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2018/06/01 Beazer Homes USA, Inc. Certificate of Liability Insurance (5)AC"Mj' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 8/1/2019 1 3/6/2019 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 Lockton Insurance Brokers, LLC 777 S. Figueroa Street, 52nd FI. CA License #OF 15767 City of Merlifee Los Angeles CA 90017 City Clerk (213) 689-0065 CT AMEA A/C.No. Ext; AIC No EMAIL ERIS) AFFORDING COV E INSURER A: Navigators Specialty Insurance Com anv 36056 9019 INSURED Beazer Homes USA, Inc. 1427148 1000 Abernathy Road, Suite 260 Atlanta GA 30328 INSURER B: ACE American Insurance Company 22667 INSURER C : Ironshore S ecialty Insurance Co 25445 R R ' Received INSURER INSURER F f:nVFRAr.FR RFA7.140n1 f'.FR.TIrIf_ATF NIIMRFR- 1AiRd'71;8 1l*r_k ICIltN 11,1I1"garO. YYYYYVY 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. INS R E.A TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICYEXP LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR N N SFI8CGL248932IC 6/1/2018 8/1/2019 EACH OCCURRENCE 2,000,000 RAMAGIE ENTED 7 REirOSSES a occurr Excluded MED EXP (Any oneperson) Excluded PERSONAL & ADV INJURY $ 2.000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY❑ JECOT- ❑ LOC OTHER: 13ENERAL AGGREGATE s 2.000.000 PRODUCTS - COMP/OP AGG $ 2,000,000 1 $ B AUTOMOBILE LIABILITY ANY AUTO AAUTOS ONLY SCHEDULED HIRED NON OWNED AUTOS ONLY X AUTOS ONLY Ix N N CALH09092225 4/1/2019 4/l/2020 COM111 DSINGLELIMIF a ao en $ 1,000,000 BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XX {XXXX PROPER AMAGE eracdi $ XXXXXXX $XXXXXXX C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIM&MADE N N 003167001 6/1/2018 8/l/2019 EACH OCCURRENCE $ 2,000,000 .AGGREGATE $ 2.000 000 DED 1. RETENTION $ $ XXXXXXX B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY OFFICER/MEMBER ER EXCLUDED? ECUTIVE NN (Mandatory In NH) IF yes, describe under DESCRIPTION OF OPERATIONS below NIA N WLR C48586508 4/1/2019 4/1/2020 PER O7H X STATUTE R- E.L. EACH ACCIDENT $ 1,000,000 i-.L. DISEASE - EA EMPLOYEE 1,000,000 1DISEASE-POUCY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Tract - Terra Bella TR28206-2. The Certificate Holder is included as Additional hisured on the above, excluding Worker's Compensation coverage, as required by written contract. CERTIFICATE HOLDER 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. 14584750 AUTHORIZED REPRESENTATIVE City of Menifee 29714 Haunt Rd Menifee CA 92586 ACORD 25 (2016/03) ©1 88-201CCYkD C RPORATION. All riahts reserved The ACORD name and logo are registered marks of ACORD