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HomeMy WebLinkAboutT-5728 - Certificate of Insurance - 7/8/2008 DATE(MM/DD/YYYY) ACORU. CERTIFICATE OF LIABILITY INSURANCE 06/16/2008 PRODUCER Aon Risk Insurance Services West, inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY fka Aon Risk services, Inc. of S CA AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS 707 Wilshire Boulevard CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE Suite 2600 COVERAGE AFFORDED BY THE POLICIES BELOW. LOS Angeles CA 90017-0460 USA PHONE-(866) 283-7122 FAX-(847) 953-5390 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Steadfast Insurance company 26387 i v Centex Homes INSURERB: w Central Valley Division 1840 South Central Avenue INSURER C: C Visalia CA 93277 USA L INSURER D: INSURER E: COVERAGES STA May A THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 10 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. LIMITS SHOWN ARE AS REQUESTED INSR ADDT POLICY EFFECTIVE POLICY EXPIRATION LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE(MM\DD\YY) DATE(MM\DD\YY) LIDtITS A ENERAL LIABILITY HBP914216900 04/01/07 04/01/09 EACH OCCURRENCE $30,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $100,000 PREMISES CLAIMS MADE F1 OCCUR MEP(AAnn oy onneepersocrsc) on) EXC U 2 � PERSONAL&ADV INJURY $30,000,000 m N GENERAL AGGREGATE $40,000,000 O GEN'L AGGREGATE LIMIT APPLIES PER: T PRODUCTS-COMP/OP AGG $40,000,000 r'j ❑X POLICY 1:1JECT PRO- [__j1,0(- O O AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT p ANY AUTO (Ea accidcnt) z ALL OWNED AUTOS JURY GE ENT DfVI u SCHEDULED AUTOS /t.. { n) I:. 1F I w HIREDAUTOS4 - �// BODILY INJURY NON OWNED AUTOS I N � -Chang S, accident) - - S OPERTY DAMAGE �n� Date cidcnQ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ANY AUTO e UTHERTHAN EA ACC AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE ❑OCCUR ❑ CLAIMS MADE AGGREGATE DEDUCTIBLE RETENTION WC STATU- OTH- WORKERS COMPENSATION AND LIMITSITIRY EMPLOYERS'LIABILITY E.L.EACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE If ycs,describe under SPECIAL PROVISIONS E.L.DISEASE-POLICY LIMIT bclow OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/17X('LtIS10NS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The City of Fresno, its officers, officials, employees, agents and volunteers are included as Additional insured as respects to General Liability as regwired by written contract. The policies certified hereon are primary to other insurance available to the certificate holder, but only to the extent required by written contract with the CERTIFICATEANE 1 City Of Fresno SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Construction Management Division DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL Attn: Maryann Lewis 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 1721 Van Ness Avenue BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY rLi OF ANY KIND UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES. Fresno CA 93721 USA Or AUTHORIZED REPRESENTATIVE M_ ACORD 25 2001/08 ACORD CORPO ION 1988 0 Attachment to ACORD Certificate for Centex Homes The terms,conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage afforded by the insurer(s).This attachment does not contain all terms,conditions,coverages or exclusions contained in the policy. INSURER INSURED Centex Homes INSURER Central valley Division 1840 south Central Avenue INSURER visalia CA 93277 USA INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD certificate form for policy Iimits. INSR :1DWL POLICY NUMBER POLICY POLICY LTR INSRD TYPE OF INSURANCE POLICY DESCRIPTION EFFECTIVE EXPIRATIONLIMITS DATE DATE DESCRIPTION OF OPERATIONS/LOCATIONSiVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Insured, and always subject to the policy terms, conditions and exclusions. Certificate No: 570029062328 INSURED Centex Homes central valley Division 1840 South Central Avenue Visalia CA 93277 USA STF-GL-113-A-CW (1/97) ZURICH Home builders protective insurance policy endorsement Steadfast Insurance Company Dover: Delaware Administrative Offices - 1400 American Lane, Schaumburg, Illinois 60196-1056 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NAMED INSURED. Centex Homes ADDRESS: 1840 South central Avenue, Visalia CA 93277 ENDORSEMENT This endorsement modifies insurance provided by the following: Home Builders Protective Insurance Policy Form BLANKET ADDITIONAL INSURED IT IS AGREED THAT SECTION II - WHO IS AN INSURED, IS AMENDED TO INCLUDE, AS AN ADDITIONAL INSURED, ANY PERSON OR ORGANIZA TION YOU ARE REQUIRED BY WRITTEN CONTRACT TO INCLUDE AS AN ADDITIONAL INSURED, INSURANCE FOR THESE PERSONS OR ORGANIZA TIONS SHALL BE LIMITED TO THE EXTENT OF THE COVERAGE AND LIMITS OF LIABILITY REQUIRED BY THE WRITTEN CONTRACT AND ONLY WITH RESPECT TO LIABILITY ARISING OUT OF "YOUR WORK" WHETHER PERFORMED FOR THAT INSURED BY OR FOR YOU. THE WRITTEN CONTRACT MUST BE EXECUTED PRIOR TO THE OCCURRENCE OF ANY LOSS, THE EXTENT OF COVERAGE AND THE LIMITS OF LIABILITY OF THIS CONTRACT SHALL NOT INCREASE THE LIMITS STATED IN SECTION III - LIMITS OF INSURANCE, OF THE EXTENT OF COVERAGE STATED IN THIS POLICY STF-GL-113-A-CW (1/97) I Pb1 570026425119 i ACORDTM CERTIFICATE OF LIABILITY INSURANCE 4/1/2009 DATE 6/13/2008(MMIDDfYYYY' PRODUCER LOCKTON COMPANIES,LLC-N DALLAS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 717 N.HARWOOD,LB#27 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE DALLAS TX 75201 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 214-969-6700 INSURERS AFFORDING COVERAGE NAIC# INSURED Centex Homes INSURER A: Zurich American Insurance Co. 1022311 Central Valley Division INSURER B: 801 S.Akers Road INSURER C: Visalia CA 93277 INSURER D: INSURER ETHIS CERFICATE.1: EEN THE ISSUING COVERAGES CENHOM I I 1 '.SURER(S),AUTHORIZEDUREPRESENTATI EDOESTOR PRODUCER AND THE CERTICONSTITUTE A CONTRACT F CA E HOLDER. 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. INSRDD' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSR TYPE OF INSURANCE DATE MMIDDIYY DATE MM/DD/YY GENERAL LIABILITY EACH OCCURRENCE XXXXXXX COMMERCIAL GENERAL LIABILITY NOT APPLICABLE —PREMISES nc Ea ocouree $ XXXXXXX CLAIMS MADE ❑ OCCUR MED EXP(Any one person) $ XXXXXXX PERSONAL&ADV INJURY $ XXXXXXX GENERAL AGGREGATE $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ XXXXXXX POLICY PRO LOC JECT X AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 X ANY AUTO BAP9259112-01 4/1/2008 4/1/2009 (Ea accident) ALL OWNED AUTOS RISK MAI. G '.ENTYi '��V $ XXXXXXX SCHEDULED AUTOS AP) r ved: X HIRED AUTOS A�) r ved w/Ch nges: BODILY INJURY $ XXXXXXX X NON-OWNED AUTOS (Per ace` ent) P TY DAMAGE $ XXXXX,XX GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ XXXX}(xx ANY AUTO NOT APPLICABLE OTHER THAN EA ACC $ XXXXXX.X AUTO ONLY: AGG $ XXXXXXX EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ XXX'XXxx OCCUR F_I CLAIMS MADE NOT APPLICABLE AGGREGATE $ XXXXXXX $ XXXXXXX UMBRELLA DEDUCTIBLE FORM $ XXXXXXX RETENTION $ $ XXXXXXX A WORKERS COMPENSATION AND WC9259108-01 AOS 4/1/2008 4/1/2009 X WCSTATUT R E EMPLOYERS'LIABILITY TORY LIMITS ER '4 ANY PROPRIETOR/PARTNER/EXECUTIVE WC9259109-01 WI,MA E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under NO SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS The City of Fresno,its officers,officials,employees,agents and volunteers are included as Additional insured to the extent where required by an insured contract as respects Auto liability policy.Workers'Compensation Waiver of Subrogation in favor of Tlic City of Fresno,its officers,officials,employees, agents and volunteers arc included to the extent where required by a written contract. CERTIFICATE HOLDER CANCELLATION [CEN-AL-WVRI[CEN-AL All 3688065 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fresno DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN C/O Construction Management Division NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Attn:Maryann Lewis IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 1721 Van Ness Avenue REPRESENTATIVES. Fresno CA 93721 AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) For questions regarding this certificate,contact the number listed in the'Producer'section above and specify the client code'CENHOMI'. ©ACORD CORPORATION 1988 Waiver Of Transfer Of Rights Of Recovery Against Others To Us Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Agency No. Add[. Prem. Return Prem BA P9259112-01 4/1/08 4/1/09 4/1/09 This endorsement is issued by the company named in the Declarations. It changes the policy on the effective date listed above at the hour stated in the Declarations. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Address(Including ZIP code): This endorsement modifies insurance provided under the: Business Auto Coverage Form Truckers Coverage Form Garage Coverage Form Motor Carrier Coverage Form SCHEDULE Name of Person or Organization: ALL PERSONS AND/OR ORGANIZATIONS THAT REQUIRE A WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY. We waive any right of recover we may have against designated person or organization shown in the schedule because of payments we make for injury or damage caused by an"accident"or"loss"resulting from the ownership, maintenance,or use of a covered"auto"for which a Waiver of Subrogation is required in conjunction with work performed by you for the designated person or organization. The waiver applied only to the designated person or organization shown in the schedule. Countersigned: Date: Authorized Representative Attachment Code:CEN-AL-WVR Certificate[D:3688065 POLICY NUMBER:BAP9259112-01 COMMERCIAL AUTO CA 20 48 02 99 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 This endorsement change the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective:I Countersigned by: April I,2008 I Named Insured:Centex Corporation I (Authorized Representative) SCHEDULE Name of Person(s)or Organization(s) ANY PERSON OR ORGANIZATION WITH WHOM YOU HAVE AGREED,THROUGH WRITTEN CONTRACT, AGREEMENT OR PERMIT,EXECUTED PRIOR TO THE LOSS,TO PROVIDE PRIMARY ADDITIONAL COVERAGE. (If no entry appears above,information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) 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 11 of the Coverage Form. CA 20 48 02 99 Copyright,Insurance Services Office,Inc., 1998 Page 1 of I Attachment Code:CEN-AL Al Certificate ID:3688065