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HomeMy WebLinkAboutU.S. Specialty Insurance Co. Crime Coverage U.S. SPECIALTY INSURANCE COMPANY CRIME COVERAGE PART 4111 SUPPLEMENTAL DECLARATIONS r { These Supplemental Declarations form a part of policy number PKG80610163 SCHEDULE OF COVERAGES, LIMITS OF INSURANCE AND DEDUCTIBLE Insurance is only provided for the coverages indicated by an X. Deductible Coverage Form(s) Limit of D Self - Insured Insurance Retention ❑ A Employee Dishonesty --- Blanket $ $ EI A Employee Dishonesty — Schedule ® B Forgery or Alteration $ 500,000 $ 1,000 © C Theft, Disappearance and Destruction Inside $ 500,000 $ 1,000 Outside $ 500,000 $ 1,000 Tax Time Limit 1211 – 3/1 $ 500,000 $ 1,000 Optional Tax Periods: From: 01/01/1900 To: 01/01/1900 $ $ From: 01/01/1900 To: 01/01/1900 $ $ ❑ D Robbery and Safe Burglary - Robbery Inside $ $ Property Other Than Money Safe Burglary $ $ x 4110 And Securities Robbery Outside $ $ LEI 0 Public Employee Dishonesty -- ---Per Loss $ 500,000 $ 1,000 ' © P Public Employee Dishonesty -- Per Employee $ $ I *` ❑ Q Robbery and Safe Burglary - Inside Money and Securities Outside $ $ Fa C] F Computer Fraud $ 500,000 $ 1,000 CANCELLATION OF PRIOR INSURANCE: By acceptance of this Coverage Part you give us notice cancelling prior policy or bond numbers the cancellation to be effective at the time this Coverage Part becomes effective. FORMS AND ENDORSEMENTS Forms and endorsements applying to this Coverage Part and made part of this policy at time of issue: See PKGIL0002 2006 Premium: $ Included THIS SUPPLEMENTAL DECLARATIONS AND THE COMMON POLICY DECLARATIONS, TOGETHER WITH THE COMMON POLICY CONDITIONS, THE CRIME GENERAL PROVISIONS, COVERAGE FORM(S) AND ENDORSEMENTS COMPLETE THE ABOVE NUMBERED POLICY. is PKGCR0002 2006 i ' U.S. SPECIALTY INSURANCE COMPANY CRIME GENERAL PROVISIONS LOSS SUSTAINED FORM Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties and what is or is not covered. 4 Throughout this policy, the words you and `your" refer to the Named Insured shown in the Declarations. The t' words "we ", "us" and our refer to the Company providing this insurance. F Words and phrases in quotation marks are defined in the policy. Unless stated otherwise in any Crime Coverage Form, Declarations or endorsement, the following General { Exclusions, General Conditions and General Definitions apply to all Crime Coverage Forms forming part of this policy. t War And Military Action GENERAL EXCLUSIONS Loss or damage caused directly or indirectly by the f We will not pay for toss as specified below: following. Such loss or damage is excluded { Acts Committed by You or Your Partners regardless of any other cause or event that , contributes concurrently or in any sequence to the Loss resulting from any dishonest or criminal act loss, committed by your or any of your partners whether acting alone or in collusion with other persons. War, including undeclared or civil war; or Governmental Action 2. Warlike action by a military force, including action t in hindering or defending against an actual or Loss resulting from seizure or destruction of property expected attack, by any government, sovereign g:. by order of governmental authority. or other authority using military personnel or Indirect Loss other agents; or 0 Loss that is an indirect result of any act or 3. Insurrection, rebellion, revolution, usurped power, "occurrence" covered by this insurance including, but or action taken by governmental authority in t. not Limited to loss resulting from: hindering or defending against any of these. , 1. Your inability to realize income that you would With respect to any action that comes within the have realized had there been no loss of, or Loss terms of this exclusion and involves nuclear reaction from damage to Covered Property, or radiation, or radioactive contamination, this War e And Military Action Exclusion supersedes the Nuclear 2. Payment of damages of any type for which you Exclusion. are legally liable. But, we will pay compensatory damages arising directly from a loss covered GENERAL CONDITIONS f ' under this insurance. Concealment, Misrepresentation or Fraud 3. Payment of costs, fees or other expenses you t incur in establishing either the existence or the This insurance is void in any case of fraud by you as amount of loss under this insurance. it relates to this insurance at any time. It is also void if you or any other insured, at any time, intentionally t. Legal Expenses conceal or misrepresent a material fact concerning: Expenses related to any legal action. 1. This insurance; t Nuclear 2, The Covered Property; Loss resulting from nuclear reaction, nuclear 3, Your interest in the Covered Property; or radiation or radioactive contamination, or any related g actor incident. 4. A claim under this insurance. m • t p PKGCR0003 2006 Page 1 of 5 t. Includes copyrighted material of Insurance Services Office, Inc., with its permission Copyright, Insurance Services Office, Inc., 2001 mar t _ i. I r , t ' U.S. SPECIALTY INSURANCE COMPANY . • , 0 Consolidation - Merger Joint Insured , if through consolidation or merger with, or purchase 1. If more than one Insured is named in the ' or acquisition of assets or liabilities of, some other Declarations, the first named Insured will act for , t entity: itself and for every other Insured for all purposes r , I . f 1. Any additional persons become 'employees"; or of this insurance. f the first named Insured ; ceases to be covered, then the next named r 2. You acquire the use and control of any additional Insured will become the first named Insured. r , 'premises"; t 2. If any Insured or partner or officer of that Insured any insurance afforded for 'employees" or 'premise s° has knowledge of any information relevant to this ; also applies to those additional 'employees" and insurance, that knowledge is considered , ' 'premises: for a period of 60 days after the effective knowledge of every Insured. date of such consolidation, merger, or purchase or acquisition of assets or liabilities. 3. An 'employee" of any Insured is considered to be an "employee of every insured. You must give us written notice within this 60 day 4 . If this insurance or any of its coverages is period and obtain our written consent to extend this r insurance to such additional "employees or cancelled or terminated as to any Insured, loss " sustained by that Insured is covered only if , 'premises". Upon obtaining our written consent, you must pay us an additional premium. discovered no later than one year from the date of , that cancellation or termination. If you fail to notify us in writing within this 60 day no 5. We will period, then this insurance shall automatically t pay more for loss sustained by more ! terminate as to such additional employees than one Insured than the amount we would pay if "" or premises. all the loss had been sustained by one Insured. , Legal Action Against Us Coverage Extensions , • Unless stated otherwise in the Coverage Form, our You may not bring any legal action against us i '. .., it liability under any Coverage Extension is part of, not involving loss: I in addition to, the Limit Of Insurance applying to the 1. Unless you have complied with all the terms of i • Coverage or Coverage Section. this insurance; and uties in the Event of Loss 2. Until 90 days after you have filed proof of loss with t t d , After you discover a loss or a situation that may result us; an , in loss of, or loss from damage to, Covered Property 3. Unless brought within 2 years from the date you i ; , you must: discover the loss. I 1 , t 1. Notify us as soon as possible. Liberalization , i 2. Submit to examination under oath at our request if we adopt any revision that would broaden the r , and give us a signed statement of your answers. coverage under this insurance without additional r , , premium within 45 days prior to or during the policy ; 3. Give us a detailed, sworn proof of loss within 120 , ( days period, the broadened coverage will immediately r . , apply to this insurance. ; 4. Cooperate with us in the investigation and r Loss Covered Under More Than One Coverage of . settlement of any claim. !, , This Insurance , Extended Period To Discover Loss i ' If two or more coverages of this insurance apply to We will pay only for covered loss discovered no later the same loss, we will pay the lesser of: I t , than one year from the end of the policy period. ; , 1. The actual amount of loss; or k 4 2. The sum of the limits of insurance applicable to ! those coverages. i 4 1 4 i 4 !, . i f i • PKGCR0003 2006 Page 2 of 5 t r Includes copyrighted material of insurance Services Office, Inc., with its permission k Copyright, Insurance Services Office, Inc., 2001 , , , , , , , i i it I U.S. SPECIALTY INSURANCE COMPANY 40 Loss Sustained During Prior insurance Ownership of Property; interests Covered 1. If you or any predecessor in interest, sustained The property covered under this insurance is limited loss during the period of any prior insurance that to property: you or the predecessor in interest could have } recovered under that insurance except that the 1 • That you own or hold; or time within which to discover loss had expired, we 2. For which you are legally liable. will pay for it under this insurance, provided: However, this insurance is for your benefit only It I a. This insurance became effective at the time of provides no rights or benefits to any other person or cancellation or termination of the prior organization. T insurance; and Policy Period b. The Toss would have been covered by this y 1. The Policy Period is shown in the Declarations. insurance had it been in effect