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2019/04/01 Beazer Homes USA, Inc. Certificate of Liability Insurance,acoRO° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYIJ ��. 4/r/2020 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 an this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Insurance Brokers, LLC N NY" LT 777 S. Figueroa Street, 52nd FI. A/C. No. Ext): AIc, No : CA License #01`15767 E-MAIL Los Angeles CA 90017 SS: (213) 689-0065 INSURERS AFF RDING COVERAGE NAIC A INSURED Beazer Homes USA, Inc. 1427148 1000 Abernathy Road, Suite 260 Atlanta GA 30328 C: rnVFPAf.=c R-PA7r-rent 1ACQA'7in trvv-crtirtry 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. TR TYPE OF INSURANCE ADDL INSD SUSR POLICY NUMBER MP OLtCY EFF POLICYEXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR N N CCC1901124 6/1/2019 6/1/2021 EACH OCCURRENCE 10,000,000 PrA T RENT _,. occurrence) $ 100,000 MED EXP (AnX oneperson) Included PERSONAL & ADV INJURY $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY❑ JECT LOC OTHER: GENERAL AGGREGATE $ 10,000,000 PRODUCTS-.0 PIOP AGG $ 10.000.000 B AUTOMOBILE LIABILITY ANY AUTO SCHEDULED AUTOS ONLY AUTOS ONLY X AUOTNOS ONLY Ix N N CAL H09092225 4/1/2019 4/1/2020 COMBINED SINGLE L]MiT ,,, $ 1,000 000 BODILY INJURY (Per person) $ XXXY��OWNED BODILY INJURY (Per accident $ XXXYI)C�AUTOS PPR0PE—DAMAGE den $ XXXXXXX $XXXXXXX UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $ XXY—V-X X AGGREGATE $ y' _'y_= DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERlEXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory In If yes, describe under er DESCRIPTION OF OPERATIONS below N / A N WLR C48586508 4/1/2019 4/1/2020 X I STATUTE OTN E.L. EACH ACCIDENT $ 1,000 000 E.L. DISEASE - EA EMPLOYEE 1,000 000 E.L, DISEASE- POLICY LIMIT 11�11� 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. 14584750 City of Menifee 29714 Haunt Rd Menifee CA 92586 City Clerk Receive,-, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1588.2015-AC(YkD CORPORATWIN! All rinhre recur A The ACORD name and logo are registered marks of ACORD ACORN® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 4/l/2020 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 N CONTACT 777 S. Figueroa Street, 52nd FI. PAT& AIG, No. Exs : ❑ Nn CA License #OF15767 E-MAIL Los Angeles CA 90017 ADDRESS: {213) 689-0065 INSURER(S) AFFORDING COVERA E NAIC a INSURER A: HDT Gohnl TnsnrancP C.mmT)nnv 1,11 Rd2 INSURED Beazer Homes USA, Inc. 1427148 1000 Abernathy Road, Suite 260 Atlanta GA 30328 91nVr-0at_FC RF A 7LTir)AI Y1=m-nClr-ArG 111 tk kmC I A C71 1 n 1 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, INMRLTR_ TYPE OF INSURANCE INSO wunSURR POLICY NUMBER EFP plo FafP LIMITS A Xr COMMERCIAL GENERAL LIABILITY N N CCC1901124 6/1/2019 6/1/2021 EACH OCCURRENCE 10 000 000 CLAIMS-MADE�OCCUR AGES �aEoNT ccurrrrence 100.000 MED EXP.(Any, oneparson) 111C1uded PERSONAL-B,ADV INJURY $ 10 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ I0.000 000 POLICY❑ PEA LOC PRODUCTS -COMPIOPAGG $ 10,000,000 $ OTHER: B AUTOMOBILE LIABILITY N N CAL H09092225 4/1/2019 4/1/2020 ICAM INEDiFNGLE LIMB aocmens 1.000 000 X ANY AUTO BODILY INJURY (Per person) $ VYYY'XX OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per aorldent $ X AUTOS ONLY X AUTOS ONLY P OPERTYDAMAGE er a dem $ jr}{j(j{X7t- $ XX3s'X= UMBRELLA LIAB OCCUR EACH OCCURRENCE $ j{XXXXX' EXCESS LIAB CLAIMS -MADE NOT APPLICABLE AGGREGATE $ XXXXXXX DED I RETENTION $ $ B WORKEAND EMPLOYERS' LIABILITY YIN N WLR C48586508 4/1/2019 4/1/2020 X STATUTE I OTR El. EACH ACCIDENT nr�n S 1 000 000 ANYOFF PROPRIETOR/ PARTNER/EXECUTIVE OFFICER/MEMBER R EXCLUDED? NIA (Mandatory in NH) If yes, describe under EL. D SEASE - EA EMPLOYEE 1,000,000 EL DISEASE -POLICY LIW7 is 1.000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS 1 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. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Memo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Clerk lerk ACCORDANCE WITH THE POLICY PROVISIONS. 14571101 AUTHORIZED REPRESENTATIVE City of Menifee 29714 Haunt Rd Menifee CA 92586 // ACORD 25 (2016/03) ©1 88-201 C V C RPORATiON_ All rinhtc rpenrvcri The ACORD name and logo are registered marks of ACORD