Loading...
Insurance Certificates 2020/21 Beazer Homes USA, Inc,acoR"' CERTIFICATE OF LIABILITY INSURANCE DATE(MMID°"YYY' 4/1/2020 1 3/6/2019 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). PRODUCER Lockton Insurance Brokers, LLC 777 S. Figueroa Street, 52nd FI. CA License #0F15767 Las Angeles CA 90017 (213) 689-0065 NAME: CONTACT xx ,NOO E Ext ; n�c, No): EMAIL ADDRESS: INSURER AFFORDING COVERAGE NAIC # INSURER A: HDI Global Insurance Company 41343 INSURED Beazer Homes USA, Inc. 1427148 1000 Abernathy Road, Suite 260 Atlanta GA 30328 INSURER B: ACE American Insurance Cornpanv 22667 INSURER c INSURER D : INSURER E INSURER F• COVERAGES BEA71400I CERTIFICATE NUMBER: 14594749 REVISION NUMBER YYYYYX-V 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 L TYPE OF INSURANCE ADDL INSD SURR POLICY NUMBER POLICY EF 6/1/2019 POI EXP OD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE R OCCUR N N CCC1901124 1 6/1/2021 EACH OCCURRENCE s 10,000,000 DAEA{SES Ea occurrence S 100,000 MED EXP (Any oneperson) Included PERSONAL & ADV INJURY $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY❑ JET LOC OTHER: GENERAL AGGREGATE $ 10,000,000 PRODUCTS-COMP/OPAGG $ 10,000,000 1 $ B AUTOMOBILE 1 LIABILITY ANY AUTO AUTOS ONLY SCHEDULED AUTOS ONLY X AUUTOSONLY N N CAL H09092225 4/1/2019 4/l/2020 COMBINED nt,SINGLE LIMIT $ 1,000,000 I30DILY INJURY (Per person) $ XXXXXXX I30DILY INJURY (Per accident $ XXX},�X X PROaERTYOAMAGE $ XXXXXXX $ XXXX= UMBRELLA LIAB EXCESS LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX HCLAIMS-MADE .AGGREGATE $XXXXXXX DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N OFFICER/ME BER EXCLUDED?(ECUTIVE 1 (Mandatory In NH) II yes, da rihe under DESCRIPTOt OF OPERATIONS below NIA N WLR C48586508 4/1/2019 4/l/2020 PE X STATUTER OFTRHAN - L.L. EACH ACCIDENT $ 1,000 OOO E.L. DISEASE - EA EMPLOYEE $ 1,000,000 =.L. DISEASE LIMIT e 1,000 000 :E DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of La Quinta, its officers, and employees are included as Additional Insured as required by written contract. l:tK 1 Irl%,A l r- "ULUtK C.ANCLI-I-A I SUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 14584749 AUTHORIZED REPRESENTATIVE City of La Quinta City Clerk La Quinta CA 92253 c.�rtr ACORD 25 (2016103) ,o 1 hs-201 §Acarlk D C RPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD