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