SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
CANCELLATION
© 1993-2015 ACORD CORPORATION. All rights reserved.ACORD 27 (2016/03) The ACORD name and logo are registered marks of ACORD
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.
PROPERTY INFORMATION
LOCATION/DESCRIPTION
COVERAGE INFORMATION
COVERAGE / PERILS / FORMS AMOUNT OF INSURANCE DEDUCTIBLE PHONE
(A/C, No, Ext):
(A/C, No):
FAX E-MAIL
ADDRESS:
AGENCY
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.
CUSTOMER ID #:
AGENCY
SUB CODE:CODE:
INSURED LOAN NUMBER POLICY NUMBER
TERMINATED IF CHECKED
CONTINUED UNTIL
EXPIRATION DATEEFFECTIVE DATE
THIS REPLACES PRIOR EVIDENCE DATED:
COMPANY
DATE (MM/DD/YYYY)
EVIDENCE OF PROPERTY INSURANCE
REMARKS (Including Special Conditions)
MORTGAGEE
ADDITIONAL INSURED LOSS PAYEE
ADDITIONAL INTEREST
NAME AND ADDRESS
AUTHORIZED REPRESENTATIVE
LOAN #
PERILS INSURED BASIC BROAD SPECIAL
LENDER'S LOSS PAYABLE
12/13/2022
916-643-2700
Sacramento-Alliant Insurance Services, Inc.
2180 Harvard Street, Suite 460
Sacramento, CA 95815
916-643-2750
MERCED0-02
Lexington Insurance Company
City of Merced
678 West 18th St
Merced CA 95340
APIP2022
07/01/2022
07/01/2023
ALL RISK OF DIRECT PHYSICAL LOSS OR DAMAGE PER POLICY CONDITIONS
INCLUDING FLOOD, EXCLUDING EARTHQUAKE AND OTHER POLICY EXCLUSIONS
FLOOD- PER OCCURRENCE AND ANNUAL AGGREGATE
500,000,000
FLOOD
5,000,000
25,000
250,000 - Zones
A&V
100,000 - All
other zones
DEDUCTIBLES:
ALL RISK: $25,000
FLOOD: $250,000 FLOOD ZONES A & V
$100,000 ALL OTHER FLOOD ZONES
Physical Damage Coverage is in place for the following:
Vehicle Description: 2008 !TL/CENTRAL STATES Model 34
Vehicle Designation: 5309
Vehicle License Number: 1300483
See Attached...
The State of California
ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY CUSTOMER ID:
LOC #:
AGENCY
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSURED
EFFECTIVE DATE:
MERCED0-02
1 1
Sacramento-Alliant Insurance Services, Inc.
APIP2022
City of Merced
678 West 18th St
Merced CA 95340
Lexington Insurance Company
07/01/2022
27 EVIDENCE OF PROPERTY INSURANCE
REMARKS:
Vehicle Identification Number: 1HTWEAZR78J553417
Value of Vehicle: $265,765.00
Value of Hose and Appliances: $30,000.00