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Insurance Certificates 2017/18 Beazer Homes Holdings Corpa�QRI3 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 6/1/2018 4/4/2018 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(ies) must have ADDITIONAL INSURED provisions or 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). ACT PRODUCER Lockton Insurance Brokers, LLC I NAMME: 725 S. Figueroa Street, 35th Fl. PHONE FAX i CA License #OF 15767 �:�atLNo-Extl: LAIC.No); Los Angeles CA 90017 ADDRESS: (213) 689-0065 INSURERfS1 AFFORDING COVERAGE NAICS INSURER A:: Navigators Specialty_ Insurance Company. 36056 INSURED Beazer Homes USA, Inc. INsuRERB:ACE American Insurance mpam 22667 1427148 1000 Abernathy Road, Suite 260 INSURER C :Ironshore Specialty Insurance CO 25445 Atlanta GA 30328 INSURER D : INSURER E INSURER F ; COVERAGES BEAZHO01 CERTIFICATE NUMBER: 14584749 REVISION NUMBER: XXXXXXX 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. INSR • ADOL SUBR POLICY EFF POLICY EXP I LTR TYPE OF INSURANCE 1NSD WVD POLICY NUMBER 1MM/DD/YYYY) IMM/DD/YYYY) 1 LIMITS A X COMMERCIAL GENERAL LIABILITY ICLAIMS -MADE X1 OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY LOC OTHER: B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY C UMBRELLA LIAB X OCCUR X EXCESS LIAB CLAIMS -MADE ' DED I I RETENTIONS WORKERS COMPENSATION B AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS be.low Y N SF17CGL221154IC 16/1/2017 6/1/2018 N N CAL H09092146 4/1/2018 4/1/2019 N N 003167000 6/1/2017 6/1/2018 EACH OCCURRENCE I S 2,000,000 DAMAGE TO PREMISES (Ea wcu renw) I s Excluded MED EXP (Any one person) s Excluded PERSONAL & ADV INJURY S 2,000,000 GENERAL AGGREGATE PRODUCTS - COMP/OP AGG ICOMBINED SINGLE LIMIT {Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident PROPERTY DAMAGE f Par accident) EACH OCCURRENCE AGGREGATE s 2.000.000 s 2.000,000 $ 1.000,000 $ XXXXXXX )$XXXXXXX $XXXXXXX $XXXXXXX I S 5.000.000 $ 5.000.000 SXXXXXXX N WLR C48580737 4/1/2018 4/1/2019 X I MUTE I f EF"RH FN NIA E.L. EACH ACCIDENT S .1.000.000 I EL DISEASE - EA EMPLOYEE S 1.000.000 E,L. DISEASE - POLICY LIMIT $ .1.000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCED. City of La Quinta, its officers, and employees are included as Additional Insured as required by written contract. CERTIFICATE HOLDER 14584748 City of La Quinta City Clerk 78495 Calle Tampico La Quinta CA 92253 CANCELLATION See Attachment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPR ©1 88.201 S ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: SF17CGL2211541C COMMERCIAL GENERAL LIABILITY CG20120413 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: Any State Or Governmental Agency Or Subdivision Or Political Subdivision for whom during the policy period you and such State Or Governmental Agency Or Subdivision Or Political Subdivision have agreed in writing in a contract or agreement that such State Or Governmental Agency Or Subdivision Or Political Subdivision be added as an additional insured on your policy. (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 include as an additional insured any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions: 2. This insurance does not apply to: a. 'Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or 1. This insurance applies only with respect to operations b. 'Bodily injury" or "property damage" included within performed by you or on your behalf for which the state or the "products -completed operations hazard". governmental agency or 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 Section III - However: Limits Of Insurance: a. The insurance afforded to such additional insured only If coverage provided to the additional insured is required applies to the extent permitted by law; and by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of b. If coverage provided to the additional insured is insurance: 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. CG20120413 Attachment Code: D529459 Certificate ID: 14584748 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. © Insurance Services Office, Inc., 2012 Page 1 of 1