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2019/01/31 William Lyon Homes, Inc. Certificate of Liability Insurance (3)
AC 0a DATE(MMIDDNYYY) 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 UVG Np�: (949) 247-2200 NE FAX No: City of Menifee E-MAIL Irvine CA 92618 ._A_QORES,S:. Bvela�missioriNBstlAsuSariCe.com City Clerk INSURERS AFFORDING COVERAGE NAIC0 _ INSURERA:Jame9 River Insurance Company 12203 INSURED INSURER B: Endurance Risk Solutions Assur 43630 William Lyon Homes, Inc. 4695 MacArthur Court, 8th F1 Received INSURERD: Newport Beach CA 92660 INSURER E: C©VFRAGFS t:FR'rIFICtATF NIIMRFR•Cart Tn 2111 ' , RFVICIAN MI IMRFR- 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 RDOL UBR POLICYNUMBER MMIDCY EFF D MMffDC�(YWY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ -15 CLAIMS -MADE OCCUR PREMISES P $ MED EXP JAny oneperson) $ PERSONAL & ADV INJURY $ GEML AGGREGATE LIMIT APPLIES PER: POLICY 0 PRO- JECT J❑ LOC EC GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY Ea aocldent $ 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 HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY PROPERTY I}AMAGE Pe BN $ Deductible $ 51000 B UMBRELLALIAB X OCCUR EXC30000017803 01/31/2019 01/31/2020 EACHOCCURRENCE $ 5,000,000 X AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED F RETENTION $ $ WORKERS COMPENSATION 1 AND EMPLOYERS' LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? PER 1-1- STATUTEER E.L. EACH ACCIDENT $NIA E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under E.L. DISEASE - P011CY LIMIT $ DESCRIPTION OF OPERATIONS below $ DESCRIPTION OF OPERATIONS I 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. AUT�HORIZEDREPRESENTATIVE I0 *9. - ©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