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INSURANCE COVERAGE DISCLOSURE <br /> National City Commercial Capital Company, LLC, LESSOR <br /> City of Everett <br /> RE: INSURANCE COVERAGE REQUIREMENTS <br /> 1. In accordance with the Lease-Purchase Agreement("Lease"), Lessee certifies that it has <br /> instructed the insurance agent named below(please fill in name,address,and telephone <br /> number): <br /> to issue: (check to indicate coverage) <br /> X a.All Risk Physical Damage Insurance on the leased Equipment evidenced by a Certificate of <br /> Insurance and Long Form Loss Payable Clause naming National City Commercial Capital Company, LLC <br /> and/or its assigns as Loss Payee. <br /> Coverage Required: $45,402.24 <br /> X b.All Risk Liability Insurance evidenced by a Certificate of Insurance naming National City <br /> Commercial Capital Company, LLC and/or its assigns as an Additional Insured. <br /> Minimum Coverage Required: <br /> $1,000,000.00 per occurrence <br /> $2,000,000.00 in aggregate limits <br /> Proof of insurance coverage will be provided to National City Commercial Capital Company, LLC, 995 <br /> Dalton Ave,Cincinnati, OH 45203,prior to the time that the property is delivered to Lessee. <br /> OR <br /> 2. Pursuant to the Lease, Lessee represents and warrants, in addition to other matters under the <br /> Agreement,that it is lawfully self-insured for: (check to indicate coverage) <br /> a.All risk, physical damage in the amount specified in 1(a)above. <br /> b. Public liability for not less than the amounts specified in 1(b)above. <br /> ITEMS WHICH NEED TO BE REFLECTED ON INSURANCE CERTIFICATE: <br /> • National City Commercial Capital Company, LLC must be named Loss Payee and Additional Insured <br /> • 30 Days Notice of Cancellation <br /> • Not Less than$1,000,000.00 limits on liability <br /> • Certificate must reflect a short equipment description <br /> • Certificate must reflect an expiration date <br /> Certificate Holder Information: <br /> National City Commercial Capital Company, LLC, <br /> its successors and/or all assigns <br /> 995 Dalton Ave. <br /> Cincinnati, OH 45203 <br /> Please send a FAX copy of certificate to Nancy Elkus FAX 866-510-6095 <br /> LESSEE HAS ATTACHED A SIGNED LETTER DESCRIBING SELF-INSURANCE. <br /> LESSEE: City of Everett <br /> By: Title: <br /> 24 <br />