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HomeMy WebLinkAboutCOI - FirstGroup America, Inc - Expires 2019-12-31FIRSTAM ACORb5 EVIDENCE OF COMMERCIAL PROPERTY INSURANCE L....----- DATE(MMWDD/YYYY) 12/27/2018 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 CONTACT PERSON AND ADDRESS ' (NC. No. Extl: 513-657-3116 COMPANY NAME AND ADDRESS Lexington Insurance Company 3 Embarcadero San Francisco, CA 94111 IF MULTIPLE NAIC NO: 19437 Commercial Lines - (859) 371-6950 USI Insurance Services, LLC 312 Elm Street, 24th Floor Cincinnati, OH 45202 COMPANIES, COMPLETE SEPARATE FORM FOR EACH FAX ADDRESS: No): tiffiany.gobich@usi.com CODE: SUB CODE: POUCY TYPE AGENCY CUSTOMER ID #: NAMED INSURED AND ADDRESS FirstGroup America, Inc dba Greyhound Lines, Inc. etal 804 Hangar Lane Nashville, TN 37217 LOAN NUMBER POUCY NUMBER 55601 025031395 1 EFFECTIVE DATE 12/31/2018 EXPIRATION DATE ____ CONTINUED UNTIL 12/31/2019 TERMINATED IF CHECKED ADDITIONAL NAMED INSUREDS FirstGroup America, Inc dba Greyhound Lines, Inc. etal THIS REPLACES PRIOR EVIDENCE DATED: FORMATION (ACORD 101 may be attached if more space is required) ® BUILDING OR IXI 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 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 Actual Loss Sustained; # of months: BLANKET COVERAGE X 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 DED: - 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 123 YES 0 NO Subject to Different Provisions: X If YES, LIMIT: $10,000,000 DED: per attached PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE HOLDER PRIOR TO LOSS X 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 I I LOSS PAYEE NAME AND ADDRESS City of Gilroy Attn: City Administrator 7351 Rosanna Street Gilroy, CA 95020 LENDER SERVICING AGENT NAME AND ADDRESS AUTHORIZED REPRESENTATIVE 90-41- The ACORD name and logo are registered marks of ACORD © 2003-2015 ACORD CORPORATION. All rights reserved. ACORD 28 (2016/03) 1199828 1111 ii II lli l li IY i Dliv i 1111 111111111 li i 111111 m III 111 111111 'EP101 A27/000469/02,05/0/0/0/D' FIRSTAME11 REMARKS: (Continued from Pagel): RE: Loan #: 55601 a U P. as J .; O Ny N b in co M A cn m co G) O mg Uto CD ts. f0 .. J et Agency: USI Insurance 312 Elm Street, Suite 2400 Cincinnati, Ohio 45202 SUPPLEMENT TO CERTIFICATE OF INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CER'I'IFICA'I E DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Insured: INSURERS AFFORDING COVERAGE Firstgroup America, Inc. 600 Vine Street, Suite 1400 Cincinnati, OH 45202 Program Limits: Program Deductibles INSURER A: INSURER B: INSURER C: INSURER D: INSURER E: Insurers on additional supplement $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 $100,000 Per occurrence except: 5%, 250,000 minimum 2%, $100,000 minimum Earthquake New Madrid, Pacific Northwest and Foreign High Hazard Zones 5%, $1,000,000 Flood SFHA location minimum Earthquake California $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 10 II u i Oil i uhI1 i 111 iIi i IIuI iu III 'EP101 A27/000489/04/05/01W0/0• Agency: USI Insurance. 312 Elm Street, Suite 2400 Cincinnati, Ohio 45202 SUPPLEMENT TO CERTIFICATE OF INSURANCE Tills CERTIFICATE IS ISSUED AS A MA1TER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Insured: INSURERS AFFORDING COVERAGE Firstgroup America, Inc. 600 Vine Street, Suite 1400 Cincinnati, OH 45202 Primary S10,000.000 Lexington Insurance Company Total 12/31/18-12/31 /19 INSURER A: INSURER B: INSURER C: INSURER D: INSURER E: Insurers outlined below Participation 100% 100% Policy Number 025031395 S15,000,000 xs S10.000,000 12/31/18-12/31/19 Participation % Policy Number Lloyd's of London 62.50% UP18007.50 OBE 20.0% U P 1800753 S25,000.000 xs S25.000,000 12/31/18-12/31/19 Participation % Policy Number Axis 10% U P 1800747 Lloyds 72.50% UP1800751 S65,000,000 xs SI0,000,000 12/31/18-12/31/19 Participation % Policy Number Lloyds of London 17.5% UP1800754 S25,000,000 xs S50.000,000 12/31/18-12/31/19 Participation % Policy Number Lloyds of London 82.5% UP1800752 Limits Total Property Limit per occurrence S75,000,000 See Above Policy Numbers (subject to sub -limits and exclusions) Terrorism 12/31/18-12/31/I9 Participation % Policy Number S75,000,000 100% B0507TE I 800259 Lloyds of London I II I 1111 Diu IID II 11111 iill I 111111 ui II III I ' E P f 01 A27/000489/05/85/Oro,n10•