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HomeMy WebLinkAboutCRIME STOPPERS DH FEEDBACKJanuary 23, 2018 Kittitas County Solid Waste Programs Kittitas County Board of Commissioners 205 W 5th Ave Suite 103 Ellensburg, WA 98926 Subject: Special Event Application Dear Board of County Commissioners, 925 Industrial Way, Ellensburg, WA 98926 Telephone: (509) 962-7542 Fax: (509) 962-7087 Kittitas County Solid Waste has reviewed the Special Event application for the Yakima County Crime Stoppers event. The event staff has provided a recycling and garbage plan that meets our satisfaction. Please contact me at [509] 962-7577 if you have any questions. Thank you. G11rtoff Vay de, Ve7te,- Clinton Van de Venter Household & Hazardous Waste Supervisor Kittitas County Solid Waste - - GENE DANA, SHERIFF KITTITAS COUNTY SHERIFF'S OFFICE ,, r � 307 W. Umptanum Rd • Ellensburg, WA 98926 (509) 962-7525 • (509) 674-2584 FAX (509) 962-7599 January 24, 2018 Board of County Commissioners Kittitas County Courthouse 205 West 5th Ave., Room 108 Ellensburg, WA 98926 Re: Special Event Application — Yakima County Crime Stoppers "Your Canyon for a Day" on May 20, 2018 Dear Board of County Commissioners: I recommend approving this event contingent on the persons doing traffic control allow local access to residences, fishermen, hikers and recreationalist attempting to access the area. Sincerely, � ::>-- Gene Dana, Sheriff GD:kd til fir•:: lir y i AY DEPARTMENT OF PUBLIC WORKS Mark Cook, PE Director MEMORANDUM TO: Kittitas County Board of County Commissioners FROM: Luke Huck P.E. County Engineer DATE: February 2, 2018 SUBJECT: Your Canyon for a Day Special Event Application After review of the application for the "Your Canyon for a Day Special Event' Public Works recommends the applicant issues advanced notification of the event in the Daily Rec:(,)rd two weeks in advance in conjunction to the 48 hour advanced road closure sign posting to inform the traveling public. The applicant indicates that the Washington State Patrol, Yakima Police Department, The Blue Knights, YC Rangers, and the Yakima Sheriffs Office will provide patrol services and traffic control. This is the 14'h consecutive year this event has been held without indication of significant impacts and/or concerns exhibited to Public Works. Public Works recommends approval of this event based on these conditions being upheld. Please feel free to contact Kittitas County Public Works with any additional questions you may have at 509-962-7523. Page 1 of 1 411 N. Ruby St. Suite 1 TEL (509) 962-7523 Ellensburg, WA 98926 FAX (509) 962-7663 AKittitas County Public Health -0 Department Memo To: Kittitas County Board of County Commissioners From: Kittitas County Public Health Department, Tristen Lamb, Environmental Health Supervisor Date: February 20, 2018 RE: Yakima County Crime Stoppers "Your Canyon for a Day" May 20, 2018 If the information stated in the application by the organization for the Yakima County Crime Stoppers "Your Canyon for a Day Bike Tour" event is true, accurate, and there is stewardship in following through with such statements then the applicant, Mark Peterson, has at this time met all of the requirements of the Kittitas County Public Health Department. Please note: If any additional food service vendors are added to the event, temporary food establishment permits must be obtained at Kittitas County Public Health Department at least two weeks prior to the event. Please feel free to contact me if you have any questions or concerns. Sincerely, Tristen Lamb, Environmental Health Supervisor Kittitas County Public Health Department 507 Nanum Street, Suite 102 Ellensburg, WA 98926 (509)962-7515 CC: Mandy Buchholz, Kittitas County Board of Commissioners Deputy Clerk • KITTITAS COUNTY FIRE MARSHAL'S OFFICE l 411 N. Ruby St., Suite 2, Ellensburg, WA 98926 Office (509) 962-7657 Fax (509) 962-7682 February 13, 2018 Mandy Buchholz Deputy Clerk Board of County Commissioners Office Re: Yakima Crime Stoppers Special Event Dear Mrs. Buchholz: In regard to the above mentioned project, I have the following comments. • An event permit is not required from the Fire Marshal's Office for this event. • After review of the event permit, I have found no life safety/fire code issues that need to be addressed. The intent of the IFC is to provide a reasonable level of life safety and property protection from the hazards of fire, explosion or dangerous conditions. If you have further comments or questions, please do not hesitate to contact me at 509-962-7000. Sincerely, Josh Hink Kittitas County Fire Marshal Prevention • Education a Investigation • Enforcement Version 2009.2 Mandy Buchholz �ww�uri ui� From: Christopher Horner Sent: Friday, February 23, 2018 9:59 AM To: Mandy Buchholz Cc: Rebecca Schoos Subject: RE: State Farm Declarations Page 18 pages of endorsements and declarations! Excellent! Good for them! Since we got the signed certificate of insurance on 2/15/18,1 recommend APPROVAL! Chris From: Mandy Buchholz Sent: Thursday, February 22, 2018 3:37 PM To: Christopher Horner Subject: FW: State Farm Declarations Page Hi Chris, H "u,G,, CHC D aftvq ze gam a II "Dead people receive more flowers than living ones because regret is stronger than gratitude" - Anne Frank From: Alicia Stromme [mailto:strommes(&msn.com] Sent: Thursday, February 22, 2018 2:01 PM To: Mandy Buchholz Subject: State Farm Declarations Page Attached please find the Dec Page from the Underwriters in Chicago, Illinois. I emailed the signed (not electronically signed) certificate of insurance on 2/15/18 (attached with the prior endorsements) so that should cover everything. Thank you! Alicia Stromme Tobin Treasurer, Yakima County Crime Stoppers Notice: Email sent to Kittitas County may be subject to public disclosure as required by law messageid:38eb45916c6dcbdac24bb8719d004a14 A Nrroc L> CERTIFICATE OF LIABILITY INSURANCE o�iiiuzo 8 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT; if the owflllo% holder Is an ADDITIONAL INSURED, the poliryoev) Must he endorsed. It SUBROGATION 18 WAIVED, subject to the terms and condIdons of the poticy, certain pollcles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsemont(s), P,p{}Di7CE�i BRUCE SEARS -STATE FARM CONTACT Isabel N►� ....__ _q_ PO BOX 669 . _ �:t�LrL txll:y��7�RP_ I us"r"c,llo��OS��7� _.. _ SELAH, WA 98943 X COIANEFY.y[AL rFNgl�1A{-L-IAHILITY Slli�fi�] AfPOfiglNG COVERAGE .. ... nAH; r r�or• Tir RENTED PREAli5E3fEdaa2reencni.__. Far F�tp;srad C3ir�s�ekY f.4n1i>3+nY—261i9�� IrlsukEu CRIME STOPPERS OF YAKIMA COUNTY INC��A'>i PO BOX 11056 ursu c....._........ - — - YAKIMA, WA 98909 i7ISUR£R A : ---. _ PERSONAL a ROYINJI/I•_t►' S wnunaL e : { INSsURER r : COVFRACES CERTIFICATE NUMBER., REVISION NUMBER. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREO NMIED ABOVE FOR Tl•1E POLICY PERIOD INDICAT II. NOTWITHSTANDING ANY REOUIREM£NT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO MICH TIIIS CERtIFICA71Z MAY BE ISSUEL> OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE PrUL=CIES 0E9CM8ED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITLONS OF SUCH POLICIES LIMITS SHC WN MAY HAVE BEEN REDUCED BY PAID CLAPMS slISR TYPE OF W$4RANCE.^^ WOT POLICY Nfl4AUR .. .� POLICY EFF Y!]LA Limns LTR A UENEfiAL LIABILITY 1390000003159046 04/1412011 0710112416 EACH occukRENcE S. i,GfJ[} co _ X COIANEFY.y[AL rFNgl�1A{-L-IAHILITY r�or• Tir RENTED PREAli5E3fEdaa2reencni.__. .....T CLAIMS -MODE 1 "' OCCUR R MEq EKP{Wly T- FT-T.rj .. f PERSONAL a ROYINJI/I•_t►' S GEN'L.AGGREGATE LIMIT APPLIESP'EK; PRCOums-ccomworAGO S f'NL1 E-1 - — --- ----- . _. _ .. POLICY LOC ti. A I AUTOMODIU LIARRfrY OIAnINED 9lNG:L- UMf•r I x ANY AiltD 80!.7ILY1LY INJ INJURY(Parpemonl S ALL IWiNED x SCELILEA SOOkY IfINVRY tPBf �LNdlln!}j S AU7[?S AUrr7$ H!]id{}lYT•1E➢ X . F � rrti WA0R S �114euRurrs . AVrrx; I I _..... 1 - � UMMLA OCCUR EIEJ EACH S7COk"IRG,415 EXCE55 Like GSA!lt.rhlh!]E AG3f fMOATIE Fa HEKNI10145 ! i wonx R6 coMpewsATIO N ley STATIN- OT > AND EMPLOYERW LIAe1LfTY Yj' + Ni IOKY LIIAfI $-I ANY PROPRI TO PJPAA TNLRR" VFN F. E -L CAD AONDENT S urrtC.f_7,iEm"AExcuim'n't LJ HrA tA1�nd�SorY In HH) ❑ - VL DISEASE • EA FMI LOYEE S If ,nn, cksc•Ilfr un+dln EL O15rlrSE • POL+CY L 1 I $ CUSCA%MOM{JP'OPERATIONS 01.0"TIONSIVEHICLES OtUchaCORO101,Ad^onalRwaiatiYrdchedu*Irm6r66panhmquW*dl ADDITIONAL INSURED -CERTIFICATE HOLDER WASHINGTON STATE PATROL YOUR CANYON FOR A DAY RIDE - MAY 20, 2010 DEPT OF TRANSPORTATION BUREAUI OF LAND NIANAGEMEPTT US GOVERNMENT AND -Ttxl Unilod States Department of the Inteflor-BIM Is addItionally inwfed,- KITTITAS COUNTY r T7OTl p fr: e7r` I-Inf nrsp CANCELLATION / % 1888.241 ACORD CORPORATION. All 940to rezorvoO, ACORD 25 (2410105) The ACORD name and logo: are regia rad merfta of ORD 1401466 132849.6 11-15-2510 SHOULD ANY OF THE ABOVE DESCRMEO POUC1E8 BE CANCELLED BEFORE KITTlTA& COUNTY THE EXPIR6=N DATE THEREOF, NOTICE Wi BE DELIVERER 1N 205 WEST 5TH, STE `) 08 Accfl c> THE POLIO+ n avlsla s. ELLENSBURG, WA 98926 ONwea R ESEHT / % 1888.241 ACORD CORPORATION. All 940to rezorvoO, ACORD 25 (2410105) The ACORD name and logo: are regia rad merfta of ORD 1401466 132849.6 11-15-2510 Forms / Endorsements Insured: CRIME STOPPERS OF Policy Type: BUSINESS - MISC FIRE Policy: 98 -BJ -G478-3 F Number CMP -4102 FE -6999.2 CMP -4705 FE -8724 FE -8744 CMP -4791 CMP -4860 Description Number BUSN COVG FORM CMP -4804 TERRORISM NOTE CMP -4247.1 LOSS OF INCOME CMP -4709 IM CONDITIONS FD -6007 IM COMP PROP CMP -4788 AI PERMIT CMP -4779 AI DESG PERSON FE -3650 FEBRUARY 02, 2018 Page 1 of 1 Description AI CLUB AMENDATORY END MONEY & SECUR IM ATTACH DEC AI MANAGERS EMPLOYERS LIAB ACTUAL CASH R-Rtn to Status Accept STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS RENEWAL DECLARATIONS RQChaidSMar % 75085-3925 Policy Number 98 -BJ -G478-3 Named Insured Policy Period Effective Date Expiration Date AT2 M-15-2689-FBA1 F N 12 Months JUL 12017 JUL 1 2018 002741 3125 CRIME STOPPERS OF The policCy period be�ins and ends at 12:01 am standard time atge premises 0catlon. YAKIMA COUNTY INC PO BOX 11056 YAKIMA WA 98909-2056 Agent and Mailing Address 9 9 BRUCE SEARS CLU PO BOX 669 1�11�����1111�111�1��II��II�IIII'I'�I"l�lll�l�ll11�111��1111��11 SELAH WA 98942-0669 PHONE: (509) 697-4900 Businessowners Policy Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subjectto the premiums, rules and forms in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Entity: Corporation NOTICE: Information concerning changes in your policy language is included. Please call your agent if you have any questions. POLICY PREMIUM $ 440.00 Minimum Premium Discounts Applied: Renewal Year Years in Business Sprinkler Claim Record Prepared MAY 18 2017 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 017978 294 1 Continued on Reverse Side of Page E Page 1 of 7 530-686 a 2 05-31-2011 (0113231c) M 17978 RENEWAL DECLARATIONS (CONTINUED) Businessowrters Policy for CRIME STOPPERS OF Policy Number 98 -BJ -G478-3 SECTIONI- PROPERTYSCHEDULE Location Number Location of Described Premises Limit of Insurance* Coverage A - Buildings Limit of Insurance* Seasonal Increase - Coverage B - I Business Business Personal I Personal Property Property 001 128 N 2ND ST No Coverage $ 11,400 25% YAKIMA WA 98901-2639 * As of the effective date of this policy, the limit of Insurance as shown includes any increase in the limit due to SECTION 1 -INFLATION COVERAGE INDEX ES Cov A - Inflation Coverage Index: N/A Cov B - Consumer Price Index: 243.8 SECTION I - DEDUCTIBLES Basic Deductible $500 Special Deductibles: Money and Securities $250 Equipment Breakdown $500 Other deductibles may apply - refer to policy. Prepared MAY 18 2017 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission 017978 Continued on Next Page Page 2 of 7 M 17978 RENEWAL DECLARATIONS (CONTINUED) Businessowners Policy for CRIME STOPPERS OF Policy Number 98 -BJ -6478-3 SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - EACH DESCRIBED PREMISES The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations, unless indicated by "See Schedule." If a coverage does not have a corresponding limit shown below, but has 'Included" indicated, please refer to that po licy provision for an explanation of that coverage. LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $10,000 Off Premises $5,000 Arson Reward $5,000 Collapse Included Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25% of covered loss Equipment Breakdown Included Fire Department Service Charge $2,500 Fire Extinguisher Systems Recharge Expense $5,000 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Money And Securities (Off Premises) $2,000 Money And Securities (On Premises) $5,000 Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property (applies only if this policy provides $100,000 Coverage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A - Buildings) Prepared MAY 18 2017 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 017979 294 Continued on Reverse Side of Page Page 3 of 7 E M 17978 RENEWAL DECLARATIONS (CONTINUED) Businessowners Policy for CRIME STOPPERS OF Policy Number 98 -BJ -G478-3 Ordinance Or Law - Equipment Coverage Included Outdoor Property $5,000 Personal Effects (applies only to those premises provided Coverage B - Business $2,500 Personal Property) Personal Property Off Premises $15,000 Pollutant Clean Up And Removal $10,000 Preservation Of Property 30 Days Property Of Others (applies only to those premises provided Coverage B - Business $2,500 Personal Property) Signs $2,500 Valuable Papers And Records On Premises $10,000 Off Premises $5,000 Water Damage, Other Liquids, Powder Or Molten Material Damage Included SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - PER POLICY The coverages and corresponding limits shown below are the most we will pay regardless of the number of described premises shown in these Declarations. COVERAGE Loss Of Income And Extra Expense LIMIT OF INSURANCE Actual Loss Sustained - 12 Months SECTION II - LIABILI'T'Y LIMIT OF COVERAGE INSURANCE Coverage L - Business Liability $2,000,000 Prepared MAY 18 2017 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission 017979 Continued on Next Page Page 4 of 7 M 17978 RENEWAL DECLARATIONS (CONTINUED) Businessownnrs Policy for CRIME STOPPERS OF Policy Number 98 -BJ -G478-3 Coverage M - Medical Expenses (Any One Person) $5,000 Damage To Premises Rented To You $300,000 LIMIT OF AGGREGATE LIMITS INSURANCE 19 Products/Completed Operations Aggregate $4,000,000 General Aggregate $4,000,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. Y07:I�A6'1_1ki Ili =1ki10101*1=1 �51=1 �I&y CMP -4102 Businessowners Coverage Form CMP -4247.1 *Amendatory Endorsement FE -3650 *Actual Cash Value Endorsemet FE -6999.2 *Terrorism Insurance Cov Notice CMP -4804 Addl Insd Club Members CMP -4705 Loss of Income & Extra Expnse CMP -4709 Money and Securities CMP -4788 Addl Insd Mgrs Lessor of Prem CMP4791 Addl Insd State Political Perm CMP4779 Employers Liability CMP4860 Al Design Person Org FD -6007 Inland Marine Attach Dec * New Form Attached Prepared MAY 18 2017 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 017980 294 Continued on Reverse Side of Page E Page 5 of 7 M 17978 RENEWAL DECLARATIONS (CONTINUED) Businessowners Policy for CRIME STOPPERS OF Policy Number 98 -BJ -6478-3 SCHEDULE OF ADDITIONAL INTERESTS Interest Type: Addl Insured -Section II Endorsement #: CMP4791 Loan Number: N/A KITTITAS COUNTY 205 W 5TH AVE STE 108 ELLENSBURG WA 989262887 Interest Type: Add] Insured -Section II Endorsement #: CMP4860 Loan Number: N/A YAKIMA COUNTY COUNTY COMMISSIONERS PO BOX 12570 YAKIMA WA 989092570 Interest Type: Addl Insured -Section II Endorsement #: CMP4788 Loan Number: N/A WASHINGTON STATE PATROL DEPT OF TRANSPORTATION BUREAU OF LAND MANAGEMENT US GOVERNMENT 205 W 5TH AVE STE 108 ELLENSBURG WA 989262887 This policy is issued by the State Farm Lire and Casualty Company. Participating Policy You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in accordance with the Company's Articles of Incorporation, as amended. In Witness Whereof, the State