COMMERCIAL INSURANCE - DMS...item 1 named insured to read: the state of florida, eligible users, c/o...

Report Claims Immediately by Calling*1-800-238-6225

Speak directly with a claim professional24 hours a day, 365 days a year

WrittenWrittenWritten*Unless Your Policy Requires*Unless Your Policy Requires*Unless Your Policy Requires Notice or ReportingNotice or ReportingNotice or Reporting

THE STATE OF FLORIDA,ELIGIBLE USERS, C/O THE4050 ESPLANADE WAYTALLAHASSEE FL 32399-7016

GREENE-HAZEL ASSOCS INC

COMMERCIAL INSURANCE

A Custom Insurance Policy Prepared for:

Presented by:

TRAVELERSCORP. TEL: 1-800-328-2189PLACES OF PUBLIC ASSEMBLYALL OTHERCOMMONPOLICY DECLARATIONSISSUE DATE: 10/09/12POLICY NUMBER: BAJ-BM21-3C042148-TIL-12

INSURING COMPANY:TRAVELERSPROPERTYCASUALTYCOMPANYOF AMERICA

1. NAMEDINSURED AND MAILING ADDRESS:THE STATE OF FLORIDA,ELIGIBLE USERS, C/O THE (AS PER IL T8 00)4050 ESPLANADEWAYTALLAHASSEE, FL 32399-7016

2. POLICY PERIOD: From 10/01/12 to 10/01/13 12:01 A.M. Standard Time atyour mailing address.

3. LOCATIONSPremises Bldg.Loc. No. No. Occupancy Address

SEE IL T0 03

4. COVERAGEPARTS FORMINGPART OF THIS POLICY AND INSURING COMPANIES:BOILER AND MACHINERYCOV PART DECLARATIONS BM T0 53 10 05 TIL

5. NUMBERSOF FORMSAND ENDORSEMENTSFORMINGA PART OF THIS POLICY: SEE IL T8 01 10 93

6. SUPPLEMENTALPOLICIES: Each of the following is a separate policycontaining its complete provisions:

Policy Policy No. Insuring Company

7. PREMIUMSUMMARY:Provisional Premium $ 289,966Due at Inception $ 289,966Due at Each $

NAMEAND ADDRESSOF AGENT OR BROKER:GREENE-HAZELASSOCSINC (G4518)10739 DEERWOODPARK BLVDSUITE 200JACKSONVILLE, FL 32256

IL T0 02 11 89(REV. 09-07) PAGE 1 OF 2OFFICE: ORLANDOFL

COUNTERSIGNED BY:

Authorized Representative

DATE:

TAXES AND SURCHARGES

POLICY NUMBER: BAJ-BM21-3C042148-TIL-12

EFFECTIVE DATE: 10/01/12

ISSUE DATE: 10/09/12

DESCRIPTION AMOUNT

FIGA - 2008 BOILER & MACHINERY 1,140.00FL CAT FUND EMERGENCYASSESSMENTSURCHARGE- BM 3,707.00

IL T0 02 11 89 PAGE 2 OF 2

OFFICE: ORLANDOFL 856PRODUCERNAME: GREENE-HAZELASSOCSINC G4518

BAJ-BM21-3C042148-TIL-12

10-01-12

10-09-12

LISTING OF FORMS, ENDORSEMENTSAND SCHEDULENUMBERS

THIS LISTING SHOWSTHE NUMBEROF FORMS, SCHEDULESAND ENDORSEMENTSBY LINE OF BUSINESS.

IL T0 02 11 89 COMMONPOLICY DECLARATIONSIL T8 01 10 93 FORMS, ENDORSEMENTSAND SCHEDULENUMBERSIL T0 01 01 07 COMMONPOLICY CONDITIONSIL T0 03 04 96 LOCATION SCHEDULEIL T8 00 NAMEDINSURED ENDORSEMENT

BOILER AND MACHINERY

BM T0 53 10 05 ENERGYMAX21-EQUIPMENTBREAKDOWNDECBM T8 00 GENERALPURPOSEENDORSEMENTBM T8 01 GENERALPURPOSEENDORSEMENTBM T0 52 08 02 ENERGYMAX21 TABLE OF CONTENTSBM T1 57 08 02 ENERGYMAX21 COVERAGEFORMBM T4 39 01 03 PERILS ELIMINATION ENDORSEMENTBM T5 65 01 02 CLAIM PAYMENTBM T5 94 01 08 TERRORISMRISK INS ACT 2002 DISCLOSUREBM T6 49 12 04 FUNGUS,DECAY,WETROT,DRY ROT,& BACTERIABM T6 66 05 10 ELEVATORAND ESCALATORCOVERAGEBM T9 36 08 02 FLORIDA CHANGES- LOSS PAYMENT

INTERLINE ENDORSEMENTS

IL T3 79 01 08 CAPS ON LOSSES FROMCERT ACTS OF TERRORIL 01 75 07 02 FL CHANGES-LEGALACTION AGAINST USIL 02 55 01 10 FLORIDA CHANGES-CANCAND NONRENEW

PAGE: 1 OF 1

POLICY NUMBER:

EFFECTIVE DATE:

ISSUE DATE:

IL T8 01 10 93

COMMON POLICY CONDITIONS

All Coverage Parts included in this policy are subject to the following conditions:

during the policy period and up to three yearsA. Cancellationafterward.1. The first Named Insured shown in the Decla-

D. Inspections And Surveysrations may cancel this policy by mailing ordelivering to us advance written notice of 1. We have the right to:cancellation.

a. Make inspections and surveys at any2. We may cancel this policy or any Coverage time;

Part by mailing or delivering to the firstb. Give you reports on the conditions weNamed Insured written notice of cancellation

find; andat least:c. Recommend changes.a. 10 days before the effective date of can-

cellation if we cancel for nonpayment of 2. We are not obligated to make any inspec-premium; or tions, surveys, reports or recommendations

and any such actions we do undertake relateb. 30 days before the effective date of can-only to insurability and the premiums to becellation if we cancel for any other rea-charged. We do not make safety inspections.son.We do not undertake to perform the duty of

3. We will mail or deliver our notice to the first any person or organization to provide for theNamed Insured’s last mailing address known health or safety of workers or the public. Andto us. we do not warrant that conditions:

4. Notice of cancellation will state the effective a. Are safe or healthful; ordate of cancellation. If the policy is cancelled,

b. Comply with laws, regulations, codes orthat date will become the end of the policystandards.period. If a Coverage Part is canceIIed, that

date will become the end of the policy period 3. 1. 2.Paragraphs and of this condition applyas respects that Coverage Part only. not only to us, but also to any rating, advi-

sory, rate service or similar organization5. lf this policy or any Coverage Part is can-which makes insurance inspections, surveys,celled, we will send the first Named Insuredreports or recommendations.any premium refund due. If we cancel, the re-

fund will be pro rata. If the first Named In- 4. 2.Paragraph of this condition does not applysured cancels, the refund may be less than to any inspections, surveys, reports or rec-pro rata. The cancellation will be effective ommendations we may make relative to certi-even if we have not made or offered a re- fication, under state or municipal statutes, or-fund. dinances or regulations, of boilers, pressure

vessels or elevators.6. If notice is mailed, proof of mailing will besufficient proof of notice. E. Premiums

B. Changes 1. The first Named Insured shown in the Decla-rations:This policy contains all the agreements between

you and us concerning the insurance afforded. a. Is responsible for the payment of all pre-The first Named Insured shown in the Declara- miums; andtions is authorized to make changes in the terms

b. Will be the payee for any return premi-of this policy with our consent. This policy's termsums we pay.can be amended or waived only by endorsement

2. We compute all premiums for this policy inissued by us as part of this policy.accordance with our rules, rates, rating plans,C. Examination Of Your Books And Recordspremiums and minimum premiums. The pre-

We may examine and audit your books and mium shown in the Declarations was com-records as they relate to this policy at any time puted based on rates and rules in effect at

IL T0 01 01 07 (Rev. 06-09) Includes the copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 2

the time the policy was issued. On each re- acting within the scope of duties as your legalnewal continuation or anniversary of the ef- representative. Until your legal representative isfective date of this policy, we will compute appointed, anyone having proper temporary cus-the premium in accordance with our rates tody of your property will have your rights andand rules then in effect. duties but only with respect to that property.

F. Transfer Of Your Rights And Duties UnderG Equipment Breakdown Equivalent to Boiler.This Policy

and MachineryYour rights and duties under this policy may notbe transferred without our written consent except On the Common Policy Declarations, the termin the case of death of an individual named in- Equipment Breakdown is understood to meansured. and include Boiler and Machinery and the term

Boiler and Machinery is understood to mean andIf you die, your rights and duties will be trans-include Equipment Breakdown.ferred to your legal representative but only while

This policy consists of the Common Policy Declarations and the Coverage Parts and endorsements listed in thatdeclarations form.

In return for payment of the premium, we agree with the Named Insured to provide the insurance afforded by aCoverage Part forming part of this policy. That insurance will be provided by the company indicated as insuringcompany in the Common Policy Declarations by the abbreviation of its name opposite that Coverage Part.

One of the companies listed below (each a stock company) has executed this policy, and this policy is counter-signed by the officers listed below:

The Travelers Indemnity Company (IND)

The Phoenix Insurance Company (PHX)

The Charter Oak Fire Insurance Company (COF)

Travelers Property Casualty Company of America (TIL)

The Travelers Indemnity Company of Connecticut (TCT)

The Travelers Indemnity Company of America (TIA)

Travelers Casualty Insurance Company of America (ACJ)

Secretary President

Page 2 of 2 .Includes the copyrighted material of Insurance Services Office, Inc. with its permission (Rev. 06-09)IL T0 01 01 07

BAJ-BM21-3C042148-TIL-12

10-01-12 10-01-13

1 1 SEE BM T4 02 STATE GOVERNMENT/ UNIVERSITIESCOVEREDPREMISES-SPECIAL SCHEDTALLAHASSEE, FL 32399-0000

1 (END)

LOCATION SCHEDULE POLICY NUMBER:

This Schedule of Locations and Buildings applies to the Common Policy Declarations for the period

to .

Loc. Bldg.Address OccupancyNo. No.

IL T0 03 04 96 Page

BAJ-BM21-3C042148-TIL-12

NAMEDINSURED ENDORSEMENT

ITEM 1 NAMEDINSURED TO READ:

THE STATE OF FLORIDA, ELIGIBLE USERS, C/O THEDEPARTMENTOF MANAGEMENTSERVICES, DIVISION OF STATEPURCHASING, 4050 ESPLANADEWAY, SUITE 360, TALLAHASSEE,FL 32399. 1DCA FIRST DISTRICT COURTOFAPPEAL 2DCA SECONDDISTRICT COURTOFAPPEAL 4DCA FOURTHDISTRICT COURTOFAPPEAL 5DCA FIFTH DISTRICT COURTOFAPPEAL APD AGENCYFOR PERSONSWITHDISABILITIES DCF DEPARTMENTOF CHILDRENAND FAMILIES DCO DEPARTMENTOF CORRECTIONSDEO DEPARTMENTOF ECONOMICOPPORTUNITYDFS DEPARTMENTOF FINANCIAL SERVICESDHSMVDEPARTMENTOF HIGHWAYSAFETY AND MOTORVEHICLEDJJ DEPARTMENTOF JUVENILE JUSTICEDMS DEPARTMENTOF MANAGEMENTSERVICESDOC DEPARTMENTOF CITRUS DOE-DBS DEPARTMENTOFEDUCATION- DIVISION OF BLIND SERVICESDOH DEPARTMENTOF HEALTH DOT DEPARTMENTOFTRANSPORTATIONDVA DEPARTMENTOF VETERANSAFFAIRS FAMU FLORIDA AGRICULTURALANDMECHANICALUNIVERSITY FAU FLORIDA ATLANTICUNIVERSITY FGCU FLORIDA GULF COASTUNIVERSITY FIU FLORIDA INTERNATIONALUNIVERSITY FSDB FLORIDA SCHOOLFOR THEDEAF AND BLIND FSU FLORIDA STATE UNIVERSITYFWCFISH AND WILDLIFE CONSERVATIONCOMMISSIONNCF NEWCOLLEGEOF FLORIDA UCF UNIVERSITY OF CENTRALFLORIDA UF UNIVERSITY OF FLORIDAUNF UNIVERSITY OF NORTHFLORIDAUSF UNIVERSITY OF SOUTHFLORIDAUWFUNIVERSITY OF WESTFLORIDA

IL T8 00 1 (END)

POLICY NUMBER: GENERAL PURPOSE ENDORSEMENT

Page

BAJ-BM21-3C042148-TIL-1210-09-12

TRAVELERSPROPERTYCASUALTYCOMPANYOF AMERICA

200,000,000

200,000,000

NOT COVERED

NOT COVERED

SEE ENDORSEMENTBM T8 01

NOT COVERED

1,000,000

NOT COVERED

1,000,000

INCLUDED IN TOTAL LIMIT

1,000,000

INCLUDED IN TOTAL LIMIT

180

1,000,000

1,000,000

1,000,000

1,000,000

ENERGYMAX21 POL ER:ICY NUMBEQUIP T T T ISSUE DAMEN BREAKDOWN PRO EC ION TE:

INSURING COMPANY:

EFF TI TE:EC VE DA Sa icy e specifme as pol unless otherwis ied:

THESE DECLARATIONS APPLY TO ALL LOCATIONS COVERED BY THIS POLICY

EXCEPTIONS:

Insurance applies only to co erage for which a Li i f ord INCLUDED,v m t o Insurance, a number of Days/Hours, the wor other co rage indi shown at a Covered Prem I INCLUDED is shown, then the l m r that co er-ve cator is ises. f i it fo vage is part o the " l L m per Breakdown".f Tota i it

COVERAGE LIM T F HOURSI O INSURANCE OR DAYS/

"Tota i it per $l L m Breakdown"

1 Property Da $mage

2a Business Income $

Business Income " f e DaysPeriod o Restoration" xtension

2b Ex xpense $tra E

Ex xpense "Per f Restorat xtension Daystra E iod o ion" e

2c Spoilage Da $mage

2d Uti ity ion $l Interrupt

Co ies only f interrupt lasts at least: Hoursverage appl i ion

2e Brands & Labels $

2f Contingent T me le $i E mentCo mvered Pre ises:

Sales, Ser i iav ces or Mater ls:

2g "Data" or " $Media"

2h Error ion $in Descript

2i Exped ing E $it xpense

2j Newly Acquired Locat $ions

Number o Days o v Daysf f co erage

2k Ordinance or li ion, IncLaw, Demo t reasedCost of Construct $ion

The most we will pay for d da to "Co ered Pr is the Li it o shown for each of the foirect mage v operty" m f Insurance l-lowing. These l m are a part o not in addi ion to, th Property Da L m shown in 1 aboi its f, t e mage i it ve. The minimumlimit for each o following is $25,000.f the

COVERAGE I TI LIM T FLIM TA ONS I O INSURANCE

A monia Conta inat $m m ion

Hazardous Substance $

W ter Da $a mage

BM 10 05T0 53 Includes copyrighted ter o Insurance Ser ices O f Inc., Page 1 oma ial f v f ice 2000 f 2with i ission.ts perm

PRODUCER: OFFICE

90

INCLUDED

INCLUDED

10,000

INCLUDED WITH COMBINEDDEDUCTIBLE

NOT COVERED

NOT COVERED

5 % OF LOSS/$1,000 MIN

NOT COVERED

INCLUDED WITH COMBINEDDEDUCTIBLE

CONDI IONAL a OP I ERAGEST nd T ONAL COV

Number o Days ice f Cance tion Daysf for Not o llaEx 10 days -pay f re mcept: for non ment o P miu

"Diagnostic Equ ment" luded or E cluded)ip (Inc x

"Production luded or E cMachines" (Inc x luded)

The deductible applies only to a coverage amount, hours, days, the word INCLUDED or other covfor which an er-age indicator is shown. If INCLUDED is shown under the deductible, then the deductib that co erage is partle for vof mb le or ible i ithe Co ined Deductib other deduct ident f ed.

DEDUCT E AMOUNT OURS, DAYS TAGIBL , H or PERCEN E

Comb le:ined Deductib

Property Damage:

Business Income:

Ex xpense:tra E

Spoilage Damage:

Uti ity ion:l Interrupt

Contingent T me lei E ment:

A monia Conta inatm m ion:

Other:

NUMBERS O FORM SCHEDULES AND ENDOR F G PAR O THIS C GE PF S, SEMENT ORMIN T F OVERA ARTARE A AS EPARA IST .TTACHED A S TE L ING

Page 2 o Includes copyrighted ter o Insurance Ser ices O f Inc., 2000f 2 ma ial f v f ice BM 10 05T0 53with i ission.ts perm

BAJ-BM21-3C042148-TIL-12

THIS ENDORSEMENTCHANGESTHE POLICY. PLEASE READ IT CAREFULLY.

GREENCOVERAGEENHANCEMENTS

A. The following coverage extension is added to section A. Coverage, 2.Coverage Extensions:

Green Alternatives Coverage

(1) With respect to "Covered Property" that was damaged as a result ofa "Covered Cause of Loss", we will pay for:(a) The reasonable additional cost you incur to repair or replace the damagedor destroyed portions of the "Covered Property" (except as may be providedunder E. Conditions, 1. Loss Conditions, l. Valuation, (3) New Generation)using products or materials that:(i) Are "Green" alternatives to the products or materials of the damaged ordestroyed "Covered Property", in accordance with the documented standards ofa "Green Authority"; and(ii) Are otherwise of comparable quality and function to the damaged ordestroyed "Covered Property";(b) The reasonable additional cost you incur to employ "Green" methods orprocesses of construction, disposal or recycling in the course of the repairand replacement of the damaged or destroyed "Covered Property", in accordancewith the documented standards of a "Green Authority"; and(c) If, as a direct result of the "Covered Cause of Loss", the pre-loss levelof "Green" certification by a "Green Authority" on the "Covered Property" islost, we will pay for the following reasonable additional expenses you incurto re-attain the pre-loss level of "Green" certification from that "GreenAuthority":(i) The reasonable additional expense you incur to hire a qualified engineeror other professional required by the "Green Authority" to be involved in:a. Designing, overseeing or documenting the repair or replacement of thedamaged or destroyed "Covered Property"; orb. Testing and recalibrating the systems and mechanicals of the damaged ordestroyed "Covered Property" to verify that the systems and mechanicals areperforming in accordance with the design of such systems and mechanicals orthe specifications of the manufacturer; and(ii) The reasonable registration and recertification fees charged bythe "Green Authority". Coverage provided under (1) applies to the additionalexpenses described above that you incur to achieve the pre-loss levelof "Green" certification in accordance with the standards of the "GreenAuthority" that exist at the time of repair or replacement, even if thestandards have changed since the original certification was achieved.

(2) Coverage provided under (1)(a)-(c) above applies only if replacement costvaluation applies to the damaged or destroyed "Covered Property" and thenonly if the "Covered Property" is actually repaired or replaced as soon asreasonably possible after the "Covered Cause of Loss".

BM T8 00 1

BOILER AND MACHINERYPOLICY NUMBER: GENERAL PURPOSE ENDORSEMENT

Page

BAJ-BM21-3C042148-TIL-12

(3) If you have selected the Business Income Coverage or Extra ExpenseCoverage, the applicable coverage is extended to cover the loss incurredduring the time necessary to:(a) Repair or replace the damaged or destroyed portions of the "CoveredProperty" using products or materials that:(i) Are "Green" alternatives to the products or materials of the damaged ordestroyed "Covered Property", in accordance with the documented standards ofa "Green Authority"; and(ii) Are otherwise of comparable quality and function to the damaged ordestroyed "Covered Property"; and(b) Employ "Green" methods or processes of construction, disposal orrecycling in the course of the repair and replacement of the damaged ordestroyed "Covered Property", in accordance with the documented standards ofa "Green Authority".

(4) The most we will pay for coverage provided under this coverage extensionfor any "One Breakdown" is the least of:(a) The sum of:(i) 5% of the amount we would otherwise pay for loss covered under A.Coverage, 1. Property Damage, prior to the application of any applicabledeductible, for loss or expense covered under (1) above; plus(ii) 5% of the amount we would otherwise pay for loss covered under theapplicable Business Income Coverage or Extra Expense Coverage, prior to theapplication of any applicable deductible, for "Business Income" or "ExtraExpense" covered under (3) above; or(b) $25,000.This limit is part of, not in addition to, the "Total Limit Per Breakdown" inthe Declarations.

B. CONDITIONSThe following provision is added to section E. Conditions, 1. LossConditions, l. Valuation:Except as specifically provided under the Green Alternatives - IncreasedCosts Coverage the cost to repair, rebuild or replace "Covered Property" doesnot include any increased cost incurred to re-attain a pre-loss levelof "Green" certification from a "Green Authority".

C. DEFINITIONS1. The following are added to paragraph F. Definitions:a. "Green" means products, materials, methods and processes that conservenatural resources, reduce energy or water consumption, avoid toxic or otherpolluting emissions or otherwise minimize the environmental impact.b. "Green Authority" means a recognized authority on "Green" buildingor "Green" products, materials or processes.2. The following is added to the definition of "Period of Restoration":"Period of Restoration" does not include any increased period required to re-attain a pre-loss level of "Green" certification from a "Green Authority".

2012 The Travelers Indemnity Company. All rights reserved.

BM T8 00 2


Page

BAJ-BM21-3C042148-TIL-12

THIS ENDORSEMENTCHANGESTHE POLICY. PLEASE READ IT CAREFULLY.

SPOILAGE DAMAGESPECIFIC LIMITS=======================================

Location Limit---------- -------

104 and 16 Hamilton Park Drive, $7,000,000Tallahassee, FL 32303

All other Covered Premises $25,000

2012 The Travelers Indemnity Company. All rights reserved.

BM T8 01 1


Page

ENERGYMAX 21EQUIPMENT BREAKDOWN PROTECTION

TABLE F C TEN SO ON T

A. Coverage .......................................................................................................................................... 1

1. Property Da ........................................................................................................................ 1mage

2. Co E tensions ..................................................................................................................1verage xa. Business Income...................................................................................................................1b. Ex xpense ......................................................................................................................1tra Ec. Spoilage Da ................................................................................................................. 1maged. Uti ity ion .................................................................................................................. 2l Interrupte. Brands & Labels....................................................................................................................2f Contingent T me le ......................................................................................................2. i E mentg. Data or Med v ....................................................................................................... 3ia Co erageh. Error ion ...............................................................................................................3in Descripti. Exped ing E ..............................................................................................................3it xpensej. Newly Acquired.....................................................................................................................3k. Ordinance or verage..................................................................................................4Law Co

B. Exclusions ....................................................................................................................................... 5

1. Ordinance or ........................................................................................................................ 5Law2. Earth Mo e ..........................................................................................................................5v ment3. W ter ( lood, et ...................................................................................................................... 5a F c.)4. Nuclear Ha ........................................................................................................................... 5zard5. W r or l y Ac ion ..................................................................................................................5a Mi itar t6. Exp ....................................................................................................................................5losion7. Fire mbustion E losion...................................................................................................... 6or Co xp8. Chem Reco ery Bo ler xp ..............................................................................6ical v i Furnace E losion9. Testing........................................................................................................................................ 6

10. W ter or ther Means to E t ire ..................................................................................6a O x inguish a F

11. "Data"/"Med ...................................................................................................................6ia" Costs

12. Depletion, iorat , Corrosion, W .......................................................6Deter ion Erosion, ear and Tear13. Hail or indstor ........................................................................................................................ 6W m14. Other Per ls (i not v lsewhere) ........................................................................................6i f co ered e15. Delay in, or tion o , .....................................................................................6Interrup f any Business16. Business Income, xt xpense, Ut i Interrupt xc ....................................................6E ra E il ty ion e lusion17. Lack or E Power, Light, Stea or Re igerat .....................................................6xcess of Heat, m fr ion18. Uti ity ion e lusion.........................................................................................................6l Interrupt xc19. Other indi .....................................................................................................................7rect result20. Neglect to Sa e and P ve .....................................................................................................7v reser

C. Limits of nsuranceI ..........................................................................................................................7

1. "One Breakdown" ........................................................................................................................72. More than one Insured ................................................................................................................73. Mult le co erages ...................................................................................................................... 7ip v4. Direct Da m .............................................................................................................. 7mage subli its

a. A monia Conta inat .......................................................................................................7m m ionb. Hazardous Substance ...........................................................................................................7c. W ter Da ......................................................................................................................7a mage

BM T0 52 08 02 Page 1 of 3

D. Deductible ........................................................................................................................................ 7

1. Appli ion o ib ...........................................................................................................7cat f Deduct les2. Determ ion o Deduct .......................................................................................................8inat f ibles

a. Dollar le...................................................................................................................8Deductibb. Mult le per Un ib ................................................................................................... 8ip it Deduct lec. Ti Deduct .................................................................................................................... 8me ibled. Mult le o Dai Value Deduct le .........................................................................................8ip f ly ibe. Percentage o ..............................................................................................8f Loss Deductiblef Min mu Ma i m le .........................................................................................8. i m or x mu Deductib

E. Con iodit ns ....................................................................................................................................... 8

1. Loss Conditions...........................................................................................................................8a. Abandonment .......................................................................................................................8b. Appraisal............................................................................................................................... 9c. Defense ................................................................................................................................9d. Duties in v o ..................................................................................9the E ent f Loss or Damagee. Insurance Under Two or More Co ........................................................................... 10veragesf Legal Act inst Us ...................................................................................................... 10. ion Agag. Other .................................................................................................................. 10Insuranceh. Pri i ege to Owner ............................................................................................. 10v l Adjust withi. Reducing Your Loss............................................................................................................ 10j. Transfer o R f Reco ery Others to Us........................................................... 10f ights o v Againstk. Loss Payment ..................................................................................................................... 11l. Valuat ............................................................................................................................. 11ionm Business Income Report f Va ...................................................................................... 12. o luesn. Business Income Co ............................................................................................ 12insuranceo. Conditiona insurance .............................................................................. 13l Suspension of Co

2. General Condi ions.................................................................................................................... 13t

a. Bankruptcy.......................................................................................................................... 13b. Cancellat ........................................................................................................................ 13ionc. Concealmen Misrepresentation or ........................................................................... 13t, Fraudd. Currency ............................................................................................................................. 13e. Liberal ion....................................................................................................................... 13izatf No Benef to lee ............................................................................................................ 13. it Baig. Pol Period, ve itory........................................................................................ 13icy Co rage Terrh. Values and Prem m justments....................................................................................... 14iu Adi Suspension......................................................................................................................... 14.

3. Joint D s Agreement ................................................................................................. 14isputed Los

F. Definit nsio ...................................................................................................................................... 15

1. Breakdown ................................................................................................................................ 152. Business Income....................................................................................................................... 163. Business Income A Annual ....................................................................................... 16ctual Value4. Business Income Est mated lue................................................................................. 16i Annual Va5. Computer Equip ................................................................................................................ 16ment6. Co Cause of ............................................................................................................. 16vered Loss7. Co ip ................................................................................................................... 16vered Equ ment8. Co y ...................................................................................................................... 17vered Propert

Page 2 of 3 BM T0 52 08 02

9. Data .......................................................................................................................................... 1710. Diagnostic Equ ment ............................................................................................................... 17ip11. Ex xpense........................................................................................................................... 17tra E13. Hazardous Substance ............................................................................................................... 1713. Media........................................................................................................................................ 1714. One Breakdown ........................................................................................................................ 1715. Ordinary ll ........................................................................................................................ 17Payro16. Period o Restoration................................................................................................................. 17f17. Production Machines................................................................................................................. 1718. Stock......................................................................................................................................... 1819. Total m t per ......................................................................................................... 18Li i Breakdown

BM T0 52 08 02 Page 3 of 3


EnergyMax 21EQUIPMENT BREAKDOWN PROTECTION

Various pro isions in th Pol y restri co rage. exten that they do not e thev is ic ct ve t xceedRead the entire pol care ly to de m righ amount o loss that otherwise wouldicy ful ter ine ts, fduties and what is and is not co ered.v ha been payable under this Co er-ve v

age Extension.Throughout this Po cy the words "you" and "your"lirefer to the Na Insured shown in the Dec ions The "Co ered Equip t" ithermed larat v men must e(3)or as endorsed hereunder. The words "we", "us" and be "Co P or be propertyvered roperty""our" re to mpany pro id this insurance. of is:fer the Co v ing others that

Other words and phrases that appear in quotat Located on or within 500 feet o aion f(a)marks ha e special meaning. Re to Sec ion F Co Pre ises insured underv fer t vered mDef t this Pol ; andini ions. icy

A. Coverage (b) Used to supply air condi ioning,tcom icat ser ices, e icmun ion v lectr1. Property Damagepower, gas, heating, re rigeraf tion,

W wil pay for direc da caused by ae l t mage steam, water or waste treatment"Co Cause of Loss" to "Co Pro -vered vered p to the described pre ises.merty" located a the Co ered Pre ises de-t v m

b. Extra Expensescribed in tions.the Declara(1) W wil pay the reasonable "E trae l x"Co Cause of Loss" is a "Breakdown" tovered

Expense" you necessarily incur to"Co Equ ment"vered ip .operate your business during the "Pe-

2. Coverage Extensions riod o Restoration”.fYou may e co pro ided underxtend verages v (2) W wil consider the e ience oe l xper fParagraph A.1. abo e. Co is pro idedv verage v your business before the " k-Breai ei a l m the word INCLUDED, or otherf ther i it, down" and the probable experienceco tor is shown for that co erageverage indica v you would ha had without thevein the Declarat No co erage is pro idedions. v v "Breakdown" in deter ining themunless a li it the word INCLUDED or otherm , amount o your ment.f payco indica is shown.verage tor

(3) The "Co ered Equip t" itherv men must eThese co apply only to that por overages tion f be "Co P or be propertyvered roperty"the loss or damage that is a direc result o at f of is:others that"Co Cause of Loss" that is not e ludedvered xc

(a) Located on or within 500 feet o afelsewhere in th polic The "is y. Breakdown"Co Pre ises insured undervered mmust occur during the pol period, but e i-icy xpthis Pol ; andicyration o the po icy does not li i our l lf l m t iabi ity

under these Coverage E tensions.x (b) Used to supply air condi ioning,tcom icat ser ices, e icmun ion v lectra. Business omeIncpower, gas, heating, re rigeraf tion,

W wil pay:e l steam, water or waste treatmentto the described pre ises.m(1) Your actual loss of "Business I -n

come" fro a total or part l interrup-m ia c. Spo ge Damageilation o business during the "Period of f

(1) W wil pay for spoilage da toe l mageRestoration"; andraw mater property in process orials,

(2) The "E tra E you necessarilyx xpense" f ished products, pro ided al o thein v l fincur a er the a oto reduce or v t mount f fo lowing condit met:l ions areloss under this Co Everage xtension.

(a) The raw mater l, property in pro-iaW wil pay for such expenses to thee lcess or ished products must befin

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in storage or in the course of be The "Co ered Equip t" is used to- v men(3)ing man facturedu ; and supply air cond ioning, co mun a-it m ic

tion ser ices, e ic power, gas,v lectr(b) You must own or be legal lly iableheating, re rigerat steam water orf ion, ,under written contract for the rawwaste treat to your pre ises;ment mma ls, property in process orteriaandf ished products; andin

(4) The in ion o u l ser ice toterrupt f ti ity v(c) The spoilage da must bemageyour Co Pre ises lasts at leastvered mdue to the lack or e ofxcessthe consecuti e period o ti e shownv f mpower, l heat, steam or reight, -in the Declarat Once th waitingions. isf ion.rigeratperiod is me co wi l co -t, verage l m

(2) W wil also pay any necessary ex-e l mence a the in ia t me o the inter-t it l i fpenses you incur to reduce or a rtve ruption and wil then be subject to al llthe a o loss under this Co r-mount f ve applicab deductible les.age Ex W wil pay such ex-tension. e l

e. Brands & Labelspenses to the ex that they do nottentexceed the a o loss that oth- I branded or labeled memount f f rchandise(1)erwise would have been payable un- that is "Co Property" is da -vered mder this Co erage Ev xtension. aged by a "Breakdown", we may take

all or any par o the property at ant f(3) The "Co ered Equip t" itherv men must eagreed or appraised value. I we takefbe "Co P or be propertyvered roperty"such property, you may:of is:others that(a) Sta the word SALVAGE onmp(a) Located on or within 500 feet o af

the merchandise or its containersCo Pre ises insured undervered mi the sta wil not physica yf mp l llthis Pol ; andicydamage the erchandise; orm

(b) Used to supply air condi ioning,t(b) Remo e the brands or labels iv fcom icat ser ices, e icmun ion v lectr

doing so will no physical da -t ly mpower, gas, heating, re rigeraf tion,age the merchandise. You muststeam, water or waste treatmentre-label the merchandise or itsto the described pre ises.mcontainers to co ly with anymp

d. Utility I ionterrupt n law.I you purchase Util ty Interrupt co er-f i ion v (2) W wil pay the reasonable cost youe lage and ha selected co erage fove v r incur to per m the ac v ty describedfor ti iBusiness Income, E ra E and/orxt xpense in Paragraphs (1)(a) and (1)(b), butSpoilage Da the selected co r-mage, ve the tota we wil pay fo these costsl l rage(s) are extended to inc loss r -lude e and the va o the da prop-lue f magedsulting f m the in ion o u lro terrupt f ti ity erty wil not e the appll xceed icableserv pro ided a l o the fo lowing co -ices v l f l n Li it o Insurance on such property.m fdit met:ions are

f. Cont gent T ntin ime Eleme(1) The in ion is the d t result oterrupt irec f

(1) I you purchase Contingent T mef ia "Breakdown" to "Co Equipvered -Ele co erage and ha selectedment v vement owned, operated or control" ledco for Business Income and/orverageby the local pri te or pub c ut l orva li i ityEx E the selec co er-tra xpense, ted vdistributor that d tly generates,irecage(s) are extended to co er yourvtransmi distr or pro ides ut l-ts, ibutes v iloss resulting f m a "Breakdown" toroity v v ; andser ices which you recei e"Co Equ ment" at a locavered ip tion

(2) The "Co ered Equip t" is locav men ted shown in the Declarat that is notions,more than 500 feet fro the a fm f ected owned or operated by you and which:Co Pre ises insured under thisvered m

(a) W l or part ly pre ts theho ly ial venPol andicy;deli ery o ser ices or materv f v ialsshown in the Declarat to youions,

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or fro you to o for your a - error or o ission in the descrip o am thers c m tion fcount; or locat icyion as insured under this Pol .

(b) Results in the loss of sales at You agree to gi us promp ice o anyve t not fyour Co Pre ises shown in correction or addi the description overed m tion to fthe Declar t a locat i sured under this Pol .a ions. ion n icy

i. Expedi i Expenset ng(2) You shall use your in luence to in-fduce the contr ing or rec t lo-ibut ipien W t respect to direc da to "Co -i h t mage vcation to make use o any other ma-f ered Property" we wil pay fo the reason-l rchinery, equip supplies orment, able e cost you nece sarily :xtra s incur tolocat a ilab order to resumeions va le in

(1) Make te repairs; and/ormporaryoperations and deli ery o ser i orv f v cesma ls to you, or the acceptance o Exped the per repai orteria f ite manent rs(2)products or serv fro you. You replace o the da prop-ices m ment f maged

erty.shall cooperate with the contr ingibutor recip locat to th e fec inient ions is f t j. Newly Acquired ocatiL onse way, but not f ial unlessvery inanc ly

W wil auto ical pro ide co erage ate l mat ly v vauthorized by us.newly acquired loca you ha pur-tions ve

g. "Data" Or ia" C"Med overage chased or leased. This co begverage insIf: at the ti you acqu the propert andme ire y

continues for a per not e ing theiod xceed(1) you purchase "Data" or "Media" Co -vnumber o days indi in the Dec a-f cated larerage; andtions for Newly A Locat undercquired ions,

(2) you ha selec co erage for Busi-ve ted v the llowing condifo tions:ness Income and/or E Extra xpense;

(1) You must pro ly in m us in wri -mpt for tanding o the newly acquired locaf tions;

(3) "Media" is da or "Data" is lostmaged andor corrupted as a direc result o at f

(2) You agree to pay an addi ional pret -"Breakdown" to "Co Equ pvered i -m m ined by us; andiu as determment",

(3) The co erage for these locat willv ionswe will also pay your ac loss of "Busi-tualbe subject to the same ter condims, -ness Income" and/or your " xtra E -E xtions, e lusions and li i ions asxc m tatpenses" during the t me necessary to:iother insured Co P mises untivered re l

(1) Research, recreate, replace or re- endorsed onto the Pol ; andicystore the damaged " or lost orMedia"

(4) I co erages and deductibles vf the v arycorrupted "Data"; andfor e isting pre ises, then the co er-x m v

(2) Reprogram instruct used in anyions ages for the newly acqu locatired ionsco "Co ter Equ ment".vered mpu ip will be the broadest co rage, h h-ve ig

There shall be no v for any est li i and highest deductib a -co erage "Data" m ts les por "Media" that cannot be rep re - plicab to the e isting Colaced, c le x veredreated, or restored. Premises.

The pay under th verage The co erage under th Comost we will is Co v is verage(5)Ex for " s Income" and/or Ex wil end when any of thetension Busines tension l

fo lowing rst occurs:l fiyour "E ra E incurred is the L mxt xpense" i itof Insurance indica for "Data" or "Me-ted (a) This Po y e ires; orlic xpdia" co erage the Declaratv in ions.

(b) The nu o days speci ied inmber f fh. Error i ion Descript n the Declarat co erageions for this v

W wil pay your loss co by this exp af the loca is a -e l vered ires ter tion cquired; orPol i such loss is otherwise not pay-icy f

able solely because of any un ionalintent (c) The acquisit is reported to usionin writing; or



(d) The loca is speci ical i - most we will pay is thetion f ly nsured by this Pol .icy increased cost of co -n

struction that we wouldk. Ordi or Law Coverage ( u ngnance incl diha paid to rebui atve ldDemolit n a I Cost ofio nd ncreasedthe same Co eredvConstruct n)ioPremises; or

The fo appl despite the Ordi-llowing iesii Another loca i thetion fnance or Law Exc and pro idedlusion v

relocat is required byionthese increases in loss are necessitatedthe ordinance, law, rule,by the en ment f any law,force o ordinance,regulation or ru Theling.rule, regulat or ru ing that is in for ation l cemost we will pay is thethe t me o the "Breakdown", which reg -i f uincreased cost of co -nlate the de it construction repair ormol ion, ,struction at the new loca-use of the bu lding or structure. W th r -i i etion.spect to the bui ing or structure that wasld

damaged as a result o a "Breakdown",f (d) I you ha selected Business I -f ve ncome co erage and/or E tra E -v x x(1) W wil pay :e l forpense co we wil pay un-verage, l

(a) The loss in v lue o the unda -a f m der this Co erage E thev xtensionaged portion o the bui ing orf ld additiona loss of " s I -l Busines nstructure as a consequence of come" and/or your "E ra E -xt xenforce o an ordinance,ment f pense" that you ac ly incur astuallaw, rule, regulat or rul thation ing a direct consequence of en-requires the demo it o u -l ion f n for ment o an ordinance, law,ce fdamaged parts o the samef rule, ion or ru ing.regulat lbuild ;ing or structure

(2) W wil not pay or:e l f(b) Your actual cost to de l andmo ish

(a) Demo t or site c unt lli ion learing iclear the site o the undaf magedthe undamaged port of theionsparts of the same bui orldingbuild or structures are act -ings ustructure as a consequence ofally de lmo ished;enforce o an ordinance,ment f

law, rule, regulat or rul that Increase in loss unti the daion ing l mage(b)requires the demo it o such or destroyed build or struc-l ion f ingsundamaged property; and ture are actua y rebui t or re-ll l

placed and appro by theved(c) The inc cost actually andreasedregulating go ern agency;v mentnecessarily expended to:

(c) Loss due to any ordinance, law,(i) Repair or reconstruct the un-rule, ion or ru ing thatregulat l :damaged or destroyed po -r

tions o the bui or stru - You were required to co lyf lding c mp(i)ture; and with before the loss, e iven f

the bui was undamaged;lding(ii) Reconstruct or re themodelandundamaged portion o thatf

(i You led mp ;i) fai to co ly withbuild or structure withingbuild or structures of lings ike (d) Increase in loss, ex of thecessma ls, height f area,teria , loor amount required to meet theand style for l ocike cupancy, m i m require o an ord -in mu ment f iwhether or not demo t isli ion nance, law, rule regula or, tionrequired on: ruling en ment a the t me oforce t i f

the "Breakdown"; ori The same Co eredvPrem or at anotherises (e) Increase in loss resulting fro amlocat i you so elecion, f t. substance declared to be ha -zHowe i you rebu atver, f ildanother locat theion,



ardous to health or en i ment Property", e as pro ided under Co er-v ron xcept v vby any go men age Exvern t agency. tension 2.k.

(3) If: Howe the words 'use' and 'operation' shallverbe eli ina as respects a covered "Brea -m ted k(a) The bui or structure is da -lding mdown" to elec ical supply and etr mergencyaged by a "Breakdown" that isgenerating equip located on any Co -ment vco th icyvered by is Pol ; andered Pre identi ied in the Dec ions,mises f larat

(b) There is other physica dal mage when continued operation is cont oningentthat is not co ered by this Po icy;v l the presence of such elec ical supply andtrand emergency generat equip as man-ing ment

dated by any go ernv ment agency.(c) The bui da in its en-lding magetire results in en ment oty force f 2. Earth Movementordinance, law, rule, regulat orion

Earth mo e includ but not l m to,v ment ing, i itedruling;earthquake, landslide, land subsidence, mine

then we wil pay the f l a ol not ul mount f subsidence, sinkhole col or v canic a -lapse ol cthe loss under this co Instead,verage. tion.we will pay onl tha proport oy t ion f

3. Watersuch loss; mean the proporting ionthat the co red "Breakdown" loss Flood, surface water, wa tides, t lve ves, idaa.bears to the tota l dal physica mage. waves, tsunam o er low of any body oi, v f f

water, or their l whether dri byspray, al venBut i the bui ing or structure sus-f ldwind or not; ortains direc physical da that ist mage

b. Mudf orlow mudslides; ornot co ered under th Pol andv is icysuch damage is the subject o the or-f c. W ter da caused by backup oa mage fdinance, law, rule, regulat or rulion - sewers, drains, or drainage p oriping;ing, then there is no Ord orinance

d. W ter da caused by the da mage ischargeLaw coverage under th Pol e enis icy vor leakage o a sprinkler system, sewerfi the bu ing has also sustainedf ildpiping or mestic water pipdo ing.damage by a vco ered "Breakdown".

4. Nuclear Hazard(4) I you ha selected co erage forf ve vBusiness Income and/or E E - Nuclear react or radiat or radioac vextra x ion ion, ti

contam ion, howe caused.inat verpense, then the " o Restor -Period f ation" is e to inc the add -xtended lude i 5. War or Military Actiontional period o ti required ff me or

a. W r, luding undec i i war;a inc lared or c v ldemo tion re v l, repair re lli , mo a , mode -ing or reconstruction. b. W rl act by a m l y for inc d-a ike ion i itar ce, lu

ing act in h or de ingion indering fendB. Exclusionsagainst an actual or e at byxpected tack,

W wil not pay f loss or damage caused di-e l or any go ment so ign or overn , vere therrectly or indi ly by any o the fo lowing. Suchrect f l authority using m itar personnel or otheril yloss or damage is e luded regardless of anyxc agents; orother cause or e that contr concurrentlyvent ibutes

c. Insurrection, rebe ion, re olull v tion,or in any sequence to the loss.usurped power or action taken by go -v

The e lusions apply whether or not the lossxc ernmenta author in hinder or del ity ing -e results in widespread damage or a fe avent f cts fend against any o these.ing fsubstantial area.

6. An explosion1. Ordi ornance Law

Howe pay di loss or damagever we will for rectIncrease in loss f m the en ment o anyro force f caused by an explosion o "Co ered Equipf v -ordinance, regulat rul whichlaw, rule, ion or ing ment o a k speci ied in a. through f be-" f ind f .restricts or regula the repair, replace t,tes men low, and which is not otherwise exc u -luded nalterat use, operat construct in-ion, ion, ion, der this Sect . or liion B elsewhere in this Po cy:stallat clean-up or d of "Co eredion, isposal v



a. g.Stea ler Molten ater ; orm boi ; or m ial

b. h.Elect steam Objec fal ing m rcra t or issiles; orric generator; or ts l fro ai f m

c. i.Stea iping; Riot;m p or or

d. j.Stea ine; or S orm turb moke;

e. k.Stea or Vandalismm engine; ; or

l. Vehic orles;f. Gas turbine or any other mo i or rota -v ng ting mach when such explosion isinery, m. W ight o sleet.e f snow, ice,caused by centri force or mechanifugal cal

15. A delay in or an i io of, nterrupt n , anybreakdown.business, manu ing or processingfactur

7. Fire or com io exp io incl inbust n los n ud g acti i y e as pro ided in Businessv t xcept vthose that: Inco co erage, E tra E come v x xpense veragea. Result in a and/or Uti ity terruption verage."Breakdown"; or l In Co

b. 16. With respect to Busi IOccur a the same t me as a "Brea -t i k ness ncomedown"; or coverage, Extra Ex c Ut typense overage, ili

Interru on coveragepti , the fo lowinglc. Ensue fro "Breakdown".m aadditiona e lusions shall applyl xc :

8. Expl nosio with the furnace o a che icain f m la. The business that would not or cou notldreco type bo ler or with the gas pas-very i in

ha been carr on i the "ve ied f Breakdown"sages fro the rnace atm fu to the mosphere.had not occurred; or

9. Damage to "Co ered Equip t" undergoingv menb. Your fai to use due di and d s-lure ligence ia .pressure or electrical test

patch to operate your business as nearly10. Water or ot means used t ext gu aher o in ish norma as pract a the Co redl icable t ve

fire , e en when the atte t nsuccessfulv mp is u . Prem wn in the Dec ions; orises sho larat11. Costs to research, reconstr or restoreuct c. The suspension, lapse or cance tion olla f

damaged "Data" or "Media" e asxcept a contract f lowing a "B ex-ol reakdown"pro ided under Co xv verage E tension 2.g. tending beyond the t me business couldi

12. Depleti , deteriorati , c onon on orrosi , ha resumed i the contract had notve flapsed, been suspended or canceled.erosio wear an tear, rust, fu gus,n, d n

decay, wet or dry ro or m d.t, ol Howe , iver f 17. Lack or excess of ower, ig heat steamp l ht, ,a "Breakdown" ensues, we wil pay thel or refrigeration e as pro ided byxcept vensuing loss or damage not otherwise Business Income co erage, E ra Ev xt xpenseexcluded. co U il y In ion co erage and/orverage, t it terrupt v

Spoilage Da vmage co erage.13. A "Breakdown" that is caused directly orindirec y by .tl Ha or Wi ormil ndst 18. With respect to Util Interru oity pti n

14. coverageA "Breakdown" that is the di or indirect , any loss resulting f m therect roresult o the fo causes of loss, i such fo lowing causes of loss whether or notf llowing f lcause of loss is co by another po icy o co that cause of loss is pro ided byvered l f verage for vinsurance or self- risk retent p another polic or sel -insurance risk reinsurance ion lan y f tentionin for at the t me o the loss, regardless of plan you ha e. Also e luded are al resultingce i f v xc l

direct indirec loss.or tdeductible. A exc are a resultlso luded ll ingdirect irectand ind loss. a. Aircra t;f ora. Aircra t;f or b. Ci i co mo orv l m tion;b. Ci i co mo orv l m tion; c. Collapse; orc. Collapse; or d. Freezing caused by cold weather; ord. Freezing caused by cold weather; or e. I f ircra t, m v icmpact o a f issile or eh le; ore. I f ircra t, m v icmpact o a f issile or eh le; or f. Lightning; orf. Lightning; or g. Molten ater ; orm ial



h. b. Hazardous bstanceObjec fal ing m rcra t or issiles; orts l fro ai f m Su

i. Riot; or The fo appl despite the oper -llowing ies ation o the inance or Law Exf Ord clusion:j. S ormoke;I "Co ered Property" is da con-f v maged,k. Vandalism; orta or pol by a "Hazardousminated luted

l. Vehic orles; Substance" as a direct result o a "Brea -f km. W ight f snow, ice,e o sleet; or down" to "Co ered Equ ment", we willv ip

pay for any add ional e incurredit xpensesn. Acts o orf Sabotage;by you for clean-up, repair, replace tmen

o. Deliberate act(s) o load shedding by thef or disposal of property.thatsupplying or distr ing ut iibut il ty.

As used here, addit xpenses meansional e19. Any other i direct resuln t o a "Breakdown"f the addit cost incurred o andional ver

to "Co ered Equip t" e t as pro idedv men xcep v abo the a that we would haveve mountunder Business Income co erage, Ev xtra paid had no "Hazardous Substance" beenExpense co Spoi Daverage, lage mage in ol ed loss.v v with theco t it terrupt vverage, U il y In ion co erage.

A monia is not considered to be a "Ha -m z20. Neglect by you to use al reasonable meansl ardous Substance" as respects this li im -

to sa and preser "Co Property"ve ve vered tation.f m fur da at and a the ti oro ther mage fter me f

I you ha selected Business Incomef veloss.co and/or E E co r-verage xtra xpense ve

C. Limits of nsuranceI age, we wil a pay under this Co eragel lso v1. The most we will pay for any and al co er- Ex for any loss of "Business In-l v tension

ages for loss or damage fro any " come" or " xtra E caused bym One E xpense"such co tamn ination.Breakdown" is the applicab Li i o Insu -le m t f r

ance shown in the Declarations. The x mu we shall pay damagema i m for to2. Any pay made wi l not be inc i "Co P "Business Income"ment l reased f vered roperty",

more than one insured is shown in the Dec a- and/or "E E under this co er-l xtra xpense" vrations. age extension shall be the l m indi it icated

on the Declarat under Hazardousion3. For each co erage in Paragraph A andv .1.Substance.A.2. i :f

c. Water Damagea. INCLUDED is shown in the Dec ions,laratthe l m for such co is part o , not I "Co ered Property" is da by w -i it verage f f v maged ain addi to, the " l L m per Brea - ter as a direc result o a "Breakdown" totion Tota i it k t fdown". "Co Equ ment" we will pay for thvered ip , is

kind o da includ sal age e -f mage, ing v xb. A l m t is shown in the Dec wei i larations,pense.will not pay mo than the Li i o Insu -re m t f r

ance ve age.for each such co r D. Deductibles

1. Applicati of uction Ded bles4. The most we will pay for direc da tot mage"Co P f each o the f lowingvered roperty" or f ol W wil not pay f loss or damage resulte l or ingis the a indi in the Dec ionsmount cated larat f m any "One B until the aro reakdown" mountunder Co Li i ions. The l m areverage m tat i its of co ered loss or damage ex the d -v ceeds epart o not in addi ion to, the L m o Insu -f, t i it f r ductib shown in the Dec ions for eachle laratance Dafor Property mage. applicab co erage. W wi then pay thele v e lla. Ammonia Co nationtami n amount o co ered loss or damage in ef v xcess

of the deduct , up to the app cable L m oible li i it fI "Co ered Property" is conta inated byf v mInsurance.am ia as a direc result o a "Brea -mon t f k

down" to "Co ered Equ ment", we will Deductibles apply separately for each appl -v ip icable co erage e i :v xcept fpay for th k o da inc ing salis ind f mage, lud -

v xpense.age e



(3) Mult ly the dai va in Paragraphip ly luea. A deductib is shown as Comb forle ined(2) by the nu o da y v lue mu -mber f il a lany o the co rages in the Dec ions,f ve larattip shown in the Declara Weles tions.then we wil f subtract the co inedl irst mbwill f subtract this deductibirst ledeductible a t f m the aggregatemoun roamount f m any loss we would ot -ro hamount o any loss to which the co -f merwise pay. We wil then pay thelbined d ductib ies; ore le applamount o loss or damage in ef xcess

b. More than one "Co ered Equ ment" isv ip of the deduct , up to the app cableible liin ol ed in "One Breakdown", then onlyv v Li it o Insurance.m fone deductible, the h shall applyighest,

e. Percentage of oss Ded bleL uctifor f icab veach o the appl le co erages.I a deductib is expressed as a percent-f le2. Determinatio of De ibn duct lesage of larat tloss in the Dec ions, we will no

a. Dollar De ibduct le be l fo the ind percentage oiable r icated fthe gross amount o loss or damage (prf iorI a dol deduct is shown in thef lar ibleto the appl le deduct or co r-icab ible insuDeclarat we wil f subtract the de-ions, l irstance) insured under the appli co -cable vductib a f m any loss we wouldle mount roerage.otherwise pay.

f. Min Or Ded leimum Maximum uctibb. Mult le it Ded bleip per Un ucti(1) If:I a mul iple o uni is shown in the De -f t f ts c

(a) A m mu do a de-ini m llar mountlarat the deduct wi l be ca latedions, ible l lcuductib is shown in the Declarale -as the sum o the mu ipl t mes thef lt ier itions; andnumber o uni specif (For e mplef ts ied. xa :

i the deduct is speci ied as $25/hp forf ible f (b) The dol a o the Mu iplelar mount f ltair cond ioning un and a co ered 500it its, v per Unit Mu ip o Dai Value, lt le f lyhp air cond ioning un suf a "Brea -it it fered k or the Percentage o Loss De-fdown", the deduct wi l be $25 t mesible l i ductib is less than the Min mule i m500 hp which equals $12,500.) Deductible:

c. T Ded bleime ucti then the M m m Deduct le aini u ib mountshown in the Declarat wil be theions lI t me deduct is shown in the Decla-f a i ibleapplicab le.le deductibrations, we will not be l f any lossiable or

(2) If:under that co erage that occurs duringvthat speci ied t me period i med lyf i m iate (a) A ma i m dol a d -x mu lar mount efo lowing a "Breakdown". I a t me d -l f i e ductib is shown in the Declarale -ductib is shown in days, each day shallle tions; andmean consecuti e hours.twenty-four v

(b) The dol a o the Mu iplelar mount f ltd. Mult le ly Val duct leip of Dai ue De ib per Unit Mu ip o Dai Value, lt le f ly

or the Percentage o Loss De-fI a mul iple o dai v lue is shown in thef t f ly aductib is greater than theleDeclarat this deduct wi l be ca -ions, ible l lMax mu Deducti m ible;culated as llows:fo

then the Ma i m Deductibx mu le(1) For the en Co red Pre isestire ve mamount shown in the Dec ions willlaratwhere the loss occurred, deter inembe the appl ibicable deduct le.the tota a o "Business In-l mount f

E. Con iodit nscome" that would ha been earnedveduring the " o Restoration"Period f The fo condi ions apply in addit to thellowing t ionhad no "Brea down" taken place.k Com Pol Conditmon icy ions:

(2) Di ide the result in Paragraph (1) byv 1. Loss C dit nson iothe number o days the businessf

a. Abandonmentwould have been open during theThere can be no abandonment o anyf"Period o Restoration". The result isfproperty to us.the dai v lue.ly a



b. Appraisal (b) As soon as possible, g v us ai edescription o how, when andfI and we disagree on the lue o thef you va fwhere the loss or damage o -cproperty or the a t o loss, eithermoun f maycurred; andmake written de fo an appraisal omand r f

the loss. In th e t, each party wi l s - Al us a reasonable ti andis ven l e low me(c)lect a co and i part appraiser. opportunity to e m the prop-mpetent m ial xa ineThe two appraisers will select an u ire. erty and Co ered Pre ises be-mp v mI they cannot agree, ei may request fore repairs are undertaken orf therthat a judge o a court ha i jur ion physical e idence o the "Brea -f v ng isdict v f kmake the select The appraisers will down" is re ved Bu you mustion. mo . tstate separately the v lue o the property take whate measures area f verand amount o loss. I they fa l to agree, necessary to protect the propertyf f ithey wil subm t the d f erences to the and Co Pre ises fro furl i ir i f vered m m -

ther damage; andump A dec agreed to by any twoire. isionwill be bind party wi l:ing. Each l (d) Preserve al repaired or replacedl(1) Pay its chosen appraiser; and "Co P f our in-vered roperty" or

spection, unless we authorize(2) Bear the other e of the a -xpenses potherwise; andpraisal and u equalmpire ly.

(e) As often as may be reasonablyI there is an appraisal we will sti l retaf , l inrequired, per it us to inspect themour right the c mto deny lai .property pro ing the loss or da -v m

c. Defense age and exa ine your books andmrecords; and(1) I there is da to property o an-f mage f

other in your care, custody or control (f) Perm t us to take samp ofi lesand for which you are legal l ,ly iable damaged and undamaged prop-that was directly caused by a "Brea -k erty for inspection, test andingdown" to "Co ered Equ ment", wev ip analysis, and perm t us to makeiwill ha the r and duty to deve ight fend copies f m your books and re -ro cyou against any suit a leging liab lil i ty ords; andfor that property. However we ha, ve

(g) Send us a signed, sworn proof ofno duty to de you against anyfendloss containing the in ma ionfor tsuit al l l for da toleging iabi ity magewe request to in estigate thevproperty not co ered by is Pol .v th icyclai . You must do this within 60m

(2) I a cla m or suit is brought againstf i days after our request. W wile lyou al tha you are l forleging t iable supply you with the necessarydamage to property o another thatf for andms;was caused by a "Breakdown" to

(h) Cooperate with us in the in esti-v"Co ip , we will ther:vered Equ ment" eigation or sett ment o the c mle f lai ;

(a) settle the i or suitcla m ; or and(b) defend you against the suit but (i) Promp y send us any legal pa-tl

keep for oursel the right toves pers or notices recei ed con-vsettle t any poit a int. cerning the loss or damage; and

d. Duties the of oss or Damain Event L ge (j) Make no state that wil a -ment l s(1) You must see that the fo lowing are sume any obl ion or ad it anyl igat m

done in the e ent o loss or damage liab li for any loss or damagev f i ty,to "Co ered Propertyv ": for which we may be l le, with-iab

out our consent.(a) Gi us a pro not o theve mpt ice floss or damage. Inc a de- W may e m any Insured underlude e xa ine(2)scription o the propert in ol ; oath, while not the presence o anyf y v ved in fand other Insured and at such ti asmes

may be reasonably required, about



any matter rela to this insurance loss or damage with the owner o theting for the c m inc an Insured's property. A receip for pay f m thelai , luding t ment robooks and records. In the e ent o an owner of that property wi satis anyv f ll fy

clai o yours against us.m fexa inat an Insured's answersm ion,must be signed. i. Reduci Yo Lossng ur

e. Insura Un T or More C r-nce der wo ove As soon as possible a ter a "f Breakdown"ages you must:I two or more o this Po icy's co eragesf f l v (1) Resume business, partial or co -ly mapply to loss or damage, we willthe same pletely; andnot pay more than the ac a otual mount f

(2) Make up for lost business within athe loss or damage.reasonable period o t me. Th re -f i is a

f. Legal nst UsAction Agai sonable period does not necessarilyNo one may br a legal ac against end when operations are resumed;ing tionus under this Poli less: andcy un

(1) (3)There has been fu co liance wi Make use of e er reasonable meansll mp th v yall ter f li and to reduce or a ert loss including:the ms o this Po cy; v

(2) (a)The act is brought within 2 years W rk e t me or o rt me ation o ing xtra i ve iaf the f Breakdown"; orter date o the " the Co Pre ises or at a -vered m n

other locat you own or acquireion(3) W agree in writ that you ha e ane ing vto carry on the same operations;obligat to pay for da to "Co -ion mage vorered Property" o others or unt l thef i

amount o that obl ion has been Uti izing the property and/orf igat l(b)serv f oices o ther concerns; ordeterm by f l judg or arbiined ina ment -

trat award. No one has the rightion (c) Using merchandise or otherunder this Pol to br us in anyicy ing to property, such as surplus m -aaction to deter ine your iabi itym l l . chinery, dupl parts, equ picate i -

g. Other Insurance ment supplies and surplus or r -, eserve stock you own, control or(1) You may ha e other insurance sub-vcan obtain; orject to the same p ter cond -lan, ms, i

tions and pro isions as the insurance Sal aging da "Co eredv v the maged v(d)Property".under this Pol . I you do, we wilicy f l

pay our share of the co ered loss orv j. Tra Ri ofnsfer of ghts Recovery Againstdamage. Our share is the proportion Others to Usthat the app cable l m o Insuranceli i it f

I any person or organization to or ff orunder this Pol bears to the L micy i itswhom we make pay under th Polment is -of Insurance of al insurance co ingl vericy has rights to reco er damages frov mon the same basis.another, those rights are trans to usferred

(2) I there is other insurance co ingf ver to the e tent o our pay .x f mentthe same loss or damage, other than

That person or organizat must do e e-ion vthat described in Paragraph (1), werything necessary to secure our rightswill pay only for the a o co -mount f vand must do noth a ter loss to i ring f mpaiered loss or damage in e of thexcessthem Bu you m wai e your rights. t ay vamount due f m that o insu -ro ther ragainst another party ing:in writance, whether you can col on i orlect t

not. But not pay mo than the Prior to a loss to your "Co eredwe will re v(1)applicab m t o Insurance. Property" or v incole Li i f co ered me; or

h. Privilege to w O nerAdjust ith w (2) A a loss to your "Co ered P p-fter v roerty" or co ered inco only i , atv me fIn the e ent o loss or damage in ol iv f v v ngti o loss, that party is one of theme fproperty o thers in your care custody orf o ,fo lowing:lcontrol, we ha the righ to settle theve t

Page 10 of Includes copyrighted ter o Insurance Ser ices O f ce, , 200018 ma ial f v f i Inc. BM T1 57 08 02


(a) Someone liinsured by this Po cy; (c) The a you ac ly spendmount tualthat is necessary to repair or re-(b) A business f mir :place the da aged propertym .

(i) Owned or controlled by you;But we will not pay f such daor maged

(ii) That owns or controls you; or property that is obsolete or useless to(c) Your tenant. you.

This wil restric insurance.l not t your (2) I the cost o repair or rep af f ing lacingpart o "Co Equip " isf vered mentk. Loss Paymentgreater than:

(1) In the e ent o loss or damage co -v f v(a) The cost o repa ing the entf ir ireered by this Po icy, at our opt wel ion,

"Co ip ; orvered Equ ment"will ther:ei(b) The cost o rep ing the entf lac ire(a) Pay the v lue o lost or daa f maged

"Co Equ ment"vered ip ;property; orwe will y the llest a .pay onl sma mount(b) Pay the cost o repair or re-f ing

placing the lost or da I "Co ered Equip cannot bemaged f v ment"(3)property; or repaired or the cost to repa is moreir

than the cost to replace, and the(c) Take al or any part o the prop-l fdamage to the "Co ered Equ ment"v iperty at an agreed or appraisedequals or exceeds 100% of the actualv lue; oracash value o the "Co red Equipf ve -

(d) Repair, rebui or replace theld ment you may choose to apply the",property with other propert oy f fo lowing pro ision.l vli ind and qual .ke k ity

New Ge n Cneratio overage I youf(2) W wil gi e noti o our ine l v ce f tentions want to replace da "Co eredmaged v

within 30 days a we recei thefter ve Equip wi a newer generationment" thproof o loss.f "Co Equ ment" o the samevered ip f

(3) W wil not pay mo than your f n- capacity we will pay up to 25% moree l re ina ,cial interest in the "Co ered Pro - than "Co Equip " o lv p vered ment f ikeerty". kind, qua ty and capacit would hali y ve

cost at the m f Breakdown".ti e o the "(4) W wil pay for co ered loss or dam-e l vage within 30 days a we recei e Ex for New Generation Co er-fter v cept v(4)the sworn proof o loss, if f: age, you must pay the e cost oxtra f

replacing da property withmaged(a) You ha co ied with a l o theve mpl l fproperty o a better kind or qual orf ityter f the icyms o Pol ; andof a ty.larger capaci

(b) W ha e reached agreee v ment with(5) If:you on the a o loss or anmount f

appraisal award has been made Any da "Co Prop-(a) maged veredand we have not denied the erty", that is intended for yourclai .m use, is protected by an extended

warranty, or mai nce orntenal. Valuati noservice contract ; and

(1) W wil pay the a you spend toe l mount(b) That warranty or cont be-ractrepair or rep "Co ered Place v roperty"

comes v or unusable due to aoiddirect da by a "Breakdown"ly maged"Breakdown";to "Co ered Equip t". Our pa -v men y

ment l be l f:wil the sma lest o we will m you for the proratedrei burseamount o the unused costs of non-f(a) The cost to repa the dair magedrefundable non-transferab warra -, le nproperty; orties or contracts.

(b) The cost to rep the dalace magedproperty; or

BM T1 57 08 02 Includes copyrighted ter o Insurance Ser ices O f ce, , 2000 Page 11 ofma ial f v f i Inc. 18


(6) Unless we agree otherwise in writing, had occurred, less any discountsi you do not repair or replace the you o fered and e youf f xpenses

otherwise would have had.damaged property with 24 monin thsfo lowing the date o the "Brea -l f k (10) salvage valAny o propertyue fdown", then we will pay only the obtained for te repa or usemporary irssmal o the:ler f fo lowing a "Breakdown" whichl(a) Cost it would ha e taken to repa rema a repa are co tedv ir ins fter irs mple

or replace; or will be taken into consideration in theadjustment f anyo loss.(b) Actual cash va at the ti olue me f

the "Breakdown". (11) Pair, Sets Partsor

(7) (a)I a l o the fo lowing condit are Pair or Set In case of lossf l f l ions .me caused by a "Co Cause oft, veredpro he by y for saleperty ld ouwill be v a the sell pr as i Loss" to any part o a pa or setalued t ing ice f f ir

we may:no loss or damage had occurred, lessany discounts you of red and e -fe x (i) Repair or rep any part tolacepenses you otherwise would have restore the pair or set to itshad i :f v lue be the "Brea -a fore k

down"; or(a) The property was manufacturedby you; and (ii) Pay the d f rence betweeni fe

(b) The sell pr o the property the v o the pair or seting ice f alue fis more than the replace before and a ter the "Brea -ment f kcost of ; and down".the property

(c) (b)You are unable to replace the Parts. In case o loss caused by afproperty be its anti "Co Cause of Loss" to anyfore cipated veredsale. part o "Co Property" con-f vered

sisting o se l parts whenf vera(8) W wil pay for loss to dae l magedcomp we will only pay for thelete,"Data" "or as lows:Media" folv lue o the maged part.a f lost or da

(a) Replacemen cost for "Data" ortm. Business Inc ort luesome Rep of Va"Media" that are mass produced

and com cia ly a a lable;mer l v i and You must repo to us each year thert"business income est mated annuali(b) For a other "Da or "Media" atll ta" ,v lue" for al Co Pre ises to whicha l vered mthe cost of:the Co E Business I -verage xtension n

(i) Blank ma l f reprodu -teria or c come applies.ing the records and

n. Business ome Co uranceInc ins(ii) Labor to transcribe or copy

W wil not pay the fu l a o anye l l mount fthe records when there is a"business income" loss i the "businessfduplicate.inco ac annual v is greaterme tual alue"(9) W wil deter ine the v lue o "Co -e l m a f vthan the "business income esti ted an-maered Property" under S ila Da -po ge mnual v shown in your latest reportalue" .age Co e lv rage as fo lows:Instead, we wil deter ine the most wel m

(a) For raw materia the replacels, - will fo lowing steps:pay using the lment cost;

(1) Di ide the "business income estiv -(b) For goods in process, the r -e ma annual v lue" last reported toted a

place cost o the raw mate-ment f us by the "business income actualrials, the labor e and thextended annual va a the t me o thelue" t i fproper proportion o of verhead "Breakdown";charges; and

(2) Mult ly the tota a o the co -ip l mount f v(c) For f ished goods, the sellin ing ered loss of "business income" by the

price, as i no loss or damagef



f deter ined in paragraph (1)igure m c. Concealment Misrepresentati or, onabove; Fraud

(3) Subtract the appl Deductib This Po y is vo in any case of fraud,icable le lic idf m the a deter ined in para- intent conceal or m n-ro mount m ional ment isrepresegraph (2) above; tation o a m ial fac by you or anyf ater t

other Insured, at any m concerning:ti e,The result a or the Business I -ing mount, n(1) This Po y; orliccome Li i whiche er is less, is the mostm t, v

we will pay. W wi l not pay for the ree l - (2) The "Co ered Propertyv "; orma f loss.inder o the

(3) Your interest in the "Co ered Prop-vThis pro ision app separately to eachv lies erty"; orCo mvered Pre ises.

(4) A c m is Pol .lai under th icyo. Con io Suspe on of Co ur-dit nal nsi ins

d. CurrencyanceAl a used herein are e d inl mounts xpresseThe Business Income Coinsurance pro i-vUnited S currency and any losstatession is suspended i we ha receif ve vedsustained under this pol shal be paicy l idf m you, prior to the "B aro reakdown",in Uni tates currency.ted SBusiness Income Report o Va asf lues

fo lows:l I in the e ent o loss or damage, thef, v famount o such loss or damage is co -f m(1) The report must pro i a "businessv deputed in the fore currency, the aign mountinco esti ted annual v lue" fme ma a orof such loss or damage wil then be conl -the Co Pre ises af thevered m fected byv ted in Uni S currency at theer to ted tates"Breakdown"; andrate o e as speci in the W lf xchange fied al

(2) The "business income est mated an-i Street Journa as o the date the "Brea -l f knual v must apply to an annualalue" down" occurred.period ending no more than 90 days

e. Li onberalizatiprior o the "Breakdown".to the date fI we adopt any standard for re is rf m v ion fo2. General C dit nson iogeneral use that would broaden coverage

a. Bankruptcy under this Pol without addi ional preicy t -The bankruptcy or insol ency o you or m m the broadened co wil i -v f iu , verage l myour estate will not rel v us o an ob i- med ly appl to th Pol i the re i-ie e f l iate y is icy f vgation under th l .is Po icy sion is e fect v within 45 days prior to orf i e

during the po y perlic iod.b. Cancellationf. No Benef o Baiit t leeAs respects this Pol , part 2 o theicy f

"Cancella Condit o the Co mon No person or organization, o thantion" ion f m therPol Condi ion is rep by the fo - you, ha ing custody of "Co ered Prop-icy t laced l v vlowing: erty" wi bene t ro this nsurance.ll fi f m i

g. Pol od, T oryicy Peri Coverage erritW may cancel th Pol by ma ling ore is icy ideli er to the f rst Na Insuredv ing i med Under this Pol :icywritten not f ncel ion atice o ca lat least:

(1) W co er loss or damage co m c-e v m en(1) 10 days before the e f i e date of ect v f ing;

cancella i we cancel fo nonpaytion f r -(a) During the po cy per shown inli iodment o m mf pre iu ; or

the Declarations; and(2) The nu o days indicated in thember f

(b) W t the co erage tory.i hin v terriDeclarat for Not o Cancel a-ions ice f l(2) The co erage terr is:v itorytion be the e f i e date o ca -fore f ect v f n

cella for anytion reason. (a) The Uni Sta of A ica ( n-ted tes mer icluding i terri ies and posses-ts torsions);



(b) Puerto Rico; and (3) There is d between theisagreementinsurers as to whether there is co r-ve(c) Canadaage or as to the a o the loss tomount f

h. Values an Premiumd Adjustments be paid, i any, by each insurer underfits own policies.You shall report to us 100% o the totaf l

insurable va at each Co ered Pre -lues v m b. This condi ition does not apply f:ises every year as o the anni ersaryf v

(1) Both the co m ial property in-m ercdate. The va shall be reported sep -lues asurer(s) and we do not admi to anytrately each o the co erages pro ided.for f v vliab li andi ty;Prem m for each anni ersary wil be cal-iu v l

culated for the ensuing period on the ba- Neither the co merc l property in-(2) m iasis of ra in e f at the anni ersary surer(s) nor we contend that co r-tes f ect v vedate and ll v lues at risk.for a a age applies under the other insurer's

policy.You agree to keep the app cable recordslifor each pol year o the Pol Per The pro isions o this condi app onicy f icy iod v f tion ly lyc.a ilab for inspection by our represe - i al o the fo require ts areva le n f l f llowing men

met:tati at al t mes during business hours,ves l iand for a per o twel months aiod f ve fter (1) The co merc l property pol ies)m ia icy(the end o the Pol year or a can-f icy fter carried by the Na Insured, insu -med rcella o this Po cy.tion f li ing the "Co Property" contavered , ins

i. Suspe nnsio a sim lar pro is at the ti e o thei v ion m floss or damage, with substantial thelyW v "Co ered Equip t" is foundhene er v mensame require procedures andments,to be in, or e to, a dangerous con-xposedcondit as contained in th condi-ions isdit any o our representati mayion, f vestion; andi med ly suspend the insurancem iate

against loss fro a "Breakdown" to that The da to the "Co ered Prop-m mage v(2)erty" was caused by a loss for which:"Co Equ ment" This can be donevered ip .

by del v or ma ling a written not oi ering i ice f (a) Both the co m ial property in-m ercsuspension to: surer(s) and we admit to so li-me(1) Your last known address; or abil for pay under the re-ity ment

specti pol ies; orve ic(2) The address where the "CoveredEquip isment" located. (b) There is d betweenisagreement

the insurers with respect to:Once suspended in this way, your insu -rance can be reinstated only by an en- W ther the da to thei. he magedorsement that vered p ".for "Co Equi ment "Co P wasvered roperty"

caused by a "Co CauseveredI pend your insurance, you will getf we susof Loss" insured under thisa pro rata re o pre iu f thatfund f m m orPol or by a co causeicy vered"Co Equ ment" Bu the suspen-vered ip . tof loss insured by the co -msion will be e fec i e e en i we ha notf t v v f vemerc l property pol ies);ia icy(yet f ered a fund.made or o f reor

3. Joint Disp Lor uted oss Agreementii. The e o part ipat oxtent f ic ion f

a. This condi is in to fac ltion tended i itate this Pol and o such co -icy f mpayment f when:o insurance proceeds merc l property pol ies) inia icy((1) Both a co me l propert pol y a loss that is insured against,m rcia y ic

and this Pol are f ecticy in e f ; and partia or wholly by any orlly ,all f said po icy(o l ies).(2) Damage occurs to "Co Prop-vered

erty" that is insured by the co m r- I the require l in Paragraph cm e f ments isted .d.cial property pol ies) and this Po - abo are satis ied, the co merc l prop-icy( l ve f m iaicy; and erty insurer(s) and we wil make payl ment

per the llowing:fo



(1) W wil pay, a ter your written re- insurer(s) and the third appoin bye l f tedconsent of two arbitrators.the otherquest, the entire a o loss thatmount f

we have agreed is co , i any, byvered f (3) The decision by the arb shallitratorsthis Pol and one-hal (1/2) theicy f be binding on the co merc l prop-m iaamount o the loss that is in d s-f i erty insurer(s) and us and that judg-agreement. ment upon such award may be e -n

(2) The co merc l property insurer(s) tered in any court o co tentm ia f mpejurisdic ion.twill pay, a ter your written request,f

the entire a o loss that theymount f (4) You agree to cooperate in connectionha being co ered, i any,ve agreed as v f with such arbitrat but no to in rion t te -by the co mer l propert polm cia y - v therein.eneicy( and one-hal (1 the aies) f /2) mount

F. Definit nsioof loss that i agreement.is in d s1. "Breakdown"(3) Pay by the insurers of thements

amounts that are in disagreement as Means the fo lowing direct physical loss,, la.described in Paragraphs (1) and (2), that causes physical da "Co eredmage to vdo not al wai e or surrender any Equip and necessitates its repair orter, v ment"

replacement:rights o insurer against any otherf anywith regard to the portion o the lossf (1) Fai o pressure or vacuulure f mfor insurer is lwhich each iable. equipment; or

(4) The a in d to bemount isagreement (2) Mechanical fa inc ing ruptureilure ludpaid by us under this condi ion shallt or bursting caused by centri lfuganot e the a payable un-xceed mount force; order the equi a Loss Agreement(s)v lent

(3) Elect l f lure luding arcrica ai inc ing;of the co m ial property po -m erc licy(ies). unless such loss or damage is otherwise

exc within th Pol or any En-luded is icy(5) The a to be paid under thismountdorsement m t o th icyfor ing a par f is Pol .condit shall not e theion xceed

b. Does not mean or lude:incamount we would ha pa had nove idcom rcia propert pol y(ies) beenme l y ic (1) Mal tion inc but not l mfunc luding i itedin e f at the t me o loss. In nof ect i f to adjust al ment ca tion,ment, ign , librae wil we pay more than the ap-vent l cleaning or modi i at orf c ion;plicab L m o Insurance shown inle i it f

(2) Defec erasures, errors, li itats, m tionsthe Declarations.or v in "Co Equip ",iruses mputer ment

(6) Acceptance by you o sums paid u -f n "Data", " and/or progra in-Media" msder this condi does not ation lter, cluding the inabi ty to recogni andli zewai or surrender any other rve ights process any date or t me or pro idei vagainst us. instructions to "Co Equip ".vered ment

e. Arbitration Howe i a "Breakdown" ensues,ver, fwe will pay the ensuing loss or da -m(1) The pay by the co mercments m ialage not otherwise excluded; orproperty insurer(s) and us hereunder

and acceptance o those sums by Leakage at any v v , f tt shaf al e i ing, ft(3)you signi the agree between seal, gland pack join or connec-fy ment ing, t

tion; orthe co merc l property insurer(s)m iaand us to proceed with arbitration (4) Damage to any v m tube, gasacuuwithin 90 days o ment.f such pay tube, or brush; or

(2) The arbi shall be three in nu -trators m (5) Damage to any structure or found -aber, one o whom shall be appoinf ted tion supporting the "Co ered Equipv -by us and one of whom shall be ap- ment o i" or any f ts parts; orpointed by the co merc l propertym ia



(6) (2)The funct o any sa or pro- Elect l or mechani equipioning f fety rica cal menttect v de ii e v ce; or that is used in the generation, tran -s

m il tion o energy; orission or ut iza f(7) The crack o any part on an in r-ing f tenal co gas turbine e Com icat equip andmbustion xposed mun ion ment(3)to the products o co stion. "Computer men orf mbu Equip t";

2. "Busi Inc (4)ness ome" means the: Fiber c cabopti le.

a. b.Net Inco (Net Pro i or Loss before in- "Co Equ ment" does not mean orme f t vered ipinclude any:come ta that would ha e beenxes) v

earned or incurred; and (1) "Media"; orb. Continuing nor l operat ema ing xpenses (2) Part o pressure or vacuu equipf m -

incurred, luding inary Pay l"inc "Ord rol . ment that is not under interna pre -l s3. "Busi Inc Actual Ann Value"ness ome ual sure of its contents or interna v c-l a

uum; ormeans the "Business Income" for the currentf year that would ha been earned hadiscal ve (3) Insulating or fractor ma l;re y teria orno "Breakdown" occurred.

