D.R. Horton, Inc. Vendor Insurance Requirements ALL STATES EXCEPT CA, WA, OR, ID, UT, AND HI

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D.R. Horton, Inc. Vendor Insurance Requirements ALL STATES EXCEPT CA, WA, OR, ID, UT, AND HI For NEW VENDORS, your certificate should be returned to the division with your subcontractor agreement.

1 D.R. Horton, Inc. Vendor Insurance Requirements ALL STATES EXCEPT CA, WA, OR, ID, UT, AND HI For NEW VENDORS, your certificate should be returned to the division with your subcontractor agreement. For EXISTING VENDORS, your renewal documents should either be faxed to (770) , ed OR mailed to EBIX D.R. Horton, Inc. Insurance Compliance P.O. Box DR Duluth, GA DO NOT SEND DUPLICATE DOCUMENTS! ALL CERTIFICATES MUST: Be completed in its entirety, signed and dated (if applicable). Be an original document. List all subsidiaries or DBA s of named insured covered by the certificate provided and include owners and/or officers. Provide at least 30 days of notice for cancellation. Show complete insurance carrier names as listed in the A.M. Best Property & Casualty Guide. Coverage must not be project, location or job specific. TBA policies are not acceptable. Binders are acceptable for 30 days. The policy(ies) Schedule of Endorsements and/or Declarations Page listing all Exclusion Endorsements must accompany the Certificate. NO CONTRACTOR WILL BE ALLOWED TO START OR CONTINUE AN WORK AT A D.R. HORTON, INC. OR AN OF ITS AFFILIATES AND SUBSIDIARIES JOB SITE UNTIL OUR INSURANCE REQUIREMENTS ARE FULL SATISFIED. NO PAMENTS WILL BE MADE WITHOUT DEDUCTION AS PER AGREEMENT UNTIL CONTRACTOR PROVIDES REQUIRED EVIDENCE OF COVERAGE TO D.R. HORTON. ALL REQUIRED COVERAGES MUST BE CONTINOUSL MAINTAINED B CONTRACTOR. Note: The requirements attached are for certificate tracking purposes only and do not alter your insurance obligations under your subcontractor agreement in any way.

2 Commercial General Liability (CGL) Limits of coverage not less than: 2,000,000 General Aggregate 1,000,000 Products and Completed Operations Aggregate 1,000,000 Each Occurrence Occurrence Based Policy SIR and/or Deductible not exceeding 25,000 Coverage must be placed with a carrier rated not less than A, VII, by A.M. Best & Co. The required Additional Insured wording is: D.R. Horton, Inc., its affiliates and subsidiaries. All Additional Insured Endorsement form numbers must be listed on the certificate. Additional Insured Endorsements Required must include both ongoing and completed operations. Equivalent of ISO Form CG /85; OR CG /04 and CG /04 combination Waiver of Subrogation in favor of D.R. Horton, Inc., its affiliates and subsidiaries required (except North Carolina). CG /93 or its equivalent Endorsement forms must not be project or job location specific and must list ALL LOCATIONS

3 Professional Liability: 1,000,000 Each Occurrence 1,000,000 Aggregate Coverage must be placed with a carrier rated not less than A, VII by A.M. Best & Co. Workers Compensation: State Statutory Benefits Limits Employers Liability Coverage Each Accident Disease Policy limit Disease Each Employee Coverage must be placed with a carrier rated not less than A, VII by A.M. Best & Co. Waiver of Subrogation in favor of D.R. Horton, Inc., its affiliates and subsidiaries required (except North Carolina). WC or its equivalent Commercial Automobile Liability: Combined Single Limit OR Bodily Injury per Accident Bodily Injury per Person Property Damage Coverage must be placed with a carrier rated not less than A, VII by A.M Best & Co. Automobile Liability Coverage shall apply to: 1) Any Auto; OR 2) All owned, hired and non-owned autos; OR 3) Scheduled hired and non-owned vehicles.

4 UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-MADE DED RETENTION WORKERS COMPENSATION AND EMPLOERS' LIABILIT AN PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below CERTIFICATE OF LIABILIT INSURANCE MED EXP (Any one person) PERSONAL & ADV INJUR GENERAL AGGREGATE PRODUCTS - COMP/OP AGG EACH OCCURRENCE AGGREGATE DATE (MM/DD/) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONL AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVEL OR NEGATIVEL AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED B 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 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 NAME: Agent Name Insurance Agent/Broker Name PHONE FAX (A/C, No, Ext): Agent Phone (A/C, No): Agent Fax Insurance Agent/Broker Street Address or PO Box ADDRESS: Agent (Required) Insurance Agent/Broker City, State & Zip Code INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Insurance Co/Carrier as listed in AM Best Enter # INSURED INSURER B : Insurance Co/Carrier as listed in AM Best Enter # Vendor Name as listed on ICA or PSA INSURER C : Insurance Co/Carrier as listed in AM Best Enter # Vendor Street Address or PO Box INSURER D : Insurance Co/Carrier as listed in AM Best Vendor City, State & Zip Code Enter # COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIF THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLIC PERIOD INDICATED. NOTWITHSTANDING AN REQUIREMENT, TERM OR CONDITION OF AN CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MA BE ISSUED OR MA PERTAIN, THE INSURANCE AFFORDED B THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MA HAVE BEEN REDUCED B PAID CLAIMS. INSR ADDL SUBR POLIC EFF POLIC EXP LTR TPE OF INSURANCE INSD WVD POLIC NUMBER (MM/DD/) (MM/DD/) LIMITS COMMERCIAL GENERAL LIABILIT EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES (Ea occurrence) A B A C AN AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON-OWNED AUTOS /N N N/A Binders accepted for only 90 days Binders accepted for only 90 days Binders accepted for only 90 days INSURER E : INSURER F : xx/xx/xxxx xx/xx/xxxx xx/xx/xxxx xx/xx/xxxx xx/xx/xxxx xx/xx/xxxx xx/xx/xxxx xx/xx/xxxx COMBINED SINGLE LIMIT (Ea accident) BODIL INJUR (Per person) BODIL INJUR (Per accident) PROPERT DAMAGE (Per accident) X PER STATUTE GEN'L AGGREGATE LIMIT APPLIES PER: POLIC PRO- JECT LOC OTHER: AUTOMOBILE LIABILIT OTH- ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOEE E.L. DISEASE - POLIC LIMIT 2,000,000 1,000,000 Enter Limit Enter Limit D Professional Liability (if required) xx/xx/xxxx xx/xx/xxxx Each Claim 1,000,000 Aggregate 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) DR Horton Inc its affiliates and subsidiaries are named as additional insured with respect to the CGL policy on forms CG and CG , or equivalents. Unless precluded by law, all policies waive the right to recovery or subrogation against DR Horton Inc its affiliates and subsidiaries by endorsement. All operations and/or location for DR Horton Inc its affiliates and subsidiaries per written contract. CERTIFICATE HOLDER DR Horton Inc its affiliates and subsidiaries c/o Insurance Compliance PO Box DR Duluth, GA CANCELLATION SHOULD AN OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLIC PROVISIONS. AUTHORIZED REPRESENTATIVE Signature Required ACORD 25 (2014/01) ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD

5 POLIC NUMBER: :XXXXXXXXXXXXX COMMERCIAL GENERAL LIABILIT CG THIS ENDORSEMENT CHANGES THE POLIC. PLEASE READ IT CAREFULL. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILIT COVERAGE PART SCHEDULE Name Of Additio Person(s) Or Or its A:i7 D R Horton Inc. and Subidiaries Location s Of Covered 0 erations All Locations Information re uired to com lete this Schedule, 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. our 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. "pro ith espect to the insurance afforded to these nal insureds, the following additional ply: nee does not apply to "bodily injury" or damage" occurring after: 1. work, in ing materials, parts or equi ent f in connection with such work, on roj t (other than service, maintena or pairs) to be performed by or on behalf he additional insured(s) at the location of th 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. CG Insurance Services Office, Inc Page 1 of 2

6 C. With respect to the insurance afforded to these additional insureds, the following is added to Section Ill - 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. Page 2 of 2 Insurance Services Office, Inc., 2012 CG

7 POLIC NUMBER: :XXXXXX:XXXX COMMERCIAL GENERAL LIABILIT CG THIS ENDORSEMENT CHANGES THE POLIC. PLEASE READ IT CAREFULL. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS- COMPLETED OPERATIONS This endorsement modifies insurance provided under the following : COMMERCIAL GENERAL LIABILIT COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILIT COVERAGE PART SCHEDULE Person(s) Location And Descri tion Of Com Affiliates and Subsidiaries All Locations Information re uired to com lete this Schedule, if not shown above, 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" 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 res ect to additional ins Section Ill - L.: ranee afforded to these following is added to If coverage prov d 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 Insurance Services Office, Inc., 2012 Page 1of1

8 ; POLIC NUMBER: XXXXXXXXXXXXXX COMMERCIAL GENERAL LIABILIT CG WAIVER OF TRANSFER OF RIGHTS OF RECOVER AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILIT COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILIT COVERAGE PART Name Of Person Or Organization: DR Horton Inc its affiliates and subsidiaries PER WRITIEN CONTRACT SCHEDULE The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery we may have against the person or organization shown in the Sche above because of payments we make for inju damage arising out of your ongoing operations "your work" done under a contract with t perso or organization and included in th ctscompleted operations hazard". This wai only to the person or organiza on show Schedule above. CG Insurance Services Office, Inc Page 1 of 1 D

9 ; WORKERS COMPENSATION AND EMPLOERS LIABILIT INSURANCE POLIC WC (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule DR Horton Inc. its affiliates and s ubsidiaries This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Insured Effective Policy No. Endorsement No. Premium Insurance Company Countersigned by WC (Ed. 4-84) 1983 National Council on Compensation Insurance.

SPECIAL EVENTS INSURANCE REQUIREMENTS

Permit Center 210 Lottie Street, Bellingham, WA 98225 Phone: (360) 778-8300 Email: pwpermits@cob.org Web: www.cob.org/permits SPECIAL EVENTS INSURANCE REQUIREMENTS Permit Applicant: Give this memorandum