AQUA by Dellwood · Underwriter’s Workbench
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Emerald Coast Constructors, Inc.

Ready for underwriting

Brokerage Casualty · AQ-2026-BC48B2C4 · 94007— Excavation

Technical hazard
4/5
AI hazard grade
Opportunity
48
business attractiveness / 100
Appetite
Refer
guideline view · advisory
Pricing
GL $110,458–$110,458
Primary General Liability · Previous AI estimate · Primary component · Low confidence · evidence changed; reassess · not a package total
Confidence
57 %
AI confidence · guides your review
Core assessment is ready. Loading supporting evidence, pricing, market, and audit details…

The saved worksheet or source facts changed after this risk assessment. Save and reassess the package before relying on this recommendation.

What needs resolving

1 item blocks a quote.

0% reviewed · 0 of 13
Also read before you decide

Risk assessment

Overview Account-level risk viewExcavation · Emerald Coast Constructors, Inc. is a Florida general contractor performing commercial renovations, residential renovations, and occasional single-family home construction. The submission also schedules carpentry, excavation, grading, wrecking, executive supervision, and subcontracted construction exposures. It reports 4 full-time employees, $10,000,000 in gross sales, $1,200,000 in payroll, 30% subcontracted work, and $150,000 paid to subcontractors. Listed subcontracted trades include plumbing, HVAC, electrical, roofing, and insulation.

Operations: Emerald Coast Constructors, Inc. is a Florida general contractor performing commercial renovations, residential renovations, and occasional single-family home construction. The submission also schedules carpentry, excavation, grading, wrecking, executive supervision, and subcontracted construction exposures. It reports 4 full-time employees, $10,000,000 in gross sales, $1,200,000 in payroll, 30% subcontracted work, and $150,000 paid to subcontractors. Listed subcontracted trades include plumbing, HVAC, electrical, roofing, and insulation.

Hazard rationale: This is an elevated physical construction exposure with excavation, scheduled wrecking, public access to renovation sites, subcontracted trades, and significant completed-operations potential. The grade could increase if active demolition, structural work, or more hazardous excavation methods are confirmed.

Material risk signals driving the recommendation
High · Excess attachment and retained limit missing

A $1,000,000 GL excess limit is requested, but the attachment or retained limit is blank. Underlying GL, automobile liability, employers liability, and employee benefits liability are listed without complete underlying terms.

The excess layer cannot be priced or evaluated for severity, exhaustion, or follow-form gaps until the attachment, underlying limits, aggregates, and forms are confirmed.
High · Multiple physical construction classes without allocation

The schedule includes carpentry, excavation, grading, wrecking, executive supervision, and subcontracted construction classes. Most exposures are marked INCLUDED with no class-level payroll or total-cost amounts, and the printed P basis conflicts with authoritative payroll or total-cost bases.

Require a class-by-class exposure allocation and operations confirmation. The AQUA indication must remain provisional and cannot be treated as a confirmed quote basis.
High · No independently verified loss runs

The reconciled account reports no populated individual claims or loss amounts and an ACORD no-such-claims statement, but no period-level carrier loss runs or valuation dates were supplied. The source review also records a difference in the no-such-claims marking between the primary and excess materials.

Do not treat the account as loss-free or experience-rated. Obtain current, independently verified loss runs and reconcile the source markings before quoting or binding.
High · Scheduled wrecking exposure is unconfirmed

Class 99986 Wrecking is included although the narrative describes renovations and construction without describing demolition methods. Dellwood guidance grades this class High, specifies a preferred attachment point of 5 and maximum capacity of 5, and calls for confirmation of methods and surrounding exposures.

Refer the excess structure and confirm whether wrecking is actual, incidental, subcontracted, or a schedule error; confirm no ball-and-chain or implosion methods before proceeding.
Moderate · Application identity records require reconciliation

The primary and excess application materials record different FEIN values for the named insured, creating an entity-identification inconsistency.

Reconcile the legal entity and application records before binding so the primary and excess policies attach to the same insured.
Moderate · Executive-supervisor and carpentry classifications require duty confirmation

Classes 91580, 91340, and 91342 are scheduled, but no payroll allocation or duty description establishes which employees are qualifying executive supervisors, residential carpenters, or broader carpentry workers.

Confirm duties and allocate payroll before final classification or pricing; do not divide qualifying 91580 payroll with another class.
Moderate · Subcontractor transfer and cost-based rating unresolved

Thirty percent of work is reported as subcontracted and $150,000 is reported as paid to subcontractors, but certificates, adequacy standards, and residential-versus-commercial cost allocation are not supplied.

Obtain subcontractor insurance and contract controls and rate the qualifying work on the appropriate total-cost basis; uninsured subcontracted work must be rated under the applicable operation.

Attention Principal hazards and controls6 high-severity findings · controls and gaps6 hazards

Excavation and grading around commercial and residential construction projects Severe severity Operations
Finding status
Severity Severe · Frequency Moderate

Controls evidenced: Excavation is answered yes and excavation/grading classes are scheduled. No excavation-specific control program is evidenced.

Control gaps: Confirm utility locating, trench and excavation protection, competent-person oversight, spoil setback, site access control, and whether work is self-performed or subcontracted.

Scheduled wrecking or demolition operations Severe severity Operations
Finding status
Severity Severe · Frequency Low

Controls evidenced: Class 99986 is included on the schedule. No demolition method or project profile is provided.

Control gaps: Confirm whether wrecking is actually performed, methods used, proximity to occupied or adjoining structures, dust/debris controls, and specifically whether ball-and-chain or implosion methods are used.

Construction and renovation work on occupied or existing commercial and residential premises High severity Operations
Finding status
Severity High · Frequency Moderate

Controls evidenced: The submission identifies commercial renovations, residential renovations, and occasional single-family construction.

Control gaps: No written site-safety program, hot-work controls, fall protection, housekeeping procedures, public separation, or completed-project quality controls are evidenced.

Subcontracted plumbing, HVAC, electrical, roofing, and insulation work High severity Operations
Finding status
Severity High · Frequency Moderate

Controls evidenced: Thirty percent of work is reported as subcontracted, with $150,000 paid to subcontractors and the principal trades identified.

Control gaps: Certificates of insurance, additional-insured/indemnity requirements, subcontractor qualification, and adequacy standards are not evidenced.

Construction defects and products-completed operations High severity Products
Finding status
Severity High · Frequency Low

Controls evidenced: Products/completed operations coverage is contemplated in the rating context and the work includes renovations and new single-family construction.

Control gaps: No quality-control, inspection, warranty, water-intrusion prevention, or project closeout procedures are evidenced.

Construction vehicles, material transport, and jobsite automobile exposure High severity Auto
Finding status
Severity High · Frequency Moderate

Controls evidenced: Automobile liability is listed as underlying insurance for the excess request.

Control gaps: No vehicle schedule, hired/non-owned exposure, driver controls, or underlying automobile terms are supplied.

Loss signal Loss-run assessmentNot established from period evidence loss trend: InsufficientData · evidence review required3 flags

Loss periods supplied Unknown not stated
Incurred to expiring premium Unknown not computable
Average incurred per claim Unknown not computable
Share still in reserve Unknown not computable
Claim frequency Unknown not computable
Loss trend Unknown not established

No period-level loss rows were established for this submission, so no trend can be computed from evidence.

Loss periodClaimsPaidReservedIncurred
No period-level loss rows were established for this submission, so no year-by-year series is asserted.

Each row is one loss period resolved to the named loss-run document and page it was printed on. A period set aside from the trend comparison is named in the computed analysis above.

Red flags

  • High No independently verified loss runs or policy-period rows were supplied, so frequency, severity, trend, and reserve development are unknown.
  • Moderate The reconciled no-such-claims statement is not a substitute for carrier loss runs, and source review records different markings in the primary and excess materials.
  • Low The reported claim count of zero is scoped to the submitted materials and cannot be treated as lifetime loss-free experience.
Interpretation and how this was computed

AI assessment narrative

No period-level loss experience was supplied. An ACORD no-such-claims statement is reported, but the risk cannot be experience-rated without independently verified loss runs.

Trend · no period comparison establishedInsufficientData
Years reviewed0
Frequency (AI)No frequency can be calculated because no policy-period loss rows or independently verified loss-run period count were supplied.
Severity (AI)No severity can be calculated because paid, reserved, and incurred loss totals are not supplied. The reported claim count of zero is not treated as a verified clean record.
Open-claim concern (AI)Unknown; open-claim status and claim-level reserves were not supplied.

Extraction summary

No individual claims or loss amounts are populated in the supplied loss-history tables. The ACORD 131 page 9 includes a checked "NO SUCH CLAIMS" statement. This does not substitute for independently verified loss runs.

How the computed trend was reached

No period-level loss rows were established for this submission, so no trend can be computed from evidence.

Open questions

  • No loss history was supplied.
  • Loss trend not established: No period-level loss rows were established for this submission, so no trend can be computed from evidence.

Research and decision

Market context Comparable policiesSupporting details: Loading…Loading…

Portfolio context only—not a pricing basis. Comparable bound policies show where Dellwood has written similar class and geography across business units.

No comparable policies were returned.

Portfolio signalUnavailable

Location signal Risk area crime contextSupporting details: Loading…Loading…

Source: BestPlaces. Crime scores are anchored to ACORD premises ZIPs and surrounding ZIPs, grouped by city for easier review. Select a ZIP to open its source page. Context only—not a standalone eligibility rule.

Only ZIPs inside this radius with a crime score are shown.
Selected-radius crime context

No ZIPs with a crime score were found within 2.5 miles of insured ZIP 32514.

Risk location map 2.5-mile radius per premises ZIP · No map points available within 2.5 miles.

No risk ZIPs with score context were found.

Location signalUnavailable or not established

Decision drivers Why write it / why not5 favourable · 6 concerns5 / 6

AI-identified considerations for and against writing the account. Weigh them with your own judgment.

Favorable factors

  • The operation is within the stated construction focus of the primary and excess casualty books.
  • Reported sales of $10,000,000 are well below the excess guidance’s typical $250,000,000 revenue profile.
  • Only 30% of work and $150,000 of subcontract cost are reported as subcontracted, rather than a wholly subcontracted operation.
  • The public-source package verifies the entity and generally confirms commercial and residential general contracting operations.
  • No individual loss amounts or open claims were populated in the submission, although this remains unverified without loss runs.

Guideline concerns

  • Class 99986 Wrecking is graded High with a preferred attachment point of 5 and maximum capacity of 5; methods and surrounding exposures must be confirmed.
  • Classes 91340, 91342, 94007, 95410, 91580, and 91585 require payroll or total-cost bases that are not allocated in the schedule.
  • Class 91585 applies to adequately insured subcontracted construction work and requires total cost, not a generic P exposure.
  • Class 91580 is limited to qualifying executive supervisors and does not apply to personnel directly in charge of daily construction operations.
  • The excess attachment, retained limit, underlying limits, and follow-form terms are not provided.
  • No independently verified loss runs were supplied.

Carrier guideline evaluation

  • 94007 · Excavation — NotEstablished
    Review the approved class guidance.
    Effect: Human review is required before relying on class authority.
    Source: Excess Liability Underwriting Guide by GL Class Code v3.5.25.xlsx; Classification!row 1026; version 3.5.25
  • 91340 · Carpentry - construction of residential property not exceeding three stories in height — NotEstablished
    Review the approved class guidance.
    Effect: Human review is required before relying on class authority.
    Source: Excess Liability Underwriting Guide by GL Class Code v3.5.25.xlsx; Classification!row 972; version 3.5.25
  • 99986 · Wrecking - buildings or structures - Not Otherwise Classified — NotEstablished
    Review the approved class guidance.
    Effect: Human review is required before relying on class authority.
    Source: Excess Liability Underwriting Guide by GL Class Code v3.5.25.xlsx; Classification!row 1219; version 3.5.25
  • 91580 · Contractors - executive supervisors or executive superintendents — NotEstablished
    Review the approved class guidance.
    Effect: Human review is required before relying on class authority.
    Source: Excess Liability Underwriting Guide by GL Class Code v3.5.25.xlsx; Classification!row 987; version 3.5.25
  • 91585 · Contractors - subcontracted work - in connection with construction, reconstruction, repair or erection of buildings - Not Otherwise Classified — NotEstablished
    Review the approved class guidance.
    Effect: Human review is required before relying on class authority.
    Source: Excess Liability Underwriting Guide by GL Class Code v3.5.25.xlsx; Classification!row 992; version 3.5.25
  • 95410 · Grading of Land — NotEstablished
    Review the approved class guidance.
    Effect: Human review is required before relying on class authority.
    Source: Excess Liability Underwriting Guide by GL Class Code v3.5.25.xlsx; Classification!row 1045; version 3.5.25
  • 91342 · Carpentry - Not Otherwise Classified — NotEstablished
    Review the approved class guidance.
    Effect: Human review is required before relying on class authority.
    Source: Excess Liability Underwriting Guide by GL Class Code v3.5.25.xlsx; Classification!row 974; version 3.5.25

Coverage and pricing

Worksheet Coverage and pricingPrimary General Liability · Previous AI estimate · Primary component · Low confidence · evidence changed; reassess · not a package totalGL $110,458–$110,458

Selected coverages

GL — Both

Submitted request: GL; requested layer: Both. This summarizes the submitted request, not carrier appetite or quote authority.

Submitted terms and coverage assessment

Submitted GL limits

Requested participation: Not established · Full layer: $1,000,000 · Underlying limit: Not established

Each occurrence: $1,000,000 · General aggregate: $2,000,000

Products / completed operations aggregate: $2,000,000 · Personal / advertising injury: $1,000,000

Damage to rented premises: $100,000 · Medical payments: Not established · Deductible: $5,000

Extracted from the submission. These primary limits are separate from our excess limit and underlying limit.

Schedules and premiums

Review the coverages below, adjust the values, and save.

Primary GL rating · Needs inputs · edit classes and exposures
View classification alternatives and evidence
Underwriter decision required

Classification confirmation scenarios

Excluded from premium total

These ISO GL classes are plausible based on the submitted operations, but the file does not establish the fact that distinguishes them. Confirm the operation and class-compatible exposure before selecting a class or using its premium.

91583AI alternative
Contractors - subcontracted work - in connection with building construction, reconstruction, repair or erection - one or two family dwellings
ISO rating basis
Total Cost
Required evidence
total cost
Provisional rate
$3.802
Premium
Pending confirmation and exposure

Why unresolved: The submission reports commercial renovations, residential renovations, and occasional single-family construction with 30% subcontracted work and $150,000 subcontract cost, but no allocation by residential versus commercial subcontracted work. 91585 is the general building alternative; 91583 applies if the subcontracted portion is one- or two-family dwelling work. Confirm scope before selecting.