(4) Non-meta lic pressure or vacuul mIn cal ing the "business income acculat tual equipment un it is constructed, lessannual va we will take into ac thelue", count and used in accordance with theactual e ience o your business before thexper f A Socie o Mechani En-merican ty f cal"Breakdown" and the probable experience gineers (A.S.M .) code or a Code.Eyou would ha the "Breakdown".ve had without that has been accepted by the Na-

4. "Busi Inc Est Annness ome imated ual tional Board o Bo and Pressuref ilerVessel Inspectors; orValue" means the "Business Income" as e -s

ti ted by in the most recent Business I -ma n (5) Catalyst; orcome f ve on iReport o Values we ha f le.

(6) Pressure vessels and piping that are5. "Comp E ipmeuter qu nt" means: buried below ground and require the

exca at o mater ls to inspect,v ion f iaa. Your program le e ic equ mentmab lectron ipremo e repair lace; orv , or repthat is used to store, retr ve and processie

data; and (7) Structure, foundat cab orion, inetcompar ment supporting or containt -b. Associated peripheral equip thatmenting the "Co Equip " or parvered ment tpro ides com icat inc inputv mun ion ludingof the "Co ered Equip includv ment" ingand output funct such as printing orionspenstock, draf tube or wellt casing; oraux iary funct such as data transmi -il ions s

(8) Vehic a f sel ledle, ircra t, f-propelsion.equipment or f ting vessel, inc d-loa luIt does not ta" or .include "Da "Media"ing any "Co ered Equ ment"v ip

6. "Covered Cause of Loss" see Page 1, mounted on or used solely with anyParagraph A. 1. v icle a f sel ledeh , ircra t, f-propel

equipment f tingor loa vessel; or7. "Covered E ipmequ nt"(9) Dragline, power sho , e v tion orvel xca aa. Means and includes any:

construction equip inc ing anyment lud(1) Equip designed and bui to op-ment lt "Co Equ ment" mounted on orvered ip

erate under interna pressure or va -l c used solely with any dragl powerine,uum o f ntents;ther than weight o co shove e ca t or constructl, x va ion ionFor any bo or f vessel, the fur- equipmentiler ired ; ornace of v ment" andthe "Co ered Equip (10) Ele ator or escalator, but notvthe gas passages fro there to them exc any elec ical mach orluding tr ineat wil be considered asmosphere l apparatus mounted on or used withoutside the "Co ered Equip t";v men or this equip orment;



(11) Fel wire, screen, mo fo m, Restoration" which re a thet, ld, r mains fterpattern, d e trusion pla swing resumption o nor l operat will be takenie, x te, f ma ionsham , gr d cut ing blade, into considerat in the ad ment o anymer inding isc, t ion just f

loss.non-electri cable, chain be rope,cal , lt,clutch plate brake pad, non-, metal 12. "Hazardous Substance" means anypart or any part or tool subject to substance, other than a mon that hasm ia,periodic replac mente ; or been declared to be hazardous to health by a

go ment agencyvern .(12) Astronomi te cyclocal lescope, tron,nuclear reactor part le acce, ic lerator, 13. "Media" means electron data processing oricsatelli and/or spacecraft ( ingtes includ storage mater such as f ms, tapes, discs,ial ilsatelli or spacecraft contents and/orte drums or ce ls.ltheir launch sites); or

14. "One Breakdown" means i an ini lf tia(13) "Diagnostic Equ ment" shownip unless "Breakdown" causes other "Breakdowns", all

as INCLUDED in the Dec ions; orlarat will be considered "One B Alreakdown". l(14) "Production Machines" unless shown "Breakdowns" at any one pre thatmises

as INCLUDED in the Dec ions; orlarat man fest the v at the same t me andi msel es iare the direc result o the same cause will bet f(15) Equip or any part o equip tment f menconsidered "One Breakdown".manu tured by you or sale.fac f

15. "Ord Payroinary ll" means payroll expenses8. "Covered Property" means any propertyfor al your e loyees except O f cers,l mp f ithat:Execu ves, Depart t Managers, andti men

a. You own; or E under contract.mployeesb. Is in your care, custody or control and for "Ord Payro l" e include Payro ;inary l xpenses ll

which you are legal l le;ly iab E bene its, i direc ly re tomployee f f t latedwhile located at the Co ered Pre ises de- payroll FICA pay Union dues; andv m ; ments;scribed in tions. W rker's Compensation pre iuthe Declara o m ms.

"Co P does not mean l v ani means the per overed roperty" i e - iod f16. "Perio Restorat n"d of ioti thatme :ma f bi or insects. It also does notls, ish, rds

mean eggs intended to me v f birdsbeco li e ish, a. Begins at the ti e o the "m f Breakdown;or insects. and

9. "Data" means: b. Ends the number o consecuti e days in-f va. Program and recorded mater dicated in the Declarat a the datemed ial ions fter

stored on "Media" and when the damaged property at the Co -vered Pre described in the Dec a-mises larb. Program ing records used for elecm tronictions could ha e been repai or re-v reddata processing, or e ical con-lectron lyplaced with reasonable speed and sim laritrol equip .led mentquality.

10. "Diag Eq pmentnostic ui " means any17. "Prod on Machucti ines" means anymach or apparatus (other thanine

production or process mach or apparatusineastronomica telescopes, cyclot nucl ron, learthat processes, for cuts, shapes, or grindsms,reactor or part le acce used solely foric lerator)raw mater ma ls in process or fials, teria inishedresearch, diagnosis, medica surgicall, ,products, inc a "Co ered Equ ment"luding ll v iptherapeutic, or patho l purposes.dental logicathat is used solely with and/or for anms

11. "Extra Expense" means the addit costional integral part o the production or process orfyou incur to operate your business during the apparatus. But "Product Mach doesion ines""Period o Restoration" o er and abo thef v ve not include any:cost that you nor l would ha incurred toma ly ve

a. Pressure vessel or va m v othercuu essel,operate the business during the same periodthan any cy contain a mo lelinder ing vabhad no "Breakdown" occurred.plunger or piston; or

Any sal va o property obtained fovage lue f rte use during the " omporary Period f



b. 18. "Stock"Pump co fan or b that m merchandise held in storage, mpressor, lower eanscon raw mater ls, mater ls in pro - or raw mater ls, property in process,veys ia ia c for sale, iaess or f ished products; orin or f products, inc supplies usedinished luding

in the ing orir pack shipping.c. Separate enclosed gear set connected bya coupling, lutch t;c or bel or 19. " l Lim per BreakdoTota it wn" means the

total ma i m a payable for a lx mu mount ld. Separate dri i e ica or m lv ng lectr l echanicaco pro ided under th Pol as theverages v is icymach connected by a coupl cine ing lutchresult o One Breakdown".f "or belt.


BOILER ACHINERYAND M

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

PERILS ELIMINATION ENDORSEMENT

This endorsement i ies insurance pro ided under t folmod f v he lowing:

EnergyMax 21 Equip t Breakdown Protectmen ion

d. Freezing caused by cold weather; orParagraph B. E clusions 14. is deleted and replacedxwith the lfo lowing: e. Fall g Obin jects (not inc obluding jectsB. 14. A "Breakdown" that is caused direct or in-ly that fa within a bu lding or structurell i

direct : unless the roof or an outside wall o thely by fbuild or structure is first damaged byinga. Aircraft or Vehicles , meaning physicalthe ll bjec orfa ing o t);contact o an aircra t, a spacecraft af f ,

f. Li night ng ; orself-propel m a v ic or anled issile, eh leobject thrown up by a vehi or objectscle g. Mo MaterialDischarge of ; orltenfa ling fro air ft ft;l m cra or spacecra or

h. Smoke (not inc smoke f m agrluding ro i-b. Civil Comm on or Rioti ot inc actsluding cultura smudg or industrial opera-l ing

of strik e loyees and looting occur-ing mp tions); orring at i f iot or v lthe t me and place o a r ci i

i. Vandalism , meaning wil fu and mall l i-com tmo ion; orcious damage to, or destruction of, the

c. Collapse o a build or structure orf ing described property; orany part o a bui ing or structure;f ld or

j. Weight sn , or sleetof ow ice, .

BM 01 03T4 39 Page 1 of 1

BAJ-BM21-3C042148-TIL-12 10-09-12

J. Soderberg-St of FL, Dept of Mgmt Svcs

BOILER AND MACHINERYPOLICY : ISSUE D :NUMBER ATE


CLAIM PAYMENT

This endorsement i ies insurance pro ided under the lmod f v fo lowing:

EnergyMax 21 Equip t Breakdown Protectmen ionBOILER ACHINERY AGE ORM mprehensiAND M COVER F Co veBOILER ACHINERY AGE ORM lanketAND M COVER F B

In the e ent f a t ll lai pay l be ade payablev o loss, i is agreed that a c m ments wil m toon behalf of all Named Insureds and Additional Insureds.

BM T5 65 01 02 Page 1 of 1

EQUIP BREA DO NMENT K W


TERRORISM RISKINSURANCE ACT OF 2002 DISCLOSURE

This endorsement appl insurance pro ided un foies to the v der the llowing:

BOILER ACHINERY AGE TAND M COVER PAREQUIP BREA W C GEMENT KDO N OVERA PART

On Dece 26, 2007, the President o the Uni The federal go men share of co formber f ted vern t’s mpensationStates signed into law amend to the Terror Insured Losses is 85% of the amount o Insuredments ism fRisk Insurance Act o 2002 (the “ , which, a Losses in excess of each Insurer’s statutori estab-f Act”) mong lyother things, ex the Act and expand i scope. lished deductible subject to the “Progra Tr ”,tend ts , m iggerThe Act establishes a program under which the Fed- (as defined in the Act) In no e ent however wil the. v , , leral Go ern m part ly re mburse “Insured federa go ern or any Insurer be required to payv ment ay ial i l v mentLosses” (as defined in the Act) caused by “acts of any portion of the amount o aggregate Insuredfterroris An “act o terror is defined in Sect Losses occurring in any one year that e ceedsm”. f ism” ion x102(l) o the Act to mean any act that is certi ied by $100,000,000,000, prov that such Insurer hasf f idedthe Secretary of the Treasury in concurrence with me i deductible I aggregate Insured Losses ex-t ts . fthe Secretary o State and the A l o the ceed $100,000,000,000 in any one year, your cover-f ttorney Genera fUnited States to be an act of terroris to be a v o- age may fore bem; i there reduced.lent act or an act that is dangerous to human l fe,i The charge for Insured Losses under this Coverageproperty, or in ve resulted in da agefrastructure; to ha m Part is inc in the Co erage Part pre m Theluded v miu .within the Un States, or outside the Un Statesited ited charge that has been inc for this Co erage Partluded vin the case of certain air carr or vessels or theiers is indicated below, and does not include any chargeprem of a United States Mission; and to haveises for the portion o losses covered by the Federal Gof v-been com it by an ind v l or indi i as partm ted i idua v duals ernment t:under the Acof an e for to coerce the c v l popu ion o thef t i i ian lat f

1% of your total Boi and Mach or Equip-ler ineryUnited Sta or to in luence the pol y or a fe thetes f ic f ctment Co rage Part miu .Breakdown ve pre mconduct of the Uni States Go ern by coer-ted v ment

cion.

BM 01 08T5 94 Page 1 of 1

BAJ-BM21-3C042148-TIL-12 10-09-12

25,000

X

BOILER ACHINERYAND MPOLICY : ISSUE D :NUMBER ATE


FUNGUS, DECAY, WET ROT, DRY ROT AND BACTERIALIMITED COVERAGE



SCHEDULE

Revised L $imit

Separate Premises O on YES NOpti

Revised L Descriptio Ofimits n Premises

$

Business ome an or Extra Ex Revise n ofInc d/ pense d umber days

A. Exclusi B. Limite Coverage For " ng ", Decay, Wetons d Fu usRot, Dry R Bacteriaot And1. Exclusi paragrap B.12. is de aon h leted nd1. Property Damagereplaced he fo ow g:by t ll in

W wil pay for loss or damage by "Fungus",e l12. Depleti , deteriorat n, corros n,on io iodecay, wet or dry rot, or bacteria only whenerosio wear and tear or rustn, . How-the "Fungus", decay, wet or dry rot, or bacte-e i a " " ensues, we willver, f Breakdownria is the d result o a "Breakdown" toirect fpay the ensuing loss or damage not oth-"Co Equip " that occurs during thevered menterwise excluded.policy per As used in this Lim ted Co r-iod. i ve

2. The fo lowing exclusion is added to Sectionl age, the ter loss or damagem means:B. Excl nsusio in licthe Po y:

a. Direct physical loss or damage to "Cov-"Fu us" Decay, Wet Ro Dry R Andng , t, ot ered Property" caused by "Fungus", de-Bacteria cay, wet or dry or bacter incrot, ia luding:Presence, growth, proli ion, spread or ac-ferat (1) The cost of re v o the " ngus",mo al f Futi i y o "Fungus", decay, wet or dry rot, orv t f decay, wet or dry ro bactert, or ia;bacteria Howe i a "Breakdown" occurs,. ver, f (2) The cost to tear out and replace anywe will for ingpay the result loss or damage. "Co Property" as needed tovered

gain access to the "Fungus", decay,This E lusion does not apply to the exc xtentwet or dry rot, er andor bact ia;that co erage is pro ided in Paragraph be-v v B.

low for that port o any loss or damage re-ion f (3) The cost of testing per med afor ftersulting fro the presence, growth, prol fera-m i remo a ir, rep ment or resto-v l, repa lacetion, spread or acti i o "Fungus", decay,v ty f ration o the da property isf magedwet or dry rot, or bacter as a result o aia f comp v ded there is a reasonleted, pro i"Breakdown". to belie e that " ", decay, wetv Fungus

or dry rot bacter esent., or ia are pr

BM 6 49T 12 04 Includes copyrighted ter o ISO ies, Inc 2003 Page 1 oma ial f Propert ., f 3


pro ided that the incurred loss or ex-vb. The co phverage described under Paragrapense satisf the terms and conditionsiesB.1.a. o th Endorsement is li i tof is m tedapplicab to the Business Income and/orle$15,000. Regardless of the number ofEx xpense co rage.tra E veclai th l m is the most we will payms, is i it

for the tota o a loss or damage arisingl f ll (1) If:out o al "Breakdowns" to "Co redf l ve (a) The "Breakdown"; orEquip " which take place within thement

(b) Any damage f m water resultingro12-month per start with the begin-iod ingf m "Breakdown"ro thening of the present annual policy period.

W t respect to a particu occurrence o which resulted in "Fungus", decay,i h lar floss which results in "Fungus", decay, wet wet or dry rot, or bacter does not inia,or dry rot, or bacteria, we wil not pay itsel generate a loss of "Business In-l fmore than a tota o $15,000 e i the come" or an "E tra E " but thel f ven f x xpense"Fungus", decay, wet or dry rot, or bacte- loss of "Business Income" or "Extraria cont to be present or acti e or Expense" is solely due to loss orinues vrecurs in a li erlater po cy p iod. damage to property caused by "Fun-

gus", decay, wet or dry rot, or bacte-c. The co pro i under this En-verage v dedria, then our payment under Businessdorsement does not increase the applica-Inco and/or E tra E is l m-me x xpense ible Li i o Insurance for any "Co redm t f veited to the amount o loss and/or ex-fProperty". I a part occurrence re-f icularpense sustained in a period o notfsults in loss or damage by " ", de-Fungusmore than 30 days. The days needcay, wet or dry rot or bac ia and other, ter ,not be consecuti e.vloss or damage, we will not pay more, for

the tota o al loss or damage, than the I a co loss of "Business In-l f l f vered(2)applicab Li it o Insurance on the af- come" or an "E tra E " wasle m f x xpensefec "Co ered Propert ".ted v y caused by loss or damage other than

"Fungus", decay, wet or dry rot, orI there is co loss or damage tof veredbacteria but re tion o " ",media f Fungus"Co P " no caused by "Fun-vered roperty tdecay, wet or dry rot ,or bac pro-teriagus", decay, wet or dry rot, or bacteria,longs the "Period o Restoration", wefloss payment wil not be li i by thel m tedwill pay for loss and/or expense sus-ter of this Endorsement, e cept to thems xtained during the delay (regard oflessexten that "Fungus", decay, wet or drytwhen such a delay occurs during therot, or bacter causes an increase in theia

loss. Any such increase in the loss will be "Period o Restoration"), but suchfsubject to ms o ththe ter f is Endorsement. co is l m to 30 days. Theverage i ited

days need not be consecutive.d. I a Re ised Li i is shown in the S d-f v m t cheule, the a of $15,000 in Paragraphmount b. I a Re ised Nu o Days is shown inf v mber fB.1.b. is deleted and replaced by the the Schedule, the nu o days (30) inmber famount icated the Schedule.ind in Paragraphs or is dele2.a.(1) 2.a.(2) ted

and replaced by the number of days indi-e. I the Schedule indi that the Sepa-f catescated in .the Schedulerate Pre ises Option appl then them ies,

amount o co erage ($15,000, unless af v C. C.4.c. WaterLi its O Insurance Paragraphm fhigher amount is shown in the Schedule) Damage is deleted and replaced with the fo w-llois made applicab to separate premisesle ing:as described in the Schedule. For each

c. Water Damageprem so described, the amount ofisesco is an annual aggregate li iverage m t, I "Co Property" damaged by water asf vered issubject to the ter set for in Para-ms th a direct result o a " " to "Cof Breakdown veredgraph B.1.b. Equip ", we will pay f this k o dament or ind f m-

age, inc v xpense.luding sal age e2. Business ome an ExpenseInc d ExtraI " ", decay, wet or dry rot or bacf Fungus , teriaa. I you ha e co erage for Business In-f v vresults fro damage by water as li ited inm mcome and/or E E then the fol-xtra xpense,

lowing Paragraphs or apply2.a.(1) 2.a.(2) this paragraph, loss or damage attributable to

Page 2 o Includes copyrighted ter o ISO ies, Inc 2003f 3 ma ial f Propert ., BM 6 49T 12 04


"Fungus", decay, wet or dry rot, or bacteria property due to the presence, growth, prolif-will be: eration, spread or any act v ty o " ",i i f Fungus

decay, wet or dry ro bactert, or ia; or(1) Li ited as described in Paragraphsm2. The costs associated with the enforce t omen fB.1.a. B.1.e.through o this Endorse-f

any ordinance or law which requires any in-ment; andsured or others to test for, moni c up,tor, lean(2) Part o , not in addi to, the Wf tion aterremo e contain treat deto i or neutra ize,v , , , x fy lDamage m t.li i or in any way respond to, or assess the ef-

D. I you ha co for Ordinance Or Law, thenf ve verage fec of "Fungus", decay, wet or dry ro orts t,with respect to Property Damage, Business In- bacteria.come and/or E tra E we will not pay un-x xpense, E. Defi it nsThe llowing :fo is added to the n ioder the Ord Or Law Co rage :inance ve for

"Fungus" means any type or for o fungus, in-m f1. Loss or expense sustained due to the en- cluding mo or m and any m x ns,ld ildew ycoto i

for ment o any ordinance or law which re-ce f spores, scents or by-products produced or re-quires the demoli ion, repair, rep ment, re-t lace leased by fungi.construction, re ing or remed ion ofmodel iat

BM 6 49T 12 04 Includes copyrighted ter o ISO ies, Inc 2003 Page 3 oma ial f Propert ., f 3



ELEVATOR AND ESCALATOR COVERAGE


EnergyMax 21 E ENT O PR TQUIPM BREAKD WN OTEC ION

Paragraph is deleted.F. Def iti 7. "Covered ui nt , . (10)in ons, Eq pme " b

BM T6 66 05 10 © 2010 The Travelers Indemnity Company Page 1 of 1



FLORIDA CHANGES

This endorsement i ies insurance pro ided under the lmod f v fo lowing:


The LOSS PA T condi ion deal with the W t 20 days af we recei e the sworn proofYMEN t ing i hin ter v1.of e your; orloss and reach written agre ment withnumber o days within which we must pay for thef

co loss or damages is replaced with the fo low-vered l 2. W t 30 days af we recei e the sworn proofi hin ter ving: of loss and;Pro ided you ha e co ied with a l the ter o thv v mpl l ms f is a. There is an entry f f judgmento a inal ; orPol we will pay for v loss or damage:icy, co ered

b. There is a i ing o an appraisal award with us.f l f

BM T9 36 08 02 Includes copyrighted ter o Insurance Ser ices O f ce, Page 1 oma ial f v f i Inc. f 1

INTERLINEENDORSEMENTS


CAP ON LOSSES FROM CERTIFIED ACTS OFTERRORISM


BOILER ACHINERY AGE TAND M COVER PARCOMMERC MAR OVERA PARTIAL INLAND INE C GECOMMERC OPER OVERA PARTIAL PR TY C GEDELUXE PROPERT VERA ARTY CO GE PEQUIP BREA W OVERA PARTMENT KDO N C GE

A. Cap O fied Terrorism ossesn Certi L I aggregate insured losses attributab to terrorf le istacts certi ied under the Terroris R Insurancef m isk"Certi ied ac o terror " means an act that isf t f ismAct e $100 b l in a P Year ( u-xceed il ion rogram Jancerti ied by the Secretary of the Treasury, in con-fary 1 through December 31) and we ha met ourvecurrence with the Secretary o State and the At-finsurer deductible under the Terrorism Risk In-torney General o the Uni States, to be an actf tedsurance Act, we shall not be l le for the pay-iabof ism pursuant to the Terror iskterror federal ism Rment o any portion o the amount o such lossesf f fInsurance Act. The cr ia conta in the Ter-iter inedthat e $100 bil ion, and in such case in-xceeds lrorism R Insurance Act for a "cert f act oisk i ied fsured losses up to that amount are subject to proterroris " inc fo lowing:m lude the lrata al ion in accordance with procedures es-locat

1. The act resulted in insured losses in excess tabl o the Tished by the Secretary f reasury.of $5 m ll in the aggregate, attr toi ion ibutable

B. Applicati Of usioon Excl nsall types of insurance subject to the TerrorismRisk Insurance Act; The ter and li i ions of any terroris e lu-and ms m tat m xc

sion, or the inappli l or o ission of a terror-cabi ity m2. The act is a vio act or an act that is dan-lentism e lusion, do not serve veragexc to create co forgerous to human li e, property or in rastruc-f fany loss which would otherwise be exc un-ludedture and is com tted by an indi i or indi-mi v dualder this Coverage Part or Policy such as losses,v duals, as part o an e f coerce the ci ii f f ort to v l-exc by the Nuclear Hazard E clusion or theluded xian population of the Uni States or to inf u-ted lW r And l Ac E ca Mi itary tion x lusion.ence the polic or a fe the conduct o they f ct f

United S v ment rctates Go ern by coe ion.

IL T3 79 01 08 Includes the copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 o 1f


FLORIDA CHANGES LEGAL ACTION AGAINST US

This endorsement modifies insurance provided under the following:

BOILER AND MACHINERY COVERAGE PARTCAPITAL ASSETS PROGRAM (OUTPUT POLICY) COVERAGE PARTCOMMERCIAL INLAND MARINE COVERAGE PARTCOMMERCIAL PROPERTY COVERAGE PARTFARM COVERAGE PART

The following replaces the second paragraph of the Legal Action Against Us condition:

LEGAL ACTION AGAINST US

Legal action against us involving direct physical loss or damage to property must be brought within 5 years fromthe date the loss occurs.

IL 01 75 07 02 ISO Properties, Inc., 2001 Page 1 of 1


FLORIDA CHANGES CANCELLATIONAND NONRENEWAL


CAPIT ETS OGRA OUTPU POLICY OVERA PARTAL ASS PR M ( T ) C GECOMMERC MAR OVERA PARTIAL INLAND INE C GECOMMERC OPER OVERA PARTIAL PR TY C GECRIME AND IDELI OVERA PARTF TY C GEEQUIP BREA W OVERA PARTMENT KDO N C GEFARM C GE TOVERA PARSTANDARD PR TY OLOPER P ICY

A. 2. Cancel nParagraph o the Co mon Polf m icylatio us to pre t recurrence o daven f mageCondition the ol to theis replaced by f lowing: insured property; or

2. Cancellati P icies I Effect 90 Days (2)on For ol n On the basis of f l o cla ms fori ing f iOr Less partia loss caused by sinkhole dam-l

age or c shrinkage, regardless oflaya. I th pol has been in e fec for 90f is icy f twhether this polic has been the sub-ydays or less, we may cancel icy bythis polject o a sinkhole or c shrinkagef layma ling or del v r to the Na In-i i e ing medclai , or on the basis of the r as-m isksured(s) written not o cancel ion,ice f latsociated with the occurrence o suchfaccompan by the speci ic reasons foried fa cla m Howe , we may cancel thi . ver iscancella attion, least:policy i :f

(1) 10 days before the e f i e date of ect v f(a) The tota o such property insur-l fcancella i we cancel for nonpay-tion f

ance cla m pay ts for th pol-i men isment f pre iu ; oro m micy e ceeds the current polx icy

(2) 20 days before the e f i e date of ect v f li i o co erage for propertym ts f vcancella i we cance or any othertion f l f damage; orreason, except we may cance i me-l m

(b) You ha f led to repair theve aidiatel i there has been:y fstructure in accordance with the

(a) A ma l m t or m s-teria isstatemen i engineering reco mendationsmrepresentation; or upon which any loss paymen ort

policy sed.proceeds were ba(b) A fa lure to co ly with under-i mpwriting require ts establishedmen (3) Solel on the basis o a sing prop-y f leby the insurer. erty insurance clai which is the re-m

sult o water damage, un we canf lessb. 2.a.(2)Howe Paragraph does not ap-ver,demonstrate that you ha e fa tov iledply to a Named Insured whose residentialtake action reasonably requested bystructure has been insured by us or an af-us to pre ent a fu si i occur-v ture m larf l insurer for at least a f v - pe-i iated i e yearrence of da to the insured prop-mageriod i m tely pr to the date o writ-m edia ior ferty.ten notice. Instead, refer to Paragraph

C.7.b.(4) o thf is endorsement. B. 5. Cancel nParagraph o the Co mon Polf m icylatioCondition the olis replaced by f lowing:c. W may ncee not ca l:

5. I th pol is cancel we will send the f rstf is icy led, i(1) On the basis of property insuranceNamed Insured any pre m re due. Imiu fund fclai that are the result o an act oms f fwe cancel, the re wi be pro rata I thefund ll . fGod, unless we can demonstrate, byf Na Insured cancels, the re mayirst med fundclai frequency or otherwise, thatmsbe less than pro rata. I the re pre iu isf turn m myou ha fa led to take ac rea-ve i tionnot refunded with the notice o cance lat orf l ionsonably necessary as requested by

IL 02 55 001 1 Insurance Ser ices O f ce, ., Page 1 o 4v f i Inc 2010 f

when this polic returned to us, we will l li i o co erage for propertyy is mai m ts f vthe refund with 15 working days after the damage; orindate cancella takes ef t, un this istion fec less (b) You ha f led to repair theve aian audit po icl y. structure in accordance with theI th is an audit policy then, subject to your engineering reco mendationsf is , mfu l cooperat with us or our agent in secur- upon which any loss paymen orl ion ting the necessary data for audi we will return policy sed; ort, proceeds were baany pre m re due with 90 days o themiu fund in f (8) On the basis of a single property in-date cancel ion takes ef ect I our aud islat f . f it surance clai which is the result om fnot co p with th t me l m tion thenm leted in is i i ita , water damage, i we can de nstratef mowe shall accept your own audit, and any pre- that you ha e fa led to take acv i tionm m re due shall be ma led within 10iu fund i reasonably requested by us to pre-working days of rece f itipt o your aud . v a f si i occurrence oent uture m lar fThe cancella wi be e fe i e e en i we damage to insured property.tion ll f ct v v f theha made or o f fund.ve not f ered a re b. I we cancel th pol for any o thesef is icy f

C. CancellatiThe fol is added to thelowing on reasons, we will m l or de ve to theai li rCom Pol Condit Named Insured(s) written not o can-mon icy ion: ice f

cella , ac mpanied by the speci iction co f7. Cancellati For Po I Effect Foron licies nreasons for cance tion, least:lla atMore hanT 90 Days(1) 10 days before the e f i e date of ect v fa. I this pol has been in e f f moref icy f ect or

cancella i cancel ion is f non-tion f lat orthan 90 days, we may cance this poll icypayment f pre iu ; oro m monly for one or more o the fo lowing rea-f l

(2) 45 days before the e f i e date of ect v fsons:cancella i :tion f(1) Nonpayment o pre iuf m m;(a) Cancellat is for one or more oion f(2) The poli ialcy was obtained by a mater

the reasons stated in Paragraphsm ;isstatement7.a.(2) 7.athrough abo e;.(8) v and

(3) There has been a fa to co lyilure mp(b) This poli does not cover a resi-cywith underwriting requi ments estab-re

dential struc or i contents;ture tslished by us within 90 days of the ef-orfec i e date o co erage;t v f v

(3) 100 days before the e fec ve date of ti f(4) There has been a substantial changecancella i :tion fin the v the po cy;risk co ered by li(a) Cancellat is for one or more oion f(5) The cancel ion is for a insuredslat ll

the reasons stated in Paragraphsunder such policies for a g v ci en lass7.a.(2) 7.athrough abo e;.(8) v andof insureds;

(b) This pol co a residenticy vers ial(6) On the basis of property insurancestructure or its contents, unlessclai that are the result o an act oms f fParagraph 7.b.(4) applies.God, i we can demonstrate, byf

clai frequency or otherwise, that Howe i cancel ion is to becomems ver, f latyou ha fa led to take ac rea- ef ect v between June 1 and No-ve i tion f i esonably necessary as requested by v mber 30, we wil m l or del v toe l ai i erus to pre t recurrence o da the Na Insured(s) written notven f mage med iceto the of cancel ion a least 100 days priorinsured property; lat t

to the e fect v date o cance lat orf i e f l ion(7) On the basis of f l o cla ms fori ing f iby June 1, whiche is earlver ier.partia loss caused by sinkhole dam-lThere when cancella is tofore, tionage or clay shrinkage, or on the basisbecome e fe i e between Septem-f ct vof the r associated with the occur-iskber 9 and No m 30, we will maive ber lrence of i , fsuch a cla m i :or deli er to the Na Insured(s)v med

(a) The tota o such property insur-l f written not o cancel ion by Juneice f latance cla m pay ts for th pol-i men is 1.icy e ceeds the current polx icy

