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Insurance Certificate 2025/26 Richmond American Homes
Page 1 of 2 DATE (MMIDD/YYYY) lk - CERTIFICATE OF LIABILITY INSURANCE F06/30/2025 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 CONTACT WTW Certificate Center NAME: Willis Towers Watson Northeast, Inc. PHONE E - 1-677-945-7378 pAX C No : 1-888-467-2378 c/o 26 Century Blvd E-MAIL P.O. Box 305191 ADDRESS: certificates@wtwco.com Nashville, TN 372305191 USA wm,eee,e, weenenwr rnveowe� .,w,n INSURED Richmond American Homes of Maryland, Inc. 5171 California Ave Ste 120 Irvine, CA 92617 INSURER A : Allied World Insurance Company 22730 INSURERB: Safety National Casualty Corporation 15105 INSURERC: Lloyds Syndicate 1225 B8779 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE Nl1MRER: W39579767 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. INSR' ADDL_�UBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSID WVD POLICY NUMBER MM/DDIYYYY MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE X', OCCUR DAMAGE RENTED PREMISES-(Eaoccurrence $ 100,000 A X Contractual Liability MED EXP (Any one person: $ 10,000 Y 6004-0374 07/01/2025 ; 07/01/2026 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY X PRO- JECT LOC —J PRODUCTS COMP/OP AGG $ 0 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ _LEa accidenIL_____ 2,000,000 X ANY AUTO BODILY INJURY (Per person, $ B OWNED SCHEDULED CA6676919 07/01/2025 107/01/2026 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON -OWNED i PROPERTY DAMAGE is ' AUTO$ ONLY AUTOS ONLY Per t L.accidenZ � _ Each Occurrence $ 2,000,000 UMBRELLA LIAB 11 X ',' OCCUR EACH OCCURRENCE Is 10, 000, 000 C — X EXCESS LIAB CLAIMS -MADE Y B08012217IU24 07/01/2024 i 07/01/20261 AGGREGATE j $ 10, 000, 000 DED X'RETENTION$ 0 PROD COMPD AGGR $ 10,000,000 WORKERS COMPENSATION OTTH- X AND EMPLOYERS' LIABILITY Y� SEATUTE ER B NYPROoPRI ^TORIPARTNER/EXECUTIVE Y BER EXCLUDED? NIA LD54069442 OESCR 07/01/2025 07/O1/2026! E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE EA EMPLOYEE, $ 2,000,000 II es, describe under D PTIUN OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 2, 000, 000 i I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) RE: Project Name: Bella at Piazza Serena. Tract: 30092 Certificate holder is included as an Additional Insured as respects to General Liability and Umbrella/Excess Liability. General Liability policy shall be Primary and Non-contributory with any other insurance in force for or which may be purchased by Additional Insured. CFRTIFIrATF Mar11 r1FR f:ANr'FI I ATInN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of La Quints. Attn: Amy Yu AUTNORIZEDREPRESENTATIVE 78495 Calla Tampico La Quinta, CA 92253 /� a 6rC(� C) 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD sR ID: 28007066 BATCH: 4024613 2873: 2 ' ( AGENCY CUSTOMER ID: LOC #: A R" ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Willis Towers Watson Northeast, Inc. Richmond American Homes of Maryland, Inc. 5171 California Ave Ste 120 Irvine, CA 92617 POLICY NUMBER See Page 1 CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 AUUI I IVIVAL HLMAKK5 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 _ FORM TITLE: Certificate_ of Liability Insurance Waiver of Subrogation applies in favor of Additional Insured with respects to Workers Compensation as permitted by law. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID:28007066 BATCH:4024613 CERT: W39579767 2873: 2 of 4 POLICY NUMBER: 6004-0374 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT (PRIMARY AND NON-CONTRIBUTORY WHERE REQUIRED UNDER CONTRACT) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SECTION II — WHO IS AN INSURED is amended to include any person or organization to whom you become obligated to include as an additional insured under this policy, as a result of any written contract or written agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy and is fully executed prior to an "occurrence", but only with respect to liability arising out of your operations or premises owned by or rented to you. However, the insurance provided will not exceed the lesser of: a. The coverage and/or limits of this policy; or b, The coverage and/or limits required by said contract or agreement. Coverage afforded to these additional insured parties will be primary to, and non-contributory with, any other insurance available to that person or organization where required of you by written contract or written agreement. GL 00030 00 (08/16) Page 1 of 1 2871 3 ' of POLICY NUMBER: 6004-0374 COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 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 Oraanization(s) I Location(s) Of Covered Onerations Any owner, lessee, or contractor whom you All Locations of the Named Insured have agreed to include as an additional insured under a fully executed written contract or written agreement, provided that such was executed prior to an "occurrence", loss, injury or damage. 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 the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury', "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 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 10 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 2873: 3 of B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 20 10 12 19 2873: 4 ' c ATTACHING TO AND FORMING PART OF POLICY NUMBER: B080122171U24 ENDORSEMENT 6 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. HOMEBUILDERS LIABILITY CG 20 37 0413 Amended ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: Name Of Additional Insured Person(s)Or As required by written contract SCHEDULE Location And Description Of Completed Operations: As required by written contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section VI DEFINITIONS K. is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by"your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 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. B. With respect to the insurance afforded to these additional insureds, the following is added to Section V — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 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. CG 20 37 04 13 Amended © Insurance Services Office, Inc., 2012 Page 1 of 1 2873: 4 of 4