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Home My WebLink About20241973.tiff••• Gallagher •••CORE 360 Named Insured Schedule Colorado Counties Casualty and Property Pool including the following members: • Alamosa • Archuleta • Baca Bent • Chaffee • Cheyenne • Clear Creek Conejos • Costilla • Crowley • Custer Delta • Dolores • Elbert • Fremont • Garfield Gilpin Grand COmmunica.+;onS O-11act /ac Gunnison Hinsdale Huerfano Jackson • Kiowa • Kit Carson • Lake • Las Animas • Lincoln • Logan • Mineral Moffat Montrose • Morgan • Otero • Ouray • Park • Phillips • Prowers • Pueblo • Rio Blanco • Rio Grande • Routt • Saguache • San Juan • San Miguel • Sedgwick • Summit • Teller • Washington • Weld • Yuma ••• Gallagher •••CORE 360 - Excess Vehicle Physical Damage Over the Road $4M xs $1 M Carrier: Endurance American Specialty Insurance Company Policy Period: January 1, 2024 to January 1, 2025 Policy form Follow Form Excess Policy Covered Perils Vehicle Physical Damage — Over the Road Only — same Covered Causes of Loss as the Primary Policy Limits: Amounts Coverages 4,000,000 Per Occurrence Excess of $1,000,000 Per Occurrence (sublimit within the Primary Policy); $ 4,000,000 Per Occurrence/Annual Aggregate Flood $ 4,000,000 Per Occurrence/Ahnual Aggregate Earthquake The company provides the limits show above as applying on the basis of $4,000,000 excess of $1,000,000 in turn excess of any applicable deductible(s) or self -insured retention contained in the underlying policies with respect to each and every loss or occurrence cause resulting from a covered peril. Insuring Clause — Carrier The insurance provided by this policy will follow form and be subject to same terms and Specific Form conditions as the Primary Property Policy issued by Primary Carrier(s) listed in the Schedule of Primary Policies Endorsement, except for premium, the limits of liability, and to the extent that the terms, conditions, provisions, definitions, endorsements and exclusions of this policy differ from the "primary policy". In the event of a conflict between this policy and the "primary policy", the terms, conditions, provisions, definitions, and exclusions of this policy shall control. Schedule of Primary Primary Property - $10,000,000 (Quota Share) Basis - Vehicle Physical Damage is Insurance sublimited to $1,000,000 including Flood and Earthquake Terms/Conditions: • Application of Underlying Provision Clause: Applies • Maintenance of Primary and Underlying Excess Policy(ies) and Limits Applies • Minimum Earned Premium: 25% • Cancellation: 90 Days except 10 Days for Non -Payment of Premium Other Provisions: • Uncollectible Insurance Clause • Territory Clause — U.S. and District of Columbia • Notice of Loss Provision • Protection of Property after Loss • Proof of Loss — Insured shall file with the Company within 90 days from the request of the Company • Settlement of Loss Clause • Subrogation Clause • Assistance and Cooperation Clause Exclusions Including but • Follow Form Primary Policy exclusions not limited to: • Pollution • Terrorism 2024 Arthur J Gallagher 3 Co. All rights reserved. e. Gallagher ***CORE 360 - Excess Vehicle Physical Damage (Continued) Over the Road $4M xs $1 M Claims Reporting CTSI as Claims Administrator for CAPP upon knowledge of any occurrence likely to Instructions: give rise to a claim hereunder shall give immediate written advice to the carriers as noted below: Note, CTSI is not to settle any loss without getting approval from the Carriers within this layer. Claims are to be reported to: EXCESS VEHICLE PHYSICAL DAMAGE (EXCESS OF $1M) RPS CLAIMS REPORTING Website: https://my.rpsins.com/claimsfnol Toll Free: 844-777-8323 Endurance US Claims E-mail: insuranceclaims@sompo-intl.com Toll Free Reporting: 877.676.7575 Endurance US Claims 750 Third Avenue, 18th Floor New York, NY 10017 Note: Failure to Promptly Report Claim to the Carrier shall invalidate any claim under the policy. Copies of any claims are also to be sent to: Arthur J. Gallagher Risk Management Services, Inc. Claims a -mail: GGB.NRCCIaimsCenterGtaiq.com 2024 Arthur J Gallagher & Co All nghts reserved SOMPO INTERNATIONAL Endurance American Specialty Insurance Company Placed by: Wilmington, Delaware Risk Placement Services, Inc. INLAND MARINE DECLARATIONS In consideration for the payment of premium and subject to all of the provisions of this policy, we agree to provide you the insurance as stated in this policy. POLICY NUMBER: PRIOR POLICY NUMBER: Insurer: Producer: Address: Producer Code Sub -Producer Code: Named Insured: Address: Policy Period: Business Description: Additional Insureds: I M U 10012212606 IMU 10012212605 Endurance American Specialty Insurance Company Risk Placement Services, Inc 525 W. Van Buren Suite 1325 Chicago, IL 60607 RISK0012 N/A Colorado Counties Casualty and Property Pool C/O CTSI 800 Grant Street Suite 400 Denver, CO 80203 From: January 01, 2024 To: January 01, 2025 (12:01 AM Standard Time on both dates, at the address of the Named Insured noted above.) Municipal Vehicles N/A Loss Payable Name and Address: All Loss Payees on file with the company and/or the agent THIS POLICY IS A CLAIMS -MADE POLICY WHICH PROVIDES LIABILITY COVERAGE ONLY IF A CLAIM IS MADE DURING THE POLICY PERIOD OR ANY APPLICABLE EXTENDED REPORTING PERIOD. JOEL D. CAVANESS Policy Issuance Date: Policy Issuance Office: January 17, 2024 Chicago, IL To Report a Loss • Dial toll -free #1 (844)777-8323 or visit our • Website: https://my.rpsins.com/claimsfnol • Contact Insurer directly (see policy section) Endurance American Specialty Insurance Company IMG 000104 13 Page 1 of 2 Forms made a part of this policy at inception: SN 9007 0914 CO SN - COLORADO - NON -CLAIMS -MADE PN 00010721 U.S. Treasury Department's Office of Foreign Assets Control (OFAC) PN 0007 0115 Claim Notice IM 0001 1014 Inland Marine Declaration Page (Non -admitted only) IMG 0001 0413 Declaration Page IL 1008 0114 Signature Page ECP 100106 06 General Change Endorsement ElM 3003 0815 Minimum Earned Premium IL 1301 0512 Service of Suit Endorsement ECP 0103 0508 Schedule of Primary Policies Endorsement CL 0700 10 06 Virus Or Bacteria Exclusion ILN0200903 Colorado Fraud Statement IL 1205 01 15 Exclusion of Certified Acts of Terrorism IL 1313 01 15 TRIA Rejection of Offer ECP 0101 0508 Forms and Endorsements Schedule ECP 0223 05 16 Following Form Excess Policy (Non -admitted only) Premium: Inland Marine Terrorism $62,618 Rejected Premium Due at Policy Inception: $62,618 Minimum Earned Premium: $27,444 Premium : $ 62,618.00 CO Surplus Lines Tax : $ 1,878.54 Total Charges : $ 64,496.54 January 17, 2024 Authorized Representative Date Policy Issuance Date: Policy Issuance Office: NOTE: SEE ENCLOSED NOTICE FOR SURPLUS LINES NOTIFICATION January 17, 2024 Chicago, IL Endurance American Specialty Insurance Company IMG 000104 13 Page 2 of 2 SOMPO INTERNATIONAL Endurance American Specialty Insurance Company (Wilmington, Delaware) This Declarations Page together with forms and endorsements, if any, complete the below numbered POLICY. Policy No. IMU10012212606 Renewal of IMU10012212605 INLAND MARINE DECLARATIONS PAGE NAMED INSURED AND ADDRESS: Colorado Counties Casualty and Property Pool C/O CTSI 800 Grant Street Suite 400 Denver, CO 80203 POLICY PERIOD: Inception: 01/01/2024 Expiration: 01/01/2025 12:01 a.m. Standard Time at the address of the Insured shown above Notice to Named Insured: It is important that the written portion of all policies covering the same exposure read exactly alike. If they do not, they should be made uniform at once. 1. DESCRIPTION OF COVERAGES: Excess Vehicle Physical Damage - Over the Road Only 2. LOCATION(S) OR EXPOSURES COVERED: 3. LIMIT OF LIABILITY: $4,000,000 Per Occurrence Excess of $1,000,000 Per Occurrence and Annual Aggregate Earthquake $4,000,000 excess $1,000,000 Per Occurrence and Annual Aggregate Flood $4,000,000 excess $1,000,000 The Company provides the limits shown above as applying on the basis of $4,000,000 in turn excess of $1,000,000 in turn excess of any applicable deductible(s) or self -insured retention contained in the underlying policies with respect to each and every loss or occurrence caused by or resulting from the perils insured against under this policy and in the annual aggregate(s) as stated above 4. DEDUCTIBLE AMOUNT(s): 5. TOTAL PREMIUM $62,618 MINIMUM EARNED PREMIUM: 43% 6. TAXES / FEES APPLICABLE: State Fees: Producer Responsibility Stamping Fees: Producer Responsibility Inspection Fee: Not Applicable Modeling Fee: Not Applicable 7. MORTGAGE OR LOSS PAYABLE CLAUSE: N/A Loss if any should be payable to: All Loss Payees on file with the company and/or the agent 8. SUBJECT TO FORMS AND ENDORSEMENTS SCHEDULE ECP 0101 ATTACHED. Endurance American Specialty Insurance Company IM 0001 1014 SOMPO INTERNATIONAL Endurance American Specialty Insurance Company (Wilmington, Delaware) Nothing herein contained shall be held to vary, alter, waive or extend any of the terms, conditions, provisions, agreements or limitations of the above mentioned Policy, other than as above stated. Any terms used in this Declarations Page that are defined in the attached policy form shall have the same meaning as in that policy form. Issuance Date: January 17, 2024 Issuing Office: Chicago, IL Authorized Representative NOTE - SEE ENCLOSED NOTICE FOR SURPLUS LINES NOTIFICATION Endurance American Specialty Insurance Company IM 0001 1014 ENDORSEMENT Named Insured: Colorado Counties Casualty Policy Number: IMU1001221260 and Property Pool 6 Endorsement Endorsement Effective Date: January 01, 2024 Number: N/A (12:01 AM Standard Time at the address of the Named Insured as shown in the Declarations) MINIMUM EARNED PREMIUM It is agreed that: The policy is amended to add the following: This policy is subject to a minimum earned premium of $27,444. Policy fees are fully earned. This Minimum Earned Premium is the least amount of premium we shall retain as earned premium, regardless of the term. It is agreed that the minimum earned premium for the policy period indicated, or less, is subject to short rate or pro rate adjustment over and above the minimum earned premium in the event of cancellation by the insured. It is further agreed that cancellation request for non-payment of premium shall be deemed a request by the named insured for cancellation of this policy, and the foregoing minimum earned premium provision applies. Authorized Representative This endorsement does not change any other provision of the policy. The title and any headings in this endorsement are solely for convenience and do not affect its meaning. Date of Issuance: January 17, 2024 Policy Form: Applicable Forms Endurance American Specialty Insurance Company Page 1 of 1 Endorsement Form: EIM 3003 0815 SOMPO INTERNATIONAL Endurance American Specialty Insurance Company 1221 Avenue of the Americas New York, NY 10020 IN WITNESS WHEREOF, the Insurer has caused this Policy to be signed by its President and Senior Vice President and countersigned where required by law on the Declarations page by its duly authorized representative. ar41, Senior Vice President President Endurance American Specialty Insurance Company ECP 0223 05 16 FORMS AND ENDORSEMENT SCHEDULE It is agreed the following forms and endorsements are attached to and area part of this policy: # FORM NUMBER FORM NAME 1 SN 9007 0914 CO SN - COLORADO - NON -CLAIMS -MADE 2 PN 0001 0721 U.S. Treasury Department's Office of Foreign Assets Control (OFAC) 3 PN 0007 0115 Claim Notice 4 IM 0001 1014 Inland Marine Declaration Page (Non -admitted only) 5 IMG 0001 04 13 Declaration Page 6 IL 1008 0114 Signature Page 7 ECP 1001 06 06 General Change Endorsement 8 EIM 3003 0815 Minimum Earned Premium 9 IL 1301 0512 Service of Suit Endorsement 10 ECP 0103 0508 Schedule of Primary Policies Endorsement 11 CL 0700 10 06 Virus Or Bacteria Exclusion 12 IL N 020 09 03 Colorado Fraud Statement 13 IL 1205 01 15 Exclusion of Certified Acts of Terrorism 14 IL 1313 01 15 TRIA Rejection of Offer 15 ECP 0101 0508 Forms and Endorsements Schedule 16 ECP 0223 05 16 Following Form Excess Policy (Non -admitted only) Endurance American Specialty Insurance Company IL 1008 0114 SERVICE OF SUIT ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. In the event of failure of the Company to pay any amount claimed to be due under the terms of this policy, the Company, at the request of the Insured, will submit to the jurisdiction of a court of competent jurisdiction within the United States. Nothing in this condition constitutes or should be understood to constitute a waiver of the Company's rights to commence an action in any court of competent jurisdiction in the United States to remove an action to a United States District Court or to seek a transfer of a case to another court as permitted by the laws of the United States or of any state in the United States. In any suit instituted against the Company upon this policy, the Company will abide by the final decision of such court or of any appellate court in the event of appeal. It is further agreed that service of process in such suit may be made upon the Senior Vice President - Claims, 1221 Avenue of the Americas New York, NY 10020. Further, pursuant to any statute of any state, territory, or district of the United States which makes provision therefore, the Company hereby designates the Superintendent, Commissioner or Director of Insurance, or other officer specified for that purpose in the statute, as its true and lawful attorney upon whom service may be made of any lawful process in any action, suit, or proceeding instituted by or on behalf of the Insured or any beneficiary hereunder arising out of this policy of insurance and hereby designates the above named Senior Vice President - Claims as the person to whom the said officer is authorized to mail such process or a true copy thereof This endorsement does not change any other provision of the policy. Endurance American Specialty Insurance Company VPH - Policy Form SCHEDULE OF PRIMARY POLICY (IES) ENDORSEMENT Company Policy Number Policy Period Type of Coverage Limits of Insurance Westchester Surplus Lines Insurance Company D38095432 007 01/01/2024-01/01/2025 Property $2,500,000 part of $25,000,000 of Primary Endurance American Specialty Insurance Company IL 1301 0512 AAIS ECP 0103 0508 Page 1 of 1 This endorsement changes the policy -- PLEASE READ THIS CAREFULLY -- VIRUS OR BACTERIA EXCLUSION DEFINITIONS Definitions Amended -- When "fungus" is a defined "term", the definition of "fungus" is amended to delete reference to a bacterium. When "fungus or related perils" is a defined "term", the definition of "fungus or related perils" is amended to delete reference to a bacterium PERILS EXCLUDED The additional exclusion set forth below applies to all coverages, coverage extensions, supplemental coverages, optional coverages, and endorsements that are provided by the policy to which this endorsement is attached, including, but not limited to, those that provide coverage for property, earnings, extra expense, or interruption by civil authority. 1. The following exclusion is added under Perils Excluded, item 1.: Virus or Bacteria -- "We" do not pay for loss, cost, or expense caused by, resulting from, or relating to any virus, bacterium, or other microorganism that causes disease, illness, or physical distress or that is capable of causing disease, illness, or physical distress. This exclusion applies to, but is not limited to, any loss, cost, or expense as a result of: a. any contamination by any virus, bacterium, or other microorganism; or b. any denial of access to property because of any virus, bacterium, or other microorganism. 2. Superseded Exclusions -- The Virus or Bacteria exclusion set forth by this endorsement supersedes the "terms" of any other exclusions referring to "pollutants" or to contamination with respect to any loss, cost, or expense caused by, resulting from, or relating to any virus, bacterium, or other microorganism that causes disease, illness, or physical distress or that is capable of causing disease, illness, or physical distress. OTHER CONDITIONS Other Terms Remain in Effect -- The "terms" of this endorsement, whether or not applicable to any loss, cost, or expense, cannot be construed to provide coverage for a loss, cost, or expense that would otherwise be excluded under the policy to which this endorsement is attached. ECP 0103 0508 Copyright, American Association of Insurance Services, Inc., 2006 IL N 020 09 03 COLORADO FRAUD STATEMENT It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance, and civil damages. Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado division of insurance within the department of regulatory agencies. CL 0700 10 06 © ISO Properties, Inc., 2003 Page 1 of 1 ENDORSEMENT Named Insured: Colorado Counties Casualty and Property Policy Number: IMU10012212606 Pool Endorsement Effective Date: January 01, 2024 (12:01 AM Standard Time at the address of theNamed Insured as shown in the Declarations) Endorsement Number: N/A EXCLUSION OF CERTIFIED ACTS OF TERRORISM THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. It is agreed that: A. The following exclusion is added: This insurance does not apply to: TERRORISM "Any injury or damage" arising, directly or indirectly, out of a "certified act of terrorism". B. The following definitions are added: 1. For the purposes of this endorsement, "any injury or damage" means any injury or damage covered under any Policy or "underlying insurance" to which this endorsement is applicable, and includes but is not limited to "bodily injury", "property damage", "personal and advertising injury", "injury" or "environmental damage" as may be defined in any applicable Policy or "underlying insurance". 2. "Certified act of terrorism" means an act that is certified by the Secretary of the Treasury, in accordance with the provisions of the federal Terrorism Risk Insurance Act, to be an act of terrorism pursuant to such Act. The criteria contained in the Terrorism Risk Insurance Act for a "certified act of terrorism" include the following: a. The act resulted in insured losses in excess of $ 5 million in the aggregate, attributable to all types of insurance subject to the Terrorism Risk Insurance Act; and b. The act is a violent act or an act that is dangerous to human life, property or infrastructure and is committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. Date of Issuance: January 17, 2024 Policy Form: Endurance American Specialty Insurance Company Page 1 of 2 Endorsement Form: IL N 020 09 03 ENDORSEMENT Authorized Representative This endorsement does not change any other provision of the Policy. The title and any headings in this endorsement are solely for convenience and do not affect its meaning. Includes copyrighted material of Insurance Services Office, Inc. with its permission. This endorsement does not change any other provision of the Policy. The title and any headings in this endorsement are solely for convenience and do not affect its meaning. Notice includes copyrighted material of Insurance Services Office, Inc. with its permission. Date of Issuance: January 17, 2024 Policy Form: Endurance American Specialty Insurance Company Page 2 of 2 Endorsement Form: IL N 020 09 03 ENDORSEMENT Named Insured: Colorado Counties Casualty and Property Policy Number: IMU10012212606 Pool Endorsement Effective Date: January 01, 2024 12:01 AM Standard Time at the address of the Named Insured as shown in the Declarations. Endorsement Number: N/A DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT - REJECTION OF OFFER THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. It is agreed that: THIS ENDORSEMENT IS ATTACHED TO AND MADE PART OF YOUR POLICY IN RESPONSE TO THE DISCLOSURE REQUIREMENTS OF THE TERRORISM RISK INSURANCE ACT. THIS ENDORSEMENT DOES NOT GRANT ANY COVERAGE OR CHANGE THE TERMS AND CONDITIONS OF ANY COVERAGE UNDER THE POLICY. A. Rejection of Offer You have rejected the offer of terrorism coverage for Acts of Terrorism that are certified under the Terrorism Risk Insurance Act as reauthorized and amended, as an Act of Terrorism. An exclusion of terrorism losses has been made a part of this policy. B. Disclosure of Federal Participation in Payment of Terrorism Losses The United States government, Department of the Treasury, will pay a share of terrorism losses insured under the federal program. The federal share equals 85% in 2015 and decreases its share 1% each calendar year to a total of 80% in 2020 of that portion of the amount of such insured losses that exceeds the applicable insurer retention. You have rejected this offer of coverage. This endorsement does not change any other provision of the Policy. The title and any headings in this endorsement are solely for convenience and do not affect its meaning. Notice includes copyrighted material of Insurance Services Office, Inc. with its permission. Date of Issuance: January 17, 2024 Policy Form: Endurance American Specialty Insurance Company Page 1 of 1 Endorsement Form: IL 1205 01 15 Hello