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HomeMy WebLinkAboutGreyhound Lines - Insurance Certificate (2019)FIRSTAME11 DATE (MMIDD/YYYY) AC`C?�RL7` EVIDENCE OF COMMERCIAL PROPERTY INSURANCE I 12/27/2018 THIS OF COMMERCIAL PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. PRODUCER NAME, I PHONE COMPANY NAME AND ADDRESS NAIC NO: 19437 CONTACT PERSON AND ADDRESS !A/C. No. Extl: 513-657-3116 Commercial Lines - (859) 371-6950 Lexington Insurance Company USI Insurance Services, LLC 3 Embarcadero 312 Elm Street, 24th Floor San Francisco, CA 94111 Cincinnati, OH 45202 FAX E-MAIL ffian ObICh USI.COm IF MULTIPLE COMPANIES, COMPLETE SEPARATE FORM FOR EACH ti (A/C, No); I ADDRESS: yg CODE: I SUB CODE: POLICY TYPE AGENCY CUSTOMER ID - NAMED INSURED AND ADDRESS LOAN NUMBER POLICY NUMBER FirstGroup America, Inc dba Greyhound Lines, Inc. etal 55601 025031395 804 Hangar Lane - Nashville, TN 37217 EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL 12/31/2018 12/31/2019 n TERMINATED IF CHECKED ADDITIONAL NAMED INSUREDS THIS REPLACES PRIOR EVIDENCE DATED: FirstGroup America, Inc dba Greyhound Lines, Inc. etal PROPERTY INFORMATION (ACORD 101 may be attached if more space is required) ® BUILDING OR ® BUSINESS PERSONAL PROPERTY Lexington Primary THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COVERAGE INFORMATION PERILS INSURED I I BASIC I I BROAD I X I SPECIAL COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: $ 10,000,000 DED: $100,000 YES NO NIA ® BUSINESS INCOME ® RENTAL VALUE X If YES, LIMIT: I X I Actual Loss Sustained; # of months: BLANKET COVERAGE X If YES, indicate value(s) reported on property identified above: $ TERRORISM COVERAGE X Attach Disclosure Notice / DEC IS THERE A TERRORISM -SPECIFIC EXCLUSION? X IS DOMESTIC TERRORISM EXCLUDED? X LIMITED FUNGUS COVERAGE X If YES, LIMIT: DED: FUNGUS EXCLUSION (If "YES", specify organization's form used) X REPLACEMENT COST X AGREED VALUE X COINSURANCE X If YES, % EQUIPMENT BREAKDOWN (If Applicable) X If YES, LIMIT: $10,000,000 DED: $100,000 ORDINANCE OR LAW - Coverage for loss to undamaged portion of bldg X If YES, LIMIT: Included QED: - Demolition Costs X If YES, LIMIT: $10,000,000 DED: $100,000 - Incr. Cost of Construction X If YES, LIMIT: $10,000,000 DED: $100,000 EARTH MOVEMENT (If Applicable) X If YES, LIMIT: $10,000,000 DED: per attached FLOOD (if Applicable) X If YES, LIMIT: $10,000,000 DED: per attached WIND / HAIL INCL ® YES ❑ NO Subject to Different Provisions: X If YES, LIMIT: $10,000,000 DED: per attached NAMED STORM INCL ® YES ❑ NO Subject to Different Provisions: X If YES, LIMIT: $10,000,000 DED: per attached PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE X HOLDER PRIOR TO LOSS CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ADDITIONAL INTEREST CONTRACT OF SALE LENDER'S LOSS PAYABLE u LOSS PAYEE MORTGAGEE NAME AND ADDRESS City of Gilroy Attn: City Administrator 7351 Rosanna Street Gilroy, CA 95020 The ACORD name and logo are registered marks of ACORD LENDER SERVICING AGENT NAME AND ADDRESS AUTHORIZED REPRESENTATIVE © 2003-2015 ACORD CORPORATION. All rights reserved. ACORD '°"°,"°"1199828 IM�II�NI�IIBIVIIIVW�III�II�IIYIVIIIMR�IIRI�II�IINIIIMIIIII ,..,v.10004891020500101. FIRSTAME11 REMARKS: (Continued from Pagel): RE: Loan #: 55601 Lease Code: 1-891352-01 L01 Re: 7250 Monterey Street, Gilroy, CA e 1199828 .PIO.�00048910.0510Aw SUPPLEMENT TO CERTIFICATE OF INSURANCE Agency: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS USI Insurance CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE 312 Elm Street, Suite 2400 AFFORDED BY THE POLICIES BELOW, Cincinnati, Ohio 45202 Insured: INSURERS AFFORDING COVERAGE INSURER A: Insurers on additional supplement Firstgroup America, Inc. INSURER B: 600 Vine Street, Suite 1400 INSURER C: Cincinnati, OH 45202 INSURER D: INSURER E: Program Limits: $ $75,000,000 Limit of Insurance per occurrence The following sublimits are part of and not in addition to the policy Limit of Liability $ $75,000,000 Earth Movement annual Aggregate for Earth Movement including New Madrid, Pacific Northwest and California $ $75,000,000 Flood including SFHA-Annual Aggregate $ $75,000,000 Per occurrence for named storms Program Deductibles $ $100,000 Per occurrence except: 5%, 250,000 Earthquake California minimum 2%, $100,000 minimum Earthquake New Madrid, Pacific Northwest and Foreign High Hazard Zones 5%, $1,000,000 Flood SFHA location minimum $100,000 Flood all other locations minimum 5%, $100,000 minimum Wind and Hail Named Storms Coverage Enhancements Waiver of Subrogation included where required by written contract Owned or Leased Vehicles are covered at Replacement cost value while parked at scheduled locations Blanket Loss Payee is included where required by written contract Limits are Per Occurrence and in the Primary Blanket Policy per Schedule on File with Company SUPPLEMENT TO CERTIFICATE OF INSURANCE Agency: THIS CERTIFICATE IS ISSUED AS A MA'17ER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE USI Insurance. DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 312 Elm Street, Suite 2400 POLICIES BELOW. Cincinnati, Ohio 45202 Insured: INSURERS AFFORDING COVERAGE INSURER A: Insurers outlined below Firstgroup America, Inc. INSURER B: 600 Vine Street, Suite 1400 INSURER C: Cincinnati, OH 45202 INSURER D: INSURER E: Primary $10.000.000 12/31/18-12/31/19 Participation % Policy Number Lexington Insurance Company 100% 025031395 Total 100% $l5.000.000 xs $10.000.000 12/31/18-12/31/19 Participation % Policy Number Lloyd's of London 62.50% U P 1800750 QBE 20.0% U P 1800753 $25.000.000 xs $25,000.000 12/31/18-12/31/19 Participation % Policy Number Axis 10% UP 1800747 Lloyds 72.50% UP1800751 $65.000.000 xs $10.000.000 12/31/18-12/3l/19 Participation % Policy Number Lloyds of London 17.5% UP1800754 $25.000.000 xs $50,000,000 12131/18-12/31/19 Particination % Policy Number Lloyds of London 82.5% U P 1800752 Limits Total Property Limit per occurrence S75,000,000 See Above Policy Numbers (subject to sub -limits and exclusions) Terrorism 12131/18-12131/19 Particination % Policy Number $75,000,000 100% B0507TE I800259 Lloyds of London 111111111111111111111111111111111111111111111111111 1111I 111111111111111111111111111111111IIIIIIIIIIIIIIIII ,oWN7000489/05/0510/0/010