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