HomeMy WebLinkAboutCOI - Greyhound Lines, Inc. - Expires 2023-04-01DATE (MM/DDNYYY)
EVIDENCE OF COMMERCIAL PROPERTY INSURANCE 04/01/2022
THIS EVIDENCE 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 (866) 283-7122
CONTACTPERSON AND ADDRESS I (A/C. NO. ExO:
AOY1 Risk Services Northeast, Inc.
Cincinnati OH Office
8044 Montgomery Road.
spite 405 -
Cincinnati OH 45236-2919 USA
FAX-
(80) 01.0
E-MAIL
.(A/CNo): 0
ADDRESS:
CODE: . . • ' -I SUB CODE:
AGENCY . CUSTOMER ID '.570000088495 .
#: . ,
NAMED INSURED AND ADDRESS . .
Greyhound Lines Inc. ' • • * •
350 .N St. Paul. Street
Dallas TX 75201 -USA
. • •
ADDITIONAL NAMED INSURED(S)
COMPANY NAME AND AimFiESS I NAIC NO: 19437
..,
. .
LeXirigton :InsOrante CompanY
c/o Swett & Crawford - - •
200 North croak 1
Suite :800 • • : - - • •
Atlanta GA 30327 USA . •
• IF MULTIPLE COMPANIES, COMPLETE SEPARATE FORM FOR EACH .
POLICY TYPE
* *
PROPERTy1NFORMATION (ACORD 101 may be attacIled If mbre space is requIred) EJBUILDINQ OR -BUSINESS PERSONAL PROPERTY
LOCATION/DESCRIPTION 0
• LeaSe Code: 1491352-0101 Re: 7250 Monterey Street; Gilroy, CA • ' • -
. .. LOAN NUMBER . ,".: : • -POLICY NUMBER.,• - :.-
_ -- . - -- - --, --. I. :... ---- • -....-,-. 148272.05
_ ._ .. _ . .._. . 00-•-:
EFFECTIVE DATE. .- . : • ' .. .EXPIRATION DAre... ; • ,. . , -, CONTINUED UNTIL - '• -2) . .
. .. ..
. ' 4/1/2022 '''.' .:- '...-.: -• •-:' 4/1/2023 - - -''' •'
F7 TERMINATED IF CHECKED
. THIS REPLACES PRIOR EVIDENCE DATED: • ..-. • .
. . . . -- ...• - -
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 CONTFIACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EVIDENCE OF t
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 'SPECIAL I X I All Risk - Subject to Exclusions
I COMMERCIAL PROPERTY COVERAGE AMOUNT or INSURANCE: $10, 000 , 000 Loss Limit DED: $100, 000
YES NO N/A - ". • _
1E3 BUSINESS INCOME , - Ej :AENTALVALUE .. x : - If YES, LIMIT: Included : : • I ,lActual Loss Sustained; # of months: -- -
I BLANKET COVERAGE , . -- - - - ' .- - X . If YES, Indicate value(x) reported onproperty IdentlfIed.abo_ve- $10 , 000, 000 -.-
.
I TERRORISM COVERAGE - - .... • . , ' X - Attach signedDisclos ure Notice / DEC._ , ' . • . ' - •
I 'IS THERE A TERF1ORISM-SPECIFIGEXCLUSION?. •
- 1 1$1DOME.8T.IC TERRORISM XOLUOED? - .1 x. . I : - :.
I_LIMITED FUNGUS OO.V.F13AG, •.., - - -- : '-... . Ix . • _ Ilf YES,IJMIT: . : .:$1;000, 000 DED: . $100,000
:1 FUNGUS -EXCLUSION ( If '.'YES", specify OrganizatiOn's form used)
I REPLACEMENT COST .
AGREED AMOUNT.
COINSURANCE' -
EQUIPMENT BREAKDOWN (If APplicablo) .
ORDINANCE OR LAW- Coverage for loss to uhdamaged portion of bldg I
I - Dernolition Costs Incr cost -of construction
; - Incr. Grist of Construction .
I EARTH MOVEMENT (If App)cable) '
I FLOOD (If Applicable) "
I WIND / HAIL INCL OYES Subject to Different Provisions: I
NAMED STORM INCL 1 ED YES Ej NCi SubJeCt to Different Provisions: I
PERMISSION TO WAIVE SUBROGATION IN FAVOR OP MORTGAGE
HOLDER PRIOR TO LOSS- .
x.-.- I I : ' " •
X
Ilf YES, %
X Ilf YES, LIMIT:
X 1 Ilf YES, LIMIT:
X Ilf YES, LIMIT:
Ilf YES, LIMIT:
X Ilf YES, LIMIT: $10, 000 , 000 DED:
X
Ilf YES, LIMIT: $10, 000, 000 DED:
Ilf YES, LIMIT: Included DED:
Ilf YES, LIMIT: $10 , 000,000 DED:
$10, 000, 000 DED:
$10, 000, 000 DED:
$10 , 000, 000 DED:
CANCELLATION
SHOULD ANY OFTHE 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 LENDERS LOSS PAYABLE 1 I LOSS PAYEE LENDER SERVICING AGENT ,NAME AND ADDRESS
MORTGAGEE • .
. NAME AND ADDRESS -
city of -Gilroy • . -
Attn: city Administrator
7351 Rosanna Street -
GilroyCA 95020 USA
AUTHORIZED REPRESENTATIVE
•$100,000
$100,000
$100,000
• ..
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0 2003-2015 ACORD CORPORATION. All rights reserved.
ACORD 28 (2016/03) The ACORD Name and Logo are registered marks of ACORD
AGENCY CUSTOMER ID: 570000088495
LOC #:
POLICY NUMBER
see, certificate Number: 570092460584
CARRIER - NAIC CODE
see Certificate Number: 570092460584 - . EFFECTIVE DATE:
ADDITIONAL REMARKS .
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 28 FORM TITLE: Evidence of Commercial Property Insurance
Deductibles
-evADDITIONAL REMARKS SCHEDULE
AdENCY NAMED INSURED
Aon Risk Services:Northeast, Inc. Greyhound Lines, Inc.
Page _ of _
EARTH MOVEMENT
2.0% of Total Insurable values at the time of the loss at each Insured Location involved in the
loss or damage, subject to a minimum of $100,000 any one occurrence for.all cover lossor damage,
arising out of Earth Movement in the Pacific Northwest Earthquake Zone, Hawaii, Alaska, -Mexico,
Puerto:Rico, and/or in the New 'Madrid Earthquake Zone. •.
• 5.0%of.Total Insurable values at the time of the loss at. each Insured:Location involved in the
loss' -or damage, subject to a minimum of $250,000 any one occurrence for -all covered loss or damage
arising out of 'Earth Movement --in California, .
WINDSTORM / NAMED STORM
- 5% of Total insurable Values at the time of the loss at eachInsured Location involved in the loss
or' -damage, subjectto a minimum of $100,000 ahy one'occurrence'for all covered loss or damage arising
out'of Named Storm in a Tier 1 High;Hazard.wind Zone (consisting of -Texas to North Carolina, Hawaii,
Puerto,Rico, U.s. virgin Islands, Virginia to Maine, and Florida.)
- FLOOD '
- $100;000 Per occurrence, except as follows: '
5% of Total'Insurable values at the time of the loss at each insured Location involved.in the loss or
damage, subject.toa minimum of $1,000,000 any one occurrence for all covered loss or damage arising
out of Flood at any property wholly or partially -within a special.Flood Hazard Area (SFHA) at the
time of the loss as defined by the Federal Emergehcy Management Agency (FEMA).
ACORD 101 (2008/0i)
The ACORD name and logo are registered marks or ACORD
2008 ACORD CORPORATION. All rights reserved.