Supplemental Agenda Packet Materials — Vallejo City Council, November 18, 2025

Local Adoption of the 2025 California Building Standards Code Kristin Pollot, AICP Planning and Development Services DirectorBill Collins, Chief Building Official Purpose of Tonight’s Meeting•Hold a public hearing•Approve an ordinance adopting the 2025 California Building Standards Code & the 2024 International Property Maintenance Code

Code Adoption Process•Every 3 years the codes are updated by the State.•California Building Standards Commission (CBSC) is responsible for the administration and implementation of each code cycle.•Codes were published on July 1, 2025; however, they won’t take effect until 180 days after publishing, on January 1, 2026•City is mandated by State law to adopt the Codes•For local amendments adopting specific “Building Standards” appendices, they must be more restrictive (not less), and the need must be justified based on local geologic, topographic or climatic conditions Code Adoption Process•Following City Council adoption, the City must file the Ordinance and any required justification with the CBSC•Adopted codes becomes effective January 1, 2026, any local amendments are not enforceable until notification of CBSC AcceptanceImportant Implementation Notes:•All projects submitted prior to January 1, 2026, are subject to the previously adopted Codes•All projects submitted on or after January 1, 2026, are subject to the newly adopted Codes 2025 Code Update Highlights•Update of all CA Codes•Update to Building Energy Efficiency Requirements•Relocation of Wildland-Urban Interface (WUI) requirements to standalone Part 7 of CCR Title 24 •Generally minor revisions to this code adoption cycle California Code of Regulations Title 24 California Building Standards Code•Part 1 California Administrative Code (CAC) •Part 2 California Building Code (CBC)•Part 2.5 California Residential Code (CRC) •Part 3 California Electrical Code (CEC) •Part 4 California Mechanical Code (CMC) •Part 5 California Plumbing Code (CPC) •Part 6 California Energy Code (CEEC) •Part 7 California Wildland-Urban Interface Code (New for 2025)•Part 8 California Historical Building Code (CHBC)•Part 9 California Fire Code (CFC)•Part 10 California Existing Building Code (CEBC)•Part 11 California Green Building Standards Code (CALGreen)•Part 12 California Reference Standards Code

CONTACT(S)
Bill Collins, Chief Building [email protected] Kristin Pollot, AICP , Planning and Development Services [email protected] Arthur Gonzales, Interim Fire [email protected] Broadway Village –Opioid Funding Amendment
Gillian Haen, Assistant City Manager Natalie Peterson, Assistant to the City Manager November 18, 2025 Broadway Project Background•Location: 2441 Broadway•47 Permanent Supportive Housing Units •Roughly 99% complete•Partners:–Developer: Firm Foundation–Operator: Shelter Inc. •Firm Foundation –current property owners (through construction)•City to take ownership at end of construction for anticipated future sale/transfer to affordable housing nonprofit organization

Lease-up & Timeline •Lease & operator agreement has been signed by Firm & Shelter •15+ packets have been uploaded & reviewed by Alleccafor leases •Resource Connect Solano (coordinated entry) has 50+ document ready individuals in process•Goal lease-up date: 12/31/2025 •HAP contract begins 12/1/2025 •Delay Update:•Water Line Break (managers unit)•Insurance Issues Opioid Funding -Amendments•Requesting to transfer operational funding from Shetler, Inc. to Firm Foundation –as Firm Foundation currently holds operational costs (until Shelter, Inc. begins operations)

Shelter (original)Shelter (New)Firm (original)Firm New)Change JustificationFurnishings$50,350$50,350- - N/AManagement & Repairs--$15,000$15,000N/ALaundry Machines--$14,320$14,320N/ASecurity Cameras$15,000$15,000- - N/APhone Lines$1,200$1,200N/ACEQA lawsuit settlement$84,000$20,000- $64,000Assumes 7hr/day for 90 days @$30/hr Security (until occupancy)--$27,000$27,000N/AMarket Rate Study--$5,000$5,000N/AProperty Insurance--$54,800$54,800N/AOCIP--$39,000$39,000N/APG&E --$3,600$3,600N/AShelter, Inc staffing$42,592$0- $42,592Alleccacontracted to support lease-upConstruction Gap--$71,785.94$71,785.94N/AStart-up Ops. Cost$197,713$65,906$21,500$153,307Shelter only has 30 days before HAP funding beginsTotal (per org)$389,655$151,256$253,205.94$491,604.94 Operations, Transitional Budget & FF&EFirm FoundationChange notesManagement & Repairs from move-in activities –added scope outside of punch list items $15,000N/A Laundry Machines $14,320N/ATelephone Lines (Comcast)$1,600Assumes $200/mox 8months for Fire life safety line to elevator, (1) front entry system, & (1) optional office space if needed Security Guards –until site occupancy $54,000Approx. $13,500/mox 4 mofor night & weekend guard serviceMarkey Rate Study & Appraisal Reporting (Project Based Vouchers)$5,000N/AProperty Insurance –Builder’s risk policy extended through project completion. $54,800N/A OCIP extensions from 5/8 through final Completion date + Builders risk extension through TCO $39,000N/A PG&E Operational electricity service-house and units $4,800Approx. $600 per month x 8 months. Shelter Inc can help residents sign up for WAG, CARES reduced rates once units are leased up. Construction Gap $228,584.94Gap to cover remaining site construction Start-up Operational Costs $64,500 Costs for start-up operations that will be covered by Firm Foundation Total (per organization)$481,604.94 Operations, Transitional Budget & FF&E Shetler, Inc. Change Notes Window coverings & remaining furnishings & welcome kits assigned to Shelter Inc on Furniture Program$50,350N/A Security Camera / system & monitoring service initiation$15,000N/A CEQA lawsuit settlement requirements-24hr securityambassador-3 months$20,000Assumes 7hr/day for 90 days @$30/hr (plus a $1,100 buffer) Shelter, Inc. Staffing surcharge-temporary Supplementalstaffing for initial lease up effort$0Alleccawas contracted to support the lease-up process Start-up Operational Costs$65,906Shelter, Inc. portion of start-up costs (1 month)Total (per organization)$151,256

CONTACT(S)
Gillian Haen, Assistant City Manager [email protected] Peterson, Assistant to the City Manager [email protected] Nalungo Conley, Assistant City
Manager
[email protected]
Office of the City Manager
Government Shutdown
Update and Impacts
Related to HR1
Uncertainties moving forward
• After 43 days the longest Federal Shutdown in history was ended on November 13, 2025.
• The breakthrough negotiations through the Senate
allowed for the Republican-controlled House to pass the Continuing Resolution (CR) to fund the government
through January 30, 2026.
• Congress now must pass several FY2026 appropriation
bills to fund individual departments otherwise another
shutdown could loom in the short future
What this means
• Over 54,000 individuals in Solano County receive
SNAP/CalFresh benefits. Of those, 36.8% or almost 20k
people are residents of Vallejo
• While SNAP benefits were fully funded in California as of November 10th, 2025 there are impacts still being felt to food banks and other support agencies
• Upcoming programmatic changes could eliminate
eligibility for hundreds if not thousands of benefit
recipients
• This situation continues to be critical for millions across the country
• Staff was also asked to investigate additional measures to assist Vallejo residents during the shutdown:
– A moratorium on water shutoff’s
• The city currently has several programs in place that address if a resident has difficulty in paying their
bill. It includes payment reductions, fee waivers,
payment plans and other supports to prevent a
disruption in service
– A moratorium on sewer shutoff’s
• Sewer service is provided by Vallejo Flood and
Wastewater District (VFWD) and is paid through
property taxes. Solano County will only initiate a tax
sale after 5 years of delinquent taxes
What we’ve done
Where we stand
• The shutdown might be over, but now recipients must
deal with House Resolution 1 (HR1) (Big Beautiful Bill) that imposes several changes, caps, and reversals of waivers that have been long held standards and threaten to
negatively impact millions across the country
• These changes are going into effect on January 1st, 2026 with very little support for implementation at the County- level, and little to no education and outreach to program participants due to the shutdown
Changes to Come
Work Requirements Expanded (November 2025)
• Applies to adults 18-64 (previously 18-49)
• Parents with children 14+ must meet work rules
(previously 18+)
• Exemptions removed for veterans, homeless
individuals, and former foster youth
Non-citizen eligibility narrowed (e.g. refuges, asylum
seekers, trafficking survivors, humanitarian parolees
excluded) (Oct 2026)
• Internet costs no longer count, energy assistant
reduced, and cost shifts to States/Counties
Next Steps
Staff isn’t making a recommendation. This information
is for Council to have the full picture of the scale
impacts can have on Vallejo residents
Council can appropriate an amount not to exceed what
is noticed ($3.9mil) if you choose to do so to fund your priorities
Or this item can be brought back after the budget
process has concluded in Washington DC
Questions?

CONTACT(S)
Nalungo Conley, Assistant City
Manager
[email protected]
Nalungo Conley, Assistant City
Manager
[email protected]
Office of the City Manager
Expanding Maritime
Industrial Activity and
Workforce
Development-SHIPS
Uncertainties and Opportunities
• The Shipbuilding and Harbor Infrastructure for Prosperity and Security (SHIPS) for America Act created bipartisan support for the revitalization of the commercial and
military shipbuilding industry nationwide
• As the staff report to City Council on September 30, 2025, pointed out, there are many unknowns about what the
final SHIPS Act of 2024/2025 will contain, and what the State and Federal funding infrastructure will support
going forward
Uncertainties and Opportunities Cont’d
• There are opportunities that exist beyond military
applications under the SHIPS Act. So, while support for the strategic defense network is critical for our National Security it is equally important that the City of Vallejo explore all available options for investment; that includes commercial, industrial, manufacturing, and innovation.
• The Economic Development Department, under direction
from ACM Haen solicited proposals to assist with this
effort. Two proposals were received from experienced
consultants who work in this space
Background
• After reviewing the submitted documentation, The
Roosevelt Group (TRG) has been identified as the most
qualified vendor given: 1) the experience of the project team, 2) the relationships that TRG has with
governmental agencies, Congressional Staff, and private companies and 3) their expertise in supporting the
creation of defense industries and economic prosperity
zones that support those investments
• Ensuring that the city is responsive to the opportunities created in supporting a revitalization of commercial and military shipbuilding and related industries, requires
investment in partnering with a knowledgeable
consultant since that level of expertise does not exist in- house
• The Roosevelt Group’s Contributions
– a strategic assessment that includes all Navy roadmaps and plans regarding shipbuilding, ship repair,
workforce training, component and subcomponent
build plans and repair aspirations
– Analyze a broad range of federal funding opportunities that will lead to an acceleration of the city’s
redevelopment efforts
– Provide direct, first-hand advocacy on the city’s behalf with the Maritime Industrial Base, Department of
Defense, Department of the Navy, and other key
stakeholders
– Assist the City of Vallejo with building partnerships with contacts in the various defense industries to think
about the city as a viable economic center for regional investments
Workforce
Investments
Housing
Investments
Economic
Investments

1. Contracting with TRG is a way to link
all the moving parts of this ecosystem
together into a cohesive vision. There
are multiple components to this once
in a lifetime opportunity and
providing the strategic plan for the
City to then leverage is a valuable
service

2. TRG has provided two options for
their services
a. A retainer-based model
@$35k/month for 6 months-Total
$210k
b. A task-based model: Strategic
Plan-$140k, and retainer fees for
3 months-$70k for a total of
$210k
Strategic Importance
Additional Information
Staff has been made aware that our partners in this
effort to bring maritime investments to Solano County,
have arranged a visit in the next month by major
international shipbuilders
If staff are directed to contract with TRG, we anticipate having them on scene to represent the City of Vallejo
with these potential investors along side our private
industry representatives, Cal Poly Maritime, Solano
County EDC, and others as they tour the region and
explore the possibilities that we offer.

Next Steps

1. If approved, this item will come back before Council on December 9th, 2025, for Step 2 in the budget
amendment process

2. Staff will then reach out to the approved applicant
and work on getting the contract finalized for
engagement
Questions?

CONTACT(S)
Nalungo Conley, Assistant City
Manager
[email protected]
Sereno VillageAffordable Housing
Gillian Haen, Assistant City Manager Veronica Nebb, City AttorneyNovember 18, 2025

OverviewUnits: 125 (one-, two-, three-bedroom units)Address: 750 Sereno Drive, Vallejo, CAAffordability: 30-50% AMIBuilt in 2003 by Citizens Housing; When Citizens went out of business in 2010 Eden Housing stepped in to acquire it and help preserve the property’s long-term affordability.Eden Housing is a mission-driven non-profit with over 67 years of experience developing and operating affordable housing throughout California. Eden serves very low, low and moderate-income families, seniors, veterans, people living with physical, mental, or developmental disabilities, and the formerly homeless.

Rehabilitation of Sereno Village•Eden Housing submitted Sereno Village for 4% tax credits in September 2025.•Tax credit financing is extremely competitive for rehabs. Sereno Village is 1 of 7 projects to get funded in the entire State this round.•Sereno Village is in line to receive tax credits to fund a significant rehab of the affordable property.•The project has the following existing soft loans:•City of Vallejo RDA & Successor Loans: ~$4.3million•City of Vallejo Recreation District: ~$1.3million •Vallejo Flood and Wastewater District: ~$375,000. VFWD has demanded repayment on this matured loan.

City of Vallejo•Actions needed for Eden Housing to receive the tax credit award and proceed with the rehab of Sereno Village:•Approve a full repayment of the ~$375,000 VFWD loan and an equal ~$375,000 repayment of the City’s Recreation District loan (GVRD).•Approve an amendment, assignment, and extension of the remaining City Loans to match the new tax credit regulatory term.•Approve subordinations of the City Loans to new senior construction and permanent debt. •All loan and subordination documents required for the tax credit transaction will come back to the City Council for approval in the spring.

Project Benefits•Approximately $375,000 will be repaid to the City of Vallejo for GVRD fees to deplyconsistent with the code for recreation.•The award will bring ~$17M in private tax credit funding to the City of Vallejo through a rehab of Sereno Village•The rehab project will bring ~40 prevailing wage construction jobs to the City of Vallejo•Project will pay building permit and inspection feesto the City of Vallejo•The rehab will bring much-needed capital repairs to the Sereno Village, including to an existing building that includes a daycare center funded by Head Start that serves the local Vallejo community•No new City of Vallejo funding is needed to preserve Sereno Village and VFWD will not force the project into foreclosure if their loan is repaid through the rehab.•Preserve long-term affordability of 125 units of extremely low-and very-low income housing units for another 55 years.Without these actions, the Sereno Village project would not be eligible for the upcoming Tax Credit Award or a major rehabilitation; City would not be able to receive the $375,000 loan repayment or other benefits mentioned above. Rehab of the project will not take place, and 125 units of affordable housing is in jeopardy of being taken offline.

REVISED WITH ATTACHMENTS - Response to Questions from Councilmembers Regarding the November 18, 2025 Council Agenda 1 Consent Calendar Item 8L – BSCC Grant in the Amount of $999,729 (Step 1 of 2) The sta) report says that this funding can be used in the 2025-26 year and 2026-27 year. However, it cannot supplant state or local funds. Following up on earlier direction provided by Council, I’d like the quarterly reports post July 1,2025 to be shared for our review. I’m not sure if current headcount supports outreach to our unhoused residents or if it is currently supported. Need to understand if current scope accounts for that or if some of these funds can be used to that end. All IHART periodic reports are publicly on our VPD website (Integrated Health and Resource Team (IHART) - City of Vallejo Police Department), however we are setting up an internal process for sharing those reports directly with the City Council and MPOC directly on a quarterly basis. With current IHART sta)ing, outreach workers are interacting daily with the unhoused community. IHART attends city sponsored encampment clean-ups, assist those in who are unhoused, substance dependent and/or in crisis, and have a very strong working relationship with our Navigation Center and other organizations who support securing housing for those in need. We have two grants (Connect & Protect and COPS CIT) that we are using with our current Measure P funding stream ($1.5 million). The SCIP grant is being envisioned as the baseline funding for our next attempt at funding IHART beyond July 1, 2026. It amounts to roughly $400K a year for a period of two years. It is also speciﬁc as to the current IHART FTE positions the grant can support. Hope this answers your questions CM Matias. Consent Calendar 8N – Sereno Village Associates What is the overall housing subsidy beneﬁt from the project if the City agrees to extend their $1.9M loan? The community will realize approximately $1.5M/year in housing subsidies due to this project retaining 125 units online for a)ordable housing in the very low, low and moderate a)ordability range. That equates to ~ $87Min beneﬁts over the 55 year a)ordability term. Does the Sereno Village have capacity with these tax credits and City loan extensions to create a reserve for the future? Please see attached 15 year pro forma. (3 attachments) Can sta) create a tracking system accessible to Councilmembers to outline closed session direction and status? Sta) will work with Veronica and Andrew to identify what options there are for conﬁdential topics.

REVISED WITH ATTACHMENTS - Response to Questions from Councilmembers Regarding the November 18, 2025 Council Agenda 2 Consent Calendar Item 8O – First Amendment to Consultant & Professional Services Agreement with 4Leaf, Inc. What is driving the increase in contract in just a few months? Can planning share current vacancy for the department? Have we considered AI solutions to help with plan checks? At the time the new 4Leaf contract was approved back on July 8, 2025 (for $800k), there was approximately $600k owed in back payments, leaving approximately $200k for ongoing work. Since the start of the ﬁscal year, we have been averaging a spend of about $25k per month in sta)ing augmentation services, plus some sporadic plan checking assistance since the plans examiner position is still vacant. Unfortunately, because we have had continued recruitment delays (mostly due to minor changes needed for vacant positions), one new permit technician hire that did not work out after only a few weeks on the job, and additional workload to accommodate increased front counter hours, we have had to continue utilizing regular sta)ing augmentation services through 4Leaf and we expect to continue to require this until all upcoming recruitments can be completed (which may take until the end of the current ﬁscal year). It should also be noted that while our current request is for an increase of $150k utilizing anticipated salary savings as the funding source, we may still need to request additional funding at midyear to ensure we can maintain minimum services through the end of the ﬁscal year. In addition, we’d like to point out, even though we have required sta)ing augmentation support for longer than previously expected, we have reduced the rate of our monthly spending on this service by approximately 50% from this time last year. Information Calendar Item 10B – Broadway Project Monthly Update Safety Ambassadors - Per the CEQA Lawsuit Settlement “The City shall require the Project Operator to have a safety ambassador on site from 6pm-1am daily, seven days a week, for a period of three months beginning at 50% tenant occupancy. At the end of the three-month period, City shall report to Petitioner’s' attorney the number of criminal incidents reported by the Vallejo Police Department, excluding physical and mental wellness checks and EMT service calls. If the number of criminal incident reports averages fewer than eight calls per month, the requirement to have safety ambassador on site shall be terminated. ” The opioid funding for the Safety Ambassadors is budgeted at $20,000. This is from an estimate of $30/hr. for 7 hours a day for 90 days which would be $18,900 plus a $1,100 bu)er. This funding amount is su)icient to cover the 90 days required by the CEQA Lawsuit Settlement. Professional Sta)ing Concerns - The project will be sta)ed with professional sta) as appropriate and necessary for the 47 units. Shelter, Inc. has operated many project and programs working directly with the unhoused community and they are the professionals providing the expertise on the client to sta) ratio. With Shelter, Inc. having a larger team in Solano County and the greater bay area they will be able to pull on their counter parts at di)erent sites if the need arises to provide additional support as needed.

REVISED WITH ATTACHMENTS - Response to Questions from Councilmembers Regarding the November 18, 2025 Council Agenda 3 Budget Concerns - The budget has been carefully planned to ensure that the Project Based Vouchers (PBVs) cover operating costs for the project with additional reserve funds each month. The City will work with Shelter, Inc. to identify other grant funding throughout the life of the project to support operational needs. Summary of Property Insurance Coverage Limits (3 attachments) – sta] is still working out ﬁnalizing the insurance with Firm and Shelter.

CITY OF VALLEJO
June 20, 2025
Loc# 2ndId Address, City, Zip Occupancy Construction
Real
Spklr
Auto
Built
Year
Apprs
Year
TotalsRentsPersonalReal PropertyProperty

PREPARED BY
Pers
PropProp Rents Year
Real Property Trend Factor:

Personal Property Trend Factor:

2.00%

PRISM PROPERTY SCHEDULE
Includes B & M

BI / BI /
Alliant Insurance Services, Inc.

