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Home My WebLink AboutT-5730 - Certificate of Insurance - 12/16/2008 ACORD. CERTIFICATE OF LIABILITY INSURANCE 4/1/2009 1 DAT10/27/2008YY) 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 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 E: COVERAGES CENHOM I I I NSURER SFIAUTHORIZEDICATE OFDRANCE R PRESENTATIVE OR PRODUCER AND THE CERTIDOES NOT CONSTITUTE A CONTRACT FICATE HOLDEREEN THE .NG 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 DD' POLICY NUMBER POLICY EFFECTIPOLICY EXPIRATION LIMITS LTR NSR TYPE OF INSURANCE DATE MMlDD/YYVE DATE MM/DD/YY GENERAL LIABILITY EACH OCCURRENCE XXXXXXX COMMERCIAL GENERAL LIABILITY NOT APPLICABLE DAMAGE ( RENTED PREMISESS Ea occurence) $ XXXXXXX CLAIMS MADE El 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 PROECT LOC J X AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 A X ANY AUTO BAP9259112-01 4/1/2008 4/1/2009 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ XXXXXXX SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ XXXXXXX X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ XXXXXXX (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ XXXXXXX I HANY AUTO NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX AUTO ONLY: AGG $ XXXXXXX EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ XXXXXXX OCCUR CLAIMS MADE NOT APPLICABLE AGGREGATE $ XXXXXXX $ XXXXXXX UMBRELLA DEDUCTIBLE 0 FORM $ XXXXXXX RETENTION $ $ XXXXXXX WC TH- A WORKERS COMPENSATION AND WC9259108-01 AOS 4/1/2008 4/1/2009 X RYLIMIT ER TORY LIMITS ER EMPLOYERS'LIABILITY `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$ 1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE:PROJECT NAME:MAPLE RUN ADDITION-TRACT NO.5730.THE CITY OF FRESNO,ITS OFFICERS,OFFICIALS,EMPLOYEES,AGENTS AND VOLUNTEERS ARE ADDITIONAL INSURED AS RESPECTS TO AUTO LIABILITY INSURANCE.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. WORKERS COMPENSATION WAIVER OF SUBROGATION IN FAVOR OF THE CITY OF FRESNO,ITS OFFICERS,OFFICIALS,EMPLOYEES,AGENTS AND VOLUNTEERS IS INCLUDED TO THE EXTENT WHERE REQUIRED BY A WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION ICFN-ALAII IM521211 3930594 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE 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 .� AUTHORRED REPRES ?�NE�' ACORD 25(2001/08) For questions regardingthis certificate,contactthe numberlisted In the'Producer'sectior CENHOM1'. 0 ACORD CORPORATION 1988 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 1,2008 Named Insured:Centex Corporation (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 l of I Attachment Code:CEN-AL AI Certificate ID:3930594 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This Endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following"attaching clause"need completed only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective on 04/1/2008 at 12:01 A.M.standard time,forms a part of (DATE) Policy No.WC 9259108 01 of the ZURICH AMERICAN INSURANCE COMPANY (NAME OF INSURANCE COMPANY) issued to CENTEX CORPORATION Premium(if any)$ DATE(MM/DD/WYY) ACORD.M CERTIFICATE OF LIABILITY INSURANCE 10/27/z008 PRODUCER Aon Risk Insurance Services west, inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Los An el es CA Office AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS 707 wi 1 shire Boulevard CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE Suite 2600 COVERAGE AFFORDED BY THE POLICIES BELOW, a; LOS Angeles CA 90017-0460 USA c PHONE-(866) 283-7122 FAx- 847 953-5390 INSURERS AFFORDING COVERAGE NAICN W INSURED INSURER A: Steadfast Insurance Company 26387 cu Centex Homes INSURER B: 4' Central Valley Division 1840 South Central Avenue INSURER C: C Visalia CA 93277 USA INSURER D: a, .b INSURER F: O x COVERAGES SIR applies per terms and con TtTons o t e o is THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING \NY 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. \GGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED INSR DD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSIRD TYPE OF INSURANCE POLICY NUMBER LIMITS DATE(MM\DD\YY) DATE(MM\D D1YY) A ERAL LIABILITY HBP914216900 04/01/07 04/01/09 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $100,000 CLAIMS MADE ® OCCURPREMISES(Ea oecurence) (Any MED EXP one person) ExC u 8 O PERSONAL&ADV INJURY $1.00 0QQQ GENERAL AGGREGATE $1,000,000 M GEN'L AGGREGATE LIMIT APPLIES PER: 1-4 PRODUCTS-COMP/OP AGG S1,000,000 C ❑X POLICY ❑ PRO- ❑ LOC O JECT c^ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT O ANY AUTO (Ea accident) z aaw ALL OWNED AUTOS BODILY INJURY cd SCHEDULED AUTOS (Per person) y HIRED AUTOSL BODILY INJURY d NON OWNED AUTOS ( (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ANY AUTO e OTHER THAN EA ACC AUTO ONLY AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE ❑OCCUR ❑ CLAIMS MADE AGGREGATE BDEDUCTIBLE RETENTION WC STATU- OTH- WORKERS COMPENSATION AND R EMPLOYERS'LIABILITY E.L.EACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVE - OFFICERIMFMBER EXCLUDED') E.L.DISEAS6EA EMPLOYEE Irycs,describe under SPECIAL PROVISIONS E.L.DISEASE POLICY LIMIT I clow >•P u OTHER y.a DES(Rw rioN OF OPERATIONS/LOCArIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS rM1 Tract No. 5730 Maple Run Addition. The City of Fresno, its officers, officials, agents, employees and volunteers •�� are included as Additional Insured as respects to General Liability. This insurance is primary and our obligations 2 : are not affected by any other insurance carried by such additional insured whether primary, excess, contingent or W CERTIFICATE HOLDER CA ELLATION 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 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: Maryann Lew-15 BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY 1721 van Ness Avenue OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Fresno CA 93271 USA Z AUTHORIZED REPRESENTATIVE A R - 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 limits. INSR ADD'L POLICY NUMBER POLICY POLICY EFFECTIVE EXPIRATION LIMITS INSRD TYPE OF INSURANCE POLICY DESCRIPTION f.TR DATE DATE DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS any other basis. GL AI endorsement STF-GL-113-A-cw attached Certificate No: 570031376950 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) Certificate no: 570031376950 0 Home Builders Protective Policy Endorsement ZURICH Steadfast Insurance Company Dover, Delaware Administrative Offices-1400 American Lane, Schaumburg, Illinois 60196-1056 Policy No. Eff. Date of Poi. Exp. Date of Pot. Eff.Date of End. Producer No. Addl Prem Return Prem. H BP 9142169-00 04/01/2007 04/0112009 75272-000 Named Insured /Mailing Address: Producer: CENTEX HOMES AON RISK SERVICES, INC. OF CA P.O. BOX 199000 707 WILSHIRE BLVD. DALLAS,TX 75219 LOS ANGELES, CA 90017 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Home Builders Protective Policy SCHEDULE OF FORMS AND ENDORSEMENT HOME BUILDERS PROTECTIVE POLICY JACKET STF GL 10128 A CW(11/06) HOME BUILDERS PROTECTIVE INSURANCE POLICY DECLARATIONS STF GL 10124 B CW(02/07) SCHEDULE OF FORMS AND ENDORSEMENTS STF GL 10087 B CW(02/07) HOME BUILDERS PROTECTIVE POLICY SERVICE OF SUITS CLAUSE STF GL 10127 A CW(11/06) HOME BUILDERS PROTECTIVE INSURANCE POLICY FORM STF GL 624 A CW (10/06) SEPARATION OF INSUREDS CONDITION AMENDMENT STF GL 10091 A CW(11/06) 90 DAY NOTICE OF NONRENEWAL STF GL 10092 A CW(11/06) BLANKET ADDITIONAL INSURED STF GL 10096 A CW(11/06) BLANKET WAIVER OF SUBROGATION STI=GL 10097 A CW(11/06) BROAD FORM NAMED INSURED STF GL 10098 A CW(11/06) PREMIUM AND REPORTS AGREEMENT STF GL 10099 A CW(11/06) PESTICIDE OR HERBICIDE APPLICATOR COVERAGE STF GL 10103 A CW(11/06) SELF INSURED RETENTION AMOUNTS STF GL 10104 B CW(02/07) FAILURE TO DISCLOSE STF GL 10106 A CW(11/06) EXTENDED BODILY INJURY FOR"YOUR WORK" STF GL 10113 A CW(11/06) UNIT OF EXPOSURE STF GL 10115 A CW(11/06) CONSTRUCTION OCCURRENCE DEFINITION AMENDMENT STF GL 113 A CW 01 (11/06) PERSONAL AND ADVERTISING INJURY DEFINITION AMENDMENT STF GL 113 A CW 02(11/06) INSURED CONTRACT DEFINITION AMENDMENT STF GL 113 A CW 03(11/06) TERM EXTENSION— DESIGNATED PROJECT ENDORSEMENT STF GL 113 A CW 04(11/06) NON-QUALIFYING LOSS AMENDMENT STF GL 113 A CW 05(11/06) NOTIFICATION REQUIREMENTS AMENDMENT STF GL 113 A CW 06(11/06) OFFSITE OPERATIONS OF SUBCONTRACTORS AMENDATOR STF GL 113 A CW 07(11/06) REDUCED SELF INSURED RETENTION AND INDEMNITY AGREEMENT STF GL 113 A CW 08(11/06) DISCLOSURE OF PREMIUM (RELATING TO DISPOSITION OF TRIA) U GU 692 B CW (01/06) STF-GL-10087-B-CW(02/07) Page 1 of 1 includes copyrighted material of Insurance Services Office,Inc.with its permission. entitled to the insured's rights against all those If other valid and collectible insurance is available other insurers. to the insured for a loss we cover under Coverages A, B, C or D of this policy; our When this insurance is excess over other obligations are limited as follows: insurance, we will pay only our share of the amount of loss, if any, that exceeds the sum (1) Primary Insurance of: This insurance is primary except when (2) (1) The total amount that all such other below applies. If this insurance is primary, our insurance would pay for the loss in the obligations are not affected unless any of the absence of this insurance; and other insurance is also primary. Then, we will share with all that other insurance by the (ii) The total of all deductible and self-insured method described in (3)below. amounts under all that other insurance. (2) Excess Insurance We will share the remaining loss, if any, with any other insurance that is not described in This insurance is excess over: this Excess Insurance provision and was not bought specifically to apply in excess of the (a) Any of the other insurance, whether Limits of Insurance shown in the primary, excess, contingent or on any Declarations of this policy, other basis: (3) Method of Sharing L That is Fire, Extended Coverage, Builder's Risk, Installation Risk or If all of the other insurance permits similar coverage for"your work"; contribution by equal shares, we will follow this method also. Under this approach each ii. That is Fire insurance for premises insurer contributes equal amounts until it has rented to you or temporarily occupied paid its applicable limit of insurance or none of by you with permission of the owner; the loss remains,whichever comes first. iii. That is insurance purchased by you to If any of the other insurance does not permit cover your liability as a tenant for contribution by equal shares, we will "property damage" to premises rented contribute by limits. Under this method, each to you or temporarily occupied by you insurer's share is based on the ratio of its with permission of the owner; applicable limit of insurance to the total applicable limits of insurance of all insurers. iv. If the loss arises out of the maintenance or use of aircraft, "autos" 2• Conditions that apply only to Coverages A , B, D or watercraft to the extent not subject and E to Exclusion 7. of Section I — Common Exclusions-Coverages A a. Duties in the Event of Occurrence, and D, or Construction Occurrence, Offense, Claim or Suit- (b) That is any other primary insurance available to you covering liability for (1) You must see to it that we are notified as soon damages arising out of the premises or as practicable of an "occurrence", operations, or the products and "construction occurrence" or an offense which completed operations, for which you have may result in a claim. To the extent possible, been added as an additional insured by notice should include: attachment of an endorsement. (a) How, when and where the "occurrence, When this insurance is excess, we will have "construction occurrence" or offense took no duty under Coverages A, B, C or D to place; defend the insured against any "suit" if any other insurer has a duty to defend the insured (b) The names and addresses of any injured against that"suit". If no other insurer defends, persons and witnesses; and we will undertake to do so, but we will be 18 STF-GL-624-A CW(10/06) Includes copyrighted material of insurance Services Office, Inc.with its permission, ZURICH Home Builders Protective Policy ,Steadfast Insurance Company STF-GL-10128-A-CW(11/06) Page 1 of 1