EVIDENCE OF PROPERTY INSURANCE
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1 EVIDENCE OF PROPERTY INSURANCE DATE (MM/DD/YYYY) 11/27/2017 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 (A/C, No, Ext): (949) COMPANY ACE Property & Casualty Insurance Company 4695 MacArthur Court Suite 600 Newport Beach, CA FAX (A/C, No): CODE: CUSTOMER ID #: ADDRESS: (949) COLI&SO-01 SUB CODE: License # INSURED LOAN NUMBER POLICY NUMBER EFFECTIVE DATE THIS REPLACES PRIOR EVIDENCE DATED: EXPIRATION DATE 10/26/ /31/2017 CONTINUED UNTIL TERMINATED IF CHECKED PROPERTY INFORMATION 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 BASIC BROAD SPECIAL COVERAGE / PERILS / FORMS AMOUNT OF INSURANCE DEDUCTIBLE REMARKS (Including Special Conditions) Remarks: PROJECT SPECIFIC BUILDER'S RISK Carrier: ACE American Insurance Company A.M. Best Rating: A++, XV (Admitted) Policy Period: 10/26/2015 to 12/31/2017 Policy Number: Named Insured: Colich & Sons, L.P. SEE ATTACHED ACORD 101 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 X LOAN # ADDITIONAL INSURED MORTGAGEE LENDER'S LOSS PAYABLE X LOSS PAYEE City of Los Angeles 200 N. Spring Street, Room 355, City Hall Los Angeles, CA ACORD 27 (2016/03) AUTHORIZED REPRESENTATIVE ACORD CORPORATION. All rights reserved.
2 POLICY NUMBER CUSTOMER ID: COLI&SO-01 LOC #: ADDITIONAL REMARKS SCHEDULE License # NAMED INSURED CARRIER NAIC CODE ACE Property & Casualty Insurance Company EFFECTIVE DATE: 10/26/2015 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 27 FORM TITLE: EVIDENCE OF PROPERTY INSURANCE Gardena Page 1 of 3 Remarks: Coverage: Construction Risk Coverage Form ACE0728 (10/13) Insured Project: Arlington Avenue and Jefferson Boulevard Diversion Sewer Project Insured Project Site: The Arlington Avenue and Jefferson Blvd Diversion Sewer WO SZC12484, Jefferson Blvd - Budlong to Gramercy Primary Sewer Rehabilitation WO SZC12920, SZC11741 Wilshire Area Olympic Sewer Rehabilitation. Insured Project Description: Concrete sewer structures construction, sewer rehab lining, sewer bypass, minor sewer pipeline replacement. Limits: * Per Occurrence: $3,516,076 * Policy Aggregate: $3,516,076 The Company will not pay for more than its proportionate share (100%) of the following Sub-limits of Insurance and Annual Aggregate Sub-limits of Insurance, which are part of, and not in addition to, the Limits of Insurance above: Sub-limits of Insurance: * Physical loss to the Insured Project: $3,266,076 * Delay In Opening (Per form No. ACE0729): $250,000 - Loss of Rental Income: Not Covered - Loss of Gross Earnings: Not Covered - Soft Costs/Additional Expenses (30 Day Waiting Period): $250,000 * Existing Property: Not Covered * Transmission and Distribution Lines: Not Covered * Property in Transit per Conveyance: $250,000 * Temporary Off-site Storage & Off-site Staging Areas, any one location: $250,000 * Expediting and Extra Expenses Lesser of 20% of the insured physical loss, or: $250,000 * Debris removal Lesser of 25% of the insured physical loss, or: $879,019 * Trees, Shrubs and Plants: $100,000 * Protection Service Charges: $250,000 * Fire Protective Equipment Recharge: $250,000 * Valuable Papers and Records: $250,000 * Claim Preparation Expenses: $50,000 * Protection of Insured Property Pre-LOSS: $250,000 * Architects and Engineers Fees: Not Covered * Office and Construction Trailers/Semi-trailers and their Contents: $100,000 * Ordinance or Law: $250,000 * Hot Testing: Included * Furniture and Fixtures: Included * Contract Penalty: Not Covered * Named Windstorm: Included Annual Aggregate Sub-limits of Insurance: * Flood Per Occurrence / Annual Aggregate: Not Covered * Earth Movement Per Occurrence / Annual Aggregate: Not Covered * Pollution or Contamination Clean-Up Per Occurrence / Annual Aggregate: $100,000 * Limited Coverage for FUNGUS, Wet Rot, Dry Rot or Bacteria Per Occurrence / Annual Aggregate: Not Covered Deductibles: ACORD 101 (2008/01) 2008 ACORD CORPORATION. All rights reserved.
