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HomeMy WebLinkAboutR-2016-020 Cowell Insurance Annual Premium Renewal RESOLUTION NO. R-2016-020 A RESOLUTION AUTHORIZING THE PURCHASE OF PROPERTY AND EQUIPMENT INSURANCE FROM COWELL INSURANCE GROUP INC FOR THE ANNUAL PREMIUM RENEWAL IN AN AMOUNT NOT TO EXCEED $58,314.00 WHEREAS, the City of Riverside has a need for commercial property and equipment floater insurance; and WHEREAS, the City of Riverside in the adoption of its purchasing policy requires all expenditures in excess of $10,000 to be presented to the Board of Aldermen for approval and the City's insurance carrier for commercial property and equipment floater insurance has presented an invoice in the amount of $58,314.00 for annual renewal of such insurance coverage; and WHEREAS, funds for such purpose were budgeted in the Fiscal Year 2015-2016 budget; and WHEREAS, the Board of Aldermen find it is in the best interest of the citizens of the City of Riverside to authorize acquisition and renewal of such insurance coverage and approve the payment to Cowell Insurance Group, Inc. for commercial property and equipment floater insurance coverage for the City of Riverside, in an amount not to exceed $58,314.00. NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF ALDERMEN OF THE CITY OF RIVERSIDE, MISSOURI, AS FOLLOWS: THAT, the acquisition and renewal of such insurance coverage and payment to Cowell Insurance Group, Inc. for commercial property and equipment floater insurance coverage for the City of Riverside, in an amount not to exceed $58,314.00 is hereby authorized and approved; and FURTHER THAT the Mayor, City Administrator, or either of their designees, are hereby authorized to execute all documents necessary or incidental to this transaction and the City Clerk is authorized to attest thereto. PASSED AND ADOPTED by the Board of Aldermen and APPROVED by the Mayor of the City of Riverside, Missouri, the 7th day of June, 2016. Mayor Kathleen L. Rose ATTEST: Robin Kincaid, City Clerk STATEMENT Cowell Insurance Group Inc. 10525 N Ambassador Drive City of Riverside 6'1Suite 301 Customer 569 Kansas City, MO 64153 Date 05/13/2016 (816)587-4419 Customer Christian Fuller Service Janet Pittenger Page 1 of 1 Payment Information Statement Total 58,314.00 City of Riverside Payment Amount 2950 NW Vivion Road Riverside,MO 64150 Payment For: II .uil. qJ.... Please detach and return with payment J� Customer:City of Riverside Transaction. Invoice Date • Description Amount Sub-Total Policy#1X7552617 05/29/2016-05/29/2017 Employers Mutual Companies 77066 05/09/2016 Effective:05129/2016 Commercial Property-Renew policy 53,350.00 Inland Marine -Renew policy 14,305.00 Invoice Balance 67,655.00 77179 05/13/2016 Effective:05/29/2016 Commercial Property-Renew policy -9,341.00 Invoice Balance -9,341.00 I ♦4• �g'/ii . 1.4 ter Co i►y,001) • (A. Statement Total 58,314.00 Thank you Less than 0 0 to 30 Days 31 to 60 Days 61 to 90 Days Over 90 Days 58,314.00 0.00 0.0D 0.00 0.00 Cowell Insurance Group Inc. (816)587.4419 Date 10525 N Ambassador Drive Suite 301 Kansas City,City,MO 64153 05/13/2016 /EMC, INSURANCE EMC Insurance Companies -411c - PO Box 25470 Overland Park, KS 66225-5470 www.emcins.com Cowell Insurance Group Inc. 10525 N Ambassador Dr Site 301 Kansas City, MO 64153-1284 816-587-449 CITY OF RIVERSIDE 2950 NW VIVION RD RIVERSIDE, MO 64150-1502 05/29/2016 to 05/29/2017 Prepared on 05/11/2016 Quote Valid Through 06/24/2016 Account Summary Quote Account Number: X476091 Prior Account Number 1X75526 Commercial Output (B-05) $ 44,009.00 Commercial Inland Marine (C-01) $ 14.305.00 Total Account Premium Estimate $ 58,314.00 This is a proposal from EMC Insurance Companies. We offer personalized service through your independent insurance agent, customizable insurance products to meet your unique needs and expert safety resources to help your business prevent claims. The premium estimate reflects the rates as of the date shown above and assumes the information provided to EMC is accurate.* Please review the following pages for coverage details. For more information on the advantages of insuring your business with EMC, talk to your insurance agent or visit www.emcins.com. Thank you, Cowell Insurance Group, Inc. *This proposal does not guarantee the policy will be accepted or that coverage will be provided in the company selected or at the premium quoted. Due to periodic rate changes, a change to the policy's effective date may result in a different premium. Prepared for: CITY OF RIVERSIDE 0071600 LS 1 of 24 /EMC INSURANCE EMPLOYERS MUTUAL CASUALTY COMPANY QUOTE NUMBER: B476091-05 QUOTATION — COMMERCIAL OUTPUT PROGRAM QUOTATION IS VALID: FROM 05/10/16 TO 06/24/16 PROPOSED POLICY PERIOD: FROM 05/29/16 TO 05/29/17 PREPARED FOR: PRESENTED B Y: CITY OF RIVERSIDE COWELL INSURANCE GROUP, INC. 2950 NW VIVION RD 10525 N AMBASSADOR DR STE 301 RIVERSIDE MO 64150-1502 KANSAS CITY MO 64153-1284 AGENT: AK 7486 AGENCY BILL AGENT PHONE: (816) 587-4419 INSURED IS: CITY BUSINESS DESC: MUNICIPALITY POLICYWIDE INFORMATION PREMIUM NON—REPORTING FORM PREMIUM $ 44, 009.00 PROPERTY PREMIUM $ 44, 009.00 TOTAL PROPERTY PREMIUM $ 44, 009.00 AS QUOTED ON: 05/10/16 (BPP) Prepared for CITY OF RIVERSIDE 007/600 LS 2 of 24 /EMC. INSURANCE EMPLOYERS MUTUAL CASUALTY COMPANY QUOTE NUMBER: B476091-05 CITY OF RIVERSIDE EFF DATE: 05/29/16 EXP DATE: 05/29/17 COMMERCIAL OUTPUT POLICY QUOTE ENDORSEMENT SCHEDULE EDITION FORM DATE DESCRIPTION/ADDITIONAL INFORMATION PREMIUM CL0100 03-99 COMMON POLICY CONDITIONS CL0167 05-05 GUARANTY FUND COV LIMITATIONS - MO *CL0600 01-15 CERTIFIED TERRORISM LOSS CL0700 10-06 VIRUS OR BACTERIA EXCLUSION C00323 09-13 AMENDATORY ENDORSEMENT MISSOURI CO1000 10-02 COP - PROPERTY COVERAGE PART C01080 11-03 LIMITED FUNGUS AND RELATED PERILS BLANKET LIMIT PROPERTY COVERAGE $ 15, 000 *CO1092 CO1227 07-13 POLLUTANT - AMENDED DEFINITION 05-02 SCHEDULED LOCATIONS ENDORSEMENT CO1238 04-02 PROTECTIVE DEVICES ENDORSEMENT C01293 11-03 LIMITED FUNGUS & RELATED PERILS COV C07115 03-07 PERISHABLE STOCK EXCLUSION AMENDMENT CP7011A 05-07 COMMERCL OUTPUT PROGRAM DECLARATIONS *CP7012A 05-07 CO2 ADDITIONAL/SUPPLEMENTAL COVERAGE *CP7013A 05-07 COMMERCIAL OUTPUT PROGRAM SCHEDULE IL7004 12-12 MUTUAL POLICY PROVISIONS *IL7131A 04-01 COMM'L POLICY ENDORSEMENT SCHEDULE IL8383.2A 01-15 DISCL PURSUANT TERRSM RISK INS. ACT $ 863 IL8384A 01-08 TERRORISM NOTICE *IL8720 03-14 POLICYHOLDER NOTICE AS QUOTED ON: 05/10/16 Prepared for:CITY OF RIVERSIDE 007/600 LS 3 of 24 /EMC INSURANCE EMPLOYERS MUTUAL CASUALTY COMPANY QUOTE NUMBER: B476091-05 CITY OF RIVERSIDE EFF DATE: 05/29/16 EXP DATE: 05/29/17 TERRORISM NOTICE This insurance may include coverage for certified acts of terrorism as defined in the Terrorism Risk Insurance Act, as amended. Attached you will find a disclosure, which identifies the specific charge for certified acts of terrorism. YOU MAY HAVE THE OPTION TO REJECT THIS TERRORISM COVERAGE For additional information, please contact your agent AS QUOTED ON: 05/10/16 Prepared for: CITY OF RIVERSIDE 007!600 LS 4 of 24 MEMC INSURANCE EMPLOYERS MUTUAL CASUALTY COMPANY QUOTE NUMBER: B476091-05 CITY OF RIVERSIDE EFF DATE: 05/29/16 EXP DATE: 05/29/17 THIS DISCLOSURE IS ATTACHED TO YOUR POLICY IN RESPONSE TO THE DISCLOSURE REQUIREMENTS OF THE TERRORISM RISK INSURANCE ACT. THIS DISLOSURE DOES NOT GRANT ANY COVERAGE OR CHANGE THE TERMS AND CONDITIONS OF ANY COVERAGE UNDER THE POLICY. DISCLOSURE PURSUANT T TERRORISM RISK INSURANCE ACT SCHEDULE Terrorism Premium (Certified Acts) $863.00 A. Disclosure Of Premium: In accordance with the federal Terrorism Risk Insurance Act, we are required to provide you with a notice disclosing the portion of your premium, if any, attributable to coverage for terrorism acts certified under the Terrorism Risk Insurance Act. The portion of your premium attributable to such coverage is shown in the Schedule of this disclosure or in the policy Declarations. B. Disclosure Of Federal Participation In Payment Of Terrorism Losses: The United States Government, Department of the Treasury, will pay a share of terrorism losses insured under the federal program. For losses occurring in 2015, the federal share equals 85% of that portion of the amount of such insured losses that exceeds the applicable insurer retention. Beginning on January 1, 2016, the federal share will decrease by one percentage point per calendar year until equal to 80% of that portion of the amount of such insured losses that exceeds the applicable insurer retention. However, if aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed $100 billion in a calendar year, the Treasury shall not make any payment for any portion of the amount of such losses that exceeds $100 billion. C. Cap On Insurer Participation In Payment Of Terrorism Losses: If aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed $100 billion in a calendar year and we have met our insurer deductible under the Terrorism Risk Insurance Act, we shall not be liable for the payment of any portion of the amount of such losses that exceeds $100 billion, and in such case insured losses up to that amount are subject to pro rata allocation in accordance with procedures established by the Secretary of the Treasury. The following statement is required to be part of the disclosure notice in MISSOURI: The premium above is for certain losses resulting from certified acts of terrorism as covered pursuant to coverage provisions, limitations and exclusions in this policy. You should read the definition in your policy carefully, but generally speaking, "certified" acts of terrorism are acts that exceed $5 million in aggregate losses to the insurance industry and which are subsequently declared by the U.S. Secretary of the Treasury as a certified terrorist act under the Terrorism Risk Insurance Act. Some losses resulting from certified acts of terrorism are not covered. Read your policy and endorsements carefully. AS QUOTED ON: 05/10/16 Prepared for:CITY OF RIVERSIDE 007/600 LS 5 of 24 /EMC INSURANCE EMPLOYERS MUTUAL CASUALTY COMPANY QUOTE NUMBER: B476091-05 RIVERSIDE CITY OF EFF DATE: 05/29/16 EXP DATE: 05/29/17 SCHEDULE OF COVERAGES COMMERCIAL OUTPUT PROGRAM PROPERTY COVERAGE PART Refer to Scheduled Locations COVERAGE EXTENSIONS LIMIT Consequential Loss See Form Debris Removal, Additional Expense $ 50,000 Emergency Removal 365 Days Emergency Removal Expense $ 5, 000 Fraud and Deceit $ 5,000 Damage From Theft See Form Off Premises Utility Service Interruption $ 50, 000 SUPPLEMENTAL COVERAGES Brands or Labels Expense $ 50, 000 Expediting Expenses $ 50, 000 Fire Department Service Charges $ 25, 000 Inventory and Appraisal Expense $ 50,000 Ordinance or Law (Undamaged Parts of a Building) See Form Ordinance or Law (Increased Cost to Repair/ $ 100, 000 Cost to Demolish and Clear Site) P Personal Effects $ 15, 000 Pollutant Cleanup And Removal $ 50,000 Recharge of Fire Extinguishing Equipment $ 50, 000 Rewards $ 10,000 Sewer Backup and Water Below the Surface $ 25, 000 Trees, Shrubs, and Plants $ 50, 000 Underground Pipes, Pilings, Bridges, and Roadways $ 250, 000 AS QUOTED ON: 05/10/16 (BPP) Prepared for CITY OF RIVERSIDE 007/600 LS 6 of 24 MEMC INSURANCE EMPLOYERS MUTUAL CASUALTY COMPANY QUOTE NUMBER: B476091-05 RIVERSIDE CITY OF EFF DATE: 05/29/16 EXP DATE: 05/29/17 SCHEDULE OF COVERAGES COMMERCIAL OUTPUT PROGRAM PROPERTY COVERAGE PART Refer to Scheduled Locations SUPPLEMENTAL MARINE COVERAGES LIMIT Accounts Receivable $ 50, 000 Electrical or Magnetic Disturbance of Computers See Form Power Supply Disturbance of Computers See Form Virus and Hacking Coverage Limit any one occurrence $ 25, 000 Limit any 12 month period $ 50, 000 Fine Arts $ 100, 000 Off Premises Computers $ 25, 000 Property On Exhibition $ 50, 000 Property In Transit $ 50, 000 Sales Representative Samples $ 50, 000 Software Storage $ 50,000 Valuable Papers $ 100,000 ADDITIONAL PROPERTY SUBJECT TO LIMITATIONS Furs (theft) $ 10, 000 Jewelry (theft) $ 10,000 Stamps, Tickets, Letters of Credit $ 5, 000 SCHEDULED LOCATIONS Newly Built or Acquired Buildings $ 500, 000 Personal Property - Acquired Locations $ 250,000 Locations "You" Elect Not To Describe $ 50,000 AS QUOTED ON: 05/10/16 (BPP) Prepared for:CITY OF RIVERSIDE 007/600 LS 7 of 24 /EMC, INSURANCE EMPLOYERS MUTUAL CASUALTY COMPANY QUOTE NUMBER: B476091-05 RIVERSIDE CITY OF EFF DATE: 05/29/16 EXP DATE: 05/29/17 COMMERCIAL OUTPUT PROGRAM SCHEDULE COVERAGE PROVIDED APPLIES ONLY AS INDICATED BY AN ENTRY BELOW: LOC: 001 4498 NW HIGH DR DESCRIPTION: 1 STORY NONCOMB BLDG IN PROTECTION CLASS 03 RIVERSIDE, MO OCCUPANCY: COMMUNITY CENTER/BLDG W/ 64150-9578 POOL Deductible Per Occurrence On All Covered Causes of Loss $ 5, 000. Covered Property/ Limit Of COIN Specl Optional/Additional Item Coverage Provided Insurance % Intrst Coverages 01!BUILDING ! $ 2, 817, 612 ! 80%! !Replacement Cost 02!PERSONAL PROPERTY OF ! $ 167, 000! 80% ! !Replacement Cost ! INSUREDS BUSINESS ! ! ! ! LOC: 002 4200 NW RIVERSIDE ST DESCRIPTION: 1 STORY NONCOMB BLDG IN PROTECTION CLASS 03 RIVERSIDE, MO OCCUPANCY: PUBLIC WORKS-OFFICE W/3 64150-9672 BAY GARAGES Deductible Per Occurrence On All Covered Causes of Loss $ 5,000. Covered Property/ Limit Of COIN Specl Optional/Additional Item Coverage Provided Insurance % Intrst Coverages 01!BUILDING ! $ 647,040! 80% ! !Replacement Cost 02! PERSONAL PROPERTY OF !$ 135, 000 ! 80% ! !Replacement Cost ! INSUREDS BUSINESS ! ! ! ! 03!BUILDING !$ 185,950! 80% ! !Replacement Cost !MACHINE SHED ! ! ! ! 04 !BUILDING ! $ 68,789! 80% ! !Replacement Cost !MACHINE SHED ! ! ! ! 05!BUSINESS PERSONAL !$ 73, 000! 80%! !Replacement Cost !PROPERTY OF INSUREDS ! ! ! 1 !BUSINESS-SHED ITEM 03 ! ! ! ! 06!BUSINESS PERSONAL !$ 23, 000! 80% ! !Replacement Cost !PROPERTY OF INSUREDS ! ! ! ! !BUSINESS-SHED ITEM 04 ! ! ! ! 07 !BUILDING ! $ 51, 809! 80% ! !Replacement Cost !STORAGE CANOPY ! ! ! ! 08 !BUILDING ! $ 75,217 ! 80% ! !Replacement Cost !STORAGE CANOPY ! ! ! ! AS QUOTED ON: 05/10/16 (BPP) Prepared for: CITY OF RIVERSIDE 007/600 LS 8 of 24 /EMC. INSURANCE EMPLOYERS MUTUAL CASUALTY COMPANY QUOTE NUMBER: B476091-05 RIVERSIDE CITY OF EFF DATE: 05/29/16 EXP DATE: 05/29/17 COMMERCIAL OUTPUT PROGRAM SCHEDULE COVERAGE PROVIDED APPLIES ONLY AS INDICATED BY AN ENTRY BELOW: LOC: 003 1001 ARGOSY PKWY DESCRIPTION: 1 STORY NONCOMB BLDG IN PROTECTION CLASS 03 RIVERSIDE, MO OCCUPANCY: AMPHITHEATER BUILDING 64168 LOC DESCRIPTION: E.H YOUNG PARK Deductible Per Occurrence On All Covered Causes of Loss $ 5, 000. Covered Property/ Limit Of COIN Specl Optional/Additional Item Coverage Provided Insurance % Intrst Coverages 01!BUILDING !$ 211, 171! 80%! !Replacement Cost 02 !BUILDING ! $ 204, 867 ! 80% ! !Replacement Cost !RESTROOM BUILDING ! ! ! ! 03!BUSINESS PERSONAL !$ 3,000! 80% ! !Replacement Cost !PROPERTY OF INSUREDS ! ! ! ! !BUSINESS ! ! ! ! 04 !BUILDING !$ 97,706! 80% ! !Replacement Cost !SHELTER HOUSE ! ! ! ! 05 !BUILDING !$ 95,790! 80% ! !Replacement Cost !SHELTER HOUSE ! ! ! ! 06!BUILDING ! $ 172,010! 80% ! !Replacement Cost !ROCK BELL TOWER ! ! ! ! 07!BUSINESS PERSONAL !$ 4,000 ! 80% ! !Replacement Cost !PROPERTY OF SHELTER ! ! ! ! !HOUSE ! ! ! ! 08!BUSINESS PERSONAL ! $ 4, 000! 80% ! !Replacement Cost ! PROPERTY OF SHELTER ! ! ! ! !HOUSE ! ! ! ! 09!BUILDING ! $ 27, 030! 80%! !Replacement Cost !MESA SHELTER HOUSE ! ! ! ! 10!BUILDING ! $ 26,265 ! 80% ! !Replacement Cost !SHELTER HOUSE ! ! ! ! 11!BUILDING !$ 70, 002 ! 80%! !Replacement Cost !PLAYGROUND EQUIPMENT ! ! ! ! AS QUOTED ON: 05/10/16 (BPP) Prepared for:CITY OF RIVERSIDE 007/600 LS 9 of 24 /EMC, INSURANCE EMPLOYERS MUTUAL CASUALTY COMPANY QUOTE NUMBER: B476091-05 RIVERSIDE CITY OF EFF DATE: 05/29/16 EXP DATE: 05/29/17 COMMERCIAL OUTPUT P R O G RAM SCHEDULE COVERAGE PROVIDED APPLIES ONLY AS INDICATED BY AN ENTRY BELOW: LOC: 004 2950-2990 NW VIVION RD DESCRIPTION: 1 STORY FRAME BLDG IN PROTECTION CLASS 03 RIVERSIDE, MO OCCUPANCY: CITY HALL 64150-1502 Deductible Per Occurrence On All Covered Causes of Loss $ 5, 000. Covered Property/ Limit Of COIN Specl Optional/Additional Item Coverage Provided Insurance % Intrst Coverages 01!BUILDING !$ 12,203,026! 80% ! !Replacement Cost 02! PERSONAL PROPERTY OF !$ 1, 481, 000! 80% ! !Replacement Cost ! INSURED`S BUSINESS ! ! ! ! LOC: 005 2901 NW VIVION RD DESCRIPTION: 1 STORY FRAME BLDG IN PROTECTION CLASS 03 RIVERSIDE, MO OCCUPANCY: SHELTER HOUSE AND 64150 RESTROOM LOC DESCRIPTION: RENNER BRENNER PARK Deductible Per Occurrence On All Covered Causes of Loss $ 5, 000. Covered Property/ Limit Of COIN Specl Optional/Additional Item Coverage Provided Insurance % Intrst Coverages 01 !BUILDING !$ 29,580! 80% ! !Replacement Cost !SHELTER HOUSE ! ! ! ! 02 !BUILDING !$ 43,000! 80% ! !Replacement Cost !RESTROOM ! ! ! ! 03!BUILDING !$ 25, 000! 80% ! !Replacement Cost ! PICNIC SHELTER CANOPY ! ! ! ! ! ! !RENNER BRENNER PARK ! ! 04 !BUILDING !$ 73,528 ! 80% ! !Replacement Cost !PLAYGROUND EQUIPMENT ! ! ! ! !RENNER BRENNER PARK ! ! ! ! AS QUOTED ON: 05/10/16 (BPP) Prepared for: CITY OF RIVERSIDE 007/600 LS 10 of 24 /EMC, INSURANCE EMPLOYERS MUTUAL CASUALTY COMPANY QUOTE NUMBER: B476091-05 RIVERSIDE CITY OF EFF DATE: 05/29/16 EXP DATE: 05/29/17 COMMERCIAL OUTPUT PROGRAM SCHEDULE COVERAGE PROVIDED APPLIES ONLY AS INDICATED BY AN ENTRY BELOW: LOC: 006 4500 NW GATEWAY AVE DESCRIPTION: 1 STORY JSTD MAS BLDG IN PROTECTION CLASS 03 RIVERSIDE, MO OCCUPANCY: CLOCK TOWER 64150-9721 Deductible Per Occurrence On All Covered Causes of Loss $ 5, 000. Covered Property/ Limit Of COIN Specl Optional/Additional Item Coverage Provided Insurance % Intrst Coverages 01 !BUILDING !$ 1, 386,792 ! 80% ! !Replacement Cost LOC: 007 4100-4102 NW RIVERSIDE DR DESCRIPTION: 1 STORY NONCOMB BLDG IN PROTECTION CLASS 03 RIVERSIDE, MO OCCUPANCY: OFFICE/STORAGE 64150 LOC DESCRIPTION: KITTERMAN BUILDING Deductible Per Occurrence On All Covered Causes of Loss $ 5, 000. Covered Property/ Limit Of COIN Specl Optional/Additional Item Coverage Provided Insurance % Intrst Coverages 01!BUILDING ! $ 803,709! 80% ! !Replacement Cost 02 !BUSINESS PERSONAL ! $ 100,000 ! 80% ! !Replacement Cost ! PROPERTY OF INSURED' S ! ! ! ! !BUSINESS ! ! ! ! LOC: 008 4500 NW HIGH DR DESCRIPTION: 1 STORY MAS NONCOM BLDG IN PROTECTION CLASS 03 RIVERSIDE, MO OCCUPANCY: MUNICIPAL BUILDING 3 BAY 64150-9534 GARAGE STORAGE PROTECTIVE DEVICES: P-1 AUTOMATIC SPRINKLER SYSTEM, SEE FORM 001238 Deductible Per Occurrence On All Covered Causes of Loss $ 5, 000. Covered Property/ Limit Of COIN Specl Optional/Additional Item Coverage Provided Insurance % Intrst Coverages 01!BUILDING !$ 803,709! 80% ! !Replacement Cost AS QUOTED ON: 05/10/16 (BPP) Prepared for: CITY OF RIVERSIDE 0071600 LS 11 &24 /EMC INSURANCE EMPLOYERS MUTUAL CASUALTY COMPANY QUOTE NUMBER: B476091-05 RIVERSIDE CITY OF EFF DATE: 05/29/16 EXP DATE: 05/29/17 COMMERCIAL OUTPUT PROGRAM SCHEDULE COVERAGE PROVIDED APPLIES ONLY AS INDICATED BY AN ENTRY BELOW: 02 !BUSINESS PERSONAL ! $ 250, 000 ! 80% ! !Replacement Cost ! PROPERTY OF INSURED'S ! ! ! !BUSINESS ! ! ! ! LOC: 009 4900 NW GATEWAY AVE DESCRIPTION: 1 STORY NONCOMB BLDG IN PROTECTION CLASS 03 RIVERSIDE, MO OCCUPANCY: UNITED STATES POST OFFICE 64150-3640 Deductible Per Occurrence On All Covered Causes of Loss $ 5, 000. Covered Property/ Limit Of COIN Specl Optional/Additional Item Coverage Provided Insurance % Intrst Coverages 01 !BUILDING !$ 3, 000, 000! 80% ! !Replacement Cost LOC: 010 RIVERWAY BLVD AT NW PLATTE DR DESCRIPTION: 1 STORY FRAME BLDG IN PROTECTION CLASS 03 RIVERSIDE, MO OCCUPANCY: TRAFFIC SIGNALS/SIGNAL 64150 SYSTEM Deductible Per Occurrence On All Covered Causes of Loss $ 5, 000. Covered Property/ Limit Of COIN Specl Optional/Additional Item Coverage Provided Insurance % Intrst Coverages O1!BUILDING !$ 212, 180! 80% ! !Replacement Cost LOC: 011 INTERSECTION OF VIVION RD DESCRIPTION: 1 STORY FRAME BLDG AND NW GATEWAY AVE NW IN PROTECTION CLASS 03 RIVERSIDE, MO OCCUPANCY: TRAFFIC SIGNALS/SIGNAL 64150 SYSTEM Deductible Per Occurrence On All Covered Causes of Loss $ 5, 000. Covered Property/ Limit Of COIN Specl Optional/Additional Item Coverage Provided Insurance % Intrst Coverages 01!BUILDING !$ 265,740 ! 80% ! !Replacement Cost AS QUOTED ON: 05/10/16 (BPP) Prepared for:CITY OF RIVERSIDE 0071600 LS 12 of 24 /EMC. INSURANCE EMPLOYERS MUTUAL CASUALTY COMPANY QUOTE NUMBER: B476091-05 RIVERSIDE CITY OF EFF DATE: 05/29/16 EXP DATE: 05/29/17 COMMERCIAL OUTPUT P R O G RAM SCHEDULE COVERAGE PROVIDED APPLIES ONLY AS INDICATED BY AN ENTRY BELOW: LOC: 012 HOMESTEAD PARK AT CORNER OF DESCRIPTION: 1 STORY FRAME BLDG HOMESTEAD ROAD& HOMESTEAD TERR IN PROTECTION CLASS 03 RIVERSIDE, MO OCCUPANCY: PLAYGROUND EQUIPMENT 64150 Deductible Per Occurrence On All Covered Causes of Loss $ 5, 000. Covered Property/ Limit Of COIN Specl Optional/Additional Item Coverage Provided Insurance % Intrst Coverages 01 !BUILDING !$ 30,001 ! 80% ! !Replacement Cost LOC: 013 4055 NW 41ST STREET DESCRIPTION: 1 STORY FRAME BLDG IN PROTECTION CLASS 03 RIVERSIDE, MO OCCUPANCY: LIFT STATION 64150 Deductible Per Occurrence On All Covered Causes of Loss $ 5, 000. Covered Property/ Limit Of COIN Specl Optional/Additional Item Coverage Provided Insurance % Intrst Coverages 01!BUILDING !$ 6,275,861 ! 80% ! !Replacement Cost LOC: 014 5025 NW CANAL STREET DESCRIPTION: 1 STORY FRAME BLDG IN PROTECTION CLASS 03 RIVERSIDE, MO OCCUPANCY: OBELISK STRUCTURE AND 64150-7201 SIGNS Deductible Per Occurrence On All Covered Causes of Loss $ 5, 000. Covered Property/ Limit Of COIN Specl Optional/Additional Item Coverage Provided Insurance % Intrst Coverages 01!BUILDING ! $ 236, 900! 80% ! !Replacement Cost AS QUOTED ON: 05/10/16 (BPP) Prepared for:CITY OF RIVERSIDE 007/600 LS 13 of 24 /EMC. INSURANCE EMPLOYERS MUTUAL CASUALTY COMPANY QUOTE NUMBER: B476091-05 RIVERSIDE CITY OF EFF DATE: 05/29/16 EXP DATE: 05/29/17 COMMERCIAL OUTPUT P R O G RAM SCHEDULE COVERAGE PROVIDED APPLIES ONLY AS INDICATED BY AN ENTRY BELOW: LOC: 015 NORTH WOODLAND AND LINEAR DESCRIPTION: 1 STORY FRAME BLDG TRAIL IN PROTECTION CLASS 03 RIVERSIDE, MO OCCUPANCY: CROSSWALK SIGNALS 64150 Deductible Per Occurrence On All Covered Causes of Loss $ 5, 000. Covered Property/ Limit Of COIN Specl Optional/Additional Item Coverage Provided Insurance % Intrst Coverages 01 !BUILDING !$ 37, 080! 80% ! !Replacement Cost LOC: 016 ARGOSY PARKWAY AT SNOWDEN DESCRIPTION: 1 STORY FRAME BLDG IN PROTECTION CLASS 03 RIVERSIDE, MO OCCUPANCY: CROSSWALK SIGNAL 64150 Deductible Per Occurrence On All Covered Causes of Loss $ 5, 000. Covered Property/ Limit Of COIN Specl Optional/Additional Item Coverage Provided Insurance % Intrst Coverages 01!BUILDING ! $ 37, 080! 80% ! !Replacement Cost AS QUOTED ON: 05/10/16 (BPP) Prepared for.CITY OF RIVERSIDE 007/600 LS 14 of 24 /EMC INSURANCE EMPLOYERS MUTUAL CASUALTY COMPANY QUOTE NUMBER: C476091-01 QUOTATION — COMMERCIAL INLAND MARINE QUOTATION IS VALID: FROM 03/18/16 TO 04/29/16 PROPOSED POLICY PERIOD: FROM 05/29/16 TO 05/29/17 PREPARED F O R : PRESENTED BY : CITY OF RIVERSIDE COWELL INSURANCE GROUP, INC. 2950 NW VIVION RD 10525 N AMBASSADOR DR STE 301 RIVERSIDE MO 64150-1502 KANSAS CITY MO 64153-1284 AGENT: AK 7486 AGENCY BILL AGENT PHONE: 816-587-4419 INSURED IS: CITY BUSINESS DESC: MUNICIPALITY SEE ATTACHED SCHEDULE FOR LIMITS AND DESCRIPTION OF COVERAGES COVERAGES HEADINGS PREMIUM CONTRACTORS EQUIPMENT $ 13,444.00 ELECTRONIC DATA PROCESSING $ 761.00 *WATERCRAFT COVERAGE $ 100.00 TOTAL INLAND MARINE PREMIUM $ 14,305.00 A DEDUCTIBLE MAY APPLY FOR THE COVERAGE PROVIDED. IN THE EVENT A LOSS (OTHER THAN EARTHQUAKE) INVOLVES COVERED PROPERTY AT MORE THAN ONE LOCATION OR IN MORE THAN ONE CLASS, ONLY ONE DEDUCTIBLE, THE LARGEST DEDUCTIBLE SHOWN ON THE SCHEDULE FOR THE LOCATION OR CLASSES INVOLVED IN THE LOSS, WILL APPLY PER OCCURRENCE. AS QUOTED ON: 03/18/16 (BPP) Prepared for:CITY OF RIVERSIDE 007/600 LS 15 of 24 /EMC, INSURANCE EMPLOYERS MUTUAL CASUALTY COMPANY QUOTE NUMBER: C476091-01 CITY OF RIVERSIDE EFF DATE: 05/29/16 EXP DATE: 05/29/17 COMML INLAND MARINE POLICY QUOTE ENDORSEMENT SCHEDULE EDITION FORM DATE DESCRIPTION/ADDITIONAL INFORMATION PREMIUM CLO100 03-99 COMMON POLICY CONDITIONS CL0167 05-05 GUARANTY FUND COV LIMITATIONS - MO CL0170 09-13 AMENDATORY ENDORSEMENT MISSOURI *CL0600 01-15 CERTIFIED TERRORISM LOSS CL0700 10-06 VIRUS OR BACTERIA EXCLUSION CM0001 09-04 COMM. INLAND MARINE CONDITIONS CM0118 11-13 MISSOURI CHANGES *CM7001A 09-97 COMMERCIAL INLAND MARINE SCHEDULE CM7002 09-00 QUICK REFERENCE CM7004 09-06 QUICK REFERENCE CM7021 11-01 LOSS PAYABLE ENDORSEMENT CM7481 06-97 WATERCRAFT COVERAGE FORM CM7482 06-97 WATERCRAFT LAYUP ENDORSEMENT CM7497 10-08 AMENDATORY ENDORSEMENT - MISSOURI IL0274 02-13 MO CHANGES - CANCELLATION/NONRENEWAL *IL0952 01-15 CAP/LOSSES/CERTIFD ACTS OF TERRORISM *IL7131A 04-01 COMM'L POLICY ENDORSEMENT SCHEDULE IL7306 08-98 EXCLUSION OF CERTAIN COMPUTER LOSSES IL8383.2A IM2051 01-15 DISCL PURSUANT TERRSM RISK INS. ACT WAIVED 09-13 AMENDATORY ENDORSEMENT - MISSOURI *IM2250 07-13 POLLUTANT - AMENDED DEFINITION IM7000 04-04 CONTRACTOR'S EQUIPMENT COVERAGE IM7200 10-02 EDP EQUIPMENT COVERAGE - SCHEDULED IM7238 10-02 EARTHQUAKE, FLOOD AND SEWER BACKUP AS QUOTED ON: 03/18/16 Prepared for.CITY OF RIVERSIDE 007/600 LS 16 of 24 EMC INSURANCE EMPLOYERS MUTUAL CASUALTY COMPANY QUOTE NUMBER: C476091-01 CITY OF RIVERSIDE EFF DATE: 05/29/16 EXP DATE: 05/29/17 THIS DISCLOSURE IS ATTACHED TO YOUR POLICY IN RESPONSE TO THE DISCLOSURE REQUIREMENTS OF THE TERRORISM RISK INSURANCE ACT. THIS DISLOSURE DOES NOT GRANT ANY COVERAGE OR CHANGE THE TERMS AND CONDITIONS OF ANY COVERAGE UNDER THE POLICY. DISCLOSURE PURSUANT T TERRORISM RISK INSURANCE ACT SCHEDULE Terrorism Premium (Certified Acts) Waived A. Disclosure Of Premium: In accordance with the federal Terrorism Risk Insurance Act, we are required to provide you with a notice disclosing the portion of your premium, if any, attributable to coverage for terrorism acts certified under the Terrorism Risk Insurance Act. The portion of your premium attributable to such coverage is shown in the Schedule of this disclosure or in the policy Declarations. B. Disclosure Of Federal Participation In Payment Of Terrorism Losses: The United States Government, Department of the Treasury, will pay a share of terrorism losses insured under the federal program. For losses occurring in 2015, the federal share equals 85% of that portion of the amount of such insured losses that exceeds the applicable insurer retention. Beginning on January 1, 2016, the federal share will decrease by one percentage point per calendar year until equal to 80% of that portion of the amount of such insured losses that exceeds the applicable insurer retention. However, if aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed $100 billion in a calendar year, the Treasury shall not make any payment for any portion of the amount of such losses that exceeds $100 billion. C. Cap On Insurer Participation In Payment Of Terrorism Losses: If aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed $100 billion in a calendar year and we have met our insurer deductible under the Terrorism Risk Insurance Act, we shall not be liable for the payment of any portion of the amount of such losses that exceeds $100 billion, and in such case insured losses up to that amount are subject to pro rata allocation in accordance with procedures established by the Secretary of the Treasury. The following statement is required to be part of the disclosure notice in MISSOURI: The premium above is for certain losses resulting from certified acts of terrorism as covered pursuant to coverage provisions, limitations and exclusions in this policy. You should read the definition in your policy carefully, but generally speaking, "certified" acts of terrorism are acts that exceed $5 million in aggregate losses to the insurance industry and which are subsequently declared by the U.S. Secretary of the Treasury as a certified terrorist act under the Terrorism Risk Insurance Act. Some losses resulting from certified acts of terrorism are not covered. Read your policy and endorsements carefully. AS QUOTED ON: 03/18/16 Prepared for:CITY OF RIVERSIDE 007/600 LS 17 of 24 /EMC INSURANCE EMPLOYERS MUTUAL CASUALTY COMPANY QUOTE NO: C476091-01 RIVERSIDE CITY OF EFF DATE: 05/29/16 EXP DATE: 05/29/17 COMMERCIAL INLAND MARINE SCHEDULE POLICYWIDE COVERAGES CLASS/ITEM DESCRIPTION *SPEC INTEREST LIMITS CONTRACTORS EQUIPMENT 801 CONTRACTORS EQUIPMENT $ 1000 DEDUCTIBLE APPLIES PER OCCURRENCE TO THE FOLLOWING ITEMS 100% COINSURANCE $ 3, 140, 691 CATASTROPHE LIMIT - THE MOST "WE" PAY FOR LOSS IN ANY ONE OCCURRENCE COVERAGE EXTENSIONS ADDITIONAL DEBRIS REMOVAL EXPENSES $ 5,000 SUPPLEMENTAL COVERAGES EMPLOYEE TOOLS (ACTUAL CASH VALUE) $ 5, 000 NEWLY PURCHASED EQUIPMENT PERCENTAGE OF CATASTROPHE LIMIT 30% POLLUTANT CLEANUP AND REMOVAL $ 25, 000 RENTAL REIMBURSEMENT LIMIT $ 5,000 WAITING PERIOD 72 HRS SPARE PARTS AND FUEL $ 5,000 ACTUAL CASH VALUE 001 FIRE FIGHTING EQUIPMENT ON TRUCKS (4) $ 450, 000 ACTUAL CASH VALUE 002 STANDBY GENERATOR $ 17, 665 ACTUAL CASH VALUE 003 MOBILE RADIO EQUIPMENT $ 540,000 ACTUAL CASH VALUE 004 PARK CAMERA SYSTEM, MOTOROLA $ 300, 000 ACTUAL CASH VALUE 005 ACCESS CONTROL & VIDEO SYSTEM, GOVT $ 310, 000 COMPLEX ACTUAL CASH VALUE 006 IN CAR VIDEO SYSTEM $ 125, 000 ACTUAL CASH VALUE 007 NEW HOLLAND TRACTOR $ 27, 000 ACTUAL CASH VALUE AS QUOTED ON: 03/18/16 (BPP) Prepared for:CITY OF RIVERSIDE 0071600 LS 180424 EMC INSURANCE EMPLOYERS MUTUAL CASUALTY COMPANY QUOTE NO: C476091-01 RIVERSIDE CITY OF EFF DATE: 05/29/16 EXP DATE: 05/29/17 COMMERCIAL INLAND MARINE SCHEDULE 008 STANDBY GENERATOR $ 17, 665 ACTUAL CASH VALUE 009 PLAYGROUND EQUIPMENT $ 5, 500 ACTUAL CASH VALUE 010 MONUMENT (RENNER VILLAGE SITE) $ 4, 500 ACTUAL CASH VALUE 011 2010 BOBCAT UTV 4-SEATER 3400 XL $ 17, 015 SN AJNV11095 ACTUAL CASH VALUE 012 MISCELLANEOUS UNSCHEDULED POLICE $ 250, 000 DEPARTMENT EQUIPMENT ACTUAL CASH VALUE 013 MISCELLANEOUS UNSCHEDULED FIRE $ 310,500 DEPARTMENT EQUIPMENT ACTUAL CASH VALUE 014 MISCELLANEOUS UNSCHEDULED PUBLIC WORKS $ 560,000 EQUIPMENT ACTUAL CASH VALUE 015 2 SPEED TRAILERS MDL KUSTOM SIGNAL-PS $ 24,000 @ $12, 000 EACH ACTUAL CASH VALUE 016 BC MODEL 5750,A91, SJC 02 $ 46, 620 SN ATDZ14416 INCL BC MODEL 80 C/I TOOTH BUCKET SN 1093376 BC MODEL 80 C/I SMOOTH BUCKET SN 1093377 ACTUAL CASH VALUE 017 BC E-35, A91 ANGLE BLADE, RAIDO 02 $ 46, 371 SN AR 1K11364 DB 24 SD BUCKET, SN 1093807 ACTUAL CASH VALUE 018 BOBCAT E35 EXCAVATOR SERIAL NO. ARK12227 02 $ 46,288 W/EXTENDABLE ARM, 24 IN X-CHANGE STANDARD DUTY BUCKET WITH WELD-ON TEETH SERIAL NO. 1101228 ACTUAL CASH VALUE 019 BOBCAT S650 SKID-STEER LOADER 02 $ 42,567 SERIAL NO. ALJ816074 W/ 74 IN C/1 BUCKET AS QUOTED ON: 03/18/16 (BPP) Prepared for:CITY OF RIVERSIDE 007/600 LS 19 of 24 /EMC. INSURANCE EMPLOYERS MUTUAL CASUALTY COMPANY QUOTE NO: C476091-01 RIVERSIDE CITY OF EFF DATE: 05/29/16 EXP DATE: 05/29/17 COMMERCIAL INLAND MARINE SCHEDULE W/ BOLT-ON TEETH SERIAL NO. 11060406 AND 74 IN C/1 BUCKET W/CUTTING EDGE SERIAL NO. 1106407 PREMIUM $ 13, 444 840 CONTR. EQUIP. - LEASED OR RENTED FROM OTHERS LIMITS OF INSURANCE THE MOST "WE" PAY FOR LOSS TO ANY ONE ITEM $ 25, 000 THE MOST "WE" PAY FOR LOSS IN ANY ONE $ 25, 000 OCCURRENCE ACTUAL CASH VALUE DEDUCTIBLE $ 1000 NON-REPORTING FORM PREMIUM INCLUDED LOSS PAYEE(S) APPLY TO THIS COVERAGE: COLEMAN EQUIPMENT, INC. LOCATION: 001 2950 NW VIVION RD RIVERSIDE, MO 64150-1502 SPECIAL* CLASS DESCRIPTION INTEREST LIMITS DATA PROCESSING: $ 1, 000 DEDUCTIBLE APPLIES TO ALL COVERED PERILS UNLESS A DIFFERENT DEDUCTIBLE IS INDICATED BELOW $ 5,000 DEDUCTIBLE - EARTHQUAKE AND VOLCANIC ERUPTION NOT COVERED DEDUCTIBLE - "FLOOD" $ 1,000 DEDUCTIBLE - "MECHANICAL BREAKDOWN", "ELECTRICAL DISTURBANCE" AND "POWER SUPPLY DISTURBANCE" 100% COINSURANCE AS QUOTED ON: 03/18/16 (BPP) Prepared for:CITY OF RIVERSIDE 007/600 LS 20 of 24 a /EMC, INSURANCE EMPLOYERS MUTUAL CASUALTY COMPANY QUOTE NO: C476091-01 RIVERSIDE CITY OF EFF DATE: 05/29/16 EXP DATE: 05/29/17 COMMERCIAL INLAND MARINE SCHEDULE $ 145,000 EARTHQUAKE "AGGREGATE" LIMIT $ 145,000 EARTHQUAKE "OCCURRENCE" LIMIT $ 145, 000 EARTHQUAKE "CATASTROPHE" LIMIT NOT COVERED FLOOD "AGGREGATE" LIMIT NOT COVERED FLOOD "OCCURRENCE" LIMIT NOT COVERED FLOOD "CATASTROPHE" LIMIT $ 145,000 SEWER BACKUP "AGGREGATE" LIMIT $ 145,000 SEWER BACKUP "OCCURRENCE" LIMIT $ 145,000 SEWER BACKUP "CATASTROPHE" LIMIT 848 ELECTRONIC DATA PROCESSING - SCHEDULED LIMITS COVERAGE LIMITS $ 129,750 "HARDWARE" $ 15,250 SOFTWARE INCLUDED "MEDIA" INCLUDED "PROGRAMS AND APPLICATIONS" INCLUDED "DATA RECORDS" INCLUDED "PROPRIETARY PROGRAMS" NOT COVERED Income Coverage 1 EQUIPMENT COVERAGE EXTENSIONS Additional Debris Removal Expenses $ 10, 000 ELECTRICAL AND POWER SUPPLY DISTURBANCE COVERED Emergency Removal (Number of DAYS) 365 Emergency Removal Expenses $ 2,500 Fraud and Deceit $ 2, 500 MECHANICAL BREAKDOWN COVERAGE COVERED EQUIPMENT SUPPLEMENTAL COVERAGES Acquired Locations $ 500, 000 Earthquake Coverage COVERED Flood Coverage NOT COVERED NEWLY PURCHASED OR LEASED HARDWARE $ 500, 000 Off-Site Computers $ 5, 000 Pollutant Cleanup and Removal $ 10, 000 Property in Transit $ 10, 000 Protection and Control Systems $ 10, 000 RECHARGE OF FIRE EXTINGUISHING EQUIPMENT $ 15, 000 Reproduction Equipment $ 10,000 Sewer Backup COVERED REWARDS $ 2,500 Software Storage $ 50, 000 Telecommunications Equipment $ 10, 000 Virus and Hacking Limit any one occurrence $ 25, 000 Limit each separate 12 month period $ 75, 000 FOREIGN TRANSIT AND LOCATION LIMIT NOT COVERED AS QUOTED ON: 03/18/16 (BPP) Prepared for:CITY OF RIVERSIDE 0071600 LS 21 of 24 /EMC INSURANCE EMPLOYERS MUTUAL CASUALTY COMPANY QUOTE NO: C476091-01 RIVERSIDE CITY OF EFF DATE: 05/29/16 EXP DATE: 05/29/17 COMMERCIAL INLAND MARINE SCHEDULE PREMIUM $ 761 WATERCRAFT COVERAGE 182 INBOARD, INBOARD/OUTBOARD, PERSONAL WATERCRAFT 001 LENGTH: 14 FT. HORSEPOWER: 20 2012 SATURN RUBBER BOAT SD-430 WITH $ 4, 600 2012 MERCURY 20HP OUTBOARD MOTOR MDL 1F20301HK SN 08469619 NAV. PERIOD: FROM 01/01 TO 12/31 (INLAND WATERS) DEDUCTIBLE: $ 500 PREMIUM $ 100 *SPECIAL INTERESTS SPEC.* INT. NO. LOSS PAYEE — LOSS PAYABLE 01 LOSS, IF ANY, WILL BE ADJUSTED WITH THE NAMED INSURED AND COLEMAN EQUIPMENT INC. RE: LEASED/RENTED EQUIPT. PO BOX 456 BONNER SPRINGS, KS 66012-0456 SPEC.* INT. NO. LOSS PAYEE — LOSS PAYABLE 02 LOSS, IF ANY, WILL BE ADJUSTED WITH THE NAMED INSURED AND KANSAS STATE BANK PO BOX 69 MANHATTAN, KS 66505-0069 AS QUOTED ON: 03/18/16 (BPP) Prepared for:CITY OF RIVERSIDE 007/600 LS 22 of 24 A EMC INSURANCE Disclosure Pursuant to Terrorism Risk Insurance Act This disclosure is attached to and made part of your Quote Proposal in response to the disclosure requirements of the Terrorism Risk Insurance Act. This disclosure does not grant any coverage or change the terms and conditions of any coverage under the policy. A. Disclosure Of Premium: In accordance with the federal Terrorism Risk Insurance Act, we are required to provide you with a notice disclosing the portion of your premium, if any, attributable to coverage for terrorism acts certified under the Terrorism Risk Insurance Act. The portion of your premium attributable to such coverage is shown in the Quote Proposal. B. Disclosure Of Federal Participation In Payment Of Terrorism Losses: The United States Government, Department of the Treasury, will pay a share of terrorism losses insured under the federal program. For losses occurring in 2015, the federal share equals 85% of that portion of the amount of such insured losses that exceeds the applicable insurer retention. Beginning on January 1, 2016, the federal share will decrease by one percentage point per calendar year until equal to 80% of that portion of the amount of such insured losses that exceeds the applicable insurer retention. However, if aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed $100 billion in a calendar year, the Treasury shall not make any payment for any portion of the amount of such losses that exceeds $100 billion. C. Cap On Insurer Participation In Payment Of Terrorism Losses: If aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed $100 billion in a calendar year and we have met our insurer deductible under the Terrorism Risk Insurance Act, we shall not be liable for the payment of any portion of the amount of such losses that exceeds $100 billion, and in such case insured losses up to that amount are subject to pro rata allocation in accordance with procedures established by the Secretary of the Treasury. The following statement is required to be part of the disclosure notice in MISSOURI: The premium shown on the Quote Proposal is for certain losses resulting from certified acts of terrorism as covered pursuant to coverage provisions, limitations and exclusions in the policy that may be issued based on this quote. You should read the definition in your policy carefully, but generally speaking, "certified" acts of terrorism are acts that exceed $5 million in aggregate losses to the insurance industry and which are subsequently declared by the U.S. Secretary of the Treasury as a certified terrorist act under the Terrorism Risk Insurance Act. Some losses resulting from certified acts of terrorism are not covered. Read your policy and endorsements carefully. Thank you for the opportunity to present this proposal to you. We hope you will allow us the privilege to serve your insurance needs. Cowell Insurance Group, Inc. I Prepared for: CITY OF RIVERSIDE 0071600 LS 23 of 24 A EMC INSURANCE Terrorism Risk Insurance Act Schedule For the following sections,coverage for Certified Acts of Terrorism is accepted: Commercial Output(B-05) $ 863.00 For the following sections,coverage for Certified Acts of Terrorism is not applicable: Commercial Inland Marine(C-01) Prepared for: CITY OF RIVERSIDE 0071600 LS 24 of 24