the city ofboonville is soliciting bids for various ... · fine arts: we have two...

The City ofBoonville is soliciting bids forvarious insurance coverages as outlined herein.

DATE: August 22, 2018

TO: Prospective InsuranceJ^idders

FROM: Irl Tessendorf

SUBJECT: Bids for Various Insurance Coverages

The City is requesting bids for the City's general insurance coverages.

It will include:

PropertyAuto Physical DamageAuto Liability with Medical PaymentsGeneral LiabilityEmployment Practices LiabilityE & 0 LiabilityLaw Enforcement LiabilityEquipment - Inland MarineEmployee Benefits LiabilityEDP Coverage

Bid are due to the City Clerk by 11 :00 am on October 15, 2018.

Loss runs will be available shortly. Existing policies are available for review at CityHall.

Miscellaneous Notes for Insurance

Kemper Buildings: D' Barracks, A' Barracks, Windsor Building (will be demolished withinnext 12 months), and Academic Hall are all vacant.Science Hall, Library Learning Center, and Field House are occupied.

Katy Bridge:

Adjusting andDefense Costs:

The City owns this structure and the South Approach of the Katy Bridge isopen. The lift span and the North side of the bridge will remain out ofservice for the foreseeable future. Need liability coverage and other asapplicable.

Please be explicit as how these are treated within the deductible and otherlimits.

Fine Arts: We have two "Bingham's" on loan in City Hall that need coverage.

We have a dog park: Considered pan of our park system.

Leased Property: Need appropriate coverages on the following:

- Bunker Area or Bridge Approach - Area between Morgan Street and theBridge is a park like area with vehicle access and parking as well as thetrail leading up to the bridge. Owned by DNR, lease to City. Nobuildings per se on it presently.

Museum and

Donated/owned

Items <$ioot-for iicms): -Gingrich Building - City owns building but land under and aroundfootprint owned and leased from Mo DNR. Used as Visitor Center andMuseum.

Transfer Station:

Mustang Org.:

- Katy Depot and Grounds - Owned by DNR and leased to City.

City owns facility and ground; leased to Advanced Disposal for operatin;purposes.

Police Chief currently Chairman of their somewhat adhoc Drug TaskForce group of regional cities and counties. Need appropriate coverage.

Deductible:

EarthquakeInsurance:

Term:

Rating:

Adjusters:

Other Insureds:

Occurrence/Claims Made:

Other Policies:

Other:

Firefighters Auto:

Deductible levels are set forth within this package. Please endeavor tomatch said levels. The City would entertain alternate quotes for higherlevels of the deductibles.

I do not want to interact with claimants directly so prefer adjusting processremain with company. Be explicit about how defense costs and any otheraccessory charges will be treated in City achieving the higher deductiblelimits.

Please be specific on coverage.

Anticipated to be at least 3 years.

Provide financial rating of company as applicable.

Provide name and location of anticipated providers, prompt service helpsdiffuse some situations.

If company is lesser known provide other Missouri insureds.

Please coordinate these issues with current policies to avoid gap.

The Airport, Crime, and Volunteer Fire Accident have differentexpirations of term and seem to be specialized with limited markets. Ithink I will continue these policies on a stand-alone basis.

Any other creative ideas would be entertained.

See enclosed

Terrorism: City opted in to terrorism coverage.

December 12, 2017..s".^r-ProoertyCovemidie

Named Insured: CITY OF BOONVILLE

Special Form90% Coinsurance

Replacement Cost ^3Actual Cash Value QTotal Insured Value $53, 216, 065Deductible $25, 000

Earthquake with 10% Deductible

t^.

(Included if checked)

BuildingsPersonal PropertyProperty Special Broadening Endorsement which

1. Debris Removal2. Pollutant Clean-up3. Arson Reward

4. Newly Acquired or Constructed Property:- Buildings- Personal Property

5. Property Off-Premises6. Worldwide Property Off Premises7. Salesperson Samples8. Exhibitions9. Property In Transit10. Depositors Forgery11. Employee Dishonesty Including Welfare andPension Plan

ERISA Compliance12. Money and Securities13. Foundations and Underground Pipes14. Tenant Glass15. Ordinance or Law Coverage16. Newly Acquired Locations Increased Limits forBusiness Income and Extra Expense17. Contractual Penalties18. Dependent Properties19. Utility Services20. Transit Business Income and Extra Expense21. Contingent Transit Business Income and ExtraExpense22. Change in Temperature, Electrical Injury, UtilityServices and Contamination by Refrigerant23. Water Damage, Other Liquids, Powder or MoltenMaterial Damage24. Underground Water Seepage

includes at no charge:$ 50, 000$ 25, 000$ 30, 000

$1, 000, 000$ 500, 000$ 100, 000$ 45, 000$ 25, 000$ 50, 000$ 50, 000$ 25, 000$ 50, 000

$ 25, 000$ 250, 000$10, 000$ 250, 000$ 250, 000

$ 25, 000$ 100, 000$ 25, 000$100, 000$ 100, 000

$ 50, 000

$ 25, 000

$10,000

$250,000 Blanket Limit - applies to any or all of the following: Accounts Receivable, ClaimsExpenses, Fine Arts, Movement of Property, Personal Effects & Property of Others, BusinessIncome & Extra Expense, Computer & Computerized Equipment, Fire Dept. Service Charges,Outdoor Property, Valuable Papers & Records/Cost of Research

Equipment Breakdown

[ ZT" ~MissounWumJ Services CorpT. Jefferson City. 'Missouri A. :-'»,.<

COMMERCIAL PROPERTY COVERAGE PARTDECLARATIONS PAGE

POLICY NO. 222327 - D"X" If SupplementalNAMED INSURED EFFECTIVE DATE 01/01/2018 _ Declarations Is AttachedCity of Boonville

DESCRIPTION OF PREMISESPrem. Bldg.No. No.

Location, Construction And Occupancy

See Description of Premises Schedule

COVERAGES PROVIDED Insurance At The Described Premises Applies Only For Coverages For WhichA Limit Of Insurance Is Shown

Prem. Bldg.No. No. Coverage

LimitOf Insurance

CoveredCauses Of Loss Coinsurance*

See Coverages Provided Schedule

*lf Extra Expense Coverage, Limits On Loss PaymentOPTIONAL COVERAGES Applicable Only When Entries Are Made In The Schedule BelowPrem. Bldg.

No. No. Expiration Date Cov.Agreed Value

Amount

See Optional Coverages Schedule

Inflation Guard (%)Bldg. Pers.

Prop.

Replacement Cost (X)Building Pers. Including

Prop. Stock

*Monthly Limit OfIndemnity

Maximum Period *Extended PeriodOf Indemnity Of Indemnity

MORTGAGEHOLDERS

Prem. Bldg.No. No.

Mortgageholder Name And Mailing Address

DEDUCTIBLE

See Property Deductible Forms

Exceptions: Earthquake: 10%

FORMS APPLICABLE

To All Coverages:To Specific Premises/Coverages:Prem. Bldg. CoveragesNo. No.See attached Forms Schedule.

Form Number

39 57 CP 10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CP os 0010 GO)

OriginalPage 1 of 31

DESCRIPTION OF PREMISES

Prem. Bldg.No. No.001 001

002 001

003 001

003 002

003 003


Office Building & City Council Chambers525 East Spring St.CooperBoonville, MO 65233

Joisted Masonry

Fire Department Storage413 Sixth St.

CooperBoonville, MO 65233

Joisted Masonry

Water Filtration

Harley ParkCooperBoonville, MO 65233Non-Combustible

High Pump HouseHarley ParkCooperBoonville, MO 65233Non-Combustible

Park Shop & GarageHarley Park

CooperBoonville, MO 65233Frame

A^ew

Ww An^ \ Shelve]1^0 £ Mo

^ y-

^5D, t)Oo

003 004 Water Tank

Harley ParkCooperBoonville, MO 65233Non-Combustible

003 005 Grandstands BuildingHarley Park

CooperBoonville, MO 65233Non-Ccmbustible

004 001 Water Tower

S/S Krohn

CooperBoonville, MO 65233Non -Combus t ib1e

005 001 Raw Water Pump Station3/4 Mile West on Missouri River

CooperBoonville, MO 65233Non-Combustible

3957CP10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CPDSOO IOOD)




007 001


Chlorine BuildingN/S Santa Fe Trail


Non-Combustible

8th Street Pump StationN End of 8th St.


Non-Combustible

008 001 Industrial Drive Pump Park Station

FairgroundsCooperBoonville, MO 65233Non-Combustible

009 001 Auxiliary Generator1545 Cauthorn Dr.


010 001 Airport TerminalPearce Rd.


Joisted Masonry

010 002 Airport HangarPearce Rd.


Joisted Masonry

010 003 Airport T HangarPearce Rd.


010 004 Airport T HangarPearce Rd.


010 005 Airport Runway Lights & ControlsPearce Rd.


3957 CP 10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CPDSOOIOOO)





AV Gas Tank BuildingPearce Rd.


Frame

010 007 AWOS

Pearce Rd.


Non-Combustible

010 008 T-HangarsPearce Rd.


010 009 T-HangarPearce Rd.


Oil 001 Dog PoundN/S East Exit Morgan St.CooperBoonville, MO 65233

Non-Combustible

012 001 Office & Garage1200 Locust St.


012 002 Salt Storage Building1200 Locust St.


Non-Combustible

013 001 Parking Garage/Wash1240 Locust St.


Joisted Masonry

014 001 Office & GarageMain Dr. Harley park

Cooper

Boonville, MO 65233Non-Combustible

3957CP10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CP os oo 10 oo)




016 001


Park Office/Shop Building1125 llth St.


Joisted Masonry

South Main Pump Bldg.American Dr.


Non-Combustible

017 001 Restrooms/Maintenance BuildingW. Ashley Rd.CooperBoonville, MO 65233

Joisted Masonry

017 002 Grandstands BuildingW. Ashley Rd.CooperBoonville, MO 65233

Joisted Masonry

018 001 Water Tower

Mid America Industrial Dr.


Non -Combus t ib1e

019 001 Pump StationOld Five Dr.


Non-Combustible

020 001 Pump StationScenic Dr.


Non -Combus t ib1e

021 001 Waste Water Plant

1545 Cauthorn Dr.


Non-Combustible

021 002 Pump Station1545 Cauthorn Dr.


Non -Combus t ib1e

39 57 CP 10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CPDSOO woo)





Pump Building1545 Cauthorn Dr.


022 001 Maintenance Building701 3rd St. Hitch House


Non-Combustible

022 002 Science Hall701 3rd St. Hitch House


022 003 Learning Center701 3rd St. Hitch House


022 004 "A" Barracks701 3rd St. Hitch House


Masonry Non-Combustible

022 005 "D" Barracks

701 3rd St. Hitch House


Joisted Masonry

022 006 Academic Hall701 3rd St. Hitch House


Joisted Masonry

022 007 Johnston Field House701 3rd St. Hitch House


Joisted Masonry

022 008 Concession Stand701 3rd St.


Joisted Masonry

39 57 CP 10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CP os 001000)





Waste Water Plant

30 Santa Fe Trail Dr.


024 001 Pump Station #14th & Water


Non-Combustible

025 001 Transfer StationAl Berstead Dr.


Frame

026 001 Police Station

403 MorganCooperBoonville, MO 65233

Joisted Masonry

027 001 Statues/Busts in Hannah Cole Park

Morgan St. Park


028 001 Veterans Park Memorial Statuary

Main & High St.CooperBoonville, MO 65233

Non-Combustible

029 001 Pump Station #21014 Water St.


Non-Combustible

030 001 Water Tower

17505 B Hwy.CooperBoonville, MO 65233

Non-Combustible

031 001 Pump Station2220 Boonslick Dr.


Non-Combustible

39 57 CP 10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CPDSOO 10 DO)




033 001

034 001


City Hall401 Main St.


Joisted Masonry

Visitors Center/Community Center201 E. MorganCooperBoonville, MO G5233

Joisted Masonry

Aquatic Center1207 llth Street


Non-Combustible

035 001 New Fire Station

500 Bingham Road


Joisted Masonry

036 001 Golf Cart Shed

17511 Hwy. 87CooperBoonville, MO 65233

Frame

036 002 Golf Cart Shed


Frame

036 003 Clubhouse


Frame

036 004 Maintenance Shed


Frame

036 005 Pumphouse & Equipment


Non-Combustible

39 57 CP 10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CP DS oo i o oo)




001 001 Building

Personal Propertyof Insured

002 001 Building


003 001 Building

003 002 Building

003 003 Building


003 004 Building

003 005 Building

004 001 Building

005 001 Building

006 001 Building

007 001 Building

008 001 Building

009 001 Building

010 001 Building

LimitOf Insurance

$1, 653, 750$1, 653, 750

$117, 000

$117, 000

$5, 858$5, 858

$70, 000

$70, 000

$471, 862$471, 862

$100, 000$100, 000

$29, 287$29, 287

$1, 147

$1, 147

$1, 000, 000$1, 000, 000

$63, 814$63, 814

$1, 300, 000$1, 300, 000

$200, 000$200, 000

$112, 169$112, 169

$41, 004$41, 004

$1, 000, 000$1, 000, 000

$80, 540$80, 540

$150, 000$150, 000

CoveredCauses Of Loss

Special Form IncludingEarthquake Form

Theft

Special Form Including Theft

Earthquake Form

Special Form IncludingEarthquake Form

Theft


Earthquake Form

Special Form Including TheftEarthquake Form




Earthquake Form










Coinsurance*90%

90%

90%

90%

90%90%

90%

90%

90%90%

90%90%

90%90%

90%

90%

90%90%

90%90%

90%90%

90%

90%

90%90%

90%90%

90%90%

90%90%

90%90%

3957 CP 10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CP os 001000)



Prem. Bldg. LimitNo. No. Coverage Of Insurance

010 001 Personal Property $17, 210of Insured

010

010

010

010

010

010

010

010

Oil

012

012

013

014

015

002 Building

003 Building

004 Building

005 Building

006 Building

$17, 210

$75, 000$75, 000

$800, 000$800, 000

$800, 000$800, 000

$137, 960

$137, 960

$40, 000$40, 000

007 Personal Property $200, 000of Insured

$200, 000

008 Building

009 Building

001 Building

001 Building

$350, 000$350, 000

$350, 000$350, 000

$75, 000$75, 000

$900, 000$900, 000

Personal Property $150, 000of Insured

$150, 000

002 Building

001 Building

001 Building

001 Building

$180, 000$180, 000

$400, 000$400, 000

$43, 931$43, 931

$100, 000$100, 000


$15, 000



Earthquake Form







Earthquake Form






Earthquake Form





39 57 CP 10 00


Earthquake Form

Contains copyrighted material of ISO Properties, Inc., with its permission. (CPDSOO 10 DO)

Original

Coinsurance*

90%

90%

90%90%

90%90%

90%90%

90%90%

90%90%

90%

90%

90%90%

90%90%

90%90%

90%90%

90%

90%

90%90%

90%90%

90%90%

90%90%

90%

90%

Page 10 of 31


Prem. Bldg.No. No.

016

017

018

019

020

021

021

021

022

022

022

022

022

022

022

022

Coverage001 Building

017 001 Building

Limit CoveredOf Insurance Causes Of Loss

$41, 735 Special Form Including Theft$41, 735 Earthquake Form



$4, 590

002 Building

001 Building

001 Building

001 Building

001 Building

002 Building

003 Building

001 Building

002 Building

003 Building

004 Building

005 Building

006 Building

007 Building

008 Building


Earthquake Form


$1, 100, 000 Special Form Including Theft$1, 100, 000 Earthquake Form














Coinsurance*90%

90%

90%90%

90%

90%

90%

90%

90%90%

90%90%

90%90%

90%90%

90%90%

90%90%

90%90%

90%90%

90%90%

90%90%

90%90%

90%90%

90%90%

39 57 CP 10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CPDSOO 10 GO)



Prem. Bldg.No. No.

023

024

025

026

027

028

029

030

031

032

034

035

Coverage001 Building

001 Building

001 Building

001 Building

LimitOf Insurance

$4, 843, 777$4, 843, 777

$1, 148, 654$1, 148, 654

$302, 721$302, 721

$2, 500, 000$2, 500, 000


$150, 000

001 Building

001 Building

001 Building

001 Building

001 Building

001 Building

$123, 297$123, 297

$92, 578$92, 578

$1, 500, 000$1, 500, 000

$950, 000$950, 000

$1, 400, 000$1, 400, 000

$2, 000, 000$2, 000, 000


$200, 000

033 001 Building $1, 000, 000$1, 000, 000


$150, 000

001 Building

001 Building

$3, 500, 000$3, 500, 000

$2, 000, 000$2, 000, 000


$250, 000







Earthquake Form

Special Form Includin9 TheftEarthquake Form







Earthquake Form



Earthquake Form




Earthquake Form

Coinsurance*

90%90%

90%90%

90%90%

90%

90%

90%

90%90%

90%90%

90%90%

90%90%

90%90%

90%90%

90%

90%

90%90%

80%

80%

90%90%

90%90%

90%

90%

39 57 CP 10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CP DS oo 10 DO)

Ori9inalPage 12 of 31



036 001 Building

036 002 Building

036 003 Building

036 004 Building

036 005 Building

Limit CoveredOf Insurance Causes Of Loss Coinsurance*

$50, 000 Special Form Including Theft 90%$50, 000 Earthquake Form 90%





39 57 CP 10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CPDSOO IDOO)


OPTIONAL COVERAGES Applicable Only When Entries Are Made In The Schedule BelowPrem. Bldg.No. No.001 001 Building

Replacement Cost

Personal Property of InsuredReplacement Cost

002 001 BuildingReplacement Cost
















3957 CP 10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CPDSOO 1000)


OPTIONAL COVERAGES Applicable Only When Entries Are Made In The Schedule BelowPrem. Bldg.No. No.

BuildingReplacement Cost

010 002





010 007 Personal Property of InsuredReplacement Cost

010 008 Building

Replacement Cost


Oil 001 Building

Replacement Cost










39 57 CP 10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CP os 001000)


OPTIONAL COVERAGES Applicable Only When Entries Are Made In The Schedule Below

Prem. Bldg.No. No.017 001 Personal Property of Insured

Replacement Cost


















39 57 CP 10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CPDS 001000)



Prem. Bldg.No. No.026 001 Building

Replacement Cost



028 001 Building

Replacement Cost

029 001 Building

Replacement Cost














39 57 CP 10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CPDSOO 1000)



Prem. Bldg.No. No.036 005 Building

Replacement Cost

39 57 CP 10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CP os oo 10 DO)


FORMS APPLICABLE

To All Coverages:44 40 CP (10-06)

44 41 CPx (10-06)

To Specific Premises/Coverages:Prem. Bldg. CoveragesNo. No.

001 001 Building

Personal Property of Insured

All Coverages

002 001 Building


All Coverages

003 001 Building

All Coverages

003 002 Building

All Coverages

Form Number

CP 00 10

CP 10 30CP 10 40CP 00 10

CP 10 30CP 10 4021 99 CP

39 57 CPCP 00 90CP 01 28CP 01 40

CP 03 20

CP 00 10CP 10 30CP 10 40CP 00 10CP 10 30CP 10 4021 99 CP39 57 CPCP 00 90CP 01 28CP 01 40CP 03 20

CP 00 10CP 10 30CP 10 4021 99 CP39 57 CPCP 00 90CP 01 28CP 01 40CP 03 20

CP 00 10

CP 10 30CP 10 4021 99 CP39 57 CPCP 00 90CP 01 28CP 01 40CP 03 20

(10-12)(09-17)(10-12)(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)

(09-17)(10-12)(10-12)(09-17)

(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)

(09-17)(10-12)(MO) (12-15)(10-00)(07-88)

(07-00)(07-06)(10-92)

003 003 Building CP 00 10 (10-12)CP 10 30 (09-17)

3957 CP 10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CPDS 001000)


FORMS APPLICABLE

To All Coverages:


003 003 BuildingPersonal Property of Insured

All Coverages

Form Number

003 004 Building

All Coverages

003 005 Building

All Coverages

004 001 Building

All Coverages

005 001 Building

All Coverages

CP 10 40CP 00 10CP 10 30CP 10 4021 99 CP39 57 CPCP 00 90CP 01 28CP 01 40CP 03 20

CP 00 10CP 10 30CP 10 40

21 99 CP39 57 CPCP 00 90CP 01 28CP 01 40CP 03 20

CP 00 10CP 10 30CP 10 4021 99 CP

39 57 CPCP 00 90CP 01 28CP 01 40CP 03 20

CP 00 10CP 10 30CP 10 4021 99 CP39 57 CPCP 00 90CP 01 28CP 01 40

CP 03 20


(10-12)

(10-12)(09-17)

(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)(09-17)(10-12)

(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

39 57 CP 10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CPDSOO 1000;


FORMS APPLICABLE

To All Coverages:


Form Number

006 001 Building

All Coverages

007 001 Building

All Coverages

008 001 Building

All Coverages

009 001 Building

All Coverages

010 001 Building


All Coverages

2139

CP 00 10CP 10 30CP 10 40

99 CP57 CP

CP 00 90CP 01 28CP 01 40

CP 03 20

CP 00 10CP 10 30

CP 10 4021 99 CP39 57 CPCP 00 90CP 01 28CP 01CP 03

4020



CP 00 10CP 10 30CP 10 40CP 00 10CP 10 30CP 10 4021 99 CP39 57 CPCP 00 90CP 01 28

(10-12)

(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)(09-17)(10-12)(MO) (12-15)

(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)

(07-00)(07-06)(10-92)

(10-12)(09-17)

(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)(09-17)(10-12)

(10-12)(09-17)

(10-12)(MO) (12-15)(10-00)(07-88)(07-00)

39 57 CP 10 00 Contains copyrighted material o( ISO Properties, Inc., with its permission. (CPDS 001000)


FORMS APPLICABLE

To All Coverages:


010 001 All Coverages

Form Number

CP 01 40 (07-06)

CP 03 20 (10-92)

010 002

010 003 Building

All Coverages

010 004 Building

All Coverages

010 005 Building

All Coverages

010 006 Building

All Coverages

21 99 CP (MO) (12-15)39 57 CP (10-00)CP 00 90 (07-88)CP 01 28 (07-00)CP 01 40 (07-06)CP 03 20 (10-92)

CP 00 10CP 10 30CP 10 4021 99 CP

39 57 CPCP 00 90CP 01 28CP 01 40CP 03 20




(10-12)(09-17)(10-12)(MO) (12-15)

(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)

(07-06)(10-92)

(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)(09-17)

(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

3957CP10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CPDSOOIOOO)


FORMS APPLICABLE

To All Coverages:


010 007 Personal Property of Insured

All Coverages

Form Number

CP 00 10CP 10 30CP 10 4021 99 CP

39 57 CPCP 00 90CP 01 28CP 01 40

CP 03 20

(10-12)(09-17)(10-12)

(MO) (12-15)(10-00)

(07-88)(07-00)(07-06)(10-92)

010 008 Building

All Coverages

010 009 Building

All Coverages

Oil 001 Building

All Coverages

012 001 Building


All Coverages

CP 00 10 (10-12)CP 10 30 (09-17)CP 10 40 (10-12)

21 99 CP (MO) (12-15)39 57 CP (10-00)CP 00 90 (07-88)CP 01 28 (07-00)CP 01 40 (07-06)CP 03 20 (10-92)

CP 00 10CP 10 30CP 10 4021 99 CP39 57 CPCP 00 90CP 01 28

CP 01 40CP 03 20


CP 00 10CP 10 30CP 10 40CP 00 10CP 10 30CP 10 4021 99 CP

57 CP39CP 00

CP 01

9028

(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)(09-17)(10-12)(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)



FORMS APPLICABLE

To All Coverages:



012 002

Form Number

CP 01 40 (07-06)

CP 03 20 (10-92)

21 99 CP (MO) (12-15)39 57 CP (10-00)CP 00 90 (07-88)

CP 01 28 (07-00)CP 01 40 (07-06)CP 03 20 (10-92)

013 001 Building

All Coverages

014 001 Building

All Coverages

015 001 Building


All Coverages



CP 00 10CP 10 30CP 10 40CP 00 10CP 10 30CP 10 4021 99 CP39 57 CPCP 00 90CP 01 28CP 01 40

CP 03 20

(10-12)(09-17)(10-12)(MO) (12-15)

(10-00)(07-88)

(07-00)(07-06)(10-92)

(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)

(07-06)(10-92)

(10-12)(09-17)

(10-12)(10-12)(09-17)

(10-12)(MO) (12-15)

(10-00)(07-88)

(07-00)(07-06)(10-92)

016 001 Building

All Coverages

CP 00 10 (10-12)CP 10 30 (09-17)CP 10 40 (10-12)21 99 CP (MO) (12-15)39 57 CP (10-00)CP 00 90 (07-88)CP 01 28 (07-00)

3957 CP 10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CPDSOOIOOO)


FORMS APPLICABLE

To All Coverages:



017 001

017 002 Building

All Coverages

018 001 Building

All Coverages

019 001 Building

All Coverages

020 001 Building

All Coverages

Form Number

CP 01 40 (07-06)

CP 03 20 (10-92)

21 99 CP (MO) (12-15)39 57 CP (10-00)CP 00 90 (07-88)CP 01 28 (07-00)CP 01 40 (07-06)CP 03 20 (10-92)

CP 00 10CP 10 30CP 10 4021 99 CP

39 57 CPCP 00 90CP 01 28CP 01 40CP 03 20

CP 00 10CP 10 30CP 10 4021 99 CP

39 57 CPCP 00 90CP 01 28CP 01 40

CP 03 20

CP 00 10CP 10 30CP 10 40

21 99 CP39 57 CPCP 00 90CP 01 28CP 01 40CP 03 20

CP 00 10CP 10 30CP 10 4021 99 CP39 57 CP

CP 00 90CP 01 28CP 01 40

CP 03 20

(10-12)(09-17)

(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)(09-17)

(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

3957CP10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CPDSOO IODO) Paae 25 of 31Original

FORMS APPLICABLE

To All Coverages:


021 001 Building

All Coverages

Form Number


(10-12)

(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

021 002 Building

All Coverages

CP 00 10 (10-12)CP 10 30 (09-17)CP 10 40 (10-12)21 99 CP (MO) (12-15)

39 57 CP (10-00)CP 00 90 (07-88)CP 01 28 (07-00)CP 01 40 (07-06)CP 03 20 (10-92)

021 003 Building

All Coverages

022 001 Building

All Coverages

022 002 Building

All Coverages



CP 00 10CP 10 30

CP 10 4021 99 CP39 57 CPCP 00 90CP 01 28CP 01 40CP 03 20

(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)

(07-06)(10-92)

(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)



FORMS APPLICABLE

To All Coverages:


022 003 Building

All Coverages

Form Number

022 004 Building

All Coverages

022 005 Building

All Coverages

022 006 Building

All Coverages

022 007 Building

All Coverages

CP 00 10CP 10 30CP 10 4021 99 CP

39 57 CPCP 00 90CP 01 28CP 01 40

CP 03 20

CP 00 10CP 10 30CP 10 4021 99 CP39 57 CP

CP 00 90CP 01 28CP 01 40CP 03 20

CP 00 10CP 04 38CP 10 30CP 10 40

21 99 CP39 57 CP

CP 00 90CP 01 28CP 01 40CP 03 20

CP 00 10CP 10 30CP 10 4021 99 CP39 57 CP

CP 00 90CP 01 28CP 01 40CP 03 20


(10-12)

(09-17)

(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)(09-17)

(10-12)(MO) (12-15)

(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)(09-17)(09-17)

(10-12)(MO) (12-15)(10-00)(07-88)

(07-00)(07-06)(10-92)

(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

39 57 CP 10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CP DS oo 10 DO)


FORMS APPLICABLE

To All Coverages:


022 008 Building

All Coverages

Form Number

023 001 Building

All Coverages

024 001 Building

All Coverages

CP 00 10

CP 10 30CP 10 4021 99 CP39 57 CPCP 00 90CP 01 28CP 01 40CP 03 20

CP 00 10CP 10 30CP 10 4021 99 CP

39 57 CPCP 00 90CP 01 28CP 01 40CP 03 20

CP 00 10CP 10 30CP 10 4021 99 CP39 57 CPCP 00 90CP 01 28

CP 01 40CP 03 20

(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)

(07-06)(10-92)

(10-12)(09-17)

(10-12)(MO) (12-15)

(10-00)(07-88)(07-00)

(07-06)(10-92)

(10-12)(09-17)

(10-12)(MO) (12-15)(10-00)(07-88)(07-00)

(07-06)(10-92)

025 001 Building

All Coverages

CP 00 10CP 10 30CP 10 4021 99 CP39 57 CP (10-00)CP 00 90 (07-88)CP 01 28CP 01 40CP 03 20

(10-12)(09-17)(10-12)(MO) (12-15)

(07-00)(07-06)(10-92)

026 001 Building


All Coverages

CP 00 10CP 10 30

CP 10 40CP 00 10CP 10 30

CP 10 4021 99 CP39 57 CPCP 00 90CP 01 28

(10-12)(09-17)

(10-12)(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)

39 57 CP 10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CPDSOO IDOO)


FORMS APPLICABLE

To All Coverages:



027 001

028 001 Building

All Coverages

029 001 Building

All Coverages

030 001 Building

All Coverages

031 001 Building

All Coverages

Form Number

CP 01 40 (07-06)

CP 03 20 (10-92)

21 99 CP (MO) (12-15)39 57 CP (10-00)

CP 00 90 (07-88)CP 01 28 (07-00)CP 01 40 (07-06)CP 03 20 (10-92)

CP 00 10CP 10 30CP 10 4021 99 CP

39 57 CPCP 00 90CP 01 28CP 01 40CP 03 20

CP 00 10CP 10 30CP 10 4021 99 CP39 57 CPCP 00 90CP 01 28

CP 01 40CP 03 20

CP 00 10CP 10 30CP 10 4021 99 CP39 57 CPCP 00 90CP 01CP 01CP 03

284020

CP 00 10CP 10 30CP 10 4021 99 CP39 57 CPCP 00 90CP 01 28CP 01CP 03

4020

(10-12)(09-17)

(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)(09-17)

(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

3957CP10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CP DS oo 10 GO)


FORMS APPLICABLE

To All Coverages:


032 001 Building

Form Number


All Coverages

033 001 Building


All Coverages

034 001 Building

All Coverages

035 001 Building


All Coverages

CP 00 10CP 10 30CP 10 40CP 00 10CP 10 30CP 10 4021 99 CP

39 57 CPCP 00 90CP 01 28CP 01 40CP 03 20

CP 00 10

CP 10 30CP 10 40CP 00 10CP 10 30CP 10 4021 99 CP39 57 CPCP 00 90CP 01 28CP 01 40CP 03 20

CP 00 10

CP 10 30CP 10 4021 99 CP39 57 CP

CP 00 90CP 01 28

CP 01 40CP 03 20

CP 00 10CP 10 30CP 10 40

CP 00 10CP 10 30CP 10 4021 99 CP39 57 CP

CP 00 90CP 01 28CP 01 40CP 03 20

(10-12)(09-17)(10-12)(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)

(09-17)

(10-12)(10-12)(09-17)

(10-12)(MO) (12-15)

(10-00)(07-88)

(07-00)(07-06)(10-92)

(10-12)

(09-17)

(10-12)(MO) (12-15)

(10-00)

(07-88)(07-00)(07-06)(10-92)

(10-12)(09-17)

(10-12)

(10-12)(09-17)(10-12)(MO) (12-15)(10-00)

(07-88)(07-00)(07-06)(10-92)

036 001 Building CP 00 10 (10-12;

3957CP10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CPDSOO iooo> PaaC 30 of 31Original

FORMS APPLICABLE

To All Coverages:


036 001 Building

All Coverages

Form Number

036 002 Building

All Coverages

036 003 Building

All Coverages

036 004 Building

All Coverages

036 005 Building

All Coverages

CP 10 30 (09-17)

CP 10 40 (10-12)21 99 CP39 57 CPCP 00 90CP 01 28CP 01 40

(MO) (12-15)(10-00)(07-88)(07-00)(07-06)

CP 03 20 (10-92)

CP 00 10CP 10 30CP 10 4021 99 CP

39 57 CPCP 00 90CP 01 28CP 01 40

CP 03 20

CP 00 10CP 10 30CP 10 40

21 99 CP39 57 CPCP 00 90CP 01 28CP 01 40

CP 03 20

CP 00 10CP 10 30CP 10 4021 99 CP39 57 CPCP 00 90CP 01 28CP 01 40

CP 03 20


(10-12)(09-17)(10-12)(MO) (12-15)(10-00)(07-88)

(07-00)(07-06)(10-92)

(10-12)(09-17)(10-12)(MO) (12-15)

(10-00)(07-88)(07-00)

(07-06)(10-92)

(10-12)(09-17)(10-12)(MO) (12-15)

(10-00)(07-88)(07-00)(07-06)(10-92)

(10-12)(09-17)

(10-12)(MO) (12-15)(10-00)(07-88)(07-00)(07-06)(10-92)

39 57 CP 10 00 Contains copyrighted material of ISO Properties, Inc., with its permission. (CPDSOO 1000) Paae 31 Of 31Original

December 12, 2017r~y-~ . %,ttomobite Covijraie !K


Number of Vehicles - 84

Limits of Liability and Deductible:$2, 000, 000 Bodily Injury/Property Damage Combined Single Limit$ 50, 000 CSL Uninsured/Underinsured Motorist LimitMedical Payments Limit - NONE$ 500 Comprehensive Deductible per schedule$1,000 Collision Deductible per schedule

Missouri Municipal Amendatory Endorsement applies **

Comprehensive Automobile LiabilityHired and Non-Owned LiabilityUnderinsured MotorisVUninsured MotoristMedical PaymentsComprehensive - Actual Cash Value - per Designated ScheduleCollision - Actual Cash Value - per Designated Schedule

Commercial Auto Enhancement Endorsement:

. Injury to fellow employee resulting from the use of a covered auto

. Hired Auto Physical Damage $50,000 limit

. Rental Reimbursement up to $75 per day up to 30 days

. Towing expense up to $2500

. Firefighter's Deductible Reimbursement up to $300

. No deductible applies to glass breakage to commandeered autos

. Customized Auto Extension

. Coverage for Freezing (Fire Trucks Only)

. Deductible Waiver Endorsement

'

11" <]Ei!"SI Missouri Rural SeroiS"SS^ fion Cftv7Missoitfit

COMMERCIAL AUTO

THE POLICY. IT CAREFULLY.

RREFIGHTER'S

This endorsei ment modifies insurance provided under the following:

BUSINESS AUTO COVERAGE PART

In consideration of the additjonal premium charged, it is understood and agreed that, with respect to coverage affordedunder Section ill . Physical Damage Coverafle, if an "auto" owned by a member of the insured's fire department isdamaged in an "accident" while being driven by }he member responding to a call for ernergeney service by the insured.then the member's "auto" wifl be a covered "auto" under this policy, but only for the "loss" incurred in that "acGtdenl".

The most we will pay for "loss" in any one "accident" is the lesser of:

1. The aciual cash value of the damaged "auto" as of the tims o? the "loss"; or

2. The amount of the fflembef tireiighter's pBrsonal auto policy deductible; or

3.

1010CA0502 Page 1 o?i

^SO-P^/^

Veh. ff

ANIMAL CONTROL

vsw

Year Make

FIRE

HEALTH

Model

CURRENT VEHICLES OWNED BY CITY

PARKS

POLICE

J>EWER_COLLJ

STREET

<!ti^WIftk^flEIB!k. ft..flR<fflR>...

VIN Comp Collision Cost New SPECIFIC DEPT VEHICLE NO. PURCHASE DATE HAVE TITLE

1 2003

2 2005

3 2004

Dodge

Ford

Chevy

Truck

Truck

Van

2D7JB21Z63K531011

1FT|'R10U05PA97375

1GNDXOOE94D120552 93

$27,017 ANIMAL CONTROL


$21. 130 flRBST^Wi

1ST VAN

82

cirr i VAN

YES

YES

YES

6

7

8

9

10

11

12

13

14

15

16

17

1991

1997

2006

2005

2009

1993

1997

2003

2002

2004

2004

2006

Spartan

Spartan

Dodge

36' Travel

Dodge

Ford

Ford

Ford

Ford

Chevy

Chevy

Ford

Fire Truck

Fire Truck

Truck

Trailer

Truck

Truck

Truck

Truck

Crown Vie

Impala

Impala

Crown Vie

4S7PT9S01MC004293

4S7CT109XVC023279

3D7KS28DX6G140248

1F9BD362X5S217576

3D6WH46L39G540411

2FDLF47M3PCB45107

1FDLF47F2VEC40721

1FTZR15EX3PAS6188

2FAFP71W12X126S90

2G1WF52K949266819

2G1WF52K449269465

2FAFP71W86X128827

207

256

52

176

176

294

411

93

108

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

20

21

22

23

24

25

26

27

29

30

31

2003

2001

2005

2005

2003

2008

2005

2011

1994

1996

1999

Tenant

Ford

Ford

Ford

Chevy

Ford

Trailer

Ford

Ford

Ford

Ford

Street Sweep

Truck

Truck

Truck

Truck

Truck

Truck

Truck

Truck

Truck

83011-4846

3FTWF21LX1MA76767

im'R10U05PA97376

1FT/RIOU75PA97374

1GCEC14X33Z268552

IFDWF36598EE01828

5L3BX22235L001580

1FDBF2B69BEA63328

2FTHF25H7RCA83878

IFTHF25H4TLA82331

1FTNF21S4XEE92318

574

70

70

70

93

574

70

70

70

93

176 $26,770 PARKS

$15,775

$17,900

93 $21, 620

^ l.WlliUilllisaauaaaBu

501

502

506

505

509

503

14

12

23

NO

YES

YES

YES

YES

YES

NO

YES

YES

YES

YES


Veh. ff Year

ANIMAL CONTROL

Make Model VI N

l'.'/A^;l«1K

Comp Collision Cost New SPECIFIC DEFT PURCHASE DATE HAVE TITLE

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

1994

2004

2001

2004

1990

2003

2003

2003

2008

1993

2000

2003

2003

2004

1996

2008

2009

2001

2011

2012

2012

2013

2008

2001

2013

2013

2013

2014

2014

2015

2015

Chevy

Ford

Towmaster t-50

Ford

GMC

Ford

Ford

Chevy

Ford

Ford F700

Int'l

Int'l

Int'l

Int'l

Int'l

Elgin

International

Trailer

Trailerman

Chevy

Ford

Ford

Tiger Star

TowmasterT-12

Chevy

GMC

Chevy

Ford

Ford

Ford

Ford

SPORT VAN

Truck

TRAILER - Tows with Tanctum

Truck

Heavy Truck

Truck

Truck

Truck

Truck

Heavy Truck

Heavy Truck

Heavy Truck

Heavy Truck

Heavy Truck

Heavy Truck

Street sweep

7300

Gooseneck - Tows with Trk 17

Tahoe

F250

Explorer

Truck

Trailer

Impaia

Truck

Impala

Police

Explorer

F250

Explorer

1GNEG25H5RF148187

1FTNW20L84EA27028

4KNFT27271L163434

1FDSF35L44EC59994

1GDP7D1G4LV508889

1FTNF2U83EB31774

1FTNF20L83EB31775

1GBJK34153E200872

1FDWF37R78EC93503

1FDXK74CXPVA08315

1HTGGAET6YH285743

1HTWAAAN93J066944

1HTWAAAN73J066943

1HTWAAAN54J090739

1HTSDAAR2TH248579

NP0981S-VINKCHNG

IHTWAAAN99J154966

13YFS16231C082551

5L3EY3023BL001420

1GNLC2E09CR193782

1FTBF2B63CEC33236

1FM5K8AR7DGA80496

AA4TCS12GE8P00041A

4KNTT162X1L161532

2G1W5DE3001108409

1GD322C81DF194248

2G1WD5E33D1256439

1FM5K8AR3EGA60070

1FM5K8AROEGA65095

1FTBF2BT3FEA63924

1FM5K8AR8FGA04207

93

93

93

176

93

93

93

176

294

176

176

176

93

931

46

202

93

202

108

176

108

202

117

176

202

93

93

93

176

93

93

93

176

294

176

176

176

93

931

46

202

93

202

108

176

108

202

117

176

202

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

NO

YES

YES

YES

YES

YES

YES

YES


KEY

Veh.#

63

64

65

66

67

68

69

70

71

72

73

74

75

76

77

78

Year

2007

2015

2016

2016

2015

2007

2005

2005

2005

2001

2014

2016

2016

2016

2016

2016

ANIMAL CONTROL

f-.wmro

Make

Dodge

Ford

Chevy

Chevy

Rice

TrailerMAN

Trailerman

Trailerman

Trail erm an

Trailer

Chevrolet

Ford

Ford

FORD

FORD

Chevrolet

FIRE

HEALTH

Model

Dakota

Interceptor

Impala

Express Van

Trailer

Trailer

Trailer

Trailer

Trailer

Trailer

Impafa

Extended Cab

Escape-SE

Suv Police Intr

F3504X4

Silverado 3500 HD 4x4

PARKS

POLICE

VIN

1D7HW22P67S190012

1FM5K8AR5FGC66797

2G1WD5E33G1103211

1GCWCAFF8G1123105

4RWR11011FH008533

5L3BX22287L001126

5L3AX16255L000562

5L3BX22235L001581

5L3AX18255L000848

1H9AX12101L207766

2G1WD5E32E1179256

1FT7X2BT9GEC32235

1FMCU9GX7GUC46163

1FM5K8AR5GGD30287

1FDRF3HT6GED42907

1GB3KYC87GF274444

'SHuBa'UiU

Comp Collision Cost New SPECIFIC DEPT VEHICLE NO.

70

202

108

176

108

70

202

108

176

46

108

$13,900

$26,393 POLICE

$20,959 . I III III l|


$1,500 PARKS

$3,744 HEALTH

$3, 540

16

CAR 7

71

81

528

33

PURCHASE DATE HAVE TITLE

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

80 2017 FORD F150 SUPER TRUCK

81 2017 CHEVROLET 3500 4X4 TRUCK

82 2015 FORD EXPLORER SUV/PD from MSHP

83 2018 CHEVROLET 4 DOOR COLORADO

84 2016 Chevrolet Impala

85 2017 FORD TRUCK-MINI-PUMPER

86 2016 ROSENBAUER COMMANDER CHASSIS LADDER TRUCK

87 2015 FORD FODOR-EXPLORER-from MSHP

88 2018 FORD EXPLORER POLICE INTERCEPTOR SUV

89 2018 CHEVROLET 4 DOOR COLORADO

90 2018 CHEVROLET SILVERADO PICKUP TRUCK

2018 DODGE RAM 1500ST QUAD CAB

1FTFX1EF3HKD34323

1GB3KYCY2HF218137

1FM5K8AROFGC41807

1GCGTBEN8J1148110

2G1WD5E38G1152727

1FDOWSHT9HEE06766

54F3DF603GWM11494

1FM5K8AR9FGB98942

1FM5K8AR9JGB67943

1GCGTBEN5J1286901

3GCUKNEHOJG362513

IC6RR7FT9JS209113

$26,426 , POLICE CAR 3 UNRCVR

$39,494 i STREET

POLICE

4/5/2017

6/30/2017

8/29/2017

10/31/2017

6/30/2016

3/22/2018

5/8/2018

4/4/2018

5/17/2018

5/21/2018

7/10/2018

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

YES

NO

December 12, 2017&' 'T "^' . -T~~'l^. :<l,, 'i;-T ̂ General g^^^^^^^^p^^^


Limits of Liability:$5, 000,000 General Aggregate Limit (Other Than Products-Completed Operations)$5, 000, 000 Products-Completed Operations Aggregate Limit$2, 000, 000 Personal and Advertising Injury$2,000,000 Each Occurrence Limit$ 100,000 Fire Damage Limit - Any One Fire$ 5, 000 Medical Expense Limit - Any One Person$ 15,000 Bodily Injury and Property Damage Deductible

** Missouri Municipal Amendatory Endorsement applies **

Premises and OperationsCompleted Operations and/or Products Liability, Water, Sewer, Electric and GasUtility OperationsContractual LiabilityPersonal and Advertising InjuryBroad Form Property DamagePremises Medical Payment - $5,000Host Liquor LiabilityFire Legal Liability, Real Property - $100, 000Non-Owned Watercraft LiabilityExplosion, Collapse and Underground Property DamageIncidental Medical MalpracticeEmergency Medical Services MalpracticeSpecial EventsParks and PlaygroundsSwimming Pools

*»fi Missouri Rural Services Cow., Jefferson City, MO

.t/tAt /" »if fes^gi^^î <^l&C«ît^ -S<to»^(»w /^ *yî. ^ Mta '. ^w^syawstss

CYB^pA BlCTOlC OVE^ÊINCLUDED AS PART OF THE GENERAL LIABILITY COVERAGE AND

PREMIUM

Limits of Liability:Each Claim Aggregate

Multimedia Liability $100,000 $100,000Security & Privacy Liability $100,000 $100,000Privacy Regulatory Defense & Penalties $100,000 $100,000Privacy Breach Response Costs, PatientNotification Expenses and Patient SupportAnd Credit Monitoring Expenses $100,000 $100,000Network Asset Protection $100, 000 $100, 000

Cyber Extortion $100,000 $100,000Cyber Terrorism $100, 000 $100, 000

Maximum Policy Aggregate Limit of Liability $100, 000

Missouri Rural Services Corp.TJefferson Citv^ MO L.»..&-AA.,8t

December 12, 2017"Public Offlciais/Directore1&'OfficereTiabilifv'.


'-^^

Limits of Liability and Deductible:Claims Made Form:

$2,000,000 Each Wrongful Act Limit$4,000,000 Aggregate Limit$ 10,000 Deductible

Prior Acts: 01/01/11

. Sexual Abuse or Molestation - Defense Costs Only

. Deductible Does NOT Apply to Defense Costs

. Issuance of Permits or License

. Passing/Enforcing Ordinances, Variances

. Injunctive Relief - $10,000 Defense Only

. Criminal Action Defense - $35,000 Defense Only

. Broad Definition of Insured

Employment Practices1 Uability

Limits of Liability and Deductible:Claims Made Form

$2, 000, 000 Each Wrongful Act Limit$4,000,000 Aggregate Limit$ 25,000 Deductible

Prior Acts: 01,01,11

. Defense Costs outside of limits

. Deductible does NOT apply to defense costs

. Hiring and Firing Practices

. Discrimination or Sexual Harassment

. Sexual Abuse or Molestation

. Civil Rights Violations

. Fellow Employee Suits

. Retaliatory Allegations

. Coercion Allegations

--^.r--*&. -,

. y.,Missouri Rural Services Corp., Jefferson City, Missouri

December 12, 2017rm~r"7 JT --'."-^^^L^^fo^e^^^^^piy


Limits of Liability:Liability Limits - Included in General Liability$25,000 Deductible

False Arrest, Detention or Imprisonment, or Malicious ProsecutionLibel, Slander or Defamation of Character; Violation of an Individual's Right ofPrivacyWrongful Entry or Eviction or other Invasion of the Right of Private OccupancyAssault or BatteryDiscrimination

Violation of Civil RightsImproper Service of ProcessIntentional Acts

Defense for Allegations of Sexual Abuse & MolestationMutual Aid CoverageExcessive ForceJail Operations

AiA. , -^sa-,at. .^Missouri Rural SerWces C6ro7, Jefferson Citv. Missoiiri^^, >Tt., «a>-*_.,_

December 12, 2017r ^ lnIandTWarineC<n raflieT


»",.» "9

Contractors Equipment:Total Insured Value $1,318,325Deductible $1,000

Miscellaneous Equipment:Total Insured Value $85,000Deductible $1,000

Electronic Data Processing Equipment:Total Insured Value $Deductible $

Contractors EquipmentMiscellaneous EquipmentElectronic Data Processing Equipment - All Risk - Replacement CostDeductible Waiver Endorsement

Firefighters Personal Property - $1,000 Limit/$100 DeductibleCommandeered Property

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COMMERCIAL INLAND MARINE

CONTRACTORS EQUIPMENT COVERAGE - DECLARATIONS

POLICY NO. 222327

NAMED INSUREDCity of Boonville

POLICY PERIOD From 01/01/2018 to 01/01/2019

PREMIUM

Premium for this coverage is

SCHEDULE OF COVERED PROPERTY

Item No. | Description (Year, Manufacturer, Model, Identification Number) Limit of Insurance

1. 1977 Cat. 120G Grader, s/n 87V2663 $ 55, 0002. 1999 Case 9030 Trackhoe 40, 000

3. DELETED 02/06/2017

4. 2003 Case 580 Super M Backhoe, s/n JJG0375640 60, 8915. 2005 Case 430 Skid Steer Leader, s/n N5M418741 23, 6696. 2010 Case 450CT Compact Leader, s/n NAM420208 51, 8237. 1989 Case Insternational w/Side Mount Mower, s/n 4700040 8, 0008. 2000 John Deere 4400 Tractor, s/n LV4400H341733 14, 5009. 2000 John Deere 430 Leader Attachment, s/n W00430X009689 2, 41910. 2000 John Deere 72" Mower Attachment, s/n LV0072A275104 2, 60011. 2000 Woods BH7500-1 Backhoe Attachment, s/n 726464 8, 00012. 2000 John Deere F935 Mower w/72" Attachment, s/n 1804C5 13, 628

13. John Deere 316 Tractor/Mower, s/n 086310M 1, 80014. 1995 John Deere 345 Mower 12, 000

15. 1963 O'Brien Sewer King 2 Wheel Trailer 1, 30016. Kaeser Mobilair 52 Portable Air Compressor, s/n 30354 10, 42417. 2002 Jacobsen PGM-22 Mower, s/n 6226905506 4, 325

18. Case IHJX75 Tractor, s/n HFJ003650 27, 055

19. (36) Poles & Street Lights on Main Street 275, 00020. Jaws of Life, Amkus Spreader, Amkus Cutter, Amkus Ram 10, 00021. (2) Smith & Wesson 26" 24 Speed Mountain Bikes 2, 80022. (8) Traffic Lights & Associated Equipment 250, 00023. Technologies Credit Card Reader, s/n 100089289 17, 50024. 2003 John Deere 1600 Turbo Wide Area Mower, s/n 189796 34, 924

25. 2000 John Deere 6X4 Gator, s/n W006X4050948 5, 823

Total Amount of Insurance 1, 318, 325

DEDUCTIBLE AMOUNT $1, 000

FORMS APPLICABLE TO THIS COVERAGE PART

02 07 CM (01 95) CM 00 01 (09 04)

THESE DECLARATIONS ARE PART OF THE COMMON POLICY DECLARATIONS CONTAINING THE NAMEOF THE INSURED AND THE POLICY PERIOD.

2098 CM 12 98Original

Page 1 of 3


Item No. Description (Year, Manufacturer, Model, Identification Number) Limit of Insurance

26. 2001 Derby 36" Hydrostatic Walk Behind, s/n 3018005251 3, 00027. 2001 Derby 36" Hydrostatic Walk Behind, s/n 3018004891 3, 00028. 2001 Starlite 16' Tandem Trailer, s/n C082551 1, 79529. 2001 Trailerman 12' Trailer, s/n L207766 95030. 2003 4x6 Trailer 500

31. 2003 Winds Mod. 72 Mini Grounds Plane w/Ripper, s/n 10372112 3, 97032. 2005 Scag Turf Tiger, s/n A6201025 8, 77533. 2005 Scag 9053 Clamshell Catcher, s/n A8300285 2, 06434. 2005 Trailerman 22' Flatbed Trailer, s/n L00158 3, 54035. 2011 Case 580 Super N Backhoe, s/n JJGN58SNABC542733 74, 44536. 1998 Grasshopper 721D, s/n 487194 6, 00037. 1998 Grasshopper 9572S Mower Attachment W/972A Vacuum 7, 000

38. 2006 Frontier RT1160H Rotary Tiller, s/n MCRT1160H601095 2, 35039. 2007 Dixon Walk About Hydro 48, s/n 100496 3, 20040. 2007 Simplicity Conquest 23hp w/50" deck, s /n 2000292178 5, 10041. 2008 John Deere 1445 Mower, s/n TC1445D080753 12, 91642. 2008 John Deere 72" Mower Attachment, s/n DM7295X215127 2, 99243. 2008 John Deere 60" Front Blade, s/n M060FBX06006 1, 25244. 2010 EverRide WASP HP ELKW1748e, s/n 640210059 4, 35045. 2010 John Deere 1435 Mower, s/n TC143D100264 11, 25046. 2010 John Deere 72" Mower Attachment, s/n TC1472X100201 3, 15047. 2010 John Deere 60" Front Blade, s/n M060FBX080122 1, 550

48. 2002 Series 287 Bush Hog 7' Brush Cutter, s/n 12-07131 2, 85049. 2007 Knap/Rugby Dump Body 9' Length & Central Hydraulic System,

Clutch Drive & Knap/Rugby Sub Frame Scissor Hoist Type 9 TonCapacity, s/n 20090518-0149145 12, 590

50. 2004 Scag Wildcat Zero Turn Riding Mower 61" Cut, s/n 9661524 9, 18551. 2007 Cub Cadet Tank Commercial Zero Turn Riding Mower,

s/n 6A307Z80048 7, 335

52. 2009 Great Dane Zero Turn Riding Mower, 61" Cut, s/n 638310192 7, 84053. 2011 Ferris 2000 Series Zero Turn Riding Mower 61" cut & Bagger,

s/n 2015054152 10, 195

54. 2003 Derby Walk Behind Mower, 36" Cut, Mod. CV145, s/n 3003500051 2, 300

55. 1990 Trailer w/Portable Welder & Portable Air Compressor 6, 80057. DELETED 02/06/2017

59. Caterpillar 299D Compact Track Leader, s/n FD201169 66, 32560. Kubota KX057-4R3A Compact Excavator s/n 28029 63, 00061. 2016 Caterpillar D5K2 XL Tractor, s/n OKW202355 144, 675

Page 2 of 3Original

20 98 CM 12 98


Item No. | Description (Year, Manufacturer, Model, Identification Number) Limit of Insurance

62. 2016 Caterpillar Backhoe Loader Model 420F21T, s/n HWD01283 $63. 2017 Caterpillar Hydraulic Excavator Model 320FL, s/n YBM10034

Loss Payee / Additional Insured: Item #59, #62 & #63Caterpillar Financial Services Corporation, ATIMA2120 West End AvenueNashville, TN 37203-0001

104, 900195, 700

Page 3 of 3 Original2098 CM 12 98

MISCELLANEOUS PROPERTY COVERAGE - DECLARATIONS

Policy NO. : 222327

Policy Period: 01/01/2018 to 01/01/2019

NAMED INSUREDSee form 01 57 IL

PROPERTY COVERED AND LIMITS OF INSURANCE

We cover the property insured under the Miscellaneous Property Coverage Form as described below for the Limit ofInsurance for each item:

Schedule of Covered Property Limits of Insurance

1. Mobile Fire Equipment2. Lewis & dark 1/2 Scale Keelboat, 24' x 5'

$ 75, 00010, 000

All Covered Property in any one "loss":

DEDUCTIBLE:

PREMIUM

Refer to Individual Limits

$1, 000

The premium for this coverage is

FORMS APPLICABLE TO THIS COVERAGE PART: 02 06 CM (08 90) CM 00 01 (09 04)

THESE DECLARATIONS ARE PART OF THE COMMON POLICY DECLARATIONS CONTAINING THE NAMEOF THE INSURED AND THE POLICY PERIOD.

3904 IM 10 05 (SV) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 Of 1

Original

EQUIPMENT OWNED BY CITY

Veh. # Year Make Model VIN Comp Collision cost New SPECIFIC DEPT VEHICLE NO. PURCHASE DATE HAVE TITLE

2000 JohnDeere

2006 JohnDeere

2008 JohnDeere

2016 RICE

TBA VIRNIGMFG STOCK ff 7AR41242

TBA CATERPILLAR-STOCK ((QGN01704

6x4 Gator

HPX4x4

6201 XUV Gator

FLATBED TRAILER

MWSSLIR78H-IND ROTARY CUTTER/MULCHER

BK420FP18- BACKHOE BUCKET

W006X4050948

MOHP4GX043177

MOXUVGX023204

4RWR11219GH013204

120680

BK170604849

$5,823

$7,946

$8,748

PARKS

PARKS

PARKS

$1,730 STREET DEPT/PW

$7,712.24 STREET/KELLYVEST

$1,518.00 STREET/KELLYVEST

56

512

524

SAW TRAILER-NO PLATE

FOLEY EQUIPMENT

FOLEY EQUIPMENT

3/14/2017

9/6/2017

9/12/2017

NO

NO

NO

YES

NO

NO

EQUIPMENT LEASED

Make Model VIN/SERIAL NUMBER TYPE OF EQUIPMENT STOCK NUMBER Cost New SPECIFIC DEPT LEASED FROM LEASE/PURCHASE DATE RCTURN DATE HAVE TITLE CERTIFICATE OF INSURANCE RECEIVED

TBA CATERPILLAR 320FL9 OYBM10139

2016 CATERPILLAR 420F21T OHWD01283

2017 CATERPILLAR 299D2XPS2C OFD202118

CATERPILLAR 299D2XPS2C FD203728

HYDRAULIC EXCAVATOR -trackhoe PGN0770

BACKHOE LOADER PGN0733

SKID LOADER/BOBCAT PSN0826

COMPACTTRACK LOADER

$195, 700. 00 STREET/KELLV VEST FOLEY EQUIPMENT 2/23/2017 4 year lease NO

$104,900.00 STREFT/KELLY VEST FOLEV EQUIPMENT 2/23/2017 5 year LEASE NO

$69,200.00 STREET/KELLY VEST FOLEY EQUIPMENT 8/29/2017 lease ends lyr NO

$61,067.67 STREET/KELLY VEST FOLEY EQUIPMENT 4/20/2018 lease ends lyr NO

YES

YES

YES

YES

EQUIPMENT LEASE - PURCHASED

Model VIN/SERIAL NUMBER TYPE OF EQUIPMENT STOCK NUMBER Cost New SPECIFIC DEFT LEASED FROM LEASE/PURCHASE DATE RETURN DATE HAVE TITLE CERTIFICATE OF INSURANCE RECEIVED

2016 CATERPILLAR D5K2XLA OKW202355 D5K2XLTRACTOn HGN1015 $144, 675. 00 STREFT/KELLV VEST FOLEV EQUIPMENT 2/23/2017

December 12, 2017^-y i.i. J... ^ .^.Lw, '. T; Employee Benefits Uabilitv .. ?..


..M

Limits of Liability:$ 2, 000, 000 Each Claim Limit$ 5, 000,000 Aggregate Limit

Deductible $1,000

Provides Coverage for Negligent Acts, Errors or Omissions of the Insuredfor which you are legally liable in the administration of your

Employee Benefits Program

Missouri Rural Services Corn., 'Jefferson Citv, Missouril >-

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