ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED?
INSR ADDL SUBR
LTR INSD WVD
PRODUCER CONTACTNAME:
FAX PHONE
(A/C, No): (A/C, No, Ext):
E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F :
POLICY NUMBER POLICY EFF POLICY EXP
TYPE OF INSURANCE (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
AUTOMOBILE LIABILITY
UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
AUTHORIZED REPRESENTATIVE
EACH OCCURRENCE $ DAMAGE TO RENTED
CLAIMS-MADE OCCUR $
PREMISES (Ea occurrence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
PRO-POLICY JECT LOC PRODUCTS - COMP/OP AGG
OTHER: $
COMBINED SINGLE LIMIT $ (Ea accident)
ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED
BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE
$
AUTOS ONLY AUTOS ONLY (Per accident)
$
OCCUR EACH OCCURRENCE
CLAIMS-MADE AGGREGATE $
DED RETENTION $
PER
OTH-STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under
E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS below
INSURER(S) AFFORDING COVERAGE NAIC #
COMMERCIAL GENERAL LIABILITY
Y / N N / A (Mandatory in NH)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
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.
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 have ADDITIONAL INSURED provisions or 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).
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
CERTIFICATE HOLDER CANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)$
$
$
$
$
The ACORD name and logo are registered marks of ACORD
12/10/2020
(850) 547-0065 (866) 834-5881
41297 The Gulf Shores Plantation Condominium Association, Inc.
400 Plantation Road Gulf Shores, AL 36542 22322 25011 20443 A 1,000,000 CPS7274204 12/1/2020 12/1/2021 100,000 0 1,000,000 2,000,000 2,000,000 HNO Auto 1,000,000 25,000,000 B PPP7470906L20A-07 12/1/2020 12/1/2021 0 25,000,000 C WWC3463195 4/10/2020 4/10/2021 500,000 500,000 500,000
D Crime-Fidelity 0598934512 12/1/2020 See page 2 500,000
D Directors & Officers 0598934526 12/1/2020 12/1/2021 1,000,000
Unit Owner: David Vonoepen, Unit 1303
PROOF OF INSURANCE
GULFSHO-01 DFREEMAN
Gambrell & Sturges 3220 Moss Road Bonifay, FL 32425
d
Scottsdale Insurance Company Greenwich Insurance Company Wesco Insurance Company Continental Casualty Company
Other Agg X 12/1/2021 X X X X X
FORM NUMBER:
EFFECTIVE DATE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE
FORM TITLE:
Page of
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
AGENCY CUSTOMER ID: LOC #:
AGENCY NAMED INSURED
POLICY NUMBER
CARRIER NAIC CODE
Gambrell & Sturges
SEE PAGE 1
1
SEE PAGE 1
ACORD 25 Certificate of Liability Insurance
1
SEE P 1
The Gulf Shores Plantation Condominium Association, Inc. 400 Plantation Road
Gulf Shores, AL 36542 SEE PAGE 1
1
GL coverage includes separation of insureds. 400 Plantation Road, Gulf Shores, AL 36542
Residential Condo 4 residential buildings with 276 units total 2 Commercial Units
PROPERTY: See attached Certificates of Insurance for Builders Risk coverage for all Residential Buildings.
EQUIPMENT BREAKDOWN: Travelers Indemnity Company Policy #7K04274-6 12/1/20 - 12/1/21 Policy Limit: $24,847,407 Deductible: $2,500
Sub Limits: Ordinance or Law Coverage A, B&C Combined $2,500,000 CRIME - Endorsement includes property manager.
FLOOD American Bankers Insurance Co. of FL 6/20/20 - 6/20/21 Bldg # Units Policy
C 1 39 69000642112020 C 2 81 69000642832020 B 3 81 69000642822020 A 4 & PH 75 69000642532020 Declaration page previously provided
Please note, since the flood policy is an RCBAP the commercial units are not shown as residential units on the dec page. Cancellation Notice - All policies: The minimum cancellation notice is 10 days (non-payment and material misrepresentation). All other cancellations require a minimum of 30 day notice.
