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2018/06/01 Beazer Homes USA, Inc. Certificate of Liability Insurance
ACOR>om CERTIFICATE OF LIABILITY INSURANCE 6/1/2019 DATE(MMIDDNYYY) 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($). PRODUCER LOC14M Irlsurarloe BrCkEWS LLC 725 & Rguaw Sbreet' 35th F1' CA LiCEtlse15767 LM ACA 90017 (213) aMIX5 CONTACT C, ka, Ext : Ho ; E-MAIL SURER A HAM INSURER A: Navioittors Special!Special!y Insurance Company 36056 INSURED BE?aZel- l-.Iorrles t1SA Irr 1427148 0��. State 260 INSURER B: ACE American Insurance Company 22667 INSURER C : lronshore Specialty Insurance Co 25445 INSURER D : INSURER INSURER F : COVERAGES BEAZH001 CERTIFICATE NUMBER: 14571 101 RFVIRtnPJ NI IURRIP - XXXXYYX 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 TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY E F PO(MMM CO LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR N N SF18CGL248932IC 6/1/2018 6/l/2019 EACH OCCURRENCE 2,000,000 PREMISS . NN1,',D Excluded IMED EXP (Any oneperson) Excluded (PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGG REGATE UMiTAPPLIES PER: POLICY❑ JECT LOC OTHER: GENERAL AGGREGATE $ 2,000 000 (PRODUCTS -COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X AUTOS ONLY X AUUTOS ONLY N N CAL H09092225 4/1/2019 4/1/2020 aMacBa vls GtE LIMIT $ I A0 000 130DILY INJURY (Per person) $ XXXXXXX 130DILY INJURY (Per accident $ XXXXXM PROPERTY AMAGE $ XXXXXXX $XXXXXXX C UMBRELLA LIAB EXCESS LIAR NoccuR CLAIMS -MADE N N 003167001 6/1/2018 6/1/2019 EACH OCCURRENCE $ 2000 000 X AGGREGATE $ 2 000 000 DED I I RETENTION $ $ XXXXXXX B S COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNDEDE CUTIVE 1 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA N WLR C48586508 4/1/2019 4/1/2020 ER°ER X STATUTE EL EACH ACCIDENT $ 1,000,000 IE L. DISEASE - EA EMPLOYEE 1000000 t.L DISEASE -POLICY L1MIT is 1,000,000 DESCRIPTION OF OPERATIONS / 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. 14571101 Qty of Menifee 29714 Flaunt Rd Menifee CA 92586 City of Menifee SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Clerk ACCORDANCE WITH THE POLICY PROVISIONS. MAR 202019 I AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988.2015'ACOrR❑ CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD