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Schedule of Insurance
LEADERSHIP PREPARATORY
NOTICE: This statement is not intended in any way to describe the coverage granted by
any of the policies mentioned, but is solely for use in identifying the policies for audit purposes
COVERAGE POLICY PERIOD POLICY NO. CARRIER LIMITS OF LIABILITY
RETENTION COVERAGE COMMENTS PREMIUM
Workers' Comp & 6/26/08 - 6/26/09 10WBNV8275 Twin City Fire WC: NIL Final premium will be computed upon audit
$7,423
Employers Liability
Insurance Company
Statutory
Current premium is based on total reported payroll of
$1,200,000
Employer's Liability:
BI Per Accident $1,000,000
BI Each Employee Disease $1,000,000
BI Policy Limit Disease $1,000,000
Package Policy 6/26/08 - 6/26/09 10UUNAG6501 Hartford Fire Liability:
Liability:
$11,852
Insurance Company Each Occurrence
$1,000,000 Nil except:
Personal and Advertising Injury Liability $1,000,000
General Aggregate (Other Than Products -
Completed Operations)
$2,000,000 $10,000 Educators Legal Liability
Fire Legal Liability $300,000
Medical Payments, per person $10,000
Employee Benefits Liability $1,000,000
Employee Benefits Liability $1,000,000
Educators Legal Liability $1,000,000
Educators Legal Liability Aggregate $1,000,000
Hired and Non Owned Liability $1,000,000
Property:
Blanket Building
Blanket Personal Property / EDP
Property:
$34,316,000 $1,000 except
$43,503,606 $25,000 Flood / Earthquake
Blanket Business Income / Extra Expense $900,000 72 Hours - Civil Authority
Flood Aggregate
$10,000,000 12 Hours - Denial of Service
Earthquake Aggregate
$10,000,000 72 Hours - Dependent Properties
Cause of Loss Form
Special 6 Hours - Electronic Vandalism
Coinsurance
Agreed Amount 24 Hours - Utility Services
Accounts Receivable $250,000
Brands & Labels $50,000
Bus. Travel & sales Rep. Samples $50,000
Claim Expenses $50,000
Contract Penalties $50,000
Debris Removal $50,000
Fire Dept. Service Charges $50,000
Transit $50,000
Lease Assessment $2,500
Leasehold Improvement $25,000
Utility Services $50,000
Umbrella 6/26/08 - 6/26/09 10RHUAG5197
Crime 6/26/08 - 6/26/09 00FA0234168-08
Hartford Casualty
Insurance Company
Hartford Fire
Insurance Company
Each Occurrence $10,000,000 $10,000 SIR if no underlyer Underlying:
$2,900
Aggregate $10,000,000 Employers Liability
Prods/Completed Ops Aggregate $10,000,000 Automobile Liability
General Liability
Automobile Liability
Educators Legal Liability
Employee Theft $1,000,000 $10,000
$558
Depositors Forgery or Alteration $1,000,000
Theft, Disappearance & Destruction -
Money, Securities, and Other Property $1,000,000
Computer and Funds Transfer Fraud $1,000,000
Robbery and Safe Burglary - Money and
Securities
N/A N/A
Accident Insurance I 6/26/08 - 6/26/09 NKB001817
CIGNA Life Principal Sum
$10,000 Nil
Insurance Company Aggregate Limit of Indemnity $500,000
of New York Accident Medical Expense Benefit $25,000
Rate is $2.60 per student
$632
Accident Insurance II 6/26/08 - 6/26/09
SRG 0008068171
American
International Life
Assurance
Accident Medical Expense: $5,000,000 $25,000
$223
D&O/EPL/Fiduciary
(Leadership Prep Charter
School)
6/26/08 - 6/26/09 PHSD331887 Philadelphia Directors & Officers $3,000,000 D&O - Ded $1,000 Prior and Pending date
Indemnity Ins. Co. Employment Practices Liabiltiy $3,000,000 Emply. Pract. Liab - Ded. $2,500 D&O - 8/1/06
Fiduciary Liability $1,000,000 Fid. Liab. - Ded. $1,000 Emply. Practices - 8/1/06
Aggregate $3,000,000 Fid. Liab. - 8/1/06
$3,789
*All of the above policies with the exception of the Management Liability coverages are written in the Uncommon Schools Shared Insurance program. The premiums allocated are based on the exposures submitted at time of renewal.