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Home My WebLink AboutSeasonal Outdoor Skate Rink 23 S LLC Liabitlity Insurance.pdfCommercial Building Valuation Summary Owners Insurance Company Date:09/24/2021 Location #1 23 S 1ST E REXBURG, ID 83440-1901 Building # Program: Location #1 1 Business Description: Buildings or Premises - Office - NOC - For Profit Office Construction Year: Construction Type: Square Footage: Zip Code:83440-1901 7,920 Non-Combustible 1955 Building Insurance to Value Limit:$912,559 Coinsurance Selected:80% Estimated Building Insurance to Value Limit:$730,047 Estimated Building Insurance-to-Value Identifier:4068216 Proposed premium is: Agency Code: CLIENT:AGENCY: Date: Owners Insurance Company Tailored Protection Policy New Business Proposal $1,791.00 (Annual Term) ARCHIBALD INSURANCE CENTER INC PO BOX 2498 IDAHO FALLS, ID 83403-2498 Phone: (208) 524-5858 E-Mail: tyler-seymour@leavitt.com 23 S, LLc 23 S 1ST E REXBURG, ID 83440-1901 Phone: (503) 793-6032 39-0048-0009/24/2021 $1,644.00Proposed premium if Paid In Full Discount Applies: The Paid in Full Discount is not Available for Escrow Direct Bill or Agency Bill Installment Amount Required Deposit Company Bill Option Remaining Installments $1,644.00 $0.00Full Pay 0 $895.50 $895.50Semi-Annual 1 $447.75 $447.75Quarterly3 $149.25 $149.25Monthly11 Installment amounts do not include billing fees. 32123 (3-20) Date: Agency Code: CLIENT AGENCY Client: Address: Phone: Website: Agency: Address: Phone: Proposal ID: Email: Contact/Producer: Owners Insurance Company 23 S 1ST E REXBURG, ID 83440-1901 PO BOX 2498 IDAHO FALLS, ID 83403-2498 23 S, LLc ARCHIBALD INSURANCE CENTER INC Idaho Tailored Protection Policy (TPP) New Business Proposal 09/24/2021 39-0048-00 (503) 793-6032 (208) 524-5858 23S,LLcTPP-4181051 MARK T SEYMOUR tyler-seymour@leavitt.com Proposal Effective Date: PROPOSAL INFORMATION 10/01/2021 - 10/01/2022 Rate Effective Date:07/13/2021 Proposal Started:09/24/2021 Entity Type of Primary Named Insured:Limited Liability Company PREMIUM OVERVIEW Total Commercial Property Premium $826.00 Total Commercial General Liability Premium $965.00 $1,791.00Total Proposed Premium $1,644.00Total Premium if Paid in Full Premiums quoted are subject to change based upon the actual coverages requested and completed underwriting information provided. All terms, conditions, coverages and premiums are subject to underwriting acceptance and approval. PREMIUM ADJUSTMENTS Cumulative Multi Policy Discount (CMPD): Policy Tier: Commercial Property:(Confirmation # 208237445) 359 General Liability:(Confirmation # 208237445) 359 Package Modification Factor Applies Commercial Property Deductible: Territory: Location Program: County/City: $1,000 $1,000 23 S 1ST E Windstorm/Hail Deductible:$1,000 Theft Deductible: 1 REXBURG, ID 83440-1901 Office 065 - Madison 330 Protection Class:03 NOTICE:Acceptability of all proposed applicants will be subject to approval by our Underwriting Department. THIS PROPOSAL IS VALID FOR 60 DAYS Page 1 of 6 ARCHIBALD INSURANCE CENTER INC 39-0048-00 23 S, LLc Building Buildings or Premises - Office - NOC - For Profit10702 Square Footage: Construction: 7,920 Non-Combustible Estimated Building Insurance to Value Limit:$730,047 * Exclude Windstorm/Hail Coverage:No Sprinklered:No * The Building Valuation has been adjusted. BUILDING $507.00 Limit of Insurance:$735,000 Replacement Cost Cause of Loss:Special With Theft Coinsurance:80% AutomaticInflation Guard: BUSINESS PERSONAL PROPERTY - INSURED $9.00 Limit of Insurance:$5,000 Replacement Cost Cause of Loss:Special With Theft Coinsurance:80% AutomaticInflation Guard: BUILDING ORDINANCE OR LAW Included Coverage A (Loss of value)Included(Included in the Building Limit of Insurance) Coverage D (Tenants Improvements and Betterments)Included $60,000 EQUIPMENT BREAKDOWN $13.00 $44.00Property Plus Coverage Package: Standard Option With Refrigerated Products Business Income Waiting Period: 0 Hours Terrorism - Certified Acts EXCLUDED Total Commercial Property Building 1 Premium $573.00 Total Commercial Property Location 1 Premium $573.00 Equipment Breakdown Balance to Minimum $32.00 Property Plus Coverage Package Balance to Minimum $221.00 $826.00Total Commercial Property Premium Commercial General Liability Limits of Liability – Including CGL Plus Endorsement Page 2 of 6 ARCHIBALD INSURANCE CENTER INC 39-0048-00 23 S, LLc (Other than Products-Completed Operations): Products-Completed Operations Aggregate: Each Occurrence: Personal and Advertising Injury: Damage to Premises Rented to You: Medical Payments: General Aggregate $4,000,000 $4,000,000 $2,000,000 $300,000 $10,000 $2,000,000 Any One Premises Any One Person Hired Auto and Non-Owned Auto:Each Occurrence$2,000,000 Twice the “General Aggregate Limit” shown above is provided at no additional charge for each 12 month period. Products-Completed Operations Aggregate is automatically reinstated once. Optional Coverages: Commercial General Liability Plus Endorsement Applies to all Locations (see coverage package supplemental for details) Included Included at a percentage of the Premises-Operations Premium Hired Auto and Non-Owned Auto Liability Included Terrorism - Certified Acts EXCLUDED Program: County: Territory: Location 1 - 23 S 1ST E REXBURG, ID 83440-1901 7 - Central Counties Office Madison CLASSIFICATIONS:PremiumPremiumPremiumCGL Final RateCGL Base Rate 61226 -Buildings or Premises - Office - NOC - For Profit Exposure:7,920 Premium Basis:Area Premises-Operations: Products-Completed Operations: $870.00 $95.00 109.826 11.974 101.960 11.950 Terrorism - Certified Acts EXCLUDED Total Commercial General Liability Location 1 Premium $965.00 $965.00Total Commercial General Liability Premium Page 3 of 6 ARCHIBALD INSURANCE CENTER INC 39-0048-00 23 S, LLc PREMIUM RECAP Total Commercial Property Premium $826.00 Total Commercial General Liability Premium $965.00 $1,791.00Total Proposed Premium $1,644.00Total Premium if Paid in Full THIS PROPOSAL IS VALID FOR 60 DAYS Premiums quoted are subject to change based upon the actual coverages requested and completed underwriting information provided. All terms, conditions, coverages and premiums are subject to underwriting acceptance and approval. We are required to notify you of the federal Terrorism Risk Insurance Act of 2002 (including ensuing Congressional actions pursuant to the Act). Please refer to form 59345 IMPORTANT INFORMATION REGARDING TERRORISM RISK INSURANCE COVERAGE and REJECTION OF TERRORISM RISK INSURANCE COVERAGE, attached to this proposal. When coverage for certified acts of terrorism is elected, the premium for the coverage is shown in this proposal. If coverage for certified acts of terrorism is rejected, an additional premium charge may be made after 12-31-2020 if the Act is not extended or revised in any way. It will not apply if the Act is simply extended. ADDITIONAL DISCOUNTS AVAILABLE An additional 2% discount may apply if the business owner, a partner, or a corporate officer has one of the following policies with Auto-Owners Life Insurance Company: - Life Insurance policy - $100,000 or greater face amount - Disability policy - $1,000 or greater monthly benefit - Annuity policy - combined cash value exceeding $10,000 - Annuity policy or Retirement Plan - combined cash value exceeding $10,000 written in the name of the business - Simplified Issue Life policy with a face amount of $50,000 - Long Term Care policy This discount is not available in all states. Please ask your agent for details. Equipment Breakdown Endorsement The Equipment Breakdown endorsement provides coverage for physical loss or damage to a variety of types of electronic and mechanical equipment resulting from mechanical breakdown, electrical or electronic breakdown and electronic equipment deficiency, or rupture, bursting, bulging, implosion or steam explosion. The Equipment Breakdown endorsement also provides the following additional coverages for covered property as the result of an Equipment Breakdown loss: Pollutant Clean-up and Removal Electronic Data Restoration Expediting Expenses Refrigerant Contamination Spoilage Coverage CFC Refrigerants Computer Equipment Business Interruption, Extra Expense, Electronic Data and Service Interruption Temperature Fluctuation Unauthorized Instruction Risk Improvement Off Premises Coverage Page 4 of 6 ARCHIBALD INSURANCE CENTER INC 39-0048-00 23 S, LLc Commercial General Liability Plus Endorsement Commercial General Liability Plus Endorsement applies to the Commercial General Liability coverage form Extended Watercraft - less than 50 feet in length Hired Auto and Non-Owned Auto Liability Broadened Supplementary Payments Loss of Earnings - $400 Additional Products-Completed Operations Aggregate Personal Injury Extension Broadened Knowledge of Occurrence Damage to Premises Rented to You - (Fire, Lightning, Explosion, Smoke, or Water Damage) - up to $300,000 Medical Payments Amendment - $10,000 Blanket Additional Insured – Lessor of Leased Equipment Blanket Additional Insured – Managers or Lessors of Premises Newly Formed or Acquired Organizations Extension Blanket Waiver of Subrogation Property Plus Coverage Package COVERAGE STANDARD OPTION LIMIT OF INSURANCE ENHANCED OPTION LIMIT OF INSURANCE PREMIER OPTION LIMIT OF INSURANCE Accounts Receivable $100,000 $150,000 $200,000 Bailees $5,000 per occurrence / $2,500 per item $10,000 per occurrence / $5,000 per item $15,000 per occurrence / $10,000 per item Business Income & Extra Expense w/Rental Value, including Newly Acquired Locations $50,000 $100,000 $150,000 Debris Removal $25,000 $50,000 $100,000 Electronic Data Processing Equipment $25,000 $50,000 $100,000 Employee Dishonesty $15,000 $25,000 $50,000 Fine Arts, Collectibles and Memorabilia $10,000 per occurrence / $2,500 per item $25,000 per occurrence / $5,000 per item $50,000 per occurrence / $10,000 per item Fire Department Service Charge $5,000 $10,000 $25,000 Forgery or Alteration $10,000 $25,000 $50,000 Money and Securities $15,000 inside premises / $15,000 outside premises $25,000 inside premises / $25,000 outside premises $50,000 inside premises / $50,000 outside premises Newly Acquired Business Personal Property $500,000 for 90 days $500,000 for 90 days $500,000 for 90 days Newly Acquired or Constructed Property $1,000,000 for 90 days $1,000,000 for 90 days $1,000,000 for 90 days Ordinance or Law Included in Building Limit - Coverage A $50,000 - Coverage B $50,000 - Coverage C $50,000 - Coverage D Included in Building Limit - Coverage A $100,000 - Coverage B $100,000 - Coverage C $100,000 - Coverage D Included in Building Limit - Coverage A $150,000 - Coverage B $150,000 - Coverage C $150,000 - Coverage D Page 5 of 6 ARCHIBALD INSURANCE CENTER INC 39-0048-00 23 S, LLc COVERAGE STANDARD OPTION LIMIT OF INSURANCE ENHANCED OPTION LIMIT OF INSURANCE PREMIER OPTION LIMIT OF INSURANCE Outdoor Property $15,000 for fences, trees, shrubs, plants $1,000 limitation trees shrubs, plants only $10,000 for radio or television antennas $20,000 for fences, trees, shrubs, plants $1,000 limitation trees shrubs, plants only $15,000 for radio or television antennas $25,000 for fences, trees, shrubs, plants $1,000 limitation trees shrubs, plants only $20,000 for radio or television antennas Personal Effects and Property of Others $15,000 $25,000 $50,000 Pollutant Clean Up and Removal $25,000 $50,000 $100,000 Property in Transit $25,000 $50,000 $100,000 Property Off-Premises $25,000 $50,000 $100,000 Refrigerated Products $10,000 $15,000 $25,000 Salesperson's Samples $10,000 $15,000 $25,000 Utility Services Failure $50,000 $100,000 $150,000 Valuable Papers and Records $50,000 on premises / $10,000 off premises $100,000 on premises / $20,000 off premises $150,000 on premises / $25,000 off premises Water Back-Up from Sewers or Drains $15,000 $25,000 $50,000 Deductible: No deductible applies for the coverage listed above, up to the limit shown in the Property Plus Declarations. 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