Attachment_B_-_Statement_of_Values.pdf

Property Schedule

City of Casselberry, FMIT #0079

October 1, 2017 - October 1, 2018

AddressLocation # Occupancy Construction Type

Cause of Loss - Building Limit Cause of Loss - Personal Property LimitBldLoc

001001 95 Triplet Lake Drive Casselberry, FL City Hall Masonry

Non-Combustible

$1,050,283 Special Form$3,885,000Special Form

002001 95 Triplet Lake Drive Casselberry, FL Public Works Bldg/Administration Masonry

Non-Combustible

$207,806 Special Form$2,080,000Special Form

003001 95 Triplet Lake Drive Casselberry, FL Tanks - Gas Non-Combustible

$0 $10,551Special Form

007001 95 Triplet Lake Drive Casselberry, FL Lawn Playground Artificial Grass

System

Non-Combustible

$0 $16,000Special Form

009001 95 Triplet Lake Drive Casselberry, FL Boardwalk Frame

$0 $687,000Basic

010001 95 Triplet Lake Drive Casselberry, FL Interactive Play Area Fountain & Water

Tank/Vault

Non-Combustible

$0 $111,940Special Form

011001 95 Triplet Lake Drive Casselberry, FL Mobius Play Structure Non-Combustible

$0 $20,000Special Form

012001 95 Triplet Lake Drive Casselberry, FL Ornamental Fountain Non-Combustible

$0 $45,000Special Form

013001 95 Triplet Lake Drive Casselberry, FL Two Pond Fountains Non-Combustible

$0 $33,248Special Form

014001 95 Triplet Lake Drive Casselberry, FL Feature Fountain Non-Combustible

$0 $114,212Special Form

015001 95 Triplet Lake Drive Casselberry, FL Composite Boardwalk Frame

$0 $64,000Basic

016001 95 Triplet Lake Drive Casselberry, FL Two Entry Walls at 17-92 & Triplet Lake

Dr

Non-Combustible

$0 $91,295Special Form

017001 95 Triplet Lake Drive Casselberry, FL Generator: Fixed (1): 250kw Masonry

Non-Combustible

$0 $50,000Special Form

018001 95 Triplet Lake Drive Casselberry, FL Wall Chiller Enclosure Masonry

Non-Combustible

$0 $15,000Special Form

019001 95 Triplet Lake Drive Casselberry, FL Generator: Fixed (1): 250kw Non-Combustible

$0 $30,000Special Form

020001 95 Triplet Lake Drive Casselberry, FL Lights (40) Masonry

Non-Combustible

$0 $111,200Special Form

021001 95 Triplet Lake Drive Casselberry, FL Lights (12): Pathway: (12) Masonry

Non-Combustible

$0 $48,720Special Form

022001 95 Triplet Lake Drive Casselberry, FL Irrigation System (1) Non-Combustible

$0 $3,800Special Form

023001 95 Triplet Lake Drive Casselberry, FL Fuel Tank for Location 1 Building 19 Non-Combustible

$0 $10,551Special Form

001002 1040 Seventh Street Casselberry, FL Fleet Maintenance Building (A) Joisted Masonry

$79,445 Special Form$624,000Special Form

PR-SCHED 1014 Page 1 of 22

October 1, 2017 - October 1, 2018

AddressLocation # Occupancy Construction Type

Cause of Loss - Building Limit Cause of Loss - Personal Property LimitBldLoc

002002 1040 Seventh Street Casselberry, FL Distribution & Collection Division (D) Non-Combustible

$33,427 Special Form$1,109,000Special Form

003002 1040 Seventh Street Casselberry, FL 100 Ft Tower & Antenna Non-Combustible

$0 $8,612Special Form

004002 1040 Seventh Street Casselberry, FL Lift Station Division (B) Non-Combustible

$0 $380,000Special Form

005002 1040 Seventh Street Casselberry, FL Stormwater Division (C) Non-Combustible

$300,000 Special Form$307,000Special Form

006002 1040 Seventh Street Casselberry, FL Tanks - Gas Non-Combustible

$0 $33,750Special Form

007002 1040 Seventh Street Casselberry, FL Fleet Storage Building #1 Joisted Masonry

$0 $8,700Special Form

008002 1040 Seventh Street Casselberry, FL Fleet Maintenance Storage Building #2 Joisted Masonry

$0 $6,000Special Form

009002 1040 Seventh Street Casselberry, FL Fleet Maintenance Storage Building #3 Joisted Masonry

$0 $15,150Special Form

010002 1040 Seventh Street Casselberry, FL Pesticide Storage Building Joisted Masonry

$0 $8,700Special Form

011002 1040 Seventh Street Casselberry, FL E-1 Office Building Joisted Masonry

$0 $14,500Special Form

012002 1040 Seventh Street Casselberry, FL E-2 Office Building Joisted Masonry

$0 $40,000Special Form

013002 1040 Seventh Street Casselberry, FL E-3 Office Building Joisted Masonry

$0 $40,000Special Form

014002 1040 Seventh Street Casselberry, FL Shade Structure Non-Combustible

$0 $5,600Special Form

015002 1040 Seventh Street Casselberry, FL Signs:(1) Non-Combustible

$0 $125Special Form

016002 1040 Seventh Street Casselberry, FL Generator: 75kw Non-Combustible

$0 $27,750Special Form

017002 1040 Seventh Street Casselberry, FL Pump Station:(2) Fuel Non-Combustible

$0 $5,000Special Form

018002 1040 Seventh Street Casselberry, FL Fuel Keycard Non-Combustible

$0 $2,400Special Form

019002 1040 Seventh Street Casselberry, FL Shade Structure: Fuel Structure Frame

$0 $1,000Special Form

020002 1040 Seventh Street Casselberry, FL Wall: (400ft) Masonry

Non-Combustible

$0 $26,000Special Form

021002 1040 Seventh Street Casselberry, FL Generator: Fixed: 75kw Non-Combustible

$0 $27,750Special Form

022002 1040 Seventh Street Casselberry, FL Lights: Single Fixtures (5) Masonry

Non-Combustible

$0 $30,000Special Form

023002 1040 Seventh Street Casselberry, FL Fence Non-Combustible

$0 $29,500Special Form

024002 1040 Seventh Street Casselberry, FL Lift Station Non-Combustible

$0 $7,500Special Form

PR-SCHED 1014 Page 2 of 22

October 1, 2017 - October 1, 2018

AddressLocation # Occupancy Construction Type

Cause of Loss - Building Limit Cause of Loss - Personal Property LimitBldLoc

001003 808 Mark David Boulevard Casselberry, FL Picnic Shelter @ Wirz Recreation Center Frame

$0 $24,000Special Form

002003 808 Mark David Boulevard Casselberry, FL Wirz Recreation Center Joisted Masonry

$6,018 Special Form$351,000Special Form

003003 808 Mark David Boulevard Casselberry, FL Restrooms/Storage - Wirz Park Joisted Masonry

$2,900 Special Form$182,000Special Form

009003 808 Mark David Boulevard Casselberry, FL 5-Portable Bleachers $1,430 each Non-Combustible

$0 $25,000Special Form

010003 808 Mark David Boulevard Casselberry, FL 5-Canopies Frame

$0 $37,500Special Form

024003 808 Mark David Boulevard Casselberry, FL 1-Pedestrian Bridge Frame

$0 $346,500Basic

025003 808 Mark David Boulevard Casselberry, FL Pavilion: Picnic #2 Frame

$0 $19,520Special Form

030003 808 Mark David Boulevard Casselberry, FL 2-Baseball Scoreboards Joisted Masonry

$0 $6,800Special Form

031003 808 Mark David Boulevard Casselberry, FL 2-Basketball Backboards Non-Combustible

$0 $136,800Special Form

032003 808 Mark David Boulevard Casselberry, FL 3-Chain Link Fences (300 LF-$2,930 60

LF-$587 420 LF-$6,010)

Non-Combustible

$0 $9,527Special Form

033003 808 Mark David Boulevard Casselberry, FL 1-MCC Panel Non-Combustible

$0 $1,570Special Form

034003 808 Mark David Boulevard Casselberry, FL 31-Metal Garbage Cans Non-Combustible

$0 $13,640Special Form

035003 808 Mark David Boulevard Casselberry, FL 1-Retaining Wall Non-Combustible

$0 $3,810Special Form

036003 808 Mark David Boulevard Casselberry, FL 2-Swimming Pool Concrete

(1-306sf-$18,800 1-2,220sf-$136,000)

Masonry

Non-Combustible

$0 $154,800Special Form

037003 808 Mark David Boulevard Casselberry, FL 1-Park Sign Non-Combustible

$0 $2,500Special Form

038003 808 Mark David Boulevard Casselberry, FL 3-Baseball Backstops (Full $5,710-Lg

$7,820-Sm $3,980)

Non-Combustible

$0 $17,510Special Form

039003 808 Mark David Boulevard Casselberry, FL Barbecue Pit Non-Combustible

$0 $140Special Form

040003 808 Mark David Boulevard Casselberry, FL 1-Basketball Court w/Lighting Non-Combustible

$0 $33,800Special Form

041003 808 Mark David Boulevard Casselberry, FL 4-Dugouts Non-Combustible

$0 $56,000Special Form

042003 808 Mark David Boulevard Casselberry, FL 1-Flagpole Frame

$0 $1,360Special Form

043003 808 Mark David Boulevard Casselberry, FL 2-20' Light Poles Wood Frame

$0 $2,900Special Form

044003 808 Mark David Boulevard Casselberry, FL 7-50' Light Poles Frame

$0 $33,250Special Form

PR-SCHED 1014 Page 3 of 22

October 1, 2017 - October 1, 2018

AddressLocation # Occupancy Construction Type

Cause of Loss - Building Limit Cause of Loss - Personal Property LimitBldLoc

045003 808 Mark David Boulevard Casselberry, FL 1-Modular Play System Non-Combustible

$0 $22,550Special Form

046003 808 Mark David Boulevard Casselberry, FL 2-Motors (1.5hp-$1,470 5hp-$1,550) Non-Combustible

$0 $3,020Special Form

047003 808 Mark David Boulevard Casselberry, FL 1-Pump 1.5hp Non-Combustible

$0 $4,370Special Form

048003 808 Mark David Boulevard Casselberry, FL 3-Swing 2 Seats Non-Combustible

$0 $3,870Special Form

049003 808 Mark David Boulevard Casselberry, FL Park Sign Frame

$0 $2,500Special Form

050003 808 Mark David Boulevard Casselberry, FL Horizontal Monkey Ladder Frame

$0 $880Special Form

051003 808 Mark David Boulevard Casselberry, FL 7-Park Benches Frame

$0 $3,640Special Form

052003 808 Mark David Boulevard Casselberry, FL 13-Picnic Tables Frame

$0 $9,360Special Form

053003 808 Mark David Boulevard Casselberry, FL 18-Pool Lounge Chairs @ $120 each Frame

$0 $2,160Special Form

054003 808 Mark David Boulevard Casselberry, FL 1-Water Fountain Spout Frame

$0 $1,300Special Form

055003 808 Mark David Boulevard Casselberry, FL Announcer Booth/Storage Building Joisted Masonry

$0 $52,800Special Form

056003 808 Mark David Boulevard Casselberry, FL Maintenance Equipment Storage

Building

Joisted Masonry

$0 $13,500Special Form

057003 808 Mark David Boulevard Casselberry, FL Sign: Parking Lot Non-Combustible

$0 $250Special Form

058003 808 Mark David Boulevard Casselberry, FL Swimming Pool Concrete Masonry

Non-Combustible

$0 $18,750Special Form

059003 808 Mark David Boulevard Casselberry, FL Shade Structure Non-Combustible

$0 $6,175Special Form

060003 808 Mark David Boulevard Casselberry, FL Multi-Play Structure(1): Playground Non-Combustible

$0 $30,000Special Form

061003 808 Mark David Boulevard Casselberry, FL Signs (2): Parking Lot Non-Combustible

$0 $1,050Special Form

062003 808 Mark David Boulevard Casselberry, FL Signs: Parking Lot Non-Combustible

$0 $550Special Form

063003 808 Mark David Boulevard Casselberry, FL Pump Station: Pool Water Non-Combustible

$0 $9,300Special Form

064003 808 Mark David Boulevard Casselberry, FL Signs: Parking Lot Non-Combustible

$0 $250Special Form

065003 808 Mark David Boulevard Casselberry, FL Signs: Parking Lot Frame

$0 $550Special Form

066003 808 Mark David Boulevard Casselberry, FL Signs: Parking Lot Non-Combustible

$0 $475Special Form

001004 700 Cross Street Casselberry, FL Administration Building - WWTP Joisted Masonry

$64,759 Special Form$429,000Special Form

PR-SCHED 1014 Page 4 of 22

October 1, 2017 - October 1, 2018

AddressLocation # Occupancy Construction Type

Cause of Loss - Building Limit Cause of Loss - Personal Property LimitBldLoc

002004 700 Cross Street Casselberry, FL Pump Station - WWTP Masonry

Non-Combustible

$208,200 Special Form$106,000Special Form

003004 700 Cross Street Casselberry, FL Diesel Fuel Tank - WWTP Non-Combustible

$2,700 Special Form$29,250Special Form

005004 700 Cross Street Casselberry, FL Extended Aeration Tanks - WWTP (Plant

1)

Masonry

Non-Combustible

$97,200 Special Form$3,059,000Special Form

006004 700 Cross Street Casselberry, FL Headworks - WWTP Non-Combustible

$92,300 Special Form$140,000Special Form

007004 700 Cross Street Casselberry, FL Casselberry Animal Control - WWTP Joisted Masonry

$68,300 Special Form$68,000Special Form

009004 700 Cross Street Casselberry, FL Surge Tanks - WWTP Masonry

Non-Combustible

$63,000 Special Form$1,000,000Special Form

011004 700 Cross Street Casselberry, FL Dyna Sand Filters - WWTP Masonry

Non-Combustible

$3,800 Special Form$119,000Special Form

012004 700 Cross Street Casselberry, FL ABW Filter - WWTP Masonry

Non-Combustible

$44,800 Special Form$382,000Special Form

013004 700 Cross Street Casselberry, FL Chlorine Contact Chamber Masonry

Non-Combustible

$9,200 Special Form$162,000Special Form

014004 700 Cross Street Casselberry, FL 2 MG Water Storage Tank - WWTP Masonry

Non-Combustible

$25,000 Special Form$1,157,000Special Form

015004 700 Cross Street Casselberry, FL 1 MG Water Storage Tank - WWTP Masonry

Non-Combustible

$25,000 Special Form$786,000Special Form

017004 700 Cross Street Casselberry, FL Chlorine Building - WWTP Masonry

Non-Combustible

$25,100 Special Form$72,000Special Form

018004 700 Cross Street Casselberry, FL Horizontal Metal Tank - WWTP Non-Combustible

$87,000 Special Form$87,000Special Form

019004 700 Cross Street Casselberry, FL Sludge Drying Beds Masonry

Non-Combustible

$3,300 Special Form$103,000Special Form

020004 700 Cross Street Casselberry, FL Digester 1 - WWTP Masonry

Non-Combustible

$48,600 Special Form$170,000Special Form

021004 700 Cross Street Casselberry, FL Digester 2 - WWTP Masonry

Non-Combustible

$38,400 Special Form$183,000Special Form

022004 700 Cross Street Casselberry, FL High Service Pumps Non-Combustible

$146,900 Special Form$180,000Special Form

023004 700 Cross Street Casselberry, FL Animal Control Bldg Joisted Masonry

$3,343 Special Form$140,000Special Form

PR-SCHED 1014 Page 5 of 22

October 1, 2017 - October 1, 2018

AddressLocation # Occupancy Construction Type

Cause of Loss - Building Limit Cause of Loss - Personal Property LimitBldLoc

024004 700 Cross Street Casselberry, FL Analyze/Transfer Pump Building Masonry

Non-Combustible

$0 $150,000Special Form

025004 700 Cross Street Casselberry, FL Surge Pump/Compressor Building Joisted Masonry

$0 $72,500Special Form

026004 700 Cross Street Casselberry, FL Blower Building Joisted Masonry

$0 $52,200Special Form

027004 700 Cross Street Casselberry, FL Generator/Blower Building Joisted Masonry

$0 $211,200Special Form

028004 700 Cross Street Casselberry, FL Scrubber Unit Non-Combustible

$0 $45,000Special Form

029004 700 Cross Street Casselberry, FL Sign: Plant Name Masonry

Non-Combustible

$0 $3,000Special Form

030004 700 Cross Street Casselberry, FL Sign (1): Parking Lot Non-Combustible

$0 $1,250Special Form

031004 700 Cross Street Casselberry, FL Transformer: Electrical Non-Combustible

$0 $8,500Special Form

032004 700 Cross Street Casselberry, FL Light (45): Parking/Pathway Non-Combustible

$0 $54,000Special Form

033004 700 Cross Street Casselberry, FL Fence: WWTP Non-Combustible

$0 $301,125Special Form

001005 101 W. Melody Lane Casselberry, FL Storage Bldgs Non-Combustible

$10,000 Special Form$1,750Special Form

001006 720 N. Semoran Boulevard Casselberry, FL WTP Office - Howell Park Water Plant Masonry

Non-Combustible

$20,727 Special Form$40,000Special Form

002006 720 N. Semoran Boulevard Casselberry, FL 750K Water Storage Tank - Howell Park

Water Plant

Masonry

Non-Combustible

$112,930 Special Form$763,000Special Form

003006 720 N. Semoran Boulevard Casselberry, FL 250K Water Storage Tank - Howell Park

Water Plant

Masonry

Non-Combustible

$499,829 Special Form$435,000Special Form

004006 720 N. Semoran Boulevard Casselberry, FL Generator Bldg - Howell Park Water

Plant

Masonry

Non-Combustible

$174,692 Special Form$152,000Special Form

005006 720 N. Semoran Boulevard Casselberry, FL Pump Bldg - Howell Park Water Plant Masonry

Non-Combustible

$2,562 Special Form$275,000Special Form

006006 720 N. Semoran Boulevard Casselberry, FL Old Electrical Building Joisted Masonry

$0 $6,400Special Form

007006 720 N. Semoran Boulevard Casselberry, FL Tank: Diesel Storage: 500 Gallon Non-Combustible

$0 $2,500Special Form

008006 720 N. Semoran Boulevard Casselberry, FL Tank: Hydropneumatic Holding Non-Combustible

$0 $75,000Special Form

009006 720 N. Semoran Boulevard Casselberry, FL Shade Structure Non-Combustible

$0 $1,950Special Form

001007 530 Bridle Path Casselberry, FL 1 MG Water Storage Tank - North WTP Joisted Masonry

$908,588 Special Form$831,000Special Form

PR-SCHED 1014 Page 6 of 22

October 1, 2017 - October 1, 2018

AddressLocation # Occupancy Construction Type

Cause of Loss - Building Limit Cause of Loss - Personal Property LimitBldLoc

002007 530 Bridle Path Casselberry, FL WTP Office - North Water Treatment

Plant

Masonry

Non-Combustible

$305,422 Special Form$490,000Special Form

003007 530 Bridle Path Casselberry, FL 1 MG Water Storage Tank - North WTP Masonry

Non-Combustible

$908,588 Special Form$831,000Special Form

004007 530 Bridle Path Casselberry, FL Vehicle Storage Building Joisted Masonry

$0 $48,125Special Form

005007 530 Bridle Path Casselberry, FL PVC Storage Building Joisted Masonry

$0 $6,000Special Form

006007 530 Bridle Path Casselberry, FL Power Transformer (1) Non-Combustible

$0 $5,675Special Form

007007 530 Bridle Path Casselberry, FL Diesel Storage: Tank (1) Non-Combustible

$0 $3,000Special Form

008007 530 Bridle Path Casselberry, FL Chemical Wash Station(1) Non-Combustible

$0 $1,250Special Form

009007 530 Bridle Path Casselberry, FL WTP: Sign (1) Masonry

Non-Combustible

$0 $1,250Special Form

010007 530 Bridle Path Casselberry, FL Fence: WTP Non-Combustible

$0 $81,675Special Form

001009 1890 Casselton Drive Casselberry, FL WTP Office - South WTP Masonry

Non-Combustible

$66,854 Special Form$397,000Special Form

002009 1890 Casselton Drive Casselberry, FL Elevated Storage Tank - South WTP Masonry

Non-Combustible

$0 $800,000Special Form

003009 1890 Casselton Drive Casselberry, FL Ground Storage Tank - South WTP Joisted Masonry

$105,749 Special Form$756,000Special Form

004009 1890 Casselton Drive Casselberry, FL 500K Water Storage Tank - South WTP Masonry

Non-Combustible

$61,863 Special Form$500,000Special Form

005009 1890 Casselton Drive Casselberry, FL Chlorine Building Joisted Masonry

$0 $4,800Special Form

006009 1890 Casselton Drive Casselberry, FL Sodium Hypochlorite Storage Building Joisted Masonry

$0 $11,250Special Form

007009 1890 Casselton Drive Casselberry, FL Free Standing: Antenna Non-Combustible

$0 $1,700Special Form

008009 1890 Casselton Drive Casselberry, FL Power Transformer (1) Non-Combustible

$0 $5,675Special Form

009009 1890 Casselton Drive Casselberry, FL Granulated Activated Carbon Vessel:

Tanks (5)

Non-Combustible

$0 $352,750Special Form

010009 1890 Casselton Drive Casselberry, FL Backwash: Tank Masonry

Non-Combustible

$0 $31,500Special Form

011009 1890 Casselton Drive Casselberry, FL Diesel Fuel: Storage Tank (1) Masonry

Non-Combustible

$0 $5,000Special Form

PR-SCHED 1014 Page 7 of 22

October 1, 2017 - October 1, 2018

AddressLocation # Occupancy Construction Type

Cause of Loss - Building Limit Cause of Loss - Personal Property LimitBldLoc

012009 1890 Casselton Drive Casselberry, FL Vertical Turbine: Tanks (2) Non-Combustible

$0 $30,000Special Form

013009 1890 Casselton Drive Casselberry, FL Pump System Non-Combustible

$0 $124,000Special Form

014009 1890 Casselton Drive Casselberry, FL Wet Well #1 Pump Station Masonry

Non-Combustible

$0 $26,500Special Form

015009 1890 Casselton Drive Casselberry, FL 12' Equipment Shelter(1) WTP: Chemical

Storage Tank

Masonry

Non-Combustible

$0 $3,900Special Form

001010 200 N Triplet Lake Drive Casselberry, FL Restrooms - Secret Lake Park Joisted Masonry

$0 $72,000Special Form

003010 200 N Triplet Lake Drive Casselberry, FL Picnic Shelter - Secret Lake Park Frame

$0 $29,400Special Form

004010 200 N Triplet Lake Drive Casselberry, FL Senior Center - Secret Lake Park Masonry

Non-Combustible

$8,023 Special Form$1,198,000Special Form

005010 200 N Triplet Lake Drive Casselberry, FL Gazebo - Secret Lake Park Frame

$0 $18,750Special Form

006010 200 N Triplet Lake Drive Casselberry, FL Racquetball Bldg - Secret Lake Park Joisted Masonry

$0 $42,000Special Form

009010 200 N Triplet Lake Drive Casselberry, FL 7-Portable Bleachers Frame

$0 $10,010Special Form

010010 200 N Triplet Lake Drive Casselberry, FL 1-Boardwalk Frame

$0 $520,840Basic

011010 200 N Triplet Lake Drive Casselberry, FL 2-Canopies Frame

$0 $11,250Special Form

020010 200 N Triplet Lake Drive Casselberry, FL 3-Marinas (#1 420sf-$20,350 #2

560sf-$26,820 #3 243sf-$12,320)

Joisted Masonry

$0 $59,490Basic

024010 200 N Triplet Lake Drive Casselberry, FL 2-Picnic Shelters (1@$24,990 1@3$9,600) Frame

$0 $24,990Special Form

035010 200 N Triplet Lake Drive Casselberry, FL Fishing Pier Frame

$0 $65,029Basic

036010 200 N Triplet Lake Drive Casselberry, FL 1-10' Chain Link Fences Non-Combustible

$0 $5,370Special Form

037010 200 N Triplet Lake Drive Casselberry, FL 3-20' Light Poles (1@$4,350/2@

$2,480ea/2@$3,100ea)

Non-Combustible

$0 $15,510Special Form

038010 200 N Triplet Lake Drive Casselberry, FL 7-50' Light Poles (2-$6,500ea 1-$7,130

4-$10,870ea)

Non-Combustible

$0 $63,610Special Form

039010 200 N Triplet Lake Drive Casselberry, FL 16-Metal Garbage Cans @ $440each Non-Combustible

$0 $7,040Special Form

040010 200 N Triplet Lake Drive Casselberry, FL 1-Racquetball Court Non-Combustible

$0 $107,180Special Form

041010 200 N Triplet Lake Drive Casselberry, FL 3-Retaining Walls (1-148sf-$3,810

1-108sf-$2,780 1-120sf-$3,090)

Non-Combustible

$0 $9,680Special Form

PR-SCHED 1014 Page 8 of 22

October 1, 2017 - October 1, 2018

AddressLocation # Occupancy Construction Type

Cause of Loss - Building Limit Cause of Loss - Personal Property LimitBldLoc

042010 200 N Triplet Lake Drive Casselberry, FL 1-Baseball Backstop Lg. Non-Combustible

$0 $7,820Special Form

043010 200 N Triplet Lake Drive Casselberry, FL 3-Barbecue Pits Non-Combustible

$0 $420Special Form

044010 200 N Triplet Lake Drive Casselberry, FL 1-Basketball Court w/Lighting Frame

$0 $38,174Special Form

045010 200 N Triplet Lake Drive Casselberry, FL 1-Tennis Court w/Fence & Lighting Frame

$0 $102,077Special Form

046010 200 N Triplet Lake Drive Casselberry, FL 2-Dugouts 10x20 Non-Combustible

$0 $28,000Special Form

047010 200 N Triplet Lake Drive Casselberry, FL 1-Soccer Goals Jr. Non-Combustible

$0 $1,180Special Form

048010 200 N Triplet Lake Drive Casselberry, FL 2-Soccer Goals Regulation Non-Combustible

$0 $3,340Special Form

049010 200 N Triplet Lake Drive Casselberry, FL 1-Modular Play System Non-Combustible

$0 $25,200Special Form

050010 200 N Triplet Lake Drive Casselberry, FL 16-Picnic Tables Non-Combustible

$0 $11,520Special Form

051010 200 N Triplet Lake Drive Casselberry, FL 1-Brick Sign Masonry

Non-Combustible

$0 $2,500Special Form

052010 200 N Triplet Lake Drive Casselberry, FL 1-Wood Sign Frame

$0 $2,500Special Form

053010 200 N Triplet Lake Drive Casselberry, FL Modular Play System Non-Combustible

$0 $15,430Special Form

054010 200 N Triplet Lake Drive Casselberry, FL Climber Non-Combustible

$0 $12,432Special Form

055010 200 N Triplet Lake Drive Casselberry, FL 7-Park Benches @ $520 each Frame

$0 $3,640Special Form

056010 200 N Triplet Lake Drive Casselberry, FL Sand Volleyball Court Frame

$0 $10,500Special Form

057010 200 N Triplet Lake Drive Casselberry, FL 1-Swing (2 Seats) Frame

$0 $1,290Special Form

058010 200 N Triplet Lake Drive Casselberry, FL 1-Swing (4 Seats) Frame

$0 $1,920Special Form

059010 200 N Triplet Lake Drive Casselberry, FL Water Fountain Frame

$0 $2,490Special Form

060010 200 N Triplet Lake Drive Casselberry, FL Restroom & Storage Building Joisted Masonry

$0 $16,000Special Form

061010 200 N Triplet Lake Drive Casselberry, FL Signs: Parking (3): No Parking Non-Combustible

$0 $375Special Form

062010 200 N Triplet Lake Drive Casselberry, FL Sign: Lighting Warning Non-Combustible

$0 $275Special Form

063010 200 N Triplet Lake Drive Casselberry, FL Sign: Wildlife Warning (1) Non-Combustible

$0 $125Special Form

064010 200 N Triplet Lake Drive Casselberry, FL Sign: Park Rules/ Hours: (1) Non-Combustible

$0 $275Special Form

PR-SCHED 1014 Page 9 of 22

October 1, 2017 - October 1, 2018

AddressLocation # Occupancy Construction Type

Cause of Loss - Building Limit Cause of Loss - Personal Property LimitBldLoc

065010 200 N Triplet Lake Drive Casselberry, FL Sign: No Swimming Non-Combustible

$0 $125Special Form

066010 200 N Triplet Lake Drive Casselberry, FL Sign: Pet Waste (2) Non-Combustible

$0 $750Special Form

067010 200 N Triplet Lake Drive Casselberry, FL Sign: Pet Waste: (2) Non-Combustible

$0 $195Special Form

068010 200 N Triplet Lake Drive Casselberry, FL Sign Frame

$0 $1,500Special Form

069010 200 N Triplet Lake Drive Casselberry, FL Equipment Shelter: Pavilion Frame

$0 $1,200Special Form

070010 200 N Triplet Lake Drive Casselberry, FL Wood Sign Frame

$0 $8,750Special Form

071010 200 N Triplet Lake Drive Casselberry, FL Sign Frame

$0 $4,875Special Form

072010 200 N Triplet Lake Drive Casselberry, FL Bridge (1) Masonry

Non-Combustible

$0 $23,520Basic

073010 200 N Triplet Lake Drive Casselberry, FL Light (3-4 Fixtures): Sports Field Masonry

Non-Combustible

$0 $38,250Special Form

074010 200 N Triplet Lake Drive Casselberry, FL Light (9-11 Fixtures): Sports Field Masonry

Non-Combustible

$0 $89,250Special Form

075010 200 N Triplet Lake Drive Casselberry, FL Light (3-4 Fixtures): Sports Field Masonry

Non-Combustible

$0 $38,250Special Form

076010 200 N Triplet Lake Drive Casselberry, FL Light (9-11 Fixtures): Sports Field Masonry

Non-Combustible

$0 $34,000Special Form

077010 200 N Triplet Lake Drive Casselberry, FL Bleachers: 5-row Non-Combustible

$0 $4,875Special Form

078010 200 N Triplet Lake Drive Casselberry, FL Bleachers: 5-row Non-Combustible

$0 $21,600Special Form

079010 200 N Triplet Lake Drive Casselberry, FL Electronic: Baseball: Scoreboard Non-Combustible

$0 $3,400Special Form

080010 200 N Triplet Lake Drive Casselberry, FL Sign: Near Basketball Court Masonry

Non-Combustible

$0 $4,500Special Form

001011 Dew Drop Park Casselberry, FL Restrooms / Playground Equipment /

Tennis Court

Joisted Masonry

$0 $23,000Special Form

002011 Dew Drop Park Casselberry, FL Picnic Shelter and Playground

Equipment

Frame

$0 $51,750Special Form

012011 Dew Drop Park Casselberry, FL 1-Basketball Backboard Single Goal Non-Combustible

$0 $1,940Special Form

013011 Dew Drop Park Casselberry, FL 1-Basketball Court 30x40 Non-Combustible

$0 $14,450Special Form

PR-SCHED 1014 Page 10 of 22

October 1, 2017 - October 1, 2018

AddressLocation # Occupancy Construction Type

Cause of Loss - Building Limit Cause of Loss - Personal Property LimitBldLoc

014011 Dew Drop Park Casselberry, FL 1-Tennis Court w/Fencing Non-Combustible

$0 $39,300Special Form

015011 Dew Drop Park Casselberry, FL Chain Link Fence 12' 380LF Non-Combustible

$0 $10,300Special Form

016011 Dew Drop Park Casselberry, FL 2-Metal Garbage Cans Non-Combustible

$0 $880Special Form

017011 Dew Drop Park Casselberry, FL Modular Play System Non-Combustible

$0 $28,850Special Form

018011 Dew Drop Park Casselberry, FL 1-Park Sign Non-Combustible

$0 $2,500Special Form

019011 Dew Drop Park Casselberry, FL 1-Barbecue Pit Non-Combustible

$0 $140Special Form

020011 Dew Drop Park Casselberry, FL 3-Picnic Tables Non-Combustible

$0 $2,160Special Form

021011 Dew Drop Park Casselberry, FL 1-Playground System 2 Non-Combustible

$0 $17,860Special Form

022011 Dew Drop Park Casselberry, FL 1-Swing 2 Seats Non-Combustible

$0 $1,290Special Form

023011 Dew Drop Park Casselberry, FL 2-Park Benches Frame

$0 $1,040Special Form

024011 Dew Drop Park Casselberry, FL 1-Sand Volleyball Court Frame

$0 $10,500Special Form

025011 Dew Drop Park Casselberry, FL Park Sign: No Pets Allowed Non-Combustible

$0 $125Special Form

026011 Dew Drop Park Casselberry, FL Park Sign: Pet Waste Non-Combustible

$0 $750Special Form

027011 Dew Drop Park Casselberry, FL Park Sign: Park Rules Non-Combustible

$0 $275Special Form

028011 Dew Drop Park Casselberry, FL Park Sign: Wildlife Warning: (4) Non-Combustible

$0 $500Special Form

029011 Dew Drop Park Casselberry, FL Sign: Dew Drop Park Frame

$0 $750Special Form

001013 880 Osceola Trail Casselberry, FL Restroom Joisted Masonry

$0 $26,500Special Form

007013 880 Osceola Trail Casselberry, FL Boardwalk 144x5 Joisted Masonry

$0 $136,490Basic

015013 880 Osceola Trail Casselberry, FL Picnic Shelter Joisted Masonry

$0 $6,240Special Form

016013 880 Osceola Trail Casselberry, FL 2-Basketball Backboard Single Goal Non-Combustible

$0 $3,880Special Form

017013 880 Osceola Trail Casselberry, FL 1-Basketball Court 50x85 Non-Combustible

$0 $51,180Special Form

018013 880 Osceola Trail Casselberry, FL 1 Bicycle Rack Non-Combustible

$0 $560Special Form

019013 880 Osceola Trail Casselberry, FL 1 Court Tennis w/Fencing Non-Combustible

$0 $39,300Special Form

PR-SCHED 1014 Page 11 of 22

October 1, 2017 - October 1, 2018

AddressLocation # Occupancy Construction Type

Cause of Loss - Building Limit Cause of Loss - Personal Property LimitBldLoc

020013 880 Osceola Trail Casselberry, FL Chain Link Fence 10' 320LF Non-Combustible

$0 $7,320Special Form

021013 880 Osceola Trail Casselberry, FL 30' Light Pole Concrete 2 Fixtures Non-Combustible

$0 $4,030Special Form

022013 880 Osceola Trail Casselberry, FL 2-Metal Garbage Cans Non-Combustible

$0 $880Special Form

023013 880 Osceola Trail Casselberry, FL 1-Retaining Wall Masonry 104sf Non-Combustible

$0 $1,760Special Form

024013 880 Osceola Trail Casselberry, FL Retaining Wall 50sf Non-Combustible

$0 $847Special Form

025013 880 Osceola Trail Casselberry, FL 1-Park Sign Non-Combustible

$0 $2,500Special Form

026013 880 Osceola Trail Casselberry, FL 1 Baseball Backstop Small Non-Combustible

$0 $3,980Special Form

027013 880 Osceola Trail Casselberry, FL 1-Barbecue Pit Non-Combustible

$0 $140Special Form

028013 880 Osceola Trail Casselberry, FL Modular Play System Non-Combustible

$0 $27,900Special Form

029013 880 Osceola Trail Casselberry, FL 2-Picnic Table @ $720 each Non-Combustible

$0 $1,440Special Form

030013 880 Osceola Trail Casselberry, FL 1 Swing 2 Seats Non-Combustible

$0 $1,290Special Form

031013 880 Osceola Trail Casselberry, FL Horizontal Monkey Ladder Frame

$0 $880Special Form

032013 880 Osceola Trail Casselberry, FL 2-Park Benches Frame

$0 $1,040Special Form

033013 880 Osceola Trail Casselberry, FL Water Fountain - 1 Spout Frame

$0 $1,300Special Form

034013 880 Osceola Trail Casselberry, FL Sign: Wildlife Informational Non-Combustible

$0 $625Special Form

035013 880 Osceola Trail Casselberry, FL Sign: Park Rules (2) Non-Combustible

$0 $550Special Form

036013 880 Osceola Trail Casselberry, FL Sign: No Lake Swimming (1) Non-Combustible

$0 $125Special Form

037013 880 Osceola Trail Casselberry, FL Sign: No Tobacco (1) Non-Combustible

$0 $125Special Form

038013 880 Osceola Trail Casselberry, FL Sign: No Parking(1) Non-Combustible

$0 $125Special Form

039013 880 Osceola Trail Casselberry, FL Sign: Pet Waste Non-Combustible

$0 $750Special Form

001014 Hunterfield Casselberry, FL Storage Building Joisted Masonry

$0 $96,000Special Form

002014 Hunterfield Casselberry, FL Storage Tank Joisted Masonry

$0 $938,454Special Form

003014 Hunterfield Casselberry, FL Free Standing: Antennas (2) Non-Combustible

$0 $5,100Special Form

PR-SCHED 1014 Page 12 of 22

October 1, 2017 - October 1, 2018

AddressLocation # Occupancy Construction Type

Cause of Loss - Building Limit Cause of Loss - Personal Property LimitBldLoc

001015 200 Ivey Road Casselberry, FL Recreation Bldg & Office Non-Combustible

$28,015 Special Form$75,000Special Form

002015 200 Ivey Road Casselberry, FL Recreation Storage Bldg Joisted Masonry

$0 $45,000Special Form

001016 Red Bug Lake/FS 25 Casselberry, FL Traffic Signals(Red Bug Lake/FS 25) Non-Combustible

$0 $20,000Special Form

001017 127 Quail Pond Casselberry, FL Casselberry Art House Joisted Masonry

$5,789 Special Form$253,000Special Form

002017 127 Quail Pond Casselberry, FL Art Sculptures Joisted Masonry

$0 $80,000Special Form

003017 127 Quail Pond Casselberry, FL Light (40): Parking/Pathway Masonry

Non-Combustible

$0 $96,000Special Form

004017 127 Quail Pond Casselberry, FL Light (12): Parking/Pathway Masonry

Non-Combustible

$0 $30,840Special Form

001018 101 Melody Lane Casselberry, FL Elevated Storage Tank Non-Combustible

$0 $1,150,000Special Form

001019 Between 2205 & 2251 Hunterfield Road

Casselberry, FL

Elevated Storage Tank Non-Combustible

$0 $1,150,000Special Form

001020 4195 South US Hwy 17-92 Casselberry, FL Police Department Masonry

Non-Combustible

$1,300,000 Special Form$4,973,000Special Form

002020 4195 South US Hwy 17-92 Casselberry, FL Antenna Non-Combustible

$0 $2,550Special Form

003020 4195 South US Hwy 17-92 Casselberry, FL Light: (8) Parking/Pathway Masonry

Non-Combustible

$0 $30,000Special Form

004020 4195 South US Hwy 17-92 Casselberry, FL Generator: Fixed Non-Combustible

$0 $68,250Special Form

005020 4195 South US Hwy 17-92 Casselberry, FL Tank: Diesel Storage Masonry

Non-Combustible

$0 $2,500Special Form

006020 4195 South US Hwy 17-92 Casselberry, FL Sign: Police Department Masonry

Non-Combustible

$0 $3,650Special Form

007020 4195 South US Hwy 17-92 Casselberry, FL Sign: Parking Lot Non-Combustible

$0 $500Special Form

008021 450 Ball Park Road Casselberry, FL 1-Picnic Shelter Joisted Masonry

$0 $19,520Special Form

009021 450 Ball Park Road Casselberry, FL 3 - Metal Garbage Cans Non-Combustible

$0 $1,320Special Form

010021 450 Ball Park Road Casselberry, FL 2 Parallel Bars Steel Non-Combustible

$0 $1,060Special Form

011021 450 Ball Park Road Casselberry, FL 2-Swings Non-Combustible

$0 $2,580Special Form

012021 450 Ball Park Road Casselberry, FL Sign Non-Combustible

$0 $250Special Form

PR-SCHED 1014 Page 13 of 22

October 1, 2017 - October 1, 2018

AddressLocation # Occupancy Construction Type

Cause of Loss - Building Limit Cause of Loss - Personal Property LimitBldLoc

013021 450 Ball Park Road Casselberry, FL All Playground Equipment Non-Combustible

$0 $35,733Special Form

014021 450 Ball Park Road Casselberry, FL Barbecue Pit Non-Combustible

$0 $140Special Form

015021 450 Ball Park Road Casselberry, FL Modular Play System Non-Combustible

$0 $12,150Special Form

016021 450 Ball Park Road Casselberry, FL 2-Picnic Table Non-Combustible

$0 $1,440Special Form

017021 450 Ball Park Road Casselberry, FL Horizontal Monkey Ladder Frame

$0 $880Special Form

018021 450 Ball Park Road Casselberry, FL 2 - Park Benches Frame

$0 $1,040Special Form

019021 450 Ball Park Road Casselberry, FL Water Fountain Frame

$0 $1,300Special Form

020021 450 Ball Park Road Casselberry, FL Multi Play Structure Non-Combustible

$0 $25,000Special Form

021021 450 Ball Park Road Casselberry, FL Sign: Parking Lot Non-Combustible

$0 $500Special Form

022021 450 Ball Park Road Casselberry, FL Sign: Parking Lot Non-Combustible

$0 $225Special Form

023021 450 Ball Park Road Casselberry, FL Sign: No Pets Non-Combustible

$0 $250Special Form

024021 450 Ball Park Road Casselberry, FL Sign: No Tobacco Non-Combustible

$0 $125Special Form

025021 450 Ball Park Road Casselberry, FL Sign: World Fit Health Instructional Non-Combustible

$0 $750Special Form

001022 329 Seminola Boulevard Casselberry, FL Lift Station #22 Frame

$0 $112,500Special Form

002022 329 Seminola Boulevard Casselberry, FL Generator Building Joisted Masonry

$0 $40,500Special Form

003022 329 Seminola Boulevard Casselberry, FL Diesel Storage Tank (1) Masonry

Non-Combustible

$0 $5,000Special Form

001025 SR 436 @ Reflections Apts. Casselberry, FL Lift Station #23 Masonry

Non-Combustible

$0 $112,500Special Form

001026 5207 Woodcrest Court N Casselberry, FL S & L Wet Well Mount Masonry

Non-Combustible

$0 $112,500Special Form

001027 619 Wilshire Drive Casselberry, FL S & L Wet Well Mount Masonry

Non-Combustible

$0 $112,500Special Form

001028 640 Desote Drive Casselberry, FL Lift Station #26 Masonry

Non-Combustible

$0 $112,500Special Form

001029 102 Lago Vista Blvd Casselberry, FL S & L Wet Well Mount Masonry

Non-Combustible

$0 $112,500Special Form

PR-SCHED 1014 Page 14 of 22

October 1, 2017 - October 1, 2018

AddressLocation # Occupancy Construction Type

Cause of Loss - Building Limit Cause of Loss - Personal Property LimitBldLoc

001030 1418 Lakeshore Drive Casselberry, FL Lift Station #28 Masonry

Non-Combustible

$0 $112,500Special Form

001031 N. End of Casselton Drive Casselberry, FL Lift Station #29 Masonry

Non-Combustible

$0 $112,500Special Form

001032 1098 Timberlane Trail Casselberry, FL Lift Station #30 Masonry

Non-Combustible

$0 $112,500Special Form

001033 570 Winter Park Drive N Casselberry, FL Lift Station #31 Masonry

Non-Combustible

$0 $112,500Special Form

001034 327 Salina Drive Casselberry, FL Lift Station #32 Masonry

Non-Combustible

$0 $112,500Special Form

001035 1170 Carmel Circle Casselberry, FL Lift Station #33 Masonry

Non-Combustible

$0 $112,500Special Form

002035 1170 Carmel Circle Casselberry, FL Generator: Steel: Diesel: (1) Non-Combustible

$0 $26,975Special Form

001036 Behind 1433 S. Oxford Road Casselberry, FL Lift Station #34 Masonry

Non-Combustible

$0 $112,500Special Form

002036 Behind 1433 S. Oxford Road Casselberry, FL Generator: Steel: Diesel (1) Non-Combustible

$0 $26,000Special Form

003036 Behind 1433 S. Oxford Road Casselberry, FL Steel: Diesel: (1) Non-Combustible

$0 $750Special Form

001037 Winter Park Drive N @ Gee Creek

Casselberry, FL

Lift Station #35 Masonry

Non-Combustible

$0 $112,500Special Form

001040 851 Mango Dr. Casselberry, FL Lift Station #38 Masonry

Non-Combustible

$0 $112,500Special Form

001041 752 Honeysuckle Dr. Casselberry, FL Lift Station #39 Masonry

Non-Combustible

$0 $112,500Special Form

001043 421 Elm Street Casselberry, FL Lift Station #41 Masonry

Non-Combustible

$0 $112,500Special Form

001044 1861 Derbyshire Road Casselberry, FL Lift Station #42 Masonry

Non-Combustible

$0 $112,500Special Form

001045 870 Osceola Trail Casselberry, FL S & L Wet Well Mount Masonry

Non-Combustible

$0 $112,500Special Form

001046 313 Live Oaks Boulevard Casselberry, FL Lift Station #44 Masonry

Non-Combustible

PR-SCHED 1014 Page 15 of 22

October 1, 2017 - October 1, 2018

AddressLocation # Occupancy Construction Type

Cause of Loss - Building Limit Cause of Loss - Personal Property LimitBldLoc

001047 2697 Casselcreek Boulevard Casselberry, FL Lift Station #45 Masonry

Non-Combustible

$0 $112,500Special Form

002047 2697 Casselcreek Boulevard Casselberry, FL Generator: Steel: Diesel (1) Non-Combustible

$0 $25,300Special Form

001048 457 Finchley Rd Casselberry, FL Lift Station #46 Masonry

Non-Combustible

$0 $112,500Special Form

001049 Barbados Dr. @ Howell Branch Road

Casselberry, FL

Lift Station #47 Masonry

Non-Combustible

$0 $112,500Special Form

001050 1041 Frangipani Lane Casselberry, FL Lift Station #48 Masonry

Non-Combustible

$0 $112,500Special Form

001051 823 Dogwood Drive Casselberry, FL Lift Station #49 Masonry

Non-Combustible

$0 $112,500Special Form

001052 2130 Earthbrook Blvd Casselberry, FL Lift Station #50 Masonry

Non-Combustible

$0 $112,500Special Form

001053 Between 7312 & 7314 Betty Street

Casselberry, FL

Lift Station #51 Masonry

Non-Combustible

$0 $112,500Special Form

001054 220 Eagle Cir S Casselberry, FL Lift Station #52 Masonry

Non-Combustible

$0 $112,500Special Form

001055 668 Wren Drive Casselberry, FL Lift Station #53 Masonry

Non-Combustible

$0 $112,500Special Form

001056 526 A Eagle Circle North Casselberry, FL Lift Station #54 Masonry

Non-Combustible

$0 $112,500Special Form

001057 Sterling Oaks NR Lake Drive (By DRA)

Casselberry, FL

Lift Station #55 Masonry

Non-Combustible

$0 $112,500Special Form

001058 159 Paul McClure Court NR Park Avenue

Casselberry, FL

Lift Station #56 Masonry

Non-Combustible

$0 $112,500Special Form

001059 1405 Across From 14700 Fairway Oaks

Boulevard Casselberry, FL

Lift Station #57 Masonry

Non-Combustible

$0 $112,500Special Form

001060 1100 Castlewood Terrace Casselberry, FL Lift Station #58 Masonry

Non-Combustible

$0 $112,500Special Form

002060 1100 Castlewood Terrace Casselberry, FL Diesel: Generator (1) Non-Combustible

$0 $25,350Special Form

001061 1451 Hilltop Road @ Park Drive Casselberry, FL

Lift Station #59 Masonry

Non-Combustible

PR-SCHED 1014 Page 16 of 22

October 1, 2017 - October 1, 2018

AddressLocation # Occupancy Construction Type

Cause of Loss - Building Limit Cause of Loss - Personal Property LimitBldLoc

001062 Behind Plantation Apartments Casselberry, FL

Lift Station #60 Masonry

Non-Combustible

$0 $112,500Special Form

001063 461 Sundown Trail Casselberry, FL Lift Station #61 Masonry

Non-Combustible

$0 $112,500Special Form

001064 98 Carolwood Boulevard Casselberry, FL Lift Station #62 Masonry

Non-Combustible

$0 $112,500Special Form

002064 98 Carolwood Boulevard Casselberry, FL Generator: Steel: Diesel: (1) Non-Combustible

$0 $25,350Special Form

001065 2560 Nottingham Road Casselberry, FL Lift Station #63 Masonry

Non-Combustible

$0 $112,500Special Form

001066 103 Georgetown Dr Casselberry, FL Lift Station #64 Masonry

Non-Combustible

$0 $112,500Special Form

001067 1430 Lake Ann Lane Casselberry, FL Lift Station (1): (2) 20 HP: Steel lift Station

#65

Masonry

Non-Combustible

$0 $112,500Special Form

002067 1430 Lake Ann Lane Casselberry, FL Generator: Steel Diesel: (1) Masonry

Non-Combustible

$0 $25,350Special Form

001068 392A Brittany Circle Casselberry, FL Lift Station #66 Masonry

Non-Combustible

$0 $112,500Special Form

001069 505-509 Queens Mirror Circle Casselberry, FL

Lift Station #67: S & L Wet Well Mount Masonry

Non-Combustible

$0 $112,500Special Form

001070 1266 Marina Point Casselberry, FL Lift Station #69 Masonry

Non-Combustible

$0 $112,500Special Form

001071 End of Brookwood Lane N Casselberry, FL Lift Station #70: S & L Wet Well Mount Masonry

Non-Combustible

$0 $112,500Special Form

001072 126A Fairway Ten Drive Casselberry, FL Lift Station #71 Masonry

Non-Combustible

$0 $112,500Special Form

001074 1240 Wellington Terrace Casselberry, FL Lift Station #73 Masonry

Non-Combustible

$0 $112,500Special Form

001075 Hunters Chase Between Bldgs 905 & 935

Casselberry, FL

Lift Station #74 Masonry

Non-Combustible

$0 $112,500Special Form

001076 400 Ballpark Road Casselberry, FL Lift Station #76 Masonry

Non-Combustible

$0 $112,500Special Form

001077 Between 1132 & 1148 Quintuplet Drive

Casselberry, FL

Lift Station #77 Masonry

Non-Combustible

PR-SCHED 1014 Page 17 of 22

October 1, 2017 - October 1, 2018

AddressLocation # Occupancy Construction Type

Cause of Loss - Building Limit Cause of Loss - Personal Property LimitBldLoc

002077 Between 1132 & 1148 Quintuplet Drive

Casselberry, FL

Generator Power Transfer Switch Masonry

Non-Combustible

$0 $25,350Special Form

001078 181 Norr Place Casselberry, FL Lift Station #78 Masonry

Non-Combustible

$0 $112,500Special Form

001081 1813 S. Blaine Terrace @ Casselton Drive

Casselberry, FL

Lift Station #82 Masonry

Non-Combustible

$0 $112,500Special Form

001082 1410 Lake Drive @ Hilltop Drive Casselberry, FL

Lift Station #83 Masonry

Non-Combustible

$0 $112,500Special Form

001083 444 Misty Oaks Run Casselberry, FL Lift Station #84 Masonry

Non-Combustible

$0 $112,500Special Form

001085 Red Bug Lake Road Casselberry, FL Summerset Wall Non-Combustible

$0 $332,817Special Form

002085 Red Bug Lake Road Casselberry, FL Retention Pond Brick Wall #1 Masonry

Non-Combustible

$0 $55,000Special Form

003085 Red Bug Lake Road Casselberry, FL Summerset Retention Pond Wall #2 Masonry

Non-Combustible

$0 $95,000Special Form

004085 Red Bug Lake Road Casselberry, FL Fence: Summerset Retention Pond Wall

#2

Non-Combustible

$0 $60,000Special Form

012087 140 Plumosa Avenue Casselberry, FL 1-Picnic Shelter Joisted Masonry

$0 $19,520Special Form

013087 140 Plumosa Avenue Casselberry, FL 2-Basketball Backboards Single Goal Non-Combustible

$0 $3,880Special Form

014087 140 Plumosa Avenue Casselberry, FL 1-Basketball Court Non-Combustible

$0 $51,180Special Form

015087 140 Plumosa Avenue Casselberry, FL 2-Bicycle Rack @ $560 each Non-Combustible

$0 $1,120Special Form

016087 140 Plumosa Avenue Casselberry, FL 1-Chain Link Fence 6' 820LF Non-Combustible

$0 $11,700Special Form

017087 140 Plumosa Avenue Casselberry, FL 1-Chain Link Fence 6' 376LF Non-Combustible

$0 $5,380Special Form

018087 140 Plumosa Avenue Casselberry, FL 5-Fire Hydrant Non-Combustible

$0 $1,250Special Form

019087 140 Plumosa Avenue Casselberry, FL 13 Metal Garbage Cans Non-Combustible

$0 $5,720Special Form

020087 140 Plumosa Avenue Casselberry, FL 2-Park Signs Non-Combustible

$0 $2,500Special Form

021087 140 Plumosa Avenue Casselberry, FL 1-Barbecue Pit Non-Combustible

$0 $140Special Form

022087 140 Plumosa Avenue Casselberry, FL Modular Play System Non-Combustible

$0 $31,850Special Form

PR-SCHED 1014 Page 18 of 22

October 1, 2017 - October 1, 2018

AddressLocation # Occupancy Construction Type

Cause of Loss - Building Limit Cause of Loss - Personal Property LimitBldLoc

023087 140 Plumosa Avenue Casselberry, FL 2 Picnic Tables Non-Combustible

$0 $1,440Special Form

024087 140 Plumosa Avenue Casselberry, FL 1-Horizontal Monkey Ladder Frame

$0 $880Special Form

025087 140 Plumosa Avenue Casselberry, FL 11 Park Benches Frame

$0 $5,720Special Form

026087 140 Plumosa Avenue Casselberry, FL 2-Water Fountain Frame

$0 $2,490Special Form

027087 140 Plumosa Avenue Casselberry, FL Sign: Metal : No Pets Non-Combustible

$0 $125Special Form

028087 140 Plumosa Avenue Casselberry, FL Sign: Historical Non-Combustible

$0 $875Special Form

029087 140 Plumosa Avenue Casselberry, FL Sign: No Tobacco Non-Combustible

$0 $250Special Form

030087 140 Plumosa Avenue Casselberry, FL Sign & Trash Receptacles Non-Combustible

$0 $3,000Special Form

031087 140 Plumosa Avenue Casselberry, FL Sign: Plumosa Park Frame

$0 $250Special Form

008088 2002 Water Lane Casselberry, FL Picnic Shelter Joisted Masonry

$0 $13,780Special Form

009088 2002 Water Lane Casselberry, FL 1 Basketball Backboard Single Goal Non-Combustible

$0 $1,940Special Form

010088 2002 Water Lane Casselberry, FL 1 Basketball Court 30x40 Non-Combustible

$0 $14,450Special Form

011088 2002 Water Lane Casselberry, FL Chain Link Fence 10' 220LF Non-Combustible

$0 $5,030Special Form

012088 2002 Water Lane Casselberry, FL 1-Metal Garbage Can Non-Combustible

$0 $440Special Form

013088 2002 Water Lane Casselberry, FL 1-Park Sign Non-Combustible

$0 $2,500Special Form

014088 2002 Water Lane Casselberry, FL 1 Barbecue Pit Non-Combustible

$0 $140Special Form

015088 2002 Water Lane Casselberry, FL Modular Play System Non-Combustible

$0 $8,750Special Form

016088 2002 Water Lane Casselberry, FL 2-Picnic Tables Non-Combustible

$0 $1,440Special Form

017088 2002 Water Lane Casselberry, FL 2-Swing 2 Seats Non-Combustible

$0 $2,580Special Form

018088 2002 Water Lane Casselberry, FL Park Bench Frame

$0 $520Special Form

019088 2002 Water Lane Casselberry, FL Sign: Metal: No Pets Non-Combustible

$0 $125Special Form

020088 2002 Water Lane Casselberry, FL Sign: No Tobacco Non-Combustible

$0 $125Special Form

021088 2002 Water Lane Casselberry, FL Sign: Park/Hours/ Rules Non-Combustible

$0 $375Special Form

PR-SCHED 1014 Page 19 of 22

October 1, 2017 - October 1, 2018

AddressLocation # Occupancy Construction Type

Cause of Loss - Building Limit Cause of Loss - Personal Property LimitBldLoc

022088 2002 Water Lane Casselberry, FL Sign: Branch Tree Park (1) Frame

$0 $250Special Form

001089 161 Marion Lane Casselberry, FL Lift Station #87 Masonry

Non-Combustible

$0 $112,500Special Form

001090 840 Belle Avenue Casselberry, FL Lift Station #88 Masonry

Non-Combustible

$0 $112,500Special Form

001091 9802 S U.S. Hwy 17-92 Casselberry, FL Lift Station #89 Masonry

Non-Combustible

$0 $112,500Special Form

001092 8001 S US HWY 17-92 Casselberry, FL Lift Station #90 Masonry

Non-Combustible

$0 $112,500Special Form

001093 1825 Grand Rue Dr. Casselberry, FL Lift Station #91 Masonry

Non-Combustible

$0 $112,500Special Form

002093 1825 Grand Rue Dr. Casselberry, FL Generator: 65kw: Lift Station #31 Non-Combustible

$0 $26,975Special Form

001094 Seminola at Button Casselberry, FL Traffic Signals(Seminola at Button) Non-Combustible

$0 $20,000Special Form

001095 Seminola Boulevard/Triplet Lake Drive

Casselberry, FL

Traffic Signals(Seminola Blvd./Triplet

Lake Dr.)

Non-Combustible

$0 $15,000Special Form

001096 Seminola Boulevard at Winter Park

Casselberry, FL

Traffic Signals (Seminola Blvd. at Winter

Park)

Non-Combustible

$0 $20,000Special Form

001097 Seminola Boulevard at Lake Drive

Casselberry, FL

Traffic Signals (Seminola Blvd.at Lake

Dr)

Non-Combustible

$0 $20,000Special Form

001098 SR 434/N. Winter Park Drive Casselberry, FL Traffic Signals (SR 434/N. Winter Park Dr.) Non-Combustible

$0 $20,000Special Form

001099 SR 436 at Casselton Casselberry, FL Traffic Signals (SR 436 at Casselton) Non-Combustible

$0 $15,000Special Form

001100 SR 436 at Kewannee Trail Casselberry, FL Traffic Signals (SR 436 at Kewannee

Trail)

Non-Combustible

$0 $15,000Special Form

001101 SR 436 at Oxford Road Casselberry, FL Traffic Signals (SR 436 at Oxford Road) Non-Combustible

$0 $15,000Special Form

001102 SR 436 at Red Bug-Winter Park Casselberry, FL

Traffic Signals (SR 436 at Red Bug-Winter

Park)

Non-Combustible

$0 $15,000Special Form

001103 SR 436 at Sausalito Casselberry, FL Traffic Signals (SR 436 at Sausalito) Non-Combustible

$0 $15,000Special Form

001104 SR 436 at Wilshire Casselberry, FL Traffic Signals (SR 436 at at Wilshire) Non-Combustible

$0 $20,000Special Form

001105 SR 436 at Winter Woods Boulevard

Casselberry, FL

Traffic Signals (SR 436 at Winter Woods

Blvd.)

Non-Combustible

$0 $15,000Special Form

PR-SCHED 1014 Page 20 of 22

October 1, 2017 - October 1, 2018

AddressLocation # Occupancy Construction Type

Cause of Loss - Building Limit Cause of Loss - Personal Property LimitBldLoc

001106 US 17-92 at Button-Griffin Casselberry, FL Traffic Signals (US 17-92 at

Button-Griffin)

Non-Combustible

$0 $15,000Special Form

001107 US 17-92 at Live Oak Casselberry, FL Traffic Signals (US 17-92 at Live Oak) Non-Combustible

$0 $15,000Special Form

001108 US 17-92 at Triplet Lake Drive Casselberry, FL

Traffic Signals (US 17-92 at Triplet Lake

Drive)

Non-Combustible

$0 $20,000Special Form

001109 Winter Park at Crystal Bowl Casselberry, FL Traffic Signals (Winter Park at Crystal

Bowl)

Non-Combustible

$0 $15,000Special Form

001110 Winter Park at Queensmirror Casselberry, FL

Traffic Signals (Winter Park at

Queensmirror)

Non-Combustible

$0 $15,000Special Form

001111 Winter Park at Wilshire Casselberry, FL Traffic Signals (Winter Park at Wilshire) Non-Combustible

$0 $15,000Special Form

001112 US 17-92 / Plumosa Ave Casselberry, FL Traffic Signals (US 17-92 /Plumosa) Non-Combustible

$0 $20,000Special Form

001113 115 Wilshire Boulevard Casselberry, FL Storage & Training Facility (Functional

Valuation)

Joisted Masonry

$0 $900,000Special Form

001115 110 Quail Pond Circle Casselberry, FL Single Family Dwelling (vacant) Joisted Masonry

$0 $192,047Special Form

001116 120 Quail Pond Circle Casselberry, FL Single Family Dwelling (vacant) Joisted Masonry

$0 $98,619Special Form

001117 300 S Triplet Lake Drive Casselberry, FL Golf Course - Clubhouse Frame

$29,575 Special Form$180,000Special Form

002117 300 S Triplet Lake Drive Casselberry, FL Golf Course - Cart Barn Frame

$0 $25,000Special Form

003117 300 S Triplet Lake Drive Casselberry, FL Golf Course - Maintenance Frame

$0 $100,000Special Form

004117 300 S Triplet Lake Drive Casselberry, FL Golf Course - Maintenance Shed Frame

$0 $3,000Special Form

005117 300 S Triplet Lake Drive Casselberry, FL Golf Course - Maintenance Yard Fence Frame

$0 $25,000Special Form

006117 300 S Triplet Lake Drive Casselberry, FL Golf Course -Pump Station Non-Combustible

$0 $50,000Special Form

007117 300 S Triplet Lake Drive Casselberry, FL Golf Course -Driving Range Net Frame

$0 $75,000Special Form

001118 1060 Seminola Blvd Casselberry, FL Lift Station #92 2HP Non-Combustible

$0 $25,000Special Form

001119 1071 Crystal Bowl Cir Casselberry, FL 8" Sign: Crystal Bowl Park: (1) Frame

$0 $695Special Form

002119 1071 Crystal Bowl Cir Casselberry, FL Sign: No Tobacco Non-Combustible

$0 $125Special Form

0031…