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We are pleased to offer the following quotation for General Liability insurance. Please review this quotation
carefully, as the terms and conditions offered may be different than requested. A specimen copy of the policy is
available at your request.
PROPOSED POLICY PERIOD: From 1/29/2017 to 1/29/2018 Premium: $1,454.00
CARRIER:
APPLICANT:
MAILING ADDRESS:
COMMISSION:
MINIMUM EARNED PREMIUM:
Scottsdale Insurance Company
Vlew A.M. Best Rating
Sebastian River Area Chamber
of Commerce
700 Main St.
Sebastian, FL 32958
10.000%
25%
Fees•:' $35.00
Taxes": $76.68
Total: $1,566.68
State Tax and fees are subject to
change due to state legislation at the
time of binding.
Terrorism: Terrorism Coverage can be purchased for an additional premium of $100.00 plus applicable taxes
and fees. Signed acceptanceirejection required at binding.
Disclaimer Nothing contained herein constitutes owls intended to constitute a binder forlasurence coverage, No binderorinsumnce pollcy
goes into effect unless and until coMamed by us. Note any pmposal of lnsumnce we may present to you Will be based upon the values
developed and exposures to toss disclosed to us. Alf coverages are subject to the terms conditions and exclusions of the actual policy issued..
January 10, 2017
Page 1 of 5
General Liability Coverage
Limits
Type
_ Umit_
;_General Aggregate
82,000,000 I
I Products & CompletedExcluded-----
Operations
i
Each Occurrence
I $1000000
Personal& Advertising Injury
1
$1000000
Damage to Rented Premises
_
Medical Expenses
_$100,000
$5.000 j
Deductible
Type-----. __- '- -------_._
L--_.__ ____—_.,_____�_+
Amount
1 Property Damage & Bodiy Injury Combined - IA —�� --
i _ Per Claimant
So
Class Codes
—u
Territo_i5&-
ry i Claae Code
___- __r.__—_—___i_...
- -- — --
Deacdptlon
_._,____
--------- ---
Ez sure Bests
PeRate
Premium
e Din
Remainder
Remainder of
61227
_ .v
Office STDG
Rated As Buildings or
2,554 Area-
213.0000 1
SS44.Og
State
rOMISEd Ot6ce--Not For-Profif
FL -006:
97179
_y
IAuction j
_—..
Remainder of
Rated As Auctions—on
I
150 Other
�—
0.2100
$32.00
Stale
Premises Owned or Rented I
.—_
by the Insured— f
I
FL -006: 48557.
Remainder of
i Conced
Rated As Social Gatherings
---
106.0008 j
5848.00
,State
I and Mealm s—on Premises
i
1 Not Owned or Operated by
1 the Insured—Other Than Not- j
40059
rofit
Fori Tour—.__
i Gofi Tournament
I
Remainder of
Slate
Rated As Athletic Games
�_..—_—`f
744 I Other
0.2100
$30.00
Sponsored by the Insured— I
I
Other Than Not -For -front
Additional Interests
Type i Name
�----.---t------a--------
Spedfic
-- Forth
-
V
Prornium
�
I COY
of Se basfin
-
- ----
CG2011:AddiOonalInsured -
egers Leas
-----
Includetl�
or ore
of Premises
January 10, 2017
Page 2 of 5
Forms
T
Edition Description
-J I 11.98
Common Policy Conallion,
IL0021
09-08 Nuclear Energy Uability Exclusion Endorsement (Broad FLm�
08-10 C
-.—J--Omrn0.n-P.OQcY Declarations arallons
06-14 Minimum Earned Cancellation Premium
UTS-3Ws 1 02-09
Amencinientolf Nonpayment Cancellation Condition
UTS-4280
-111-12 Premium Audi,
;__.._06.98_—1 ,- - Serviceof Bull Clause
UN&0VPG 01-16
Cover Page
LJTS-SP-2 12-95 Schedule of Forms and Endorsements
QTS -SP -3 08-98- --[------.,------
Schedule OfLomlicns
mi-a�-nWCGO01 04-ICommercial Cllfi� CmereeFo_L_J
CG2011
- Id. Insurea. Managers or Lesson of Premises
T05.14 i Exclusion - Access Of Disclosure of Confidential a Personal Ifflonnation and Uablotr�—[
With Limited Bodily Injury Exception
=14
- 12-07 _iJEMPloyment-Reiated Practices Exclusion
1 1 Fungi or Bacteria Exclusion CG2167 2-04o,
I CG21
--.-L--_..-
___01.16 TExdu$icn'OiEelffl'edAcWofTemodsm
Amendment of Insured Contract Definition
08-01
Icommercial General Llabfltt .
y Coverage Part Supplemental Declarations
..I--10.93 (Commercial
General Uablllty Coverage Part Extension Of Supplemental Declarations
IS' 75 I
01-16 LiErnitallon Of COven398 to Designated Promises
9LS-227 I 0413 1 Assault and/or Bat" Exclusion
I GLS -289s
11.07
I Knom Injury or Damage Exclusion - Personal arid Advertising Injury
I.. GLS -30s 05-05
Contractors Special Conditions
=-1411
08-12 I Hydraulic Fraduring j;clusion
GLS -457s
10.14
i
l G - LS -417s 10-0Advance Premium Endorsement
QLS-5s
04-08
Special Event Participant Exclusion
GLS -74s
J 00-05 Amendment of Conditions
n
94s 06-15 Bodily Injury, Property Damage, Personal and Adv ....... g Injury U80111ty,
(Per Clalmano QedUCIll (a Endorsement
7.00 F1 ad, Policyholder
olicy
NOM0381IF1 07-09 Rodda Pollcyho
- - .- - ---- I erNOU1;
NQIX0178 0318 CJaInn Reporting Inrormation
UTS-246s
09-10
1. Amendatory Endoraemenis(Wlfhout Medical Payments F
-
Xcluslon�
I Asbestos ix ju �Icn
-------- --
.UTSrZ67a—..--J- 05-98 Lead Contamination Fxclusl,
UTS-29 Ft. 0
. ..... 0-97 cancellation and Nonrenewal - F90ride
January 10, 2017
Page 3 of 5
SECOND AMENDMENT — SEBASTIAN RIVER CHAMBER OF COMMERCE LEASE
THIS SECOND AMENDMENT of that certain Lease Agreement by and between the City of
Sebastian (hereinafter called "landlord") and the Sebastian River Area Chamber of Commerce, Inc.
(hereinafter called "tenanY'0, dated December 8, 2005 provide as follows:
WITNESSETH:
WHEREAS, the Landlord is the owner of certain property located in the County of Indian River,
Florida; and
WHEREAS, the Landlord agreed to lease such property under the Lease to Tenant; and,
WHEREAS, due to the certain provisions in the Lease, duplicate insurance requirements were
created.
NOW, THEREFORE, in consideration of the mutual covenants herein after provide, the receipt and
sufficiency of which are hereby acknowledge, the parties have agreed as follows:
Existing paragraph XI and XII of the lease shail be removed and deleted and in its place shall be
new paragraph XI and XII which shall read as foilows:
XI. RENTER'S INSURANCE
The Tenant shall, at its sole cost and expense, procure and keep in effect
such standard renter's insurance to cover all contents in the facility. Said
insurance shall be in amounts as may be deemed appropriate by the
Tenant. In no such event will the Landlord be responsible for the tenant's
contents in the event that they are lost, stolen, damaged or destroyed.
XII. DESTRUCTION OF THE PREMISES
In the event the building and/or other improvements erected on the
premises are destroyed or damaged by fire or other casualty, the
Landlord's obligation to replace or rebuild such facility shall be limited to
the value of insurance proceeds that may be received.
All remaining terms and conditions of the Lease Agreement dated December 8, 2005 shall remain
in full force and effect.
This second option is executed on this 23�d day of January 2013.
ATT ST CI OF BASTIAN
� ��
� � , _�--
S . aio C A i' er City Manager
Approved as to Form and Legality for
Reliance by the City of Sebastian Only
���-T d/�
Robert A. Ginsburg
City Attorney
SEBASTIAN RIVER AREA
CHAMBER OF COMMERCE, INC.
� (.�,��.
By
Its: ���� (��l r� r2,
FIRST AMENDMENT - SEBASTIAN RNER AREA CHAMBER OF COMMERCE LEASE
THIS FIRST AMENDMENT of that certain Lease Agreement by and between the City of Sebastian
(hereinafter called "Landlord") and the Sebastian River Area Chamber of Commerce, Inc. (hereinafter
called "TenanY'), dated 8 December 2005, provides as follows:
WITNESSETH:
WHEREAS, the Landlord is the owner of certain property located in the County of Indian River, Florida;
and,
WHEREAS, the Landlord agreed to lease such property under the Lease to Tenant; and,
WHEREAS, due to the current economy, certain provisions in the Lease were unattainable.
NOW, THEREFORE, in consideration of the mutual covenants hereinafter provided, the receipt and
sufficiency of which are hereby acknowledged, the parties have agreed as follows:
Section II of the Lease, titled - Renovation of Improvements, shall be amended as follows:
II. RENOVATION OF IMPROVEMENTS
Lessee may renovate the existing building and appurtenant improvements upon the premises in accordance with
plans to be approved by Landlord, including an expansion of the footprint of the building by addition of a ten foot deep,
more or less, porch atong the north, east and west frontages of the building. Landlord shall undertake reasonable
accommodations in executing standard business documents required of a lender for construction upon a leased
premise, but shall not allow its ownership interest to be subject of any security interest. Landlord shall also cooperate,
as the owner, in permitting and in the applicant process for grant to finance these improvements.
Notwithstanding the provisions of Article XXI, if renovations in accordance with the Composite Exhibit "I° are not
permitted by January 22, 2015, or completed by January 22, 2017, the teRns of the 1997 lease between the parties, as
extended, shall go back into effect. This Lease shall automatically exercise the renewal option specified in paragraph 1
of the 1997 lease. This timeline shall be reasonably extended in the event of force majeure or Act of God.
Landlord agrees to maintain, at all times, no less than twelve (12) public parking spaces within two hundred fifty
(250) feet of the leased premises.
All remaining terms and conditions of the Lease Agreement dated 8 December 2005 shall remain in full
force and effect.
This first option is executed on the ��� day if J�� 2010.
ATTEST
�� ,�--------
Sally A. Maio MC
City Clerk
Approved as to Form and Legality for
Reliance by the City of Sebastian Only
Robert A. Ginsburg
City Attorney
CITY OF SEBASTIAN
SEBASTIAN RIVER AREA
CHAMBER OF COMMERCE, INC.
A Non-Profit Florida Corporation
By
�.J� �
its: �s'idt�..�-
�
FIFTY YEAR LEASE
The CTTY OF SEBASTIAN, a Florida municipal corporation, refened to in this lease as
"Landlord", hereby leases to SEBASTTAN RIVER AREA CHAMBER OF COIVIlV�IZCE, INC., a
non-profit Florida corporation, referred to as"Lessee", those certain premises, referred to as "the
premises", lying and being in the county of Indian River, State of Florida, to-wit:
See attached Schedule "A "
The parties agree to be legally bound as follows:
L TERM
The term of this lease shall be for a period of fifty (50) years, commencing-at-32:01-�4:M.—on -_ __ __ __-
January 1, 2006.
II. RENOVATION OF IlVIPROVEMENTS
Lessee may renovate the existing building and appurtenant improvements upon the
premises in accordance with plans to be approved by Landlord, including an expansion of the
footprint of the building by addition of a ten foot deep, more or less, porch along the north, east
and west frontages of the building. Landlord shall undertake reasonable accommodations in
executing standard business documents required of a lender for construction upon a leased
premise, but shall not a11ow its ownership interest to be subject of any security interest. Landlord
sha11 also cooperate, as the owner, in permitting and in the application process for grants to
finance these improvements.
Notwithstanding the provisions of Article XXI, if renovations in accordance with
Composite Exhibit "I" are not permitted within five yeazs hereof, or completed within seven
years hereof, the terms of the 1997 lease between the parties, as extended, shall go back into
effect. This timeline shall be reasonably extended in the event of force majeure or Act of God.
