Part_11_-_2024_SORSA_Dec_-_Pioneer_CTC_Liability.pdf
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- Attached to
- Agency Administered OH|403-25-3400P
- Contract number
- 403-25-3400P
- Issued by
- Ohio
About this file
This document is a Coverage Document Declarations for the Schools of Ohio Risk Sharing Authority (SORSA), issued to Pioneer Career and Technology Center located in Shelby, Ohio. The contract is between Pioneer Career and Technology Center and RFME Insurance, with a contract number SD-070D, and covers the period from July 1, 2024 to July 1, 2025.
The coverage includes comprehensive property and liability insurance with multiple coverage types and substantial limits. Key coverage areas include Property Insurance with a $350,000,000 pool limit, covering building and business personal property, earth movement, and flood damages. The General Liability coverage provides $15,000,000 per occurrence for bodily injury and property damage, with a $17,000,000 general annual aggregate. Additional coverages include Crime Insurance, Educators' Legal Liability, Automobile Liability, and Automobile Physical Damage, with various specific limits and provisions. The policy includes extensions such as equipment breakdown, utility services, valuable papers protection, and terrorism coverage, with deductibles ranging from $0 to $5,000 depending on the specific coverage type.
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Text version
Contract Number:
Member Name:
Address:
City: Zip Code:
Agency Name:
Address:
City: Zip Code:
Inception: 12:01 a.m.
Expiration: 12:01 a.m.
I. PROPERTY
As Reported to SORSA; Subject to $350,000,000 Pool Limit - Any one occurrence
II. EQUIPMENT BREAKDOWN (PD, BI and EE), in any one accident:
As Reported to SORSA; Subject to $350,000,000 Pool Limit
Hazardous Substance, any one accident:
Ammonia Contamination:
Any other substance:
Water Damage, in any one accident:
Consequential Damage, in any one accident
Deductible:
III. CRIME
Employee Theft Including Faithful Performance of Duty, in any one occurrence
Forgery or Alteration, in any one occurrence
On Premises, in any one occurrence
In Transit, in any one occurrence
Money Orders and Counterfeit Money, in any one occurrence
Computer Crime, in any one occurrence
Computer Program and Electronic Data Restoration Expense, in any one occurrence
Funds Transfer Fraud, in any one occurrence Social Engineering Fraud, in any one occurrence Telecommunication Fraud, in any one occurrence Deductible:
This Coverage Document is not binding unless signed by an authorized representative of SORSA.
SORSA (2024-2025) PROPERTY DEC. Authorized Representative
200,000$ 1,000$
350,000$
1,000,000$ 1,000,000$
1,000,000$
1,000,000$
1,000,000$
5,000$
1,000,000$
1,000,000$
1,000,000$
250,000$
250,000$
250,000$
350,000,000$
250,000$
Flood Limit (Zone A or V Excluded): 2,000,000$ Annual Aggregate all members: 8,000,000$ Deductible: 50,000$
Earth Movement per Occurrence: 2,000,000$ Annual Aggregate all members: 8,000,000$ Deductible: 50,000$
Building & Business Personal Property Limit Including Property Extensions of Coverage (attached) 350,000,000$
Deductible: 5,000$
July 1, 2024 July 1, 2025
COVERAGES LIMITS
RFME Insurance 44 Sturges Avenue Mansfield State: OH 44902
COVERAGE DOCUMENT DECLARATIONS
SD-070D
Pioneer Career and Technology Center 27 Ryan Road Shelby State: OH 44875
Accounts Receivable, in any one occurrence
Arson Reward
Automobile Physical Damage, in any one occurrence
Backup of Sewers and Drains
Business Income, in any one occurrence Ordinary Payroll: Excluded Extended Business Income at 60 days Civil Authority 30 days Dependent Property, in any one occurrence Ordinance or Law - Increased period of restoration, in any one occurrence Newly Acquired Locations, in any one occurrence (120 days) Undescribed Premises, in any one occurrence Claim Data, in any one occurrence
Claim Data Expense, Direct Damage in any one occurrence
Covered Property at an Undescribed Premises, in any occurrence
Covered Property in Transit, in any one occurrence
25% of the sum of the amount paid for Covered Property loss and the applicable deductible Additional Debris Removal Expense
Electronic Data Processing Equipment Data and Media, in any one occurrence All members, per occurrence
Extra Expense, in any one occurrence Civil Authority 30 days Ordinance or Law - Increased period of restoration, in any one occurrence Newly Acquired Locations, Extra Expense in any one occurrence (120 days) Undescribed Premises, Extra Expense in any one occurrence Claim Data, Extra Expense in any one occurrence Limited Fungus, Wet Rot and Dry Rot Coverage - Extra Expense 30 days
Fine Arts, in any one occurrence
Fire Department Service Charge / Fire Protective Equipment Discharge
Green Building - Direct Damage:
Green Building Alternatives - Increased Cost, in any one occurrence Green Building Alternatives - Increased Period of Restoration: 30 days Increased Cost Percentage Green Building Reengineering and Recertification Expense, in any one occurrence
Limited Fungus, Wet Rot and Dry Rot Coverage - Direct Damage, per occurrence Aggregate, per policy year
Mobile Equipment, in any one occurrence Newly Acquired Contractors Equipment, in any one occurrence Equipment Rental Expense, in any one occurrence
Musical Instruments, Athletic Equipment, or Band & Athletic Uniforms, in any one occurrence
SORSA (2024-2025) PROPERTY DEC.
100,000$ 100,000$ 100,000$ 100,000$
1,000,000$ 1,000,000$
15,000$ 15,000$ 100,000$ 100,000$
Optional -$ -$
50,000$ 50,000$
5% 5% 25,000$ 25,000$
25,000$ 25,000$
1,000,000$ 1,000,000$
Included Included
2,500,000$ 2,500,000$
50,000$ 50,000$ 50,000$
250,000$ 250,000$
1,250,000$ 1,250,000$ 5,000,000$ 5,000,000$
1,000,000$ 1,000,000$
100,000$ 100,000$
Debris Removal, in any one occurrence
100,000$ 100,000$ 100,000$ 100,000$
100,000$ 100,000$
250,000$ 250,000$ 250,000$ 250,000$ 500,000$ 500,000$
Optional 729,790$ 729,790$
2,000,000$ 2,000,000$
2,000,000$ 2,000,000$
Limits Limits Limits 1,000,000$ 1,000,000$
5,000$ 5,000$
PROPERTY EXTENSIONS OF COVERAGE DECLARATIONS
Standard Additional Total
Newly Constructed or Acquired Property, at any one building In any one occurrence Number of days: 90
Ordinance or Law Loss to Undamaged Portion, in any one occurrence Demolition, in any one occurrence Increased Cost of Construction, in any one occurrence
Outdoor Property including debris Removal, in any one occurrence Trees, shrubs and plants (maximum per item)
Personal effects of students/employees for perils except theft Student Employee In any one occurrence
Pollutant Cleanup and Removal - Direct Damage, aggregate in any one policy year
Preservation of Property Protection of Property
Errors and Omissions, in any one occurrence
Utility Services in any one occurrence - Direct Damage including Boiler and Machinery
Valuable Papers, in any one occurrence
Terrorism- TRIA
SORSA (2024-2025) PROPERTY DEC.
Policy Limit Policy Limit
1,000,000$ 1,000,000$
500,000$ 500,000$
1,000,000$ 1,000,000$
100,000$ 100,000$
Included Included Included Included
1,500$ 1,500$ 3,000$ 3,000$
100,000$ 100,000$
Included Included
1,000,000$ 1,000,000$ 1,000$ 1,000$
10,000,000$ 10,000,000$
10,000,000$ 10,000,000$ Included Included
Contract Number:
Member Name: Pioneer Career and Technology Center Address:
City: State: OH Zip Code:
Inception: 12:01 a.m.
Expiration: 12:01 a.m.
COVERAGES
I. GENERAL LIABILITY – Occurrence Form
Bodily Injury and Property Damage per Occurrence
Personal Injury/Advertising Liability per Occurrence
Products/Completed Operations per Occurrence
Employers Stop Gap Liability
Bodily Injury by Accident, Each Accident
Bodily Injury by Disease, Each Employee
Bodily Injury by Disease, Policy Limit
Employee Benefits Liability Retroactive Date
Deductible
II. EDUCATORS’ LEGAL LIABILITY – Claims Made Form
Wrongful Acts Coverage Aggregate Retroactive Date
Deductible
III. AUTOMOBILE LIABILITY
Garagekeepers Deductible
IV. AUTOMOBILE PHYSICAL DAMAGE
Other than Collision Collision Garagekeepers
As Reported to SORSA; Subject to $10,000,000 Pool Limit, in any one occurrence Deductible
This Coverage Document is not binding unless signed by an authorized representative of SORSA.
SORSA (2024-2025) LIABILITY DEC.
Authorized Representative
ACV (250,000 Maximum)
*For buses 5 years or newer, the value will be determined at Replacement Cost. For buses over 5 years, the value will be determined at the Actual Cash Value as if the bus is 5 years newer.
2,500$
ACV (250,000 Maximum)
Actual Cash Value (ACV) Actual Cash Value (ACV)
(including owned/hired/non-owned) Medical Payments, Per Person / Each Accident $10,000/$25,000 Uninsured/Underinsured Motorist $1,000,000 Aggregate
2/1/2002
Bodily Injury & Property Damage - per Occurrence 15,000,000$
Wrongful Acts Coverage Per Occurrence 15,000,000$ 15,000,000$
Medical Payments, Per Person / Each Accident $10,000/$25,000
15,000,000$ 2/1/2002
15,000,000$
General Annual Aggregate 17,000,000$
Fire Legal Liability 500,000$
15,000,000$
15,000,000$
15,000,000$
July 1, 2024 July 1, 2025
LIMIT OF LIABILITY
(Primary and Excess)
15,000,000$
15,000,000$
COVERAGE DOCUMENT DECLARATIONS
SD-070D
27 Ryan Road Shelby 44875
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