Farm Fire and Casualty Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois. Secretary President Prepared MAY 18 2017 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 017980 Continued on Next Page Page 6 of 7 RENEWAL DECLARATIONS (CONTINUED) Bustnessowr ers Policy for CRIME STOPPERS OF Policy Number 98 -BJ -G478-3 LA M 17978 NOTICE TO POLICYHOLDER: For a comprehensive description of coverages and forms, please refer to your policy. Policy changes requested before the "Date Prepared", which appear on this notice, are effective on the Renewal Date of this policy unless otherwise indicated by a separate endorsement, binder, or amended declarations. Any coverage forms attached to this notice are also effective on the Renewal Date of this policy. Policy changes requested after the "Date Prepared" will be sent to you as an amended declarations or as an endorsement to your policy. Billing for any additional premium for such changes will be mailed at a later date If, during the past year, you've acquired any valuable property items, made any improvements to insured property, or have any questions about your insurance coverage, contact your State Farm agent. Please keep this with your policy. Your coverage amount.... It is up zo you to choose the coverage and (Emits that meet your needs. We recommend that you purchase a coverage limit equal to the, estimated replacement cost of your structure Replscemont cost estimates are available from building C.vntractors and replacement cost appraisers, or, your agent can provide an estimate from Xactware, Ineusing information you provide about your structure. We, can accept the type of estimate you choose as long as It provides a reasonable level of dotail about your structure, State Farm"does not guarantee that any estimate will be the actual future cost to rebuild your structures. Higher omits are available at higher premiums Lower limits are also available, as long as the amount of coverage maels our underwriting requiraments. We encourage you to periodically review your coverages and fitiri is with your agent add to notify us of arty changes or additions to your structure. Prepared MAY 18 2017 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 017981 294 Page 7 of 7 E 98 -BJ -G478-3 017981 M 17978 STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS t�au 225b ................. . Rc1�9+dsdV). TX 75085-3925 Policy Number 98 -BJ -G478-3 Policy Poriod Effective Dale Expiration Date M-15-2689-FBA1 F N 12 Moollis JUL 1 017 JUL 1 2018 The policCy period begins and ends at 12:01 am standard Named Insured time atme premises r,;.;;tion. CRIME STOPPERS OF YAKIMA COUNTY INC PO BOX 11056 YAKIMA WA 96909-2056 ATTACHING INLAND MARINE Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subjectto the premiums, rules and forms in effectfor each succeeding policy period. If this policy is terminated, we will give yoil and the Mortgagee/Lienholder written notice in compliance with the policv provisions or as required by law. Annual Policy Premium Included The above Premium Amount is included in the Policy Premium shown on the Declarations. Your policy consists of these Declarations, the INLAND MARINE CONDITIONS shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequentto the issuance of this policy. Forms, Options, and Endorsements FE -8724 Inland Marine Conditions FE -8744 Inland Marine Computer Prop See Reverse for Schedule Page with Limits Prepared MAY 18 2017 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD -6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 017982 536-6860 65-31-2011 (01132320 98 -BJ -G478-3 M 17978 ATTACHING INLAND MARINE SCHEDULE PAGE ATTACHING INLAND MARINE ENDORSEMENT NUMBER COVERAGE FE -8744 Inland Marine Computer Prop Loss of Income and Extra Expense LIMIT OF DEDUCTIBLE ANNUAL INSURANCE AMOUNT PREMIUM 25,000 25,000 Prepared OTHER LIMITS AND EXCLUSIONS MAYAPPLY - REFER TO YOUR POLICY MAY 18 2017 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD -6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 017982 500 Included Included 530-686 a 2 05-31-2011 (olf3233c) 98 -BJ -G478-3 017983 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CMP -4247.1 AMENDATORY ENDORSEMENT (Washington This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM A. SECTION I is amended as follows: 1. Paragraphs 1. and 8. under Property Not Covered of SECTION I — PROPERTY is replaced by the following: 1. Aircraft, automobiles, motor trucks, or other vehicle subject to licensing re- quirements. 8. "Computer(s)" which are permanently installed or designed to be permanently installed in any aircraft, watercraft, mo- tor truck or other vehicle subject to li- censing requirements. This paragraph does not apply to "computer(s)" while held as "stock"; 2. The last paragraph under Paragraph 2.1. of SECTION I — EXCLUSIONS is replaced by the following: But if an excluded cause of loss that is listed in Paragraphs (1) through (7) above results in an accidental direct physical loss by any of the "specified causes of loss", building glass breakage or collapse, as provided in SECTION I — EXTENSIONS OF COVERAGE, we will pay for the loss caused by that "specified causes of loss", building glass breakage or collapse. 3. Paragraphs 4.b., 4.c. and 4.d.