Document type | proposal |
---|---|
Date | 2024-03-21 |
Source URL | https://go.boarddocs.com/wv/booneboe/Board.nsf/files/D65RGD6DE96B/$file/QUOT%2024-25%20CMM3980975%20OPTIONAL%20RENEWAL%20QUOTE.pdf |
Entity | boone_county_schools (Boone Co., WV) |
Entity URL | https://www.boonecountyboe.org/en-US |
Raw filename | QUOT%2024-25%20CMM3980975%20OPTIONAL%20RENEWAL%20QUOTE.pdf |
Stored filename | 2024-03-21-fe8ef1dc4585eeff70d8fdcc669791ec-proposal.txt |
Parent document: REVISED - Regular Meeting - Meeting #41-06-17-2024.pdf
@ WESTFIELD’ COMMERCIAL Greer POLICY Q COMMON POLICY DECLARATIONS COMPANY PROVIDING COVERAGE WESTFIELD NATIONAL INSURANCE COMPANY NAMED INSURED AND MAILING ADDRESS 47-05077 BOONE COUNTY BOARD OF FERRELL & HILL INS AGCY LLC A a PO BOX 277 AVE MADISON WV 25130-0277 MADISON. iv 25130 TELEPHONE 304-369-1111 Quote Number: CMM 3 980 975 Quote From 03/21/24 This Quote valid until 07/01/24 Period To 07/01/24 "Business: SCHOOL Named Insured is: Municipality Annual Policy Quotation No Coverage Bound THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS CoCr ae PROPERTY COVERAGE PART 106. COMMERCIAL INLAND MAR PNeAGe RB PART : CRIME AND FIDELITY COVER TERRORISM INSURANCE COVERAGE Policy Annual Premium West Virginia Surcharge Total Advance Annual Policy Premium The above is a summary of your coverages. For more detail. please refer to the individual coverage parts inside your policy. Forms and Endorsements applicable to all coverage parts: IL0019 0488 . IL0017 1198 . IL0003 0908 COUNTERSIGNED: . : Authorized Representative {@> WESTFIELD’ COMPANY PROVIDING COVERAGE BOONE COUNTY BOARD OF tk a Quote Period From To 03/21/24 07/01/24 DESCRIPTION OF PREMISES Bldg Addre City & 001° 1649 ASHFORD NELLIS RD ASHFORD. WV 25009 001 001 002 001 42 001 42 001 001 001 002 003 004 001 001 002 001 002 001 002 003 ne JNTY : “BOONE _LOGA Pe ae WV 250 State 25130 NE BOONE PKWY 25081 NE BOONE PKWY 25081 E V 25130 E E_AVE V_ 25130 E DR W V 25130 7 E DR W } V 25130 UNTY: BOONE 3 ACADEMY ILLA. WV DR 25508 N poe PKWY NE BOONE PKWY 25081 WV_ 25053 NE 25130 E ON E Dk WV 25130 NE QUOTE COMMERCIAL PROPERTY DECLARATIONS WESTFIELD NATIONAL INSURANCE COMPANY NAMED INSURED AND MAILING ADDRESS 47-05077 FERRELL & HILL INS AGCY LLC PO BOX 277 MADISON WV 25130-0277 TELEPHONE 304-369-1111 This Quote valid until 07/01/24 Construction Masonry Non- Combustible Masonry Non- Combustible Masonry Non- Combustible Frame Non- Combustible Frame Masonry Non- Combustible Masonry Non- Combustible Masonry Non- Combustible Frame Frame Non- Combustible Non- Combustible Non- Combustible Frame Masonry Non- Combustible Joisted Masonry Masonry Non- Combustible Joisted Masonry Frame ASHFORD-RUNBLE ELEMENTARY BOARD OFFICE BOONE CAREER CENTER COACH/NURSE COTTAGE BUS GARAGE WAREHOUSE / SHOP KINDERGARTEN ACADEMY MADISON ELEMENTARY MADISON MIDDLE MADISON MIDDLE-MODULAR #1 MADISON MIDDLE-MODULAR #2 MADISON MIDDLE BAND ANNEX TRUCK DRIVING ACADEMY OPERATIONS COMPLEX OPERATIONS COMPLEX STORAGE RAMAGE ELEMENTARY RAMAGE ELEMENTARY~-CONCESSION SCOTT HIGH SCHOOL SCOTT HS - FIELD HOUSE SCOTT HS-FOOTBALL PRESS BOX {@> WESTFIELD’ COMPANY PROVIDING COVERAGE BOONE COUNTY BOARD OF ATION AVENU MADISON Quote Perio EB WY = 25130 From d To 03/21/24 07/01/24 DESCRIPTION OF PREMISES Bld O04" 005 006 001 001 002 003 004 005 001 001 002 003 004 001 002 001 Address, C 1 SKYHAWK PL ity & State MADISON. WV 25130 COUNTY: BOONE 1 49 COAL WHITESVILLE . COUNTY: BOONE 37949 COAL R WHITESVILLE . COUNTY: BOONE LEARN ING W - WV 2 : BOON ae ce e @ @ al M1 wo 24Om]4Oom24 com om4om- Se EON FO FQ FQ FIG FIOHEI@HEIMHEIO RIVERSIDE DR W 25130 E L vy 25130 IVER RD 1 KH < 2 w mw Low] ER RD ER RD ER RD es PSs oest Re SCHOOL RD SCHOOL RD SCHOOL RD SCHOOL RD SCHOOL RD 0 RIVER RD WV 25209 IVER RD WV 25209 AY 3081 E 002 003 EARNING WAY : WV oo 81 QUOTE COMMERCIAL PROPERTY DECLARATIONS (Continued) WESTFIELD NATIONAL INSURANCE COMPANY NAMED INSURED AND MAILING ADDRESS 47-05077 FERRELL & HILL INS AGCY LLC PO BOX 277 MADISON WV 25130-0277 TELEPHONE 304-369-1111 This Quote valid until 07/01/24 Construction Joisted Masonry Joisted Masonry Frame Masonry Non- Conbustible Masonry Non- Combustible Masonry Non- Combustible Non- Combustible Frame Joisted Masonry Masonry Non- Combustible Masonry Non- Combustible Joisted Masonry Frame Frame Fire Resistive Joisted Masonry Masonry Non- Combustible Frame Frame SCOTT HS-FOOTBATL CONCESSION SHS-BASEBALL PRESS/CONC BASEBALL OFFICE/LOCKERS SHERMAN ELEMENTARY SHERMAN JR/SR HIGH SHERMAN JR/SR HIGH ANNEX SHERMAN JR/SR FIELD HOUSE PRESS BOX/CONCESSION CONCESSION STAND/BASEBALL VAN ELEMENTARY VAN JR/SR HIGH VAN FIELDHOUSE VAN JR/SR HIGH WEIGHT ROOM PRESS BOX WHITESVILLE ELEMENTARY/JR HI WHITESVILLE ELEMENTARY /CONCE BROOKVIEW ELEMENTARY BROOKVIEW ELEMEN-MOBLIE 1 BROOKVIEW ELEMEN-MOBILE 2 Y: BOON NING WAY ER. WV 25081 : BOONE T ST ISON. WV NTY: BOONE 001 ADULT LEARNING CENTER Masonry Non- Combustible {@> WESTFIELD’ quote COMMERCIAL PROPERTY DECLARATIONS (Continued) COMPANY PROVIDING COVERAGE WESTFIELD NATIONAL INSURANCE COMPANY NAMED INSURED AND MAILING ADDRESS 47-05077 BOONE COUNTY BOARD OF FERRELL & HILL INS AGCY LLC ATION PO BOX 277 AVENUE B MADISON WV 25130-0277 MADISON WY 25130 TELEPHONE 304-369-1111 Quote Number: CMM 3 980 975 Quote From 03/21/24 This Quote valid until 07/01/24 Period To 07/01/24 DESCRIPTION OF PREMISES . Loc Bldg Address, city & State Construction necupaney 019 002 334 RIVERSIDE DR W Frame MADISON MS TRANSPORTATION MADISON. WV 25130 COUNTY: BOONE COVERAGES PROVIDED - Insurance at the described premises applies only for _ | coverages for which a limit of insurance is shown. OPTIONAL COVERAGES applicable only when entries are made in the schedules below: _ Infl- Repl. Limit of Premium Loc Bldg peda ao Coins Guard Cost Insurance Blanket EQ Sub-limit N/A N/A See Below $ Blanket Extra Expense * N/A See Below : : Blanket Building 90% N/A See Below : : Blanket Business Pers Prop 90% See Below : : Building Blkt Yes B Cause of Loss: Special EQ Sub-limit: Building Nia Business Personal Property Blkt Cause of Loss: Special EQ Sub-limit: Bus Pers Prop NfA Extra Expense Blkt Gause of Loss: Special EQ Sub-limit: Extra Expense Me Building lkt Cause of Loss: Special EQ Sub-limit: Building NifA Business Personal Property lkt Cause of Loss: Special ; EQ Sub-limit: Bus Pers Prop Nia Extra Expense Tkt Cause of Loss: Special EQ Sub-limit: Extra Expense NfA ee Tkt Gause of Loss: Special EQ Sub-limit: Building va Business Personal Property lkt Cause of Loss: Special ; EQ Sub-limit: Bus Pers Prop Nia Extra Expense lkt Cause of Loss: Special Q Sub-limit: Extra Expense Nia putleine lkt Cause of Loss: Special EQ Sub-limit: Building Nia Business Personal Property lkt Gause of Loss: Special EQ Sub-limit: Bus Pers Prop ie Building Tkt Cause of Loss: Special ; EQ Sub-limit: Building Nia Business Personal Property lkt Cause of Loss: Special EQ Sub-limit: Bus Pers Prop anket So oS Yes Blanket Yes Blanket Yes Blanket N/A Blanket N/A Blanket Yes Blanket Yes Blanket Yes Blanket Blanket Yes Blanket Blanket N/A Blanket Blanket N/A Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket N/A Blanket Blanket N/A Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Extra Expense N/A Blanket Blanket Cause of Loss: Special EQ Sub-limit: Extra Expense N/A N/A Blanket Blanket y y y y y y y y y y y y y coo 00 OO O20 SO COO COO OO SO SCO COO COO COO So S30 300 00 3SO CO OO 00 3SO CO COO OO SO SF PRE FR Fw WW WH WW WH WP PP PM MH HE HR HL So CO COCO COO SO CO COO COO SO CO COO COO SO Oo coO 00 O00 9020 SO COO OO 00 SO SOO COO OO 30 & rer FP Pe PP Fe PP Pe PP Pe Pe Pe Pe Pe ae ee ee eS Ne ee De ee De Se ee de 9 ey oO oO = o {@> WESTFIELD’ quote COMMERCIAL PROPERTY DECLARATIONS (Continued) COMPANY PROVIDING COVERAGE WESTFIELD NATIONAL INSURANCE COMPANY NAMED INSURED AND MAILING ADDRESS 47-05077 BOONE COUNTY BOARD OF FERRELL & HILL INS AGCY LLC ATION PO BOX 277 AVENUE B MADISON WV 25130-0277 MADISON WY 25130 TELEPHONE 304-369-1111 Quote From 03/21/24 This Quote valid until 07/01/24 Period To 07/01/24 COVERAGES PROVIDED - Insurance at the described premises applies only for coverages for which a limit of insurance is shown. OPTIONAL COVERAGES applicable only when entries are made in the schedules below: _Infl. Repl. Limit of Premium Coverage Coins Guard Cost Insurance uildin t es anket anket Buildi g Blkt N/A Y Blank Blank Cause of Loss: Special EQ Sub-limit: Building NfA h Business Personal Property Blkt Cause of Loss: Special EQ Sub-limit: Bus Pers Prop NfA pe eee Blkt Gause of Loss: Special EQ Sub-limit: Building NfA Business Personal Property lkt Cause of Loss: Special EQ Sub-limit: Bus Pers Prop NfA Building lkt Cause of Loss: Special EQ Sub-limit: Building Nia Business Personal Property lkt Cause of Loss: Special EQ Sub-limit: Bus Pers Prop NfA Extra Expense Tkt Gause of Loss: Special EQ Sub-limit: Extra Expense NfA ee lkt Cause of Loss: Special EQ Sub-limit: Building NfA Business Personal Property lkt Gause of Loss: Special ; EQ Sub-limit: Bus Pers Prop Nia Extra Expense lkt Cause of Loss: Special EQ Sub-limit: Extra Expense NfA putleing lkt Gause of Loss: Special EQ Sub-limit: Building NfA Business Personal Property lkt Cause of Loss: Special EQ Sub-limit: Bus Pers Prop NfA Buildin lkt Gause OF Loss: Special ; EQ Sub-limit: Building Nia Business Personal Property lkt Cause of Loss: Special EQ Sub-limit: Bus Pers Prop Nia aoe lkt Gause of Loss: Special EQ Sub-limit: Building NfA Business Personal Property Blkt Cause of Loss: Special EQ Sub-limit: Bus Pers Prop NfA bur lenng Blkt Cause of Loss: Special ; EQ Sub-limit: Building N/A } Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket N/A Blanket Blanket N/A Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket N/A Blanket Blanket N/A Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket 005 005 005 006 006 006 006 007 007 007 007 007 007 008 008 008 008 008 008 008 008 008 008 008 008 008 008 008 008 008 008 009 422 422 422 422 22 422 22 422 22 S22 22 422 422 422 22 22 rr FP Fe Pe PP PP Pe Pe Pe PP Pe Pe Pe Pe PP o fen] \o = ~~ > {@> WESTFIELD’ quote COMMERCIAL PROPERTY DECLARATIONS (Continued) COMPANY PROVIDING COVERAGE WESTFIELD NATIONAL INSURANCE COMPANY NAMED INSURED AND MAILING ADDRESS 47-05077 BOONE COUNTY BOARD OF FERRELL & HILL INS AGCY LLC ATION PO BOX 277 AVENUE B MADISON WV 25130-0277 MADISON WY 25130 TELEPHONE 304-369-1111 Quote From 03/21/24 This Quote valid until 07/01/24 Period To 07/01/24 COVERAGES PROVIDED - Insurance at the described premises applies only for coverages for which a limit of insurance is shown. OPTIONAL COVERAGES applicable only when entries are made in the schedules below: Infl- Repl. Limit of Premium Coverage Coins Guard Cost Insurance Extra Expense Blkt N/A N/A Blanket Blanket Cause of Loss: Special ; Q Sub-limit: Extra Expense NfA h N/A Blanket Blanket t Yes Blanket Blanket Business Personal Property Bl Yes Blanket Blanket Cause of Loss: Special EQ Sub-limit: Bus Pers Prop NfA t Yes Blanket Blanket Yes Blanket Blanket Buildin Bl Yes Blanket Blanket Cause oF Loss: Special EQ Sub-limit: Building NfA t Yes Blanket Blanket N/A Blanket Blanket Business Personal Property 1 N/A Blanket Blanket Cause of Loss: Special EQ Sub-limit: Bus Pers Prop NfA t Yes Blanket Blanket Yes Blanket Blanket Extra Expense 1 Yes Blanket Blanket Gause of Loss: Special EQ Sub-limit: Extra Expense Nia Yes Blanket Blanket Yes Blanket Blanket Buildin 1 Yes Blanket Blanket Cause ot Loss: Special EQ Sub-limit: Building Nia Yes Blanket Blanket Yes Blanket Blanket Business Personal Property 1 N/A Blanket Blanket Gause of Loss: Special EQ Sub-limit: Bus Pers Prop NfA t N/A Blanket Blanket Yes Blanket Blanket ee 1 Cause of Loss: Special EQ Sub-limit: Building NfA Business Personal Property lkt Gause of Loss: Special EQ Sub-limit: Bus Pers Prop Nia Extra Expense lkt Cause of Loss: Special EQ Sub-limit: Extra Expense NfA putleing lkt Gause of Loss: Special EQ Sub-limit: Building NfA Business Personal Property lkt Cause of Loss: Special EQ Sub-limit: Bus Pers Prop NfA Building lkt Cause of Loss: Special EQ Sub-limit: Building Nia Business Personal Property lkt Cause of Loss: Special EQ Sub-limit: Bus Pers Prop Nia Extra Expense Tkt Gause of Loss: Special EQ Sub-limit: Extra Expense NfA Building lkt Cause of Loss: Special EQ Sub-limit: Building NfA Business Personal Property Blkt Cause of Loss: Special ; EQ Sub-limit: Bus Pers Prop N/A} Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket N/A Blanket Blanket N/A Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket c 9 9 9 9 ) 0 0 Q 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 422 422 422 422 22 422 22 422 22 S22 22 422 422 422 22 22 rr FP Fe Pe PP PP Pe Pe Pe PP Pe Pe Pe Pe PP Lo 00 00 00 00 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 bo = ~~ > {@> WESTFIELD’ quote COMMERCIAL PROPERTY DECLARATIONS (Continued) COMPANY PROVIDING COVERAGE WESTFIELD NATIONAL INSURANCE COMPANY NAMED INSURED AND MAILING ADDRESS 47-05077 BOONE COUNTY BOARD OF FERRELL & HILL INS AGCY LLC ATION PO BOX 277 AVENUE B MADISON WV 25130-0277 MADISON WY 25130 TELEPHONE 304-369-1111 Quote From 03/21/24 This Quote valid until 07/01/24 Period To 07/01/24 COVERAGES PROVIDED - Insurance at the described premises applies only for coverages for which a limit of insurance is shown. OPTIONAL COVERAGES applicable only when entries are made in the schedules below: _Infl. Repl. Limit of Premium Loc Coverage Coins Guard Cost Insurance uildin t es anket anket 012 Buildi g Blkt N/A Y Blank Blank Cause of Loss: Special EQ Sub-limit: Building NfA h Business Personal Property Blkt Cause of Loss: Special EQ Sub-limit: Bus Pers Prop NfA pe eee Blkt Gause of Loss: Special EQ Sub-limit: Building NfA Business Personal Property lkt Cause of Loss: Special EQ Sub-limit: Bus Pers Prop NfA Building lkt Cause of Loss: Special EQ Sub-limit: Building Nia Business Personal Property lkt Cause of Loss: Special EQ Sub-limit: Bus Pers Prop NfA But leing lkt Gause of Loss: Special EQ Sub-limit: Building NfA Business Personal Property lkt Cause of Loss: Special Q Sub-limit: Bus Pers Prop NfA Building lkt Cause of Loss: Special EQ Sub-limit: Building Nia Business Personal Property lkt Cause of Loss: Special EQ Sub-limit: Bus Pers Prop NfA Extra Expense Tkt Gause of Loss: Special EQ Sub-limit: Extra Expense NfA Building lkt Cause of Loss: Special EQ Sub-limit: Building NfA Business Personal Property lkt Gause of Loss: Special ; EQ Sub-limit: Bus Pers Prop Nia Extra Expense lkt Cause of Loss: Special EQ Sub-limit: Extra Expense Nia aoe lkt Gause of Loss: Special EQ Sub-limit: Building NfA Business Personal Property Blkt Cause of Loss: Special EQ Sub-limit: Bus Pers Prop NfA bur lenng Blkt Cause of Loss: Special ; EQ Sub-limit: Building N/A } Oo e ho Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket N/A Blanket Blanket N/A Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket N/A Blanket Blanket N/A Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket 422 422 422 422 22 422 22 422 22 S22 22 422 422 422 22 22 rr FP Fe Pe PP PP Pe Pe Pe PP Pe Pe Pe Pe PP Pr PR PR FR SE FO WW WW Wh PP PP PP PoP PP PoP PP 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 rm =z ae Hd {@> WESTFIELD’ quote COMMERCIAL PROPERTY DECLARATIONS (Continued) COMPANY PROVIDING COVERAGE WESTFIELD NATIONAL INSURANCE COMPANY NAMED INSURED AND MAILING ADDRESS 47-05077 BOONE COUNTY BOARD OF FERRELL & HILL INS AGCY LLC ATION PO BOX 277 AVENUE B MADISON WV 25130-0277 MADISON WY 25130 TELEPHONE 304-369-1111 Quote Number: CMM 3 980 975 Quote From 03/21/24 This Quote valid until 07/01/24 Period To 07/01/24 COVERAGES PROVIDED - Insurance at the described premises applies only for coverages for which a limit of insurance is shown. OPTIONAL COVERAGES applicable only when entries are made in the schedules below: Infl. Repl. Limit of Premium ig Coverage Coins Guard Cost Insurance Business Personal Property Blkt N/A Yes Blanket Blanket Cause of Loss: Special ; Q Sub-limit: Bus Pers Prop NfA h Yes Blanket Blanket t Yes Blanket Blanket Buildin Bl Yes Blanket Blanket Cause ot Loss: Special EQ Sub-limit: Building NfA t Yes Blanket Blanket Yes Blanket Blanket Business Personal Property B1 Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket N/A Blanket Blanket N/A Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket N/A Blanket Blanket N/A Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Yes Blanket Blanket Loc 014 014 Bld 003 003 004 004 004 Gause of Loss: Special 004 EQ Sub-limit: Bus Pers Prop NfA 005 Bue lemms lkt Cause of Loss: Special 005 EQ Sub-limit: Building NfA 005 Business Personal Property lkt Gause of Loss: Special ; 005 EQ Sub-limit: Bus Pers Prop Nia 001 Building lkt Cause of Loss: Special 001 EQ Sub-limit: Building NfA 001 Business Personal Property Tkt Gause of Loss: Special 001 EQ Sub-limit: Bus Pers Prop NfA 001 Extra Expense lkt Cause of Loss: Special 001 EQ Sub-limit: Extra Expense Nia 001 Building lkt Gause of Loss: Special ; 001 EQ Sub-limit: Building Nia 001 Business Personal Property lkt Cause of Loss: Special 001 EQ Sub-limit: Bus Pers Prop NfA 001 Extra Expense Tkt Gause of Loss: Special 001 EQ Sub-limit: Extra Expense NfA 002 Buildin t 002 002 002 003 003 003 003 004 004 004 1 Cause ar Loss: Special EQ Sub-limit: Building NfA Business Personal Property lkt Gause of Loss: Special EQ Sub-limit: Bus Pers Prop Nia Buildin t 1 Cause of Loss: Special EQ Sub-limit: Building Nia Business Personal Property Tkt Gause of Loss: Special EQ Sub-limit: Bus Pers Prop NfA Buildin t 1 Cause or Loss: Special EQ Sub-limit: Building NfA Business Personal Property Blkt Cause of Loss: Special ; 004 EQ Sub-limit: Bus Pers Prop N/A} 422 422 422 422 22 422 22 422 22 S22 22 422 422 422 22 22 rr FP Fe Pe PP PP Pe Pe Pe PP Pe Pe Pe Pe PP 4 4 4 4 4 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 oO = ~~ > {@> WESTFIELD’ quote COMMERCIAL PROPERTY DECLARATIONS (Continued) COMPANY PROVIDING COVERAGE WESTFIELD NATIONAL INSURANCE COMPANY NAMED INSURED AND MAILING ADDRESS 47-05077 BOONE COUNTY BOARD OF FERRELL & HILL INS AGCY LLC ATION PO BOX 277 AVENUE B MADISON WV 25130-0277 MADISON WY 25130 TELEPHONE 304-369-1111 Quote From 03/21/24 This Quote valid until 07/01/24 Period To 07/01/24 COVERAGES PROVIDED - Insurance at the described premises applies only for coverages for which a limit of insurance is shown. OPTIONAL COVERAGES applicable only when entries are made in the schedules below: Infl. Repl. Limit of Premium Coverage Coins Guard Cost Insurance publsing I . ef Blkt N/A Yes Blanket Blanket ause of Loss: ecia EQ Sub-limit: Building NfA h Yes Blanket Blanket Business Personal Property Blkt Yes Blanket Blanket Cause of Loss: Special EQ Sub-limit: Bus Pers Prop NfA Yes Blanket Blanket Extra Expense Blkt N/A Blanket Blanket Cause of Loss: Special EQ Sub-limit: Extra Expense NfA N/A Blanket Blanket Bue lemms i 5 fal lkt Yes Blanket Blanket ause of Loss: ecia EQ Sub-limit: Building NfA h Yes Blanket Blanket Business Personal Property lkt Yes Blanket Blanket Cause of Loss: Special ; EQ Sub-limit: Bus Pers Prop Nia h Yes Blanket Blanket Building 7 ; ‘al lkt Yes Blanket Blanket ause of Loss: ecia EQ Sub-limit: Building NfA Yes Blanket Blanket Business Personal Property Tkt Yes Blanket Blanket Cause of Loss: Special EQ Sub-limit: Bus Pers Prop NfA Yes Blanket Blanket Extra Expense Tkt N/A Blanket Blanket Cause of Loss: Special Q Sub-limit: Extra Expense NfA h N/A Blanket Blanket Building , 5 at lkt Yes Blanket Blanket ause of Loss: ecia EQ Sub-limit: Building Nia h Yes Blanket Blanket Business Personal Property lkt Yes Blanket Blanket Cause of Loss: Special EQ Sub-limit: Bus Pers Prop NfA Yes Blanket Blanket putleing L 5 al lkt Yes Blanket Blanket ause of Loss: ecia EQ Sub-limit: Building NfA Yes Blanket Blanket Business Personal Property lkt Yes Blanket Blanket Cause of Loss: Special EQ Sub-limit: Bus Pers Prop NfA h Yes Blanket Blanket Building i 5 hal lkt Yes Blanket Blanket ause of Loss: ecia EQ Sub-limit: Building Nia h Yes Blanket Blanket Business Personal Property lkt Yes Blanket Blanket Cause of Loss: Special EQ Sub-limit: Bus Pers Prop Nia Yes Blanket Blanket aoe L . ‘al lkt Yes Blanket Blanket ause of Loss: ecia EQ Sub-limit: Building NfA Yes Blanket Blanket pug ess Persona’ Property Blkt } Yes Blanket Blanket ause of Loss: ecia EQ Sub-limit: Bus’ Pers Prop N/A) Yes Blanket Blanket Loc 017 017 017 017 017 017 017 Q17 017 017 018 018 018 018 018 018 018 018 018 018 018 018 018 018 019 019 019 019 019 019 019 01 \o {@> WESTFIELD’ quote COMMERCIAL PROPERTY DECLARATIONS (Continued) COMPANY PROVIDING COVERAGE WESTFIELD NATIONAL INSURANCE COMPANY NAMED INSURED AND MAILING ADDRESS 47-05077 BOONE COUNTY BOARD OF FERRELL & HILL INS AGCY LLC ATION PO BOX 277 AVENUE B MADISON WV 25130-0277 MADISON WY 25130 TELEPHONE 304-369-1111 Quote From 03/21/24 This Quote valid until 07/01/24 Period To 07/01/24 * Limits on loss payment 40% 80% 100% OPTIONAL COVERAGES Loc Bldg Applicable to Option Description 001 Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier i Expanded Property 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 So Qo e 3 Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property Tier 1 Expanded Property rise Expanded Property ier Expanded Property Tier Expanded Property Expanded Property Expanded Property Expanded Property Expanded Property Expanded Property Expanded Property Tier Tier Tier Tier Tier Tier 101010101001 01010 0 010 0 0100 001 0 0 01 0 01 0 0 0 00 01 01 0 010 0 01 0 CO OO CO CO BO BO 00 BO OO 00 CO BO GO 00 CO 00 00 GO OO GO 00 00 00 00 GO OO GO Na 00 Go 00 GO OO OO CO OO BO COCO OOMIE 001 002 003 003 004 005 006 007 008 008 008 008 009 010 010 011 011 012 012 012 012 012 012 013 014 014 014 014 014 015 016 016 016 016 017 017 018 018 018 019 019 SOCOSCCOSOCSCOCCOCOCOOCOCOCOCOCOSCOCOCOCOCoOOSCSO SOSSCSTOCSDSSSSSSCSOSCSSSSSSSSSSSOSCSOSSCSOSCSOSCOSCCSOSS MEO EME POMPEU OM EH AUB OM HM HME ROM HERRERO {@> WESTFIELD’ quote COMMERCIAL PROPERTY DECLARATIONS (Continued) COMPANY PROVIDING COVERAGE WESTFIELD NATIONAL INSURANCE COMPANY NAMED INSURED AND MAILING ADDRESS 47-05077 BOONE COUNTY BOARD OF FERRELL & HILL INS AGCY LLC ATION PO BOX 277 AVENUE B MADISON WV 25130-0277 MADISON WY 25130 TELEPHONE 304-369-1111 Quote From 03/21/24 Period To 07/01/24 hb Oo a Total Advance Annual Property Premium Deductible is See form CP7016 Exceptions: Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake Earthquake 001 002 003 003 004 005 006 007 008 008 008 008 009 010 010 011 011 012 012 012 012 012 012 013 014 014 014 014 014 015 016 016 016 016 017 017 018 018 018 019 019 SCOCDCOSSCCCOCOCOCOSCOCOCCOCOSCOCOCOCOCOCOSCOCCOODd SOCSCDSCSSSSSSSCOSCSCSDSSSSCSSSOSCSSSSOSCSOSCOSCSCSOSSOSOOS MEPOM EME BOM EUR ONE OAU ROM HNN HE BOM RHEE RIES {@> WESTFIELD’ QUOTE COMMERCIAL PROPERTY DECLARATIONS (Continued) COMPANY PROVIDING COVERAGE WESTFIELD NATIONAL INSURANCE COMPANY NAMED INSURED AND MAILING ADDRESS 47-05077 BOONE COUNTY BOARD OF FERRELL & HILL INS AGCY LLC ATION PO BOX 277 AVENUE B MADISON WV 25130-0277 MADISON WY 25130 TELEPHONE 304-369-1111 Quote From 03/21/2 t (24 This Quote valid until 07/01/24 Period To 07/01/24 Forms and Endorsements applicable to this coverage part: CP0090 0788 . CP0299 0607 . IL0952 5. CP0112 . CP0140 520 . CPDSOO 1014 . ee . GP1030 . CP005 . CP10 CP? CP7016 1012 . 0 1012. : : 0917 . CPQ415 1012 . : . CP0440 1012 1 1000. : : CP040 {@> WESTFIELD’ QUOTE COMMERCIAL PROPERTY EXPANDED COVERAGE ENDORSEMENT - TIER 1 SCHEDULE COMPANY PROVIDING COVERAGE WESTFIELD NATIONAL INSURANCE COMPANY NAMED INSURED AND MAILING ADDRESS 47-05077 BOONE COUNTY BOARD OF FERRELL & HILL INS AGCY LLC A a PO BOX 277 AVE MADISON WV 25130-0277 MADISON. iv 25130 TELEPHONE 304-369-1111 Quote Number: CMM 3 980 975 Quote From 03/21/24 This Quote valid until 07/01/24 Period To 07/01/24 COMMERCIAL PROPERTY EXPANDED COVERAGE ENDORSEMENT = TIER 1 SCHEDULE This schedule modifies insurance provided under the COMMERCIAL PROPERTY EXPANDED COVERAGE ENDORSEMENT - TIER 1 Pcie SCHEDULE Note: Crime Coverages included via CR 00 21 or (CR 00 25) ) apply 9 policy-level basis. including those focations /butidings not sc eduled below. Bldg. No” Address, City & State 1649 ree ae Sei RD. pen TOE: WV 25009 69 AVE WV_2 3505 DANIEL. “BOONE "PRAY: POSTER. Wy BEAT 3507 fea : 508 42 BALLARD H RD *h08 Bey 35084 42 BALLARD HOLLOW RD. FOSTER. WV 25081 69 SMITH ST. MADISON. WV 25130 150 JOSEPHINE AVE. MADISON. ar 25130 “4 ADISON. WV 25130 HADISON.. WV 25130 : ON. WV 25130 . MADISON. WV 33130 ACADEMY DR. MANILLA. WV 25508 DANIEL BOONE PKWY. FOSTER. WV 250 DANIEL BOONE PKWY. FOSTER. WV 250 SPRUCE RIVER RD. DANVILLE. WV 25 o oO paar 7 7 08 KYHAW MADI V 25130_ RIVERSIDE DR. MADISON. ite pa 1a0 ae PL. HADTSON . WV 25130 REVERS IDE DR W. 7 0 0 0 0 ) 0 : COAL RIVER RD. COAL RIVER RD. COAL RIVER RD. COAL RIVER RD. L RD 8 8 8 8 8 V VAN V V V 9 9 = Nobo a UILIUIR &H OH OOO DODD HH So RD. VAN. WV : WHTTESVILLE., WV 25209 HITESY ILL. WV 25209 eolezlacE Se ei RNING WA 18ST ST W. MADI RIVERSIDE DR W. MADISON” 4 25130 0 0 0 0 0 0 0 0 0 Q 0 0 0 0 0 0 0 0 0 0 0 Q 0 0 0 0 0 0 ) 0 0 0 0 Q 0 0 0 0 0 0 0 WDD WOOD NIN DAOADA QUI EE EOD DS DDD HEH OCW RWW ONIOAUIE WWD VOOCSCOSCOSVSSOSCOSVSSSCSOSCOSOSSOSCSOVSCOSCSOSCSVSVSCSOSCSCVSCOS elelelelelelelelelelalelelelelelelalalelelelelelal=alalelelealalalalaleleloalalal=) MPO DM MH POMBE UIR WMH RUT WN EM EMH EH PWD RR HHH POH BODHMODDOCOBMNOMMOMOOAAWw AGE 01 OFnctides EBp¥RiGKtéG5maharial of ISO. Inc. withéshé/fP6rmission. COMPANY COP {@> WESTFIELD’ QUOTE COMMERCIAL PROPERTY EXPANDED COVERAGE ENDORSEMENT - TIER 1 SCHEDULE COMPANY PROVIDING COVERAGE WESTFIELD NATIONAL INSURANCE COMPANY NAMED INSURED AND MAILING ADDRESS 47-05077 BOONE COUNTY BOARD OF FERRELL & HILL INS AGCY LLC ATION PO BOX 277 AVENUE B MADISON WV 25130-0277 MADISON WY 25130 TELEPHONE 304-369-1111 Quote Number: CMM 3 980 975 Quote From 03/21/24 This Quote valid until 07/01/24 Period To 07/01/24 The limits listed in Section I below are the most we will pay for each coverage in any one occurrence unless a different limit is listed in Section II below. (Refer to policy language for specific coverages. conditions and exclusions. ) Section I *For Coverage Denoted with an Asterisk Refer to Specific Coverage Form for Terms and Conditions . Coverage Limit of Insurance *Accounts Receivable Goverage Applicable at Your Premises §25 .000 Coverage Applicable Away from Your Premises No Coverage *Brands and Labels Included Changes in Temperature §1.000 Computer Coverage ardware. Data and Media 873 O60 Laptops/Portable Computers and Software (Away from Premises) 10.000 Credit Card Invoices §1.000 *Debris Removal - Additional Insurance Building & Contents (Combined) $50.000 Deferred Payments $25 .000 “Discharge from Sewer. Drain or Sump (Not Flood-related) Property Damage 50.000 Annual Aggregate Limit hooitea *Employee Theft Or “imp lovee Theft - per Loss Coverage Eee eductible Amount per Occurrence Not Applicable Extra Expense §50.000 *Fine Arts Floater Max per Item ra Gee as trope Limit ; 0.000 Deductible Not Applicable Breakage Breakage Exclusion Applies Fire Department Service Charge §10.000 (Yarginia Includes Volunteer Fire Departments) Increased Limits are not Available For Arizona) Fire Extinguisher Recharge Expense Included *Forgery or Alteration 925 20 Deductible Amount per Occurrence Not Applicable Foundations of Buildings Included AGE 02 OFnctides EBp¥RiGKtéG5maharial of ISO. Inc. withéshé/fPérmission. COMPANY COP {@> WESTFIELD’ QUOTE COMMERCIAL PROPERTY EXPANDED COVERAGE ENDORSEMENT - TIER 1 SCHEDULE COMPANY PROVIDING COVERAGE WESTFIELD NATIONAL INSURANCE COMPANY NAMED INSURED AND MAILING ADDRESS 47-05077 BOONE COUNTY BOARD OF FERRELL & HILL INS AGCY LLC ATION PO BOX 277 AVENUE B MADISON WV 25130-0277 MADISON WY 25130 TELEPHONE 304-369-1111 Quote Number: CMM 3 980 975 Quote From 03/21/24 This Quote valid until 07/01/24 Period To 07/01/24 *Inside the Premises-Theft of Money & Securities feu ae Deductible Amount per Occurrence Not Applicable *Outside the Premises-Theft of Money & Securities P25 .000 Deductible Amount per Occurrence Not Applicable Inventory and Appraisals $10 .000 Lock Replacement Newly Acquired or Constructed Property Buildings Business Personal Property *Ordinance or Law Loss to Undamaged Portion of Building (if Applicable) Incl. up to Bldg. Limit Demolition Cost aaa Increased Cost Of Construction 50.0 Post-Loss Ordinance Or Law Option Not wor 0584 Outdoor Property Any One Tree. Shrub or Plant ett Any One Occurrence §10.000 Outdoor Signs §12.500 Patterns. Dies. Molds. and Forms $10.000 *Peak Season - Automatic Increase Period (From/To): Annual Policy Period Lesser of: 25% or §50.000 Personal Effects and Property _of Others Any One Person in Any One Loss Pep Any One Occurrence $10.00 00 *Pollutant. Clean Up and Removal P25 : Deductible Not Applicable Premises Boundary Increased Distance 1.000 Feet Property in Transit §20. Proper off Premises ny One Occurence 833: Max per Salesperson 10. Reward Payment Information Sip Stolen Property 10. ee Includes Refrigeration Maintenance Agreement. Se ping pres: Breakdown or Contamination and Power Outage $10. eductible Stamps. Tickets. Including Lottery Tickets Held for Sale. and Letters of Credit AGE 03 OFnctides EBp¥RiGKtéG5maharial of ISO. Inc. withéshé/fP6rmission. COMPANY COP {@> WESTFIELD’ QUOTE COMMERCIAL PROPERTY EXPANDED COVERAGE ENDORSEMENT - TIER 1 SCHEDULE COMPANY PROVIDING COVERAGE WESTFIELD NATIONAL INSURANCE COMPANY NAMED INSURED AND MAILING ADDRESS 47-05077 BOONE COUNTY BOARD OF FERRELL & HILL INS AGCY LLC ATION PO BOX 277 AVENUE B MADISON WV 25130-0277 MADISON WY 25130 TELEPHONE 304-369-1111 Quote Number: CMM 3 980 975 Quote From 03/21/24 This Quote valid until 07/01/24 Period To 07/01/24 *Utility Services-Direct Damage Building §10.000 Includes: Water Supply Property . Communication Supply Property (No Overhead Transmission Lines). Power Supply Property (No Overhead Transmission ines Business Personal Property §10.000 Includes: Water Supply Property. Communication Supply Property (No Overhead Transmission Lines). Power Supply Property (No Overhead Transmission ines Vacancy 11% Occupied *Valuable Papers and Records All Other Covered Property §25 .00 Eroperty Away from Your Premises $5.00 Deductible: Not Applicabl If you have purchased Business Income at a location described in the schedule above, then the following coverages are also added to only those location(s) for which Business Income has been purchased. Coverage Limit of Insurance Business Income from Dependent Properties - Including Extra Expense §25 .000 *Discharge from Sewer. Drain. or Sump (Not Flood-related) Business Income Including Extra Expense 50.000 Annual Aggregate Limit Applies Newsy, Acquired or Constructed Property usiness Income 180 Days If a limit is listed in Section II, that limit will supersede the limit in Section I for the designated coverage(s), location(s) and building(s) pe betsN - If no limit is listed in Section II there are no changes to section I. Note: If "All" is designated as the Loc. No./Bldg. No. coverage applies to all locations. including those locations / buildings not scheduled below. Section II Loc. Bldg. No. No- ALL ALL ‘*Employee Theft Or *Employee Theft - per Loss Coverage Deductible Amount per Occurrence ALL ALL *Forgery or Alteration Deductible Amount per Occurrence Coverage Limit of Insurance AGE 04 OFnctides EBp¥Ri°KtéG5maharial of ISO. Inc. withéshé/fP6rmission. COMPANY COP {@> WESTFIELD’ QUOTE COMMERCIAL PROPERTY EXPANDED COVERAGE ENDORSEMENT - TIER 1 SCHEDULE COMPANY PROVIDING COVERAGE WESTFIELD NATIONAL INSURANCE COMPANY NAMED INSURED AND MAILING ADDRESS 47-05077 BOONE COUNTY BOARD OF FERRELL & HILL INS AGCY LLC ATION PO BOX 277 AVENUE B MADISON WV 25130-0277 MADISON WY 25130 TELEPHONE 304-369-1111 Quote From 03/21/24 Period To 07/01/24 002 001 *Valuable Papers and Records All Other Covered Propert 100. Eroperty Away from Your Premises Deductible eppoa dee Includes Refrigeration Maintenance Agreement. 6 Selling Price. Breakdown or Contamination and Power utage Deductible Additional Limit Breakdown or Contamination Power Outage *Valuable Papers and Records Other Covered Property Ereperty Away from Your Premises Deductible AGE 05 OFnctides EBp¥RiGKtéG5maharial of ISO. Inc. withéshé/fPérmission. COMPANY COP @ WESTFIELD’ COMMERCIAL INLAND HARINE SCHEDULE OF COVERAGE FORMS COMPANY PROVIDING COVERAGE WESTFIELD NATIONAL INSURANCE COMPANY NAMED INSURED AND MAILING ADDRESS 47-05077 BOONE COUNTY BOARD OF FERRELL & HILL INS AGCY LLC A a PO BOX 277 AVE MADISON WV 25130-0277 MADISON. iv 25130 TELEPHONE 304-369-1111 Quote Number: CMM 3 980 975 Quote From 03/21/24 This Quote valid until 07/01/24 Period To 07/01/24 This policy contains the following Inland Marine Coverage Forms: Coverage Forms Premium Accounts Receivable Included Fine Arts Floater Coverage Included Valuable Papers and Records 14.00 Scheduled Property risster 1.716.00 Total Advance Annual Inland Marine Premium § 1.730.00 All Forms and Ender eements applicanle to Inland Marine saat 8 aaa 6 : GMOOO1 4 . OM718 : 0300 . eae 902 115 . 811 . 009 . 112 01 6 IM7417 7423 IM7506 . IM2099 IM7807 IM7866 . CM7000 @ WESTFIELD’ COMMERCIAL INLAND MARINE ACCOUNTS RECEIVABLE COVERAGE COMPANY PROVIDING COVERAGE WESTFIELD NATIONAL INSURANCE COMPANY NAMED INSURED AND MAILING ADDRESS 47-05077 BOONE COUNTY BOARD OF FERRELL & HILL INS AGCY LLC ATION PO BOX 277 AVENUE B MADISON WV 25130-0277 MADISON WY 25130 TELEPHONE 304-369-1111 Quote Number: CMM 3 980 975 Quote From 03/21/24 This Quote valid until 07/01/24 Period To 07/01/24 "DESCRIPTION OF PREMISES Loc Bldg Street Address, City & State Occupancy xRefer to Commercial Property Expanded and/or Signature Series Schedule(s) for Coverages and Limits of Insurance. COVERED PROPERTY AND LIMITS OF INSURANCE A. Coven ee Applicable At Your Premises em Loc Bldg Limits of Insurance B. Coverage Applicable Away From Your Premises % 80 % COINSURANCE APPLIES. REFER TO COVERAGE FORN.