Get Acord 28

Cost of Construction EARTH MOVEMENT If Applicable FLOOD If Applicable WIND / HAIL If Subject to Different Provisions 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 MORTGAGEE CONTRACT OF SALE LENDER SERVICING AGENT NAME AND ADDRESS LENDERS LOSS PAYABLE NAME AND ADDRESS AUTHORIZED REPRESENTATIVE ACORD 28 2011/11 Page 1 of 2 2003-2011 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD. DATE MM/DD/YYYY EVIDENCE OF COMMERCIAL PROPERTY INSURANCE 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 CONTACT PERSON AND ADDRESS PHONE A/C No Ext FAX A/C No E-MAIL ADDRESS CODE AGENCY CUSTOMER ID NAMED INSURED AND ADDRESS COMPANY NAME AND ADDRESS NAIC NO IF MULTIPLE COMPANIES COMPLETE SEPARATE FORM FOR EACH POLICY TYPE SUB CODE LOAN NUMBER POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL TERMINATED IF CHECKED THIS REPLACES PRIOR EVIDENCE DATED ADDITIONAL NAMED INSURED S PROPERTY INFORMATION Use REMARKS on page 2 if more space is required 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* COVERAGE INFORMATION PERILS INSURED COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE BASIC BROAD SPECIAL DED YES NO N/A RENTAL VALUE BUSINESS INCOME If YES LIMIT Actual Loss Sustained of months BLANKET COVERAGE If YES indicate value s reported on property identified above TERRORISM COVERAGE Attach Disclosure Notice / DEC IS THERE A TERRORISM-SPECIFIC EXCLUSION IS DOMESTIC TERRORISM EXCLUDED LIMITED FUNGUS COVERAGE FUNGUS EXCLUSION If YES specify organization s form used REPLACEMENT COST AGREED VALUE COINSURANCE If YES EQUIPMENT BREAKDOWN If Applicable ORDINANCE OR LAW - Coverage for loss to undamaged portion of bldg - Demolition Costs - Incr. DATE MM/DD/YYYY EVIDENCE OF COMMERCIAL PROPERTY INSURANCE 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 CONTACT PERSON AND ADDRESS PHONE A/C No Ext FAX A/C No E-MAIL ADDRESS CODE AGENCY CUSTOMER ID NAMED INSURED AND ADDRESS COMPANY NAME AND ADDRESS NAIC NO IF MULTIPLE COMPANIES COMPLETE SEPARATE FORM FOR EACH POLICY TYPE SUB CODE LOAN NUMBER POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL TERMINATED IF CHECKED THIS REPLACES PRIOR EVIDENCE DATED ADDITIONAL NAMED INSURED S PROPERTY INFORMATION Use REMARKS on page 2 if more space is required 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.