(1) under Col- lapse of SECTION I — EXTENSIONS OF COVERAGE are replaced by the following: b. We will pay for accidental direct physi- cal loss to Covered Property, caused by collapse of a building or any part of a building that is insured under this coverage form or that contains Cov- ered Property insured under this cov- erage form, if the collapse is caused by one or more of the following: (1) The "specified causes of loss" or breakage of building glass, all only as insured against in this coverage form; (2) Weight of people or personal property; CMP -4247 1 Page 1 of 5 (3) Weight of rain that collects on a roof; or (4) Use of defective material or meth- ods in construction, remodeling or renovation if the collapse occurs during the course of the construc- t#on. remodeling or renovation. However, if the collapse.occurs af- ter construction, remodeling or renovation is complete and is caused in part by a cause of loss listed in Paragraphs (1) through (3), we will pay for the loss even if use of defective material or meth- ods in construction, remodeling or renovation, contributes to the col- lapse. The criteria set forth in Paragraphs a.(1) and a.(2) do not limitthe cover- age otherwise provided under this Ex- tension Of Coverage for the causes of loss listed in Paragraphs b.(1), b.(2), and b.(3), c. With respect to the following property. (1) Awnings; (2) Gutters and downspouts; (3) Yard fixtures; (4) Outdoor swimming pools; (5) Piers, wharves and docks; (6) Beach or diving platforms or ap- purtenances; (7) Retaining walls; and (8) Walks, roadways and other paved surfaces; if the collapse is caused by a cause of foss listed in Paragraphs b.(2) through b.(4), we wilf pay for loss to that pfop- erty only. if such loss is a direct result of the collapse of a building insured under this coverage form and the property is Covered Property under this coverage form. ©, Copyright, State Farm Mutual Automobile Insurance Company, 2016 Includes copyrighted material of Insurance Services Office, Inc„ with its permission CONTINUED 98 -BJ -G478-3 017983 M17978 d. If personal property abruptly falls down or caves in and such collapse is not the result of collapse of a building; we will pay for loss to Covered Propetty caused by such collapse of personal property only if: (1) The collapse was caused by a cause of loss listed in Paragraphs b.(1) through b.(4) of this Exten- sion Of Coverage; 4. SECTION I — CONDITIONS is amended as follows.- a. ollows: a. The last pafagjaph under Paragraph 1.b. Appraisal does not apply. b. Paragraph 1.c.(1)(a) under Duties In The Event Of Loss does not apply. c. Paragraphs 1.e.(4)(a)i.2) and 1.e.(4Xa)i.3) under Loss Payment is replaced by the fol- lowing. 2) The cost to replace, on the de- scribed premises, the lost or dam- aged property with new property of similar kind and quality and used for the same purpose; or 3) The amount that you actually spend that is necessary to repair or replace the lost or damaged property with new property of simi- lar kind and quality. d. Paragraph 2.b. is replaced by the following: b. Mortgageholders Insurance Commissioner's Regula- tion No. 335MIAC284-21-010 re- quires that Form 372 (Ed. 11-501 Or Form 438 BFU (Ed. 5-42) be an- dofsed on this policy to. replace this Mortgageholders Condition. 5. Paragraph 15.b. of SECTION I — DEFINI- TIONS is replaced by the following: b. Volcanic actlon. (1) Means accidental direct physical loss resulting frons the eruption of a volcano when the loss is caused by: (a) Airborne volcanic blast or air- borne shock waves; or (b) Ash, dust or particulate matter. (2) Does not provide coverage for damage to: (a) Land; CMP -4247 1 Page 2 of 5 (b) Property in the open or in open sheds -,or (c) Portions of 4.uildings not com- pletefy enclosed, or personal property contained within those buildings. (3) Loss, as described above, includes the cost to: (a) Remove the ash, dust or par- ticulate matter from the interior and exterior surfaces of the covered building; and (b) Clean equipment and stock. If stock cannot be returned to its state before the volcanic erup- tion, the measure of loss will be the reduction in actual cash value. Payment for removal applies only to the initial deposit of ash, dust or particulate matter following a vol- canic eruption. Subsequent de- posits arising from the movements of volcanic dust or ash by wind or other means are not covered. (4) Does not include loss caused by, resulting from, contributed to or aggravated by: (a) Fire; (b) Explosion; (c) Flood, surface water, waves, tides, tidal waves, tsunami, seiche, overflow of any body of water, or their spray, all whether driven by wind or not; or (d) Earth movement, as des&be d in Paragraph 1.b. of SECTION I — EXCLUSIONS. 6. Throughout SECTION I, the term "vehi- cles" rneans vehicles running on land or tracks, bul not aircfaft, B. SECTION II is amended as follows: 1. Throughout SECTION II and any endorse- ment or addition that would modify this sec- tion, the term "spouse" is replaced with the following: Spouse or individual who is in a domestic pal mership recognized under Washington law. ©, Copyright, State Farm Mutual Automobile Insurance Company, 2016 Includes copyrighted material of Insurance Services Office, Inc, with its permission CONTINUED 98 -BJ -G478-3 017984 2. Paragraph 5. Employer's Liability of SEC- TION II — EXCLUSIONS applies only to "bo�fify injury" to "employees" of the-, in- sured %,, hose employment is not subject to the Industrial Insurance Act of Washington (Washington Revised Code Title 51) With respect to "bodily injury" to "employ- ees" of the insured whose employment is subject to the Industrial Insurance Act of Washington, paragraph 5., is replaced by the following: 5. Employer's Liability a. "Bodily injury" to an "employee" or a former "employee" of the insured arising out of and in the course of: (1) Employment by the insured; or (2) Performing duties related to the conduct of the insured's busi- ness. b. Any obligation to share damages with or repay someone else who must pay damages because of the Injury. This exclusion does not apply to liabil- ity assumed by the insured under an "insured contract". 3. Paragraph 2.a.(1) of SECTION II — WHO IS AN INSURED applies only to "employees" of the insured whose employment is not subject to the Industrial Insurance Act of Washington (Washington Revised Code Title 51). With respect to "employees" of the insured whose employment is subject to the Indus- trial Insurance Act of Washington, Para- graph 1.b.(1)(a) is replaced by the following: (a) "Bodily injury" or "personal and adver- tising injury".- i. njury":i. To you, to your partners or mem- bers (if you are a partnership or joint venture), to your members (if you are a limited liability company), or to a co -"employee" while that co -"employee" is either in the course of his or her employment or performing duties related to the conduct of your business; or ii. For which there is any obligation to share damages with or repay some- one else who must pay damages CMP -4247 1 Page 3 of 5 because of the injury described in Paragraph i. above. C. SECTION I AND SECTION II — COMMON POLICY CONDITIONS is amended as follows: 1. The following is added to 2. Concealment, Misrepresentation Or Fraud: If the loss is also the result of an act of domestic abuse by you, this policy is not void as to any other insured provided that the other insured files a police report, co- operates with any law enforcement inves- tigation relating to the act of domestic abuse and did not cooperate in or contrib- ute to the loss. If we pay for such a loss, our payment to the insured is limited to that insured's in- surable interest in the property less any payments we first made to a mortgagee or other party with a legal secured interest in the property. In no event will we pay more than the Limit Of Insurance. As used here, domestic abuse means in- tentionally, knowingly, or recklessly caus- ing physical loss to covered property so as to Intimidate or attempt to Control the be- havior of another insured. 2. The paragraph titled SECTION I — PROP- ERTY under Other Insurance is replaced Uy the following: SECTION I — PROPERTY With respect to insLlranre provided under SECTION I — PROPERTY: a. You may have other insurance subject to the same plan, terms, conditions and provisions as the insurance under this policy. If you do, we will pay our share of the covered loss. Our share is the proportion that the applicable Limit Of Insurance under this policy bears to the limits of insurance of all insurance covering on the same basis b. If there is other insurance covering the same loss, other than that described in Paragraph a. above, we will pay only for the amount of covered loss in ex- cess of the amount due from that other insurance, whether you can collect on it or not But we will not pay more than the applicable Limit Of Insurance However, this insurance is primary and does not contribute with any other insurance for a ©, Copyright, State Farm Mutual Automobile Insurance Company, 2016 Includes copyrighted material or Insurance Services Office, Inc, with its permission CONTINUED 98 -BJ -G478-3 017984 M 17978 covered loss to property as described in Coverage A — Buildings that you do not own and which is your insurance responsi- bility according to the terms of a lease or rental agreement. We will decide if our payment for loss will be made to you or to the owner of the property. But we will not pay more than the applicable Limit Of In- surance of SECTION I — PROPERTY coverages shown in the Declarations 3. The following ars added to Paragraph 10. Transfer Of Rights Of Recovery Against Others To Us: Our right to recover our payments applies only after you have been fully compen- sated for damages. If we pay an insured, who is victim of do- mestic abuse, for a loss caused by an act of domestic abuse, the rights of that in- sured to recover damages from the perpe- trator of the abuse are transferred to us to the extent of our payment. That insured may not waive such rights to recover against the perpetrator of the domestic abuse. As used here, domestic abuse means intentionally, knowingly, or reck- lessly causing physical loss to covered property so as to intimidate or attempt to control the behavior of another insured. 