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HomeMy WebLinkAboutT-5600 - Certificate of Insurance - 6/18/2008 DATE ACORD,M CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 06/03/2008 PRODUCER 877-94 5-7 37 8 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis North America, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 305191 Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC# INSURED Lennar Corporation and all its Subsidiaries INSURERA: Old Republic Insurance Company 24147-000 25 Enterprise Aliso Viejo, CA 92656 INSURER B: Zurich American Insurance Company 16535-002 INSURER C. INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRC TYPE OF INSURANCE POLICY NUMBER DATE MM DDIYY DATE MM/DDlYY LIMITS A X GENERAL LIABILITY MWZY57620 11/1/2007 9/1/2009 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISESOEaoccu'ance $ 1,000,00() CLAIMSMADE 1XIOCCUR MED EXP(Anyone person) $ PERSONAL&ADV INJURY $ 11000,000 GENE RAL AGGREGATE $ 11000,000 GEMLAGGREGATE LIMIT APPLIES PER, PRODUCTS-COMP/OPAGG $ 1,0001000 X POLICY JECOT LOC B X AUTOMOBILE LIABILITY BAP368668201 11/1/2007 9/1/2009 COMBINED SINGLE LIMIT XANY AUTO (Eaaccidenl) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULEDAUTOS (Per person) $ X HIREDAUTOS NEDAUTOS BODILY INJURY X NON-OWNED RISK MA GE ENT DIVISION (Per accident) $ Approved. PROPERTY DAMAGE Ap r han es• (Per accident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO Sign d Date OTHER THAN EAACC $ _ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F_] CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND MWC11532800 11/1/2007 11/1/2008 X TORYLMITS OER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERlEXECUTIVE E.L.EACH ACCIDENT $ 2,000,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 2 000,000 If yes,describe under SP ECIALPROVISIONSbelow E.L.DISEASE-POLICY LIMIT $ 2,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE: Execution of Subdivision Agreement - Tract 5600 The City of Fresno, its officers, officials, employees, agents and volunteers are included as Additional Insureds with respect to General Liability and Automobile Liability. Waiver of Subrogation is granted in favor of The City of Fresno, its officers, officials, employees. acrents and volunteers with respect to Workers Compensation. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL NKXAMKXiK MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEF1X"XJQf =Xd0tY45)WULL City of Fresno 0WAFAM]6XX=06K]6I(gIX�SI�(4f 7d7Q�Kpj1]fdCi ibl�Xp [i]Q C}QgX GY3{ { c/o Construction Management Division Attn: Maryann Lewis 1WX9MX 1721 Van Ness Avenue AUTHORIZED REPRESENTATIVE Fresno, CA 93721 ACORD 25(2001/08) Coll:2373317 Tpl:762672 Cert: 0789108 ©ACORDCORPORATION 1988 Page 2 of 2 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25(2001/08) Co11:2373317 Tp1:762672 Cert:10789108 POLICY NUMBER: MWZY57620 COMMERCIAL GENERAL LIABILITY NAMED INSURED: Lennar Corporation and all its Subsidiaries This Endorsement Changes the Policy. Please read it carefully. Additional Insured - Owners, Lessees or Contractors (Form B) This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Persons or Organization: The City of Fresno, its officers, officials, employees, agents and volunteers RE: Execution of Subdivision Agreement-Tract 5600 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. Primary Insurance: It is agreed that such insurance as afforded by this policy for the benefit of the additional insured shall be primary insurance as respects any claim, loss or liability arising directly or indirectly from the insured's operations and any other insurance maintained by the additional insured shall be non-contributory with the insurance provided hereunder. CG 2010 11 85 Includes Copyrighted Material of Insurance Services Office, Inc.with it's permission. Copyright, Insurance Service Office, Inc. 1984 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement,the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s)or organization(s)who are"insureds"under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. SCHEDULE Name of Person(s)or Organization(s): The City of Fresno,its officers,officials,employees,agents and volunteers Each person or organization shown in the Schedule is an"insured"for Liability Coverage,but only to the extent that person or organization qualifies as an"insured"under the Who Is An Insured Provision contained in Section II of the Coverage Form. This endorsements is executed by the company designated below Zurich American Insurance Company Effective Date: 11/1/2007 Expiration Date: 9/1/2009 For attachment to Policy No. BAP368668201 Issued to Lennar Corporation and all its Subsidiaries CA 20 48 02 99 Copyright,Insurance Services Office,Inc.,1998 Page 1 of 1 WORKERS' COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC040306(4/84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT— CALIFORNIA 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 5% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization The City of Fresno, its officers, officials, employees, agents and volunteers RE: Execution of Subdivision Agreement - Tract 5600 This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: See Certificate POLICY NO: MWC11532800 INSURED: Lennar Corporation and all its Subsidiaries INSURANCE COMPANY: Old Republic Insurance Company