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HomeMy WebLinkAboutFI18-108 - Insurance Certificate - S.K. Consulting - Monitoring Services for Emergency Management Performance Grant 1/2/25 StateFarm STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS B?oom°y 291 /L 61702 2975 Policy Number 98-E18-A477-0 Named Insured Policy Period Effective Date Expiration Date M-15-2778-FACD F N 12 Months FEB 12 2025 FEB 12 2026 The poll y period begins and ends at 12:01 am standard MILLER, SARAH KATHRYN time ame premises locatlon. 0 0 0 0 0 ATTACHING INLAND MARINE Automatic Renewal- If the policy period is shown as 12 months,this policy will be renewed automatically subjectto the premiums,rules and forms in effectfor 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. 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 subsequentto the issuance of this policy. Forms,Options,and Endorsements FE-8724 Inland Marine Conditions FE-8744.1 Inland Marine Computer Prop See Reverse for Schedule Page with Limits Prepared 2024 ©Copyright,State Farm Mutual AntOnnoblle Insurance Company,2008 DEC re DEC 1 7 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 005577 53U-666a.2 05-31-2011 Io1F3232c I ya as H4ii-u ATTACHING INLAND MARINE SCHEDULE PAGE ATTACHING INLAND MARINE ENDORSEMENT LIMIT OF DEDUCTIBLE ANNUAL NUMBER COVERAGE INSURANCE AMOUNT PREMIUM FE-8744.1 Inland Marine Computer Prop $ 25, 000 $ 500 Included Loss of Income and Extra Expense $ 25, 000 Included Prepared OTHER LIMITS AND EXCLUSIONS MAY APPLY- REFER TO YOUR POLICY DEC 19 2024 Q Copyright,State Farm Mutual Automobile Insurance Company,2008 FD-6007 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 005577 530-686 a.2 05-31-2011(oif3233c1 StateFarm STATE FARM FIRE AND CASUALTY COMPANY • A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS RENEWAL DECLARATIONS Po BoN 2915 Bloomington IL 6 1 702-29 1 5 FThepolicy umber 98-B8-A477-0 Addl Insured-Section II Only AT2 eriod Effective Date Ex iration Date 000797 3125M-15-2778-FACD F N ths FEB 12 2025 FEB 12 2026 CITY OF KENT period begins and ends at 12:01 am standard 220 4TH AVE 5 time attlie premises Tocat(on. KENT WA 98032-5838 Named Insured MILLER, SARAH KATHRYN o Ill'Illll'I'II�Illi�llillllillllll�lllllll��llllll'lll'Ill'I'I'I' 0 Office Policy Automatic Renewal-If the policy period is shown as 12 months,this policy will be renewed automatically subjectto the premiums,rules and forms in effect for each succeeding policy period.If this policy is terminated,we will give you and the Mortgageek enholder written notice in compliance with the policy provisions or as required by law. Entity: Individual NOTICE: Information concerning changes in your policy language is included. Please call your agent if you have any questions. POLICY PREMIUM $ 325.00 Minimum Premium Discounts Applied: Renewal Year Years in Business Protective Devices Claim Record Prepared DEC 19 2024 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 005573 294 Al e 1 of 7 Continued on Reverse Side of Page Page g 538-686 u.2 05 31-2611(01f3231c RENEWAL DECLARATIUNS(CONTINUED) Office Policy for CITY OF KENT Policy Number 98-138-A477-0 SECTION I- PROPERTY S HED LE Location Location of Limit of Insurance* Limit of Insurance* Seasonal increase- Number Describes Coverage A - Coverage B- Business Buildings BusinPrope ess P errsonal Personal No Coverage $ 2,000 25% 001 610HSTNE AUBURN WA 98002-4388 * As of the effective date of this , the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage. policy SECTION I - INFLATI N r4QVERAGE INDEX ES Cov A- Inflation Coverage Index: N/A Cov B - Consumer Price Index: 315.7 SECTION I - DEDUCTIBLES Basic Deductible $1,000 Special Deductibles: Money and Securities $250 Employee Dishonesty $250 Equipment Breakdown $1,000 Other deductibles may apply- refer to policy. Prepared Cc�Copyright,State Farm Mutual Automobile Insurance Company,2008 DEC 19 2024 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CMP-4000 Continued on Next Page Page 2 of 7 005573 StateFarin ❑ a 09W RENEWAL DECLARATIONS(CONTINUED) Office Policy for CITY OF KENT Policy Number 98-138-A477-0 ;, �V SECTION I EXTENSIONS OF COVERAGE- LIMIT OF INSURANCE- EACH DESCRIBED PREMISE The coverages and corresponding limits shown below apply separately to each described premiss shown in these Declarations, unless indicated by"See Schedule." if a coverage does not have a corresponding limit shown below, N but has"Included" indicated, please refer to that policy provision for an explanation of that coverage. a LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $ ,000 Off Premises $15,000 Arson Reward $5,000 Back-Up Of Sewer Or Drain $15,000 Collapse Included Damage To Non-Owned Buildings From Theft, Burglary Or 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 10% insured on a replacement cost basis) Money And Securities (Off Premises) $5,000 Money And Securities (On Premises) $10,000 Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property (applies only if this policy provides $100,000 Coverage B- Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A- Buildings) Prepared 2C)24 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 DEC re DEC 19 00 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CMP 005574 294 Continued on Reverse Side of Page Page 3 of 7 N RENEWAL DECLARATIONS (C:UN IINUED) Office Policy for CITY OF KENT Policy Number 98-B8-A477-0 Ordinance Or Law- Equipment Coverage Included Outdoor Property $5,000 Personal Effects (applies only to those premises provided Coverage B - Business $5,000 Personal Property) Personal Property Off Premises $15,000 Pollutant Clean Up And Removal $10,000 Preservation Of Property 30 Days Property Of Others (applies only to those premises provided Coverage B - Business $2,500 Personal 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 - EXTENSIONr�F 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. LIMIT OF COVERAGE INSURANCE Dependent Property- Loss Of Income $5,000 Employee Dishonesty $10,000 Utility Interruption - Loss Of Income $10,000 Loss Of Income And Extra Expense Actual Loss Sustained - 12 Months Prepared DEC 19 2024 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 005574 Continued on Next Page Page 4 of 7 StateFarm • for CITY OF KENT Office Polic RENEWAL DECLARATIONS(CONTINUED) y Policy Number 98-138-A477-0 to SECTION II- LIABILITY b 0 0 COVERAGE LIMIT OF INSURANCE Coverage L - Business Liability $2,000,000 Coverage M - Medical Expenses (Any One Person) $5,000 Damage To Premises Rented To You $300,000 AGGREGATE LIMITS LIMIT OF INSURANCE Products/Completed Operations Aggregate General Aggregate $4,000,000 $4,000,000 Each paid claim for Liability Coverage reduces the amount of 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 BUSINE SSOWNERS 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-4102 Businessowners Coverage Form FE-6999.3 *Terrorism Insurance Cov Notice CMP-4819.1 Unauthorized Business Card Use CMP-4247.2 Amendatory Endorsement CMP-4705.2 Loss of Income & Extra Expnse CMP-4710 Employee Dishonesty CMP-4709 Money and Securities CMP-4706 Back-Up of Sewer or Drain CMP-4704.1 Dependent Prop Loss of Income CMP-4703.1 Utility Interruption Loss Incm CMP-4713.1 Excl Testing Consulting E&O CMP-4786 Addl Insd Owners Lessee Sched CMP-4779 Employers Liability Prepared DEC 19 2024 O Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 005575 294 e 5 of 7 Continued on Reverse Side of Page Page g RENEWAL DECLARATIONS (CON I INUED) Office Policy for CITY OF KENT Policy Number 98-138-A477-0 CMP-4572 Amendment of Premium Cond — CMP-4561.4 Policy Endorsement CMP-4791 Addl Insd State Political Perm CMP-4860 Al Design Person Org ' FE-3661 Actual Cash Value Endorsement — FD-6007 Inland Marine Attach Dec * New Form Attached 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. K14,A, KU- President resident Prepared cc�Copyright,State Farm Mutual Automobile Insurance Company,2008 DEC 19 2024 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Continued on Next Page Page 6 of 7 005575 StateFa►►n El & RENEWAL DECLARATIONS (CONTINUED) Office Policy for CITY OF KENT Policy Number 98-138-A477-0 NOTICE TO POLICYHOLDER: For a comprehensive description of coverages 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 "Bate 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. Prepared 2p24 C7 Copyright,State Farm Mutual Automobile Insurance Company,2008 DEC re DEC 19 0(? Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CMP005575 294 Page 7 of 7 N 913-RR-A477.0 005576