QUOT%2024-25%20CMM3980975%20OPTIONAL%20RENEWAL%20QUOTE.pdf

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
Text

@ 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
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005
006
001
001
002
003
004
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001
002
003
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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

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: BOON

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ER RD

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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

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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

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rer FP Pe PP Fe PP Pe PP Pe Pe Pe Pe Pe

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{@> 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
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422 422 422 422 22 422 22 422 22 S22 22 422 422 422 22 22
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=
~~
>



{@> 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

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9
9
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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
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01
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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
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01
01
01
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01
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01
01
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01
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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
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9
9

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UILIUIR &H OH OOO
DODD HH

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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
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0
0
0
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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