Landlord agrees to maintain, at all times, no less than twelve (12) public pazking spaces
within two hundred fifty (250) feet of the leased premises.
III. RE1VT
Lessee agrees to pay the Landlord as rent for the use and occupancy of the premises the
amount of $1 per year payable by the 15�' day of January each and every yeaz commencing in
January 2006, at the Finance Department office of Landlord or such other place or places �s
Landlord may from time to time designate by written notice given to Lessee.
IV. USE OF PRENIISES
The premises shall be used exclusively by Lessee for piuposes associated with the
traditional functions of a chamber of commerce, and for no other use or uses without the express
written consent of Landlord.
However, Lessee shall not commit or permit the commission of any acts on the premises nor
use nor permit the use of the premises in any way that:
(a) violaxe.s or conflicts with any law, statute, ordinance, or governmental rule or
regulation, whether now in force or hereinafter enacted, governing the premises; or
(b) constitutes the commission of waste on the premises or the commission or
maintenance of a nuisance.
V. ASSIGNMENT OR SUBLEASING
Lessee may not assign, or otherwise transfer ttris lease, or any right or interest in this lease
without the prior express written consent of Landlord.
VI. SURRENDER OF PREMISES
On expiration or sooner tezmination of this Lease, or any extensions, Lessee shall promptly
surrender and deliver the premises to Landlord in good condition, subject to the demolition and
replacement provisions of Article II, reasonable wear and tear excepted.
VII. bZAIN1�NANCE AND REPAIRS
Lessee ac�owledges that it will repair and renovate the premises to result in a good, clean,
and safe condition and repair. Lessee shall, at all times during the term of this lease and any
renewal or extension thereof, maintain, at Lessee's sole cost and expense, the premises, and every
part of the premises, in a good, clean, and safe condition, free of pests, and shall on expiration or
sooner termination of this lease surrender the premises to Landlord in good condition and repair
reasonable wear and tear and damage by the elements excepted. Lessee sha11 be responsible for the
provision of all utility and other services to the premises. Lessee hereby waives any right to make
repairs to the premises at the expense of Landlord as provided by any law or statute now or
hereafter enacted. 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.
VIII. INSPEGTION BY LANDLORD
Lessee shall permit Landlord or L,andlord's agents, representatives, or employees to enter the
premises at all reasonable times for the purpose of inspecting the premises to determine whether
Lessee is complying with the terms of this lease and for the purpose of doing other lawful acts that
may be necessary to protect Landlord's interest in the premises under this lease.
IX. PERSONAL PROPERTY TAI�S
Lessee shall pay before they become delinquent all taaces, asse.ssments, or other charges
levied or imposed by any governmental entity on the furniture, trade fixtures, appliances, and other
personal property pla�ced by Lessee in, on, or about the premises including, without limiting the
generality of the other terms used in this section, any shelves, counters, vaults, vault doors, wall
safes, partitions, fixhu�es, machinery, plant equipment, office equipment, television or radio
antennas, or communication equipment brought on the premises by Lessee.
X. REAL PROPERTY TAI�S
All real property taxes and assessments levied or assessed against the premises by any
governmental entity, including any special assessments imposed on or against the premises for the
construction or improvement of public works in, on, or about the premises, shall be paid, before
they become delinquent, by Lessee.
XI. PROPERTY CASUALTY INSURANCE
The Tenant sha11, at its sole cost and ex�sense, procure and keep in effect such standard
policies of property casualty, fire and extended coverage insurance in an amount equivalent to
the appraised value of the improvements to the premises. Upon request, the Tenant shall provide
to the Landlord a certificate of such insurance with evidence of the payment of the premium
therefor. The Landlord shall have no obligation to keep the buildings and improvements on the
leased premises insured nor shall the Landlord have any obligation to insure any personal
properiy used in connection with the leased premises. Any policy or policies of instu�ance
required pursuant to this Lease sha11 be issued by one or more insurance companies authorized to
engage in business in the State of Florida and wlrich have a rating of at least A+ by A.M. Best
and Company and at least an AA rating by both Moody's and Standard and Poors. Such shall
contain a clause preventing cancellation of any coverage before thirty (30) days written notice to
the Landlord and shall name the Landlord as an additional insured. Upon the request of the
Landlord, the Tenant sha11 provide copies of said policies to the Landlord.
In the event that the Tenant's use and occupancy of the premises causes any increase in
the premium for any property casualty or fire insurance maintained by Landlord on the Leased
Premises or any portion thereof, Tenant shall reimburse Landlord for the amount of said increase
within thirty days of notice of the same.
XII. DFSTRUCTION OF PREMLSES
In the event the building and/or other improvements erected on the premises are
destroyed or damaged by fire or other casualty, the Landlord shall have no responsibility or
obligation to make any expenditures toward the repair andlor replacement of the building and
other improvements on the leased premises. Tenant, at its option, shall either cause said building
and/or other improvements to be replaced or said damage to be repaired as rapidiy as practicable,
or sha11 elect not to repair the premises and terminate the lease.
(a) In the event the Tenant elects to repair or replace the improvements on the leased
premises, the Landlord shall have no claims against any insurance proceeds paid to the Tenant on
account of such damage; provided, however, that all repaired or replaced improvements are done
so in a manner equal to or better than the improvement being repaired or replaced.
(b) In the event the Tenant, under its option, elects not to repair or replace the
improvements upon the leased premises, the Landlord shall be entitled to such portion of any
insurance proceeds equal to its good-faith estimate of the cost to remove all remaining portions
of the damaged or destroyed improvements and a11 rubble or debris resulting from said casualty.
Landlord shall be entitled to said amounts even if it decides to rehabilitate the improvements.
Any remaining procceds shall be the sole property of Tenant.
XIII. ALTERATIONS
Except for renovations of the building as set forth in Article II, above, Lessee shall not make
or permit any other person to make alterations to the premises that will expand the lot coverage of
the Fremises without the prior written consent of Landlord. Any alterations to the premises by
Lessee sha11 be made at the sole cost and expense of Lessee. Any and all alterations or
improvements made to the premises shall on expiration or sooner teimination of this lease become
the property of Landlord.
