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OP ID: EIS <br />ACIEWO <br />EVIDENCE OF COMMERCIAL PROPERTY INSURANCE <br />TE <br />F�011101��` <br />lriorzfala <br />THIS EVIDENCE OF COMMERCIAL PROPERTY INSURANCE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS <br />UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIR1 ATPJELY OR NEGATIVELY AMEND, EXTEND OR ALTER <br />THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN <br />THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. <br />PRODUCER NA ' PI4ONE -2 -5555 <br />tAfC. Ne, Ex3 <br />COMPANY NAME AND ADORE" NAI C ND: 13528 <br />ACT &ON AND DRESS ;,, <br />yopul ' nsurance 'coup mm <br />Brotherhood Mutual Insurance <br />1900 Jackson Road <br />PO Box 2227 <br />Mishawaka, IN 46644-9195 <br />Fort Wayne, IN 49801.2227 <br />Nathan D Spite <br />IF MULTIPLE COMPANIES, COMPLETE SEPARATE FORM FOR EACt1 <br />A!C No : �74-268 9177 ADDREss N <br />CODE: 00315 stub ODDS <br />POLICY TYPPE <br />Commercial Package <br />cOETCY RIVEpRpRIE4gq <br />) n^......... �_ <br />NAMED IN5UREp1AN@TK <br />-.LOAN NUMBER -..�_ � � P()t.i!NLMSER=Asffhley <br />tifdCe <br />TSwanson <br />13M <br />- <br />2410 Mishawaka Avenue <br />South Bend,1N 46616 <br />EFFECi(NEDATE -.. EXPIRATION DATE CONTINUM UNTIL <br />01/16/14 11114114 TERM3NA7ieDIFCHEC4 <br />THIS REPLACES PRIOR RMENCE DAIEZ): ,... <br />ADDITIONAL NAMED INSURED€91 .-..�.- <br />PROPERTY INFORMATION Use REMARKS On R910,4, IT MOrO Space IS r utrea ...- <br />r.ATIQ�I! DESCRIPT O" GlxasroomfArtnex <br />2416 M , 'ka Avenue <br />South Bend, IN 466115-21,15 <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WfTH RESPECT TO WHICH THIS EVIDENCE OF PROPERTY INSURANCE MAY <br />BE ISSUED OR.MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS <br />OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />VV•LMVb fief Vf�11,�.iv.. i-i.r„ry n-v••.�� ••-�•� -- - - -- - - <br />COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: $ 601,000 DIED: 1,000 <br />...... ... �.p,Y <br />E8 <br />NO <br />WA <br />© BUSINESS INCOME © RENTAL VALUE <br />X <br />If YES, LIMIT:. Actual Loaa 5ustalned; 4 of nm3nfhs; <br />BLANKET COVERAGE <br />X <br />If YES, indicate values) repoded on ptoperty identified above: S <br />TERRORISM COVERAGE _ <br />X <br />Attodr Disclosure Notioa f DEC <br />IS THERE A TERRORISMSPECIFIC EXCLUSION7 .w..�. <br />IS DOMESTIC TERRORISM EXCLUDED? <br />.X <br />X <br />- <br />LIMITED FUNGUS COVERAGE - a <br />If YES, LIMIT: DED: <br />FUNGUS EXCLUSION Of "YES', apoorfy organ€ Ban's forTn used) <br />i <br />REPLACEMENT OOST <br />X <br />AGREED VALUE <br />X <br />COINSURANCE - <br />X <br />If YES, 100% <br />EQUIPMENT BREAKDOWN Of Applk�Qbla) <br />I <br />X <br />If YES, LIMIT: <br />ORDNANCE OR LAW - Covetage tof €ass to undamaged portion of bkSg <br />X <br />If YES, LIMIT: DED. <br />OamolNon Costa <br />X <br />If YES. LIMIT; DED: <br />Ina. Cost of Cons Winn - <br />X <br />If YES. LIMIT; DED: <br />EARTH MOVEMENT of Applkabto) <br />X <br />If YES, LIMIT: DED: <br />FLOOD (N Appticabla) <br />X <br />If YES, LIMIT: DED: <br />WIND 1 HAIL (If Sub)eet to Different Prmbmna) <br />6 <br />X <br />If YES, LIMIT: DED: <br />- <br />PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE <br />HOLDER PRIOR TO LOSS <br />X <br />_ <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE: EXPIRATION LIA It IHPKr-vt-, NV Ilk c VVI" nc <br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, <br />rnelxTchc I I CONTRACT OF SALE <br />NAME AND AD00 6SS <br />Lake City Bank - Warsaw <br />Wox 13_$7 <br />Warsaw,1 46681.1387 <br />cc —on—" f7Ai?J1il <br />LENDER SEIWVC NG AGENT NAME AND ADDRESS <br />AUFHORUED REPRESENTATINE <br />p ILIb <br />....................... <br />Pace 1 of I rn 2003-201 t ACOP.D COP.PORATION. All rights resen�ed. <br />