HomeMy WebLinkAboutTECHNICAL OLYMPIC - INSURANCE CERTIFICATEA_CQRD,a CERTIFICATE OF LIABILITY INSURANCE
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PRODUCER
Hilb Rogal & Hobbs
1155 Dairy Ashford, Suite 350
Houston, TX 770793012
281 531-4455
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Technical Olympic USA, Inc.
1470 First Colony Blvd. #200
Sugar Land, TX 77479
INSURER A. Zurich Insurance Co.
2127
INSURER B: American Zurich Insurance Co.
40142
INSURER C: American Guarantee & Liability Ins.
26247
INSURER D: Zurich American Insurance Co. of IL
27855
INSURER E: Westchester Surplus Lines
10172
L6i*yiAC7IL1=7
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 CERTIFICATE 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
NS
TYPE OF INSURANCE
POLICY NUMBER
C
P ALTCY EfMM1DDrYY)
PODACY IMNVEXPD ON
LIMITS
A
GENERAL LIABILITY
HBP369738902
01/01/05
01/01/07
EACH OCCURRENCE
$25000000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FE OCCUR
DAMAGE TO RENTED PREMISE ire cal
$1 OO OOO
MED EXP (Any one person)
$Excluded
PERSONAL & ADV INJURY
$25 000 000
X Home Builders
Protective POI.
GENERAL AGGREGATE
s30000 000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMPIOP AGO
$30000 000
POLICY PRO- LOC
B
B
AUTOMOBILE
LIABILITY
ANY AUTO
TAP343685703
BAP343685803
01/01/05
01/01/05
01/01/06
01/01/06
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per Person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
X
BODILY INJURY
(Per accident)
$
X
PROPERTYDAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY -EA ACCIDENT
S
OTHER THAN EA ACC
AUTO ONLY: AGG
$
ANY AUTO
$
C
EXCESSIUMBRELLA LIABILITY
_X1 OCCUR CLAIMS MADE
AEC539630502
Excess Over
01/01/05
01/01/06
EACH OCCURRENCE
s25,000,000
AGGREGATE
s25,000,000
Auto Liab. and
$
$
DEDUCTIBLE
Employers Liab.
X RETENTION $ 1 O 000
$
D
WORKERS COMPENSATION AND
WC349544005
01/01/05
01/01/06
X we STATU- I OTH-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
If yee describe under
SPECIAL PROVISIONS bebw
E.L. EACH ACCIDENT
$1 o0O 000
E.L. DISEASE - EA EMPLOYEE
$1 000 000
E.L. DISEASE - POLICY LIMIT
$1 00O 000
E
OTHER Builders
120730043001
05/01/04
05/01/05
a20,000,000 per occurr.
Risk - Special -
See Desc. for Sublimits
See Below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Builders Risk Limits & Sublimits: I- - - . ___ - --
$20,000,000 any one occurrence; $20,000,000 any one construction site; $20,000,000 per
occurrence & annual aggregate for flood except $2,500,000 per occurrence & annual ) A N 0 3 2005
aggregate for flood in 100 year flood zone; $20,000,000 per occurrence & annual aggregate
(See Attached Descriptions)
--
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Fort Collins, Building
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN
Dept., Attn: Susan
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
281 North College Ave.
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
Fort Collins, CO 80524-2404
REPRESENTATIVES.
AU11HORIZED REPRESENTATIVE ,,
�• 44M�
m.umu cD Icuuvua) 1 of 3 #M260979 PLS 0 ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25S (2001/08) 2 of 3 8M26naTa
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