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2018/06/01 Beazer Homes USA, Inc. Certificate of Liability Insurance (4)ACO_ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) �8/1/20193/6/2019 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 of Men► 777 S. Figueroa Street, 52nd FI. City CA License #OF15767 city clerk Los Angeles CA 90017 (213) 689-0065 MAY N E. nl°' Nn Exl' C Na E-MA L UWE RJ§1 AFFORDING RA NAIC 9 INSURER A: Navigators 5 eCia Ity Insurance COm a ny 36056 INSURED Beazer Homes USA, Inc. 1427148 1000 Abernathy Road, Suite 260 Atlanta GA 30328 Recelved INSURER B : ACE American Insurance Company 22667 INSURER C : Ironslrore SpecialInsurance Co 25445 INSURER D, INSURER INSURER t'-AVFRer;FS IAFA7H0fI1 r9:QTW11'AT6 M1LkARFR• IAS'7t IAA VVVVVVV 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. INSR LIE TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF IMMfo POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR N N SF18CGL248932IC 6/1/2018 8/1/2019 EACH OCCURRENCE $2,000,000 PREMIGS TO RENTED Excluded MED EXP (Any oneperson) Excluded PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY❑ JECOT- ❑ LOC OTHER: GENERAL AGGREGATE $ 2,000,000 (PRODUCTS - COMP/OP AGG $ 21000,000 B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY X NON-OWNED ONLY N N CAL H09092225 4/1/2019 4/l/2020 COMBIh1ED SINGLE LIMIT n ara:idan $ I A0 000 X X IBODILY INJURY (Per person) $ XXXXXXX BODILY INJURY Per accident ( $ XXXXXXX Peraceleanl AAAACE $ XXXXXXX $XXXXXXX C UMBRELLA LIAB EXCESS LIAB J WOCCUR JCLAIMSMADE N N 003167001 6/1/2018 8/1/2019 EACH OCCURRENCE $ 2000000 X AGGREGATE $ 2 000 000 DED RETENTION $ $ XXXXXXX B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN AN PROPRIETOR/ y OFFICER/MEMBER EXCLUDED? ARTNER/EXECUTIVE N❑ (Mandatoryfyes,dnb and If yes, describe under DESCRIPTION OF OPERATIONS below N / A N WLR C48586508 4/1/2019 4/1/2020 OTH. X STATUTE I JER E.L. EACH ACCIDENT $ 1,000,000 IEL. DISEASE - EA EMPLOYEE 1,000,000 EL DISEASE - POLICY LIMIT a 1,000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I 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 Insured on the above, excluding Worker's Compensation coverage, as required by written contract. 4Cm r,r R.Arc rIULL/Gr% LANE VLLAI IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 14571101 AUTHORIZED REPRESENTATIVE City of Menifee 29714 Haunt Rd Menifee CA 92586 r�vrtT ACORD 25 (2016103) ©1 8-201 C D CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD