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HomeMy WebLinkAbout2024 AutoStateFarm � State Farm Mutua= Automob =e-nsurance Company PO Box 2368 Bloomington IL 61702-2368 NAMED NSURED 00005 59-7502-2 A 1 000005 0058 A THOMAS CONST INC PO BOX 3285 FORT PIERCE FL 34948-3285 DO NOT PAY PREM=UMS SHOWN ON TH=S PAGE, F AN AMOUNT S DUE,_ THEN A SEPARATE STATEMENT S ENCLOSED, YOUR CAR R 77865-2-A MATCH 00005 MUTL VOL DECLARATIONS PAGE PAGE 1 OF 2 POLCY NUMBER J91 7714-B27-59' POLICY PER OD JAN 29 2024 to AUG 27 2024 12 01 A M Standard T me AGENT ANDREW ENGELMANN 901 ARABELLA LN COCOA FL 32927-8717 PHONE (321)338-1987 SEAR MAKE' MADE BODY STYLE„ --VEH CLE D, NUMBER J CLA_ g j ,� g„ 2021 CHEVROLET 350OHD UT:L TRK 1 GB4YSEY9MF247268 Commerca SYAtIBOLS COVERAGE & L M TS PRERIf UMS A Lab ty Coverage $3340.81 Body njury L'm is Each Person Each Ace'dent $1-000-000 $1-000,000 Property Damage L m t ;_..,. Each Ace dent $1 000000 P10 No-Fau-t Coverage $41 25 C Medea Payments Coverage : $12.63 Emergency Med ca Cond ton L m t - Each Person $5,000 Not An Emergency'Med ca Cond t on L m t 5 Each Person $4 250 D Comprehens ve Coverage - $500 Deduct b e $114 , 22 G Co -son Coverage $500 Deduct b e ' $231.05 U3 Un nsured Motor Veh c e Coverage (Non-Stack'ng) $100 , 35 Bod y njury L m is Each Person Each Ace dent $50,000 $100 000 1J " . ` -a,= $3 840 e 31 This is not a bit[.' 'MPORTANT MESSAGES MPORTANT NOT`CE- Under No-Fau t Coverage the on med ca expenses we w ` pay are reasonab e med ca expenses that are payab e under the F or da Motor Veh c e No-Fau t Law The most we w pay for such reasonab`e med caexpenses s 80% of the schedu e of max mum charges` found n the F'or°da Motor Veh c e No-Fau t Law and n the L m is sect on of the F or da Car Po- cy s No-Fau t Coverage Rep aced po'cy number J917714-59H Your totsrenews prem um for FEB 27 2024 to AUG 27 2024 s $3-382.10, The tots prem um sted above ref ects a recent change to your po cy and the 6 month renewa prem-um For quest ons prob ems or to obta n nformaton about coverage ca (321)338-1987 Locat on used to determ-ne rate charged=1380 BAYSHORE DR FORT P ERCE FL 34949 3050 CONT NUED 00091/00029 See Reverse S'de 55-38662 04-2005 _,;._025'd. SXON -025-` This policy is issued by State Farm Mutual Automobile Insurance Company. MUTUAL CONDITIONS 1. Membership. While this policy is in force, the first insured shown on the Declarations Page is entitled to vote at all meetings of members and to receive dividends the Board of Directors in its discretion may declare in accordance with reasonable classifications and groupings of policyholders established by such Board. 2. No Contingent Liability. This policy is non -assessable. 3. Annual Meeting. The annual meeting of the members of the company shall be held at its home office at Bloomington, Illinois, on the second Monday of June at the hour of 10:00 A.M., unless the Board of Directors shall elect to change the time and place of such meeting, in which case, but not otherwise, due notice shall be mailed each member at the address disclosed in this policy at least 10 days prior thereto. In Witness Whereof, the State Farm Mutual Automobile Insurance Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois. Secretary President B. 0 StateFarm � State Farm Mutua= Automob =e-nsurance Company PO Box 2368 Bloomington IL 61702-2368 00005 NAMED NSURED 0000es Dose 59-7502-2 A A A THOMAS CONST INC PO BOX 3285 FORT PIERCE FL 34948-3285 R 77865-2-A MATCH 00005 MUTL VOL DECLARATIONS PAGE PAGE 2 OF 2 POLCY NUMBER J91 7714-B27-59' POL CY PER OD JAN 29 2024 to AUG 27 2024 12 01 A M Standard T me EXCEPT_ONS- POLICY BOOKLET & ENDORSEMENTS (See po= cy book -et & nd v dua. endorsements for coverage deta =s ) YOUR POLICY CONSISTS OF THIS DECLARATIONS PAGE. THE POLICY BOOKLET - FORM 9810A AND ANY ENDORSEMENTS THAT APPLY INCLUDING THOSE ISSUED TO YOU WITH ANY SUBSEpUENT RENEWAL NOTICE- 01 6028BV ADDITIONAL INSURED -CITY OF VERO BEACH PO BOX 1389 VERO BEACH FL 32961-1389, 02 6028BV ADDITIONAL INSURED -FORT PIERCE UTILITIES AUTHORITY ATTN RISK PROGRAM MANAGER PO BOX 3191 FORT PIERCE FL 34948-3191, 03 6028BV ADDITIONAL INSURED CITY OF MELBOURNE- 900 E STRAWBRIDGE AVE; MELBOURNE FL 32901-4779, 04 6028BV ADDITIONAL INSURED HOUSING AUTHORITY CITY OF FORT PIERCE- 511 ORANGE AVE FORT PIERCE FL 34950-4278 05 6028BV ADDITIONAL INSURED-INDIAN RIVER COUNTY_ 1800 27TH ST_ VERO BEACH FL 32960-0310 06 6028BV ADDITIONAL INSURED-ST LUCIE COUNTY, 2300 VIRGINIA AVE = FORT PIERCE FL 34982-5632 07 6028BV ADDITIONAL INSURED-30 DAYS -MARTIN COUNTY BOCC,_ 2401 SE MONTEREY RD STUART FL 34996-3322 08 6028BV ADDITIONAL INSURED -CITY OF PORT ST LUCIE, 121 SW PORT ST LUCIE BLVD PORT ST LUCIE FL 34984-5099 09 6028BV ADDITIONAL INSURED -CITY OF SEBASTIAN_ 1225 MAIN ST, SEBASTIAN FL 32958-4165 10 6028BV ADDITIONAL INSURED -CITY OF STUART, 121 SW FLAGLER AVE, STUART FL 6018CL COMMERCIAL VEHICLE - 6030FT 1 BUSINESS NAMED INSURED- 6128S 1 AMENDATORY ENDORSEMENT - 6771BE AMENDMENT OF GENERAL TERMS. 6910A AMENDATORY ENDORSEMENT - 6052BN TRAILER ENDORSEMENT - 2004 GLADIATOR #5MNBE16244F001977, 6196AC - WAIVER OF SUBROGATION UNDER THE LIABILITY COVERAGE AND PROPERTY DAMAGE LIABILITY COVERAGE FOR MARTIN COUNTY BOCC, 00092/00029 55-3866 2 04-2005 025d. _:=s -0254 -3SX0 025 d Agent ANDREW ENGELMANN Te ephone (321)338-1987 Prepared FEB 16 2024 7502-A83 This policy is issued by State Farm Mutual Automobile Insurance Company. MUTUAL CONDITIONS 1. Membership. While this policy is in force, the first insured shown on the Declarations Page is entitled to vote at all meetings of members and to receive dividends the Board of Directors in its discretion may declare in accordance with reasonable classifications and groupings of policyholders established by such Board. 2. No Contingent Liability. This policy is non -assessable. 3. Annual Meeting. The annual meeting of the members of the company shall be held at its home office at Bloomington, Illinois, on the second Monday of June at the hour of 10:00 A.M., unless the Board of Directors shall elect to change the time and place of such meeting, in which case, but not otherwise, due notice shall be mailed each member at the address disclosed in this policy at least 10 days prior thereto. In Witness Whereof, the State Farm Mutual Automobile Insurance Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois. Secretary President B. 0 §o z�- a� 6030FTA BUSINESS NAMED INSURED This endorsement is a part of the policv. Because of the type of named insured shown oil the Declarations Page of this police and the changes made below, all references to resident relatives and non -owned cars in the policy are deleted. Except for the changes this endorsement makes_ all other provisions of the policy remain the same and apply to this endorsement. 1. DEFINITIONS Ibu or Four is changed to read: Jim or liour means the named insured or named insureds shown on the Declara- tions Page. 2. LIABILITY COVERAGE (Bodily Injury and Property Damage) a. Additional Definition Insured is changed to read: Insured means: 1. you for: a. the ownership, maintenance, or use of: (1) your car; (2) a newly acquired car, or (3) a trailer; and b. the maintenance or use of a temporary substitute car; 2. any person for his or her use of: a. your car; b. a newly acquired car; c. a temporary substitute car; or d. a trailer while attached to a car described in a., b., or c. above. Such vehicle must be used with your express or implied permis- sion; and 3. any other person or organiza- tion vicariously liable for the use of vehicle by an insured as defined in 1. or 2. above, but only for such vicarious liability. This provision applies only if the vehicle is: a. neither owned by, nor hired b\ . that other person or or- ganization: and b. ❑citheravailablefor,norbe- ing used for, carrying per- sons for a charge. Insured does not include the United States of America or anv of its agencies. b. Exclusions (1) Exclusion 2. is changed to read. THERE IS NO COVERAGE FOR AN INSURED FOR BODILY INJURY TO ANY PERSON WHO BOTH RE- SIDES PRIMARILY WITH AN INS URF.DAN ) WHO: (a) IS RELATED TO THAT INSURED BY BLOOD, MARRIAGE, OR ADOP- TION, OR (b) IS A WARD OR FOSTER CHILD OF THAT IN- SURED; (2) Exclusion 5. is changed to read: THERF IS NO COVERAGE FOR AN INSURED FOR BODILY INJURY TO THAT Page] of 4 6030FT.1 0, Copyright, State Farm Mutual Automobile Insurance Company, 2017 INSURED'S FELLOW EM- 2. THE HANDLING OF PLOYEE WHILE THE FEL- PROPERTY AFTER IT IS LOW EMPLOYEE IS IN THE MOVED FROM THE VE- COURSE AND SCOPE OF HICLE DESCRIBED IN 1. IIIS OR I11 :R EMPLOYMENT. ABOVE TO THE PLACE This exclusion does not apply if WHERE IT IS FINALLY this Liability Coverage pro- vided by this policy is used to DELIVERED BY THE IN- certify financial responsibility. SURER; OR (3) Exclusion 8. is changed to read: 3. THE MOVEMENT OF PROPERTY BY MEANS THERE IS NO COVERAGE OF A MECHANICAL DE - FOR AN INSLRE➢ WHILE VICE_ OTHER THAN A MAINTAINING OR USING A VEHICLE IN CONNEC- BAND TRUCK, THAT IS TION WITH THAT IN- NOT ATTACHED TO THE SURF.D S EMPLOYMENT IN VEFI1CLF DESCRIBED OR ENGAGEMENT OF ANY IN 1. ABOVE. KIND IN A CAR BUSINESS. 3. PROPERTY DAMAGE LIABILITY This exclusion does not apply COVERAGE to: a. Additional Definition (a) you; or Insured is changed to read: (b) any of your agents, employ- ` ees, or business partners Insured means: while maintaining or using your 1. you for: car, a newly acquired car, a a. the ownership, mainte- temporary substitute car, or a nance, or use of: trailer owned by you; (1) your car; (4) The following exclusion is added: (2) a newly acquired car; TIIERE IS NO COVERAGE or FOR AN INSURED FOR (3) a trailer: and DAMAGES RESULTING FROM: b. the maintenance or use of a 1. THE I IANDLINCr OF temporary substitute car; PROPERTY BEFORE IT IS 2. any person for his or her use of: MOVED FROM THE PLACE WHERE IT IS AC- a. your car; CEPTED BY THE IN- b. a newly acquired car; SURED FOR MOVEMENT c. a temporary substitute car, INTO OR ONTO A VEHI- CLE FOR WHICH THE IN O1 SURER IS PROVIDED d. a trailer while attached to a LIABILITY COVERAGE car described in a.. b.. or c. BY THIS POLICY, above. Page 2 of 4 60 3,OFT.1 ©, Copyright, State Farm Mutual Automobile Insurance Company, 2017 b Such vehicle must be used with your express or implied permis- sion. and 3. any other person or organiza- tion vicariously liable for the use of a � chicle by an insured as defined in 1. or 2. above, but only for such vicarious liability. This provision applies only if the vehicle is: a. neither owned by, nor hired by, that other person or or- ganization; and b. neither available for. nor be- ing used for, carrying per- sons for a charge. Insured does not include the United States of America or any of its agen- cies. Exclusions (1) Exelllslon 6. is changed to read: THERE IS NO COVERAGE FOR AN INSURED WHILE MAINTAINING OR USING A VEHICLE IN CONNEC- TION WITH THAT 17V- SURED'S EMPLOYMENT IN OR ENGAGEMENT OF ANY KIND IN A CAR BUSINESS. This exclusion does not apply to: (a) you; or (b) any of your agents, employ- ees, or business partners while maintainirgor using your car, a newly acquired car, a temporary substitute car, or a trailer owned bt' vou, (2) The following exclusion is added: THERE IS NO COVERAGE, FOR AN LNISURED FOR DAMAGES RESULTING 5 FROM: 1. TI4E IIANDLING OF PROPERTY BEFORE. IT IS MOVED FROM THE PLACE WHERE IT IS AC- CEPTED BY THE IV- SLRED FOR MOVEMENT INTO OR ONTO A VEHI- CLE FOR WHICH THE, L SURE.D IS PROVIDED PROPERTY DAMAGE LI- ABILITY COVERAGE BY THIS POLICY, 2. THE HANDLING OF PROPERTY AFTER IT IS MOVED FROM THE VE- HICLE. DESCRIBED IN 1. ABOVE TO THE PLACE WHERE IT IS FINALLY DELIVERED BY THE IN- SURED; OR 3. THE MOVEMENT OF PROPERTY BY MEANS OF A MECHANICAL DE- VICE. OTHER THAN A HAND TRUCK, THAT IS NOT ATTACIIED TO THE VEHICLE. DESCRIBED IN 1. ABOVE. 4. NO-FAULT COVERAGE Additional Definition Insured is changed to read: Insured means any person while occu- pying or �N lien struck as a pedestrian by: 6 1. your car, 2. a newly acquired car; 3. a temporary substitute car; or 4. a trailer while attached to a car de- scribed in 1., 2., or 3. above. Page 3 of 4 6030FT.I 0, Copyright. State Farm Mutual Automobile Insurance Company, 2017 MEDICAL PAYMENTS COVERAGE a. Additional Definition Insured is changed to read: Insured means any person while occupying: 1. your car. 2. a newly acquired car; 3. a temporary substitute car, or 4. a trailer while attached to a car described in L, 2., or 3. above. Such vehicle must be used with your express or implied permission. b. Exclusions (1) Exclusion 10. is changed to read: THERE IS NO COVERAGE. FOR AN I_S S l RED WHILE MAINTAINING OR USING A VEHICLE IN CONNECTION WITH THAT INSUREDS EMPLOYMENT IN OR EN- GAGEMENT OF ANY KIND INA CAR BUSINESS. This exclusion does not apply to any ofyour: (a) agents; (b) employees; or (c) business partners lvhile maintaining or using your car, an ewly acquired car, a tem- poraly substitute car, or a trailer owned by you; (2) Exclusions 12. and 14. are deleted. UNINSURED MOTOR VEHICLE COV- ERAGE (Stacking and Non -Stacking) Additional Definitions Insured is changed to read: Insured means: I . any person while occupying: a. your car; b. a newly acquired car, or c. a temporary substitute car. Such vehicle must be used with your express or implied permission; and 2. you or anv person entitled to re- cover compensatory damages as a result of bodily injury to an insured defined in item 1. above. 7. UNINSURED MOTOR VEHICLE COV- ERAGE (Non -Stacking) Exclusions Exclusion 2. is deleted. 8. PHYSICAL DAMAGE COVERAGES Additional Definitions a. Covered Vehicle is changed to read: Covered Vehicle means: 1. your car; 2. a newly acquired car, 3. a temporau.v substitute car; and 4. a camper that is designed to be mounted on a pickup truck and is shown on the Declarations Page, including its parts and its equipment that are common to the use of the ve- hicle as a vehicle. However, parts and equipment of campers must be scCurch fixed as a permanent part of the camper. b. Insured is changed to read: Insured means you. Page 4 of 4 6030FT.I ©, Copyright, State Farm Mutual Automobile Insurance Company, 2017 0 0 W O 677113E AMENDMENT OF GENERAL TERMS U i-+ P+ this endorsement makes, all other This endorsement is a part of the polio. l >ccpt for the se changes remain the same and spply to this endorsement- olio has been in fore provisions of the policy (4) Aftcr this policy than 60 days_ n e will no Cancellation We May Cancel is When for more cancel this poliey before the end period unless it 1 • Ilovv and changed to read: Cancel We May the eurrent policy , based on one or more of the folla� How and When olicy may not be cancelled (1) This p notice ing reasons: (a) Nonpayment of premium= on less than 30 days written by tes to the: (b) 1i,rt. arty resident relative, who usus (a) Department of Highway Safety and/or any other person drives your " has had his and Motor Vehicles: of Agriculture and her driver's license or nx under (b) Department Consumer Services; vehicle registration or revocation du such 30 days notice to commence is received pension �e polies period or the precedin aid from the artneent(s)e requir g Dep days irnllnediately effective date, or if. the poll the notice. mail- by �ohc a renewal, during ts l (?) We may cancel this policy ing or delivering olicy address that tied; or Material rnisrepresentatio the most recent p record for the first (c) fraud, we have on named insured who is shown on the 2 Page_ The notice will item (2) of Cancellation Due to Inc to read: lleclaratious Gprovide the date cancellation is et- premium is Chang ed respond I th fective. Cancel- (2) If pe�u fail to suited in the notice we provide( I under (3) Except as p Due to Incorrect Prvmmm> an y�rtir poIicv The date cane will be at least ' Q lotion Y1 the date cancellation is effective days 'ter the is effective after the date we mail or del p will be at least 45 deliver the cancel- cancellation notice E date we mail or lation notice. Page 1 of 2011 LopyrigbL Siata Farm Mutual <Agioinobile Insurance Company' 6910A Page 1 of 1 this endorsement makes, all other provisions 6910A AMENDATORY ENDORgEMEN e of is sus- y orrect ellation 45 aver This endorsement is a part of the policy. Excep t for the changes the same and apply to this endorsement. app raisal that is both agree of the policy remain DAMAGE COVERAGES e. A written b any two ap upon by and signed Y and that also contains an e t 1. PHYSICAL Limits and Loss Settlement — Comprehen- Coverage praisers; arrived at the planation of how they 't the own will be binding on slue Coverage and Collision e appraisal, of the covered vehicle and us.rights v The following added: to the cost e you do not waive any g We and Y u o If there is disagreement as i replacement, tthe first step f appraisal. submitting pair, II be used as or an app raisal will follow the 2 toward resolution. APP as listed below GENERAL TERMS a. Item (3) of How and WhenWec changed ily rules and procedures each select a eel, under Cancellation, or a, The owner and we will 'to' competent appraiser. comp a third read: olio for nonpay If w, cancel this p the first 30 day during ring b. The two appraisers will select appralser. if they are unable of premium mediately following the effective da do only if a c 1 ill competent g its to agree on a third appraiser within 30 then either the owner we may this policy, we will so used to pay the premium is disho or any other ev is days, is PC- petition a court that has jurisdiction to third app raiser. for any reason premium payment was subseq or invati select the of its own or c. Each party will pay the cost expert wit exp determined to be rejected a, of Leg al Action Against n and appraiser; attorneys, other expenses nesses, as well as any Both parties will b, Item changed to read: may only be incurred by that party. Share equally the cost of the third ap- Legal action ears ,rain iite of the Imm against us within five acci e date praiser. cancel d. The appraisers shall only determine the and recall ly following this limitation o (oss. However, is tolled for a period of 60 days cost of repair, replacement, shall have dais bration of glass. Appraisersues- to decide any other q receive notice from the Florida ment of Financial Seances, in 624.155, no authority the questions of tions of fact, decideraisal on a class- ance with section Statutes. law, or conduct aesentative basis. Wide or class -rep 6910A b771BE Copyright, State Farm Mutual Automobile Insurance CompanY. 2o20 d x- ir er by an. to mant s ira- te of heck pored type of uently d. Us is brought ediate- dent or f action after we Depart- accord - Florida