XIV. INDENIlVITY
Lessee shall indernnify and hold Landlord and the property of Landlord, including the
premises, free and harmless from any and all liability, claims, loss, damages or expenses, including
counsel fees and costs, arising by reason of the death or injury of any person, including any person
who is an employee or agent of Lessee, or by reason of daznage to or destruction of any property,
including property owned by Lessee or any person who is an employee or agent of Lessee, caused
by or connected with Lessee's occupation and use of the premises under this lease other than
intentional tortuous acts of Landlord or an employee or agent of Landlord.
XV. LIABILITY INSURANCE
Lessee shall, at its own cost and expense, secure within 10 days and maintain during the
entire term of this lease mid any renewals or extensions of such term a broad form comprehensive
coverage policy of public liability insurance issued by an insurance company acceptable to Landlord
and insuring Landlord against loss or liability 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) $500,000 for damage to or destiv�tion of any property of others;
or such higher amount as may be set as the liability limits under the waiver of sovereign unmunity
provisions of law.
XVI. UNREMOVED TRADE FIXTURES
Any trade fixtures that are not removed from the premises by Lessee 30 days after this
lease's expira.tion or sooner terniination, regardless of cause, shall be deemed abandoned by Lessee
and shall automatically become the property of Landlord as owner of the real property to which they
are affixed.
XVII. ACTS CONSTITUTING BREACHES BY LESSEE
Lessee shall be guilty of a material default and breach of this lease should:
(a) Lessee default in the performance of or breach any provision, covenant, or condition
of this lease and such default or breach is not cured within thirty days after written notice thereof is
given by Landlord to Lessee; or
(b) Lessee breach this lease and abandon the premises before expiration of the term of
this lease.
XVIII. REMEDIES FOR DEFAULT
Should either pariy 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 equity, and a non-defaulting party
shall additionally be entifled to an award of court costs and attorney'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.
XII�. WAIVER OF BREACH
The waiver by Landlord of any breach by Lessee of any of the provisions of this lease shall
not constitute a continuing waiver or a waiver of any subsequern breach by Lessee either of the
same or another provision of this lease.
XX. NOTICES
Any notice, report, statement, approval, consent designation, demand or request to be
given and any option or election to be exercised by a party under the provisions of this Lease
shall be effective only when made in writing and delivered (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
Attn: City Manager
Tenant: Sebastian River Area Chamber of Commerce, Inc.
700 Main Street
Sebastian, FL 32958
Attn: Executive Director
provided, however, that either party may designate a different representative or address from
time to time by giving to the other party notice in writing of the change.
XXL PRIOR AGREEMENTS
Except as otherwise specifically provided in this section or in the fa11-back provisions of
Article II, this lease shall supercede a11 prior agreements between the parties as to use and
occupancy of the properties at the eastern side of the intersection of US Highway 1 and Main Street
in Sebastian. It is ageed that the parties hereby direct escrow agent Warren Dill, Esquire, to deliver
to the City Clerk the Quit-Claim Deed held in escrow pursuant to the Comprehensive Property
Settlement and Escrow Agreement between the parties dated March 20, 2002. Escrow Agent is
further directed to mark a11 remaining documents as "Void and Superceded" and deliver the same to
the City Clerk for recordkeeping in accordance with Florida Public Records law.
EXECUTED on this $ th day of December, Z005, at Sebastian, Florida.
ATTEST:
,
_____._=
Sally A. M ' , MMC
City Cle
Approved as to Form and Legality for
Reliance by the City of Sebastian only:
�
\
Ric Stringer, Crty Atto e
SEBASTIAN RIVER AREA
CHAMBER OF CONIl��RCE, INC.,
a non-profit Florida corporation
li L��/ �'/i � �, �_ i � �
� ��
CZTY OF
A Muni�ci
Manager
SCHEDULE "A"
Begin at the southeastemmost point at which US Higb.way 1 and Main Street in
Sebastian, Florida, intersect, then run east 110 feet along the right-of-way for
Main Street, thence run southward in a li.ne parallel to the right-of-way of US
Highway 1 for a distance of 100 feet, thence run west in a line para11e1 to the right-
of-way for Main Street until intersecting with the right-of-way line for US
Highway 1; thence run northward along said right-of-way line for US Highway 1
to the point of be�inning.
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POLICY NUMBER:
BUSINESSOWNERS
. ' THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED-OWNERS OR OTHER INTERESTS
FROM WHOM LAND HAS BEEN LEASED
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS POLICY
SCHEDULE*
1. Designation of Premises (Part Leased to You):
700 MAIN ST
SEBASTIAN FL 32958
2. Name of Person or Organization:
CITY OF SEBASTIAN
CITY HALL
MAIN STREET
SEBASTIAN FL 32958
The following is added to Paragraph C. WHO IS AN
INSURED in the Businessowners Liability Coverage
Form:
4. The person or organization shown in the Schedule
is also an insured, but only with respect to liability
arising out of the ownership, maintenance or use
of that part of the land leased to you and shown in
the Schedule and subject to the following addition-
al exclusions:
This insurance does not apply to:
a. Any "occurrence" that takes place after you
cease to lease that land; or
b. Structural alterations, new construction or
demolition operations pertormed by or for the
person or organization shown in the Schedule.
* I nformation required to complete this Schedule, if not shown on this endorsement, will be shown in the Declarations.
BP 04 10 01 87 Copyright, Insurance Services Office, Inc., 1985
02/27/2007 10:51 7725895993 SRA CHAMBER COMMERCE
ren u� U'! 11:4�a RZ1 InsUranae Source
i722319x44
PAGE 01/02
p.l
A�,� EVIDENCE OF CQMMERGt,�4L PRQP�RTY �NSURANC °^�,'""'°°"�
THIS iS EVtb�NC� THA7 IMgUFLqIVC� AS IDENTIFIED BELbw WAS BE�N ISSUEp, IS IN FdRCE, qND CONVEYS ALL THEaRIGHTS AND
PR�V�I.EGES AFFORDEO UNDER TM� pD4GY.
raonuc�r+ rua�n�, caurncr �dNe 77x 231-3Sb0 COMPANY wqM6 ANO A�DRESB
�9dN AN� noOR693 FAI( ' . xAIC qa;
�y�-�---. HlsGpx - Llvyd'S Syndlc6lte pp33
A!t In�uran�e 3ource clv Grfsham & Assaciates, Inc.
2855 pcean Drhre, B-8 P. D. 8ox 11647t
Vorn F7a�wh r� ��e�� AtlankBl GA 30368
NaMRp IN3l1RED ANG qDDREg.9
Sebastian Rlver ChambQr of �ominerce
700 M2�fn St1'ect
5ebastian FI. 32958
AbompNpL un�nao IN9uRwo(si� '- "`-- " --
�ity/ Of Se6astlan
IF MULTIP�q COIAPAwQd, COntrLGTE asrARAr� F4RM Fwt HACN
IOAN NUMBER FOLOCY FiUMBER � ��
srREern�9 aare �xriannoN oare
01�/2007 p�rZ9�2oa8
n�re R�LacLS PRwr� cv�DewC� DA'fED�
��++�� �.� �� �nrvrt�viq 1 IV W usa aqqtt;onal sheet� E! more s Ce !8 I' IJIF9d
LOCnnpNfDeSC�plrypp
�ammercial bullding iocalted at 7�0 Mdin Stre�t, °,,,ebasUar�, pL 32058
CaMMERC�qL PROp�{�Ty CQvERAG� AMOUNT OF INSURANC,Y; s
BUSINESS iNCbMF_ / RENTA� yALLI�
BLnwKET GbvERqap
TERRQRISM COVERqG�
�S COVERAGE p�pVIDE� FOR �cexT�FIEO acTS" ONr.Y7
fS CC7�/FRAG� A 3TANp ,q�ONp RpLICY� ��
DOES COVERnGE INCLUDE bOME^oTIC TFqRURtSM?
CqVEFt,4GE hOR MpLD
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REPLAC�p4ENT CQST
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Lnw AND ORqiNANC� - Ceva�a_p ter Io�s to un�l�ag�tl pnrtton pf bu
- CkmoYNon COSm
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EhRTHOU�KE (ttnppllr�bfe�
F�op� �n apau�abie�
WINO r NAIL (ir saperalc Pollc�
PERM�SSIDN TO WqntE 3UBRppp7ipN PRIOFI TO LoSS
REMqRKS � Irtaluding SpeCiai Con�iftions (Use pddiU�pnai
iE more
nYes, �,��nrc.
M YE3, �dkele anlourst et insurance on
Atlacli s�pned 6;ar,bnuro NoNcg 1 DEC
�t vr_s, SuB LIn�17:
KYES. LIMlT;
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6 YE9,
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LIMIr:
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COmaANYwr�,t,6n�THEaoatTtoNALlrarERESTmENnpi�ose[,O� �pygWRIT'�'pNN0710E,ANOWILRS6NDp10TIF1CAT10NOFANYGHANGESTQ
TH6 PQl(CY TFIAT WQULD AFFECT THAT INTEREST, IN ACCOR�ANCE WITFI TNE PDLICy PRpy�SION$ pR A$ REqU1RED BY LAW.
A¢ORIONAL INTERF_ST
NAME ann ADDREg�
4ENbERa�RV1CIrv6AGENTp1,1pq�Ar�qODRegg .
City of Sabastfan
1225 M�in 5b�ect
SEbasdan,FL 3295$
/�'�1'IV : Sh Pr�. �'r/�nCrS
�RTGAGEE % 8d({jtjOfla� IfiSU�ed AUTNOt�ED REPR@SENtq'ITVE
LOSg PAYEE �% �
4CORn 2$ I?rx13f1Q} ,(e,.la/
62/27/2007 10:51 7725895993 SRA CHAMBER COMMERCE
F�b o0 07 II=�4� R11 Znsurance saurce
�722319144
AcaRn c�Rr�Fic,�r� o� ��Aa��.rr�r in�su�,NC�
PRODUCER
TWfS CERTIF1CqTE IS ISSU�D q;
All lr�ssurdnce Sourc� ONLY ANn CONFEaS NO RIGI
2855 Ocean Drlva, g-6 HORI7ER, rMIS cERTIFicATB bc
ALTER THE COVERAGE AFFbRC
Vero Baaah �� 32963 iNSUFt�R9 AFFORDtNG CpVF�2.qGE
iw"�E° g�bagtian River Chamber of Commerce
YUO Main Street �suwER,�; SCpTTSDAI.,� INSUit�qlJ
MSUR�R B:
-- ..��_
S��8SG811 FL S�JbB INSURER c; __
PAGE 02/02
p.2
DATC (Awvoo/yryr�
THE CER7IFIC
I�MD, _ EX'1'ENb
#
THE po��CtEB oF INSURnNC6 Lt37�D B�pW }{qyE BEEN 153UED 70 THE �MSUREb �r.qMEO ag04E FDR TFIE api.iCY PERI00 INpICA1�b, NOTIMTiiSTqNDING
�N� REQWREMEN7, TERAA QR GONOff10N OF ANy CQNTRQt;Y OR OTM�n QpCUnnENT rnnrH pESPEG� TO wh11CN TMiS C�txtIFlCqTE MaY BE rS6UEO oR
�aY pEa7AtN, TWE 1N5URaNCG ppFOROED BY T�E POUGES nESCRrB�p HERE�N �� Sue�kC7 To p�L rrr� T�wwg, E�(CLUSION9 AND CONDITIpN$ OF SUGH
PD�,ICIE3. Appp[-(�,p'� LIMITS &HOWN MAY FiAVF 9EEN RFbUCEO 9Y PAID CWNS,
IH` qTr' �—T —
osr,eau u.�uTr -_
A K K CDMMERC�ALGENERALUA9i�,�'n CL$�3��2�5
CLAIAqS nfADF � OCCUR
f�M� AGGpER,TE utMr As'PL�e6 cgR: I
4lJOBII,� �,�pg�y
ANYwi R6
ALL dW NCQ AUT06
SG�DULED qU70S
HI�ED AUl'Q5
NON•OWt�EO AUTbg
A6E LIA61LnY
ANY AUTo
OCC! �R �„J G�A4W3 MAD�
• � �7E�UCrisR@
wORK�ft9 cOMPEN8ATI0N ANo
EMPLOY�{�g LIABtta7y
ANY PROPRIETOR1PqaTNF,RlE%EC�IVE
QFFICL-R/�uEMBCR Ex�►,IJOBfI�
�f tleeQiby unoer
�U 1A51 N�pp�py�
OTXER '
o�l29lzoo7 � oh�2s12Daa
D@acwn'Tlpp oF pFERanoKy� Wcq7�On9 r vHmC�es/ Pxc�uSlONS nopEn ev �pOOnsOqpNr i ssMa.0 aROVi9ioNS
cirY oF s��,nsr�Qw
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SEBA5TfAN, �L 32958
A�r��U: Si,�r�, Fr�� cr�S
�
i
coMem�o e�nc� r,i�nr s
(E6 omdefW
BODILY W,��Y
(pnrp�y�p�� S
DODqv MJIIRY
tl'ereccww,q 1
PROPERTY I�q�G� s
(Pa Aoc7��eM1
OTHER 1'MAH
+Ai1T0 ONLY;
9F10ULDAMY OF THEnapyE DE6CpBEp pq,t�g g�CANCIEt„�Ep eE�
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DA1E TF�oF. THE �s.4UW0 Iro9UR6a 1n�.�. EM7s,qVpq TO IIAIL _ D
a� ��
NOTIC4 TO TNE C�RTFICAT! a1p�DER NqfMEp 7p TME LEF7, S� FARIIA� Y'O pp SQ $F{/y,�
RI�03E NO OBL►p�q7W� OR I.IABILR+r pp,�py qNp upq� 7XE p�gUpp� �,��,5 DI�
pEl'lY.9EMrATIVEa
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03/65/2010 13:46 7724689073 SUSAN SKINNER PAGE 01/02
A Q� � C�RTIFICATE OF LIABILITY INSURANCE DATE(MM/GD/VYYY)
osrozno� o
PRODVCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION
Optimal InsuranCe Group ONLY AND C4NFERS NO RIGHTS UPOlV TFIE CERTIFICATE
4800 N. �ederal Hwy Ste D106 HOLDER. TH1S CERTEFtCATE �OES NOT AfIM�ND, EX7END Oft
Boca Raton �I 33431 ALTEFt THE CpVERAGE AFFORDED BY TME POLICIES BELOW.
INSURERS AFFORDfNG COV�RAGE NAIC #
iNSU�o INSURER A Scottsdale Ins Co
Sebastian River Area Chamber of Commerca ,NSUaEa e: United States Liablllty Ins Co
700 Maln St iNBUREft C;
Seqestian, Fl 32958
iNSUaEa o:
tNSURER E:
THE POLICIES OF INSURANCE IiSTEb BELOW NAVE 6EEN ISSUED TO 7HE INSURED NAMEO ABOVE FOR THE POLICY pERiOD tNDICATED. NOTWiTHSTAND{NG
ANY REQUIREMENT, TERM OR CONDITION OF ANY CON7RqCT OR OTHER DOCUMENT VNTH RE$PEC7 TQ WHICH TNIS GERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POIICIES DESCf�IBED HEREIN IS SUBJECT TO AlL THE TERMS, EXCLUSEONS AND CONDITIONS OF SUCH
POLICIES, AGGREGATE llMITS SHOWN Mp.Y HAVE BEEN REDUCEO BY PA10 CUiIMS.
INB ADO' POI.ICYEF�CnvE POLICYSXPiRATION
�TRINgR TYPEOF�NSURANGE POIIGYNUU�B� nq7e naMl6b/YVYY� OATE(MMIDDIYYYI� LlM1TS
GENERAL LIASIIITY �Gg11 p94808 41/29/207 p 01/29/2011 �CH OCCURRENCE s 1,000,000
A x COMMERCIa� GENERAL UABILITY PREMISES F� xcurronce S 1,DOO,OOO
CI,A��S MADE � OCCUR MED EXP (My arte person) S S,OOO
pERSONAl6ADVINJURY S 1,000,000
GENERALAGGREGATE 5 2�OOO,QOO
GEN'L AGGREGATE UMIT nPpLYES PER: PRpDUCTS _ GOMP/OP AGG S excluded
POUCY j�� LOC 5
nuro�soei� uaen.m
COM6INEDSINGLELIMIT S
p�y q�p (Ea acclCent)
ALL OWNEO AUY'OS 80Pt�r ireJU�Y
3CHEDULEO AUTQS �P°� ��0n� 5
Ftl RED AUTOS
BODILY INJURY $
NON-0`NNED AUTOS (Pef Bcdtlent)
PRQP�RTY DAMAGE s
. (Paracddem)
GARA6E LIABILiTY AUTQ QNLY - EA ACC�D£NT S
ANYAUTO OTHERTHAN �� s
AUTOONLY: ACi6 S
E%CESS/UMBRELI.AUA6I�IT' FACHOCCURRENCE S
OCCUR � CWM3 MAOE AGGREGATE 8
S
DEOUCTIBLE 9
RfiYENTION S S
WORKERS COMPENSpnON aNG WC STATU- OTH-
EMPLUYER6' ��BIf.tTY TORY LIMITS ER
AM' PROPRI�TORIPARTNEFUEXEC�T�ve Yr—� _ EL EACH ACC3DENT S
OFFICERfMEMeER E%C�UOED9
�ManOatory in NH �,4 DISE�6 - EA EMPLOYE y
} Y�� �8�� ��� E.L �tSEA5E - POLICY L1MIT 5
OTtiER 08/1 g/2010 19/1 H/201 i
B D&0 ND01074387 D&O 500,000
EPL 250,000
OE9cwPnbN OF OPERATtON3! LOGAZ10N9 �vatic�S r EXCLU510NS AODED BY ENDORSEMENTI SPecin� ParnnfiOrrS
Cnamher of Commerce
Property fnsurdnce: Lioyds of Londonl239177-07 01R912o11-01/29�2071
200,000 Building, Speclal, RC, SO°� co-ins
40,0�0 ePP
5°kAOP 70ahwlnd
GERTIFlCA7E HOLDER CANCELLATION
Stiou�o arN OF �E pBOVE bESCRIBFD POlJCIES BE CANCBLLED BP�ORE TN6 EXPIRq110rt
C(tyofSebasGan DATET#fEREOF,THEIS3UINGINSURERWI6LENDEAVORTOMAIL 30 DAYS WRlTTEN
1225 M2111 Si NQl10E TO TME CERitFICAiE HOI.G6R NAMED TO iHE LEFT, BUT FAlWRE TO DO 30 SHAU.
IMPOSE NO OBLIOAflON OR LIABIUTY OF ANY KIND UPON TW6INSURQ2, tTS AGENTS OR
Sebastlan FI 32958
REPRESEMTATIVES,
AUiHO D REPR 7q7�v�
ACORD 25 (2009/01} � t988-2009 ACORD COiZPORA710N. Ap Ci4htS CeseYVed.
