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2020/07/01 Woodside 05S, LP, DBA Woodside Homes of California, LP Certificate of Liability InsuranceWOODGRO-01 HTHOMAS DATE(MM/DDIYYYY) F6/22/2020 �►C`+QRO` CERTIFICATE OF LIABILITY INSURANCE " 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 in lieu of such endorsements . PRODUCER License # OD25325 ''°" "" " co ACT D.L.D. Insurance Brokers, Inc. I 17712 Mitchell North JUL 0 1 2'U20 Irvine, CA 92614 PHONE FAX AIC,No,Ext: 949) 221-1788_INC. 949 221-1799 A _ info@dldins.com INSURERS AFFORDING COVERAGE NA1C It n r� INSURER A: Everest Premier Insurance CO, 16045 RECEIVED INSURED INSURER B INSURER C : Woodside 05S, LP, DBA Woodside Homes of California, LP INSURERD: 1250 Corona Pointe Ct., Suite 500 Corona, CA 92879 INSURER E INSURER F; COVERAGES gERTIFICATE NUMBER: REVISION NUM13ER: 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. I T R TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR EACH OCCURRENCE DAMAGE TO RENTED MED EXP (Any oneperson) PERSONAL & ADV INJURY GEN'LAGGREGATE LIMIT APPLIES PER: POI,CY ❑ PRO- ❑ LOC JECT POTHER GENERAL AGGREGATE PRODUCTS -COMP/OP AGG AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY AUUTOSONLYY COMBINED SINGLE LIMIT BODILY INJURY Perperson) BODILY INJURY JPer accident P�iQ'aF�R�TenpAMAGE UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE .AGGREGATE DED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECU I lVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A -CA10001232201 7/1/2020 7/1 /2021 X PER OTH- E.L. EACH ACCIDENT 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT 1 000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Remington, TR# 31390, Marigold-TR#31347, Mountain Gate-TR#28801-1, -2 Certificate issued as evidence of workers' compensation insurance City of Menifee 29714 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD