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Insurance Requirements PACIFIC MOB/LE STRUCTURES Date: 9/8/2020 Company: Site Location: Stuart Kamstra City of Pleasanton Pleasanton Library Cell: 209.595.0793 Po Box 520 400 Old Bernal Ave Office: Pleasanton, CA 94566-0802 Pleasanton, CA 94566-7020 Contact: Site Contact: Samu Tiumalu -925.931.5503 Samu Tiumalu -925.931.5503 stiumalu@cityofpleasantonca.gov stiumalu@cityofpleasantonca.gov Thank you for your business! In accordance with our Lease/Rental Terms and Conditions, under section 9,the RENTER,at its sole cost and expense, will obtain and keep in force,from the delivery date until the removal of the equipment,the following policies: • Blanket Commercial General Liability Insurance, providing coverage on ISO form CG 00 01, or a substitute providing equivalent coverage, and subject to policy limitations or exclusions reasonably acceptable to Pacific Mobile Structures, Inc. (PMSI), in the amount of not less than $1,000,000 per occurrence, naming PMSI as additional insured and endorsed to state that it shall be primary non-contributory insurance as respects to PMSI's insurance. • Commercial Property Insurance, providing coverage under ISO CP 10 30, Causes of Loss-Special Form or the equivalent, and subject to policy limitations or exclusions reasonably acceptable to PMSI, for an amount no less than 100% of the replacement cost of the leased equipment, with PMSI added as loss payee. Please send this form to your insurance carrier prior to the scheduled delivery date of your building and have the insurance certificate sent directly to Pacific Mobile Structures via email or fax. Please see the attached example of an acceptable insurance certificate. Unit# Value Manufacturer Year Mfg. Serial# 2525 $57,236.00 TSI 1997 2525 Renter will give PMSI at least ten (10)days' prior written notice of cancellation of the policy for nonpayment of premiums and at least thirty (30) days' prior written notice for alteration or cancellation due to any other reason or for non-renewal of the policy. If the insurers are unable to or unwilling to provide such notice, Renter shall provide such notice. Al required insurance shall be maintained with insurance companies rated A-X or better by AM Best(or an equivalent rating by another nationally recognized insurance rating agency of similar standing) or with other insurance companies satisfactory to PMSI. Please Note: If PMSI does not receive the General Liability Insurance Certificate prior to delivery,then the Renter will pay a monthly non-insurance penalty fee for each month that the Renter falls to provide the required certificate of insurance. The fee is calculated as follows: Dollar Value of Rental Unit divided by 100, multiplied by$0.30. If PMSI does not receive the Property Insurance Certificate as required prior to delivery, then the Renter will automatically be enrolled in the Property Damage Waiver Program, at the Renter's expense, at a monthly cost of 9%of the current monthly rental fee. We are here to help! Please contact Franci Wolf for any insurance related questions or concerns Phone: 360.345.1576 Fax: 360.748.0578 Email: insurance(a�pacificmobile.com stuart.kamstra@pacificmobile.com