2021/07/01 Sandals Church Commercial Excess Liability Supplemental Coverage SummaryNAMED INSURED SANDALS CHURCH
r BROTHERHOOD POLICY NUMBER 04M5A0426258
MUTUAL POLICY PERIOD 07/01/2021 at 12:01 a.m, to 07/01/2022 at
® 12:01 a.m.
Commercial Excess Liability Supplemental Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
In return for the payment of the premium, and subject to all the terms of the policy, we agree with you to provide the insurance as stated in the Excess/Umbrella
Liability Coverage endorsement BGL939 4.7.
Key Excess Liability Coverage Facts
NAME OF INSURED SANDALS CHURCH
ADDRESS 150 Palmyrita Ave, Riverside, CA 92507-1833
EXCESS LIABILITY POLICY PERIOD 7/1/2021 to 7/1/2022 at 12:01 a.m. at the location listed above
EXCESS LIABILITY ANNUAL PREMIUM $14,741
Excess Liability Coverage - Limit of Insurance
Coverage Limit (per Occurrence) $10,000,000
Coverage Aggregate Limit $10,000,000
Deductible/Retention N/A
Optional Excess Coverage Information
COVERAGE
STATUS
LIMIT
Directors and Officers Liability Coverage
Included
$10,000,00C
Sexual Acts Liability Coverage
Included
$7,000,000
Employment Practices Liability Coverage
Excluded
N/A
Cyber Liability Coverage
Excluded
N/A
Benefits Administration Liability Coverage
Excluded
N/A
Optional Coverage Limits are the some as the Excess Liability "per Occurrence"and Aggregate limits shown above, unless otherwise specified.
Schedule of Underlying Insurance
TYPE INSURER POLICY PERIOD POLICY NUMBER LIMITS OF LIABILITY
General Liability Brotherhood Mutual Insurance Company 0710112021 - 07/O1/2022 04M5A0426258 $2,000,000 Occ/$10,000,000 Agg
Automobile Liability Brotherhood Mutual Insurance Company See applicable declarations page. 04A0426253 $1,000,000
Employer's Liability Brotherhood Mutual Insurance Company See applicable declarations page. 04W0436803 $1000000/$1000000/$1000000
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
MI DEC 12/20 "Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 34 of 34
., 1� NAMED INSURED SANDALS CHURCH
r BROTHERHOOD
MUTUAL.
JR O T H E R H O O D POLICY NUMBER 04M5A0426258
1 V 1 U T U A L POLICY PERIOD 07/01/2021 at 12:01 a.m. to 07/01/2022 at
R
12:01 a.m.,
Liability Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
The Coverages listed within these declarations are provided according to the terms of the designated coverage forms and any other applicable forms or
endorsements. Only one liability coverage and one medical coverage will apply to an occurrence and any related loss. Any limit which is specifically stated within
a coverage form or endorsement represents the most we will pay for the coverage to which such a limit applies. For application of limits, see Liability and Medical
Coverage form (BGL11 4.5).
Other Liability and Medical Forms
FORM
FORM NAME
BGL100A1 2.2
Commercial Liability Endorsement
BGL150 4.5
Designated Additional Insured(s)
BGL59RA 4.0
Related Org Principal and Additional Cov
GL0363 08 06 Amendatory Endorsement California
GL8901.0 Lead Liability Exclusion
EX0281X 3.1 NBC Terrorism Exclusion
Additional Insureds
NAME LOAN/REFERENCE NUMBER
Golf Cars of Riverside, Inc.,
Additional Insured
S & I Arastu Realty, Additional
Insured
Aragon Construction, Additional
Insured
DFT Inc. dba Cannon
Management and Crown Point
Apartments, Additional Insured
Rim of the World Unified School
District, Additional Insured
FORM FORM NAME
BGL11 4.5 Liability And Medical Coverage Form
BGL1521.0 Additional Insured Endorsement
EX9091.0
Asbestos Exposure Exclusion
GL095012 99
Known Injury or Damage Amendments
BGL939AISP 1.0
Provision Modification -Excess Liability
GL1270 06 06
Conditional Terrorism Exclusion
INTEREST ADDRESS
Other: Rental of golf carts 4000 Alamo St Riverside, CA 92501 -1008
Other: Landlord loc 7-1 2282 Scenic Ridge Dr Chino Hills, CA 91709
-1025
Other: Landlord loc 8-1 5440 E Arrow Hwy Montclair, CA 91763
Other: landlord loc 9-1 6349 Riverside Ave FI 2 Riverside, CA 92506
-3163
Other: parking lot loc 18 27315 North Bay Road Blue Jay, CA 92317
Corona -Norco Unified School Building: 20/1 2820 Clark Ave Norco, CA 92860
District, Additional Insured
Mountains Community Parking Lot Other:18:1300 Golden Rule Ln 29101 Hospital Rd Lake Arrowhead, CA 92352
Hospital, Additional Insured -9706
City of Menifee, Additional Location: 24 29844 Haun Rd Sun City, CA 92586
Insured
Faith Life Center, Additional Location: 26 3778 Milliken Ave Ste B Eastvale, CA 91752
Insured -1036
Heritage Church, Additional
Insured
Location: 28
27985 Menifee Rd Menifee, CA 92585
Only a single limit applies to the loss. All coverage limits are subject to the general occurrence limit and all aggregate limits are subject to the general aggregate limit.
+ per person limit
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
M1 DEC 12/20 'Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 33 of 34
BROTHERHOOD
MUTUAL.
NAMED INSURED SANDALS CHURCH
POLICY NUMBER 04M5A0426258
POLICY PERIOD 07/01/2021 at 12:01 a.m. to 07/01/2022 at
12:01 a.m.
Liability Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
The Coverages listed within these declarations are provided according to the terms of the designated coverage forms and any other applicable forms or
endorsements. Only one liability coverage and one medical coverage will apply to an occurrence and any related loss. Any limit which is specifically stated within
a coverage form or endorsement represents the most we will pay for the coverage to which such a limit applies. For application of limits, see Liability and Medical
Coverage form (BGL11 4.5).
EXPOSURE DESCRIPTIONS
Church
ADDRESS/ BUILDING DESCRIPTION
Location 24 Building 3 Church
CODE
08101
RATING BASIS
5,400 Square Feet
Church
Location 25 Building 1 Church
08101
4,080 Square Feet
Church
Location 25 Building 2 Fellowship
08101
4,900 Square Feet
Church
3778 Milliken Ave Ste B Eastvale CA 91752-1036
08101
26,000 Square Feet
Church
Location 27 Building 1 Church
08101
6,175 Square Feet
Church
Location 27 Building 2 Education
08101
9,900 Square Feet
Church
'Location 27 Building 3 Fellowship
08101
8,800 Square Feet
Church
Location 27 Building 4 Church Off
08101
27,000 Square Feet
Church
27985 Menifee Rd Menifee CA 92585-9676
08101
2,072 Square Feet
Golf Cart
150 Palmyrita Ave Riverside CA 92507-1833
15002
1 Each
Automobile Parking - Open Air - No Parking Fee 1300 Golden Rule Ln Lake Arrowhead CA 92352
15801
11,000 Square Feet
Automobile Parking - Open Air - No Parking Fee 29101 Hospital Rd Lake Arrowhead CA 92352-9706
15801
5,000 Square Feet
Vacant Buildings
Location 19 Building 1 Education
Location 19 Building 2 Education
Location 19 Building 3 Church
17502
2,328 Square Feet
1,598 Square Feet
10,080 Square Feet
Building or Premises - Lessor's Risk - NOC
Location 3 Building 1 Church
17703
40,000 Square Feet
Building or Premises - Lessor's Risk - NOC
Location 15 Building 1 Chapel
17703
4,416 Square Fee'
Building or Premises - Lessor's Risk - NOC
Location 16 Building 1 Church Off
17703
3,190 Square Feet
Building or Premises - Lessor's Risk - NOC
Location 16 Building 2 Garage
17703
875 Square Feet
Conference
Location 1 Building 1 Church
18800
2 Locations & Days
Climbing Tower/Wall
150 Palmyrita Ave Riverside CA 92507-1833
30130
1 # items/activities
Weight Training
150 Palmyrita Ave Riverside CA 92507-1833
30130
1 # items/activities
Playgrounds
3701 N Sierra Way San Bernardino CA 92405-2219
30320
1 Each
Pastoral Counseling
_
5 Pastor(s)
Special Events
High Hazard Activities
For details regarding how these coverage limits will apply, see the How Much We Pay section of the High Hazard Activities Coverage Limits Form (BGL-21).
ACTIVITY DESCRIPTION MEDICAL LIMIT OCCURRENCE LIMIT COVERAGE AGGREGATE LIMIT
Skate Park Operations $0 per person $100,000 $500,000
Fireworks Sales
$0 per person
T$100,000
$500,000
Fireworks Display
$0 per person
$100,000
$500,000
Construction Oversight
$0 per person
$100,000
$500,000
* Only a single limit applies to the loss. All coverage limits are subject to the general occurrence limit and all aggregate limits are subject to the general aggregate limit.
+ per person limit
FORM
BGL21 4.1
BGL21 4.1
BGL21 4.1
BGL21 4.1
Brotherhood Mutual Insurance Company I www.brotherhoodmutuaI.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
MI DEC 12/20 "Bear ye one another's burdens and so fulfill the law of Christ:' — Galatians 6:2 Page 32 of 34
;�; BROTHERHOOD
MUTUAL..
NAMED INSURED SANDALS CHURCH
POLICY NUMBER 04M5A0426258
POLICY PERIOD 07/01/2021 at 12:01 a.m. to 07/01/2022 at
12:01 a.m,
Liability Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
The Coverages listed within these declarations are provided according to the terms of the designated coverage forms and any other applicable forms or
endorsements. Only one liability coverage and one medical coverage will apply to an occurrence and any related loss. Any limit which is specifically stated within
a coverage form or endorsement represents the most we will pay for the coverage to which such a limit applies. For application of limits, see Liability and Medical
Coverage form (BGLII 4.5).
insured's insurable exposures (as conveyed by the Named Insured) known to exist at the policy inception date. Declared premises must be owned,
occupied, or rented by you or your scheduled related organizations.
EXPOSURE DESCRIPTIONS
ADDRESS / BUILDING DESCRIPTION
CODE
RATING BASIS
Apartment
920 Via Cartago Apt 15 Riverside CA 92507-6286
00200
1,083 Square Feet
Dwellings - One -Family
Location 12 Building 1 Dwelling
01001
1 Each
Coffee Shop
6807 Palm Ave Riverside CA 92506-2811
06501
1,000 Square Feet
Schools -Religious Training
150 Palmyrita Ave Riverside CA 92507-1833
07702
10 Students
Medical excluding students
Church Location 1 Building Church 08101 112,034 Square Feet
Church Location 3 Building 1 Church 08101 19,760 Square Feet
Church
Location 5 Building 1 Church
08101
6,500 Square Feet
Church
Location 6 Building 1 Church
08101
6,786 Square Feet
Church
Location 8 Building 1 Church
08101
2,400 Square Feet
Church Office
Location 7 Building 1 Church Off
08101
3,545 Square Feet
Church
Location 10 Building 1 Church
08101
11,396 Square Feet
Church
Location 11 Building 1 Church
08101
5,994 Square Feet
Location 11 Building 2 Church Off
10,446 Square Feet
Location 11 Building 3 Fellowship
7,412 Square Feet
Church
Location 13 Building 1 Church
08101
21,140 Square Feet
Location 13 Building 2 Education
11,578 Square Feet
Location 13 Building 3 MobileClss
1,500 Square Feet
Location 13 Building 4 Education
10,716 Square Feet
Location 13 Building 5 Education
2,400 Square Feet
Location 13 Building 6 Youth
2,454 Square Feet
Church
Location 14 Building 1 Church
08101
19,184 Square Feet
Location 14 Building 2 Education
4,200 Square Feet
Location 14 Building 3 Education
900 Square Feet
Location 14 Building 4 Education
1,200 Square Feet
Location 14 Building 5 Education
600 Square Feet
Church
Location 17 Building 1 Church
08101
13,852 Square Feet
Location 17 Building 2 Education
4,560 Square Feet
Location 17 Building 3 Youth
600 Square Feet
Church
Location 20 Building 1 Church
08101
160 Square Feet
Church
Location 22 Building 1 Church
08101
10,092 Square Feet
Location 22 Building 2 Fellowship
7,392 Square Feet
Location 22 Building 3 Church Off
2,214 Square Feet
Location 23 Building 1 Parsonage
4,756 Square Feet
Location 23 Building 2 Garage
240 Square Feet
Church
Location 24 Building 1 Church
08101
1,200 Square Feet
Church
Location 24 Building 2 Church
08101
2,400 Square Feet
* Only a single limit applies to the loss. All coverage limits are subject to the general occurrence limit and all aggregate limits are subject to the general aggregate limit.
+ per person limit
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
MI DEC 12/20 "Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 31 of 34
kA NAMED INSURED SANDALS CHURCH
BROTHERHOOD POLICY NUMBER 04M5A042625B
MUTUAL POLICY PERIOD 07/01/2021 at 12:01 a.m. to 07/01/2022 at
12:01 a,m.
Liability Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
The Coverages listed within these declarations are provided according to the terms of the designated coverage forms and any other applicable forms or
endorsements. Only one liability coverage and one medical coverage will apply to an occurrence and any related loss. Any limit which is specifically stated within
a coverage form or endorsement represents the most we will pay for the coverage to which such a limit applies. For application of limits, see Liability and Medical
Coverage form (BGLII 4.5).
Worldwide Liability Extension Coverage
Extended Foreign Ministry Operations- Excluded
COVERAGE DESCRIPTIONS
COVERAGE LIMIT
COVERAGE AGGREGATE LIMIT
FORM
Short -Term Trip Limited Kidnap and Extortion Expense
See Form
See Form
BGL1121.0
Reimbursement Coverage
Short -Term Foreign Trip Terrorism -Related Travel Interruption
See Form
See Form
BGLI121.0
Reimbursement
Short -Term Foreign Trip Death Reimbursement Coverage For
See Form
See Form
BGL1121.0
Your Leaders
Foreign Operations Image Restoration Extension
See Form
See Form
BGL1121.0
Expanded Medical Coverage For Foreign Ministry Participants
See Form
See Form
BGL1121.0
Sexual Acts Liability Coverage
COVERAGE DESCRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM
Sexual Acts LiabiI4 Coverage With Screening $1,000,000, $1.000,000, BGL61 4.7
Sexual Harassment Liability Coverage (otherthan your $1,000,000' $1,QQQ,000' BGL61 4.7
employees)
__................_........................................................_.......-...............................
.... _................_....._. ...........
Improper Reporting of Sexual Acts Liability Coverage $1,000,000* $1,000,000* BGL61 4.7
Improper Supervision of Convicted Sexual Offenders Liability 1,000,000* $1,000,000* BGL61 4.7
Coverage
Outside Counseling Reimbursement Coverage $5,000*+ $100,000* BGL61 4.7
Sexual Acts Medical Payment Extension 10,000*+ $100,000* BGL61 4.7
Image Restoration Extension $10,000' $1,000,000' BGL614.7
Redemptive Employment/Appointment $300,000' $300,000* BGL613 4.5
Schedule of Liability Exposures
In issuing this policy, we have relied on material information provided to us by the Named Insured. The following schedule discloses all of the
* Only a single limit applies to the loss. All coverage limits are subject to the general occurrence limit and all aggregate limits are subject to the general aggregate limit.
+ per person limit
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
Ml DEC 12/20 'Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 30 of 34
, BROTHERHOOD
MUTUAL:.
NAMED INSURED SANDALS CHURCH
POLICY NUMBER 04M5A0426258
POLICY PERIOD 07/01/2021 at 12:01 a.m. to 07/01/2022 at
12:01 a.m.
Liability Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
The Coverages listed within these declarations are provided according to the terms of the designated coverage forms and any other applicable forms or
endorsements. Only one liability coverage and one medical coverage will apply to an occurrence and any related loss. Any limit which is specifically stated within
a coverage form or endorsement represents the most we will pay for the coverage to which such a limit applies. For application of limits, see Liability and Medical
Coverage form (BGL11 4.5).
Religious Freedom Protection Coverage
COVERAGE DESCRIPTIONS
COVERAGE LIMIT
COVERAGE AGGREGATE LIMIT
FORM
Religious Communication Liability Coverage
$1,000,000'
$.510001000*
BGL66CA 1.2
Religious Activity Liability Coverage
$1,000,000*
$5,0001000*
BGL66CA 1.2
Discriminatory Acts Liability Coverage
$1,000,000,
$5,000,000'
BGL66CA 1.2
Tax Exempt Challenge: Expense Reimbursement Coverage
$25,000'
$25,000*
BGL66CA 1.2
Litigation Activity: Legal Defense Reimbursement Coverage
See form
Sea form
BGL66CA 1.2
Litigation Activity: Declaratory Action Reimbursement Coverage See farm
See form
BGL66CA 1.2
Security Operations Coverage
COVERAGE DESCRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM
Additional Medical Expense Coverage $50,000*+ $250,000* BGL993 4.0
Broadened Wage Loss Reimbursement Coverage (Emotional $10,000*+ $50,000* BGL993 4.0
Injury)
Individual Counseling Coverage $10,000*+ $50,000* BGL993 4.0
Damage to Security -Related Equipment $2,500*+ $10,000' BGL993 4.0
Primary Coverage for Specified Individuals See Form See Form BGL993 4.0
Enforcement of Security Policy or Weapons Policy $2,000,000* $2,000,000' BGL993 4.0
Negligent Infliction of Emotional Distress Arising from Security $2,000,000* $2,000,000* BGL993 4.0
Operations
Traumatic Incident Response Coverage
COVERAGE DESCRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT
Additional Medical Expense Coverage $50,000*+_ $1,000,000*
Broadened Wage Loss Reimbursement Coverage (Including See form $1,000,000*
Emotional Injury)
Individual Counseling Coverage $10,000*+ $1,000,000*
Additional Organizational Expense $500,000* $1,000,000'
* Only a single limit applies to the loss. All coverage limits are subject to the general occurrence limit and all aggregate limits are subject to the general aggregate limit.
+ per person limit
FORM
BGL991D 4.1
BGL991D 4.1
BGL991D 4.1
BGL991D 4.1
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
MI DEC 12/20 "Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 29 of 34
BROTHERHOOD
MUTUAL.
NAMED INSURED SANDALS CHURCH
POLICY NUMBER 04M5A0426258
POLICY PERIOD 07/01/2021 at 12:01 a.m. to 07/01/2022 at
12:01a,m.
Liability Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
The Coverages listed within these declarations are provided according to the terms of the designated coverage forms and any other applicable forms or
endorsements. Only one liability coverage and one medical coverage will apply to an occurrence and any related loss. Any limit which is specifically stated within
a coverage form or endorsement represents the most we will pay for the coverage to which such a limit applies. For application of limits, see Liability and Medical
Coverage form (BGL11 4.5).
Nonowned Vehicle Coverage
COVERAGE DESCRIPTIONS
COVERAGE LIMIT
COVERAGE AGGREGATE LIMIT
FORM
Nonowned Vehicle Liability Coverage
..........w.............................,... �..........�..
$1,000,000*
$5,000,000*
BGL71B 4.0
Defense Coverage: Authorized Operator
....................
$1,000,000*
..............
$5,000,000*
BGL71B 4.0
Nonowned Vehicle Medical Payments Extension
10,000*+
150,000*
BGL71B 4.0
........................ ........ ..... ..... ....................._... _...
Loss of Use Coverage
_,........................... ..................... .......
$1per vehicle
^,............. ..... ..... ....
$3,000*
__.............,500
BGL71B .........._.4.0 ....._..
Trip Occupant Coverage
1,000*+
5,000,000*
BGL71B 4.0
Damage to Property of Others
$1,000*
$5,000,000*
BGL71B 4.0
Nonowned Vehicle Deductible Reimbursement Coverage
$1,000*
$5,000,000*
BGL71B 4.0
_........................................................._
Rental Vehicle Physical Damage Coverage
^,..................................................................................—_.
$80,000 per vehicle, $250
.-.........................
$160,000*
..—......... .�.... ...........
BGL777 3.0
deductible
Other Liability Coverage
COVERAGE DESCRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM
Terrorism Liability Coverage $2,000,000 $10,000,000 BGL025OX 3.1
Relief Activity Additional Coverages
COVERAGE DESCRIPTIONS
COVERAGE LIMIT
COVERAGE AGGREGATE LIMIT
FORM
Emotional Injury and Financial178tn e Liability
$1,000,000*
$5,000,000*
BGL9941.0
Additional Medical Expense Coverage
_
$50,000t,$250,000 per
$10,000,000
BGL9941.0
_:.................. ............... ......................... ............................. ..............................
Broadened Wage Loss Reimbursement Coverage
occurrrence
.......................................................................................................
$10,000+....$50....,000.._.per...
—$10......,....000...,000..._
.BGL9941.0 .. ..........
occurrence
Damage to Relief Worker's Tools and Equipment Coverage
$2,500+, $10,000 per
$10,000,000
BGL9941.0
occurrence
Primary Liability Coverage for Relief Workers
1,000,000*
$5,000,000*
BGL9941.0
* Only a single limit applies to the loss. All coverage limits are subject to the general occurrence limit and all aggregate limits are subject to the general aggregate limit.
+per person limit
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
MI DEC 12/20 "Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 28 of 34
BROTHERHOOD
MUTUAL.
NAMED INSURED SANDALS CHURCH
POLICY NLIMRFR 04M5A0426258
POLICY PERIOD 07/01/2021 at 12:01 a,m, to 07/O1/2022 at
12:01 a.m.
Liability Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
The Coverages listed within these declarations are provided according to the terms of the designated coverage forms and any other applicable forms or
endorsements. Only one liability coverage and one medical coverage will apply to an occurrence and any related loss. Any limit which is specifically stated within
a coverage form or endorsement represents the most we will pay for the coverage to which such a limit applies. For application of limits, see Liability and Medical
Coverage form (BGLII 4.5).
Employment Practices ("Employment Pract") Liability Coverage
COVERAGE DESCRIPTIONS
Employment -Related Liability Coverage
COVERAGE LIMIT COVERAGE AGGREGATE LIMIT
$1,000,000* $5,000,000'
Fire Legal/Nonowned Property Damage Liability Coverage
COVERAGE DESCRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT
Nonowned Property Damage Liability Coverage $1,000,000* $5,000,000*
Additional Incidental Contractual Liability Coverage $1,000,000' $5,000,000*
Media Liability Coverage
FORM
BGL85 4.5
FORM
BG L9514.5
BGL951 4.5
COVERAGE DESCRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM
Personal Injury Liability Coverage (Media/Communications $2,000,000* $10,000,000* BGL411.0
Activity)
Personal Injury Liability Coverage (Personal Violations) $2,000,000* $10,000,000* BGL411.0
Personal Injury Liability Coverage (Unauthorized Access/ $2,000,000* $10,000,000* BGL411.0
Posting)
Special Defense Coverage (Alleged Intentional Acts) $2,000,000* $10,000,000* BGL411.0
Medical Coverage
COVERAGE DESCRIPTIONS
Religious Athletic Medical Coverage
COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM
$10,000*+ $10,000,000* BGL91 4.5
* Only a single limit applies to the loss. All coverage limits are subject to the general occurrence limit and all aggregate limits are subject to the general aggregate limit.
+ per person limit
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
MI DEC 12/20 "Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 27 of 34
BROTHERHOOD
MUTUAL
-
NAMED INSURED SANDALS CHURCH
POLICY NUMBER 04M5A0426258
POLICY PERIOD 07/01/2021 at 12:01 a.m, to 07/01/2022 at
12:01 a.m.
Liability Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
The Coverages listed within these declarations are provided according to the terms of the designated coverage forms and any other applicable forms or
endorsements. Only one liability coverage and one medical coverage will apply to an occurrence and any related loss. Any limit which is specifically stated within
a coverage form or endorsement represents the most we will pay for the coverage to which such a limit applies. For application of limits, see Liability and Medical
Coverage form (BGL11 4.5).
Counseling Acts Liability Coverage
COVERAGE DESCRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM
Counseling Acts Liability Coverage $1,000,000, $S,000,000' BGL63 4.1
(3utside Counseling Reimbursement Coverage $5,000+ $5,000,000, BGL63 4.1
Cyber Liability Coverage
COVERAGE DESCRIPTIONS
COVERAGE LIMIT
COVERAGE AGGREGATE LIMIT
FORM
Computer Use Liability Coverage
$500,000'
$2,500,000'
BGL87CA 4.5
Electronic Commerce Liability Coverage
$500;000'
$2,500,000'
BGL87CA 4.5
Data Breach Liabiilty Coverage
$500,000'
$2,500,000'
BGL87CA 4.5
Outsourced IT Liability Coverage
%50Q,000'
$2,500,000'
BGL87CA 4.5
Special Reimbursement Coverage (Data Breach Rectification
$125000
$125,000
OGL87CA 4.5
Costs)
Special Reimbursement Coverage (Electronic Discovery Costs)
$5.0,000
$50,000
BGL87CA 4.5
Special Defense Coverage (Subpoenas, Regulatory Actions and
$50,000
%50,000
BGL87CA 4.5
Injunctive)
Defense Reimbursement Coverage
COVERAGE DESCRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM
Covered Lawsuit Proceeding (Proceeding Limit) , $100,000 $250,000 BGL89CA 4.5
`. ——.....__..............................._......5
Law Enforcement Inquiry ('Inquiry Limit) $25,000 $75,000 BGL89CA 4.5
Directors and Officers Liability Coverage
COVERAGE DESCRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM
Directors and Officers Leadership Liability Coverage $1,000,000' $5,000,000" BGL81BCA 4.5
Benefits Administration Liability Coverage
COVERAGE DESCRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM
Employee Benefit Liability Coverage $1,000,000 $5,000,000 BGL83 4.0
(Medical Expense Limlt) $100,000' $500,000, BGL83 4.6
' Only a single limit applies to the loss. All coverage limits are subject to the general occurrence limit and all aggregate limits are subject to the general aggregate limit,
+per person limit J
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
MI DEC 12/20 "Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 26 of 34
&i - BROTHERHOOD
NO MUTUAL,
NAMED INSURED SANDALS CHURCH
POLICY NUMBER 04M5A0426258
POLICY PERIOD 07/01/2021 at 12:01 a.m, to 07/01/2022 at
12:01 a.m.
Liability Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
The Coverages listed within these declarations are provided according to the terms of the designated coverage forms and any other applicable forms or
endorsements. Only one liability coverage and one medical coverage will apply to an occurrence and any related loss. Any limit which is specifically stated within
a coverage form or endorsement represents the most we will pay for the coverage to which such a limit applies. For application of limits, see Liability and Medical
Coverage form (BGL11 4.5).
Details of Related Organization/Operations
NAME
DBA Sandals Church Moreno Valleir —
5andals Church Banning
ADDRESS
150 Palmyrita Ave Riverside, CA 92507-1833
150 Palmyrita Ave Riverside, CA 92507-1833
1325 Amethyst Ave Mentorle, CA 92359
405 W Lincoln Ave Fresno. CA 93706-9236
Sandals Church Lake Arrowhead
1103 N Highway 173 Lake Arrowhead, E:A 92352
Sanda#s Church Palm Avenue
6807 Palm Ave Riverside, CA 92506-2811
Rogo Ministries
730 N Mountain Ave Ontario, CA 91762-2544
Sandals Church Anaheim
622 N Gilbert St Anaheim, CA 92801-3747
Additional Coverages
MINISTRY TYPE
FORMS
Church Institution
BGL51R4.5
Church Institution
BGL51R4.5
Church Institution
BGL51R4.3
Church Institution
BGL51R 4.5
Church Institution
BGL51R 4.5
_
Church Institution
IBGL51R4.5
Church Institution
BGL51R 4.5
•.•."BGL51R
Church Institution *__'BGL51R
4.5
COVERAGE DESCRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT
Membership Emotional Injury Liability Coverage $2,000,000' $10,000,000.
Nursery/Child Care Corporal Punishment Liability Coverage $2,000,000' $iO,QOQ,00D
5u ervp is'son-Related Emotional Injury Liability Coverage $2,000,000" $10,060,Q.00, BGL51R 4.5
Food Preparation Liability Coverage $2,000,00W $10,000,00W BGL51R 4.5
Privnry Vinlatinn I iahility rnvwravp g2.nnn.now 510.000.000, BGL51R 4.5
FORM
BG L51 R 4.5
BGL51R 4.5
Damage to Property of Others Coverage _
Not in Your Control $1,000*+ $111000,000' BGL51R 4.5
Devices
.BGL51R 4S
Incidental Camper Medical Coverage $10,000' $10,0011000' BGL51R 4.5
Additional Incidental Contractual Liability Coverage $2,000,050' $10,000,000* BGL51R 4.5
Details of Related Organization/Operations
NAME ADDRESS MINISTRY TYPE FORMS
ROGO Foundation 150 Palmyrita Ave Riverside, CA 92507-1833 Miscellaneous Operation BGL58R 4.5
Additional Coverages
COVERAGE DESCRIPTIONS
Food Preparation Liability Coves
Privacy Violation Liability Covei
Damage To Property Of Others
Not in Your Control
In Your Control
COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM
0,000,000' $10,000,000. BGL58R 4.5
$2,000�,000' $10,000,000' BGL58R 4.5
00*+
+
4.5
Prosthetic Devices $5001+ $10,000,000, BGL58R 4.5
Additional Incidental Contractual Liability Coverage $2,000,00W $10,000,000* BGL58R 4.5
Defense Coverage
Applies in addition to the liability limit unless otherwise specifically stated in an applicable coverage form.
* Only a single limit applies to the loss. All coverage limits are subject to the general occurrence limit and all aggregate limits are subject to the general aggregate limit.
+ per person limit
Brotherhood Mutual Insurance Company I www.brotherhoodmutuaI.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
M1 DEC 12/20 "Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 25 of 34
WA Ilk; BROTHERHOOD
MUTUAL,
NAMED INSURED SANDALS CHURCH
POLICY NUMBER 04M5A0426258
POLICY PERIOD 07/01/2021 at 12:01 a.m. to 07/01/2022 at
12:01 am.
Liability Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued
The Coverages listed within these declarations are provided according to the terms of the designated coverage forms and any other applicable forms or
endorsements. Only one liability coverage and one medical coverage will apply to an occurrence and any related loss. Any limit which is specifically stated within
a coverage form or endorsement represents the most we will pay for the coverage to which such a limit applies. For application of limits, see Liability and Medical
Coverage form (BGL11 4.5).
Key Liability Coverage Facts: Schedule of Limits
GENERAL OCCURRENCE LIMIT
GENERAL AGGREGATE LIMIT
Principal Liability Coverages
COVERAGE DESCRIPTIONS
Bodily Injury/Property Damage Liability (L)
Fire Legal Liability
Supplemental Coverages
COVERAGE DESCRIPTIONS
Incidental Contractual Liabilil
Mobile
Additional Coverages
COVERAGE DESCRIPTIONS
Membership Emotional Injury Liability Cover
Nursery/Child Care Corporal Punishment Lia
Supervision -Related Emotional Injury Liability
Food Preparation Liability Coverage
Privacy Violation Liabliity Coverage
$2,000,000
$10,000,000
COVERAGE LIMIT
$2,000,000*
COVERAGE LIMIT
COVERAGE AGGREGATE LIMIT
$101000,000`
0,000`
FORM
GL1001.0
GL100 lb
�siwi[oIoxi1
BGL951 4.5
COVERAGE AGGREGATE LIMIT
FORM
$�;10,000,000"
G L1001.0
F16160Q,000-
GL1001.0
$101000,000'
GL1001.c
COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM
$2,000,000" $10,000,000' BGL514.5
$2,000,00W $10,009,000' BG L514.5
$21000,000' $10,000,000, BGL514.5
$2,000,000" M 000,000' 8GL51 4.5
$2,000,00.0" $10,000,000• BG L514.5
uamage io rroperty Vr Utners [;overage
$GL514.5
Not In Your Control
$1,000'+
$10,000,000'
3GL514.5
In Your Control
$2.500'+
$10,000,000'
BGL51 4.54.5
Prosthetic Devices
$500'+
$10,000,000`
BGL514.5
Incidental Camper Medical Coverage
$10,00W
$1Q000,0001
BGL5145
Additional Incidental Contractual L}ability Coverage
$2,000,000•
$10,0000001
BGL514 5
Related Organizations/Operations
The following entities are insured for designated related Coverages.
Only a single limit applies to the loss. All coverage limits are subject to the general occurrence limit and all aggregate limits are subject to the general aggregate limit.
+ per person limit
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
MI DEC 12/20 'Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 24 of 34
. - BROTHERHOOD
NO MUTUAL.,
NAMED INSURED SANDALS CHURCH
POLICY NUMBER 04M5A0426258
POLICY PERIOD 07/01/2021 at 12:01 a.m. to 07/01/2022 at
12:01 a.m,
Property Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according
to the terms of the designated coverage form and any other applicable forms or endorsements.
Systems/ Equipment Breakdown Coverage
COVERAGE DESCRIPTION COVERAGE LIMIT DEDUCTIBLE FORM
Systems/Equipment Breakdown Coverage Building/Personal Property Limit $10,000 BSEB100 4.1
Rented Personal Property of Others Coverage
COVERAGE DESCRIPTION COVERAGE LIMIT DEDUCTIBLE FORM
Rented Personal Property of Others $64,450 $1,000 BCP12BCA 4.5
Interior Building Damage Coverage
COVERAGE DESCRIPTION COVERAGE LIMIT DEDUCTIBLE FORM
Interior Building Damage Coverage -Including Gutters/ $104,168,450 $10,000 BCP49 4.0
Downspouts Coverage
Terrorism Loss Coverage
COVERAGE DESCRIPTION COVERAGE LIMIT DEDUCTIBLE FORM
Certified and Non -Certified Terrorism Loss $104,168,450 $10,000 BCL060OX 3.0
Additional Property Forms
FORM
BCP0832CA 1.0
FORM NAME
Amendatory Endorsement -California
BCP188 4.5
Earth Movement Excl-Following Dmg. Ded,
BN12V 1.0
Notice Regarding Building Valuation
_
BN25671.0
Notice Water Damage/Flood Coverage
CP0631 0112
Amendatory Endorsement California
CP1701.0
Vacancy Or Unoccupancy Permit
CL1640 06 06
Conditional Terrorism Exclusion
Additional Interests
FORM
BCP1471.0
FORM NAME
Blanket/Combined Valuation Form
BCP500 4.5
Loss Free Deductible Reduction End
BN151.0
Notice To Mortgagee
CP 117110 08
Exclusion Water Damage
CP1321.0
Loss Payable Options
BCP915 4.0
Property Coverage Modification ACV Roof
EX0651X 3.0
NBC Terrorism Exclusion
NAME
TYPE LOAN NUMBER
INTEREST
ADDRESS
TMI Trust Company
Loss Payee
Other: Loc 1-1, 3-1,13-1,
PO Box 2288 Fort Worth, TX 76113 -2288
13-2,13-3,13-4,13-5,13-6,
14-1,14-2,14-3,14-4,14-5,15-1,16-1,16-2
RLC Funding, A Division of
Loss Payee
Other: loc 1-1 BPP
111 Executive Center Dr Ste 102 Columbia, SC
Navitas Lease Corp, ISAOA
29210 -8414
American Bankers Insurance
Loss Payee
Other copiers
PO Box 979280 Miami, FL 33197 -9280
Company
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
MI DEC 12/20 "Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 23 of 34
BROTHERHOOD
MUTUAL®
NAMED INSURED SANDALS CHURCH
POLICY NUMBER 04M5A0426258
POLICY PERIOD 07/01/2021 at 12:01 a.m. to 07/01/2022 at
12:01 a,m.
Property Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according
to the terms of the designated coverage form and any other applicable forms or endorsements.
Optional Coverages: All Locations
Combined Ordinance or Law Enforcement Coverage
COVERAGE DESCRIPTION
COVERAGE LIMIT
DEDUCTIBLE
FORM
Ordinance or Law A - Increased Building.Loss
$1,000,000
$10,000
BCP138B 4.5
Ordfnance or Law B- Increased Debris Removal
�$500,000
$10,000
BCP138B 4.5
Ordinance or Law C - Increased Cost of Construction
$500,000
f10.000
BCP138B.4.5
Organizational Optional Theft Coverage
COVERAGE DESCRIPTION COVERAGE LIMIT DEDUCTIBLE
Theft of Money and Securities $50,000 $250
Theft of Sul I4(ng Materia s $51000• P50
Ministry Personnel Dishonesty Coverage
COVERAGE DESCRIPTION
Personnel Dishonesty Coverage
COVERAGE LIMIT
$250,000
Earnings and Donations and Extra Expense Coverage Part
COVERAGE DESCRIPTION
Earnings and Donations
Extra Expense
Limited Earthquake Coverage
COVERAGE DESCRIPTION
Earthquake Sprinkler Leakage
Water Damage - Flood, Backup, and Subsurface
COVERAGE DESCRIPTION
Water Damage -Flood, Back-up, and Subsurface
Sewer and Drain Back-up Extension
COVERAGE DESCRIPTION
Sewer/Drain Backup Extension
COVERAGE LIMIT
$6,010,000
$:1oa:60-6
COVERAGE LIMIT
$1,000,000
COVERAGE LIMIT
$10,000
COVERAGE LIMIT
See Building/Personal Property Limit
DEDUCTIBLE
N/A
DEDUCTIBLE
N/A
DEDUCTIBLE
$10,000
DEDUCTIBLE
$10,000
DEDUCTIBLE
$10,000
FORM
BCP36 4.5
BCP36 4.5
FORM y
BCP37A 4._ j
FORM
BCP71 4.6
BCP714.6
FORM
BCP1651.0
FORM
BCP27CA 4.5
FORM
BCP135CA 4.1
F�
J
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
Ml DEC 12/20 'Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 22 of 34
NAMED INSURED
�
SANDALS CHURCH
; BROTHERHOOD POLICY NUMBER
04MSA0426258
POLICY PERIOD
07/01/2021 at 12:01 a.m. to 07/01/2022 at
11 MUTUAL.
12:01 a.m.
Property Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according
to the terms of the designated coverage form and any other applicable forms or endorsements.
Schedule of Additional Coverages: All Locations
The policy's property deductible applies to each of these coverages. Details are found on the Commercial Property Coverages BCP12BCA 4.5
form.
COVERAGE DESCRIPTION
Property Off Premises
COVERAGE LIMIT
$50,000+
DEDUCTIBLE
$10,000
FORM
BCP12BCA 4.5
Owned Personal Property -Parsonage
$10,000
$10,000
8CP12BCA 4.5
Building/Personal Property - Newly Acquired/Constructed
$2,000,000+3-
$1Q000
BCP12BCA 4.5
Outside Objects and Structures
$20,000/category, $30,000. Total
$10,000
BCP128CA 4.5
For an one landscaping item
$2;Oaa
$10,000
BCP12BCA 4:5
Each loss caused by wind
$5,000
$10,000
BCP12BCA 4.5
Other Structures
$15,000
$10,000
BCP12BCA 4.5
Owned Personal Property - Dwellings
5% of dwelling value
$.10,000
BCP128CA 4.5
Contents - Buildings and Structures Described on the
Declarations
$15,000+++
$10,000
BCP12BCA 4.5
Vehicle tqulpment an
Money and Securities
s oniv. uoublea on
BCP12BCA 4.5
8CP126CA 4.5
holidays)'
Spoilage $1010.00 $10,000 BCP128CA 4.5
Damage to Buildings and Personal Property from Animals $2,500 (Except types of damage excluded in policy form) $10,000 BCP12BCA 4.5
Temporary Emergency Coordination/Shelter Operation Clean- $50,000 for clean-up costs $10,000 BCP12BCA 4.5
Up
+ If the loss resulted from a covered peril and the property is off premises for no longer than 780 days.
++ Coverage applies for 780 days from the time construction begins or the new property is acquired.
+++ Only applies if the limit of insurance shown for the structure is no more than $75,000 and there is no limit of Organizational Personal Property shown on the declarations for the
structure.
The policy's property deductible does not apply to the following coverages. Details are found on the Commercial Property Coverages form.
COVERAGE DESCRIPTION COVERAGE LIMIT FORM
Debris Removal Expense - Partial or Total Loss Partial Loss: Remaining Limit for Covered Property - Total BCP12BCA 4.5
Loss: $25,000
Emergency Removal Coverage applies up to 30 days after property is first moved BCPI2BCA 4.5
Fire Department Service Charges $50,000 BCPI2BCA 4.5
Fire Extinguisher Recharge $50,000 if recharged within 30 days BCP12BCA 4.5
Pollutant Clean -Up and Removal $10,000 (annual aggregate)' BCP128CA 43
Installed Lock Recalibration $10,000 if reca4brated within 10 days BCP128CA 4.5
Arson Reward $20.000" BCP12BCA 4.5
Papers and Records (including elect ronit data) $50,000 BCP12BCA 4.5
Personal Property Owned by Others (non -clergy) $5,000 per persarV$25,000 maximum (excess)" 8CP128CA 4:5
Personal Property Owned by (iiergy $30,000 (excess)*** BCP12BCA 4.5
Theft or Vandalism Reward $5,000'• BCP12BCA 4.5
If the loss resulted from a covered peril and was reported within 780 days.
Or the amount paid to the insured as a result of the direct loss, if less than the limit stated above.
*** Additional limits are available
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
Ml DEC 12/20 "Bear ye one another's burdens and so fulfill the law of Christ:' — Galatians 6:2 Page 21 of 34
NAMED INSURED
BROTHERHOOD POLICY NUMBER
SANDALS CHURCH
04M5A0426258
M [J T !JAL POLICY PERIOD
07/01/2021 at 12:01 a.m. to 07/01/2022 at
12:01 a.m.
Property Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according
to the terms of the designated coverage form and any other applicable forms or endorsements.
GROUPE
COINSURANCE:
Agreed Amount
VALUATION TYPE:
Replacement Cost
PERIL TYPE:
Special with Theft
COVERAGE DESCRIPTION (INCL. TYPE OF PROPERTY)
Location 17/1 (Church):1103 N 1110way. 173, Lake Arrowh
COMBINED LIMIT: $4,496,000
AUTOMATIC INCREASE: 0%
PERIL FORM: BCP85 4.5
EARTHQUAKE DEDUCTIBLE: Exclude Earthquake
ROOF SETTLEMENT OPTION VALUE
CA, 92352
Replacement Cost $2,853,000
Personal Property N/A
................. »....................,....,..........W..,.....,.............m..._..............»..»_..»».................,......»..._.................. ..:........ ........... ........ I..,�600,�OQ
Location 17/2 (Education):1103 N Highway 173, Lake Arrowhead, CA,
92352
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
M1 DEC 12/20 "Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 20 of 34
'�4 BROTHERHOOD
MUTUAL..
NAMED INSURED SANDALS CHURCH
POLICY NUMBER 04M5A0426258
POLICY PERIOD 07/01/2021 at 12:01 a.m, to 07/01/2022 at
12:01a.m.
Property Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according
to the terms of the designated coverage form and any other applicable forms or endorsements.
GROUP C
COINSURANCE:
VALUATION TYPE:
PERIL TYPE:
Agreed Amount
Replacement Cost
Special with Theft
COVERAGE DESCRIPTION ONCL. TYPE OF PROPERTY)
Location 14/1 (Church):17421 Van Buren Blvd, Riverside, CA, 92504-5944
uren
COMBINED LIMIT: $6,820,000
AUTOMATIC INCREASE: 0%
PERIL FORM: BCP85 4.5
EARTHQUAKE DEDUCTIBLE: Exclude Earthquake
ROOF SETTLEMENT OPTION
1914L
92504-5944
Building Replacement Cost $302,000
Personal Property N/A $61,000
................................................................................I................ ............................... .................................... ,.......................................................................................... .... ................................
Location 14/3 (Education):17421 Van Buren Blvd, Riverside, CA,
92504-5944 _
Building Replacement Cost $651000
Personal Property WA $16,000
.................. ............................................................... .............................:...........:...........:...................:.::...............
......................................................................................................................................................._.......
Location 14/4 (Education):17421 Van Buren Blvd, Riverside, CA,
92504-5944
Persona! Property
N/A
$21,000
,..
_........................................... .. ».».. » » »... » _, _ ..»_.. »».w ».....»
Location 14/5 (Education) 17421 Van Buren Blvd, Riverside, CA,
»........................» .,...» . » ..»..»...........».»..»......_»......
.... ...::. ...................
92504-5944
Building
Replacement Cost
$43,000
Personal Property
N/A
.....................,.»......... $11,000
»..............»,.....,,,.........,...,,.......,....,..,.........,,....,,....,.......».»,,...
Location 15/I (Chaps.€]:17455 Van Buren Blvd. Riverside, CA, 92504-5944
... .»,,,,.......» ,.....,,,-,..
Building
Replacement Cost
$742,000
Personal Property
N/A
$149,000
..
.» »....� »,,,, .,.....».........».»............................................................................................................
.........
Locatior 16/1 (CfiUrch Off):16455 Porter Ave, Riverside, CA, 92504
........................................ .. .......... ................. ...........................
................. ._.» ....... » ,.„ »_.»..».....
Building
Replacement Cost
$544,000
Personal Pro
..............................................
Location 16/2 (storal
Personal Property
$109,000
-orter Ave, Klverslae, (-A, y26U4
Replacement Cost $60,000
N/A $6,000
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1 800.333.3735 1 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
MI DEC 12/20 "Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 19 of 34
BROTHERHOOD
MUTUAL..
NAMED INSURED SANDALS CHURCH
POLICY NUMBER 04M5A0426258
POLICY PERIOD 07/01/2021 at 12:01 a.m, to 07/01/2022 at
12:01 a,m.
Property Coverage Summary
MinistryFirst" commercial multi -peril policy Declarations continued...
We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according
to the terms of the designated coverage form and any other applicable forms or endorsements.
COVERAGE DESCRIPTION (INCL. TYPE OF PROPERTY) ROOF SETTLEMENT OPTION VALUE
Location 21/3 (Fell ow"rip 622 N Gilbert St, Anaheim, CA, 92801 3747
Building Replacement Cost $1.699,000
»Personal Property N/A
—'
Location 27/4 (Church Off): 622 fV Gilher 5t, An ............ ... ...... .....,.»».,..»......,.................�............ „.».»......$340,00fl
aheim, CA, 92$O1-374....................
Building Replacement Cost $3,933,000
Personal Property N/A — — $787000
GROUP B
COINSURANCE:
VALUATION TYPE:
PERIL TYPE:
Agreed Amount
Replacement Cost
Special with Theft
COVERAGE DESCRIPTION (INCL. TYPE OF PROPERTY)
Location 13/1 (Church): 3701 N Sierra Way, San Bernardino, CA
92405-2219
COMBINED LIMIT. $10,903,000
AUTOMATIC INCREASE: 0%
PERIL FORM: BCP85 4.5
EARTHQUAKE DEDUCTIBLE: Exclude Earthquake
ROOF SETTLEMENT OPTION VALUE
Building Replacement Cost $4,967,00(
Persona) Property N A
_..........................»....,......,....,....,,......................._.....................................».:..........:.............»... «......... _/.............................,...........
$994;0()L
ocation 13/2 (fducatianj: 3701 N Sierra Way, San Bernardino, CA,
_.......... ....«..........w...«..,.,......,....,...,......... ::.............
92405-2219
BEOding Replacement Cost $1,674,000
Personal Property N/A $335,000
.......................................................................................................................................................»............................................,............:.....»..,......»............,......:.............»......».....W.............._...........................
Location 13/4 (Education): 3701 N Sierra Way, San Bernardino, CA,
92405-2219
..........�.........................................................._.................,,............^.......................................... ...................
.. .7'
.0 �� ra Keplacement Lost
�.....e.................................................—.............................^........................................._r...... _................. ............................................................
_
Persona! Property N q
........:.. �.
............::...............................:..... ................. _..........................................................
Location 13/5 (Education]: 3701 N Sierra Way, San Bernardino, CA,
92405-2219
ce
rers_onai rro,perty _ N/A
Location 13/6 (Youth): 370T& 53erra Way, fan Ber'nar ........................... . �..........,,......._................ .....,,.......... .........._.......»........«.................... $$$,000
dino, CA, ......... .:.
92405-2219
Building Replacement Cost $422,000
Personal Property N/A mi nnn
�J
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
M1 DEC 12120 "Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 18 of 34
S k; BROTHERHOOD
MUTUAL..
NAMED INSURED SANDALS CHURCH
POLICY NUMBER 04M5A0426258
POLICY PERIOD 07/01/2021 at 12:01 a.m. to 07/01/2022 at
12:01 a.m.
Property Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according
to the terms of the designated coverage form and any other applicable forms or endorsements.
COVERAGE DESCRIPTION (INCL. TYPE OF PROPERTY) ROOF SETTLEMENT OPTION VALUE
cation 11/3 (Fellowship): 6807 Pa Lolm Ave, Riverside, CA, 92506-2811
Building Replacement Cost $1,533,000
rty
Location it/1 wwefang): 4].iI Lu[ner .A, KtyerSiae, CLA, yL5u4-LL.31
Building Replacement Cost $248,000
Personal Property N/A $50,000
22/1 (Church): 405 W Lincoln Ave
PersonalProperty-wo/�........................................._... ,............ »� ...._ .......� ......._..... ....,..... ,,. ..... . $3......
Location 22/2 (Fellowship): 405 W Lincoln Ave, Fresno, CA, 93706-9236
Building Replacement Cost $1,4.05:000
Personal Property ...... .. ... ... .._......,.... .. ......�.................w $ ..S1,UUU
_ ««.......................... ................ _..................................,....A .. . ... . .....
Location 22/3 (Church OFF): 405 W Lincoln Ave, Fresno, CA, 93706-9236
Building Replacement Cost _ $382,000
Personal Property N/A $77,000
................ ............................................... .................................... :.................................................................................................................................................................. ....................................................................
Location 23/1 (Church office): 455 W Lincoln Ave, Fresno, CA,
93706-9236
92586-3607
Tenants Improvements N/A $25,000
Personal Property N/A $30,000
.......................................................................................,:..............................................................................................................................................................................................................................................................
Location 24/2 (Church - West Annex): 29995 Evans Rd, Menifee, CA,
92586-3607
Personal Property
N/A
$30,000
..........................................................................................................................................................................................................................................................................................................................................................
Location 24/3 (Church): 29995 Evans Rd, Menifee, CA, 92586-3607
Tenants Improvements
N/A
$25,000
Personal Property
N/A
$30,000
.........................................................................................................................................................................................._....,..............................................:..:..........._.................................................................
Location 25/1 (Church): 630 E 5th St, Azusa, CA, 91702 3800
Building
Actual Cash Value (Roof ACV)
$691,000
Personal Property
N/A ........................... ..............................................................................
.....................
$139,000
............. ...................................... .........
..............o-n,.................,.......,......iip"...........................S't'.....................................................................
Location 25/2 (Fellowship): 630 E 5th St, Azusa, CA, 91702-3800
Building Actual Cash Value (Roof ACV) $726,000
Personal Property
............................................................ .............................................
$146,000
., �.... , ..� »... »,........................
*/-1' (...............................................................................................................................N/A
Location 26/1 (Church): 3778 Milliken Ave Ste B, Eastvale, CA, 91752-1036
Personal Property _...._......... .......... ........ .. ..
N/A
».. ._.� » .._ ........�....._....:_.............. .............
$20,000
11................ ..... _... » :. �. ...... ......... - ............. ..
...............................:......................_.........
Location 27/1 (Church): 622 N Gilbert St, Anaheim, CA, 92801-3747
Building
Replacement Cost
$1,305,000
Personal Property
N/A .............w.........;...............»,.._..,....
.. $261,000
.. .».::..... ._,...............,,..............,..
.............................................................................................................................................,...........................................
Location 27/2........(..Ed....ucation)..: 622.....N Gi..lbert St, Anaheim, CA, 92801-3747
Building
Replacement Cost
$1,850,000
Personal Property
N/A
$371,000
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
MI DEC 12/20 "Bear ye one another's burdens and so fulfill the law of Christ:' — Galatians 6:2 Page 17 of 34
BROTHERHOOD
MUTUAL,,
NAMED INSURED SANDALS CHURCH
POLICY NUMBER 04M5A0426258
POLICY PERIOD 07/01/2021 at 12:01 am. to 07/01/2022 at
12:01 a."
Property Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued
We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according
to the terms of the designated coverage form and any other applicable forms or endorsements.
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE
(INCL. TYPE OF PROPERTY)
Personal Property $2,000 Agreed Amount N/A Replacement Cost 0% Special with Theft
Combined Schedule(s) of Buildings and Personal Property (Includes Statement of Values) - BCP-147
GROUP A
■
COINSURANCE: Agreed Amount
VALUATION TYPE: Replacement Cost
PERIL TYPE: Special with Theft
COVERAGE DESCRIPTION (INCL. TYPE OF PROPERTY)
Location 1/1 (Church):150 Palmyrita Ave, Riverside, CA, 92507-1833
250
Building
Personal Property
92507-1835
1325 Amethyst Ave, Mentone, CA, 92359
COMBINED LIMIT: $80,862,000
AUTOMATIC INCREASE: 0%
PERIL FORM: BCP85 4.5
EARTHQUAKE DEDUCTIBLE: Exclude Earthquake
FORM
BCP85 4 5
ROOF SETTLEMENT OPTION VALUE
Replacement Cost $28,964,000
cement Cost
$2,652,000
Building Replacement Cost 81,403,000
Personal roperty N/A
..................... _....... ..... » .............................
_� �....»....�.,.._...,,.....::_..._..»...................... ................. . .. ,...,»--_,,......_.»__.................._.._......_......_....»..» .......... R2s1,v0a
Location 6/1 (Ckiurch).14115 Business Center Dr, Moreno Valley, CA,
92553-9101
Building Replacement Cost $1,350,000
Personal Pro ert $
P Y N/A 270,000
...............�,......................... ......ic'e......................................._....................»................................................................................. ,.:.................. «..................... :................... .,...................:..:.................. _ .................
Location 7/1 (Church OFfice):14093 Business Center Dr, Moreno Valley,
CA, 92553-9103
Personal Property _. _ N/A $17,OOQ
Location 8/1 (Church): 5440 E Arrow Hwy, MtirltClair,.CA, 91763...... ... .. . W_..m..._..,..... ..".».... ..",... , ".w .,... .............»..................,...., ......,.....»
Personal Pro"rty N/A
Location 10/1..�Chiirefi :477I+! Woadlanil Ave,»B........i.. .. ........... ....»».......... .».............. ,,...,,.,........ ........ »................... ................. ................,�.....
Ian ng, CA,»92220
Personal Property N/A $.487,000
Lacatian ii; CChur�h) 613D7 Palm Ave, Riverside. CA; 92506 2811.. ........ .. . .............................. .. ....».........,..,,,,.,....,..».»....»..................................._..., ,._
Personal Property N/A . 7,000
/ $297,040....................i'ce,.............................a"I'.........................,........................................................__....,,...,.�.,.......,..............,............,.:::..:.........: ,;....:W,,..,............... »_._........».....:...__...................-.- .--..,.,.
Location 11/2 (Office & Fellowhip Hall): 6807 Palm Ave, Riverside, CA,
92506-2811
iBuilding Replacement Cost $2,220,000
Personal RropertY N/A $444,000
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333,3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
MI DEC 12/20 'Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 16 of 34
A f, NAM EDINSURE D SANDALS CHURCH
- ri BROTHERHOOD POLICY NUMBER 04M5A0426258
ONMUTUAL POLICY PERIOD 07/01/2021 at 12:01 a.m. to 07/01/2022 at
12:01 am.
Property Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according
to the terms of the designated coverage form and any other applicable forms or endorsements.
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DIED VALUATION TYPE AUTO INCR PERIL TYPE FORM
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
EDUCATION 622 N Gilbert St Anaheim, CA 92801-3747 LOCATION 27/2
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE FORM
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
FELLOWSHIP HALL 622 N Gilbert St Anaheim, CA 92801-3747 LOCATION 27/3
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE FORM
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combine
Schedule
CHURCH OFFICE 622 N Gilbert St Anaheim, CA 92801-3747 LOCATION 27/4
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE FORM
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
CHURCH 27985 Menifee Rd Menifee, CA 92585-9676 LOCATION 28/1
Brotherhood Mutual Insurance Company I www.brotherhoodmutuaI.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
M1 DEC 12/20 'Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 15 of 34
NAMED INSURED SANDALS CHURCH
BROTHERHOOD POLICY NUMBER 04M5A0426258
MUTUAL:. POLICY PERIOD 07/01/2021 at 12:01 a.m. to 07/01/2022 at
12:01 a.m.
Property Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according
to the terms of the designated coverage form and any other applicable forms or endorsements.
CHURCH 29995 Evans Rd Menifee, CA 92586-3607
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
CHURCH 630 E 5th 5t Azusa, CA 91702-3800
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
FELLOWSHIP HALL 630 E 5th St Azusa, CA 91702-3800
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
CHURCH 3778 Milliken Ave Ste B Eastvale, CA 91752-1036
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE
(INCL. TYPE OF PROPERTY)
Personal Property See Combined
Schedule
CHURCH 622 N Gilbert St Anaheim, CA 92801-3747
LOCATION 24/3
FORM
LOCATION 25/1
FORM
LOCATION 25/2
FORM
LOCATION 26/1
FORM
LOCATION 27/1
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1 800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
MI DEC 12/20 "Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 14 of 34
NAMED INSURED SANDALS CHURCH
04 POLICY NUAM1BER 04M5A0426258
BROTHERHOODMUTUAL.. POLICY PERIOD 07/01/2021 at 12:01 a.m. to 07/01/2022 at
12:01 a.m.
Property Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according
to the terms of the designated coverage form and any other applicable forms or endorsements.
CHURCH OFFICE 455 W Lincoln Ave Fresno, CA 93706-9236
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE
(INCL. TYPE OF PROPERTY)
Building See Combined
__ Schedule
Personal Property See Combined
Schedule
GARAGE 455 W Lincoln Ave Fresno, CA 93706-9236
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
CHURCH - NORTH ANNEX 29995 Evans Rd Men ifee, CA 92586-3607
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
CHURCH • WEST ANNEX 29995 Evans Rd Menifee, CA 92586-3607
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
LOCATION 23/1
FORM
LOCATION 23/2
FORM
LOCATION 24/1
FORM
LOCATION 24/2
FORM
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333,3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
M1 DEC 12/20 'Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 13 of 34
NAMED INSURED SANDALS CHURCH
®, ; BROTHERHOOD POLICY NUMBER 04M5A0426258
MUTUAL POLICY PERIOD 07/01/2021 at 12:01 a.m. to 07/01/2022 at
0 12:01 a.m.
Property Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according
to the terms of the designated coverage form and any other applicable forms or endorsements.
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE FORM
(INCL. TYPE OF PROPERTY)
CHURCH 13031 Orange 5t Corona, CA 92880.9743 LOCATION 20/1
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE FORM
(INCL. TYPE OF PROPERTY)
Personal Property $25,000 Agreed Amount N/A Replacement Cost 0% Special with Theft BCP85 4.5
ICHURCH
405 W Lincoln Ave Fresno, CA 93706-9236
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
FELLOWSHIP HALL 405 W Lincoln Ave Fresno, CA 93706-9236
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
CHURCH OFFICE 405 W Lincoln Ave Fresno, CA 93706-9236
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
LOCATION 22/1
FORM
LOCATION 22/2
FORM
LOCATION 22/3
FORM
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
M1 DEC 12/20 'Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 12 of 34
NAMED INSUREO SANDALS CHURCH
p� r, BROTHERHOOD POLICY NUMBER 04M5A0426258
MUTUAL - POLICY PERIOD 07/01/2021 at 12:01 a.m. to 07/01/2022 at
12:01 a,m.
Property Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according
to the terms of the designated coverage form and any other applicable forms or endorsements.
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
YOUTH BUILDING 1103 N Highway 173 Lake Arrowhead, CA 92352
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DIED VALUATION TYPE AUTO INCR PERIL TYPE
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
EDUCATION 730 N Mountain Ave Ontario, CA 91762-2544
FORM
LOCATION 17/3
FORM
LOCATION 19/1
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE FORM
(INCL. TYPE OF PROPERTY)
Building $157,000 Agreed Amount N/A Actual Cash Value 0% Basic without CP821.0
Vandalism
Personal Property $10,000 Agreed Amount N/A Actual Cash Value 0% Basic with Vandalism CP821.0
EDUCATION 730 N Mountain Ave Ontario, CA 91762-2544 LOCATION 19/2
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE FORM
(INCL. TYPE OF PROPERTY)
Building _ $107,000 Agreed Amount N/A Actual Cash Value 0% Basic with Vandalism CP821.0
Personal Property $20,000 Agreed Amount N/A Replacement Cost 0% Basic with Vandalism CP821.0
CHURCH 730 N Mountain Ave Ontario, CA 91762-2544
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE
LOCATION 19/3
FORM
(INCL. TYPE OF PROPERTY)
Building $596,000 Agreed Amount N/A Actual Cash Value 0% Basic with Vandalism CP821.0
Personal Property $30,000 Agreed Amount N/A Replacement Cost 0% Basic with Vandalism CP821.0
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
M1 DEC 12/20 'Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 11 of 34
NAMED INSURED SANDALS CHURCH
BROTHERHOOD POLICY NUMBER 04M5A0426258
MUTUAL POLICY PERIOD 07/01/2021 at 12:01 am. to 07/01/2022 at
® 12:01a.m.
Property Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according
to the terms of the designated coverage form and any other applicable forms or endorsements.
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE FORM
(INCL. TYPE OF PROPERTY)
CHURCH OFFICE 16455 Porter Ave Riverside, CA 92504 LOCATION 16/1
Mortgagee TMI Trust Company PO Box 2288 Fort Worth, TX 76113-2288
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE FORM
(INCL. TYPE OF PROPERTY)
Building See Combined
_ Schedule
Personal Property See Combined --
Schedule
STORAGE 16455 Porter Ave Riverside, CA 92504
Mortgagee TMI Trust Company
LOCATION 16/2
PO Box 2288 Fort Worth, TX 76113-2288
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
CHURCH 1103 N Highway 173 Lake Arrowhead, CA 92352
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
EDUCATION 1103 N Highway 173 Lake Arrowhead, CA 92352
FORM
LOCATION 17/1
FORM
LOCATION 17/2
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
Ml DEC 12/20 "Bear ye one another's burdens and so fulfill the law of Christ" — Galatians 6:2 Page 10 of 34
., �. NAMED INSURED SANDALS CHURCH
r ; BROTHERHOOD
POLICY NUMBER 04M5A0426258
MUTUAL- POLICY PERIOD 07/01/2021 at 12:01 a.m. to 07/01/2022 at
12:01 a.m.
Property Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according
to the terms of the designated coverage form and any other applicable forms or endorsements.
EDUCATION M1. lips.
. ` 17421 Van Buren Blvd Riverside, CA 92504-5944 LOCATION 14/3
Mortgagee TMI Trust Company PO Box 2288 Fort Worth, TX 76113-2288
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DIED VALUATION TYPE AUTO INCR PERIL TYPE FORM
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
EDUCATION 17421 Van Buren Blvd Riverside, CA 92504-5944 LOCATION 14/4
Mortgagee TMI Trust Company PO Box 2288 Fort Worth, TX 76113-2288
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE FORM
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
EDUCATION 17421 Van Buren Blvd Riverside, CA 92504-5944 LOCATION 14/5
Mortgagee TMI Trust Company PO Box 2288 Fort Worth, TX 76113-2288
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE FORM
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
CHAPEL 17455 Van Buren Blvd Riverside, CA 92504-5944 LOCATION 15/1
Mortgagee TMI Trust Company PO Box 2288 Fort Worth, TX 76113-2288
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
FORM
,Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
MI DEC 12/20 'Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 9 of 34
NAMED INSURED SANDALS CHURCH
BROTHERHOOD POLICY NUMBER 04M5A0426258
MUTUAL. POLICY PERIOD 07/01/2021 at 12:01 a.m. to 07/01/2022 at
12:01 a.m.
Property Coverage Summary�`1.
1
MinistryFirstsm commercial multi -peril policy Declarations continued...
We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according
to the terms of the designated coverage form and any other applicable forms or endorsements.
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE FORM
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
YOUTH BUILDING 3707 N Sierra Way San Bernardino, CA 92405-2219 LOCATION 13/6 i
Mortgagee TMI Trust Company PO Box 2288 Fort Worth, TX 76113-2288
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE FORM
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
CHURCH 17421 Van Buren Blvd Riverside, CA 92504-5944 LOCATION 14/1
Mortgagee TMI Trust Company PO Box 2288 Fort Worth, TX 76113-2288
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
FORM
EDUCATION 17421 Van Buren Blvd Riverside, CA 92504-5944 LOCATION 14/2
Mortgagee TMI Trust Company PO Box 2288 Fort Worl"r TX 76113-2288
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE FORM
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
J
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1 800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
M1 DEC 12/20 "Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 8 of 34
NAMED INSURED SANDALS CHURCH
POLICYNUMBER 04M5A0426258
BROTHERHOOD
POLICY PERIOD 07/01/2021 at 12:01 am; to 07/01/2022 at
MUTUAL-: 12:01a.m.
Property Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according
to the terms of the designated coverage form and any other applicable forms or endorsements.
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE
(INCL. TYPE OF PROPERTY)
Persona[ Property See Combined
Schedule
EQ DIED VALUATION TYPE AUTO INCR PERIL TYPE FORM
EDUCATION 3701 N Sierra Way San Bernardino, CA 92405-2219
Mortgagee TMI Trust Company
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
LOCATION 13/2
PO Box 2288 Fort Worth, TX 76113-2288
EQ DIED VALUATION TYPE AUTO INCR PERIL TYPE
MOBILE CLASSROOM 3701 N Sierra Way San Bernardino, CA 92405-2219
_1013,11ril
LOCATION 13/3
Mortgagee TMI Trust Company PO Box 2288 Fort Worth, TX 76113-2288
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE FORM
(INCL. TYPE OF PROPERTY)
Building $69,000 Agreed Amount N/A Replacement Cost 0% Special with Theft BCP85 4.5
Personal Property $7,000 Agreed Amount N/A Replacement Cost 0% Special with Theft BCP85 4.5
EDUCATION 3701 N Sierra Way San Bernardino, CA 92405-2219
Mortgagee TMI Trust Company
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
LOCATION 13/4
PO Box 2288 Fort Worth, TX 76113-2288
EQ DED VALUATION TYPE AUTO INCR PERIL TYPE FORM
EDUCATION 3701 N Sierra Way San Bernardino, CA 92405-2219
Mortgagee TMI Trust Company
LOCATION 13/5
PO Box 2288 Fort Worth, TX 76113-2288
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
MI DEC 12/20 'Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 7 of 34
Al'A NAMED INSURED SANDALS CHURCH
BROTHERHOOD POLICY NUMBER 04M5A0426258
MUTUAL POLICY PERIOD 07/01/2021 at 12:01 a.m. to 07/01/2022 at
12:01 a.m.
Property Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according
to the terms of the designated coverage form and any other applicable forms or endorsements.
OFFICE & FELLOWHIP HALL. 6807 Palm Ave Riverside, CA 92506-2811 LOCATION 17/2
Mortgagee Citizens Business Bank 28100706, PO Box 390785 Minneapolis, MN 55439
_ 28100757,
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
FELLOWSHIP HALL
Mortgagee
6807 Palm Ave Riverside, CA 92506-2811
Citizens Business Bank 28100706,
28100757,
FORM
LOCATION 11/3
PO Box 390785 Minneapolis, MN 55439
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
DWELLING 4531 Luther St Riverside, CA 92504-2231
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
FORM
LOCATION 12/1
FORM
CHURCH 3701 N Sierra Way San Bernardino, CA 92405-2219 LOCATION 13/1
Mortgagee TMI Trust Company PO Box 2288 Fort Worth, TX 76113-2288
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
r0l;idil
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
M1 DEC 12/20 'Bear ye one another's burdens and so fulfill the law of Christ" — Galatians 6:2 Page 6 of 34
NAMED INSURED SANDALS CHURCH
,� �; MUTUAL
BROTHERHOOD
j� R O T H E R H O O D POLICY NUMBER 04M5A0426258
V I U T U A L - POLICY PERIOD 07/01/2021 at 12:01 a.m. to 07/01/2022 at
00 12:01 a.m.
Property Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according
to the terms of the designated coverage form and any other applicable forms or endorsements.
CHURCH OFFICE 14093 Business Center Dr Moreno Valley, CA LOCATION 7/1
92553-9103
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE FORM
(INCL. TYPE OF PROPERTY)
Personal Property See Combined
Schedule
CHURCH 5440 E Arrow Hwy Montclair, CA 91763 LOCATION 8/1
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE FORM
(INCL. TYPE OF PROPERTY)
Personal Property See Combined
Schedule
CHURCH 477 N Woodland Ave Banning, CA 92220 LOCATION 10/1
Mortgagee Citizens Business Bank 28100706, PO Box 390785 Minneapolis, MN 55439
28100757,
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE FORM
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
CHURCH 6807 Palm Ave Riverside, CA 92506-2811
Mortgagee Citizens Business Bank 28100706,
28100757,
LOCATION 11/1
PO Box 390785 Minneapolis, MN 55439
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
FORM
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
MI DEC 12/20 "Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 5 of 34
kA NAMED INSURED SANDALS CHURCH
BROTHERHOOD POLICY NUMBER 04M5A0426258
POLICY PERIOD 07/01/2021 at 12:01 a.m. to 07/01/2022 at
MUTUAL::. 12:01a.m.
Property Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according
to the terms of the designated coverage form and any other applicable forms or endorsements.
CHURCH
250 Pal myrita Ave Riverside, CA 92507-1835
LOCATION 3/1
Mortgagee TMI Trust Company
PO Box 2288 Fort Worth, TX 76113-2288
COVERAGE DESCRIPTION
COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE
AUTO INCR
PERIL TYPE
FORM
(INCL. TYPE OF PROPERTY)
Building
See Combined
Schedule
Personal Property
See Combined
Schedule
Building Ordinance
$1,000,000 N/A N/A N/A
N/A
N/A
BCP138 4.5
& Law Cost of
Construction
Building Ordinance &
$13,258,000 N/A N/A N/A
N/A
N/A
BCP138 4.5
Law Increased Building
Loss
Building Ordinance &
$500,000 N/A N/A N/A
N/A
N/A
BCP138 4.5
Law Increased Debris
Removal
CHURCH
1325 Amethyst Ave Mentone, CA 92359
LOCATION 5/1
Mortgagee Citizens Business Bank 28100706,
PO Box 390785 Minneapolis, MN 55439
28100757,
COVERAGE DESCRIPTION
COVERAGE LIMIT COINSURANCE EQ DIED VALUATION TYPE
AUTO INCR
PERIL TYPE
FORM
(INCL. TYPE OF PROPERTY)
Building
See Combined
Schedule
Personal Property
-See Combined
Schedule
CHURCH
14115 Business Center Dr Moreno Valley, CA 92553-9101
LOCATION 6/1
COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE EQ DED VALUATION TYPE AUTO INCR PERIL TYPE FORM
(INCL. TYPE OF PROPERTY)
Building See Combined
Schedule
Personal Property See Combined
Schedule
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
Ml DEC 12120 'Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 4 of 34
NAMED INSURED SANDALS CHURCH
POLICY NUMBER 04M5A0426258
BROTHERHOOD
MUTUAL.. POLICY PERIOD 07/01/2021 at 12:01 a.m. to 07/01/2022 at
12:01 a.m.
Property Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according
to the terms of the designated coverage form and any other applicable forms or endorsements.
LOCATION #
22/1
DESCRIPTION
Church
ADDRESS
405 W Lincoln Ave Fresno, CA 93706-9236
22/2
Fellowship Hall
405 W Lincoln Ave Fresno, CA 93706-9236
22/3
Church Office
405 W Lincoln Ave Fresno, CA 93706-9236
23/1
Church office
455 W Lincoln Ave Fresno, CA 93706-9236
23/2
garage
455 W Lincoln Ave Fresno, CA 93706-9236
24/1
Church - North Annex
29995 Evans Rd Menifee, CA 92586-3607
24/2
Church - West Annex
29995 Evans Rd Menifee, CA 92586-3607
24/3
Church
29995 Evans Rd Menifee, CA 92586-3607
25/1
Church
630 E 5th St Azusa, CA 91702-3800
25/2
Fellowship Hall
630 E 5th St Azusa, CA 91702-3800
26/1
Church
3778 Milliken Ave Ste B Eastvale, CA 91752-1036
27/1
Church
622 N Gilbert St Anaheim, CA 92801-3747
27/2
27/3
27/4
28/1�
Education
Fellowship Hall
Church Office
Church
622 N Gilbert St Anaheim, CA 92801-3747
622 N Gilbert St Anaheim, CA 92801-3747
622 N Gilbert St Anaheim, CA 92801-3747
27985 Menifee Rd Menifee, CA 92585-9676
Schedule of Buildings and Personal Property
CHURCH
150 Palmyrita Ave Riverside, CA 92507-1833
LOCATION 1/1
Mortgagee TMI Trust Company
PO Box 2288 Fort Worth, TX 76113-2288
COVERAGE DESCRIPTION
COVERAGE LIMIT
COINSURANCE
EQ DED
VALUATION TYPE
AUTO INCR
PERIL TYPE
FORM
(INCL. TYPE OF PROPERTY)
Building
See Combined
Schedule
Personal Property
See Combined
Schedule
Building Ordinance
$1,000,000
N/A
N/A
N/A
N/A
N/A
BCP138 4.5
& Law Cost of
Construction
Building Ordinance &
$28,964,000
N/A
N/A
N/A
N/A
N/A
BCP138 4.5
Law Increased Building
Loss
Building Ordinance &
$500,000
N/A
N/A
N/A
N/A
N/A
BCP138 4.5
Law Increased Debris
Removal
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
M1 DEC 12/20 'Bear ye one another's burdens and so fulfill the law of Christ" — Galatians 6:2 Page 3 of 34
v NAMED INSURED SANDALSCHURCH
BROTHERHOOD POLICY NUMBER 04M5A0426258
POLICY PERIOD 07/01/2021 at 12:01 a.m. to 07/01/2022 at
MUTUAL:.: 12:01a.m.
Property Coverage Summary
MinistryFirstsm commercial multi -peril policy Declarations continued...
We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according
to the terms of the designated coverage form and any other applicable forms or endorsements.
Property Coverage Details
PROPERTY DEDUCTIBLE
GLASS DEDUCTIBLE
Schedule of Locations
LOCATION #
1/1
3/1
5/1
6/1
$10,000
$10,000
".-`)
DESCRIPTION ADDRESS
Church 150 Palmyrita Ave Riverside, CA 92507-1833
Church 250 Palmyrita Ave Riverside, CA 92507-1835
Church 1325 Amethyst Ave Mentone, CA 92359
Church 14115 Business Center Dr Moreno Vallev, CA 92553-9101
7/1
Church OFfice
14093 Business Center Dr Moreno Valley, CA 92553-9103
8/1
Church
5440 E Arrow Hwy Montclair, CA 91763
10/1
Church
477 N Woodland Ave Banning, CA 92220
11/1
Church
6807 Palm Ave Riverside, CA 92506-2811
11/2
Office & Fellowhip Hall
6807 Palm Ave Riverside, CA 92506-2811
11/3
Fellowship Hall
6807 Palm Ave Riverside, CA 92506-281'
12/1
Dwelling
4531 Luther St Riverside, CA 92504-2231
13/1
Church
3701 N Sierra Way San Bernardino, CA 92405-2219
13/2
Education
3701 N Sierra Way San Bernardino, CA 92405-2219
13/3
Mobile Classroom
3701 N Sierra Way San Bernardino, CA 92405-2219
13/4
Education
3701 N Sierra Way San Bernardino, CA 92405-2219
13/5
Education
3701 N Sierra Way San Bernardino, CA 92405-2219
13/6
Youth Building
3701 N Sierra Way San Bernardino, CA 92405-2219
14/1
Church
17421 Van Buren Blvd Riverside, CA 92504-5944
14/2
Education
17421 Van Buren Blvd Riverside, CA 92504-5944
14/3
Education
17421 Van Buren Blvd Riverside, CA 92504-5944
14/4
Education
17421 Van Buren Blvd Riverside, CA 92504-5944
14/5
Education
17421 Van Buren Blvd Riverside, CA 92504-5944
15/1
Chapel
17455 Van Buren Blvd Riverside, CA 92504-5944
16/1
Church Office
16455 Porter Ave Riverside, CA 92504
16/2
storage
16455 Porter Ave Riverside, CA 92504
17/1
Church
1103 N Highway 173 Lake Arrowhead, CA 92352
17/2
Education
1103 N Highway 173 Lake Arrowhead, CA 92352
17/3
Youth Building
1103 N Highway 173 Lake Arrowhead, CA 92352
19/1
Education
730 N Mountain Ave Ontario, CA 91762-2544
19/2
Education
730 N Mountain Ave Ontario, CA 91762-2544
19/3
Church
730 N Mountain Ave Ontario, CA 91762-2544
20/1
Church
13031 Orange St Corona, CA 92880-9743
k.�
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
M1 DEC 12/20 "Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 2 of 34
�� BROTHERHOOD
ON MUTUAL.
MinistryFirsts" Commercial Multi -Peril
Insurance Coverage Summary
These are your policy's Declarations.
Renewal of 04M5A0426258
SANDALS CHURCH
150 Palmyrita Ave
Riverside, CA 92507-1833
NAMED INSURED SANDALS CHURCH
POLICY NUMBER 04M5A0426258
POLICY PERIOD 07/01/2021 at 12:01 a.m. to 07/01/2022 at 12:01 a.m.
Key Facts About Your Policy
Policy Number 04MSA0426258
Brotherhood Mutual Insurance Company
Print Date: May 21, 2021
Policy Period: 07/01/2021 at 12:01 a.m. to
07/01/2022 at 12:01 a.m.
909-307-8500
Churchwest Insurance Services 4002-020
Www.Churchwest.Com
201 Cajon Street
Redlands, CA 92373-4645
Contact your agent with your customer
service questions, including updating your
policy or reporting a claim.
www.brotherhoodmutual.com/payon line
For your convenience, you can make
premium payments online.
These Declarations replace your previous ones. Your policy's Declarations contain a summary of the coverage contained in the insurance policy.
Your policy contains a full explanation of your coverage.
AGREEMENT: In return for the payment of the premium and subject to all the terms of the policy, we agree to provide the insurance stated in the policy.
TYPE OF ORGANIZATION: Church Institution
FORM OF ORGANIZATION: Corporation
Policy Overview
COVERAGE DESCRIPTION
DETAILS COVERAGE DESCRIPTION DETAILS
Property Coverage
Page 2 - 23 Terrorism Premium $6,311 (See Notice Form BN-6-A-DX 3.1 for details)
Liability Coverage
Page 24 - 33
Excess Liability Coverage
Page 34 - 34
Policy Premium Overview
This premium is subject to adjustment
at each anniversary. This premium is subject to adjustment due to premium audit provision.
ANNUAL PREMIUM:
$119,171,00 PAYMENT SCHEDULE: See invoice.
Common Policy Forms
FORM FORM NAME
BN2B 1.1 Notice to our Policyholder
CL3001.0 Amendatory Endorsement
BCP100 4.5
Commercial Property Coverage Conditions
BCL3011.0
Form Number Reference
BCL1201.0
Amendatory Endorsement - Assignment
BN1B 1.0
Notice Of Payment -Related Charges
EX06061.0
Conditional Terrorism Exclusion
BN-6-A-DX 3.1 Terrorism Related Loss
FORM
CL1001.0
FORM NAME
Common Policy Conditions
CPl 1.0
Table of Contents
GL1001.0
Commercial Liability Coverage
BN11A 1.2
Customer Notice: Value -Added Benefits
CLO162 0119
Amendatory Endorsement California
BCL1001.1
Additional Policy Conditions
BN6EX 4.0
Notice-Cond Excl-Terrorism -Related Loss
Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1800.333.3735 I 6400 Brotherhood Way, P.O. Box 2227, Fort Wayne, IN 46801-2227
MI DEC 12/20 "Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 1 of 34
City of Menifee
29844 Haun Rd
Sun City, CA 92586