AQUA ISO GL rating engine

Rating worksheet Review the populated inputs and edit any value to recalculate.
Recall is available after supporting details finish loading.
Schedule results0 of 8 rated
Total indicated premium$0
Commission17.5% commission
LocationClassExposureRatePremium
191583 (AI suggested)Missing: total cost$3.802Pending inputs
191340Needs information
191342Needs information
191580Needs information
191585Needs information
194007Needs information
195410Needs information
199986Needs information
Total indicated premium$0
Show ISO rating-basis details
LocationClassISO rating basis
191583 (AI suggested)Total Cost
191340Payroll
191342Payroll
191580Payroll, Products/Completed Operations are included
191585Total Cost
194007Payroll
195410Payroll
199986Payroll, Products/Completed Operations are included

8 schedule line(s) require additional information because their class-specific basis or exposure is incomplete.

Technical indications returned by AQUA ISO GL for the source-backed location schedule; subject to underwriter validation.

View estimated premium breakdown (1 ACORD locations)

1 ACORD location(s) and 8 source-backed class/exposure line(s) extracted; 0 technical premium indication(s) produced. Lines are ordered by ACORD location, then class.

No location-level premium indication was produced. The ACORD details remain available for review.

Location 1 · Class not provided
Basis: Total Cost · Exposure: not provided · Rate: $3.802
Estimated premium: $0
Location 1 · 91340
Basis: Payroll · Exposure: not provided · Rate: not available
Estimated premium: not available
Location 1 · 91342
Basis: Payroll · Exposure: not provided · Rate: not available
Estimated premium: not available
Location 1 · 91580
Basis: Payroll, Products/Completed Operations are included · Exposure: not provided · Rate: not available
Estimated premium: not available
Location 1 · 91585
Basis: Total Cost · Exposure: not provided · Rate: not available
Estimated premium: not available
Location 1 · 94007
Basis: Payroll · Exposure: not provided · Rate: not available
Estimated premium: not available
Location 1 · 95410
Basis: Payroll · Exposure: not provided · Rate: not available
Estimated premium: not available
Location 1 · 99986
Basis: Payroll, Products/Completed Operations are included · Exposure: not provided · Rate: not available
Estimated premium: not available

All monetary amounts are in USD unless noted. Premiums below are separate coverage amounts, before taxes and fees. Unpriced requested coverage still needs review.

Primary General LiabilityGeneral liability · Primary · Account-level coverage
Included
Details · terms, sources and calculation
Estimate and confidence

Use an estimate only when its scope matches this line. An account-wide estimate must not be applied to each building separately. Applying it does not include the line or save the worksheet.

Provisional AI estimate — not validated pricing. Resolve the listed issues before using this estimate in a priced worksheet.

Primary General Liability · Primary

$110,458–$110,458 · Low confidence

Provisional AI estimate. Exposure/rate component only. Separately rated exposures and charges require their own reconciled pricing lines; do not assume they are included.

Model pricing rationale — subject to reconciliation

AQUA ISO GL is available and returned a two-line adjusted total of $110,458 using $1,200,000 payroll, class 94007 Excavation, ZIP 32514, and the submitted $1,000,000 each occurrence / $2,000,000 products-completed operations aggregate / $2,000,000 general aggregate limits. The indication is provisional because the account has multiple scheduled classes and no confirmed payroll allocation.

Estimate exposure: 1,200,000.00 Annual payroll · Limit: $1,000,000 · Underlying limit: Needs pricing

Assumptions: Primary occurrence coverage; engine limits used were $1,000,000 each occurrence, $2,000,000 products-completed operations aggregate, and $2,000,000 general aggregate. Deductible terms are not confirmed. The $1,200,000 annual payroll from Emerald Coast XS ACORDS.pdf page 8 is used as the compatible payroll exposure.; The current AQUA ISO GL class 94007 scenario is used as a provisional account-level proxy for all payroll; this is not a confirmed class allocation.; The combined rate is 65.133 + 26.915 = 92.048 per $1,000 payroll.; Arithmetic: $1,200,000 x 92.048 / 1,000 = $110,457.60, matching the engine adjusted total of $110,458 after rounding.; AQUA ISO GL returned the requested 17.5% commission.; The engine’s crime factor is 1.000; the BestPlaces ZIP score is advisory context only and is not independently used to adjust this estimate.

Needed: Confirmed payroll allocation by class and location.; Confirmation of the inferred class, ZIP, limits, and deductible/rating assumptions before bind.; Verified loss runs and confirmation of excavation, grading, wrecking, and subcontracted operations.; Validated pricing is unavailable until classification, compatible exposure and material source conflicts are reconciled. Provisional AI estimates are assumption-based, low-confidence scenarios, not approved or bindable quotes.

Evidence: AQUA ISO GL; Emerald Coast XS ACORDS.pdf

Applied exposure: 1,200,000.00 · Calculated premium: $110,458

Commercial excess liability / umbrellaGeneral liability · Excess · Account-level coverage
Needs pricing

This requested coverage is not yet priced. Confirm its scope and enter pricing in Details.

Covered liability components and underlying policies · scope to confirm

Select each underlying liability this shared excess layer covers. GL, auto, employers liability, and employee benefits liability retain separate limits and policy evidence while sharing the excess premium above.

Details · terms, sources and calculation
Estimate and confidence

Use an estimate only when its scope matches this line. An account-wide estimate must not be applied to each building separately. Applying it does not include the line or save the worksheet.

No matching AI estimate for this coverage and layer. Enter your pricing or save and reassess to request an updated analysis.

Applied exposure: 10,000,000.00 · Calculated premium: Needs pricing

Excess General LiabilityGeneral liability · Excess · Account-level coverage
Needs pricing

This requested coverage is not yet priced. Confirm its scope and enter pricing in Details.

Covered liability components and underlying policies · scope to confirm

Select each underlying liability this shared excess layer covers. GL, auto, employers liability, and employee benefits liability retain separate limits and policy evidence while sharing the excess premium above.

Details · terms, sources and calculation
Estimate and confidence

Use an estimate only when its scope matches this line. An account-wide estimate must not be applied to each building separately. Applying it does not include the line or save the worksheet.

No matching AI estimate for this coverage and layer. Enter your pricing or save and reassess to request an updated analysis.

Applied exposure: Not established · Calculated premium: Needs pricing

Supporting information · policies, evidence and coverage review
Additional coverage review
ⓘ About ancillary coverages

This register checks the selected ancillary coverages for risk conclusions, terms and missing information. To price one, use Add a coverage below, select its name, and review its matching AI estimate. A premium alone does not complete its risk assessment.

Only requested worksheet coverages are listed. An AI premium estimate does not establish that a coverage has been assessed.

GL · Commercial excess liability / umbrella

Risk conclusion: Not assessed; save and reassess

Terms: ACORD 131 shows $1,000,000 each occurrence and $1,000,000 aggregate. Attachment or retained limit is not stated. Underlying automobile, general liability, employers liability, and employee benefits coverages are listed.

Needed:

Evidence: Emerald Coast XS ACORDS.pdf, ACORD 125 pages 1-3, ACORD 131 pages 8-9, and ACORD 101 page 5.

Entered premium: Needs pricing

Schedule of underlying insurance · 4 policies

Record the policies beneath the requested excess layer. Their premiums are rating inputs and are not added to our quoted premium. Confirm each coverage component, underlying limit, aggregate, and policy term from the source terms.

Commercial General Liability · Ascot Ins Co · Review required
Automobile Liability · FCC1 Commercial Ins. Co. · Review required
Employers Liability · Bridgefield Casualty Ins. Co. · Review required
Employee Benefits Liability · Ascot Ins Co · Review required

Commercial excess liability / umbrella: confirm which underlying policies this layer covers.

Excess General Liability: confirm which underlying policies this layer covers.

View source evidence and review findings

Extraction source review

Needs review · Emerald Coast Constructors, Inc.

Compare the submitted values with their source before resolving a review item. Original observations remain available even when the schedule has been consolidated. Correct fields and resolve findings through the existing field and source-conflict review.

Review findings (29)

Review marked answers on Emerald Coast GL ACORDS.pdf, page 1. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.

Review marked answers on Emerald Coast GL ACORDS.pdf, page 2. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.

Review marked answers on Emerald Coast GL ACORDS.pdf, page 9. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.

Review marked answers on Emerald Coast GL ACORDS.pdf, page 10. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.

Review marked answers on Emerald Coast GL ACORDS.pdf, page 11. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.

Review marked answers on Emerald Coast GL ACORDS.pdf, page 12. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.

Review marked answers on Emerald Coast GL ACORDS.pdf, page 15. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.

Review marked answers on Emerald Coast GL ACORDS.pdf, page 16. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.

Review marked answers on Emerald Coast XS ACORDS.pdf, page 1. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.

Review marked answers on Emerald Coast XS ACORDS.pdf, page 2. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.

Review marked answers on Emerald Coast XS ACORDS.pdf, page 3. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.

Review marked answers on Emerald Coast XS ACORDS.pdf, page 9. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.

Review marked answers on Emerald Coast XS ACORDS.pdf, page 10. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.

Review marked answers on Emerald Coast XS ACORDS.pdf, page 11. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.

Location 0, class 91340: printed hazard identifier is missing.

Location 0, class 91340: exposure or rating basis needs review.

Location 1, class 94007: printed hazard identifier is missing.

Location 1, class 94007: exposure or rating basis needs review.

Location 0, class 91586: printed hazard identifier is missing.

Location 0, class 91586: exposure or rating basis needs review.

Location 1, class 91342: printed hazard identifier is missing.

Location 1, class 91342: exposure or rating basis needs review.

Location 1, class : printed hazard identifier is missing.

Location 1, class 91580: printed hazard identifier is missing.

Location 1, class 91580: exposure or rating basis needs review.

Location 1, class 99986: printed hazard identifier is missing.

Location 1, class 99986: exposure or rating basis needs review.

Location 1, class 95410: printed hazard identifier is missing.

Location 1, class 95410: exposure or rating basis needs review.

Location and building evidence (2 source observations)

These are source observations, not a count of physical locations. Different addresses or building identifiers require reconciliation.

Location / buildingAddressOperationsReported revenueSource
1 / 19425 Wanda Drive Pensacola FL 32514General Contractor who does commercial renovations on existing commercial buildings. Insured also does renovations on residential homes and sometimes will build a single family home.UnknownEmerald Coast GL ACORDS.pdf · p. 2
1 / Unknown9425 Wanda Drive 10,000,000.00Emerald Coast XS ACORDS.pdf · p. 8
Casualty class and exposure schedule (8)
Location / hazardSubmitted classDescriptionBasisExposurePrinted ratePrinted premiumSource
0 / Unknown91340Carpentry-Construction of residential property not exceeding three stories in heightPUnknownUnknownUnknownEmerald Coast GL ACORDS.pdf · p. 9
1 / Unknown94007ExcavationPUnknownUnknownUnknownEmerald Coast GL ACORDS.pdf · p. 9
0 / Unknown91586Contractors-subcontracted work-in construction, reconstruction, repair or rection of buildingsPUnknownUnknownUnknownEmerald Coast GL ACORDS.pdf · p. 9
1 / Unknown91342Carpentry - NOCPayrollUnknownUnknownUnknownEmerald Coast GL ACORDS.pdf · p. 13
1 / UnknownComposite RateGross sales10,000,000.00UnknownUnknownEmerald Coast GL ACORDS.pdf · p. 13
1 / Unknown91580Contractors-Executive supervisors or executive superintendentsPayrollUnknownUnknownUnknownEmerald Coast GL ACORDS.pdf · p. 13
1 / Unknown99986Wrecking-Buildings or structuresPayrollUnknownUnknownUnknownEmerald Coast GL ACORDS.pdf · p. 13
1 / Unknown95410Grading of LandPayrollUnknownUnknownUnknownEmerald Coast GL ACORDS.pdf · p. 13
Loss reports and claims (0 reports / 0 claim observations)
Independent visual readings (8)
Field / sourceFirst readingIndependent readingReview outcome
DeductibleBasis
Emerald Coast GL ACORDS.pdf · p. 9
unknownPerOccurrenceReadings disagree; source review required
GeneralQuestion10LodgingOperations
Emerald Coast GL ACORDS.pdf · p. 11
NReadings disagree; source review required
GeneralQuestion11SwimmingPool
Emerald Coast GL ACORDS.pdf · p. 11
NNTwo model readings agree; source confirmation still required
GeneralQuestion21SafetySecurityPolicy
Emerald Coast GL ACORDS.pdf · p. 12
NNTwo model readings agree; source confirmation still required
GeneralQuestion22SafetySecurityRepresentations
Emerald Coast GL ACORDS.pdf · p. 12
NNTwo model readings agree; source confirmation still required
CityLimitsCheckbox
Emerald Coast XS ACORDS.pdf · p. 2
InsidecheckedReadings disagree; source review required
GeneralInformationQuestion2
Emerald Coast XS ACORDS.pdf · p. 3
NNot availableIndependent read unavailable; source review required
GeneralInformationQuestion8
Emerald Coast XS ACORDS.pdf · p. 3
NNot availableIndependent read unavailable; source review required
Field evidence (323)
FieldSubmitted valueSourceSource detailReview
AgencyNameM E Wilson Company, LLC dba Waldorf Insurance & BondingEmerald Coast GL ACORDS.pdf · p. 1Agency block
M E Wilson Company, LLC dba Waldorf Insurance & Bonding
Source confirmation pending
AgencyAddress45 Eglin Parkway NE, Suite 202, Fort Walton Beach, FL 32548Emerald Coast GL ACORDS.pdf · p. 1Agency block
45 Eglin Parkway NE, Suite 202 / Fort Walton Beach FL 32548
Source confirmation pending
BrokerNameRobin RuddEmerald Coast GL ACORDS.pdf · p. 1Contact Name
Robin Rudd
Source confirmation pending
BrokerPhone(850) 581-4925Emerald Coast GL ACORDS.pdf · p. 1Contact phone
(850) 581-4925
Source confirmation pending
CarrierAscot Ins CoEmerald Coast GL ACORDS.pdf · p. 1Carrier block
Ascot Ins Co
Source confirmation pending
UnderwriterNameAndrew PlumEmerald Coast GL ACORDS.pdf · p. 1Underwriter block
Andrew Plum
Source confirmation pending
PolicyNumber25/26 GENERAL LIABILITYEmerald Coast GL ACORDS.pdf · p. 1Policy Number
25/26 GENERAL LIABILITY
Source confirmation pending
TransactionTypeRenewalEmerald Coast GL ACORDS.pdf · p. 1Status of Transaction: RENEW
RENEW
Source confirmation pending
TransactionStatusBOUND; ISSUE POLICY; RENEWEmerald Coast GL ACORDS.pdf · p. 1Status of Transaction checkboxes
BOUND; ISSUE POLICY; RENEW
Inspect marked answer
ApplicationDate9/19/2026Emerald Coast GL ACORDS.pdf · p. 1Date
9/19/2026
Source confirmation pending
EffectiveDate2026-09-19Emerald Coast GL ACORDS.pdf · p. 1Policy Information: Proposed Eff Date
9/19/2026
Source confirmation pending
ExpirationDate2027-09-19Emerald Coast GL ACORDS.pdf · p. 1Policy Information: Proposed Exp Date
9/19/2027
Source confirmation pending
NameInsuredEmerald Coast Constructors, Inc.Emerald Coast GL ACORDS.pdf · p. 1Applicant Information: Name and Mailing Address
Emerald Coast Constructors, Inc.
Source confirmation pending
InsuredAddressLine19425 Wanda DriveEmerald Coast GL ACORDS.pdf · p. 1Applicant Information: Mailing Address
9425 Wanda Drive
Source confirmation pending
InsuredCityPensacolaEmerald Coast GL ACORDS.pdf · p. 1Applicant Information: Mailing Address
Pensacola
Source confirmation pending
InsuredStateFLEmerald Coast GL ACORDS.pdf · p. 1Applicant Information: Mailing Address
FL
Source confirmation pending
InsuredZip32514Emerald Coast GL ACORDS.pdf · p. 1Applicant Information: Mailing Address
32514
Source confirmation pending
NAICSCode23752Emerald Coast GL ACORDS.pdf · p. 1Applicant Information: NAICS
23752
Source confirmation pending
FEIN573882157Emerald Coast GL ACORDS.pdf · p. 1Applicant Information: FEIN or SOC SEC #
573882157
Source confirmation pending
BusinessPhone(850)780-6113Emerald Coast GL ACORDS.pdf · p. 1Applicant Information: Business Phone #
(850)780-6113
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CommercialGeneralLiabilityRequestedcheckedEmerald Coast GL ACORDS.pdf · p. 1Lines of Business: Commercial General Liability checkbox
Commercial General Liability [X]
Inspect marked answer
Location1InterestTenantEmerald Coast GL ACORDS.pdf · p. 2Premises Information, LOC #1, Interest: Tenant checkbox
TENANT [X]
Inspect marked answer
NatureOfBusinessContractorEmerald Coast GL ACORDS.pdf · p. 2Nature of Business: Contractor checkbox
CONTRACTOR [X]
Inspect marked answer
DescriptionOfPrimaryOperationsGeneral Contractor who does commercial renovations on existing commercial buildings. Insured also does renovations on residential homes and sometimes will build a single family home.Emerald Coast GL ACORDS.pdf · p. 2Description of Primary Operations
Nature of Business: Contractors Primary Operations: General Contractor who does commercial renovations on existing commercial buildings Insured also does renovations on residential homes and sometimes will build a single family home
Source confirmation pending
GeneralInformationResponses1a N; 1b N; 2 Y; 3 N; 4 N; 5 N; 6 N; 7 N; 8 N; 9 N; 10 N; 11 N; 12 NEmerald Coast GL ACORDS.pdf · p. 3General Information Y/N response column
1a N; 1b N; 2 Y; 3 N; 4 N; 5 N; 6 N; 7 N; 8 N; 9 N; 10 N; 11 N; 12 N
Source confirmation pending
AgencyCustomerID00008476Emerald Coast GL ACORDS.pdf · p. 4Agency Customer ID, upper right
00008476
Source confirmation pending
AgencyNameM.E. Wilson Company, LLC dbaEmerald Coast GL ACORDS.pdf · p. 5Agency field, upper left
M.E. Wilson Company, LLC dba
Source confirmation pending
NameInsuredEmerald Coast Constructors, IncEmerald Coast GL ACORDS.pdf · p. 5Named Insured field, upper right
Emerald Coast Constructors, Inc
Source confirmation pending
PolicyNumber25/26 GENERAL LIABILITYEmerald Coast GL ACORDS.pdf · p. 5Policy Number field
25/26 GENERAL LIABILITY
Source confirmation pending
LossRunCarrierAscot Ins CoEmerald Coast GL ACORDS.pdf · p. 5Carrier field
Ascot Ins Co
Source confirmation pending
NAICSCode23732Emerald Coast GL ACORDS.pdf · p. 5NAIC Code field
23732
Source confirmation pending
EffectiveDate2026-09-19Emerald Coast GL ACORDS.pdf · p. 5Effective Date field
9/19/2026
Source confirmation pending
FormNumber125Emerald Coast GL ACORDS.pdf · p. 5This Additional Remarks Form Is a Schedule to ACORD Form, Form Number
125
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FormTitleCommercial ApplicationEmerald Coast GL ACORDS.pdf · p. 5This Additional Remarks Form Is a Schedule to ACORD Form, Form Title
Commercial Application
Source confirmation pending
AgencyNameM.E. Wilson Company, LLC dbaEmerald Coast GL ACORDS.pdf · p. 6Agency field, upper left
M.E. Wilson Company, LLC dba
Source confirmation pending
NameInsuredEmerald Coast Constructors, IncEmerald Coast GL ACORDS.pdf · p. 6Named Insured field, upper right
Emerald Coast Constructors, Inc
Source confirmation pending
PolicyNumber25/26 GENERAL LIABILITYEmerald Coast GL ACORDS.pdf · p. 6Policy Number field
25/26 GENERAL LIABILITY
Source confirmation pending
LossRunCarrierAscot Ins CoEmerald Coast GL ACORDS.pdf · p. 6Carrier field
Ascot Ins Co
Source confirmation pending
NAICSCode23732Emerald Coast GL ACORDS.pdf · p. 6NAIC Code field
23732
Source confirmation pending
EffectiveDate2026-09-19Emerald Coast GL ACORDS.pdf · p. 6Effective Date field
9/19/2026
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FormNumber125Emerald Coast GL ACORDS.pdf · p. 6This Additional Remarks Form Is a Schedule to ACORD Form, Form Number
125
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FormTitleCommercial ApplicationEmerald Coast GL ACORDS.pdf · p. 6This Additional Remarks Form Is a Schedule to ACORD Form, Form Title
Commercial Application
Source confirmation pending
AdditionalRemarksSchedulePolicy and endorsement schedule text is printed on the page; no numeric limits or deductible values are shown.Emerald Coast GL ACORDS.pdf · p. 5Additional Remarks section
INT N0002 05 25 ASCOT Address Change Notice; INT N0001 FL 01 23 FL Surplus Lines Notice; ACN-NO1-0522-FL Florida Complaint Notice; ASIC-N001-0622-FL Florida Policyholder Notice; ILA DEC 01 09 29 Common Policy Declarations; CGA DEC 01 09 20 Commercial General Liability Declarations; CG 00 01 04 13 Commercial General Liability Coverage Form; CG 20 01 04 13 Primary and Noncontributory - Other Insurance Condition; CG 20 20 04 13 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization; CG 20 37 04 13 Additional Insured - Owners, Lessees or Contractors - Completed Operations; CG 21 07 05 14 Exclusion - Access or Disclosure of Confidential or Personal Information; CG 21 09 06 15 Exclusion - Unmanned Aircraft; CG 21 15 06 14 Exclusion - Designated Professional Services; CG 21 32 05 09 Communicable Disease Exclusion; CG 21 35 10 01 Exclusion - Coverage C - Medical Payments; CG 21 47 12 07 Employment-Related Practices Exclusion; CG 21 49 09 09 Total Pollution Exclusion Endorsement; CG 21 54 12 19 Exclusion - Designated Operations Covered by a Controlled (Wrap-Up) Insurance Program; CG 21 07 12 04 Fungi or Bacteria Exclusion; CG 21 73 01 15 Exclusion of Certified Acts of Terrorism; CG 21 86 12 04 Exclusion - Exterior Insulation and Finish Systems; CG 21 96 03 05 Silica-Related Dust Exclusion; CG 22 34 04 13 Exclusion - Construction Management Errors and Omissions; CG 24 04 05 09 Waiver or Transfer of Rights of Recovery Against Others to Us; CG 24 26 04 13 Amendment of Insured Contract Definition; CG 40 10 12 19 Exclusion - Cross Suits Liability; CG 40 32 05 23 Exclusion - Perfluoroalkyl and Polyfluoroalkyl Substances (PFAS); CG 40 14 12 19 Cannabis Exclusion; CGA 301 09 09 Absolute Asbestos Exclusion; CGA 302 09 20 Absolute Lead Exclusion; CGA 303 09 20 Continuous or Progressive Injury or Damage Exclusion; CGA 304 09 20 Non-Accumulation of Limits Endorsement; CGA 305 09 20 Minimum Earned Premium Endorsement; CGA 308 09 20 Amendment of Premium Audit Conditions; CGA 310 09 09 Deductible Liability Insurance Including Supplementary Payments
Source confirmation pending
AdditionalRemarksSchedulePolicy and endorsement schedule text is printed on the page; no numeric limits or deductible values are shown.Emerald Coast GL ACORDS.pdf · p. 6Additional Remarks section
CGA 324 09 20 Exclusion - Designated Work and Operations; CGA 325 09 20 Computer System Cyber Exclusion; CGA 340 09 22 Independent Contractor Warranty Endorsement; CGA 359 09 20 Designated Construction Project(s) General Aggregate Limit Subject to Cap; CGA 362 04 21 Claim and Notice Reporting; CGA 390 08 22 Exclusion - Privacy Laws; CGA 400 02 23 Exclusion - Tainted Drywall/Gypsum Containing Building Material; ASIC-SL-2022-01 Service of Suit - ASIC; CGA 413 08 24 Premium Basis Endorsement; ASIC INT SQU01 04 24 Ascot Specialty Insurance Company Signature Page; General Liability - IPFS# FLP-53544; 1. CGG DS 01 05 04 Commercial General Liability Declarations; 3. DCS.FORM.0121 (09 10) Disclosure Pursuant to TRIA; 4. DCS.FORM.154 (RA 03 21) Notice - Offer of Terrorism Insurance Coverage; 5. CG 00 01 04 13 Commercial General Liability Coverage Form; 6. CG 00 20 04 13 Florida Changes - Cancellation and Nonrenewal; 7. CG 03 00 01 06 Deductible Liability Insurance; 8. CG 04 35 03 05 Employee Benefits Liability Coverage; 9. CG 20 10 04 13 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization; 10. CG 20 11 04 13 Additional Insured - Managers or Lessors of Premises (CGL); 11. CG 20 12 04 13 Additional Insured - State or Governmental Agency or Political Subdivision - Permits or Authorizations (CGL Specific); 12. CG 20 28 04 13 Additional Insured - Lessor of Leased Equipment; 13. CG 20 87 04 13 Information and Data-Related Liability - Limited BI Exception Not Included; 14. CG 20 37 04 13 Additional Insured - Owners, Lessees or Contractors - Completed Operations; Acts of Terrorism Committed Outside The United States; 24. CG 21 96 03 05 Silica or Silica-Related Dust Exclusion; 27. CG 27 04 05 09 Waiver of Transfer of Rights of Recovery Against Others to US; 28. CG 24 26 07 04 Amendment of Insured Contract Definition; 29. CG 25 03 09 07 Designated Construction Project(s) General Aggregate Limit; 33. CGL.DCS.0108 (09 16) Composite Rating Plan Endorsement; 34. CGL.DCS.0253 (02 11) Minimum and Deposit Premium End; 38. CGL.DCS.4017 (05 22) Deductible Amount Applies if Contractor Conditions Not Met; 39. DCS.FORM.103 U.S. Treasury Department's Office of Foreign Assets Control (OFAC); 40. DCS.FORM.128 (09 10) Notice to Policyholder - Silica; 42. IL 00 17 11 98 Common Policy Conditions
Source confirmation pending
AgencyNameM.E Wilson Company LLC dbaEmerald Coast GL ACORDS.pdf · p. 7Agency
M.E Wilson Company LLC dba
Source confirmation pending
LossRunCarrierAscot Ins CoEmerald Coast GL ACORDS.pdf · p. 7Carrier
Ascot Ins Co
Source confirmation pending
PolicyNumber25/26 GENERAL LIABILITYEmerald Coast GL ACORDS.pdf · p. 7Policy Number
25/26 GENERAL LIABILITY
Source confirmation pending
EffectiveDate2026-09-19Emerald Coast GL ACORDS.pdf · p. 7Effective Date
9/19/2026
Source confirmation pending
NameInsuredEmerald Coast Constructors, IncEmerald Coast GL ACORDS.pdf · p. 7Named Insured(s)
Emerald Coast Constructors, Inc
Source confirmation pending
NAICCode23752Emerald Coast GL ACORDS.pdf · p. 7NAIC Code
23752
Source confirmation pending
EffectiveDate2026-09-19Emerald Coast GL ACORDS.pdf · p. 9Effective Date
9/19/2026
Source confirmation pending
NameInsuredEmerald Coast Constructors, IncEmerald Coast GL ACORDS.pdf · p. 9Applicant / First Named Insured
Emerald Coast Constructors, Inc
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GLEachOccurrenceLimit1000000Emerald Coast GL ACORDS.pdf · p. 9Limits / Each Occurrence
$ 1,000,000
Source confirmation pending
GLGeneralAggregateLimit2000000Emerald Coast GL ACORDS.pdf · p. 9Limits / General Aggregate
$ 2,000,000
Source confirmation pending
GLProductsCompletedOperationsAggregateLimit2000000Emerald Coast GL ACORDS.pdf · p. 9Limits / Products & Completed Operations Aggregate
$ 2,000,000
Source confirmation pending
GLPersonalAndAdvertisingInjuryLimit1000000Emerald Coast GL ACORDS.pdf · p. 9Limits / Personal & Advertising Injury
$ 1,000,000
Source confirmation pending
GLDamageToPremisesRentedLimit100000Emerald Coast GL ACORDS.pdf · p. 9Limits / Damage to Rented Premises each occurrence
$ 100,000
Source confirmation pending
GLMedicalPaymentsExcludedEmerald Coast GL ACORDS.pdf · p. 9Limits / Medical Expense (Any one person)
Excluded
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GLDeductiblePropertyDamage5000Emerald Coast GL ACORDS.pdf · p. 9Deductibles / Property Damage
$ 5,000
Source confirmation pending
GLDeductibleBodilyInjury5000Emerald Coast GL ACORDS.pdf · p. 9Deductibles / Bodily Injury
$ 5,000
Source confirmation pending
CasualtyClassCode91340Emerald Coast GL ACORDS.pdf · p. 9Schedule of Hazards / Class Code / first row
91340
Source confirmation pending
CasualtyClassCode94007Emerald Coast GL ACORDS.pdf · p. 9Schedule of Hazards / Class Code / second row
94007
Source confirmation pending
CasualtyClassCode91586Emerald Coast GL ACORDS.pdf · p. 9Schedule of Hazards / Class Code / third row
91586
Source confirmation pending
ProductsAggregateExposureINCLUDEDEmerald Coast GL ACORDS.pdf · p. 9Schedule of Hazards / Exposure / visible rows
INCLUDED
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EmployeeBenefitsRetroactiveDate09/09/2022Emerald Coast GL ACORDS.pdf · p. 9Employee Benefits Liability / Retroactive Date
09/09/2022
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DeductibleBasisPerOccurrenceEmerald Coast GL ACORDS.pdf · p. 9DEDUCTIBLES: PER CLAIM / PER OCCURRENCE checkbox. Deductibles / Property Damage
$ 5,000
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AgencyCustomerID00008476Emerald Coast GL ACORDS.pdf · p. 10Top header, AGENCY CUSTOMER ID
00008476
Source confirmation pending
ContractorQuestion1PlansDesignsNEmerald Coast GL ACORDS.pdf · p. 10CONTRACTORS question 1, DOES APPLICANT DRAW PLANS, DESIGNS OR SPECIFICATIONS FOR OTHERS? Y/N
N
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ContractorQuestion2ExplosivesNEmerald Coast GL ACORDS.pdf · p. 10CONTRACTORS question 2, blasting or explosive material Y/N
N
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ContractorQuestion3ExcavationYEmerald Coast GL ACORDS.pdf · p. 10CONTRACTORS question 3, excavation, tunneling, underground work or earth moving Y/N
Y
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ContractorQuestion4SubcontractorCoverageNEmerald Coast GL ACORDS.pdf · p. 10CONTRACTORS question 4, subcontractors carry coverages or limits less than yours Y/N
N
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ContractorQuestion5CertificateOfInsuranceNEmerald Coast GL ACORDS.pdf · p. 10CONTRACTORS question 5, subcontractors allowed to work without certificate of insurance Y/N
N
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ContractorQuestion6LeasesEquipmentNEmerald Coast GL ACORDS.pdf · p. 10CONTRACTORS question 6, applicant leases equipment to others Y/N
N
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SubcontractedWorkDescriptionPlumbing, HVAC, Electrical, Roofing, InsulationEmerald Coast GL ACORDS.pdf · p. 10CONTRACTORS, DESCRIBE THE TYPE OF WORK SUBCONTRACTED
Plumbing, HVAC, Electrical, Roofing, Insulation
Source confirmation pending
SubcontractedCost150000Emerald Coast GL ACORDS.pdf · p. 10CONTRACTORS, $ PAID TO SUB-CONTRACTORS
$150,000.00
Source confirmation pending
SubcontractedWorkPercent30Emerald Coast GL ACORDS.pdf · p. 10CONTRACTORS, % OF WORK SUBCONTRACTED
30
Source confirmation pending
FullTimeEmployees4Emerald Coast GL ACORDS.pdf · p. 10CONTRACTORS, # FULL-TIME STAFF
4
Source confirmation pending
ProductsQuestion1InstallServiceDemonstrateNEmerald Coast GL ACORDS.pdf · p. 10PRODUCTS / COMPLETED OPERATIONS question 1, install, service or demonstrate products Y/N
N
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ProductsQuestion2ForeignProductsNEmerald Coast GL ACORDS.pdf · p. 10PRODUCTS / COMPLETED OPERATIONS question 2, foreign products sold, distributed, used as components Y/N
N
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ProductsQuestion3ResearchDevelopmentNEmerald Coast GL ACORDS.pdf · p. 10PRODUCTS / COMPLETED OPERATIONS question 3, research and development conducted or new products planned Y/N
N
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ProductsQuestion4GuaranteesWarrantiesNEmerald Coast GL ACORDS.pdf · p. 10PRODUCTS / COMPLETED OPERATIONS question 4, guarantees, warranties, hold harmless agreements Y/N
N
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ProductsQuestion5AircraftSpaceNEmerald Coast GL ACORDS.pdf · p. 10PRODUCTS / COMPLETED OPERATIONS question 5, products related to aircraft/space industry Y/N
N
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ProductsQuestion6RecalledDiscontinuedChangedNEmerald Coast GL ACORDS.pdf · p. 10PRODUCTS / COMPLETED OPERATIONS question 6, products recalled, discontinued, changed Y/N
N
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ProductsQuestion7OthersRepackagedNEmerald Coast GL ACORDS.pdf · p. 10PRODUCTS / COMPLETED OPERATIONS question 7, products of others sold or re-packaged under applicant label Y/N
N
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ProductsQuestion8ProductsUnderOthersLabelNEmerald Coast GL ACORDS.pdf · p. 10PRODUCTS / COMPLETED OPERATIONS question 8, products under label of others Y/N
N
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ProductsQuestion9VendorsCoverageNEmerald Coast GL ACORDS.pdf · p. 10PRODUCTS / COMPLETED OPERATIONS question 9, vendors coverage required Y/N
N
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ProductsQuestion10NamedInsuredSalesNEmerald Coast GL ACORDS.pdf · p. 10PRODUCTS / COMPLETED OPERATIONS question 10, named insured sells to other named insureds Y/N
N
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AdditionalCertificateFormAttachedcheckedEmerald Coast GL ACORDS.pdf · p. 11ADDITIONAL INTEREST / CERTIFICATE RECIPIENT, ACORD 45 attached for additional names checkbox
X
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AdditionalInterestTypeAdditional InsuredEmerald Coast GL ACORDS.pdf · p. 11ADDITIONAL INTEREST / CERTIFICATE RECIPIENT, INTEREST column, ADDITIONAL INSURED checkbox
X ADDITIONAL INSURED
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AdditionalInterestNameGreenwood IncEmerald Coast GL ACORDS.pdf · p. 11ADDITIONAL INTEREST / CERTIFICATE RECIPIENT, NAME AND ADDRESS
Greenwood Inc
Source confirmation pending
AdditionalInterestAddress160 Milestone WayEmerald Coast GL ACORDS.pdf · p. 11ADDITIONAL INTEREST / CERTIFICATE RECIPIENT, NAME AND ADDRESS
160 Milestone Way
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AdditionalInterestCityStateZipGreenville, SC 29615Emerald Coast GL ACORDS.pdf · p. 11ADDITIONAL INTEREST / CERTIFICATE RECIPIENT, NAME AND ADDRESS
Greenville SC 29615
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GeneralQuestion1MedicalFacilitiesNEmerald Coast GL ACORDS.pdf · p. 11GENERAL INFORMATION question 1, medical facilities or medical professionals Y/N
N
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GeneralQuestion2RadioactiveNuclearMaterialsNEmerald Coast GL ACORDS.pdf · p. 11GENERAL INFORMATION question 2, exposure to radioactive/nuclear materials Y/N
N
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GeneralQuestion3HazardousMaterialsNEmerald Coast GL ACORDS.pdf · p. 11GENERAL INFORMATION question 3, hazardous material operations Y/N
N
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GeneralQuestion4OperationsSoldAcquiredDiscontinuedNEmerald Coast GL ACORDS.pdf · p. 11GENERAL INFORMATION question 4, operations sold, acquired or discontinued in last five years Y/N
N
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GeneralQuestion5RentOrLoanEquipmentNEmerald Coast GL ACORDS.pdf · p. 11GENERAL INFORMATION question 5, rent or loan equipment to others Y/N
N
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GeneralQuestion6WatercraftDocksFloatsNEmerald Coast GL ACORDS.pdf · p. 11GENERAL INFORMATION question 6, watercraft, docks, floats owned, hired or leased Y/N
N
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GeneralQuestion7ParkingFacilitiesNEmerald Coast GL ACORDS.pdf · p. 11GENERAL INFORMATION question 7, parking facilities owned/rented Y/N
N
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GeneralQuestion8ParkingFeeNEmerald Coast GL ACORDS.pdf · p. 11GENERAL INFORMATION question 8, fee charged for parking Y/N
N
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GeneralQuestion9RecreationFacilitiesNEmerald Coast GL ACORDS.pdf · p. 11GENERAL INFORMATION question 9, recreation facilities provided Y/N
N
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GeneralQuestion10LodgingOperationsNEmerald Coast GL ACORDS.pdf · p. 11GENERAL INFORMATION question 10, lodging operations including apartments Y/N
N
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GeneralQuestion11SwimmingPoolNEmerald Coast GL ACORDS.pdf · p. 11GENERAL INFORMATION question 11, swimming pool on premises Y/N
N
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GeneralQuestion12SocialEventsNEmerald Coast GL ACORDS.pdf · p. 11GENERAL INFORMATION question 12, social events sponsored Y/N
N
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GeneralQuestion14StructuralAlterationsNEmerald Coast GL ACORDS.pdf · p. 11GENERAL INFORMATION question 14, structural alterations contemplated Y/N
N
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GeneralQuestion15DemolitionExposureNEmerald Coast GL ACORDS.pdf · p. 11GENERAL INFORMATION question 15, demolition exposure contemplated Y/N
N
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AgencyCustomerID00008476Emerald Coast GL ACORDS.pdf · p. 12Top header, AGENCY CUSTOMER ID
00008476
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GeneralQuestion16JointVenturesNEmerald Coast GL ACORDS.pdf · p. 12GENERAL INFORMATION continued question 16, joint ventures Y/N
N
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GeneralQuestion17LeasedEmployeesNEmerald Coast GL ACORDS.pdf · p. 12GENERAL INFORMATION continued question 17, lease employees to or from other employers Y/N
N
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GeneralQuestion18LaborInterchangeNEmerald Coast GL ACORDS.pdf · p. 12GENERAL INFORMATION continued question 18, labor interchange with other business or subsidiaries Y/N
N
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GeneralQuestion19DayCareFacilitiesNEmerald Coast GL ACORDS.pdf · p. 12GENERAL INFORMATION continued question 19, day care facilities operated or controlled Y/N
N
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GeneralQuestion20CrimesOnPremisesNEmerald Coast GL ACORDS.pdf · p. 12GENERAL INFORMATION continued question 20, crimes occurred or attempted on premises within last three years Y/N
N
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GeneralQuestion21SafetySecurityPolicyNEmerald Coast GL ACORDS.pdf · p. 12GENERAL INFORMATION continued question 21, formal written safety and security policy Y/N
N
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GeneralQuestion22SafetySecurityRepresentationsNEmerald Coast GL ACORDS.pdf · p. 12GENERAL INFORMATION continued question 22, promotional literature representations about safety or security Y/N
N
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AgencyNameM.E. Wilson Company, LLC dbaEmerald Coast GL ACORDS.pdf · p. 13Agency
M.E. Wilson Company, LLC dba
Source confirmation pending
CarrierAscot Ins CoEmerald Coast GL ACORDS.pdf · p. 13Carrier
Ascot Ins Co
Source confirmation pending
NAICCode23752Emerald Coast GL ACORDS.pdf · p. 13NAIC Code
23752
Source confirmation pending
PolicyNumber25/26 GENERAL LIABILITYEmerald Coast GL ACORDS.pdf · p. 13Policy Number
25/26 GENERAL LIABILITY
Source confirmation pending
EffectiveDate2026-09-19Emerald Coast GL ACORDS.pdf · p. 13Effective Date
9/19/2026
Source confirmation pending
NameInsuredEmerald Coast Constructors, Inc.Emerald Coast GL ACORDS.pdf · p. 13Applicant / First Named Insured
Emerald Coast Constructors, Inc.
Source confirmation pending
TotalRevenue10000000Emerald Coast GL ACORDS.pdf · p. 13Schedule of Hazards; LOC # 1; Gross sales exposure
10,000,000
Source confirmation pending
CasualtyClassCode91342Emerald Coast GL ACORDS.pdf · p. 13Schedule of Hazards; LOC # 1; Class Code
91342
Source confirmation pending
CasualtyClassCode91580Emerald Coast GL ACORDS.pdf · p. 13Schedule of Hazards; LOC # 1; Class Code
91580
Source confirmation pending
CasualtyClassCode99986Emerald Coast GL ACORDS.pdf · p. 13Schedule of Hazards; LOC # 1; Class Code
99986
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CasualtyClassCode95410Emerald Coast GL ACORDS.pdf · p. 13Schedule of Hazards; LOC # 1; Class Code
95410
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AdditionalCoverageDescriptionProperty damage-single limitEmerald Coast GL ACORDS.pdf · p. 14Additional Coverages and Endorsements; first populated row; Description
Property damage-single limit
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AdditionalCoverageDeductible5000Emerald Coast GL ACORDS.pdf · p. 14Additional Coverages and Endorsements; first populated row; Ded 1
5,000
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AdditionalCoverageDescriptionBodily InjuryEmerald Coast GL ACORDS.pdf · p. 14Additional Coverages and Endorsements; second populated row; Description
Bodily Injury
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AdditionalCoverageDeductible5000Emerald Coast GL ACORDS.pdf · p. 14Additional Coverages and Endorsements; second populated row; Ded 1
5,000
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AdditionalInterestNameEscambia CountyEmerald Coast GL ACORDS.pdf · p. 15Additional Interest row 1; Name and Address
Escambia County
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AdditionalInterestAddress221 Palafox Place Suite 200, Pensacola, FL 32502Emerald Coast GL ACORDS.pdf · p. 15Additional Interest row 1; Name and Address
221 Palafox Place Suite 200 Pensacola FL 32502
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AdditionalInterestNameNorthwest Florida State CollegeEmerald Coast GL ACORDS.pdf · p. 15Additional Interest row 2; Name and Address
Northwest Florida State College
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AdditionalInterestAddress100 College Boulevard, Niceville, FL 32578Emerald Coast GL ACORDS.pdf · p. 15Additional Interest row 2; Name and Address
100 College Boulevard Niceville FL 32578
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AdditionalInterestNameOkaloosa County Board of County CommissionersEmerald Coast GL ACORDS.pdf · p. 15Additional Interest row 3; Name and Address
Okaloosa County Board of County Commissioners
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AdditionalInterestAddress302 N Wilson Street Suite 301, Crestview, FL 32536Emerald Coast GL ACORDS.pdf · p. 15Additional Interest row 3; Name and Address
302 N Wilson Street Suite 301 Crestview FL 32536
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AdditionalInterestNameFlorida Fish and Wildlife Conservation CommissionEmerald Coast GL ACORDS.pdf · p. 15Additional Interest row 4; Name and Address
Florida Fish and Wildlife Conservation Commission
Source confirmation pending
AdditionalInterestAddress1875 East Orange Avenue, Tallahassee, FL 32301Emerald Coast GL ACORDS.pdf · p. 15Additional Interest row 4; Name and Address
1875 East Orange Avenue Tallahassee FL 32301
Source confirmation pending
AdditionalInterestEmailRuth.Heagen@myfwc.comEmerald Coast GL ACORDS.pdf · p. 15Additional Interest row 4; E-mail Address
Ruth.Heagen@myfwc.com
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AdditionalInterestNameSanta Rosa CountyEmerald Coast GL ACORDS.pdf · p. 15Additional Interest row 5; Name and Address
Santa Rosa County
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AdditionalInterestAddress6495 Caroline Street, Suite M, Milton, FL 32570Emerald Coast GL ACORDS.pdf · p. 15Additional Interest row 5; Name and Address
6495 Caroline Street, Suite M Milton FL 32570
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InterestTypeCheckboxcheckedEmerald Coast GL ACORDS.pdf · p. 15Additional Interest row 1; literal checkbox question "Certificate holder"
X Certificate holder
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InterestTypeCheckboxcheckedEmerald Coast GL ACORDS.pdf · p. 15Additional Interest row 2; literal checkbox question "Certificate holder"
X Certificate holder
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InterestTypeCheckboxcheckedEmerald Coast GL ACORDS.pdf · p. 15Additional Interest row 3; literal checkbox question "Certificate holder"
X Certificate holder
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InterestTypeCheckboxcheckedEmerald Coast GL ACORDS.pdf · p. 15Additional Interest row 4; literal checkbox question "Certificate holder"
X Certificate holder
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InterestTypeCheckboxcheckedEmerald Coast GL ACORDS.pdf · p. 15Additional Interest row 5; literal checkbox question "Certificate holder"
X Certificate holder
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AgencyNameM.E. Wilson Company, LLC dbaEmerald Coast GL ACORDS.pdf · p. 16Agency header
M.E. Wilson Company, LLC dba
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PolicyPeriod25/26 GENERAL LIABILITYEmerald Coast GL ACORDS.pdf · p. 16Policy Number field
25/26 GENERAL LIABILITY
Source confirmation pending
EffectiveDate2026-09-19Emerald Coast GL ACORDS.pdf · p. 16Effective Date field
9/19/2026
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NameInsuredEmerald Coast Constructors, IncEmerald Coast GL ACORDS.pdf · p. 16Named Insured(s) field
Emerald Coast Constructors, Inc
Source confirmation pending
CarrierNameAscot Ins CoEmerald Coast GL ACORDS.pdf · p. 16Carrier field
Ascot Ins Co
Source confirmation pending
NAICCode23752Emerald Coast GL ACORDS.pdf · p. 16NAIC Code field
23752
Source confirmation pending
AdditionalInterest1NameBoard of County Commissioners Santa Rosa County, FlEmerald Coast GL ACORDS.pdf · p. 16First Additional Interest > Name and Address
Board of County Commissioners Santa Rosa County, Fl
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AdditionalInterest1Address6051 Old Bagdad Highway; Suite 300Emerald Coast GL ACORDS.pdf · p. 16First Additional Interest > Name and Address
6051 Old Bagdad Highway Suite 300
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AdditionalInterest1CityMiltonEmerald Coast GL ACORDS.pdf · p. 16First Additional Interest > Name and Address
Milton
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AdditionalInterest1StateFLEmerald Coast GL ACORDS.pdf · p. 16First Additional Interest > Name and Address
FL
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AdditionalInterest1Zip32583Emerald Coast GL ACORDS.pdf · p. 16First Additional Interest > Name and Address
32583
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AdditionalInterest1CertificateHoldercheckedEmerald Coast GL ACORDS.pdf · p. 16First Additional Interest > Certificate holder checkbox
X Certificate holder
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AdditionalInterest2NameOkaloosa County Purchasing DeptEmerald Coast GL ACORDS.pdf · p. 16Second Additional Interest > Name and Address
Okaloosa County Purchasing Dept
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AdditionalInterest2Address5479A Old Bethel RoadEmerald Coast GL ACORDS.pdf · p. 16Second Additional Interest > Name and Address
5479A Old Bethel Road
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AdditionalInterest2CityCrestviewEmerald Coast GL ACORDS.pdf · p. 16Second Additional Interest > Name and Address
Crestview
Source confirmation pending
AdditionalInterest2StateFLEmerald Coast GL ACORDS.pdf · p. 16Second Additional Interest > Name and Address
FL
Source confirmation pending
AdditionalInterest2Zip32536Emerald Coast GL ACORDS.pdf · p. 16Second Additional Interest > Name and Address
32536
Source confirmation pending
AdditionalInterest2CertificateHoldercheckedEmerald Coast GL ACORDS.pdf · p. 16Second Additional Interest > Certificate holder checkbox
X Certificate holder
Inspect marked answer
AdditionalInterest3NameBay County Board of CommissionersEmerald Coast GL ACORDS.pdf · p. 16Third Additional Interest > Name and Address
Bay County Board of Commissioners
Source confirmation pending
AdditionalInterest3Address840 W 11th StreetEmerald Coast GL ACORDS.pdf · p. 16Third Additional Interest > Name and Address
840 W 11th Street
Source confirmation pending
AdditionalInterest3CityPanama CityEmerald Coast GL ACORDS.pdf · p. 16Third Additional Interest > Name and Address
Panama City
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AdditionalInterest3StateFLEmerald Coast GL ACORDS.pdf · p. 16Third Additional Interest > Name and Address
FL
Source confirmation pending
AdditionalInterest3Zip32401Emerald Coast GL ACORDS.pdf · p. 16Third Additional Interest > Name and Address
32401
Source confirmation pending
AdditionalInterest3CertificateHoldercheckedEmerald Coast GL ACORDS.pdf · p. 16Third Additional Interest > Certificate holder checkbox
X Certificate holder
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AdditionalInterest4NameTrammell Construction CoEmerald Coast GL ACORDS.pdf · p. 16Fourth Additional Interest > Name and Address
Trammell Construction Co
Source confirmation pending
AdditionalInterest4Address9425 Wanda DriveEmerald Coast GL ACORDS.pdf · p. 16Fourth Additional Interest > Name and Address
9425 Wanda Drive
Source confirmation pending
AdditionalInterest4CityPensacolaEmerald Coast GL ACORDS.pdf · p. 16Fourth Additional Interest > Name and Address
Pensacola
Source confirmation pending
AdditionalInterest4StateFLEmerald Coast GL ACORDS.pdf · p. 16Fourth Additional Interest > Name and Address
FL
Source confirmation pending
AdditionalInterest4Zip32514Emerald Coast GL ACORDS.pdf · p. 16Fourth Additional Interest > Name and Address
32514
Source confirmation pending
AdditionalInterest4AdditionalInsuredcheckedEmerald Coast GL ACORDS.pdf · p. 16Fourth Additional Interest > Additional insured checkbox
X Additional insured
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AdditionalInterest4LocationNumber1Emerald Coast GL ACORDS.pdf · p. 16Fourth Additional Interest > Interest in item number > Location
LOCATION: 1
Source confirmation pending
AdditionalInterest4BuildingNumber1Emerald Coast GL ACORDS.pdf · p. 16Fourth Additional Interest > Interest in item number > Building
BUILDING: 1
Source confirmation pending
AgencyNameM.E. Wilson Company, LLC dbaEmerald Coast GL ACORDS.pdf · p. 17Agency field
M.E. Wilson Company, LLC dba
Source confirmation pending
NameInsuredEmerald Coast Constructors, IncEmerald Coast GL ACORDS.pdf · p. 17Named Insured field
Emerald Coast Constructors, Inc
Source confirmation pending
PolicyPeriod25/26 GENERAL LIABILITYEmerald Coast GL ACORDS.pdf · p. 17Policy Number field
25/26 GENERAL LIABILITY
Source confirmation pending
CarrierNameAscot Ins CoEmerald Coast GL ACORDS.pdf · p. 17Carrier field
Ascot Ins Co
Source confirmation pending
NAICCode23752Emerald Coast GL ACORDS.pdf · p. 17NAIC Code field
23752
Source confirmation pending
EffectiveDate2026-09-19Emerald Coast GL ACORDS.pdf · p. 17Effective Date field
9/19/2026
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ReferencedACORDFormNumber126Emerald Coast GL ACORDS.pdf · p. 17Additional Remarks > Form Number
126
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ReferencedACORDFormTitleCommercial General Liability Section RemarksEmerald Coast GL ACORDS.pdf · p. 17Additional Remarks > Form Title
Commercial General Liability Section Remarks
Source confirmation pending
AdditionalRemarksGOCG DS 01 (05 04) Commercial General Liability Declarations; DCS FORM 04 (09 10) Disclosure Pursuant to TRIA; DCS.FORM 154 RA (03 21) Notice - Offer of Terrorism Insurance Coverage; CG 00 01 04 13 Commercial General Liability Coverage Form; CG 02 03 13 Florida Changes - Cancellation and Nonrenewal; CG 03 00 16 98 Deductible Liability Insurance; CG 04 35 03 05 Employee Benefits Liability Coverage; CG 20 10 04 13 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization; CG 20 11 04 13 Additional Insured - Managers or Lessors of Premises (CGL); CG 20 12 04 13 Additional Insured - State or Governmental Agency or Political Subdivision - Permits or Authorizations (CGL Specific); CG 20 26 04 13 Additional Insured - Lessee or Leased Equipment Information and Data-Related Liability - Limited BI Exception Not Included; CG 20 37 04 13 Additional Insured - Owners, Lessees or Contractors - Completed Operations; Acts of Terrorism Committed Outside The United States; CG 21 96 03 05 Silica or Silica-Related Dust Exclusion; CG 24 04 05 09 Waiver of Transfer of Rights of Recovery Against Others to Us; CG 24 26 07 04 Amendment of Insured Contract Definition; CG 25 03 03 97 Designated Construction Project(s) General Aggregate Limit; CGL.DCS.0108 (10 04) Composite Rating Plan Endorsement; CGL.DCS.0253 (02 11) Minimum and Deposit Premium End; CGL.DCS.4017 (05 22) Deductible Amount Applies if Contractor Conditions Not Met; DCS FORM 103 U.S. Treasury Department’s Office of Foreign Assets Control (“OFAC”); DCS FORM 128 (09 10) Notice to Policyholder - Silica; IL 00 17 11 98 Common Policy ConditionsEmerald Coast GL ACORDS.pdf · p. 17Additional Remarks narrative
See listed forms and endorsements under ADDITIONAL REMARKS.
Source confirmation pending
AgencyNameM.E. Wilson Company, LLC dba Waldorf Insurance & BondingEmerald Coast XS ACORDS.pdf · p. 1Agency block
M.E. Wilson Company, LLC dba Waldorf Insurance & Bonding
Source confirmation pending
BrokerNameRobin RuddEmerald Coast XS ACORDS.pdf · p. 1Contact Name
Robin Rudd
Source confirmation pending
BrokerPhone(850) 581-4925Emerald Coast XS ACORDS.pdf · p. 1Contact phone
(850) 581-4925
Source confirmation pending
CarrierAscot Ins CoEmerald Coast XS ACORDS.pdf · p. 1Carrier
Ascot Ins Co
Source confirmation pending
NAICCode23752Emerald Coast XS ACORDS.pdf · p. 1NAIC Code
23752
Source confirmation pending
UnderwriterNameAndrew PlumEmerald Coast XS ACORDS.pdf · p. 1Underwriter
Andrew Plum
Source confirmation pending
ProgramName25/26 UMBRELLA SUBMISSIONEmerald Coast XS ACORDS.pdf · p. 1Policy Number
25/26 UMBRELLA SUBMISSION
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TransactionTypeRenewEmerald Coast XS ACORDS.pdf · p. 1Status of Transaction checkbox: Renew
X RENEW
Inspect marked answer
TransactionDate09/19/2026Emerald Coast XS ACORDS.pdf · p. 1Status of Transaction date
9/19/2026
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EffectiveDate2026-09-19Emerald Coast XS ACORDS.pdf · p. 1Policy Information: Proposed Effective Date
9/19/2026
Source confirmation pending
ExpirationDate2027-09-19Emerald Coast XS ACORDS.pdf · p. 1Policy Information: Proposed Expiration Date
9/19/2027
Source confirmation pending
NameInsuredEmerald Coast Constructors, Inc.Emerald Coast XS ACORDS.pdf · p. 1Applicant Information: Name and Mailing Address
Emerald Coast Constructors, Inc.
Source confirmation pending
InsuredAddressLine19425 Wanda DriveEmerald Coast XS ACORDS.pdf · p. 1Applicant Information: mailing address
9425 Wanda Drive
Source confirmation pending
InsuredCityPensacolaEmerald Coast XS ACORDS.pdf · p. 1Applicant Information: city
Pensacola
Source confirmation pending
InsuredStateFLEmerald Coast XS ACORDS.pdf · p. 1Applicant Information: state
FL
Source confirmation pending
InsuredZip32514Emerald Coast XS ACORDS.pdf · p. 1Applicant Information: ZIP
32514
Source confirmation pending
FEIN760804921Emerald Coast XS ACORDS.pdf · p. 1Applicant Information: FEIN or SOC SEC #
760804921
Source confirmation pending
BusinessPhone(850)780-6113Emerald Coast XS ACORDS.pdf · p. 1Applicant Information: Business Phone
(850)780-6113
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LegalEntityTypeCorporationEmerald Coast XS ACORDS.pdf · p. 1Applicant Information legal entity checkbox: Corporation
CORPORATION
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AcordLocationNumber1Emerald Coast XS ACORDS.pdf · p. 2Premises Information LOC #
1
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BuildingNumber1Emerald Coast XS ACORDS.pdf · p. 2Premises Information BLD #
1
Source confirmation pending
LocationAddressLine19425 Wanda DriveEmerald Coast XS ACORDS.pdf · p. 2Premises Information LOC 1 street
9425 Wanda Drive
Source confirmation pending
LocationOccupancyGeneral Contractor - CommercialEmerald Coast XS ACORDS.pdf · p. 2Premises Information description of operations
General Contractor - Commercial
Source confirmation pending
LocationCityPensacolaEmerald Coast XS ACORDS.pdf · p. 2Premises Information city
Pensacola
Source confirmation pending
LocationStateFLEmerald Coast XS ACORDS.pdf · p. 2Premises Information state
FL
Source confirmation pending
LocationZip32514Emerald Coast XS ACORDS.pdf · p. 2Premises Information ZIP
32514
Source confirmation pending
CityLimitsCheckboxInsideEmerald Coast XS ACORDS.pdf · p. 2Premises Information LOC 1 City Limits checkbox
X INSIDE
Inspect marked answer
InterestCheckboxOwnerEmerald Coast XS ACORDS.pdf · p. 2Premises Information LOC 1 Interest checkbox
X OWNER
Inspect marked answer
NatureOfBusinessConstructionEmerald Coast XS ACORDS.pdf · p. 2Nature of Business checkbox
X Construction
Inspect marked answer
PrimaryOperationsCommercial ConstructionEmerald Coast XS ACORDS.pdf · p. 2Description of Primary Operations
Nature of Business: Construction Primary Operations: Commercial Construction
Source confirmation pending
GeneralInformationQuestion1aNEmerald Coast XS ACORDS.pdf · p. 3General Information 1a: Is the applicant a subsidiary of another entity?
N
Inspect marked answer
GeneralInformationQuestion1bNEmerald Coast XS ACORDS.pdf · p. 3General Information 1b: Does the applicant have any subsidiaries?
N
Inspect marked answer
GeneralInformationQuestion2NEmerald Coast XS ACORDS.pdf · p. 3General Information 2: Is a formal safety program in operation?
N
Inspect marked answer
GeneralInformationQuestion3NEmerald Coast XS ACORDS.pdf · p. 3General Information 3: Any exposure to flammables, explosives, chemicals?
N
Inspect marked answer
GeneralInformationQuestion5NEmerald Coast XS ACORDS.pdf · p. 3General Information 5: Any policy or coverage declined, cancelled or non-renewed during the prior three years?
N
Inspect marked answer
GeneralInformationQuestion6NEmerald Coast XS ACORDS.pdf · p. 3General Information 6: Any past losses or claims relating to sexual abuse or molestation allegations, discrimination or negligent hiring?
N
Inspect marked answer
GeneralInformationQuestion7NEmerald Coast XS ACORDS.pdf · p. 3General Information 7: During the last five years, has any applicant been indicted for or convicted of fraud, bribery, arson or other arson-related crime?
N
Inspect marked answer
GeneralInformationQuestion8NEmerald Coast XS ACORDS.pdf · p. 3General Information 8: Any uncorrected fire and/or safety code violations?
N
Inspect marked answer
GeneralInformationQuestion9NEmerald Coast XS ACORDS.pdf · p. 3General Information 9: Has applicant had a foreclosure, repossession, bankruptcy or filed for bankruptcy during the last five years?
N
Inspect marked answer
GeneralInformationQuestion10NEmerald Coast XS ACORDS.pdf · p. 3General Information 10: Has applicant had a judgement or lien during the last five years?
N
Inspect marked answer
GeneralInformationQuestion11NEmerald Coast XS ACORDS.pdf · p. 3General Information 11: Has business been placed in a trust?
N
Inspect marked answer
GeneralInformationQuestion12NEmerald Coast XS ACORDS.pdf · p. 3General Information 12: Any foreign operations, foreign products distributed in USA, or US products sold/distributed in foreign countries?
N
Inspect marked answer
GeneralInformationQuestion13NEmerald Coast XS ACORDS.pdf · p. 3General Information 13: Does applicant have other business ventures for which coverage is not requested?
N
Inspect marked answer
GeneralInformationQuestion14NEmerald Coast XS ACORDS.pdf · p. 3General Information 14: Does applicant own/lease/operate any drones?
N
Inspect marked answer
GeneralInformationQuestion15NEmerald Coast XS ACORDS.pdf · p. 3General Information 15: Does applicant hire others to operate drones?
N
Inspect marked answer
AgencyNameM.E. Wilson Company, LLC dbaEmerald Coast XS ACORDS.pdf · p. 5Agency field, upper-left header
M.E. Wilson Company, LLC dba
Source confirmation pending
NameInsuredEmerald Coast Constructors, Inc.Emerald Coast XS ACORDS.pdf · p. 5Named Insured field, upper-right header
Emerald Coast Constructors, Inc.
Source confirmation pending
PolicyNumber25/26 UMBRELLA SUBMISSIONEmerald Coast XS ACORDS.pdf · p. 5Policy Number field
25/26 UMBRELLA SUBMISSION
Source confirmation pending
NAICSCode23762Emerald Coast XS ACORDS.pdf · p. 5NAIC Code field
23762
Source confirmation pending
CarrierAscot InsEmerald Coast XS ACORDS.pdf · p. 5Carrier field
Ascot Ins
Source confirmation pending
EffectiveDate2026-09-19Emerald Coast XS ACORDS.pdf · p. 5Effective Date field
9/19/2026
Source confirmation pending
ScheduledFormNumber125Emerald Coast XS ACORDS.pdf · p. 5Additional Remarks Schedule: Form Number
125
Source confirmation pending
ScheduledFormTitleCommercial ApplicationEmerald Coast XS ACORDS.pdf · p. 5Additional Remarks Schedule: Form Title
Commercial Application
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AgencyCustomerID00008476Emerald Coast XS ACORDS.pdf · p. 5Agency Customer ID header
00008476
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NameInsuredEmerald Coast Constructors, Inc.Emerald Coast XS ACORDS.pdf · p. 8Named Insured(s)
Emerald Coast Constructors, Inc.
Source confirmation pending
AgencyNameM.E. Wilson Company, LLC dbaEmerald Coast XS ACORDS.pdf · p. 8Agency
M.E. Wilson Company, LLC dba
Source confirmation pending
CarrierAscot Ins CoEmerald Coast XS ACORDS.pdf · p. 8Carrier
Ascot Ins Co
Source confirmation pending
PolicyNumber25/26 UMBRELLA SUBMISSIONEmerald Coast XS ACORDS.pdf · p. 8Policy Number
25/26 UMBRELLA SUBMISSION
Source confirmation pending
EffectiveDate2026-09-19Emerald Coast XS ACORDS.pdf · p. 8Effective Date
9/19/2026
Source confirmation pending
GLEachOccurrenceLimit1000000Emerald Coast XS ACORDS.pdf · p. 8Limit of Liability - Each Occurrence
$ 1,000,000 E/OCC
Source confirmation pending
GLGeneralAggregateLimit1000000Emerald Coast XS ACORDS.pdf · p. 8Limit of Liability - Aggregate
$ 1,000,000 AGG
Source confirmation pending
AnnualPayroll1200000Emerald Coast XS ACORDS.pdf · p. 8Primary Location & Subsidiaries row 1 - Annual Payroll
1,200,000
Source confirmation pending
TotalRevenue10000000Emerald Coast XS ACORDS.pdf · p. 8Primary Location & Subsidiaries row 1 - Ann Gross Sales
10,000,000
Source confirmation pending
OtherNamedInsuredZimmerman Properties LLCEmerald Coast XS ACORDS.pdf · p. 7Applicant Information - Name (Other Named Insured)
Zimmerman Properties LLC
Source confirmation pending
ExpiringPolicyNumberSEO-119412Emerald Coast XS ACORDS.pdf · p. 8Expiring Policy #
SEO-119412
Source confirmation pending
CGLClaimsMadeCheckboxcheckedEmerald Coast XS ACORDS.pdf · p. 9Literal checkbox question: CGL - CLAIMS MADE
CGL - CLAIMS MADE [X]
Inspect marked answer
CGLOccurrenceCheckboxcheckedEmerald Coast XS ACORDS.pdf · p. 9Literal checkbox question: CGL - OCCURRENCE
CGL - OCCURRENCE [X]
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EmployeeBenefitsLiabilityCheckboxcheckedEmerald Coast XS ACORDS.pdf · p. 9Literal checkbox question: Employee Benefits Liability
Employee Benefits Liability [X]
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ClaimsHistoryStatementNO SUCH CLAIMSEmerald Coast XS ACORDS.pdf · p. 9Previous Experience statement
NO SUCH CLAIMS
Source confirmation pending
PrivatePassengerVehicleCount1Emerald Coast XS ACORDS.pdf · p. 9Vehicles - Private Passenger - # Owned
1
Source confirmation pending
LightTruckCount8Emerald Coast XS ACORDS.pdf · p. 9Vehicles - Trucks Light - # Owned
8
Source confirmation pending
MediumTruckCount5Emerald Coast XS ACORDS.pdf · p. 9Vehicles - Trucks Medium - # Owned
5
Source confirmation pending
HeavyTruckCount1Emerald Coast XS ACORDS.pdf · p. 9Vehicles - Trucks Heavy - # Owned
1
Source confirmation pending
AgencyCustomerID00008476Emerald Coast XS ACORDS.pdf · p. 10Top center, AGENCY CUSTOMER ID
AGENCY CUSTOMER ID: 00008476
Source confirmation pending
FormNumberACORD 131 (2017/11)Emerald Coast XS ACORDS.pdf · p. 10Bottom left footer
ACORD 131 (2017/11)
Source confirmation pending
AdditionalExposureQuestion1unknownEmerald Coast XS ACORDS.pdf · p. 10Literal checkbox question: MEDIA USED / ANNUAL COST
1. MEDIA USED; ANNUAL COST: $
Inspect marked answer
AdditionalExposureQuestion2unknownEmerald Coast XS ACORDS.pdf · p. 10Literal checkbox question: ARE SERVICES OF AN ADVERTISING AGENCY USED?
2. ARE SERVICES OF AN ADVERTISING AGENCY USED?
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AdditionalExposureQuestion3unknownEmerald Coast XS ACORDS.pdf · p. 10Literal checkbox question: ANY COVERAGE PROVIDED UNDER AGENCY'S POLICY?
3. ANY COVERAGE PROVIDED UNDER AGENCY'S POLICY?
Inspect marked answer
AdditionalExposureQuestion4unknownEmerald Coast XS ACORDS.pdf · p. 10Literal checkbox question: DOES APPLICANT OWN / LEASE / OPERATE AIRCRAFT?
4. DOES APPLICANT OWN / LEASE / OPERATE AIRCRAFT?
Inspect marked answer
AdditionalExposureQuestion5unknownEmerald Coast XS ACORDS.pdf · p. 10Literal checkbox question: ARE EXPLOSIVES, CAUSTICS, FLAMMABLES OR OTHER DANGEROUS CARGO HAULED?
5. ARE EXPLOSIVES, CAUSTICS, FLAMMABLES OR OTHER DANGEROUS CARGO HAULED?
Inspect marked answer
AdditionalExposureQuestion6unknownEmerald Coast XS ACORDS.pdf · p. 10Literal checkbox question: ARE PASSENGERS CARRIED FOR A FEE?
6. ARE PASSENGERS CARRIED FOR A FEE?
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AdditionalExposureQuestion7unknownEmerald Coast XS ACORDS.pdf · p. 10Literal checkbox question: ANY UNITS NOT INSURED BY UNDERLYING POLICIES?
7. ANY UNITS NOT INSURED BY UNDERLYING POLICIES?
Inspect marked answer
AdditionalExposureQuestion8unknownEmerald Coast XS ACORDS.pdf · p. 10Literal checkbox question: ARE ANY VEHICLES LEASED OR RENTED TO OTHERS?
8. ARE ANY VEHICLES LEASED OR RENTED TO OTHERS?
Inspect marked answer
AdditionalExposureQuestion9unknownEmerald Coast XS ACORDS.pdf · p. 10Literal checkbox question: ARE HIRED AND NON-OWNED COVERAGES PROVIDED?
9. ARE HIRED AND NON-OWNED COVERAGES PROVIDED?
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AdditionalExposureQuestion10unknownEmerald Coast XS ACORDS.pdf · p. 10Literal checkbox question: IS BRIDGE, DAM, OR MARINE WORK PERFORMED?
10. IS BRIDGE, DAM, OR MARINE WORK PERFORMED?
Inspect marked answer
AdditionalExposureQuestion11unknownEmerald Coast XS ACORDS.pdf · p. 10Literal checkbox question: DESCRIBE TYPICAL JOBS PERFORMED
11. DESCRIBE TYPICAL JOBS PERFORMED
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AdditionalExposureQuestion12unknownEmerald Coast XS ACORDS.pdf · p. 10Literal checkbox question: DESCRIBE AGREEMENT
12. DESCRIBE AGREEMENT
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AdditionalExposureQuestion13unknownEmerald Coast XS ACORDS.pdf · p. 10Literal checkbox question: DOES APPLICANT OWN, RENT, OR OTHERWISE USE CRANES?
13. DOES APPLICANT OWN, RENT, OR OTHERWISE USE CRANES?
Inspect marked answer
AdditionalExposureQuestion14unknownEmerald Coast XS ACORDS.pdf · p. 10Literal checkbox question: DO SUBCONTRACTORS CARRY COVERAGES OR LIMITS LESS THAN APPLICANT?
14. DO SUBCONTRACTORS CARRY COVERAGES OR LIMITS LESS THAN APPLICANT?
Inspect marked answer
AdditionalExposureQuestion15unknownEmerald Coast XS ACORDS.pdf · p. 10Literal checkbox question: IS APPLICANT SELF-INSURED IN ANY STATE?
15. IS APPLICANT SELF-INSURED IN ANY STATE?
Inspect marked answer
SubjectToJonesActunknownEmerald Coast XS ACORDS.pdf · p. 10Literal checkbox question: SUBJECT TO — JONES ACT
16. SUBJECT TO JONES ACT
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SubjectToFELAunknownEmerald Coast XS ACORDS.pdf · p. 10Literal checkbox question: SUBJECT TO — FELA
16. SUBJECT TO FELA
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SubjectToStopGapunknownEmerald Coast XS ACORDS.pdf · p. 10Literal checkbox question: SUBJECT TO — STOP GAP
16. SUBJECT TO STOP GAP
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AdditionalExposureQuestion17unknownEmerald Coast XS ACORDS.pdf · p. 10Literal checkbox question: IS A HOSPITAL OR FIRST AID FACILITY MAINTAINED?
17. IS A HOSPITAL OR FIRST AID FACILITY MAINTAINED?
Inspect marked answer
AdditionalExposureQuestion18unknownEmerald Coast XS ACORDS.pdf · p. 10Literal checkbox question: ARE COVERAGES PROVIDED FOR DOCTORS / NURSES?
18. ARE COVERAGES PROVIDED FOR DOCTORS / NURSES?
Inspect marked answer
AdditionalExposureQuestion20unknownEmerald Coast XS ACORDS.pdf · p. 11Literal checkbox question: DO CURRENT OR PAST PRODUCTS, OR THEIR COMPONENTS, CONTAIN HAZARDOUS MATERIALS THAT MAY REQUIRE SPECIAL DISPOSAL METHODS?
20. DO CURRENT OR PAST PRODUCTS, OR THEIR COMPONENTS, CONTAIN HAZARDOUS MATERIALS THAT MAY REQUIRE SPECIAL DISPOSAL METHODS?
Inspect marked answer
PollutionCoverageStandardISOExclusionunknownEmerald Coast XS ACORDS.pdf · p. 11Literal checkbox question: GL WITH STANDARD ISO POLLUTION EXCLUSION
GL WITH STANDARD ISO POLLUTION EXCLUSION
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PollutionCoverageSuddenAccidentalOnlyunknownEmerald Coast XS ACORDS.pdf · p. 11Literal checkbox question: GL WITH STANDARD SUDDEN & ACCIDENTAL ONLY
GL WITH STANDARD SUDDEN & ACCIDENTAL ONLY
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PollutionCoverageEndorsementunknownEmerald Coast XS ACORDS.pdf · p. 11Literal checkbox question: GL WITH POLLUTION COVERAGE ENDORSEMENT
GL WITH POLLUTION COVERAGE ENDORSEMENT
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SeparatePollutionCoverageunknownEmerald Coast XS ACORDS.pdf · p. 11Literal checkbox question: SEPARATE POLLUTION COVERAGE
SEPARATE POLLUTION COVERAGE
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AdditionalExposureQuestion22unknownEmerald Coast XS ACORDS.pdf · p. 11Literal checkbox question: ARE MISSILES, ENGINES, GUIDANCE SYSTEMS, FRAMES OR ANY OTHER PRODUCT USED OR INSTALLED IN AIRCRAFT?
22. ARE MISSILES, ENGINES, GUIDANCE SYSTEMS, FRAMES OR ANY OTHER PRODUCT USED OR INSTALLED IN AIRCRAFT?
Inspect marked answer
AdditionalExposureQuestion23unknownEmerald Coast XS ACORDS.pdf · p. 11Literal checkbox question: ANY FOREIGN OPERATIONS, FOREIGN PRODUCTS DISTRIBUTED IN THE USA OR US PRODUCTS SOLD / DISTRIBUTED IN FOREIGN COUNTRIES?
23. ANY FOREIGN OPERATIONS, FOREIGN PRODUCTS DISTRIBUTED IN THE USA OR US PRODUCTS SOLD / DISTRIBUTED IN FOREIGN COUNTRIES?
Inspect marked answer
AdditionalExposureQuestion24unknownEmerald Coast XS ACORDS.pdf · p. 11Literal checkbox question: PRODUCT LIABILITY LOSS IN PAST THREE (3) YEARS?
24. PRODUCT LIABILITY LOSS IN PAST THREE (3) YEARS? (SPECIFY)
Inspect marked answer
AdditionalExposureQuestion26unknownEmerald Coast XS ACORDS.pdf · p. 11Literal checkbox question: DESCRIBE INDEPENDENT CONTRACTORS
26. DESCRIBE INDEPENDENT CONTRACTORS
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AdditionalExposureQuestion27unknownEmerald Coast XS ACORDS.pdf · p. 11Literal checkbox question: DOES APPLICANT OWN OR LEASE WATERCRAFT?
27. DOES APPLICANT OWN OR LEASE WATERCRAFT?
Inspect marked answer
AdditionalExposureQuestion28unknownEmerald Coast XS ACORDS.pdf · p. 11Literal checkbox question: APARTMENTS / CONDOMINIUMS / HOTELS / MOTELS schedule
28. APARTMENTS / CONDOMINIUMS / HOTELS / MOTELS — LOC # / # STORIES / # UNITS / # SWIMMING POOLS / # DIVING BOARDS
Inspect marked answer
RemarksFormListINT N0002 05 25 ASCOT Address Change Notice; INT N0001 01 23 FL Surplus Lines Notice; AIC-N001-06-22-FL Florida Complaint Notice; ASIC-N001-06-22-FL Florida Policyholder Notice; CXA DEC 01 09 20 COMMERCIAL EXCESS LIABILITY DECLARATIONS; ILA S01 90 20 SCHEDULE OF FORMS AND ENDORSEMENTS; CXC 001 09 20 SANCTIONS / OFAC; IL 00 17 11 98 COMMON POLICY CONDITIONS; CX 21 01 09 08 NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT; IL P 001 01 04 U.S. TREASURY DEPARTMENT'S OFFICE OF FOREIGN ASSETS CONTROL (OFAC); ADVISORY NOTICE TO POLICYHOLDERS; CX 00 01 04 13 COMMERCIAL EXCESS LIABILITY COVERAGE FORM; CX 21 02 04 13 TOTAL POLLUTION EXCLUSION; CX 21 13 04 13 EXCLUSION - FUNGI OR BACTERIA; CX 21 14 04 13 EXCLUSION - EXTERIOR INSULATION AND FINISH SYSTEMS; CX 21 16 04 13 EXCLUSION - SILICA OR SILICA-RELATED DUST; CX 21 17 04 13 EXCLUSION - COMMUNICABLE DISEASE; CX 21 19 04 13 EXCLUSION - EMPLOYMENT-RELATED PRACTICES; CX 21 20 04 13 EXCLUSION - PROFESSIONAL SERVICES; CX 21 33 01 15 EXCLUSION OF CERTIFIED ACTS OF TERRORISM; CX 21 43 05 14 EXCLUSION - ACCESS OR DISCLOSURE OF CONFIDENTIAL OR PERSONAL; CX 21 56 09 08 AUTO COVERAGE - EXCLUSION OF TERRORISM; CX 21 71 06 15 EXCLUSION - UNMANNED AIRCRAFT; CX 21 79 12 19 CANNABIS EXCLUSION; CX 21 97 05 23 EXCLUSION - PERFLUOROALKYL AND POLYFLUOROALKYL SUBSTANCES (PFAS); CXA 502 09 20 LEAD LIABILITY EXCLUSION; CXA 503 09 20 ASBESTOS EXCLUSION; CXA 505 09 20 COMPUTER SYSTEM - CYBER EXCLUSION; CXA 514 09 20 EXCLUSION - DESIGNATED CONSTRUCTION WORK; CXA 523 09 20 MINIMUM EARNED PREMIUM ENDORSEMENT; CXA 539 09 20 CONTINUOUS OR PROGRESSIVE INJURY OR DAMAGE EXCLUSION; CXA 543 04 21 CLAIM AND NOTICE REPORTING; CXA 566 07 22 EXCLUSION - WRAP-UP; CXA 567 08 22 EXCLUSION - PRIVACY LAWS; CXA 568 10 13 NON-ACCUMULATION OF LIMITS; CXA 572 02 23 EXCLUSION-TINTED DRYWALL/GYPSUM CONTAINING BUILDING MATERIALS; CXC 005 09 20 SERVICE OF SUIT - ASIC; ASIC INT S0001 04 24 Ascot Specialty Insurance Company Signature PageEmerald Coast XS ACORDS.pdf · p. 11REMARKS (ACORD 101, Additional Remarks Schedule...)
