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HomeMy WebLinkAboutCOI - Parkway C&A, LP - Expires 2023-10-01ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 9/23/2022 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, If SUBROGATION IS WAIVED, subject to the terms and conditions this certificate does not confer rights to the certificate holder in lieu the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. of the policy, certain policies may require an endorsement. A statement on of such endorsement(s). PRODUCER Marsh & McLennan Agency, LLC 8144 Walnut Hill Lane, 16th Floor Dallas TX 75231 INSURED Parkway C&A, LP 1000 Civic Circle Lewisville TX 75067 PARKWC CONTACT NAME: Debbie Nunn PHONE I FAX (Arc, No, Ext): 972-770-1446 (A/C, No): 212-701-1196 E-MAIL ADDRESS: debbie.nunn@marshmma.com INSURER(S) AFFORDING COVERAGE Travelers Lloyds Insurance Company Phoenix Insurance Company Travelers Casualty and Surety Company Charter Oak Fire Insurance Company INSURER A : INSURER B : INSURER INSURER D : INSURER E : INSURER F : NAIC ft 41262 25623 19038 25615 COVERAGES CERTIFICATE NUMBER: 1244083785 REVISION NUMBER: THIS INDICATED. CERTIFICATE EXCLUSIONS INSfl LTR IS TO CERTIFY THAT THE POLICIES OF INSURANCE NOTWITHSTANDING ANY REQUIREMENT, MAY BE ISSUED OR MAY PERTAIN, AND CONDITIONS OF SUCH POLICIES. SUBR WVD LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'ADDL TYPE OF INSURANCE '' INSD I POLICY NUMBER POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DD/YYYY) LIMITS B X COMMERCIAL GENERAL LIABILITY DT22C01F846001PHX22 10/1/2022 10/1/2023 EACH OCCURRENCE S 2,000,000 I CLAIMS -MADE f X l OCCUR PREMGETORENTED PREMISES (Ea occurrence) S 300,000 MED EXP (Any one person) S 5,000 PERSONAL & ADV INJURY s 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY f X I Mil I LOC PRODUCTS - COMP/OP AGG 5 4,000,000 - OTHER: S D AUTOMOBILE LIABILITY BA6N7184872226G 10/1/2022 10/1/2023 COMBINED SINGLE LIMIT (Ea accident) S 1,000,000 X ANY AUTO BODILY INJURY (Per person) S OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY (Per accident) S HIRED NON -OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) S _ S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB I CLAIMS -MADE AGGREGATE S DED I RETENTION $ _ S c WORKERS COMPENSATION UB7J0480622226G 10/1/2022 10/1/2023 X I_ STATUTE_I 1 EORH AND EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT - S 1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE N OFFICER/MEMBER EXCLUDED? N / A E.L. DISEASE - EA EMPLOYEE (Mandatory in NH) S 1,000,000 If yes, describe under —. - E.L. DISEASE - POLICY LIMIT - - — S 1,000,000 DESCRIPTION OF OPERATIONS below A PROPERTY/INLAND MARINE: CBE. CE, BR QT6301 L168340TLC22 10/1/2022 10/1/2023 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 City of Gilroy 7351 Rosanna St Gilroy CA 95020 D©MIIWTTD OCT - 5 2022 GILROY CITY CLERK'S OFFICE 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. AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: PARKWC LOC #: ACa ADDITIONAL REMARKS SCHEDULE Page 1 of 4 AGENCY Marsh & McLennan Agency, LLC POLICY NUMBER CARRIER NAIC CODE NAMED INSURED Parkway C&A, LP 1000 Civic Circle Lewisville TX 75067 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 P3 FM Development, LLC Vaughan Hancock (GL policy only) PKWY Architects, LLC (All policies except WC) *** 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 ***WORKERS COMPENSATION *** 3.A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s) listed here: AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, NE, NH, NJ, NM, NV, NY, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WI, WV 3.C. Other States Coverage: HI *** PROPERTY AND INLAND MARINE *** PROPERTY COVERAGE Blanket Building & Business Personal Property Limit: $5,173,361 Blanket Business Income: $1,000,000 (Loc# 1-2, 5) Valuation and Coinsurance: Replacement Cost / Agreed Value Applies LOCATION #1: 1000 Civic Circle, Lewisville, TX Building 1: Included in Blanket Building 2: Included in Blanket Business Personal Property: Included in Blanket Business Income: Included in Blanket (BI includes Extra Expense, Rental Value, LOCATION #2: 18600 MacArthur Boulevard, Suite 440, Irvine, CA Business Personal Property: Included in Blanket Business Income: Included in Blanket (BI includes Extra Expense, Rental Value, LOCATION #3: 1251 N Stemmons Fwy, Lewisville, TX Business Personal Property: Included in Blanket LOCATION #4: 1850 McGee Ln, Unit 507, Lewisville, TX Business Personal Property: Included in Blanket LOCATION #5: 401 N Valley Pkwy, Ste 410 & 420, Lewisville, TX Business Personal Property: Included in Blanket Business Income: Included in Blanket (BI includes Extra Expense, Rental Value, Ordinary Payroll) Ordinary Payroll) Ordinary Payroll) Accounts Receivable - At all described premises: $50,000 - In transit or at all undescribed premises: $25,000 Ordinance or Law Coverage: $250,000 Valuable Papers and Records — Cost of Research - At all described premises: $50,000 - In transit or at all undescribed premises: $25,000 Flood Limit (1000 Civic Circle, Lewisville, TX): $250,000 (occurrence/annual aggregate) Earthquake Limit (1000 Civic Circle, Lewisville, TX): $250,000 (occurrence/annual aggregate) Property Deductibles $2,500 — Any one loss, except: 72 Hours — Waiting Period for Business Income $25,000 — Earthquake (1000 Civic Circle, Lewisville, TX) $25,000 — Flood (1000 Civic Circle, Lewisville, TX) $10,000 — Windstorm or Hail (Loc#1-2) ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: PARKWC ACO LOC #: ADDITIONAL REMARKS SCHEDULE Page 2 of 4 AGENCY Marsh & McLennan Agency, LLC POLICY NUMBER CARRIER NAIC CODE NAMED INSURED Parkway C&A, LP 1000 Civic Circle Lewisville TX 75067 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Terrorism is included. INLAND MARINE COVERAGE: CBE, CE, BR Computerized Business Equipment (CBE) Location: Office Locations Limits of Insurance: $185,000 — Hardware $125,000 — Software $15,000 — Business Income & Extra Expense Valuation: Hardware — Functional Replacement Cost Software — Cost to reproduce or replace Coinsurance: Waived Coverage Extensions / Limits: $250,000 — Flood (occurrence/annual aggregate) $250,000 — Earthquake (occurrence/annual aggregate) Deductibles: $1,000 — Any one Toss, except: $25,000 — Flood $25,000 — Earth Movement Contractors Equipment (CE) Limits of Insurance: $400,000 — Any one item leased, rented, or borrowed No Coverage — Owned Equipment $400,000 — Maximum amount of payment any one occurrence $400,000 — Flood (occurrence/annual aggregate) $400,000 — Earth Movement (occurrence/annual aggregate) Valuation: Leased, Rented, or Borrowed Items — Legal Liability Up to Replacement Cost Coinsurance: Waived Deductible: $5,000 any one loss Builders Risk (BR) Limits of Insurance: $60,000,000 — at any one location, Masonry Non Combustible, Non Combustible, or Better (Commercial Construction including non-structural renovations) $10,000,000 — at any one location, Joisted Masonry (Commercial Construction including non-structural renovations) $5,000,000 — at any one location, Frame (Commercial Construction including non-structural renovations) $1,000,000 — Transit $1,000,000 — Temporary Storage $100,000 — Soft Costs Valuation: Replacement Cost Coinsurance: Waived Flood Coverage: $5,000,000 — Low Hazard - Flood Zone C and Flood Zone X, unshaded (occurrence/annual aggregate) $1,000,000 — Moderate Hazard - Flood Zone B, Flood Zone X (shaded), and Flood Zone X-500 (occurrence/annual aggregate) EXCEPT: Zones V, A, D and Non -participating or suspended communities are excluded and other 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 Windstorm Coverage: A Windstorm Exclusion endorsement is applicable to any job in a high hazard wind area listed in the High Hazard Windstorm Exclusion endorsement form CMT803, including but not limited to the entire state HI. The exclusion does not include Harris or Fort Bend County, TX. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: PARKWC LOC #: ACO ADDITIONAL REMARKS SCHEDULE Page 3 of 4 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 Special Condition: Florida Named Storm Sub Limit; $1,000,000 per occurrence and annual aggregate limit and a deductible of 1 % with a minimum of $50,000, shall apply in Florida except for the excluded counties listed on the High Hazard Wind Exclusion endorsement. (Excluded counties include: Broward, Dade, Monroe, Palm Beach, Charlotte, Collier, Hillsborough, Lee, Manatee, Pinellas and Sarasota.) Deductibles: $5,000 — Any one loss, except: $25,000 — Low Hazard - Flood Zone C and Flood Zone X (unshaded) $250,000 — Moderate Hazard - Flood Zone B, Flood Zone X (shaded), and Flood Zone X-500 $25,000 — Low Hazard Earth Movement $250,000 — Moderate & High Hazard Earth Movement 1% subject to $50,000 minimum — Windstorm or Hail (applies to locations not excluded by the High Hazard Wind Exclusion) MISCELLANEOUS PROPERTY Description of Unlisted Items: Owner supplied materials not a part of the BR contract price on projects reported on this policy when required by contract. $2,000,000 — Total Limit for Unlisted Items $500,000 — For Any One Unlisted Item Valuation: Replacement Cost Coinsurance: Waived Flood Coverage: $2,000,000 — Low Hazard - Flood Zone C and Flood Zone X, unshaded (occurrence/annual aggregate) $1,000,000 — Moderate Hazard - Flood Zone B, Flood Zone X (shaded), and Flood Zone X-500 (occurrence/annual aggregate) $2,000,000 — Annual Aggregate Limit for All Flood Zones and Communities Combined EXCEPT: Zones V, A, D and Non -participating or suspended communities are excluded and other as excluded per policy. Earth Movement Coverage: $2,000,000 — 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 Deductibles: $5,000 — Any one loss, except: $25,000 — Low Hazard - Flood Zone C and Flood Zone X (unshaded) $250,000 — Moderate Hazard - Flood Zone B, Flood Zone X (shaded), and Flood Zone X-500 $25,000 — Low Hazard Earth Movement $100,000 — Moderate Hazard Earth Movement $250,000 — High Hazard Earth Movement Additional Insured — Contractors form #CGD604 edition 02-19 applies to the General Liability policy • Owners, Lessees or Contractors — Scheduled Person or Organization • Owners, Lessees or Contractors — Completed Operations Additional Insured — Govemmental Entities — Permits or Authorizations Relating to Operations form #CGD316 edition 02-19 applies to the General Liability policy Additional Insured — Owner, Manager or Lessor of Premises form #CGD765 edition 06-14 applies to the General Liability policy Waiver of Subrogation form #CGD316 edition 02-19 applies to the General Liability policy Primary & Non -Contributory form #CGT100 edition 02-19 applies to the General Liability policy Per Project Aggregate Limit form #CGD211 edition 01-04 applies to the General Liability policy 30 Day Notice of Cancellation form #ILT405 edition 05-19 applies to the General Liability policy Additional Insured form #CAT353 edition 02-15 applies to the Automobile Liability policy Lessor — Additional Insured and Loss Payee form #CA2001 edition 10-13 applies to the Automobile Liability policy Short Term Hired Auto — Additional Insured and Loss Payee form #CAT452 edition 02-16 applies to the Automobile Liability policy Additional Insured - Primary and Non -Contributory form #CAT805 edition 10-22 applies to the Automobile Liability policy Waiver of Subrogation form #CAT353 edition 02-15 applies to the Automobile Liability policy 30 Day Notice of Cancellation form #ILT405 edition 05-19 applies to the Automobile Liability policy Waiver of Subrogation form #WC000313(00) applies to the Workers Compensation policy 30 Day Notice of Cancellation form #WC9906R5(00) applies to the Workers Compensation policy The General Liability policy includes a blanket additional insured endorsement to the certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status. The General Liability policy includes a blanket additional insured endorsement to the Premises Owner, Manager, or Lessor of a project that requires such status in a written contract with the tenant of the premises. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: PARKWC ACORO® LOC #: ADDITIONAL REMARKS SCHEDULE Page 4 of 4 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 The General Liability policy includes a blanket additional insured endorsement to government entities if it is required by ordinance, law, written contract or agreement between the named insured and the certificate holder. The General Liability policy contains a blanket waiver of subrogation endorsement that may apply only when there is a written contract between the named insured and the certificate holder that requires such wording. The General Liability policy contains an endorsement with "Primary and Non -Contributory" wording that may apply only when there is a written contract between the named insured and the certificate holder that requires such wording. The General Liability policy includes a per project aggregate limit endorsement to the certificate holder only where there is a written contract that requires such status. The Automobile Liability policy contains language that provides additional insured status to the certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status. The Automobile Liability policy contains language that provides additional insured and loss payee status to the certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status. The Automobile Liability policy contains an endorsement with "Primary and Non -Contributory" language that may apply only when there is a written contract or agreement between the named insured and the certificate holder that requires such wording. The Automobile Liability policy includes waiver of subrogation wording that may apply only when there is a written contract between the named insured and the certificate holder that requires such wording. The Workers Compensation policy includes a waiver of subrogation endorsement that may apply only when there is a written contract between the named insured and the certificate holder that requires such wording. The General Liability, Automobile Liability, and Workers Compensation policies include a blanket notice of cancellation to the certificate holder, providing for 30 days' advance written notice if the policy is canceled by the company, or 10 days' written notice before the policy is canceled for nonpayment of premium. Notice is sent to certificate holders with mailing addresses on file with the agent or the company. The endorsement does not provide for notice of cancellation to the certificate holder if the named insured requests cancellation. RE: CEC #373 Gilroy, CA; Job #08-22055 - 910 Renz Lane, Gilroy, CA 95020 Certificate Holder includes: City of Gilroy ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD