Brokerage Casualty · AQ-2026-F557DBDC · 47051— Real Estate Development Property
The saved worksheet or source facts changed after this risk assessment. Save and reassess the package before relying on this recommendation.
The file cannot be acted on as submitted. High signals are the unresolved 47051 classification and Each Acre basis, unknown limits and underlying structure, pre-inception loss valuations, and material operations/payroll/revenue conflicts. Request the targeted updates listed above; after receipt, refer the corrected construction exposure and any excess request for senior review rather than treating the current package as quote-ready.
The file lacks confirmed requested GL terms, a usable rating exposure, reconciled operations and payroll, complete current loss valuation through inception, and a resolved current deductible/SIR structure. The supplied page window also does not include all referenced application pages.
Refer and do not quote as submitted. The dominant issues are the apparent mismatch between the 47051 land-development class and the residential contracting operation, unresolved $0 versus $18,000,000 payroll, conflicting operations descriptions, incomplete current loss valuation, and unknown limits/deductible structure. Proceed only after classification, exposures, current loss runs, terms, subcontractor controls, and required exclusions are confirmed.
Excess coverage is not selected for this review. Attached excess materials do not change the confirmed scope.
Do not quote until the active-development acreage, contracting class, subcontracted cost, and any separate land or model-home exposure are confirmed.
Require updated loss runs or written no-known-loss confirmation through inception before proceeding.
Obtain one signed, current exposure statement before classification, pricing, or appetite can be finalized.
No primary or excess action is possible until current limits, underlying terms, attachment, and the applicable SIR/deductible structure are confirmed.
Refer for project concentration, construction-method, aggregation, and attachment review; confirm no taller or materially different construction is undertaken.
2 items block a quote.
Controls evidenced: Residential new construction and 100% subcontracted work are reported. A vendor contract is present in the file.
Control gaps: No reconciled quality-assurance program, defect-control protocol, project inspection process, or completed-operations risk-transfer schedule was supplied.
Controls evidenced: The supplemental application reports 100% of work subcontracted and a vendor contract is in the file.
Control gaps: Current subcontractor certificates, limits, additional-insured status, indemnity requirements, and monitoring procedures were not reconciled or evidenced.
Controls evidenced: Work is reported as residential construction and subcontracted.
Control gaps: No site-safety program, equipment-control procedure, subcontractor safety audit, or project supervision detail was supplied.
Controls evidenced: The supplemental application reports 20% of work above two stories and a maximum of three stories.
Control gaps: No project schedule, construction-method detail, site aggregation controls, or confirmation that no projects exceed three stories was supplied.
Controls evidenced: A reported 2024-25 claim involved allegations of black mold following a leak.
Control gaps: No documented water-management, envelope inspection, remediation, or complaint-response 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
Twelve policy periods are represented, but the loss record is not experience-rateable because valuation dates, current status, and account-wide incurred totals are incomplete.
Extraction summary
24-25 GL loss runs.PDF, page 1: GL, policy 04 GL 5012673, 2024-09-26 to 2025-09-26, valued , reported claims 1. 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF, page 1: GL, policy 04 GL 1105157, 2023-09-26 to 2024-09-26, valued , reported claims 0. 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF, page 1: GL, policy 04 GL 1086701, 2022-09-26 to 2023-09-26, valued , reported claims 1. 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF, page 1: GL, policy 04 GL 1067693, 2021-09-26 to 2022-09-26, valued , reported claims 0. 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF, page 1: GL, policy 04 GL 1047530, 2020-09-26 to 2021-09-26, valued , reported claims 0. 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF, page 1: GL, policy 04 GL 1026654, 2019-09-26 to 2020-09-26, valued , reported claims 0. 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF, page 1: GL, policy 04 GL 1004861, 2018-09-26 to 2019-09-26, valued , reported claims 0. 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF, page 1: GL, policy 04 GL 989648, 2017-09-26 to 2018-09-26, valued , reported claims 0. 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF, page 1: GL, policy 04 GL 961268, 2016-09-26 to 2017-09-26, valued , reported claims 1. 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF, page 1: GL, policy 04 GL 938281, 2015-09-26 to 2016-09-26, valued , reported claims 0. 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF, page 1: GL, policy 04 GL 919886, 2014-09-26 to 2015-09-26, valued , reported claims 0. 2025-2026 GL.PDF, page 1: , policy AC010002490, 2025-09-26 to 2026-09-26, valued 2026-06-30, reported claims 0. 2025-2026 GL-ed54ff63e0624a26bd9107185312f79d.PDF, page 1: GL, policy AC010002490, 2025-09-26 to 2026-09-26, valued 2026-07-31, reported claims 0. 24-25 GL loss runs.PDF, page 2: claim 2008996, loss 2024-11-25, status unconfirmed; WALKER BUSH CLMT MAKING ALLEGATIONS OF BLACK MOLD DUE TO A LEAK 14329 OVERLOOK PARK TX; source-reported incurred 3464.27. Locator: Claim Total - 2008996; Claim Description. 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF, page 2: claim 2007614, loss 2023-05-11, status Closed; CLMTS HOME SUFFERED A WATER LOSS. MICHAEL DIKE 817 714 4481 CELL; 817 839 4248 LOC: 605 E THOROUGHBRED WILLOW PARK, TX 76087; source-reported incurred 12048. Locator: Claim Number 2007614; Claim Total - 2007614; Policy Number 04 GL 1086701. 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF, page 2: claim 3000329, loss 2016-10-22, status Closed; CLMT FINGER AMPUTATED BY CEMENT MIXER. *SUIT FIRST NOTICE*; source-reported incurred 8138.72. Locator: Claim Number 3000329; Claim Total - 3000329; Policy Number 04 GL 961268.
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 76107.
Official records and established reporting carry more weight. Aggregator, scanner, social, and community sources remain unverified leads unless corroborated.
| Geography | Source-grounded context | Evidence quality | Underwriting use |
|---|---|---|---|
| ZIP 76107, Fort Worth, TexasZip · Period not established | BestPlaces reported a commercial crime score of 37.80 for the submitted risk ZIP. | ContextOnlyCommercial metric · 98 % confidenceOpen source ↗ | May support discussion of site security, lighting, access control, and protection of equipment or materials; it is not a standalone pricing or eligibility factor. |
| ZIP 76129, Fort Worth, TexasZip · Period not established | BestPlaces reported a commercial crime score of 26.50 for this nearby ZIP. | ContextOnlyCommercial metric · 98 % confidenceOpen source ↗ | Surrounding-area context only; may prompt security and materials-access questions for project sites. |
| ZIP 76147, Fort Worth, TexasZip · Period not established | BestPlaces returned no crime score for this nearby ZIP. | ContextOnlyCommercial metric · 99 % confidenceOpen source ↗ | No underwriting conclusion should be drawn; any security discussion should rely on site-specific controls rather than an unavailable score. |
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 — Unknown
Submitted request: GL; requested layer: Unknown. 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: $2,000,000 · Personal / advertising injury: $1,000,000
Damage to rented premises: $100,000 · Medical payments: $5,000 · Deductible: $100,000
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.
All monetary amounts are in USD unless noted. Premiums below are separate coverage amounts, before taxes and fees. Unpriced requested coverage still needs review.
This requested coverage is not yet priced. Confirm its scope and enter pricing in Details.
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.
Needs pricing–Needs pricing · Low confidence
Unavailable: insufficient supported inputs for a premium estimate. See missing information; no judgmental range has been established.
The AQUA ISO GL engine was not run because the required per-unit exposure could not be established. The authoritative class context identifies Each Acre as the basis, but the printed E 2 exposure does not establish two acres. The contracting operation may instead require a cost-based class, so no defensible numeric primary premium range can be produced without class and exposure confirmation.
Estimate exposure: Each Acre under submitted ISO class 47051; no confirmed acreage supplied · Limit: Needs pricing · Underlying limit: Needs pricing
Assumptions: Not supplied; current primary limits, deductible/SIR, and underlying insurance structure are unknown. The submitted 47051 class is provisional and has not been accepted as the correct class for the described contracting operation.; The authoritative rating basis is Each Acre; the reported E 2 field is not treated as acreage.; No numeric estimate is derived from the historical $74,748 expiring premium or from historical portfolio records.; A cost-based alternative may be appropriate for subcontracted residential construction, but the required class and exposure allocation remain unresolved.
Needed: Confirmed current ISO GL class and any separately rated land, model-home, or subcontracted construction exposures.; Actual active-development acreage, if 47051 remains applicable.; Total subcontracted cost by confirmed construction class.; Current GL limits, deductible or SIR, and any requested excess structure.; Insufficient evidence for a complete pricing range.; 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; Acord 125 126 - GL.PDF, page 5; Markel Contractor's Supplemental Application (1).PDF, page 2
Applied exposure: Not established · Calculated premium: Needs pricing
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 supplied ISO definition for 47051 excludes contracting and subcontracted operations. The application reports 100% subcontracting and residential new construction. Confirm with the broker whether the work is exclusively one- or two-family dwelling construction and provide the total subcontracted cost; this is an advisory alternative requiring underwriter confirmation.
Why unresolved: The supplied ISO definition for 47051 excludes contracting and subcontracted operations. The conflicting descriptions include custom homes, tract work, and townhomes, so the broader building-construction alternative remains plausible until the dwelling type and scope are confirmed. Confirm applicability and provide total subcontracted cost; this is advisory and requires underwriter confirmation.
Why unresolved: Class 47051 is limited to ownership and maintenance of actively developed land and excludes contracting, subcontracted work, and operations performed by employees or subcontractors; those exposures must be separately classified.
| Location | Class | Exposure | Rate | Premium |
|---|---|---|---|---|
| 1 | 91583 (AI suggested) | Missing: total cost | $2.985 | Pending inputs |
| 1 | 91585 (AI suggested) | Missing: total cost | $3.667 | Pending inputs |
| Account | 47051 (AI suggested) | Missing: number of Each Acre | $34.191 | Pending inputs |
| Total indicated premium | $0 | |||
| Location | Class | ISO rating basis |
|---|---|---|
| 1 | 91583 (AI suggested) | Total Cost |
| 1 | 91585 (AI suggested) | Total Cost |
| Account | 47051 (AI suggested) | Each Acre |
3 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 5 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.
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 · Village Homes, LP
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 Acord 125 126 - GL.PDF, page 1. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.
Review marked answers on Acord 125 126 - GL.PDF, page 5. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.
Review marked answers on Markel Contractor's Supplemental Application (1).PDF, page 1. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.
Review marked answers on Markel Contractor's Supplemental Application (1).PDF, page 4. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.
Review marked answers on Village Homes - New Vendor Contract.PDF, page 1. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.
Review marked answers on Village Homes - New Vendor Contract.PDF, page 22. Model agreement does not verify checkbox placement; inspect the source before relying on these controls.
Location 1, class : exposure or rating basis needs review.
Location 0, class : printed hazard identifier is missing.
Location 0, class : exposure or rating basis needs review.
Loss report 24-25 GL loss runs.PDF: as-of date is missing or unreadable.
Loss report 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF: as-of date is missing or unreadable.
Loss report 2025-2026 GL.PDF is valued as of 2026-06-30, before requested inception 2026-09-26. Later loss experience is unconfirmed.
Loss report 2025-2026 GL-ed54ff63e0624a26bd9107185312f79d.PDF is valued as of 2026-07-31, before requested inception 2026-09-26. Later loss experience is unconfirmed.
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 / Unknown | 2817 W 5th St., STE. B Fort Worth TX 76107 | Custom Home Builder - Rental Dwellings/Duplexes | Unknown | Acord 125 126 - GL.PDF · p. 2 |
| Location / hazard | Submitted class | Description | Basis | Exposure | Printed rate | Printed premium | Source |
|---|---|---|---|---|---|---|---|
| 1 / 1 | 900500 | General Contractor - Prem... | P | 256,680.00 | Unknown | Unknown | Acord 125 126 - GL.PDF · p. 5 |
| 1 / 2 | 900501 | General Contractors - Pro... | S | 30,000,000.00 | Unknown | Unknown | Acord 125 126 - GL.PDF · p. 5 |
| 1 / 3 | Commercial Construction | S | Unknown | Unknown | Unknown | Acord 125 126 - GL.PDF · p. 5 | |
| 1 / 4 | 94444 | Homebuilder Supplementa... | T | 1.00 | Unknown | Unknown | Acord 125 126 - GL.PDF · p. 5 |
| 1 / 5 | 47051 | Real Estate Development... | E | 2.00 | Unknown | Unknown | Acord 125 126 - GL.PDF · p. 5 |
| 0 / Unknown | General Contractor - Premises/Operations | Unknown | Unknown | Unknown | Acord 125 126 - GL.PDF · p. 9 | ||
| 0 / Unknown | General Contractors - Products/Completed Operations | Unknown | Unknown | Unknown | Acord 125 126 - GL.PDF · p. 9 | ||
| 0 / Unknown | Homebuilder Supplemental Endorsement Flat Charge (Fully Earned) | Flat Charge | Unknown | Unknown | Unknown | Acord 125 126 - GL.PDF · p. 9 | |
| 0 / Unknown | Real Estate Development Property (Premium Basis: Per Acre) | Per Acre | Unknown | Unknown | Unknown | Acord 125 126 - GL.PDF · p. 9 |
24-25 GL loss runs.PDF · p. 1 · MID-CONTINENT GROUP · 04 GL 5012673 · GL · 2024-09-26 to 2025-09-26 · As of Unknown · Loss History
2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 · MID-CONTINENT GROUP · 04 GL 1105157 · GL · 2023-09-26 to 2024-09-26 · As of Unknown · Loss History
2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 · MID-CONTINENT GROUP · 04 GL 1086701 · GL · 2022-09-26 to 2023-09-26 · As of Unknown · Loss History
2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 · MID-CONTINENT GROUP · 04 GL 1067693 · GL · 2021-09-26 to 2022-09-26 · As of Unknown · Loss History
2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 · MID-CONTINENT GROUP · 04 GL 1047530 · GL · 2020-09-26 to 2021-09-26 · As of Unknown · Loss History
2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 · MID-CONTINENT GROUP · 04 GL 1026654 · GL · 2019-09-26 to 2020-09-26 · As of Unknown · Loss History
2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 · MID-CONTINENT GROUP · 04 GL 1004861 · GL · 2018-09-26 to 2019-09-26 · As of Unknown · Loss History
2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 · MID-CONTINENT GROUP · 04 GL 989648 · GL · 2017-09-26 to 2018-09-26 · As of Unknown · Loss History
2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 · MID-CONTINENT GROUP · 04 GL 961268 · GL · 2016-09-26 to 2017-09-26 · As of Unknown · Loss History
2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 · MID-CONTINENT GROUP · 04 GL 938281 · GL · 2015-09-26 to 2016-09-26 · As of Unknown · Loss History
2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 · MID-CONTINENT GROUP · 04 GL 919886 · GL · 2014-09-26 to 2015-09-26 · As of Unknown · Loss History
2025-2026 GL.PDF · p. 1 · · AC010002490 · · 2025-09-26 to 2026-09-26 · As of 2026-06-30 · Loss Summary Report
2025-2026 GL-ed54ff63e0624a26bd9107185312f79d.PDF · p. 1 · · AC010002490 · GL · 2025-09-26 to 2026-09-26 · As of 2026-07-31 · Loss Summary Report
24-25 GL loss runs.PDF · p. 2 · Claim 2008996 · Loss date 2024-11-25 · · Paid losses 0.00 · Paid indemnity 0.00 · Paid expense 0.00 · Incurred 3,464.27
2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 2 · Claim 2007614 · Loss date 2023-05-11 · Closed · Paid losses 0.00 · Paid indemnity Unknown · Paid expense Unknown · Incurred 12,048.00
2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 2 · Claim 3000329 · Loss date 2016-10-22 · Closed · Paid losses 0.00 · Paid indemnity Unknown · Paid expense Unknown · Incurred 8,138.72
| Field / source | First reading | Independent reading | Review outcome |
|---|---|---|---|
| DeductibleBasis Acord 125 126 - GL.PDF · p. 5 | Both PD & BI | unknown | Readings disagree; source review required |
| Field | Submitted value | Source | Source detail | Review |
|---|---|---|---|---|
| AgencyName | Marsh & McLennan Agency LLC | Acord 125 126 - GL.PDF · p. 1 | Applicant Information Section - Agency Marsh & McLennan Agency LLC | Source confirmation pending |
| BrokerName | Chase Fox | Acord 125 126 - GL.PDF · p. 1 | Applicant Information Section - Contact Name Chase Fox | Source confirmation pending |
| BrokerPhone | 817-296-5738 | Acord 125 126 - GL.PDF · p. 1 | Applicant Information Section - Contact Phone 817-296-5738 | Source confirmation pending |
| BrokerEmail | Chase.fox@marshmma.com | Acord 125 126 - GL.PDF · p. 1 | Applicant Information Section - E-mail Address Chase.fox@marshmma.com | Source confirmation pending |
| AgencyCustomerID | VILLAHOMES11 | Acord 125 126 - GL.PDF · p. 1 | Applicant Information Section - Agency Customer ID VILLAHOMES11 | Source confirmation pending |
| NameInsured | Village Homes, LP | Acord 125 126 - GL.PDF · p. 1 | Applicant Information - Name and Mailing Address Village Homes, LP | Source confirmation pending |
| InsuredAddressLine1 | 3821 Camp Bowie Blvd. | Acord 125 126 - GL.PDF · p. 1 | Applicant Information - Mailing Address 3821 Camp Bowie Blvd. | Source confirmation pending |
| InsuredCity | Fort Worth | Acord 125 126 - GL.PDF · p. 1 | Applicant Information - Mailing Address Fort Worth | Source confirmation pending |
| InsuredState | TX | Acord 125 126 - GL.PDF · p. 1 | Applicant Information - Mailing Address TX | Source confirmation pending |
| InsuredZip | 76107 | Acord 125 126 - GL.PDF · p. 1 | Applicant Information - Mailing Address 76107 | Source confirmation pending |
| FEIN | 752657795 | Acord 125 126 - GL.PDF · p. 1 | Applicant Information - FEIN or SOC Sec # 752657795 | Source confirmation pending |
| LegalEntityType | LP | Acord 125 126 - GL.PDF · p. 1 | Applicant Information - Entity Type Village Homes, LP | Source confirmation pending |
| BusinessPhone | (817) 737-3377 | Acord 125 126 - GL.PDF · p. 1 | Applicant Information - Business Phone (817) 737-3377 | Source confirmation pending |
| Website | www.homesofcharacter.com | Acord 125 126 - GL.PDF · p. 1 | Applicant Information - Website Address www.homesofcharacter.com | Source confirmation pending |
| ProposedEffectiveDate | 09/26/2026 | Acord 125 126 - GL.PDF · p. 1 | Policy Information - Proposed Eff Date 09/26/2026 | Source confirmation pending |
| ProposedExpirationDate | 09/26/2027 | Acord 125 126 - GL.PDF · p. 1 | Policy Information - Proposed Exp Date 09/26/2027 | Source confirmation pending |
| TransactionType | Renew | Acord 125 126 - GL.PDF · p. 1 | Status of Transaction - Renew checkbox RENEW checked | Inspect marked answer |
| CasualtyClassCode | TBD | Acord 125 126 - GL.PDF · p. 1 | Applicant Information - GL Code GL Code blank | Source confirmation pending |
| RequestedLineOfBusiness | Commercial General Liability | Acord 125 126 - GL.PDF · p. 1 | Lines of Business - Commercial General Liability checkbox Commercial General Liability checked | Inspect marked answer |
| LocationNumber | 1 | Acord 125 126 - GL.PDF · p. 2 | Premises Information - LOC # 1 | Source confirmation pending |
| PremisesAddress | 2817 W 5th St., STE. B, Fort Worth, TX 76107 | Acord 125 126 - GL.PDF · p. 2 | Premises Information - Street, City, State, ZIP 2817 W 5th St., STE. B; Fort Worth; TX; 76107 | Source confirmation pending |
| PremisesCounty | Tarrant | Acord 125 126 - GL.PDF · p. 2 | Premises Information - County Tarrant | Source confirmation pending |
| DescriptionOfOperations | Custom Home Builder - Rental Dwellings/Duplexes | Acord 125 126 - GL.PDF · p. 2 | Nature of Business - Description of Primary Operations Custom Home Builder - Rental Dwellings/Duplexes | Source confirmation pending |
| InspectionContact | Michael Dike | Acord 125 126 - GL.PDF · p. 2 | Contact Information - Inspection Contact Michael Dike | Source confirmation pending |
| AccountingContact | Michael Dike | Acord 125 126 - GL.PDF · p. 2 | Contact Information - Accounting Contact Michael Dike | Source confirmation pending |
| OtherNamedInsured | FW Lone Oak Capital, LLC dba Michael Dike Fine Homes | Acord 125 126 - GL.PDF · p. 1 | Applicant Information - Other Named Insured FW Lone Oak Capital, LLC dba Michael Dike Fine Homes | Source confirmation pending |
| OtherNamedInsured | D H Management Inc | Acord 125 126 - GL.PDF · p. 1 | Applicant Information - Other Named Insured D H Management Inc | Source confirmation pending |
| AgencyCustomerID | VILLAHOMES11 | Acord 125 126 - GL.PDF · p. 4 | Agency Customer ID VILLAHOMES11 | Source confirmation pending |
| ProducerName | Rob Bridges | Acord 125 126 - GL.PDF · p. 4 | Producer's Name (Please Print) Rob Bridges | Source confirmation pending |
| AgencyName | Marsh & McLennan Agency LLC | Acord 125 126 - GL.PDF · p. 5 | Commercial General Liability Section / Agency Marsh & McLennan Agency LLC | Source confirmation pending |
| Carrier | TBD | Acord 125 126 - GL.PDF · p. 5 | Commercial General Liability Section / Carrier TBD | Source confirmation pending |
| ApplicationDate | 08/09/2026 | Acord 125 126 - GL.PDF · p. 5 | Date (MM/DD/YYYY) 08/09/2026 | Source confirmation pending |
| PolicyNumber | TBD | Acord 125 126 - GL.PDF · p. 5 | Policy Number TBD | Source confirmation pending |
| NameInsured | Village Homes, LP | Acord 125 126 - GL.PDF · p. 5 | Applicant / First Named Insured Village Homes, LP | Source confirmation pending |
| EffectiveDate | 2026-09-26 | Acord 125 126 - GL.PDF · p. 5 | Effective Date 09/26/2026 | Source confirmation pending |
| GLGeneralAggregateLimit | 2000000 | Acord 125 126 - GL.PDF · p. 5 | Coverage Limits / General Aggregate $2,000,000 | Source confirmation pending |
| GLProductsCompletedOperationsAggregateLimit | 2000000 | Acord 125 126 - GL.PDF · p. 5 | Coverage Limits / Products & Completed Operations Aggregate $2,000,000 | Source confirmation pending |
| GLPersonalAdvertisingInjuryLimit | 1000000 | Acord 125 126 - GL.PDF · p. 5 | Coverage Limits / Personal & Advertising Injury $1,000,000 | Source confirmation pending |
| GLEachOccurrenceLimit | 1000000 | Acord 125 126 - GL.PDF · p. 5 | Coverage Limits / Each Occurrence $1,000,000 | Source confirmation pending |
| GLDamageToPremisesRentedLimit | 100000 | Acord 125 126 - GL.PDF · p. 5 | Coverage Limits / Damage to Rented Premises $100,000 | Source confirmation pending |
| GLMedicalPaymentsLimit | 5000 | Acord 125 126 - GL.PDF · p. 5 | Coverage Limits / Medical Expense $5,000 | Source confirmation pending |
| GLDeductible | 100000 | Acord 125 126 - GL.PDF · p. 5 | Deductibles / Both PD & BI Both PD & BI $100,000 | Source confirmation pending |
| GLDeductibleBasis | Both PD & BI | Acord 125 126 - GL.PDF · p. 5 | Deductibles / Both PD & BI Both PD & BI | Source confirmation pending |
| OccurrenceCoverageCheckbox | checked | Acord 125 126 - GL.PDF · p. 5 | Commercial General Liability / Occurrence checkbox Occurrence [X] | Inspect marked answer |
| ClaimsMadeCoverageCheckbox | unchecked | Acord 125 126 - GL.PDF · p. 5 | Commercial General Liability / Claims Made checkbox Claims Made [ ] | Inspect marked answer |
| GeneralAggregateAppliesPerPolicyCheckbox | checked | Acord 125 126 - GL.PDF · p. 5 | Limit Applies Per / Policy checkbox Policy [X] | Inspect marked answer |
| GeneralAggregateAppliesPerLocationCheckbox | unchecked | Acord 125 126 - GL.PDF · p. 5 | Limit Applies Per / Location checkbox Location [ ] | Inspect marked answer |
| DeductibleBasis | Both PD & BI | Acord 125 126 - GL.PDF · p. 5 | DEDUCTIBLES: PER CLAIM / PER OCCURRENCE checkbox. Deductibles / Both PD & BI Both PD & BI | Inspect marked answer |
| AgencyName | Marsh & McLennan Agency LLC | Acord 125 126 - GL.PDF · p. 9 | Agency Marsh & McLennan Agency LLC | Source confirmation pending |
| NameInsured | Village Homes, LP | Acord 125 126 - GL.PDF · p. 9 | Named Insured Village Homes, LP | Source confirmation pending |
| NameInsured | D H Management Inc | Acord 125 126 - GL.PDF · p. 9 | Named Insured D H Management Inc | Source confirmation pending |
| PolicyNumber | TBD | Acord 125 126 - GL.PDF · p. 9 | Policy Number TBD | Source confirmation pending |
| LossRunCarrier | TBD | Acord 125 126 - GL.PDF · p. 9 | Carrier TBD | Source confirmation pending |
| EffectiveDate | 2026-09-26 | Acord 125 126 - GL.PDF · p. 9 | Effective Date 09/26/2026 | Source confirmation pending |
| FormNumber | 126 | Acord 125 126 - GL.PDF · p. 9 | Form Number FORM NUMBER: 126 | Source confirmation pending |
| FormTitle | Commercial General Liability Section | Acord 125 126 - GL.PDF · p. 9 | Form Title FORM TITLE: Commercial General Liability Section | Source confirmation pending |
| AgencyCustomerId | VILLAHOMES11 | Acord 125 126 - GL.PDF · p. 7 | Agency Customer ID VILLAHOMES11 | Source confirmation pending |
| ProducerName | Rob Bridges | Acord 125 126 - GL.PDF · p. 8 | Producer's Name (Please Print) Rob Bridges | Source confirmation pending |
| GeneralInformationQuestion1 | unknown | Acord 125 126 - GL.PDF · p. 7 | Question 1: Any medical facilities provided or medical professionals employed or contracted?; Y/N Any medical facilities provided or medical professionals employed or contracted? | Source confirmation pending |
| GeneralInformationQuestion2 | unknown | Acord 125 126 - GL.PDF · p. 7 | Question 2: Any exposure to radioactive/nuclear materials?; Y/N Any exposure to radioactive/nuclear materials? | Source confirmation pending |
| GeneralInformationQuestion3 | unknown | Acord 125 126 - GL.PDF · p. 7 | Question 3: Past, present or discontinued operations involving storing, treating, discharging, applying, disposing, or transporting hazardous material?; Y/N Do/have past, present or discontinued operations involve(d) storing, treating, discharging, applying, disposing, or transporting of hazardous material? | Source confirmation pending |
| GeneralInformationQuestion4 | unknown | Acord 125 126 - GL.PDF · p. 7 | Question 4: Any operations sold, acquired, or discontinued in last five years?; Y/N Any operations sold, acquired, or discontinued in last five (5) years? | Source confirmation pending |
| GeneralInformationQuestion5 | unknown | Acord 125 126 - GL.PDF · p. 7 | Question 5: Do you rent or loan equipment to others?; Y/N Do you rent or loan equipment to others? | Source confirmation pending |
| GeneralInformationQuestion6 | unknown | Acord 125 126 - GL.PDF · p. 7 | Question 6: Any watercraft, docks, floats owned, hired or leased?; Y/N Any watercraft, docks, floats owned, hired or leased? | Source confirmation pending |
| GeneralInformationQuestion7 | unknown | Acord 125 126 - GL.PDF · p. 7 | Question 7: Any parking facilities owned/rented?; Y/N Any parking facilities owned/rented? | Source confirmation pending |
| GeneralInformationQuestion8 | unknown | Acord 125 126 - GL.PDF · p. 7 | Question 8: Is a fee charged for parking?; Y/N Is a fee charged for parking? | Source confirmation pending |
| GeneralInformationQuestion9 | unknown | Acord 125 126 - GL.PDF · p. 7 | Question 9: Recreation facilities provided?; Y/N Recreation facilities provided? | Source confirmation pending |
| GeneralInformationQuestion10 | unknown | Acord 125 126 - GL.PDF · p. 7 | Question 10: Are there any lodging operations including apartments?; Y/N Are there any lodging operations including apartments? | Source confirmation pending |
| GeneralInformationQuestion11SwimmingPool | unknown | Acord 125 126 - GL.PDF · p. 7 | Question 11: Is there a swimming pool on premises?; Approved Fence, Limited Access, Diving Board, Slide, Above Ground, In Ground, Life Guard Is there a swimming pool on premises? (Check all that apply) | Source confirmation pending |
| GeneralInformationQuestion12 | unknown | Acord 125 126 - GL.PDF · p. 7 | Question 12: Are social events sponsored?; Y/N Are social events sponsored? | Source confirmation pending |
| GeneralInformationQuestion13 | unknown | Acord 125 126 - GL.PDF · p. 7 | Question 13: Are athletic teams sponsored?; Contact Sport Y/N; Age Group; Extent of Sponsorship Are athletic teams sponsored? | Source confirmation pending |
| GeneralInformationQuestion14 | unknown | Acord 125 126 - GL.PDF · p. 7 | Question 14: Any structural alterations contemplated?; Y/N Any structural alterations contemplated? | Source confirmation pending |
| GeneralInformationQuestion15 | unknown | Acord 125 126 - GL.PDF · p. 7 | Question 15: Any demolition exposure contemplated?; Y/N Any demolition exposure contemplated? | Source confirmation pending |
| GeneralInformationQuestion16 | unknown | Acord 125 126 - GL.PDF · p. 8 | Question 16: Has applicant been active in or is currently active in joint ventures?; Y/N Has applicant been active in or is currently active in joint ventures? | Source confirmation pending |
| GeneralInformationQuestion17 | unknown | Acord 125 126 - GL.PDF · p. 8 | Question 17: Do you lease employees to or from other employers?; Lease To/Lease From; Workers Compensation Coverage Carried Y/N Do you lease employees to or from other employers? | Source confirmation pending |
| GeneralInformationQuestion18 | unknown | Acord 125 126 - GL.PDF · p. 8 | Question 18: Is there a labor interchange with any other business or subsidiaries?; Y/N Is there a labor interchange with any other business or subsidiaries? | Source confirmation pending |
| GeneralInformationQuestion19 | unknown | Acord 125 126 - GL.PDF · p. 8 | Question 19: Are day care facilities operated or controlled?; Y/N Are day care facilities operated or controlled? | Source confirmation pending |
| GeneralInformationQuestion20 | unknown | Acord 125 126 - GL.PDF · p. 8 | Question 20: Have any crimes occurred or been attempted on your premises within the last three years?; Y/N Have any crimes occurred or been attempted on your premises within the last three (3) years? | Source confirmation pending |
| GeneralInformationQuestion21 | unknown | Acord 125 126 - GL.PDF · p. 8 | Question 21: Is there a formal, written safety and security policy in effect?; Y/N Is there a formal, written safety and security policy in effect? | Source confirmation pending |
| GeneralInformationQuestion22 | unknown | Acord 125 126 - GL.PDF · p. 8 | Question 22: Does the business's promotional literature make any representations about the safety or security of the premises?; Y/N Does the business' promotional literature make any representations about the safety or security of the premises? | Source confirmation pending |
| FormNumber | 126 | Acord 125 126 - GL.PDF · p. 10 | Form Number FORM NUMBER: 126 | Source confirmation pending |
| FormTitle | Commercial General Liability | Acord 125 126 - GL.PDF · p. 10 | Form Title FORM TITLE: Commercial General Liability | Source confirmation pending |
| CoverageCode | ZZ9Z | Acord 125 126 - GL.PDF · p. 10 | First populated schedule row, Cov Code ZZ9Z | Source confirmation pending |
| CoverageDescription | See Policy for Full List of Endorsements Applied to Policy | Acord 125 126 - GL.PDF · p. 10 | First populated schedule row, Description See Policy for Full List of En... | Source confirmation pending |
| CoverageCode | DCPGA | Acord 125 126 - GL.PDF · p. 10 | Second populated schedule row, Cov Code DCPGA | Source confirmation pending |
| CoverageDescription | Designated Construction Projects-General Aggregate Limit | Acord 125 126 - GL.PDF · p. 10 | Second populated schedule row, Description Designated Construction Projects | Source confirmation pending |
| FormNumber | ML1097 | Acord 125 126 - GL.PDF · p. 10 | Second populated schedule row, Form No. ML1097 | Source confirmation pending |
| EditionDate | 2009-05-01 | Acord 125 126 - GL.PDF · p. 10 | Second populated schedule row, Edition Date 2009-05-01 | Source confirmation pending |
| CoverageCode | HBLDR | Acord 125 126 - GL.PDF · p. 10 | Third populated schedule row, Cov Code HBLDR | Source confirmation pending |
| CoverageDescription | HomeBuilder Supplemental Endt - AI, WOS | Acord 125 126 - GL.PDF · p. 10 | Third populated schedule row, Description HomeBuilder Supplemental... | Source confirmation pending |
| FormNumber | ML1484 | Acord 125 126 - GL.PDF · p. 10 | Third populated schedule row, Form No. ML1484 | Source confirmation pending |
| EditionDate | 2020-02-01 | Acord 125 126 - GL.PDF · p. 10 | Third populated schedule row, Edition Date 2020-02-01 | Source confirmation pending |
| AgencyName | Marsh & McLennan Agency LLC | Acord 125 126 - GL.PDF · p. 11 | AGENCY Marsh & McLennan Agency LLC | Source confirmation pending |
| NameInsured | Village Homes, LP | Acord 125 126 - GL.PDF · p. 11 | NAMED INSURED, first line Village Homes, LP | Source confirmation pending |
| NameInsured | D H Management Inc | Acord 125 126 - GL.PDF · p. 11 | NAMED INSURED, second line D H Management Inc | Source confirmation pending |
| PolicyNumber | TBD | Acord 125 126 - GL.PDF · p. 11 | POLICY NUMBER TBD | Source confirmation pending |
| LossRunCarrier | TBD | Acord 125 126 - GL.PDF · p. 11 | CARRIER TBD | Source confirmation pending |
| EffectiveDate | 2026-09-26 | Acord 125 126 - GL.PDF · p. 11 | EFFECTIVE DATE 09/26/2026 | Source confirmation pending |
| AgencyCustomerID | VILLAHOMES11 | Acord 125 126 - GL.PDF · p. 11 | AGENCY CUSTOMER ID VILLAHOMES11 | Source confirmation pending |
| FormNumber | OFBAADC | Acord 125 126 - GL.PDF · p. 11 | FORM NUMBER OFBAADC | Source confirmation pending |
| FormTitle | Additional Coverages | Acord 125 126 - GL.PDF · p. 11 | FORM TITLE Additional Coverages | Source confirmation pending |
| AdditionalRemark | See Policy for Full List of Endorsements Applied to Policy | Acord 125 126 - GL.PDF · p. 11 | ADDITIONAL REMARKS, first line Cov Desc: See Policy for Full List of Endorsements Applied to Policy | Source confirmation pending |
| AdditionalRemark | Designated Construction Projects-General Aggregate Limit | Acord 125 126 - GL.PDF · p. 11 | ADDITIONAL REMARKS, second line Cov Desc: Designated Construction Projects-General Aggregate Limit | Source confirmation pending |
| AdditionalRemark | HomeBuilder Supplemental Endt - AI, WOS | Acord 125 126 - GL.PDF · p. 11 | ADDITIONAL REMARKS, third line Cov Desc: HomeBuilder Supplemental Endt - AI, WOS | Source confirmation pending |
| NameInsured | VILLAGE HOMES, LP | 24-25 GL loss runs.PDF · p. 1 | Insured Insured: VILLAGE HOMES, LP | Source confirmation pending |
| PolicyNumber | 04 GL 5012673 | 24-25 GL loss runs.PDF · p. 1 | Policy row 04 GL 5012673 | Source confirmation pending |
| HistoricalPolicyEffectiveDate | 09/26/2024 | 24-25 GL loss runs.PDF · p. 1 | Policy row / Effective Date 09/26/2024 | Source confirmation pending |
| HistoricalPolicyExpirationDate | 09/26/2025 | 24-25 GL loss runs.PDF · p. 1 | Policy row / Expiration 09/26/2025 | Source confirmation pending |
| TotalPaidIndemnity | $0.00 | 24-25 GL loss runs.PDF · p. 1 | Total for Selected Policies / Paid Losses $0.00 | Source confirmation pending |
| TotalOutstandingReserve | $0.00 | 24-25 GL loss runs.PDF · p. 1 | Total for Selected Policies / OS Reserve $0.00 | Source confirmation pending |
| TotalRecovery | $0.00 | 24-25 GL loss runs.PDF · p. 1 | Total for Selected Policies / Recovery $0.00 | Source confirmation pending |
| TotalSalvage | $0.00 | 24-25 GL loss runs.PDF · p. 1 | Total for Selected Policies / Salvage $0.00 | Source confirmation pending |
| TotalIncurred | $3,464.27 | 24-25 GL loss runs.PDF · p. 1 | Total for Selected Policies / Net Incurred $3,464.27 | Source confirmation pending |
| TotalAllocatedExpense | $3,464.27 | 24-25 GL loss runs.PDF · p. 1 | Total for Selected Policies / Allocated EX $3,464.27 | Source confirmation pending |
| LossReportGeneratedDate | 8/19/2026 9:54:22 AM | 24-25 GL loss runs.PDF · p. 1 | Footer 8/19/2026 9:54:22 AM | Source confirmation pending |
| ClaimNumber | 2008996 | 24-25 GL loss runs.PDF · p. 2 | Claim Number Claim Number: 2008996 | Source confirmation pending |
| ClaimLossDate | 11-25-2024 | 24-25 GL loss runs.PDF · p. 2 | Loss Date Loss Date: 11-25-2024 | Source confirmation pending |
| ClaimLossState | TX | 24-25 GL loss runs.PDF · p. 2 | Loss State Loss State: TX | Source confirmation pending |
| ClaimCloseDate | 06-18-2025 | 24-25 GL loss runs.PDF · p. 2 | Close Date Close Date: 06-18-2025 | Source confirmation pending |
| ClaimDescription | WALKER BUSH CLMT MAKING ALLEGATIONS OF BLACK MOLD DUE TO A LEAK 14329 OVERLOOK PARK TX | 24-25 GL loss runs.PDF · p. 2 | Claim Description Claim Description: WALKER BUSH CLMT MAKING ALLEGATIONS OF BLACK MOLD DUE TO A LEAK 14329 OVERLOOK PARK TX | Source confirmation pending |
| ClaimTotalIncurred | $3,464.27 | 24-25 GL loss runs.PDF · p. 2 | Claim Total - 2008996 / Net Incurred Allocated EX $3,464.27 | Source confirmation pending |
| ClaimTotalGrossIncurred | $3,464.27 | 24-25 GL loss runs.PDF · p. 2 | Claim Total - 2008996 / Gross Incurred $3,464.27 | Source confirmation pending |