Form Number Form Name [listed forms and endorsements]
Source confirmation pending
AgencyCustomerID00008476Emerald Coast XS ACORDS.pdf · p. 13Top of page, AGENCY CUSTOMER ID
AGENCY CUSTOMER ID: 00008476
Source confirmation pending
UMCoverageEmerald Coast XS ACORDS.pdf · p. 13Signature section, UNINSURED MOTORISTS (UM) COVERAGE
UNINSURED MOTORISTS (UM) COVERAGE: $ ________
Source confirmation pending
UIMCoverageEmerald Coast XS ACORDS.pdf · p. 13Signature section, UNDERINSURED MOTORISTS (UIM) COVERAGE
UNDERINSURED MOTORISTS (UIM) COVERAGE: $ ________
Source confirmation pending
MedicalPaymentsCoverageEmerald Coast XS ACORDS.pdf · p. 13Signature section, MEDICAL PAYMENTS COVERAGE
MEDICAL PAYMENTS COVERAGE: $ ________
Source confirmation pending
LouisianaUMSelectionunknownEmerald Coast XS ACORDS.pdf · p. 13Applicable only in Louisiana: I SELECT UM LIMITS INDICATED IN THIS APPLICATION
I SELECT UM LIMITS INDICATED IN THIS APPLICATION. [blank initials box]
Source confirmation pending
LouisianaUMRejectionunknownEmerald Coast XS ACORDS.pdf · p. 13Applicable only in Louisiana: I REJECT UM COVERAGE IN ITS ENTIRETY
I REJECT UM COVERAGE IN ITS ENTIRETY. [blank initials box]
Source confirmation pending
MontanaUMUIMSelectionunknownEmerald Coast XS ACORDS.pdf · p. 13Applicable only in Montana: acknowledgment and selection of UM/UIM limits
I ACKNOWLEDGE I HAVE BEEN OFFERED UNINSURED MOTORISTS (UM) COVERAGE AND UNDERINSURED MOTORISTS (UIM) COVERAGE. I HAVE SELECTED THE LIMITS INDICATED IN THIS APPLICATION. [blank initials box]
Source confirmation pending
NewHampshireUMSelectionunknownEmerald Coast XS ACORDS.pdf · p. 13Applicable only in New Hampshire: I SELECT UM LIMITS INDICATED IN THIS APPLICATION
I SELECT UM LIMITS INDICATED IN THIS APPLICATION. [blank initials box]
Source confirmation pending
NewHampshireUMRejectionunknownEmerald Coast XS ACORDS.pdf · p. 13Applicable only in New Hampshire: I REJECT UM COVERAGE IN ITS ENTIRETY
I REJECT UM COVERAGE IN ITS ENTIRETY. [blank initials box]
Source confirmation pending
AdditionalCoverageLocationNumberEmerald Coast XS ACORDS.pdf · p. 14First populated schedule row, Loc #
Loc # [blank]
Source confirmation pending
AdditionalCoverageCodeEBLIAEmerald Coast XS ACORDS.pdf · p. 14First populated schedule row, Cov Code
EBLIA
Source confirmation pending
AdditionalCoverageDescriptionEmployee BenefitsEmerald Coast XS ACORDS.pdf · p. 14First populated schedule row, Description
Employee Benefits
Source confirmation pending
AdditionalCoverageLimit11000000Emerald Coast XS ACORDS.pdf · p. 14First populated schedule row, Limit 1
1,000,000
Source confirmation pending
AdditionalCoverageLimit21000000Emerald Coast XS ACORDS.pdf · p. 14First populated schedule row, Limit 2
1,000,000
Source confirmation pending
DocumentWindowObservationSource-page observation (1-3); review alongside the complete submission. All supplied document pages were read. This note alone does not establish that the account is missing the information.Emerald Coast GL ACORDS.pdf · p. 1
The supplied page group is pages 1-3 of an ACORD 125 form marked Page 1 of 4, Page 2 of 4, and Page 3 of 4; page 4 was not supplied.
Source confirmation pending
DocumentWindowObservationSource-page observation (4-6); review alongside the complete submission. All supplied document pages were read. This note alone does not establish that the account is missing the information.Emerald Coast GL ACORDS.pdf · p. 4
Expiration date, insured mailing address, GL limits, deductible, exposures, locations, and populated loss information are not shown on the supplied pages.
Source confirmation pending
DocumentWindowObservationSource-page observation (7-9); review alongside the complete submission. All supplied document pages were read. This note alone does not establish that the account is missing the information.Emerald Coast GL ACORDS.pdf · p. 7
The supplied pages do not show an insured mailing address, expiration date, projected sales, completed premium, or populated exposure amounts.
Source confirmation pending
DocumentWindowObservationSource-page observation (7-9); review alongside the complete submission. All supplied document pages were read. This note alone does not establish that the account is missing the information.Emerald Coast GL ACORDS.pdf · p. 7
Page 8 is an Additional Named Insureds page with no populated additional-insured names visible.
Source confirmation pending
ResolvedEvidenceScopeThe complete supplied document has readable page records beyond this observation window. Specific missing facts and unreadable content remain separate findings.Unknown source · p. ?Deterministic package reconciliation
Only source pages 10-12 were supplied; they correspond to pages 2-4 of the four-page ACORD 126. Applicant information, requested limits, dates, and other information on the unprovided page are unavailable.
Source confirmation pending
DocumentWindowObservationSource-page observation (10-12); review alongside the complete submission. All supplied document pages were read. This note alone does not establish that the account is missing the information.Emerald Coast GL ACORDS.pdf · p. 10
No populated products/completed operations schedule rows are visible on page 10.
Source confirmation pending
DocumentWindowObservationSource-page observation (13-15); review alongside the complete submission. All supplied document pages were read. This note alone does not establish that the account is missing the information.Emerald Coast GL ACORDS.pdf · p. 13
The supplied pages do not show GL occurrence or aggregate limits, expiration date, insured mailing address, or populated rates and premiums.
Source confirmation pending
DocumentWindowObservationSource-page observation (1-3); review alongside the complete submission. All supplied document pages were read. This note alone does not establish that the account is missing the information.Emerald Coast XS ACORDS.pdf · p. 1
The supplied ACORD 125 pages do not state umbrella limits, retained limit, underlying insurance details, or GL coverage limits.
Source confirmation pending
DocumentWindowObservationSource-page observation (1-3); review alongside the complete submission. All supplied document pages were read. This note alone does not establish that the account is missing the information.Emerald Coast XS ACORDS.pdf · p. 1
The ACORD 125 is labeled Page 1 of 4 through Page 3 of 4, but only source pages 1-3 were supplied; the fourth form page is not present in the provided page window.
Source confirmation pending
DocumentWindowObservationSource-page observation (4-6); review alongside the complete submission. All supplied document pages were read. This note alone does not establish that the account is missing the information.Emerald Coast XS ACORDS.pdf · p. 4
The supplied pages do not show umbrella limits, retained limit or attachment point, underlying insurance details, expiration date, insured mailing address, or populated exposure schedules.
Source confirmation pending
DocumentWindowObservationSource-page observation (4-6); review alongside the complete submission. All supplied document pages were read. This note alone does not establish that the account is missing the information.Emerald Coast XS ACORDS.pdf · p. 4
Prior carrier information and loss history rows on page 4 are blank; no loss-history period or claim count is stated.
Source confirmation pending
DocumentWindowObservationSource-page observation (7-9); review alongside the complete submission. All supplied document pages were read. This note alone does not establish that the account is missing the information.Emerald Coast XS ACORDS.pdf · p. 7
Umbrella expiration date, complete insured mailing address, deductible/retained limit, and city/state/ZIP for the primary location are not populated on the supplied pages.
Source confirmation pending
DocumentWindowObservationSource-page observation (10-12); review alongside the complete submission. All supplied document pages were read. This note alone does not establish that the account is missing the information.Emerald Coast XS ACORDS.pdf · p. 10
The supplied image pages correspond to ACORD 131 pages 3 through 5 of 6; the other form pages, including pages that may contain applicant information, limits, underlying insurance, and signatures, were not supplied.
Source confirmation pending
DocumentWindowObservationSource-page observation (10-12); review alongside the complete submission. All supplied document pages were read. This note alone does not establish that the account is missing the information.Emerald Coast XS ACORDS.pdf · p. 10
All visible yes/no response cells and coverage checkboxes on the supplied pages are blank; their states are unknown rather than unchecked.
Source confirmation pending
DocumentWindowObservationSource-page observation (13-14); review alongside the complete submission. All supplied document pages were read. This note alone does not establish that the account is missing the information.Emerald Coast XS ACORDS.pdf · p. 13
The supplied pages do not visibly state the named insured, requested coverage limits, effective dates, expiration dates, or property information.
Source confirmation pending
OriginalSubmissionEmailContextOriginal email retained verbatim in raw evidence; submitting parties, routing and operational changes require package review.Unknown source · p. ?Deterministic package reconciliation
--- ORIGINAL SUBMISSION EMAIL --- From: bsellers@dellwood.com; Received: 2026-09-01T12:20:27.0000000 [A black and blue logo AI-generated content may be incorrect.] Britt Sellers, CPCU, CRIS, AIM, ASLI, AU EVP, Head of Brokerage Casualty bsellers@dellwood.com<mailto:email@dellwood.com> 2500 Northwinds Pkwy, Ste 425 Alpharetta, GA 30009 T: 470-841-8175 (mobile) www.dellwood.com<http://www.dellwood.com/> ________________________________ From: Brody Hilberth Sent: Monday, June 22, 2026 1:33 AM To: Casualty Submissions Cc: Cori Rose; Joseph Thomas Subject: Fw: Submission: Emerald Coast Constructors Inc eff. 9/19/2026 CAUTION: This email originated from outside your organization. Exercise caution when opening attachments or clicking links, especially from unknown senders. Hi , On behalf of Andrew Plum, please see the attached documents for the above referenced for clearance. The insured is domiciled in FL and is a general contractor who does commercial renovations on existing commercial buildings. Insured also does renovations on residential homes and sometimes will build a single-family home. $10m in sales; $1.2m in payroll Please clear this one and Andrew will reach out with more information closer to the effective date if this is an opportunity. Thank you! [cid:9160ae5a-69e0-405f-840f-d97ec34aca06] Brody Hilberth Broker – Team RTP Construction – Energy – Environmental - Manufacturing Mobile 214.799.9005 Web www.crcgroup.com<http://www.crcgroup.com/> Email bhilberth@crcgroup.com<mailto:bhilberth@crcgroup.com> 12377 Merit Dr. Suite 1000, Dallas, TX 75251 CRC Specialty | CA License # 0778135 [A red text on a black background AI-generated content may be incorrect.] [cid:cffee769-1cf2-4b6e-af0a-fd1999741e23]<https://www.crcgroup.com/tools-intel> [A red and black logo Description automatically generated] <https://www.crcgroup.com/Tools-Intel/Latest-Updates/Placing-You-First-Podcast> [cid:262e0395-68e1-4ac8-aabc-486568ae1af7] <https://www.crcgroup.com/sign-up-for-tools-intel> [cid:e3cb76e5-6d99-42e4-853b-e1fd76fec159] <https://www.linkedin.com/company/163250/> Make a payment online: https://apps.crcgroup.com/pay [cid:7299c546-9760-4369-aad5-865ac9950a93]<https://crcgroup.epaypolicy.com/> NOTICE: You cannot bind, alter or cancel coverage without speaking to an authorized representative of CRC Group. Coverage cannot be bound without written confirmation from an authorized representative of CRC Group. This email and any files transmitted with it are not encrypted and may contain privileged or other confidential information and is intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient or entity, or believe that you may have received this email in error, please reply to the sender indicating that fact and delete the copy you received. In addition, you should not print, copy, retransmit, disseminate, or otherwise use this information. Thank you. The information contained in this email (and any attachments hereto) may be confidential. It has been sent for the sole use of the intended recipient(s). If the reader of this message is not an intended recipient, you are hereby notified that any unauthorized review, use, disclosure, dissemination, distribution, or copying of this communication, or any of its contents (and any attachments hereto), is strictly prohibited. If you have received this communication in error, please immediately notify the sender and permanently and securely delete/destroy the original and all copies or printouts of the message (and any attachments hereto). Embedded links: http://www.dellwood.com/ | http://www.crcgroup.com/ | https://www.crcgroup.com/tools-intel | https://www.crcgroup.com/Tools-Intel/Latest-Updates/Placing-You-First-Podcast | https://www.crcgroup.com/sign-up-for-tools-intel | https://www.linkedin.com/company/163250/ | https://apps.crcgroup.com/pay | https://apps.crcgroup.com/pay | https://crcgroup.epaypolicy.com/ --- LINKED WEB REFERENCES FOUND IN THE EMAIL --- URL: http://www.crcgroup.com/ HTTP status: 200 Page is larger than the review limit; use the URL only as a lead, not as verified evidence. URL: https://www.crcgroup.com/tools-intel HTTP status: 200 Page is larger than the review limit; use the URL only as a lead, not as verified evidence. URL: https://www.crcgroup.com/Tools-Intel/Latest-Updates/Placing-You-First-Podcast HTTP status: 200 Page is larger than the review limit; use the URL only as a lead, not as verified evidence. URL: https://www.crcgroup.com/sign-up-for-tools-intel HTTP status: 200 Page is larger than the review limit; use the URL only as a lead, not as verified evidence. URL: https://www.linkedin.com/company/163250/ HTTP status: 200 Page is larger than the review limit; use the URL only as a lead, not as verified evidence.
Source confirmation pending
Review checklist and decision

