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2019/12/31 WLH Communities LLC Certificate of Liability Insurance
ACOR17 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) `.� 12/31/2020 12/27/2019 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). CONTACT PRODUCER Lockton Insurance Brokers,LLC FAX 777 S.Figueroa Street,52nd A. A/c.No Ext: AX Na CA License#OF15767 EMAIL Los Angeles CA 90017 (213)689-0065 INSVRERLM AFFORDING COVERAOEN INSURER A! Navigators Specialty Insurance Com 22v 36056 INSURED WLH Communities LLC INSURER B: Underwriters at Lloyds of London 10736 1065979 680 Newport Center Drive INSURER C: Houston Casualty Company .42374 3rd Roo- Newport Beach CA 92660 INSURER D.• Evanston Insurance Company 35378 INSURER INSURER COVERAGES WILLY02 CERTIFICATE NUMBER: 15807448 REVISION NUMBER: XXXXXXX 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. tNSR I Lia TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY FF POLiCY EXP LIMITS A Xr COMMERCIAL GENERAL LIABILITY Y N CE19CGLZ03UJVIC 12/31/2019 12/31/2020 EACH OCCURRENCE 2,000,000 CLAIMS-MADE D OCCUR DAMAGE T❑E RENTED PRE ISES a !roe Excluded X SIR:$250.000 _ IVED EXP(Any oneperson) Excluded PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 'v POLICY❑JECOT- ❑LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER:SIR$500k $ AUTOMOBILE LIABILITY 2221ED SINGLE LIMIT $ X� ANY AUTO NOT APPLICABLE 130DILY INJURY(Per person) $ XXXXXXX OWNED SCHEDULED AUTOS ONLY AUTOS 130DILY INJURY(Per accident $ YYY, XX _ HIRED NON-OWNED r1gPE11jY AMAGE $ XXXXXXX AUTOS ONLY AUTOS ONLY Per cu $ B UMBRELLALIAB X CCUR N N B0595XN6134019 12/31/2019 12/31/2020 EACH OCCURRENCE $ 3,000,000 X EXCESS LIAB Cl-AIMS-MADE AGGREGATE $ 3,000,000 DED I X I RETENTION$500.000 $ XXXXXXX WORKERS COMPENSATION PER OTH AND EMPLOYERS'LIABILITY STATUTE NOT APPLICABLE ANY PRRIMEM OR/PXCLUDE/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT XXXXXXX OFFICER/MEMBER EXCLUDED? �Vv (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE XXXXXXX If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT XXXX= C 2nd Excess N N H19XC51236-00 12/31/2019 12/31/2020 $5M 0cc/$5M Agg D 3rd Excess MKLV6XL30000200 12/31/2019 12/31/2020 $5M Occ/$5M Agg C 4th Excess H19XC51237-00 12/31/2019 12/31/2020 $5M Occ/$5M Agg DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Encroachment permit.City of Menifee is an Additional Insured(s)as per the attached endorsement or policy language. CERTIFICATE HOLDER CANCELLATION See Attachment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE a ��r,g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN l { ACCORDANCE WITH THE POLICY PROVISIONS. 15807448 AUTHORIZED REPRESENTATIVE City of Menifee 29714 Haun Road Menifee CA 92586 ACORD 25(2016/03) ©'t 8-20t C ❑C RPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD Attachment Code :D516084 Certificate ID : 15807448 POLICY NUMBER: CE19CGLZ03UJVIC COMMERCIAL GENERAL LIABILITY CG 20 12 04 13 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: Any State Or Political Subdivision where required by written contract. 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 2. This insurance does not apply to: include as an additional insured any state or a. "Bodily injury", "property damage"or governmental agency or subdivision or political "personal and advertising injury"arising subdivision shown in the Schedule, subject to out of operations performed for the the following provisions: federal government, state or 1. This insurance applies only with respect to municipality; or operations performed by you or on your b. "Bodily injury"or"property damage" behalf for which the state or governmental included within the "products-completed agency or subdivision or political subdivision operations hazard". has issued a permit or authorization. C. With respect to the insurance afforded to these However: additional insureds,the following is added to a. The insurance afforded to such Section III -Limits Of Insurance: additional insured only applies to the If coverage provided to the additional insured is extent permitted by law; and required by a contract or agreement, the most b. If coverage provided to the additional we will pay on behalf of the additional insured is insured is required by a contract or the amount of insurance: agreement, the insurance afforded to 1. Required by the contract or agreement; or such additional insured will not be 2. Available under the applicable Limits of broader than that which you are Insurance shown in the Declarations; required by the contract or agreement whichever is less. to provide for such additional insured. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 12 04 13 ©Insurance Services Office, Inc.,-2012 Page 1 of 1