Loading...
HomeMy WebLinkAboutCOI - Greyhound Lines, Inc. - Expires 2024-04-01AO�O�' EVIDENCE OF COMMERCIAL PROPERTY INSURANCE DATE(/DD/YYYY) 04/03 12023 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, PHONE (866) 283-7122 (A/C, NO, Ext): COMPANY NAME AND ADDRESS Lexington Insurancea c/o Swett & Crawford 200 North Creek Suite 800 Atlanta GA 30327 IF MULTIPLE COMPANIES, COMPLETE NAIC NO: 19437 CONTACTPERSON AND ADDRESS Aon Risk services Southwest, Inc. Dallas TX Office 5005 Lyndon B Johnson Freeway Suite 1500 Dallas TX 75244 USA Company USA SEPARATE FORM FOR EACH (AIC, No): (800) 363-0105 ADDRESS: CODE: SUB CODE: POLICY TYPE AGENCY 570000092006 CUSTOMER ID #: NAMED INSURED AND ADDRESS Greyhound Lines, Inc. PO Box 660362 Dallas TX 75266-0362 USA LOAN NUMBER POLICY NUMBER 14627205 EFFECTIVE DATE 4/1/2023 EXPIRATION DATE 4/1/2024 CONTINUED UNTIL TERMINATED IF CHECKED ADDITIONAL NAMED INSURED(S) THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION (ACORD 101 may be attached if more space is required) - BUILDING OR EN BUSINESS PERSONAL PROPERTY LOCATION/DESCRIPTION Lease Code: L891352-01L01 Re: 7250 Monterey Street, Gilroy, CA 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 SPECIAL COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: $10, 000, 000 Loss Limit DED: $100, 000 YES NO N/A © BUSINESS INCOME NI RENTAL VALUE X If YES, LIMIT: Included Actual Loss Sustained: # of months: BLANKET COVERAGE X If YES, indicate value(s) reported on property identified above $10, 000, 000 TERRORISM COVERAGE X Attach signed Disclosure Notice / DEC IS THERE A TERRORISM -SPECIFIC EXCLUSION? IS DOMESTIC TERRORISM EXCLUDED? LIMITED FUNGUS COVERAGE X If YES, LIMIT: $1, 000, 000 DED: $100, 000 FUNGUS EXCLUSION (If "YES", specify organization's form used) REPLACEMENT COST X Replacement cost AGREED AMOUNT COINSURANCE x It 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: $10, 000, 000 DED: $100, 000 - Demolition Costs Incr Cost of construction X If YES, LIMIT: S10, 000, 000 DED: $100,000 - Incr. Cost of Construction X If YES, LIMIT: S10, 000,000 DED: $100,000 EARTH MOVEMENT (If Applicable) X If YES, LIMIT: $10 , 000,000 DED: See Attached FLOOD (If Applicable) X If YES, LIMIT: $10,000,000 DED: See Attached WIND / HAIL INCL © YES NI NO Subject to Different Provisions: If YES, LIMIT: Intl uded DED: See Attached NAMED STORM INCL i I YES NM NO Subject to Different Provisions: If YES, LIMIT: $10, 000, 000 DED: See Attached PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE HOLDER PRIOR TO LOSS X 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 MORTGAGEE LENDER'S LOSS PAYABLE LOSS PAYEE LENDER SERVICING AGENT NAME AND ADDRESS �© NAME AND ADDRESS City of Gilroy Attn: City Administrator 7351 Rosanna Street Gilroy CA 95020 USA vL11iv/ APR 10 2�23 GILROY CITY CLERK'S OFFICE /2 AUTHORIZED REPRESENTATIVE t.^/J �/Lr0/c Ef21. 542 j7- yv�i Holder Identifier: Certificate No e_e reen- as ar Mil 000000 02 03 003957 012942 P ACORD 28 (2016/03) © 2003-2015 ACORD CORPORATION. All rights reserved. The ACORD Name and Logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000092006 LOC #: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk Services Southwest, Inc. NAMED INSURED Greyhound Lines, Inc. POLICY NUMBER see certificate Number: 570098861836 CARRIER See Certificate Number: 570098861836 NAIC CODE 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 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 each Insured Location involved in the loss or damage, subject to a minimum of $100,000 any one Occurrence for all covered loss or damage arising out of Named Storm in a Tier 1 HighHazard 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 to a 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 Emergency Management Agency (FEMA). ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved.