Brokerage Casualty · AQ-2026-DA45A6F8 · 91342— Carpentry
The saved worksheet or source facts changed after this risk assessment. Save and reassess the package before relying on this recommendation.
The High signals are unresolved structural subcontracted operations, an unconfirmed classification and exposure basis, and absent evidence of subcontractor insurance and contractual risk transfer. The file also has conflicting safety answers, inconsistent subcontract costs, no period-level loss runs, and incomplete source pages. Although the deterministic guideline result is InAppetite and the AQUA ISO GL indication provides a technical anchor, the account cannot be responsibly quoted or bound until the specifically identified information is reconciled.
The file is close to its 2026-09-25 effective date but is not decision-ready. Material source pages are missing or unreadable, the class and exposure basis are unresolved, safety answers conflict, subcontracted cost differs by source, no period-level loss runs were supplied, and underlying GL limits are unconfirmed.
Refer and hold pending classification, payroll/subcontract-cost reconciliation, structural-operation controls, subcontractor insurance, and loss-run confirmation. The AQUA ISO GL indication is a useful technical anchor, but the submitted class and rating exposure are not yet sufficiently validated for a bindable primary quote.
Excess coverage is not selected for this review. Attached excess materials do not change the confirmed scope.
Hold pricing and final terms pending confirmation of the correct class, residential/commercial scope, direct labor payroll, and applicable exposure basis.
Do not quote or bind until structural-work responsibilities and controls are confirmed; refer for senior review if the insured assumes design or engineering responsibility.
Require documented subcontractor insurance and contractual controls before bind; inadequate subcontractor insurance could materially increase the insured's rated and retained exposure.
Treat the account as having insufficient loss data rather than as a verified clean record; obtain signed loss runs or equivalent carrier confirmation before final action.
Resolve the discrepancy and obtain evidence of the actual safety program before relying on it in appetite or pricing.
1 item blocks a quote.
Controls evidenced: The email describes the insured as a structural framing GC focused on load-bearing wall removals and beam installs. The ACORD reports a safety manual and toolbox meetings at project start.
Control gaps: No evidence of engineering responsibility, permits, temporary-shoring procedures, qualified-person review, inspection protocols, project-specific written procedures, or completed-operations controls.
Controls evidenced: The submission reports 100% subcontracted work and 100% of carpentry subcontracted, with supervisory-only direct operations reported.
Control gaps: No certificates of insurance, required subcontractor limits, additional-insured status, indemnity agreements, qualification standards, or monitoring process were supplied.
Controls evidenced: The supplemental questionnaire reports 90% residential remodeling/repair work.
Control gaps: No evidence of occupant separation, site security, dust/debris controls, protection of existing property, temporary access controls, or procedures for work in occupied homes.
Controls evidenced: The ACORD classification description includes welding metal brackets, and the application answers no to flammables, explosives, or chemicals.
Control gaps: No hot-work permits, fire-watch procedures, combustible-clearance controls, extinguishing equipment, or subcontractor welding qualifications were evidenced.
Controls evidenced: No design or engineering services are described in the submission.
Control gaps: The file does not establish whether the insured selects beams, performs calculations, provides engineering advice, or assumes design responsibility.
Controls evidenced: The application reports no guarantees or warranties and no foreign products.
Control gaps: No quality-control, final-inspection, documentation, defect-correction, or completed-project recordkeeping procedures were supplied.
Account-wide claim count: not reconciled. Review the disclosed claims and each report's coverage and policy period below. A zero-loss report does not establish a loss-free account.
No period-level loss rows were established for this submission, so no trend can be computed from evidence.
| Loss period | Claims | Paid | Reserved | Incurred |
|---|---|---|---|---|
| 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.
AI assessment narrative
No period-level loss experience was supplied; the reported eight-year no-loss statement is not a verified clean loss record.
Extraction summary
The ACORD loss-history section is marked none, and the supplemental questionnaire reports no losses, claims, or suits in the past eight years, including no pending claims, known pre-existing claim conditions, faulty-construction accusations, breach-of-contract accusations, or mechanics' liens.
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
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.
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.
No ZIPs with a crime score were found within 2.5 miles of insured ZIP 75072.
| Geography | Source-grounded context | Evidence quality | Underwriting use |
|---|---|---|---|
| ZIP 75070, McKinney, TexasZip · Period not established | BestPlaces reports a crime score of 14.40 for ZIP 75070. | ContextOnlyCommercial metric · 88 % confidenceOpen source ↗ | At most, this supports confirmation of lighting, access control, site security, and property-management practices; it is not evidence of an event at the insured premises. |
This is advisory public context only. It is not a loss run, proof of premises activity, or a standalone eligibility, pricing, or declination factor.
No risk ZIPs with score context were found.
AI-identified considerations for and against writing the account. Weigh them with your own judgment.
GL — Primary
Submitted request: GL; requested layer: Primary. This summarizes the submitted request, not carrier appetite or quote authority.
Each occurrence: $1,000,000 · General aggregate: $2,000,000
Products / completed operations aggregate: $1,000,000 · Personal / advertising injury: $1,000,000
Damage to rented premises: $50,000 · Medical payments: $5,000 · Deductible: $0
Extracted from the submission. These primary limits are separate from our excess limit and underlying limit.
Review the coverages below, adjust the values, and save.
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.
Why unresolved: The submission reports 90% residential remodeling/repair and 100% subcontracted work. Class 91583 is a supplied alternative for the adequately insured subcontracted portion if the residential work is limited to one- or two-family dwellings. Broker question: confirm whether 91583 applies, confirm the exact annual total subcontracted cost, and confirm subcontractor insurance adequacy. This is an advisory alternative and requires underwriter confirmation.
Why unresolved: The submission reports 100% subcontracted structural construction and includes both residential and commercial remodeling/repair. Class 91585 is a supplied broader alternative if the work is not confined to one- or two-family dwellings. Broker question: confirm whether 91585 applies, identify the building types and exact annual total subcontracted cost, and confirm subcontractor insurance adequacy. This is an advisory alternative and requires underwriter confirmation; it is not additive to 91583.
Why unresolved: Correct classification and rating basis, including confirmation of whether 91342, 91583, or 91585 applies.
Why unresolved: Correct classification and rating basis, including confirmation of whether 91342, 91583, or 91585 applies.
Why unresolved: Correct classification and rating basis, including confirmation of whether 91342, 91583, or 91585 applies.
| Location | Class | Exposure | Rate | Premium |
|---|---|---|---|---|
| 1 | 91583 (AI suggested) | Missing: total cost | $3.978 | Pending inputs |
| 1 | 91585 (AI suggested) | Missing: total cost | $4.614 | Pending inputs |
| Account | 91342 (AI suggested) | Missing: annual payroll | $19.04 | Pending inputs |
| Account | 91583 (AI suggested) | Missing: total cost | $3.978 | Pending inputs |
| Account | 91585 (AI suggested) | Missing: total cost | $4.614 | Pending inputs |
| Total indicated premium | $0 | |||
| Location | Class | ISO rating basis |
|---|---|---|
| 1 | 91583 (AI suggested) | Total Cost |
| 1 | 91585 (AI suggested) | Total Cost |
| Account | 91342 (AI suggested) | Payroll |
| Account | 91583 (AI suggested) | Total Cost |
| Account | 91585 (AI suggested) | Total Cost |
5 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.
1 ACORD location(s) and 2 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.
All monetary amounts are in USD unless noted. Premiums below are separate coverage amounts, before taxes and fees. Unpriced requested coverage still needs review.
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.
$12,436–$14,923 · 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.
AQUA ISO GL is available and produced an adjusted total of $12,436 using $350,000 payroll, class 91342, territory 006, ZIP 75072, and the requested $1,000,000 each occurrence / $2,000,000 general aggregate / $1,000,000 products-completed operations aggregate structure. An indicative upper bound adds a 20% judgmental allowance for unresolved class, payroll, subcontracting, and safety information; it is not a filed rate or market quote.
Estimate exposure: 350,000.00 Annual payroll · Limit: $1,000,000 · Underlying limit: $0
Assumptions: $1,000,000 each occurrence; $2,000,000 general aggregate; $1,000,000 products-completed operations aggregate; $1,000,000 personal and advertising injury; $50,000 damage to premises rented; $5,000 medical payments; $0 per-occurrence deductible. The provisional exposure is $350,000 annual payroll, matching the GL Acords.pdf Schedule of Hazards and the reconciled rating input.; Arithmetic: $350,000 / 1,000 x $35.5314285714 = $12,436; $350,000 / 1,000 x $42.6371428571 = $14,923.; AQUA ISO GL returned a 17.5% commission, which is used for this indication.; AQUA ISO GL technical components were $5,772 and $6,664, totaling $12,436 before any underwriting judgmental loading.; The upper bound is an AI-estimated uncertainty allowance and must not be treated as an approved or bindable premium.; The class, payroll basis, $0 deductible, and requested limits require underwriter confirmation before bind.
Needed: Correct ISO class and whether subcontracted construction must be separately rated on total subcontract cost.; Reconciled direct payroll and confirmation of the supplemental “1 Owners” entry.; Reconciled subcontracted cost of $300,000 versus $350,000.; Carrier loss runs or equivalent signed loss confirmation.; 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; GL Acords.pdf; Supp App.pdf
Applied exposure: 350,000.00 · Calculated premium: $13,680
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.
No ancillary coverage is selected in this worksheet.
Needs review · Load Bearing Beam Masters LLC
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 marked answers on Supp App.pdf, page 1. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.
Review marked answers on Supp App.pdf, page 2. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.
Review marked answers on Supp App.pdf, page 3. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.
Review marked answers on Supp App.pdf, page 4. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.
Review marked answers on Supp App.pdf, page 5. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.
Review marked answers on GL Acords.pdf, page 1. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.
Review marked answers on GL Acords.pdf, page 2. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.
Review marked answers on GL Acords.pdf, page 3. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.
Review marked answers on GL Acords.pdf, page 6. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.
Review marked answers on GL Acords.pdf, page 4. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.
Review marked answers on GL Acords.pdf, page 7. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.
Review marked answers on GL Acords.pdf, page 8. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.
Review marked answers on GL Acords.pdf, page 9. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.
Location 1, class : printed hazard identifier is missing.
These are source observations, not a count of physical locations. Different addresses or building identifiers require reconciliation.
| Location / building | Address | Operations | Reported revenue | Source |
|---|---|---|---|---|
| 1 / 1 | 2206 BROOKVIEW DR MCKINNEY TX 75072-3848 | Owners Home Office | Unknown | GL Acords.pdf · p. 2 |
| Location / hazard | Submitted class | Description | Basis | Exposure | Printed rate | Printed premium | Source |
|---|---|---|---|---|---|---|---|
| 1 / 1 | 91342 | Carpentry - structural with Welding metal brackets | GrSales | 700,000.00 | Unknown | Unknown | GL Acords.pdf · p. 6 |
| 1 / Unknown | Carpentry - structural with Welding metal brackets | Payroll | 350,000.00 | Unknown | Unknown | GL Acords.pdf · p. 6 |
| Field / source | First reading | Independent reading | Review outcome |
|---|---|---|---|
| Question35_FormalSafetyProgram Supp App.pdf · p. 4 | Yes | checked | Readings disagree; source review required |
| SafetyProgram GL Acords.pdf · p. 3 | Yes | Y | Two model readings agree; source confirmation still required |
| SafetyManual GL Acords.pdf · p. 3 | Checked | checked | Two model readings agree; source confirmation still required |
| GeneralInformationQuestion10_LodgingOperations GL Acords.pdf · p. 8 | N | N | Two model readings agree; source confirmation still required |
| GeneralInformationQuestion11_SwimmingPool GL Acords.pdf · p. 8 | N | N | Two model readings agree; source confirmation still required |
| GeneralInformationQuestion21_SafetySecurityPolicy GL Acords.pdf · p. 9 | N | N | Two model readings agree; source confirmation still required |
| GeneralInformationQuestion22_PromotionalLiterature GL Acords.pdf · p. 9 | N | N | Two model readings agree; source confirmation still required |
| Field | Submitted value | Source | Source detail | Review |
|---|---|---|---|---|
| NameInsured | Load Bearing Beam Masters LLC | Supp App.pdf · p. 1 | Question 1, Applicant Load Bearing Beam Masters LLC | Source confirmation pending |
| YearsInBusiness | 2 | Supp App.pdf · p. 1 | Question 1A, Years in business under current name 2 | Source confirmation pending |
| DescriptionOfOperations | Commercial & Residential Structural Framing General Contractor | Supp App.pdf · p. 1 | Question 1B, Describe your operations Commercial & Residential Structural Framing General Contractor | Source confirmation pending |
| OtherSimilarControllingInterest | No | Supp App.pdf · p. 1 | Question 1C checkbox: Do you currently have, or have you had in the past, a controlling interest in any other similar operations? No checked | Inspect marked answer |
| Bankruptcy | No | Supp App.pdf · p. 1 | Question 1D checkbox: Have you ever declared bankruptcy? No checked | Inspect marked answer |
| NewYorkWork | No | Supp App.pdf · p. 1 | Question 2A checkbox: Any work in the five boroughs of New York? No checked | Inspect marked answer |
| ColoradoWork | No | Supp App.pdf · p. 1 | Question 2B checkbox: Do you do any work in Colorado? No checked | Inspect marked answer |
| OtherBusinessOwnership | No | Supp App.pdf · p. 1 | Question 4 checkbox: Does applicant currently own/operate any other business? No checked | Inspect marked answer |
| GeneralContractorPercentage | 100 | Supp App.pdf · p. 1 | Question 5, Percentage of current operations: General Contractor 100 % | Source confirmation pending |
| UsesSubcontractors | Yes | Supp App.pdf · p. 1 | Question 6 checkbox: Do you use Subcontractors? Yes checked | Inspect marked answer |
| SubcontractedWorkPercentage | 100 | Supp App.pdf · p. 1 | Question 6A, Percentage of subcontracted work 100 % | Source confirmation pending |
| AnnualSubcontractingCost | 350000 | Supp App.pdf · p. 1 | Question 6B, Annual subcontracting cost $ 350,000 | Source confirmation pending |
| SubcontractedActivitiesDescription | 100% of work is subcontracted with insured Subs, | Supp App.pdf · p. 1 | Question 6C, Describe all activities that are subcontracted 100% of work is subcontracted with insured Subs, | Source confirmation pending |
| SubcontractorCertificatesCollected | Yes | Supp App.pdf · p. 1 | Question 7 checkbox: Do you collect certificates of insurance from all subcontractors? Yes checked | Inspect marked answer |
| SubcontractorRequiredLimits | 1000000 / 2000000 / 2000000 | Supp App.pdf · p. 1 | Question 7A, What limits of coverage are required from these subcontractors? $ 1,000,000 / 2,000,000 / 2,000,000 | Source confirmation pending |
| SubcontractorsNamedAdditionalInsured | Yes | Supp App.pdf · p. 1 | Question 7B checkbox: Do you require all subcontractors to name you as an Additional Insured? Yes checked | Inspect marked answer |
| CertificatesDefendIndemnifyHoldHarmless | Yes | Supp App.pdf · p. 2 | Question 7C checkbox: Do you require all subcontractors to defend, indemnify and hold harmless? Yes checked | Inspect marked answer |
| CertificatesReviewer | Owner and Agent | Supp App.pdf · p. 2 | Question 7D, Who reviews and maintains the certificates? Owner and Agent | Source confirmation pending |
| CertificateRetentionYears | 7 | Supp App.pdf · p. 2 | Question 7E, How long are they kept? 7 years | Source confirmation pending |
| ProjectedPayroll | 1 Owners | Supp App.pdf · p. 2 | Question 8, Estimates for next 12 months: Payroll Payroll $ 1 Owners | Source confirmation pending |
| ProjectedSubcontractCost | 350000 | Supp App.pdf · p. 2 | Question 8, Estimates for next 12 months: Sub-Contract Cost Sub-Contract Cost $ 350,000 | Source confirmation pending |
| TotalRevenue | 700000 | Supp App.pdf · p. 2 | Question 8, Estimates for next 12 months: Gross Receipts Gross Receipts: $ 700,000 | Source confirmation pending |
| PriorYear1GrossReceipts | 700000 | Supp App.pdf · p. 2 | Question 8, 5 Years Prior History, 1st Year Gross Receipts 1st Year Gross Receipts: $ 700,000 | Source confirmation pending |
| PriorYear2GrossReceipts | 500000 | Supp App.pdf · p. 2 | Question 8, 5 Years Prior History, 2nd Year Gross Receipts 2nd Year Gross Receipts: $ 500,000 | Source confirmation pending |
| ResidentialRemodelingRepairPercentage | 90 | Supp App.pdf · p. 2 | Question 9, Residential Remodeling/Repair Remodeling/Repair 90 % | Source confirmation pending |
| CommercialRemodelingRepairPercentage | 10 | Supp App.pdf · p. 2 | Question 9, Commercial Remodeling/Repair Remodeling/Repair 10 % | Source confirmation pending |
| CarpentrySubbedPercentage | 100 | Supp App.pdf · p. 2 | Question 10 table, Carpentry, % Subbed 100 | Source confirmation pending |
| SupervisoryOnlyDirectPercentage | 100 | Supp App.pdf · p. 2 | Question 10 table, Supervisory Only, % Direct 100 | Source confirmation pending |
| LargestPriorProject | Prior Works as a Key Employee - 15.000 single family home - Load Bearing wall removal and beam install | Supp App.pdf · p. 2 | Question 11, four largest projects over past five years Prior Works as a Key Employee - 15.000 single family home - Load Bearing wall removal and beam install | Source confirmation pending |
