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DATE (MMIDDNYYY) <br />COMMERCIAL PROPERTY INSURANCE 312512022 <br />\I EVIDE F INFORMATION ONLY D CONFERS NO RIGHTS <br />v <br />THIS EVIDENCE OF COMMERCIAL PROPERTY INSURANCE IS ISSUED AS A MATTER O <br />UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER <br />THE ISSUTHE ENG NSURER(S), AUBHORIZED REPRESENTATIVE OR PRODUCER, AND THE�ADDITIONAL IINTERESTNCE DOES NOT TITUTE ACONTRACT BETWEEN <br />_ COMPANY NAME AND ADDRESS <br />NAIC N0:15437 <br />CONTACT PERSON AND ADDRESS IIAIG no pxn_-.r.-- <br />Arthur J. Gallagher Risk Management Services. Inc. <br />250 Park Avenue, 5th Floor <br />Newyork. NY 10177 <br />NAMED INSURED AND ADDRESS <br />FZ"IVVorks Track Services. InC.: <br />12740 Lakeland Road <br />Santa Fe Springs CA 9070 <br />ADDITIONAL NAMED INSURED(S) <br />Lexington Insurance Company <br />too Summer Street <br />Eoston, MA 02110 <br />IF MULTIPLE COMPANIES. COMPLETE SEPARATE FORM FOR EACH <br />POLICY TYPE <br />POLICY NUMBER <br />LOANNUMSER <br />THIS <br />rNE DATE I EXPIRATION OATS CONTINUED UNTIL <br />04/01/2022 0,V0112023 n TERMINATED IF CHECKED <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY Pert�v� ",E%CLUSIONS AND CONDITIONS <br />ANY REQUIREMENT, TERM O C CONDITION <br />OF ANY CONTRACT OR OTHER DOCUMET WIT H RESPECT TO CE AFFORDED BY THE POLICIES DESCRNB D HEREIN 5 SUBJECT ALL THEITHIS TERMS, F PROPERTY INSURANCE MAY <br />BE ISSUED OR MAY PERTAIN, OWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />OF SUCH POL I RROAD IX I SPECIAL <br />f BUSINESSINCOME 0 RENTALVALUE <br />BLANKET COVERAGE <br />TERRORISM COVERAGE <br />IS THERE ATERRORISM-SPECIFIC EXCI <br />LIMITED FUNGUS COVERAGE <br />FUNGUS EXCLUSION <br />REPLACEMENT COST <br />AGREED VALUE <br />used) <br />$25,000,000 <br />If YES, LIMIT:S5,000,000 <br />If YES, indicate value(s) reporte <br />Attach Disclosure NOtice I DEC <br />If YES, LIMIT: <br />If YES, <br />EQUIPMENT BREAKDOWN (If Applicable) <br />to undamaged portion of bldg <br />If YES, LIMIT Inc <br />ORDINANCE OR LAW -Coverage for loss <br />X <br />If YES, LIMIT $1 <br />- Demolition Costs <br />X <br />If YES, LIMIT:S1 <br />- Incr. Cost of Construction <br />X. <br />IfYES, LIMITS( <br />EARTH MOVEMENT(if Applicable) <br />X <br />IfYES, LIMIT 'S- <br />FLOOD (If Applicable) <br />❑YES ❑ NO Subject to Provisions: <br />X <br />If YES, LIMIT:In <br />ODifferent <br />WIND / HAIL INCL <br />❑YES ❑No Subject to Different Previsions: <br />X <br />AYES, LIMITS <br />NAMED STORM INCL <br />__...__.,..,-...,.,.n�ccuaanGATION IN FAVOR OF MORTGAGE <br />X <br />—FACtual Loss Sustained; ll of months: <br />identified above: $ <br />DED: <br />)LDER PRIOR TO LOSS <br />ANCELLATION <br />SDNN ACCORDANCE WITH THE POLICY PROVISIONS.CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL B <br />SHOULD <br />Y 0 THE ABOVE DESCRIBED POLICIES <br />ADUI 1 I V NP E rn , --- <br />CONTRACT GF SALE LENDER'S LOSS PAYABLE X LOSS PAYEE <br />MORTGAGEE <br />NAME AND ADDRESS <br />The City of Santa Ana <br />Risk Management Division AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza. 4th floor <br />Santa Ana, CA 92701 <br />© 2003-ZUI D Aw <br />ACORD 28 (2016103) The ACORD name and logo are registered marks of ACORD <br />RENEWID & APPROVED Sr <br />A+fA Ar:w44 <br />Rbk Management Specialist <br />