all parties.
C. This Lease Agreement embodies the whole agreement between the parties hereto. There
are no inducements, promises, terms, conditions, or obligations made or entered into by
either the County or Lessee other than those contained herein.
D. All agreements and covenants herein are severable, and in the event that any of them
shall be held invalid by a court of competent jurisdiction, this Lease Agreement shall be
interpreted as if such invalid agreement or covenant were not contained herein.
E. If Lessee fails to abide by the terms of the Lease Agreement, the County reserves the
right to hold any or all of Lessee's damage deposit.
F. This Lease Agreement shall be governed by the laws of Colorado. Venue and
jurisdiction for any dispute arising from or out of this Agreement shall lie with the
District Court in and for Eagle County, Colorado.
IN WITNESS WHEREOF, the parties hereto have executed this Lease Agreement. One original shall
be kept on file with the County and one copy will be delivered to Lessee.
THE COUNTY: COUNTY OF EAGLE, STATE OF COLORADO
by and through
Bradgi gins
Eagle County Fair & Rodeo Manager
LESSEE
Name, Title: (S �� > V
STATE OF COLORADO )
)ss
County of Eagle )
The foregoing was acknowledged before me this dayofAfAS 2007,
by
Notary Public
TANYA DAHLSEjA e
NOTARY PUBLic, ,
STATE OF COL0%wQ,..
* Gsseb " E:pigs 03WM
My commission expires: ' 2
11
VSTPAUL
TRAVELERS One Tower Square, Hartford, Connecticut 06183
COMMON POLICY DECLARATIONS POLICY NO.: I -680 -432Y5596 -IND -06
BUILDING PAC ISSUE DATE: 06-19-06
BUSINESS: BUILDING
INSURING COMPANY:
THE TRAVELERS INDEMNITY COMPANY
1. NAMED INSURED AND MAILING ADDRESS:
EAGLE COUNTY CHARTER ACADEMY
EDUCATION FOUNDATION, INC.
P.O. BOX 169
WOLCOTT CO 81655
2. POLICY PERIOD: From 08-12-06 to 08-12-07 12:01 A.M. Standard Time at your mailing address.
3. DESCRIPTION OF PREMISES:
PREM. LOC. NO. BLDG. NO. OCCUPANCY
SEE IL TO 20 02 05
ADDRESS
(same as Mailing Address unless specified otherwise)
4. COVERAGE PARTS AND SUPPLEMENTS FORMING PART OF THIS POLICY AND INSURING
COMPANIES
COVERAGE PARTS and SUPPLEMENTS
Businessowners Coverage Part
INSURING COMPANY
IND
5. The COMPLETE POLICY consists of this declarations and all other declarations, and the forms and endorse-
ments for which symbol numbers are attached on a separate listing.
6. SUPPLEMENTAL POLICIES: Each of the following is a separate policy containing its complete provisions.
POLICY
DIRECT BILL
7. PREMIUM SUMMARY:
Provisional Premium
Due at Inception
Due at Each
NAME AND ADDRESS OF AGENT OR BROKER
NEIL-GARING AGENCY GA538
POLICY NUMBER
PO BOX 1576
GLENWOOD SPRINGS CO 81602-1576
IL TO 19 02 05 (Page 1 of 01 )
Office: DENVER DOWN
11 , 257.00
COUNTERSIGNED BY:
INSURING COMPANY
—� Authorized Representative
DATE:
STPAUL
TRAVELERS One Tower Square, Hartford, Connecticut 06183
BUSINESSOWNERS COVERAGE PART DECLARATIONS
BUILDING PAC POLICY NO.: I -680 -432Y5596 -IND -06
ISSUE DATE: 06-19-06
INSURING COMPANY:
THE TRAVELERS INDEMNITY COMPANY
POLICY PERIOD:
From 08-12-06 to 08-12-07 12:01 A.M. Standard Time at your mailing address.
FORM OF BUSINESS: NON-PROFIT FOUNDATIO
COVERAGES AND LIMITS OF INSURANCE: Insurance applies only to an item for which a
"limit" or the word "included" is shown.
COMMERCIAL GENERAL LIABILITY COVERAGE
OCCURRENCE FORM LIMITS OF INSURANCE
General Aggregate (except Products -Completed Operations Limit) $ 2,000,000
Products -Completed Operations Aggregate Limit $ 2,000,000
Personal and Advertising Injury Limit $ 1,000,000
Each Occurrence Limit $ 1,000,000
Damage to Premises Rented to You $ 300,000
Medical Payments Limit (any one person) $ 5,000
BUSINESSOWNERS PROPERTY COVERAGE
DEDUCTIBLE AMOUNT: Businessowners Property Coverage: $ 1,000 per occurrence.
Building Glass: $ 250 per occurrence.
BUSINESS INCOME/EXTRA EXPENSE LIMIT
Period of Restoration -Time Period:
ADDITIONAL COVERAGE:
Fine Arts:
Actual loss for 12 consecutive months
Immediately
25,000
Other additional coverages apply and may be changed by an endorsement. Please
read the policy.
SPECIAL PROVISIONS:
- COMMERCIAL GENERAL LIABILITY COVERAGE
IS SUBJECT TO A GENERAL AGGREGATE LIMIT
MP TO 01 02 05 (Page 1 of 05)
4
BUSINESSOWNERS PROPERTY COVERAGE
PREMISES LOCATION NO.: 01 BUILDING NO.: 01
LIMIT OF
COVERAGE INSURANCE VALUATION
BUILDING $ 189,108 RC*
*Replacement Cost
BUSINESS PERSONAL PROPERTY $ 52,530 RC*
*Replacement Cost
COVERAGE EXTENSIONS:
Accounts Receivable
$
25,000
INSURANCE
Valuable Papers
$
25,000
BUILDING
PREMISES LOCATION NO.: 01
189,108
BUILDING
NO.: 02
^
*Replacement Cost
LIMIT OF
COVERAGE
INSURANCE
VALUATION
BUILDING
$
131,325
RC*
*Replacement Cost
*Replacement Cost
BUSINESS PERSONAL PROPERTY
$
115,5GG
RC*
*Replacement Cost
COVERAGE EXTENSIONS:
Accounts Receivable
$
25,000
Accounts Receivable
$
25,000
Valuable Papers
Valuable Papers
$
25,000
PREMISES LOCATION NO.: 01
PREMISES LOCATION NO.: 01
BUILDING
Nn - nq
LIMIT OF
COINSURANCE
N/A
N/A
COINSURANCE
N/A
N/A
MP TO 01 02 05 ( Page 2 of 05 )
022776
INFLATION
GUARD
0.0%
0.0%
INFLATION
GUARD
0.0%
0.0%
INFLATION
GUARD
0.0%
0.0%
INFLATION
GUARD
0.0%
0.0%
Please read
COVERAGE
INSURANCE
VALUATION
COINSURANCE
BUILDING
$
189,108
RC*
N/A
^
*Replacement Cost
BUSINESS PERSONAL PROPERTY
$
52,530
RC*
N/A
N
*Replacement Cost
COVERAGE EXTENSIONS:
Accounts Receivable
$
25,000
Valuable Papers
$
25,000
a�
PREMISES LOCATION NO.: 01
BUILDING
NO.: 04
LIMIT OF
o
COVERAGE
INSURANCE
VALUATION
COINSURANCE
N
BUILDING
$
189,108
RC*
N/A
*Replacement Cost
0�
BUSINESS PERSONAL PROPERTY
$
57,783
RC*
N/A
*Replacement Cost
o�
COVERAGE EXTENSIONS:
Accounts Receivable
$
25,000
a
Valuable Papers
$
25,000
'
Other coverage extensions apply
and may be
changed by an
endorsement.
the policy.
MP TO 01 02 05 ( Page 2 of 05 )
022776
INFLATION
GUARD
0.0%
0.0%
INFLATION
GUARD
0.0%
0.0%
INFLATION
GUARD
0.0%
0.0%
INFLATION
GUARD
0.0%
0.0%
Please read
MP TO 01 02 05 ( Page 3 of 05 )
022777
BUSINESSOWNERS
PROPERTY COVERAGE
PREMISES LOCATION NO.: 01
BUILDING
NO.: 05
LIMIT OF
INFLATION
COVERAGE
INSURANCE
VALUATION
COINSURANCE
GUARD
BUILDING
$
189,108
RC*
N/A
0.0%
*Replacement Cost
BUSINESS PERSONAL PROPERTY
$
63,036
RC*
N/A
0.0%
*Replacement Cost
COVERAGE EXTENSIONS:
Accounts Receivable
$
25,000
Valuable Papers
$
25,000
PREMISES LOCATION NO.: 01
BUILDING
NO.: 06
LIMIT OF
INFLATION
COVERAGE
INSURANCE
VALUATION
COINSURANCE
GUARD
BUILDING
$
189,108
RC*
N/A
0.0%
*Replacement Cost
BUSINESS PERSONAL PROPERTY
$
47,277
RC*
N/A
0.0%
*Replacement Cost
COVERAGE EXTENSIONS:
Accounts Receivable
$
25,000
Valuable Papers
$
25,000
PREMISES LOCATION NO.: 01
BUILDING
NO.: 07
—
LIMIT OF
INFLATION
COVERAGE
INSURANCE
VALUATION
COINSURANCE
GUARD
^�
BUILDING
$
120,819
RC*
N/A
0.0%
=
*Replacement Cost
^�
BUSINESS PERSONAL PROPERTY
$
73,542
RC*
N/A
0.0%
N—
*Replacement Cost
N
—
COVERAGE EXTENSIONS:
�-
Accounts Receivable
$
25,000
�=
Valuable Papers
$
25,000
a�
PREMISES LOCATION NO.: 01
BUILDING
NO.: 08
m
LIMIT OF
INFLATION
COVERAGE
INSURANCE
VALUATION
COINSURANCE
GUARD
=
V—
BUILDING
$
183,855
RC*
N/A
0.0%
*Replacement Cost
o�
^=
BUSINESS PERSONAL PROPERTY
$
36,771
RC*
N/A
0.0%
o=
*Replacement Cost
�—
COVERAGE EXTENSIONS:
Accounts Receivable
$
25,000
Q=
Valuable Papers
$
25,000
Other coverage extensions apply
and may be
changed by an
endorsement.
Please read
the policy.
MP TO 01 02 05 ( Page 3 of 05 )
022777
BUSINESSOWNERS PROPERTY COVERAGE
PREMISES LOCATION NO.: 01
BUILDING
NO.: 09
LIMIT OF
INFLATION
COVERAGE
INSURANCE
VALUATION
COINSURANCE
GUARD
BUILDING
$
3,151
RC*
N/A
0.0%
*Replacement Cost
BUSINESS PERSONAL PROPERTY
$
3,151
RC*
N/A
0.0%
*Replacement Cost
COVERAGE EXTENSIONS:
Accounts Receivable
$
25,000
Valuable Papers
$
25,000
Other coverage extensions
apply and may be
changed by an
endorsement.
Please read
the policy.
MP TO 01 02 05 ( Page 4 of 05 )
022778
a . I .
POLICY NUMBER: I -680 -432Y5596 -IND -06
EFFECTIVE DATE: 08-12-06
ISSUE DATE: 06-19-06
LISTING OF FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS
THIS LISTING SHOWS THE NUMBER OF FORMS, SCHEDULES AND ENDORSEMENTS
BY LINE OF BUSINESS.
IL
TO
19
02
05
COMMON POLICY DEC
MP
TO
01
02
05
BUSINESSOWNERS COVERAGE PART DECS
IL
T8
01
01
01
FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS
IL
T3
15
02
04
COMMON POLICY CONDITIONS
IL
TO
20
02
05
ADDITIONAL LOCATIONS
BUSINESSOWNERS
CP
12
18
06
95
LOSS PAYABLE PROVISIONS
MP
Ti
30
02
05
TBL OF CONT-BUSINESSOWNERS COV -DELUXE
MP
T1
02
02
05
BUSINESSOWNERS PROPERTY COV -SPEC FORM
MP
T3
23
05
02
FUNGUS ROT BACTERIA CHGS
MP
T3
25
01
06
TERRORISM RISK INS ACT OF 2002 NOTICE
MP
T9
70
02
05
TRAVELERS POWER -PAC ENDORSEMENT
COMMERCIAL GENERAL LIABILITY
CG TO 34 11 03
CG 00 01 10 01
CG D2 37 11 03
CG D2 55 11 03
CG D3 09 11 03
CG 20 28 11 85
CG 21 70 11 02
CG DO 37 04 05
CG D2 03 12 97
CG D2 34 01 05
MP Ti 25 11 03
CG D2 43 01 02
CG D2 56 11 03
CG D2 88 11 03
CG D3 26 01 04
CG D1 42 01 99
CG D2 42 01 02
CG T4 78 02 90
CG T3 33 11 03
TABLE OF CONTENTS
COMMERCIAL GENERAL LIABILITY COV FORM
EXCLUSION -REAL ESTATE DEV ACTIVITIES
AMENDMENT OF COVERAGE - POLLUTION
AMEND ENDT-PRODUCTS-COMPLETED OPR HAZARD
ADD'L INS -LESSOR OF LEASED EQUIPMENT
CAP ON LOSSES CERTIFIED ACTS TERRORISM
OTHER INSURANCE -ADDITIONAL INSUREDS
AMEND -NON CUMULATION OF EACH OCC
WEB XTEND - LIABILITY
HIRED AUTO AND NON -OWNED AUTO LIAB
FUNGI OR BACTERIA EXCLUSION
AMENDMENT OF COVERAGE
EMPLOYMENT-RELATED PRACTICES EXCLUSION
EXCLUSION -UNSOLICITED COMMUNICATIONS
EXCLUSION -DISCRIMINATION
EXCLUSION WAR
EXCLUSION -ASBESTOS
LIMIT WHEN TWO OR MORE POLICIES APPLY
INTERLINE ENDORSEMENTS
IL
T3
79
01
06
CAPS ON LOSSES FROM CERT ACTS OF TERROR
IL
00
21
07
02
NUCLEAR ENERGY LIAB EXCL END -BROAD FORM
IL
01
69
07
02
CO CHANGES CONCEAL MISREP OR FRAUD
IL
02
28
04
06
CO CHANGES -CANCELLATION AND NONRENEWAL
IL T8 01 01 01 PAGE : 1 OF