HomeMy WebLinkAbout84- Beall Park Arts Center Insurance Policy Declaration with Houston General
BUSINESSOWNERS POLICY DECLARATIONS
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No. 5HOP 9 3 9 4 9 4 7 - 00 ~
NEW HOUSTON GENERAL
$I-KiS
INSURANCE COMPANY '" .<
RENEWAL OF NUMBER
. P.O. Box 2932
88-9345 4055 International Plaza 1;;'1"/1 pft\o"-
AGENT'S NO. Fort Worth, Texas 76113
Named Insured and Mailing Address ,Agent's Name and Mailin~ Address
(No" Street, Town or City, County, State, Zip Code) (No., Street, Town Or City, County, State, Zip ode)
&tallhr'k An a.nter Va! te I: OoapanJ (fJ258401)
uoxW7 B0.lt4JO
B".~. Hi' 59772 BilMMll, 1ft' 59715
Policy Period: From 2-23-90 to 2-28-91 at 12:01 A.M.* Standard Time at your mailing
address shown above. 'Exce lions: 12:00 noon in Maine, Michi an, New Ham shire, North Carolina, Puerto Rico and Vir inia.
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.
BUSINESS DESCRIPTION FORM APPLICABLE o Standard IlltS ecial
Form of Business: 0 Individual 0 Joint Venture [J Partnership i Organization (Any Other)
Business Descri tion:
DESCRIBED PREMISES
PREM. NO. SLDG, NO. LOCATION MORTGAGE HOLDER NAME AND ADDRESS .
1 1 415 iot'th'Ba~-.n It Bowaan, NT RECEIVED
PROPERTY
Limits of Insurance for
Building $
. Actual Cash Value-Building Option (Y IN)
. Automatic Increase-Building Limit (Percent) % % %
Business Personal Pro ert $ $ $
Deductible $
Optional Coverages-Applicable only if an "X" Limits of Insurance
is shown in the boxes below:
1. 0 Outdoor Signs $ $ per occurrence
2. 0 Exterior Grade Floor Glass Included Included
3. 0 Burglary and Robbery (Standard Form only) or $ Inside the Premises $ Outside the Premises
o Money and Securities (Special Form only) $ Inside the Premises $ Outside the Premises
4. 0 Employee Dishonesty $ $ per occurrence
5. 0 Mechanical Breakdown Included Included
6. 0 Other s ecif
LIABILITY AND MEDICAL PAYMENTS
Except for Fire Legal Liability, each paid claim for the following coverages reduces the amount of insurance we provide during
the applicable annual period. Please refer to Paragraph D.4. of the Businessowners Liability Coverage Form.
Limits of Insurance
$ 1.000,000
$ 5,000 per person
$ one fire or ex losion
BJoruon/S.
Countersigned: .3-25-90 j.. By , ,>,";,1"1ifl
~:...
',,/ , ",~. u horized Representative
THESE DECLARATIONS mGETHER WITH THE COVERAGE FORM(S), ~d'~ LI CONDITIONS AND FORMS AND
ENDORSEMENTS, IF ANY, ISSUED m FORM A PART THEREOF, COMPLETE THE B E NUMBERED POLICY.
BOP(D) (Ed. 1~87) Includes copyrighted material of Insurance Services Office, Inc, with its permission. Copyright, Insurance Services Office, Inc., 1984, 1985
COpy
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(The Att~hing C~use need be completed only when this endorsement is issued subsequent to preparation of the policy.)
ENDORSEMENT GU 207
(Ed. 6-78)
. This endorsement, effective on at 12:01 A.M. standard time, forms a part of
Policy No. of the
(NAME OF INSURANCE COMPANY)
Issued to
By
~_.~.~-_. ...~..~ Authorized Representative
It LJ hu.b; ~N &ad ~.tood 14at tbct tol1n~Qi 1. Uat.ed em tbl.w ~l1Q.(
.. U ...1 t1 aal IMuredt
01 t.tot ao...
P .o.ao.i.G.4o
hUlUJ'1, J:f.r 59715
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,......~ GU 207
,...lIt1.ll. 4Ir
,-.-' (Ed. 6-78)