Ginger 2025 Insurance Update -,-� , -� Utica First Insurance Company
TIC '. � PO Box 0-4 Utica, / 13503-0851•� Telephone 800-456-4556/Fax 315-768-4408
! N S U R A N C E C 0 M P A N Y www.uticafirst.com
POLICY NUMBER: BOP3000559840
City of Salem, Salem Redevelopment Autho
93 Washington St
Salem, MA 01970
Insured:
GINGER SEAFOOD, ALOHA GINGER
REST GROUP INC
118 WASHINGTON ST
SALEM, MA 01970
Agent:
Rfd 406A Advisors Inc dba Sterling Insurance Group
31 Beach St
Unit 203
Vineyard Haven, MA 02568
508-687-2750
f?EFC'E1
VED
AUG 25 2025
DEPT' OF PLANNING
COMMUNrry DEVELOPMENT&
UTICA FIRST INSURANCE COMPANY
CONSTITUTED IN OHIO AS
UTICA FIRST INSURANCE COMPANY (MUTUAL)
Home Office: 5981 Airport Rd, Oriskany, NY 13424
Mailing Address: PO Box 851, Utica, NY 13503-0851
Phone: 800-456-4556
BUSINESSOWNERS PROGRAM DECLARATIONS
Policy Number: BOP3000559840 Transaction Type: Renewal
Billing Type: Direct Billed
Named Insured and Mailing Address:
GINGER SEAFOOD, ALOHA GINGER
REST GROUP INC
118 WASHINGTON ST
SALEM, MA 01970
Agent:
Rfd 406A Advisors Inc dba Sterling Insurance Group
31 Beach St
Unit 203
Vineyard Haven, MA 02568
Policy Period: 12:01 A.M. Standard Time at Location of Designated Premises.
From 10/18/2025 to 10/18/2026
IN RETURN FOR PAYMENT OF THE REQUIRED PREMIUM, WE WILL PROVIDE THE INSURANCE AS
DESCRIBED IN THIS POLICY.
Terrorism Coverage: $97.00
ANNUAL PREMIUM: $6,363.00
Our Authorized Representative and
Countersignature Date 08/13/2025
BPDEC 0919 Page 1 of 5
UTICA FIRST INSURANCE COMPANY
Fr2 CONSTITUTED IN OHIO AS
UTICA FIRST INSURANCE COMPANY (MUTUAL)
Home Office: 5981 Airport Rd, Oriskany, NY 13424
Mailing Address: PO Box 851, Utica, NY 13503-0851
Phone: 800-456-4556
Policy Number: BOP3000559840
Policy Period: 10/18/2025— 10/18/2026
Class Description: Restaurant
GENERAL LIABILITY COVERAGE
Limit of Insurance
Each Occurrence Limit $1,000,000
General Aggregate Limit—other than Products/Completed Work $2,000,000
Aggregate Limit— Products/Completed Work $2,000,000
Medical Payments Limit $5,000
Personal &Advertising Injury Limit $1,000,000
Fire Legal Liability Limit $250,000
Liability Premium: $1,111
Location Schedule
Location: 118 WASHINGTON ST, SALEM, Building Description: BUILDING NO 00001
MA 01970
Building#1
Year Constructed: 1958
Square Foot: 2400
Construction: Joisted Masonry
County: Essex
Protective Devices: Local, Central Station, Sprinklered
Valuation: Replacement Cost
Cause of Loss: BP0200- Special
Limit Premium
Building Coverage $378,743 $1,795
Business Personal Property $63,124 $424
Loss of Income Actual Loss Sustained Included
Property Deductible $1,000
Equipment Breakdown See Form $298
BPDEC 0919 Page 2 of 5
UTICA FIRST INSURANCE COMPANY
CONSTITUTED IN OHIO AS
UTICA FIRST INSURANCE COMPANY (MUTUAL)
Home Office: 5981 Airport Rd, Oriskany, NY 13424
Mailing Address: PO Box 851, Utica, NY 13503-0851
Phone: 800-456-4556
Policy Number: BOP3000559840
Policy Period: 10/18/2025— 10/18/2026
ADDITIONAL INSUREDS
State/Political City of Salem, Salem Redevelopment Authority
Premises Permits: 93 Washington St
Salem, MA 01970
PACKAGE ENDORSEMENT Premium
Package Endorsement
Premium:
APPETIZER 2 $625
Coverage Limit
Accounts Receivable $10,000
Additional Debris Removal $5,000
Additional Expense $2,000
Backup of Sewers or Drains $10,000
Business Credit Card, Forgery, And Counterfeit Money $5,000
Business Property At Newly Acquired Locations $10,000
Computer Coverage $10,000
Credit Card Receipts Coverage $5,000
Demolition Coverage $5,000
Employee Dishonesty $10,000
Exterior Signs $5,000
Fire Legal Liability $250,000
Glass Coverage $5,000
Lock Replacement $1,000
Money And Securities $10,000
Refrigerated Food Products $25,000
Trees, Plants, And Shrubs $5,000
Utility Interruption $5,000
Utility Service Disruption Time Element Coverage $10,000
Valuable Papers And Records $10,000
OPTIONAL LIABILITY COVERAGE LIST
(See Forms for Coverage Terms and Conditions)
Coverage Limit Premium
Lessor of Premises See Form $19
Liquor Legal Liability $1,000,000 $1568
BPDEC 0919 Page 3 of 5
UTICA FIRST INSURANCE COMPANY
CONSTITUTED IN OHIO AS
UTICA FIRST INSURANCE COMPANY (MUTUAL)
Home Office: 5981 Airport Rd, Oriskany, NY 13424
Mailing Address: PO Box 851, Utica, NY 13503-0851
Phone: 800-456-4556
Policy Number: BOP3000559840
Policy Period: 10/18/2025— 10/18/2026
Cyber Liability See Form $298
Nonowned Hired Auto Liability $1,000,000 $128
ADDITIONAL PROPERTY COVERAGES (INCLUDED AT NO CHARGE)
(See Forms for Coverage Terms and Conditions)
Coverage Limit
Antennas, Fences, Or Signs $2,500/$1,000
Counterfeit Money Or Money Orders $1,000
Debris Removal 25% of direct damage
Fire Department Service Charges $2,500
Forgery $2,500
Increased Cost- Ordinance or Law $10,000
Inventory and Appraisal Expenses $2,500
Limited Fungus And Related Perils $15,000
Lock and Key Replacement $10,000
Pollutant Clean Up And Removal $5,000
Recharge of Fire Extinguishing Equipment $5,000
EXTENSIONS OF COVERAGE (INCLUDED AT NO CHARGE)
(See Forms for Coverage Terms and Conditions)
Coverage Limit
Building Property- Off Premises $5,000
Newly Acquired Buildings $250,000
Trees, Shrubs, And Plants $2,500/$1,000
Accounts Receivable $10,000
Business Property - Newly Acquired $100,000
Business Property—Off Premises $10,000
Data Records And Programs $10,000
Personal Effects $2,500
Valuable Papers and Records $10,000
Signs Away From The Premises $2,000
Trees, Plants, And Shrubs $2,000
Utility Interruption $5,000
Valuable Papers And Records $25,000
BPDEC 0919 Page 4 of 5
UTICA FIRST INSURANCE COMPANY
CONSTITUTED IN OHIO AS
UTICA FIRST INSURANCE COMPANY (MUTUAL)
Home Office: 5981 Airport Rd, Oriskany, NY 13424
Mailing Address: PO Box 851, Utica, NY 13503-0851
Phone: 800-456-4556
Policy Number: BOP3000559840
Policy Period: 10/18/2025— 10/18/2026
FORMS INVENTORY
POLICY FORMS
BP 0432 1220 Amendatory Endorsement Massachusetts
BP 0676 06 12 Exclusion Fungus or Related Perils
BP 0722 01 04 Punitive Damages Exclusion
ML 0223 01 04 Lead Liability Exclusion
BP 0736 01 04 Exclusion Abuse or Molestation
BP 0798 01 15 Exclusion Data Breach Liability
BP 0816 01 15 Policy Amendatory Endorsement
BP 0838 1005 Silica Exclusion
BP 0839 1005 Asbestos Exclusion
BP 0868 0612 Cross Liability Exclusion
UA 504B 01 17 Protective Safeguard Endorsement
BP 0680 01 04 Exclusion Damage to Work Performed by Insured
BP 0750 01 15 Certified Terrorism Loss
APPT2 2.0 Appetizer 2 Endorsement
BP 0200 0612 Businessowners Special Policy
BP 0331 01 04 Protective Devices
BP 001 0718 Equipment Breakdown Endorsement
CYBDN 1.0 Cyber Disclosure Notice
UFLL3 0218 Liquor Liability Coverage Form
BP 0333 01 04 Non owned Hired Auto Liability Coverage
UFCYBCOV 0116 Cyber Liability Insurance
UFCYBSD 01 16 Cyber Supplemental Declarations
BP 0704 01 04 Additional Insured State or Political Subdivision Premises Permits
BP 0845 1005 Additional Insured Lessor of Premises
BP 0678 01 04 Exclusion Exterior Insulation and Finish Systems
PRIV 0401 Privacy Notice
CL 0605 0221 Certified Terrorism Loss Disclosure of Premium and Federal Share of Insured
Losses
CL 1045 0221 Policyholder Disclosure Notice of Terrorism Insurance Coverage
DNCOMDIS 0822 Important Notice Exclusion - Communicable Disease
BP 0858 0909 Communicable Disease Exclusion
UFEBM 11 23 ELECTRIC OR MOTORIZED BICYCLE/SCOOTER EXCLUSION
DNUFBM 11 23 IMPORTANT NOTICE ELECTRIC OR MOTORIZED BICYCLE/SCOOTER
EXCLUSION
BP 0684 0821 Cannabis Liability Exclusion
DNCANB 0424 Important Notice - Cannabis Exclusions
BP 0683 0821 Cannabis Property Exclusion
BPDEC 0919 Page 5 of 5
AAIS This endorsement changes the Commercial
BP 0704 01 04 Liability Coverages provided by this policy
Page 1 of 1 -- PLEASE READ THIS CAREFULLY--
ADDITIONAL INSURED
STATE OR POLITICAL SUBDIVISIONS - PREMISES PERMITS
(Entries required to complete the Schedule
will be shown below or on the "declarations".)
SCHEDULE
State or Political Subdivision:
City of Salem, Salem Redevelopment Authority
93 Washington St
Salem, MA 01970
The Commercial Liability Coverages are amended as follows:
ADDITIONAL DEFINITIONS
The definition of "insured" is amended to include any state or political subdivision
shown in the Schedule, but only with respect to any of the following hazards for
which the state or political subdivision has issued a permit in connection with
premises owned by, rented to, or controlled by "you" and to which these
Commercial Liability Coverages apply:
1. the existence, maintenance, repair, construction, erection, or removal of
advertising signs, awnings, canopies, cellar entrances, coal holes,driveways,
manholes, marquees, hoistway openings, sidewalk vaults, street banners, or
decorations and similar exposures;
2. the construction, erection, or removal of elevators; or
3. the ownership, maintenance, or use of any elevators to which these
Commercial Liability Coverages apply
BP 0704 01 04
Copyright,American Association of Insurance Services,Inc.,2004