| CurrentProjectDescription | Load Bearing wall removal and beam install average job 10,000 | Supp App.pdf · p. 2 | Question 12, current projects underway or planned Load Bearing wall removal and beam install average job 10,000 | Source confirmation pending |
| NewHomesNextYear | 0 | Supp App.pdf · p. 2 | Question 13, How many new homes will you build from the ground up in the next year? 0 | Source confirmation pending |
| BuiltHomeFromGroundUp | No | Supp App.pdf · p. 2 | Question 14 checkbox: Have you ever built a home from the ground up? No checked | Inspect marked answer |
| AdditionalInsuredOngoingOperations | Yes | Supp App.pdf · p. 2 | Question 15A checkbox: Ongoing Operations only Yes checked | Inspect marked answer |
| AdditionalInsuredOngoingCompletedOperations | Yes | Supp App.pdf · p. 2 | Question 15B checkbox: Ongoing Operations including Completed Operations Yes checked | Inspect marked answer |
| AdditionalInsuredCoverageWanted | Yes | Supp App.pdf · p. 2 | Question 15C checkbox: If yes, do you wish coverage for this exposure? Yes checked | Inspect marked answer |
| WaiversOfSubrogation | Yes | Supp App.pdf · p. 2 | Question 16 checkbox: Do you anticipate needing Waivers of Subrogation? Yes checked | Inspect marked answer |
| LicenseUsedByOtherContractor | No | Supp App.pdf · p. 3 | Question 17 checkbox: Have you allowed or will you allow your license to be used by any other contractor? No checked | Inspect marked answer |
| LicensingAuthorityAction | No | Supp App.pdf · p. 3 | Question 17A checkbox: Has any other licensing authority taken any action against you? No checked | Inspect marked answer |
| HillsideTerraceLandfillSubsidenceExposure | No | Supp App.pdf · p. 3 | Question 18 checkbox: Have you built or will you build on hillsides, terraces, landfills or areas with recent subsidence activity? No checked | Inspect marked answer |
| Scaffolding | Yes | Supp App.pdf · p. 3 | Question 19 checkbox: Do you use scaffolding? Yes checked | Inspect marked answer |
| BlastingOrHazardousWork | No | Supp App.pdf · p. 3 | Question 20 checkbox: Have you been involved or will you be involved with blasting operations or any other hazardous work activity? No checked | Inspect marked answer |
| EIFSWork | No | Supp App.pdf · p. 3 | Question 21 checkbox: Do you perform synthetic stucco work (EIFS)? No checked | Inspect marked answer |
| EIFSCoverageInterest | No | Supp App.pdf · p. 3 | Question 21 follow-up checkbox: Are you interested in coverage for EIFS work? No checked | Inspect marked answer |
| SubcontractorEIFSWork | No | Supp App.pdf · p. 3 | Question 22 checkbox: Do any of your subcontractors perform EIFS work? No checked | Inspect marked answer |
| FourStoryConstruction | No | Supp App.pdf · p. 3 | Question 23 checkbox: Have you built/demolished or will you build/demolish buildings or other structures in excess of four stories? No checked | Inspect marked answer |
| WorkAboveTwoStories | No | Supp App.pdf · p. 3 | Question 24 checkbox: Do you perform any work above two stories? No checked | Inspect marked answer |
| AirportWork | No | Supp App.pdf · p. 3 | Question 25 checkbox: Do you perform any work at Airports? No checked | Inspect marked answer |
| CraneOperations | No | Supp App.pdf · p. 3 | Question 26 checkbox: Do you own, rent or subcontract any cranes? No checked | Inspect marked answer |
| HazardousMaterialsWork | No | Supp App.pdf · p. 3 | Question 27 checkbox: Have you been involved or will you or your subcontractors be involved in removal of asbestos, PCB’s or other hazardous materials? No checked | Inspect marked answer |
| FuelTanksOrPipelines | No | Supp App.pdf · p. 3 | Question 28 checkbox: Removal or work on fuel tanks or pipelines? No checked | Inspect marked answer |
| HotTarRoofing | No | Supp App.pdf · p. 3 | Question 29 checkbox: Hot Tar No checked | Inspect marked answer |
| TorchDownRoofing | No | Supp App.pdf · p. 3 | Question 29 checkbox: Torch Down No checked | Inspect marked answer |
| ModifiedBitumenHotRoofing | No | Supp App.pdf · p. 3 | Question 29 checkbox: Modified Bitumen (HOT) No checked | Inspect marked answer |
| ModifiedBitumenColdRoofing | No | Supp App.pdf · p. 3 | Question 29 checkbox: Modified Bitumen (COLD) No checked | Inspect marked answer |
| HotAirWeldingRoofing | No | Supp App.pdf · p. 3 | Question 29 checkbox: Hot Air Welding No checked | Inspect marked answer |
| MoldRemediationWork | No | Supp App.pdf · p. 3 | Question 30 checkbox: Do you perform any Mold Remediation Work? No checked | Inspect marked answer |
| SubcontractorMoldRemediationWork | No | Supp App.pdf · p. 3 | Question 31 checkbox: Do any of your subcontractors perform Mold Remediation Work? No checked | Inspect marked answer |
| FormTitle | Supplemental Contractor Questionnaire | Supp App.pdf · p. 6 | Warranty paragraph The Supplemental Questionnaire shall be the basis of any insurance policy that may be issued. | Source confirmation pending |
| Question32_BelowGradeWork | No | Supp App.pdf · p. 4 | Question 32; No checkbox Have you performed or will you or your subcontractors perform any work below grade: No | Inspect marked answer |
| Question33_Shor ingUnderpinningCofferdamCaisson | No | Supp App.pdf · p. 4 | Question 33; No checkbox Any shoring, underpinning, cofferdam or caisson work? No | Inspect marked answer |
| Question34_LongshoremenHarborWorkersAct | No | Supp App.pdf · p. 4 | Question 34; No checkbox Have you worked or will you or your employees work under U.S. Longshoremen’s and Harbor Workers Act or Jones Maritime Act? No | Inspect marked answer |
| Question35_FormalSafetyProgram | Yes | Supp App.pdf · p. 4 | Question 35; Yes checkbox Do you have a formal safety program in place? Yes | Inspect marked answer |
| Question36_UpcomingCondominiumTownhouseWork | No | Supp App.pdf · p. 4 | Question 36; No checkbox Will your upcoming work involve construction of or involvement with condominiums or townhouses? No | Inspect marked answer |
| Question36A_NewConstruction | No | Supp App.pdf · p. 4 | Question 36A; No checkbox If yes, is the work new construction? No | Inspect marked answer |
| Question36B_RepairOrRemodelOnly | No | Supp App.pdf · p. 4 | Question 36B; No checkbox Repair or Remodel only? No | Inspect marked answer |
| Question36C_HomeownersAssociations | No | Supp App.pdf · p. 4 | Question 36C; No checkbox Is the work done for Homeowners Associations (not individual unit owners?) No | Inspect marked answer |
| Question37_PriorNewCondominiumsTownhouses | No | Supp App.pdf · p. 4 | Question 37; No checkbox Have you ever worked in new condominiums/townhouses? No | Inspect marked answer |
| Question38_UpcomingApartmentWork | No | Supp App.pdf · p. 4 | Question 38; No checkbox Will your upcoming work involve the construction of or involvement with apartments? No | Inspect marked answer |
| Question38A_NewApartmentConstruction | No | Supp App.pdf · p. 4 | Question 38A; No checkbox If yes, is the work new construction? No | Inspect marked answer |
| Question38B_ApartmentRepairOrRemodel | No | Supp App.pdf · p. 4 | Question 38B; No checkbox Repair or Remodel only? No | Inspect marked answer |
| Question39_PriorNewApartments | No | Supp App.pdf · p. 4 | Question 39; No checkbox Have you ever worked in new Apartments? No | Inspect marked answer |
| Question40_UpcomingDuplexTriplexFourplexPatioHomeWork | No | Supp App.pdf · p. 4 | Question 40; No checkbox Will your upcoming work involve the construction of or involvement with new Duplexes, Triplexes, Fourplexes or Patio Homes? No | Inspect marked answer |
| Question40_UnitsIndividuallyOwnedAndTitled | No | Supp App.pdf · p. 4 | Question 40; Are the units individually owned and titled? No checkbox Are the units individually owned and titled? No | Inspect marked answer |
| Question41_PriorDuplexTriplexFourplexPatioHomeWork | No | Supp App.pdf · p. 4 | Question 41; No checkbox Have you ever worked in new Duplexes, Triplexes, Fourplexes or Patio Homes? No | Inspect marked answer |
| Question42_UpcomingNewHomeTractWork | No | Supp App.pdf · p. 4 | Question 42; No checkbox Will your upcoming work involve construction in any new home tracts? No | Inspect marked answer |
| Question43_PriorNewTractDevelopments | No | Supp App.pdf · p. 4 | Question 43; No checkbox Have you ever worked in new tract developments? No | Inspect marked answer |
| Question44_CurrentWrapUpOCIPCCIPProjects | No | Supp App.pdf · p. 4 | Question 44; No checkbox Any current Wrap-Up/OCIP/CCIP Projects? No | Inspect marked answer |
| Question45_PriorNewAssistedLivingFacilities | No | Supp App.pdf · p. 4 | Question 45; No checkbox Have you ever worked in new assisted living facilities? No | Inspect marked answer |
| Question45_IndividualUnitOwnership | Unknown | Supp App.pdf · p. 4 | Question 45; Does it involve any individual unit ownership? Yes/No checkboxes Does it involve any individual unit ownership? | Inspect marked answer |
| Question46_ConvertApartmentsToCondominiums | No | Supp App.pdf · p. 4 | Question 46; No checkbox Have you or will you ever convert apartments to condominiums? No | Inspect marked answer |
| Question47_OtherExposuresOperations | No | Supp App.pdf · p. 5 | Question 47; No checkbox Any other exposures/operations not otherwise covered by this questionnaire? No | Inspect marked answer |
| Question48_LossesClaimsSuitsPastEightYears | No | Supp App.pdf · p. 5 | Question 48; No checkbox Have there been any losses, claims or suits against you in the past eight years? No | Inspect marked answer |
| Question48A_PendingClaimsOrLegalActions | No | Supp App.pdf · p. 5 | Question 48a; No checkbox Are there any claims or legal actions pending against any active, inactive or dissolved entities in which you have had a controlling interest? No | Inspect marked answer |
| Question48B_KnownPreexistingClaimCondition | No | Supp App.pdf · p. 5 | Question 48b; No checkbox After inquiry, do you have knowledge of any pre-existing act, omission, event, condition or damage ... that might reasonably be expected to give rise to any future claim or legal action? No | Inspect marked answer |
| Question48C_FaultyConstructionAccusation | No | Supp App.pdf · p. 5 | Question 48c; No checkbox Have you been accused of faulty construction in the past 8 years? No | Inspect marked answer |
| Question48D_BreachOfContractAccusation | No | Supp App.pdf · p. 5 | Question 48d; No checkbox Have you been accused of breaching a contract in the past 8 years? No | Inspect marked answer |
| Question48E_MechanicsLiens | No | Supp App.pdf · p. 5 | Question 48e; No checkbox Have you filed any Mechanic’s Liens in the past 8 years? No | Inspect marked answer |
| AgencyName | 1 Source Insurance Advisors | GL Acords.pdf · p. 1 | Producer block 1 Source Insurance Advisors | Source confirmation pending |
| InsuredAddressLine1 | 2206 BROOKVIEW DR | GL Acords.pdf · p. 1 | Applicant Information; name and mailing address 2206 BROOKVIEW DR | Source confirmation pending |
| InsuredCity | MCKINNEY | GL Acords.pdf · p. 1 | Applicant Information; city MCKINNEY | Source confirmation pending |
| InsuredState | TX | GL Acords.pdf · p. 1 | Applicant Information; state TX | Source confirmation pending |
| InsuredZip | 75072-3848 | GL Acords.pdf · p. 1 | Applicant Information; ZIP+4 75072-3848 | Source confirmation pending |
| NameInsured | Load Bearing Beam Masters LLC | GL Acords.pdf · p. 1 | Applicant Information; name and mailing address Load Bearing Beam Masters LLC | Source confirmation pending |
| FEIN | 933378620 | GL Acords.pdf · p. 1 | Applicant Information; FEIN or SOC SEC # 933378620 | Source confirmation pending |
| LegalEntityType | LLC | GL Acords.pdf · p. 1 | Applicant Information; entity type checkbox LLC | Inspect marked answer |
| CommercialGeneralLiabilityRequested | Checked | GL Acords.pdf · p. 1 | LINES OF BUSINESS; Commercial General Liability checkbox X COMMERCIAL GENERAL LIABILITY | Inspect marked answer |
