Inception Date: October 12, 2014 Expiration Date: October 12, :01 A.M. standard time both dates at the Principal Address stated in ITEM 1.
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1 TRAVELERS Community Association Management Liability Coverage Declarations POLICY NO Travelers Casualty and Surety Company of America One Tower Square Hartford, Connecticut (A Stock Insurance Company, herein called the Company) THE COMMUNITY ASSOCIATION MANAGEMENT LIABILITY COVERAGE POLICY IS WRITTEN ON A CLAIMS- MADE AND REPORTED BASIS. THE COMMUNITY ASSOCIATION MANAGEMENT LIABILITY COVERAGE POLICY COVERS ONLY CLAIMS FIRST MADE AGAINST INSUREDS DURING THE POLICY PERIOD AND REPORTED TO THE COMPANY IN ACCORDANCE WITH THE TERMS OF THE COMMUNITY ASSOCIATION MANAGEMENT LIABILITY COVERAGE POLICY. THE LIMIT OF LIABILITY AVAILABLE TO PAY SETTLEMENTS OR JUDGMENTS WILL BE REDUCED BY DEFENSE EXPENSES, AND DEFENSE EXPENSES WILL BE APPLIED AGAINST THE RETENTION. MT INSUREDS: THE LIMIT OF LIABILITY AVAILABLE TO PAY SETTLEMENTS OR JUDGMENTS WILL BE REDUCED AND MAY BE EXHAUSTED BY DEFENSE EXPENSES, AND DEFENSE EXPENSES WILL BE APPLIED AGAINST THE RETENTION. ITEM1 NAMED INSURED: BROOKWOOD SUBDIVISION FILING #1 HOA D/B/A: Principal Address: C/0 TELEOS MANAGEMENT 191 UNIVERSITY BLVD. #358 DENVER, CO ITEM 2 POLICY PERIOD: Inception Date: October 12, 2014 Expiration Date: October 12, :01 A.M. standard time both dates at the Principal Address stated in ITEM 1. ITEMS ALL NOTICES OF CLAIM OR LOSS MUST BE SENT TO THE COMPANY BY , FACSIMILE, OR MAIL AS SET FORTH BELOW: bfpclaims@travelers.com FAX:(888) MaihTravelers Bond & Financial Products Claim 385 Washington St. - Mail Code 9275-NB03F St Paul, MN ITEM 4 COVERAGE INCLUDED AS OF THE INCEPTION DATE IN ITEM 2: Community Association Management Liability Coverage CAM Ed The Travelers Indemnity Company. All rights reserved. Page 1 of 3
2 ITEMS Only those coverage features marked Applicable" are included in this policy. COMMUNITY ASSOCIATION MANAGEMENT LIABILITY COVERAGE Limit of Liability: $1,000,000 for all Claims Additional Defense Coverage: n Applicable 13 Not Applicable Additional Defense Limit of Liability: Not Covered for all Claims Retention: Prior and Pending Proceeding Date: Continuity Date: $0 $2,500 $2,500 $2,500 October 12, 2012 October 12, 2012 for each Directors and Officers Claim under Insuring Agreement A for each Directors and Officers Claim under Insuring Agreement B for each Directors and Officers Claim under Insuring Agreement C for each Employment Claim under Insuring Agreement D ITEM 6 PREMIUM FOR THE POLICY PERIOD: $1, Policy Premium N/A Annual Installment Premium ITEM 7 TYPE OF CLAIM DEFENSE: Duty-to-Defend ITEM 8 EXTENDED REPORTING PERIOD: Additional Premium Percentage: 75 % Additional Months: 12 (If exercised in accordance with section V. CONDITIONS, Q. EXTENDED REPORTING PERIOD of the Community Association Management Liability Coverage Policy) ITEM 9 RUN-OFF EXTENDED REPORTING PERIOD: Additional Premium Percentage: Not Applicable Additional Months: Not Applicable CAM Ed The Travelers Indemnity Company. All rights reserved. Page 2 of 3
3 (If exercised in accordance with section V. CONDITIONS, N. CHANGE OF CONTROL of the Community Association Management Liability Coverage Policy) ITEM 10 ANNUAL REINSTATEMENT OF THE LIMIT OF LIABILITY: Applicable ^ Not Applicable Only those coverage features marked " ^ Applicable" are included in this policy. ITEM 11 FORMS AND ENDORSEMENTS ATTACHED AT ISSUANCE: PRODUCER INFORMATION: USI COLORADO LLC POBOX DENVER, CO ACF ; CAM ; CAM Countersigned By IN WITNESS W H E R E O F, the Company has caused this policy to be signed by its authorized officers. President, Bond & Financial Products Corporate Secretary CAM Ed The Travelers Indemnity Company. All rights reserved. Page 3 of 3
