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

File details come from the government source that posted it. Updated .