3 POLICY NUMBER CUSTOMER ID: COLI&SO-01 LOC #: ADDITIONAL REMARKS SCHEDULE License # NAMED INSURED CARRIER NAIC CODE ACE Property & Casualty Insurance Company EFFECTIVE DATE: 10/26/2015 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 27 FORM TITLE: EVIDENCE OF PROPERTY INSURANCE Gardena Page 2 of 3 Direct physical loss in any one occurrence, except noted below: $5,000 A. Flood Per Occurrence: Not Covered B. Earth Movement Per Occurrence: Not Covered C. Water Damage Per Occurrence: $5,000 D. Named Windstorm Per Occurrence: $5,000 E. Hot Testing Per Occurrence: $5,000 F. Delay in Opening Waiting Period: 30 Days * Where a percentage deductible is shown above, the deductible shall be the greater of the dollar amount shown, or the stated percentage of the total insured values at the time and date of the LOSS, unless a maximum deductible is listed. Covered Perils: All Risk of Direct physical LOSS excluding Earth Movement and Flood, subject to the terms, conditions and exclusions in the policy forms. Coinsurance: NONE Valuation: A. Property Under Construction The cost to repair or replace the insured property lost or damaged with material of like kind and quality, less betterment, including contractor's reasonable profit and overhead not exceeding the percentages in the original contract. If the insured property is not repaired or replaced then direct physical LOSS shall be settled on the basis of ACTUAL CASH VALUE. B. Property of Others (Including Items Supplied by the Owner) If Property of Others is new, the cost to repair or replace the insured property lost or damaged with material of like kind and quality, less betterment. If Property of Others is not new then, the Owner s cost or ACTUAL CASH VALUE, whichever is less. C. Temporary Structures The cost to repair or replace the insured property lost or damaged with material of like kind, quality and condition but in the event the insured property is not repaired or replaced recovery will not exceed the ACTUAL CASH VALUE. D. Valuable Papers and Records The cost to reproduce the insured property with other property of like kind and quality including the cost of gathering or assembling information from back up data if replaced, or if not replaced, at the value of blank material. E. Electronic Media Or Electronic Data The cost of the blank media, plus the costs of copying or restoring ELECTRONIC DATA from back-up or from originals of a previous generation, not including research and engineering or the costs or expense of recreating, gathering or assembling such ELECTRONIC DATA. This Policy does not insure any amount pertaining to the value of such ELECTRONIC DATA to the Named Insured or any other party, even if such ELECTRONIC DATA cannot be recreated, gathered or assembled. If not repaired, replaced or restored, ELECTRONIC MEDIA shall be valued at the cost of the blank media. F. Trees, Shrubs and Plants The cost to replace with property of like kind and quality plus the proper proportion of labor expended if such damage occurs after installation. G. Office and Construction Trailers/Semi-trailers and their Contents ACTUAL CASH VALUE. The Company will pay for direct physical LOSS to insured property by determining its REPLACEMENT COST, provided that the NAMED INSURED actually repairs or replaces the lost or damaged insured property, or begins to repair the damaged insured property, within 24 months from the date of direct physical LOSS; otherwise, the Company will pay for direct physical LOSS to insured property by determining its ACTUAL CASH VALUE. Mandatory Exclusions & Amendments: All policy form exclusions including but not limited to Contaminants or Pollutants, Asbestos, ACORD 101 (2008/01) 2008 ACORD CORPORATION. All rights reserved.
4 POLICY NUMBER CUSTOMER ID: COLI&SO-01 LOC #: ADDITIONAL REMARKS SCHEDULE License # NAMED INSURED CARRIER NAIC CODE ACE Property & Casualty Insurance Company EFFECTIVE DATE: 10/26/2015 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 27 FORM TITLE: EVIDENCE OF PROPERTY INSURANCE Gardena Page 3 of 3 Electronic Data/Cyber Risk, Fungus, Wet Rot, Dry Rot or Bacteria, and Nuclear, Biological, Chemical, Radiological Exclusions. Special Conditions Amendments: * Extension of Term: This Policy may be extended for a period not to exceed ninety (90) days from the original expiration date shown above, subject to the same terms and conditions in effect at the time of the extension, and subject to a pro-rata additional premium, exclusive of HOT TESTING. The HOT TESTING PERIOD may be extended for a period not to exceed ninety (90) days from the number of days for HOT TESTING stated above, subject to the same terms and conditions in effect at the time of the extension, and subject to an additional premium based upon the number of days of the extension period. The NAMED INSURED must request these extensions in writing and receive acceptance from the Company prior to the original expiration date shown above. If the NAMED INSURED does not provide the aforementioned written extension request(s), coverage shall terminate on the original expiration date shown above. * Additional Named Insured Information: TBD * Mortgagee and Loss Payee Information: TBD ACORD 101 (2008/01) 2008 ACORD CORPORATION. All rights reserved.
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