when the acts or events causing the Loss were committed or 2. Subject to the Loss Sustained During Prior occurred. Insurance condition, we will pay only for loss that 3 you sustain through acts committed or events 2. The insurance under this Condition is part of not occurring during the Policy Period. in addition to the Limits of Insurance applying to this insurance and Is limited to the lesser of the Records = { amount recoverable under You must keep records of all Covered Property so we a. This insurance as of its effective date; or can verify the amount of any loss. b. The prior insurance had it remained in effect. Recoveries 1. Any recoveries, less the cost of obtaining them, Loss Covered Under This Insurance and Prior y 9 1 Insurance Issued by Us or Any Affiliate made after settlement of loss covered by this insurance will be distributed as follows: if any loss is covered: a. To you until you are reimbursed for any Toss 1. Partly by this insurance; and that you sustain that exceeds the Limit of 0 2. Partly by any prior cancelled or terminated Insurance and the Deductible Amount, if any insurance that we or any affiliate had issued to b. Then to us, until we are reimbursed for the you or any predecessor in interest; settlement made; the most we will pay is the larger of the amount c. The to you until you are reimbursed for that recoverable under this insurance or the prior part of the Toss equal to the Deductible Po insurance. Amount, if any. Regardless of the number of years this insurance 2, Recoveries do not include any recovery: remains in force or the number of premiums paid, no Limit Of Insurance cumulates from year to year or a. From insurance, suretyship, reinsurance, period to period. security or indemnity taken for our benefit; or 3 Other Insurance b. Of original "securities" after duplicates of them have been issued. t This insurance does not apply to loss recoverable or I recovered under other insurance or indemnity. Territory i However, if the limit of the other insurance or This insurance covers only acts committed or events indemnity is insufficient to cover the entire amount of occurring within the United States of America, U. S. the loss, this insurance will apply to that part of the Virgin Islands, Puerto Rico, Canal Zone, or Canada, loss, other than that failing within any deductible amount, not recoverable or recovered under the other = insurance or indemnity. However, this insurance will not apply to the amount of loss that is more than the applicable Limit Of Insurance shown in the Declarations. _ ' 1 ID PKGCR0003 KGCR 03 2006 Page 3 of 5 Includes copyrighted material of Insurance Services Office, Inc., *AIM its permission I Copyright, Insurance Services Office, Inc., 2001 I U.S. SPECIALTY INSURANCE COMPANY 0 Transfer of Your Rights of Recovery Against (2) Cost of repairing the property or - premises"; Others to Us or i You must transfer to us all your rights of recovery (3) Cost of replacing the property with property I quality. against any person or organization for any lass you of like kind and q y. I sustained and for which we have paid or settled. You We may at our option, pay the actual cash must also do everything necessary to secure those value of the property or repair or replace it. i rights and do nothing after loss to impair them. If we cannot agree with you upon the actual r Valuation - Settlement cash value or the cost of repair or replacement, 1. Subject to the applicable Limit of Insurance the value or cost will be determined by provision we will pay for arbitration. i a. Loss of "money' but only up to and Including 2. We may at our option, pay for loss of or Toss its face value. We may at our option, pay for from damage to property other than "money ": loss of 'money issued by any country other a. In the "money" of the country in which the loss than the United States of America: , occurred; or (1) At face value in the "money' issued by that b. In the United States of America dollar country; or equivalent of the "money' of the country in (2) In the United States of America dollar which the Toss occurred determined by the rate t equivalent determined by the rate of of exchange on the day the Toss was t exchange on the day the loss was discovered. discovered. 3. Any property that we pay for or replace becomes F . b. Loss of 'securities" but only up to and including our property. . their value at the close of business on the day GENERAL DEFINITIONS t the loss was discovered. We may at our t option: 1. "Employee" means: r (1) Pay the value of such "securities' or a. Any natural person: • replace them in kind, In which event you must assign to us all your rights, title and (1) While in your service (and for 90 days after and e) i of o service); Interest in and to those 'securities"; or termination 1 (2) Pay the cost of any Lost Securities Bond (2) Whom you compensate directly by salary, required In connection with issuing wages or commissions; and duplicates of the 'securities." However, we (3) Whom you have the right to direct and will be liable only for the payment of so control while performing services for you or t much of the cost of the bond as would be b. Any natural person who is furnished to you to charged for a bond having a penalty not f exceeding the lesser of the (1) Substitute for a permanent "employee' on i (a) Value of the "securities" at the close of leave; or 1 business on the day the loss was (2) Meet seasonal or short -term work load discovered; or conditions; { (b) Limit of insurance. while that person is subject to your direction and control and performing services for you, c. lass of or toss from damage to, property excluding, however, any such person while other than money and securities or loss from damage to the "premises" for not more than having care and custody of property outside the: the "premises ". (1) Actual cash value of the property on the day the loss was discovered; . 1 PKGCR0003 2406 Page 4 of 5 I Includes copyrighted material of Insurance Services Office. Inc., with its permission Copyright, Insurance Services Office, Inc., 200i Y m. r f i U.S. SPECIALTY INSURANCE COMPANY But 'employee* does not mean any 3. "Property Other Than Money and Securities" means any tangible property other than "money" { 'I} Agent, broker, person leased to you by a and •securities` that has intrinsic value but does ■ labor leasing firm, factor, commission not include any property listed in any Crime merchant, consignee, independent Coverage Form as Property Not Covered. 1 contractor or representative of the same general character; or 4. "Securities" means negotiable and non- negotiable instruments or contracts representing (2) Director or trustee except while p erformin g either `money` or other property and includes: acts coming within the scope of the usual I. duties of an employee, a. Tokens, tickets, revenue and other stamps t (whether represented by actual stamps or 2, "Money" means: unused value in a meter) in current use and a. Currency, coins and bank notes in current use Evidences of debt issued in connection with i and having a face value; and credit or charge cards, which cards are not b. Travelers checks, register checks and money issued by you; orders held for sale to the public. but does not include 'money". i 1 is i 1 IIIti s t f y _, t , , , t M , i d i , t , it; , , , f I Y t 1 i • g 3 PKGCR0003 2006 Page 5 o 5 includes copyrighted material of insurance Services Office, Inc., with its permission Copyright, Insurance Services Office, Inc., 2001 = t i U.S. SPECIALTY INSURANCE COMPANY ENDORSEMENT NO i _ A TTACHED TO AND EN ©ORSI MENT EFFECTIVE FORMING A PART OF (Standard Time) INSURED AGENCY AND CODE POLICY NUMBER MO. DAY YR, 12:01 NOON A.M. i PKG$0610163 1 1 2012 X CITY OF JEFFERSONVILLE 99900 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. VOLUNTEER WORKERS, OTHER THAN FUND SOLICITORS, AS EMPLOYEES This endorsement modifies insurance provided under the following: CRIME GENERAL PROVISIONS & : Employee also includes any non - compensated natural person, other than one who is a fund solicitor, while µ' performing services for you that are usual to the duties of an "employee'. I 1 4111 1 , 1 1 1 i i s i 1 yy ` 6 ` � ` y & ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED i 01/09/2012 AUTHORIZED REPRESENTATIVE DATE 1 1 i PKGCR0008 2008 t :: a i a 5 [[ . 4 ' • IL 09 ;iz 01 as THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM 1 i This endorsement modifies insurance provided under the following: g ' BOILER AND MACHINERY COVERAGE PART o COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART i EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART I STANDARD PROPERTY POLICY O i A. Cap On Certified Terrorism Losses If aggregate insured losses attributable to terrorist "Certified act of Terrorism" means an act that is acts certified under the Terrorism Risk Insurance certified by the Secretary of the Treasury, in Act exceed $100 billion in a Program Year concurrence with the Secretary of State and the (January 1 through December 31) and we have r Attorney General of the United States, to be an act met our insurer deductible under the Terrorism of terrorism pursuant to the federal Terrorism Risk Risk Insurance Act, we shad not be liable for the k Insurance Act. The criteria contained in the payment of any portion of the amount of such Terrorism Risk Insurance Act for a "certified act of losses that exceeds $100 billion, and In such case terrorism` Include the following: insured lasses up to that amount are subject to pro rata allocation in accordance with procedures to 1. The act resulted in insured losses in excess of established by the Secretary of the Treasury. $5 million in the aggregate, attributable to all B. Application Of Exclusions t types of insurance subject to the Terrorism Risk Insurance Act; and The terms and limitations of any terrorism 2. The act is a violent act or an act that is exclusion, or the inapplicability or omission of a dangerous to human fife, property or terrorism exclusion, do not serve to create infrastructure and is committed by an individual coverage for any loss which would otherwise be , such Policy, Part or a or individuals as part of an effort to coerce the excluded under this Coverage y i civilian population of the United States or to as losses excluded by the Nuclear Hazard influence the policy or affect the conduct of the Exclusion or the War And Military Action United States Government by coercion. Exclusion. 4 L W i pp h g h , „. d IL 09 62 01 08 © ISO Properties, Inc., 2007 Page 1 of 1 13 E',' f U.S. SPECIALTY INSURANCE COMPANY II THEFT, DISAPPEARANCE AND DESTRUCTION COVERAGE FORM , CRIME — COVERAGE FORM C P b. From any insurance or indemnity carried by or COVERAGE for the benefit of customers of, the armored We will pay for loss of Covered property resulting motor vehicle company. directly from the Covered Causes of Loss. LIMIT OF INSURANCE I Section 1. —Inside the Premises - . The most we will pay for loss in any one occurrence 1. Covered property: `Money" and "securities" is the applicable Limit of insurance shown in the inside the "premises' or a "banking premises. Declarations. 2. Covered Causes of Loss ' DEDUCTIBLE a. 'Theft* We will not pay for loss in any one "occurrence" 1 b. Disappearance unless the amount of Toss exceeds the Deductible c. Destruction Amount shown in the Declarations. We will then pay ' the amount of loss in excess of the Deductible ; 3. Coverage Extensions i Amount, up to the Limit of Insurance. In the event a. Containers of Covered Property: We will pay more than one Deductible Amount could apply to the for loss of and loss from damage to a locked loss, only the highest Deductible Amount may be I safe, vault, cash register, cash box or cash applied• drawer located in the °premises" resulting ....�.■ w directly from an actual or attempted: ADDITIONAL EXCLUSIONS, CONDITIONS AND {1} °Theft' of; or DEFINITIONS f, (2) Unlawful entry into those containers. In addition to the provisions in the Crime General Provisions, this Coverage Form is subject to the 1 0 b, Premises Damage: We will pay for Toss from following: damage to the "premises' or its exterior resulting directly from an actual or attempted Additional Exclusions; theft of Covered Property if you are the We will not pay for loss as specified below: owner of the "premises' or are liable for ' damage to it 1. Accounting or Arithmetic Errors or Omissions: Loss resulting from accounting or arithmetic errors Section 2.— Outside the Premises or omissions. 1. Covered Property: 'Money' and 'securities' 1 Acts of Employees, Directors, Trus or outside the "premises' in the care and custody of Representatives: Loss resulting from any a "messenger.' dishonest or criminal act committed by any of your 2. Covered Causes of Loss `employees,' directors, trustees or authorized ? representatives: a. "Theft" .;. a. Acting alone or in collusion with other persons; b. Disappearance or 1 c. Destruction b. While performing services for you or otherwise. 3. Coverage Extension 3. Exchanges or Purchases: Loss resulting from Conveyance of Property by Armored Motor the giving or surrendering of property in any 1 Vehicle Company: We will pay for loss of exchange or purchase. Covered Property resulting directly from the 4. Fire: Loss from damage to the 'premises" Covered Causes of Loss while outside the resulting from fire, however caused. "premises° in the care and custody of an armored motor vehicle company. 6. Money Operated Devices: Loss of property contained in any money operated device unless But we will pay only for the amount of Toss that the amount of 'money' deposited in it is recorded you cannot recover by a continuous recording instrument in the a. Under your contract with the armored motor device. vehicle company; and PKGCR0004 2006 Page 1 of 2 Includes copyrighted material of Insurance Services Office, tnc., with its permission 2 t - i U.S. SPECIALTY INSURANCE COMPANY S 6. Transfer or Surrender of Property acting on your express or implied authority, being a. Loss of property after it has been transferred or induced by any dishonest act to voluntarily part surrendered to a person or place outside the with title to or possession of any property. "premises" or "banking premises": Additional Condition (1) On the basis of unauthorized instructions; Duties in the Event of Loss: If you have reason to or believe that any loss of or loss from damage to (2) As a result of a threat to do: Covered Property involves a violation of law, you must notify the police. (a) Bodily harm to any person; or Additional Definitions (b) Damage to any property. / 1. ``Banking Premises" means the interior of that b. But this exclusion does not apply under portion of any building occupied by a banking I COVERAGE, Section 2, to Toss of Covered institution or similar safe depository. 1 Property while outside the "premises or �, "banking premises" in the care and custody of 2. Messenger means you, any of your partners or a'messenget" if you: any "employee' while having care and custody of ? the property outside the "premises.° (1) Had no knowledge of any threat at the time 3. Occurrence means an the conveyance began; or (2) Had knowledge of a threat at the time the a. Act or series of related acts involving one or conveyance began, but the loss was not more persons; or related to the threat. b. Act or event, or a series of related acts or 7. Vandalism: Loss from damage to the "premises' events not involving any person. I or its exterior or to containers of Covered Property 4. "Premises" means the interior of that portion of by vandalism or malicious mischief. any building you occupy in conducting your 8. Voluntary Parting of Title to or Possession of business. Property: Loss resulting from your or anyone 5. "Theft" means any act of stealing. 1 ' III I l co 0 ,, . i , . , c fi t, 1 1 t 1 4 c • t PKGCR0004 2006 Page 2 of 2 Includes copyrighted material of Insurance Senrtces office, Inc., with its permission 4 i x I U.S. SPECIALTY INSURANCE COMPANY PUBLIC EMPLOYEE DISHONESTY COVERAGE FORM CRIME COVERAGE FORM 0 — PER LOSS l i b. Inventory Shortages: Ioss, or that COVERAGE ry part of 9 p any loss, the proof of which as to its We will pay loss of and Ioss from damage to existence or amount is dependent upon: 1 j" Covered Property resulting directly from the Covered (1) An inventory computation; or Cause of Loss. 1. Covered Property: "Money,' "securities," and (2) A profit and loss computation. f "property other than money and securities." c. Bonded Employee: loss caused by any I 2. Covered Cause of Loss: "Employee "employee" required by law to be individually dishonesty." bonded' d. Treasurer or Tax Collector: loss caused by t 3. Coverage Extension a treasurer or tax collector by whatever name t Employees Temporarily Outside Coverage known, Territory: We will pay for loss caused by any ; " e. Damages: damages for which you are employee while temporarily outside the territory legally liable as a result of specified in the Territory General Condition for a period not more than 90 days. (1) The deprivation or violation of the civil I LIMIT OF INSURANCE rights of any person by an "employee'; or l (2) The tortious conduct of an 'employee," 1 The most we will pay for loss in any one "occurrence" except conversion of property of other is the applicable Limit of insurance shown in the parties held by you in any capacity. f t i Declarations. 2. Additional Conditions: DEDUCTIBLE a. Cancellation as to Any Employee: { This insurance is cancelled as to an 1 We will not pay for toss in any one "occurrence' any unless the amount of Ioss exceeds the "employee": Deductible Amount shown in the Declarations. (1) Immediately upon discovery by you or We will then pay the amount of loss in excess of any official or employee authorized to t the Deductible Amount, up to the Limit of manage, govern or control your i Insurance. employees, of any dishonest act 2. You must: committed by that 'employee' whether before or after becoming employed by a. Give us notice as soon as possible of any you. loss of the type insured under this Coverage Form even though it falls entirely within the (2) On the date specified in a notice mailed Deductible Amount. to you That date will be at least 30 days after the date of mailing. b. Upon our request, give us a statement ; describing the Ioss. The mailing of notice to you at the last mailing address known to us will be sufficient ADDITIONAL EXCLUSIONS, CONDITIONS AND proof of notice. Delivery of notice is the DEFINITIONS: same as mailing, In addition to the provisions in the Crime General b. Sole Benefit: This insurance is for your sole Provisions, this Coverage Form is subject to the benefit. No legal proceeding of any kind to following: recover on account of loss under this coverage may be brought by anyone other 1. Additional Exclusions: We will not pay for loss than you or damages as specified below: c. Indemnification: We will indemnify any of i a. Employee Cancelled Under Prior your officials who are required by law to give Insurance: Ioss caused by any "employee" bonds for the faithful performance of their of yours, or predecessor in interest of yours, service against loss through dishonest acts I for whom similar prior insurance has been of persons who serve under them, subject to f cancelled and not reinstated since the last the Limit of Insurance. • such cancellation. PKGCR0006 2006 Page 1 of 2 i 4.