2023/02/01 Lunar Cow Publishing Inc. (2)GG1163
Other Interest:
As Listed Below
Processed On:11/18/2022 (See Reverse Side)1 6
Mailing Name and Address for Insured:
Ultrapack Plus Policy Declarations
Renewal Certificate
Erie Insurance Exchange
LUNAR COW PUBLISHING INC
ATTN BENJAMIN HARRIS
344 W TURKEYFOOT LAKE RD STE B
AKRON OH 44319-4085
Named Insured's Full Name:
LUNAR COW PUBLISHING INC
Agent:Policy Period:Policy Number:
GG1582 W ASCOVICH LAKE SHORE INS AGY 02/01/2023 to 02/01/2024 Q971733767
Agent Address and Phone
W ASCOVICH LAKE SHORE INS AGY
9265 OLDE 8 RD
NORTHFIELD OH 44067
330-467-4348
Policy begins at 12:01 A.M.standard time on the
effectiv e date and ends at 12:01 A.M.standard
time on the expiration date.Standard time is
determined at the stated address of the named
insured.
The insurance applies to those premises described below.This is subject to all applicable terms of the policy and
attached forms and endorsements.
Premium Summary
Large Premium Discount Applies
Total Annual Policy Premium:$1,981.00
(This is not a bill.Your invoice will follow in a separate mailing.)
x
Property Protection -As Per Attached Supplemental Declarations
Deductible (Property Protection Only)$500
Policy-Level Coverages
Liability Protection Limits of Insurance
Commercial General Liability Limits of Insurance
Each Occurrence Limit $1,000,000
Damage to Premises Rented to You $1,000,000 Any One Premises
Medical Expense limit $10,000 Any One Person
Personal &Advertising Injury Limit Excluded
General Aggregate Limit $2,000,000
Products/Completed Operations Aggregate Limit $2,000,000
DocuSign Envelope ID: 51912FB7-2ADE-419A-990F-D6582A837B6C
Insured Name:LUNAR COW PUBLISHING INC
Policy Number:Q971733767
Policy Period:02/01/2023 to 02/01/2024 Page 2 of 6
Processed On:11/18/2022 CONTINUED ON NEXT PAGE 2 6
Optional Coverages Deductible Amount of Insurance
Policy-Level Optional Coverages:
Property and Inland Marine -Optional Coverages:
Data Breach Response Expenses Increased Coverage $250,000
Terrorism Included
General Liability -Optional Coverages:
Additional Insured-State or Political Subdivisions-Permits (CG2012)
Other Optional Coverages:
Enhancement Endorsement-Offices
DocuSign Envelope ID: 51912FB7-2ADE-419A-990F-D6582A837B6C
Insured Name:LUNAR COW PUBLISHING INC
Policy Number:Q971733767
Policy Period:02/01/2023 to 02/01/2024 Page 3 of 6
Processed On:11/18/2022 (See Reverse Side)3 6
Supplemental Declarations
Location 1 /Building 1
Address:
344 W TURKEYFOOT LAKE RD STE B
AKRON OH 44319-4085
County:Summit
Occupancy/Operations:
Advertising Office
Interest of Named Insured In Such Premises:Tenant/Entire
Coverage Deductible Amount of Insurance
Property Protection
1.Buildings NIL
2.Business Personal Property and Personal Property of Others
Replacement Cost
Theft Exclusion Applies:No
Property Deductible BLANKET
3.Income Protection &Extra Expense Actual Loss Sustained 12 Months
Blanket Coverage -Contents -All Locations $305,000
Protective Safeguard Condition:Central Station Fire Alarm System
Protective Safeguard Condition:Central Station Burglar Alarm System
Automatic Adjustment of Business Personal Property and Personal Property of Others Coverage 3%
Property and Inland Marine -Optional Coverages:
Accounts Receivable -Increased Coverage $25,000
Electronic Data Expenses for Reproduction or Replacement and
Valuable Papers and Records Increased Coverage $250,000
Electronic Data Processing Endorsement -Blanket $500 $50,000
Sewer and Drain Backup $1,000 $25,000
Policy-Level Additional Interests
Additional Insured -Subdivisions-Permits
CITY OF MENIFEE
29844 HAUN RD
MENIFEE CA 92586-6539
Schedule of Static Forms
Form Number Edition Date Description
/
UPP 01/10 ULTRAPACK PLUS POLICY
PK0001 05/20 ULTRAPACK PLUS COMMERCIAL PROPERTY COVERAGE PART
PKAA 01/10 ACCOUNTS RECEIVABLE -INCREASED COVERAGE
PKAO 01/10 ELECTRONIC DATA PROCESSING COVERAGE
PKAX 01/10 PRODUCTION OR PROCESS MACHINERY -DEDUCTIBLE
PKAY 12/14 SEW ER AND DRAIN BACK-UP COVERAGE
PKAN 01/12 ELECTRONIC DATA -EXPENSES FOR REPRODUCTION OR REPLACEMENT
AND VALUABLE PAPERS AND RECORDS-INC CVRG
PKJG 07/16 OFFICES ENHANCEMENTS ENDORSEMENT
DocuSign Envelope ID: 51912FB7-2ADE-419A-990F-D6582A837B6C
Insured Name:LUNAR COW PUBLISHING INC
Policy Number:Q971733767
Policy Period:02/01/2023 to 02/01/2024 Page 4 of 6
Processed On:11/18/2022 4 6
Schedule of Static Forms -(continued)
Form Number Edition Date Description
PKRF 11/10 OHIO AMENDATORY ENDORSEMENT
CL0209 11/10 IMPORTANT NOTICE -LEAD LIABILITY EXCLUSION
CL0212 11/10 *IMPORTANT NOTICE -POLICY SERVICE FEES
CL0217 11/10 *IMPORTANT NOTICE -NO FLOOD COVERAGE
PKGP 01/10 AMENDMENT OF MOBILE EQUIPMENT DEFINITION
PK0003 05/20 ULTRAPACK PLUS EXTRA LIABILITY COVERAGES
CG0001 04/13 COMMERCIAL GENERAL LIABILITY COVERAGE FORM
CG0099 11/85 CHANGES IN GENERAL LIABILITY FORMS FOR COMMERCIAL PACKAGE
POLICIES
CG2012 04/13 ADDL INSURED -STATE OR GOVT AGCY OR SUBDIV OR POLITICAL SUBDIV
-PERMITS OR AUTHORIZATIONS
CG2138 11/85 EXCLUSION -PERSONAL AND ADVERTISING INJURY
CG2147 12/07 EMPLOYMENT-RELATED PRACTICES EXCLUSION
CG2167 12/04 FUNGI OR BACTERIA EXCLUSION
UFB213 11/12 *SUBSCRIBER'S AGREEMENT
CG2170 01/15 CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM
CG2196 03/05 SILICA OR SILICA-RELATED DUST EXCLUSION
PKGK 11/10 PUNITIVE DAMAGES
PKW A 07/14 DATA BREACH RESPONSE EXPENSES -INCREASED COVERAGE
CL0396 01/17 IMPORTANT NOTICE -DATA BREACH RESPONSE EXPENSES COVERAGE
CG2106 05/14 EXCL-ACCESS OR DISCLOSURE OF CONFIDENT OR PERS INFO AND
DATA-RELATED LIAB -W ITH LIMIT BOD INJ EXCEP
CG2109 06/15 EXCLUSION -UNMANNED AIRCRAFT
IL0017 11/98 COMMON POLICY CONDITIONS
IL0021 09/08 NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT (BROAD FORM)
IL0244 09/07 OHIO CHANGES -CANCELLATION AND NONRENEW AL
IL0952 01/15 CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM
IL985F 03/21 *DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT
PKMJ 01/10 EXCLUSION -LEAD LIABILITY
PKMD 01/10 EXCLUSION -ASBESTOS
PKMQ 12/14 EXCLUSION -PROFESSIONAL LIABILITY
PKRO 01/10 AMENDMENT OF POLICY -TW O OR MORE COVERAGE PARTS
DocuSign Envelope ID: 51912FB7-2ADE-419A-990F-D6582A837B6C
CLAIMS
DIRECTORY
President
and
Chief
Executive
Officer
If
we
fail
to
give
you
this
promised
service,
please
drop
us
a
note
or
call
us
on
our
toll-free
number
and
tell
us
about
it.
-------------------------------------------------------------------------
CUT
ON
DOTTED
LINE
IN
THE
EVENT
OF
AN
ACCIDENT
OR
LOSS
Help
any
injured.
Get
names,
addresses,
auto
license
plate
numbers
of
involved,
including
all
witnesses.
Do
not
discuss
an
accident
with
anyone
except
the
police
or
our
representative.
Protect
your
auto
and
any
property
from
further
damage.
Promptly
call
the
police
if
someone
is
injured,
damage
is
extensive,
or
in
case
of
theft.
In
case
of
"hit-and-run",
you
must
report
the
accident
to
the
police
within
24
hours
or
as
soon
as
possible.
Notify
your
Agent
or
ERIE
of
the
accident
or
loss.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------CUT ON DOTTED LINE
Home
Office
Erie,
PA
16530
Your
Agent:
CLAIMS
DIRECTORY
IN
THE
EVENT
OF
AN
ACCIDENT
OR
LOSS
Help
any
injured.
Get
names,
addresses,
auto
license
plate
numbers
of
involved,
including
all
witnesses.
Do
not
discuss
an
accident
with
anyone
except
the
police
or
our
representative.
Protect
your
auto
and
any
property
from
further
damage.
Promptly
call
the
police
if
someone
is
injured,
damage
is
extensive,
or
in
case
of
theft.
In
case
of
"hit-and-run",
you
must
report
the
accident
to
the
police
within
24
hours
or
as
soon
as
possible.
Notify
your
Agent
or
ERIE
of
the
accident
or
loss.
If
we
fail
to
give
you
this
promised
service,
please
drop
us
a
note
or
call
us
on
our
toll-free
number
and
tell
us
about
it.
President
and
Chief
Executive
Officer
--
FOLD
--
--
FOLD
--
Home
Office
Erie,
PA
16530
Your
Agent:
DocuSign Envelope ID: 51912FB7-2ADE-419A-990F-D6582A837B6C
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------CUT ON DOTTED LINE--------------------------------------------------------------------------
CUT
ON
DOTTED
LINE
CLAIM SERVICE --For claim service anywhere in U.S.or Canada,call your Agent or,using the
list below,call the Claim Office nearest your home.
State Office Call Toll Free State Office Call Toll Free
DC Silver Spring 1-800-492-2709 PA Allentown/Beth 1-800-322-9026
IL Peoria 1-888-335-3743 Erie 1-877-771-3743
IN Fort Wayne 1-800-892-5655 Home Office (Erie)1-800-458-0811
Indianapolis 1-800-624-1620 Harrisburg 1-800-382-1304
KY Lexington 1-877-589-3743 Johnstown 1-800-241-4209
MD Silver Spring 1-800-492-2709 Murrysville 1-800-553-3367
Hagerstown 1-800-533-5602 Philadelphia 1-800-821-2902
NC Charlotte 1-800-473-3882 Pittsburgh 1-800-922-1824
Raleigh 1-800-533-3982 TN Knoxville 1-888-922-3743
NY Rochester 1-800-333-0823 VA Richmond 1-800-322-3743
OH Canton 1-800-362-6541 Roanoke 1-800-533-3743
Columbus 1-800-282-1702 Waynesboro 1-800-542-2250
WI Waukesha 1-877-740-3743
WV Parkersburg 1-800-642-1948
Our phones answer 24/7!
To report a claim,call:
Your Agent
ERIE Claims Service:1-800-367-3743
ERIEGlassSM (Auto glass only):1-800-552-ERIE
ERIERoad Service:1-888-295-5060
FRAUD FINDERS®(To report fraud):1-800-368-6696 C54 4/17
CLAIM SERVICE --For claim service anywhere in U.S.or Canada,call your Agent or,using the
list below,call the Claim Office nearest your home.
State Office Call Toll Free State Office Call Toll Free
DC Silver Spring 1-800-492-2709 PA Allentown/Beth 1-800-322-9026
IL Peoria 1-888-335-3743 Erie 1-877-771-3743
IN Fort Wayne 1-800-892-5655 Home Office (Erie)1-800-458-0811
Indianapolis 1-800-624-1620 Harrisburg 1-800-382-1304
KY Lexington 1-877-589-3743 Johnstown 1-800-241-4209
MD Silver Spring 1-800-492-2709 Murrysville 1-800-553-3367
Hagerstown 1-800-533-5602 Philadelphia 1-800-821-2902
NC Charlotte 1-800-473-3882 Pittsburgh 1-800-922-1824
Raleigh 1-800-533-3982 TN Knoxville 1-888-922-3743
NY Rochester 1-800-333-0823 VA Richmond 1-800-322-3743
OH Canton 1-800-362-6541 Roanoke 1-800-533-3743
Columbus 1-800-282-1702 Waynesboro 1-800-542-2250
WI Waukesha 1-877-740-3743
WV Parkersburg 1-800-642-1948
Our phones answer 24/7!
To report a claim,call:
Your Agent
ERIE Claims Service:1-800-367-3743
ERIEGlassSM (Auto glass only):1-800-552-ERIE
ERIERoad Service:1-888-295-5060
FRAUD FINDERS®(To report fraud):1-800-368-6696 C54 4/17
DocuSign Envelope ID: 51912FB7-2ADE-419A-990F-D6582A837B6C