GREYHOUND LINES 1-2003 - Laserfiche WebLink

Home Browse Search

ACOR-- EVIDENCE OF COMMERCIAL PROPERTY INSURANCE 2/20/0"�'"'"�' City of Santa Ana DED: 100, 000 THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, 13 IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. PRODUCERPHDN NAME, CONTACT E „1-212-994-7100 . COMPANY NAME AND ADDRESS MAIC NO: 19437 PERSON AND ADDRESSFAA 1-212-994-7047. - z Chris Gilbertson Ias Co Arthur J. Gallagher a Fork 10 BLANKET COVERAGE 444 Madison Avenue R YES, Masts amount of Inwranos on propeAbs k*Med above: $ 20th Moor 0 z Attach signed Disclosure Nosos / DEC IS COVERAGE PROVIDED FOR "CERTIFIED ACTS' ONLY? z =&M F `O MULTIPLE COMPANIES, COMIPLETE SEPARATE FORM FOR EACH 1� ADpRESS IA Cj Ciro�ilp llmeriOa, T LOAN NW/SER ra melba 22503 95 350 North St. Paul Street/� ��1/ LV12/31/09 ��aT EXPIRATION DATE CONTINUED UNTIL Dallas TX 75201 i`1 `dw(V IO� 12/31/10 TERMINATED IF CHECKED ADDITIONAL HAYED INSUREDS) THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION Use additional Sheeb If ROOM space In tilted LOCATKI WDEACR1PT10N1 RM: Leased Location- 1000 Mast Santa Aaa Boulevard, Santa Ana, Ch CAVFRA[SF IMFARYATIAM nAl ler nr, AMC rro" nAmn eenen Y COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: S 25, 000, 000 City of Santa Ana DED: 100, 000 YES NO P.O. Box 1988 BUSINESS INCOME/ RENTAL VALUE z If YES, LIMIT: Included Y I Actual Loss Sukvned 8 of months: BLANKET COVERAGE z R YES, Masts amount of Inwranos on propeAbs k*Med above: $ TERRORISM COVERAGE z Attach signed Disclosure Nosos / DEC IS COVERAGE PROVIDED FOR "CERTIFIED ACTS' ONLY? z RYES, SUB LIMIT: DED: Per Policy IS COVERAGE A STAND ALONE POLICY? x RYES, LIMIT: DED: Per Policy DOES COVERAGE INCLUDE DOMESTIC TERRORISM? z I RYES, SUB LIMIT: Included DED: Per Policy COVERAGE FOR MOLD z RYES, LIMIT: DED: MOLD EXCLUSION (R'YES', specify orgwftadan's form wed) z Lexington Ins. Co. REPLACEMENT COST x AGREED AMOUNT z COINSURANCE x RYES, % EQUIPMENT BREAKDOWN(RAppllable) z I RYES, LIMIT: Included DED: 100,000 LAW AND ORDINANCE - Coverage for loss to undamaged poRbn of bulding z RYES, LIMIT: Included DED: 100,000 -DarrwNtlonCosta z RYES, LIMIT: Included DED: 100,000 -Incr.Cost ofConskudion z RYES, LIMIT: Included DED: 100,000 EARTHQUAKE (if Appliable) x RYES, LIMIT: 25,000,000 DED: Per Policy FLOOD (IfAppllcable) x RYES, LIMIT: 23,000,000 DED: Per Policy WIND/ HAIL (if SsparatsPaq) x RYES, LIMIT: 25,000,000 DED: Per Policy PERMISSION TO WAIVE SUBROGATION PRIOR TO LOSS I KCMAKRO - incivaing Special commons {Use aaamonal aneets R nu" space is requited) CANCELLATION f THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW 30 DAYS WRITTEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW. ADDITIONAL INTEREST MANE AND ADDRESS LENDER SERVICING AGENT NAME AND ADDRESS City of Santa Ana Attn: Clerk of the City Council 20 Civic Center Plaza (N-30) P.O. Box 1988 Santa Ana, Ch 92702-1988 17801 NIOR'TOAQEE AUTHORIZED REPRESENTATIVE LOSS PAYEE AGORD Z8 (Z003/10) tans 13974940 O ACORD CORPORATION 2003