| PolicyTotalIncurred | $3,464.27 | 24-25 GL loss runs.PDF · p. 2 | Policy Total - 04 GL 5012673 Policy Total - 04 GL 5012673: $0.00 $0.00 $3,464.27 $3,464.27 | Source confirmation pending |
| GrandTotalIncurred | $3,464.27 | 24-25 GL loss runs.PDF · p. 2 | Grand Totals Grand Totals: $0.00 $0.00 $3,464.27 $3,464.27 | Source confirmation pending |
| ClaimCount | 1 | 24-25 GL loss runs.PDF · p. ? | Distinct printed claim identifiers in source claim rows | Source confirmation pending |
| TotalPaid | 0.00 | 24-25 GL loss runs.PDF · p. ? | Sum of complete identified claim paid-loss cells | Source confirmation pending |
| NameInsured | VILLAGE HOMES LP | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Insured Insured: VILLAGE HOMES LP | Source confirmation pending |
| LossHistoryLabel | Loss History | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Page title Loss History | Source confirmation pending |
| PolicyNumber_1 | 04 GL 1105157 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Policy table row 1, Policy 04 GL 1105157 | Source confirmation pending |
| PolicyPeriod_1 | 09/26/2023 - 09/26/2024 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Policy table row 1, Effective Date / Expiration 09/26/2023 09/26/2024 | Source confirmation pending |
| PolicyNetIncurred_1 | 0.00 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Policy table row 1, Net Incurred Allocated EX $0.00 $0.00 | Source confirmation pending |
| PolicyNumber_2 | 04 GL 1086701 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Policy table row 2, Policy 04 GL 1086701 | Source confirmation pending |
| PolicyPeriod_2 | 09/26/2022 - 09/26/2023 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Policy table row 2, Effective Date / Expiration 09/26/2022 09/26/2023 | Source confirmation pending |
| PolicyNetIncurred_2 | 12048.00 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Policy table row 2, Net Incurred Allocated EX $12,048.00 $12,048.00 | Source confirmation pending |
| PolicyNumber_3 | 04 GL 1067693 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Policy table row 3, Policy 04 GL 1067693 | Source confirmation pending |
| PolicyPeriod_3 | 09/26/2021 - 09/26/2022 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Policy table row 3, Effective Date / Expiration 09/26/2021 09/26/2022 | Source confirmation pending |
| PolicyNumber_4 | 04 GL 1047530 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Policy table row 4, Policy 04 GL 1047530 | Source confirmation pending |
| PolicyPeriod_4 | 09/26/2020 - 09/26/2021 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Policy table row 4, Effective Date / Expiration 09/26/2020 09/26/2021 | Source confirmation pending |
| PolicyNumber_5 | 04 GL 1026654 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Policy table row 5, Policy 04 GL 1026654 | Source confirmation pending |
| PolicyPeriod_5 | 09/26/2019 - 09/26/2020 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Policy table row 5, Effective Date / Expiration 09/26/2019 09/26/2020 | Source confirmation pending |
| PolicyNumber_6 | 04 GL 1004861 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Policy table row 6, Policy 04 GL 1004861 | Source confirmation pending |
| PolicyPeriod_6 | 09/26/2018 - 09/26/2019 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Policy table row 6, Effective Date / Expiration 09/26/2018 09/26/2019 | Source confirmation pending |
| PolicyNumber_7 | 04 GL 989648 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Policy table row 7, Policy 04 GL 989648 | Source confirmation pending |
| PolicyPeriod_7 | 09/26/2017 - 09/26/2018 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Policy table row 7, Effective Date / Expiration 09/26/2017 09/26/2018 | Source confirmation pending |
| PolicyNumber_8 | 04 GL 961268 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Policy table row 8, Policy 04 GL 961268 | Source confirmation pending |
| PolicyPeriod_8 | 09/26/2016 - 09/26/2017 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Policy table row 8, Effective Date / Expiration 09/26/2016 09/26/2017 | Source confirmation pending |
| PolicyNetIncurred_8 | 8138.72 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Policy table row 8, Net Incurred Allocated EX $8,138.72 $8,138.72 | Source confirmation pending |
| PolicyNumber_9 | 04 GL 938281 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Policy table row 9, Policy 04 GL 938281 | Source confirmation pending |
| PolicyPeriod_9 | 09/26/2015 - 09/26/2016 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Policy table row 9, Effective Date / Expiration 09/26/2015 09/26/2016 | Source confirmation pending |
| PolicyNumber_10 | 04 GL 919886 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Policy table row 10, Policy 04 GL 919886 | Source confirmation pending |
| PolicyPeriod_10 | 09/26/2014 - 09/26/2015 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Policy table row 10, Effective Date / Expiration 09/26/2014 09/26/2015 | Source confirmation pending |
| TotalPaidLosses | 0.00 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Total for Selected Policies, Paid Losses $0.00 | Source confirmation pending |
| TotalOSReserve | 0.00 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Total for Selected Policies, OS Reserve $0.00 | Source confirmation pending |
| TotalRecovery | 0.00 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Total for Selected Policies, Recovery $0.00 | Source confirmation pending |
| TotalSalvage | 0.00 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Total for Selected Policies, Salvage $0.00 | Source confirmation pending |
| TotalNetIncurred | 20186.72 | 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF · p. 1 | Total for Selected Policies, Net Incurred Allocated EX $20,186.72 $20,186.72 | Source confirmation pending |
| ContactTeam | Team ATEEK - NEW and Renewal Business contacts | image-9df0874437d64785834115d9574c9638.png · p. 1 | Top heading, left section Team ATEEK - NEW and Renewal Business contacts | Source confirmation pending |
| ContactTeam | Team ATEEK - Post BIND contacts | image-9df0874437d64785834115d9574c9638.png · p. 1 | Top heading, right section Team ATEEK - Post BIND contacts | Source confirmation pending |
| ContactName | Steven Ateek | image-9df0874437d64785834115d9574c9638.png · p. 1 | Leftmost contact card Steven Ateek | Source confirmation pending |
| ContactRole | Senior Vice President - Casualty | image-9df0874437d64785834115d9574c9638.png · p. 1 | Steven Ateek contact card Senior Vice President - Casualty | Source confirmation pending |
| DirectPhone | 469-385-1115 | image-9df0874437d64785834115d9574c9638.png · p. 1 | Steven Ateek contact card, Direct Direct / 469-385-1115 | Source confirmation pending |
| CellPhone | 972-814-3007 | image-9df0874437d64785834115d9574c9638.png · p. 1 | Steven Ateek contact card, Cell Cell / 972-814-3007 | Source confirmation pending |
| ContactEmail | sateek@swrisk.com | image-9df0874437d64785834115d9574c9638.png · p. 1 | Steven Ateek contact card, Email Email / sateek@swrisk.com | Source confirmation pending |
| ContactName | Teresa Cope | image-9df0874437d64785834115d9574c9638.png · p. 1 | Second contact card Teresa Cope | Source confirmation pending |
| ContactRole | Marketing Broker | image-9df0874437d64785834115d9574c9638.png · p. 1 | Teresa Cope contact card Marketing Broker | Source confirmation pending |
| DirectPhone | 469-385-1087 | image-9df0874437d64785834115d9574c9638.png · p. 1 | Teresa Cope contact card, Direct Direct / 469-385-1087 | Source confirmation pending |
| ContactEmail | tcope@swrisk.com | image-9df0874437d64785834115d9574c9638.png · p. 1 | Teresa Cope contact card, Email Email / tcope@swrisk.com | Source confirmation pending |
| ContactName | Lyndsay Blackwell | image-9df0874437d64785834115d9574c9638.png · p. 1 | Third contact card Lyndsay Blackwell | Source confirmation pending |
| ContactRole | Marketing Broker | image-9df0874437d64785834115d9574c9638.png · p. 1 | Lyndsay Blackwell contact card Marketing Broker | Source confirmation pending |
| DirectPhone | 469-283-1710 | image-9df0874437d64785834115d9574c9638.png · p. 1 | Lyndsay Blackwell contact card, Direct Direct / 469-283-1710 | Source confirmation pending |
| ContactEmail | lblackwell@swrisk.com | image-9df0874437d64785834115d9574c9638.png · p. 1 | Lyndsay Blackwell contact card, Email Email / lblackwell@swrisk.com | Source confirmation pending |
| ContactName | Lori Ramsey | image-9df0874437d64785834115d9574c9638.png · p. 1 | Fourth contact card Lori Ramsey | Source confirmation pending |
| ContactRole | Account Manager | image-9df0874437d64785834115d9574c9638.png · p. 1 | Lori Ramsey contact card Account Manager | Source confirmation pending |
| DirectPhone | 469-385-1067 | image-9df0874437d64785834115d9574c9638.png · p. 1 | Lori Ramsey contact card, Direct Direct / 469-385-1067 | Source confirmation pending |
| ContactEmail | lramsey@swrisk.com | image-9df0874437d64785834115d9574c9638.png · p. 1 | Lori Ramsey contact card, Email Email / lramsey@swrisk.com | Source confirmation pending |
| ContactName | Mary Douthit | image-9df0874437d64785834115d9574c9638.png · p. 1 | Fifth contact card Mary Douthit | Source confirmation pending |
| ContactEmail | mdouthit@swrisk.com | image-9df0874437d64785834115d9574c9638.png · p. 1 | Mary Douthit contact card, Email Email / mdouthit@swrisk.com | Source confirmation pending |
| ContactName | Shelly McCabe | image-9df0874437d64785834115d9574c9638.png · p. 1 | Rightmost contact card Shelly McCabe | Source confirmation pending |
| ContactRole | Account Manager | image-9df0874437d64785834115d9574c9638.png · p. 1 | Shelly McCabe contact card Account Manager | Source confirmation pending |
| DirectPhone | 469-385-1062 | image-9df0874437d64785834115d9574c9638.png · p. 1 | Shelly McCabe contact card, Direct Direct / 469-385-1062 | Source confirmation pending |
| ContactEmail | smccabe@swrisk.com | image-9df0874437d64785834115d9574c9638.png · p. 1 | Shelly McCabe contact card, Email Email / smccabe@swrisk.com | Source confirmation pending |
| NameInsured | Village Homes, LP | Markel Contractor's Supplemental Application (1).PDF · p. 1 | NAME AND MAILING ADDRESS OF APPLICANT Village Homes, LP | Source confirmation pending |
| InsuredAddressLine1 | 2817 W. 5th Street, Suite B | Markel Contractor's Supplemental Application (1).PDF · p. 1 | NAME AND MAILING ADDRESS OF APPLICANT 2817 W. 5th Street, Suite B | Source confirmation pending |
| InsuredCity | Fort Worth | Markel Contractor's Supplemental Application (1).PDF · p. 1 | NAME AND MAILING ADDRESS OF APPLICANT Fort Worth | Source confirmation pending |
| InsuredState | TX | Markel Contractor's Supplemental Application (1).PDF · p. 1 | NAME AND MAILING ADDRESS OF APPLICANT TX | Source confirmation pending |
| InsuredZip | 76107 | Markel Contractor's Supplemental Application (1).PDF · p. 1 | NAME AND MAILING ADDRESS OF APPLICANT 76107 | Source confirmation pending |
| YearsInBusiness | 30 | Markel Contractor's Supplemental Application (1).PDF · p. 1 | Question 1 - Time in business 30 | Source confirmation pending |
| YearsOfExperience | 30 | Markel Contractor's Supplemental Application (1).PDF · p. 1 | Question 1 - Years of experience 30 | Source confirmation pending |
| Licensed | unchecked | Markel Contractor's Supplemental Application (1).PDF · p. 1 | Question 1 - Licensed? Yes Yes [unchecked] | Inspect marked answer |
| Licensed | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 1 | Question 1 - Licensed? No No [checked] | Source confirmation pending |
| GeneralContractorPercentage | 100 | Markel Contractor's Supplemental Application (1).PDF · p. 1 | Question 2 - General Contractor 100 % | Source confirmation pending |
| DeveloperPercentage | 0 | Markel Contractor's Supplemental Application (1).PDF · p. 1 | Question 2 - Developer 0 % | Source confirmation pending |
| SubcontractorPercentage | 0 | Markel Contractor's Supplemental Application (1).PDF · p. 1 | Question 2 - Subcontractor 0 % | Source confirmation pending |
| ConstructionManagerPercentage | 0 | Markel Contractor's Supplemental Application (1).PDF · p. 1 | Question 2 - Construction Manager 0 % | Source confirmation pending |
| StatesWorkedIn | Texas | Markel Contractor's Supplemental Application (1).PDF · p. 1 | Question 5 - States worked in Texas | Source confirmation pending |
| OwnersOfficersPartnersPayroll | 0.00 | Markel Contractor's Supplemental Application (1).PDF · p. 1 | Question 6 - Payroll of owners, officer, and partners $0.00 | Source confirmation pending |
| EmployeePayroll | 0.00 | Markel Contractor's Supplemental Application (1).PDF · p. 1 | Question 6 - Payroll of employees $0.00 | Source confirmation pending |
| LeasedTemporaryCasualLaborCost | 0.00 | Markel Contractor's Supplemental Application (1).PDF · p. 1 | Question 6 - Cost of leased, temporary, staffing service, casual labor $0.00 | Source confirmation pending |
| TotalPayroll | 0.00 | Markel Contractor's Supplemental Application (1).PDF · p. 1 | Question 6 - Total payroll $0.00 | Source confirmation pending |
| LicensedArchitectsSurveyorsEngineersOrAgents | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 1 | Question 7 - Do you employ any licensed architects, surveyors, engineers, Real Estate agents or brokers? No No [checked] | Source confirmation pending |
| WrapUpOrOCPPolicies | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 1 | Question 8 - Prior or planned jobs covered under wrap-up or OCP policies? No No [checked] | Source confirmation pending |
| ResidentialOperationsPercentage | 100 | Markel Contractor's Supplemental Application (1).PDF · p. 2 | Question 9 - Overall operations: Residential Residential 100 % | Source confirmation pending |
| CommercialOperationsPercentage | 0 | Markel Contractor's Supplemental Application (1).PDF · p. 2 | Question 9 - Overall operations: Commercial Commercial 0 % | Source confirmation pending |
| PublicWorksPercentage | 0 | Markel Contractor's Supplemental Application (1).PDF · p. 2 | Question 9 - Overall operations: Public Works Public Works 0 % | Source confirmation pending |
| ResidentialNewPercentage | 100 | Markel Contractor's Supplemental Application (1).PDF · p. 2 | Question 9 - Residential: New New 100 % | Source confirmation pending |
| ResidentialRemodelPercentage | 0 | Markel Contractor's Supplemental Application (1).PDF · p. 2 | Question 9 - Residential: Remodel Remodel 0 % | Source confirmation pending |
| CondominiumsTownhousesPercentage | 45 | Markel Contractor's Supplemental Application (1).PDF · p. 2 | Question 9 - Residential: Condominiums/Townhouses 45 % | Source confirmation pending |
| CustomHomesPercentage | 55 | Markel Contractor's Supplemental Application (1).PDF · p. 2 | Question 9 - Residential: Custom Homes 55 % | Source confirmation pending |
| ResidentialProjectExceedingTwentyHomesUnits | checked Yes | Markel Contractor's Supplemental Application (1).PDF · p. 2 | Question 9 - Residential project exceeding twenty homes/units? Yes Yes [checked] | Source confirmation pending |
| SubcontractorGLMinimumLimit | 1000000 | Markel Contractor's Supplemental Application (1).PDF · p. 2 | Question 10 - Minimum General Liability limits required 1,000,000 | Source confirmation pending |
| SubcontractorCertificatesGLAndWC | checked Yes | Markel Contractor's Supplemental Application (1).PDF · p. 2 | Question 10 - Certificates of Insurance for GL and WC from all subcontractors? Yes Yes [checked] | Source confirmation pending |
| WrittenSubcontractorContracts | checked Yes | Markel Contractor's Supplemental Application (1).PDF · p. 2 | Question 10 - Written contracts obtained from all subcontractors? Yes Yes [checked] | Source confirmation pending |
| SubcontractorHoldHarmless | checked Yes | Markel Contractor's Supplemental Application (1).PDF · p. 2 | Question 10 - Contracts contain Hold Harmless clause? Yes Yes [checked] | Source confirmation pending |
| AdditionalInsuredOnSubcontractorPolicies | checked Yes | Markel Contractor's Supplemental Application (1).PDF · p. 2 | Question 10 - Named as Additional Insured on all subcontractor policies? Yes Yes [checked] | Source confirmation pending |
| SameSubcontractorsNormallyUsed | checked Yes | Markel Contractor's Supplemental Application (1).PDF · p. 2 | Question 10 - Normally use the same subcontractors? Yes Yes [checked] | Source confirmation pending |
| CasualLaborUsed | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 2 | Question 10 - Use any casual labor? No No [checked] | Source confirmation pending |
| LeasedEmployeesUsed | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 2 | Question 10 - Use any leased employees? No No [checked] | Source confirmation pending |
| WorkSubcontractedPercentage | 100 | Markel Contractor's Supplemental Application (1).PDF · p. 2 | Question 10 - Percentage of work subbed out 100 % | Source confirmation pending |
| WorkersCompensationInsurance | checked Yes | Markel Contractor's Supplemental Application (1).PDF · p. 2 | Question 10 - Carry Worker's Compensation insurance? Yes Yes [checked] | Source confirmation pending |
| ProjectedPayroll | 18000000 | Markel Contractor's Supplemental Application (1).PDF · p. 2 | Question 11 - Projected next 12 months - Payroll $18,000,000.00 | Source confirmation pending |
| TotalProjectedRevenue | 29250000 | Markel Contractor's Supplemental Application (1).PDF · p. 2 | Question 11 - Projected next 12 months - Receipts $29,250,000.00 | Source confirmation pending |
| ProjectedSubcontractorsCost | 16672500 | Markel Contractor's Supplemental Application (1).PDF · p. 2 | Question 11 - Projected next 12 months - Subcontractors Cost $16,672,500.00 | Source confirmation pending |
| AverageCompletedJobValue | 550000 | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 14 - Dollar value of average completed job $550,000.00 | Source confirmation pending |
| EquipmentRentalToOthers | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 16 - Equipment rental to others? No No [checked] | Source confirmation pending |
| MobileEquipmentLeased | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 17 - Lease mobile equipment? No No [checked] | Source confirmation pending |
| CraneUse | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 17 - Do you use cranes? No No [checked] | Source confirmation pending |
| FireWaterOrMoldDamageRepairs | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 18 - Repairs of fire damage, water damage, or mold damage? No No [checked] | Source confirmation pending |
| ExplosivesUsed | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 19 - Do you use explosives? No No [checked] | Source confirmation pending |
| FlammablesStoredOnSite | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 20 - Flammables stored on site? No No [checked] | Source confirmation pending |
| RefineryWork | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 21 - Refineries No No [checked] | Source confirmation pending |
| GasStationWork | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 21 - Gas Stations No No [checked] | Source confirmation pending |
| ChemicalPlantWork | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 21 - Chemical Plants No No [checked] | Source confirmation pending |
| AirportWork | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 21 - Airports No No [checked] | Source confirmation pending |
| RailroadWork | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 21 - Railroads No No [checked] | Source confirmation pending |
| HospitalWork | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 21 - Hospitals No No [checked] | Source confirmation pending |
| PublicUtilityWork | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 21 - Public Utilities No No [checked] | Source confirmation pending |
| CaissonWork | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 22 - Caissons No No [checked] | Source confirmation pending |
| PiersWork | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 22 - Piers No No [checked] | Source confirmation pending |
| RetainingWallsWork | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 22 - Retaining Walls No No [checked] | Source confirmation pending |
| ShoringWork | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 22 - Shoring No No [checked] | Source confirmation pending |
| UnderpinningWork | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 22 - Underpinning No No [checked] | Source confirmation pending |
| OtherStructuralEngineeringWork | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 22 - Other structural engineering? No No [checked] | Source confirmation pending |
| WorkAboveTwoStories | checked Yes | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 23 - Work above two stories? Yes Yes [checked] | Source confirmation pending |
| WorkAboveTwoStoriesPercentage | 20 | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 23 - Percentage 20 % | Source confirmation pending |
| MaximumHeightStories | 3 | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 23 - Maximum height 3 | Source confirmation pending |
| WorkAboveTwoStoriesExplanation | 3-story townhomes | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 23 - Please explain 3-story townhomes | Source confirmation pending |
| WorkBelowGroundLevel | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 24 - Work below ground level? No No [checked] | Source confirmation pending |
| WorkOnHillsidesHilltopsSlopesOrLandfills | checked No | Markel Contractor's Supplemental Application (1).PDF · p. 3 | Question 25 - Work on hillsides, hilltops, slopes, or landfills? No No [checked] | Source confirmation pending |
| RoofRepairReplaceNewRoofQuestion | No | Markel Contractor's Supplemental Application (1).PDF · p. 4 | Question 26, checkbox question: Have you in the past or do you plan any repair, replace or new roofs? No checkbox No | Inspect marked answer |
| FiredOrReplacedOnJobQuestion | No | Markel Contractor's Supplemental Application (1).PDF · p. 4 | Question 27, checkbox question: In the past three years, have you been fired or replaced on a job in progress? No checkbox No | Inspect marked answer |
| ReplacedAnotherContractorQuestion | No | Markel Contractor's Supplemental Application (1).PDF · p. 4 | Question 27, checkbox question: Have you replaced another contractor on a job in progress? No checkbox No | Inspect marked answer |
| ClaimsLossesSuitsPastFiveYearsQuestion | Yes | Markel Contractor's Supplemental Application (1).PDF · p. 4 | Question 27, checkbox question: Were there any claims, losses, or suits against you in the past five years? Yes checkbox Yes | Inspect marked answer |
| PendingClaimsOrLegalActionsQuestion | Unknown | Markel Contractor's Supplemental Application (1).PDF · p. 4 | Question 27, checkbox question: Are there any claims or legal actions pending against any of the entities named in the application? Yes/No checkboxes both unchecked Yes [unchecked] No [unchecked] | Inspect marked answer |
| PreExistingActOrConditionQuestion | No | Markel Contractor's Supplemental Application (1).PDF · p. 4 | Question 27, checkbox question: Do any of the entities named in the application have knowledge of any pre-existing act, omission, event, condition, or damage to any person or property that may potentially give rise to any future claim or legal action? No checkbox No | Inspect marked answer |
| FaultyConstructionAccusationQuestion | No | Markel Contractor's Supplemental Application (1).PDF · p. 4 | Question 27, checkbox question: Have you been accused of faulty construction in the past five years? No checkbox No | Inspect marked answer |
| BreachOfContractAccusationQuestion | Unknown | Markel Contractor's Supplemental Application (1).PDF · p. 4 | Question 27, checkbox question: Have you been accused of breaching a contract in the past five years? Yes/No checkboxes both unchecked Yes [unchecked] No [unchecked] | Inspect marked answer |
| ApplicantName | Jennifer Olson | Markel Contractor's Supplemental Application (1).PDF · p. 5 | Signature block, Name of Applicant Jennifer Olson | Source confirmation pending |
| ApplicantTitle | Accounting Manager | Markel Contractor's Supplemental Application (1).PDF · p. 5 | Signature block, Title Accounting Manager | Source confirmation pending |
| ApplicantSignature | Jennifer Olson | Markel Contractor's Supplemental Application (1).PDF · p. 5 | Signature block, Signature of Applicant Jennifer Olson | Source confirmation pending |
| ApplicationSignatureDate | 07/29/2026 | Markel Contractor's Supplemental Application (1).PDF · p. 5 | Signature block, Date 07/29/2026 | Source confirmation pending |
| CertificateTitle | Markel Contractor's Supplemental Application | Markel Contractor's Supplemental Application (1).PDF · p. 6 | Certificate of Completion Summary, Title Markel Contractor's Supplemental Application | Source confirmation pending |
| CertificateFileName | Markel Contractor's Supplemental Application.pdf | Markel Contractor's Supplemental Application (1).PDF · p. 6 | Certificate of Completion Summary, File name Markel Contractor's Supplemental Application.pdf | Source confirmation pending |
| CertificateStatus | Completed | Markel Contractor's Supplemental Application (1).PDF · p. 6 | Certificate of Completion Summary, Status Completed | Source confirmation pending |
| DocumentGuid | ssAogaAq8YQOgPdBj_J_rv8MZ6MMJEfH | Markel Contractor's Supplemental Application (1).PDF · p. 6 | Certificate of Completion Summary, Document guid ssAogaAq8YQOgPdBj_J_rv8MZ6MMJEfH | Source confirmation pending |
| DocumentPageCount | 6 | Markel Contractor's Supplemental Application (1).PDF · p. 6 | Certificate of Completion Summary, Number of pages 6 | Source confirmation pending |
| DocumentESignatureCount | 1 | Markel Contractor's Supplemental Application (1).PDF · p. 6 | Certificate of Completion Summary, Number of e-signatures 1 | Source confirmation pending |
| DocumentHistoryTimestamp | 2026-07-29 04:08:03 PM CDT | Markel Contractor's Supplemental Application (1).PDF · p. 6 | Document History, signed timestamp 2026-07-29 04:08:03 PM CDT | Source confirmation pending |
| DocumentHistorySigner | Jennifer Olson | Markel Contractor's Supplemental Application (1).PDF · p. 6 | Document History, Signed by Signed by Jennifer Olson (jennifer@homesofcharacter.com) | Source confirmation pending |
| DocumentHistorySignerEmail | jennifer@homesofcharacter.com | Markel Contractor's Supplemental Application (1).PDF · p. 6 | Document History, signer email jennifer@homesofcharacter.com | Source confirmation pending |
| DocumentHistoryIP | 68.184.189.50 | Markel Contractor's Supplemental Application (1).PDF · p. 6 | Document History, IP IP 68.184.189.50 | Source confirmation pending |
| NameInsured | Village Homes, LP | 2025-2026 GL.PDF · p. 1 | Insured Name; policy row Village Homes, LP | Source confirmation pending |
| PolicyNumber | AC010002490 | 2025-2026 GL.PDF · p. 1 | Policy Number; policy row AC010002490 | Source confirmation pending |
| HistoricalPolicyEffectiveDate | 9/26/2025 | 2025-2026 GL.PDF · p. 1 | Effective Date; policy row 9/26/2025 | Source confirmation pending |
| HistoricalPolicyExpirationDate | 9/26/2026 | 2025-2026 GL.PDF · p. 1 | Expiration Date; policy row 9/26/2026 | Source confirmation pending |
| LossReportAsOfDate | 6/30/2026 | 2025-2026 GL.PDF · p. 1 | Valuation Date 6/30/2026 | Source confirmation pending |
| LossHistorySummary | Loss Summary Report | 2025-2026 GL.PDF · p. 1 | Report title Loss Summary Report | Source confirmation pending |
| TotalIncurred | 0 | 2025-2026 GL.PDF · p. 1 | Total Incurred; policy row $0 | Source confirmation pending |
| OpenClaimCount | 0 | 2025-2026 GL.PDF · p. 1 | Open; policy row 0 | Source confirmation pending |
| Recovery | 0 | 2025-2026 GL.PDF · p. 1 | Recovery; policy row 0 | Source confirmation pending |
| InjuryLoss | 0 | 2025-2026 GL.PDF · p. 1 | Injury; policy row 0 | Source confirmation pending |
| PropertyLoss | 0 | 2025-2026 GL.PDF · p. 1 | Property; policy row 0 | Source confirmation pending |
| TotalLoss | 0 | 2025-2026 GL.PDF · p. 1 | Total; policy row 0 | Source confirmation pending |
| ReportFilterEffectiveDate | 1/1/2000 | 2025-2026 GL.PDF · p. 1 | Effective Date filter 1/1/2000 | Source confirmation pending |
| ReportFilterEndDate | 6/30/2026 | 2025-2026 GL.PDF · p. 1 | Effective Date filter end date 6/30/2026 | Source confirmation pending |
| TransactionType | New Vendor / Trade | Village Homes - New Vendor Contract.PDF · p. 1 | Document heading: "Village Homes Check List - New Vendor / Trade" Village Homes Check List - New Vendor / Trade | Source confirmation pending |
| MasterContractChecklist | unchecked | Village Homes - New Vendor Contract.PDF · p. 1 | Checkbox question: Master Contract Master Contract | Inspect marked answer |
| InsuranceChecklist | unchecked | Village Homes - New Vendor Contract.PDF · p. 1 | Checkbox question: Insurance Insurance | Inspect marked answer |
| WorkersCompensationAgreementChecklist | unchecked | Village Homes - New Vendor Contract.PDF · p. 1 | Checkbox question: Worker's Compensation Agreement Worker's Compensation Agreement | Inspect marked answer |
| ContactSheetChecklist | unchecked | Village Homes - New Vendor Contract.PDF · p. 1 | Checkbox question: Contact Sheet Contact Sheet | Inspect marked answer |
| IdentificationChecklist | unchecked | Village Homes - New Vendor Contract.PDF · p. 1 | Checkbox question: Identification Identification | Inspect marked answer |
| W9TaxFormChecklist | unchecked | Village Homes - New Vendor Contract.PDF · p. 1 | Checkbox question: W-9 Tax Form W-9 Tax Form | Inspect marked answer |
| ScopeOfWorkChecklist | unchecked | Village Homes - New Vendor Contract.PDF · p. 1 | Checkbox question: Scope of Work Scope of Work | Inspect marked answer |
| SchedulePricingAddendumChecklist | unchecked | Village Homes - New Vendor Contract.PDF · p. 1 | Checkbox question: Schedule Pricing Addendum Schedule Pricing Addendum | Inspect marked answer |
| CertificateHolderName | Village Homes | Village Homes - New Vendor Contract.PDF · p. 2 | Certificate holder address block Village Homes | Source confirmation pending |
| CertificateHolderAddress | 2817 W. 5 th Street, Fort Worth, Texas 76107 | Village Homes - New Vendor Contract.PDF · p. 2 | Certificate holder address block 2817 W. 5 th Street Fort Worth, Texas 76107 | Source confirmation pending |
| GeneralLiabilityAdditionalInsuredRequirement | Village Homes must be shown as an additional insured and certificate holder | Village Homes - New Vendor Contract.PDF · p. 2 | Opening insurance certificate instruction Please return your certificate of General Liability Insurance showing Village Homes as an additional insured and certificate holder listed as follows: | Source confirmation pending |
| GLEachOccurrenceLimit | $1,000,000 | Village Homes - New Vendor Contract.PDF · p. 2 | Coverage requirement 1 $1,000,000 for each occurrence | Source confirmation pending |
| GLGeneralAggregateLimit | $2,000,000 | Village Homes - New Vendor Contract.PDF · p. 2 | Coverage requirement 1 $2,000,000 aggregate | Source confirmation pending |
| GLPersonalInjuryLiabilityLimit | $1,000,000 | Village Homes - New Vendor Contract.PDF · p. 2 | Coverage requirement 2 Personal Injury Liability - $1,000,000 limit of liability | Source confirmation pending |
| GLPersonalInjuryAgreements | Agreements A, B, & C | Village Homes - New Vendor Contract.PDF · p. 2 | Coverage requirement 2 include agreements A, B, &C. | Source confirmation pending |
| InvoiceSubmissionAddress | Village Homes, 2817 W. 5th Street, Suite B, Fort Worth, Texas 76107 | Village Homes - New Vendor Contract.PDF · p. 3 | Invoice Submittals physical address Village Homes 2817 W. 5th Street, Suite B Fort Worth, Texas 76107 | Source confirmation pending |
| InvoiceSubmissionEmail | Invoices@homesofcharacter.com | Village Homes - New Vendor Contract.PDF · p. 3 | Invoice Submittals email address Invoices@homesofcharacter.com | Source confirmation pending |
| InvoicePaymentTerms | Invoices submitted between the 16th and last day of the month will be paid on the 10th of the subsequent month; invoices submitted between the 1st and 15th will be paid on the 25th of the current month. | Village Homes - New Vendor Contract.PDF · p. 3 | Invoice Processing paragraph Invoices and completed purchase orders submitted between the 16th and last day of the month, will be paid on the 10th of the subsequent month. Invoices and completed purchase orders submitted between the 1st and the 15th, will be paid on the 25th of the current month. | Source confirmation pending |
| NameInsured | VILLAGE HOMES, L.P. | Village Homes - New Vendor Contract.PDF · p. 4 | Contract title and opening paragraph VILLAGE HOMES, L.P. BASIC CONTRACT FOR LABOR OR LABOR AND MATERIALS | Source confirmation pending |
| LegalEntityType | L.P. | Village Homes - New Vendor Contract.PDF · p. 4 | Contract title VILLAGE HOMES, L.P. | Source confirmation pending |
| ContractType | Basic contract for labor or labor and materials | Village Homes - New Vendor Contract.PDF · p. 4 | Contract heading BASIC CONTRACT FOR LABOR OR LABOR AND MATERIALS | Source confirmation pending |
| ContractPartyRole | Contractor | Village Homes - New Vendor Contract.PDF · p. 4 | Opening paragraph hereinafter called "Contractor" | Source confirmation pending |
| InsuranceRequirement | Certificate of Workers' Compensation Insurance (replace with Certificate of General Liability Insurance, if applicable) | Village Homes - New Vendor Contract.PDF · p. 6 | Section 13(B) Contractor shall furnish Village with a Certificate of Workers' Compensation Insurance (replace with Certificate of General Liability Insurance, if applicable) | Source confirmation pending |
| IndemnificationRequirement | Contractor agrees to indemnify and hold harmless Village | Village Homes - New Vendor Contract.PDF · p. 6 | Section 14 contractor agrees to indemnify and hold harmless Village | Source confirmation pending |
| WorkLocationReference | State of Texas | Village Homes - New Vendor Contract.PDF · p. 6 | Section 11 in accordance with the laws of the State of Texas | Source confirmation pending |
| WorkDescription | Construction of improvements to real property | Village Homes - New Vendor Contract.PDF · p. 4 | Opening paragraph use in the construction of improvements to real property | Source confirmation pending |
| AcceptedByName | Michael Dike | Village Homes - New Vendor Contract.PDF · p. 8 | ACCEPTED block, Name Name: Michael Dike | Source confirmation pending |
| AcceptedByTitle | President | Village Homes - New Vendor Contract.PDF · p. 8 | ACCEPTED block, title President, DH Management, Inc. | Source confirmation pending |
| AcceptedByOrganization | DH Management, Inc. | Village Homes - New Vendor Contract.PDF · p. 8 | ACCEPTED block, organization President, DH Management, Inc. | Source confirmation pending |
| ContractParty | Village Homes, L.P | Village Homes - New Vendor Contract.PDF · p. 8 | ACCEPTED block, general partner designation General Partner for Village Homes, L.P | Source confirmation pending |
| GLEachOccurrenceLimit | 1000000 | Village Homes - New Vendor Contract.PDF · p. 9 | Insurance section, General Liability Occurrence Form, item a $1,000,000 for each occurrence | Source confirmation pending |
| GLGeneralAggregateLimit | 2000000 | Village Homes - New Vendor Contract.PDF · p. 9 | Insurance section, General Liability Occurrence Form, item a $2,000,000 aggregate | Source confirmation pending |
| PersonalAndAdvertisingInjuryLimit | 1000000 | Village Homes - New Vendor Contract.PDF · p. 9 | Insurance section, General Liability Occurrence Form, item b Personal Injury Liability - $1,000,000 limit of liability | Source confirmation pending |
| AutomobileLiabilityCombinedLimit | 500000 | Village Homes - New Vendor Contract.PDF · p. 9 | Insurance section, item 1, Automobile Liability Insurance combined limit of $500,000 for bodily injury and property damage | Source confirmation pending |
| GeneralLiabilityCoverageTerms | Premises and operations; broad form blanket contractual; broad form property damage; independent contractors | Village Homes - New Vendor Contract.PDF · p. 9 | Insurance section, General Liability Occurrence Form All coverage shall include (a) premises and operations; (b) broad form blanket contractual; (c) broad form property damage; and (d) independent contractors. | Source confirmation pending |
| GeneralLiabilityInsuranceRequirement | Current General Liability Insurance required before beginning work | Village Homes - New Vendor Contract.PDF · p. 11 | Insurance paragraph Prior to you beginning any work, an original Certificate of Insurance, from your insurance agent, reflecting current General Liability Insurance in the amount of $1,000,000 must be in our office. | Source confirmation pending |
| GLEachOccurrenceLimit | 1000000 | Village Homes - New Vendor Contract.PDF · p. 11 | Insurance requirements, item a $1,000,000 for each occurrence | Source confirmation pending |
| GLGeneralAggregateLimit | 2000000 | Village Homes - New Vendor Contract.PDF · p. 11 | Insurance requirements, item a $2,000,000 aggregate | Source confirmation pending |
| PersonalInjuryLiabilityLimit | 1000000 | Village Homes - New Vendor Contract.PDF · p. 11 | Insurance requirements, item b Personal Injury Liability - $1,000,000 limit of liability and must include agreements A, B, & C. | Source confirmation pending |
| BrokerName | Mark McGuffin | Village Homes - New Vendor Contract.PDF · p. 11 | Insurance Quotes footnote For Insurance Quotes please contact Mark McGuffin | Source confirmation pending |
| AgencyName | Legacy Texas Insurance Services | Village Homes - New Vendor Contract.PDF · p. 11 | Insurance Quotes footnote Legacy Texas Insurance Services | Source confirmation pending |
| Phone | 972-461-7334 | Village Homes - New Vendor Contract.PDF · p. 11 | Insurance Quotes footnote (972) 461-7334 | Source confirmation pending |
| ContractPrincipalName | Michael Dike | Village Homes - New Vendor Contract.PDF · p. 10 | Executed agreement signature block Name: Michael Dike | Source confirmation pending |
| ContractPrincipalRole | President, DH Management, Inc.; General Partner for Village Homes, L.P. | Village Homes - New Vendor Contract.PDF · p. 10 | Executed agreement signature block President, DH Management, Inc. General Partner for Village Homes, L.P. | Source confirmation pending |
| ContractualCoverageTerms | Broad form blanket contractual; broad form property damage; independent contractors | Village Homes - New Vendor Contract.PDF · p. 11 | Insurance Quotes footnote All coverage shall include (a) premises and operations; (b) broad form blanket contractual; (c) broad form property damage; and (d) independent contractors. | Source confirmation pending |
| TradeContractorRepresentativeName | Michael Dike | Village Homes - New Vendor Contract.PDF · p. 13 | Name Name: Michael Dike | Source confirmation pending |
| TradeContractorRepresentativeTitle | President | Village Homes - New Vendor Contract.PDF · p. 13 | Title beneath Name President, D. H. Management, Inc. | Source confirmation pending |
| TradeContractorRepresentativeCompany | D. H. Management, Inc. | Village Homes - New Vendor Contract.PDF · p. 13 | Company beneath Name President, D. H. Management, Inc. | Source confirmation pending |
| GeneralPartnerFor | Village Homes, L.P. | Village Homes - New Vendor Contract.PDF · p. 13 | General Partner for General Partner for Village Homes, L.P. | Source confirmation pending |
| WarrantyPeriod | at least one year from the date of the Deed conveying the property from Village to a Homeowner | Village Homes - New Vendor Contract.PDF · p. 13 | Warranty All labor and materials furnished by Contractor shall be warranted free of defect for a period of at least one year from the date of the Deed conveying the property from Village to a Homeowner | Source confirmation pending |
| TrashPolicyBackCharge | 50 | Village Homes - New Vendor Contract.PDF · p. 14 | Village Homes will; back charge Back charge $50 if problem persists until corrected | Source confirmation pending |
| WorkersCompensationOption1Text | Subcontractor agrees that an independent subcontractor relationship has been established between the subcontractor and Village Homes LP. Worker's compensation coverage will not be provided to the subcontractor or their employees. | Village Homes - New Vendor Contract.PDF · p. 15 | Worker's Compensation Insurance (initial once), option 1 1. Subcontractor agrees that an independent subcontractor relationship has been established between the subcontractor and Village Homes LP. Worker's compensation coverage will not be provided to the subcontractor or their employees | Source confirmation pending |
| WorkersCompensationOption2Text | Subcontractor provides worker's compensation coverage for his employees | Village Homes - New Vendor Contract.PDF · p. 15 | Worker's Compensation Insurance (initial once), option 2 2. Subcontractor provides worker's compensation coverage for his employees | Source confirmation pending |
| GeneralLiabilityOption2MinimumLimit | 2000000 | Village Homes - New Vendor Contract.PDF · p. 15 | General Liability Insurance (initial one), option 2 Subcontractor carries a minimum of $2,000,000 general liability coverage insurance. | Source confirmation pending |
| GeneralLiabilityOption1Text | Subcontractor does not carry any general liability insurance and acknowledges that Village Homes LP. will deduct at the State rate as a penalty for hiring an uninsured subcontractor | Village Homes - New Vendor Contract.PDF · p. 15 | General Liability Insurance (initial one), option 1 1. Subcontractor does not carry any general liability insurance and acknowledges that Village Homes LP. will deduct at the State rate as a penalty for hiring an uninsured subcontractor | Source confirmation pending |
| DocumentTitle | Texas Department of Insurance, Division of Workers' Compensation | Village Homes - New Vendor Contract.PDF · p. 22 | Header TEXAS DEPARTMENT OF INSURANCE, DIVISION OF WORKERS' COMPENSATION (TDI-DWC) | Source confirmation pending |
| FormNumber | DWC FORM-83 | Village Homes - New Vendor Contract.PDF · p. 22 | Bottom-left footer DWC FORM-83 Rev. 04/18 | Source confirmation pending |
| FormRevision | 04/18 | Village Homes - New Vendor Contract.PDF · p. 22 | Bottom-left footer DWC FORM-83 Rev. 04/18 | Source confirmation pending |
| IndependentContractorRelationshipCheckbox | unchecked | Village Homes - New Vendor Contract.PDF · p. 22 | Checkbox: JOINT AGREEMENT TO AFFIRM INDEPENDENT CONTRACTOR RELATIONSHIP FOR CERTAIN BUILDING AND CONSTRUCTION WORKERS ☐ JOINT AGREEMENT TO AFFIRM INDEPENDENT CONTRACTOR RELATIONSHIP FOR CERTAIN BUILDING AND CONSTRUCTION WORKERS | Inspect marked answer |
| EmployerEmployeeRelationshipCheckbox | unchecked | Village Homes - New Vendor Contract.PDF · p. 22 | Checkbox: AGREEMENT TO ESTABLISH EMPLOYER-EMPLOYEE RELATIONSHIP FOR CERTAIN BUILDING AND CONSTRUCTION WORKERS ☐ AGREEMENT TO ESTABLISH EMPLOYER-EMPLOYEE RELATIONSHIP FOR CERTAIN BUILDING AND CONSTRUCTION WORKERS | Inspect marked answer |
| TexasLaborCodeReference | Section 406.141 | Village Homes - New Vendor Contract.PDF · p. 22 | Introductory definition paragraph Texas Labor Code, Section 406.141 | Source confirmation pending |
| AgreementEmployerEmployeeProvisionReference | Section 406.144 | Village Homes - New Vendor Contract.PDF · p. 22 | Bottom of employer-employee relationship section Texas Labor Code, Texas Workers’ Compensation Act, Section 406.144. | Source confirmation pending |
| AgreementIndependentContractorProvisionReference | Section 406.145 | Village Homes - New Vendor Contract.PDF · p. 22 | Bottom of independent-contractor relationship section Texas Labor Code, Texas Workers’ Compensation Act, Section 406.145. | Source confirmation pending |
| NameInsured | Village Homes, LP | 2026 GL.eml · p. ? | Subject line Village Homes, LP | Source confirmation pending |
| BrokerName | Lyndsay Blackwell | 2026 GL.eml · p. ? | Signature block Lyndsay Blackwell | Source confirmation pending |
| AgencyName | Southwest Risk | 2026 GL.eml · p. ? | Signature block and email body Southwest Risk | Source confirmation pending |
| BrokerEmail | lblackwell@swrisk.com | 2026 GL.eml · p. ? | Signature block lblackwell@swrisk.com | Source confirmation pending |
| InsuredCity | Ft. Worth | 2026 GL.eml · p. ? | Description of Operations Ft. Worth, TX Builder in Business for 30 years. | Source confirmation pending |
| InsuredState | TX | 2026 GL.eml · p. ? | Description of Operations Ft. Worth, TX Builder in Business for 30 years. | Source confirmation pending |
| YearsInBusiness | 30 | 2026 GL.eml · p. ? | Description of Operations in Business for 30 years | Source confirmation pending |
| OperationsMix | 55% of work is tract, while 45% is Townhome (Single Unit Owner). NO CONDO’s. | 2026 GL.eml · p. ? | Description of Operations 55% of work is tract, while 45% is Townhome (Single Unit Owner). NO CONDO’s. | Source confirmation pending |
| MaximumHomesInSingleDevelopment | 100 | 2026 GL.eml · p. ? | Description of Operations Up to 100 possible homes in a single development | Source confirmation pending |
| ExpiringPremium | 74748 | 2026 GL.eml · p. ? | Expiring terms paragraph Expiring is $74,748 premium | Source confirmation pending |
| ExpiringRate | 2.48 | 2026 GL.eml · p. ? | Expiring terms paragraph $2.48 rate | Source confirmation pending |
| EstimatedGrossReceipts | 30000000 | 2026 GL.eml · p. ? | Expiring terms paragraph based on $30,000,000 of estimated gross receipts | Source confirmation pending |
| SIR | 100000 | 2026 GL.eml · p. ? | Expiring terms paragraph $100k SIR – Defense INSIDE | Source confirmation pending |
| DefenseProvision | Defense INSIDE | 2026 GL.eml · p. ? | Expiring terms paragraph Defense INSIDE | Source confirmation pending |
| NameInsured | Village Homes, LP | 2025-2026 GL-ed54ff63e0624a26bd9107185312f79d.PDF · p. 1 | Report filter: Insured Name Village Homes, LP | Source confirmation pending |
| PolicyNumber | AC010002490 | 2025-2026 GL-ed54ff63e0624a26bd9107185312f79d.PDF · p. 1 | Policy row: Policy Number AC010002490 | Source confirmation pending |
| HistoricalPolicyEffectiveDate | 9/26/2025 | 2025-2026 GL-ed54ff63e0624a26bd9107185312f79d.PDF · p. 1 | Policy row: Effective Date 9/26/2025 | Source confirmation pending |
| HistoricalPolicyExpirationDate | 9/26/2026 | 2025-2026 GL-ed54ff63e0624a26bd9107185312f79d.PDF · p. 1 | Policy row: Expiration Date 9/26/2026 | Source confirmation pending |
| ReportValuationDate | 7/31/2026 | 2025-2026 GL-ed54ff63e0624a26bd9107185312f79d.PDF · p. 1 | Upper-right report header: Valuation Date 7/31/2026 | Source confirmation pending |
| ReportFilterEffectiveDate | 1/1/2000 | 2025-2026 GL-ed54ff63e0624a26bd9107185312f79d.PDF · p. 1 | Report filter: Effective Date, start 1/1/2000 | Source confirmation pending |
| ReportFilterEndDate | 7/29/2026 | 2025-2026 GL-ed54ff63e0624a26bd9107185312f79d.PDF · p. 1 | Report filter: Effective Date, end 7/29/2026 | Source confirmation pending |
| ClaimCount | 0 | 2025-2026 GL-ed54ff63e0624a26bd9107185312f79d.PDF · p. 1 | Policy row: Injury / Property / Total 0 0 0 | Source confirmation pending |
| OpenClaimCount | 0 | 2025-2026 GL-ed54ff63e0624a26bd9107185312f79d.PDF · p. 1 | Policy row: Open 0 | Source confirmation pending |
| TotalIncurred | 0 | 2025-2026 GL-ed54ff63e0624a26bd9107185312f79d.PDF · p. 1 | Policy row: Total Incurred $0 | Source confirmation pending |
| Recovery | 0 | 2025-2026 GL-ed54ff63e0624a26bd9107185312f79d.PDF · p. 1 | Policy row: Recovery 0 | Source confirmation pending |
| PrintedTotalInjury | 0 | 2025-2026 GL-ed54ff63e0624a26bd9107185312f79d.PDF · p. 1 | Total row: Injury 0 | Source confirmation pending |
| PrintedTotalProperty | 0 | 2025-2026 GL-ed54ff63e0624a26bd9107185312f79d.PDF · p. 1 | Total row: Property 0 | Source confirmation pending |
| PrintedTotalLoss | 0 | 2025-2026 GL-ed54ff63e0624a26bd9107185312f79d.PDF · p. 1 | Total row: Total 0 | Source confirmation pending |
| PrintedTotalOpen | 0 | 2025-2026 GL-ed54ff63e0624a26bd9107185312f79d.PDF · p. 1 | Total row: Open 0 | Source confirmation pending |
| PrintedTotalIncurred | 0 | 2025-2026 GL-ed54ff63e0624a26bd9107185312f79d.PDF · p. 1 | Total row: Total Incurred $0 | Source confirmation pending |
| NameInsured | Village Homes, LP | FF199A3995968041AF1F95A8C7885542 · p. ? | Subject line Village Homes, LP | Source confirmation pending |
| EffectiveDate | 2026-09-26 | FF199A3995968041AF1F95A8C7885542 · p. ? | Subject line 9/26/2026 | Source confirmation pending |
| CasualtyClassCode | FF199A3995968041AF1F95A8C7885542 · p. ? | Source confirmation pending | ||
| AgencyName | Southwest Risk | FF199A3995968041AF1F95A8C7885542 · p. ? | Signature block and email routing Southwest Risk | Source confirmation pending |
| BrokerName | Lyndsay Blackwell | FF199A3995968041AF1F95A8C7885542 · p. ? | Signature block Lyndsay Blackwell | Source confirmation pending |
| InsuredCity | Ft. Worth | FF199A3995968041AF1F95A8C7885542 · p. ? | Description of Operations Ft. Worth, TX Builder in Business for 30 years. | Source confirmation pending |
| InsuredState | TX | FF199A3995968041AF1F95A8C7885542 · p. ? | Description of Operations Ft. Worth, TX | Source confirmation pending |
| YearsInBusiness | 30 | FF199A3995968041AF1F95A8C7885542 · p. ? | Description of Operations Builder in Business for 30 years. | Source confirmation pending |
| AnnualGrossSales | 30,000,000 | FF199A3995968041AF1F95A8C7885542 · p. ? | Expiring premium statement $30,000,000 of estimated gross receipts | Source confirmation pending |
| ExpiringPremium | 74,748 | FF199A3995968041AF1F95A8C7885542 · p. ? | Expiring premium statement $74,748 premium | Source confirmation pending |
| ExpiringRate | 2.48 | FF199A3995968041AF1F95A8C7885542 · p. ? | Expiring premium statement $2.48 rate | Source confirmation pending |
| SIR | 100,000 | FF199A3995968041AF1F95A8C7885542 · p. ? | Expiring premium statement $100k SIR | Source confirmation pending |
| DefenseCoveragePosition | INSIDE | FF199A3995968041AF1F95A8C7885542 · p. ? | Expiring premium statement Defense INSIDE | Source confirmation pending |
| TractWorkPercentage | 55% | FF199A3995968041AF1F95A8C7885542 · p. ? | Description of Operations 55% of work is tract | Source confirmation pending |
| TownhomeWorkPercentage | 45% | FF199A3995968041AF1F95A8C7885542 · p. ? | Description of Operations 45% is Townhome (Single Unit Owner) | Source confirmation pending |
| MaximumHomesInSingleDevelopment | 100 | FF199A3995968041AF1F95A8C7885542 · p. ? | Description of Operations Up to 100 possible homes in a single development | Source confirmation pending |
| CondominiumOperations | NO CONDO’s | FF199A3995968041AF1F95A8C7885542 · p. ? | Description of Operations NO CONDO�s . | Source confirmation pending |
| AccountLossSummary | Loss observations are not reconciled into account-wide totals. Disclosed claims and no-loss report periods remain separately available for underwriting review. | · p. ? | {"ClaimCount":0,"OpenClaimCount":null,"TotalPaid":0,"TotalIncurred":0} | 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. | Acord 125 126 - GL.PDF · p. 1 | The supplied source pages are pages 1-3 of a four-page ACORD 125; page 4 was 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. | Acord 125 126 - GL.PDF · p. 4 | Insured mailing address, expiration date, carrier policy number beyond the literal entry TBD, and completed loss information 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 The supplied rendered pages show ACORD 126 pages 3-4 and an ACORD 101 additional remarks schedule; the ACORD 125 Applicant Information block and requested GL limits are not present in the supplied page window. | Source confirmation pending |
| DocumentWindowObservation | Source-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. | Acord 125 126 - GL.PDF · p. 7 | No location numbers, class codes, exposure amounts, printed rates, printed premiums, GL limits, mailing address, expiration date, or NAIC code are visibly populated on the supplied pages. | Source confirmation pending |
| DocumentWindowObservation | Source-page observation (10-11); review alongside the complete submission. All supplied document pages were read. This note alone does not establish that the account is missing the information. | Acord 125 126 - GL.PDF · p. 10 | No insured mailing address, expiration date, policy number other than TBD, carrier other than TBD, NAIC code, limits, deductibles, rates, premiums, locations, hazards, class codes, or exposures are 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 The supplied rendered pages are pages 1-3 of a form marked Page 1 of 5, Page 2 of 5, and Page 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. | Markel Contractor's Supplemental Application (1).PDF · p. 1 | The application does not provide a location address separate from the mailing address. | 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 source pages 4-6 were supplied. Earlier application pages referenced by the supplemental application are not available in this page group. | 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. | Village Homes - New Vendor Contract.PDF · p. 1 | The document does not identify the vendor's legal name, insured address, policy number, carrier, policy dates, or broker. | 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. | Village Homes - New Vendor Contract.PDF · p. 4 | The supplied contract does not identify the contractor's legal name, insurance carrier, policy numbers, coverage limits, effective dates, or expiration dates. | 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. | Village Homes - New Vendor Contract.PDF · p. 4 | No insurance application, ACORD form, property schedule, loss run, or explicit coverage request is present in the supplied pages. | Source confirmation pending |
| DocumentWindowObservation | Source-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. | Village Homes - New Vendor Contract.PDF · p. 7 | Contractor name, contractor address, telephone number, Social Security Number, Taxpayer's I.D. Number, driver's license information, execution date, and contractor signature are blank on the supplied execution page. | Source confirmation pending |
| DocumentWindowObservation | Source-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. | Village Homes - New Vendor Contract.PDF · p. 7 | No carrier, policy number, policy period, deductible, property coverage, or loss history information is provided on the supplied pages. | Source confirmation pending |
| DocumentWindowObservation | Source-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. | Village Homes - New Vendor Contract.PDF · p. 10 | The contractor company name, address, contact information, execution date, signatures, and contractor insurance policy details are blank or not provided on the supplied pages. | Source confirmation pending |
| DocumentWindowObservation | Source-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. | Village Homes - New Vendor Contract.PDF · p. 13 | The subcontractor information sheet contains blank trade name, owner, address, contact, identification, policy, agent, signature, and date fields. | Source confirmation pending |
| DocumentWindowObservation | Source-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. | Village Homes - New Vendor Contract.PDF · p. 13 | Insurance selection lines and business-entity checkboxes on the subcontractor information sheet appear unmarked; the applicable workers compensation and general liability options cannot be determined from the supplied pages. | Source confirmation pending |
| DocumentWindowObservation | Source-page observation (16-18); review alongside the complete submission. All supplied document pages were read. This note alone does not establish that the account is missing the information. | Village Homes - New Vendor Contract.PDF · p. 16 | The supplied pages are an uncompleted IRS Form W-9 and instruction pages; no populated taxpayer, business, address, tax classification, TIN, or certification data is visibly present. | Source confirmation pending |
| DocumentWindowObservation | Source-page observation (19-21); review alongside the complete submission. All supplied document pages were read. This note alone does not establish that the account is missing the information. | Village Homes - New Vendor Contract.PDF · p. 19 | The supplied pages are instructional pages from IRS Form W-9 (pages 4-6), not a completed vendor contract, insurance application, ACORD form, or loss report. No submission underwriting data is populated. | Source confirmation pending |
| DocumentWindowObservation | Source-page observation (22-22); review alongside the complete submission. All supplied document pages were read. This note alone does not establish that the account is missing the information. | Village Homes - New Vendor Contract.PDF · p. 22 | The supplied agreement is largely uncompleted: hiring contractor and independent contractor names, signatures, dates, addresses, federal tax ID numbers, agreement term, job-site location, and estimated affected employee count are blank. | Source confirmation pending |
| ReconciledLossNarrative | Narrative rebuilt from retained source rows; no cross-report aggregation. | Unknown source · p. ? | Deterministic package reconciliation Supplied loss evidence shows one closed GL claim for the 2024-2025 policy with $3,464.27 incurred allocated expense, two additional closed GL claims from prior Mid-Continent policy years totaling $20,186.72 incurred, and zero paid losses or outstanding reserves reported. The 2025-2026 loss reports show no claims and zero incurred as of 6/30/2026 and 7/31/2026. The supplemental application separately answers Yes to claims, losses, or suits in the past five years. | Source confirmation pending |
| DisclosedClaimObservations | 3 disclosed claim observation(s) retained. This is not a deduplicated or period-qualified carrier claim count; reported no-loss periods remain separate. | Unknown source · p. ? | Deterministic package reconciliation 3 | 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: 2026-09-01T12:20:37.0000000 [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: Joseph Thomas Sent: Monday, August 31, 2026 5:45 PM To: Joseph Thomas Subject: Fw: FW: Village Homes, LP 9/26/2026 GL [[A logo with text on it Description automatically generated]] Joseph Thomas AVP, Primary Casualty jthomas@dellwood.com<mailto:jthomas@dellwood.com> 336-971-3125 www.dellwood.com<http://www.dellwood.com/> From: Blackwell, Lyndsay <LBlackwell@swrisk.com> Sent: Wednesday, August 12, 2026 3:04 PM To: Casualty Submissions <casualtysubmissions@dellwood.com>; Joseph Thomas <jthomas@dellwood.com> Subject: Village Homes, LP 9/26/2026 GL CAUTION: This email originated from outside your organization. Exercise caution when opening attachments or clicking links, especially from unknown senders. Hi Joseph, I hope you are doing well. Please see the attached submission and clear on behalf of Steven Ateek & Southwest Risk. Attached are the updated Acords, Supplemental, and 25-26 GL loss runs. The agent has requested the prior loss runs and will forward. Also attached is the sub agreement we have on file from last year. Description of Operations Ft. Worth, TX Builder in Business for 30 years. 55% of work is tract, while 45% is Townhome (Single Unit Owner). NO CONDO’s. Up to 100 possible homes in a single development Please review and let us know if you are interested and would like to indicate. Thank you, NOTE NEW BANKING INFORMATION – ClearView Risk, Southwest Risk and Strata Underwriting Managers have transitioned our banking relationship to Bank of America effective August 1, 2026. Updated payment details have been provided via email and mail. Please contact Kerving@clearviewrisk.com<mailto:Kerving@clearviewrisk.com> for more information and to verify account details. Lyndsay Blackwell Marketing Broker / Team Steven Ateek 8144 Walnut Hill Lane | Suite 1400 Dallas, TX 75231 Direct | 469.283.1710 Main | 214.206.4900 Fax | 214.206.4901 lblackwell@swrisk.com<mailto:lblackwell@swrisk.com> www.swrisk.com<https://linkprotect.cudasvc.com/url?a=http%3a%2f%2fwww.swrisk.com%2f&c=E,1,tUwWFABpYdhUCwtUUhYBuD4VQG1S0YBsQDgSJCbqMJ0F5W8UPU0C-5Ffm1SGX0l0l8bQb85OtAXsvh1w-FUTnj4ExvMytWazkctEmA-7qJ0ycA,,&typo=1> SWR- CA License # 0I77142 [Tag_SW-Risk_PMS_logo_lowres] [cid:fcc0562e-4f46-470f-a2db-36e918319d6e] Confidentiality Notice: This e-mail message (including any attachments) is confidential and may be legally privileged. Unauthorized review, use, disclosure or distribution of this message or its attachments is prohibited. If you are not the intended recipient, please contact the sender immediately by reply e-mail, and destroy all copies of the original message and any attachments. 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.dellwood.com/ | https://linkprotect.cudasvc.com/url?a=http%3a%2f%2fwww.swrisk.com%2f&c=E,1,tUwWFABpYdhUCwtUUhYBuD4VQG1S0YBsQDgSJCbqMJ0F5W8UPU0C-5Ffm1SGX0l0l8bQb85OtAXsvh1w-FUTnj4ExvMytWazkctEmA-7qJ0ycA,,&typo=1 --- LINKED WEB REFERENCES FOUND IN THE EMAIL --- URL: https://linkprotect.cudasvc.com/url?a=http%3a%2f%2fwww.swrisk.com%2f&c=E,1,tUwWFABpYdhUCwtUUhYBuD4VQG1S0YBsQDgSJCbqMJ0F5W8UPU0C-5Ffm1SGX0l0l8bQb85OtAXsvh1w-FUTnj4ExvMytWazkctEmA-7qJ0ycA,,&typo=1 HTTP status: 302 Page content was not available; use the URL only as a lead, not as verified evidence. URL: https://linkprotect.cudasvc.com/url?a=http%3a%2f%2fwww.swrisk.com%2f&c=E,1,tUwWFABpYdhUCwtUUhYBuD4VQG1S0YBsQDgSJCbqMJ0F5W8UPU0C-5Ffm1SGX0l0l8bQb85OtAXsvh1w-FUTnj4ExvMytWazkctEmA-7qJ0ycA,,&typo=1 HTTP status: 400 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 supplied source observations and a reconciliation digest, not a complete audit of all referenced application pages. Pages 4-5 of one supplemental form and portions of ACORD application material were not supplied. Public research established entity identity and commercial BestPlaces ZIP scores, but no premises incident was established. Loss totals are source observations and are not treated as an exhaustive account-wide aggregate. No AQUA ISO GL rate was available because the required exposure basis was unresolved. Loss trend InsufficientData: The loss-bearing series in 2014-2024 Mid-Continent GL Loss Runs Valued @ 8 12.PDF ends at 2024-09-26, before the most recent completed period reported in this package (2025-09-26), so it does not describe the current picture. 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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