Page 55 ends

18100 Von Karman Avenue
10th Floor
Irvine, CA 92612
(949) 756-0271
Zone
203 25,475 SQ. FT. D No Yes 2024 $0 $0 $0 $0 $28,550,000 $250,000 $0
Class:

VALLEJO CA 94589
No NoEQ:
$28,800,000
2024
2025Yes Yes YesFlood:

PERMANENT SUPPORTIVE

HOUSING -RESIDENTIAL

PERMANENT SUPPORTIVE

HOUSING
2441 BROADWAY
47 STUDIOS PLUS (1)

MANAGERS UNIT

ALL COMB (WOOD FRAME)
Stories: 4
Pct. Sprnkl: 100
A3
X
Lat: 38.15456 Lng. -122.25212
204 14,190 SQ. FT. No Yes 2025 $0 $0 $0 $0 $9,180,000 $320,000 $0
Class:

VALLEJO CA 94589
No NoEQ:
$9,500,000
2024
2025Yes Yes YesFlood:

VALLEJO NAVIGATION
CENTER

TRANSITIONAL SHELTER
(DORMITORY)
1937 BROADWAY
125 BEDS UNKNOWN
Stories: 1
Pct. Sprnkl: 100
A3
Lat: 38.13818 Lng. -122.25231
GRAND TOTALS:

SPRINKLERED:

UNSPRINKLERED:

EARTHQUAKE:
$105,841,886
$343,269,197
$0
$449,111,083 $82,163,967
$13,916,857
$68,247,110
$0
$0
$0
$0
$0
$531,275,050
$119,758,743
$411,516,307
$0
$495,781,709
$145,688,725
$350,092,984
$0
$85,217,382
$14,765,088
$70,452,294
$0
$0
$0
$0
$0
$580,999,091
$160,453,813
$420,545,278
$0
FLOOD: $449,111,083 $82,163,967 $0 $531,275,050 $495,781,709 $85,217,382 $0 $580,999,091 TotalsRents
2024 2025
PersonalReal
PropertyPropertyYear
2024 2025
2024 2025
2024 2025
2024 2025
TotalsRents
PersonalReal
PropertyPropertyYear
GRAND TOTALS:

SPRINKLERED:

UNSPRINKLERED:

EARTHQUAKE:

FLOOD:

BI /BI /
SIGNED / ACCEPTED BY:

DATE: County_NoGC.Frx

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE
INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #
NAME:

CONTACT
(A/C, No):

FAX
E-MAIL
ADDRESS:

PRODUCER
(A/C, No, Ext):

PHONE

INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD

THIS IS TO CERTIFY THAT 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

CERTIFICATE 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 DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY
Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-

STATUTE
PER

LIMITS(MM/DD/YYYY)

POLICY EXP
(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR

CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE

DAMAGE TO RENTED
$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED

AUTOS ONLY
11/7/2025
Arthur J. Gallagher Risk Management Services, LLC
595 Market St Ste 2100
San Francisco CA 94105
Karl Dobrota
415-546-9300
415-536-8499
[email protected]
License#: 0D69293
Underwriters at Lloyd's London
15792
FIRMFOU-13
Evanston Insurance Company
35378
Firm Foundation Community Housing
1035 B Street, Unit B
Hayward CA 94541
State Compensation Insurance Fund of CA
35076
Admiral Insurance Company
24856
1728077576
A
X
1,000,000
X
250,000
5,000
1,000,000
2,000,000
X
Y
PSO0540469840
8/19/2025
8/19/2026
2,000,000
Deductible
1,000
A
1,000,000
X
X
PSO0540469840
8/19/2025
8/19/2026
B
X
4,000,000
X
MKLV5EUL106243
8/19/2025
8/19/2026
4,000,000
C
X
Y
9282424
8/20/2025
8/20/2026
1,000,000
A
D
Professional Liability
Management Liability
PSO0540469840
DCP1865047P6
8/19/2025
8/19/2025
8/19/2026
8/19/2026
Each Occurrence
Each Occurrence
$1,000,000
$1,000,000
Certificate Holder is included as Additional Insured as respects the General Liability policy. Waiver of Subrogation applies to certificate holder, as respects Workers Compensation policy, pursuant to and subject to the policy's terms, definitions, conditions and exclusions.

Sexual Abuse & Molestation (SAM) coverage is included as part of the General Liability policy with a sublimit of $100,000.

City of Vallejo, The Housing Authority of the City of Vallejo (HACV), their officers, officials, employees, agents or volunteers
555 Santa Clara Street
Vallejo CA 94590

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PSO0540469840

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
ACORD 28 (2016/03)
© 2003-2015 ACORD CORPORATION. All rights reserved.

NOYES
NOYES
If YES, LIMIT: DED:Subject to Different Provisions:

Subject to Different Provisions:

NAMED STORM INCL
DED:If YES, LIMIT:

If YES, LIMIT:

RENTAL VALUE
N/A
FUNGUS EXCLUSION (If "YES", specify organization's form used)

LIMITED FUNGUS COVERAGE
$
EARTH MOVEMENT (If Applicable)

WIND / HAIL INCL

ORDINANCE OR LAW
EQUIPMENT BREAKDOWN (If Applicable)

COINSURANCE

AGREED VALUE

REPLACEMENT COST
DED:

IS DOMESTIC TERRORISM EXCLUDED?
IS THERE A TERRORISM-SPECIFIC EXCLUSION?
Attach Disclosure Notice / DECTERRORISM COVERAGE

BLANKET COVERAGE
YES NO

COVERAGE INFORMATION
FLOOD (If Applicable)

PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE

HOLDER PRIOR TO LOSS
If YES, %
DED:

COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: DED:

PERILS INSURED BASIC BROAD SPECIAL
- Demolition Costs
- Incr. Cost of Construction
- Coverage for loss to undamaged portion of bldg
DED:

DED:

If YES, indicate value(s) reported on property identified above: $ BUSINESS INCOME If YES, LIMIT: Actual Loss Sustained; # of months:

If YES, LIMIT:

AUTHORIZED REPRESENTATIVE

ADDITIONAL INTEREST

NAME AND ADDRESS

LENDER SERVICING AGENT NAME AND ADDRESSCONTRACT OF SALE

MORTGAGEE

LENDER'S LOSS PAYABLE

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. (ACORD 101 may be attached if more space is required) BUILDING OR BUSINESS PERSONAL PROPERTY

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.

ADDITIONAL NAMED INSURED(S)

NAMED INSURED AND ADDRESS
CODE:

AGENCY
CUSTOMER ID #:

SUB CODE:

E-MAIL
ADDRESS:
(A/C, No, Ext):

PHONE
FAX
(A/C, No):

PRODUCER NAME,

CONTACT PERSON AND ADDRESS

EXPIRATION DATEEFFECTIVE DATE
THIS REPLACES PRIOR EVIDENCE DATED:

TERMINATED IF CHECKED

CONTINUED UNTIL

IF MULTIPLE COMPANIES, COMPLETE SEPARATE FORM FOR EACH
COMPANY NAME AND ADDRESS NAIC NO:

POLICY TYPE

POLICY NUMBERLOAN NUMBER

EVIDENCE OF COMMERCIAL PROPERTY INSURANCE

DATE (MM/DD/YYYY)
The ACORD name and logo are registered marks of ACORD

PROPERTY INFORMATION

LOSS PAYEE
9/4/2025
415-546-9300
25569
Arthur J. Gallagher Risk Management Services, LLC
595 Market St Ste 2100
San Francisco, CA 94105
License#: 0D69293
415-536-8499
Gotham Insurance Company
919 Third Avenue, 10th Floor
New York, NY 10022
Firm Foundation Community Housing
1035 B Street, Unit B
Hayward CA 94541
PR202500007098
06/30/2025
06/30/2026
X
X
2440 Broadway Street, Vallejo, CA 94589
X
12,619,336
25,000
X
X
$972,336
X
12 X
X
X
IL 09 53 01 15
X
X
$15,000
25,000
X
X
X
X
X
$12,619,336
$10,000
X
Included
$25,000
X
$1,000,000
$25,000
X
$1,000,000
$25,000
X
X
X
X
Included
$25,000
X
X
Included
$25,000
X
City of Vallejo
555 Santa Clara Street
Vallejo, CA 94590

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:
1 1
Arthur J. Gallagher Risk Management Services, LLC
PR202500007098
Firm Foundation Community Housing
1035 B Street, Unit B
Hayward CA 94541
Gotham Insurance Company
25569
06/30/2025
28 EVIDENCE OF COMMERCIAL PROPERTY INSURANCE
REMARKS:

Additional Property Layers:

The Hartford Steam Boiler Inspection and Insurance Company | Policy #: FBP2383633 | $12,619,336 Limit | Deductible: $10,000 Firm Foundation Community Housing
Statement of Values

Loc # Location Name Ownership Entity Address City State ZIP VALUE

BUILDING (AVG)
VALUE

BPP & TIB
VALUE

RENTS/INCOME
TOTAL

INSURABLE
VALUE
# of
Bldgs
# of
Units
# of
Stories
1 Broadway Village - Building
A
Firm Foundation Community
Housing 2441 Broadway Street Vallejo CA 94589 $11,000,000 $972,336 $11,972,336 14 84 1 Broadway Village - Building
B
Firm Foundation Community
Housing 2441 Broadway Street Vallejo CA 94589 $622,000 $25,000 $647,000 101 TOTAL $11,622,000 $25,000 $972,336 $12,619,336 24 8
As of 2:54 PM on 10/27/2025

Page 1 of 1 ends

Paragon Specialty Property

PSP-00001(4-22) Page 1 of 1

Underwriting by: Paragon Insurance Holdings LLC
on behalf of the Carriers shown on the Declarations Page Home Office: 45 Nod Road. Avon, CT 06001
Phone:

In Witness Whereof, the company has caused this policy to be executed and attested.

President

The information contained herein replaces any similar information contained elsewhere in the policy.

Paragon Specialty Property
Underwriting on
behalf of the Carriers shown on the Declarations Page

SCHEDULE OF NAMED INSUREDS
Account ID: SP208269-00 Effective Date: 6/30/2025
12:01 A.M., Standard Time
Named Insured: FIRM FOUNDATION

COMMUNITY HOUSING
PSP-00005(4-22) Page 1 of 1

FIRM FOUNDATION COMMUNITY HOUSING
Schedule of Forms
Named Insured: FIRM FOUNDATION COMMUNITY HOUSING
Policy No: SP208269-00 Paragon Specialty Property
Form Name Form Number
Common Forms Package
COVER PAGE PSP-00001 04-22
COMMON POLICY DECLARATIONS PSP-00003 04-22
SCHEDULE OF NAMED INSUREDS PSP-00005 04-22
SCHEDULE OF FORMS AND ENDORSEMENTS PSP-00007 04-22
SEVERAL LIABILITY NOTICE PSP-00008 04-22
MINIMUM EARNED PREMIUM PSP-00011 04-22
EXCESS SUPPLEMENTAL DECLARATIONS PSP-00012 04-22
EXCESS COMMERCIAL PROPERTY COVERAGE FORM PSP-00014 04-22 SCHEDULED LIMIT OF LIABILITY ENDORSEMENT PSP-00015 (01-24) EXTERIOR INSULATION AND FINISH SYSTEM EXCLUSION PSP-00018 02-23 EXCLUSION-PROPERTY IN THE COURSE OF CONSTRUCTION PSP-00019 04-22 OFFICE OF FOREIGN ASSETS CONTROL(OFAC) REGULATIONS PSP-00022 05-22 CLAUSE DELETION ENDORSEMENT PSP-00024 05 -22
COVERED TERRITORY PSP-00028 09-22
NAMED WINDSTORM - FLOOD DEFINITION PSP-00030 (3-23)
EXCLUDED PERILS ENDORSEMENT PSP-00033 (11-23)
ADDITIONAL INTERESTS ENDORSEMENT PSP-00034 (11-23)
LIMITATIONS ON COVERAGE FOR ROOF SURFACING PSP-00035 (12-23) ASBESTOS ENDORSEMENT PSP-00036 (1-24)
CALIFORNIA FRAUD STATEMENT IL N 018 01 22
COMMON POLICY CONDITIONS IL 00 17 11-98
CALIFORNIA CHANGES – ACTUAL CASH VALUE IL 01 02 05-05
CALIFORNIA CHANGES IL 01 04 07-20
EXCLUSION OF CERTIFIED ACTS OF TERRORISM IL 09 53 01 15 NOTICE—FRAUD WARNINGS NOTX0650CW (03-22)
Form Name Form Number
Convex Insurance UK
APPLICABLE LAW USA LMA 5021 09 05
POLICY JACKET - CONVEX CPJ0001 (7/24)
BIOLOGICAL OR CHEMICAL MATERIALS EXCLUSION NMA 2962 06-2003 CLAIM REPORTING INFORMATION PSP-00002a (8-24)
CANCELLATION CLAUSE NMA 1331 04 61
COMMUNICABLE DISEASE ENDORSEMENT LMA 5393 03-2020
ELECTRONIC DATE RECOGNITION EXCLUSION (EDRE) NMA 2802 12-97 FRAUDULENT CLAIM CLAUSE LMA 5062 09-2006
MICROORGANISM EXCLUSION (Absolute) LMA 5018 9-2005
CA NOTICE LSW 1146D 07-11
CA NOTICE LSW 1147D 07-11
PROPERTY CYBER AND DATA ENDORSEMENT LMA 5400 11-2019
RADIOACTIVE CONTAMINATION NMA 1191 07-59
SANCTIONS SUSPENSION CLAUSE LMA 3200 10-23
PSP-00007 04-22 Page 1 of 2
SEVERAL LIABILITY NOTICE LSW1001 08-94
TERRORISM EXCLUSION ENDORSEMENT NMA 2920 10 01
WAR AND CIVIL WAR EXCLUSION CLAUSE NMA 0464 01 38
Form Name Form Number
Point Excess and Surplus Insurance Company
SIGNATURE PAGE CLS 0104 05 24
PRIVACY NOTICE 458 06-24
CLAIM REPORTING CLS 0107 12 24
CYBER INCIDENT EXCLUSION CP 10 75 12 20
EXCLUSION OF LOSS DUE TO VIRUS CP 01 40 07 06
POLLUTION EXCLUSION CLS 0109 12 24
SERVICE OF SUIT - CA CLS 0108 12 24
Form Name Form Number
Scottsdale Insurance Company
COVER PAGE UTS-COVPG 03-21
CLAIM REPORTING INFORMATION NOTX0178CW 03-16
CYBER EXCLUSION UTS-494 05-19
POLLUTION EXCLUSION—PROPERTY UTS-559 04-20

VIRUS, BACTERIUM, MICROORGANISM AND COMMUNICABLE DISEASE EXCLUSION—PROPERTY
UTS-560 04-20
SERVICE OF SUIT – CA UTS-9G (06-22)
PSP-00007 04-22 Page 2 of 2
Para
gon Specialty Property
Underwriting on behalf of the Carriers shown on the Declarations Page PSP-00008(4-22) Page 1 of 1
THIS
ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

SEVERAL LIABILITY NOTICE
In the ev
ent a provision of the policy or a previous endorsement is inconsistent with an express provision of this endorsement, this endorsement controls the applicable coverage under this policy. This endorsement does not change any other provision of the insurance policy to which it is affixed. This endorsement is a part of this insurance policy and takes effect on the effective date of this insurance policy unless another effective date is shown.

The liab
ility of an insurer under this contract is several and not joint with other insurers party to this contract.

An ins
urer is liable only for the proportion of liability it has underwritten. An insurer is not jointly liable for the proportion of liability underwritten by any other insurer. Nor is an insurer otherwise responsible for any liability of any other insurer that may underwrite this contract.

Each co
mpany has underwritten a proportion of the total limit shown. The liability of each carrier is several and not joint with other carriers. A carrier is liable only for that carrier’s proportion of the overall limit. A carrier is not jointly liable for any other carrier’s proportion of the overall limit.

Nor is
any carrier otherwise responsible for any liability of any other insurer that may underwrite this contract.

Althou
gh reference is made at various points in this clause to “this contract” in the singular, where the circum- stances so require this should be read as a reference to contracts in the plural.

Paragon Specialty Property
Underwriting on behalf
of the Carriers shown on the Declarations Page
PSP-00011(4-22) Page 1
of 1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

MINIMUM EARNED CANCELLATION PREMIUM
The following provision is added to the Cancellation Condition:

If You request cancellation of this policy, We will retain not less than of the original premium.

Para
gon Specialty Property
Underwriting on behalf of Carriers listed on the declarations page, herein called the Company PSP-00014(4-22) Page 1 of 3

EXCESS COMMERCIAL PROPERTY COVERAGE FORM
(FOLLOW FORM)
Various
provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, du ties and what is and is not covered.

Throughout this policy the words “you” and “your” refer to the Named Insured shown in the Declarations. The words “we,” “us” and “our” refer to the Company providing this insurance. Other words and phrases that ap- pear in quotation marks have special meaning. Refer to Section D. Definitions.

A. Insuring Agreement
We will indemnify you for the “ultimate net loss” in excess of the “primary insurance” and “underlying excess insurance” for direct physical loss of or damage to Covered Property at the Insured Premises, subject to the following:

1. The “occurrence” takes place during the Policy Period as stated in ITEM 2. of the Common Policy Declarations

2. The loss or damage is covered by and defined in the “primary insurance”; and

3. The loss or damage is caused by or resulting from the Covered Causes Of Loss as descr ibed in ITEM 2. of the Excess Supplemental Declarations.

Subject to our Limit Of Insurance, terms, conditions, exclusions and endorsements; if any, and, ex cept as otherwise stated in this policy, we agree to follow-form of the terms, conditions, exclus ions, defini- tions and endorsements as issued by the “primary insurance.” B. Limit Of Insurance
The Limit Of Insurance shown in ITEM 6. of the Excess Supplemental Declarations will apply as fo l- lows:

1. The Limit Of Insurance is the most we will pay for loss or damage in any one “occurrence.” In no event, shall our liability exceed this limit or amount in any one “occurrence” irrespective of the num- ber of locations involved.

2. The Limit Of Insurance only applies after the “primary insurance” and “underlying excess insurance” limit(s) have been paid or they have all admitted liability for the full amount of their limit(s).

3. If there is no recovery available because of the insolvency, or a declaration of impairment or i nsol- vency of the “primary insurance” an d/or the “underlying excess insurance” insurer(s), coverage un- der this policy shall apply as if the “primary insurance” and “underlying excess insurance” limits of insurance were in full effect and recoverable.

4. Our liability shall be limited to the least of the following:
a. The actual “ultimate net loss” in excess of the “primary insurance” and “underlying excess i n- surance.”
b. The total stated value for the Covered Property, as shown on the latest statement of values on file with us.
c. The Limit Of Insurance shown on the Excess Supplemental Declarations or endorsed on to this policy.

PSP-00014(4-22) Page 2 of 3
C. Conditions

1. Application of Recoveries
All salvages, recoveries or payments recovered or received subsequent to a loss settlement un- der this Coverage Part shall be applied as if recovered or received prior to such settlement and all necessary adjustments shall then be made between you and us.

2. Maintenance of Primary and Underlying Excess Insurance a. Any “primary insurance” and “underlying excess insurance” must be maintained in full effect without reduction of coverage or limits except for the reduction of limits in accordance with the provisions of such “primary insurance” and “underlying excess insurance” that results from loss or damage to which this insurance applies. Such exhaustion or reduction is not a failure to maintain “primary insurance” and “underlying excess insurance.” Failure to maintain “primary insurance” and “underlying excess insurance” will not invalidate insurance provided under this policy, but insurance provided under this policy will apply as if the “primary insur- ance” and “underlying excess insurance” were in full effect. b. The Named Insured must notify us in writing, as soon as practicable, if any “primary insur- ance” and “underlying excess insurance” is cancelled, not renewed, replaced, or otherwise terminated (bankruptcy or insolvency), or if the limits or scope of coverage of any “primary in- surance” and “underlying excess insurance” is changed.

3. Sublimits
Sublimits of liability for coverages and/or loss or damage provided in the “primary insurance” and “underlying excess insurance” shall apply as the maximum amount of insurance for such cover- ages and/or loss or damage recoverable from the “primary insurance,” “underlying excess insur- ance” and this policy combined.

4. Priority of Payments
Notwithstanding any provision to the contrary, in the event of a claim that involves more than one interest/party and/or coverage and/or causes of loss, it shall be at the sole option of the Named Insured to apportion recovery under this policy when submitting final proof of loss, subject to the total amount of the claim not exceeding our Limit Of Insurance for any one “occurrence.” For the purpose of attachment of coverage, it is further agreed that loss involving any inter- est/party and/or coverage and/or covered causes of loss in the “primary insurance” and/or “under- lying excess insurance,” but excluded in our policy, shall be recognized as eroding or exhausting the occurrence limits of the “primary insurance” and/or “underlying excess insurance.”

5. Earthquake and Flood Drop Down
If Earthquake and/or Flood is a Covered Cause of Loss in this policy, in the event of reduction or exhaustion of the annual aggregate limit(s) designated in the “primary insurance” and “underlying excess insurance” solely by payment of losses from Earthquake and/or Flood during the policy period, such insurance as is afforded by this policy shall apply in excess of the reduced “primary insurance” and “underlying excess insurance” limit or, if such limit is exhausted, shall apply as the “primary insurance” and “underlying excess insurance.” When the underlying limit(s) of insurance is exhausted, this policy shall always remain excess of the deductibles as specified in the “prima- ry insurance.”

6. Permission for Excess Insurance
Permission is hereby granted to purchase insurance in excess of the Limit Of Insurance stated in this policy.

PSP-00014(4-22) Page 3 of 3
D. Definitions

1. “Occurrence” means all elements of loss or damage due to any Covered Cause of Loss or com- bination of Covered Causes of Loss described in the Excess Supplemental Declarations, arising out of a single event, and including all resultant or concomitant losses to one or more Insured Premises, unless defined by the “primary insurance.”

2. “Primary insurance” means any policy of insurance provided by the insurer(s) described in ITEM 4. Primary Insurance of the Excess Supplemental Declarations.

3. “Underlying excess insurance” means any policy of insurance provided by the insurer(s) de- scribed in ITEM 5. Underlying Excess Insurance of the Excess Supplemental Declarations.

4. “Ultimate net loss” means the loss or damage sustained by you as a result of Covered Causes of Loss provided by this policy after making reduction for recoveries or salvages collectible and ot h- er valid and collectible insurance, other than recoveries under the “primary insurance” and “un- derlying excess insurance.”
PSP-00015 (01-24) Page 1 of 3
Paragon Specialty Prop erty
Underwriting on behalf of the Carriers shown on the Declarations Page THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

SCHEDULED LIMIT OF LIABILITY ENDO RSEMENT
It is understood and agreed that the following terms and conditions apply to this policy. In the event of a conflict between provisions of this endorsement and any coverage part, the provisions of this endorsement shall control:

1. Subject to paragraphs 2. and 3. below, the Limit of Insurance is the most we will pay for loss or damage in any one “occurrence.” In no event shall our liability exceed this limit or amount in any one “occurrence” irrespective of the number of locations involved.

2. If, under the terms of this policy, the Company’s participation is limited to a percentage or part of the overall Program limits of liability provided by a market of insurers, this endorsement does not increase the Company’s percentage of participation.

3. If there is no recovery available because of the insolvency, or a declaration of impairment or insolvency of the “primary insurance”
and/or the “underlying excess insurance” insurer(s), coverage under this policy shall apply as if the “primary insurance” and “underlying excess insurance” limits of insurance were in full effect and recoverable.

4. The DEFINITIONS Section of the
policy and any forms or endorsements attached thereto are amended by the addition of the following Definitions:
a. “Program” shall mean the sum of all policies issued to the Insured, inclusive of any self insurance which may be arranged in one or more layers that provided coverage up to an agreed Program limit as provided in the policy.
b. “Statement of Values” shall mean any statement, spreadsheet, or schedule provided by the Insured or its agent or representative which identifies the locations covered under the policy and the values for individually “Scheduled Items” related to each location. c. “Scheduled Item” shall mean any separately identified value on the “Statement of Values,” including but not limited to a building-specific or location-specific value for real property, personal property, improvements and betterments, mobile equipment, stock/inventory, machinery equipment, inventory in transit, and/or Business Income/Rental Value. While the “Statement of Values” may include a Total Insured Value (“TIV”) for each building or location, the TIV is not a “Scheduled Item.”

5. In the event of loss
hereunder, for purposes of calculating the amount of the insured’s recovery, if any, due under this policy, the insured’s recovery, subject to the terms of paragraphs 1., 2. and 3. above, shall be limited to the least of the following:
a. The actual adjusted amount of loss for each individually “Scheduled Item” insured, as shown on the latest “Statement of Values” on file with us, or attached to this policy, less applicable deductible(s).
b. 100% of the individually stated value for each “Scheduled Item” insured, as shown on the latest “Statement of Values” on file with us, or attached to this policy, after applying the deductible(s).

PSP-00015 (01-24) Page 2 of 3
c. The Limit of Liability or Amount of Insurance shown on the Declarations Page or endorsed onto this policy.

6. Examples
The following examples illustrate the application of this provision and are based on the following hypothetical facts:
 Company Policy Limit: $5,000,000 part of $25,000,000 excess of $75,000,000 per occurrence  Replacement Cost Coverage applies.
 No deductible applies.
 Statement of
Values:

Real Property Business Personal
Property Business Income
Building 1 $40,000,000 $20,000,000 $5,000,000
Building 2 $40,000,000 $20,000,000 $5,000,000
Building 3 $40,000,000 $20,000,000 $5,000,000
Example A:

Building 1 and its contents are destroyed. The adjustment team determines that the cost to replace Building 1 is $80,000,000; the cost to replace the business personal property within Building 1 is $25,000,000; and the lost income associated with the property damage loss is $10,000,000. Accordingly, the total loss to the insured is $115,000,000.

The underlying insurers pay $75,000, 000.

For purposes of determining the amount, if any, due under this policy, the insured’s covered loss is calculated as follows:
 Real Property: $40,000, 000
 Business Personal Property: $20,000,000
 Business Income: $5,000, 000
 Total Loss: $65,000,000
Because this policy’s coverage begins only after an insured suffers a covered loss of more than $75,000,000 as calculated under the terms of this policy, there is no amount payable under this policy.

Example B:

Buildings 1, 2, and 3 are damaged by an occurrence.

The adjustment team determines that the cost to repair Building 1 is $20,000,000; there is no business personal property damage or business income loss to Building 1.

The adjustment team determines that Building 2 is completely destroyed; the cost to replace Building 2 is $60,000,000; the cost to replace the business personal property within Building 2 is $30,000,000; and the business income loss arising out of the damage to Building 2 is $20,000,000.

PSP-00015 (01-24) Page 3 of 3
The adjustment team determines that the cost to repair the damage to Building 3 is $5,000,000; the cost to replace the damaged business personal property within Building 3 is $5,000,000; and there is no business income loss.

Accordingly, the total loss to the insured is $140,000,000.

The underlying insurers pay $75,000,000.

For purposes of determining the amount, if any, due under this policy, the insured’s covered loss is calculated as follows:

Building 1
 Real Property: $20, 000,000
 Business Personal P roperty: $0
 Business Income: $0
 Total Building 1 Loss: $20,000, 000
Building 2
 Real Property: $40, 000,000
 Business Personal P roperty: $20,000,000
 Business Income: $5, 000,000
 Total Building 2 Loss: $65,000, 000
Building 3
 Real Property: $5, 000,000
 Business Personal Propert y: $5,000,000
 Business Income: $0
 Total Building 3 Loss: $10,000,000
Total Loss for all 3 Buildings: $95,000,000
Less amount paid by underlying insurers: ($75,000,000)
Accordingly, the amount due under this policy is $20,000,000 x .20 = $4,000,000.

All other terms of the policy apply, including the terms, conditions, and limits of insurance reflected on the declarations.

All other terms and conditions of the Policy remain unchanged.

Para
gon Specialty Property
Underwriting on behalf of Carriers listed on the declarations page PSP-00018 (2-23) Page 1 of 1

ALL RIS
K
POLICY NUMBER: Per Declarations EXCESS PROPERTY
THIS
ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

EXTERIOR INSULATION AND FINISH SYSTEM EXCLUSION
(SYNTHETIC STUCCO)
Notwi
thstanding any provision to the contrary within the Policy of which the Endorsement forms a part (or within any other Endorsement which forms part of this policy), this policy is amended as follows:

This i
nsurance does not apply to loss or damage caused by, resulting from, or increased in whole or in part by Water Damage or Windstorm, Hail or Wind-Driven Rain losses to covered property with Exterior Insulation and Finish System (EIFS), Densglass, Dryvit, Synergy, Synthetic Stucco, Parex, or similar exterior finishing systems.

Exter
ior Insulation and Finish Systems (EIFS), Densglass, Dryvit, Synergy, Synthetic Stucco and Parex means a non- load bearing, exterior wall cladding system that consists of an insulation board attached either adhesively or mechanically, or both, to the substrate; an integrally reinforced base coat; and a textured protective finish coat that is applied over metal studs or other non-concrete underlayment.

However
, this exclusion does not apply to EIFS, Denslgass, Dryvit, Synergy, Synthetic Stucco, Parex or similar exte- rior finishing systems that is applied directly upon all load-bearing and non-load bearing concrete walls.

All ot
her terms and conditions of this policy remain unchanged.

Paragon Specialty Property
Underwriting on
behalf of the Carriers shown on the Declarations Page
PSP-00019(4-22) Page
1 of 1

ATTACHED TO AND

FORMING A

PART OF

POLICY NUMBER

ENDORSEMENT EFFECTIVE DATE
(12:01 A.M.

STANDARD TIME) NAMED INSURED
SP208269-00 6/30/2025 FIRM FOUNDATION COMMUNITY HOUSING THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

EXCLUSION—PROPERTY IN THE COURSE OF CONSTRUCTION
The policy does not provide coverage for any new buildings or structures at the insured locations while in the course of
construction, or for any existing buildings or structures while undergoing “structural renovations,” until a certificate of occupancy is issued for new construction, or “structural renovations” are completed. This exclusion also applies to the following when used in the course of construction:

1. Building materials,
supplies, equipment, fixtures, and machinery used for or incidental to construction; and

2. Temporary structures built or assembled on site, including cribbing, scaffolding and construction forms.

However, this exclusion does not apply to cosmetic renovations of any existing building that alter the appearance of the building, but do not make alterations to any internal or external load-bearing building components, or to buildings that undergo repairs reasonably anticipated during the useful life of a building or routine maintenance activities.

For the purposes of this endorsement, “structural renovations” means:

1. Any internal
or external load-bearing component of the building that is essential to the stability of the building or any part of it, including, but not limited to foundations, floors, walls, roofs, columns and beams.

2. Any component including weatherproofing that forms part of the external walls or roof of the building.

AUTHORIZED REPRESENTATIVE DATE
Para
gon Specialty Property
Underwriting on behalf of Carriers listed on the Declarations Page PSP-00022(5-22) Page 1 of 1
OFFICE OF FOREIGN ASSETS CONTROL (“OFAC”) REGULATIONS
Advisory notice to policyholders regarding the U.S. Treasury Department’s Office of Foreign Assets Control (“OFAC”) regulations
No coverage is provided by this policyholder notice nor can it be construed to replace any provisions of your policy. You should read your policy and review your declarations page for complete information on the cover- ages you are provided.

This notice provides information concerning possible impact on your insurance coverage due to directives is- sued by the U.S. Treasury Department's Office of Foreign Assets Control ("OFAC").

Please read this Notice carefully.

OFAC administers and enforces sanctions policy based on Presidential declarations of "national emer gency".

OFAC has identified and listed numerous:
• Foreign agents;
• Front organizations;
• Terrorists;
• Terrorist organizations; and
• Narcotics traffickers;
as "Specially Designated Nationals and Blocked Persons." This list can be located on the United States Treas- ury's web site – http://www.treasury.gov/about/organizational-structure/offices/Pages/Office-of-Foreign-Assets- Control.aspx.

In accordance with OFAC regulations, if it is determined that you or any other insured, or any person or entity claiming the benefits of this insurance has violated U.S. sanctions law or is a Specially Designated National and Blocked Person, as identified by OFAC, this insurance will be considered a blocked or frozen contract and all provisions of this insurance are immediately subject to OFAC restrictions. When an insurance policy is con- sidered to be such a blocked or frozen contract, no payments or premium refunds may be made without au- thorization from OFAC. Other limitations on premiums and payments also apply.

Paragon Specialty Property
Underwriting on behalf of Carriers listed on the Declarations Page

ATTACHED TO AND

FORMING

A PART OF

POLICY NUMBER

ENDORSEMENT EFFECTIVE DATE
(12:01 A.M.

STANDARD TIME) NAMED INSURED AGENT NO.

SP208269-00 6/30/2025 FIRM FOUNDATION COMMUNITY HOUSING THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CLAUSE DELETION ENDORS EMENT
A. It is hereby understood and agreed that any and all of the following provisions or clauses, if contained in this policy are deleted in their entirety:
(1) Full Waiver clause or similar wording that negates any forms and/or endorsements contained in this policy;
(2) Conformance clause or similar wording that amends provisions of this policy which do not conform to applicable statutes;
(3) Policy Authors clause or similar wording that deems the Company the author of this policy. (4) Any reference to adding or endorsing additional perils not specifically stated at inception without prior company approval.

All other terms and conditions of this policy apply.

AUTHORIZED REPRESENTATIVE DATE
PSP-00024(5-22) Page 1 of 1
Paragon Specialty Property
Underwriting
on behalf of the Carriers shown on the Declarations Page PSP-00028 (9-22) Page 1 of 1

ATTACHED TO AND

FORMING

A PART OF

POLICY NUMBER

ENDORSEMENT EFFECTIVE DATE
(12:01
A.M. STANDARD TIME) NAMED INSURED AGENT NO.

SP208269-00 6/30/2025 FIRM FOUNDATION COMMUNITY HOUSING

COVERED TERRITORY
Coverage under this policy is applicable to all 50 states of the United States and the District of Columbia. This endorsement replaces any other territory clause/endorsement contained within the policy.

Paragon
Specialty Property
Underwriting on behalf of the Carriers shown on the Declarations Page PSP-00030 (3-23) Page 1 of 1
THIS
ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

NAMED WINDSTORM—FLOOD DEFINITION
Notwithstanding any other provision in this policy or any underlying policy(ies), flood coverage, whether resulting from a named windstorm or not, is provided by this policy only and exclusively under the flood coverage provision and pursuant to the flood sublimit (if purchased) of this policy. Coverage for flood is not included under the named windstorm provision or within the named windstorm sublimit, even if the definition of named windstorm includes the term “flood.” Notwithstanding any other provision in this policy or any underlying policy(ies), if the definition of named windstorm does not include the term “storm surge,” then storm surge will be treated as flood under the policy and will be subject to the flood sublimit (if purchased).

For purposes of this Endorsement, the term named windstorm shall include the following terms that may be used elsewhere in this policy or any underlying policy(ies): named windstorm, named storm, named wind, and hurricane.

Para
gon Specialty Property
Underwriting on behalf of the Carriers shown on the Declarations Page PSP-00033 (11-23) Page 1 of 1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

Excluded Perils Endorsement
In addition to perils excluded elsewhere in this policy and/or the primary policy, t his Policy does not insure against loss or damage caused directly or indirectly by or resulting from any of the following, if the box is checked. Except as otherwise specifically stated, these exclusions apply to and limit or bar coverage under this Policy for loss or damage that may be covered by “underlying insurance”.

1. ☒ This policy excludes the peril of Flood, unless loss or damage from a peril insured herein ensues and then this policy shall cover for such ensuing loss or damage.

2. ☒ This policy excludes the peril of Earthquake, earth movement, volcanic eruption, explosion or effusion, unless loss or damage from a peril insured herein ensues and then this policy shall cover for such ensuing loss or damage.

3. ☐ This policy excludes the peril of Named Windstorm, named storm and hurricane, unless loss or damage from a peril insured herein ensues and then this policy shall cover for such ensuing loss or damage.

4. ☐ This policy excludes the peril of windstorm or hail and any rain, snow, sand, or dust, whether driven by wind or not, if the loss or damage would not have occurred but for the windstorm or hail, unless loss or damage from a peril insured herein ensues and then this policy shall cover for such ensuing loss or damage.

5. ☒ This policy excludes electrical damage or disturbance to electrical appliances, devices, or wiring caused by electrical currents artificially generated unless loss or damage from a peril insured herein ensues and then this policy shall cover for such ensuing loss or damage.

6. ☒ This policy excludes the peril of Storm Surge, unless loss or damage from a peril insured herein ensues and then this policy shall cover for such ensuing loss or damage.

Para
gon Specialty Property
Underwriting on behalf of the Carriers shown on the Declarations Page PSP-00034 (11-23) Page 1 of 1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

Additional Interests Endorsement
This endorsement modifies insurance provided under this policy:

Additional Interests under this Policy, including Named Insureds, Additional Insureds, Additional Named Insureds, Mortgagees, Lender Loss Payees or Loss Payees, are the same as the Additional Interests identified in the “primary underlying insurance” that have an interest in the “covered property”. Loss or damage covered under this Policy will be payable to such Additional Interests as their interests may appear and in accordance with the terms, conditions, limitations, and exclusions of this Policy.

Nothing in this endorsement increases the Excess Limit of Liability and Participation shown in the Declarations.

ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED

Paragon Specialty Property
Underwriting on behalf of the Carriers shown on the Declarations Page

PSP-00035 (12-23) Page 1 of 1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

LIMITATIONS ON COVERAGE FOR ROOF SURFACING
This Endorsement Changes the Policy, Please Read it Carefully.

We do not cover “Roof Dents” to any “Roof Covering” or “Rooftop Component” caused by the perils of wind or hail.
“Roof Dents” means changes in physical condition caused by the perils of wind or hail that alters the appearance of the “Roof Covering” or “Rooftop Component” but does not allow the immediate penetration of water or moisture through the “Roof Covering” or “Rooftop Component”. “Roof Dents” includes spatter/splatter marks on oxidized surfaces, blemishes, dents, dings, dimples, chips, marring, pitting, scratches, gouges, grooves, or other similar damage, including any asso- ciated loss of adhesion at the “Roof Dents” location, to the “Roof Covering” or “Rooftop Compo- nent.”
“Roof Covering” means the roofing system surface material and insulation below. “Rooftop Component” means flashing, vent caps, trim, drip edge, HVAC equipment, vents, piping, and other items on the surface of the roof.

It is the specific intent of this Endorsement to exclude coverage for “Roof Dents” caused by wind or hail to metal roofing, membrane roofing, insulation, and any other “Roof Covering” or “Rooftop Component” that does not allow the immediate penetration of water or moisture through the “Roof Covering” or “Rooftop Component.” We do cover changes in physical condition caused by hail or wind to any “Roof Covering” or “Rooftop Component” that allows the immediate penetration of water or moisture through the “Roof Covering” or “Rooftop Component.” We do cover changes in physical condition caused by wind or hail to any “Rooftop Component” that must be replaced as a necessary part of completing repairs or replacement to any “Roof Covering” caused by the perils of wind or hail otherwise covered by this Policy.

This Endorsement does not apply to “Roof Dents” to any “Roof Covering” or “Rooftop Component” that are visible from the ground.

ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED
Para
gon Specialty Property
Underwriting on behalf of the Carriers shown on the Declarations Page PSP-00036 (1-24) Page 1 of 1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ASBESTOS ENDORSEMENT
A. This Policy only insures asbestos physically incorporated in an insured building or structure, and then only that part of the asbestos which has been physically damaged during the period of insurance by one of these Listed Perils:
fire; ex
plosion; lightning; windstorm; hail; direct impact of vehicle, aircraft or ves- sel; riot or civil commotion, vandalism or malicious mischief; or accidental dis- charge of fire protective equipment.

This cov
erage is subject to each of the following specific limitations:

1. The sa
id building or structure must be insured under this Policy for damage by that Listed Peril.

2. The Lis
ted Peril must be the immediate, sole cause of the damage of the asbestos.

3. The Ass
ured must report to Underwriters the existence and cost of the damage as soon as practicable after the Listed Peril first damaged the asbestos. However, this Policy does not insure any such damage first reported to the Underwriters more than 12 (twelve) months after the expiration, or termination, of the period of insurance.

4. Insuranc
e under this Policy in respect of asbestos shall not include any sum relating to:
(i) any faul
ts in the design, manufacture or installation of the asbestos; (ii) asbest
os not physically damaged by the Listed Peril including any govern- mental or regulatory authority direction or request of whatsoever nature re- lating to undamaged asbestos.

B. Except as s
et forth in the foregoing Section A, this Policy does not insure asbestos or any sum relating thereto.

All o
ther provisions of the policy apply.

IL N 018 01 22
IL N 018 01 22 © Insurance Services Office, Inc., 2021 Page 1 of 1

CALIFORNIA FRAUD STATEMENT
For your protection, California law requires the following to appear on this form: Any person who knowingly presents false or fraudulent information to obtain or amend insurance coverage or to make a claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison.

IL 00 17 11 98
IL 00 17 11 98 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 

COMMON POLICY CONDITIONS
All Coverage Parts included in this policy are subject to the following conditions.

A. Cancellation

1. The first Named Insured shown in the Declara-
tions may cancel this policy by mailing or deliv-
ering to us advance written notice of cancella-
tion.

2. We may cancel this policy by mailing or deliver-
ing to the first Named Insured written notice of
cancellation at least:
a. 10 days before the effective date of cancel-
lation if we cancel for nonpayment of pre-
mium; or
b. 30 days before the effective date of cancel-
lation if we cancel for any other reason.

3. We will mail or deliver our notice to the first
Named Insured's last mailing address known to
us.

4. Notice of cancellation will state the effective
date of cancellation. The policy period will end
on that date.

5. If this policy is cancelled, we will send the first
Named Insured any premium refund due. If we
cancel, the refund will be pro rata. If the first
Named Insured cancels, the refund may be less
than pro rata. The cancellation will be effective
even if we have not made or offered a refund.

6. If notice is mailed, proof of mailing will be suffi- cient proof of notice.

B. Changes
This policy contains all the agreements between
you and us concerning the insurance afforded. The
first Named Insured shown in the Declarations is
authorized to make changes in the terms of this pol-
icy with our consent. This policy's terms can be
amended or waived only by endorsement issued by
us and made a part of this policy.

C. Examination Of Your Books And Records
We may examine and audit your books and records
as they relate to this policy at any time during the
policy period and up to three years afterward.

D. Inspections And Surveys

1. We have the right to:
a. Make inspections and surveys at any time;
b. Give you reports on the conditions we find;
and
c. Recommend changes.

2. We are not obligated to make any inspections,
surveys, reports or recommendations and any
such actions we do undertake relate only to in-
surability and the premiums to be charged. We
do not make safety inspections. We do not un-
dertake to perform the duty of any person or or-
ganization to provide for the health or safety of
workers or the public. And we do not warrant
that conditions:
a. Are safe or healthful; or
b. Comply with laws, regulations, codes or
standards.

3. Paragraphs 1. and 2. of this condition apply not
only to us, but also to any rating, advisory, rate
service or similar organization which makes in-
surance inspections, surveys, reports or recom-
mendations.

4. Paragraph 2. of this condition does not apply to
any inspections, surveys, reports or recommen-
dations we may make relative to certification,
under state or municipal statutes, ordinances or
regulations, of boilers, pressure vessels or ele-
vators.

E. Premiums
The first Named Insured shown in the Declarations:

1. Is responsible for the payment of all premiums;
and

2. Will be the payee for any return premiums we
pay.

F. Transfer Of Your Rights And Duties Under This
Policy
Your rights and duties under this policy may not be
transferred without our written consent except in the
case of death of an individual named insured.

If you die, your rights and duties will be transferred
to your legal representative but only while acting
within the scope of duties as your legal representa-
tive. Until your legal representative is appointed,
anyone having proper temporary custody of your
property will have your rights and duties but only
with respect to that property.

IL 01 02 05 05
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

IL 01 02 05 05 © ISO Properties, Inc., 2005 Page 1 of 1  CALIFORNIA CHANGES – ACTUAL CASH VALUE
This en
dorsement modifies insurance provided under the following:

CAPITAL ASSETS PROGRAM (OUTPUT POLICY) COVERAGE PART

COMMERCIAL INLAND MARINE COVERAGE PART

COMMERCIAL PROPERTY COVERAGE PART

FARM COVERAGE PART

STANDARD PROPERTY POLICY
With r
espect to an "open policy", the following are
added to any provision which uses the term actual
cash value:

A. In the event of a total loss to a building or struc- ture, actual cash value is calculated as the lesser
of the following:

1. The Limit of Insurance applicable to that
building or structure; or

2. The fair market value of the building or struc-
ture.

B. In the event of a partial loss to a building or struc- ture, actual cash value is calculated as the lesser
of the following:

1. The amount it would cost to repair, rebuild or
replace the property less a fair and reasona-
ble deduction for physical depreciation of the
components of the building or structure that
are normally subject to repair or replacement
during its useful life. Physical depreciation is
based upon the condition of the property at
the time of the loss; or

2. The Limit of Insurance applicable to the prop-
erty.

C. In the event of a partial or total loss to Cov ered
Property other than a building or struc ture, actual
cash value is calculated as the lesser of the fo l-
lowing:

1. The amount it would cost to repair or replace
the property less a fair and reasonable de-
duction for physical depreciation, based on
the condition of the property at the time of
loss; or

2. The Limit of Insurance applicable to the prop-
erty.

D. An "open policy" is a policy under which the
value of Covered Property is not fixed at policy
inception, but is determined at the time of loss in
accordance with policy provisions on valuation.

The term "open policy" does not apply to Cov-
ered Property that is subject to an Agreed Value
clause or similar clause that establishes an
agreed value prior to loss, unless such clause
has expired.

IL 01 04 07 20

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

IL 01 04 07 20 © Insurance Services Office, Inc., 2020 Page 1 of 2

CALIFORNIA CHANGES

This endorsement modifies insurance provided under the following:

COMMERCIAL INLAND MARINE COVERAGE PART

COMMERCIAL PROPERTY COVERAGE PART

EQUIPMENT BREAKDOWN COVERAGE PART
FARM COVERAGE PART – FARM PROPERTY – OTHER FARM PROVISIONS FORM – ADDITIONAL

COVERAGES, CONDITIONS, DEFINITIONS
FARM COVERAGE PART – LIVESTOCK COVERAGE FORM
FARM COVERAGE PART – MOBILE AGRICULTURAL MACHINERY AND EQUIPMENT COVERAGE FORM

STANDARD PROPERTY POLICY

A. When this endorsement is attached to the Standard
Property Policy CP 00 99 the term Coverage Part
in this endorsement is replaced by the term Policy.

B. The Concealment, Misrepresentation Or Fraud
Condition is replaced by the following with respect
to loss ("loss") or damage caused by fire:

We do not provide coverage to the insured
("insured") who, whether before or after a loss
("loss"), has committed fraud or intentionally
concealed or misrepresented any material fact or
circumstance concerning:

1. This Coverage Part;

2. The Covered Property;

3. That insured' s ("insured's") interest in the
Covered Property; or

4. A claim under this Coverage Part or Coverage
Form.

C. The Concealment, Misrepresentation Or Fraud
Condition is replaced by the following with respect
to loss ("loss") or damage caused by a Covered
Cause of Loss other than fire:

This Coverage Part is void if any insured
("insured"), whether before or after a loss ("loss"),
has committed fraud or intentionally concealed or
misrepresented any material fact or circumstance
concerning:

1. This Coverage Part;

2. The Covered Property;

3. An insured' s ("insured's") interest in the
Covered Property; or

4. A claim under this Coverage Part or Coverage
Form.

D. Except as provided in E., the Appraisal Condition
is replaced by the following:

If we and you disagree on the value of the property
or the actual cash value or the amount of loss
("loss"), either may make written request for an
appraisal of the loss ("loss"). In this event, each
party will select a competent and impartial
appraiser. However, in the event of a government-
declared disaster, as defined in the Government
Code, appraisal may be requested by either you or
us but shall not be compelled. Each party shall
notify the other of the appraiser selected within 20
days of the request. The two appraisers will select
an umpire. If they cannot agree within 15 days,
either may request that selection be made by a
judge of a court having jurisdiction. The appraisers
will state separately the value of the property and
actual cash value and amount of loss ( "loss"). If
they fail to agree, they will submit their differences
to the umpire. A decision agreed to by any two will
set the amount of actual cash value and loss
("loss") and will be binding. Each party will:

1. Pay its chosen appraiser; and

Page 2 of 2 ends

2. Bear the other expenses of the appraisal and
umpire equally.

If there is an appraisal, we will still retain our right to deny the claim.

E. The Appraisal Condition in:

1. Business Income (And Extra Expense)
Coverage Form CP 00 30; and

2. Business Income (Without Extra Expense)
Coverage Form CP 00 32;
is replaced by the following:

If we and you disagree on the amount of Net
Income and operating expense or the amount of
loss, either may make written request for an
appraisal of the loss. If the request is accepted,
each party will select a competent and impartial
appraiser. Each party shall notify the other of the
appraiser selected within 20 days of the request.

The two appraisers will select an umpire. If they
cannot agree within 15 days, either may reques t
that selection be made by a judge of a court having
jurisdiction. The appraisers will state separately the
amount of Net Income and operating expense or
amount of loss. If they fail to agree, they will submit their differences to the umpire. A decision agreed to
by any two will be binding. Each party will:
a. Pay its chosen appraiser; and
b. Bear the other expenses of the appraisal and
umpire equally.

If there is an appraisal, we will still retain our right to deny the claim.

POLICY NUMBER:SP208269-00 IL 09 53 01 15
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

IL 09 53 01 15 © Insurance Services Office, Inc., 2015 Page 1 of 2

EXCLUSION OF CERTIFIED ACTS OF TERRORISM
This endorsement modifies insurance provided under the following:

BOILER AND MACHINERY COVERAGE PART

COMMERCIAL INLAND MARINE COVERAGE PART

COMMERCIAL PROPERTY COVERAGE PART

CRIME AND FIDELITY COVERAGE PART

EQUIPMENT BREAKDOWN COVERAGE PART

FARM COVERAGE PART

STANDARD PROPERTY POLICY

SCHEDULE
The Exception Covering Certain Fire Losses
(Paragraph C) applies to property located in the following state(s), if covered under the indicated Coverage Form, Coverage Part or Policy:

State(s) Coverage Form, Coverage Part Or Policy
Commercial Property Coverage
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

A. The following definition is added with respect to
the provisions of this endorsement:
"Certified act of terrorism" means an act that is
certified by the Secretary of the Treasury, in
accordance with the provisions of the federal
Terrorism Risk Insurance Act, to be an act of
terrorism pursuant to such Act. The criteria
contained in the Terrorism Risk Insurance Act for
a "certified act of terrorism" include the following:

1. The act resulted in insured
losses in excess of
$5 million in the aggregate, attributable to all
types of insurance subject to the Terrorism
Risk Insurance Act; and

2. The act is a
violent act or an act that is
dangerous to human life, property or
infrastructure and is committed by an individual
or individuals as part of an effort to coerce the
civilian population of the United States or to
influence the policy or affect the conduct of the
United States Government by coercion.

B. The following exclusion
is added:

CERTIFIED ACT OF TERRORISM EXCLUSION
We will not pay for loss or damage caused directly
or indirectly
by a "certified act of terrorism". Such
loss or damage is excluded regardless of any
other cause or event that contributes concurrently
or in any sequence to the loss.

C. Exception Covering
Certain Fire Losses
The following exception to the exclusion in
Paragraph B. applies only if indicated and as
indicated in the Schedule of this endorsement.

If a "certified act of terrorism" results in fire, we will pay for the
loss or damage caused by that fire.

Such coverage for fire applies only to direct loss or
damage by fire to Covered Property. Therefore, for
example, the coverage does not apply to
insurance provided under Business Income and/or
Extra Expense coverage forms or endorsements
which apply to those forms, or to the Legal Liability
Coverage Form or the Leasehold Interest
Coverage Form.

Page 2 of 2 ends

If aggregate insured losses attributable to terrorist
acts certified under the Terrorism Risk Insurance
Act exceed $100 billion in a calendar year and we
have met our insurer deductible under the
Terrorism Risk Insurance Act, we shall not be
liable for the payment of any portion of the amount
of such losses that exceeds $100 billion, and in
such case insured losses up to that amount are
subject to pro rata allocation in accordance with
procedures established by the Secretary of the
Treasury.

D. Application Of
Other Exclusions
The terms and limitations of any terrorism
exclusion, or the inapplicability or omission of a
terrorism exclusion, do not serve to create
coverage for any loss which would otherwise be
excluded under this Coverage Part or Policy, such
as losses excluded by the Nuclear Hazard
Exclusion or the War And Military Action
Exclusion.

NOTX0650CW (03-24) Page 1 of 3

National Casualty Company
Scottsdale Indemnity Company
Scottsdale Insurance Company
Scottsdale Surplus Lines Insurance Company
Harleysville Insurance Company of New York
NOTICE—FRAUD WARNINGS
FRAUD WARNING: Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false infor- mation or conceals for the purpose of misleading, information concerning any fact material thereto com- mits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties. (Not applicable in AL, AR, CA, CO, DC, FL, KS, KY, LA, ME, MD, MN, NE, NJ, NY, OH, OK, OR, PR, RI, TN, VA, VT, or WA.)
NOTICE TO ALABAMA APPLICANTS: Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or who knowingly presents false information in an application for insur- ance is guilty of a crime and may be subject to restitution fines or confinement in prison, or any combina- tion thereof.

NOTICE TO CALIFORNIA APPLICANTS. For your protection California law requires the following to appear on this form: Any person who knowingly presents false or fraudulent information to obtain or amend insurance coverage or to make a claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison.

NOTICE TO COLORADO APPLICANTS: It is unlawful to knowingly provide false, incomplete, or mis- leading facts or information to an insurance company for the purpose of defrauding or attempting to de- fraud the company. Penalties may include imprisonment, fines, denial of insurance, and civil damages.

Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or information to a policy holder or claimant for the purpose of defrauding or attempting to defraud the policy holder or claimant with regard to a settlement or award payable from insurance pro- ceeds shall be reported to the Colorado Division of Insurance within the Department of Regulatory Agen- cies.

WARNING TO DISTRICT OF COLUMBIA APPLICANTS: It is a crime to provide false or misleading in- formation to an insurer for the purpose of defrauding the insurer or any other person. Penalties include imprisonment and/or fines. In addition, an insurer may deny insurance benefits if false information materi- ally related to a claim was provided by the applicant.

NOTICE TO FLORIDA APPLICANTS: Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or mis- leading information is guilty of a felony of the third degree.

NOTICE TO KANSAS APPLICANTS: Any person who, knowingly and with intent to defraud, presents, causes to be presented or prepares with knowledge or belief that it will be presented to or by an insurer, purported insurer, broker or any agent thereof, any written, electronic, electronic impulse, facsimile, mag- netic, oral, or telephonic communication or statement as part of, or in support of, an application for the is- suance of, or the rating of an insurance policy for personal or commercial insurance, or a claim for payment or other benefit pursuant to an insurance policy for commercial or personal insurance which such person knows to contain materially false information concerning any fact material thereto; or con- ceals, for the purpose of misleading, information concerning any fact material thereto, commits a fraudu- lent insurance act, which is a crime and subjects such person to criminal and civil penalties.

NOTX0650CW (03-24) Page 2 of 3
NOTICE TO KENTUCKY APPLICANTS: Any person who knowingly and with intent to defraud any insur- ance company or other person files an application for insurance containing any materially false infor- mation or conceals, for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime.

NOTICE TO MAINE APPLICANTS: It is a crime to knowingly provide false, incomplete or misleading in- formation to an insurance company for the purpose of defrauding the company. Penalties may include imprisonment, fines or a denial of insurance benefits.

NOTICE TO MARYLAND APPLICANTS: Any person who knowingly or willfully presents a false or fraud- ulent claim for payment of a loss or benefit or who knowingly or willfully presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.

NOTICE TO MINNESOTA APPLICANTS: A person who files a claim with intent to defraud or helps commit a fraud against an insurer is guilty of a crime.

NOTICE TO NEW JERSEY APPLICANTS: Any person who includes any false or misleading information on an application for an insurance policy is subject to criminal and civil penalties.

NOTICE TO OHIO APPLICANTS: Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive state- ment is guilty of insurance fraud.

NOTICE TO OKLAHOMA APPLICANTS: Any person who knowingly, and with intent to injure, defraud or deceive any insurer, makes any claim for the proceeds of an insurance policy containing any false, in- complete or misleading information is guilty of a felony.

NOTICE TO OREGON APPLICANTS: Any person who intentionally presents a materially false statement in an application for insurance may be guilty of fraud and subject to penalties under state law.

NOTICE TO PUERTO RICO APPLICANTS: Any person who knowingly and with the intention of defraud- ing presents false information in an insurance application, or presents, helps, or causes the presentation of a fraudulent claim for the payment of a loss or any other benefit, or presents more than one claim for the same damage or loss, shall incur a felony and, upon conviction, shall be sanctioned for each violation by a fine of not less than five thousand dollars ($5,000) and not more than ten thousand dollars ($10,000), or a fixed term of imprisonment for three (3) years, or both penalties. Should aggravating cir- cumstances be present, the penalty thus established may be increased to a maximum of five (5) years, if extenuating circumstances are present, it may be reduced to a minimum of two (2) years.

FRAUD WARNING (APPLICABLE IN ARKANSAS, LOUISIANA AND RHODE ISLAND): Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and con- finement in prison.

FRAUD WARNING (APPLICABLE IN VERMONT AND NEBRASKA): Any person who intentionally pre- sents a materially false statement in an application for insurance may be guilty of a criminal offense and subject to penalties under state law.

FRAUD WARNING (APPLICABLE IN TENNESSEE, VIRGINIA AND WASHINGTON): It is a crime to knowingly provide false, incomplete, or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines, and denial of insurance benefits.

NEW YORK OTHER THAN AUTOMOBILE FRAUD WARNING: Any person who knowingly and with in- tent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also NOTX0650CW (03-24) Page 3 of 3

be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claim for each such violation.

NEW YORK AUTOMOBILE FRAUD WARNING: Any person who knowingly and with intent to defraud any insurance company or other person files an application for commercial insurance or a statement of claim for any commercial or personal insurance benefits containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, and any person who, in connection with such application or claim, knowingly makes or knowingly assists, abets, solicits or conspires with another to make a false report of the theft, destruction, damage or conversion of any motor vehicle to a law enforcement agency, the department of motor vehicles or an insurance company, com- mits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty not to exceed five thousand dollars and the value of the subject motor vehicle or stated claim for each violation.

APPLICABLE LAW (U.S.A.)
This
Insurance shall be subject to the applicable state law to be determined by the court of competent jurisdiction as determined by the provisions of the Service of Suit Clause (U.S.A.)
LMA5021
14/09/2005
CPJ0001 ( 7/24)
This Insurance is effected with Convex Insurance UK Limited This Insured is requested to read this Certificate, and if it is not correct, return it immediately to the Correspondent for appropriate alteration.

All inquiries regarding this Certificate should
be addressed to the following Correspondent:

Biological or Chemical Materials Exclusion

It is agreed that this Insurance excludes loss, damage, cost or expense of whatsoever nature directly or indirectly caused by, resulting from or in connection with the actual or threatened malicious use of pathogenic or poisonous biological or chemical materials regardless of any other cause or event contributing concurrently or in any other sequence thereto.

NMA2962
06/02/03
Form approved by Lloyd’s Market Association [Non-Marine]

CANCELLATION CLAUSE
NOTWITHSTANDING anything contained in this Insurance to the contrary this Insurance may be cancelled by
the Assured at any time by written notice or by surrendering of this contract of insurance. This Insurance may also be cancelled by or on behalf of the Underwriters by delivering to the Assured or by mailing to the Assured, by registered, certified or other first class mail, at the Assured's address as shown in this Insurance, written notice stating when, not less than 90 days thereafter, the cancellation shall be effective. The mailing of notice as aforesaid shall be sufficient proof of notice and this Insurance shall terminate at the date and hour specified in such notice.

If this Insurance shall be cancelled by the Assured the Underwriters shall retain the customary short rate proportion of the
premium hereon, except that if this Insurance is on an adjustable basis the Underwriters shall receive the earned premium hereon or the customary short rate proportion of any minimum premium stipulated herein whichever is the greater.

If this Insurance shall be cancelled by or on behalf of the Underwriters the Underwriters shall retain
the pro rata proportion of the premium hereon, except that if this Insurance is on an adjustable basis the Underwriters shall receive the earned premium hereon or the pro rata proportion of any minimum premium stipulated herein whichever is the greater.

Payment or tender of any unearned premium by the Underwriters shall not be a condition precedent
to the effectiveness of Cancellation but such payment shall be made as soon as practicable.

If the period of limitation relating to the giving of
notice is prohibited or made void by any law
controlling the construction thereof, such period shall be deemed to be amended so as to be equal to the minimum period of limitation permitted by such law.

NMA 1331
20/04/1961
Para
gon Specialty Property
Underwriting on behalf of the Carriers listed Below
PSP-00002a (8-24) Page 1 of 1

CLAIM REPORTING INFORMATION
Convex Insurance UK
THE NAME AND ADDRESS TO WHOM THE INSURED SHOULD DIRECT ALL CLAIMS:

Convex Claims Management Referrals:

Convex Insurance UK Limited Claims Email: [email protected] In order to expedite this process, please be prepared to furnish as much of the following information as possible:
• Your policy number
• Date, time, and location of the loss/accident
• Details of the loss/accident
• Name, address, and phone number of any involved parties • If applicable, name of law enforcement agency or fire department along with the incident number Plea
se refer to your policy for specific claim reporting requirements.

COMMUNICABLE DISEASE ENDORSEMENT
(For use on property policies)

1. This policy, subject to all applicable terms, conditions and exclusions, covers losses attributable to direct physical loss or physical damage occurring during the period of insurance. Consequently and notwithstanding any other provision of this policy to the contrary , this policy does not insure any loss, damage, claim, cost, expense or other sum , directly or indirectly arising out of, attributable to, or occurring concurrently or in any sequence with a Communicable Disease or the fear or threat (whether actual or perceived) of a Communicable Disease.

2. For the purposes of this endorsement, loss, damage, claim, cost, expense or other sum, includes, but is not limited to, any cost to clean-up, detoxify, remove, monitor or test:

2.1. for a Communicable Disease, or

2.2. any property insured hereunder that is affected by such Communicable Disease.

3. As used herein, a Communicable Disease means any disease which can be transmitted by means of any substance or agent from any organism to another organism where:

3.1. the substance or agent includes, but is not limited to, a virus, bacterium, parasite or other organism or any variation thereof, whether deemed living or not, and

3.2. the method of transmission, whether direct or indirect, includes but is not limited to, airborne transmission, bodily fluid transmission, transmission from or to any surface or object, solid, liquid or gas or between organisms, and

3.3. the disease, substance or agent can cause or threaten damage to human health or human welfare or can cause or threaten damage to, deterioration of, loss of value of, marketability of or loss of use of property insured hereunder.

4. This endorsement applies to all coverage extensions, additional coverages, exceptions to any exclusion and other coverage grant(s).

All other terms, conditions and exclusions of the policy remain the same.

LMA5393
25 March 2020

ELECTRONIC DATE RECOGNITION EXCLUSION (EDRE)

This policy does not cover any loss, damage, cost, claim or expense, whether preventative, remedial or otherwise, directly or indirectly arising out of or relating to:

a) the calculation, comparison, differentiation, sequencing or processing of data involving the date change to the year 2000, or any other date change, including leap year calculations, by any computer system, hardware, programme or software and/or any microchip, integrated circuit or similar device in computer equipment or non -computer equipment, whether the property of the insured or not; or

b) any change, alteration, or modification involving the date change to the year 2000, or any other date change, including leap year calculations, to any such computer system, hardware, programme or software and/or any microchip, integrated circuit or similar device in computer equipment or non -computer equipment, whether the property of the insured or not.

This clause applies regardless of any other cause or event that contributes concurrently or in any sequence to the loss, damage, cost, claim or expense.

EDRE

NMA2802

17/12/1997

Fraudulent Claim Clause

If the (re)insured shall make any claim knowing the same to be false or fraudulent, as regards amount or otherwise, this contract shall become void and all claim hereunder shall be forfeited.

LMA5062

4 September 2006

MICROORGANISM EXCLUSION (Absolute)

This Policy does not insure any loss, damage, claim, cost, expense or other sum directly or indirectly arising out of or relating to:

mold, mildew, fungus, spores or other microorganism of any type, nature, or description, including but not limited to any substance whose presence poses an actual or potential threat to human health.

This Exclusion applies regardless whether there is (i) any physical loss or damage to insured property; (ii) any insured peril or cause, whether or not contributing concurrently or in any sequence; (iii) any loss of use, occupancy, or functionality; or (iv) any action required, including but not limited to repair, replacement, removal, cleanup, abatement, disposal, relocation, or steps taken to address medical or legal concerns.

This Exclusion replaces and supersedes any provision in the Policy that provides insurance, in whole or in part, for these matters.

LMA5018

14/09/2005

NOTICE:

1. THE INSURANCE POLICY THAT YOU ARE APPLYING TO PURCHASE IS BEING ISSUED BY

AN INSURER
THAT IS NOT LICENSED BY THE STATE OF CALIFORNIA. THESE
COMPANIES ARE CALLED “NONADMITTED” OR “SURPLUS LINE” INSURERS.

2. THE INSURER IS NOT SUBJECT TO THE FINANCIAL SOLVENCY REGULATION AND

ENFORCEMENT THAT APPLY TO CALIFORNIA LICENSED
INSURERS.

3. THE INSURER DOES NOT PARTICIPATE IN ANY OF THE INSURANCE GUARANTEE FUNDS

CREATED BY
CALIFORNIA LAW. THEREFORE, THESE FUNDS WILL NOT PAY YOUR

CLAIMS OR PROTECT YOUR ASSETS IF THE INSURER BECOMES INSOLVENT AND IS UNABLE TO MAKE PAYMENTS AS PROMISED.

4. THE INSURER SHOULD BE LICENSED EITHER AS A FOREIGN INSURER IN ANOTHER

STATE IN
THE UNITED STATES OR AS A NON-UNITED STATES (ALIEN) INSURER. YOU SHOULD ASK QUESTIONS OF YOUR INSURANCE AGENT, BROKER, OR “SURPLUS LINE”

BROKER OR CONTACT THE CALIFORNIA DEPARTMENT OF INSURANCE AT THE FOLLOWING TOLL-FREE TELEPHONE NUMBER 1-800-927-4357. ASK WHETHER OR NOT

THE INSURER IS LICENSED AS A FOREIGN OR NON-UNITED STATES (ALIEN) INSURER AND FOR ADDITIONAL INFORMATION ABOUT THE INSURER. YOU MAY ALSO CONTACT THE NAIC’S INTERNET WEB SITE AT WWW.NAIC.ORG .

5. FOREIGN INSURERS SHOULD BE LICENSED BY A STATE IN THE UNITED STATES AND YOU MAY CONTACT THAT STATE’S DEPARTMENT OF INSURANCE TO OBTAIN MORE INFORMATION ABOUT THAT INSURER.

6. FOR NON-UNITED STATES (ALIEN) INSURERS, THE INSURER SHOULD BE LICENSED BY A COUNTRY OUTSIDE OF THE UNITED STATES AND SHOULD BE ON THE NAIC’S

INTERNATIONAL INSURERS DEPARTMENT (IID) LISTING OF APPROVED NONADMITTED NON-UNITED STATES INSURERS. ASK YOUR AGENT, BROKER, OR “SURPLUS LINE” BROKER TO OBTAIN MORE INFORMATION ABOUT THAT INSURER.

7. CALIFORNIA MAINTAINS A LIST OF APPROVED SURPLUS LINE INSURERS. ASK YOUR

AGENT OR BROKER IF THE INSURER IS ON THAT LIST, OR VIEW THAT LIST AT THE INTERNET WEB SITE OF THE CALIFORNIA DEPARTMENT OF INSURANCE:

WWW.INSURANCE.CA.GOV .

8. IF YOU, AS THE APPLICANT, REQUIRED THAT THE INSURANCE POLICY YOU HAVE

PURCHASED BE

BOUND IMMEDIATELY, EITHER BECAUSE EXISTING COVERAGE WAS

GOING TO LAPSE WITHIN TWO BUSINESS DAYS OR BECAUSE YOU WERE REQUIRED TO

HAVE COVERAGE WITHIN TWO BUSINESS DAYS, AND YOU DID NOT RECEIVE THIS

DISCLOSURE FORM AND A REQUEST FOR YOUR SIGNATURE UNTIL AFTER COVERAGE

BECAME EFFECTIVE, YOU HAVE THE RIGHT TO CANCEL THIS POLICY WITHIN FIVE DAYS OF RECEIVING THIS DISCLOSURE. IF YOU CANCEL COVERAGE, THE PREMIUM WILL BE PRORATED AND ANY BROKER’S FEE CHARGED FOR THIS INSURANCE WILL

BE RETURNED TO
YOU
Date: ………………………………………………………………
Insured: ………………………………………………….………
07/11
LSW1146D
NOTICE:

1. THE INSURANCE POLICY THAT YOU HAVE PURCHASED IS BEING ISSUED BY AN INSURER THAT IS NOT LICENSED BY THE STATE OF CALIFORNIA. THESE COMPANIES ARE CALLED “NONADMITTED” OR “SURPLUS LINE” INSURERS.

2. THE INSURER IS NOT SUBJECT TO THE FINANCIAL SOLVENCY REGULATION AND ENFORCEMENT THAT APPLY TO CALIFORNIA LICENSED INSURERS.

3. THE INSURER DOES NOT PARTICIPATE IN ANY OF THE INSURANCE GUARANTEE FUNDS CREATED BY CALIFORNIA LAW. THEREFORE, THESE FUNDS WILL NOT PAY YOUR

CLAIMS OR PROTECT YOUR ASSETS IF THE INSURER BECOMES INSOLVENT AND IS UNABLE TO MAKE PAYMENTS AS PROMISED.

4. THE INSURER SHOULD BE LICENSED EITHER AS A FOREIGN INSURER IN ANOTHER STATE IN THE UNITED STATES OR AS A NON -UNITED STATES (ALIEN) INSURER. YOU SHOULD ASK QUESTIONS OF YOUR INSURANCE AGENT, BROKER, OR “SURPLUS LINE”

BROKER OR CONTACT THE CALIFORNIA DEPARTMENT OF INSURANCE AT THE FOLLOWING TOLL-FREE TELEPHONE NUMBER 1 -800-927-4357. ASK WHETHER OR NOT

THE INSURER IS LICENSED AS A FOREIGN OR NON- UNITED STATES (ALIEN) INSURER AND FOR ADDITIONAL INFORMATION ABOUT THE INSURER. YOU MAY ALSO CONTACT THE NAIC’S INTERNET WEB SITE AT WWW.NAIC.ORG .

5. FOREIGN INSURERS SHOULD BE LICENSED BY A STATE IN THE UNITED STATES AND YOU MAY CONTACT THAT STATE’S DEPARTMENT OF INSURANCE TO OBTAIN MORE INFORMATION ABOUT THAT INSURER.

6. FOR NON-UNITED STATES (ALIEN) INSURERS, THE INSURER SHOULD BE LICENSED BY A COUNTRY OUTSIDE OF THE UNITED STATES AND SHOULD BE ON THE NAIC’S

INTERNATIONAL INSURERS DEPARTMENT (IID) LISTING OF APPROVED NONADMITTED NON- UNITED STATES INSURERS. ASK YOUR AGENT, BROKER, OR “SURPLUS LINE” BROKER TO OBTAIN MORE INFORMATION ABOUT THAT INSURER.

7. CALIFORNIA MAINTAINS A LIST OF APPROVED SURPLUS LINE INSURERS. ASK YOUR

AGENT OR BROKER IF THE INSURER IS ON THAT LIST, OR VIEW THAT LIST AT THE INTERNET WEB SITE OF THE CALIFORNIA DEPARTMENT OF INSURANCE:

WWW.INSURANCE.CA.GOV .

8. IF YOU, AS THE APPLICANT, REQUIRED THAT THE INSURANCE POLICY YOU HAVE

PURCHASED BE BOUND IMMEDIATELY, EITHER BECAUSE EXISTING COVERAGE WAS

GOING TO LAPSE WITHIN TWO BUSINESS DAYS OR BECAUSE YOU WERE REQUIRED

TO HAVE COVERAGE WITHIN TWO BUSINESS DAYS, AND YOU DID NOT RECEIVE THIS

DISCLOSURE FORM AND A REQUEST FOR YOUR SIGNATURE UNTIL AFTER COVERAGE

BE RETURNED TO YOU
07/11
LSW1147D

PROPERTY CYBER AND DATA ENDORSEMENT
1 Notwithstanding any provision to the contrary within this Policy or any endorsement thereto this Policy excludes any:

1.1 Cyber Loss, unless subject to the provisions of paragraph 2;

1.2 loss, damage, liability, claim, cost, expense of whatsoever nature directly or indirectly caused by, contributed to by, resulting from, arising out of or in connection with any loss of use, reduction in functionality, repair, replacement, restoration or reproduction of any Data, including any amount pertaining to the value of such Data , unless subject to the provisions of paragraph 3;
regardless of any other cause or event contributing concurrently or in any other sequence thereto.
2 Subject to all the terms, conditions, limitations and exclusions of this Policy or any endorsement thereto, this Policy covers physical loss or physical damage to property insured under this Policy caused by any ensuing fire or explosion which directly results from a Cyber Incident, unless that Cyber Incident is caused by, contributed to by, resulting from, arising out of or in connection with a Cyber Act including, but not limited to, any action taken in controlling, preventing, suppressing or remediating any Cyber Act. 3 Subject to all the terms, conditions, limitations and exclusions of this Policy or any endorsement thereto, should Data Processing Media owned or operated by the Insured suffer physical loss or physical damage insured by this Policy, then this Policy will cover the cost to repair or replace the Data Processing Media itself plus the costs of copying the Data from back- up or from originals of a previous generation. These costs will not include research and engineering nor any costs of recreating, gathering or assembling the Data. If such media is not repaired, replaced or restored the basis of valuation shall be the cost of the blank Data Processing Media. However, this Policy excludes any amount pertaining to the value of such Data, to the Insured or any other party, even if such Data cannot be recreated, gathered or assembled.
4 In the event any portion of this endorsement is found to be invalid or unenforceable, the remainder shall remain in full force and effect.
5 This endorsement supers edes and, if in conflict with any other wording in the Policy or any endorsement thereto having a bearing on Cyber Loss, Data or Data Processing Media, replaces that wording.

Definitions
6 Cyber Loss means any loss, damage, liability, claim, cost or expense of whatsoever nature directly or indirectly caused by, contributed to by, resulting from, arising out of or in connection with any Cyber Act or Cyber Incident including, but not limited to, any action taken in controlling, preventing, suppressing or remediating any Cyber Act or Cyber Incident. 7 Cyber Act means an unauthorised, malicious or criminal act or series of related unauthorised , malicious or criminal acts, regardless of time and place, or the threat or hoax thereof involving access to, processing of, use of or operation of any Computer System. 8 Cyber Incident means:

8.1 any error or omission or series of related errors or omissions involving access to, processing of, use of or operation of any Computer System; or

8.2 any partial or total unavailability or failure or series of related partial or total unavailability or failures to access, process, use or operate any Computer System. 9 Computer System means:

9.1 any computer, hardware, software, communications system, electronic device (including, but not limited to, smart phone, laptop, tablet, wearable device), server, cloud or microcontroller including any similar system or any configuration of the aforementioned and including any associated input , output, data storage device, networking equipment or back up facility,
owned or operated by the Insured or any other party.
10 Data means information , facts, concepts, code or any other information of any kind that is recorded or transmitted in a form to be used, accessed, processed, transmitted or stored by a Computer System.
11 Data Processing Media means any property insured by this Policy on which Data can be stored but not the Data itself.

LMA5400
11 November 2019
U.S.A.

RADIO

ACTIVE CONTAMINATION EXCLUSION CLAUSE - PHYSICAL

DAMAGE - DIRECT
(Approved by Lloyd's Underwriters' Non-Marine Association) This p
olicy does not cover any loss or damage arising directly or indirectly from nuclear reaction nuclear radiation or radioactive contamination however such nuclear reaction nuclear radiation or radioactive contamination may have been caused * NEVERTHELESS if Fire is an insured peril and a Fire arises directly or indirectly from nuclear reaction nuclear radiation or radioactive contamination any loss or damage arising directly from that Fire shall (subject to the provisions of this policy) be covered EXCLUDING however all loss or damage caused by nuclear reaction nuclear radiation or radioactive contamination arising directly or indirectly from that Fire.
*Note
- If Fire is not an insured peril under this policy the words "NEVERTHELESS" to the end of the clause do not apply and should be disregarded.
7/5/59
N.M
.A. 1191
Sanctions Suspension Clause
It is a condition of this (re)insurance, and the (re)insured agrees, that the provision of any cover, the payment of any claim and the provision of any benefit hereunder shall be suspended, to the extent that the provision of such cover, payment of such claim or provision of such benefit by the (re)insurer would expose that (re)insurer to any sanction, prohibition or restriction under any:
a. United Nations’ resolution(s); or
b. the trade or economic sanctions, laws or regulations of the European Union, United Kingdom or United States of America.

Such suspension shall continue until such time as the (re)insurer would no longer be exposed to any such sanction, prohibition or restriction.

LMA3200
5 October 2023

LSW1001

SEVERAL LIABILITY NOTICE

The subscribing insurers’ obligations under contracts of insurance to which they subscribe are several and not joint and are limited solely to the extent of their individual subscriptions. The subscribing insurers are not responsible for the subscription of any co-subscribing insurer who for any reason does not satisfy all or part of its obligations.

TERRORISM EXCLUSION ENDORSEMENT
Notwithstanding any provision to the contrary within this insurance or any endorsement thereto it is agreed that this insurance excludes loss, damage, cost or expense of whatsoever nature directly or indirectly caused by, resulting from or in connection with any act of terrorism regardless of any other cause or event contributing concurrently or in any other sequence to the loss.

For the purpose of this endorsement an act of terrorism means an act, including but not limited to
the use of force or violence and/or the threat thereof, of any person or group(s) of persons, whether acting alone or on behalf of or in connection with any organisation(s) or government(s), committed for political, religious, ideological or similar purposes including the intention to influence any government and/or to put the public, or any section of the public, in fear.

This endorsement also
excludes loss, damage, cost or expense of whatsoever nature directly or indirectly caused by, resulting from or in connection with any action taken in controlling, preventing, suppressing or in any way relating to any act of terrorism.

If the Underwriters allege that by reason of this exclusion, any loss, damage, cost or expense is not
covered by this insurance the burden of proving the contrary shall be upon the Assured.

In the event any portion of this endorsement is found to be invalid or unenforceable, the remainder shall remain in full force and effect.

NMA2920
08/10/2001
WAR A

ND CIVIL WAR EXCLUSION CLAUSE
Notwi
thstanding anything to the contrary contained herein this Policy does not cover Loss or Damage directly or indirectly occasioned by, happening through or in consequence of war, invasion, acts of foreign enemies, hostilities (whether war be declared or not), civil war, rebellion, revolution, insurrection, military or usurped power or confiscation or nationalisation or requisition or destruction of or damage to property by or under the order of any government or public or local authority.

N.M.A. 4
64 COMMERCIAL PROPERTY
CP 10 75 12 20

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CP 10 75 12 20 © Insurance Services Office, Inc., 2020 Page 1 of 1

CYBER INCIDENT EXCLUSION

This endorsement modifies insurance provided under the following:

COMMERCIAL PROPERTY COVERAGE PART

STANDARD PROPERTY POLICY

A. The following exclusion is added to Paragraph B.

Exclusions:

We will not pay for loss or damage caused directly
or indirectly by the following. Such loss or damage
is excluded regardless of any other cause or event
that contributes concurrently or in any sequence to
the loss.

Cyber Incident
1 . Unauthorized access to or use of any computer
system (including electronic data).

2. Malicious code, virus or any other harmful code
that is directed at, enacted upon or introduced
into any computer system (including electronic
data) and is designed to access, alter, corrupt,
damage, delete, destroy, disrupt, encrypt,
exploit, use or prevent or restrict access to or
the use of any part of any computer system
(including electronic data) or otherwise disrupt
its normal functioning or operation.

3. Denial of service attack which disrupts,
prevents or restricts access to or use of any
computer system, or otherwise disrupts its
normal functioning or operation.

B. Exceptions And Limitations

1. Fire Or Explosion
If a cyber incident as described in Paragraphs
A.1. through A.3. of this exclusion results in fire
or explosion, we will pay for the loss or
damage caused by that fire or explosion.

2. Additional Coverage
The exclusion in Paragraph A. does not apply
to the extent that coverage is provided in the:
a. Additional Coverage – Electronic Data; or
b . Additional Coverage – Interruption Of
Computer Operations.

3. Electronic Commerce Endorsement
The exclusion in Paragraph A. does not apply
to the Electronic Commerce (E-Commerce)
endorsement when attached to your policy.

C. Vandalism
The following is added to Vandalism, if Vandalism
coverage is not otherwise excluded under the
Standard Property Policy or the Causes Of Loss –
Basic, Broad or Special Forms and if applicable to
the premises described in the Declarations:

Vandalism does not include a cyber incident as
described in Paragraph A.

CP 01 40 07 06 ©ISO Properties, Inc., 2006 Page 1 of 1

COMMERCIAL PROPERTY
CP 01 40 07 06

THIS ENDORSEMENT CHANGES THE POLICY. PL EASE READ IT CAREFULLY .

EXCLUSION OF LOSS DUE T O VIRUS OR BACTERIA
This endorsement modifies insuran ce provided under the following:

COMMERCIAL PROPERTY COVERAGE PART

STANDARD PROPERTY POLICY

A. T he e xclu sion s et for th in Paragr aph B. applies to all coverage under al l forms and endorsements
that compr ise this Coverage Part or Po licy, includ-
ing but not lim ited to forms or endorsements that
cover pr operty dam age to buildings or persona l
prope
rty and forms or en dorsements that cove r
business incom e, extra ex pense or acti on of civi l
a
uthority.

B. We will not pay f or loss or dam age c aused by o r r
esulting fr om any v irus, bacterium or other micro-
organism that i nduces or is c apable of in duc ing
physical distr ess, i llness or disease.

However, this e xclusion do es not app ly to loss or
damage c aused by or resulti ng from "f ungus", wet
rot or dry r ot. Such loss or damage is addressed in
a s eparate exclu sion in this Coverage Part or Pol-
icy.

C. Wi th respect to any loss or dam age s ubject to the exclusion in Par agraph B ., such exclu sion super-
sedes any exclusion relating to "poll utants".

D. The fo llowing prov isions
in this Coverage Part or
Policy are hereby am ended to remov e reference
to ba
cteria:

1. Exclusion of "F ungus", Wet Rot, Dry Rot A nd
Bacteria; and

2. Additional Cover age – Limited Coverage for
"Fungus", Wet Rot, Dry Rot And Bacteria, in-
cluding any endorsement increasing the scope
or amount of coverage.

E. The terms of the exclusion in Par agraph
B ., or the
inappl
icability of this ex cl usion to a particular loss,
do not
serv e to cr eate cover age f or any loss that
would otherwise be ex clud ed under this Coverag e
Part or Policy.

CLS 0108 12 24 Point Excess and Surplus Insurance Company Page 1 of 1

THIS ENDORSEM
ENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

SERVICE OF SUIT
It is agreed that in the event of the failure of the Company to pay any amount claimed to be due under this policy, the Company at the request of the Insured [or reinsured], will submit to the jurisdiction of any court of competent jurisdiction within the United States of America and will comply with all requirements necessary to give the court jurisdiction. All matters which arise will be determined in accordance with the law and practice of the court. In a suit instituted against any one of them under this contract, the Company agrees to abide by the final decision of the court or of any appellate court in the event of an appeal. However, nothing in this endorsement constitutes a waiver of the Company’s right to remove an action to the United States District Court or to seek a transfer of a case to another court as permitted by the laws of the United States or any state in the United States.

Pursuant to any statute of any state, territory, or district of the United States of America which makes a provision, the Company will designate the Superintendent, Commissioner or Director of Insurance, or other officer specified for that purpose in the statute, or their successor in office, as their true and lawful attorney upon whom may be service any lawful process in any action, suit, or proceeding instituted by or on behalf of the Insured [or reinsured] or any beneficiary arising out of this contract of insurance [or reinsurance].

The person named below is authorized and directed to accept service of process on behalf of the Company:

Commissioner of Insurance
45 Fremont Street
23rd Floor
San Francisco, CA 94105
Havi
ng accepted service of process on behalf of the Company, the person designated above is authorized to mail the process, or a true copy to:

C T Corporation System
330 N Brand Blvd. Suite 700
Glendale, CA 91203
Sentry
companies agree to accept service at:

Sentry Insurance Company
Attn – Point Excess & Surplus Ins. Co.
1800 North Point Drive
Stevens Point, WI 54481

NOTX0178CW (3-16)
Scottsdale Insurance Company
National Casualty Company
Scottsdale Indemnity Company
Scottsdale Surplus Lines Insurance Company

CLAIM REPORTING INFORMATION
Your insurance policy has been placed with a Nationwide® insurance company.

Our commitment to you is to provide fast, fair claim service. Promptly reporting an event that could lead to a claim, as required by your policy, helps us f ulfill this commitment t o you. Please refer to your policy for this and all other terms and conditions.

To report a claim, you may contact us 24 hours a day, 7 days a week, by calling 1-800-423-7675 or via our website at www.nationwideexcessandsurplus.com.

Thank you for your business and as always, we appreciate the opportunity to serve you.

HOW TO REPORT A CLAIM
Call 1-800-423-7675 or visit our website at www.nationwideexcessandsurplus.com.

In order to expedite this process, please be prepared to furnish as much of the following information as possible:
 Your policy number
 Date, time and location of the loss/accident
 Details of the loss/accident
 Name, address and phone number of any involved parties  If applicable, name of law enforcement agency or fire department along with the incident number Please refer to your policy for specific claim reporting requirements.

ENDORSEMENT
NO.

ATTACHED TO AND

FORMING A PART
OF

POLICY NUMBER

ENDORSEMENT EFFECTIVE DATE
(12:01 A.M. STANDARD
TIME) NAMED INSURED AGENT NO.

SP208269-00 6/30/2025 FIRM FOUNDATION COMMUNITY HOUSING UTS-494 (5-19) Page 1 of 1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CYBER EXCLUSION
A. We will not pay for:

1. Loss of;

2. Damage to;

3. Cost to replace
or restore;

4. Loss of income or extra expenses;

5. Reduction in functionality of; or

6. Any loss or damage to or loss of use of property;
caused directly or indirectly by any “computer system” or “electronic data” that has been damaged, destroyed or corrupted by a virus, harmful code or similar instruction introduced into or in any way affecting a “computer system” or a network to which it is connected, that is designed to damage or destroy any part of the “computer system” or disrupt its normal operation.

B. The following definitions are added:

1. “Computer
system” means individual, networked or stationary computers, including ancillary hardware, software and components and mobile computers and devices that are able to remotely access your network and data stored on your network.

2. “Electronic data” means facts, concepts and information converted to a form useable for communications, interpretation or processing by electronic and electromechanical data processing or electronically controlled equipment and includes programs, software and other coded instructions for the processing and manipulation of data or the direction and manipulation of such equipment.

AUTHORIZED

REPRESENTATIVE DATE

ENDORSEMENT
NO.

ATTACHED TO AND

FORMING A PART
OF

POLICY NUMBER

ENDORSEMENT EFFECTIVE DATE
(12:01 A.M. STANDARD
TIME) NAMED INSURED AGENT NO.

SP208269-00 6/30/2025 FIRM FOUNDATION COMMUNITY HOUSING UTS-559 (4-20) Page 1 of 1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

POLLUTION EXCLUSION—PROPERTY

1. This insurance does not provide coverage for any loss, damage, cost, claim, expense or property damage arising out
of or in any way involving, directly or indirectly, the actual, alleged or threatened use, discharge, dispersal, seepage, migration, release or escape of any “pollutants”:
a. At or from any premises, site or location which is or was at any time owned or occupied by, or rented or loaned
to, any insured;
b. At or from any premises, site or location which is or was at any time used by or for any insured or others for the
handling, storage, disposal, processing or treatment of waste; c. Which are or were at any time transported, handled, stored, treated, disposed of, or processed as waste by or for:
(1) Any
insured; or
(2) Any person
or organization for whom you may be legally responsible; or d. At or from any premises, site or location on which any insured or any contractors or subcontractors working directly or indirectly
on any insured’s behalf are performing operations if the “pollutants” are brought on or to the premises, site or location in connection with such operations by such insured, contractor or subcontractor.

2. This insurance does not provide coverage for any loss, cost or expense arising out of any:
a. Request, demand, order or
statutory or regulatory requirement that any insured or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of, “pollutants”; or
b. Claim or “suit” by or on behalf of a governmental authority for damages because of testing for, monitoring, cleaning up, removing,
containing, treating, detoxifying or neutralizing, or in any way responding to, or assessing the effects of “pollutants.” Subparagraphs 1.a. and 1.d. do not apply to any loss, damage, cost, claim, expense or property damage arising out of heat, smoke or fumes from a “hostile fire.” As used in this exclusion:
“Pollutant” means any solid, liquid,
gaseous or thermal irritant or contaminant, including, but not limited to smoke, vapor, soot, fumes, acids, alkalis, asbestos, chemicals and waste. “Hostile fire” means one which
becomes uncontrollable or breaks out from where it was intended to be.

AUTHORIZED

REPRESENTATIVE DATE

ENDORSEMENT
NO.

ATTACHED TO AND

FORMING A PART
OF

POLICY NUMBER

ENDORSEMENT EFFECTIVE DATE
(12:01 A.M. STANDARD
TIME) NAMED INSURED AGENT NO.

SP208269-00 6/30/2025 FIRM FOUNDATION COMMUNITY HOUSING UTS-560 (4-20) Page 1 of 1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

VIRUS, BACTERIUM, MICROORGANISM AND COMMUNICABLE

DISEASE EXCLUSION
—PROPERTY
It is understood and agreed that the following Exclusion is added to the Policy:

A. We will not pay for any loss, cost, damage or expense:

1. Arising out of, caused by, attributed to, or occurring concurrently or in any sequence to “communicable disease”; or

2. To clean-up,
detoxify, remove, monitor or test:
(a) For a “communicable disease”; or
(b) Any tangible
or intangible property insured under this policy that is affected by such “communicable disease.”
Any contamination of property or business interruption caused by any “communicable disease” is not direct physical loss insured under this policy. This exclusion also applies to any loss arising directly or indirectly out of fear or threat (whether actual or perceived) of any “communicable disease.” B. The exclusion set forth in paragraph A. above
applies to all coverage(s), coverage extension(s),
additional coverage(s), and exception(s) to exclusions under all forms and endorsements that comprise this Coverage Part or Policy, including but not limited to forms or endorsements that cover buildings, personal property, business income, extra expense or action of civil authority.

C. For purposes of this exclusion, “communicable disease” means an illness caused by an infectious agent or its toxins, including,
but not limited to a virus, bacterium, parasite or other microorganism or any mutation thereof whether deemed living or not, that occurs through the direct or indirect transmission of the infectious agent or its products or toxins from an infected individual or via an animal, vector, or the inanimate environment to an animal or human host.

All other terms and conditions of this Policy apply.

AUTHORIZED

REPRESENTATIVE DATE

Underwritten by Scottsdale Insurance Company ENDORSEMENT NO.

ATTACHED TO AND

FORMING A

PART OF

POLICY NUMBER

ENDORSEMENT EFFECTIVE DATE
(12:01 A.M.

STANDARD TIME) NAMED INSURED AGENT NO.

SP208269-00 6/30/2025 FIRM FOUNDATION COMMUNITY HOUSING UTS-9g (06-22) Page 1 of 1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

SERVICE OF SUIT CLAUSE
It
is agreed that in the event of the failure of the Company to pay any amount claimed to be due under this policy, the Company,
at the request of the Insured (or reinsured), will submit to the jurisdiction of any court of competent jurisdiction within the United States of America and will comply with all requirements necessary to give the court jurisdiction. All matters which arise will be determined in accordance with the law and practice of the court. In a suit instituted against it under this contract, the Company agrees to abide by the final decision of the court or of any appellate court in the event of an appeal. However, nothing in this endorsement constitutes a waiver of the Company’s right to remove an action to a United States District Court or to seek a transfer of a case to another court as permitted by the laws of the United States or of any state in the United States.

Pursuant to any statute
of any state, territory or district of the United States of America which makes a provision therefor, the Company will designate the Superintendent, Commissioner or Director of Insurance or other officer specified for that purpose in the statute, or his successor or successors in office, as their true and lawful attorney upon whom may be served any lawful process in any action, suit, or proceeding instituted by or on behalf of the Insured (or reinsured) or any beneficiary arising out of this contract of insurance (or reinsurance).

The person named below is
authorized and directed to accept service of process on behalf of the Company:

Commissioner of Insurance
300 Capitol Mall, 17th Floor
Sacramento, CA 95814
Having accepted service of process on behalf of the Company, the person designated above is authorized to mail the process or a true copy to:

CSC-Lawyers Incorporating Service
2710 Gateway Oaks Drive, Suite 150N
Sacramento, CA 95833-3505

15 YEAR PROJECT CASH FLOW PROJECTIONS - Refer to CTCAC Regulation Sections 10322(h)(22), 10325(f)(5), 10326(g)(4), 10327(f) and (g).

REVENUE MULTIPLIER YEAR 1 YEAR 2 YEAR 3 YEAR 4 YEAR 5 YEAR 6 YEAR 7 YEAR 8 YEAR 9 YEAR 10 YEAR 11 YEAR 12 YEAR 13 YEAR 14 YEAR 15 Gross Rent 1.025 $1,642,488$1,683,550$1,725,639$1,768,780$1,812,999$1,858,324$1,904,783$1,952,402$2,001,212$2,051,242$2,102,524$2,155,087$2,208,964$2,264,188$2,320,793 Less Vacancy 5.00% -82,124 -84,178 -86,282 -88,439 -90,650 -92,916 -95,239 -97,620 -100,061 -102,562 -105,126 -107,754 -110,448 -113,209 -116,040 Rental Subsidy 1.025 340,248 348,754 357,473 366,410 375,570 384,959 394,583 404,448 414,559 424,923 435,546 446,435 457,596 469,036 480,762 Less Vacancy 5.00% -17,012 -17,438 -17,874 -18,320 -18,779 -19,248 -19,729 -20,222 -20,728 -21,246 -21,777 -22,322 -22,880 -23,452 -24,038 Miscellaneous Income 1.025 13,500 13,838 14,183 14,538 14,901 15,274 15,656 16,047 16,448 16,860 17,281 17,713 18,156 18,610 19,075 Less Vacancy 5.00% -675 -692 -709 -727 -745 -764 -783 -802 -822 -843 -864 -886 -908 -930 -954 Operating Subsidy (specify if applicable)
Total Revenue $1,896,424$1,943,835$1,992,431$2,042,241$2,093,297$2,145,630$2,199,271$2,254,252$2,310,609$2,368,374$2,427,583$2,488,273$2,550,480$2,614,242$2,679,598

EXPENSES
Operating Expenses: 1.035
Administrative $112,441 $116,376 $120,450 $124,665 $129,029 $133,545 $138,219 $143,056 $148,063 $153,246 $158,609 $164,160 $169,906 $175,853 $182,008 Management 105,000 108,675 112,479 116,415 120,490 124,707 129,072 133,589 138,265 143,104 148,113 153,297 158,662 164,215 169,963 Utilities 323,287 334,602 346,313 358,434 370,979 383,964 397,402 411,311 425,707 440,607 456,028 471,989 488,509 505,607 523,303 Payroll & Payroll Taxes 309,073 319,891 331,087 342,675 354,668 367,082 379,930 393,227 406,990 421,235 435,978 451,237 467,031 483,377 500,295 Insurance 96,307 99,678 103,166 106,777 110,514 114,383 118,386 122,529 126,818 131,257 135,851 140,605 145,526 150,620 155,892 Maintenance 330,851 342,431 354,416 366,820 379,659 392,947 406,700 420,935 435,668 450,916 466,698 483,032 499,939 517,436 535,547 Other Operating Expenses (specify): 800 828 857 887 918 950 983 1,018 1,053 1,090 1,128 1,168 1,209 1,251 1,295 Total Operating Expenses $1,277,759$1,322,481$1,368,767$1,416,674$1,466,258$1,517,577$1,570,692$1,625,666$1,682,565$1,741,454$1,802,405$1,865,489$1,930,782$1,998,359$2,068,301 Ground Lease Payment (if applicable) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Transit Pass/Tenant Internet Expense*1.035 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Service Amenities 1.035 75,000 77,625 80,342 83,154 86,064 89,076 92,194 95,421 98,761 102,217 105,795 109,498 113,330 117,297 121,402 Replacement Reserve 62,500 62,500 62,500 62,500 62,500 62,500 62,500 62,500 62,500 62,500 62,500 62,500 62,500 62,500 62,500 Monitoring Fees 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Real Estate Taxes 1.020 8,241 8,406 8,574 8,745 8,920 9,099 9,281 9,466 9,656 9,849 10,046 10,247 10,452 10,661 10,874 Specialty Local Taxes 1.020 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other (Bond Issuer Fee): 1.000 4,000 4,000 4,000 4,000 4,000 4,000 4,000 4,000 4,000 4,000 4,000 4,000 4,000 4,000 4,000 Other (Specify): 1.035 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total Expenses $1,427,500$1,475,011$1,524,183$1,575,073$1,627,742$1,682,252$1,738,667$1,797,054$1,857,481$1,920,020$1,984,746$2,051,734$2,121,063$2,192,816$2,267,077 Cash Flow Prior to Debt Service $468,924 $468,823 $468,247 $467,168 $465,555 $463,378 $460,604 $457,199 $453,128 $448,354 $442,837 $436,539 $429,416 $421,425 $412,520

MUST PAY DEBT SERVICE
Chase Perm Loan 359,712 359,712 359,712 359,712 359,712 359,712 359,712 359,712 359,712 359,712 359,712 359,712 359,712 359,712 359,712 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total Debt Service $359,712 $359,712 $359,712 $359,712 $359,712 $359,712 $359,712 $359,712 $359,712 $359,712 $359,712 $359,712 $359,712 $359,712 $359,712 Cash Flow After Debt Service $109,212 $109,111 $108,535 $107,456 $105,843 $103,666 $100,892 $97,487 $93,416 $88,642 $83,125 $76,827 $69,704 $61,713 $52,808 Percent of Gross Revenue 5.47% 5.33% 5.18% 5.00% 4.80% 4.59% 4.36% 4.11% 3.84% 3.56% 3.25% 2.93% 2.60% 2.24% 1.87% 25% Debt Service Test 30.36% 30.33% 30.17% 29.87% 29.42% 28.82% 28.05% 27.10% 25.97% 24.64% 23.11% 21.36% 19.38% 17.16% 14.68% Debt Coverage Ratio 1.304 1.303 1.302 1.299 1.294 1.288 1.280 1.271 1.260 1.246 1.231 1.214 1.194 1.172 1.147 OTHER FEES**
LP Asset Management Fee 1.030 7,500 7,725 7,957 8,195 8,441 8,695 8,955 9,224 9,501 9,786 10,079 10,382 10,693 11,014 11,344 GP Partnership Management Fee1.030 $25,000 25,750 26,523 27,318 28,138 28,982 29,851 30,747 31,669 32,619 33,598 34,606 35,644 36,713 37,815 Total Other Fees 32,500 33,475 34,479 35,514 36,579 37,676 38,807 39,971 41,170 42,405 43,677 44,988 46,337 47,727 49,159 Remaining Cash Flow $76,712 $75,636 $74,056 $71,942 $69,264 $65,989 $62,085 $57,516 $52,246 $46,236 $39,448 $31,839 $23,367 $13,986 $3,649 Deferred Developer Fee** 100% $76,712 $75,636 $74,056 $71,942 $69,264 $65,989 $62,085 $57,516 $52,246 $46,236 $39,448 $31,839 $23,367 $13,986 $3,649 Residual or Soft Debt Payments**
Seller Carryback Loan $0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
City of Vallejo $0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sponsor Loan - CMF funds 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total Other Fees 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Cash Flow $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
*Applications should include the cost of tenant internet service if requested in the Points System site amenity section. **Other Fees and all payments made from cash flow after must pay debt should be completed according to the terms of the partnership agreement (or equivalent ownership entity terms). Please re-order line items consistent with any "order of priority" terms. These items are to be completed when submitting an updated application for the Carryover, Readiness, and Placed-in-Service deadlines. 47 15 Year Pro Forma
IV. SOURCES AND USES BUDGET - SECTION 1: SOURCES AND USES BUDGET TOTAL

PROJECT
COST RES. COST COM'L. COST

TAX CREDIT
EQUITY
1)Chase Perm
Loan
2)Seller
Carryback
Loan
3)City of
Vallejo Perm
(Existing)
4)City of
Vallejo Acq
(Existing)
5)City of
Vallejo GVRD
(Existing)
6)Sponsor
CMF Loan
7)Income from
Operations
8)Deferred
Developer
Fee
9) 10) 11) 12) SUBTOTAL
30% PVC for
New
Const/Rehab
30% PVC for
Acquisition

LAND COST/ACQUISITION
Land Cost or Value $700,000 $700,000 $700,000 $700,000
Demolition $0 $0
Legal $0 $0
Land Lease Rent Prepayment $0 $0
Total Land Cost or Value$700,000 $700,000 $0 $0 $0 $700,000 $0 $0 $0 $0 $0 $0 $0 $0 $0 $700,000 Existing Improvements Value$22,300,000$22,300,000 $1,299,076 $15,716,663 $3,280,909 $1,057,677 $945,675 $22,300,000 $22,300,000 Off-Site Improvements $0 $0
Total Acquisition Cost$22,300,000$22,300,000 $0 $1,299,076 $0 $15,716,663 $3,280,909 $1,057,677 $945,675 $0 $0 $0 $0 $0 $0 $22,300,000 $22,300,000 Total Land Cost / Acquisition Cost$23,000,000$23,000,000 $0 $1,299,076 $0 $16,416,663 $3,280,909 $1,057,677 $945,675 $0 $0 $0 $0 $0 $0 $23,000,000 Predevelopment Interest/Holding Cost$110,300 $110,300 $110,300 $110,300 $106,943 Assumed, Accrued Interest on Existing Debt
(Rehabilitation/Acquisition)
$0 $0
Excess Purchase Price Over Appraisal $0 $0

REHABILITATION
Site Work $970,000 $970,000 $970,000 $970,000 $970,000
Structures $8,601,473 $8,601,473 $2,668,696 $4,718,000 $990,000 $224,777 $8,601,473 $8,601,473 General Requirements$789,358 $789,358 $789,358 $789,358 $789,358 Contractor Overhead $277,925 $277,925 $277,925 $277,925 $277,925 Contractor Profit $277,924 $277,924 $277,924 $277,924 $277,924 Prevailing Wages $0 $0
General Liability Insurance$49,850 $49,850 $49,850 $49,850 $49,850 Third-party Construction Management $0 $0
Environmental Remediation$750,000 $750,000 $750,000 $750,000 $750,000 Total Rehabilitation Costs$11,716,530$11,716,530 $0 $5,783,753 $4,718,000 $0 $0 $0 $0 $990,000 $224,777 $0 $0 $0 $0 $0 $11,716,530$11,716,530 $0 Total Relocation Expenses$144,000 $144,000 $144,000 $144,000 $144,000

NEW CONSTRUCTION
Site Work $0 $0
Structures $0 $0
General Requirements $0 $0
Contractor Overhead $0 $0
Contractor Profit $0 $0
Prevailing Wages $0 $0
General Liability Insurance $0 $0
Third-party Construction Management $0 $0
Other: (Specify) $0 $0
Total New Construction Costs $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0

ARCHITECTURAL FEES
Design $375,000 $375,000 $375,000 $375,000 $375,000
Supervision $0 $0
Total Architectural Costs$375,000 $375,000 $0 $375,000 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $375,000 $375,000 $0 Total Survey & Engineering$325,000 $325,000 $325,000 $325,000 $325,000

CONSTRUCTION INTEREST & FEES
Construction Loan Interest$1,701,586 $1,701,586 $1,701,586 $1,701,586 $882,068 Origination Fee $160,236 $160,236 $160,236 $160,236 $81,564 Credit Enhancement/Application Fee$50,000 $50,000 $50,000 $50,000 $25,451 Bond Premium $49,850 $49,850 $49,850 $49,850 $49,850
Cost of Issuance $153,348 $153,348 $153,348 $153,348 $18,979 Title & Recording $30,000 $30,000 $30,000 $30,000 $30,000 Taxes $31,667 $31,667 $31,667 $31,667 $31,667
Insurance $473,350 $473,350 $473,350 $473,350 $473,350
Other: (Specify) $0 $0
Total Construction Interest & Fees$2,650,037 $2,650,037 $0 $2,650,037 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $2,650,037 $1,592,929 $0

PERMANENT FINANCING
Loan Origination Fee $47,180 $47,180 $47,180 $47,180
Credit Enhancement/Application Fee$15,000 $15,000 $15,000 $15,000 Title & Recording $15,000 $15,000 $15,000 $15,000
Taxes $0 $0
Insurance $0 $0
Other: (Specify) $0 $0
Total Permanent Financing Costs$77,180 $77,180 $0 $77,180 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $77,180 Subtotals Forward$38,398,047$38,398,047 $0 $10,764,346 $4,718,000 $16,416,663 $3,280,909 $1,057,677 $945,675 $990,000 $224,777 $0 $0 $0 $0 $0 $38,398,047$14,153,459$22,406,943

LEGAL FEES AND

THIRD-PARTY CONSULTING FEES
Lender Legal Paid by Applicant$100,000 $100,000 $100,000 $100,000 $38,177 Financial Consulting,
Application Preparation/Review
$0 $0
Entitlement Services, Building Permit Expediting $0 $0
Tenant File Review Services $0 $0
Owner Legal $70,000 $70,000 $70,000 $70,000 $40,000
Total Legal and Consulting Costs$170,000 $170,000 $0 $170,000 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $170,000 $78,177 $0 Permanent Sources
25 Sources and Uses Budget
IV. SOURCES AND USES BUDGET - SECTION 1: SOURCES AND USES BUDGET TOTAL

PROJECT
COST RES. COST COM'L. COST

RESERVES
Rent Reserves $0 $0
Capitalized Rent Reserves$98,958 $98,958 $98,958 $98,958 Required Capitalized Replacement Reserve$0 $0
3-Month Operating Reserve$446,803 $446,803 $446,803 $446,803 Other: (Specify) $0 $0
Total Reserve Costs $545,761 $545,761 $0 $545,761 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $545,761

CONTINGENCY COSTS
Construction Hard Cost Contingency $1,764,957 $1,764,957 $1,764,957 $1,764,957 $1,764,957 Soft Cost Contingency$263,052 $263,052 $263,052 $263,052 $263,052 Total Contingency Costs$2,028,009 $2,028,009 $0 $2,028,009 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $2,028,009 $2,028,009 $0

OTHER PROJECT COSTS
CTCAC App/Allocation/Monitoring Fees $108,563 $108,563 $108,563 $108,563 Environmental Audit $0 $0
Local Development Impact Fees $0 $0
Permit Processing Fees$250,000 $250,000 $250,000 $250,000 $250,000 Capital Fees $0 $0
Marketing $0 $0
Furnishings $0 $0
Market Study $6,500 $6,500 $6,500 $6,500
Accounting/Reimbursables $0 $0
Appraisal Costs $7,500 $7,500 $7,500 $7,500 $7,500
3rd Party Construction Supervision$125,000 $125,000 $125,000 $125,000 $125,000 Other: (Specify) $0 $0
Other: (Specify) $0 $0
Total Other Costs $497,563 $497,563 $0 $497,563 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $497,563 $382,500 $0 SUBTOTAL PROJECT COST$41,639,380$41,639,380 $0 $14,005,679 $4,718,000 $16,416,663 $3,280,909 $1,057,677 $945,675 $990,000 $224,777 $0 $0 $0 $0 $0 $41,639,380$16,642,145$22,406,943

DEVELOPER COSTS
Developer Overhead/Profit$3,616,668 $3,616,668 $2,095,297 $1,521,371 $3,616,668 $2,496,322 $1,120,347 Processing Agent Fees $0 $0
Broker Fees Paid to a Related Party $0 $0
Construction Management by Developer $0 $0
Other: (Specify) $0 $0
Total Developer Costs$3,616,668 $3,616,668 $0 $2,095,297 $0 $0 $0 $0 $0 $0 $0 $1,521,371 $0 $0 $0 $0 $3,616,668 $2,496,322 $1,120,347 TOTAL PROJECT COSTS$45,256,048$45,256,048 $0 $16,100,976 $4,718,000 $16,416,663 $3,280,909 $1,057,677 $945,675 $990,000 $224,777 $1,521,371 $0 $0 $0 $0 $45,256,048$19,138,467$23,527,290 Note: Syndication Costs shall NOT be included as a project cost. Bridge Loan Expense During Construction:

Calculate Maximum Developer Fee using the eligible basis subtotals. Total Eligible Basis:$19,138,467$23,527,290 DOUBLE CHECK AGAINST PERMANENT FINANCING TOTALS: 16,100,976 4,718,000 16,416,663 3,280,909 1,057,677 945,675 990,000 224,777 1,521,371 0 0 0 0 Funding sources and costs should be aligned appropriately. For example, public funding sources for land purchase or construction costs should be shown as paying for these costs.

Do not randomly select funding sources for line item costs if they have a dedicated source of payment.

Required: evidence of land value (see Tab 1). Land value must be included in Total Project Cost and Sources and Uses Budget (includes donated or leased land).

Except for non-competitive projects with donated land, CTCAC will not accept a budget with a nominal land value. Please refer to the CTCAC website for additional information and guidance.

Note: The conditional formatting embedded in this Sources and Uses Budget workbook tests only for mathematical errors, i.e. whether sum total of Sources (Column R) matches Total Project Cost (Column B) and whether each source listed in the Sources and Uses Budget workbook (Row 105) matches that of Permanent Financing in the Application workbook (Row 108).

The conditional formatting does NOT test for any regulatory threshold or feasibility requirements.

Applicants are advised to conduct their own due diligence and not rely upon the conditional formatting in this workbook.

FOR PLACED IN SERVICE APPLICATION SUBMISSIONS:

SYNDICATION (Investor & General Partner)
Organizational Fee
Bridge Loan Fees/Exp.

Legal Fees
Consultant Fees
Accountant Fees
Tax Opinion
Other Date
Total Syndication Costs $0
CERTIFICATION OF CPA/TAX PROFESSIONAL:

As the tax professional for the above-referenced low-income housing project, I certify under penalty of perjury, that the percentage of aggregate basis financed by tax-exempt bonds is:

Date
Signature of Owner/General Partner
CERTIFICATION BY OWNER:

Signature of Project CPA/Tax Professional
As owner(s) of the above-referenced low-income housing project, I certify under penalty of perjury, that the project costs contained herein are, to the best of my knowledge, accurate and actual costs associated with the construction, acquisition and/or rehabilitation of this project and that the sources of funds shown are the only funds received by the Partnership for the development of the project. I authorize the California Tax Credit Allocation Committee to utilize this information to calculate the low-income housing tax credit.

Printed Name of Signatory Title of Signatory
26 Sources and Uses Budget
A. Construction Financing
List Below All Projected Sources Required To Complete Construction. Do not leave blank rows in between sources. 1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
11)
12)
1) Lender/Source: 2) Lender/Source:

Street Address: Street Address:

City: City:

Contact Name: Contact Name:

Phone Number: Ext.: Phone Number: Ext.:

Type of Financing: Type of Financing:

Variable Rate Index (if applicable): Variable Rate Index (if applicable):

Is the Lender/Source Committed? Is the Lender/Source Committed? 3) Lender/Source: 4) Lender/Source:

Street Address: Street Address:

City: City:

Contact Name: Contact Name:

Phone Number: Ext.: Phone Number: Ext.:

Type of Financing: Type of Financing:

Is the Lender/Source Committed? Is the Lender/Source Committed? 5) Lender/Source: 6) Lender/Source:

Street Address: Street Address:

City: City:

Contact Name: Contact Name:

Phone Number: Ext.: Phone Number: Ext.:

Type of Financing: Type of Financing:

Is the Lender/Source Committed? Is the Lender/Source Committed? 7) Lender/Source: 8) Lender/Source:

Street Address: Street Address:

City: City:

Contact Name: Contact Name:

Phone Number: Ext.: Phone Number: Ext.:

Type of Financing: Type of Financing:

Is the Lender/Source Committed? Is the Lender/Source Committed? 9) Lender/Source: 10)Lender/Source:

Street Address: Street Address:

City: City:

Contact Name: Contact Name:

Phone Number: Ext.: Phone Number: Ext.:

Type of Financing: Type of Financing:

Is the Lender/Source Committed? Is the Lender/Source Committed? 11)Lender/Source: 12)Lender/Source:

III. PROJECT FINANCING - SECTION 1: CONSTRUCTION FINANCING Costs Deferred Until Conversion
Deferred Developer Fee
Taxable Construction Loan

4.930%
Andrea Osgood
TBD
Owner Deferred Costs
Limited Partner Equity During Construction
$2,192,466
$945,675
$1,464,073
No
Yes

6.0 5.0
(510) 582-1460
Limited Partner Equity During
Vallejo
22645 Grand St
(510) 582-1460
Andrew Murray
$16,416,663
Deferred Payment Loan
$1,057,677
$45,256,048
$1,521,371
510-468-6722
707-648-4576
555 Santa Clara Street
(select)
(select)
(select)
510-468-6722
707-648-4576
City of Vallejo Acq (Existing)
Yes
Chase Taxable Construction Loan
James Vossoughi
707-648-4576
560 Mission St, Floor 4
Seller Financing
Vallejo
Hayward
Hayward
(510) 582-1460
22645 Grand St
Loan, Tax-
0 0
555 Santa Clara Street
Loan,
(select)

7.070%

7.070%
Fixed
Developer
Equity,
Loan,
Chase Tax-Exempt Construction Loan
Cost

4.930%
Costs Deferred Until
20 22645 Grand St 22645 Grand St
Yes
Deferred Payment Loan
Andrea Osgood
General Partner Loan
Yes
Andrew Murray
Andrew Murray
560 Mission St, Floor 4
Yes
Sponsor CMF Loan
(510) 582-1460
Deferred Developer Fee

4.930% 4.0
City of Vallejo Perm (Existing)
San Francisco
Sponsor CMF Loan Fixed
(select)
San Francisco
(select)
555 Santa Clara Street

3.000%
Andrea Osgood
Seller Carryback Loan
Yes
Hayward
Andrea Osgood
City of Vallejo Perm (Existing)
City of Vallejo GVRD (Existing)
Hayward
Name of Lender
Fixed
(select)
20 Loan,
Fixed
Interest
Rate
Variable

1.0Chase Tax-Exempt
City of Vallejo Acq (Existing)
$990,000
$3,280,909
$5,454,310
Amount of Funds
Vallejo
$11,932,904
Loan,
James Vossoughi
20 Yes
20 Deferred Developer Fee
20 Type of
Source
Variable
Fixed/
Variable
Yes

2.020
Term
(months)
Amort.

Term
(months)
Loan,
20 Fixed
Chase Taxable Construction
Seller Carryback Loan Loan, Seller
City of Vallejo GVRD (Existing)
Deferred Payment Loan
Tax-Exempt Construction Loan
Total Funds For Construction:

7.0 Yes

4.930% 3.0
Lien
Position
Required
Payment
1 Application
Street Address: Street Address:

City: City:

Contact Name: Contact Name:

Phone Number: Ext.: Phone Number: Ext.:

Type of Financing: Type of Financing:

Is the Lender/Source Committed? Is the Lender/Source Committed? A. Permanent Financing
List Below All Projected Sources Required To Complete Construction. Do not leave blank rows in between sources. 1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
11)
12)
1) Lender/Source: 2) Lender/Source:

Street Address: Street Address:

City: City:

Contact Name: Contact Name:

Phone Number: Ext.: Phone Number: Ext.:

Type of Financing: Type of Financing:

Is the Lender/Source Committed? Is the Lender/Source Committed? 3) Lender/Source: 4) Lender/Source:

Street Address: Street Address:

City: City:

Contact Name: Contact Name:

Phone Number: Ext.: Phone Number: Ext.:

Type of Financing: Type of Financing:

Is the Lender/Source Committed? Is the Lender/Source Committed? 5) Lender/Source: 6) Lender/Source:

Street Address: Street Address:

City: City:

Contact Name: Contact Name:

Phone Number: Ext.: Phone Number: Ext.:

Type of Financing: Type of Financing:

Is the Lender/Source Committed? Is the Lender/Source Committed? 707-648-4576
Deferred Payment Loan
Yes
Income from Operations
Pay-
ment
Type

3.000%
204
660
660
Deferred Developer Fee
Type of
Source

4.930%
Loan,
Loan,
Loan,
660
Total Permanent Financing:

Total Tax Credit Equity:

Andrea Osgood

4.930%
No
Yes
1 Deferred Payment Loan
Amort.

Term
(months)
$1,521,371
(select)
(select)
(select)

6.950%420 $4,718,000Required
Total Sources of Project Funds:

Chase Perm Loan
$1,057,677
San Francisco
510-468-6722
$359,712
3 Hayward
Residual
Vallejo
Residual
Annual Debt
Service -
Residential
4 $16,416,663
Amount of
Funds
Residual
Lien
Position
22645 Grand St
$45,256,048
City of Vallejo Acq (Existing)
(510) 582-1460
City of Vallejo Perm (Existing)
$945,675
660
Term
(months)
660
Annual Debt
Service -
Commercial
(select)
General Partner Loan
$990,000
(select)
No
Loan, Seller
Net
6 Seller Carryback Loan
Residual
Developer
Hayward
Andrea Osgood
City of Vallejo Perm (Existing)
555 Santa Clara Street
III. PROJECT FINANCING - SECTION 2: PERMANENT FINANCING Name of Lender
2 $224,777
Loan,
Loan,
Interest
Rate

4.930%
$16,100,976
Conventional Permanent Loan
560 Mission St, Floor 4
Deferred Payment Loan
Seller Financing
Yes
22645 Grand St
707-648-4576
Yes
707-648-4576
Vallejo
City of Vallejo GVRD (Existing)
(select)
(select)
Andrew MurrayAndrew Murray
Vallejo
Andrew Murray
5 Yes
City of Vallejo GVRD (Existing)
555 Santa Clara Street
Yes
(select)
Sponsor CMF Loan
(select)
James Vossoughi
555 Santa Clara Street
City of Vallejo Acq (Existing) 4.930%
Sponsor CMF Loan
(select)
(510) 582-1460
Seller Carryback Loan
$29,155,072
$3,280,909
Residual
Chase Perm Loan
2 Application
7) Lender/Source: 8) Lender/Source:

Street Address: Street Address:

City: City:

Contact Name: Contact Name:

Phone Number: Ext.: Phone Number: Ext.:

Type of Financing: Type of Financing:

Is the Lender/Source Committed? Is the Lender/Source Committed? 9) Lender/Source: 10)Lender/Source:

Street Address: Street Address:

City: City:

Contact Name: Contact Name:

Phone Number: Ext.: Phone Number: Ext.:

Type of Financing: Type of Financing:

Is the Lender/Source Committed? Is the Lender/Source Committed? 11)Lender/Source: 12)Lender/Source:

Street Address: Street Address:

City: City:

Contact Name: Contact Name:

Phone Number: Ext.: Phone Number: Ext.:

Type of Financing: Type of Financing:

Is the Lender/Source Committed? Is the Lender/Source Committed? B. Tax-Exempt Bond Financing
Will project receive tax-exempt bond financing for more than 50% of the aggregate basis of the building(s) (including land) in the project? (IRC Sec. 42(h)(4)):

CDLAC Allocation?
Date application was submitted to CDLAC (Reg. Section 10326(h)):

Date of CDLAC application approval, actual or anticipated (Reg. Section 10326(j)(1)):

Estimated date of Bond Issuance (Reg. Section 10326(e)(2)):

Percentage of aggregate basis financed by the bonds? (Reg. Section 10326(e)(2)):

Name of Bond Issuer (Reg. Section 10326(e)(1)):

Will project have Credit Enhancement?
If Yes, identify the entity providing the Credit Enhancement:

Contact Person:

Phone: Ext.:

What type of enhancement is being provided?
Yes
(510) 582-1460
Hayward
Income from Operations
0 (510) 582-1460

0.275168816
Deferred Developer Fee
Andrea Osgood
California Municipal Finance Authority
0 9/9/2025
Operation Income
0 Yes
22645 Grand St
No
0 Deferred Developer Fee
11/19/2025
Andrea Osgood
Hayward
(specify here)
(select one)
No
Yes
No
No
5/1/2026
No
22645 Grand St
No
3 Application
A. Low Income Units
Total: Average:

Total # Low Income Bedrooms Total # Special Needs Bedrooms Resyndication project using hold harmless rent limits in the above table? These rents cannot exceed the federal set-aside current tax credit rent limits. See CTCAC Regulation Section 10327(g)(8).

N/A
$0
$0
50%
50%
50%
$0
5 $0
$927
$1,112
$1,275
20 N/A
N/A
17 $1,348
1 Bedroom
N/A
N/A
N/A

33.6%
N/A
N/A
N/A
N/A
N/A
N/A
N/A
30%
50%

41.2%
$1,326
$0

40.1%
N/A
N/A
N/A
N/A
$89
$1,023
611
611 $89
611
45%
$1,333
845
$1,532
(a)
Bedroom
Type(s)
$1,023
611
1,347
If you are a Special Needs Project, please enter the number of Special Needs Bedrooms:
18 $1,203
$1,203
$1,403

38.5%
$0
$0
124
No
$0
$1,326

43.9%
$159
$123
1,347
6 N/A
253 45
10 4 Bedrooms

37.7%
50%
N/A

35.2%
(g)
% of
Actual
AMI

42.9%45%
45%
$0
845
845
45%
$1,152
1,128
$123
30%
N/A
N/A

30.0%30%
(h)
Special
Needs
Population
N/A
1 $89 45%
50%

43.2%
N/A

43.2%
N/A
45%
$1,041
$1,275
$683
845
$1,112611
(d)
Monthly
Utility
Allowance
N/A

30.0%
$199
$199

30.0%
4 Bedrooms
3 Bedrooms
1 Bedroom
1 Bedroom
2 Bedrooms
2 Bedrooms
2 Bedrooms
2 Bedrooms
$1,041
$1,204
$1,152
14 2 Bedrooms
6112
$1,189
$0
$123

47.1%$136,874
(c)
Proposed
Monthly Rent
(Less Utilities)
845
$0
$0
$0
$0
N/A
2 $89
1,128
1 Bedroom
10 1 Bedroom
Total # Units:

42.9%
$683
$89
Average
Square Feet
$0
$0
$772
$1,041 $1,130
$89
$804
$123
2 $159

41.2%
$1,130
(f)
% of Area
Median Income
(e)
Monthly Rent
Plus Utilities
(c + d)
III. PROJECT FINANCING - SECTION 3: INCOME INFORMATION 1 Bedroom
(b)
Number of
Units
$772
$123

43.9%
N/A$0
N/A
N/A
8 5
N/A
N/A
$0
$0
4 $0
$1,2003 Bedrooms
N/A
N/A
N/A
N/A
4 Application
B. Manager Units
State law requires an onsite manager's unit for projects with 16 or more residential units.

Project with desk or security staff in lieu of on-site manager unit(s) See CTCAC Regulation Section 10325(f)(7)(J) for complete requirements.

C. Market Rate Units
Total:

Aggregate Monthly Rents For All Units:

Aggregate Annual Rents For All Units:

D. Rental Subsidy Income/Operating Subsidy
Complete spreadsheet "Subsidy Contract Calculation"
Number of Units Receiving Assistance:

Length of Contract (years):

Expiration Date of Contract:

Total Projected Annual Rental Subsidy:

E. Miscellaneous Income
Annual Income from Laundry Facilities:

Annual Income from Vending Machines:

Annual Interest Income:

Other Annual Income:

Total Miscellaneous Income:

Total Annual Potential Gross Income:

Projects may employ full-time property management staff and provide an equivalent number of desk or security staff for the hours when the property management staff are not working. See CTCAC Regulation Section 10325(f)(7)(J) for details of the requirements for this option.
(b)
Number of
Units
$340,248
(a)
Bedroom
Type(s)
31 $1,642,488
$136,874
$0
$0
(b)
Number of
Units
8582 Bedrooms 1
CTCAC Regulation Section 10326(g)(6) requires projects with at least 161 units to provide a second on-site manager's unit, with one additional for each 80 units beyond, up to 4 on-site manager units. Scattered site projects of 16 or more units must have at least one manager unit at each site consisting of 16 or more residential units. $0
$0
Total # Units:
$0
(d)
Total Monthly
Rents
(b x c)
(c)
Proposed
Monthly Rent
(Less Utilities)
(specify here)
22 $0
$0
6/1/2047
$01
0 $0
$0
$1,996,236
(a)
Bedroom
Type(s)
$0
$0
$0
(c)
Proposed
Monthly Rent
(Less Utilities)
Average
Square Feet
$0
$0
(d)
Total Monthly
Rents
(b x c)
No
$13,500
Average
Square Feet
$0
Total # Units:
$0
Total:
$13,500
5 Application
F. Monthly Resident Utility Allowance by Unit Size
(utility allowances must be itemized and must agree with the applicable utility allowance schedule) Other:
*PROJECTS PROPOSING UNITS WITH INDIVIDUAL WATER METERS MUST INCLUDE A WATER ALLOWANCE.

Name of PHA or California Energy Commission Providing Utility Allowances:

See Regulation Section 10322(h)(21) for type of projects that are allowed to use CUAC.

G. Annual Residential Operating Expenses
Administrative Advertising:

Legal:

Accounting/Audit:

Security:

Other:

Total Administrative:

Management
Utilities Fuel:

Gas:

Electricity:

Water/Sewer:

Total Utilities:

Payroll / On-site Manager:

Payroll Taxes Number of Staff:

Maintenance Personnel:

Number of Rent-Free Units:

Other:

Total Payroll / Payroll Taxes:

Total Insurance:

Maintenance Painting:

Repairs:

Trash Removal:

Exterminating:

Grounds:

Elevator:

Other:

Total Maintenance:

Other OperatingOther:

Expenses Other:

Other:

Total Other Expenses:
1 BR
$25,000
$800
Water Heating:
2 BR
$96,307
$0
$24,229
$199
$2 $3
$89,880
$89
$54 $64
Water:*
Air Conditioning
$18Cooking:
$5,000
(specify here)
$34
$23,655
$43
4 BR
$159
$6$4
$77 $100
$12,779
$126,642
Misc. Tax/License
$85,759
$123$74
$101,118
$96,672
$105,000
$5
$323,287
$24,741
$208,666
$800
City of Vallejo Housing Authority
Office, telephone/answer, supplies
Total Management:
$69,233
Total:
(specify here)
$40,000
$1,200
4 1
$133,078
$309,073
(specify here)
$8,000
$330,851
(specify here)
$112,441
Office Salaries, Payroll Taxes, Benefits
3 BR
$33
$12
Electricity: $58
( ) BR
$29
Lighting:
$40
SRO /
STUDIO
$23
$29Space Heating:
$10
6 Application
Total Expenses
Total Annual Residential Operating Expenses:

Total Number of Units in the Project:

Total 3-Month Operating Reserve:

Total Annual Transit Pass / Internet Expense (site amenity election):

Total Annual Services Amenities Budget (from project expenses):

Total Annual Reserve for Replacement:

Total Annual Monitoring Fees:

Total Annual Real Estate Taxes:

Specialty Locality Taxes (community facilities district, mello roos, etc.:

H. Commercial Income*
Total Annual Commercial/Non-Residential Revenue:

Total Annual Commercial/Non-Residential Expenses:

Total Annual Commercial/Non-Residential Debt Service:

Total Annual Commercial/Non-Residential Net Income:
*The Sources and Uses Budget must separately detail apportioned amounts for residential and commercial space. Separate cash flow projections shall be provided for residential and commercial space. Income from the residential portion of a project shall not be used to support any negative cash flow of a commercial portion, and commercial income should not support the residential portion (Sections 10322(h)(15), (23); 10327(g)(7)). $1,277,759
$0
$8,241
Other (Bond Issuer Fee):

Total Annual Operating Expenses Per Unit:$10,222
$62,500
$4,000
$75,000
Other (Specify):
$446,803
125
7 Application

ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?

INSR ADDL SUBR

LTR INSD WVD

PRODUCER CONTACT
NAME:

FAXPHONE
(A/C, No):(A/C, No, Ext):

E-MAIL
ADDRESS:

INSURER A :

INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)

AUTOMOBILE LIABILITY

UMBRELLA LIAB

EXCESS LIAB

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

AUTHORIZED REPRESENTATIVE
EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $

PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT
OTHER: $

COMBINED SINGLE LIMIT
$(Ea accident)
ANY AUTO BODILY INJURY (Per person) $

OWNED SCHEDULED
BODILY INJURY (Per accident) $AUTOS ONLY AUTOS

HIRED NON-OWNED PROPERTY DAMAGE
$AUTOS ONLY AUTOS ONLY (Per accident)
$

OCCUR EACH OCCURRENCE
CLAIMS-MADE AGGREGATE $
DED RETENTION $

PER OTH-

STATUTE ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC #

COMMERCIAL GENERAL LIABILITY
Y / N
N / A
(Mandatory in NH)

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)
$
$
$
$
$
The ACORD name and logo are registered marks of ACORD
8/19/2025
License # 0E67768
(323) 951-4208 54208
NA
Shelter, Inc.

P.O. Box 5368
Concord, CA 94524
27847
31194
38920
23850
A 1,000,000
X 01CP00018760127 7/1/2025 7/1/2026 500,000
20,000
1,000,000
3,000,000
3,000,000
Liquor Liab Included
1,000,000A
01CP00018760127 7/1/2025 7/1/2026
2,000,000A
01UB00018760124 7/1/2025 7/1/2026 2,000,000
B
WVE508172500 1/1/2025 1/1/2026 1,000,000
1,000,000
1,000,000
C
D
A
A
E
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: 2441 BROADWAY ST., VALLEJO, CA 94589
The City of Vallejo its officers, officials, employees, agents and volunteers are additional insured with respect to General Liability when required by written contract.

City of Vallejo
555 Santa Clara Street
Vallejo, CA 94590
SHELINC-01 PEDENN
IOA Insurance Services
16000 Ventura Blvd.

Suite 550
Encino, CA 91436
Nikki Luczki
[email protected]
Nonprofits Insurance Alliance of California, Inc.

Insurance Company of the West
Travelers Casualty and Surety Company of America
Kinsale Insurance Company
Tokio Marine Specialty Insurance Company
X
X
X
X
X X
X X
Crime
Excess Liability
Professional Liability
Improper Sexual Conduct
Pollution
1/22/2025
7/1/2025
7/1/2025
7/1/2025
10/23/2025
1/22/2026
7/1/2026
7/1/2026
7/1/2026
10/23/2026
Limit
Ea. Occurrence
Ea.

Occurrence
Aggregate
Ea. Occurence
$1,000,000
$2,000,000
$3,000,000
$3,000,000
$2,000,000
108201723
010038331650
01CP00018760127
01CP00018760127
PPK2726896000
POLICY NUMBER: 01-CP-0001876-01-27 COMMERCIAL GENERAL LIABILITY CG 20 26 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:

COMMERCIA

L GENERAL LIABILITY COVERAGE PART

SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s):

The City of Vallejo its officers, officials, employees, agents and volunteers Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

A. Section II – Who Is An Insured is amended to
inclu
de as an additional insured the person(s) or
organization(s) shown in the Schedule, but o nly
with
respect to liability for "bodily injury", "property
damage" or "personal and advertising injury"
caused
, in whole or in part, by your acts or
omissio
ns or the acts or omissions of those actin g
on your be
half:

1. In the performance of your ongoing operati ons;
or

2. In
connection with your premises owned by or
rented to you.

Howe
ver:

1. The insurance afforded to such addition al
insure
d only applies to the extent permitted by
law; and

2. If
coverage provided to the additional insured is
requi
red by a contract or agreement, th e
insura
nce afforded to such additional insured
will not be broader than that which you are
requi
red by the contract or agreement to
provid
e for such additional insured.

B. With respect to the insurance afforded to the se
addi
tional insureds, the following is added to
Section III – Limits Of Insurance:

If
coverage provided to the additional insured i s
requi
red by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amoun
t of insurance:

1. Required by the contract or agreement; or

2. Availa
ble under the applicable limits of
insura
nce;
whichever is less.

This endorsement shall not increase the
applicable limits of insurance.

INSURED

This
endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No.

Insured Premium $
Insurance Company
Countersigned By
WVE 5081725 00 01/01/2025

INSURANCE COMPANY OF THE WEST
SHELTER, INC. INCL.

WC
99 06 34
(Ed. 8-00)
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8-00)

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us).

The additional premium for this endorsement shall be % of the total California Workers’ Compensation premium otherwise due.

Schedule
Person or Organization Job Description

LOSS PAYEE
PRODUCER NAME, NAIC NO:PHONE COMPANY NAME AND ADDRESS
CONTACT PERSON AND ADDRESS (A/C, No, Ext):

IF MULTIPLE COMPANIES, COMPLETE SEPARATE FORM FOR EACHFAX E-MAIL (A/C, No): ADDRESS:

POLICY TYPESUB CODE:

AGENCY
CUSTOMER ID #:

NAMED INSURED AND ADDRESS LOAN NUMBER POLICY NUMBER

EFFECTIVE DATE EXPIRATION DATE
ADDITIONAL NAMED INSURED(S) THIS REPLACES PRIOR EVIDENCE DATED:

LOCATION / DESCRIPTION

LENDER SERVICING AGENT NAME AND ADDRESS

NAME AND ADDRESS

AUTHORIZED REPRESENTATIVE

CONTINUED UNTIL

TERMINATED IF CHECKED
YES NO
YES NO

CONTRACT OF SALE LENDER'S LOSS PAYABLE

MORTGAGEE

YES NO N/A

PERILS INSURED BASIC BROAD SPECIAL
COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: DED:

BUSINESS INCOME RENTAL VALUE 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 If YES, LIMIT: DED:

FUNGUS EXCLUSION (If "YES", specify organization's form used)

REPLACEMENT COST

AGREED VALUE
COINSURANCE If YES, %
EQUIPMENT BREAKDOWN (If Applicable) If YES, LIMIT: DED:

ORDINANCE OR LAW - Coverage for loss to undamaged portion of bldg If YES, LIMIT: DED:
- Demolition Costs If YES, LIMIT: DED:
- Incr. Cost of Construction If YES, LIMIT: DED:

EARTH MOVEMENT (If Applicable) If YES, LIMIT: DED:

FLOOD (If Applicable) If YES, LIMIT: DED:

WIND / HAIL INCL Subject to Different Provisions: If YES, LIMIT: DED:

NAMED STORM INCL Subject to Different Provisions: If YES, LIMIT: DED:

PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE

HOLDER PRIOR TO LOSS
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

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

PROPERTY INFORMATION

COVERAGE INFORMATION

CANCELLATION

ADDITIONAL INTEREST
ACORD 28 (2016/03)

EVIDENCE OF COMMERCIAL PROPERTY INSURANCE

The ACORD name and logo are registered marks of ACORD
PEDENN
(323) 951-4200
IOA Insurance Services
611 N Brand Blvd
Suite 1300
Glendale, CA 91203
Contact name: Nikki Luczki
(323) 951-4260
SHELINC-01 License # 0E67768
Shelter, Inc.

P.O. Box 5368
Concord, CA 94524

X BUILDING OR BUSINESS PERSONAL PROPERTY
Loc # 233, Bldg # 1, 2441 Broadway St., Vallejo, CA 94589 X X 18
X
8,437,891 10,000
8,437,891 10,000
150,000 10,000
150,000 10,000
X
XX
City of Vallejo
555 Santa Clara Street
Vallejo, CA 94590
10/31/2025
NA
Nonprofits Insurance Alliance of California, Inc.

P.O. Box 8507
Santa Cruz, CA 95061-8507
Commercial Package
01CP00018760127
7/1/2025 7/1/2026
[email protected]
X
8,437,891 10,000
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
NIA-033 GL 09-19
X

LOSS PAYEE
PRODUCER NAME, NAIC NO:PHONE COMPANY NAME AND ADDRESS
CONTACT PERSON AND ADDRESS (A/C, No, Ext):

IF MULTIPLE COMPANIES, COMPLETE SEPARATE FORM FOR EACHFAX E-MAIL (A/C, No): ADDRESS:

POLICY TYPESUB CODE:

AGENCY
CUSTOMER ID #:

NAMED INSURED AND ADDRESS LOAN NUMBER POLICY NUMBER

EFFECTIVE DATE EXPIRATION DATE
ADDITIONAL NAMED INSURED(S) THIS REPLACES PRIOR EVIDENCE DATED:

LOCATION / DESCRIPTION

LENDER SERVICING AGENT NAME AND ADDRESS

NAME AND ADDRESS

AUTHORIZED REPRESENTATIVE

CONTINUED UNTIL

TERMINATED IF CHECKED
YES NO
YES NO

CONTRACT OF SALE LENDER'S LOSS PAYABLE

MORTGAGEE

YES NO N/A

PERILS INSURED BASIC BROAD SPECIAL
COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: DED:

BUSINESS INCOME RENTAL VALUE If YES, LIMIT: Actual Loss Sustained; # of months:

FUNGUS EXCLUSION (If "YES", specify organization's form used)

REPLACEMENT COST

AGREED VALUE
COINSURANCE If YES, %
EQUIPMENT BREAKDOWN (If Applicable) If YES, LIMIT: DED:

ORDINANCE OR LAW - Coverage for loss to undamaged portion of bldg If YES, LIMIT: DED:
- Demolition Costs If YES, LIMIT: DED:
- Incr. Cost of Construction If YES, LIMIT: DED:

EARTH MOVEMENT (If Applicable) If YES, LIMIT: DED:

FLOOD (If Applicable) If YES, LIMIT: DED:

WIND / HAIL INCL Subject to Different Provisions: If YES, LIMIT: DED:

NAMED STORM INCL Subject to Different Provisions: If YES, LIMIT: DED:

PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE

HOLDER PRIOR TO LOSS
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

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

PROPERTY INFORMATION

COVERAGE INFORMATION

CANCELLATION

ADDITIONAL INTEREST
ACORD 28 (2016/03)

EVIDENCE OF COMMERCIAL PROPERTY INSURANCE

P.O. Box 5368
Concord, CA 94524

X BUILDING OR BUSINESS PERSONAL PROPERTY
Loc # 233, Bldg # 1, 2441 Broadway St., Vallejo, CA 94589 X X 18
X
8,437,891 10,000
8,437,891 10,000
150,000 10,000
150,000 10,000
X
XX
Firm Foundation Community Housing
1035 B Street. Unit B
Hayward, CA 94541
10/31/2025
NA
Nonprofits Insurance Alliance of California, Inc.

P.O. Box 8507
Santa Cruz, CA 95061-8507
Commercial Package
01CP00018760127
7/1/2025 7/1/2026
[email protected]
X
8,437,891 10,000
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
NIA-033 GL 09-19
X

LOSS PAYEE
PRODUCER NAME, NAIC NO:PHONE COMPANY NAME AND ADDRESS
CONTACT PERSON AND ADDRESS (A/C, No, Ext):

IF MULTIPLE COMPANIES, COMPLETE SEPARATE FORM FOR EACHFAX E-MAIL (A/C, No): ADDRESS:

POLICY TYPESUB CODE:

AGENCY
CUSTOMER ID #:

NAMED INSURED AND ADDRESS LOAN NUMBER POLICY NUMBER

EFFECTIVE DATE EXPIRATION DATE
ADDITIONAL NAMED INSURED(S) THIS REPLACES PRIOR EVIDENCE DATED:

LOCATION / DESCRIPTION

LENDER SERVICING AGENT NAME AND ADDRESS

NAME AND ADDRESS

AUTHORIZED REPRESENTATIVE

CONTINUED UNTIL

TERMINATED IF CHECKED
YES NO
YES NO

CONTRACT OF SALE LENDER'S LOSS PAYABLE

MORTGAGEE

YES NO N/A

PERILS INSURED BASIC BROAD SPECIAL
COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: DED:

BUSINESS INCOME RENTAL VALUE If YES, LIMIT: Actual Loss Sustained; # of months:

FUNGUS EXCLUSION (If "YES", specify organization's form used)

REPLACEMENT COST

AGREED VALUE
COINSURANCE If YES, %
EQUIPMENT BREAKDOWN (If Applicable) If YES, LIMIT: DED:

ORDINANCE OR LAW - Coverage for loss to undamaged portion of bldg If YES, LIMIT: DED:
- Demolition Costs If YES, LIMIT: DED:
- Incr. Cost of Construction If YES, LIMIT: DED:

EARTH MOVEMENT (If Applicable) If YES, LIMIT: DED:

FLOOD (If Applicable) If YES, LIMIT: DED:

WIND / HAIL INCL Subject to Different Provisions: If YES, LIMIT: DED:

NAMED STORM INCL Subject to Different Provisions: If YES, LIMIT: DED:

PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE

HOLDER PRIOR TO LOSS
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

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

PROPERTY INFORMATION

COVERAGE INFORMATION

CANCELLATION

ADDITIONAL INTEREST
ACORD 28 (2016/03)

EVIDENCE OF COMMERCIAL PROPERTY INSURANCE

P.O. Box 5368
Concord, CA 94524

X BUILDING OR BUSINESS PERSONAL PROPERTY
Loc # 233, Bldg # 1, 2441 Broadway St., Vallejo, CA 94589 X X 18
X
8,437,891 10,000
8,437,891 10,000
150,000 10,000
150,000 10,000
X
XX
Vallejo Housing of the City of Vallejo
200 Georgia Street
Vallejo, CA 94590
10/31/2025
NA
Nonprofits Insurance Alliance of California, Inc.

P.O. Box 8507
Santa Cruz, CA 95061-8507
Commercial Package
01CP00018760127
7/1/2025 7/1/2026
[email protected]
X
8,437,891 10,000
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
NIA-033 GL 09-19
X

Vallejo City CouncilNovember 18, 2025

Vallejo City Council
November 18, 2025