Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2019/01/31 William Lyon Homes, Inc. Certificate of Liability Insurance
DATE (MM/DD/YYYY) � CERTIFICATE OF LIABILITY INSURANCE 02/01/2019 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 Mission West Insurance Solutions, Inc. NAME'_ Silvia Vela 9841 Irvine Center Dr, Ste 200 1p-C. (949) 247-2200 NE FAX o• City of Menifee EMAL Irvine CA 92618 City Clerk ADDRESS-. svela@missionwestinsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURED William Lyon Homes, Inc. 4695 MacArthur Court, Sth Fl Newport Beach CA 92660 INSURER A: James River Insurance Com an 12203 • INSURER B: Endurance Risk Solutions Aasur 43630 INSURER C : Received J INSURERD: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER, Cart ID 2111 ' 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. INSR iAOQL'SV8Rj POLICY EFF POLicY rmi LTR TYPE OF INSURANCE INSD WVD POUCYNUMBER MM)DDtYYYn fMM?DDNYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTEEF CLAIMS -MADE ❑ OCCUR PREMISES Ea o $ MED EXP (Any oneperson) $ PERSONAL &ADV INJURY $ GEITLAoWeGATE LIMIT APPLIES PER: GENERALAGGREGATE $ POLICY L 1 PRO- LJ JECT LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY NED INGLE LIMIT$ 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO CA43600992 01/31/2019 01/31/2020 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X PR(]PER DAMAGE (Per aWden $ HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY Deductible $ 51000 B UMBRELLA LIAB 1-1 OCCUR EXC30000017803 01/31/2019 01/31/2020 EACHOCCURRENCE $ 5,000,000 X AGGREGATE $ 5, 000, 000 EXCESS LIAR CLAIMS -MADE DED I I FETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N I gTH- STA7UTE I I ER E.L. EACH ACCIDENT $ ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) It yes. describe under DESCRIPTION OF OPERATIONS below I I I E.L. DISEASE . POLICY UM1T 1 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: Encroachment permit. CERTIFICATE HOLDER CANCELLATION City of Menifee 29714 Haun Rd 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. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Page 1 of 1