DATE (MM/DD/YYYY)
INSURANCE BINDER 11/21/2024
THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON PAGE 2 OF THIS FORM.
AGENCY COMPANY BINDER #
Genrose Insurance LLC Employers Preferred Insurance Company EIG5772996-00
938 N 95TH WAY STE A208 EFFECTIVE EXPIRATION
SCOTTSDALE, AZ 85258 DATE TIME DATE TIME
AM 12:01 AM
11/21/2024 12:01 11/21/2025
PM NOON
PHONE FAX
(A/C, No, Ext):480-456-0327 (A/C, No): — THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY
CODE: 0001597-CR00029142 SUB CODE: — PER EXPIRING POLICY #:
AGENCY DESCRIPTION OF OPERATIONS / VEHICLES / PROPERTY (Including Location)
CUSTOMER ID:
INSURED AND MAILING ADDRESS
Twin Homes LLC
8742 West Edgemont Avenue, Phoenix, AZ 85037
COVERAGES LIMITS
TYPE OF INSURANCE COVERAGE / FORMS DEDUCTIBLE COINS % AMOUNT
PROPERTY CAUSES OF LOSS
BASIC BROAD SPEC
GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO
COMMERCIAL GENERAL LIABILITY RENTED PREMISES $
CLAIMS MADE OCCUR MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
RETRO DATE FOR CLAIMS MADE: PRODUCTS - COMP/OP AGG $
VEHICLE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO BODILY INJURY (Per person) $
ALL OWNED AUTOS BODILY INJURY (Per accident) $
SCHEDULED AUTOS PROPERTY DAMAGE $
HIRED AUTOS MEDICAL PAYMENTS $
NON-OWNED AUTOS PERSONAL INJURY PROT $
UNINSURED MOTORIST $
$
VEHICLE PHYSICAL DAMAGE DED ALL VEHICLES SCHEDULED VEHICLES ACTUAL CASH VALUE
COLLISION: STATED AMOUNT $
OTHER THAN COL:
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: SELF-INSURED RETENTION $
PER STATUTE
WORKER'S COMPENSATION E.L. EACH ACCIDENT $ $1,000,000.00
AND
EMPLOYER'S LIABILITY E.L. DISEASE - EA EMPLOYEE $ $1,000,000.00
E.L. DISEASE - POLICY LIMIT $ $1,000,000.00
SPECIAL FEES $
CONDITIONS /
OTHER TAXES $
COVERAGES
ESTIMATED TOTAL PREMIUM $
NAME & ADDRESS
MORTGAGEE ADDITIONAL INSURED
LOSS PAYEE
LOAN #:
AUTHORIZED REPRESENTATIVE
Page 1 of 2 © 1993-2013 ACORD CORPORATION. All rights reserved.
ACORD 75 (2013/09) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID:
CONDITIONS
This Company binds the kind(s) of insurance stipulated on page 1 of this form. The Insurance is subject to the terms, conditions and
limitations of the policy(ies) in current use by the Company.
This binder may be cancelled by the Insured by surrender of this binder or by written notice to the Company stating when cancellation
will be effective. This binder may be cancelled by the Company by notice to the Insured in accordance with the policy conditions. This
binder is cancelled when replaced by a policy. If this binder is not replaced by a policy, the Company is entitled to charge a premium
for the binder according to the Rules and Rates in use by the Company.
Applicable in Arizona
Binders are effective for no more than ninety (90) days.
Applicable in California
When this form is used to provide insurance in the amount of one million dollars ($1,000,000) or more, the title of the form is changed
from "Insurance Binder" to "Cover Note".
Applicable in Colorado
With respect to binders issued to renters of residential premises, home owners, condo unit owners and mobile home owners, the
insurer has thirty (30) business days, commencing from the effective date of coverage, to evaluate the issuance of the insurance
policy.
Applicable in Delaware
The mortgagee or Obligee of any mortgage or other instrument given for the purpose of creating a lien on real property shall accept as
evidence of insurance a written binder issued by an authorized insurer or its agent if the binder includes or is accompanied by: the
name and address of the borrower; the name and address of the lender as loss payee; a description of the insured real property; a
provision that the binder may not be canceled within the term of the binder unless the lender and the insured borrower receive written
notice of the cancellation at least ten (10) days prior to the cancellation; except in the case of a renewal of a policy subsequent to the
closing of the loan, a paid receipt of the full amount of the applicable premium, and the amount of insurance coverage.
Chapter 21 Title 25 Paragraph 2119
Applicable in Florida
Except for Auto Insurance coverage, no notice of cancellation or nonrenewal of a binder is required unless the duration of the binder
exceeds 60 days. For auto insurance, the insurer must give 5 days prior notice, unless the binder is replaced by a policy or another
binder in the same company.
Applicable in Maryland
The insurer has 45 business days, commencing from the effective date of coverage to confirm eligibility for coverage under the
insurance policy.
Applicable in Michigan
The policy may be cancelled at any time at the request of the insured.
Applicable in Nevada
Any person who refuses to accept a binder which provides coverage of less than $1,000,000.00 when proof is required: (A) Shall be
fined not more than $500.00, and (B) is liable to the party presenting the binder as proof of insurance for actual damages sustained
therefrom.
Applicable in Oklahoma
All policies shall expire at 12:01 a.m. standard time on the expiration date stated in the policy.
Applicable in Oregon
Binders are effective for no more than ninety (90) days. A binder extension or renewal beyond such 90 days would require the written
approval by the Director of the Department of Consumer and Business Services.
Applicable in the Virgin Islands
This binder is effective for only ninety (90) days. Within thirty (30) days of receipt of this binder, you should request an insurance
policy or certificate (if applicable) from your agent and/or insurance company.
ACORD 75 (2013/09) Page 2 of 2
