ACORD 28 Evidence of Commercial Property Insurance
ACORD 28 Evidence of Commercial Property Insurance
PROPERTY INFORMATION (Use REMARKS on page 2, if more space is required) BUILDING OR BUSINESS PERSONAL PROPERTY
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.
COVERAGE INFORMATION PERILS INSURED BASIC BROAD SPECIAL
COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: $ DED:
YES NO N/A
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 (If Subject to Different Provisions) If YES, LIMIT: DED:
PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE
HOLDER PRIOR TO LOSS
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
ADDITIONAL INTEREST
MORTGAGEE LENDER SERVICING AGENT NAME AND ADDRESS
CONTRACT OF SALE
LENDERS LOSS PAYABLE
NAME AND ADDRESS
AUTHORIZED REPRESENTATIVE