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BLD1996-0267 MISC DOCSPAGE 2 1NO UNITED SERVICES AUTOMOBILE ASSOCIATION NEWBSN-MSI-D `' 9800 Fredericksburg Road - San Antonio, Texas 78288 USAA° RENEWAL DECLARATIONS PAGE Named Insured and Residence Premises Policy Number DOLORES S DEAN USAA 00045 80 74 94A 16315I 75THa PL W_,.,, EDM0NDS, = S N 0 0M 9H'� IT WA 98026-4913 POLICY PERIOD From: 05/01 /99 To: 05/01 /00 (12:01 A.M. standard time at location of the residence premises) COVERAGES AND LIMITS OF LIABILITY SECTION I A. Dwelling $847 , 000 C. Personal Property $635,250 D. Loss of Use UNLIMITED SECTION II E. Personal Liability - Each Occurrence $1 , 000, 000 F. Medical Payments to Others - Each Person $5,000 ------------------------------------------------------------------- Your premium has already been reduced by the following: FIRE/BURGLARY CREDIT $474.76 CR NEW HOME DISCOUNT $5o6.41 CR BASIC PREMIUM $ 2 , 530.75 OTHER COVERAGES AND ENDORSEMENTS Form and Endorsements are printed on the following page. $1 , 122.53 DEDUCTIBLES (SECTION I ONLY) We cover only that part of the loss over the deductible stated. ALL PERILS $1,000 DEDUCTIBLE CREDIT $1,012.82 I THIS IS NOT A BILL. STATEMENT TO FOLLOW. I FIRST MORTGAGEE: MERRILL LYNCH CREDIT CORPORATION LOAN NR 3136819 ITS SUCCESSORS AND/OR ASSIGNS, ATIMA P.O. Box 1975 CORAOPOLIS, PA 15108 In Witness Whereof, this policy is signed on 03/29/99 Robert T. Herres General, USAF (Retired) Attorney -in -Fact REFER TO YOUR POLICY FOR OTHER COVERAGES, LIMITS AND EXCLUSIONS. ATTACH THIS DECLARATION TO PREVIOUS POLICY HO-DI (04-93) PAGE 3 �` Uc UNITED SERVICES AUTOMOBILE ASSOCIATION RENEWAL DECLARATIONS PAGE Policy Number Policy Term: 05/01 /99 05/01 /00 USAA 00045 80 74 94A Inception Expiration SPECIFICALLY LISTED BELOW ARE THE DECLARATIONS AND PREMIUMS FOR ENDORSEMENTS MADE A PART OF THIS POLICY AT THE TIME OF ISSUE. THE ENDORSEMENTS ARE ATTACHED STATING TERMS AND CONDITIONS. IN FORCE QR9WA (04-93) QUICK REFERENCE -PREFERRED PROTECTION IN FORCE HO-9RWA (04-93) PREFERRED PROTECTION PLAN IN FORCE HO-WA (04-97) WASHINGTON SPECIAL PROVISIONS IN FORCE 438BFU (05-42) LENDER'S LOSS PAYABLE ENDORSEMENT IN FORCE HO-17 (04-94) ADJUSTED BUILDING COST IN FORCE HO-41 (10-96) ADDITIONAL INSURED ADD HO-216 (04-93) FIRE/BURGLARY PROTECTION CREDIT ADD Ho-370 (04-96) EARTHQUAKE ADD HO-70 (04-93) RESIDENCE RENTED TO OTHERS $1,092.63 $29.90 110-132 (04-93) 03/29/99 PAGE 4 USAA 00045 80 74 94A EARTHQUAKE For an additional premium, we insure for direct physical loss to property covered under SECTION I - Property Coverages of the policy to which this endorsement is attached caused by earthquake including land shock waves or tremors before, during or after a volcanic eruption. One or more earthquake shocks that occur within a seventy-two hour period shall constitute a single earthquake. The limits of liability for earthquake coverage are the same as the limits of liability applying to SECTION I - Property Coverages in the policy to which this endorsement is attached. DEDUCTIBLE The following deductible provision applies to any loss covered by this endorsement and, in that respect replaces any deductible provision in the policy to which this endorsement is attached: We will pay only that part of the loss which exceeds 10 % of the limit of liability of COVERAGE A - DWELLING. HO-370 (04-96) This deductible will apply separately to each single earthquake. If any other endorsement attached to this policy allows you to make claim for an additional amount above the limit of liability shown on the policy Declarations, the combined total will be used to calculate the deductible amount. This deductible does not apply to COVERAGE D - Loss of Use. SPECIAL EXCLUSIONS 1. We do not cover loss resulting directly or indirectly from flood of any nature or tidal wave, whether caused by, resulting from, contributed to or aggravated by earthquake. 2. The following exclusion applies ❑X does not apply ❑ We do not cover loss to exterior masonry veneer. For the purpose of this exclusion stucco is not considered masonry veneer. Except as specifically modified in this endorsement, all provisions of the policy to which this endorsement is attached also apply to this endorsement. Term Premium $1 , 092.63 Copyright, USAA, 1996. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. HO-370 (04-96) PAGE 5 USAA o0045 80 74 94A ADDITIONAL RESIDENCE RENTED TO OTHERS HO-70 (04-93) (1, 2, 3 or 4 Families - Liability only) SECTION II For an additional premium, under Coverage E - Personal Liability and Coverage F - Medical Payments to } Others, the premises listed below are included in the definition of insured location. With respect to the premises listed below, Exclusion 1.b.(2), under SECTION II - EXCLUSIONS, Coverage E - Personal Liability and Coverage F - Medical Payments to Others, does not apply. Except as specifically modified in this endorsement, all provisions of the policy to which this endorsement is attached also apply to this endorsement. Term Premium $ 29 , 90 Location Number of Families Premium 150 PUUKOLII RD 1 $29.90 LAHAINA,HI Copyright, USAA, 1993. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. HO-70 (04-93) LAST PAGE USAA 00045 80 74 94A 0 FIRE/BURGLARY PROTECTION CREDIT HO-216 (04-93) N For a premium credit, we acknowledge the installation of an alarm system, smoke detector or automatic sprinkler system approved by us on the residence premises. You agree to maintain this system in working order and to notify us promptly of any change made to the system or if it is removed. System Type BURGLAR CENTRAL FIRE/SMOKE CENTRAL ALARM TYPES Local: System sounds at the residence only. Except as specifically modified in this endorsement, all provisions of the policy to which this endorsement is attached also apply to this endorsement. Total Policy Credit $474. 76 Remote: System with a direct line to a police or fire system. Central: System with a direct connection to a central, commercial location where the alarm is constantly monitored. Copyright, USAA, 1993. All rights reserved. Includes copyright material of Insurance Services Office, Inc., with its permission. HO-216 (04-93) Page 1 of 1 CITY OF EDMONDS the 1S9", April 9, 1999 121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771-0221 DEVELOPMENT SERVICES DEPARTMENT Planning • Building • Engineering Dolores Dean 16315 75th Place West Edmonds, Washington 98026 RE: Homeowner Insurance Coverage for Meadowdale Development Too, Z (g � BARSARA FAHEY MAYOR As you may recall, development of your home was subject to Edmonds Community Development Code (ECDC) Chapter 19.05.050 which regulated construction and insurance coverage requirements for all designated Meadowdale Landslide Hazard Area development. The purpose of this letter is to inform you that the Edmonds City Council has enacted a change which effects your homeowners policy that was required by this ordinance. If you recall you were required to post a one million dollar homeowner policy in order for your home to be granted final occupancy. Please be advised, the City Council has repealed this requirement effective April 16, 1999. In lieu of this policy the City Council will be holding future public hearings to determine alternate coverage methods to ensure that the intent of ECDC 19.05.050 are still met. Please contact the City Clerk if you are interested in attending these meetings. You may wish to consult your insurance professional to determine the proper amount of insurance coverage necessary to meet your specific needs. Since the insurance requirement is repealed the City no longer requires to be informed of your coverage or be provided with a copy of your current policy. Please feel free to contact me if you have any questions at 771-0220. Thank you, OWAW Jeannine L. Graf Building Official • Incorporated August 11, 1890 ° Sister City - Hekinan, Japan ISSUE DATE (MWDDIYY) AGWORD. CERTIFICATE OF INSURANCE : 0 PRODUCER 2-26-91 THIS CETIFICATE IS ISSUED AS A MATTER OF ONLY AND Williams & Collins Insurance NO RIGHTRS UPON THE CERTIFICATE HOLDER. THISINFORMATION CERTIFICATE DOES NOCONFERST AMEND, P.O. Box 2183 EXTEND 08 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Everett, WA 98203 COMPANIES AFFORDING COVERAGE CODE SUB -CODE COMPANY A COMPANY INSURED LETTER B COMPANY LETTER C Edmonds, WA 98020 COMPANY LETTER D COMPANY LETTER E Oregon Mutual Insurance Company BUILDING IS911_8 , 4, COVERAGES . - ... ., THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME D ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, CO TR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE 'POLICY EXPIRATION! DATE (MM/DDIYY) DATE (MMIDD/YY) ALL LIMITS IN THOUSANDS GENERAL LIABILITY 'X GENERAL AGGREGATE $ 1,000 COMMERCIAL GENERAL LIABILITY ' PRODUCTS-COMP/OPS AGGREGATE � $ 1,006 CLAIMS MADEOCCUR. A: OWNER'S & CONTRACTOR'S PROT. T41BP 220957 02-25-91 PERSONAL & ADVERTISING INJURY $ 1 000 02-25-92 EACH OCCURRENCE $ I, obo FIRE DAMAGE (Any one fire) $ 50 MEDICAL EXPENSE (Any one person): $ AUTOMOBILE LIABILITY COMBINED ANY AUTO SINGLE ALL OWNED AUTOS LIMIT t1UL)ILY SCHEDULED AUTOS INJURY (Per person) HIRED AUTOS w BODILY NON -OWNED AUTOS INJURY GARAGE LIABILITY (Per accident),' PROPERTY $ :DAMAGE EXCESS LIABILITY EACH i AGGREGATE OCCURRENCE; OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY AND p $ (EACH ACCIDENT) EMPLOYERS' LIABILITY $ (DISEASE —POLICY LIMIT) .OTHER (DISEASE —EACH EMPLOYEE) 3ESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS City of Edmonds is hereby named as additional insured under the above named policy. ICATE-HOLDER...._ CANCELLATION= City of Edmonds 250 - 5th Ave N. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE Edmonds, W& 98020 k. CANCELED OR REDUCED BEFORE THE EXPIRATION.*DATE THEREOF THE. I..SSUIN(;. COMPANY_. 7T LL MAIL 30-DAYS Attn: Sharon Nolan WRITTEN 110-TICE TO THE CERTIFICATE HOLDER -,OWNER AND %CORD 25-S 03-18-9_1 PRODUCER rTHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND i Marr & Associates, Inc CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE i DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 1411 - 4th Ave, Suite 1104 POLICIES BELOW. j Seattle, Wa 98101 COMPANIES AFFORDING COVERAGE�� I i COMPANY A LETTER AEtna Casualty & Surety COMPANY S s jINSURED LETTER COMPANY `, LETTER COMPANY j D 14' f LETTERCOMPAN I Y E i LETTER COVERAGI=S .__..... - THIS ISTOCERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ANCEMBER 's TYPE OF INSURANCE POLICY NUMBER T ILTR LIMITS POLICYDATE (MMFECTIVE POLICY EXPIRATION I DATE {MM1DD/YY) DATE (MMlDD/YY) - - .....F. GENERAL LIABILITY GENERAL AGGREGATE s2,000,000 A X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. s2,000 OOO s CLAIMS MADE X OCCUR. 81 CO 21243240 CCA 02-01-91 02-01-92 PERSONAL & ADV. INJURY $ 1 , 000, 000 j OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $1 QQQ QQQ I { FIRE DAMAGE (Any one fire) $ 100,000 MED. EXPENSE (Anyone person) $ 5,000 AUTOMOBILE LIABILITY -7-1 COMBINED SINGLE $ ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS pp(� i l"t7 r BODILY INJURY $ I E NON -OWNED AUTOS i7 {Per accident) € GARAGE LIABILITY !+, ': ' 19 J 1 PROPERTY DAMAGE $ f) EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ j OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION `ram V� STATUTORY LIMITS i AND EACH ACCIDENT $ DISEASE -POLICY LIMIT $ - EMPLOYERS' LIABILITY 1 - - DISEASE -EACH EMPLOYEE $ OTHER I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Certificate holder is named as Additional Insured per endorsement CG2010. For project an. Edmonds, Wa 98020 CERTIFICATE HOLDER C iNCELLQT10:0 City of Edmonds r SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 250 - 5th Ave N EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Edmonds, Wa 98020 MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,t'A I`&T ATIVES. AUTHORIZED REPRESENTATIVE 1411 FOURTH AVE BLDG # 1104 XEATTL.E, WASHI GTO14 98301-2211 Avl(206) 622 09gg, ACdRD 25-S (7(90) ,;,. pACQ D CORPOFAIOf 1990 �+��,f'?' ; r M y y CERTIFICATE OF INSURANCE APR '. .. :: -. _ T1 1 \ -( fhis is to'i:ertify that = �� b x ®STATE FARM FIRE AND,CASUALTY COMPANY, Bloomington, Illinois .1 I r ft sad )` z g STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois PERMIT COUNTER olicyholder —�r..2^- Address of Policyholder Edmonds Wa 98026 )cation of operations Edmonds WA 98026 -le following coverages for the periods and limits indicated below. POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD LIMITS OF LIABILITY (eff./exp.) ® Comprehensive ❑ Dual Limits for: General Liability BODILY INJURY Each Occurrence $ ❑ Manufacturers' and Contractors' Liability Aggregate $ ❑ Owners', Landlords' and Tenants' Liability PROPERTY DAMAGE Each Occurrence $ The above insurance includes ❑ (applicable if indicated by ®) PRODUCTS -COMPLETED OPERATIONS Aggregate' $ ❑ OWNERS' OR CONTRACTORS' PROTECTIVE LIABILITY ❑ CONTRACTUAL LIABILITY ❑ Combined Single Limit for: BODILY INJURY AND ❑ BROAD FORM PROPERTY DAMAGE PROPERTY DAMAGE ❑ BROAD FORM COMPREHENSIVE GENERAL LIABILITY Each Occurrence $ Aggregate $ POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD (eft./exp.) CONTRACTUAL LIABILITY LIMITS (If different than above) BODILY INJURY ❑ Each Occurrence $ ❑ PROPERTY DAMAGE Each Occurrence $ ❑ Aggregate $ EXCESS LIABILITY ® Combined Single Limit for: BODILY INJURY AND 47 91 8889-3.F © Umbrella April 30 1991 PROPERTY DAMAGE ❑ Other T O Each Occurrence $1, 000 , 000 00 April 30 1992 Aggregate $1,000,000 00 Workers Compensation Part 1 STATUTORY ❑ and Employers Part 2 BODILY INJURY Liability Each Accident $ Disease -Each Employee $ Disease -Policy Limit $ 'Aggregate not applicable if Owners', Landlords' and Tenants' Liability Insurance excludes structural alterations, new construction or demolition. THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. It is understood and agreed that the city of Edmonds is named as an additional cured and held harmless from all claims and/or property damage as pertains to e named j[xKKrRDt-permit.. Should any bf the above described policies be cancelled fore the expiration date thereof, the issuing company will mail 30 days written NAME AND ADDRESS OF PARTY TO WHOM CERTIFICATE IS ISSUED notice to the certificate holder named r City of Edmonds Building Division 250 5th Ave N Edmonds WA 98020 STATI FARM rNs.uRAtiee I to the left. Your State Farm Agent ARTHUR SPIRO 505 N E 78th St. Seattle, WA 98115 Phone 527-0100 ak4iA�) 4-10-91Date ! Signature of Authorized Representative AzPrit Title (558)F6-994.9 Rev.1.86 Printed In U.S.A. :.. -�J 'f.,r�rr.. �/ff:�:+ ,�:l�fr f ' :r'i' o: .j fy''�.. • fi::•. •r: •r-.h.,.... •f. ..7Y. Yr}-.. :yyr:.r .f::r.:H.ix:-r. ..fyff:fr�tfr•}::J..,.�:r...:,:.J}J:+-}:.x•.}:•.f+o:•c.;..<?•JJ}}:-:;?.}}i} . :-'SSDE•}'MM+ri/. Df;Drr/�::::-:'_��:?•Jii y=' :?....'.r l.. :-.�..:.:?.'........�..yyyf. �iL(�' .'{.{.vJ:.: <-%}r.. { ...r .f....f•}.F-;ifi€�e tiw f••: .x ��.f�'1:r:♦ritff,:C✓..f.rf�i:::.,�xiffYrx?.F.:'/'�/�-a�i{jr:'%.1.f:Ei:Y/.f--F..i Lf-ry:ci4f.;rff::.r!} •l?+ ::u;rfr.i,�ffr�l?•y.::.E:.?-.'f{h:a: -{.-,:'. ...:i}f•!:j?:Y•f-' f{ir"$frfif"f:. ':i:`f:{-"f.1f..f.�fis:.Nrr..�n.}c.:. ./.f..i?::fiY`rC.-xifs:�..;:/k+:f-.fi+f.r •:.-.:.. ?YY);. 028/9331111 RROIJIUC'ER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE Olympia Insurance Brokers DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 315 East 5th POLICIES BELOW. P. O. Box 2007 COMPANIES AFFORDING COVERAGE Olympia, WA 9.8507 �R A Travelers Indemnity Co. of Rhode Island KAL INSURED ET EAR B qMWEENN COMPANY C LETTER COMPANY D LETTER COMPANY E LETTER ..,;•;.f+.Jr-}•:::::::::::::..:.::::.:.�::f..}.; :.?;+:.r:}^.::-....... r.. f..•:::;:.i:-}::••}:rrJi,::?+r-:r:::: •r �: �- � .. � � .r..::....:.•:::::••.� :.•..................: ....... r:........ ..........-:.•;::-.:: rr..... �" ..... r.::?-xx->:.«+•or+?fiir.,_:.:: •::::-...r: r..-:._ .: -::: rr I.COXERAG :.:.:..:.............."....,................:......:.. r...r--- f...:........:.:...f..:-::.}"-}:-}}i:?::x??-}};}J�:.�:::::::::-::.:.::-:::::::::::.:........................ Era...............r.:....,::.•.:•::-:.::::::.�fr::::rrr.......:.......:::-:-.::.........----.:.......:.....h..:.........f... f. •::.� ..::.....:}:..... : rr-: n::•: ..v: n.v:: :...?:A:v: r.. f. . .... .v :: v:.v:???:rr;:....:. rn.f n............::..v.:: v::--..... .... . .. . ..... h. . .. :: x::.+-: m: v..................., f-: :v:::::.v.:vv::}:•'fir.}v: f- :.v..v:::: f.:•J}}:-}i ......; F-...... rr }...... .v. x. r......r:: ;r:.}y?;: rr: 4:?i :?:-}:-:x=:+?ii:p::;vF:.}w}:}:-:::::.v:...:.:..::::•::: '-rrF.r:i}x+rfir }: :': frifv.xF. �'-Yi::::.1.isvi-nii::::x-:•'r:?-}.v:.::......v ::.�.:r p?r/.y:fi.<rif.!:U.}}}}:???rf.�}}ili}J:+ixv'.i THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. co LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADEFX occuR. I660345KO093TRI 01/15/93 01/15/94 GENERAL AGGREGATE S 2,000,000 X PRODUCTS-COMP/OP AGG. $ 2,000,000 PERSONAL a ADV. INJURY $ 1,000,000 OWNER'S L CONTRACTOR'S PROT PersonalIniug EACH OCCURRENCE $ 1,000,000 X FIRE DAMAGE (Anyone fire) S 50,000 MED. EXPENSE (Any one person) S 5,000 AUTOMOBILE LABILITY ANY AUTOUaLD�N6 COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS f 0319 1992 BODILY rper INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE $ WORKERS COMPENSATION STATUTORY LIMITS .....................................:: EACH ACCIDENT $ AND DISEASE —POLICY LIMIT $ EMPLOYERS' LIABILITY DISEASE —EACH EMPLOYEE S OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS IT IS UNDERSTOOD AND AGREED THAT HE CITY OF EDMONDS IS NAMED AS AN ADDITIONAL INSURED AND HELD HARMLESS FROM ALL CLAIMS AND/OR PROPERTY DAMAGE - AS PERTAINS TO THE NAMED PERMIT. :.:.............:..::.............::.:..:.....rrr...::.:-:x..:.,,,r ..---.. ..r. ....r..?. ....:....f........... }...:. N?�I.I�iI'.1Q�f<?:':"-f;--:'>•J"-=-}}<:.»<':}:.i:-}}>,:}r�.::;:::.::}:::?.,,�::::._:._..::..�.::::::-::.:,.:�:............:..::::::.�:::::::.�:::::.:: ...............:.. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF EDMONDS EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO BUILDING DVISION MAIL 45 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 250 5TH AVE N LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR EDMONDS, WA. 98020 's- LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ................... ...: ..,...: ... .;-.....}: .. •? ... .ry:• {.•rf. �?f�{i :: ri:- v:• Fffrr .. t4 v?fi,:: f:':ffi:!f.:�`::ii:f.:.}?+:J:}ty: ;f±{{C�ihS:?i'ri? {.:... if?s Ri?::K•:=ff..•.1.-•. !iii\:J�' .��: }. { Yv Y{:{ � .f}:-f:iW.? •:BJiT:4iY •f.?� f-' .. f ..;+Ff.•: fi:. . +*Y%rr : r}: • 1 ...... r ..:. fF"N`:?f•: Jx! �xjii}ir ti� -: :. :•: ice.. .. - ::::::•:::::'::..-:::?:•.:-:::..:......r.:.::nv::::/..;r?F;.;......:.ff....::.v::::v:...v. f?.4.yf}!dQyhf '. ..! ?/' f/+v. v'r}' '"'Lj"' ff serf::!?%{,f11=.h.S??d%��'.?:?Ti::�.•"•':f.•: -+•''•-�.-fN }:ti%�!yC_ ., ., ilia. ACORD CERTIFICATE OF L�ABIL�TY INSURANCE DATE(MM/D ,YY) 15tti"I'a s. � � 1 0 / 3 1 / 9 6 PRODUCT _ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE SEDGWICK J A M E S O F W A HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR S U I T E 1 7 0 0 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 2 1 0 1 FOURTH AVENUE COMPANIES AFFORDING COVERAGE SEATTLE. WA 98121 COMPANY j 206 4 4 1 - 5 9 0 0 A --IMW tua1 Insurance Co INSURED COMPANY COMPANY - - -- - -. C COMPANY D COVERAGES 5s z a ui ;i r N �� ,,I, THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CD LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATEOWIDDIM POLICY EXPIRATION DATE(MMIDD" UMTTS A GENERAL LIABILITY J P W A 9 0 5 2 2 9 10 3 0% 96 1 0/ 3 0/ 9 7 GENERAL AGGREGATE $ 10 0 00 00 X PRODUCTS-COMP/OPAGG $ 1000000 COMMERCIAL GENERAL LIABILITY CLAIMS OCCUR MADE PERSONAL & ADV INJURY $ EACH OCCURRENCE $ 5 0 O 0 0 0 OWNER'S & CONT PROT FIRE DAMAGE ( Any one fire) $ 5 00 0 0 MED EXP ( Any one person) $ 1 0 0 0 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS BOLD 1 N G BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTO Nov _. 1 1996 •+•rr� BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ GARAGE LIAIMITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE $ WOWa1MN'S COMPENSATION AND EMPLOYERS LIABILITY NC STATU- 70R LIMITS ER =' EL EACH ACCIDENT $ THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE$ EL DISEASE - POLICY LIMIT OFFICERS ARE: IXCL EL DISEASE - EA EMPLOYEE $ OTHER I DESCRIPTION OF OPERATIONS/LOCATIONSNEHICIES/SPECIAL, uEms IT IS UNDERSTOOD AND AGREED THAT THE INSURED CITY OF EDMONDS IS AN ADDITIONAL CANCalAt SHOULD ANY OF THE ABOVE DESCRIBED Pouces. BE CANNcaj-ED BEFORE THE CITY O F E D M O N D S BUILDING DIVISION EXPIRATION DATE THEREOF, THE ISSU NG COMPANY VAL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE To THE CERTIFICATE HOLDER NAMED -rO THE LEFT ? 5 0 5 T H AVE N BUT FAILURE To MAIL SUCH NOTICE SHALL IMPOSE No OBLIGATION OR LULBIL TY c D M O N D S, W A 9 8 0 2 0 OF ANY IQND UPON THE COMPANY, RS AGENTS on REPREsENTATNM ALITrIOR ZED REPRESENTATIVE SE WICK JAMES OF WA, I N C /I.LQry.v AQQRD .w�2oki..Y�»ac£ia'u'uw::2�io-k:�:t:.<;; a::�:: ..:htc..,..a}:}.a.�,r••:}s..2ra�:xs>:ca�k�v��<::.�.t:....:.: /7/95 :::> PRODUCEii .:: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CENTER INSURANCE AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O..BOX 90 -. - _ HOLDER. THIS CERTIFICATE GOES NOT 'AMEND, EXTEND OR ALTER THE COVET aE AFFORDED BY THE POLICIES BELOW. IYNNW00D WA 98046 COMPANIES AFFORDING COVERAGE COMPANY A MARYLAND CASUALTY INSURANCE CO INSURED CO $ANY. COMPANY I C COMPANY D ....:...:.0..... ,.: ..:... }....:::..:...v ......�.::: }...i.::::.»::: J.t4 ...:.........:.. n....::h::: n:v:::::. �:,:::.:...:... n.�':�:: r�,\}l2•}t. v, tai:\} Y 4 .,.:.;ty:Fivt.t t::. .,? '^:.'s1.4i>i ':vS:L«ii2�t:S.:ji s..t. ..:.} ;...xd::: ......:.. _,.�.........:.. c..::..„h;>.,.. �,:::,:...:.,,:.,.,,,....,.,.;:,,,ya:axa}c;..:;th:u..:.t.�tx.}}:<,:;,::;a.:;..,.;2:2:;�,}>w.:.Nr•:�,ra:�a5x �,avaa'?�,wcwhaG.�.,.,�..wJ�..,v�e.:z:e!Mt:;a:•:w:aMo4:<:'r: THIS IS TO CERTIFY THAT THE POLICIES Of INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR A30VE FOR THE POLICY PERIOD CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 8Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER LTR POLICY EFFECTIVE 'POLICY EXPIRATION LIMITS DATE (MM/DD/YY) DATE (MM/DD/YY) GENERALUABIUTY I GENERAL AGGREGATE Is 2,000,000 X COMMERCIAL GENERAL LIABILITY A PRODUCTS - COMP/OP AGG { $ 2,000,000 >< <` 'CLAIMS occuR GL060595 ! OWNER'S 6/5/95 6/5/96 ! PERSONAL&ADVINJURY $ 1,000,000 & CONTRACTOR'S PROT { EACH OCCURRENCE Ia 11000,000 - i FIRE DAMAGE (Any one fire) is 50,000 MEO EXP (Any one person) ! $ 5,000 I AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ _: ALL OWNED AUTOS i SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED $ NON -OWNED AUTOS ' BODILY INJURY I (PereoddeM) �I ! PROPERTY DAMAGE $ i GARAGE LIABILITY AUTO ONLY - EA ACCIDENT � $--- ANY AUTO _ OTHER THAN AUTO ONLY -- ---------'------- EACHACCIDENT ' $ AGGREGATE $ EXCESS LIABILITY - - EACH OCCURRENCE $ - UMBRELLA FORM AGGREGATE • $ OTHER THAN UMBRELLA FORM $$ ---- WORKERS COMPENSATION AND WCSTATU- OTH-:.;;- EMPLOYERS' LIABILITY --- THE PROPRIETOR/ EL EACH AC.- CIDENT '_$ _— — --— INCL PARTNERS/EXECUTIVE — EL DISEASE -POLICY LIMIT $ OFFICERS ARE: EXCL ' OTHER EL DISEASE - EA EMPLOYEE $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS THE CERTIFICATE HOLDER SHOWN BELOW IS ALSO SECURED AS ADDITIONAL INSURED CITY OF EDMONDS BUILDING DEPT. 250 5TH AVE EDMONDS, WA 98020 RECEIVED - JUN 0 7 1995 PERMIT COUNTER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF, Y JIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. 06-04-1997 13!06 P.02 USAA 00045 60 74 �A'14A 5 Us" o WOO Frederickabir Road • Son Antonb� Ta>Iss 78298 PREFERRED PROTECTION PLAN - HOMEOWNERS POLICY. —IIiAP YOM POLICY cAREBULLY•* This policy is a legal contract between you, rho This eover shoat PMVWM only a Fief outline of pollcyholder, and us, trio Iltaursr. And like other soins of the important features of yowr policy. Tins cornrscte. it oontsina certain duties and is not the InsuriMo Gohtraat and Only the actual revansibilillu of both partlu to fha contract. This policy proviaiorvr will controi. The polloy Itself seta Contract consists of the Declarations page, the forth, In dstail, the rights end obOgstlans of both policy, and any awncabio oncioreenwis. you and your ing roses compar* Your policy prpvldas the coverages and amounts IT IS 7HEPllPGI E iMIKIRTANT THAT YOU RiAD of Inwrenos shovlm in fb Declarations +Ilhiith a YOUR POLICY. wernlum QUICK REFERENCE AOMMENT DEFINITIONS MOTION I PROPERTY COYmwl DWEI1 ng � other Structure Personal Propsrsy special umll$ Proparty Not Covered Lose of Use Additional Coverapn Debris Removal Reasonable Repairs Trask Shrubs, Plsnts Fire Depertment Charge Froparfy RemOVea Credit Cara Lose Aiweannnt co0spas Lock Replacement Wrlperatad Products Land Was Landlord's Furrishinge D Adirg Ordinance or Law Temporary Living Expanse t I This policy Is Issued by United Serwiooa AutOMOIlile Association CUSAR), a raelprocsl Irit 1110 004 *=hangs, by the President of USAA as Atlorney-in-Fact undar the Mhority given fib" by the subecrlbers, • Ily purchasing this policy you art a member of USAA and are "Jett to its bylaws, ■ This Is a mom-asseWbis 12011Cy. You are AaMe only for the A MOUM Of yaur premium as USAA has a free surplus in carnpilence with Article 10.03 of the Texas Inarance Cade of 1851, ae minded QPAWA 404-02) Page PERILS lNeURED AGAIN1111T 7 Dwelift and Other 5'e'uoturse Porsonal Property EXCLUSIOM S LOBS SETTLEMENT 10 t;ONDITIONS 12 SOCTION 11 LIABILITY COVERAGES 13 Personal Llabliity K%dleal PAV~% ExcW910me 14 AODITIONAL COVEAAM Is Claims Expenses First Aid E.xpehooa 04mage to Proporty of Others Loss Aaaessmorst CONDITIONi 17 IMCTHM I AND 11 COMIT10NS 1$ This is a participating porky. You are anlitled to divitiande as may be declared by the USAA ooard of Directors. The USAA Board of Directors may annually sllocats s portion of USAA s surplus to subscriber's savings sco%Ms. Arnaamts allocated to such a0004nts remain a part of LISAA's wjAus end May be used as naasessry to support the operations of the Association A rl aMbor smil have no right to any balarim In the manbar's, acl:cx t except untli following taamination of r Wnbership, as plovided In the ibyisWe, Paps 1 of 1 05-04-1997 13:07 P.03 PIBE 6 USAA 00049 60 14 94A Nomeownere KMA Prererred protestlon Plan rto-ea proown AGREEMENT In few for peytro t or premium end *bleat to all terms of IN* porlioy, we WIN provide the Inwranco described. DEFINITIONS In this Galley, "you" and ,,yaLr rsfer to tM Wrnsd lnsured" ehown in the Casalsrstlans and the ages when a resident of the aeons household. 'We', 'ur and "awl refer to the CoIllpany PfaNldlnp ti11e lnsurance. Csrrtsln words aM pltrsaes are defined and are printed in baldfsos whom used. 1, "bodily injury" mane bodily hem, sickness or disease, except a diessas which is traWltted by an IMW shoat# casual eontset -Wily Injury" Includes required cur, loss of asrvicea and death rasulthg from covered bodily harm, eidenese or disease, It, qm Maea" Imdudes trams, profeaalon or :L "Insured" Mllsm you and reeWents of your h@u mohold who ou'a: L your ralstiv ea, or b. Other persona under the ape of 21 and In the @are of any person nsm+ed above. Undo SECTION II, "Inau %r also Means; G with respect to enlnuls or watsrcrelt to which this way appllSL any Waco or afSenlsatlon legally respa►sibis for these anbnala or watercraf t which are owned by you or any person included In 3a or 3b abovL A person or oargarilution Ana or having wAstoady of these animale or watercraft In the emu of any bWlrieaa or witivLM consom of the owner Is not in Insurst d wilh respect to any voieis or coriveyancs to which thle policy applies: i sr while in per ercnts or that of any Wean Included In 3a of 3b above of i2i other persons wing the vehicle on an Inelracd Ioorro110n with yaw consent, 4. "Iwsured Itaeatibn" meant L tfi reeldenee Promises; b6 the part of other promises. other structUras NW ground used by you as a residence, ow any promises weed by you In oonneotion with a premises in 46 or 4b sb@ve; d, any part of a prer+tism 11i not owned by an Inarae4 and 12) where an Insur*d is hmporrily rulding: a. vacant land, other than farm land, owned by or rereled to an insured; f. land owned by ar ranted to an Insured on which a one or two family dwelling Ie bring built sea residence for aw Inwred; g, individual or family cemetery plots or burial vaults of an insured or h. any pert of a premiums Occasionally Mnled to an Insured for other than buslmss uaa. 0. "Oog rmnee" moans am accident, Including oontlrloUs or repeated eXPO 9 to aubalantlally the aaft general harmful vondltions, which results, duNrrg the policy period, in: s. bodily Injum or b. property dnnage. 1. "property denrage" rnsens physical damage to, or deavuetloro of tmVble property, Including lose of use of inis property, 7. "residence employes" rrlesrie. L an employes of an Insured wh@sa duties are related to the nwintsnaMm ar use of the residat a Pr000mmlaes, iMuding household or domestic oervioea; or b. one Who performs simllar duties eleawhere not related to the buslrms of an Insured. includes eopyrightsd "Uteri■l of Inaurame services, offioe, with its pwrnrasion NO -SR WmhingWm 104-80 Raga 1 of 19 05-04-1597 13:05 P,04 USAA 00045 So 94 PA °94A L-MMInos Vfwnle.e" msens a. file one f errlily dwelling, other elructwrsw, saw proundr; or b. ftt part of any other btllldi ft where you reside and which Is ahovM at the "resldsiles preanieee" in the Oncl.raticha "Residence pramlf0e alga MUM a two family dweI*V where you reside in at West one of the family units and which is shown as the "residsnse premiss:" in the Decisrations. L "satwl MM value" Meant L When to da'mspe to property le sconomicelly repairable, "Netttal Goan valve" means the Qoet of repairing the danwpar, lava ressonebia dadulction for weer and tsar, swerlarstiom and obsolescsncs Is. When the lase or damage to property creates a total Ions. "asswsl gosh value moans the market value of property In a used eonaltion e*sl to ttcat of the destroyed property, if reasonably available on to used market. ob■olsscsl5(,�ee. to. "repimment syst" rneatw a• In cses of low or damage to bulwills. ,•repiewwt cost" means the oolt, at the firers of loss, to repair or replace the demaged property with n6w ntstarlals of like kind and "Ilty, with®ut deductllon for deprecl>atiom b. In, Cate of 1048 to psr&Wml Pr*PertY, "rsppia MWA oast" miens the cost, at the tirro of lass, of a new article id.n9041 to the ore dsmaped, destroyed or stolen. V1t'tiMn the Iderrtlool article Is no Iongef mmtufseturad Of is not available, RNPIAGMSMt Goat" means the cost of a new *rtiols simllsr to the arse dammed or destroyed end which Is of compersble quality and ussfuhloss, without deduction for dep(eolAtloh. It. "fully ardrloaad bulidlnd" means: A building with aontMovs wells on all aides, ektandlMg from the ground lwel to the roof, with doors and windows iaa deemed noaaesry) a Otherwias, ":stud a■sh value means the at various Iacatlor�e In the -mile and including e market velw of maw, Identical or nearly continyoue roof sheltering all sreea within the Identical property has rsssonsble deduction wall Perimeter. for wsw and tear, deterioration srW SECTION I - PROPERTY COVERAGES COVEltAGC A - pwefilyd We cover: 1. the dwdlinl] on the foeidem promisee shown in the Dsgidrstione, inoludino 0%leturee attached to flee dweRing; L materials and supplies located on or next to the realdenos premises used to construct, alter or repair the dwelling or efhsr atrurturss on the residence premises: end & perrnansntly Instsiled carpeting. 6uaspt s• spaolflcally provided in SECTION I - AODITIONAL COVERAGES. Lend we do not cover Iwo, IneiUding Isno on which the dwelling is located covERAm e - Other swustwen We cover ether structures on the rsalderds pfemlaee ast apart from the dwelling by giber apace. This inclWee structures connected to the dwelling by only a fence, utility Una, or similar connection, Except at specifically provided In SECTION I - ADDl'rIONAL COVERACM, Land, we do not Cover land. Including land on whICh the other SUMILIF114 are located. We do mat cover otter structural: 1. used in whole or in past for business; or 2. rented or told for rental to AN person not s tanarrt of the dwelling, unless wad solely oe e private gsraco� The limit of liability for No coveraigs will slat be more than 10% of the limit of Gablllty thst.WN' to Cvvsrege A. L*@ of thle ooverepppe does not reduce the Coverage A limit of Hability. COVERAGE C - Personal PMPWty We cover personal property owned or used by an Inswed while it is anywhere in the world. At your requsat, we will oever personal property Owned by: 1. ottwe whits the property is 4rh the part of the residence premises ota*sd Dy An Inured; IMaludee oopyrlghted material of Insurance Services Office, with Its permission. M-OFI Waehln,ton 04-10 06-04-1997 13:08 P.05 PASS 8 USAA 00046 80 74 "A L a Quest or a raaidaltee emploltee, while the Property Not Cavwes. We do not Over; property Is in any rg"noo occWled by an 1. articles separately degcrhed and apealfiamlly Ingurad ftwed In this or other howancs; our tknit of IMINty for W4061 property usually g, gnimallo, birdie or fish: located at an Insnrad`s residence, other 111211 the 2. motor VdIeles or ail other motorlesd land rwidene; prrml;ee, is 10% Of the Iiftt of liability convaysnces. This includes for Covera+gs C. or 01,000, whichever is greater. a ego(prAaht and aooassorlea; or Personal property In a newly acquired principal b. any device Of Instrument for the residence Is not subject to this Nmitation for the 30 transmitting, rocording, rgoalvithg ar dabs from the time you begin to move the preparty reproduction of evwnd or pictures which is there. oparstsa by power from the 618*loal spasial 1.1mlta of Llmbulty. These tlmita do not Increase the Coverage C limit of liability. The special system of motor vehicles or all other motorized land conveyances, ineluding: limit for etch rresmbsrad catsaory below Is the total (1) soc4maries or anlem: or lbriit for each Iola for all property in that category. (21 tspoe. wires, records, diacs or outer 1. 5200 on rnOney, bank motes, hulllon, gold other mods fcr use with any cud'+ device or than goldwars, silver other than silverware, lnetrumsnt:. platinum. Coins and madala while In of upon the vehicle or comovance. 9, s1,000 an asoumlaa, sceounts. deeds. evidences of debt, letters of credit, notes other We do cover vehicles or convatrancas: than bank notes, mammflpte, personal records, ;. not subject to licensing requirements which passports, tickets end stamps. This limit includes are woad exclusively to ssrvica an Insurse`a the cost to research, replace or restore the residence; or Information from the lost or dsmeged rneterial. b. which are both aaeign;d and uasd This dollar limit apples to these cstegorlso aXclualvoly for aselstirtg the handicapped and regardisss of to medium (mr h as paper or have a maximum attainable spend of 10 computer software) on which the Material chiles par hour; exists, ; sircraft and peft Alroraft means shy IL g1,000 on watsrorsft, Inoiud4V their trailers, contrivance used or das(gned for flight, except furnishings, equlpmant avid outboard motor, model or hobby a(rereft not weed Or dsaiy " to d. s1,000 on trailers not used with watercraft, carry people or oergo; e. e1,000 for lose by theft of jewelry, ws%hes, 0, property of roamers, boarders, tenants, Or prsoioua and serni-pracious stoma, fur other residents, not related to an Iew'ed: garments. Ito wing any garment +Conlelning tar g, property In an apartment regularly rented or wHah raprosents its principal value. held for reftill to others by an Insursd. wept B. e2,000 for low by thefl of firearms. as provided In ADDITIONAL CovERAC2s, 7. 02,500 for lame by theft M siiverrn wo silver -pasted wars, goldwars, gold-plated war; Landlord's FWAiah(ng% 7. property rented or held for rental to others off end pewierwars. This incWdss flatware. tha residence prerniess; hollowware, tea auto, trays and trophies made e, businase date, Inolw4ing aueh data stce@d ire of or inaLm ing silver, gold or pewter. a books of account, drawinge or other paper 0. tat *2.BGC for beeinsiss property at Your racorda; or residence, b. slectr4nlc data pracesairtg tapes, wires, (b) e250 for business property away from records, diets or other wtTwors rrwdla, your r;aldenm Howevor, we do COVW the cost of bionic iA $3.000 on rrtptorized golf carts and their recording or storage media, aced of squipnwd and aceeeaariee. Out If, at the time of pre-recorded computer programs avauable On lone, theirs is an avtomoblie policy covring the retail market, physical logs does too goiwad�eol wand ply carte et a rl *qufpm�re eley 1 and socessorlim Includes copyrighted material of inwrancs 3arvices Office, with Its permiaelon. M0•fR waahington OM -ills} Page 3 of 18 06-04-1997 13:09 P . 06 0$AA 00045 60 74 P&014A 8 �. Credit osrda or fund trenefar Cards woopt se provided In ,AOotTIONAL GOYMAGES. Credit Card, hued Tranew Card, ibngsry and Countarf@It MGM. DOVEitAGE O - Loss Of Use The IMt of liability for Coverage D Is the fatal Ihitkt for all ttM covorallps that follow. 1, AddltIOMI LIVI110 EilJpenoe. If a lose covered under Ssotkon - I melds that port of the realamee pre rilses where you rookie not fit to Ave h we cover the reossosry Iroresso In living eltporlsss Incurred by you ao that your household con mekrtsin its n0nrlsl standard of aving. Payment will be for the shortest time required to repair or replace the dgmgo or, If you pWmanantlV roloe ate, the altorteat time required for your houeenold to settle elsewhere. L" Fair Reuriel V8191L If a loss covered under SWOon - I fllskea that part of the residance promisee marled to others or held for rental by you not fit to live Ith, we cover the fair rental value of that Part of to residence promises rotted to others or hold for rental by you lass WV a "M@ that do ihot continue while the preftesa Is not fit to Ave in. payment will to for to ohoriest time required to nopslr or raplaos that part of the premleee ranted or hold for rarhtsL 71. Prebiblin i Use► if a civil sutharlty prohibits you from use 0f the residence prwnlsioe as a result of direst darrogs to nekghbering pmmises by a low oovsred under Swtior+ - 1, we cover the Additional Living Expense or Pair Rtntal 1%lus loam an pr "41 under I and 2 shave for not mare than two WS&e. The periods of ulna under 1, 2 and 3 above are not Umibod by soupiralton of triio policy. We do not cover loss or openee due to canaellatlan of i Jesse at agreement. No daduotlbis applies to +4 mvrags. ACCITIONAL COVERAMB I. Dowle Removal. We will pay your reasonable eiupenal for this removal of debris of covered Property If a Peril Insured Agoinat that applies to She domapd property caueea the 108e. Th►e &vpgm Is included in the limit of liability that appal$$ to the damaged prop"If the amount to be paid far the newo damp to the Property Plus the dawla rarneval aupsnee la more than the limit of liability for the damsgld Property, an additional aX Of that Ilmit of liability is sysliable for debris removal exylnse, We will Silo pry your reasonable expsnee, up to saua in the aWgste for the nmval hvm the residence prsmlass of; e your traatsl follsd by the peril of WindOAM or hail; b. your trouts} failed by the PWU of 'WeigPht of lee, Snow or $feet; or e. a nelglbor'a tral(s) felled by a Peril lnaured Against under Coverage C; provk1od the tresdel damages a Covered stnuetuft flemonabis n" lra. in the event that covered property to darnaliod by an. appllcelsls Peril Insured Against, we will pay the resemble 000 incurred by you for neeeaaary maaeures taken aaiely to protect spinet further demags. If the mgs%"a taken irnveNa repair to other damaged property,, we will pay for than messutas only if that property is covered ►sealer this policy and the dwags to that property is caused by an appu*able Peril Ins roW Against TnW covrogs; a dem not Increase the limit of liability that appllse to the covered property, b. dose not relieve you of your duties. In call of a loss to covered property, as Net forth In SECTION 1 - CONCI TlONS Zd, 3. Travis, Shrubs and Other Plants. We cover tron, chrulos, plants or lawns, an the residence premises, for loss oeulld by the following Foils Insured Against Fire or lightning, Explosion, Riot or civil com millon, AWOL vehieiae not owned or operated by a raeldlent of the r"denal prsmhm, vandalism or rnallolouo misoNaf or Theft We will pay up to 5% of this Ilritit of liability that sppllas to ft dwelling for all trash, shrubs, piarhte or lawn No more than 1500 of 08 limit will be available for any one trot, shrub or plant We d0 not cover property grown for busle■ee Purposes, Thia coverage Is additional insurarm. Includes copyrighted material of Insurance Services Offies, wtdh Its parmilaslan Fit)■$R ftshlroon 194-10 Page 4 of 1S 06-04-1997 13:10 P.07 PAN 10 USA 00045 90 74 94A d. Fire Deprtmwlt Servlee chow. We will pay up to moo for your Ilmblilty asssanad by coltreDt or agreement for In department dwgee l"Vored ~ we firs department Is called to save or protect ,covered property from sl: Peril insured Against We do not coves firm depsrtM@nt ssrvlas durps If the Fr party is inaatw within the limits of the city, rrs, lelpsilty or protection district furnishing the firm dmpUbno t respcnew This covarape Is eddltlonai Inoxorms. No dedwuMa applies to this coverage. L Property Removed. We Inaurs covered property gpkwt direct loss from any cause while being removed from a prON0011 owengosd by a Peril Insured Against and for no more than 3o days while removed. This +cevaragm does not Irause the limit or liability that applies to the property being removed 0. Credit Card, Field Transfer Cord, 'orgery and cvAdafeit Moray. we will pay up to 4 1. 000 In slats sggrsgste for; a the legal obligation of an Inswd to psy becaum of this theft or unaut oriaad use of credit cards issued to or rogistsrad in an Irrwwo name; 11L low resulting from theft or uneuthorisad use of fund transfer cards usad for deposit, withdrawal or transfer of funds, isswd $0 or repstwW in an Iltairad's Memo; a lose to an lrwwrmd caused by forgery or alteration of any check or negotiable Irsonment. or d loan to an insured through acceptance In goad faith of eowtwfait 1 nlud States or Comedian paper cvrraney. We do not corner forgery, theft or use of a credit card or fund transfer card: L by a resident of your houeshoid; b. by a person who has been entrusted with either type of card; or r, if an Insured has not om plied with all terms and conditions under which the cards are lmsued. All loss resulting from a sans@ of acts comnittmd by any one parson or In whleh any one person Is concarned or lmpill tsd Is eansidersd to be one loam. we do not cover lose arloing out of business use or dwiariesty of an Insw ed This coverage Is additional Insurance, Na dvdWIDIs applies to this coverage, oaf w+.a: L we may Investigr a and settle any claim or suit 'that we 4190106 is Appropriate, Our duty to defend a claim or wit ends when tha amount we pay for Via Iona Mail ow limit of Ilabllity. b. If a suit is brought agalmot an 11119Med for liability under file Credit Card or Fund Transfer Card coverage. we will provide s def ones at our expense by 00~1 of Our choica m we have tree option to dofsnd at our expense in Inswed or an Ins ursd'a bank agalro airy auk for the anforasoment of psyment under the I•orgery coverage. 7. Loss Aeasaarrnent, We will pay up to 0,000 for your share of lose astmemmittent oherPd during the policy period agalnat you by e corparatlw or aaaocimtion of property owners, when the aaassefflant is nr+tda as A result of direct loss to the property, owned by all m@m*srs c9l4etively, caused by a FN11 Insured Against under Coverage A - DWIIlinp, other than asrtlWake or land shook wave@ or tramore before, during or after a vol,sanlc eruption. This coverage apprise only to lose aaweammnta charged against you as oY►+nsr or tenant of this reeldmrme premlaaa. We do not cover less masssammnta charged against you or a eorporatlen or association of pr®party ownore by any goverHf19e1ttsl body, The limit of 01,000 is to Met wD will pay with rogpect to my one loss, regardiaw of the number of assewmenta. condition i. Policy Period. under SECTIONS I aria 11 - CONDITIONS, dose not aipply to Was Awawimant. It, Collapse, As used in this section, collapse means s alidclimi1 falling or caving In of any part of a Wildinlg, or a brealring apart or 0100M atlon of a building in such a way as to render It sewturally unsound, Damage corwattrig of settling, cracking, shrink, bulgy or expansion is not Included unless it occurs as a direct result of oofiapsa. Includes oopyrightW material of insurance Services Of ties, with Its patmiallom H0-91111 1 I rmton 04-83) Page 5 of 1 C 06-04-iSS7 13:i0 P.08 USAA 00045 60 74 PAIA 11 We lnsurg for direct physical loss to covered prepsrty Invelying Collapse of a building or any part of a building owed only by ON Or more of the foilowirq a. f sells Insured AgalnSt In Coverage C Personal Property. These Perlis apply to covered buildings and peraentl property for lose Insured by this additional aovaraga, b. hlddw decay within the insured atrueturs; m hidden IneaGt or vsrmin dsmags; d welp of Content@, equlpment, animals or people; a weight of rain which conacts on a roof; or f, use of defective material or methods In colletruodon, remodeling or renovetlon If the oollapse occurs during the Course of the ppnat xilon, n1110da RV Or rilnovatlon, Loss to an awring, fsnoo, patio. pavement, ewinenfflg pool, uhdnrgrand pips, flue, drain, anwool, aopft tame, foundation, retaining wall, bulkhead, pier, wharf or dock Is not ihciuded under Items b, o, d, s and f unless the bee Is 8 direct result Of the C04M Of a building This eavarags doss not Increase the limit of Gablllty that applies to the dstltagsd coVersd prosy. Look Reipleoanreft When the dwelling door keys Oro stolen In a covered theft lose, we will Pay 9% Seat to a. dunpe the oo rbinstion In the lock eyllnder of the deeir iodw as needed; or b. ;lunge the lock hardware of the doors as needed The Ift of liability for Lock RaplaceMeflt Ice 011211110, No daduatlbls appllas to this Ctyverepe. 10. Refrigerated Produsts, We will pay you up to 41300 for loos to the contains of o fro:or or a fsfrlgaratw located on the MIdanae prenllass, as a ezatteequenos of power failure or macharilcai breakdown. This coverage doss not Increase the Covoraw C limit of llahillty. No deductible epplin to this covara0e. The Power rallurs exclueian under SECTION I — EXC.LLOOK don riot apply to Refrigerated feroduats. 111. Lana. If a Peril Insured Agsinat damages the building Insured under Coverages A or 5 and the Same Peril Inee.red Agaihat causes the land necessary to support the btwlding Insured under Covaragee A or 5 to bacoMe unstable, WO will pay up to *10.000 for the goat required to replace, rebuild, Stabilise or Otherwise rastors much land This IS an additional arnoUrit of IfMfarl0e. it, Olarw or Safety 011"Illg Ma+larlal. we Cover a• the breakage Of Alas: Or SOW glazing material by a Peril Insured ApalrM Which Is part of a covered bulld", storm door or at*" wM +dew; and b. damage to covarsd property by glass or safety glazing material which Is part of a building, &torah door or :term window. This coverage dose not inck* lose on the residence ptemloss if the dwellIng has been vacant for more than 20 oonesoutive days immediately before the loss, A dwalling being conatructed Is not considered vacant. This eeverags dose not Inereeae the limat of liability that applies to the dais Nd Property, 13, landlord's Pvrltlahlnps. We will pally up to $2500 for your appliances, Vole carpeting and Other household furnishings, located In an apartment on tins rseid elm promises regularly ranted or held for roUl to othan by an Insured, for lose causaet by the halls kwood Agolnst In Coverspe C — Paraonal Pnopeny, except Theft The 02000 limit Is the rn*at we will pay In any one lose regardless of the number of appliance@, cwpotlltg or other hous"Id fis?"hIng involved In the loss. 14. eullding ordiflanse or Lahr. floe loan osund by a Peril insured Against to buildings under CCVerage A or 5, we wilt pay the Increaesd coats which are required and you sctwlly ifiow► to rebuild, repair or derneyllslh thin property due to compliance with any ordlnrtos or low In off out at the time of the loan The limit of liability for thin courage will not be more than S% of the Coverage A limit of 11MIty, This coverage Is addlWMW Insurance. 16, Tiamli "ary+ LlvWd Ellpenesl. We will pay up to 93,000 for naasswry increase in code which you Incur to maintain your normal standard of living when the rasldM pnmisee le unMftblt@bls doss to a loan caused by sarthquake velcAft eruption, IandsNda, a If a civil suthority prohibits your use of the resldenna promisse becaun an earthquake, volcanic eruption or londonds has ocoumt+d This eaverage is additional tra ancs, No deductible applies to this eoverags. Includes copyrlghtsd material of inwranca Services Office, with its porminkn Ma-M Washington (04-80 Pape a of 19 05-04-1997 13:11 P.09 PAGE 14 USAA 00045 AO 74 941 SECTION 1 - PERILS INSURED A13AIiVST COVRRAW A - 011A UNIS end Industrial owatlona; Ws Inom ag&W r*o of direct, physical loss to property described in Coverages A and e; however, we do not lure loss 1. In VWkig Collapse, other thann as provided In ADDIMONAL COVEAMS, Colispes. X caused by; s. freadng of a plumbing, heating, air conditioning or automatle firs protective sprinkler system of of a how"110141 spplion", or by dipaiwps, leakage or Overflow from within tho system or appligil gauged by frega % This exclusion appilea only while the dwalliltg is vacant, o�noyCCupied or being cenetruetec and trim, only If you Wove failed to: 11) malmtain Not in the building; or t21 a" off the water supply end drain the system and appliances of water; h. freezing inswing, pressure or weight 91 water or iei, whalttnr driven by wind or not, to 1C 11 i fans, pavement, path or swimming POOL; 12) falsidatlon, rstainiing well or bUkhsad; or M pier, wharf or dock; c. theft in or to a dwelling under oonetructlon, or of materials and PA*Ios for use in the ooilstfuetlon until the dwelling Is finlahed and ocoupisd; d uandallam and Moo dow mischlof or breakage of glass and sailsty glazing materials if the dwelling has bean vacant for mare than 80 wriamutive days Inlntedletaly bofma the Ices. A dwelling being consm eM is not considered vscent; s. constant or repeated seepage or lookar of water or stgsm over a period of weska, monlho or yaara from within s pl e6ing, haatlmg, air conditioning or autem stle fire protective sprinkler system or tram within a household appllance; J. caused by or *orrrdating of: a. wear and tear, marring, datgrioratioll; b. irtwren t vice, latent defect, mechanical breakdown; c amag, rusts or other corrosion. mold wet or dry rot; d. amake from agrIewhL r'al smudging or a diwhsr", disprrasi, saspags. WV601% rsiasse or asrvpe of pollutants umJeas IV 40whorgs, dispersal, asspspa, mipratkn rotas$* or escape is Mor caused by a f oriiv Inaured Against udder Covsnge C of this policy. Pollutants means any solid, liquid, p own or thermal Irritant or oontstN f, Ineluding, amoks, vapor, agat, fumes, acids, alkalis, ohemlesto and wares. nNaate ktcludss materials to be recycled, reconditioned or radolmed. r. settling, Crwking, shrinking, bulging or expansion of pavemsrrta, potias, foundations, wells, floore; feefa or ealilnps; or it, birds. varmin, rvdotnta, Insects or domestic anlmols, put If loasa or damage by collapse, as provided In ADDITIONAL COVE19AGM, Collapse, results we will pay for that readang loss or damage. d. excluded under SSCTION I - M USIONS, under items 2 and & any enalfing love I* property described In Ccvwsgaa A and B not excluded or excepted In this policy is covered. COVERAGE C - PtMONAL PROMMIITV We Incurs for direct physical lose to tea property described in Caverags C eaUsad by ■ peril listed below unlove the loss Is exdudvd In SECTION I EXCLUSIONS. 1, Firs or 11SMning, L Windstorm or hall. This peril doss not Include Iose to the property contained in a building caused by rah, avow, alert, send or dust unto" the direct force of wind or hail dsmagea the building rausitV an opening in s roof or wall and the rain, sew, Most, aatnel or dust anto>ra Waugh this opening This peril Includes loss to waters 01 and their trailers, furnishings, equomsnt and outboard motors, only while Iralde a fully anslosed but Idlrg, 3. Exploslom 4, Aiot or civil commotlen. lei.. Alrarart, Including wit -propelled Missiles and spacecraft •. Vehlelsa means a davloo designed or used to transport persons or property. includes osopyrighted material of hourence $srviCgs Offlee, with Its permission. tto-gR Washington to4-111101 F46 ?of 1s eG-04-1997 13:12 7. elrloker mooning sudden end acclOwtal damage from amok& This perils door not iiidaide Im caused by anmoks from agrkwitural smudging or induatrial operations ouch as slsan burns. a vandalism or msllelow miaehisf. S. Theft, including attatnpted theft and love of property from a known place when It le Ilksly that the property has boars aloleft 13, Thla peril does not Include lose caused by theft a. coimnittod by an Insured; b. In or to a dwelling wxW conso'uctlon, or of matarlala and supplies for use In the coY1eQ' lan until ttre dwelling Is fInlshsd and acapkme or c. from that part of a rsalderae pramlm ranted by an 1111=0 w to ether gun an Insured Thin peril does not Include lose *$used by theft thetocatris off the reeldsms premia■e of: a. pfoparty wtin in any other residence owned by, ranted to, or ocwplod by an imure4 except wills on insured Is Wriporarily residing there, Property of a student who is an hw&W Is oovsred while at a randetme away from home if the "ant has been two st any time during the 48 days 11mrnsdiately before the lose; b. watercraft, including their furnishings, eauipawit and oulimrd motars; or & traeare anal campera Howevar, property doaoribed in b. above Is covered if, at the tote of logo Caused by 1heft, It Is parked Inside a private garage or In etreat parking arena IRMallately adjocant to the haeldsnsa prernISA . 10. fallhV obij6eta. This peril dos* not Muds loss tti property contained in a bulldtrig union tine roof or an maim wall of tine building Is first damaged by a faille object. Damage to the falling object Itself le not Included 11. Wailght of lee, snow or oleel which causes damage to property ow talnsd In a building. It AnIdantel c l■eharlae or overflow of water or etaam from within a plumbing. hwting, air cormMloning or automstic fire protective spr►nklar system or from within a household appgance, In this peril, a plurhnbirig sydtsm don not include a sump pimp, aumia well or similar devisee designed to drain water from the foundatiDh arse. This peril does not include lose: P.10 USAA 00045 90 74 PA01�4A 1 3 s, to the system or appliance from which the wetar or steam seoapsd; tL caused by or rewltlnp from fraerJng siccspt as proviatec in tt+e peril of Resting below; or a on 'tins rasideliaa prauelaas caused by accidw it+i discnerge or pWrflaw which owura off the raaid1li'm promises. Sudden and aeeldental tearlyd ePRL W0111(ing. burnlnp or bulging of a ste>im or hot weW heating systam, an air conditioning or autonistle fire prctWiv sprinkle system w am appliance for heating water. This peril don not Inaluds leas Mused by or resulting from fraesing. Jill, Pre l ng of a piwr thg, heating, dr owW11loning or automatic fire protective aprinidier evelem or of a household app�ilanca This paril door not Include lass an the reaidense premleee while the dweilirig is unioceWed, If you have fallee to! as nishuln heat in the bWlding; or b. shut off the water vupply and drain the system and applances of water. 1lL 11Wdox end welderitel damage fMm artifislaily gerMrstad almtriull surra it. IL volcanic Aotion, meaning direct lose or dsmap resulting from go eruption of a volcano whsn the Ion or damage Is caused by; a. volcanic blast or airborne shock waves; b, ash, chat or paartleull" rrietter; or C. lava flow. This porril does nvt provide caysr&p for dsmaga to land; property in the open or in open etieda; or portlorie of baildbgs not completely er;oloeed, or paraoiiai property contained within tt n buildings. All volcanic: aruptione that occur within any 72-hour period will be considered as one volcanic eruption, Direct loea Includes the cost to remove the ash, dust or particulate matter from the Intw1or and exterior surfaces of the severed building and from personal property eoritalried In the buildingi. Payment far removal applies only to the InItlal depoolt of ash, dust or particulate matter following s volcanic eruptltirt Subsecfuent depoolte arlelnp from the mmement of volcanic dust or ash by wind or other msens srs not vvvared. includes copyrighted material of Inwrance Services Office, with its permission. HO-lit Washington 04-9* P age 9 of 10 08-04-1997 13:12 P.ii PAN 14 USAA 00045 80 74 94A SECTION I - EXCLUSIONS t. We do net inns for loss caused directly or lose. Indirectly by any of the following. Such loss is f. Wr, lndWkV undeclared war, civil war, mluded reprdssa of any other M M Or BVWd Insurrection, rebellion, revolution, warlks act contributing cenaLrrantly or In any sequence to by a military force or military personal, the lose. destruction or asisure or use ter a military a. Ordlinanss or Law, meaning enforcement of purpose, and Including any emsequatice of any ordinance or law regulating the any of thaw. Discharge of a miciver weapon ocnstructlon, repair or demolition of a will be doomed a warlike act wen if building or other structd.dre. other than as accidental. provided In AbO TIMAL COVE'RAC98, g. Molear Nerd. meaning aN nurlser Bundling amnoncm or Law. reaction, radiation, or radleacltve b. Nor* Movement, meaning earthquake cantanrinstlan, all wha#w controlled or Including land shock waves or tremors uncontrolled or however caused, or any before, during or after a volcanic eruption; cmnq erns of any of toss, Loss caused landslide; mine ouboldenes; mudflow; earth by the nualmr hazard will not be considered sinking, rising or ahifting; unleas direct leas lose caused by fire, axplosion, or smoke, by: whether these parlle are specifically named (1) fire; in or otherwiss included wlthin IN Perlis (2) explosion; or Insured Against in Section L Thia polidy does caused underra��byl (31 brasUgs of glass or safety glazing ntoolea� hazard, nr; �y� n'Ieterlel which Is part of a building, except that direct low by fire resulting from otortn door or storm window: the nuclear hazard is covered. ensue end than we will pay only for the h, Intontlonel Loos. ff4aning any loan arising reouing lose, cult of any act corns tteet Thle exclusion does not apply to loss by (1) by or at the direction .of any Insured; ftft. and s. Wow Damaae,. masKro (2) with the Intent to cause a loss. 11) flood, Surface water, weves, tidal woer, overflow of a body of water, or spray 2. We not Insure against loan consisting 0$ any f tart► any of tllees. whether or not of the follow! Nor do. we inure for Imes that ng� driven by wind; results when one or more of ft following (2) water which backa up through sewers or combines with other common, events or condition that are also excluded or wwapted in drone or which overflewe from a sump this policy however, any loss that simouse fromm pump, amp well or similar davlae the following, that Is ntut otherwise axoluded or daeighad to drain water from the excepted In covered foundation area; or a ftellher Conditions. 131 water below the aurfaae of the ground, Inakxft water which exerts pressure b. Acts or decisions. Including the failure to an or maps or looks through a building, set or decide, of any person, group. sidewalk, dd rivaiway, fousndation, swim-orgsnbatlon or governmental body. ming pool or other structure, a. Faulty. negllge nt, Inadequate or dafentivme Direct k Nu by fin, explosion or theft (1) planning, sonlng, development, surveying, resulting from water damage Is covered eltktg; d. Power Eallurs, mining the failure of power (2) design, specifications, wodumhohip, or other utility sarvlee If the failure 'takes repair, ecnsh-uatium renovation, ratt►od- plaee off the resldenive premlen, except eling, gra;ling, corfnpeGtion; as provided In ADDITIONAL WVQtAGE3, (3) matwIsle used In repair, conatrmctlon. Refrigerated Products. EM, If a Peril Insured renovation or remodeling; or Agah>,t enauom on the roeidrwe premises, (4) alainta name; we wiii pay only for that enrdulng loss sillany property wiMther on or of part of IL N■gb W. moo"negifel of the Insured to nre off the mldienn premiaea, use all reasonable mans to save and preserve property at area after the the of a includes a apyrlohtrd material of Iriwanam Services Wiles, with its parmlooion. NO -OR washlrroton (04-90 Page 0 of I 05-04--W97 13! 13 P.12 PAGE 15 USAA 00045 00 74 94A SECTION I - LOSS I. Home Protestor CwWOP I = tiettla>MMt - Enlldbsg(e poveired Under Covervan A or B. If you amply with the rKMrcrnsnta of Itarn 2., HONE PMTWTOR covmLAkm FAQUIRiMEWS, the Nome Protector Loss Ssttlanwtt sppilas. For covered property losses t0 buildings. under Cevrspee A and B. and outdoor antennae end outdoor sopment. whether or net attached to bWWkX sb, we will pity the amount aotualiy and necessarily spent to repair or reel•ce ft damaged binding. if, as a vault of a covered loss, t ttn limit of liability applying to bulldlro covered under Coverages A or B is OAUUeted; IL ttta IMI of Ilabllity provided under AooITILNYAL COVERAGM, Debris Removal Is G*WAW a the limit of Why pnavidled under ADDITKML covERAMS, NOV Ordinance or Law Is exhausted then, ws wIll pay up to an add(datal 25% of tho limit of liability applyMS to *a demaged building. The moat wee will pay for a., b„ or c., aither aingly or In any combination Is, 2I3l4, When the ace to repair or ropiaae the damaged building Is mme than $2504, we vAll pay no more than ttte actual vest+ value of the damage wtil this repair or replacement Is, aompis%d. L Home protestor CovenEe Roquirsroentta. You own AL that you will Insure your bulangs under Coveraps A and B for the full replasamsnt oust at tits time this policy Is issued; and b. tot cacti year you will acoapt NW harem In aeverags that results from the applicstion of the Adjusted Building Coat andorasmeht N It Is deemed neesseary by us. You must pay for any added pram(um; and r- that you will tell us vA*M 90 days of the start of any additions or other pNoleal changes to buiidMga an the residence promisee which Increase tits value $5000 or more. You il'k►et pay any resulting premium. If you fall to comply with "as, requiratnents, chart, eov" property tosses will be settled se outlined in Item 3., LOSS SETTLENENT - BUUMNQ3 UNDER COYMMES A AND B. L Lges f ttlemant - IMIldings, 'Covered Under Covereoes A mW S. if you fall to comply with the roquirommts listed In stern 3, HOME SETTLEMENT PR=-CTCR CSOMAGE IiMWR91i1 W3, covered property lessee wsi bs settled at replacement cost wlthaut dad wart for depreciations, subject to the following; if, at the *" of ices, the #mount of insurance in this policy on the damaged building is, 80% or more of the mull replaosmant east of the bull4ft immediately before tits loss, we will pay the coat to repair or rapist! after the application of Via daduCtlble and without dscetion tar depreciation, but not more thdl the Iesat of tit! f01#owing arrow ft (1) the limit of IIWIky under this, poiley that applies to ft damaged bundling; (z) #W rapiesemant "at of #tat part of the building damaged for like construction and use on the aanls pre wee*; or (3) the neessawy amount actually splint bo repair or repine ttte damaged buildho b, If, et the tkn v of lane, the sm0s+t of insuranco in this polity on the danueepea+ building Is, less than 00% of ft full replaooment east of the handing ImmWatdy before the tc4*, we will pay the greater of the following amounts, but not mws than the lknit of liability under this policy that applies to the bulMVV (11 the amsel sash velua of that part of the building demaged; or (2) whist proportion of the cost to repair or replace, after apocatlon of the deductible end without dod%Mtlon for depreciation, that W of the building datltapd, which ft total anrount of Insurance in We policy In the dumped building bears to 90% of the raplaosmsnt mat of the buildl% m To determine the anmunt of lnmmaN* required to equal 00% of *a full repleceonent oast of the budding Immediately before the bee, da not Include the value of; (1) excavations, f oundstlorm plers or easy aupparta which are below the under surface of the lowest basement floor; (2) Ihoss scarp " in I t j above which are below the surface of Via ground maids the foundation waffle, If there is no baaarrieltt; and (3) undergrouaul flues, pipes, wiring and draittr. Includes copyrighted material of Insurance Sarvieee office, with Its pwmlasion, HO-at Weshinoon ON-0 Page 10 of IA 06-04-1997 13:14 F.13 PACE 16 USAA 00045 80 74 94A etl we will pay no more than tlla extol wh whet of the dunap unlaea: 11) ritual repalr W repleoemsnt is oefripIOW or (g) ft mat to ropslr or replace trice damage is boft (a) Ima than 5% of ltla amount of Ins<r"ance in this policy on the MOM and (b), lees than 13,E00. IL Vow my dlsroWd the replet»r, M oat lose settlement provislone and make claim older this policy for physical lose to bulMngs on an eetial eaah value basis. You May then make claim within 180 days after Ion for any additional liability on a replasemsret •fiat beau, 4. Loss settlement - Qtrueturee Under Coverage 5. Irtrueturss under Coverage g that ore not buildinge will be denied at eetual eaah value at the t(rrn of lase, but not more than the amount required to rapalr or replace. L Loss it at1wwri!t - Farognal P"rpperty, Weave to covered property will be settled at full replimmem, east . without deduutian for depreciation subject to the follawlV • aimllar to the Insured article, and i of Bice quality and usefulness, PROPERTY NOT I'.LIQiIlL!'. The following items arm not eligible for rep11- I - M MI cost settlement; • IterTle of rarlty or antiquity that cannot be replaced • artioles whose age or history ovntrlbutss aubatantielly to their value. Thep Inalude, but are not gmited to, womorabilta, souvenirs and eeilsetors, Itoma 9 motorlsed golf carte and their equipment and accaaaories. • articles not maintained In good or workable oo"tion, a Property Eligible for rspleasmard oust coverage (1) If you went to have the property repaired or replaced It Is our option toy tat replace, or pay you our cost to replace the property with now "wrty of like kind and quality without deduction for depreeist)on, or (b) pay you the coal To repair or restore the property to the eondIUM It was III Just before IMI lost 12) If Vau de nat wish to have property replaced, repaired or restored, we will psy you the smaller of: (a) our cost tc roolsce the property withwi deciuctlon for depreciation, or thi the cost to repair or restore the property to the condition It wee in Just before the laps, we will pay no more than actual eash value until repair oe replacement of the dems{iad propmrty is aowptetad, unisea the da►nage for the entire lose is less than $500, You may make a claim for loam an an actual GEM value basis and than mske a don within 180 days after the loss for any a"tlanal Ilablilty under the terms of We provision. b. Property Not Sllgibis for repiassment *oat coverage, Far property that Is nat e9glble for replacement coat settlement, it Is *W option to: (1) pay you the aswel 44 h veliis>R or (2) replaos, or to pay to you our coat to replace the property with property of like kind, quality, agent and condition; eir (3) pay you the cost to repair or reetors the property to the condition it wee In Just before the loss, We will not pay ntre than the Limit of Liability that sWil io to Coverage C. Nor will we pay mars then any S,prcW Limits of Liability last apply as stetsd In the policy_ Intkidea copyrlgtntad material W ineuramoe Services Office, wlth Its psrrnlesl®n. HO-tlif9 WeshlrUtan (04-10 Peps 19 of 1g 06-04-1997 13:14 P.14 USAA 00045 BO 74 44AIT SECTION I - CONDITIQN$ t Inwrrabis Interest and Limit of Liability,. Even (5) specifications of damaged buildings and If an there om persalt hoe on Insurable doUlled roper eetlmAW Intarttt In the property covered, we will not be (a) the hwontory of dish wd personal Iwo in any one low property described In 2s above; a. to that In weds for mere than the amount of (71 roaelpts for Additional Living Expenses the lrImM 6 Interest at the time of lots; or and Temporary Living dxpeneas Rtourirad b. for more than the applicable limlt of liability. and records that support the Fair Rental d Vale lose; A Yoe, Doins After Lose, In cage vf' a loss to an which this kwuranos inlay apply, you ,must ses (8) avldsnoo or affidavit then COVEpportsRAGES, e that the following era done claim (ender ACJDITIQNAL CaV9iAQE$, Credit Card, FwW Tranfar Card, Forgery e. ghee pMWO ,odes 10 We or our apart; and C"torfsit Money coyerags, stating IL notify the police In cane of lots by thoft; the amount and cause of leas. tw notify the credit card or fund transfer card oorlYpany h case of less amens, AWTIONAL CAVfftAGS, Credit Card or Fund Transfer Gard coveraas; si 0) protect the property froth further darneve; 46 f. a (2) make rssaannbla and necessary repairs to protest The property; and 131 keep an accurate record of repair expanses: prepare an inventory of damaged personal property showing the qusmllty, description, actual cash value and amount of logo. Attach all bills, raaalpts and related documents that justify the fiqurss In the inventory; se often ma we reasonably require: (1) show the domaasd property; (3) provide us with racordo and documents we request and permit us to make 0091; and (3) submit to examinations under ooM, while rat led the presence of any other Ineenet, and sign to sems, (4) dashes one attendance of arployeee. mormbers of your housshoid or others for examinations under oath to the extent It Is within your power tv do act. send to us, within 60 days after our request, your s(gm4 ewerrm proof of logs which seta forth, to the beet of your it"Modge and belief; (1) the tithe and Gauss of Iota; (2) the Interest of the Insured and all others In the property Involved and all Ilona on the Property; (3) other InaLMIN which May cover the loan; (4) ci+anpes in till* or wwpancy or ma property dur(rng the tsrm of Ira policy; S Lose to a pair ar Bat. In cars of lose to a pair or eat We may elect to; s. repair or replace any part to restore the pelt or ast to Its value before the lost or b. pay the difference between actual cash value of the property before and after the loss. A. Appraisal. If you and we do not mpres On trte amount of loss, either party can diamond that the amount of the I0n be oewmined by appralsal. it either makaa a written demand for awalaal, ugh will select a comVetent, Independent appraiser and notify the other of the appralaWa Identity within 20 dot's of rerelpt of the written dgmsnd The two appraiisn will then niect a competent, Impartial u pirs. If the two appralsert are not able to moral upon the umpire within 116 days, you and we can ask a judge of a court of record in the state where the residents prom law is located to select sn umpire. The ep Coors will then art the amount of Iosa. If they submit a written report of env aWmemant to us, the amount agroad upon w10 bm the affo unt of lots- If testy fell to dorms Within a reasonable time, they will submit; Intel, differeness to Ills umlpirs. Wrlttan agreement slgMd by any two of these three will W the amount of the loss, bench appralsor will be paid by the party selecting that approlow. Other expenses of the approlsol and the compensation of the umpire will be equally paid by you and us. M. Other Inwanes. if a lose covered by this policy Is also covered by other insurance, we will pay only the proportion of the loss that the limit of liability that applies under this policy bears to the total amount of Insurance coverino the idea. This policy doer not Apply to motor1w golf earls and their equipment OW acc000crise whom an automobile policy also appose. Inchiwsm copyrighted material of insurance Services Office, with Its permisakol Hp-Iln Washington 104-0 Raga 12 of 1S 06-04-1997 13:15 P.15 Pl4E 18 USAA 00045 60 74 94A 5. Mull AWIM Ua. No maiden can be brought against 111 Wiese YOU have: tt, a. gh►an w notioe of the been, b, compiled with all other policy provisions, MCI 7. a a started the action within one year after the date of the loss, Our option. If we give you written notloe within 30 days after we receive your sIVW, sworn proof of lose, era May rapalr or raplaea any part of tlw demagsd ptroperty with like Prowty. Lass paymenf. We win adjust all loves with you we will pay you unless morns other parson is named in this policy or Is legally entitled to reaalve payme% boss will be payable 30 days after we receive Vert proof of lass and is. youth an alarm M with you; b. there is an entry of a final Judgment; or c. tilers Is a filing of an appraisal sward Mtn ua. g. Abandonment. You may not abandon property to us for any ressom I& MoMOW Maws. Ineuranca ComisslorWa %olulatich No. 33WWAC-204-21-010 r*Wiras that Form 373 Md 11-501 or Form 435 NFU M. 0-43) be endorsed can this policy to replace Condition 10. Mortgage Clause, No Unefit to gallale. We will not (000 l 0 any assignmant or grant any satrer!p thet baneflts a person or orp riltetlon hatitsnp, staring or moving property for a fee regardless of any other provision of this policy. 12, S■IvaSs end Recovered PrQpaety. a. We have an Interest In the saivege value of any property for which we have nude a payment under the Lose Settisment proviahm At our option, property that we have pald for or replecad becomes our prop". b. it you or we recover any Property for which we have mods payment under this policy, you or we will notify the other of the recovery. At Vow option, the property may be retskmd by you. If you retain the property, the loss psynmrd, or any lesser amount to which we agres, must be refuraled to ue. M Conessiment or Proud. Tl�he entire policy will be void If wh&Mar before or after a loss any insured has: s. Intentionally concealed or mIrWrosented any material fact or oirouma'rsnoa; b, engaged In fraudulent Dt; or c. made fain staterrw ta: relstlnp to this insurenea SECTION If - LIABILITY COVERAGN COVIRAaple 0 - Personal Liability If a claim is nedo or it sult Is brought against sn Insured for damages bse"s of bodily Injury or property damage caused by an aeawrenes to which Ms covrape appiise, we will: 1. pay up to cur Iln71t of Ilsbility for the damages for wN1ch Me lnninsd Is ispaily Ilabls, and 3. provide a defense at our expense by coueel of our choice. even If the suit Is growWless, (alas or fraudulent We may invsrtlgata and settle any claim or suit that we decide Is appuopriats, Our duty to settle r defend aids when the srnourht we pay for damages resiAting from the o+aerirrsre o"Is our Ilmlt of llablllty. COVERAGE IF - MadWM Payments To ONrera We will pay the MCelieary medical expenses that we incrred a' mediealiy aatwuirad within thraa years from 1Na date of an accident cauaing bodily Inlwy, Medical expenses mum reasonable charges for medical, wrplcal, x-ray, dental, amp lanep, hospital, professional nursing, prosthetic devices end funeral sarviess. This coysrelpe does not apply to you or re"r residents of your household mxoapt residenes employees. As to others. this coverage applies only; to a person on the in wvd location with the permission of an Insured; or s. to a person off the Insured loestieM if the bodly Inluryr a orlaae out of a aondltion on pile Insured location or the way& ifffadiataly mining; b. Is caused by the activities of an Insured; c is esassd by a raslatanan employee In the course of the residattae ewnployee'rr employment by en Insured or d. Is caused by an animal owned by or In the care of an Insured. Inolrrdss copyrighted material of Inwance Services Office, with its Parmisai % HO-/Iel Waehinston 104-80 Page 13 of 110 06-04-1997 13:16 P,16 PADS is USAA 00945 00 74 84A SECTION 11 - EXCLU610N8 1. Coveraos f - Iluereoltal Liability and Covsnpa (a vicarious NabAlty. whether or not R - MWIasi hymw is to 0OWN do not apply etatulofi)y Imposed, for ttn aotlona of to bodily Injury or property datnegei arwone using a conveyance exclmled In s. oaumod by ft Interetlorui or purposeful acts paragraph t1I or (2) sbov& pf Ny In•urod, Including aonelawt that would 1W& mmiuslbn doer. not apply to reasonably be expected to result In lioutlly Injury to any ppoen or pro rtY demaoe to any property, b. 11) Arising out of or in connection with a bwIness engaged in by an Irlsursd. This exclusion aprpl)as but is not limited to in set or omlesicn, regardless of its Nature or chumoonce, Involving a service or duty randwad. prcrnia14 owed. Or Implied to be proWdad because of the nsturo of the ruuMuraa; (2) arlaing out of the rental or holding for rental of any part of any prsmiaaa by an Insured This excluelon does not apply to the rents) or hoWlrp for rental of an blo ed I4oetlon; (I) on an occosicnal basis If used only as a rsaldance: tie) In part for use only to a reeldsnoa, unless a dingle farrnlly unit Is intended for use by the occupying family to lodge more than two roo"mrs or boarders; or (1III In put, as an office, school, atudlo or privats gsrap; a arising out of the rerudlring of or }allure to vendor professional sarvlesr d arising out of a pr wrilne; (1) awned by an Insured; (2) rented to an Inaredb or (3) nmtvd to othsre by an insured; ftt Is not an Insured loaatoon; a arising out of: 0) the ownership, mslnumnos, use, leading or unloading of Motor vehicles or all other motorised lend aonvoyariaes, inck*V trollers, owned or operatod by or retried or loaned 10 an Insures; (3) the ontrwtrnsnt by an Insured of a motor vehicis or any aftr motorized land conveyance to any person; or (1) a troller not lowed by or penv)ed on s motorized land coweysnas, (2) a motorized land Conveyance which Is both designed and used excluaivolly for recreational plrpveea off public roeds, not subject tv lloensln g racluiralrrlirnte and (a) not owned by an IrmM04; or b) owned by an Insured and on an Insured location; (3) a nnotofind (roll can wIM used to play golf on a plf course; (4) a vehicle or cotweyanos not subjW1 to llosnalrn, requlrarmants which Is; (al used exclusively to aervlce an Ina,Ired`s residence, Ob) In dead atorage an an Inalifed loestloft tb) a vehicle or ®onveyar a which Is both designed and urged exclusively for aaaistina the handloapped and has a Mclmisn attainswe q"W of 10 miloo per hour. Srlaing out Of! (1) the ownteraWp, msWenarnoe, use, loading or. unlo*Jinn of a watveraft deaaribed balew; (7) the erntrustmerrt by an Inwrsd of a watercraft described below tv any person: or {2} vloarlaus Babilhy, whether or not statutorily imposed, for the nations of anyone using a wstareraft described below. Waterersff: (1) with Inboard or (nbard-outdrlyn motor power of more tfllrei 00 horsepower owned by or ranted to an Insured; (3) that to a WIN vessel, with or whhout suxillary power, which is mors than 35 feet In unpile owned by or rented to err Insured; Includes oopyriglltsd material at Insurance Services office, with Its parmiselort Wed-VR waehlrwton I" -site} Poo 14 of i8 06-04-1997 13:16' P.17 USAA 00048 80 74I'14A 80 (3) powered by one cane more outbosrd (1) for ony loss sesssemant oherpo against motors with more than 50 total you as a mwnber of an asaoclatioi% horsepower If to outboard motor Is oorperation or ownMu llty of property awnad by the MiWa(i If acgklired during omwo; the policy period, outboard motors of (2) under any Contract or ayreemant more than 50 total horatapdwer are+ However, this exclusion does riot apply gvsred for that oolivy period only; car to Written contrsctr. 141 that uses s water lot pump powered by (a) that directly relate to the ow Wship, an Intern■l crxnbuetivn WVhM AS the rMint &nn or use of sn Insured prWwy wice of propulsion *mod by loostion; or on insured (b) where the liability of others Is This exclusion dares not apply while the a=aumed by the Insured prior to an wstweraftt Is atorsd gwwronoe; tT arising m4 of; unless weluded In {11 above Or 11) the on►rrwrahip, MainternatW, use, loading sisowhra In thia policy: or uhloofft of an aircraft; b. propsAy damage to prpperty owned by the (2) tits stir t by an Insured of in Insured; aircraft to any pereon; or a. property darn ap to property rental to. occupied or weed by or in the tare of the (s1 vidarieus tlsibility, whether or mat inow" 1Ws exclusion loss not apply to ststutorllyj lmnposed, for its cations of Property CMma pe caused by fire, snake or anyone using an aircraft exploak" An aircraft messes any contrivance used of d. bodily Injury to any pantos allgible to designed for flight, except model or hobby rasiye any benofits: aircraft not used or designed to carry (11 valuntatrily provided; or people at Cargo. h =Mad directly or indirectly by war, 12) requited to be provided; Including wed war, CIVil War. by the Insured under any: lrmusclon, radellk^ revolutk n, warlike act 11) %vorkiws' compansatlon law; by a mintry force or military persaml, (2) non-ocoupstlonai dlaabiilty low; or destruction or eslsare or uss for is military (� ogee upationsl dleease law; purpose, send Including arty Consequence of any of theca. Digchartp of a nuclear weapon e. boelily Injury or prop" damoo for will be deemed s werllike act even if which an Insured under this policy. accidsnhL t 11 is also an Insured kinder a nuclear **W I. arising ovt of to Liao, Slier marw.efeetire, liabilitypollcy; or del(vary, transfer or possession by any (2) would be an ineurad texlar trial policy psreon of a coMolled substarlc1181. but for the exhaustion of Its Ilmlt of Controlled auboUr=o Include but are not liability. 110ted to cocalne, LSD. msrl)usna and ell A nuclear sneryy liability policy Is one )owed narcotic drugs. However, thle exclusion) dace by: not apply to the legitimate use of prwaxription drays by s pwoon following the (11 American Nuclear Irteluers; orders of a licensed physician (2) IVW"l Atomic Gnarly Usbility Fixelusions« d., sa., f. and q do net apply to boally Underwriters; injury to a realdsnee employee arising out or (3) Nuclear inaursnar Aasodatlon of Canada; am In the course of the residence employee's or any of their augmtora; wrrployrno nt by an Insured, f. bodily injury to you or are Insured within 2. Ceverep I - Personal Liability does not the moaning of part a. W h of "Insured" as apply to dsflnsd. A. (lability: Includes copyrighted materiel of Insurance Services Offics, with its penWeeleft HO-DR Weshinyton 404-40 Pays Is of I 06-04-iSS7 13:17 P.is PA06 21 U3111 00045 80 74 94A 9. Courage P - modleei payments to others doom not apply to bddlly Injuryi a. to a residense employee If the bodily bUOl (1) ofxxrro off tfle IIdRM loatlor4 and (e) deem not arise out of or In the couroe of the residence simployes'a employment by an Insired; b, to env person sliglbla to receive banefits: 11) voluntsMy proviciod; of 12) "]red to be providad; tam 11) woriwe oompeneatlon law; (2) non-000upa110n9i disability law; ar (2) occupational sOseea* law; a from any. (1) maim resatlon; (21 nuciear radlstlon; or (3) radlaactive contArMinstion; ail whether controllod or uncontrolled or however oweed; or (4) any consequence of any of theas; d, to any person, chose then a reeidmm ampioyas of an Insured, reoulariy residing on any port of the Insured losstlpn. SECTION 11 — ADDITIONAL COVERAGES we cover the following in addition to the limits of We will not pay for property dam"Al Ilablllty: a. to ro extent of any amount recoverably I. claim Expsrrea, we pay: under SEMION I of this policy: A. expenses we Incur and costs twxed sgalnet b, caused intentionally by an InPANd who Is 13 an Insured In any ardt we Wand: years of ago or oidar; Ix prentiurne an Honda raWftd In a suit we e, to property owned by an Insured; defend, but not for boN amounts more than d. to property owned by or ranted to a tenant of an inaired or a resident in your this liMit of liability for Coverage � We Head ttnumahald: or not apply for or furnish any bond; a reasonable expenses Incurred by an Inaurad a. ariaing OA oh at our request, including actual loss of earnings ibut not loom of other lnooma) up to e100 per day, for assisting us in the investigation or drWom of a e"Irn er suit; d Interest on dts entire Judgment which accrues after entry of the jud+t and before we pay or tender, or deposit in court that part of the judgnn ent which doss not exceed the Omit of liability that appose; a. prejudgment Intmrast awarded against tths lnsufsd an that part of the judgment we pay. if we "lilts an offer to pay the applicable Omit of liability, we will not pay any prejudgrnent Interest based on that porlod of time after the offer. z first AIAI Upemsas. We will pay expenses for first old to others Inourrad by on Insured for bpolly Injury covered under thin policy. We will not pay for first aid to you or any other Inaura� 3. Darnsip to ft9psrty of "mrs. We win pay, at replaopnont post, up to 41,000 per oesurmnes for proparty dances to property of others wmad by an InewsoL 11) a business angaWd In by an inured; 12) any act or ornlaalon In connection with a prorndsee owned, rented or controlled by an inauri&M ottrer than the Insured tocatlon; or 0 the ownership, rnaintonsrwe or use of aircraft, watercraft or motor vehicles or all other Motorized held cornveyancos. This exclusion does not apply to a motorised land umvevence which is both designed and used extxluaively for recreational purposes off public roads, not otibjact to licensing requirementa and not owned by an Insured. d. Loss Assessment. We will pay up to $1.000 for your share of Iona aamanement charged during the policy period against your by s emporatian or association of property owners, when the aaasaarnerrt Is made as a result of: a. bodily Injury ear Prope"y dam cep mat emoludad under SI C71OV li of this p*llay; or b, liability for an act of a director, officer or trustee In the capactty as a director, officer or trust", provipect Includes copyrighted material of inaurencoe Services Of flee, with Its permission, Flo-01i Washington [Oat-M Page ISO IS 05-04-1997 13:15 P.19 PAGE 2! USAA 00046 80 74 84A (1) the defector, offlosr or Mates Is elected by fhe marrmbere of a eorporetlan or association of property owners; AN 121 the director, of f ieer or truates MGM" without darift my Incom train the mist of dutlea which are solely on behalf of a corporation or aeem>Icistion of property awn S This Coverage applies Only to loge eeeae"rits charged spinet you u owner or tenant or the mildenes premises. We do not cover loss assessments ohargod ageket you or a corporation ar associetloM of preparty ownera by any govamrnente l body, Ragardlaw of the Mtlbar of aeeearrnntml. the limit of $1,000 is the most we w111 pay for toss eriskq out of. IL ors accident, Including con two or ropsata0 axpoaure to wabstentisulr the arm gerwal harmful conddtions; or b. a covered sot of a director, OffiCar or trusts& An eel invohrkq more train one director, offeror or trusts® is oansidered to be a single act, The following do not apply to this covarnew 1, BEC"TION II, Coverage E - Persenai usbllity Exelualon 1@411; 2E Condition 1. Policy Puled, urtdar SECTIMS I and li r CONDITIOM SECTION 11 - CONDITIONS t. Limit of Llabillty. Our total liability under Oonrage E for ell dsmages resulting from any One osewatm will not be more than the limit of liability for Caverapa E an shown In the Declarations. This limit Is the same regardless or the mrd4 er of Ineur■& cialms rehash or pareaM injured ,Ali bodily Injury and property damage fmlting frarm any one aeoldent or from continuous or repeated sxpoaurs to eubetanttailll the same general harmful coitrlitions shall be canaklaed to be the result of one onwrea m Our tow liability snider Ceverads F for all maateai sxpansas payable for bodily Injury to ons person as to reauit of one accident will rot be more than to limit of liability for Coverage P am shown in the Declarations. IL Severaa(rlllty of Inaie'eaise. This inaurenw spplin separately to each lihsurad. This gandnicn will not increase our limit of liability far any ant eoarrsnaa. & Corioeelrning or Freud, The entire policy will be void If, whird ar before or after a loss, an hewed her a. Intentionally Conessied or Misrepresented any iilstarlal factor elrournstano9: or is engaged In fradulent conduct, relating to this Insuiro s,. rL Deities After Lost In wee of an accident or vowxrwr=% the Insured will perform the following duties that &ply. You will help us by seeing that than dutiee are perforrind s. give written notice to me or our &pent as now n is practical, which sets forth; (1) the identity of the polley and insure® (Z) reasonably available infornhrtlolh an the time, place and oiroumstances of the accident or +eeswrwsnaep and (3) nettles and addresses of sny claimants and wHnseata; b. promptly forward to us @Very MOM demand, sLmmams or other process relating t0 the apcidsnt or 00=Tmmi c. at our request. help in: 111 to Mike settlement (2) to snforee any right of CanfrlbutlaM or indernnity against any poraan or orgeniaatlon who may be liable to an Insured; (3) with the conduct of cults and attend hsarlW and trials; (4) to secure end give evidence and ubtaln the sttsndana:a of witltessm d. under Damage to Property of Others. submit to us within 60 days after tee lass, a eruorn stateli/mmt of less and show the dsfneged property, if in the Instre s control; s. the Inured will not, except at the Irnuraft own cost, voluntarily m M payment, assume obligation or most expanse other thin for first aid to othars at the time of the bodily Injury, S. Duties of an Inlurad Pervon - Coveramss E - modisal Paymtam ils to Others. The injured panm or someone acting for the injured person will: inciudes cxrpvrightaed material of insurance Services Office, with its parmleslon, NO- M Wwhingbon 04-90 Pays 17 of 10 06-04-1997 13:18 P.20 USAA 00045 60 74 PA094A 23 a, glVS Us wrlttalt proof of ciohn under oath If required, as soon ae is practical; and IL authorin w to obtain copra of msd"I reports and reclords. The Injured person will aubiriit to a physical emm by a doctor of lawn choice when and as often as we reasonably regvIrs. 11. Psymord of Claim - Coverage P o Medical Payments to MWIF . Payment under this coverage Is not an admission of liability by On Insured or um. 7. 3uit AlpINI ua. No notion can be brought against us unless there has ban camplianca Willi tins policy provaaktn* No one will have the right to join w so ■ PO4Y tiv any wtw against an Inswat. Also, no ac0ion with resprat to ioverage p can be brought againet us until the obligation of the itrwtsd has bean determined by final judgment or aprannnt signed by us. B. Bmitruptoy of an ironed. Barllcruptcy or insolvaney of an Insured will net follows us of our obligations Under INS policy. a. other Inaurman - Govarssee B - Personal. Liability. This Insurance Is excess over other` valid and collectible Insurance exaspt insurance written specifically to cover ae excsaa over 11+e limits of liability that apply In No policy. SECTIONS I AND II - CONDITIONS 1. fblisy Period This policy appose only to lose In UCTION I or bodily Injury or property daromp In SECTION II, which oowurs during the policy period S. Llberallsatlon CIsitlaa. if we make a change wHoh broadens cover under tints station of our policy wiew additional premium charge, that ohenge will autornaticslly apply to your Insurance as of the date we Implg 1 the dmnps in your mists; provided that this in"W"cttanon date falls within 60 days prior to or during the policy period stated in the Declarations. This Liberalisatlon Clause dose not ePpiy to dtangea Implamented through Introduction of a aubsequent edition of our policy, g. waiver or Change of Polley Provisions. A waiver or change of ■ provision of the policy must be In writing by us to be vmIki Our roqusat for an appralsai or 6"mination WHI sort walva any of our rights a. Cmoellatlon. e. You may anneal this policy at any tams. M the effective date of cancellation cannot be earner then the dab of yaur request b. we may cancel ft policy a11y for the reasons stated below by letting you know in Writing of the data cancellation takes effect, This oussiladon metros, thsr with our reason for ceneelltdon, will mailed to you end, If sppliambie, your agent or broker at the last eddreasaa known to us or shown by our records_ Proof of milling will be sufficient proof of notlae. t11 When you hav■ not paid the premiUn% Ws may Cancel at any time by Isttlry you know at least 10 talcs before the date cancellation takes affect. fzl VVW thte policy has been In effect for Lass Than 60 days and Is not a renewal with us, we may canal for any reason by letting you know at least 40 days before the data earmilation takes offact, (3) when this policy has basil in effect for So days or more, or at any time if it is a renewal with use we may osncel: tar if liners has bean a material wisreprewtation of fact which if known to us wc4AJ have caused us not to issue tins policy; or obi if the risk has dtanged subata Wally since the policy was Issued Tills can be done by istting ya,i know at least 4115 days before the date eaneallstion takes effect, However, If two or mom of the following conditions exist at any building that In covsrsd under this policy, we may cancel this policy by, 11) letting you and, If eppilombls, Your aganxt or broker knew at least 5 days before the date Cancellation takes effect; and (21 letting any nlortgagm or other parson shown by to policy to have an interest In a covered loos know at least 20 days before lib date cancellation takes affect, Itleludes copyrighted msteriml of Insurance Samicaa office, with Its permission, MO-M Woehington 406-W Page 1e of 112 06-04-1997 13:19 P.21 USAA 00045 40 TA pA°94A 24 IL WltthwA rasoneble explanato% the S. Nonronswal, We may dect not to renew this bWlding IS Wooc+ple ! for more than policy. We may do so by mailing to you end, If so ooraWiva days, or et lesst III% applicable, yoWr agent or broker at the IM of the rental Writs are unoccupied addressee known to us or shown by our for nwe then 120 coaaeteativs day& rocortids, written notice, lfsk+ding our res&on far unions the bullding is malmolned for rofueing to renew, at least 45 days before the seasonal otoupaNsy or Is under expiration date of this policy. Proof of mailing construction or repair; will be sufficient proof of notice. b. Whhout resspnabls explanation, If we have offered in writing, either directly or progress toward completion of throuM our spent, at least 20 days before the permanent repairs to the building has expiration date of this policy, to renew this not occaunW widtin 00 days of ter policy, and have included a ataisin nt of the receipt of funds following renewal premium due, we may tsrminste this satisfactory adjustment or policy an its expiration data if you fail to pay adjudication of lose resulting from a the required premum when due, firs; For the purpose of determining the date when c, Illwause of its physlaol condition, the no renewal can be effected: A policy with a building is in danger of collapse; sar►n of AN mantMA 9r last In considered as If d, sac so of its physical condition, a written for a policy period of dx months. A vecaUm or demolition order has policy written for a term kxW than one year been Issued for tits butiding, or It Mae or a policy with no fixed expiralion date Is baler declared unsafe In accordance considered se if written for a period of one wleh applicabb law; you• ♦. Axed and salvageable items have a Assignment. Asalgranant of this policy will not been removed from the build'mg, be valid unless we give our wri"en consent. indosting on Intent to vacate the 7, Dirog■tlon. An Insures! ntuy waive in writing buildings; before a iota all riphta of reeovary against any f. Wllhput reasonable explanation, hest, person, If not wslvsA we may requlre an water, tower, snd electricity are not asai9nmant of rights of recovery for a loss to fuml4NW for ft building for 80 trio rodent that payment Is made by ua. oonesoutive days; or p, a&sl If s The building is not mslntelnsd In r! i;tl'nsl'►'t Is sought, an Inswed mot elan substantial comllanw with fire, anddeliver all relatedpapers and 000perete with safety and building eodea. US. r. When this policy Is eaneslisd, the premium Subrogation dove not apply under SEG"illJlll II to for the period from the data of canesllatien MaProperty Payments of fto Others or Damp do Othe�Mers, to the "rxllpn data will be reflnded pro rasa, 9. asetit if any purer named In the Dw ilerstlons d If the rtlium premium Is not refunded with or the apousi if s rosident of the same to notice of comellstlom or when the household, dice, policy Is returned to us, we will refund as a, we Insure the legal reprotontatve of the soon as possible, but no later then: decoased but only with respect to etas 11) 40 days after we Send a notice of premises and property of the datoosed cancellation to you; or covered tkldar the poesy 4t the Ims of 12) 30 days after we raoelve the policy or a deem' notice of cancellation from you, b. Insured includes a Except as noted below, If the policy In (1) any mtntlnr of your household who Is Weelled by are, we will {five tine Same an Insured at the tiros of your death, but advance notice of cancellation In writing to only while a reslclant of the reeldsnas any malrW ea or atlur praon shown by premises; and the policy to have an Interest In a covered (2) with rsepact to your property, the Iwo as we give to you. The notice may be parson having proper tsrnporary custody delivered or mailed; if mailed, proof of of the property until appolMMI: and malllig will be suf fiolent proof of notice. qualiflcsei ni of a legal representative. inakvdso oopyrightod meterlal of Insursnes Services Office, with Its permhelon. no -del w Mimmn 04-ew page 19 of 18 complies with the recommendations in the geotectinicai report ana witn an gummuuu;a► reMeu permit requirements. Any deviations or omissions in the report, plans, or specifications that occurred during construction should be addressed separately. Occupancy or final approval of the project shall not be granted until the report has been reviewed and approved by the Building Official. (ECDC 19.05.100) 3. OWNER INSURANCE POSTED PRIOR TO OCCUPANCY APPROVAL The owner shall maintain (effective upon occupancy or final approval of the project) a policy of general public liability insurance naming the City as an additional named insured against personal injury, death, property damage and/or loss arising from, or out of, the City's involvement in the permitting process for the project. The City shall determine the amount (given the potential for loss to both public and private property which could be attributable in the event of site failure) for a period of not more than 10 years from the date of final project approval. The policy itself may be annually renewed but coverage must be continuously maintained throughout the period. A certificate evidencing such insurance shall be filed with the Building Official. The policy shall state that the City will be notified 30 days in advance of cancellation. If the insurance is cancelled and not replaced, occupancy of the structure may be revoked, and the Building Official is further authorized, where appropriate, to require vacation of the structure (per UBC 202) until such time as the insurance has been properly reinstated. This requirement is transferable to any and all owners within the 10 year period. If such insurance is practically unavailable, or the applicant is unable to provide adequate insurance coverage, the applicant may request (in writing) review of alternate methods such as: bonding, frozen fund account, letter of credit, or other proof of financial responsibility that indicates the applicant's ability to fulfill the indemnification agreements with the City and to fulfill the applicant's legal responsibility to neighboring properties. (Ordinance #2866) IMPORTANT INFORMATION CONDITIONS OF PERMIT DENIAL 1. It shall be the policy of the City that no permit be issued for any site which is found to be unsuitable for improvement due to excessively steep slopes, unsatisfactory foundation support, instability or unsuitable topography. When the site cannot be rendered safe or stable (as defined in Ordinance #2661) an unreasonable risk of danger may exist to the public and to public improvements or to adjacent property owners. (ECDC 19.05.000 Preamble) 2. A permit will be denied if it is determined by the Director that the development will increase the 05/Z9/97 15:37:38 OSAA-) 2867718Z21 OSAA Page 88Z UNITED SERVICES AUTOMOBILE ASSOCIATION 9400 Fredericksburg Road - San Antonio, Texas 79289 l�S AMENDED DECLARATIONS PAGE - EFFECTIVE 09/30/97 Named insured and Residence Premisas Policy Number USAA 00045 80 74 94A DOLORES S DEAN 16315 75TH PLACE WEST EDMONDS, SNOHOMISH, WA 98026-4913 POLICY PERIOD From; 05101 /97 To: 05/01 /98 (12:01 A.M. standard time at location of the residence premises) i COVERAGES AND LIMITS OF LIABILITY !I SEC -ION 1 A. Dwe111MC 1800, 000 10. Personal Property S900, 000 D. L092 Of Use UNL I M I TEO SECTION 11 E. Personal Liability - Each Occurrence $ I.000 p 000 F. Medical Payments to Others - Each.Peraon $5.000 Your premium has already been reduced by the following: FIRE/BURGLARY CREDIT $439.67 CR NEW HOME DISCOUNT $386.22 CR BASIC PREMIUM $2, 207.09 OTHER COVERAGES AND ENDORSEMENTS Farm and Endorsements are printed on the fallowing page. D:DUCTIBLES (21CTION I ONLY$ We cover only that part of the loss over the deductible stated. ALL PERILS $1,00o DEDUCTIBLE CREDIT $937.96 TOTAL POLICY PREMIUM S2, �42.27 THIS IS NOT A BILL, �Iicy is signed an OS/29/97 obert T. Herres General, USAF (Retired) Attorney -in -Fact :R TOYOUR POLICY FOR OThiER COVERAGES, LIMITS AND EXCLUSIONS. ATTACH THIS DECLARATION TO PREVIOUS POLICY HO-Dt (04-83) 05/Z9/97 15:37:55 USAA-) Z06771OZZ1 USAA Page M3 V 1 US UNITED SERVICES AUTOMOBILE ASSOCIATION AMENDED DECLARATIONS PAGE - EFFECTIVE 05/30/97 Policy Number Policy Term: 05/01/97 05/01/98 USAA 00045 80 74 94A. Inception Expiration ADDITIONAL INSUREDS CITY OF EDMONDS SPECIFICALLY LISTED BELOW ARE THE DECLARATIONS AND PREMIUMS FOR ENDORSEMENTS MADE A PART OF THIS POLICY AT THE TIME OF ISSUE. THE ENDORSEMENTS ARE ATTACHED STATING TERMS AND CONDITIONS. IN FORCE QR9WA (04-93) QUICK REFERENCE -PREFERRED PROTECTION IN FORCE NO-9RWA (04-93) PREFERRED PROTECTION PLAN IN FORCE NO-17 (04-94) ADJUSTED BUILDING COST ADD HO-41 (10-96) ADDITIONAL INSURED IN FORCE NO-216 (04-93) FIRE/BURGLARY PROTECTION CREDIT IN FORCE NO-370 (04-96) EARTWQUAKE $1,032.00 IN FORCE WO-70 (04-93) RESIDENCE RENTED TO OTHERS $41.20 REASON(S) FOR CHANGE1 MISCELLANEOUS POLICY CHANGES NCB-02 (04-93) 05129/97 r CITY CLERK ' .1 � �� NOQ� • CITY OF EDMONDS 505 BELL STREET • EDMONDS, WA 98020 COVENANT OF NOTIFICATION AND INDEMNIFICATION/HOLD HARMLESS Under the review procedures established.pursuant to the State Building Code, incorporating amendments promulgated by the City• of Edmonds, and as a prerequisite to the issuance of a building per3hit for the construction of a residential structure and attendant facilities, the undersigned OWNERS of property do hereby covenant-, stipulate and promise as follows: 1. .,,e S...r._7 .riCT• C.. .....:bJ ..,.. a. Property. covenant o 1. notification and indemnification/hold harmless relates to a tract CX /,, .Cats of land at the street. address, of .��``� .W&5� (insert street address), Edmonds, Snohomish County, Washington and legally -described as: ' � - g $7 2. Notification and Covenant of Notification. The above referenced site '(hereinafter "subject site") lies within an area. which has been identified by the City of Edmonds as having a potential for earth subsidence or landslide hazard. The risks associated with development of the site have been evaluated by technical consultants and engineers engaged by the applicant as a part of the process to obtain a -building permit for the subject site. The results of the consultant's reports and evaluations of WSS52079A/0006_040.0.34 -1- WSS/k1t 02/08/90 VOt. 1159PAGE2558 the risks associated with development are contained in building permit file number e 00.1 (insert number) on file with the City of Edmonds Building Department. Conditions, limitations, or., prohibitions on development may have been imposed in accordance. with the recommendations of the consultants in the course of permit issuance. The conditions, limitations, or prohibitions may require ongoing maintenance on the part of any owner or lessee or may require modifications to the structures and earth stabilization matters in order to address future or anticipated changes in soil or other site conditions. The statements and conditions proposed by the OWNERS' geotechnical engineer, geologist, architect and/or structural engineer are hereby incorporated by reference from the contents of the file as fully as if herein set forth. Any future purchaser, lessee, .lender or any other person acquiring or seeking to acquire an interest•in the property is put on notice of the existence of the content of the file and the City urges review of its contents. The file may be reviewed during normal business hours or copies obtained at. the Planning Department, City of Edmonds, 505 Bell Street, Edmonds, Washington 98020. 3. Indemnification and Hold Harmless. The undersigned OWNERS hereby waive any and all liability associated with - development, stating that they have fully informed themselves of all risks associated with development of the property and do - therefore waive and relinquish any and all causes of.action against. the City of Edmonds, its officers, agentt and employees WSS52079A/0006.040.034 -2- WSS/kit 02/08/90 L �� 1 YGI. � 5 9 PAGE 2 5 5 9 arising from and out of such development. In addition, the OWNERS on behalf of themselves, .their successors in interest, heirs and .assignees, do hereby promise. to indemnify and hold harmless the City of Edmonds, its officers, agents and employees from any loss, claim, liability .or damage of any kind or nature to persons or property either on or, off the site resulting from or out of earth subsidence or landslide hazard, arising from or out of the issuance of any permit(s) authorizing development of the site, or occurring or arising out of any false, misleading, or inaccurate 'information provided by the OWNERS; their employees, or professional consultants in the course of issuance of the building permit. 4.. Insurance Requirement.. In addition to any bonding which may be required during the. course of development, the Community Services Director has/* Mt (strike one) specifically required the maintenance of an insurance policy -for public liability coverage in the amount and for the time set forth below in -order to provide for the financial responsibilities established through the indemnification and hold harmless agreement above: �Z as Amid- M dW 12�1yed C II rl W./A, e 64 14 Az, e'X Lecd / d✓ yelfxs. (insert insurance requirements and time.period, WSS52079A/0006.040.034 -3- WSS/klt 02/08/90 E �o�. 3159PA�E2560 S. Covenant to'. Touch and Concern the Land. This covenant of notification and indemnification/hold harmless touches and concerns the subject tract and shall run with the land, binding, obligating and/or inuring to the benefit of future owners, heirs; successors and interests or any other person - or entity acquiring an interest in property, as their interest may appear. This provision shall .not be interpreted to require a mortgagor or lender to indemnify the City except to the extent of their loss nor to obligate such persons to maintain the insurance above required. DONE this day of 199-S OWNER (S) By: 6`1�d2Q� By: STATE OF WASHINGTON ss: COUNTY 0�c u7 . I certify that I know or have satisfactory evidence that%signed this instrument and acknowledged' WSS52079A/0006.040.034 -4— WSS/klt 02/08/90 VOL. 3159 nGE2561 it to be (his(er) free and voluntary act for the purposes mentioned in this instrument. DATED th.is:� day of �. , 199� � ? (yam- ZA - 1NO Y ✓PiJBLIC ..v_ / V Myfcommission expires: STATE OF WASHINGTON )ss. '- COUNTY OF ) 4 I certify that I know or have satisfactory evi!ohce that signed this instrument and acknowledged it to be (his/her) free and mentioned in this instrument. DATED this day of STATE OF WASHINGTON ) ) ss: COUNTY OF ) that voluntary act for the purposes r 199_ -� 1 co NOTARY PUBLIC i? My commission expires: CD zEV =o I certify that I know or have satisfactory evidence stated that signed this instrument, on oath (he/she) was authorized .to execute the instrument and acknowledged it as the roM (title) (name of party on behalf of whom instrument was executed)- to be the free and voluntary act of such party for the uses and purposes' mentioned in this instrument. DATED this day of , 199__ NOTARY PUBLIC My commission expires: WSS52079A/0006.040.034 -5- WSS/k1t 02/09/90 vol . 3 put 2" 2 APPLICANT/OWNER'S LIABILITY LANDSLIDE ACKNOWLEDGMENT DECLARATION a) That the accuracy of all permit submittal information is warranted by the applicant/owner in a form which relieves the City and its staff from any liability associated with reliance on such permit application submittals. While an application of the applicant/owner and her/his design professionals (ECDC 19.05.030) and, b) That the applicant/owner understands and accepts the risk of developing in an area with potential unstable soils and that they will advise, in writing, any prospective purchasers of the site, or any prospective lessees of structures on the site, of the slide potential of the area. (ECDC 19.05.040C) ag." 2 � Signature of applicant or applicant's representative (Dolores Stimac Dean) Subscribed and sworn to before me this I day of reb(u 1996 Notary public in and for Kuala Lumpur, Malaysia Residing at 102 Jal an Bangsar, 59200 Kuala Lumpur r. H�C �VEP F E 9 2 7 1996 1 APPLICANT/OWNER'S LIABILITY LANDSLIDIS AUKNUW LLI)UMLIv 1 ULIULAI"'Al IUJN a) That the accuracy of all permit submittal information is warranted by the applicant/owner in a form which relieves the City and its staff from any liability associated with reliance on such perinit application subInittals. Mile an application may reference the reports of prior public consultants to the City, all conclusions shall be those of the applicant:/owner and her/his design professionals (ECDC 19.05.030) and, b) That the applicant./owner understands and accepts the risk of developing in an area with potential unstable soils and that they will advise, in writing, any prospective purchasers of the site, or any prospective lessees of structures on the site, of the slide potential of the area. (L'-CDC 19.05.040C) • IA ". �ibnaturc of applicant or applicant's representative ; Subscribed and sworn to before me this 1ij day of 00,-;� ] 9 N�aurN�i � r- ��`�`��'Ci H1 Notary .Public in and for the State of Washington su • Residing r r ' ( 31S- -76I4 hL AAA- lZMarq(o �11��c�QTc�N ENGINEERS COST ESTIMATE UNIT UNIT ITEM DESCRIPTION OF WORK ISSUE QTY COST TOTAL 1 9-O swwo(,j 7-1)(l30 :Sf 303 025- q5?5 Z04V IZ� SC71 r'i DWri eiP6 � J30 xg. Ri+V g S � ' A► �'f' ��r.? j'1L 11(�f C Clit�Lt,� �D7T� 3ti1 � � � 3d U 1 - 1 � �3 � O , Wj�?te 130 4,o ,SZco Z X g S L',4 F,4 .4 L9' ad,7- • l S C�o. ice- 5W-M 1 1 '?� 25uD AvA P-A Zi x 110 70 51 40 Ze. 1�°� +siiz. Ecak t'�a fjov o 8 1995 PER'W'TCOUNTER File No Applicant AFFIDAVIT OF MEADOWDALE LANDSLIDE PERMIT POSTING STATE OF WASHINGTON ) ) ss. COUNTY OF SNOHOMISH ) kCL 6i being first duly sworn, on oath, deposes and says: That on the day of �ollf. v� * 19 Jt5 the site located at (p-2214:;- '75+� I-- k • was posted as prescribed by Ordinance No. 2661 on the subject property. This posting begins on the day the City accepts the permit application for review and shall remain until building occupancy is gra t d Signed Signed Subscribed and sworn to before me this day of�-2- 19 q'!!� . Notary Public in and fd the State of Washington.ca s Res i d i n g a t '-4 rtzc.1890 February 26, 1997 Dolores Dean P.O. Box 998 Edmonds, Wa 98020 ��tt VlTi�'-r/c — CITY OF EDMONDS BARBARA FAHEY 250 5TH AVENUE NORTH - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221 MAYOR COMMUNITY SERVICES DEPARTMENT Public Works - Planning - Parks and Recreation - Engineering Re: Response to request to bond for plat road improvements (S-8-87) at 16315 - 75th P1. W. Dear Ms Dean, #9602--l-c2;z This letter is in response to your telephone request last week to bond for the required plat road improvements so your house can be finaled in March. As you know, since the building permit was issued, a slide occurred temporarily blocking a portion of the plat road. With the remaining slide material located at the base of the slope, our geotechnical consultant's recommendation is to not disturb the debris until drier weather. Based on their recommendation, we will grant your request with the following stipulations: 1. The performance bond or a frozen fund account (your choice) shall cover all remaining work required to construct the plat road and entrance widening per the approved plat civil plan date stamped May 5, 1990. 2. The bond shall not cover any other property owner in the subject plat (S-8-87) and shall have a time limit of six (6) months. The effective date of the bond shall be prior to the engineering final on your house. Based on our geotech's recommendation, work should not begin until the soil has dried out more, which may be late April or early May. 3. A right-of-way permit must be obtained prior to any work in the City right-of-way. When your geotechnical consultant says that work can begin on the plat road, call us and we will have the City crew remove the concrete ecology blocks currently on site. Removal of slide debris in the road area shall be your responsibility or yo!.ir assigned designee. If you have any questions, please contact Lyle Chrisman at 771-0220, extension 324. Sincerely, James C. Walker, P.E. City Engineer ALC/JCW/sf c: Scott Snyder, City Attorney Jeannine Graf, Building Official • Incorporated August 11, 1890 Sister Cities International — Hekinan, Japan Date: May 1, 1996 To: Sandy Chase, City Clerk From: Sharon Nolan, Permit Coordinator Subject: RECORD DOCUMENTS Enclosed are the originals and copies of the NOTIFICATION OF COVENANT INDEMNIFICATION & HOLD HARMLESS for three (3) Meadowdale projects: Fenton, Dean & Ruggiero. Please record with Snohomish County and send the copies back, with recording number, to the Building Department. Once the originals have been returned, please send them to the Building Department also. Thanks City of Edmonds CQ Community Services v r _1% :>E?< ......Lsr .. A RD CO +RTIA`„�IABILY DATE MM/DD . Y... .:,. IN ( �) n. :..:..::....:::.:. . ::::.:::::::: :::::::::::::: 4/26196 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CENTER INSURANCE AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. BOX 90 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. LYNNWOOD WA 98046 COMPANIES AFFORDING COVERAGE COMPANY 206 776 2164 A NORTH PACIFIC INSURANCE COMPANY INSURED COMPANY JP LAND BUILDER, INC. B 16604 MARINE DRIVE COMPANY STANWOOD, WA. 98292 C COMPANY D v:::::::.v:::::::n:::v::::v.:::v:::::n.:::v::::::mv...:::::: L .�.....v::.,:d:.:�y.T✓:.:. :......:..iinV::: s s �:.::y:::4:::.•".::Swb:3j%:'.•':w:4:ii}Sii:>:w'u":v:: i::i::i'::iiiii:L:'s'::>: n•::::::n•.:::::::w::.v::::: ::•::::::::•nn•:rm:::•:.:W:r,:::::::::r.•n:v:::,:::n•kX:::::r:..w:::::::unv,:,.h..Lvn:i..k»uidii THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DDNY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ 2 OOO , OOO CLAIMS MADE ICJ OCCUR CO2 13 11 41 11/ 23/ 95 11/ 23/ 96 PERSONAL & ADV INJURY $1 000.000 A OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $1 000 , 000 FIRE DAMAGE (Any one fire) $ 50.000 MED EXP (Any one person) $rj 000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY ................................... . ......................................... ANY AUTO EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND WC STATU- OTH ! I LTS B EMPLOYERS' LIABILITY EL EACH ACCIDENT $ EL DISEASE - POLICY LIMIT $ THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE EL DISEASE - EA EMPLOYEE $ OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS THE CITY OF EDMONDS IS SECURED AS ADDITIONAL INSURED REGARDING THE FRANK S. AND DOLORES S. DEAN PROJECT: 16314 75TH PL W., EDMONDS, WA. .` .............:ANGi. .5....ve::..rn.r..v:..:.::v.. Ai'ION r ..................... :..:.:...:.................a::wvwaW...: r. CITY OF EDMONDS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 259 5TH AVE N EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL . EDMONDS, WA. 98020 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, E BUT FAIL T MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF AN KI UPON THE COMP ITS AGENTS OR REPRESENTATIVES. RE SENT�� OHN L f K455 .....:.:: oACCp.C. QRPo€arsa<