| InsuredAddressLine1 | 2206 BROOKVIEW DR | GL Acords.pdf · p. 2 | Premises Information; LOC # 1 street 2206 BROOKVIEW DR | Source confirmation pending |
| InsuredCity | MCKINNEY | GL Acords.pdf · p. 2 | Premises Information; LOC # 1 city MCKINNEY | Source confirmation pending |
| InsuredState | TX | GL Acords.pdf · p. 2 | Premises Information; LOC # 1 state TX | Source confirmation pending |
| InsuredZip | 75072-3848 | GL Acords.pdf · p. 2 | Premises Information; LOC # 1 ZIP 75072-3848 | Source confirmation pending |
| LocationNumber | 1 | GL Acords.pdf · p. 2 | Premises Information; LOC # 1 | Source confirmation pending |
| BuildingNumber | 1 | GL Acords.pdf · p. 2 | Premises Information; BLD # 1 | Source confirmation pending |
| TotalBuildingArea | 2200 | GL Acords.pdf · p. 2 | Premises Information; LOC # 1 total building area TOTAL BUILDING AREA: 2200 SQ FT | Source confirmation pending |
| PremisesInterest | Owner | GL Acords.pdf · p. 2 | Premises Information; LOC # 1 interest checkbox X OWNER | Inspect marked answer |
| DescriptionOfOperations | Owners Home Office | GL Acords.pdf · p. 2 | Premises Information; LOC # 1 description of operations Owners Home Office | Source confirmation pending |
| NatureOfBusiness | Apartments; Contractor | GL Acords.pdf · p. 2 | Nature of Business; checked boxes X APARTMENTS / CONDOMINIUMS; X CONTRACTOR / INSTITUTIONAL | Source confirmation pending |
| DateBusinessStarted | 09/01/2023 | GL Acords.pdf · p. 2 | Nature of Business; date business started 09/01/2023 | Source confirmation pending |
| DescriptionOfPrimaryOperations | Structural Framing - Residential Remodels | GL Acords.pdf · p. 2 | Description of Primary Operations Structural Framing - Residential Remodels | Source confirmation pending |
| SafetyProgram | Yes | GL Acords.pdf · p. 3 | General Information; question 2 Y/N Y | Inspect marked answer |
| SafetyManual | Checked | GL Acords.pdf · p. 3 | General Information; question 2 SAFETY MANUAL checkbox X SAFETY MANUAL | Inspect marked answer |
| ToolboxMeetings | Checked; Toolbox meetings at start of each project | GL Acords.pdf · p. 3 | General Information; question 2 TOOLBOX MEETINGS checkbox and narrative X Toolbox meetings at start of each project | Inspect marked answer |
| FlammablesExplosivesChemicalsExposure | No | GL Acords.pdf · p. 3 | General Information; question 3 Y/N N | Inspect marked answer |
| OtherInsuranceWithThisCompany | No | GL Acords.pdf · p. 3 | General Information; question 4 Y/N N | Inspect marked answer |
| PriorCoverageDeclinedCancelledNonRenewed | No | GL Acords.pdf · p. 3 | General Information; question 5 Y/N N | Inspect marked answer |
| AgencyName | Source Insurance Advisors | GL Acords.pdf · p. 6 | ACORD 126 header, AGENCY 1 Source Insurance Advisors | Source confirmation pending |
| NameInsured | Load Bearing Beam Masters LLC | GL Acords.pdf · p. 6 | ACORD 126 header, APPLICANT / FIRST NAMED INSURED Load Bearing Beam Masters LLC | Source confirmation pending |
| GLCoverageSelected | Checked | GL Acords.pdf · p. 6 | Literal checkbox question: COMMERCIAL GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY | Inspect marked answer |
| GLOccurrenceCoverageSelected | Checked | GL Acords.pdf · p. 6 | Literal checkbox question: OCCURRENCE X OCCURRENCE | Inspect marked answer |
| LossHistoryNoneCheckbox | Checked | GL Acords.pdf · p. 4 | Literal checkbox question: Check if none X Check if none | Inspect marked answer |
| GLGeneralAggregateLimit | 2000000 | GL Acords.pdf · p. 6 | COVERAGES / LIMITS, GENERAL AGGREGATE $ 2,000,000 | Source confirmation pending |
| GLProductsCompletedOperationsAggregateLimit | 1000000 | GL Acords.pdf · p. 6 | COVERAGES / LIMITS, PRODUCTS & COMPLETED OPERATIONS AGGREGATE $ 1,000,000 | Source confirmation pending |
| GLPersonalAndAdvertisingInjuryLimit | 1000000 | GL Acords.pdf · p. 6 | COVERAGES / LIMITS, PERSONAL & ADVERTISING INJURY $ 1,000,000 | Source confirmation pending |
| GLEachOccurrenceLimit | 1000000 | GL Acords.pdf · p. 6 | COVERAGES / LIMITS, EACH OCCURRENCE $ 1,000,000 | Source confirmation pending |
| GLDamageToPremisesRentedLimit | 50000 | GL Acords.pdf · p. 6 | COVERAGES / LIMITS, DAMAGE TO RENTED PREMISES (each occurrence) $ 50,000 | Source confirmation pending |
| GLMedicalPaymentsLimit | 5000 | GL Acords.pdf · p. 6 | COVERAGES / LIMITS, MEDICAL EXPENSE (Any one person) $ 5,000 | Source confirmation pending |
| AnnualGrossSales | 700000 | GL Acords.pdf · p. 6 | Schedule of Hazards row 1, LOC # 1, EXPOSURE 700000 | Source confirmation pending |
| AnnualPayroll | 350000 | GL Acords.pdf · p. 6 | Schedule of Hazards row 2, LOC # 1, EXPOSURE 350000 | Source confirmation pending |
| ContractorQuestion1_DrawPlansDesigns | N | GL Acords.pdf · p. 7 | CONTRACTORS, question 1: DOES APPLICANT DRAW PLANS, DESIGNS, OR SPECIFICATIONS FOR OTHERS? N | Inspect marked answer |
| ContractorQuestion2_Bl astingExplosives | N | GL Acords.pdf · p. 7 | CONTRACTORS, question 2: DO ANY OPERATIONS INCLUDE BLASTING OR UTILIZE OR STORE EXPLOSIVE MATERIAL? N | Inspect marked answer |
| ContractorQuestion3_ExcavationTunneling | N | GL Acords.pdf · p. 7 | CONTRACTORS, question 3: DO ANY OPERATIONS INCLUDE EXCAVATION, TUNNELING, UNDERGROUND WORK OR EARTH MOVING? N | Inspect marked answer |
| ContractorQuestion4_SubcontractorCoverage | N | GL Acords.pdf · p. 7 | CONTRACTORS, question 4: DO YOUR SUBCONTRACTORS CARRY COVERAGES OR LIMITS LESS THAN YOURS? N | Inspect marked answer |
| ContractorQuestion5_CertificateOfInsurance | N | GL Acords.pdf · p. 7 | CONTRACTORS, question 5: ARE SUBCONTRACTORS ALLOWED TO WORK WITHOUT PROVIDING YOU WITH A CERTIFICATE OF INSURANCE? N | Inspect marked answer |
| SubcontractedWorkDescription | All Work - over seen and inspected by the insured | GL Acords.pdf · p. 7 | CONTRACTORS, DESCRIBE THE TYPE OF WORK SUBCONTRACTED All Work - over seen and inspected by the insured | Source confirmation pending |
| SubcontractedCost | 300,000.00 | GL Acords.pdf · p. 7 | CONTRACTORS, $ PAID TO SUB-CONTRACTORS 300,000.00 | Source confirmation pending |
| PercentOfWorkSubcontracted | 100 | GL Acords.pdf · p. 7 | CONTRACTORS, % OF WORK SUBCONTRACTED 100 | Source confirmation pending |
| ProductsQuestion1_InstallServiceDemonstrate | N | GL Acords.pdf · p. 7 | PRODUCTS / COMPLETED OPERATIONS, question 1: DOES APPLICANT INSTALL, SERVICE OR DEMONSTRATE PRODUCTS? N | Inspect marked answer |
| ProductsQuestion2_ForeignProducts | N | GL Acords.pdf · p. 7 | PRODUCTS / COMPLETED OPERATIONS, question 2: FOREIGN PRODUCTS SOLD, DISTRIBUTED, USED AS COMPONENTS? N | Inspect marked answer |
| ProductsQuestion3_ResearchDevelopment | N | GL Acords.pdf · p. 7 | PRODUCTS / COMPLETED OPERATIONS, question 3: RESEARCH AND DEVELOPMENT CONDUCTED OR NEW PRODUCTS PLANNED? N | Inspect marked answer |
| ProductsQuestion4_GuaranteesWarranties | N | GL Acords.pdf · p. 7 | PRODUCTS / COMPLETED OPERATIONS, question 4: GUARANTEES, WARRANTIES, HOLD HARMLESS AGREEMENTS? N | Inspect marked answer |
| ProductsQuestion5_AircraftSpace | N | GL Acords.pdf · p. 7 | PRODUCTS / COMPLETED OPERATIONS, question 5: PRODUCTS RELATED TO AIRCRAFT/SPACE INDUSTRY? N | Inspect marked answer |
| ProductsQuestion6_RecalledDiscontinuedChanged | N | GL Acords.pdf · p. 7 | PRODUCTS / COMPLETED OPERATIONS, question 6: PRODUCTS RECALLED, DISCONTINUED, CHANGED? N | Inspect marked answer |
| ProductsQuestion7_OthersProducts | N | GL Acords.pdf · p. 7 | PRODUCTS / COMPLETED OPERATIONS, question 7: PRODUCTS OF OTHERS SOLD OR RE-PACKAGED UNDER APPLICANT LABEL? N | Inspect marked answer |
| ProductsQuestion8_OthersLabel | N | GL Acords.pdf · p. 7 | PRODUCTS / COMPLETED OPERATIONS, question 8: PRODUCTS UNDER LABEL OF OTHERS? N | Inspect marked answer |
| ProductsQuestion9_VendorsCoverage | N | GL Acords.pdf · p. 7 | PRODUCTS / COMPLETED OPERATIONS, question 9: VENDORS COVERAGE REQUIRED? N | Inspect marked answer |
| ProductsQuestion10_NamedInsuredSales | N | GL Acords.pdf · p. 7 | PRODUCTS / COMPLETED OPERATIONS, question 10: DOES ANY NAMED INSURED SELL TO OTHER NAMED INSURED? N | Inspect marked answer |
| GeneralInformationQuestion1_MedicalFacilities | N | GL Acords.pdf · p. 8 | GENERAL INFORMATION, question 1: ANY MEDICAL FACILITIES PROVIDED OR MEDICAL PROFESSIONALS EMPLOYED OR CONTRACTED? N | Inspect marked answer |
| GeneralInformationQuestion2_RadioactiveNuclear | N | GL Acords.pdf · p. 8 | GENERAL INFORMATION, question 2: ANY EXPOSURE TO RADIOACTIVE/NUCLEAR MATERIALS? N | Inspect marked answer |
| GeneralInformationQuestion3_HazardousMaterials | N | GL Acords.pdf · p. 8 | GENERAL INFORMATION, question 3: DO/HAVE PAST, PRESENT OR DISCONTINUED OPERATIONS INVOLVE(D) STORING, TREATING, DISCHARGING, APPLYING, DISPOSING, OR TRANSPORTING OF HAZARDOUS MATERIAL? N | Inspect marked answer |
| GeneralInformationQuestion4_OperationsSoldAcquired | N | GL Acords.pdf · p. 8 | GENERAL INFORMATION, question 4: ANY OPERATIONS SOLD, ACQUIRED, OR DISCONTINUED IN LAST FIVE (5) YEARS? N | Inspect marked answer |
| GeneralInformationQuestion5_RentOrLoanEquipment | N | GL Acords.pdf · p. 8 | GENERAL INFORMATION, question 5: DO YOU RENT OR LOAN EQUIPMENT TO OTHERS? N | Inspect marked answer |
| GeneralInformationQuestion6_Watercraft | N | GL Acords.pdf · p. 8 | GENERAL INFORMATION, question 6: ANY WATERCRAFT, DOCKS, FLOATS OWNED, HIRED OR LEASED? N | Inspect marked answer |
| GeneralInformationQuestion7_ParkingFacilities | N | GL Acords.pdf · p. 8 | GENERAL INFORMATION, question 7: ANY PARKING FACILITIES OWNED/RENTED? N | Inspect marked answer |
| GeneralInformationQuestion8_ParkingFee | N | GL Acords.pdf · p. 8 | GENERAL INFORMATION, question 8: IS A FEE CHARGED FOR PARKING? N | Inspect marked answer |
| GeneralInformationQuestion9_RecreationFacilities | N | GL Acords.pdf · p. 8 | GENERAL INFORMATION, question 9: RECREATION FACILITIES PROVIDED? N | Inspect marked answer |
| GeneralInformationQuestion10_LodgingOperations | N | GL Acords.pdf · p. 8 | GENERAL INFORMATION, question 10: ARE THERE ANY LODGING OPERATIONS INCLUDING APARTMENTS? N | Inspect marked answer |
| GeneralInformationQuestion11_SwimmingPool | N | GL Acords.pdf · p. 8 | GENERAL INFORMATION, question 11: IS THERE A SWIMMING POOL ON PREMISES? N | Inspect marked answer |
| GeneralInformationQuestion12_SocialEvents | N | GL Acords.pdf · p. 8 | GENERAL INFORMATION, question 12: ARE SOCIAL EVENTS SPONSORED? N | Inspect marked answer |
| GeneralInformationQuestion13_AthleticTeams | N | GL Acords.pdf · p. 8 | GENERAL INFORMATION, question 13: ARE ATHLETIC TEAMS SPONSORED? N | Inspect marked answer |
| GeneralInformationQuestion14_StructuralAlterations | Y | GL Acords.pdf · p. 8 | GENERAL INFORMATION, question 14: ANY STRUCTURAL ALTERATIONS CONTEMPLATED? Y | Inspect marked answer |
| StructuralAlterationsNarrative | All project drawings are drafted and stamped by a licensed engineer | GL Acords.pdf · p. 8 | GENERAL INFORMATION, question 14 narrative All project drawings are drafted and stamped by a licensed engineer | Source confirmation pending |
| GeneralInformationQuestion15_DemolitionExposure | N | GL Acords.pdf · p. 8 | GENERAL INFORMATION, question 15: ANY DEMOLITION EXPOSURE CONTEMPLATED? N | Inspect marked answer |
| GeneralInformationQuestion16_JointVentures | N | GL Acords.pdf · p. 9 | GENERAL INFORMATION (continued), question 16: HAS APPLICANT BEEN ACTIVE IN OR IS CURRENTLY ACTIVE IN JOINT VENTURES? N | Inspect marked answer |
| GeneralInformationQuestion17_LeaseEmployees | N | GL Acords.pdf · p. 9 | GENERAL INFORMATION (continued), question 17: DO YOU LEASE EMPLOYEES TO OR FROM OTHER EMPLOYERS? N | Inspect marked answer |
| GeneralInformationQuestion18_LaborInterchange | N | GL Acords.pdf · p. 9 | GENERAL INFORMATION (continued), question 18: IS THERE A LABOR INTERCHANGE WITH ANY OTHER BUSINESS OR SUBSIDIARIES? N | Inspect marked answer |
| GeneralInformationQuestion19_DayCare | N | GL Acords.pdf · p. 9 | GENERAL INFORMATION (continued), question 19: ARE DAY CARE FACILITIES OPERATED OR CONTROLLED? N | Inspect marked answer |
| GeneralInformationQuestion20_CrimeOnPremises | N | GL Acords.pdf · p. 9 | GENERAL INFORMATION (continued), question 20: HAVE ANY CRIMES OCCURRED OR BEEN ATTEMPTED ON YOUR PREMISES WITHIN THE LAST THREE (3) YEARS? N | Inspect marked answer |
| GeneralInformationQuestion21_SafetySecurityPolicy | N | GL Acords.pdf · p. 9 | GENERAL INFORMATION (continued), question 21: IS THERE A FORMAL, WRITTEN SAFETY AND SECURITY POLICY IN EFFECT? N | Inspect marked answer |
| GeneralInformationQuestion22_PromotionalLiterature | N | GL Acords.pdf · p. 9 | GENERAL INFORMATION (continued), question 22: DOES THE BUSINESSES' PROMOTIONAL LITERATURE MAKE ANY REPRESENTATIONS ABOUT THE SAFETY OR SECURITY OF THE PREMISES? N | Inspect marked answer |
| ResolvedEvidenceScope | The 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 The supplied rendered pages are labeled pages 1-3 of a 6-page questionnaire; pages 4-6 were not supplied. | Source confirmation pending |
| DocumentWindowObservation | Source-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. | Supp App.pdf · p. 4 | The supplied pages are continuation pages 4-6 of a six-page supplemental questionnaire and do not show applicant identity, mailing address, policy dates, requested limits, or quantitative exposures. | Source confirmation pending |
| DocumentWindowObservation | Source-page observation (7-7); review alongside the complete submission. All supplied document pages were read. This note alone does not establish that the account is missing the information. | Supp App.pdf · p. 7 | The supplied page contains only an insurance fraud warning notice and does not provide submission, insured, coverage, location, exposure, or loss-history data. | Source confirmation pending |
| ResolvedEvidenceScope | The 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 The supplied document pages are ACORD 125 pages 1-3 of 5; pages 4-5 were not supplied. | Source confirmation pending |
| DocumentWindowObservation | Source-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. | GL Acords.pdf · p. 1 | No GL limits, deductible, proposed effective date, proposed expiration date, carrier, policy number, or premium is populated on the supplied pages. | Source confirmation pending |
| DocumentWindowObservation | Source-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. | GL Acords.pdf · p. 4 | Applicant mailing address, policy number, carrier, effective date, NAIC code, classification code, rates, premiums, and deductible are not populated on the supplied pages. | Source confirmation pending |
| ResolvedEvidenceScope | The 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 actual source pages 7-9 were supplied; the visible ACORD 126 pages are labeled pages 2-4 of 4, so the first page of the form is not included. | Source confirmation pending |
| OriginalSubmissionEmailContext | Original 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: 2026-09-01T12:20:35.0000000 [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: Joshua Grogan Sent: Monday, June 29, 2026 6:25 PM To: Casualty Submissions Cc: Joshua Grogan; Joseph Thomas; Troy Clark Subject: Fw: Dellwood Submission - Load Bearing Beam Masters - Eff: 9/25/26 CAUTION: This email originated from outside your organization. Exercise caution when opening attachments or clicking links, especially from unknown senders. Hello, On behalf of Tom Martina tmartina@crcgroup.com<mailto:tmartina@crcgroup.com> please see the attached for clearance. Load Bearing Beam Masters is a structural framing GC focused on load‑bearing wall removals and beam installs, with 100% subcontracted work; domiciled in McKinney, TX. The following documents are included - Acords/Supplemental. Please let me know if you need anything else for clearance. Thank you. Joshua Grogan | Associate Broker CRC Group | Team RTP | CA License # 0778135 C | 469-826-0567 E | jgrogan@crcgroup.com<mailto:jgrogan@crcgroup.com> 12377 Merit Dr. Suite 1000, Dallas, TX 75251 CRCGroup.com<https://www.crcgroup.com/> [A red and white logo AI-generated content may be incorrect.]<https://www.crcgroup.com/> [cid:4ea11b0d-c2f8-4663-b7c8-850f821c82c2]<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:f9348d78-a53a-44e8-a10e-e8de6628d86b] <https://www.crcgroup.com/sign-up-for-tools-intel> [cid:136eca6b-bb80-4f81-9a5f-023f2ade7a03] <https://www.linkedin.com/company/163250/> 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/ | https://www.crcgroup.com/ | https://www.crcgroup.com/ | https://www.crcgroup.com/ | https://www.crcgroup.com/" | https://www.crcgroup.com/tools-intel | https://www.crcgroup.com/tools-intel" | https://www.crcgroup.com/Tools-Intel/Latest-Updates/Placing-You-First-Podcast | https://www.crcgroup.com/Tools-Intel/Latest-Updates/Placing-You-First-Podcast" | https://www.crcgroup.com/sign-up-for-tools-intel | https://www.crcgroup.com/sign-up-for-tools-intel" | https://www.linkedin.com/company/163250/ | https://www.linkedin.com/company/163250/" --- LINKED WEB REFERENCES FOUND IN THE EMAIL --- URL: https://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: 999 Page content was not available; use the URL only as a lead, not as verified evidence. | Source confirmation pending |
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The assessment is based on a partial application package and source-backed reconciliation digest. No decision-grade premises incident research was supplied, no public incident is attributed to the insured, and the submitted ZIP 75072 has no BestPlaces score returned. Loss experience is reported as no losses but is not supported by period-level carrier reports. The classification, payroll, subcontracted cost, safety controls, and underlying GL limits remain unresolved. 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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