contract agreement · K-2
Discussion and Consideration of Pay Application #8 – Miron Construction, Recreation Center – Motion to Approve
Page 9 of 56
Text from the PDF text layer; check the PDF for anything that matters. DATE (MM/DD/YYYY)
EVIDENCE OF COMMERCIAL PROPERTY INSURANCE 12/16/2025
THIS EVIDENCE OF COMMERCIAL PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS
UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER
THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN
THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST.
PRODUCER NAME, PHONE NAIC NO: 32727
(A/C, No, Ext): 800-345-0275
COMPANY NAME AND ADDRESS
CONTACT PERSON AND ADDRESS
Arthur J. Gallagher Risk Management Services, LLC Underwriters at Lloyd's, London
245 South Executive Drive, Suite 200 One Lime Street
Brookfield, WI 53005 London, EC3M 7HA
FAX E-MAIL
(A/C, No): 262-792-1712 ADDRESS: [email protected]
IF MULTIPLE COMPANIES, COMPLETE SEPARATE FORM FOR EACH
CODE: SUB CODE: POLICY TYPE
AGENCY
CUSTOMER ID #:
NAMED INSURED AND ADDRESS LOAN NUMBER POLICY NUMBER
Consolidated Electrical Distributors, Inc.
1920 Westridge Dr B1262SM0884724
Irving TX 75038-2901 EFFECTIVE DATE EXPIRATION DATE
CONTINUED UNTIL
11/01/2024 12/31/2025 TERMINATED IF CHECKED
ADDITIONAL NAMED INSURED(S) THIS REPLACES PRIOR EVIDENCE DATED:
0985 12/4/2025
PROPERTY INFORMATION (ACORD 101 may be attached if more space is required) BUILDING OR X BUSINESS PERSONAL PROPERTY
LOCATION / DESCRIPTION
CONTACT: CONSOLIDATED ELECTRICAL DISTRIBUTORS Dba Electrical Engineering and Equipment 3220 12th St SW Cedar Rapids, IA 52404 PC 0985
See Attached...
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EVIDENCE OF PROPERTY INSURANCE MAY
BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS
OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
COVERAGE INFORMATION PERILS INSURED BASIC BROAD X SPECIAL
COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: $ 75,000,000 DED:
YES NO N/A
BUSINESS INCOME RENTAL VALUE X If YES, LIMIT: Actual Loss Sustained; # of months:
BLANKET COVERAGE X If YES, indicate value(s) reported on property identified above: $
TERRORISM COVERAGE X Attach Disclosure Notice / DEC
IS THERE A TERRORISM-SPECIFIC EXCLUSION? X
IS DOMESTIC TERRORISM EXCLUDED? X
LIMITED FUNGUS COVERAGE X If YES, LIMIT: DED:
FUNGUS EXCLUSION (If "YES", specify organization's form used) X
REPLACEMENT COST X
AGREED VALUE X
COINSURANCE X If YES, %
EQUIPMENT BREAKDOWN (If Applicable) X If YES, LIMIT: DED:
ORDINANCE OR LAW - Coverage for loss to undamaged portion of bldg X If YES, LIMIT: DED:
- Demolition Costs X If YES, LIMIT: DED:
- Incr. Cost of Construction X If YES, LIMIT: DED:
EARTH MOVEMENT (If Applicable) X If YES, LIMIT: DED:
FLOOD (If Applicable) X If YES, LIMIT: DED:
WIND / HAIL INCL X YES NO Subject to Different Provisions: X If YES, LIMIT: Included DED:
NAMED STORM INCL X YES NO Subject to Different Provisions: X If YES, LIMIT: Included DED:
PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE
HOLDER PRIOR TO LOSS X As required by written contract
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
ADDITIONAL INTEREST
CONTRACT OF SALE LENDER'S LOSS PAYABLE LOSS PAYEE LENDER SERVICING AGENT NAME AND ADDRESS
MORTGAGEE
NAME AND ADDRESS
Price Electric
405 N Troy Rd AUTHORIZED REPRESENTATIVE
Robins, IA 52328
© 2003-2015 ACORD CORPORATION. All rights reserved.
ACORD 28 (2016/03) The ACORD name and logo are registered marks of ACORD
Sources
- revize: Attachment (ktduT2qpzI0EPfMOWwndVUEDGxi4LF.pdf) — where it was found ↗ first seen Oct 12, 2026
- sharepoint (K-2 - Pay Application 8 - Miron Construction - Recreation Center.pdf) — where it was found ↗ first seen Oct 12, 2026
Attached to agenda item: K-2 Discussion and Consideration of Pay Application #8 – Miron Construction, Recreation...
Data last updated October 15, 2026. Built from the archive's documents; see how the data is built.