TRUCK INSURANCE EXCHANGE
(A RECIPROCAL COMPANY)
MEMBERS OF THE FARMERS INSURANCE GROUP OF COMPANIES HOME OfFICE: 4680 WILSHIRE BLVD., LOS ANGELES, CALIFORNIA 90010
COMMON POLICY DECLARATIONS
CONDOMINIUM - PREMIER
ORCHARD VILLA TOWNHOME HOA IN
1. Named •
Insured •PO BOX1 409 Mailing •
Address •MOAB
UT
84532LC00387
EasyPay Acct. No.
76-10-326 Agent No.
Prod. Count 60398-91-90 Policy
Number The named insured is an individual unless otherwise stated:
o
Partnership0
Corporation0
Joint Venture0
Organization (Any other) Type of BusinessCONDOMINIUM
2.Policy Period from 11/30/07 (not prior to time applied for) to 11/30/0812:01a.m. Standard Time
If this policy replaces other coverage that ends at noon standard time of the same day this policy begins. this policy will not take effect until the other coverage ends. This policy win continue for saccessive policy periods as follows: If we elect to continue this insurance. we will renew this policy if you pay the required renewal premium for each successive policy period subject to our premiums. rules and forms then in effect
THIS POLICY CONSISTS OF THE fOLLOWING COVERAGE PARTS LISTED BROW AND FOR WHICH A PREMI UM IS INDICATED. THISPREMIUM MAY BE SUBJECT TO CHANGE.
CONDOMINIUMS OWNERS POLICY $13,840.00
DIRECTORS AND OFFICERS LIABILITY COVERAGE PART $714.00 EMPLOYEE BENEFITS LIABILITY COVERAGE PART $120.00 CERTIFIED ACTS OF TERRORISM - SEE DISCLOSURE
ENDORSEME
n
INCLUDED
-TOTAL SEE INVOICE ATTACHED
Premium After Applicable Discount and MOdifICation
Forms applicable to all Coverage Parts: E0022-ED1 Countersigne d By
FARMERS·
(Date) AgentMITCH- KELLING Agent Phone: 435-259-6192 SSJ,;990 s-oo Page 1 of 1"--
---Policy Number.60398-91-90 EffectiveDate: 11/30/07 Policy Forms and Endorsements attached at inception:
E3024-ED3 E3314-ED3 E3422-ED3 56-5166ED2 E0127-ED1 E301S-ED2 £S333-ED3 E0125-ED1 E6097-ED2 E4009-ED4
25-2110 E0104-ED1 E0130-ED1 E0131-ED1 S7640-ED2
S1641-ED2 E0141-ED1 E0051-ED2 E2031-ED1 E2038-ED2
J6300-ED1 E3027-ED1 J6316-ED1 25-6313 J6341-ED1
56-2307ED2 E0119-ED3 E3336-ED2 E01211-ED1 E3418-ED2 E9122-ED2 S1631-ED2 E9126-ED4 E9124-ED3
Countersigned _____________ "-- _______________________________ _ (Date)
By
TRUCK INSURANCE EXCHANGE
MEMBERS OF THE FARMERS INSURANCE GROUP OF COMPANIES HOME OFFICE: 4680 WILSHIRE BLVD., LOS ANGELES, CALIFORNIA 90010
POLICY DECLARATIONS CONDOMINIUM - PREMIER
ORCHARD VILLA TOWNHOME HOA IN LC00387
Easypay Acct No. 1. Named • InsuredPO BOX 1409 Mailing • Address •MOAB UT 84532 76-10-326 Agent No. Prod. Count 60398-91-90 Policy Number The named insured is an individual unless otherwise stated:
o
Partnership0
Corporation0
Joint Venture0
Organization (Any other) Type of BusinessCONDOMINIUM2. Policy Period from11/30/07 (not prior to time applied for) to11/30/08 12:01 a.m. Standard Time
If this policy replaces other coverage that ends at noon standard time of the same day this policy b egins. this policy will not take effect until the other coverage ends. This policy will continue for successive policy periods as follows: If we elect to continue this insurance, we will renew this policy if you pay the required renewal premium for each su ccessive policy period subject to our premiums. rules and forms then in effect
3. Insured location same as mailing address unless otherwise stated:
001 430-480 NORTH ALBERTA CT MOAB UT 84532
445-704 WEST HALE AVE
4. We provide insurance only for those coverages described below and for which a specific limit of insurance is shown. PROPERTY
COVERAGES AND LIMITS OF INSURANCE
I
PREMISE NO. 001
COVERAGES
BUILDINGS
BUILDING ORDINANCE AND LAW
COV 1
COV 2
COV 3
$13,200,900COVERED
$250,000 -$250,000INCLUDED
$5,000 $100,000CONDOMINIUM UNIT COVERAGE
SPECIFIED PROPERTY
ASSOCIATION FEE AND
EXTRA EXPENSE
AUTOMATIC BUILDING INCREASE
PROPERTY DEDUCTIBLE
GLASS DEDUCTIBLE
8Y. $1,000 $100 COVERAGEADDITIONAL COVERAGES
All Premises $100/$10,000 $25.000MASTER KEY
COVERAGE EXTENSIONS - Optional Higher Limits of Insurance Per Occurrence
eOVERAGE
I
AllPremisesACCOUNTS RECEIVABLE VALUABLE PAPERS EDP
NEWLY ACQUIRED PROPERTY
$10,000 $10,000 $50,000 $250,000
OPTIONAL COVERAGES: We provide insurance for those Optional Coverages described below.
COVERAGE I
I
AllPremisesOUTDOOR SIGNS
EMPLOYEE DISHONESTY MONEY AND SECURITIES OUTDOOR PROPERTY
$7,500 $25,000 $10,000 $10,000
LIABILITY 'AND MEDICAL PAYMENTS - Except for Fire Legal Liability, each paid claim for the following coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to ParagraphD.4. of the Liability Coverage Form.
COVERAGE
I
LIMITS OF INSURANCELIABILITY MEDICA~ EXPENSES TENANTS LIABILITY Mortgage Holders: ,Premises No. $2,000,000 $5,000 PER PERSON $500,000 PER OCCURRENCE
TRUCK INSURANCE
EXCHANGE (A RECIPROCAL COMPANY)
Mem bers of the Farmers Insurance Group of Companies Horne Office: 4680 Wilshire Blvd., Los Angeles, California 90010
COMMERCIAL UMBRELLA POLICY DECLARATIONS
1. Named' ORCHARD VILLA TOWNHOME HOA Insured' X, X
Mailing' P.O. BOX 1409 Address' . MOAB UT 84532 LC00387 EasyPay Account Number 76-10-326 Agent Number 60470-14-02 Policy Number The named insured is an individual unless otherwise stated:
Partnership
0
Corporation0
Joint VentureD
Organization (Other than Partnership or Joint Venture) TypeofBusiness:HABITATIONAL2. Policy Period: From 12/31/08 to 11/30/09 12:01 a.m. Standard Time
If this policy replaces other coverage that ends at noon standard time of the same day this policy begins,this policy will not take effect until the other coverage ends. This policy will continue for successive policy periods as follows: If we elect to continue this insurance, we will renew this policy if you pay the required renewal premium for each successive policy period subject to our premiums, rules and forms then in effect.
In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the insurance coverage stated in this policy:
3. Schedule of Underlying Insurance: See page 3
4.LIMIT OF INSURANCE:
SELF-INSURED RETENTION:
CERTIFIED ACTS OF TERRORISM:
5.
ADVANCE PREMIUM:$ 3,000,000
$10.000
$1,52~.00
(Policy Aggregate Limit)
(Each Occurrence or Offense covered by policy but Not Covered by Underl~ngInsuranc~
2.
MINIMUM EARNED PREMIUM: ANNUAL MINIMUM PREMIUM:
Agent:MITCH KELLING Agent Phone:435-259-6192
56-5378 6-115
Adjustable at a rate of$ per$
Of
$ $
FARMERS'
Policy Number. 60470-14-02
Policy Forms and Endorsements attached at inception:
E0022-E01 E3139-E01 E4011-E03 56-5379E04 E3337-E01 E4289-E01 S7638-E01 E4019-E01 J6355-E01 Effective Date: 12/31/08 J6351-E01 E4038-E01 25-3037 J6300-E02 J6306-E01 Countersigned ___________________________________________________ By ---5&·5378 £-11£
(Date) (Authorized Representative)
Important Notice: You have told us you have underlying insurance policies with the liability limits listed below. If your Underlying Insurances have lesser limits than those shown, advise your agent immediately. You will be unprotected for the difference. You must keep the stated coverages and limits in effect to avoid these gaps in your protection. Schedule of Underlying Insurance:
*Underlying Insurer
A. Farmers Insurance Exchange B. Truck Insurance Exchange C. Mid-Century Insurance Company D. Exact Property and Casualty Company
Coverag e
Businessowners Liability Coverage Form
*Underlying Policy Number Insurer
B 60398-91-90
Underlying Limits
$2,000,000
Includes Hired Auto Includes Non-Owned Auto
56·5378 6-05 (5378203 Poge 301 3
E. Civic Property and Casualty Company
F.Neighborhood Spirit Property and Casualty Company G. Farmers Texas County .MutUal Insurance CompanyH.
