HomeMy WebLinkAboutSebastian Area Historical Society IncLEASE BETWEEN CITY AND
SEBASTIAN AREA HISTORICAL SOCIETY, INC.
THIS AGREEMENT, entered into this Zlst day of �r�' , 2005
between the CTTY OF SEBASTIAN, a Florida Municipal Corporatioq 1225 Main Sueet, Sebastian,
Florida 32958, hereinafter called the Landlord, and the SEBASTIAN AREA HISTORICAL
50CIETY, INC., a Florida, Not-for-profit Corporation, hereinafter called the Lessee.
The said Landlord does this day lease unto said Lessee the following:
Approacimately 1,600 square feet of space, more or less, located in the building at
1225 Main Street, Sebastian, FL 32958, and designated as spaces 111,112, 125, 124,
and 123, as more particularly described in attachment "A"
to be used and occupied by the Lessee as a Historical Museum and any and all such related uses
including administrative office, exhibit preparations, storage ofartifacts andhistorical documents, and
public displays, consiste� with the goals and programs of the Sebasrian Historical Society, for the
term of twenty (20) years, beginning the ist �y og April , 2p o� and ending the
31st day of rtarch , 20 z� at and for the agreed tota( rental of Twenty ($20.00) Dollars,
payable as follows:
One ($1.00) Dollar per year
The first payment due with the signing of this lease. All payments to be made to the Landlord
on the l Oth day of each 7anuary of every year in advance without demand at the following address:
1225 Main Street. Sebastian FI, 32958, or at such other place and to such other person, as the
Landlord may from time to time designate in writing.
Occupancy by the Lessee shall begin no later than 120 days from the date of this agreement
or be deemed in default.
The following express stipulations and conditions are made a part of tlus lease and are
hereby assented to by the parties.
FIltST: ASSIGNMENT OR SUBI.EASING Lessee may not assign, or otherwise
transfer this lease, or any right or interest in this lease without the prior express wtitten consent of
Landlord.
SECOND: LESSEE COMPLY WITIi LAWS That the tenant shall promptly
execute and comply with all statutes, ordinances, niles, orders, regulations and requirements of the
Federal, State and City Government and of any and all their Departments and Bweaus applicable to
said premises, for the coaection, prevention, and abatement of nuisances or other grievances, nor
commit waste, in, upon, or connected with said premises during said term. The Lessee shall be
exempt from any water sprinkler requirements in order to protect and preclude water damage to
historical documents and artifacts.
THIRD: DAMAGE TO PREMISES In the event the premises shall be
destroyed or so damaged or injured by fire or other casualty during the life of this agreement,
whereby the same shall be rendered untenantable, then the Landlord shall have the right to render said
premises tenantable by repairs within ninety (90) days therefrom. If said premises are not rendered
tenantable within said time, it shall be optional with either party hereto to cancel this lease, and in the
event of such cancellation the rent shall be paid only to the date of such fire or casualty. The
cancellation herein mentioned shall be evidenced in writing. In the event of damage by fire or other
casualty, the rent payable under this lease shall not be abated, in proportion to the impairment of the
use that can reasonably be made of the property for the purpose pernritted by tlris lease, until the
property is rebuilt and repaired (or until the lease is terminated, if terminated in accordance with this
paragraph), but any other charge for usage of utilities and common azeas and other charges shall be
abated..
FOURTH: MAINTENANCE AND REPAIItS Lessee admits, by entering into
possession under this lease, that the premises are now in good, clean, and safe condition and repair.
Lessee shall, at all times during the term of this lease and any renewal or e�ctension thereof, maintain,
the premises, in accordance with pazagraph 14, and every part ofthe premises in the same condition,
free of pests, and shall on expiration or sooner ternrination of this lease, suirender the premises to
Landlord in the same condition and repair, reasonable wear and tear and damage by the elements
excepted. In the event that a situation in the reasonable judgment of the Landlord requires that
immediate repairs be performed to any part of the premises, Landlord may perform the same with or
without notice to Lessee, and Lessee shall reimburse Landlord in a timely manner for expenses
incurred thereby.
FIFTH: INSPECTION BY LANDLORD. Lessee shall pemut Landlord or
Landlord's agents, representatives, or employees to enter the premises at all reasonable times for the
purpose of inspecting the premises to determine whether L.essee is complying with the terms of this
lease and for the purpose of doing other lawfui acts that may be necessary to protect Landlord's
interest in the premises under this lease.
SIXTH: PERSONAL PROPERTI' TA3�S. I,essee shall pay before they become
delinquent all taxes, assessments, or other charges levied or imposed by any govemmental entity on
the fiuniture, trade fixtures, appliances, and other personal property placed by I.essee in, on, or about
the premises including, without Iimiting, the generality of the other terms used in ttus section, any
shelves, counters, vauhs, vault doors, wall safes, partitions, fixtures, machinery, plant equipment,
office equipment, te(evision or radio antennas, or wcncnunication equipment brought on the premises
by Lessee.
SEVENTH: REAL PROPERTY TA7�S All real property ta�ces and assessments
levied or assessed against the prearises by any govemmental entity, including any special assessments
imposed on or against the premises for the constsuction or improvement of public works in, on, or
about the premises, shall be paid, before they become delinquent, by Lessee.
EIGHTH: PROPERTY CASUALTI' INSURANCE In the event that the
Lessee's use and occupancy of the premises causes any increase in the premium for any property
casualty or Sre insurance maintained by Landtord on the leased premises or any portion thereof,
I.essee sha(i reimburse Landlord for the amount of said increase within thirty days of notice of the
same.
NINTH: DESTRUCTION OF PREMISES In the event the building and/or other
improvements erected on the premises aze destroyed or damaged by fire or other casuatty, the
Landlord shall have no responsibility or obligation to make any eacpenditures toward the repair and/or
replaceme� ofthe building and other improvements on the leased premises. Lessee, at iYs option,
shall either cause said building and/or other unprovements to be replaced or said damage to be
repaired as rapidly as practicable, or shall elect not to repair the premises and terminate the lease.
TENTH: ALTERATIONS I.essee shall not make or pernut any other person to
make alterations to the premises without the prior consent of Landlord. Any atterations to the
premises by Lessee shall be made at the sole cost and eacpense of Lessee. Any and all alterations or
improvements made to the premises shall on eacpiration or sooner terminarion of this lease become
the property of Landlord.
ELEVENTH: INDEA�II�tITY I.essee shall indemnify and hold Landlord and the
property of Landlord, including the premises, free and harmless from any and all liability, claims, loss,
damages or ea�penses, including counsel £ees and costs, arising by reason of the death or injury of any
persoq including any person who is an employee or agent of Lessee, or by reason of damage to or
destruction of any property, including property owned by I,essee or any person who is an employee
or agent of Lessee, caused by or connected with I.essee's occupation and use of the premises under
this lease other than intentional acts of Landlord or an employee or agent of Landlord.
TWELFTH: LIABII.TI'Y INSURANCE I.essee shall, at its own cost and expense,
secure within 10 days and maintain during the entire term of this lease and any renewals or extension
o f such term a broad form comprehensive coverage poticy of public liability insurance issued by an
insurance company acceptable to Landlord and insuring Landlord against loss or liabiGty caused by
or connected with Lessee's occupation and use of the premises under this lease in amounts not less
than:
(a) $200,000 for injury to or death of one person and subject to such limitation for the
injury or death to one person, of not less than $1,000,000 for injury to or death of two or more
persons as a result of any one accident or incident; and
(b) $200,000 for damage to or destruction of any property of others; or
(c) Such higher amount as may be set as the liability limits under the waiver of sovereign
immunity provisions of law, .
THIRTEENTH: SIGN APPROVAL REOUIItED If is hereby understood and
agreed that any signs or advertising to be used, including awnings, in connection with the premises
lease hereunder shall be first submitted to the Landlord for approval before installation of same to
maintain consistency and decorum within the building. Landlord aclrnowledges that Lessee shall be
entitled to provide signs for the premises leased.
FOURTEENTH: BUII.DINGREPAIRS. TheLesseewillreplacealllightbulbs,clean
and maintain the interior of the leased property, including but not limited to, ceilings, interior wails,
and floors, in good and substantial repair. The Landlord shall maintain and repair all common areas
including hailways, restrooms, doors, windows, air conditioning ducts, sir handlers, heating systems,
lighting fixtures, all primary plumbing systems, electrical and mechanical systems, roof, and windows
and doors, parking areas and exterior walls, in good and safe condition.
FIF'I'EENTH: iJNREMOVED TRADE FIXTURES Any trade fixtures that are not
removed from the premises by Lessee 30 days after this lease's expiration or sooner termination,
regardless of cause, shall be deemed abandoned by Lessee and shall automatically become the
property of the Landlord as owner of the real property to wlrich they are affixed.
SIXTEENTH: ACTS CONSTITUTING BREACHES BY LESSEE Lessee shall
be guiky of a material default and breach of this ►ease should:
(a) Lessee defaults in the performance of or breach any provision, covenant, or condition
of ttus lease and such default or breach is not cured within thirty days after written notice thereof is
given by L.andlord to I.essee; or
(b) Lessee breaches this lease and abandons the premises before expiration of the terms of
this lease.
SEVENTEENTH: REMEDIES FOR DEFAULT Should either party be guilty
of a material default and breach of this lease as defined in this lease, that party shall have available the
remedies given by law or equiry, and a non-defaulting party shall additionally be entitled to an award
of court costs and attomey's fees against the defaulting party. Landlord, in addition to any other
remedies given by law or equity, may terminate Lessee's right to possession of the premises and
recover and regain possession of the premises in the manner provided by the laws of the State of
Florida. The parties waive the right to trial by jury of all issues so uiable.
EIGHT'EENTH: WAIVER OF BREACH The waiver by Landlord of any breach
by Lessee of any of the provisions of this lease shal( not constitute a continuing waiver or a waiver
of any subsequem breach by Lessee either of the same or another provision of this lease.
IVINETEENTH: NOTI ES Any nodce, report, statement, approval, consent
designatioq demand or request to be given and any option or election to be exercised by a pacty
under the provisions of this lease shall be effective only when made in writing and deGvered (or
mailed by registered or certified mail with postage prepaid) to the other party at the address given
below:
Landlord: City of Sebastian
1225 Main Street
Sebastian, FL 32958
ATT'N: City Manager
Lessee: Sebastian Area I�Lstorical Society, Inc.
1225 Main Street
Sebastian, FL 32958
ATTN: President
TWENTIETH: PERSONALPROPERTYINSURANCE Lesseeshallberesponsible
for securing and maintaining p.ersonal pronerty insurance in such amount as I.essee may desire with
regard to personal property on or about the leasehold premises.
TWENTY-FIRST: ENTIRE AGREEMENT Tlris I.ease Agreemem contains the
ecrtire agreement of the parties hereto and no other agreement, statement, or promise made by any
party or any agent of any party hereto, which is not contained herein shall be binding or valid. No
modification of this I.ease agreement shall be binding on the parties unless it is in writing and
executed by both Landlord and Lessee.
TWENTY-SECOND: DEFAIJLT Unless otherwise specified, either party shall be
in defauh of any covenant of this lease only if the paRy has received written notice of such alleged
default from the other party, and, if within 30 days after receipt of such notice, the party has not
diligently commenced to comply with such covenant.
TWENTY-THIItD: WAIVER Waiver by Landlord of any default in performance
by Lessee of any of the terms, covenants, or conditions contained here, shall not be deemed a
continuing waiver of that default or any subsequent default.
TWENTY-FOURT'H: In consideration of the covenants and provisions of this
ageement, the Lessee agrees to vacate their current premises and remove all of its property from that
leased premises at 1302 U.S. #1, Sebasrian, Florida within 210 days from the date ofthis lease, and
the Lessee will execute written notice of Termination of their current lease and both parties shall be
released of the terms of the lease dated 1/22/97 of the property at 1302 U.S. #1, Sebastian, Florida.
TWENTY-FIFTH: SURRENDER OF PREMISES On expiration or sooner
termination ofthis Lease, or any e��tensions, Lessee shall prompdy surrender and deliver the premises
to Landlord in as good condition as they are upon the date of occupation by Lessee, reasonable wear
and tear excepted.
TWENTY-SIXTH: FTRST RIGHT OF REFUSAL The Landlord agrees to provide
I.essee notice of any availability of a�+ other space in the building at 1225 Main Street, Sebasdan,
Florida, and allow it a reasonable opportunity (no less than 30 days) to lease such additional space,
at terms and conditions mutually agreeable, if it becomes available.
TWENTY-SEVENTH: SHARED EXPENSES Lessee shall pay a pro-rata share
of electric charges and pest control, based upon Lessee's percentsge of total squaze footage of office
space in the building, calcu(ated net of common areas.
IN WITNESS WHEREOF, the parties hereto have hereunto executed this instrument
for the purpose herein expressed, the day and year above written.
Signed, sealed and delivered
in the presence of:
CITYOF SEBASTIAN, AMunicipal SEBASTIAN AREA HISTORICAL SOCIETY, INC.
Corporation e�dsting under the a Florida Non-proSt Corporation
laws of he State of Florida
���e� � �� � � �/'� 1�2u��
,City Manager By: President
ATTEST:
� `
� y Maio City Clerk
Apprwed as to fom� and legality for reliance
by the City of Sebastian anly.
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FIRST AMENDMENT OF
LEASE BETWEEN CITY AND SEBASTLAN AREA HISTORICAL SOCIETY. INC.
The CITY OF SEBASTIAN, a Florida municipal corporation, and 5EBASTIAN AREA
HISTORICAL SOCIETY, INC., a non-profit Florida corporation, hereby amend that certain Lease
between the parties dated March 21, 2005 as follows:
1. The occupancy date for Lessee shall begin no sooner than three (3) days after receipt
of written notice from the City that the historic restoration project for the building has reached
substantial completion, nor later than 120 days from receipt of said notice, or be deemed in default.
Z. All remaining provisions of the original Lease shall remain in full force and effect.
EXECUTED on this � day of y, 2005, at Sebastian, Florida. �
ATTEST:
;G[ . U Y�-�
MMC
City
Approved as to Form and Legality for
Reliance by the City of Sebastian only:
��� �
Rich Stringer, Crty Attorn
CITY OF
A Munidi
SEBASTIAN AREA HISTORICAL SOCIETY, INC.,
_ a non-vr�fit Flor�da comoration_ _ __ _ � _„_,_ �
By: ��
It : �rc_ �, c1 � ..�-�
Manager
■
Natiorwide
BUSINESSOWNERS POLICY DECLARATIONS
��� gy; NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
Named Insured
Mailing Address SEBASTIAN AREA
HISTORICAL SOCIETY INC
PO BOX 781348
SEBASTIAN FL 32978
Policy Number. RENEWAL
77 BO 671-925-3001 D
Form of Business:
❑ Partnership/Joirrt Verrture ❑
❑ Limited Liability Comparry �
❑ Other.
Sole Proprietorship
Corporation
Policy Period: From DECEMBER 4, 2009 to DECEMBER 4, 2010 at 12:01 A.M. * Standard Time
at your mailing address. *Exceptions:12:00 Noon in New Hampshire
Described Premises:
Prem. No. Bldg. No. Location Address Descripdon af Business
002 01 1235 MAIN ST MEMBERSHIP ORGANIZATIONS
SEBASTIAN FL 32958
Mortgage Holder Name and Address:
Prem. Na. Bidg. No. Mortgage Holder Mortgage Holder
IN RETURN FOR THE PAYMENT Of THE PREMIUM, AND SU&IECT TO ALL THE TERMS QP THI$ POLICY, WE AGREE TO
PROVIDE YOU WITH THE INSURANCE AS STATED IN THIS POLICY.
PROPERTY COVERA6ES ❑ Standard Form X� Special Form
Limits of insurance for
Buildings
Replacement Cost (RC) / Actual Cash Value (AC1n
Automadc Incre�e
Business Personal Property
LIMITS Of INSURANCE
Premises No. Buiiding No.
002 01
RC � ACV
%
25,000
Deductible $ 500 I This Policy Includes Busit�ess Income and E�ra Expense Coverage.
Optional Coverage/6derior Building Glass Deduatible $ 500
Includes Copy�ighted Materiai of Insurance
Cas. 4401-A (499) Services Office, inc., 19� Page 1 of 3
■ �
Nationwide �
BUSINESSOWNERS P4LICY DECLARATIONS
OPTIONAL PRQPERTY COYERAGES — Applicable ony if an'X�
is shown in the boxes below:
❑ Outdoor Signs
❑ Tena�t's Exterior Building Glass
❑ Ir�erior Glass
Basemerrt/ground floor level
All floors
❑ Burglary and Robbery (Standard Form only)
or
� Money and Securities (Special Form ony)
❑ Employee Dishone.sly
❑
❑ Earthquake
❑
❑
❑
COVERAGE EXTENSIONS — Optionai Higher Limits
❑ Accour�ts Receivabie
❑ Valuable Pape�s and Records
ADDRIQNAL COVERAGES — Optional Higher Limits
❑ Forgery and Alteration
LIABILITY AND MEDICAL EXPENSE COVERAGES
Except for Flre Legal Uability, each paid daim for the following
coverages reduces the amount of inaurance we provide during the
applicable annual period. Please refer to Paragraph D.4. of the
Businessowners Lfability Coverage Form.
