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2021/07/01 Woodside 05S, LP, DBA Woodside Homes of California, LPWOODGRO-01 ROW A`QRD CERTIFICATE OF LIABILITY INSURANCE DATE (Ms�z912021 zOz1 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 endorsements . PRODUCER License # OD25325 CONTACT D.L.D. Insurance Brokers, Inc. PHONE 17712 Mitchell North (AIC, No, Ext): (949) 221-1788 j.0 No):(949) 221-1799 Irvine, CA 92614 Mnul�cc. infoOdidins.com INSURER A: Everest Premier Insurance Co. 16045 INSURED INSURER B : Woodside 05S, LP, DBA Woodside Homes of California, LP INSURER C : 1250 Corona Pointe Ct., Suite 500 INSURER D : Corona, CA 92879 INSURER E : INSURER F : COVERAGES CERTIFICATE NIIMRFR• oC1A@enm rur iaeoro. 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 REDUCER BY PAID CLAIMS. ILT R TYPE OF INSURANCE ADDL SUBR_JNSO VIVO POLICY NUMBER POLICY EFF POLICYEXP LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR EACH OCCURRENCE S DAMAGE TO RENTED 5 MED EXP arm perwS PERSONAL & ADV IN URY 7LAGGREGATE LIMIT APPLIES PER: POLICY JECT 7 LOC NERAL AGGREGATE S PRO OLICTS • C M !OP A S 0THER: AUTOMOBILE LIABILITY COAABIiYEDSINGLE LIMIT S BODILY INJURY r rson) S ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS EEqq AUTOS ONLY AIJ O NLY BODILY INJURY Per aaddanl S Peiar.CRdeYEMAGE S 3 UMBRELLA LIAB HCLAIMS-MADE OCCUR EA H OCCURRENCE AGGREGATE EXCESS LIAB DED I I RETENTIONS S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFfCERmAENY {MgO�E? CLUOEDTUTNE Y❑ (MaAdetory In NH} If g". describe under DESCRIPTION OF OPERATIONS below NIA CA10001232211 7/1/2021 7/1/2022 X PER OTH- . EA H ACCIDENT 3 �I,OOO,OOO E.L. DIS A 1=MPLOVE E S 1,000,0.00 E L. DISEASE - POUCY LIMIT 5 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe 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 ACORD 25 (2016/03) 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. The ACORD name and logo are registered marks of ACORD