` U.S. SPECIALTY INSURANCE COMPANY 3. Additional Definitions salaries, commissions, fees, bonuses, a. "Employee Dishonesty" in Paragraph 2. promotions, awards, profit sharing, or COVRAGE Section, me ans only disonest pensions) far. acts committed by an "employee," whether (a) The "employee "; or identified or not, acting alone or in collusion fi with other persons, with the manifest intent (b) Any person or organization intended by the 'employee* to to. receive that benefit. is (1) Cause you to sustain Toss; and also b. "Occurrence" means all loss caused by, or (2) Obtain financial benefit (other than involving, one or more "employees ", whether employee benefits earned in the normal the result of a single act or series of acts. course of employment, including: t 1w • PKGCR0006 2006 Page 2 of 2 figg_ _... --- .. -- U.S, SPECIALTY INSURANCE COMPANY 40 ENDORSEMENT NO. ATTACHED TO AND ENDORSEMENT EFFECTIVE FORMING A PART OF (Standard Time) INSURED AGENCY AND CODE I POLICY NUMBER MO. DAY YR. 12 :01 NOON AM I PKG80610163 1 1 2012 X CITY OF JEFFERSONVILLE 99900 t : . t , THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. t I ADD FAITHFUL PERFORMANCE OF DUTY This endorsement modifies insurance provided under the following: PUBLIC EMPLOYEE DISHONESTY COVERAGE FORM 0 or P i PROVISIONS control your employees of any act on the part of ` `' 1. The following is added as a Covered Cause of an `employee° whether before or after becoming u Loss: employed by you which would constitute a loss covered under the terms of this Coverage Form, Failure of any "employee" to faithfully perform his as amended by this endorsement. or her duties as prescribed by law, when such q, Part 2.c. of the Additional Condition, failure has as its direct and immediate result a Indemnification, is deleted and the following i loss of your Covered Property. substituted: I 0 2. The following Additional Exclusion is added: Indemnification: We will indemnify any of your It Depository Failure: Toss resulting from the officials who are required by law to give bonds for failure of any entity acting as a depository for your the faithful performance of their service against property or property for which you are loss through the failure of any "employee" under responsible, the supervision of that official to faithfully perfor i his or her duties as prescribed by law, when such 3. Part 2.a.(1) of the Additional Condition, failure has as its direct and immediate result a Cancellation as to Any Employee, is deleted loss of your Covered Property. i and the following substituted: Immediately upon discovery by you or any official it or employee authorized to manage, govern or i '` t i { I l ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED t r.. 01/09/2012 ? AUTHORIZED REPRESENTATIVE DATE P ., i , PKGCR0009 2006 t i I I , U.S. SPECIALTY INSURANCE COMPANY • FORGERY OR ALTERATION COVERAGE FORM CRIME -- COVERAGE FORM B COVERAGE ADDITIONAL EXCLUSION, CONDITIONS AND DEFINITION We will pay for loss involving Covered Instruments - resulting directly from the Covered Causes of Loss. In addition to the provisions in the Crime General 1. Covered Instruments: Checks, drafts, Provisions Form, this Coverage Form is also subject promissory notes, or similar written promises, to the following: orders or directions to pay a sum certain in 1. Additional Exclusion 'money' that are Acts of Employees, Directors, or Trustees: We a. Made or drawn by or drawn upon you will not pay for Toss resulting from any dishonest or criminal act committed by any of your r b. Made or drawn by one acting as your agent; 'employees,* directors, or trustees: { or that are purported to have been so made or drawn; a Whether acting alone or in collusion with other 2. Covered Causes Of Loss: Forgery or alteration persons; or of, on or in any Covered Instrument, b. Whether while performing services for you or 1 Coverage Extension otherwise. Legal Expenses: if you are sued for refusing to 2. Additional Conditions pay any Covered Instrument on the basis that it a, Facsimile Signatures: We will treat has been forged or altered, and you have our mechanically reproduced facsimile signatures written consent to defend against the suit, we will the same as handwritten signatures. pay for any reasonable legal expenses that you incur and pay in that defense. The amount we will b. General Arnendment: As respects this pay under this extension is in addition to the Limit Coverage Form, the words Covered Property of Insurance applicable to this insurance. in the Crime General Provisions mean ; Covered Instruments. , 0 LIMIT OF INSURANCE c. Proof of Loss: You must include with your The most we will pay for loss in any one 'occurrence' proof of loss any instrument involved in that is the applicable Limit of Insurance shown in the loss, or if that is not possible, an affidavit <, Declarations. setting forth the amount and cause of loss. DEDUCTIBLE d. Territory: We will cover loss you sustain anywhere in the world. We will not pay for loss in any one "occurrence" The Territory General Condition does not ' unless the amount of loss exceeds the Deductible apply to this Coverage Form. Amount shown in the Declarations. We will then pay 3. Additional Definition amount of loss in excess of the Deductible Amount, up to the Limit of Insurance. This provision "Occurrence" means all Toss caused by any does not apply to legal expenses paid under the person or in which that person is involved, Coverage Extension, whether the loss involves one or more instruments. • PKGCR0001 2006 ti } U.S. SPECIALTY INSURANCE COMPANY III ENDORSEMENT NO ATTACHED TO AND ENDORSEMENT EFFECTIVE FORMING A PART OF (Standard Time) INSURED AGENCY AND CODE z POLICY NUMBER MO. DAY YR, 12 :01 NOON A.M. t PKG80610t63 1 1 2012 X CITY OF JEFFERSONVILLE 99900 i THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BONDED EMPLOYEE AMENDMENT i This endorsement modifies insurance provided under the following: 1 PUBLIC EMPLOYEE DISHONESTY COVERAGE FORM 0 -- PER LOSS PUBLIC EMPLOYEE DISHONESTY COVERAGE FORM P — PER EMPLOYEE Item 1.c. in the ADDITIONAL EXCLUSIONS, CONDITIONS AND DEFINITIONS section is deleted in its entirety and • ' replaced by: t i c. Bonded Employee: loss caused by any 'employee' required by law to be individually bonded. This exclusion does not apply to any "employee" required to be bonded under the provisions of ERISA. , , • i 1 1 1 l i 1 1 ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED I Th. a -Gt,, + • 01/09/2012 AUTHORIZED REPRESENTATIVE DATE PKGCR0011 2006 t t COMMERCIAL CRIME • Coverage Form F 3 COMPUTER FRAUD COVERAGE FORM i A. COVERAGE -We will pay for loss of and loss from 2. Additional Conditions damage to Covered Property resulting directly a. Duties In the Event of Loss: If you have from the Covered Cause of Loss. reason to believe that any foss of or Loss 1. Covered Property: "Money," "Securities" and from damage to Covered Property Involves t "Property Other Than Money and Securities." a violation of law, you must notify the 2. Covered Cause of Loss: "Computer Fraud" police. B. LIMIT OF INSURANCE b. Special Limit of Insurance for Specified The most we will Property: We will only pay up to $5,000 for pay for loss in any one any one 'occurrence" of loss of, and loss l "occurrence" is the applicable Limit of Insurance from damage to manuscripts, drawings, or shown in the DECLARATIONS. records of any kind or the cost of " C. DEDUCTIBLE reconstructing them or reproducing any We will not pay for loss in any one "occurrence" information contained in them. unless the amount of loss exceeds the Deductible 3. Additional Definitions i Amount in the DECLARATIONS. We will then pay a. "Banking Premises" means the interior of i the amount of Toss in excess of the Deductible that portion of any building occupied by a Amount, up to the Limit of Insurance. In the event banking institution or similar safe more than one Deductible Amount could apply to depository. t the loss, only the highest Deductible Amount may b. "Computer Fraud" means "theft" of $ be applied. property following and directly related to the . D. ADDITIONAL EXCLUSIONS, CONDITIONS AND use of any computer to fraudulently cause a 1 DEFINITIONS: In addition to the provisions in the transfer of that property from inside the Crime General Provisions, this Coverage Form is "premises" or "banking premises" to a subject to the following: person (other than a "messenger) outside 1. Additional Exclusions: We will not pay for those "premises" or to a place outside those loss as specified below: "premises." a. Acts of Employees, Directors, Trustees c. "Messenger" means you any of your or Representatives: Loss resulting from partners or any "employee" while having any dishonest or criminal act committed by care and custody of the property outside any of your "employees," directors, trustees the "premises." or authorized representatives: d. "Occurrence" means an: (1) Acting alone or in collusion with other (1) Act or series of related acts involving persons; or one or more persons; or (2) While performing services for you or (2) Act or event, or a series of related acts otherwise. or events not involving any person. Shortages: Loss, or that part of i b. Inventory g p e. "Premises" means the interior of that any loss, the proof of which as to its portion of any building you occupy in existence or amount is dependent upon: conducting your business. (1) An inventory computation; or f. "Theft" means any act of stealing. (2) A profit and loss computation. • CR 00 07 10 90 Copyright, Insurance Services Office, Inc., 1983, 1989 Page 1 of 1 0