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HomeMy WebLinkAboutT-5869 - Certificate of Insurance - 12/8/2010 DATE(MM/DD/YYYY) ,a�oRo CERTIFICATE OF LIABILITY INSURANCE F 11.29,2010 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. w IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the pollcy(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). O PRODUCER CONTACT NAME: Aon Risk Insurance Services West, Inc. 13 LOS An eles CA Office (AICNNo.Ext): (866) 283-7122 ac No.): (847) 953-5390 707 Wil shire Boulevard ESuite 2600 -MAIL o ADDRESS: PRODUCER LOS Angeles CA 90017-0460 USA CUSTOMER ID M570000046288 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Underwriters At Lloyds London 15792 Lennar Corporation INSURER B: Old Republic Ins Co 24147 and all its 5udsidiaries 25 Enterprise INSURER C: Zurich American Ins Co 16535 Aliso Viejo CA 92656 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570040890497 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. Limits shown are as requested INSR A POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVO POLICY NUMBER MMIDDIYYYY MMIDDIVYYY LIMITS B GENERAL LIABILITY MWZY EACH OCCURRENCE $7,500,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $2,000,000 CLAIMS-MADE F]OCCURMED EXP(Any one person) PERSONAL&ADV INJURY $7,500,000 rn GENERAL AGGREGATE $7,500,000 m GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $10,000,000 X POLICY p PRO- JECT RO LOC o C AUTOMOBILE LIABILITY BAP �A 0 1 1 0 O BINE SINGLE LIMIT X ANY AUTO �� -IV1P �� � � a t $1,000,000 BO L I JURY(Per person) O ALL OWNED AUTOS Approved. t !rr BODILY INJURY(Per accidenO SCHEDULED AUTOS Appr ve Changes: �� PROPEReracadentTYDAMAGE O {� X HIRED AUTOS 1—, X NON OWNED AUTOS U r"rl�' Cote A X UMBRELLA LIAR X OCCUR 595 Y v 1 09/01/2012 EACH OCCURRENCE $4,000,000 EXCESS LIAR CLAIMS-MADE SIR applies per policy terns & condilons AGGREGATE $4,000,000 DEDUCTIBLE X RETENTION $1,000,000 B WORKERS COMPENSATION AND MWC11676400 09/01/2010 09/01/2011 X TOR Y LIMITS ETH EMPLOYERS'LIABILITY ANY PROPRIETOR r PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT S2,000,000 OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $2,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES lAttach ACORD 101,Addnional Remarks Schedule,if more space is required) lob: City of Fresno Early Model Home Agreement for Tract No. 5869. See attached. ti- CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fresno AUTHORIZED REPRESENTATIVE C/o Development and Resource Management Department An 2600 FresnD street, Roam 3043 �csy/a Fresno CA 93720 USA a( ©1988-2009 ACORD CORPORATION.All rights reserved. ACORD 26(2009/09) The ACORD name and logo are registered marks of ACORD INSURED Lennar Corporation and all its sudsidiaries 25 Enterprise Aliso viejo CA 92656 USA Attachment Model: 5385 N. San Miguel Avenue (Lot 48) 5373 N. San Miguel Avenue (Lot 49) 5361 N. San Miguel Avenue (Lot 50) 7273 w. San Carlos Avenue (Lot 51) 7257 w. San Carlos Avenue (Lot 52) City of Fresno, it's officers, officials, agents, employees and volunteers are included as Additional Insured with respect to General Liability and Auto Liability policies where required by written contract. The insurance provided shall be primary and any other insurance maintained by the additional insured is excess and non-contributory. A waiver of Subrogation is granted in favor of Additional insured on the workers' Compensation policy where required by written contract. Ten (10) Days Notice for Non-Payment of Premium. see attached CG 20 10 11 85, w000 03 13 and CA 20 01 03 06 Certificate No: 570040890497 INSURED Lennar Corporation and all its Sudsidiaries 25 Enterprise AliSO Viejo CA 92656 USA CG 20 10 11 85 COMMERCIAL GENERAL LIABILITY CG 20 10 11 85 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSERS OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILTY COVERAGE PART. SCHEDULE Name of Persons or organization: City of Fresno, it's officers, officials, agents, employees and volunteers PROJECT: City of Fresno Early Model Home Agreement for Tract No. 5869. (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. The insurance provided shall be primary and any other insurance maintained by the additional insured is excess and non-contributory. CG 20 10 11 85 Copyright, Insurance Services office, Inc., 1984 Certificate No: 570040890497 INSURED Lennar Fresno, Inc. 25 Enterprise AliSo Viejo CA 92656 USA CA20 48 02 99 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 changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Lennar Corporation SCHEDULE Name of Person(s) or organization{s): AS REQUIRED BY THOSE ENTITIES WITH WHOM THE NAMED INSURED EXECUTES A WRITTEN CONTRACT PRIOR TO LOSS (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 II of the Coverage Form. CA20 48 02 99 Insurance services office, Inc., 1998 Certificate No: 570040988116 INSURED Lennar Corporation and all its sudsidiaries 25 Enterprise Aliso Viejo CA 92656 USA CA 20 01 03 06 COMMERCIAL AUTO CA 20 01 03 06 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LESSOR - ADDITIONAL INSURED AND LOSS PAYEE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM with respect to coveragge provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named insured: Lennar Corporation SCHEDULE Insurance Company: zurich American Ins Co Policy Number: BAP 3686682-03 Effective Date: 9.1.10 Expiration Date: 9.1.11 Named Insured: Lennar Corporation Address: 25 Enterprise, Aliso Viejo, CA 92656 Additional Insured (Lessor): City of Fresno, its officers, officials, employees, agents and volunteers Address: Designation or Description of "Leased Autos": C9vera4es Limit of Insurance Liability $ Each "Accident" Comprehensive Actual Cash value or Cost Of Repair whichever Is Less, Minus $ Deductible For Each Covered "Leased Auto" Collision Actual Cash value or Cost Of Repair whichever Is Less, Minus $ Deductible For Each Covered "Leased Auto" Specified Causes Of Loss Actual Cash Value or Cost Of Repair whichever Is Less, Minus $ Deductible For Each Covered "Leased Auto" information required to complete this schedule, if not shown above, will be shown in the Declarations. A. coverage Certificate No: 570040890497 INSURED Lennar Corporation and all its sudsidiaries 25 Enterprise Aliso viejo CA 92656 USA CA 20 01 03 06 1. Any "leased auto" designated or described in the schedule will be considered a covered "auto' you own and not a covered "auto" you hire or borrow. 2. For a "leased auto" designated or described in the schedule, who Is An insured is changed to include as an "insured" the lessor named in the schedule. However, the lessor is an "insured" only for "bodily injury" or "property damage" resulting from the acts or omissions by: a. You; b. Any of your "employees" or agents; or C. Any person, except the lessor or any "employee" or agent of the lessor, operating a "leased auto" with the permission of any of the above. 3. The coverages provided under this endorsement apply to any "leased auto" described in the Schedule until the expiration date shown in the Schedule, or when the lessor or his or her agent takespossession of the "leased auto", whichever occurs first. B. Loss Payable Clause 1. we will pay, as interest may appear, you and the lessor named in this endorsement for "loss" to a "leased auto". 2. The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts or omissions on your part. 3. if we make any payment to the lessor, we will obtain his or her rights against any other party. C. Cancellation 1. if we cancel the policy, we will mail notice to the lessor in accordance with the Cancellation Common Policy Condition. 2. if you cancel the policy, we will mail notice to the lessor. 3. Cancellation ends this agreement. D. The lessor is not liable for payment of your premiums. E. Additional Definition AS used in this endorsement: "Leased auto" means an "auto" leased or rented to you, including any substitute, replacement or extra "auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor. (c) Iso Properties, Inc. Certificate No: 570040890497 + t � INSURED Lennar Corporation and all its Sudsidiaries 25 Enterprise AliSO Viejo CA 92656 USA wC00 03 13 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY 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 this person or organization named in the schedule. (This agreement applies only to the extent that you perform work under a written contract that required you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit any one not named in the schedule. schedule AS REQUIRED BY CONTRACT OR AGREEMENT WOO 03 13 (Ed. 04/84) Certificate No: 570040890497