2004-07-14 CC WS & Meeting - Laserfiche WebLink

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PREMIER BUSINESSOWNERS POLICY PREMIER RETAIL PROPERTY DECLARATIONS Policy Period: Policy Number: ACP BPR 7101568853 From 05-18-04To 05-18-05 Description of Premises Number: 001 Building Number: 001 Construction: MASONRY NON-COMBUST Premises Address 1801 MAIN ST CENTERVllLE MN Occupancy T Classification: CONVENIENCE STORE-W/GAS-NO COO Described as: BLOCK BUilDING RETAIL GAS AND FOODS 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 $ 2,500 Deductible, unless otherwise stated. COVERAGES LIMITS OF INSURANCE Building - Business Personal Property - Replacement cost ADDITIONAL COVERAGES - the Coverage Form Includes other Additional Coverages not shown. Business Income-Actual loss Sustained -12 Months- No Deductible-50 DayOrdinary Payroll Limit Extra Expense - Actual loss Sustained - 12 Months - No Deductible 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 LIMITS Included limit Additional Limit Account Receivable $10,000 Valuable Papers and Records (Atthe Described Premises) $10,000 Forgery and Alteration $2,500 Money and Securities - Inside the Premises $10,000 Outside the Premises (Limited) $10,000 Outdoor Signs $2,500 Outdoor Trees, Shrubs, Trees and lawns $10,000 Equipment Breakdown - sub limit for Computers $50,000 Tenant Glass - The deductible for this coverage is $250 $1,000 Business Personal Property Away From Premises $15,000 Business Personal Property Away From Premises - Transit $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 $28,000 INCLUDED INCLUDED INCLUDED 4r. 2.9" $5,000 $10,000 $10,000 $2,500 $10,000 $10,000 $2,500 $10,000 $50,000 $1,000 $15,000 $15,000 NOT PROVIDED NOT PROVIDED NOT PROVIDED 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 0430 for a description of each symbol. APPLICABLE SYMBOLS: P-2; P-7; PB 81 01 (01-01) DIRECT BILL LKBO BS INSURED COpy UID 43 71 00106