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HomeMy WebLinkAboutInsurance Certificate: Helena Agri-Enterprises, LLC Page 1 oF, 2 ACORl7® OATS(MNUDDNYYY) . EVIDENCE_OF'PROPERTY INSURANCE; D7/D1/2U22 THIS"EVIDENCE'OF PROPERTY:INSURANCE IS'ISSUED AS AMATTER OF'INFORMATION ONLY AND•CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED,BELOW.,THIS EVIDENCE DOESrNOT AFFIRMATIVELY OR;,NEGATIVELY AMEND',EXTEND OR ALTER THE • . COVERAGE AFFORDED BY THE POLICIES BELOW THIS.EVIiENCE OF.INSURANCE DOES NOT'.CONSTITUTE A.CONTRACT BETWEEN THE,._ . ' ;ISSUING INSURER(S),AUTHORIZED`REPRESENTATIVE OR:PRODUCER,.AND THE,ADDITIONAL INTEREST.. AGENCY • PONEO.Exf1:1.-07.1-915-7078,., COMPANY •, • •' , . „RATA,. Willis Towers Watson Northeast, Inc. Sompo.America Insurance Company . c/o 26 Century Blvd Two.World..Financial Center P.O. Box 305191 • . 255:W:warty Street'; 43rd F1'oor..- ' - Nashville, TN 372305191 'USA • New.York,-,NY 102811058 • FAX 1-888-4'67-2378 E-MAIL.. 'certificates@willis- corn IAIC.Nol: ADDRESS: .. CODE: I SUB CODE: ' 'AGENCY. 'CUSTOMER ID N: `INSURED . ..., . _ ... , ,.. . _. _,... . _..: LOAN NUMBER _, ... . ..OUDYNUMBER,.... ". Helena Agri-Enterprises, LLC: , HPR10047G0 225 Schilling Blvd, Suite 300 Collierville, 'TN 38017 • , EFFECTIVE DATE ;EXPIRATIONDATE, 07/01/2022 07/01/2023 CONTINUED UNTIL, . , . 'TERMINATED II:CHECKED,. THIS'REPLACES PRIOR EVIDENCE DATED: " PROPERTY INFORMATION . ' ' ' ' ' . LOCATION/DESCRIPTION Location Coat Center #: 90357 • Re: 79 County Road F, Ashland, NE 68003 . 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;CONTR'ACT 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 MAV HAVE.BEEN REDUCEDBY PAID CLAIMS. COVERAGE INFORMATION. . PERILS INSURED ';BASIC_ ! BROAD .. .X SPECIAL .* . .. , ... . COVERAGE/PERILS/FORMS' : AMOUNT OF INSURANCE DEDUCTIBLE Limit of Liability, per Occurrence, except'policy sublimit's j , 4255000,000 , SEE'ATTACRED' • . REMARKS.(IncludIng Special Conditions) , All Risk of physical loss or damago-,'incl FL and.EQ subject to policy terms, •conditions, Exclusions and-sublimits ' Covers Real A Personal Property, Sueineas Interruption/Extra Expense, EDP Equipment;& Media Deductible - $1.,000,000•-Cambi.ned PD / El any one occurrence' Agreed•Amount Endorsement Applies • Valuation Real .& Personal Property - Repair. or 'Replacement. Cost. Dusiaess Interruption Actual Loss. Sustained • ,Finished Stock - Selling Price.'Stock in Process - Value of:'Raw"Material plus labor ,' ' , • CANCELLATION , DEL SHOULD-ANY- LD A N A CORDANV E WITH THE POE DESCRIBED OLI PROVISIONS IES BE ELI ED'BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE ADDITIONAL INTEREST . . I.NAMEAND.ADDRESS •''ADDITIONALINSURED : LENDER'S•LOSS PAYABLE LOSS.PAYEE. , •MORTGAGEE LOAN# City of Ashland AUTHORIZED REPRESENTATIVE 90 N-Mountain Avenue • 'Ashland, OR 97520 • 1�.Ie\,s rU cl; , ACORD'27(2016/03) - ©1993.2015 ACORD'CORPORATION.•All rights•'reserved: The ACORD.name and.logo'are:registeredmiarks of ACORD ; SR IDI'.22782169 B*TCR: 2,581529,,,; ' --craT:•.W25,319220. 2'o12 7800 • AGENCY OMOMER ID: • ...:. . , . ,. •• - • ,, • LOC#: • . . . '" • • • ..........., , .,•,• . ARD . • •• . ADDITIONAL REMARKS SCHEDULE Page 2: of . AGEN6r . NAMED INSURED . . . Selena Agri-iniesprisnn, tLb Wiliie Towers Watson Northeast, Inc. . . - 225 Schilling Blvd, 64ite 300 . .. . . POLICY NUMBER . • Collierville, TN 38017 .. . See Page 1 • , • . . . . . , • , . . CARRIER ' NACCODE. See Page 1 . See Page 1 EFFECTIVE DATE:See Page 1 ADDITIONAL REMARKS. . . . . . . : , ' . . • THIS ADDITIONAL'REMARKS FORM ISA SCHEDULE TO ACORD FORM, FORM NUMBER: .27 FORM TITLE: Evidence of PtoPOttY . ' • REMARKS: . . • EDP. Media and Valuable Papers - Reproduction Costs. •:Other deductibles may apply per policy terms and cenditions Property coverage includes the Tnapred's liability for Personal Property of Others in the insured's custody while in-Transit, subject to a limit of $3.400,000,:, • . Locations: Reported Schedule oflocations: Machinery. and:Equipment: Limits of Liability: $56,000,000, any one accident combined property damage, Aousiness, interruption, extra expense, except-: ' - . ,. . $5,000,000 Service/Utility/Off Premise' Power Interruption . . ' $1,000,000 water Damage ' $1,000,000 Ammonia Contamination . . . . . . $1,000,000 Expediting Expense $1,000,000 Hazardous Substance $1,000,000 Demolition Increased Cost of Construction $1,000,000 Consequential Damage . • $5A00,000 Property Damage - 'Misc Unnamed/UnschaduledLoCationa . . $2,500,00o Business Interruption - Mliag Unnamed/Unscheduled .locations . . . . 45f000,000Property Damage - Newly Acquired -Locations . • . $2,500,000 Business interruption - Newly Acquired.Locations ' $5,000,000 Property. Damage ,- Newly Acquired Locations , $2,500,006 Business interruption - Newly Acquired: LOcations ' . . $1,000,000 Deductible Combined Property Damage/ Time Element. $1,000,000 FL-and' EQ.except California EQ - 5% per unit of insurance or $1,000,000 minimum. Thailand Flood excluded. • • $1,000,000. EqUipment,Breadewn Deductible combined PD/TE. 24 hours waiting peribd, followed by the peril . deductible,,,OffPreMises Service interrupiion • Valuation Motor Vehicles - Coat to repair, unless oost exCeeds, 60% of ACV at time -and place of the loss, in which ease the 'basis of adjUetment are as follows: ' , Motor vehicles - ACV. Mobile equipment-if equipment'dated- 2011-2021 Replacement Cost.. All others ACV • . . . . - . . ; . . .. . . .,. . . . . . . . . , • . . . . . . . . . . , • . . . . . . . . . . . , • . . . . , . . . . • • • • . . . . • - • • • . . • • • -- .. . . . . • .. . • . . • . . . .. ACORD 101 (2008/01) • . .-. — . , ,, ' . ©2008 ACORD CORPORATION. All rights.reserved. . . The ACORD nams,anctlago_are registered marks otAPORD ..- SR ID: 22-782169 ' BATCK: 2581529- ET: N25519220 WILLIS TOWERS WATSON 26 CENTURY BLVD. 6TH FL, SUITE 101 NASHVILLE,TN 37214 7800 1 MB 0.482 111111111111IIIIIII'IIII111111II'IIII'III'11111111"hiluld1111 CITY OF ASHLAND 90 N MOUNTAIN AVE' 7800 ASHLAND,OR 97520-2014 • • 1 of 2 7800