7he ACORD name and logo are reglstered marks of ACORO
03/05/2016 13:46 7724689073 SUSAN SKINNER PAGE 02/02
iMPORTANT
if the certificate hoider I5 an ADDITIONAL INSURED, tfte policy(ies) musi be endorseq. A statement
on this ceftificate daes not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION lS WAIVED, SubjeCt to the terms and conditions of the policy, certain policie5 may
require an endorsement A st2tement on this certificate does not confer rights to the
certificate hoider in lieu of such endorsement(s).
DlSG�.AiM�R
This Certificate of lnsurance does not constitute a contract between tha issuing insurer(s), attthorized
representative or producer, and the cert�ficate holder, nor does it a�irmatively or negatively amend,
extend or alter the coverage afforded by the poiicies listed ther�on.
/"/111AMAAI D/11 1/`V 11C/`1 ADATIAwIC
Renewal of �� SCOTTS]�ALE INSURANCE C4MPANY�
CP51285639
Home Office:
One Nationwide Plaza • Columbus, Ohio 43215
Administrative Office:
8877 North Gainey Center Drive ■ Scottsdale, Arizona 85258
1-800-423-7675
A STOCK COMPANY
ITEM 1. Named Insured and Mailing Address
SEBASTIAN RIVER AREA CHAMBER OF
COMMERCE
700 MAIN STREET
SEBASTIAN, EL 32958
Agent Name and Address
GRESHAM & ASSOCIATES,INC.
11315 CORPORATE BLVD #300
ORLANDO,FL 32817
AgentNo.: 09026
Policy Number
CPS1506129
Program No.: o oA1
ITEM2. PolicyPeriod From: 0l/29/2012 To: O1/29/2013 Term: 366 DAYS
12:01 A.M., Standard Time atthe mailing addressshown in ITEM 1.
BUSIne55 DeSCflptlOn: CHAMBER OF COMMERCE
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 as stated in this policy. This policy consists of the following coverage parts for which a premium is indicated.
Where no premium is shown, there is no coverage. This premium may be subject to adjustment.
Coverage Part(s)
Commercial General Liability Coverage Part
Commercial Property Coverage Part
Commercial Crime And Fidelity Coverage Part
Commercial Inland Marine Coverage Part
Commercial Auto Coverage Part
Professional Liability Coverage Part
Premium Summary
$ 1, 393
$ NOT COVERED
$ NOT COVERED
$ NOT COVERED
$ NOT COVERED
$ NOT COVERED
$
$
Total Policy Premium: $ i, 393.00
POLICY FEE $ 35.00
SURPLUS LINES TAX $ 71.90
STAMPING FEE $ 1.93
FL CATASTROPHE FUND $ 18.56
_ $
$
Policy Total: $ 1, 519 . 3 9
Form(s) and Endorsement(s) made a part of this policy at time of issue:
SEE SCHEDULE OF FORMS AND ENDORSEMENTS
AP/CB
THIS COM M ON POLICY DECLARATION AN D THE SUPPLEM ENTAL DECLARATION(S), TOGETHER WITH
THECOMMON POLICYCONDITIONS, COVERAGEPART(S), COVERAGE FORM(S)AND FORMSAND ENDORSEMENTS, IFANY,
COM PLEfE THE ABOVE NUM BERED POLICY.
OPS-D-1 (8-10) INSURED opsdlj. fap
� � SCOTTSDALE INSURANCE COMPANY�
SCHEDULE OF FORMS AND ENDORSEMENTS
PolicyNo. cPSiso61z9 EffectiveDate: ol/z9/zo12
12:01 A.M., Standard Time
Named Insured SEBASTIAN RIVER AREA CHAMBER OF AgentNo. 09026
UTS-SP-3 8-96
UTS-COVPG 12-09
OPS-D-1 8-10
UTS-SP-2 12-95
UTS-119g 1-00
UTS-365s 2-09
CLS-SD-1L 8-01
CLS-SP-1L 10-93
CG 00 Ol 12-07
C6 00 68 5-09
CG 20 11 1-96
CG 21 04 11-85
CG 21 16 7-98
CG 21 39 10-93
CG 21 99 7-98
CG 21 99 9-99
CG 21 73 1-08
CG 22 58 11-85
GLS-5g 3-92
GLS-106s 5-93
GLS-227s 2-07
GLS-2895 11-07
UTS-128s 10-07
UTS-296s 9-08
UTS-29-FL 6-97
NOTX0178CW 2-06
NOTS0381FL 7-09
Locations Schedule
Cover Page
Common Policy Declarations
Schedule Of Forms and Endorsements
Min Earned Cancellation Prem
Amend Of Nonpayment Cancel Condition
GL Supplemental Dec
GL Ext Supplemental Dec
General Liab Cov
Recording/Distribution of Material/Info
AI-Managers or Lessors of Prem
Excl-Prod-Completed Ops Hazard
Excl-Designated Prof Services
Contractual Liab Limitation
Designated Premises Limitation
Total Pollution Excl
Exclusion-Certified Acts Of Terrorism
Excl-Carnival-Circus-Fair
Special Event Participant Excl
Total Liquor Liab Excl
Assault And/Or Battery Excl
Iinown Injury/Dmq Excl-Personal/Advertise Injury
Optional Provisions Endt
Amend Endts No Med Pay Excl
FL-Cancel-Nonrenew
Claim Reporting Information
FL-Policyholder Notice
ADDITIONAL FORMS
UTS-SP-2 (12-95) I N S U R E D ut s sp2 h. fap
�� SCOTTSDALE INSURANCE COMPANY�
SCHEDULE OF LOCATIONS
PoliCyNo. CPS1506129 EffectiveDate ol/29/2012
12:01 A.M. Standard Time
Named Insured SEBASTIAN RIVER AREA CHAMBER OF AgentNo. 09025
u7S-SP-3 (6-96) I N S U R E D
�� SCOT'TSDALE INSURANCE C4MPANY�
COMMERCIALGENERALLIABILITYCOVERAGE PART
SUPPLEMENTAL DECLARATIONS
Policy No. CPS1506129 Effective Date O1/29/2012
12:01 A.M., Standard Time
Named Insured SEBASTIAN RIVER AREA CHAMBER OF AgentNo.
Item 1. Limits of Insurance
Coverage Limit of Liability
Aggregate Limits of Liability Products/ Completed
$ EXC LUDED Operations Aggregate
General Aggregate (other than
$ 2, o 0 0, o 0 o Products/ Completed Operations)
Coverage A- Bodily Injury and any one occurrence subject
Property Damage Liability to the Products/ Completed
Operations and General
$ 1, o 0 0, o 0 o Aggregate Limits of Liability
any one premises subject to the
Coverage A occurrence and
the General Aggregate Limits
Damage to Premises Rented to You Limit $ l 0 0, 0 0 0 of Liability
Coverage B- Personal and any one person or organization
Advertising Injury Liability subject to the General Aggregate
$ 1, o 0 0, o 0 o Limits of Liability
Coverage C- Medical Payments any one person subject to the
Coverage A occurrence and
$ 5, o0o the General Aggregate Limits
Item 2. Description of Business
Form of Business:
❑ Individual ❑ Partnership ❑ Joint Venture ❑ Trust ❑ Limited Liability Company
� Organization including a corporation (other than Partnership, Joint Venture or Limited Liability Company)
Location of All Premises You Own, Rent or Occupy:
See Schedule of Locations
Item 3. Forms and Endorsements
Form(s) and Endorsement(s) made a part of this policy at time of issue:
See Schedule of Forms and Endorsements
Item 4. Premiums
Coverage Part Premium: $ 1, 393
Other Premium: $
Totaf Premium: $ 1, 3 93
THESE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND
THE POLICY PERIOD.
CLS-SD-1L(8-01) INSURED clssdllf. fap
�� scoTTS�E nvsUR�rrcE co���
COMMERCIALGENERALLIABILITYCOVERAGE PART
EXTENSION OF SUPPLEMENTAL DECLARATIONS
Policy No. cPS1506129 Effective Date: 0l/29/2012
12:01 A.M., Standard Time
Named Insured SEBASTIAN RIVER AREA CHAMBER OF AgentNo. 09026
Prem. No. Bldg. No. Class Code Exposure Basis
1 1 61227 2,549 AREA
Class Description: Premises! Operations
BUILDINGS OR PREMISES-OFFICE NOT FOR PROFIT
PRODUCTS-COMPLETED OPERATIONS ARE SUBJECT TO THE Rate Premium
GENERAL AGGREGATE LIMIT) 190.12 989
Products/Comp Operations
Rate Premium
EXCLUDED EXCLUDED
Prem. No. Bldg. No. Class Code Exposure Basis
1 1 98557 8 CONCERT
Class Description: Premises/Operations
SOCIAL GATHERINGS AND MEETINGS - ON PREMISES NOT Rate Premium
OWNED OR OPERATED BY THE INSURED (FOR-PROFIT)
(PRODUCTS-COMPLETED OPERATIONS ARE SUBJECT TO THE 106 898
GENERAL AGGREGATE LIMIT)
Productsl Comp Operations
CONCERT-OTHER THAN ALTERNATIVE, HARD ROCK, HIP
AOP, HEAVY METAL, RAP OR GOTHIC Rate Premium
EXCLUDED EXCLUDED
Prem. No. Bldg. No. Class Code Exposure Basis
1 1 90059 199 EACH
Class Description: Premises/ Operations
GOLF TOURNAMENTS (PRODUCTS/COMPLETED OPERATIONS Rate Premium
LIMIT SUBJECT TO THE GENERAL AGGREGATE LIMIT)
0.206 30
Products/Comp Operations
Rate Pre m i u m
EXCLUDED EXCLUDED
Prem. No. Bldg. No. Class Code Exposure Basis
1 1 91179 150 EACH
Class Description: Premises/ Operations
AUCTIONS - ON PREMISES OWNED OR RENTED BY THE Rate Premium
INSURED (PRODUCTS/COMPLETED OPERATIONS LIMIT
SUBJECT TO THE GENERAL AGGREGATE LIMIT) 0.206 31
Products/ Comp Operations
Rate Prem i u m
EXCLUDED EXCLUDED
CLS-SP-1L(10-93) INSURED clsspllb. fap
�� SC4TTSI�ALE INSURANCE COMPANY°
COMMERCIALGENERALLIABILITYCOVERAGE PART
EXTENSION OF SUPPLEMENTAL DECLARATIONS
PoliCy No. CPS1506129 Effective Date: 0l/29/2012
12:01 A.M., Standard Time
Named Insured SEBASTIAN RIVER AREA CHAMBER OF AgentNo. 09026
Prem. No. Bldg. No. Class Code Exposure Basis
1 1 99950 1 EACH
Class Description: Premises/ Operations
ADDITIONAL INTERESTS
Rate Premium
INCLUDED INCLUDED
Products/Comp Operations
Rate Premium
INCLUDED INCLUDED
Prem. No. Bldg. No. Class Code Exposure Basis
Class Description: Premises/ Operations
Rate Premium
Products/Comp Operations
Rate Pre m i u m
Prem. No. Bidg. No. Class Code Exposure Basis
Class Description: Premises/ Operations
Rate Premium
Products/Comp Operations
Rate Premium
Prem. No. Bldg. No. Class Code Exposure Basis
Class Description: Premises/ Operations
Rate Premium
Products/Comp Operations
Rate Premium
CLS-SP-1L(10-93) INSURED clsspllb. fap