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HomeMy WebLinkAboutPARKWAY C&A LP - INSURANCE CERTIFICATEARC® DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 9/24/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER CONTACT NAME: Debbie Nunn Marsh & McLennan Agency, LLC PHONE FAX 8144 Walnut Hill Lane, 16th Floor No Ext: 972-770 1446 ac No:212-701-1196 Dallas TX 75231 ADDRESS: debbie_nunn@mhbt.com INSURED Parkway C&A, LP 1000 Civic Circle Lewisville TX 75067 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Charter Oak Fire Insurance Company 25615 INSURER B : Travelers Lloyds Insurance Company 41262 INSURER C : Phoenix Insurance Company 25623 INSURERD: INSURER E : COVERAGES CERTIFICATE NUMBER: 348394812 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE LTR ADDL SUBR POLICY NUMBER POLICY EFF MWDD/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY COlFS46001 10/1/2018 10/1/2019 EACH OCCURRENCE $ 1,000,000 rCOMMERCIAL CLAIMS -MADE � OCCUR AGE To RENTED DAMISESa PREMEoccurrence $ 300,000 VIED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY 7X JERCOT- F7 LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY BA1F889596 10/1/2018 10/1/2019 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO X ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ NON -OWNED AUTOS HIRED AUTOS X UMBRELLA LAB OCCUR EACH OCCURRENCE $ AGGREGATE EXCESS LIAB CLAIMS -MADE $ DIED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N UB7J048062 10/1/2018 10/1/2019 X PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑N N / A E.L. EACH ACCIDENT $ 1.000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 (Mandatory in NH) If Yes, describe under DESCRIPTION OF OPERATIONS below $ 1,000,000 E.L. DISEASE - POLICY LIMIT B Property/Inland Marine: CBE,CE,BR QT6600698C273 10/1/2018 10/1/2019 See Description DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ***** Named Insured Schedule Parkway C&A, LP Prime -Con, Ltd. P.C.A. Holdings G.P.. L.L.C., its General Partner PKWDEV, LLC Parkway Construction & Associates, L.P. Parkway Construction GP, LLC Parkway Construction & Architecture, L.P. See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 281 North College Ave. PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522-0580y @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: AC"J?" DIIIIITIMIAI RFMARKS grHFnill F Page 1 Of 2 AGENCY NAMED INSURED Marsh & McLennan Agency, LLC Parkway C&A, LP 1000 Civic Circle POLICY NUMBER I Lewisville TX 75067 CARRIER I NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Parkway C&A, Limited Partnership dba Parkway Vaughan Hancock (GL Policy Only) PKWY Architects, LLC (All policies except WC) ***** Workers Compensation ***** All States except monopolistic states ND, OH, WA, WY ***** Business Auto ***** Physical Damage Comprehensive Deductible: $1,000 Collision Deductible: $1,000 Hired Auto Physical Damage Limit: ACV or Cost of Repair, whichever is less, minus deductible Comprehensive Deductible: $1,000 Collision Deductible: $1,000 ***** Property and Inland Marine Policy ***** PROPERTY COVERAGE: Location #1: 1000 Civic Circle, Lewisville, Texas Building — 1 $1,982,010 Building — 2 $2,075,000 Business Personal Property (Blanket): $600,000 Business Income with Extra Expense: $500,000 (BI includes Extra Expense, Rental Value, Ordinary Payroll) Location #2: 401 N. Valley Parkway, Suites 410 and 420, Lewisville, Texas Business Personal Property (Blanket): $40,000 Business Income with Extra Expense: $84,000 (BI includes Extra Expense, Rental Value, Ordinary Payroll) Accounts Receivable $50,000 Valuable Papers and Records — Cost of Research $50,000 Flood Limit per occurrence /annual aggregate: $250,000 Earthquake Limit per occurrence / annual aggregate $250,000 Valuation and Coinsurance: Replacement Cost / Agreed Amount: Coinsurance waived Property Deductibles: $2,500 Any one loss except 72 Hours Waiting Period for Business Interruption $25,000 Earthquake $25,000 Flood m included COVERAGE INLAND MARINE: CBE, CE, BR Computerized Business Equipment (CBE): Location: 1000 Civic Circle, Lewisville, Texas Limits of Insurance: $185,000 Hardware $125,000 Software $15,000 BI/EE $325.000 Total Blanket Limit luation and Coinsurance: Replacement Cost/ No Coinsurance Coverage Extensions: Limits: Electronic Vandalism $10.000 Flood $250,000 Annual Aggregate Earth Movement $250,000 Annual Aggregate Windstorm Included Deductibles: $ 1,000 Any one loss except: $ 2,500 Mechanical Breakdown $25,000 Flood ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: AC"J?" ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY Marsh & McLennan Agency, LLC NAMED INSURED Parkway C&A, LP 1000 Civic Circle Lewisville TX 75067 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE ,000 Earth Movement Contractors Equipment (CE): Limits of Insurance: $400,000 Any one item leased and rented No Coverage Owned Equipment $400,000 Maximum amount of payment any one occurrence $400,000 Flood - Annual Aggregate $400,000 Earth Movement - Annual Aggregate Included Windstorm Valuation: Leased and Rented Items: Legal Liability Up to Replacement Cost Coinsurance: 80% Coinsurance Deductible: $5,000 any one loss Builders Risk (BR) Limits of Insurance: $20,000,000 at any one location, Masonry Non-combustible or better, Commercial Construction $10,000,000 at any one location, Joisted masonry, Commercial Construction $ 5,000,000 Frame, Commercial Construction $ 250,000 Transit $ 250,000 Temporary Storage $100,000 Soft Costs Valuation: Replacement Cost Coinsurance: Waived Permission to Occupy Applies Flood Coverage: $5,000,000 LOW HAZARD Occurrence/Annual Aggregate $1,000,000 MODERATE HAZARD Occurrence/Annual Aggregate EXCEPT: As excluded per policy Earth Movement Coverage: $5,000,000 LOW HAZARD Occurrence/Annual Aggregate $1,000,000 MODERATE HAZARD Occurrence/Annual Aggregate $1,000,000 HIGH HAZARD Occurrence/Annual Aggregate EXCEPT: As excluded per policy Included Windstorm/ Named Storm Coverage EXCEPTION: High Hazard Windstorm Exclusion Endorsement A Wind Exclusion endorsement is applicable to any job in a Tier 1 or Tier 2 County listed as a high hazard county, including the entire state Hl. Florida is sublimited at $1,000,000/Deductible $100,000 except for the following counties: Broward, Dade, Monroe, Palm Beach, Charlotte, Collier, Hillsborough. Lee, Manatee. Pinellas and Sarasota. The exclusion does not include Harris or Fort Bend County, TX. Deductibles: $ 5,000 All Other Perils except: $ 25,000 Low Hazard Flood Zone $250,000 Moderate Flood Zone $ 25,000 Low Hazard Earth Movement $250,000 Moderate & High Hazard Earth Movement $ 5,000 Wind except: $100,000 Florida Named Storm License# B-413 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD