LOENGREEN, INC. (COUNCIL CHAMBERS ADA RESTROOM AND TRANSLATION BOOTH REMODEL)

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ACO EVIDENCE OF COMMERCIAL PROPERTY INSURANCE DATE(MMIDD/YYYY) 09/16/2024 • 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 (213)387-5000 COMPANY NAME AND ADDRESS NAIC NO: CONTACT PERSON AND ADDRESS INC,No,Extl: CAL-KOR Insurance Services Mount Vernon Fire Insurance Company mktdir 3255 Wilshire Blvd Ste 1500 P.O.Box 843887 Los Angeles CA 90010 Los Angeles CA 90084-3887 FAX (213)388-8595 E-MAIL IF IF MULTIPLE COMPANIES,COMPLETE SEPARATE FORM FOR EACH (A/C,No): CODE: SUB CODE: POLICY TYPE AGENCY 00022865 Inland Marine(C) CUSTOMER ID#: NAMED INSURED AND ADDRESS LOAN NUMBER POLICY NUMBER Loengreen Inc. MPR024S1350 2837 James M Wood Blvd. EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL Los Angeles CA 90060 09/16/2024 04/16/2025 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 ® BUSINESS PERSONAL PROPERTY LOCATION!DESCRIPTION 20 Civic Center Plaza Santa Ana CA 92701 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 BASIC BROAD X SPECIAL COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: $ Building Improvements$821,440 DED: $5,000 YES NO N/A ❑ BUSINESS INCOME ❑RENTAL VALUE X If YES,LIMIT: Actual Loss Sustained;#of months: BLANKET COVERAGE X If YES,indicate value(s)reported on property identified above:$ TERRORISM COVERAGE X Attach Disclosure Notice/DEC IS THERE A TERRORISM-SPECIFIC EXCLUSION? IS DOMESTIC TERRORISM EXCLUDED? LIMITED FUNGUS COVERAGE If YES,LIMIT: DED: FUNGUS EXCLUSION(If"YES",specify organization's form used) REPLACEMENT COST X AGREED VALUE COINSURANCE X If YES, 100 % EQUIPMENT BREAKDOWN(If Applicable) X If YES,LIMIT: DED: ORDINANCE OR LAW -Coverage for loss to undamaged portion of bldg X If YES,LIMIT: DED: -Demolition Costs X If YES,LIMIT: DED: -Incr.Cost of Construction X If YES,LIMIT: DED: EARTH MOVEMENT(If Applicable) X If YES,LIMIT: DED: FLOOD(If Applicable) X If YES,LIMIT: DED: WIND/HAIL INCL ®YES ❑NO Subject to Different Provisions: X If YES,LIMIT: DED: NAMED STORM INCL ®YES ❑NO Subject to Different Provisions: X If YES,LIMIT: DED: PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE 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 I I LOSS PAYEE LENDER SERVICING AGENT NAME AND ADDRESS MORTGAGEE X Additional insured NAME AND ADDRESS + / City of Santa Ana ` Risk Management Division o J artsNAQ 20 Civic Center Plaza ri 5, REVIEWED /p&APPROVED B//Y: PO BOX 1988 AUTHORIZED REPRESENTATIVE A Aav o .a Santa Ana CA 92702 d Risk Management Spedalist ©2003-2015 ACOF% ACORD 28(2016/03) The ACORD name and logo are registered marks of ACORD