TRAVELERS - USI

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TRAVELERSReport Claims Immediately by Calling*1-800-238-6225Speak directly with a claim professional24 hours a day, 365 days a year*Unless Your Policy Requires Written Notice or ReportingCOMMERCIAL INSURANCEA Custom Insurance Policy Prepared for:UNIVERSITY SOUTHERN INDIANA8600 UNIVERSITY BLVDEVANSVILLE IN 47712Presented by: A J GALLAGHER RMS001568

aWTRAVELERS iOne Tower Square, Hartford, Connecticut 06183TRAVELERS CORP. TEL: 1-800-328-2I89COMMERCIAL INLAND MARINECOMMON POLICY DECLARATIONSISSUE DATE: 10/26/15POLICY NUMBER: QT-660-9F333681 -TIL-1 5INSURING COMPANY:TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICAI. NAMED INSURED AND MAILING ADDRESS:UNIVERSITY SOUTHERN INDIANA8600 UNIVERSITY BLVDEVANSVILLE, IN 477122. POLICY PERIOD:3. LOCATIONSPremisesLoc. No.From 10/19/15 to 10/19/16 12:01 A.M. Standard Time atyour mailing address.Bldg.No. OccupancyAddressON FILE WITH COMPANY4. COVERAGE PARTS FORMING PART OF THIS POLICY AND INSURING COMPANIES:CM TO 01COMMERCIAL INLAND MARINE COV PART DECLARATIONS5. NUMBERS OF FORMS AND ENDORSEMENTSSEE IL T8 01FORMING A PART OF THIS POLICY:07 86 TIL10 936. SUPPLEMENTAL POLICIES: Each of the following is a separate policycontaining its complete provisions: 3,948 3,948 7. PREMIUM SUMMARY:Provisional PremiumDue at InceptionDue at EachNAME AND ADDRESS OF AGENT OR BROKER:A U GALLAGHER RMS (HUGGO)2 PIERCE PL 6TH FLITASCA, IL 601430 C-Insuring CompanyPolicy No.Policy0 COUNTERSiGNED BY:Authorized RepresentativeDATE:IL TO 02 iI 89(REV. 09-07)OFFICE : NAPERVILLE IL001569PAGE I OF 1

a01TRAVELERSiLISTING OF FORMS,POLICY NUMBER:QT-660-9F333681 -TIL-I 5EFFECTIVE DATE:10-19-15ISSUE DATE:10-26-15ENDORSEMENTS AND SCHEDULE NUMBERSTHIS LISTING SHOWS THE NUMBER OF FORMS,BY LINE OF BUSINESS.IL TO 02 ii 89IL TB 01 10 93IL TO 01 01 07SCHEDULES AND ENDORSEMENTSCOMMON POLICY DECLARATIONSFORMS, ENDORSEMENTS AND SCHEDULE NUMBERSCOMMON POLICY CONDITIONSINLAND MARINEAOT3T3TOTO00TiT3CM 0109969696960504961500IMPAK COVERAGE PART DECLARATIONSIM PAK COVERAGE SUMMARYIM PAK COV CONTRACT EQUIP PREM ADd STATEIM PAK CDV CONTRACTORS EQUIP SCHEDULETABLE OF CONTENTSCOMMERCIAL INLAND MARINE CONDITIONSIMPAK COVERAGE FORMFEDERAL TERRORISM RISK INSURANCE ACT DISINDIANA CHANGESINTERLINE ENDORSEMENTSILILILILILIL0 0 NDT COMMON POLICY COND-PROHIBITED COVGCAP ON LOSSES CERTIFIED ACT OF TERRORISMEXCL OF LOSS DUE TO VIRUS OR BACTERIAIN CHANGES - DEFINITION OF POLLUTANTSIN CHANGES CONCEAL MISREPRESENT OR FRAUDIN CHANGES-CANCELLATION & NONRENEWAL0 IL T8 01 10 93001570PAGE:I OFI

COMMON POLICY CONDITIONSAll Coverage Parts included in this policy are subject to the following conditions:during the policy period and up to three yearsafterward.A. Cancellation1.2.The first Named Insured shown in the Declarations may cancel this policy by mailing ordelivering to us advance written notice ofcancellation.D. Inspections And Surveys1.We may cancel this policy or any CoveragePart by mailing or delivering to the firstNamed Insured written notice of cancellationat least:a.b.10 days before the effective date of cancellation if we cancel for nonpayment ofpremium; or2.30 days before the effective date of cancellation if we cancel for any other rea-son.3. We will mail or deliver our notice to the firstNamed Insured's last mailing address knownto us.4.5.A6.Notice of cancellation will state the effectivedate of cancellation. If the policy is cancelled,that date will become the end of the policyperiod. If a Coverage Part is cancelled, thatdate will become the end of the policy periodas respects that Coverage Part only.If this policy or any Coverage Part is cancelled, we will send the first Named Insuredany premium refund due. If we cancel, the refund will be pro rata. If the first Named Insured cancels, the refund may be less thanpro rata. The cancellation will be effectiveeven if we have not made or offered a re-We have the right to:a.Make inspections and surveys at anytime;b.Give you reports on the conditions wefind; andc.Recommend changes.We are not obligated to make any inspections, surveys, reports or recommendationsand any such actions we do undertake relateonly to insurability and the premiums to becharged. We do not make safety inspections.We do not undertake to perform the duty ofany person or organization to provide for thehealth or safety of workers or the public. Andwe do not warrant that conditions:a.Are safe or healthful; orb.Comply with laws, regulations, codes orstandards.3.Paragraphs 1. and 2. of this condition applynot only to us, but also to any rating, advisory, rate service or similar organizationwhich makes insurance inspections, surveys,reports or recommendations.4.Paragraph 2. of this condition does not applyto any inspections, surveys, reports or recommendations we may make relative to certification, under state or municipal statutes, or-fund.dinances or regulations, of boilers, pressureIf notice is mailed, proof of mailing will besufficient proof of notice.vessels or elevators.B. ChangesThis policy contains all the agreements betweenyou and us concerning the insurance afforded.The first Named Insured shown in the Declarations is authorized to make changes in the termsof this policy with our consent. This policy's termscan be amended or waived only by endorsementissued by us as part of this policy.C. Examination Of Your Books And RecordsWe may examine and audit your books andrecords as they relate to this policy at any timeE.Premiums1.2.The first Named Insured shown in the Declarations:a.Is responsible for the payment of all premiums; andb.Will be the payee for any return premiums we pay.We compute all premiums for this policy inaccordance with our rules, rates, rating plans,premiums and minimum premiums. The premium shown in the Declarations was computed based on rates and rules in effect atIL TO 01 01 07 (Rev. 06-09) Includes the copyrighted material of Insurance Services Office, Inc. with its permission.001571Page 1 of 2

the time the policy was issued. On each renewal continuation or anniversary of the effective date of this policy, we will computethe premium in accordance with our ratesand rules then in effect.F.Transfer Of Your Rights And Duties UnderThis PolicyYour rights and duties under this policy may notbe transferred without our written consent exceptin the case of death of an individual named insured.If you die, your rights and duties will be transferred to your legal representative but only whileacting within the scope of duties as your legalrepresentative. Until your legal representative isappointed, anyone having proper temporary custody of your property will have your rights andduties but only with respect to that property.G. Equipment Breakdown Equivalent to Boilerand MachineryOn the Common Policy Declarations, the termEquipment Breakdown is understood to meanand include Boiler and Machinery and the termBoiler and Machinery is understood to mean andinclude Equipment Breakdown.This policy consists of the Common Policy Declarations and the Coverage Parts and endorsements listed in thatdeclarations form.In return for payment of the premium, we agree with the Named Insured to provide the insurance afforded by aCoverage Part forming part of this policy. That insurance will be provided by the company indicated as insuringcompany in the Common Policy Declarations by the abbreviation of its name opposite that Coverage Part.One of the companies listed below (each a stock company) has executed this policy, and this policy is countersigned by the officers listed below:The Travelers Indemnity Company (IND)The Phoenix Insurance Company (PHX)The Charter Oak Fire Insurance Company (COF)Travelers Property Casualty Company of America (TIL)The Travelers Indemnity Company of Connecticut (TCT)The Travelers Indemnity Company of America (TIA)0SecretaryPage 2 of 2wjT"-.e-Le"Travelers Casualty Insurance Company of America (ACJ)PresidentIncludes the copyrighted material of Insurance Services Office, Inc. with its permission.IL TO 01 01 07 (Rev. 06-09)

-. . .X-. 4COMMERCIAL INLAND MARI N E-.4---, -X001572

. . . . . .COMMERCIAL INLAND MARINE.

TRAVELERSCOMMERCIAL INLAND MARINECOVERAGE PART DECLARATIONSINSURING COMPANY:One Tower Square, Hartford, Connecticut 06183POLICY NUMBER: QT-660-9F333681-TIL-15ISSUE DATE: 10-26-15TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICADeclarations Period: From 10-19-15 to 10-19-16 12:01 A.M. Standard Time at your mailing address shownin the Common Policy Declarations.The Commercial Inland Marine Coverage Part consists of these Declarations, the Commercial Inland MarineConditions Form and the Coverage Forms shown below.COVERED PROPERTY AND LIMITS OF INSURANCEI.IN PAK COVERAGEEQUIPMENT"COVERAGE EXTENSIONSNewly Acquired "Contractors Equipment":"Replacement Items"Rental Cost:Loss to any one "Replacement Item":"Maximum Amount of Payment":"Flood Limit of Insurance":"Flood Annual Aggregate Limit of Insurance":"Earth Movement Limit of Insurance":"Earth Movement Annual AggregateLimit of Insurance":LIMITS OF INSURANCE1,699,413 50,000 50,000 per item No Coverage 250,0005,000100,000 COVERED ITEMSListed Items (See Schedule):Unlisted Items:Not To Exceed:Leased or Rented Items:per itemper item1 ,849,413 1 ,849,413 "CONTRACTORS1,849,4131 ,849,4131,849,413 II. DEDUCTIBLE"CONTRACTORS EQUIPMENT""Basic Deductible":"Flood Deductible":"Earth Movement Deductible":"Windstorm Deductible":0 0 1 ,00025,00025,0001 ,000 N-0 III.PREMIUM SUMMARYDeposit Premiums areThe policy premium includes the premiums shown below.subject to adjustment as specified in the Reporting Provisions.0 0 0 Premium3,948 "CONTRACTORS EQUIPMENT"Listed and Unlisted ItemsDeposit:Adjustment Rate:Reporting Period:Adjustment Period: BERS OF FORMS, SCHEDULES AND ENDORSEMENTS FORMING PART OF THIS COVERAGE PARTARE ATTACHED AS A SEPARATE LISTING.PageCM TO 01 0786Order # CM AO 28 08 96PRODUCER:A J GALLAGHER RMS001573HJ66OOFFICE: NAPERVILLE IL1 (END)888

POLICY NUMBER: QT-66O-9F333681 -TIL- 15COMMERCIAL INLAND MARINEISSUE DATE: 10-26-15IM PAK COVERAGE SUMMARYThis Coverage Part covers the following:"Contractors Equipment"This Coverage Part Includes the following coverage form:IM PAK 9 COVERAGE FORMTZ 004 06 0654 0795 0674This Coverage Part includes the following modifiers:065407950674Programming Errors FUnlisted Items Ic. Employee ToolsRpt Prov - CE List/Unlist ItemsCMI T3 71 08 96Pae1o1Page 1 of 1

IM PAK COVERAGE"CONTRACTORS EQUIPMENT"PREMIUM ADJUSTMENT STATEMENTPOLICY NUMBER:POLICY PERIOD:OT-660-9F333681 -TIL-15101915to 101916NAMED INSURED:UNIVERSITY SOUTHERN INDIANAAGENCY:A U GALLAGHER RMSHJGGOAs stated in the Reporting Provisions of your IM PAK Coverage Form, the coverage listed below is subject topremium adjustment. Please read this section of your IM PAK Coverage Form and provide the necessaryinformation as requested in the instructions below.Instructions:1) Enter the Reporting Period dates and Premium Base information below:- The Reporting Period, as shown in the Declarations, may differ among coverages.- If this IM PAK Coverage Form is cancelled, state your Premium Base from the last Reporting Period up toand as of the date of cancellation.2) Sign and date this statement.3) Keep a copy for your records.4) Mail the original to your agent or broker within 30 days after the end of the Reporting Period. t-"CONTRACTORS EQUIPMENT"Listed and Unlisted itemsReporting PeriodPremium Base0 0-Total Value of Listed and Unlisted items.0 Leased or Rented itemsReporting PeriodPremium Base 0 Actual Expense you incurred (paid or owed) to lease or rentitems from others during the Reporting Period0 C-I certify that the above is a true and correct statement for the period indicated.INSURED SIGNATUREDATEBYTITLECM T3 68 08 96

aWTRAVELERSJOne Tower Square, Hartford, Connecticut 06183IM PAK COVERAGE"CONTRACTORS EQUIPMENT"SCHMED ULEITEM1POLICY NUMBER: QT-660-9F333681 -TIL-I 5ISSUE DATE: 10-26-15DESCRIPTION OF ITEMSLISTED ITEMS & LIMITS OF INSURANCESHOWN IN THE SCHEDULE ON FILE WITH US,DATED 9/29/2015TOTAL LIMIT OF INSURANCE FOR ALL LISTED ITEMSCM TO 28 08 96LIMIT OF INSURANCE PER SCHEDULEON FILEWITH US 1,699,413PagePg1 (END)ED

TABLE OF CONTENTSCOMMERCIAL INLAND MARINE COVERAGE PARTThe following indicates the contents of the principal forms which may be attached toyour policy.It contains no reference to the Declarations or Endorsements which also may be attached.Beginning on PageCOMMERCIAL INLAND MARINE CONDITIONSLoss Conditions1A.AbandonmentB.AppraisalC.Duties In The Event Of LossD.E.F.Insurance Under Two Or More CoveragesLoss PaymentOther Insurance112G.H.1.Pair, Sets Or PartsRecovered PropertyReinstatement Of Limit After Loss22J.Transfer Of Rights Of Recovery Against Others To Us1122General ConditionsS-A.Concealment, Misrepresentation Or FraudB.C.D.Control Of PropertyLegal Action Against UsNo Benefit To BaileeE.Policy Period, Coverage Territory.222333ValuationINLAND MARINE COVERAGE FORM(S)A. Coverage1.2.3.Covered PropertyProperty Not CoveredCovered Causes Of Loss4.Additional Coverage5.Coverage Extensions (if Any)-PageCollapse (if Applicable)No.VariesExclusionsC.Limits of InsuranceD.DeductibleE.Additional ConditionsF.DefinitionsCM TO 11 08 05001575B.ByFormPage 1 of 1

COMMERCIAL INLAND MARINECOMMERCIAL INLAND MARINE CONDITIONSThe following conditions apply in addition to theCommon Policy Conditions and applicable AdditionalConditions in Commercial Inland Marine CoverageForms:LOSS CONDITIONSA. AbandonmentThere can be no abandonment of any property tous.B. AppraisalIf we and you disagree on the value of the property or the amount of loss, either may make written demand for an appraisal of the loss. In thisevent, each party will select a competent andimpartial appraiser. The two appraisers will selectan umpire. If they cannot agree, either may request that selection be made by a judge of acourt having jurisdiction. The appraisers will stateseparately the value of the property and amountof loss. If they fail to agree, they will submit theirdifferences to the umpire. A decision agreed toby any two will be binding. Each party will:1. Pay its chosen appraiser; and2. Bear the other expenses of the appraisal andumpire equally.If there is an appraisal, we will still retain our rightto deny the claim.C. Duties In The Event Of LossYou must see that the following are done in theevent of loss or damage to Covered Property:1. Notify the police if a law may have been broken.2. Give us prompt notice of the loss or damage.Include a description of the property involved.3. As soon as possible, give us a description ofhow, when and where the loss or damage occurred.4. Take all reasonable steps to protect the Covered Property from further damage, and keepa record of your expenses necessary to protect the Covered Property, for considerationin the settlement of the claim. This will not increase the Limit of Insurance. However, wewill not pay for any subsequent loss or damage resulting from a cause of loss that is nota Covered Cause of Loss. Also, if feasible,CM 00 01 09 04set the damaged property aside and in thebest possible order for examination.5. You will not, except at your own cost, voluntarily make a payment, assume any obligation, or incur any expense without our consent.6. As often as may be reasonably required,permit us to inspect the property proving theloss or damage and examine your books andrecords.Also permit us to take samples of damagedand undamaged property for inspection, testing and analysis, and permit us to make copies from your books and records.7. We may examine any insured under oath,while not in the presence of any other insuredand at such times as may be reasonably required, about any matter relating to this insurance or the claim, including an insured'sbooks and records. In the event of an examination, an insured's answers must be signed.8. Send us a signed, sworn proof of loss containing the information we request to settlethe claim. You must do this within 60 days after our request. We will supply you with thenecessary forms.9. Immediately send us copies of any demands,notices, summonses or legal papers receivedin connection with the claim or suit.10. Cooperate with us in the investigation or settlement of the claim.D. Insurance Under Two Or More CoveragesIf two or more of this policy's coverages apply tothe same loss or damage, we will not pay morethan the actual amount of the loss or damage.E. Loss Payment1. We will give notice of our intentions within 30days after we receive the sworn proof of loss.2. We will not pay you more than your financialinterest in the Covered Property.3. We may adjust losses with the owners of lostor damaged property if other than you. If wepay the owners, such payments will satisfyyour claim against us for the owners' property. We will not pay the owners more thanPage 1 of 3

COMMERCIAL INLAND MARINEtheir financial interest in the Covered Property.4.We may elect to defend you against suitsarising from claims of owners of property. Wewill do this at our expense.5.We will pay for covered loss or damagewithin 30 days after we receive the swornproof of loss if you have complied with all theterms of this Coverage Part and:a.We have reached agreement with you onthe amount of the loss; orb. An appraisal award has been made.6.F.We will not be liable for any part of a lossthat has been paid or made good by others.Other InsuranceH. Recovered PropertyIf either you or we recover any property after losssettlement, that party must give the other promptnotice. At your option, the property will be returned to you. You must then return to us theamount we paid to you for the property. We willpay recovery expenses and the expenses to repair the recovered property, subject to the Limitof Insurance.I.Reinstatement Of Limit After LossThe Limit of Insurance will not be reduced by thepayment of any claim, except for total loss ordamage of a scheduled item, in which event wewill refund the unearned premium on that item.J. Transfer Of Rights Of Recovery AgainstOthers To Us1.You may have other insurance subject to thesame plan, terms, conditions and provisionsas the insurance under this Coverage Part. Ifyou do, we will pay our share of the coveredloss or damage. Our share is the proportionthat the applicable Limit of Insurance underthis Coverage Part bears to the Limits of Insurance of all insurance covering on thesame basis.If any person or organization to or for whom wemake payment under this Coverage Part hasrights to recover damages from another, thoserights are transferred to us to the extent of ourpayment. That person or organization must doeverything necessary to secure our rights andmust do nothing after loss to impair them. Butyou may waive your rights against another partyin writing:2.If there is other insurance covering the sameloss or damage, other than that described in1. above, we will pay only for the amount ofcovered loss or damage in excess of theamount due from that other insurance,whether you can collect on it or not. But we1.Prior to a loss to your Covered Property.2.After a loss to your Covered Property only if,at time of loss, that party is one of the following:a.will not pay more than the applicable Limit ofb. A business firm:Insurance.(1) Owned or controlled by you; orG. Pair, Sets Or Parts1.Pair Or Set(2) That owns or controls you.This will not restrict your insurance.In case of loss or damage to any part of apair or set we may:GENERAL CONDITIONSa.A. Concealment, Misrepresentation Or Fraudb.2.Someone insured by this insurance; orRepair or replace any part to restore thepair or set to its value before the loss ordamag

Travelers Property Casualty Company of America (TIL) The Travelers Indemnity Company of Connecticut (TCT) The Travelers Indemnity Company of America (TIA) Travelers Casualty Insurance Company of America (ACJ) Secretary Includes the copyrighted material of Insurance Services Office, Inc

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