24 -25 UO - Certificate

Page 1

ACORD

CERTIFICATE OF LIABILITY INSURANCE

BENCCON-01 PATRICIAT

DATE (MM/DD/YYYY): 10/17/2024

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

PRODUCER CONTACT NAME: Mountain West Insurance - Glenwood PHONE (A/C, No, Ext): (970) 824-1365 2520 W. Columbine St 2725 FAX (A/C, No): Glenwood Springs, CO 81601-9725 E-MAIL ADDRESS: patricia@mwins.com

INSURER(S) AFFORDING COVERAGE NAIC #

INSURER A: American Alternative Insurance Corporation 22756 INSURER B: Greenfield Insurance Company 23264 INSURER C: The PMA Insurance Company INSURER D: INSURER E: INSURER F:

INSURED Benchmark Condominiums Homeowners Association dba Westlake Village Association, Inc Mountain Recreation Specialists PO Box 2717 Eagle, CO 81631

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

THIS IS TO CERTIFY THAT 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 CERTIFICATE 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.

[THIS IS TABLE: Insurance coverage details with columns for Type of Insurance, Policy Number, Policy Effective Date, Policy Expiration Date, and Limits]

A | X | COMMERCIAL GENERAL LIABILITY | CAUSE2338 | 10/17/2024 | 10/17/2025 | EACH OCCURRENCE: $1,000,000 CLAIMS-MADE | X | OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence): $1,000,000 MED EXP (Any one person): $5,000 PERSONAL & ADV INJURY: $1,000,000 GENERAL AGGREGATE: $2,000,000 PRODUCTS-COMP/OP AGG: $1,000,000

A | AUTOMOBILE LIABILITY | CAUSE2338 | 10/17/2024 | 10/17/2025 | COMBINED SINGLE LIMIT (Ea accident): $1,000,000 ANY AUTO BODILY INJURY (Per person): OWNED AUTOS ONLY BODILY INJURY (Per accident): HIRED AUTOS ONLY PROPERTY DAMAGE (Per accident): SCHEDULED AUTOS NON-OWNED AUTOS ONLY

B | UMBRELLA LIAB | X | OCCUR | PPP7409246 | 10/17/2024 | 10/17/2025 | EACH OCCURRENCE: $10,000,000 EXCESS LIAB | DED | RETENTION $ 0 AGGREGATE: $10,000,000

C | WORKERS COMPENSATION | Y/N AND EMPLOYERS' LIABILITY | N/A | 802407164014NY | 10/17/2024 | 10/17/2025 | WC STATUTORY LIMITS ANY PROPRIETOR/PARTNER/EXECUTIVE | N/A E.L. EACH ACCIDENT: $1,000,000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE: $1,000,000 MANDATORY IN NH E.L. DISEASE - POLICY LIMIT: $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below

A | Property | CAUSE2338 | 10/17/2024 | 10/17/2025 | Building: $21,400,000 A | Crime | CAUSE2338 | 10/17/2024 | 10/17/2025 | Facility: $50,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) See Notice for Additional Coverage:

CERTIFICATE HOLDER CANCELLATION

UNIT OWNERS COPY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE INFORMATIONAL ONLY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

                                           AUTHORIZED REPRESENTATIVE
                                           Patricia Crevenna [signature]

Page 2

ACORD

AGENCY CUSTOMER ID: BENCCON-01 PATRICIAT LOC #: 1

ADDITIONAL REMARKS SCHEDULE Page 1 of 1

AGENCY Mountain West Insurance - Glenwood

POLICY NUMBER

NAMED INSURED Benchmark Condominiums Homeowners Association dba Westlake Village Association, Inc Mountain Recreation Specialists Eagle, CO 81631

SEE PAGE 1

CARRIER NAIC CODE SEE PAGE 1 SEE P 1 EFFECTIVE DATE: SEE PAGE 1

ADDITIONAL REMARKS This ADDITIONAL REMARKS FORM is a SCHEDULE TO ACORD FORM. FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance

Additional Coverage Information

Guaranteed Replacement Cost Valuation Applies" // $2 Units / $5,000 Deductible See attached Unit Owner Letter for how property coverage applies

Special Causes of Loss Ordinance and Law: Coverage A - Included Coverage B - $1,000,000 Coverage C - $500,000 Coinsurance: N/A - Guaranteed Replacement Cost Backup of Sewer and Drains: N/A - Guaranteed Replacement Cost Inflation Guard: N/A - Guaranteed Replacement Cost Equipment Breakdown: Included WinterMist Coverage: Included Suspension of Insured: Included Business Income: Included under a non-compensated employees included: Yes

Directors & Officers Liability Carrier: Philadelphia Indemnity Insurance Co Policy #: PCAP30644140322 Policy Term: 10/17/2024 to 10/17/2025 Limit: $1,000,000 Additional Defense Limit: Y Deductible: $1,000

Notice of Cancellation: 10 Days for Non-Payment or Premium Minimum 30 Days All Other Reasons