LOSS PAYEE
PRODUCER NAME, PHONE COMPANY NAME AND ADDRESS NAIC NO:
CONTACT PERSON AND ADDRESS (A/C, No, Ext):
IF MULTIPLE COMPANIES, COMPLETE SEPARATE FORM FOR EACH
FAX E-MAIL
(A/C, No): ADDRESS:
POLICY TYPE SUB CODE:
AGENCY CUSTOMER ID #:
NAMED INSURED AND ADDRESS LOAN NUMBER POLICY NUMBER
EFFECTIVE DATE EXPIRATION DATE ADDITIONAL NAMED INSURED(S) THIS REPLACES PRIOR EVIDENCE DATED:
LOCATION / DESCRIPTION
LENDER SERVICING AGENT NAME AND ADDRESS
NAME AND ADDRESS
AUTHORIZED REPRESENTATIVE
CONTINUED UNTIL TERMINATED IF CHECKED
YES NO YES NO
CONTRACT OF SALE LENDER'S LOSS PAYABLE MORTGAGEE
YES NO N/A
PERILS INSURED BASIC BROAD SPECIAL
COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: DED:
BUSINESS INCOME RENTAL VALUE If YES, LIMIT: Actual Loss Sustained; # of months:
BLANKET COVERAGE If YES, indicate value(s) reported on property identified above: $
TERRORISM COVERAGE Attach Disclosure Notice / DEC
IS THERE A TERRORISM-SPECIFIC EXCLUSION? IS DOMESTIC TERRORISM EXCLUDED?
LIMITED FUNGUS COVERAGE If YES, LIMIT: DED:
FUNGUS EXCLUSION (If "YES", specify organization's form used) REPLACEMENT COST
AGREED VALUE
COINSURANCE If YES, %
EQUIPMENT BREAKDOWN (If Applicable) If YES, LIMIT: DED:
ORDINANCE OR LAW - Coverage for loss to undamaged portion of bldg If YES, LIMIT: DED:
- Demolition Costs If YES, LIMIT: DED:
- Incr. Cost of Construction If YES, LIMIT: DED:
EARTH MOVEMENT (If Applicable) If YES, LIMIT: DED:
FLOOD (If Applicable) If YES, LIMIT: DED:
WIND / HAIL INCL Subject to Different Provisions: If YES, LIMIT: DED:
NAMED STORM INCL Subject to Different Provisions: If YES, LIMIT: DED:
PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE HOLDER PRIOR TO LOSS
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.
$
THIS EVIDENCE OF COMMERCIAL PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST.
(ACORD 101 may be attached if more space is required)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
PROPERTY INFORMATION BUILDING OR BUSINESS PERSONAL PROPERTY
COVERAGE INFORMATION
CANCELLATION
ADDITIONAL INTEREST
ACORD 28 (2016/03)
EVIDENCE OF COMMERCIAL PROPERTY INSURANCE
DATE (MM/DD/YYYY)CODE:
© 2003-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD
AMARTIN01
(877) 250-6022 Hub International Gulf South
1141 Montlimar Drive Suite 2500
Mobile, AL 36609
Contact name: Amy Martin (251) 633-2822
CLARPRO-06 License # 231432 Claremont Property Company
5555 West Loop South, Suite 100 Bellaire, TX 77401 X 4,031,295 500,000 500,000 4,031,925 4,031,295 X X 4,031,295 X
Gulf Shores Plantation COA 400 Plantation Rd
Gulf Shores, AL 36542
12/4/2020
25445 Ironshore Specialty Company
Installation / Builders Risk
BRIATX00901165 12/2/2020 4/2/2021 X 4,031,925 X X X X X X X X X X X X X 2,000,000 Bldg 1
FORM NUMBER:
EFFECTIVE DATE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE
FORM TITLE:
Page of
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
AGENCY CUSTOMER ID: LOC #:
AGENCY NAMED INSURED
POLICY NUMBER
CARRIER NAIC CODE
Hub International Gulf South
Ironshore Specialty Company
1
12/02/2020
ACORD 28 EVIDENCE OF COMMERCIAL PROPERTY INSURANCE License # 231432
25445
Claremont Property Company 5555 West Loop South, Suite 100 Bellaire, TX 77401
BRIATX00901165
1
Special Conditions:
Location: Gulf Shores Condominium Resort 400 Plantation Road, Gulf Shores, AL 36542 Building #1
Deductibles:
$25,000 physical loss or damage; except
$50,000 physical loss or damage from water damage or flood or 2% of the total insured project whichever is greater $50,000 physical loss or damage from earth movement
$50,000 physical loss or damage from the peril of windstorm
$50,000 physical loss or damage from the peril of Named Windstorm or 5% of the total insured project at risk at the time and place of loss, whichever is greater.
LOSS PAYEE
PRODUCER NAME, PHONE COMPANY NAME AND ADDRESS NAIC NO:
CONTACT PERSON AND ADDRESS (A/C, No, Ext):
IF MULTIPLE COMPANIES, COMPLETE SEPARATE FORM FOR EACH
FAX E-MAIL
(A/C, No): ADDRESS:
POLICY TYPE SUB CODE:
AGENCY CUSTOMER ID #:
NAMED INSURED AND ADDRESS LOAN NUMBER POLICY NUMBER
EFFECTIVE DATE EXPIRATION DATE ADDITIONAL NAMED INSURED(S) THIS REPLACES PRIOR EVIDENCE DATED:
LOCATION / DESCRIPTION
LENDER SERVICING AGENT NAME AND ADDRESS
NAME AND ADDRESS
AUTHORIZED REPRESENTATIVE
CONTINUED UNTIL TERMINATED IF CHECKED
YES NO YES NO
CONTRACT OF SALE LENDER'S LOSS PAYABLE MORTGAGEE
YES NO N/A
PERILS INSURED BASIC BROAD SPECIAL
COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: DED:
BUSINESS INCOME RENTAL VALUE If YES, LIMIT: Actual Loss Sustained; # of months:
BLANKET COVERAGE If YES, indicate value(s) reported on property identified above: $
TERRORISM COVERAGE Attach Disclosure Notice / DEC
IS THERE A TERRORISM-SPECIFIC EXCLUSION? IS DOMESTIC TERRORISM EXCLUDED?
LIMITED FUNGUS COVERAGE If YES, LIMIT: DED:
FUNGUS EXCLUSION (If "YES", specify organization's form used) REPLACEMENT COST
AGREED VALUE
COINSURANCE If YES, %
EQUIPMENT BREAKDOWN (If Applicable) If YES, LIMIT: DED:
ORDINANCE OR LAW - Coverage for loss to undamaged portion of bldg If YES, LIMIT: DED:
- Demolition Costs If YES, LIMIT: DED:
- Incr. Cost of Construction If YES, LIMIT: DED:
EARTH MOVEMENT (If Applicable) If YES, LIMIT: DED:
FLOOD (If Applicable) If YES, LIMIT: DED:
WIND / HAIL INCL Subject to Different Provisions: If YES, LIMIT: DED:
NAMED STORM INCL Subject to Different Provisions: If YES, LIMIT: DED:
PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE HOLDER PRIOR TO LOSS
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.
$
THIS EVIDENCE OF COMMERCIAL PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST.
(ACORD 101 may be attached if more space is required)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
PROPERTY INFORMATION BUILDING OR BUSINESS PERSONAL PROPERTY
COVERAGE INFORMATION
CANCELLATION
ADDITIONAL INTEREST
ACORD 28 (2016/03)
EVIDENCE OF COMMERCIAL PROPERTY INSURANCE
DATE (MM/DD/YYYY)CODE:
© 2003-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD
AMARTIN01
(877) 250-6022 Hub International Gulf South
1141 Montlimar Drive Suite 2500
Mobile, AL 36609
Contact name: Amy Martin (251) 633-2822
CLARPRO-06 License # 231432 Claremont Property Company
5555 West Loop South, Suite 100 Bellaire, TX 77401 X 7,402,650 500,000 500,000 7,402,650 7,402,650 X X 7,402,650 X
Gulf Shores Plantation COA 400 Plantation Road Gulf Shores, AL 36542
12/4/2020
25445 Ironshore Specialty Company
Installation / Builders Risk
BRIATX00901167 12/2/2020 4/2/2021 X 7,402,650 X X X X X X X X X X X X X 2,000,000 Bldg 2
FORM NUMBER:
EFFECTIVE DATE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE
FORM TITLE:
Page of
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
AGENCY CUSTOMER ID: LOC #:
AGENCY NAMED INSURED
POLICY NUMBER
CARRIER NAIC CODE
Hub International Gulf South
Ironshore Specialty Company
1
12/02/2020
ACORD 28 EVIDENCE OF COMMERCIAL PROPERTY INSURANCE License # 231432
25445
Claremont Property Company 5555 West Loop South, Suite 100 Bellaire, TX 77401
BRIATX00901167
1
Special Conditions:
Location: Gulf Shores Condominium Resort 400 Plantation Road, Gulf Shores, AL 36542 Building #2
Deductibles:
$25,000 physical loss or damage; except
$50,000 physical loss or damage from water damage or flood or 2% of the total insured project whichever is greater $50,000 physical loss or damage from earth movement
$50,000 physical loss or damage from the peril of windstorm
$50,000 physical loss or damage from the peril of Named Windstorm or 5% of the total insured project at risk at the time and place of loss, whichever is greater.
LOSS PAYEE
PRODUCER NAME, PHONE COMPANY NAME AND ADDRESS NAIC NO:
CONTACT PERSON AND ADDRESS (A/C, No, Ext):
IF MULTIPLE COMPANIES, COMPLETE SEPARATE FORM FOR EACH
FAX E-MAIL
(A/C, No): ADDRESS:
POLICY TYPE SUB CODE:
AGENCY CUSTOMER ID #:
NAMED INSURED AND ADDRESS LOAN NUMBER POLICY NUMBER
EFFECTIVE DATE EXPIRATION DATE ADDITIONAL NAMED INSURED(S) THIS REPLACES PRIOR EVIDENCE DATED:
LOCATION / DESCRIPTION
LENDER SERVICING AGENT NAME AND ADDRESS
NAME AND ADDRESS
AUTHORIZED REPRESENTATIVE
CONTINUED UNTIL TERMINATED IF CHECKED
YES NO YES NO
CONTRACT OF SALE LENDER'S LOSS PAYABLE MORTGAGEE
YES NO N/A
PERILS INSURED BASIC BROAD SPECIAL
COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: DED:
BUSINESS INCOME RENTAL VALUE If YES, LIMIT: Actual Loss Sustained; # of months:
BLANKET COVERAGE If YES, indicate value(s) reported on property identified above: $
TERRORISM COVERAGE Attach Disclosure Notice / DEC
IS THERE A TERRORISM-SPECIFIC EXCLUSION? IS DOMESTIC TERRORISM EXCLUDED?
LIMITED FUNGUS COVERAGE If YES, LIMIT: DED:
FUNGUS EXCLUSION (If "YES", specify organization's form used) REPLACEMENT COST
AGREED VALUE
COINSURANCE If YES, %
EQUIPMENT BREAKDOWN (If Applicable) If YES, LIMIT: DED:
ORDINANCE OR LAW - Coverage for loss to undamaged portion of bldg If YES, LIMIT: DED:
- Demolition Costs If YES, LIMIT: DED:
- Incr. Cost of Construction If YES, LIMIT: DED:
EARTH MOVEMENT (If Applicable) If YES, LIMIT: DED:
FLOOD (If Applicable) If YES, LIMIT: DED:
WIND / HAIL INCL Subject to Different Provisions: If YES, LIMIT: DED:
NAMED STORM INCL Subject to Different Provisions: If YES, LIMIT: DED:
PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE HOLDER PRIOR TO LOSS
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.
$
THIS EVIDENCE OF COMMERCIAL PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST.
(ACORD 101 may be attached if more space is required)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
PROPERTY INFORMATION BUILDING OR BUSINESS PERSONAL PROPERTY
COVERAGE INFORMATION
CANCELLATION
ADDITIONAL INTEREST
ACORD 28 (2016/03)
EVIDENCE OF COMMERCIAL PROPERTY INSURANCE
DATE (MM/DD/YYYY)CODE:
© 2003-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD
AMARTIN01
(877) 250-6022 Hub International Gulf South
1141 Montlimar Drive Suite 2500
Mobile, AL 36609
Contact name: Amy Martin (251) 633-2822
CLARPRO-06 License # 231432 Claremont Property Company
5555 West Loop South, Suite 100 Bellaire, TX 77401 X 7,402,650 500,000 500,000 7,402,650 7,402,650 X X 7,402,650 X
Gulf Shores Plantation COA 400 Plantation Rd
Gulf Shores, AL 36542
12/4/2020
25445 Ironshore Specialty Company
Installation / Builders Risk
BRIATX00901168 12/2/2020 4/2/2021 X 7,402,650 X X X X X X X X X X X X X 2,000,000 Bldg 3
FORM NUMBER:
EFFECTIVE DATE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE
FORM TITLE:
Page of
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
AGENCY CUSTOMER ID: LOC #:
AGENCY NAMED INSURED
POLICY NUMBER
CARRIER NAIC CODE
Hub International Gulf South
Ironshore Specialty Company
1
12/02/2020
ACORD 28 EVIDENCE OF COMMERCIAL PROPERTY INSURANCE License # 231432
25445
Claremont Property Company 5555 West Loop South, Suite 100 Bellaire, TX 77401
BRIATX00901168
1
Special Conditions:
Location: Gulf Shores Condominium Resort 400 Plantation Road, Gulf Shores, AL 36542 Building #3
Deductibles:
$25,000 physical loss or damage; except
$50,000 physical loss or damage from water damage or flood or 2% of the total insured project whichever is greater $50,000 physical loss or damage from earth movement
$50,000 physical loss or damage from the peril of windstorm
$50,000 physical loss or damage from the peril of Named Windstorm or 5% of the total insured project at risk at the time and place of loss, whichever is greater.
LOSS PAYEE
PRODUCER NAME, PHONE COMPANY NAME AND ADDRESS NAIC NO:
CONTACT PERSON AND ADDRESS (A/C, No, Ext):
IF MULTIPLE COMPANIES, COMPLETE SEPARATE FORM FOR EACH
FAX E-MAIL
(A/C, No): ADDRESS:
POLICY TYPE SUB CODE:
AGENCY CUSTOMER ID #:
NAMED INSURED AND ADDRESS LOAN NUMBER POLICY NUMBER
EFFECTIVE DATE EXPIRATION DATE ADDITIONAL NAMED INSURED(S) THIS REPLACES PRIOR EVIDENCE DATED:
LOCATION / DESCRIPTION
LENDER SERVICING AGENT NAME AND ADDRESS
NAME AND ADDRESS
AUTHORIZED REPRESENTATIVE
CONTINUED UNTIL TERMINATED IF CHECKED
YES NO YES NO
CONTRACT OF SALE LENDER'S LOSS PAYABLE MORTGAGEE
YES NO N/A
PERILS INSURED BASIC BROAD SPECIAL
COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: DED:
BUSINESS INCOME RENTAL VALUE If YES, LIMIT: Actual Loss Sustained; # of months:
BLANKET COVERAGE If YES, indicate value(s) reported on property identified above: $
TERRORISM COVERAGE Attach Disclosure Notice / DEC
IS THERE A TERRORISM-SPECIFIC EXCLUSION? IS DOMESTIC TERRORISM EXCLUDED?
LIMITED FUNGUS COVERAGE If YES, LIMIT: DED:
FUNGUS EXCLUSION (If "YES", specify organization's form used) REPLACEMENT COST
AGREED VALUE
COINSURANCE If YES, %
EQUIPMENT BREAKDOWN (If Applicable) If YES, LIMIT: DED:
ORDINANCE OR LAW - Coverage for loss to undamaged portion of bldg If YES, LIMIT: DED:
- Demolition Costs If YES, LIMIT: DED:
- Incr. Cost of Construction If YES, LIMIT: DED:
EARTH MOVEMENT (If Applicable) If YES, LIMIT: DED:
FLOOD (If Applicable) If YES, LIMIT: DED:
WIND / HAIL INCL Subject to Different Provisions: If YES, LIMIT: DED:
NAMED STORM INCL Subject to Different Provisions: If YES, LIMIT: DED:
PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE HOLDER PRIOR TO LOSS
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.
$
THIS EVIDENCE OF COMMERCIAL PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST.
(ACORD 101 may be attached if more space is required)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
PROPERTY INFORMATION BUILDING OR BUSINESS PERSONAL PROPERTY
COVERAGE INFORMATION
CANCELLATION
ADDITIONAL INTEREST
ACORD 28 (2016/03)
EVIDENCE OF COMMERCIAL PROPERTY INSURANCE
DATE (MM/DD/YYYY)CODE:
© 2003-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD
AMARTIN01
(877) 250-6022 Hub International Gulf South
1141 Montlimar Drive Suite 2500
Mobile, AL 36609
Contact name: Amy Martin (251) 633-2822
CLARPRO-06 License # 231432 Claremont Property Company
5555 West Loop South, Suite 100 Bellaire, TX 77401 X 7,701,085 500,000 500,000 7,701,085 7,701,085 X X 7,701,085 X
Gulf Shores Plantation COA 400 Plantation Rd
Gulf Shores, AL 36542
12/4/2020
25445 Ironshore Specialty Company
Installation / Builders Risk
BRIATX00901169 12/2/2020 9/2/2021 X 7,701,085 X X X X X X X X X X X X X 2,000,000 B;dg 4
FORM NUMBER:
EFFECTIVE DATE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE
FORM TITLE:
Page of
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
AGENCY CUSTOMER ID: LOC #:
AGENCY NAMED INSURED
POLICY NUMBER
CARRIER NAIC CODE
Hub International Gulf South
Ironshore Specialty Company
1
12/02/2020
ACORD 28 EVIDENCE OF COMMERCIAL PROPERTY INSURANCE License # 231432
25445
Claremont Property Company 5555 West Loop South, Suite 100 Bellaire, TX 77401
BRIATX00901169
1
Special Conditions:
Location: Gulf Shores Condominium Resort 400 Plantation Road, Gulf Shores, AL 36542 Building #3
Deductibles:
$25,000 physical loss or damage; except
$50,000 physical loss or damage from water damage or flood or 2% of the total insured project whichever is greater $50,000 physical loss or damage from earth movement
$50,000 physical loss or damage from the peril of windstorm
$50,000 physical loss or damage from the peril of Named Windstorm or 5% of the total insured project at risk at the time and place of loss, whichever is greater.
Gulf Shores Plantation COA (owner) is additional insured as their interest may appear. 4
