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2019/09/01 Lennar Corporations and all its Subsidaries Certificate of Liability Insurance (5)AC RLY CERTIFICATE OF LIABILITY INSURANCE DATE/3M/DD/Y ) 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 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 - NAM • Kelley Gubernick Gore Lieske & Associates Insurance Brokers, LP PHONE FAX 15901 Red Hill Ave Suite 100 7;4 505-7000 N : 714-573-1770 SAIL • kgubernick@gorelieske.com Tustin CA 92780 INSURERS AFFORDING COVERAGE NAIC H INSURER A: OLD REPUBLIC INS CO 24147 PITY nF MWIFEE INSURED LENNA-1 Lennar Corporation and all its Subsidiaries INSURER B : RLI INS CO 13056 15131 Alton Parkway, Suite 345 INSURER C : INSURER D : Irvine, CA 92618 INSURER : ,34'�� _ ��® INSURER F COVERAGES CERTIFICATE NUMBER- AA7A47?:SG RFVICIAN NI IMRF:R- 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 LTR I TYPE OF INSURANCE AODL U8R POLICY NUMBER POLICY EFF MWDDM'YY) POLICY EXP fMM1D0fYYYY1 LIMITS A X COMMERCIAL GENERAL LIABILITY Y MWZY31414919 9/1/2019 9/1/2020 EACH OCCURRENCE $ 1,000.000 CLAIMS -MADE n OCCUR DAMAGE TO R PREMISES fEn $2,OOg000 MED EXP (Any one person) $ N/A PERSONAL & ADV INJURY $ 2.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 X JECT POLICY ❑ PRO ❑ LOC PRODUCTS -COMP/OP AGG $ 2.000,000 $ OTHER: B AUTOMOBILE LIABILITY CAP9505844 9/1/2019 9I1I2020 CO MBINED SINGLE LIMIT Ea accident1000000 $ X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X PRPerOPER n DAMAGE $ NNONNOSWNED HIRED AUTOS Ix UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N MWC31414819 911/2019 9/1/2020 X PER STATUTE ORH- E.L. EACH ACCIDENT $2,000.000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A E.L. DISEASE - EA EMPLOYEE $ 2,000.000 (Mandatory In NH) H yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $2.000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RE: TR 37178 & 37179 Encroachment Permit Work Certificate holder is named as additional insured on the General Liability per attached endorsement CG 20 12 04 13 as required by written contract subject to the terms and conditions of the policy. rIVi.VCR City of Menifee 29844 Haun Road Menifee CA 92586 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: MWZY 314149 19 COMMERCIAL GENERAL LIABILITY CG20120413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: As required by written contract or agreement Information required to complete this Schedule, if not shown above, will be shown in the Declarations, A. Section II — Who Is An Insured is amended to include as an additional insured any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions: 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. However: a. The insurance afforded to such additional insured only applies to the extent permitted by law; and b. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 2. This insurance does not apply to: a. "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b_ "Bodily injury" or "property damage" included within the "products -completed operations hazard B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 12 04 13 © Insurance Services Office, Inc., 2012 MWZY 31414919 Lennar Corporation 0910112019 - 0910112020 Page 1 of 1 r DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 08/30/2019 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 CONTACT NAME: _ Aon Risk Services Central, Inc. NE (866) 283-7122 FAX (800) 363-0105 Pittsburgh PA office PJC. No. Ex1): Alc, No. EQT Plaza — Suite 2700 E-MAIL 625 Liberty Avenue ADDRESS: Pittsburgh PA 15222-3110 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED Michael Baker International, Inc 5 Hutton Centre Drive Suite 500 Santa Ana CA 92707 USA INSURERA: XL Insurance America Inc 24554 INSURERB: Continental Casualty Company 20443 INSURER C: American Casualty Co. of Reading PA 20427 INSURER D: Transportation Insurance CO. 20494 INSURER E: Beazley Insurance Company, Inc. 37540 INSURER F: COVERAGES CERTIFICATE NUMBER: 570078094271 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. Limits shown are as requested INSIR TYPE OF INSURANCE 1NSD WVO POLICY NUMBER MMIDD/YYYYI MkUDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2 , 000 , 000 CLAIMS -MADE —1 OCCUR General Liability $100,000 PREMISES ffa occurrence MED EXP (Any one person) $10 , 000 PERSONAL &ADV INJURY $2,000,000 GENTAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY IE JECT PRO � LOC PRODUCTS - COMP/OPAGG $4,000,000 OTHER: B AUTOMOBILE LIABILITY BUA 6078988680 08/30/2019 08/30/2020 COMBINED SINGLE LIMIT Ea accident $2 , 000, 000 Commercial Auto - ADS BODILY INJURY ( Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED PROPERTY DAMAGE ONLY AUTOS ONLY Peracciden} A X UMBRELLALIAB OCCUR u500079952L119A 08/30/2019 08/30/2020 EACH OCCURRENCE $10,000,000 EXCESS LIAB H CLAIMS -MADE umbrella AGGREGATE $10,000,000 iDED I X RETENTION $10, 000 C WORKERS COMPENSATION AND WC6 7 / 1 0 / D X PER OTH STATUTE EMPLOYERS' LIABILITY YIN ADS E.L. EACHACCIDENT $1,000,000 D ANY / N NIA wc6078988727 08/30/2019 08/30/2020 OFFICER/MEMBER XCRTNELUDED?EXECUTIVE (Mandatory in NH) WI E.L DISEASE -EA EMPLOYEE $1, 000, 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT $1,000, 000 E E&O-PL-Primary PSDEF1900460 08/30/2019 08/30/2020 Per Claim $5,000,000 Professional Liab. and CP Aggregate $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) For Named Insured only: Attn: Kim Hartsfield. RE: Project Name: City of Menifee — Development Code Update. City of Menifee, its officers, employees, agents and authorized volunteers are included as Additional insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. General Liability and Automobile Liability policies evidenced herein are Primary and Non -Contributory to other insurance available to Additional Insured, but only in accordance with the policy's provisions. A Waiver of Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the Workers' Compensation policy. Should General Liability, Automobile Liability and Workers' Compensation policies be cancelled before the expiration date thereof, the policy provisions will govern how notice of x LE O IY rn 0 2 d w c d 9 N 0 2 0 Z r IC V r= t c7 U CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE j EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. -� City of Meni fee AUTHORIZED REPRESENTATIVE A= 29714 Haun Road Meni fee CA 92586 USA eXXo�a � �cJdGa�� C�r.�z�tcz& �7za ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000027699 LOC #: A ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk services Central, Inc. NAMED INSURED Michael Baker International, Inc POLICY NUMBER see certificate Number: 570078094271 CARRIER see certificate Number: 570078094271 NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Addilional Description of Operations / Locations / Vehicles: cancellation may be delivered to Certificate Holders in accordance with the policy provisions. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks ofACORD