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Evidence of Property - MidPen Housing CoporationDATE (MM/DD/YYYY) ACORDTv EVIDENCE OF COMMERCIAL PROPERTY INSURANCE 12/16/2014 THIS EVIDENCE OF COMMERCIAL PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. PRODUCER NAME, PHONE 303-534-4567 COMPANY NAME AND ADDRESS NAIC NO: 19437 CONTACT PERSON AND ADDRESS A/C, No, Ext : IMA, Inc. — Colorado Division Lexington Insurance Company 1705 17`h Street, Suite 100 Denver, CO 80202 FAX 303-534-0600 E-MAADDRESS: denpam@imacorp.com No : IF MULTIPLE COMPANIES, COMPLETE SEPARATE FORM FOR EACH CODE: SUB CODE: 109 POLICY TYPE Commercial Property Policy AGENCY 34403 CUSTOMER ID #: NAMED INSURED AND ADDRESS LOAN NUMBER POLICY NUMBER MidPen Housing Corporation 114633702015N EFFECTIVE DATE EXPIRATION DATE ❑ CONTINUED UNTIL 303 Vintage Park Drive, Suite 250 Foster City, CA 94404 01/01/2015 01/01/2( TERMINATED IF CHECKED ADDITIONAL NAMED INSURED(S) THIS REPLACES PRIOR EVIDENCE DATED: Shannon Palms Lane Associates, LP IKUl I Y INt-UKMA I [UN (use KtMAl on rage Z, IT more space IS requirea) Ln bUILUIl UK L_j LiUSINt66 F'tKSUNAL NKUYtK I Y LOCATION/DESCRIPTION Name of Property: The Palms 844, 858, 870, 886, 898 & 910 Sharmon Palms Lane, Campbell, CA 95008 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 $125.000,000 Loss Limit DED: $5,000 YES NO N/A ® BUSINESS INCOME ® RENTAL VALUE If YES, LIMIT: See Remarks ® Actual Loss Sustained: # of months: 12 BLANKET COVERAGE X If YES, indicate value(s) reported on property identified above $ TERRORISM COVERAGE X Attach Disclosure Notice / DEC IS THERE A TERRORISM -SPECIFIC EXCLUSION? X IS DOMESTIC TERRORISM EXCLUDED? X LIMITED FUNGUS COVERAGE X If YES, LIMIT See Remarks DED: $5,000 FUNGUS EXCLUSION (IF "YES," specify organization's form used) X REPLACEMENT COST X AGREED VALUE X COINSURANCE X If Yes, EQUIPMENT BREAKDOWN (If Applicable) X If YES. LIMIT. Incl. in loss limit DED: $5.000 ORDINANCE OR LAW — Coverage for loss to undamaged portion of bldg X — Demolition Costs X If YES, LIMIT: See Remarks DED: $5,000 — Incr. Cost of Construction X _ If YES, LIMIT: See Remarks DED: $5,000 EARTH MOVEMENT (If Applicable) X If YES, LIMIT. See Remarks DED: See Remarks FLOOD (If Applicable) X If YES, LIMIT: See Remarks DED: See Remarks WIND/HAIL (If Subject to Different Provisions) X If YES, LIMIT: Incl. in loss limit DED: $5.000 PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE HOLDER PRIOR TO LOSS X 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 X I LENDERS LOSS PAYABLE NAME AND ADDRESS The City of Campbell 70 North First Street Campbell, CA 95008 ADDITIONAL INSURED I LENDER SERVICING AGENT NAME AND ADDRESS AUTHORIZED REPRESENTATIVE l ACORD 28 (2009/12) PAGE 1 OF 2 © 2003-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD EVIDENCE OF COMMERCIAL PROPERTY INSURANCE REMARKS — Including Special Conditions (Use only it more space is requires) Building, Personal Property, Business Income, (including Loss of Rents), Extra Expense Coverage, Machinery & Equipment Breakdown, Builders Risk Hard Costs and Soft Costs All Coverage Combined are included in the $125,000,000 Loss Limit Any One Occurrence. Newly Acquired or Constructed Property — Building, Your Business Personal Property and Business Interruption including Loss of Rents. Permanent Structures — $10,000,000 Automatic coverage up to 180 days; Full coverage once underwriter advised and accepted. Property Under the Course of Construction — $5,000,000 Automatic coverage up to 180 days; Full coverage once underwriter advised and accepted. Building Ordinance Demolition and Increased Cost of Construction Sub -Limit: 20% of Replacement Cost of damaged building structure(s) — subject to $500,000 minimum and a $2,500,000 per property maximum any one occurrence/Total Any One Occurrence — $10,000,000. Limited Fungus Coverage — $25,000 clean-up only after covered cause of loss. Earthquake — $5,000,000 Any One Occurrence; $5,000,000 Annual Aggregate; Deductible 2% of RC of damaged structure(s) or $25,000 Minimum per Occurrence. Earthquake coverage is excluded in California, Hawaii, Alaska, Puerto Rico, Canada and New Madrid Zone States and Counties as defined by the policy. Flood — $5,000,000 Any One Occurrence; $5,000,000 Annual Aggregate; Deductible 2% of RC of damaged structure(s) or $25,000 Minimum per Occurrence. Flood coverage is excluded in Zones A, B or V as defined by the National Flood Insurance Program. Wind/Hail: Named Windstorm, Flood & Storm Surge as defined by the policy and Excluding Terrorism: Tier 1 B Counties as defined by the policy in Connecticut, Delaware, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Rhode Island & Virginia. Deductible: 2% of Replacement Cost of damaged building structure(s) — subject to $25,000 minimum. Exclusion for Named Windstorm, Flood & Storm Surge and Terrorism as defined by the policy: Tier 1A States, Counties and Parishes as defined by the policy in Alabama, Florida, Georgia, Hawaii, Louisiana, Mississippi, North Carolina, South Carolina and Texas. DRAFT ACORD 28 (2009/12) PAGE 2 OF 2 © 2003-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MEMBER: MidPen Housing Corporation POLICY NUMBER: 114633702015N EFFECTIVE DATE: 01/01/2015 — 01/01/2016 COMMERCIAL PROPERTY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF CANCELLATION PROVIDED BY US This endorsement modifies insurance provided under the following: COMMERCIAL PROPERTY COVERAGE PART SCHEDULE Number of Days Notice — 30 or 10 Days for Non -Payment of Premium. Name Of The City of Campbell 70 North First Street Campbell, CA 95008 HPNP 07 (1-14) If no entry appears above, Information required to complete this Schedule will be shown in the Declarations as applicable to this endorsement. For any statutorily permitted reason, the number of days required for notice of cancellation as provided in paragraph 2. of either the CANCELLATION Common Policy Condition or as amended by an applicable state cancellation endorsement, is increased to the number or days shown in the Schedule above. 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