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HomeMy WebLinkAboutCOI - United Health Group Incorporated - Expires 2024-04-30A`CORO® EVIDENCE OF COMMERCIAL PROPERTY INSURANCE ° o5/05/2 23n 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 1-677-945-7378 COMPANY NAME AND ADDRESS NAICNO: 31143 CONTACT PERSON AND ADDRESS N E.111 Millie Torero Nataon Midwest, Inc. Old Republic Union Insurance Company c/o 26 Century Blvd 307 N Michigan Ave P.O. Box 305191 Chicago, IL 60602 Naebville, TN 372305191 USA IF MULTIPLE COMPANIES, COMPLETE SEPARATE FORM FOR EACH FAX Not, 1-808-467-2378 1EAL eartificateeBNillis. cow CODE: I SUB CODE: POLICY TYPE Commercial Property AGENCY NAMED INSURED AND ADDRESS LOAN NUMSER POLICY NUMBER UnitedBealth Group Incorporated 9900 Bran Road "at MW 317628 22 Ninnetcnke, M+ 55343 EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL 04/30/2023 04/30/2024 I� TERMINATEDIFCHECKED ADDITIONAL NAMED INSURED(S) THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION ACORD 101 may be attached If mores ace Is required) DO BUILDING OR ® BUSINESS PERSONAL PROPERTY LOCATION/DESCRIPTION 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. PnVFRAr.9 ImpnRa/ATHIM ermn ciuennrn omm� monen k coeclei COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: $ $50,000,000 DED: $500,000 YES NO N/A ® BUSINESS INCOME ® RENTAL VALUE x It YES, LIMIT: Included x I Actual Loss Sustained; 0 of months: 12 BLANKET COVERAGE x It YES, indicate value(s) reported on property identified above:$ Included 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: Included DED: $500, 000 FUNGUS EXCLUSION (if 'YES", specify organization's form used) x REPLACEMENT COST x AGREED VALUE x COINSURANCE x It YES, EQUIPMENT BREAKDOWN (it Applicable) x It YES, LIMIT: Included DED: $500, 000 ORDINANCEORLAW -Coverage for Ion to undamaged portion of Bldg x If YES, LIMIT: Included DED:$500,000 - Demolition Costs x If YES, LIMIT: Included DED: 0500, 000 - Incr. Cost of Construction x If YES, LIMIT: Included DED: 0500, 000 EARTH MOVEMENT (If Applicable) x It YES, LIMIT: $15,000,000 DED:54 - $500,000 MIN FLOOD (It Applicable) x If YES, LIMIT: 025, 000, 000 DED: $500,000 WINDIHAILINCL 9YES ❑NO Subject to Different Provisions: )( If YES, LIMIT: $50,000,000 DED:39 - $500,000 MIN NAMED STORM INCL ® YES ❑ NO Subject to Different Provisions: x If YES, LIMIT: $50, 000, 000 DED: 59 - $500,000 MIN 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. AnO TInNAI_ INTFRFRT CONTRACT OF SALE MORTGAGEE LENDERS L065 PAYABLE Lj LOSS PAYEE LENDER SERVIGNG AGENT NAME AND ADDR c CSC D v MAY 17C.u'r_3 NAME AND ADDRESS r. AUTHORIZED REPRESENTATIVE UILMY GI IT UI[CVUnOS O�HI, City of Gilroy 7351 Rosanna Street Jw'_ Aa.'wqA Gilroy, CA 95020 . ed ® 2003-2015 ACORD CORPORATION. All rights reserved. ACORD 28 (2016103) The ACORD name and logo are registered marks of ACORD SR ID: 24084637 HATCH: 2964284 CZRT: W28926743 2580: 2 ' of 3 AGENCY CUSTOMER ID: LOC #: ACo �ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Willis Towers Watson Midwest, Inc. UnitedHealth Group Incorporated 9900 Bran Road East Hinnetonka, 14N 55343 POLICY NUMBER See Page 1 CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 [,11111111 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 28 FORM TITLE: Evidence of Commercial Property Re: Address of location we need evidence for: 7351 Rosanna Street, Gilroy, CA 95020 Named Insured Includes: Logistics Health, Inc. 328 Front Street South, La Crosse, WI ACORD 101 (2008/01) O 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID:24084637 BATCH:2964284 CERT:W28926743 2580: 2 of 3 Page 1 of 1 AC4C>R1:>® DATE (MMIDDNYYY) EVIDENCE OF PROPERTY INSURANCE 5/5/2023 THIS EVIDENCE OF 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. PHONE AGENCY — -- ----- PHO No,_Exq: 1-877-945-7378 COMPANY Willis Limited Lloyd's 51 Lime Street One Lime Street London, EC3M7DQ GBR London, EC3M7HA IAI 1-888-467-2378 C-mMIL certificates@willis.com AIC No). ADDRESS: CODE: SUB CODE: INSURED LOAN NUMBER POLICY NUMBER UnitedHealth Group Incorporated B08011594SL23 EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL 9900 Bran Road East 04/30/2023 03/01/2024 11 TERMINATED IF CHECKED Minnetonka, MN 55440 THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION LOCA7I0NIDESCRI PTION 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 BROAD SPECIAL X COVERAGE I PERILS )FORMS AMOUNT OF INSURANCE DEDUCTIBLE Terrorism 50mm,00ll 500,000 KtMAKKS (incivaing tipeciai conaroons Carrier: Lloyds Quota Share Program: Lloyds Syndicate 1036 - 20% QBE European Company - 201b AEGIS London - 20% Munic Re Syndicate - 10b MS Amlin Underwriting - 15% CKA Hardy - 7.5% XL Catlin - 7.5% 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 NAME AND ADDRESS ADDITIONAL INSURED LENDER'S LOSS PAYABLE LOSS PAYEE City of Gilroy j MORTGAGEE 7351 Rosanna Street I LOAN tt Gilroy, CA 95020 i AUTHORIZED REPRESENTATIVE VV i ACORD 27 (2016/03) © 1993-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 24109400 BATCH: ### CERT: ### 2580: 3 ' of"