4 Named Insured: Brookwood Subdivision Filing # 1 Agent # 2074 DESCRIPTION OF PREMISES: No. No. Location, Fire Protection/Construction and Occupancy Timber Canyon Drive and Crowfoot Castle Rock, CO WATER/SWGE LIFT PUMPS-MTI7MSRY PC 05 NON-COMBUb 1IBLE Timber Canyon Drive and Crowfoot Castle Rock, CO PC 05 JOISTED MASONRY COVERAGES PROVIDED: Insurance at the described premises applies only for coverages for which a limit of insurance Is shown or for which an entry is made. Limit of Causes of (1) No. No. Coverage Insurance Loss Form Colnsurance(2) Deductible OPTIONAL COVERAGES: No. No. Coverage Agreed Value Replacement Cost Inflation Amount Expiration Date Incl. Stock Guard OPTIONAL COVERAGES: APPLIES TO BUSINESS INCOME ONLY Agreed Value Agreed Value Monthly Limit of Maximum Period of Extended Period of No. No. Date Amount Indemnity(Fraction) Indemnity Indemnity (Days) Deductible Exceptions: (1) EQ (if shown) = Earthquake (2) Coinsurance %, Extra Expense %, Limits on Loss Payment or Value Reporting Form Symbol (5) 10% or $5,000 minimum
5 Named Insured: Brookwood Subdivision Filing # 1 Agent # 2074 DESCRIPTION OF PREMISES: No. No. Location, Fire Protection/Construction and Occupancy Timber Canyon Drive and Crowfoot Castle Rock, CO PC 05 NON-COMBUSTIBLE Timber Canyon Drive and Crowfoot Castle Rock, CO PC 05 NON-COMBUSTIBLE COVERAGES PROVIDED: Insurance at the described premises applies only for coverages for which a limit of insurance is shown or for which an entry is made. Limit of Causes of (1) No. No. Coverage Insurance Loss Form Colnsurance(2) Deductible OPTIONAL COVERAGES: No. No. Coverage Agreed Value Replacement Cost Inflation Amount Expiration Date Incl. Stock Guard OPTIONAL COVERAGES: APPLIES TO BUSINESS INCOME ONLY Agreed Value Agreed Value Monthly Limit of Maximum Period of Extended Period of No. No. Date Amount Indemnity(Fraction) Indemnity Indemnity (Days) Deductible Exceptions: (1) EQ (If shown) = Earthquake (2) Coinsurance %, Extra Expense %, Limits on Loss Payment or Value Reporting Form Symbol (5) 10% or $5,000 minimum
6 Named Insured: Brookwood Subdivision Filing #1 Agent # 2074 DESCRIPTION OF PREMISES: No. No. Location, Fire Protection/Construction and Occupancy Timber Canyon Drive and Crowfoot Castle Rock, CO PC 05 NON-COMBUSTIBLE COVERAGES PROVIDED: Insurance at the described premises applies only for coverages for which a limit of insurance is shown or for which an entry is made. Limit of Causes of (1) No. No. Coverage Insurance Loss Form Coinsurance(2) Deductible 001 OPTIONAL COVERAGES: Agreed Value Replacement Cost Inflation No. No. Coverage Amount Expiration Date Incl. Stock Guard 001 OPTIONAL COVERAGES: APPLIES TO BUSINESS INCOME ONLY Agreed Value Agreed Value Monthly Limit of Maximum Period of Extended Period of No. No. Date Amount Indemnity(Fraction) Indemnity Indemnity (Days) Deductible Exceptions: (1) EQ (if shown) = Earthquake (2) Coinsurance %, Extra Expense %, Limits on Loss Payment or Value Reporting Form Symbol (5) 10% or $5,000 minimum
7 Named Insured: Brookwood Subdivision Filing # 1 Agent# 2074 COMMERCIAL PROPERTY COVERAGE PART - BLANKET STATEMENT OF VALUES Blanket No. Blanket Description 001 Building and Personal Property Limit of Insurance Co- Insurance
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