Laserfiche WebLink
NO. BP38698 <br />BUSINESSOWNERS POLICY <br />BP DEC IC 01 10 <br />LIABILITY AND MEDICAL EXPENSES <br />Please refer to Section C of the Businessowners Liability Coverage Form. <br />Limit Of Insurance <br />General Aggregate $2,000,000 <br />Products - Completed Operations Aggregate $2,000,000 <br />Personal & Advertising Injury $1,000,000 <br />Each Occurrence $1,000,000 <br />Damage To Premises Rented To You $100,000 <br />Medical Expense $2,000 <br />FORMS AND ENDORSEMENTS <br />FORMS AND ENDORSEMENTS MADE PART OF THIS POLICY AT TIME OF ISSUANCE OF THESE DECLARATIONS: <br />PREMIUM <br />Number Edition Name <br />BOCC01 0914 Businessowners Common Policy Conditions <br />Included <br />BOIN01 0914 Indiana Changes <br />Included <br />BPCF01 1215 Businessowners Property Coverage Foam <br />Included <br />BPTD01 0115 Disclosure Pursuant To Terrorism Risk Insurance Act <br />Included <br />BLAI17 0914 Additional Insured -As Required In Written Agreement With You Or By Ordinance <br />Included <br />BPEC01 1215 VIP Broadened Property <br />Included <br />BPLT02 0115 Limited Terrorism Coverage <br />Included <br />BPLT01 0914 Protective Safeguards <br />Included <br />BLCFOi r1215 Businessowners Liability Coverage Form <br />Included <br />BLTD01 0116 Disclosure Pursuant To Terrorism Risk Insurance Act <br />Included <br />BLLT02 0115 Limited Terrorism Coverage <br />Included <br />BLEX08 0115 Exclusion Of Punitive Damages Related To A "Certified Act Of Terrorism" <br />Included <br />BLEC06 1215 Cyber Protection <br />Included <br />TOTAL ADVANCE PREMIUM <br />$8,370 <br />MINIMUM PREMIUM: $760 ADDITIONAL AMOUNT DUE <br />$17 <br />Declarations Effecllve: <br />Countersigned at Rock Island, Illinois <br />Monday, April 25, 2016 <br />this 22nd day of June, 2016 <br />Prem. No. 1, Bldg. / Other Structures No. 1, Buildings - Contractual <br />Responsibility to Insure Limits of Insurance is amended from $982,500 to <br />$1,000,000, <br />Prom. No. 1, Bldg. No. 1, Building valuation is amended from ACV to RC. <br />ex.,- <br />(Authorized Signature) <br />Endorsement # 2 <br />BP DEC IC 01 10 Original Page 3 of 3 <br />