Liabiligr and Medical Expense
Personai and Advertissing Injury
Medicai Expenses
Fire Legal Liability
General Aggre�te Limit (�her than Producis-Completed
Operations and Fire Legal Liabilily)
Products-Compieted Operabons Aggregate Limit
LIMITS OF INSURANCE
$ Per Occurrence
Square Feet
Included
$ Ir�side the Premises
$ Outside the Premises
$ 10, 000 Ir�side the Premises
$ 10, 000 Outside the Premises
� Per Occurrence
96 Deductible
$
$
$
LIMITS OF INSURANCE
Premises No. Building No.
[�I�D
01
LIMRS OF INSURANCE
$1 , 000, 000 Any One Occurrence
Included in Above — Any One Person or Organizaaon
$ 5,000
$ 50,000
$ 2, 000, 000
$1,000,000
Any One Pe�son
Any One Fi�e or Explosion
Includes CopyrigMed Material of Insurance
Page 2 of 3 Services Offfce, Inc., 1996 Cas. 4401 A(499)
��
Natwnwide '
BUSINESSOWNERS POLICY DECLARATIONS
--- --- _._..
OPTIONAL LIABILtT1f COVERA6ES — Applicable ony 'rf an ��MITS OF IMSURANCE
�c' is shown in the boxes below:
�
�
�
FORMS APPLICABLE TO ALL PREMISES AND BUILDIN6S:
BP 00 09-0197
BP 0417-0196
CAS 6217-1102
CAS 6345-0705
CAS 4847-0501
CAS 4809-1094
CAS 4213-0106
CAS 6623-0807
I L 00 03-Q498
CAS 6234-0108
I L 09 85-0108
CAS 6558-0807
CAS 3228
CAS 2527 B-0794
BP 04 04-0196
$
�
$
CAS 6283-0403
CAS 6216-1102
CAS 6356-1004
CAS 6522-0207
CAS 3391-0802
CAS 3880-0897
CAS 4869-0907
PREMIUM
To�ai Annual Premium $ 543 . 69
.................................................................................................................................._......................
Includes the following miscellaneous charges
FLORIDA HURRICANE CATASTROPHE FUND EMERGENCY ASSESSMENT .............. $ 5.00
FL 2005 CITIZENS REGULAR ASSESSMENT .............. $ 17. 35
2005 CITIZENS INSURANCE EMERGENCY ASSESSMENT $ 6. 85
FL 2007 FIGA ASSESSMENT ,,,__., __... $ 10. 00
FLORIDA DOR SURCHARGE $ 0.48
F.M.A.P. SURCHARGE ,.,.,,._..... $ 4.00
$
...-•-•--.....
$
$
?�?�'r#ES SUBJECT TO PREMIUM AUDR
AdvancePremium -• ..............................--------•---•----............-•-------------..._...................._....................................._..__..._
�__�� P$riods ❑ Annuaily ❑ Semi-Annually ❑ Quarteriy ❑ Morrthly
In the everrt you cancei tt�e policy, we wiii retair ��t €� �;,u�a � v�:: �ty =���=:.
�f1�G �7 1��"+=
- " n.�ieera a'smw'
P.Q. BQX ±47080
iij'�f}'iJ'J' i�ilii9irliJiiiiiis. �7i'iliLC�7Y1LLGr f-L JGOi't
i= nanr+er ni•
Af3¢tlt:
sCifizi'iifn.i �; �2���ic:Cz
KiM �� L!� I�1`�a' �Vt�� �NC:
$
r� i+� i 7?3.s t1f
�i:�.li��ti �i4�ttY~i��i��b2 il%t�s��a�{�+ 4t� �±��s3iY.i�b�r
j'� ,thn�4_A f� f?nl �9.,,6%,n� f1iF;n jnn iCit'�� ¢�^ii *2 nf :
-_ _ -__ ��� : , : -- _ -- .--_ "..«� -m.,.._ . ..- _ � - - = --- � _ --
■ ''
Na?mnwide� �
FORNIS APPLICABLE ONLY TO SPECIFIC PREMISES/COVERAGES:
BUSINESSOWNERS POLICY
SUPPLEMENTAL DECLARATIONS
Policy Number. RENEWAL
77 BO 671-925-3001 D
* If ir�formation required to complete the coverage section is not shown, refer to the form indicated at left.
Cas. 4403
PREMIER BUSINESSOWNERS POLICY
PREMIER OFFICE
PROPERTY DECLARATIONS Policy Period:
Policy Number: ACP BPOZ5904665546 From 12-04-10To 12-04-11
Description of Premises Number: 002 Building Number: 001 Construction: MASONRY NON-COMBUST
Premises Address 1235 MAIN ST SEBASTIAN FL 32958-4165
Occupancy T Classification: ASSOCIATIONS, INCL TRADE
Described as: MEMBERSHIP ORGANIZATIONS
WE PROVIDE INSURANCE ONLY FOR THOSE COVERAGES INDICATED BY A LIMIT OR BY "INCLUDED".
The Property Coverage provided at this premises is subject to a$ 1,000 Deductible, unless otherwise stated.
COVERAGES
Building -
Business Personal Property - Replacement cost
LIMITS OF INSURANCE
NOT PROVIDED
$25,000
ADDITIONAL COVERAGES - the Coverage Form Includes other Additional Coverages not shown.
Businesslncome-ALS- 12 Months- 72 HourWaitingPeriod-60DayOrdinaryPayrollLimit INCLUDED
Extra Expense - Actual Loss Sustained (ALS) - 12 Months - 72 Hour Waiting Period INCLUDED
Equipment Breakdown INCLUDED
Automatic Increase in Insurance - Building 0%
Automatic Increase in Insurance - Business Personal Property 2. 9%
Back Up of Sewer and Drain Water �limit shown per Building, subject to $25,000 policy aggregate} $5, 000
OPTIONAL INCREASED LIMITS
Account Receivable
Valuable Papers and Records (At the Described Premises)
Forgery and Alteration
Money and Securities - Inside the Premises
Outside the Premises (Limited)
Outdoor Signs
Outdoor Trees, Shrubs, Plants and Lawns
Business Personal Property Away From Premises
Business Personal Property Away From Premises - Transit
Included Limit Additional Limit
$25,000
$25,000
$10,000
$10,000
$10,000
$2,500
$10,000
$15,000
$15,000
OPTIONAL COVERAGES - Other frequently purchased coverage options.
Employee Dishonesty
Ordinance or Law - 1- Loss to Undamaged Portion
2- Demolition Cost and Broadened Increased Cost of Construction
Hurricane Deductible - PB5442 - 05%
Sinkhole Loss Coverage
$25,000
$25,000
$10,000
$10,000
$10,000
$2,500
$10,000
$15,000
$15,000
NOT PROVIDED
NOT PROVIDED
NOT PROVIDED
INCLUDED
INCLUDED
PROTECTIVE SAFEGUARDS
This premise has one or more PROTECTIVE SAFEGUARDS identified by symbols herein. Insurance at this
premise will be suspended if you do not notify us immediately if any of these safeguards are impaired.
See PB 04 30 for a description of each symbol. APPLICABLE SYMBOLS: NOT APPLICABLE
PB 81 01 (01-01)
Page 1 of 2
DIRECT BILL L7fW KMP AGENT COPY UID 00 59 01649
PREMIER BUSINESSOWNERS POLICY
PREMIER OFFICE
MORTGAGEE ASSIGNMENT INFORMATION Policy Period:
Policy Number: ACP BPOZ5904665546 From 12-04-10To 12-04-11
Assignment No:
Address;
Additional Interest:
I nterest:
Assignment No:
Address;
Additional Interest:
1 nterest:
Assignment No:
Address:
Additional Interest:
Interest:
Assignment No:
Address:
Additional Interest:
I nterest:
Assignment No:
Address;
Additional Interest:
I nterest:
Assignment No;
Address;
Additional Interest:
I nterest:
Assignment No:
Address:
Additional Interest:
I nterest:
Assignment No:
Address:
Additionai Interest:
I nterest:
Assignment No:
Address:
Additional Interest:
I nterest;
Assignment No;
Address;
Additional Interest:
Interest:
PB 81 01 (01-01)
Mortgagee Name:
Loan Number:
Mortgagee Name:
Loan Number:
Mortgagee Name:
Loan Number:
Mortgagee Name:
Loan Number:
Mortgagee Name;
Loan Number:
Mortgagee Name;
Loan Number:
Mortgagee Name:
Loan Number:
Mortgagee Name;
Loan Number:
Mortgagee Name:
Loan Number:
Mortgagee Name;
Loan Number:
Page 2 of 2
01650
PREMIER BUSINESSOWNERS POLICY
PREMIER OFFICE
LIABILITY DECLARATIONS Policy Period:
Policy Number: ACP BPOZ5904665546 From 12-0410 To 12-04-11
WE PROVIDE INSURANCE ONLY FOR THOSE COVERAGES INDICATED BY A LIMIT OR BY "INCLUDED".
COVERAGES LIMITS OF INSURANCE
�iability and Medical Payments Per Occurrence
Medical Payments Coverage Sub Limit Per Person
Tenants Property Damage Legai Liability Sub Limit Per Covered Loss
Personal and Advertising Injury Per Person Or Organization
Products - Completed Operations Aggregate All Occurrences
General Aggregate All Occurrences
{Other than Products - Completed Operations)
AUTOMATIC ADDITIONAL INSUREDS STATUS
$1,000,000
$5,000
$300,000
$1,000,000
$2,000,000
$2,000,000
The following persons or organizations are automatically insureds when you and they have agreed in a written
contract or agreement that such person or organization be added as an additional insured on your policy.
Co-Owners of Insured Premises Included in Liability & Medical Payments Limit
Controlling Interest Included in Liability & Medical Payments Limit
Grantor of Franchise or License Included in Liability & Medical Payments Limit
Lessors of Leased Equipment Included in Liability & Medical Payments Limit
Managers or Lessors of Leased Premises Included in Liability & Medical Payments Limit
Mortgagee, Assignee or Receiver Included in Liability & Medical Payments Limit
�wners or Other Interest from Whom Land has been Leased Included in Liability & Medical Payments Limit
State or Political Subdivisions - Permits Relating to Premises Included in Liability & Medical Payments Limit
PROPERTY DAMAGE DEDUCTIBLE
NONE
OPTIONAL COVERAGES
Nonowned Auto Liability Coverage
PB 81 03 (01-01}
Included in Liability & Medical Payments Limit
DIRECT BILL L7FW KMP AGENT COPY UID 00 59 01651
PREMIER BUSINESSOWNERS POLICY
PREMIER OFFICE
FORMS AND ENDORSEMENTS SUMMARY Policy Period:
Policy Number: ACP BPOZ5904665546 From 12-04-10 To 12-04-11
FORM NUMBER
LI0021
PB0002
PB0006
PB0009
PB0311
PB0404
PB0514
PB0522
PB2998
PB2999
PB5442
PS9009
PB0412
0101
0108
0101
0406
0708
0101
0108
0108
0908
0102
0708
0708
0101
PB 81 03 (01-01)
TITLE
NUCLEAR ENERGY LIABILITY EXCLUSION
PREMIER BUSINESSOWNERS PROPERTY COVERAGE FORM
PREMIER BUSINESSOWNERS LIABILITY COVERAGE FORM
PREMIER BUSINESSOWNERS COMMON POLICY CONDITIONS
SINKHOLE LOSS COVERAGE - FLORIDA
HIRED AUTO AND NON-OWNED AUTO LIABILITY
EXCLUSION OF WAR - FLORIDA
CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM - FLORIDA
EXCLUSION - VIOLATION OF CONSUMER PROTECTION STATUTES
EXCLUSION - FUNGI OR BACTERIA
PERCENTAGE DEDUCTIBLE - HURRICANE - FLORIDA (OTHER THAN RESI
FLORIDA AMENDATORY ENDORSEMENT
LIMITATION OF COVERAGE TO DESIGNATED PREMISES
AGENT COPY 59 01652
PREMIER BUSINESSOWNERS POLICY
PREMIER OFFICE
AGENT PREMIUM SUMMARY
Policy Number: ACP BPOZ5904665546
Loc /Bldg Coverage
POLICY WIDE OPTIONAL COVERAGES
MINIMUM PREMIUM
NONOWNED AUTO
SURCHARGE/ASSESSMENT
02 01 PERSONAL PROPERTY
EQUIPMENT BREAKDOWN
LIABILITY
BUILDING TOTAL PREMIUM
Policy Period:
From 12-04-10 To 12-04-11
Limits Premium
INCLUDED 12
INCLUDED 115
25,000 294
INCLUDED 35
1,000,000 41
370
If an " is shown for a coverage, then the limit shown is the additional amount of insurance for that coverage -
see the Declarations page for the total amount.
PB 81 PS (01-01)
DIRECT BILL L7FW KMP AGENT COPY
UID 00 59 01653
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SE$ASTIAN AREA HISTORICAL SQGIETY INC
` PO BOX 781348
` SEBASTIAN; FL 32978-1348
PLEASE KEEP THIS FOR YOUR REC�RDS
We are pieased ta serve your business insurance needs. 0ur company is committed to
providing you high quality insurance protedion and superior service.
If you should have any questions about your insurance portfolio or if you wish to make a
change to your policy, please contad your agent.
lMPORTANT INFORMATIDN ABQUT YOUR POLICY. ...
Please spend a few minutes to read and understand your policy. Some items to which you
should pay sPecial attention are as follows:
• Special Required State Notices. These notices, when induded, point out specific
items conceming your policy. We urge you to read them.
- . Declarations Page. This shows such infoRnation as your name, address, the
coverages provided, the policy term, policy limits,list of coverage forms, premium
amounts, and other individualized information.
�
e
0
�
N
. Coverage and Endorsement Forms. This is the section of your policy which
provides policy and coverage information_ Please read it carefully.
POLICY NUMBER
AC P 59-1-4665546
BILLING ACCOUNT NUMBER
924028512
Your Commercial Insurance Portfolio
Courtesy of :
AGENCY - FL- 59027
KIM ELLIS INS SVCS INC
990 US HIGHWAY 1 STE A
- SEBASTIAN FL 32958-4172
090031794
AGENCY PHONE # 772-589-1800
DIRECT BILL �AACH 100B11 INSURED COPY
ncP se-�-4ssss4s se 0000e�s
IN 72 39 01 08
NOTICE OF TERRORISM INSURANCE COVERAGE
NOTICE — DISCLOSURE OF PREMIUM
Applies to all Commerciai Policies, except for Farmowners Multiperil, Business Auto,
Crime, and Workers Compensation
(This disclosure notice does not� provide coverage, and it does not �eplace any
provisions of your policy. You shoufd read your policy for compiete information on the
coverages you are prov�ded. lf there is any confl�ct between the policy and this nofice,
the provisions of the policy shall pr+evail.)
Coverage for acfis of terrorism is included in your policy. You are hereby notified that under the
Terrorism Risk Insurance Act, as amended in 2007, the definition of act of terrorism has
changed. As defined in Secaon 102(1) of the Act: The term "act of terrorism" means any act
that is certified by the Secretary of the Treasury — in concurre�ce with the Secretary of State,
and the Attomey General of the United States — to be an act of terrorism; to be a violent act or
an act that is dangerous to human lifie, properly, or infrastructure; to have resulted in damage
within the United states, or oufiside the United States in the case of certain air carriers or
vessels or the premises of a United Sates mission; and to have been committed by an
individual or individuals as part of an effort to coerce the civilian population of the United Sates
or to influence the policy or aifect the conduct of the United States Govemment by coercion.
Under your coverage, any losses resulting from certified acts of terrorism may be par6ally
reimbursed by the United States Govemment under a formula established by the Terrorism
Risk Insurance Act, as amended. However, your policy may contain other exdusions which
might affect your coverage, such as an exclusion for nuclear events. Under the formula, the
United States Govemment generally reimburses 85% of covered terrorism losses exceeding
the statutorily established deductible paid by the insurance company providing the coverage.
The Terrorism Risk Insurance Act, as amended, contains a$100 billion cap that limits U.S.
Govemment reimbursement as well as insurer's tiability for losses resulting from certified acts
of terrorism when the amount of such losses exceeds $100 billion in any one calendar year. If
the aggregate insured losses for all insurers exceed $100 billion, your coverage may be
reduced.
The portion of your annual premium that is attributable to coverage for acts of terrorism is $0,
and does not indude any charges for that portion of losses covered by the United States
Govemment under the Act.
