G9 Mobile Equipment Sublimit: $ G10 Are you interested in earthquake sprinkler leakage coverage? Yes No G11 Do you permanently store property (including brew stock) at premises not described on this Application? Yes No G12 Do you store brew stock or property for others? Yes No If yes, do you require them to purchase their own insurance? Yes No Please provide a copy of the contract used. ALLIED COVERAGE AUTOMATIC OPTIONAL SUBLIMIT INCREASE SUBLIMIT G13 Stock at Unnamed Locations $0 $250,000 $500,000 $1,000,000 $2,000,000 G14 Employee Dishonesty $50,000 $100,000 $250,000 $500,000 G15 Money & Securities On Premises $25,000 $50,000 $100,000 – G16 & Securities Off Premises $10,000 $25,000 $50,000 $100,000 – G17 Accidental Blending of Beer Errors $0 $25,000 $50,000 $100,000 – G18 Pollutants Clean Up and Removal $50,000 $100,000 G19 Accounts Receivable $250,000 $500,000 $1,000,000 G20 Valuable Papers & Records $250,000 $500,000 Business Income, Extended Business Income, 12 Months – G21 & Extra Expense Timeline Actual Loss 24 Months Actual Loss Sustained – (Not to Exceed the Coverage Extension Blanket Limit) Sustained Personal Effects and Property of Others G22 $25,000 $50,000 $100,000 (other than Stock) G23 Fine Arts (maximum $1,000 per item) $25,000 $ G24 Backup or Overflow of Water from Sewer, Drain, Sump $25,000 $100,000 Utility Services Direct Damage – G25 $25,000 $50,000 $100,000 (this limitation does not to stock damage) Utility Services Business Income and Extra Expense – G26 $25,000 $50,000 $100,000 (this limitation does not to stock damage) G27 Trellis and Hop Vines $100,000 $250,000 $500,000 $1,000,000 SECTION H: SUPPLEMENTAL INFORMATION
G9 Mobile Equipment Sublimit: $ G10 Are you interested in earthquake sprinkler leakage coverage? Yes No G11 Do you permanently store property (including brew stock) at premises not described on this Application? Yes No G12 Do you store brew stock or property for others? Yes No If yes, do you require them to purchase their own insurance? Yes No Please provide a copy of the contract used. COVERAGE ALLIED AUTOMATIC SUBLIMIT OPTIONAL SUBLIMIT INCREASE G13 Stock at Unnamed Locations $0 $250,000 $500,000 $1,000,000 $2,000,000 G14 Employee Dishonesty $50,000 $100,000 $250,000 $500,000 G15 Money & Securities – On Premises $25,000 $50,000 $100,000 G16 & Securities – Off Premises $10,000 $25,000 $50,000 $100,000 G17 Accidental Blending of Beer – Errors $0 $25,000 $50,000 $100,000 G18 Pollutants Clean Up and Removal $50,000 $100,000 G19 Accounts Receivable $250,000 $500,000 $1,000,000 G20 Valuable Papers & Records $250,000 $500,000 G21 Business Income, Extended Business Income, & Extra Expense Timeline (Not to Exceed the Coverage Extension Blanket Limit) 12 Months – Actual Loss Sustained 24 Months – Actual Loss Sustained G22 Personal Effects and Property of Others (other than Stock) $25,000 $50,000 $100,000 G23 Fine Arts (maximum $1,000 per item) $25,000 $ G24 Backup or Overflow of Water from Sewer, Drain, Sump $25,000 $100,000 G25 Utility Services – Direct Damage (this limitation does not to stock damage) $25,000 $50,000 $100,000 G26 Utility Services – Business Income and Extra Expense (this limitation does not to stock damage) $25,000 $50,000 $100,000 G27 Trellis and Hop Vines $100,000 $250,000 $500,000 $1,000,000 SECTION H: SUPPLEMENTAL INFORMATION
BreweryPlus_New_Business_Application_-_2015.docx