4. The following is added: Cancellation a. (1) The first Named Insured shown in the Declarations may cancel this policy by notifying us or the insur- ance producer in one of the follow- ing ways: (a) Written notice by mail, fax or e- mail; (b) Surrender of the policy or binder; or (c) Verbal notice. (2) Upon receipt of such notice, we will cancel this policy or any binder is- sued as evidence of coverage, ef- fective on the later of the following: (a) The date on which notice is re- ceived or the policy or binder is surrendered; or (b) The date of cancellation requested by the first Named Insured. CMP -4247.1 Page 4 of 5 b. We may cancel this policy by mailing or delivering to the first Named Insured and the first Named Insured's agent written notice of cancellation at least: (1) Five days before the effective date of cancellation for any structure where bAo or more of the following cvndilions exist: (a) Without reasonable explana- tion, the structure is urlaccu- pied for more than 60 consecutive days, or at least 65% of the rental units are un- occupied for more than 120 consecutive days unless the structure is maintained for sea- sonal occupancy or is under construction or repair; (b) Without reasonable explana- tion, progress toward comple- tion of permanent repairs to the structure has not occurred within 60 days after receipt of funds following satisfactory ad- justment or adjudication of loss resulting from a fire,- (c) ire; (c) Because of its physical condi- tion, the structure is in danger of collapse; (d) Because of its physical condi- tion, a vacation or demolition order has been issued for the structure, or it has been de- clared unsafe in accordance with applicable law; (e) Fixed and salvageable items have been removed from the structure, indicating an intent to vacate the structure; (f) Without reasonable explana- tion, heat, water, sewer, and electricity are not furnished for the structure for 60 consecutive days; or (g) The structure is not maintained in substantial compliance with fire, safety and building codes. (2) 10 days before the effective date of cancellation if we cancel for non- payment of premium. ©, Copyright, State Farm Mutual Automobile Insurance Company, 2016 Includes copyrighted material of Insurance Services Office, Inc., with its permission CONTINUED 98 -BJ -G478-3 017985 (3) 45 days before the effective date of cancellation if we cancel for any other reason. c. Notice of cancellation will state the ac- tual reason for and effective date of cancellation The policy period will end on that date d. We will mail or deliver our notice to the first Named Insured's and the first Named Insured's agent at their last mailing address known to us If notice is mailed, proof of mailing will be suffi- cient proof of notice. e. We will also mail or deliver to any mortgageh older, pledgee. or olher per- son shown in this policy to have an in- terest in any loss which may occur under this policy, at their last mailing address known to us, written notice of cancellation prior to the effective date of cancellation. If cancellation is for reasons other than those contained in Paragraph b.(1) above, this notice will be the same as that mailed or delivered to the first Named Insured If cancella- tion is for a reason contained in Para- graph b.(1) above, we will mail or deliver this notice at least 20 days prior to the effective date of cancellation. f. If this policy is cancelled, we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rata If the first Named Insured cancels, the refund may be no less than 90% of the pro rata refund. The cancellation will be effective even if we have not made or offered a refund g. If this policy insured more than one Named Insured, then the first Named Insured may affect cancellation for the account of all insureds. When We Do Not Renew a. If we decide not to renew this policy, we will mail or deliver to the first Named CMP -4247.1 CMP -4247,1 Page 5 of 5 Insured shown in the Declarations and the first Named Insured's agent written notice of the nonrenewal at least 45 days before the: (1) Expiration of the policy; or (2) Anniversary date of this policy if this policy has been written for a term of more than one year. We will mail or deliver our notice to the first Named Insured's and the first Named Insured's agent at their last mail- ing address known to us. We will also mail to any mortgageholder, pledgee or other person shown in this policy to have an interest in any loss which may occur under this policy, at their last mail- ing address known to us, written notice of nonrenewal. The notice will state the reason for nonrenewal. If notice is mailed, proof of mailing will be sufficient proof of notice. b. Otherwise, we will renew this policy unless: (1) The first Named Insured fails to pay the renewal premium after we have expressed our willingness to renew, including a statement of the renewal premium, to the first Named Insured and the first Named Insured's insurance agent or broker, at least 20 days before the expiration date; (2) Other coverage acceptable to the insured has been procured prior to the expiration date of the policy; or (3) The policy clearly states that it is not renewable', and is for a specific line, subclassification, or type of coverage that is not or on a renewable basis. All other policy provisions apply. ©, Copyright, State Farm Mutual Automobile Insurance Company, 2016 Includes copyrighted material of Insurance Services Office, Inc., with its permission. (CONTINUED) 98 -BJ -G478-3 017985 M 17978 FE -3650F Page 1 of 1 IMPORTANT NOTICE Effective with this policy term, FE,3650 ACTUAL CASH VALUE ENDORSEMENT is added to your policy. This endorsement describes what the term "actual cash value' means where used in the policy. However, this endorsement does not change any replacement cost coverage that exists in the policy. This notice summarizes the changes being made to your policy. Please read the new endorsement carefully and note the following changes: POTENTIAL REDUCTION IN COVERAGE Although not intended to change coverage, this change could potentially reduce or eliminate coverage depending on how it is interpreted and, in that regard, should be viewed as either an actual or potential reduction in or elimination of coverage. This endorsement defines 'actual cash value' to mean the value of the damaged part of the property at the time of loss, calculated as the estimated cost to repair or replace such property, less a deduction to account for pre -loss depreciation. All components of this estimated cast, such as materials, labor, overhead, and profit, are subject to depreciation. The depreciation deduction may include such considerations as age, condition, reduction in useful life, obsolescence, and any pre -loss damage including wear, tear, or deterioration. Endorsement FE -3650 follows this notice. Please read it thoroughly and place it with your policy. If you have any questions about the information in this notice, please contact your State Farm" agent. This notice is a general description of coverage and/or coverage changes and is not a statement of contract. This message does not change modify, of invalidate any of the provisions, terms, or conditions of your policy, or any other applicable ene orsements. FE -3650 ACTUAL CASH VALUE ENDORSEMENT The following is added to any provision which uses the term "actual cash value": Actual cash value means the value of the damaged part of the property at the time of loss, calculated as the estimated cost to repair or replace such property, less a deduction to account for pre -loss depreciation. For this calculation, all compo- nents of this estimated cost including, but not limited to: 1. materials, including any tax; 2. labor, including any tax; and 3. overhead and profit; are subject to depreciation. The depreciation deduction may include such considerations as: 1. age; 2. condition; 3. reduction in useful life; 4. obsolescence; and 5 any pre -loss damage including wear, tear, or deterioration; of the damaged part of the property. All other policy provisions apply. FE -3650 ©, Copyright, State Farm Mutual Automobile Insurance Company, 2015 (CONTINUED) 98 -BJ -G478-3 017986 FE -6999.2 Page 1 of 1 In accordance with the Terrorism Risk Insurance Act of 2002 as amended and extended by the Terrorism Risk Insurance Program Reauthorization Act of 2015, this disclosure is part of your policy. FE -6999.2 POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE Coverage for acts of terrorism is not excluded from your current policy. However your policy does contain other exclusions which may be ap- plicable, such as an exclusion for nuclear hazard. You are hereby notified that under the Terrorism Risk Insurance Act; as amended in 2615, the def- inition of act of terrorism has changed. As defined in Section 102(1) of the Act: The term "act of ter- rorism" means any act that is certified by the Sec- retary -of the Treasury—In consultation with the Secretary of Homeland Security, and the Attorney General of the United States --to be an act of ter- rorism; to be a violent act or an act that is dan- gerous to human life, property, or infrastructure, to have resulted in damage within the United States, or outside the United States in the case of certain air carriers..or vessels or the premises of a United States mission; and to have been commit- ted by an individual or individuals as part of an effort W coerce the civilian population of the United States or to influence the policy or affect the con- duct of the United States Government by coer- cion. Under this policy, any covered losses. resulting from certified acts of terrorism may be partially reimbursed by the United States Gov- ernment under a formula established by the Ter- rorism Risk Insurance Act, as amended. Under the formula, the United States Government generally reimburses 85% through 2015; 84% beginning on January 1, 2016; .83/9- beginning on FE -6999 2 January 1, 2017; 82% beginning on January 1, 2018;111% beginning on Januaiy 1, 2019; and 80% beginning on January 1, 2020 of covered terrorism losses exceeding the statutorily estab- Ilshed deductible paid by t e fnsurance company providing the coverage. The Terrorism Risk Insur— ance Act, as amended, contains a $100 billion cap that limits U.S. Government reimbursement as well as insurers' liability for losses resulting from certified acts of terrorism when the amount of such losses exceeds $1.00 billion in any one calendar year. If the aggregate insured losses for all insurers exceed $100 billion, your coverage may be reduced. There is no separate premium charged to cover insured losses caused by terrorism. Your insur- ance policy establishes the coverage that exists for insured losses- This notice does not expand coverage beyond that described in your policy. THIS IS YOUR NOTIFICATION THAT UNDER THE TERRORISM RISK INSURANCE ACT, AS AMENDED, ANY LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM UNDER YOUR POLICY MAY BE PARTIALLY REIM- BURSED BY THE UNITED STATES GOVERN- MENT AND MAY BE SUBJECT TO A $100 BILLION CAP THAT MAY REDUCE YOUR COV- ERAGE. ©, Copyright, State Farm Mutual Automobile Insurance Company, 2015 98 -BJ -G478-3 017986 M17978