- DESCRIPTION OF RECEPTACLES Loc Bldg Item Class Label Issuer Manufacturer Total Advance Annual Accounts Receivable Premium Included Forms and Endorsements applicable to this coverage: @ WESTFIELD’ COMMERCIAL INLAND MARINE VALUABLE PAPERS AND RECORDS COVERAGE COMPANY PROVIDING COVERAGE WESTFIELD NATIONAL INSURANCE COMPANY NAMED INSURED AND MAILING ADDRESS 47-05077 BOONE COUNTY BOARD OF FERRELL & HILL INS AGCY LLC ATION PO BOX 277 AVENUE B MADISON WV 25130-0277 MADISON WY 25130 TELEPHONE 304-369-1111 Quote Number: CMM 3 980 975 Quote From 03/21/24 Period To 07/01/24 This Quote valid until 07/01/24 COVERED PROPERTY AND LIMITS OF INSURANCE Specifically Described Property . Loc Bldg Item Description Limit of Insurance xRefer to Commercial Property Expanded and/or Signature Series Schedule(s) for Coverages and Limits of Insurance. All Other Covered Property i. Loc Bldg Item Limit of Insurance property Away From Your Premises Limit of Insurance en DESCRIPTION OF RECEPTACLES Loc Bldg Item Class Label Issuer Manufacturer Total Advance Annual Valuable Papers and Records Premium Forms and Endorsements applicable to this coverage: CM7000 0292 . CM0067 0113 . POLICY NUMBER: CMM 3980975 POLICY PERIOD: FROM 07/01/2024 TO 07/01/2025 SCHEDULE OF COVERAGES SCHEDULED PROPERTY FLOATER (The entries required to complete this schedule will be shown below or on the "schedule of coverages". ) COVERED PROPERTY Item No. DESCRIBED PROPERTY "Limit" 01 MOBILE EQUIPMENT $ 250.000 CINCLUDING BAND E Pa ae oes Be tees EQUIPMENT. TOO AND 3 UTILITY TRAILERS) COVERAGE EXTENSIONS Additional Debris Removal Expenses § 5.000 SUPPLEMENTAL COVERAGES Newly Acquired Property | $ 25 .000 Pollutant Cleanup And Removal $ 10.000 DEDUCTIBLE AND COINSURANCE DEDUCTIBLE Deductible Amount § 500 COINSURANCE { 3} Not Applicable {X} 80% { } 90% { } 1004 { } Other &% ADDITIONAL INFORMATION CM7168 1112 . IM7500 : IM2099 0107 . CLO700 1006. IM7857 0708 . IM7807 HO HO howe oo a or ao fontoss Copyright, American Association of Insurance Services, Inc., 2012 PAGE 01 OF O1 IM 75 06 (01-12) 06/06/24 COMPANY COPY POLICY NUMBER: CMM 3980975 POLICY PERIOD: FROM 07/01/2024 TO 07/01/2025 EARTHQUAKE AND FLOOD SCHEDULE (The entries required to complete this schedule will be shown below or on the "schedule of coverages".) This endorsement changes the Scheduled Property Floater - IM 7500 EARTHQUAKE COVERAGE { 3} Coverage Not Provided {X} Coverage Provided. as described below: Earthquake Location "Limit" $ 250.000 Earthquake Occurrence "Limit" $ 250.000 Earthquake Catastrophe "Limit" $ 500.000 FLOOD COVERAGE { } Coverage Not Provided {X} Coverage Provided. as described below: Flood location "Limit" § 250.000 Flood Occurrence "Limit" § 250.000 Flood Catastrophe "Limit" § 500.000 DEDUCTIBLE Deductible Amount Earthquake Coverage § 500 Flood Coverage § 500 Copyright, American Association of Insurance Services, Inc., 2012 PAGE 01 OF O1 IM 78 07 (01-12) 06/06/24 COMPANY COPY POLICY NUMBER: CMM 3980975 POLICY PERIOD: FROM 07/01/2024 TO 07/01/2025 This endorsement changes the Inland Marine Coverages - PLEASE READ THIS CAREFULLY - SEWER BACKUP COVERAGE (The entries required to complete this endorsement will be shown below or on the "schedule of coverages".) This endorsement changes the Scheduled Property Floater - IM7500 "Limit" The most "we" pay in any one occurrence for loss resulting from sewer backup (as described below) is: $ 250.000 SUPPLEMENTAL COVERAGES Sewer Backup 1 Coverage - "We" cover direct physical loss or damage to covered property caused by or resulting from: a. water that backs up. overflows or is otherwise discharged through a sewer or drain. sump or septic tank; or b. water below the surface of the ground. including but not limited to water that exerts pressure on or flows. seeps. or leaks through or into a ae oe or structure. sidewalk. driveway. foundation. swimming pool. or other structure. 2. Coverage Limitations - "We" do not cover loss or damage resulting from: a. escape or overflow of water from a sump pit not equipped with a sump pump; b. failure to perform routine maintenance and repair of all sump pumps and related equipment; an c. failure to keep sewers and drains free from obstructions. PERILS EXCLUDED The exclusion for Sewer Backup And Water Below The Surface still applies except to the extent that coverage is provided under this endorsement. Copyright, American Association of Insurance Services, Inc., 2012 PAGE 01 OF O1 IM 78 66 €01-12) 06/06/24 COMPANY COPY POLICY NUMBER: CMM 3980975 POLICY PERIOD: FROM 07/01/2024 TO 07/01/2025 SCHEDULE OF COVERAGES FINE ARTS FLOATER _.(The entries required to complete this schedule will be shown below or on the "schedule of coverages". ) COVERED PREMISES Refer to attached Fine Arts Schedule COVERED FINE ARTS Refer to attached Fine Arts Schedule CATASTROPHE LIMIT Refer To Commercial Property Expanded and/or Signature Series Schedule DEDUCTIBLE AMOUNT Refer To Commercial Property Expanded and/or Signature Series Schedule COVERAGE EXTENSIONS "Limit" Emergency Removal 30 days Emergency Removal Expenses 30 days $ 1,000 SUPPLEMENTAL COVERAGES "Limit" Newly Acquired Art 25% of catastrophe limit Off-Premises Coverage $ 10,000 Property Used To Display Or Protect Art $ 5,000 Transit Coverage $ 10,000 ADDITIONAL INFORMATION IM7400 0811 , IM7405 0811 , IM7406 0811 , IM7417 0811 , IM?7423 lll2 , IM7420 0811 . Copyright, American Association of Insurance Services, Inc., 2011 PAGE 01 OF O1 IM 74 05 (08-11) 06/06/24 COMPANY COPY POLICY NUMBER: CMM 3980975 POLICY PERIOD: FROM 07/01/2024 TO 07/01/2025 FINE ARTS SCHEDULE FINE ARTS FLOATER _.(The entries required to complete this schedule will be shown below or on the "schedule of coverages". ) Refer To Commercial Property Expanded and/or Signature Series Schedule(s) For Coverages And Limits Of Insurance Prem. No. Described Premises SCHEDULED FINE ARTS Item No. Description "Limit" Copyright, American Association of Insurance Services, Inc., 2011 PAGE 01 OF O1 IM 74 06 (08-11) 06/06/24 COMPANY COPY POLICY NUMBER: CMM 3980975 POLICY PERIOD: FROM 07/01/2024 TO 07/01/2025 This endorsement changes the Fine Arts Coverage - PLEASE READ THIS CAREFULLY = STORAGE LOCATION COVERAGE _(The entries required to complete this endorsement will be shown below or on the "schedule of coverages". ) STORAGE LOCATION SCHEDULE Storage Loc. ; Location No. Storage Location "Limit" Miscellaneous Refer to Signature Series/Expanded Property Fine Arts Limit SUPPLEMENTAL COVERAGES The following Supplemental Coverage is added: Storage Location 1. Coverage - "We" cover direct physical loss or damage caused by a covered peril 9 "fine arts" while in, peerage at a premises that is not described on the "schedule of coverages" 2. Coverage Limitation = "We" only cover "fine arts" in storage at a location described on the Storage Location Schedule. 3: Limit - The most "we" pay in any one occurrence for loss or damage to "fine arts" at a storage location is the Storage Location Coverage Limit for that location on the Storage Location Schedule. PAGE O01 OF ObpyrigMt/4ARGrGG@nlAssociation of Insuranc86S86¥26es, Inc. , COMPANY COPY SR {@> WESTFIELD’ QUOTE CRIME AND FIDELITY COVERAGE PART DECLARATION (GOVERNMENT ENTITIES) COMPANY PROVIDING COVERAGE WESTFIELD NATIONAL INSURANCE COMPANY NAMED INSURED AND MAILING ADDRESS 47-05077 BOONE COUNTY BOARD OF FERRELL & HILL INS AGCY LLC ATION PO BOX 277 AVENUE B MADISON WV 25130-0277 MADISON WY 25130 TELEPHONE 304-369-1111 Quote Number: CMM 3 980 975 Quote From 03/21/24 This Quote valid until 07/01/24 Period To 07/01/24 . Limit of Insurance Deductible Amount Insuring Agreements Per Occurrence Per Occurrence “Refer to Commercial Property Expanded and/or Signature Series Schedule(s) for Coverages and Limits of Insurance.x Note: pup Toyes Theft. Forgery Or Alterations. Inside The Premises - Theft Of Money And Securities and Outside The Premises included in the schedule(s) apply on a policy-level basis. Coverage is Written: Primary Total Advance Annual Crime Premium § 3.214.00 Forms and Endorsements forming part of this Polipy coverage when issued: CR7000 0813 . CRO025 1115 . CRO105 0807 . IL0281 489 . CANCELLATION OF PRIOR INSURANCE ISSUED BY US: By gccepennce of this Coverage Part / Policy you @ive us notice gence! ling prlor os policy —_ ; the cancellation to be effective at the ime this Coverage Part become effective. COMMERCIAL INLAND MARINE WORKSHEET NAMED INSUR AGENCY POLICY NUMBER BOONE COUNTY BOARD OF 5077 3980975 LOC BLD ADDR: 1649 ASHFORD NELLIS RD CONST PC TER CLASS 001 001 ASHFORD WV eal MASNC 10 030 1052 1052 COMBINED FCTR: .433 = WNAT :850 X IRPM .770 X OTHR - 662 SCHEDULE BASE TOTAL TOTAL OTHR DED COMB NET LIMIT OF PREMIUM COVERAGE RATE FCTS ADDS FCTR FCTR FCTR RATE INSURANCE PonD CONE a et oe + .000 )X1.000 X1.000 X .433 -563 250000 1408 .00 Say QK : BASE R -010 kK DEDU 1.000 X COMB F- .433 = -004 250000 10.00 FLOOD BASE R :025 kK DEDU 1.000 X COMB F- .433 = -011 250000 28.00 SEWER BK: BASE R 250 X DEDU 1.000 X COMB F- .433 = -108 250000 270.00 TOTAL SCHEDULE 1716-00 TOTAL INL MAR 1716-00 LOC BLD ADDR: 69 AVENUE B CONST PC TER CLASS 002 001 MADISON WV 251301162 MASNC 05 030 0702 0702 COMBINED FCTR: .433 = WNAT -850 X IRPM .770 X OTHR - 662 VAL PAPER BASE TOTAL TOTAL OTHR ODED COMB NET LIMIT OF PREMIUM COVERAGE RATE FCTS ADDS FCTR FCTR FCTR RATE INSURANCE INSIDE (€ .045X1-000 + .050 )X1-000 X1.000 X .433 = -041 75000 31.00 DED 500 REL FACTOR -732 OTHER : RECCR 1.000 ADDS: LOAD -050 31.00 X .081 = 3.00 TOTAL VAL PAPER 3.00 TOTAL INL MAR 3.00 LOC BLD ADDR: a DANIEL BOONE PKWY CONST PC TER CLASS 010 001 FOSTER WV 250816009 NONCM 06 030 0567 0567 COMBINED FCTR: .433 = WNAT -850 X IRPM 770 X OTHR - 662 VAL PAPER BASE roTae TOTAL OTHR ODED COMB NET LIMIT OF PREMIUM COVERAGE RATE ADDS FCTR FCTR FCTR RATE INSURANCE INSIDE (_ .333X1- "500 + .072 )X1.000 X1.000 X .433 = -175 75000 131.00 DED 500 REL FACTOR -732 OTHER : RECCR 1. 00 ADDS: LOAD .07 0 2 131.00 X .081 = 11.00 TOTAL VAL PAPER 11.00 WORKSHEET PAGE 1 CM 70 90 (03-00) WETAL/TAL MAR CQHPABY COPY COMMERCIAL CRIME WORKSHEET NAMED INSURED AGENCY POLICY NUMBER BOONE COUNTY BOARD OF 5077 3980975 UNIT LOC BLD 1649 ASHFORD N CLASS TER IP 001 001 001 ASHFORD WV 25009 111 999 ¥ FDLTY COMB FCTR 0.424 CRIME COMB FCTR 0.808 WNAT 0.850XEXPF OQ. 6 7OOXSCHF 0.750X0THF 0.950 WNAT 0.850XOTHF 0.950 057 -ETHEFT PER LOSS LIMIT 475000 DED 5000 EMP 148 ERISA AP EXP UNIT (LIMIT+DED) EXP UNIT (DED) EXP ees (LIMTTDEDS EXP_ UNIT (DED) RATABLE EMPS RATABLE EMPS ADDL PREMISES ADDL PREMISES 3392-050 787.500 1208 . 000 144.000 BASE TOTAL FDLTY PREMIUM RATE EXP UNITS CMB FCT 1.580X 3808.275X 0.424 2551.00 059 -FORG ALT LIMIT 475000 DED 5000 EMP 148 ERISA AP EXP UNIT (LIMIT+DED) EXP UNIT (DED) EXP UNIT (LIMETSDEDS EXP_ UNIT (DED) RATABLE EMPS RATABLE EMPS ADDL PREMISES ADDL PREMISES 3392 .050 . 787.500 1208 . 000 144.000 BASE TOTAL FDLTY ADDL PREMIUM RATE EXP UNITS CMB FCT FCTR 1.580X 3808.275X 0.424X 0.260 663.00 TOTAL UNIT MAIN RULE 3214.00 WORKSHEET PAGE 2 CR 70 00 (08-13) 06/06/24 COMPANY COPY