Loading...
HomeMy WebLinkAboutT-6177 - Certificate of Insurance - 4/16/2018 ' 1 I DATE(MM/DD/YYYY) ACC?�R" CERTIFICATE OF LIABILITY INSURANCE 2/22/2018 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 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). ACT PRODUCER NAME- Kelley Gubernick _ Gore Lieske&Associates Insurance Brokers, LP PHONE 714-505-7000 FAX No:714-573.1770 15901 Red Hill Ave Suite 100 W.G.-N9. Tustin CA 92780 MAIL SS: k ubemlck oTlieske.com INSURERIS)AFFORDING COVERAGE NAIC 0 INSURER A;OLD REPUBLIC INS CO 24147 INSURED LENNA-1 INsuRERB:RLI INS CO 13056 Lennar Corporation and all its Subsidiaries 25 Enterprise INSURER c.Underwriters at Lloxds _ 15792 Aliso Viejo, CA 92656 WSURER D: _ INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: •1274047776 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 TYPE OF INSURANCE �SUER INSD POLICY NUMBER FOLICryE MMlL60fYYYY LIMITS LTR A X COMMERCIAL GENERAL LIABILITY Y Y MWZY311005 9/1/2017 9/1/2018 EACH OCCURRENCE S 7-500,000 -bWA-a_T0_RENTr=C CLAIMS-MADE L?�OCCUR PREMISES ao0CUMm $2000.000 MED EXP(Any one person) $N/A PERSONAL&ADV INJURY $7.500.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $7,500,000 X POLICY❑ PRO ❑ LOC PRODUCTS-COMP/OP AGG $10,000,000 JECT OTHER B AUTOMOBILE LIABILITY Y CAP9505B42 9/1/2017 9/1/2018 COMBINED SINGLE LIMIT $I.12MODO ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NOTO WNED alwPROS TY DAMAGE $ $ C UMBRELLA LIABB0595XR5178017 9/1/2017 9/12020 EACH OCCURRENCE $4.000,000 X OCCUR X EXCESS LIAB CLAIM&MADE AGGREGATE $4,000,000 DED RETENTION$ $ SN A WORKERS COMPENSATION Y MWC31100400 9/1/2017 911/2018 X T u TE ER H AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNERIEXECUTIVEF—] N/A EL EACH ACCIDENT $ 000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ 000,000 If yes,describe under DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT $2000,000 I DESCRIPTION OF OPERATIONS/LOCATION 51 VEHICLES (AC ORD 101,Additional Remarks Schedule,may be attached it more apace is requIMdl RE: Advanced Construction permits and subdivision agreement for tract 6177 sewer and water ACP The City of Fresno,its officers,officials,employees,agents and volunteers are additional insured as respects to General Liability per attached CG 20 12 04 13 and Auto Liability per attached TRS 601 11 06.This insurance Is primary,and our obligations are not affected by any other insurance carried by such additional insured whether primary,excess,contingent,or on any other basis per attached CG 20 01 04 13.Waiver of subrogation endorsement as respects to the City of Fresno,its officers,officials,employees,agents and volunteers for Workers'Compensation applies per attached WC 00 03 13.Waiver of Subrogation applies to the General Liability per attached CG 24 04 05 09. Primary and Non-Contributory applies on the Auto Liability per attached MANC 662 03 13 RISK MANAGEMENTISION CERTIFICATE HOLDER ApproVCANCELLATION Approved yVIC n es SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN �V1r�lJl ACCORDANCE WITH THE POLICY PROVISIONS. City of Fresno � �,a 2600 Fresno S O�gq� Date AUTHOPAM REPRESENTATIVE Fresno CA 9321-3620 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: MWZY 311005 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: As required by written contract or agreement 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 out subdivision shown in the Schedule, subject to the of operations performed for the federal following provisions: government, state or municipality; or 1. This insurance applies only with respect to b. "Bodily injury" or "property damage" operations performed by you or on your behalf included within the "products-completed for which the state or governmental agency or operations hazard", subdivision or political subdivision has issued a permit or authorization. B. With respect to the insurance afforded to these additional insureds, the following is added to However: Section Ill— Limits Of Insurance: a. The insurance afforded to such additional If coverage provided to the additional insured is insured only applies to the extent permitted required by a contract or agreement, the most we by law; and will pay on behalf of the additional insured is the b. If coverage provided to the additional amount of insurance: insured is required by a contract or 1. Required by the contract or agreement; or agreement, the insurance afforded to such additional insured will not be broader than 2. Available under the applicable Limits of that which you are required by the contract Insurance shown in the Declarations; or agreement to provide for such additional whichever is less. 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 MWZY 311005 t_ennar Corporation 09/01/2017-09/01/2018 POLICY NUMBER: MWZY 311005 COMMERCIAL GENERAL LIABILITY CG 20 0104 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The fallowing is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 0104 13 4 Insurance Services Office, Inc., 2012 Page 1 of 1 MWZY 311005 Lennar Corporation 0910112017-0910112018 POLICY NUMBER: MWZY 311005 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: If required by written contract or agreement Information reuired to complete this Schedule, if not shown above.will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or ,.your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 ©insurance Services Office, Inc., 2008 Page 1 of 1 MWZY 311005 Lennar Corporation 0910112017-0910112018 Policy Number: CAP9505842 RLI Insurance Company THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following TRUCKERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM GENERAL LIABILITY COVERAGE FORM EXCESS INDEMNITY COVERAGE FORM MOTOR TRUCK CARGO COVERAGE FORM COMMERCIAL EXCESS LIABILITY POLICY MOTOR CARRIER COVERAGE FORM The provisions of the Coverage Form apply unless modified by this endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective: 09/01/2017 Named Insured: Lennar Corporation Additional Insured shall include any organization where shown on a Certificate of Insurance or to whom the Named Insured is obligated by virtue of a written contract or agreement to provide insurance but only as respects the operations of the Named Insured. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. TRS 601 (11/06) Page 1 of 1 Policy Numba: CAP9505842 RH Insurance('ctulllanE THIS EN DORSEMENTC1 IANC FSTII E POLICY. PLEASE REM) ITCARETULLY; PRL MARYAND NONCON'riziBUTORY - OTHER INSURANCE CONDITION Endorsement EffectlVe: I:llLlOJ_SelllCllt k1,11C DI[C: Named IIISLUCLI: LeI111,11- Col,pol"llt011 This cildt i rsciliew n i u.lifiCs in,uranrc 1)1'(1 V idCd LIIILICI- I 11C Cod I OW I I I CONINIE'R'(1110, AUTO PART Tllv 1,01lowillL, is added to the Other Insurance C011diti011 and S11I)CI-SO(IOs Lula Ilt-OVIS1011 to the Contrary: Primuro, And N011CO1111-illUtol-V lJ1,SL11'!1llt:C 1115Il'IMCC 1C IN-111IM'VIO Lllld will iit)t ,,cck contri h[]tion frollialloo, other ill"Ill-ancen ailohlc it) all ,"IdditiMIL11 illStIl'CLI 1111LIff}'Our l)oliCV pl-OVided that: I I i The LIdditi011ill insurcki is a NamCd 111SUMI under SUCK 011lff illS1111111CC: ',flld ("I YOU haxea(yree.d in wriiinu in U C011ti",W1 01'Zt!!YCCMC1lt [IM1. (hi-, 1llSt11':1llC12 WOUld lie prillmn, antl %WUld not ',CCk C01111-ibUtioll h-0111 MIN Other 1ll_1,U1_"llQe Z1VUlLihle to the additional inured. ALI. OTHER TERMS. CONDITIONS AND EXCLUSIONS REMAIN UNCHANGED. iM ANC 662 (03i 1 of I WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 POLICY NUMBER: MWC 311004 00 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule AS REQUIRED BY CONTRACT OR AGREEMENT qy 1983 National Council on Compensation Insuranoe. INSURED COPY 595 BES Attaching to Risk No Endorsement No Currency Gross Premium XR5178017 005 Total Registration VAT ITOCTribunal Lloyd's Serial Registration Category Sett due date Def Adj ILU URMA Assured/Account Companies Lennar Cor7W—Z�Ea�ci al Underwriters Agreement(GUA) nderwriters ro ortion is several not join! rSl d Slit)Leader&A reement Parties All Underwriters i� With effect from 01 September 2017, the following are to be added as Additional Insureds under the Policy, solely in respects of liability arising out of the operations of the Named Insured and only to the extent required under a written contract between the Additional Insureds and the Named Insured: City of Fresno, 2600 Fresno Street,Room 4064, Fresno,CA 93621-3620 All other terms and conditions remain unaltered. Information;see email from GoreLieske dated 12 April 2018 Dated in London: 12 April 2018 L.P.S.O. number and date LLU number and date L.I.R.M.A.number and date Planned Settlement Date `L< I C]tY CI14'Cli ATTACHING TO AND FORMING PART OF POLICY NUMBER B0595XR51780i7 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY INSURANCE ENDORSEMENT Where you are named as an additional Insured on the policy(ies) of others, this insurance shall only apply in excess of and shall not be contributory with other said policy(ies). Notwithstanding the above or any other clauses contained within this insurance where required by written contract this insurance shall be primary to any other valid and collectable insurance. rf 1f CGU 12W Includes copyrighted material of Insurance Services Office, Page 1 of I Inc., with its permission rs HOMEBUILDERS UMBRELLA Commercial Umbrella Liability Policy DECLARATIONS POLICY NUMBER:B0595XR5178017 ITEM 1, NAMED INSURED: LENNAR CORPORATION MAILING ADDRESS: 26 Enterprise Aliso Viejo,CA 02666 USA ITEM 2.POLICY PERIOD: FROM: 1 at September 2017 TO: 1 at September 2020 (Both days at 12.01 A,M, Local Standard Time,at the address shown above). ITEM 3.LIMITS OF INSURANCE The limits of Insurance,subject to the terms of this policy,are A USD 20,000,000 Each Occurrence B USD 20,000,000 Annual General Aggregate (in accordance with Section IV.B.Limits of Insuranoe) C USD 20,000,000 Annual Products-Completed Operations Aggregate (in accordance with Section IV,C.Limits of Insurance) These Limits reinstate on Each Polley Anniversary But Will Not Carry Forward In Addition To The Reinstated Llmlts,The Limits are eroded by Defense Costs and indemnity. Each of the above aggregates applies once and separately to each annual period of the Policy Period The maximum payable for Prod ucta-Compieted Operations la USD 20,000,000 In all to each tweiva months of the Pal icy Period,with that rnaxlmum reinstating on each Policy anniversary being 1"September 2018 and 1'September 2019 respectively. The maximum payable for Products-Corn plated Operations regardless of time Is USD 20,000,000 each annual period, D USD 25,000 Fungus(I),Motd(s)or Spores)aggregate for the Policy Period with no reinstatement of this limit(in accordance with Section IV,H.Limits of Insurance) Which is excess of Scheduled Underlying as attached. All Limits are eroded by Defense Costs and Indemnity. J� ITEM 4, SELF INSURED RETENTION See Self Insured Retention Endorsement ITEM 5. SCHEDULED UNDERLYING INSURANCE See Schedule of Underlying Insurance ITEM 6.APPROVED COUNSEL SELF-INSURED RETENTION: Not Applicable ITEM 7. DEPOSIT PREMIUM: USD Payable 18`September 2017 USD Payable 1st September 2018 USD Payable 1st September 2019 Each Annual Premium is Earned at the end of Each Annual Period. Schedule of Closed of Escrow Units to be presented to Underwriters with 120 days of the close of the Policy Period. Adjustable upwards only within 120 days of the expiration of the 3 year Policy Period. Adjustment to be calculated at USD per Closed of Escrow Unit during the 3 year Policy Period above Closed of Escrow Units. Subject to a Minimum Earned amount of at inception of each Annual Period ITEM 8. THIS POLICY INCLUDES THESE ENDORSEMENTS AT INCEPTION DATE: 1 Schedule of Underlying Insurance and Schedule of Self Insured Retentions. 2 Service of Suit Clause, Jurisdiction,and Choice of Law Clause 3 Institute Radioactive Contamination, Chemical, Biological, Bio-Chemical and Electromagnetic Weapons Exclusion Clause 4 Institute Cyber Attack Exclusion Clause 5. Drywall Warranty 6 Premium Payment Warranty 7. Occurrences Reported Endorsement 8 Occurrences Reported Limitation Endorsement 9, Notice of Cancellation Clause 10. Endorsement Deleting Exclusions F&G 11. Exterior Insulation and Finish System Definition 12, Broad Form Named Insured Endorsement 13. Close of Escrow Endorsement 14 Named Insured Amendatory Endorsement 15 Amended Duties in the Event of an Occurrence, Claim or Suit Endorsement 16. Rental Home Endorsement and Rental Home schedule 17. Amendment to Products Completed Operations Hazard Definition Endorsement 18. Sanction Clause. Dated In London 1g`September 2017 Insured: Lennar Corporation Policy Number: B0595XR5178017 Endorsement No: 1 Effective Date: list September 2017 SCHE=DULE OF UNDERLYING INSURANCE AND SELF INSURED TRAILING RETENTIONS For period 1 st September 2017 to 1 st September 2020 Type of Cover Limits of Liability 1. General Liability USD 7,500,000 each Occurrence USD 7,500,000 Annual Aggregate USD 10,000,000 Products/Completed Operations Annual Aggregate 2. Employers LlatElty 3. Excess AutornotAl Liability, 4. Automobile Liability 5. Aviation Liabillty The Policies specified are renewable annually and continuance of this Policy is dependent upon renewal of these policies on each anniversary throughout the three year term of this Policy. In the event of the total erosion of Items 1 or 3 and 4 of the Scheduled Underlying Insurance the following Self Insured trailing Retention will apply to all and any subsequent Occurrences: I) USD any one Occurrence The terms, declarations, insuring agreements, definitions, exclusions and conditions of this policy otherwise remain unchanged. 595 B0595XR5178017 DES ORDER HEREON: 100% of 100% BASIS OF WRITTEN LINES: Percentage of Whole SIGNING PROVISIONS: In the event that the written lines hereon exceed 100% of the order, any lines written "to stand" will be allocated in full and all other lines will be signed down in equal proportions so that the aggregate signed lines equal to 100% of the order without further agreement of any of the (re) insurers. However: a) in the event that the placement of the order is not completed by the commencement date of the period of insurance then all lines written by that date will be signed in full; b) the signed lines resulting from the application of the above provisions can be varied, before or after the commencement date of the period of insurance, by the documented agreement of the (re)insured and all (re)insurers whose lines are to be varied. The variation to the contracts will take effect only when all such (re)insurers have agreed, with the resulting variation in signed lines commencing from the date set out in that agreement. Libelrty Spc6.ikty Markets Llberty Mutual Insurance Europe Limited �r%f� (i�j 1 t 1-4 �. QAAI3 Regislcred Address:20 Fonchurch Street, 17 London,k C3M SAW,United Kin[darn APOLLO LIABIUTY CONSORTIUM 99 I � NL- ,SSSSrsol All Underwriters as per LPSO registered consortium number 9984 r 595 B0595XR5178017 BES WRITTEN LINES: FA 1861 ATL FW � g 330 17 T-3 ISH i sA6AEGIS Casualty Consortium 9224 All underwnlem as{ler LP9kl riufIEHiw�wd Cnnppviwm Nnq.2.21$ LINE TO STAND casualty C)aegislondon,co.uk ldMarket Internationat Insurance Company Limited MRRRRI w n. Signed and taarr�. \ 0`1, zo }�.. ALL AMENDMENTS TO BE AGREED EU TAXES ONLY LINE TO STAND CLAIMS pNDTIFICAI ION-EXCESSLIABILITYCLAIMSaDMARKELCORP.COM �`O 1•a,:L0. � 1-���..�L�.�—�._��