Director ILSP Asset Forfeiture Division.pdf

DATE ISSUED: 6/30/2026

PRODUCER: FORSYTH INSURANCE GROUP, INC.

P.O. BOX 2229

SPRINGFIELD, IL 62703

INSURED: DIRECTOR ILLINOIS STATE POLICE ASSET FORFEITURE DIVISION

801 SOUTH 7TH STREET, SUITE 700A

SPRINGFIELD, IL 62703

INSURER: GREAT LAKES INSURANCE SE NON-ADMITTED

COVERAGE: COMMERCIAL PACKAGE POLICY

POLICY PERIOD: 7/29/2026 - 7/29/2027 12 MONTHS

12:01 AM STANDARD TIME AT THE LOCATION ADDRESS OF THE NAMED INSURED. THIS QUOTATION WILL BE TERMINATED AND

SUPERSEDED UPON DELIVERY OF THE FORMAL POLICY(IES) ISSUED TO REPLACE IT.

LIMITS OF LIABILITY: $2,000,000 GENERAL AGGREGATE

$1,000,000 EACH OCCURRENCE

EXCLUDED PRODUCTS & COMPLETED OPERATIONS

EXCLUDED PERSONAL & ADVERTISING INJURY

$100,000 DAMAGE TO PREMISES RENTED

$5,000 MEDICAL PAYMENTS

GL DEDUCTIBLE: NONE PER CLAIM BI/PD

GENERAL LIABILITY

CLASS CODE EXPOSURE RATE PREMIUM

1.1 68606 2,650 (a) 57.555 $153

2.1 68606 1,760 (a) 47.765 $84

$500 MP

PROPERTY - CLASS CODE LOCS #1 - #3: 1180

POLICY FORM: BASIC FORM

COINSURANCE: 80%

DEDUCTIBLE: $5,000

VALUATION: ACTUAL CASH VALUE

WIND/HAIL DEDUCTIBLE: 1% SUBJECT TO MINIMUM $5,000

COVERAGE LIMIT RATE PREMIUM

$233,000 0.80 $1,864 $300,000 0.80 $2,400

1.1 BUILDING

2.1 BUILDING

2.1 BUILDING (GARAGE) $45,000 0.85 $383

LOCATION

1.1 414 MADISON STREET, JOLIET, IL 60435

2.1 4375 JJ ROAD, WATERLOO, IL 62298

PREMIUM: $5,147

POLICY FEE: $250

INSPECTION FEE: $500

S.L. TAX: $180

FIRE MARSHAL TAX: $47

STAMPING FEE: $2

GRAND TOTAL: $6,126

Premium referenced does not include Terrorism Coverage. Should the insured elect to purchase TRIA, there will be additional premium and tax.

TERMS/CONDITIONS:

A) 25% MINIMUM EARNED PREMIUM AT INCEPTION

B) ENDORSEMENTS/NOTABLE EXCLUSIONS:

FORMS APPLICABLE � COMMON FORMS

X GLK 1000 IL 01 17 COMMERCIAL COMMON POLICY DECLARATIONS

X GLK 4029 IL 06 09 SCHEDULE OF FORMS

X GLK 3003 IL 07 22 NOTICE TO POLICYHOLDER

X GLK 4014 IL 06 09 MIN. EARNED PREM. END.

X GLK 4118 IL 04 17 CONFORMITY OF TERMS ENDORSEMENT

X GLISE DPSFPN 102024 SHORT FORM PRIVACY NOTICE

X B&C DPSFPN 25102024 MRS-NA SHORT FORM PRIVACY NOTICE

X REF 1191 RADIOACTIVE CONTAMINATION EXCL. CLAUSE PHYS. DAM � DRCT (U.S.A.)

X REF 1998 24/04/1986 SERVICE OF SUIT (Mendes & Mount)

X REF 2342 SEEPAGE AND/OR POLLUTION &/OR CONTAMINATION EXCL

X REF 2920 a TERRORISM EXCLUSION

X REF 2962 BIOLOGICAL OR CHEM MATERIALS EXCL

X REF 3100A SANCTION LIMITATION AND EXCL. CLAUSE

X REF 5021 APPLICABLE LAW (U.S.A.)

X REF 5062 [Amended] FRAUDULENT CLAIMS CLAUSE

X REF 5401 PROPERTY CYBER AND DATA EXCL.

