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HomeMy WebLinkAboutT-6216 - Certificate of Insurance - 10/12/2018 r DATE(MMIDD/YYYY) ACOREP CERTIFICATE OF LIABILITY INSURANCE li%_ � 10/10/2018 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(les)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). CONTACT PRODUCER NAME; Kelley Gubernick Gore Lieske&Associates Insurance Brokers, LP PHONE 714 505 7000 �{FNa:714-573-1770 15901 Red Hill Ave Suite 100 E-MAIL ;IL Tustin CA 92780 ADDRESS. k ubemick arelieske.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Underwriters at Lloyds 15792 INSURED LENNA-1 INSURER B:OLD REPUBLIC INS CO 24147 Lennar Corporation and all its Subsidiaries INSURER C:RLI INS CO 13056 25 Enterprise Aliso Viejo, CA 92656 INSURER D: INSURER E: _ INSURER F: COVERAGES CERTIFICATE NUMBER:1388039519 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. /NSR TYPE OF INSURANCE POLICY NUMBER MM1Km pp� MMfDDIYYYY 01my-EXP LIMITS LTR B X COMMERCIAL GENERAL LIABILITY Y Y MWZY314149 9/1/2018 9/1/2019 EACH OCCURRENCE $7.500.000 `6��TED CLAIMS-MADE � OCCUR PREMISESrEanCcllrrerweJ. .• $2.3700.000 MED EXP(Any oneperson) $N/A PERSONAL&ADV INJURY $7,500,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $7,500,000 X POLICY 11 IPe LOC PRODUCTS-COMP/OP AGG $10,000.000 OTHER: $ C AUTOMOBILE LIABILITY Y CAP9505843 9/1/2018 9/1/2019 COMBINEDSINGLE LIMIT $ X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIREDAUTOS X AUTOS ca n ll $ A UMBRELLA LIAB X OCCUR B0595XR5178017 9/1/2017 9/1/2020 EACH OCCURRENCE $4,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $4,000,000 DEO RETENTION$ $ B WORKERS COMPENSATION Y MWC31414800 9/1/2018 9/1/2019 X I PERTUTIF OETRH- STA AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $2,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $2,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT 1$2,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) RE: Advanced Construction permits and subdivision agreement for Tract 6126 only. The City of Fresno,its officers,officials,employees,agents and volunteers are additional Insured as respects to General Liability per attached CG 20 10 04 13, CG 20 37 04 13 and CG 20 12 04 13 and Auto Liability per attached TRS 601 11 06.This insurance is primary,and our obliggations 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 0104 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 per to he 13.Waiver oft MAI�aG�pn�apMplAto the NAGEMEI 31 V� 3VCG 24 04 05 09- Primary and Noncontributory applies to the Auto Liability per attached endorsement MA Ap CERTIFICATE HOLDERCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ' THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ORDANCE WITH THE POLICY PROVISIONS. City of Fresno J Signed Di lite 2600 Fresno Street, Room 4064 AUTHORIZED REPRESENTATIVE Fresno CA 93621-3620 ©1988-2014 ACORD CORPORATION. All rights reserved, ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE 595 BES Attaching to Risk No Endorsement No Currency Gross Premium XR5178017 005 Tom Registration VAT TOC Tribunal lloyd's Serial Registration Category Sett due date lleT Adi TLU -- URMA -T Assured/Account Companies Lennar Corporat' General Underwriters Agreement(GUA) Each Underwrirers propadion is several no joieie Slip Leader&A reement Parties All Underwriters 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 I L.P,-SO.number and date I.L.U.number and date L.I.R.M.A.number and date Planned Settlement Date C)iv check POLICY NUMBER: MWZY 314149 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 III— 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 314149 tennar Corporation 0910112018-0910112019 POLICY NUMBER: MWZY 314149 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 following 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 314149 Lennar Corporation 0910112018-0910112019 IL 10 (12106) OLD REPUBLIC INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY NOTICE OF CANCELLATION TO CERTIFICATE HOLDERS This endorsement modifies the notice of cancellation of insurance provided hereunder by adding the following: A. In the event this policy is cancelled for any permissible reason, other than for nonpayment of premium, we shall endeavor to provide advance written notice of cancellation to certificate holders set out in the schedule on file with the Company, after notifying the first Named Insured of such cancellation. Notice of cancellation to certificate holders may be made by any commercially reasonable means, including mail, electronic mail, facsimile transmission or courier service. B. This advance written notification of a cancellation of coverage is intended as a courtesy only. Our failure to provide such advance written notification will not extend the policy cancellation date, nor negate cancellation of the policy All other terms and conditions of this policy remain unchanged. PIL 029 10 10 MWZY314149 Lennar Corporation Policy Number: CAP9505843 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: 09/01/2018 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 NUMBER: MWZY 314149 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s)Of Covered Operations As required by written contract or agreement. On File With Company "it is further agreed that such insurance as is afforded by this policy for the benefit of the additional insured shall be primary insurance,and any insurance maintained by the additional insured shall be excess and non-contributory with the insurance provided hereunder. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 20 10 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 2 MWZY314149 Lennar Corporation 0910112018-0910112019 POLICY NUMBER: MWZY314149 A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", "property This irisuiarice does nul -apply to "budily injury" of damage" or "personal and advertising injury" "property damage"occurring after: caused, in whole or in part, by: 1. All work, including materials, parts or 1. Your acts or omissions; or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the injury ui danfaye arises leas been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. C. With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to Insurance shown in the Declarations; Section III—Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable Limits of Insurance shown in the will pay on behalf of the additional insured is the Declarations. amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 ©Insurance Services Office, Inc., 2012 CG 20 10 04 13 MWZY314149 tennar Corporation 0910112018-0910112019 POLICY NUMBER: MWZY 314149 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organ izations Location And Description Of Completed Operations As required by written contract or agreement On File With Company "It is further agreed that such insurance as is afforded by this policy for the benefit of the additional insured shall be primary insurance, and any insurance maintained by the additional insured shall be excess and non-contributory with the insurance provided hereunder." 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 B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III —Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage"caused, in whole or in part, by required by a contract or agreement, the most we "Your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the "products-conipleted operations 1. Required by the contract or agreement; or hazard". 2. Available under the applicable Limits of However: Insurance shown in the Declarations; 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted This endorsement shall not increase the applicable by law; and Limits of Insurance shown in the Declarations. 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 04 13 C Insurance Services Office, Inc., 2012 Page 1 of 1 MWZY314149 Lennar Corporation 0910112018-0910112019 POLICY NUMBER: MWZY 314149 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 required 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 314149 Lennar Corporation 0910112018-0910112019 P(AiCt NUmbcr: CAP9505843 RIA Insill."llce Collljpall\ THIS P.NI)ORSEXIEN-l't'll.,kN(;ES THE POLRA% PLEASE READ IT ('AI EFUIJX PRINIARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION k.ndt)rsement Effcctive: 09/01/2018 l 1.11LI01-SCInCa 1,o,11C Date: Namcd 111SUI-CLI: 1,ennar Corporatilm This ClIdW-1,C1110111 111kidifiCS ill,Lfl',UICC IWOVidCd L111LICl- (Ile (UNKIMCM!, AUT0 11ABILITY C()VERAGE PART The 1,611mving is added to the Other 11lSUl-011CC C1111diti011 x1111sL1I1L:l'SCdCS M\- ill-OviSi011 to thecontral,\: Primary And N01lCL)1ll1-ihUt01-y 111SURMCC Thi, illmnince iti primary to and will not seek contrihmioll 1:1-0111 all\' Othel' ill!,L11_a1lL:C 10 A.11 ,'Idditi011al ill-1111-CLI 1111CIff}OUI-Il0IiQ' I)i_0ViCIa1 that: ( I I The addliti011al illtitll_CLI i, a Namcd 111SUNd UIRICC<UCII 0111ff ill'Y.11-dflCc; illd (2 1 You hm, agem] in writingin a Contract ol- agi-cenient that this insunwe"multl he prinw, and � v\Mlld flo! .,L:Lk CoIlLI-ihUti011 fl-0111 ally (AIM'ill.AlfallCe Mailable to the additional iWUrcd_ ALL oTuER TERMS. CONDiTiONS AND EX('I.t,,Sl()NS REMAIN UNCHANGED. MAR: W (ON 13 j loge I of I Policy Number: CAP9505843 RLI Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 30 Day Notice of Cancellation and Nonrenewal Endorsement Effective: 09/01/18 Endorsement Issue Date: 09/01/18 Named Insured: Lennar Corporation This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement,the provisions of the Coverage Form apply unless modified by this endorsement. A. It is agreed that Certificate Holder shall be provided a 30 day written notice of cancellation or nonrenewal of this policy should we cancel or nonrenew the policy based on the provisions set forth by the coverage forms and endorsements attached to this policy. In the event of cancellation due to non-payment of premium, Certificate Holder shall be provided a 10 day written notice of cancellation. B. We will mail or physically deliver our written notice to the following address: Lennar Corporation 25 Enterprise Aliso Viejo,CA 92656 ALL OTHER TERMS,CONDITIONS AND EXCLUSIONS REMAIN UNCHANGED. MAN 671 (02/16) Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 0313 POLICY NUMBER: MWC 314148 00 WAIVER OF OUR RIGHTTORECOVER 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 namod 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 c;1983 National Council on Compensation Insurance. INSURED COPY POLICY NUMBER: MWC 314148 00 IL 10 (12106) OLD REPUBLIC INSURANCE COMPANY WORKERS'COMPENSATION AND EMPLOYERS'LIABILITY INSURANCE POLICY NOTICE OF CANCELATION TO CERTIFICATE HOLDERS This endorsement modifies the notice of cancelation of insurance provided hereunder by adding the following: A. In the event this policy is canceled for any permissible reason. other than for nonpayment of premium, we shall endeavor to provide advance written notice of cancelation to certificate holders set out in the schedule on file with the Company, after notifying the Insured first named in item 1 of the Information Page of such cancelation. Notice of cancelation to certificate holders may be made by any commercially reasonable means. including mail. electronic mail, facsimile transmission or courier service. B. This advance written notification of a cancelation of coverage is intended as a courtesy only. Our failure to provide such advance written notification will not extend the policy cancelation date, nor negate cariceldtiori of the policy. All other terms and conditions of this policy remain unchanged. PC 010 1010 INSURED GOPY