Bring AI questions into this checklist, record responses, and resolve blocking items. This is a review handoff, not a bind action.

Worksheet version history

Follow-up and requirements

Required before bind Subjectivities9 requirements to clear before bind9 outstanding

Obtain independently verified carrier loss runs for the relevant prior policy periods, including valuation dates, paid, reserves, incurred amounts, open-claim status, and reconciliation of the no-such-claims markings.The submission contains no period-level loss rows and cannot be treated as a verified clean record.
Not addressed in package
Confirm and document the class-by-class exposure allocation, including annual payroll for self-performed work, total cost of adequately insured subcontracted work, and any payroll assigned to executive supervisors.The schedule marks multiple classes INCLUDED without amounts and uses P entries despite different authoritative rating bases.
Not addressed in package
Obtain certificates of insurance and confirm contractual indemnity and additional-insured requirements for all subcontractors; verify adequacy under the applicable Dellwood standard.Thirty percent of work and $150,000 of subcontract cost are reported, but transfer controls are not evidenced.
Not addressed in package
Confirm whether class 99986 wrecking is an actual operation, the methods used, surrounding occupancies, and that no ball-and-chain or implosion methods are used.The scheduled wrecking class is High hazard under the Dellwood class guidance, while the narrative does not describe the operation.
Not addressed in package
Confirm excavation and grading safety controls, including utility locating, trench protection, competent-person oversight, and whether the work is self-performed or subcontracted.Excavation and grading are scheduled or reported and can generate severe injury and property damage.
Not addressed in package
Confirm executive-supervisor duties and payroll treatment; personnel directly in charge of daily construction operations must be separately classified and 91580 payroll may not be divided.The authoritative 91580 profile limits the class to qualifying executive supervisors.
Not addressed in package
Confirm the exact excess attachment or retained limit and obtain complete underlying GL, automobile liability, employers liability, and employee benefits liability limits, aggregates, forms, and deductibles.The requested excess layer cannot be priced or evaluated without the underlying structure.
Not addressed in package
Reconcile legal-entity/application identification between the primary and excess submissions before binding.The source package records different FEIN values across the primary and excess applications.
Not addressed in package
Confirm the contractor license is renewed and active for the September 19, 2026 effective date.The supplied public record reports the license through August 31, 2026, before the proposed policy inception.
Not addressed in package

Decision critical Information that changes the decision10 broker questions that could change the decision10 questions

  • Verified loss runs with policy periods, valuation dates, paid, reserves, incurred, and open-claim status.
  • Exact excess attachment or retained limit and complete underlying casualty terms.
  • Class-by-class payroll and subcontracted total-cost allocation.
  • Actual wrecking, excavation, and grading scope, methods, project heights, and surrounding occupancies.
  • Subcontractor insurance certificates and contractual risk-transfer standards.
  • Confirmation of professional design, engineering, surveying, and construction-management activities.
  • Reconciliation of legal-entity/application identification across primary and excess submissions.
  • Confirmation of contractor license renewal for the effective date.
  • UW confirmation of suggested class 91583 — Contractors - subcontracted work - in connection with building construction, reconstruction, repair or erection - one or two family dwellings at location 1, plus total cost; For AI pricing, use only the separately labeled structured estimate, its assumptions and missing information.

Broker questions

High What is the exact attachment or retained limit for the requested $1,000,000 excess GL layer, and what are the complete underlying GL, auto, employers liability, and employee benefits liability limits, aggregates, forms, and deductibles?This is required to assess excess severity, exhaustion, follow-form gaps, and price the layer.
Not addressed in package
High Please provide current independently verified loss runs for the relevant prior policy periods, with valuation dates, paid, reserves, incurred amounts, open-claim status, and confirmation of the no-such-claims statement.The account cannot be experience-rated or treated as loss-free from the supplied ACORD material alone.
Not addressed in package
High How should the $1,200,000 payroll be allocated among carpentry, excavation, grading, wrecking, executive supervision, and other self-performed operations?The scheduled classes have different authoritative rating bases and the AQUA indication currently uses all payroll under class 94007 as a provisional scenario.
Not addressed in package
High Is wrecking or demolition actually performed, and if so, what methods, maximum building heights, surrounding occupancies, and project types are involved? Confirm whether ball-and-chain or implosion methods are ever used.Class 99986 is scheduled and graded High under Dellwood guidance, but the narrative does not establish the actual scope.
Not addressed in package
High Please confirm the total cost of subcontracted work, including the $150,000 reported amount, and allocate it between commercial buildings and one- or two-family residential work; also confirm the subcontractor insurance standard.This determines whether class 91585 or 91583 is appropriate and whether the cost-based exposure is adequately transferred.
Not addressed in package
Medium Which employees qualify as executive supervisors under class 91580, and which personnel are directly in charge of daily construction operations?The 91580 class cannot be used for daily field supervision and its payroll cannot be divided with another classification.
Not addressed in package
Medium Does Emerald Coast perform architectural, engineering, surveying, or other professional design services, or does design-build mean only construction management and contracting?Professional services could require separate treatment or a construction-management E&O exclusion.
Not addressed in package
Medium Are there any owned or leased yards, shops, storage locations, vacant buildings, or other premises beyond 9425 Wanda Drive that should be included in the GL schedule?Additional premises or storage operations could materially change premises, property-damage, and catastrophe aggregation exposure.
Not addressed in package
Medium Please reconcile the legal entity and application identification shown on the primary and excess submissions before binding.The source package contains inconsistent entity-identification records, which could create an attachment and policy issuance problem.
Not addressed in package
High Please confirm whether ISO GL class 91583 — Contractors - subcontracted work - in connection with building construction, reconstruction, repair or erection - one or two family dwellings applies at location 1, and provide the total cost required by its authoritative rating basis (Total Cost).The classification can be reviewed now, but a technical premium cannot be calculated until the underwriter confirms the class and the broker supplies its compatible exposure.
Not addressed in package

Evidence and record

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Evidence Assessment references10 material sources cited by the AI assessment10 sources

The broker describes the insured as a general contractor performing commercial renovations, residential renovations, and occasional single-family construction, with $10m in sales and $1.2m in payroll.
Source: Email · Forwarded submission email
The primary ACORD schedule reports 4 full-time staff, 30% subcontracted work, $150,000 paid to subcontractors, and plumbing, HVAC, electrical, roofing, and insulation subcontracted trades.
Source: Emerald Coast GL ACORDS.pdf · page 10 · Contractors section
The excess schedule reports $1,200,000 annual payroll and $10,000,000 annual gross sales.
Source: Emerald Coast XS ACORDS.pdf · page 8 · Primary Location & Subsidiaries row 1
The ACORD schedule includes classes 91340, 94007, and 91585 without class-level exposure amounts.
Source: Emerald Coast GL ACORDS.pdf · page 9 · Schedule of Hazards
The ACORD schedule includes classes 91342, 91580, 99986, and 95410 and separately reports $10,000,000 composite gross sales.
Source: Emerald Coast GL ACORDS.pdf · page 13 · Schedule of Hazards
AQUA ISO GL returned an adjusted total of $110,458 using two final rates of 65.133 and 26.915 on $1,200,000 payroll, with 17.5% commission.
Source: AQUA ISO GL · Rating lines and adjusted total
Dellwood guidance grades class 99986 Wrecking High, with preferred attachment point 5, maximum capacity 5, and a requirement to confirm methods and surrounding exposures.
Source: Excess Liability Underwriting Guide by GL Class Code v3.5.25.xlsx · Classification!row 1219
The supplied public source verifies Emerald Coast Constructors, Inc. at 9425 Wanda Drive, Pensacola, Florida 32514.
Source: emeraldcoastconstructors.com · Official company website verification
BestPlaces reports a crime score of 38 for ZIP 32514; no score was returned for supplied ZIP 32523.
Source: www.bestplaces.net · Crime score context
The reconciled account facts report a checked ACORD no-such-claims statement, but no independently verified loss runs or loss-period rows are supplied.
Source: Emerald Coast GL ACORDS.pdf · page 9 · ACORD 131 claims-history section

Reference Assessment limitationsEvidence gaps and boundaries of the assessmentRead before bind

The assessment rests on a preliminary broker clearance request rather than a final submission. No independently verified loss runs, class-level payroll allocation, complete underlying terms, excess attachment, construction-stage schedule, site-safety documentation, or demolition method information was supplied. The submission contains unresolved source ambiguities concerning hazard identifiers, class exposure/rating bases, application identity records, and selected claims-history markings. The public package supplied entity and operational verification but no premises-attributable incident finding. The property layer is unknown and was not assessed; only the selected GL primary and excess layers were reviewed. Loss trend InsufficientData: No period-level loss rows were established for this submission, so no trend can be computed from evidence. Validated pricing is unavailable until classification, compatible exposure and material source conflicts are reconciled. Provisional AI estimates are assumption-based, low-confidence scenarios, not approved or bindable quotes.

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Time-stamped record of workflow changes, underwriting actions, correspondence, and AI review activity for this submission.

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