X IL 00 17 11 98 COMMON POLICY CONDITIONS

X IL 01 62 09 08 IL CHANGES - DEFENSE COSTS

X GLK IL 5124 05 25 POLICY PROVISIONS

FORMS APPLICABLE � COMMERCIAL GENERAL LIABILITY

X GLK 1001 GL 06 09 COMM'L GEN LIAB COV PART DECLARATIONS

X CG 00 01 04 13 COMML. GEN. LIAB. COVERAGE FORM

X IL 00 21 09 08 NUCLEAR ENERGY LIAB. EXCL. END.

X IL 01 47 09 11 IL CHANGES - CIVIL UNION

X IL 01 62 10 13 IL CHANGES - DEFENSE COSTS

X CG 03 00 01 96 DEDUCTIBLE LIAB. INS.

X CG 21 07 05 14 EXCL-ACCESS OR CONFID/PERS INFO & DATA-REL LIAB � LTD

BI EXCEP NOT INCLUDED

X CG 21 16 04 13 EXCLUSION � DESIGNATED PROFESSIONAL SERVICES

X CG 21 32 05 09 COMMUNICABLE DISEASE EXCL.

X CG 21 44 04 17 LIMIT. COV. TO DESIGNATED PREMISES OR PROJECT

X CG 21 47 12 07 EMPLOYMENT-RELATED PRACTICES EXCL.

X CG 21 49 09 99 TOTAL POLLUTION EXCL. END.

X CG 21 67 12 04 FUNGI OR BACTERIA EXCL.

X CG 21 73 01 15 EXCL. CERTIFIED ACTS OF TERRORISM

X CG 21 96 03 05 SILICA OR SILICA-RELATED DUST EXCL.

X CG 24 26 04 13 AMENDMENT OF INSD. CONTRACT DEFIN.

X CG 40 15 12 19 CANNABIS EXCLUSION WITH HEMP EXCEPTION

X CG 40 32 05 23 EXCL-PERFLUOROALKYL & POLYFLUOR (PFAS)

X GLK 4002 GL 08 09 ASBESTOS EXCLUSION

X GLK 4004 GL 08 09 ASSAULT OR BATTERY EXCL.

X GLK 4005 GL 06 09 CLASSIFICATION LIMITATION

X GLK 4007 GL 08 09 EARTH MOVEMENT EXCL.

X GLK 4009 GL 06 09 FIREARMS/WEAPONS EXCL

X GLK 4010 GL 04 12 LEAD CONTAMINATION EXCLUSION

X GLK 4016 GL 08 09 MOLESTATION AND ABUSE EXCLUSION

X GLK 4017 GL 08 09 PUNITIVE OR EXEMPLARY DMG. EXCL.

X GLK 4019 GL 08 09 TOTAL AUTO EXCLUSION

X GLK 4032 GL 07 24 LIQUOR LIABILITY EXCLUSION

X GLK 4053 GL 01 10 INJURY TO INDEPENDENT CONTRACTORS OR SUBCONTRACTORS AND

THEIR WORKERS EXCL

X GLK 4226 GL 03 21 EXCLUSION � HUMAN TRAFFICKING

X GLK GL 5325 09 25 EXCL � TOBACCO, ELECTRONIC CIGARETTE, NICOTINE PRODUCTS

X GLK GL 5328 10 25 EXCL � CONTROLLED SUBSTANCE

X CG 21 55 09 99 TOTAL POLLUTION EXCLUSION WITH A HOSTILE FIRE EXCEPTION

FORMS APPLICABLE � COMMON PROPERTY

X GLK 1003 PR 06 14 COMM'L PROPERTY COV PART DECLARATIONS

X CP 00 10 10 12 BLDG. & PERS. PROP. COV. FORM

X CP 00 90 07 88 COMMERCIAL PROPERTY CONDITIONS

X CP 01 40 07 06 EXCL. OF LOSS DUE TO VIRUS OR BACTERIA

X CP 01 49 06 07 IL CHANGES � ARTIF. GENER. ELECT. CURRENT EXCL.

X CP 03 20 10 92 MULTIPLE DEDUCTIBLE FORM

X CP 10 10 10 12 CAUSE OF LOSS - BASIC FORM

X CP 10 33 10 12 THEFT EXCLUSION

X CP 99 04 12 19 CANNABIS EXCLUSION WITH HEMP EXCEPTION

X IL 01 18 10 10 IL CHANGES

X IL 09 35 07 02 EXCLUSION OF CERTAIN COMPUTER-RELATED LOSSES

X IL 09 53 01 15 EXCL. OF CERTIFIED ACTS OF TERRORISM

X GLK 4040 PR 08 09 FUNGUS, WET ROT, DRY ROT, BACTER. EXCL.

X GLK 4048 PR 01 10 CONSTRUCTIVE TOTAL LOSS

X GLK 41 85 PR 08 17 EXISTING DAMAGE EXCLUSION

OPTIONAL FORMS

CG 22 79 04 13 EXCL. CONTRACTORS PROF. LIAB

X GLK 4005 GL 06 09 CLASSIFICATION LIMITATION

GLK 4016 GL 08 09 MOLESTATION OR ABUSE EXCL.

GLK 4019 GL 08 09 TOTAL AUTO EXCLUSION

GLK 4026 GL 08 09 PROF. LIAB. ENDORSEMENT

GLK 4032 GL 06 09 LIQUOR LIABILITY EXCL.

GLK 4035 GL 08 09 FIREWORKS OR PYROTECHNICS EXCL

GLK 4072 GL 02 11 A.I. � PRIMARY & NON-CONTRIB

CP 00 20 10 12 BUILDERS RISK COV. FORM

CP 00 30 10 12 BUS. INC. (EXT EXP) COV FORM

CP 00 32 10 12 BUS. INC. (W/OUT EXT EXP) COV FORM

CP 00 50 10 12 EXTRA EXP. COV. FORM

X CP 03 21 10 12 WINDSTORM OF HAIL PERCENT. DED.

X CP 04 11 10 12 PROTECTIVE SAFEGAURDS

CP 04 38 10 12 FUNCTIONAL BLDG VALUATION

CP 10 36 10 12 LIMIT. ON COV. FOR ROOF SURFACING

CP 10 54 06 07 WIND OR HAIL EXCLUSION

CP 10 55 06 07 VANDALISM EXCLUSION

CP 10 56 06 07 SPRINKLER LEAKAGE EXCL.

CP 12 11 10 00 BURGLARY & ROBBERY PROT. SAFEGUARDS

CP 12 18 10 12 LOSS PAYABLE PROVISIONS

GLK 2006 PR 01 21 EQUIPMENT BREAKDOWN COV. PART

GLK 4039 PR 04 10 PROPERTY EXTENSION END.

GLK 4042 PR 01 10 WIND OR HAIL DEDUCTIBLE

GLK 4043 PR 01 10 ROOF ACTUAL CASH VALUE END.

X GLK 4051 PR 01 10 ROOF DAMAGE EXCLUSION

GLK 4103 PR 12 11 FUNCTIONAL VALUATION � SCHED. BLDGS

GLK 4156 PR 08 15 SINKHOLE EXCLUSION

GLK 4137 IL 04 14 VACANCY CONDITIONS END (INC. THEFT & VMM EXCL)

GLK 4138 IL 04 14 VACANCY CONDITIONS END (INC. THEFT EXCL)

GLK 4189 IL 01 18 VACANCY CONDITIONS END

GLK 1013 IM 02 10 COMM�L INLAND MARINE COV PART DEC

CM 00 01 09 94 COMM�L INLAND MARINE CONDITIONS

GLK 1018 IM 02 10 COMM�L I.M. COV � SUPP. LOCATION SCHED.

GLK 1015 IM 02 10 CONTRACTORS EQUIP SCHED

X CP 0450 07 88 VACANCY PERMIT

X GLK 4100 PR 10 11 SECURED PREMISES WARRANTY

X CG 21 44 04 17 LIMIT OF COVR TO DESIGNATED PREMISES, PROJECT OR OPERATION

X GLK 4031 GL 06 09 ANIMAL EXCLUSION

X CG 2138 11 85 - EXCLUSION - PERSONAL AND ADVERTISING INJURY

X GLK 4048 IM 10 15 CONSTRUCTIVE TOTAL LOSS

X GLK 4231 PR 04 24 VACANCY CONDITIONS � MAINTENANCE OF HEAT

X CG 2104 11 85 - EXCLUSION - PRODUCTS/COMPLETED OPERATIONS HAZARD

C) ATTACHMENTS/SUBJECT TO:

ACCEPTABLE INSPECTION - LOCATIONS #1 & #2

UPDATED COMPLETED, SIGNED & DATED ACORDS

TRIA FORM COMPLETED/SIGNED

COMPLETED SURPLUS LINES AFFIDAVIT

D) ALL OTHER TERMS AND CONDITIONS APPLY PER FORM

COMMISSION: 10%

THIS QUOTE IS ISSUED BASED UPON THE INSURER�S AGREEMENT TO QUOTE AND IS ISSUED BY THE UNDERSIGNED WITHOUT ANY LIABILITY WHATSOEVER AS AN INSURER. THIS QUOTE MAY BE WITHDRAWN BY THE INSURER AT ANY TIME PRIOR TO BINDING.

UNDERWRITER: NICK BUSS