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Insurance Certificates 2020/21 NEI, Inc for Mass Grading/ 1 • DATE(M MIDDIYYYY) ACC)R" CERTIFICATE OF LIABILITY INSURANCE 05/28/2020 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 ADDi rIONAL 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 CONTACT Cynthia Cadenhead NAME: Temecula Insurance Services PHONE (951) 694-5200 FAx (951) 302-0470 A!C Na E A1C, Ha 41923 Second Street E-MAIL cynthia@temeculainsuranceservices.com ADDRESS: Suite 201 INSURER(S) AFFORDING COVERAGE NAIC # Temecula CA 92590 INSURERA: United Specialty Insurance Company 12537 INSURED INSURER B: Nationwide Mutual Insurance 23787 NEI, Inc. INSURERC: State Compensation Ins. Fund 35076 79811 Country Club Drive INSURER D: Suite B INSURER E: Bermuda Dunes CA 92203 INSURERF: 1-11—r_ee reoTlotrnTe KilleectGta• CL2052802755 RFVISInN NIIMRFR- 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. INTLICYIEXP RR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM DD/LIC WYY MMDDIYYW LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000.000 PREMISES Ea xcurrarc $ 50.000 �/ CLAIMS -MADE /� OCCUR MED EXP (Any oneperson) S 5,000 A Y ATN2076375 06/01/2020 06/01/2021 PERSONAL &ADV INJURY S 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 21000,000 PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY � JECT PRO LOC Per Project Aggregate s 5,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea 9Gcldenl $ 1,000,000 BODILY INJURY (Per person) s ANYAUTO BODILY INJURY (Per accident) s B OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY ACPBA3047725697 06/01/2020 06/01/2021 PROPERTY DAMAGE Per accidentl s UMBRELLA LIAB OCCUR HCLAIMS-MADE EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED 1 1, RETENTION $ S Q WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 926620020 01I01I2020 01/01/2021 STATUTE Fit E.L.EACH ACCIDENT $ 1,000,000 E. L. DISEASE - EA EMPLOYEE $ 1,000,000 E. L. DISEASE - POLICY LIMIT s 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below Rented/Leased/Borrowed $250,000 B Contractors Equipment ACPCIM3047725697 06/01/2020 06/01/2021 Deductible $1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Job: SilverRock Resort Mass Grading Phase I_ SilverRock Phase I, LLC and/or Silverrock Development Company, LLC, the Robert Green Company (Legal Entity), Silver Rock Lodging, LLC, SilverRock Luxury Residences, LLC, SilverRock Lifestyle Residences and City of La Quinta are hereby named as additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of La Quinta ACCORDANCE WITH THE POLICY PROVISIONS. 78495 Calle Tampico AUTHORIZED REPRESENTATIVE La Quinta CA 92253 ' : IFGftiI ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD