COVERAGE/PERILS/FORMS AMOUNT OF INSURANCE DEDUCTIBLE
COVERAGE INFORMATION
DATE (MM/DD/YYYY)
PHONE
(A/C, No, Ext):
AGENCY COMPANY
FAX
(A/C, No):
E-MAIL
ADDRESS:
CODE: SUB CODE:
AGENCY
CUSTOMER ID #:
INSURED LOAN NUMBER POLICY NUMBER
EFFECTIVE DATE EXPIRATION DATE
THIS REPLACES PRIOR EVIDENCE DATED:
LOCATION/DESCRIPTION
NAME AND ADDRESS
AUTHORIZED REPRESENTATIVE
CONTINUED UNTIL
TERMINATED IF CHECKED
MORTGAGEE ADDITIONAL INSURED
LOSS PAYEE
LOAN #
PROPERTY INFORMATION
ADDITIONAL INTEREST
ACORD 27 (2006/07)
© ACORD CORPORATION 1993-2006. All rights reserved.
THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE
ADDTIONAL INEREST NAMED BELOW. THIS EVIDENCE OF PROPERTY INSURANCE DOES NOT AMMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES BELOW.
EVIDENCE OF PROPERTY INSURANCE
REMARKS (Including Special Conditions)
CANCELLATION
DAYS WRITTEN NOTICE TO THE ADDITIONAL INTEREST NAMED BELOW, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO
OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
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.
The ACORD name and logo are registered marks of ACORD
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