Cypress Property & Casualty Insurance Company
[Pages:82]Cypress Property & Casualty Insurance Company
Building and Personal Property Commercial Residential Policy
CPCFL BPPJ 07 15
Issue Date: 1/11/2021
Page 1 of 2
POLICY PROVISION: This Policy jacket with the Policy Declarations, Policy Form and Endorsements issued to form a part thereof, completes the policy as numbered on the Declarations Page. Whenever your policy is modified, you will receive a dated revision of the Policy Declarations.
IN WITNESS WHEREOF: In consideration of your paid premium, Cypress Property & Casualty Insurance Company is proud to extend to you the coverage offered by this insurance contract.
CYPRESS PROPERTY & CASUALTY INSURANCE COMPANY
Joseph King Co-Chief Executive Officer & President
Enda McDonnell Co-Chief Executive Officer & President
CPCFL BPPJ 07 15
Issue Date: 1/11/2021
Page 2 of 2
COMMERCIAL PROPERTY
12926 Gran Bay Parkway West Suite 200
Jacksonville, FL 32224-0230 Customer Service (877) 560-5224
Renewal Declarations
Policy Number: CCP0000043-02 Date Issued: 1/11/2021
Policy Period: 1/15/2021 to 1/15/2022 NAMED INSURED AND ADDRESS
12:01 A.M. Standard Time at the address of the Named Insured stated below. PRODUCER NAME AND ADDRESS
WHITLEY BAY CONDOMINIUM ASSOCIATION 2560 PALM LAKE DRIVE MERRITT ISLAND, FL 32952
Advanced Insurance LLC D/B/A: SJR Insurance Company 3815 N US Highway 1, Unit 118 Cocoa, FL 32926
Phone number: OFFICE@
Florida Agent License Number: W081401 Telephone number: 3212642434
BUSINESS DESCRIPTION: Condominium Association
IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY.
THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED. THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENTS.
COVERAGE
PREMIUM
Commercial Property Coverage Part
$
50,460.00
The above premiums contemplate Terrorism Coverage as indicated below:
Terrorism Coverage Premium: $ 0.00
Terrorism (fire only) Premium: $ 0.00
Subtotal $
Policy Fee
Fire College Trust Fund
Emergency Management Preparedness and Assistance Trust Fund Fee
Florida Hurricane Catastrophe Fund __________ Assessment
Federal Insurance Guaranty Association __________ Assessment
Federal Insurance Guaranty Association ____________ Emergency Assessment
Citizens Property Insurance Corporation _____________ Assessment
Citizens Property Insurance Corporation _____________ Emergency Assessment
State Fire Marshall __________ Regulatory Assessment
50,460.00
$25.00 $0.00 $4.00 $0.00 $0.00 $0.00 $0.00 $0.00
$50.46
PREMIUM SHOWN IS PAYABLE: $_____5_0_,_53_9_._46__ AT INCEPTION
TOTAL $
50,539.46
FORM(S) AND ENDORSEMENT(S) MADE A PART OF THIS POLICY AT TIME OF ISSUE: *
CPCFL BPPJ, CPCFL DEC2, CPCFL 130E, CPCFL TRIA PD, CPCFL 00 12, IL0017, CPCFL 00 02 TOC, CP0017, CPCFL 00 90, CP1030, CP0125, CP0191, CP0323, CPCFL 130C, CPCFL 01 12, CPCFL0405, CP1440, CP1410, IL0935, IL0255, IL0953, CPCFL 00 01, CPCFL 14 20, CPCFL FW 01, CPCFL 00 11
* Omits applicable Forms and Endorsements if shown in specific Coverage Part/Coverage Form Declarations.
THIS POLICY CONTAINS A SEPARATE DEDUCTIBLE FOR HURRICANE LOSSES,WHICH MAY RESULT IN HIGH OUT-OFPOCKET EXPENSES TO YOU.
Countersigned:
CPCFL DEC2 05 17
By: ________________________________________________
Authorized Representative
Issue Date: 1/11/2021
Date: 1/11/2021
Page 1
Policy Number:
CCP0000043-02
Transaction:
Renewal
Named Insured:
WHITLEY BAY CONDOMINIUM ASSOCIATION
Effective:
1/11/2021
Date Issued: 1/11/2021
DESCRIPTION OF PREMISES:
COMMERCIAL PROPERTY COVERAGE SCHEDULE
POLICY PERIOD
To:
1/15/2021
From:
1/15/2022
THIS POLICY CONTAINS A CO-PAY PROVISION THAT MAY RESULT IN HIGH OUT-OF POCKET EXPENSES TO YOU.
Coinsurance contract: The rate charged in this policy is based upon the use of the coinsurance clause attached to this policy, with the consent of the insured.
CPCFL DEC 2 05 17
Issue Date: 1/11/2021
Page 2
Policy Number:
Transaction:
CCP0000043-02
Named Insured:
WHITLEY BAY CONDOMINIUM ASSOCIATION
Effective:
Date Issued: 1/11/2021
COMMERCIAL PROPERTY COVERAGE SCHEDULE
POLICY PERIOD
To:
1/15/2021
From:
1/15/2022
DESCRIPTION OF PREMISES:
Prem. No. Bldg. No.
1
1
Location, Construction and Occupancy RESIDENTAL BUILDING
93 DELANNOY AVECOCOA, FL 32922
Protection Class
4
BCEG S Cod e
Fire Resistive
Windstorm Mitigation Features:
Terrain
YOC
B
2004
Roof Cover A - FBC
Roof Deck D - Reinforced concrete roof deck
Roof-Wall Connection E - Structural
SWR
A - SWR
Building Type Residential Building
Roof Shape B - Flat
Opening Protection Unknown or undetermined
FBC Wind Speed N/A
FBC Wind Design N/A
A rate adjustment of N/A% credit is included to reflect the Windstorm Mitigation Device Credit. This credit applies only to the wind portion of your premium. Adjustments range from N/A % to N/A % credit.
A rate adjustment of (+-) N/A % is included to reflect the Building Code Effectiveness Grade for your area. Adjustments range from N/A % surcharge to N/A % credit.
COVERAGE PROVIDED: insurance at the described premises applies only to coverages for which a limit of insurance is shown.
Prem. No. 1
Bldg. No. 1
Limits Bldg. $ 23,274,056
BPP $ 30,000
Covered Causes of Loss Special
Coinsurance Agreed Amount
Rates Included
OPTIONAL COVERAGE: APPLICABLE ONLY WHEN ENTRIES ARE MADE IN THE SCHEDULE BELOW.
Prem. No. Bldg. No. EXPIRATION DATE
COVERAGE
AMOUNT
Replacement Cost
PERSONAL PROPERT Y INCLUDING "ST OCK'
1
1
BUILDING
MORTGAGE HOLDER(S):
Prem. No. Bldg. No.
1
1
MORTGAGE HOLDER NAME AND MAILING ADDRESS
STANDARD ALL OTHER PERILS DEDUCTIBLE: $5,000
HURRICANE DEDUCTIBLE: 466,081
SINKHOLE LOSS DEDUCTIBLE:
FORMS AND ENDORSEMENTS: Applying to this coverage and made part of this policy at time of issue.
APPLICABLE TO ALL COVERAGES:
APPLICABLE TO SPECIFIC COVERAGES:
Prem. No. Bldg. No. 1
COVERAGES
PREMIUM FOR THIS COVERAGE PART: $___________
Premium shown is payable:
$
at inception.
CSP CODE
CPCFL DEC2 05 17
Issue Date: 1/11/2021
Page 3
Policy Number:
Transaction:
CCP0000043-02
Named Insured:
WHITLEY BAY CONDOMINIUM ASSOCIATION
Effective:
Date Issued: 1/11/2021
COMMERCIAL PROPERTY COVERAGE SCHEDULE
POLICY PERIOD
To:
1/15/2021
From:
1/15/2022
DESCRIPTION OF PREMISES:
Prem. No. Bldg. No.
1
2
REC ROOM
Location, Construction and Occupancy
93 DELANNOY AVECOCOA, FL 32922
Protection Class
4
BCEG S Cod e
Joisted Masonry
Windstorm Mitigation Features:
Terrain
YOC
B
2004
Roof Cover N/A
Roof Deck N/A
Roof-Wall Connection N/A
SWR
N/A
Building Type Clubhouse
Roof Shape B - Flat
Opening Protection N/A
FBC Wind Speed N/A
FBC Wind Design N/A
A rate adjustment of N/A% credit is included to reflect the Windstorm Mitigation Device Credit. This credit applies only to the wind portion of your premium. Adjustments range from N/A % to N/A % credit.
A rate adjustment of (+-) N/A % is included to reflect the Building Code Effectiveness Grade for your area. Adjustments range from N/A % surcharge to N/A % credit.
COVERAGE PROVIDED: insurance at the described premises applies only to coverages for which a limit of insurance is shown.
Prem. No. 1
Bldg. No. 2
Limits Bldg. $ 407,152
BPP $ 40,000
Covered Causes of Loss Special
Coinsurance Agreed Amount
Rates Included
OPTIONAL COVERAGE: APPLICABLE ONLY WHEN ENTRIES ARE MADE IN THE SCHEDULE BELOW.
Prem. No. Bldg. No. EXPIRATION DATE
COVERAGE
AMOUNT
Replacement Cost
PERSONAL PROPERT Y INCLUDING "ST OCK'
1
2
BUILDING
MORTGAGE HOLDER(S):
Prem. No. Bldg. No.
1
2
MORTGAGE HOLDER NAME AND MAILING ADDRESS
STANDARD ALL OTHER PERILS DEDUCTIBLE: $5,000
HURRICANE DEDUCTIBLE: 8,943
SINKHOLE LOSS DEDUCTIBLE:
FORMS AND ENDORSEMENTS: Applying to this coverage and made part of this policy at time of issue.
APPLICABLE TO ALL COVERAGES:
APPLICABLE TO SPECIFIC COVERAGES:
Prem. No. Bldg. No. 1
COVERAGES
PREMIUM FOR THIS COVERAGE PART: $___________
Premium shown is payable:
$
at inception.
CSP CODE
CPCFL DEC2 05 17
Issue Date: 1/11/2021
Page 4
Policy Number:
Transaction:
CCP0000043-02
Named Insured:
WHITLEY BAY CONDOMINIUM ASSOCIATION
Effective:
Date Issued: 1/11/2021
COMMERCIAL PROPERTY COVERAGE SCHEDULE
POLICY PERIOD
To:
1/15/2021
From:
1/15/2022
DESCRIPTION OF PREMISES:
Prem. No. Bldg. No.
1
3
Location, Construction and Occupancy EXERCISE ROOM
93 DELANNOY AVECOCOA, FL 32922
Protection Class
4
BCEG S Cod e
Joisted Masonry
Windstorm Mitigation Features:
Terrain
YOC
B
2004
Roof Cover N/A
Roof Deck N/A
Roof-Wall Connection N/A
SWR
N/A
Building Type Fitness Center
Roof Shape N/A
Opening Protection N/A
FBC Wind Speed N/A
FBC Wind Design N/A
A rate adjustment of N/A% credit is included to reflect the Windstorm Mitigation Device Credit. This credit applies only to the wind portion of your premium. Adjustments range from N/A % to N/A % credit.
A rate adjustment of (+-) N/A % is included to reflect the Building Code Effectiveness Grade for your area. Adjustments range from N/A % surcharge to N/A % credit.
COVERAGE PROVIDED: insurance at the described premises applies only to coverages for which a limit of insurance is shown.
Prem. No. 1
Bldg. No. 3
Limits Bldg. $ 184,467
BPP $ 40,000
Covered Causes of Loss Special
Coinsurance Agreed Amount
Rates Included
OPTIONAL COVERAGE: APPLICABLE ONLY WHEN ENTRIES ARE MADE IN THE SCHEDULE BELOW.
Prem. No. Bldg. No. EXPIRATION DATE
COVERAGE
AMOUNT
Replacement Cost
PERSONAL PROPERT Y INCLUDING "ST OCK'
1
3
BUILDING
MORTGAGE HOLDER(S):
Prem. No. Bldg. No.
1
3
MORTGAGE HOLDER NAME AND MAILING ADDRESS
STANDARD ALL OTHER PERILS DEDUCTIBLE: $5,000
HURRICANE DEDUCTIBLE: 4,489
SINKHOLE LOSS DEDUCTIBLE:
FORMS AND ENDORSEMENTS: Applying to this coverage and made part of this policy at time of issue.
APPLICABLE TO ALL COVERAGES:
APPLICABLE TO SPECIFIC COVERAGES:
Prem. No. Bldg. No. 1
COVERAGES
PREMIUM FOR THIS COVERAGE PART: $___________
Premium shown is payable:
$
at inception.
CSP CODE
CPCFL DEC2 05 17
Issue Date: 1/11/2021
Page 5
Policy Number:
Transaction:
CCP0000043-02
Named Insured:
WHITLEY BAY CONDOMINIUM ASSOCIATION
Effective:
Date Issued: 1/11/2021
COMMERCIAL PROPERTY COVERAGE SCHEDULE
POLICY PERIOD
To:
1/15/2021
From:
1/15/2022
DESCRIPTION OF PREMISES:
Prem. No. Bldg. No.
1
4
POOL
Location, Construction and Occupancy
93 DELANNOY AVECOCOA, FL 32922
Protection Class
4
BCEG S Cod e
Joisted Masonry
Windstorm Mitigation Features:
Terrain
YOC
B
2004
Roof Cover N/A
Roof Deck N/A
Roof-Wall Connection N/A
SWR
N/A
Building Type Pool
Roof Shape N/A
Opening Protection N/A
FBC Wind Speed N/A
FBC Wind Design N/A
A rate adjustment of N/A% credit is included to reflect the Windstorm Mitigation Device Credit. This credit applies only to the wind portion of your premium. Adjustments range from N/A % to N/A % credit.
A rate adjustment of (+-) N/A % is included to reflect the Building Code Effectiveness Grade for your area. Adjustments range from N/A % surcharge to N/A % credit.
COVERAGE PROVIDED: insurance at the described premises applies only to coverages for which a limit of insurance is shown.
Prem. No. 1
Bldg. No. 4
Limits Bldg. $ 85,000
BPP $ 0
Covered Causes of Loss Special
Coinsurance Agreed Amount
Rates Included
OPTIONAL COVERAGE: APPLICABLE ONLY WHEN ENTRIES ARE MADE IN THE SCHEDULE BELOW.
Prem. No. Bldg. No. EXPIRATION DATE
COVERAGE
AMOUNT
Replacement Cost
PERSONAL PROPERT Y INCLUDING "ST OCK'
1
4
BUILDING
MORTGAGE HOLDER(S):
Prem. No. Bldg. No.
1
4
MORTGAGE HOLDER NAME AND MAILING ADDRESS
STANDARD ALL OTHER PERILS DEDUCTIBLE: $5,000
HURRICANE DEDUCTIBLE: 1,700
SINKHOLE LOSS DEDUCTIBLE:
FORMS AND ENDORSEMENTS: Applying to this coverage and made part of this policy at time of issue.
APPLICABLE TO ALL COVERAGES:
APPLICABLE TO SPECIFIC COVERAGES:
Prem. No. Bldg. No. 1
COVERAGES
PREMIUM FOR THIS COVERAGE PART: $___________
Premium shown is payable:
$
at inception.
CSP CODE
CPCFL DEC2 05 17
Issue Date: 1/11/2021
Page 6
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