Parkview Services 11/25/2019 - Laserfiche WebLink

A DATE(MMIDD/YYYY) EVIDENCE OF COMMERCIAL PROPERTY INSURANCE 11/05/2019 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 (877)455-5640 COMPANY NAME AND ADDRESS I NAIC NO: 18058 CONTACT PERSON AND ADDRESS (A/C,No,Ext): The Partners Group Ltd Philadelphia Indemnity Ins Co Kim Andrews-McClellan 2027 196th St.SW,Suite A-201 11225 SE 6th St. Suite 110 Bellevue WA 98004 Lynnwood WA 98036-7073 FAX No): (425)455-6727 ADDRIesS: kandrews@tpgrp.com IF MULTIPLE COMPANIES,COMPLETE SEPARATE FORM FOR EACH CODE: SUB CODE: POLICY TYPE AGENCY 00016780 Package CUSTOMER ID#: NAMED INSURED AND ADDRESS LOAN NUMBER POLICY NUMBER Parkview Services PHPK2018461 17544 Midvale Ave N Ste LL EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL Shoreline WA 98133 08/01/2019 08/01/2020 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 Blanket Premises 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: $ 13,012,796 DED:$10,000 YES NO N/A ®BUSINESS INCOME ❑ RENTAL VALUE X If YES,LIMIT: $308,880 Actual Loss Sustained;#of months: BLANKET COVERAGE X If YES,indicate value(s)reported on property identified above:$ TERRORISM COVERAGE X Attach Disclosure Notice/DEC IS THERE ATERRORISM-SPECIFIC EXCLUSION? X IS DOMESTIC TERRORISM EXCLUDED? X LIMITED FUNGUS COVERAGE X If YES,LIMIT: DED: FUNGUS EXCLUSION(If"YES",specify organization's form used) X CP 01 40 07 06 REPLACEMENT COST X AGREED VALUE X COINSURANCE X If YES, EQUIPMENT BREAKDOWN(If Applicable) X If YES,LIMIT: Included DED: ORDINANCE OR LAW -Coverage for loss to undamaged portion of bldg X If YES,LIMIT: DED: -Demolition Costs X If YES,LIMIT: $500,000 DED: -Incr.Cost of Construction X If YES,LIMIT: $500,000 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 LOSS PAYEE LENDER SERVICING AGENT NAME AND ADDRESS MORTGAGEE X Mortgagee&Loss Payee NAME AND ADDRESS City of Everett WA 2930 Wetmore Ave AUTHORIZED REPRESENTATIVE Everett WA 98201 �~ ©2003-2015 ACORD CORPORATION. All rights reserved. ACORD 28(2016/03) The ACORD name and logo are registered marks of ACORD