1N 72 39 01 08 Page 7 of 1
MACHINE GAACH 2O11278 INSURED COPY ACP �'I�G 59 0000979
Nateonwade�
On Your Side "'
C4M-PAK SLI�1�iMARY
PRINTED 10/Ofi/2011
ONE NATIONMIDE PLAZA
COLtIl�US, OH 43215-2220
Number: acP s�a�s Effective from ��uarlo�� to �2ioano�2
Named insured: se�►sTU� aR�► HisTORicru. soc�erir �Nc
Mailing Address: Po Box ��s
SEBASTIAN, FL 32978-1348
Agency Name: �u� a.us iNS svcs iNC oe seo¢�-ooa se
Agency Address: sEaasTUU+ �. at�s��M �Mlses-�soo
ProduCer: K1IABERLY J ELLIS
Divisfon
A
Program
PRE�AIER BUSINESSOINNERS - QFFtCE (NICOA)
Total Promiun
$515.62
THIS IS NOT A BILL, SEE YOUR BILUNti STATEMENT
NI
-
Estimated Total Premium:
his Com-Pek is a portfolio of individual policios whieh sarves to combine
rious iiaurance coreragos writton und�r a group of separate wnUxis
f insute�o.
MACHINE YACH 2M1276 INSURED COPY ACP b914686b46
PAKSUM 01 08
$ 515.62
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0
0
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b9 OOOOB78�
Nat�onv�de� NpT10NWIDE INS CO OF AMERICA
On Your Sidey ONE NATIONWIDE PLAZA
COLUMBUS, OH 43215-2220
PREMIER BUSINESSOWNERS POLICY
PREMIER OF�ICE
COMMON DECLARATIONS
Policy Number: acP BPOZ �a�s
Named Insured: sESasru►n atEa H�sTOeica� soc.�err iNc
Mailing Address: Po sox ��s
SEBASTIAN, FL 32978-1348
At}ef1Cy: IOIiA ELLIS INS SVCS INC
Address: sESasTian � ��rr
Agency Phone Number: n�2�-�eoo
RENEWAL
09 59027
Policy Period: Effective From �2-oa�� To �s�o4-�z
12:01 AM Standard Time at your principal place of business.
Form of your business entity: c�tPOw►noN
Description of your business: Hisrottica� �useue�
IN RETURN FOR THE PAYMENT OF THE PREMIUM AND SUBJECT TO ALL THE TERMS OF THIS POLICY,
WE AGREE T� PROVIDE THE INSURANCE STATED IN THIS POLICY.
CONTINUATION PROVISION: If we ot�er to continue yar coverage �d You or yar repr�tive do not socep�,
this policy wiU �rtomatic�ty terminate on fhe expiration date of tl�e c�rrent policy period sfabed abwe. Failv�e Eo
pay U�e required pretnium whetf due shatl mean tltat Y� fwve not aCCepted atr ol�er to corkinue yar coverage.
This policy wiq terminate soa�er if anyr portion of the c�rr�ent policy period promium is rat paid vM�en due.
RENEWAL POt.ICY NOTICE: In an e(fort to keep insura�r:e premiuns as fotiv as possiWe, we have sfreamlirred
--_ Yar reneM►al Polioll bY not induding prindad copies of polic!► forn�s or endorsements that have not changed trom
Your e�in9 Paicies, uNess they indude variable infonnation that is uruque to you. Reter to Y� P�or polides for
pri�rted capies of U�ss (orms. If you have a need for �f!► torm, theY are available bY �� Y� a9�
�r�rsnce to valtK eontracc (eall�nurance contracc): rne rsce charyea in lhis paicy is bssea upon
the use of an irwr�e to value pravisiun (coi�uurance dausey attadied to this policy, wifh d�e
consent of the itnured.
Previous Policy Number
ACP BPOZ 59046&554B I ENTRY DATE
TOTAL ANNUAL PREMIUIIA $
SURCHAROEIASSESSMENT $
TOTAL POLICY PREMIUM $
°B'��'�� Countersignature Date
500.00
15.62
515.62
These Common Policy Declarations, together with the Common Policy Conditions, Coverage Form Declarations,
Coverage Forms and any endorsements issued to form a part thereof, complete the Policy numbered above.
PB 81 00 (01-01j
DIRECT BILL MACH I�IAC INSURED COPY
UID
Page 7 of 2
00 5a ooee�
0
PREMIER BUSINESSOWNERS POLICY
,,,,,� PREMIER OFFICE
Surcharges and Assessments Supplemental Dedarations
Policy Period:
Policy Number: ACP BPOZ5914665546 From 12-0411 To 12-04-12
FL FL STATE FIRE MARSHAL SURCHARGE
FL EMPA TRUST FUND SURCHARGE
Fi. FL CAT FUND EMERGENCY ASSESSMENT
FL FL 2005 CITIZENS EMER ASSESSMENT
SURCHARGE/ASSESSMENT TOTAL
PB 81 OOA (01-M)
$0.47
$4.00
$6.50
54.65
$15.62
DIRECT BILL YACH AAAC INSURED COPY UID 00 5A 00684
�
PREMIER BUSINESSOWNERS POLICY
PREMIER OFFICE
PROPERTY DECLARATIONS Policy Period:
Policy Number: ACP BPOZ5914665546 From 12-0411 To 12-04-12
Description of Premises Number: 002 Building Number: 001 Construction: MASONRY NON-COMBUST
Premises Address 1235 MAIN ST SEBASTIAN FL 32958-4165
Occupancy T Classification: ASSOCIATIONS, INCL TRADE
Described as: MEMBERSHIP ORGANIZATIONS
WE PROVIDE INSURANCE ONLY FOR THOSE COVERAGES INDICATED BY A LIMIT OR BY "INCLUDED".
The Property Coverage provided at this premises is subject to a� 1,000 Deductible, unless otherwise stated.
COVERAGES LIMITS OF INSURANCE
Building - NOT PROVIDED
Business Personal Property - Replacement cost $25,800
ADDITIONAL COVERAGES - the Coverage Form Includes other Additional Coverages not shown.
Businesslncome-ALS- 12 Months- 72 HourWaitingPeriod-60DayOrdinaryPayrollLimit
Extra Expense - Actual Loss Sustained (ALS) - 12 Months - 72 Hour Waiting Period
Equipment Breakdown
Automatic Increase in Insurance - Building
Automatic Increase in Insurance - Business Personal Property
Back Up of Sewer and Drain Water (limit shown per Building, subject to $25,000 policy aggregate)
OPTIONAL INCREASED LIMRS
^ Account Receivable
Valuable Papers and Records (At the Described Premises}
Forgery and Alteration
Money and Securities - Inside the Premises
Outside the Premises (Limited)
Outdoor Signs
Outdoor Trees, Shrubs, Plants and Lawns
Business Personal Property Away From Premises
Business Personal Property Away From Premises - Transit
Included Limit
525,000
525,000
�10,000
810,000
510,000
52,500
510,000
515,000
S15,000
Additional Limit
OPTIONAL COYERAGES - Otfier frequently purchased coverage options,
Employee Dishonesty
Ordinance or Law - 1- Loss to Undamaged Portion
2- Demolition Cost and Broadened Increased Cost of Construction
Hurricane Deductible - P65442 - 05%
Sinkhole Loss Coverage
INCLUDED
INCLUDED
INCLUDED
4%
2. 9'i
$5,000
$25,000
#25,000
$10,000
$10,000
$1Os000
�2s500
$10,000
$15s000
$15s000
NOT PROVIDED
NOT PROVIDED
NOT PROVIDED
INCLUDED
INCLUDED
PROTECTIVE SAFEGUARDS
This premise has one or more PROTECTIVE SAFEGUARDS identified by symbols herein. Insurance at this
`� premise will be suspended if you do not notify us immediately if any of these safeguards are impaired.
See PB 04 30 for a description of each symbol. APPLICABLE SYMBOLS: NOT APPLICABLE
PB 81 01 (01-01)
DIRECT BILL MACH MAC INSURED COPY
UID
Page1of2
00 5� OOA85
,�-�
PREMIER BUSINESSOWNERS PC)LICY
PREMIER OFFICE
LIABILIT1f DECLARATIONS Policy Period:
Policy Number: ACP BPOZ5914665546 Fcom 12-04-11 To 12-04-12
WE PROVIDE INSURANCE ONLY FOR THOSE COVERAGES INDICATED BY A LIMIT OR BY `INCLUDED°.
COVERAGES LIMITS OF INSURANCE
Liability and Medical Payments
Medical Payments Coverage Sub Limit
Tenants Property Damage Legal Liability Sub Limit
Personal and Advertising Injury
Products - Completed Operations Aggregate
General Aggregate
(Other than Products - Completed Operations)
AUTOMATIC ADDITIONAL INSUREDS STATUS
Per Occurrence
Per Person
Per Covered Loss
Per Person Or Organization
Atl Occurrences
All Occurrences
$1,000,000
$5,000
$300,000
$1,000,000
$2,000,000
$2,000,000
The following persons or organizations are automatically insureds when you and they have agreed in a written
contract or agreement that such person or organization be added as an additional insured on your policy.
Co-Owners of Insured Premises
Confrolling Interest
Grantor of Franchise or License
Lessors of Leased Equipment
Martagers or Lessors of Leased Premises
Mortgagee, Assignee or Receiver
Owners or Other Interest from Whom Land has been Leased
State or Political Subdivisions - Permits Relating to Premises
_--�
PROPERTY DAMAGE DEDUCTIBLE
NONE
OPTIONAL COVERAGES
Nonowned Auto Liability Coverage
PB 81 03 (01-01)
DIRECT BILL MACH I�AC
Included in Liability 8� Medical Payments Limit
Included in Liability $ Medical Payments Limit
Included in Liability & Medical Payments Limit
Included in Liability & Medicaf Payments Limit
Included in Liability � Medical Payments Limit
Included in Liability � Medical Payments Limit
Included in Liability 8� Medical Payments Limit
Included in Liabil'rty � Medical Payments Limit
Inciuded in Liability & Medicai Pay�ents Lirit
INSURED COPY
UID 00 S0 OOB67
•
PRE�AIER BUSINESSOWNERS POLICY
PREMIER OFFICE
,
FORMS AND ENDORSEMENTS SUMMARY Policy Period:
Policy Number. ACP BPOZ5914665546 From 12-04-11 To 12-04-72
FORM NUMBER
LI0021
P800Q2
P80006
P80009
P80311
PB0404
P80514
PB05Z2
P8Z998
P82999
PB5442
P89009
P80412
D101
0108
0101
0406
0708
0101
0108
0108
0908
0102
0708
0708
0301
PB 81 aii (Q1-01)
TITLE
NUCLEAR ENERGY LIABILITY EXCLUSIGN
PREMIER BUSINESSOMNERS PROPERTY COVERAGE FORM
PREMIER BUSINESSONNERS LIABILITY COVERA6E FORM
PREMIER BUSINESSOMNERS COMMON POLICY CONnITIOM.S
SINKHOLE LOSS COVERAGE - FLORInA
HIRED AUTO AND NON-OMNED AUTO LIASILITY
EICC�USION OF iiAR - FLORIDA
CAP ON LOSSES FROt4 CERTIFIED ACTS OF TERRORISM - FLORIDA
EXCLUSION - VIOLATION OF CONSUMER PROTECTION STATUTES
EXCLUSxON - FI�IGI Wt BACTERIA
PERCENTA6E DEDIJCTIBLE -�RICANE - FLORIDA (OTNER THAN RESI
FLORIDA AMENDATORY ENDORSEMENT
LIMITATION OF COVERA6E TO DESI6NATED PREMISES
INSURED COPY b9 00�86