Exhibit H - 2019 Existing Policy Schedules Binder of Insurance Policy: ESP7304919-00 Eff
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Exhibit H - 2019 Existing Policy Schedules Binder of Insurance Policy: ESP7304919-00 Eff. Date: January 1, 2019 Binder Period: January 1, 2019 to April 1, 2019 Binder of Insurance Binder Period: 01/01/2019 - 04/01/2019 Address: 3525 PIEDMONT ROAD BLDG. 5, SUITE 415 ATLANTA, GA 30305 Phone: 404-467-6430 Fax: 4044676431 Insured: WASHINGTON COUNTY, ARKANSAS Address: 280 N. COLLEGE AVE, STE 510 FAYETTEVILLE, AR 72701 Issuing Company: Arch Specialty Insurance Company (the Company) Surplus Lines Policy (non-Admitted) Policy Type: Property - Excess/Surplus Policy Number: ESP7304919-00 Policy Period: Inception Date January 1, 2019 - Expiration Date January 1, 2020 (12:01 A.M. Standard time at the address of the Insured shown above) Any preceding binder issued by the Company is void in its entirety as of its inception date and replaced by this binder. BND0001 January 02, 2019 03:58:20 pm Binder of Insurance Policy: ESP7304919-00 Eff. Date: January 1, 2019 Binder Period: January 1, 2019 to April 1, 2019 Limits / Deductibles / Retentions: Policy Limit: $10,000,000.00 Per Occurrence BI/PD $10,000,000 per Occurrence/ Annual Aggregate, respects to Earthquake, excluding California Earthquake. $5,000,000 Per Occurrence and Annual Aggregate with respect to Flood $1,000,000 per Occurrence/Annual Aggregate respects 100 yr Flood zones Policy Deductible: $10,000.00 Per Occurrence $25,000 per Occurrence, respects to Earthquake, except 2% per unit of insurance of insurance based on limits tied to the schedule of locations, coverage(), and limits submitted to this company at the time and place of loss (including business income) subject to $25,000 minimum per occurrence as respect New Madrid Earthquake. $25,000 Wind and Hail. $50,000 per occurrence with respect to Flood 100 yr Flood zones subject to a $500,000 per building, $500,000 contents per building Valuation: Replacement Cost Actual Cash Value on any roof not fully replaced within the past 15 years. Coinsurance: Nil Property Covered: Real Property, Business Personal Property, Equipment. Locations Covered: As Per Schedule on File with this Company, received September 30, 2018. Perils: “All Risks” of Direct Physical Loss or Damage including Earth Movement and Flood Total Insurable Value: $107,433,862.00 Coverage Territory: The United States of America (including its territories and possessions) and Puerto Rico Sublimits: Sublimits are part of, not in addition to, the Limit of Insurance indicated on the Declarations page and are per occurrence unless otherwise stated. The following sublimits are as per the policy form unless amended by endorsement hereto and only as applicable to the following elected coverages: Business and Personal Property Coverage: Electronic Data - $250,000 Spoilage - $25,000 Personal Property of Others - $50,000 Outdoor Property - $50,000 Any preceding binder issued by the Company is void in its entirety as of its inception date and replaced by this binder. BND0001 January 02, 2019 03:58:20 pm Binder of Insurance Policy: ESP7304919-00 Eff. Date: January 1, 2019 Binder Period: January 1, 2019 to April 1, 2019 Accounts Receivable - $250,000 Course of Construction - $250,000 Soft Costs - $250,000 Debris Removal- The lesser of 25% of the adjusted property Damage loss or $250,000. Decontamination and Clean UP - $250,000 Ordinance or Law - A Ordinance or Law - B - $1,000,000 Ordinance or law - C - $1,000,000 Earth Movement - $10,000,000 per Occurrence and Annual Aggregate. Errors and Omissions - $50,000 Expediting Expenses - $50,000 Fine Arts - $100,000 Fire Department Service Charge -$25,000 Wet Rot, Dry Rot, Mildew, Mold and Fungus (Annual Aggregate)- $25,000 Land and Water Pollutant or Contaminant Clean Up and Removal - $50,000 Landscaping Improvements - $25,000 Miscellaneous Unnamed Insured Locations - $250,000 Newly Acquired - $500,000 Off Premises Storage for property under course of Construction - $100,000 Claim Preparation Cost -$100,000 Protection and Preservation of Property - $100,000 Service Interruption Property Damage $250,000 subject to 72 hours waiting Service Interruption - Time Element - Excluded as business income coverage is not desired. Temporary Removal of Property - $100,000 Transit - $50,000 Valuable Papers and Records - $250,000 Payroll - $100,000 Causes of Loss - Special coverage: Subject to: Subject to no other Arch Insurance Group participation Warranties: The following warranties are added to this policy as a condition precedent to the acceptance of this insurance. Failure to comply with these warranties shall suspend all coverage under this policy for all premises not in compliance, and this suspension shall last until such time as the protection of the premises meets the warranted conditions. Automatic Sprinkler Systems- where applicable Central Station Sprinkler Alarm - where applicable Central Station Burglar Alarm System- where applicable Central Station Fire and/or Smoke Alarm System- where applicable. No EIFS or Dryvit Construction Automatic Extinguisher System over all Commercial Cooking Any preceding binder issued by the Company is void in its entirety as of its inception date and replaced by this binder. BND0001 January 02, 2019 03:58:20 pm Binder of Insurance Policy: ESP7304919-00 Eff. Date: January 1, 2019 Binder Period: January 1, 2019 to April 1, 2019 Areas Coverage for Certified Acts You have rejected the offer of coverage for TRIA certified acts of Terrorism: of terrorism. TRIA certified acts of terrorism will not be covered by your policy. Other Terms and Conditions: We will conduct a loss control survey and submit, for compliance, all recommendations that we deem appropriate. Subject to receipt of signed TRIA rejected form Cancellation: 30 Days, except 10 Days for Non Payment of Premium Forms / Endorsements: Form Number Form Title 06 EXP0001 00 07 16 COMMERCIAL PROPERTY DECLARATIONS (ASIC) 00 ML0012 00 01 03 SCHEDULE OF FORMS AND ENDORSEMENTS 06 ML0002 00 12 14 SIGNATURE PAGE (ARCH SPECIALTY) 00 EXP0009 00 11 14 MINIMUM EARNED PREMIUM CLAUSE - PERCENTAGE 00 EXP0091 00 11 03 COMMON POLICY CONDITIONS 00 ML0003 00 04 12 SERVICE OF SUIT 06 CP0002 00 03 08 CLAIMS HANDLING PROCEDURES (Arch Specialty Ins. Co.) 00 EXP0125 00 06 06 TOTAL TERRORISM EXCLUSION 00 ML0065 00 06 07 U.S. TREASURY DEPARTMENT'S OFFICE OF FOREIGN ASSETS CONTROL ("OFAC") 00 EXP0003 00 08 14 EXCLUSION AND LIMITED ADDITIONAL COVERAGE FOR FUNGUS 00 EXP0004 00 08 15 ELECTRONIC DATA LOSS OR DAMAGE - EXCLUSION 00 EXP0189 00 02 15 ASBESTOS MATERIAL REMOVAL LIMITATION 00 EXP0192 00 03 15 EXCLUSION OF LOSS DUE TO VIRUS OR BACTERIA 00 EXP0132 00 11 14 PRE-EXISTING DAMAGE EXCLUSION 00 EXP0081 00 08 14 WARRANTIES 00 EXP0185 00 05 17 EXTERIOR INSULATION AND FINISH SYSTEM (EIFS) EXCLUSION 00 EXP0202 00 08 15 ROOF SURFACING VALUATION LIMITATION ENDORSEMENT 00 EXP0208 00 09 16 ARCH E&S PROPERTY MANUSCRIPT COVERAGE FORM Minimum Earned Premium: 35% Minimum Earned Premium. Any preceding binder issued by the Company is void in its entirety as of its inception date and replaced by this binder. BND0001 January 02, 2019 03:58:20 pm Binder of Insurance Policy: ESP7304919-00 Eff. Date: January 1, 2019 Binder Period: January 1, 2019 to April 1, 2019 Premium Amount: Gross Premium: $123,000.00 Surplus Line Agent: ELIZABETH WHITE 303 Corporate Center Court Dri Suite 300 Stockbridge, GA 30281 License No: 3395502 This binder will remain in force for ninety (90) days from its effective date unless extended in writing by the Company, or until replaced by the policy. Please read all terms and conditions shown herein carefully. If this binder is conditioned upon the receipt, review and approval of additional information, all of this additional information must be provided to the Company within thirty (30) days of the effective date of this binder or the Company may, at its sole option, terminate this binder as of its effective date and cancel any policy which was issued pursuant to the binder. If, between the date of the original submission and the effective date of this binder, there is a material change in any of the information (including but not limited to claims or potential claims) originally submitted or subsequently requested by the Company, the Insured is required to notify the Company immediately. The Company reserves the right to terminate or modify the terms of this binder in the event of a material change in such information. Payment of premium is due within 30 days of the effective date of this binder. Should the premium not be received by the date due, this binder will be cancelled as of its effective date. This policy will be issued by a surplus lines insurer. Compliance with applicable laws and payment of the surplus lines premium taxes is the responsibility of the Insured, insurance agent or insurance broker. Applicable taxes and fees are not included in the premium due for the insurance coverage bound. It is the responsibility of the Agent/ Broker firm to provide the Company with the name, license number and a copy of the surplus lines broker’s surplus lines license in the state in which the Insured is located (for New Jersey business, please also provide the Surplus Lines Transaction number). It is the responsibility of the Agent/ Broker firm to conform with the Laws and Regulations of the applicable jurisdictions, including but not limited to, payment of surplus lines premium taxes, procuring of affidavits and compliance with surplus lines laws. Any preceding binder issued by the Company is void in its entirety as of its inception date and replaced by this binder. BND0001 January