Page 2 o 4 Insurance Ser ices O f ce, .,f v f i Inc 2010 IL 02 55 001 1

(4) 180 days before the e fec ve date of ti f ma ling address known to us. I not isi f icecancella i : ma led, proo o ma ing wil be su f ient prootion f i f f il l f ic f

of ice.not(a) Cancellat is for one or more oion f3. W may fuse to renew this police not re y:the reasons stated in Paragraphs

7.a.(2) 7.athrough abo e;.(8) v and a. On the basis of property insurance cla msi(b) The Named Insured's residential that are the result o an act o God,f f

structure has been insured by us unless we can demonstrate, by c ila msor an a f l insurer for a least f or otherwise, that you haf i iated t requency vea f v -year per i m ly fa led to take ac ion reasonably neces-i e iod m ediate i tprior to the date o the writ no- sary as requested by us to preven recur-f ten ttice rence o da to the insured property;. f mage

orD. The llowingfo is added:b. On the basis of f ling o c i for parti f la ms ialNonrene alw

loss caused by sinkhole damage or clay1. I we decide not to renew this pol , we willf icy shrinkage, regardless of whether this pol-

ma l or de i er to the Na Insured(s) writ-i l v med icy has been the subject o a sinkhole orften not o nonrenewal, acco ied byice f mpan clay shrinkage c i or on the basis ofla m,the speci c reason for least:fi nonrenewal, at the r associated with the occurrence oisk f

such a clai . Howe we may re use tom ver, fa. 45 days prior to the e irat o the pol-xp ion frenew this policy fi :icy i th poli does not co r a residen-f is cy ve

tia or ntents; orl structure its co (1) The tota o such property insurancel fclai pay for th polic em ments is y x-b. 100 days prior to the e ion o the pol-xpirat fceeds the current pol li i o co -icy m ts f vicy i pol co ers a residential struc-f this icy verage for mage;property da orture or its contents, un Subsectionless c.

or appld. ies. (2) You ha fa led to repa structureve i ir thein accordance with the engineeringc. I this pol co ers a residentia structuref icy v lrecom ions upon which anymendator i contents and nonrenewal is to be-tsloss payment or poli werecy proceedscome e fe i e between June 1 and No-f ct vbased.v mber 30, we wil mai or del v to thee l l i er

Named Insured(s) written notice o non-f c. Solel on the basis of a single propertyyrenewal at least 100 days pr to the eior f- insurance clai which is the result o wa-m ffec i e date o nonrenewal or by June 1,t v f ter da unless we can demage, monstratewhichever is earl There whenier. fore, that you ha e f led to take act rea-v ai ionnonrenewal is to become e fec ve be-f ti sonably requested by us to pre a fu-venttween September 9 and No e 30,v mber ture si i occur o da to them lar rence f magewe will ma l or del v to the Na In-i i er med insured property.sured(s) written notice o nonrenewal byf

4. Notwithstanding the pro isions o Paragraphv fJune 1. I nonrenewal is due to a re isf v ionD.3., we may re enew this policy f thfuse to r i isto th pol 's co rage for sinkholeis icy vepolicy inc Sinkhole Loss co onludes veragelosses or catastrophic ground co er cov l-property located in Pasco County or Her-lapse pursuant to the 2007 changes innando County. I we nonrenew this polic forf ythe F ida Insurance Laws concerninglorpurposes of re v ng S Loss co r-mo i inkhole vesuch coverage, then th subsection,is c ,.age, pursuant to 2009 changes in the F rlo idadoes not apply. There e, in such aforInsurance Laws, we will o f cy thatf er you a policase, Subsection or appb. d. lies.includes catastrophic ground co er co lapsev l

d. 180 days prior to the e fec ve date of ti f coverage.nonrenewal i the Na Insured's resi-f med

E. Limitat ns On Ca io And N newalio ncellat n onredential structure has been insured by usIn T Even Of H Or Wi d Losshe t urricane nor an af i iated insurer for a least a f v -f l t i eResidentia opertyl Pryear period i m tely pr to the datem edia ior1. The fo lowing pro isions apply to a poll v icyof ten not e.the writ ic

co ing a resident structure or its con-ver ial2. Any noti o nonrenewal will be mai orce f ledtents, i such property has sustained damagefdeli ered to the Na Insured(s) at the lastv medas a result o a hurr or windstorm that isf icane

IL 02 55 001 1 Insurance Ser ices O f ce, ., Page 3 o 4v f i Inc 2010 f

the subject of a dec o e rgency by I we cancel or nonrenew for non-laration f me fthe Go ernor and f ling o an order by the payment o pre iu , we will g v youv i f f m m i eCom issioner of ion: 10 days' notice. I we cancel or non-m Insurance Regulat f

renew for a reason listed in Para-a. E .,Ex as pro ided in Paragraphcept v .1.bgraph or we willb.(2), b. b(3) .(4),we may not cancel or nonrenew the pol-gi e you 45 days' notv ice.icy unt l at least 90 days after repa toi irs

2. W t respect to a po icy co ering a residenti h l v ialthe residentia structure or its contentslha been substantial co leted so structure or i contents, any cancel ion orve ly mp ts latthat i restored to the ex in- nonrenewal that would otherwise take e ft is tent that it is f ectsurable by another insurer writing po ic during the duration o a hurr wi not takel ies f icane llin ida. f to not renew the pol- ef ect unt l the end o the durat o suchFlor I we elect f i f ion ficy we wil pro i at least 100 days' no- hurricane, un a replace po cy has, l v de less ment litice that we in to nonrenew 90 days been obtained and is in ef fo a cla m oc-tend fect r iaf substantial co let f epairs. curring during the duration o the hurricane.ter the mp ion o r f

W may co lect pre iu f the per oe l m m or iod fb. W ma cance or nonrenew the pole y l icyti for icy is eme which the pol period xtended.prior to restorat o the structure or itsion f

3. E.2.,W t h a hurricane isi h respect to Paragrapcontents for f fo lowing reasons:any o the la storm system that has been declared to be(1) Nonpayment o pre iuf m m;a hurricane by the National Hurricane Center

(2) Materia m or f re-l isstatement raud of the Nat W ther Ser i (herea ter re-ional ea v ce flated la m;to the c i fer to as NHC). The hurricane occurred rence

begins at the time a hurricane watch or hurri-(3) W deter ine that you ha unrea-e m vecane warning is issued for any part o F idaf lorsonably caused a delay in the repairby the NHC and ends 72 hours after the ter-of ; orthe structurem ion o the last hurr watch or hurri-inat f icane(4) W ha e paid the po cy i its.e v li l mcane warning issued for any part of F ida bylorthe NHC.

Page 4 o 4 Insurance Ser ices O f ce, .,f v f i Inc 2010 IL 02 55 001 1

POLICYHOLDER NOTICES

Dear Valued Customer,

Tra elers Boi & Machinery appreciates your Equip Breakdown Insurance business. We understand thatv ler mentli e and business are dynamic and the best way to ser you is to del v h y-rated and custo ized ser i sf ve i er ighl m v cethat beha the same e l i keep in synch with l fe s as they change.ve way vo v ng to i and busines

Tra elers Bo & o fers the ol xcep ser ices as part o insurance co rage:v iler Machinery f f lowing e tional v f your ve

ENGINEER SERVING ICES

Proactive Bo Ins ns a O Managemeiler pectio nd bject nt

Tra elers Boi & Mach per ms inspections on boilers and pressure vessels as required by jurisdic onsv ler inery for tiacross the country. Tra elers can help you with the identi icat o any boilers or pressure vessels which requirev f ion finspection according to state or ci laws. I your business has this equipment we can perfor the inspectty f , m ion.Speak with your Equ ment B for in maip reakdown professional more for tion.

Help ne S port I onsLi up for nspecti

W li e is out of synch our Help Line staf is a la to pro ide you with assistance on any questions, prob-hen f f vai ble vle or concerns about our engineer ser ices.ms, ing v T schedu an i on or seek hel wit ins ons,o le nspecti p h pecticall to -free at 1-800-425-4119ll . We also pro ide you with dedicated support v x at 1-877-764-9535 and of erv ia fa four assistance via e il at boi insp tra e . Su by phone, fax and emai are a i between 8:00ma l v lers.com pport , l va lablea. to 5:00 p m. i .m. . Eastern T me

Risk Con an Loss n formati Warehotrol d Preventio In on use

W t 100 years of e in the Equip t Breakdown Insurance business, Tra Boi & Machii h xperience men velers ler nerywants to share with you the broad range of inno at v risk control and loss pre solut we ha dev l-v i e vention ions ve eoped o years. Tra e ler & inery also shares in mat vent v ma e-ver the v lers Boi Mach for ion such as pre i e intenance guidlines for mach and equipment as well as workplace safety topics beyond just Boiler & Machinery. Our i r-inery nfoma can be accessed by call or v ewing our website at .tion ing i1-800-425-4119 w .travelers.com/riskco oww ntr l

CLAIM SERVICES

24/7/365 Claim Re nporti g

Tra elers Boi & Machinery o f you a var y o ways to report your clai and the peace of mind o knov ler f ers iet f m f wingour loca lai pro sionals manage c ms with lend of ll tenacit co mon sense.l c m fes lai a b ski , y, and m

To report an ment and MachEquip Breakdown (Boiler inery) loss:

Contact ur AgentYo

Call t l-free at 1-800-238-6225ol ; or

Fax yo oss i ormatio o ol 1-877- UIK-FAX (1-877-784-5329)ur l nf n t us t l free at Q .

Sharin our nceg Experie

During the c m in igat process, our Clai Sup Manager, c m staf and f ld engineers act as techni-lai vest ion m port lai f iecal resources and help you by suggesting reputable repair co so you can getmpanies and contractors in your areaback up and running quic y. cla m for more for tkl Speak with your i professional in ma ion.

PN BM 17 07 06 Page 1 of 1

IMPORTANT NOTICE INDEPENDENT AGENT AND BROKERCOMPENSATION

NO COVERAGE IS PROVIDED BY THIS NOTICE. THIS NOTICE DOES NOT AMEND ANYPROVISION OF YOUR POLICY. YOU SHOULD REVIEW YOUR ENTIRE POLICYCAREFULLY FOR COMPLETE INFORMATION ON THE COVERAGES PROVIDED AND TODETERMINE YOUR RIGHTS AND DUTIES UNDER YOUR POLICY. PLEASE CONTACTYOUR AGENT OR BROKER IF YOU HAVE ANY QUESTIONS ABOUT THIS NOTICE ORITS CONTENTS. IF THERE IS ANY CONFLICT BETWEEN YOUR POLICY AND THISNOTICE, THE PROVISIONS OF YOUR POLICY PREVAIL.

For information about how Travelers compensates independent agents and brokers, please visitwww.travelers.com, call our toll-free telephone number 1-866-904-8348, or request a written copy from Marketingat One Tower Square, 2GSA, Hartford, CT 06183.

PN T4 54 01 08 Page 1 of 1

IMPORTANT NOTICE RISK MANAGEMENT PLANS FLORIDA

NO CO I PR ED BY T S N T T N TIC D N T AMEND ANY PROV ON OFVERAGE S OVID HI O ICE. HIS O E OES O ISIYOUR P ICY. YOU SH REVI YOUR EN IRE P ICY CAREFULL F C LE E IN MA-OL OULD EW T OL Y OR OMP T FORT ON ON THE COVERAGES PRO AND TO D TERM YOUR RIGH S AND DUTIES UNDER YOURI VIDED E INE TPOL PLEASE CON T Y AGEN OR B I YOU HAVE ANY QUES ONS ABOU THICY. TAC OUR T ROKER F TI T ISNO E OR I S C TEN S. I TH I ANY CO T BE WEEN Y P ICY AND THIS NO ITIC T ON T F ERE S NFLIC T OUR OL T CE,TH OVI ONS Y OL EVAIL.E PR SI OF OUR P ICY PR

Flor loss control insurance statutes require insurers to pro i co me ial pol a the request, withida v de m rc icyholders, t irguidel for risk management p Tra lers' Risk Control Depart has a lable guidel to assist youines lans. ve ment vai ineswith your acc dent pre ent i i ies. These guidelin vai to you free o charge.i v ion act v t es are a lable f

A risk management p shall include safet measures for di f e including, as applicab pol utionlan y f erent xposures, le, land en menta hazards; disease hazards; accident occurrences; f hazards and f pre ent and detec-viron l al ire ire v iontion; l l y for acts fro the course of business; slip and fal hazards; product injur and hazards unique to aiabi it m l y;particu c or category of insureds. Training in safety manage techniques and safety managementlar lass mentcounseling ser lso a ilabvices are a va le.

I you would l request assistance with risk management or your safe progra please cal our R Controlf ike to ty m, l iskDepartment at 407-388-3307. For access to o 1,600 safety and health resources, including tra programs,ver iningcheckl managemen guides, etc. v t our Risk Control Customer Porta atists, t isi lhttp:/ w.tra m/r l./ww velers.co iskcontro

PN 10T0 60 05 Page 1 of 1

IMPORTANT NOTICE CONTACT INFORMATION FLORIDA

NO CO I PR ED BY T S N T T N TIC D N T AMEND ANY PROV ON OFVERAGE S OVID HI O ICE. HIS O E OES O ISIYOUR PO . Y SHOU REVIEW Y EN IRE P ICY CAREFULL F COM T IN MA-LICY OUR LD OUR T OL Y OR PLE E FORT ON ON THE COVERAGES PRO AND TO D TERM YOUR RIGH S AND DUTIES UNDER YOURI VIDED E INE TPOL PLEASE CON T Y AGEN OR B I YOU HAVE ANY QUES ONS ABOU THICY. TAC OUR T ROKER F TI T ISNO E OR I S C TEN S. I TH I ANY CO T BE WEEN Y P ICY AND THIS NO ITIC T ON T F ERE S NFLIC T OUR OL T CE,TH R SI OF OUR P ICY PRE P OVI ONS Y OL EVAIL.

Please rev your policy care ly Should you ha any questions concerning coverages, bil addit oriew ful . ve lings, ionsdeletion, please contact your agent. Shou you feel t need for addit in m ion or wish to make a c m-ld he ional for at oplaint f the l, we o fer fo lowing number:

For n mat to ke a co la cal :i for ion or ma mp int, l1-800-328-2189

PN 10T2 19 05 Page 1 of 1

NOTICE TO POLICYHOLDERSJURISDICTIONAL INSPECTIONS

Dear Policyholder;

Many states and some cities issue certificates permitting the continued operation of certain equipment such asboilers, water heaters, pressure vessels, etc. Periodic inspections are normally required to renew these certifi-cates. In most jurisdictions, insurance company employees who have been licensed are authorized to performthese inspections.

If:

You own or operate equipment that requires a certificate from a state or city to operate legally, and

We Insure that equipment under this Policy, and

You would like us to perform the next required inspection;

Then;

Call this toll-free number 1-800-425-4119

When you call this number, our representative will ask you for the following information:

Name of your business (as shown on this Policy)

Policy Number

Location where the equipment is located. Including Zip Code.

Person to contact and phone number for scheduling of inspection

Type of equipment requiring inspection

Certificate inspection date and certificate number

Or;

Fill in the form on the reverse side of this notice and fax it to the toll-free number indicated on that form.

Please note the following:

Your jurisdiction may charge you a fee for renewing a certificate. It is your responsibility to pay such a fee.

All the provisions of the INSPECTIONS AND SURVEYS Condition apply to the inspections described in thisnotice.

REMINDER

If new equipment is installed or old equipment replaced that requires a jurisdictional inspection please let usknow by calling our toll-free number listed above.

PN T1 89 06 99 Page 1 of 2

REQUEST FOR JURISDICTIONAL INSPECTION

Name ofBusiness:

(As Shown on Policy)

PolicyNumber:

Location of Equipment:

City State Zip Code

Person to Contact for Scheduling Inspection:

Telephone Number of Person to Contact:

Equipment Type Certificate Number Certificate Expiration Date

Fax Form to 1-877-764-9535

Completed by: Phone Number:

Page 2 of 2 PN T1 89 06 99

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