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03-0911_ALEXANDER ENGINEERS, INC._Insurance Certificate9/11/03 1:25 PM 1-510-452-2193 19494931053 002 Al FYAFNr:I , V Y LRFfV THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITISTANDIN CERTIFICA OF LIABILITY INS NCE 09/iiros D,YYI PRODUCER Dealey, Renton & Associates THIS CERTIFICATE IS ISSUED .AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 199 Los Robles Avenue #540 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE Pasadena, Ca 91101 626-844-3070 INSURED INSURERA: United States Fidelity & Guaranty Alexander Engineers, Inc. INSURER B: St Paul Fire & Marine 502 W. Alosta Avenue #17 INSURER C: Great American Assurance Co. INSURER D: Glendora, CA 91740 L�' Q INSURER E: , V Y LRFfV THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITISTANDIN ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISS17ED 0 MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUC. POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE. BEEN REDUCED BY PAID CLAIMS. NSR POLICY POLICE E LIMITS TYPE OF INSURANCE POLICY NUMBER A GENERALLIABILITY BKO1226262 EE�FFECTIVE 10/16/02 nPIRATION MX 10/16/04 EACH OCCURRENCE $1 000 PIER DAMAOB(Anyonetl,e) $1000000 X COMMBRCIALGENERALLIABILITY MED EXP (Any ore 'o' &10000 CLAIMS MADE NIOCCUR PERSONAL&.ADVINJURY $1000000 GENERAL AGGREGATE $2000000 GEN'LAO OREGATR LIMITAPPLIHS PER: PRGDUCIS -COMP/OP.AGG 12 OW 000 1-1 FR(} POLICY F7IF A AUTOMOBILE LIABILITY BKO1226262 10/16/02 10/16/04 COMBINED SINv'LH LIMIT $1,000,000(Eaucid I) ANYAUTO ALL OWNED AUTOS BODILY INJJRY $, 7 ' '-on) SCHEDULED AUTOS BODILY INJUIC' $ X HRED AUTOS X ff'.v acci&n0 NON-0WNED AUTOS PROPERTY LAMA �F $ GARAGE LIABILITY AUTO ONLY. EAACCIDENT $ CTHER THAN EAACC $ ANYAUTO AUTOONLY: AGG S EXCESS LIABILITY EACH OCCURRENCE S AGGREGATE $ OCCUR FICLAIMSMADE L S DEDUCTIBLE $ RETENTION $ B WERS COMPENSATION AND WORKERS WVA7724714 09/01/03 09/01/Mn 0-� X WC SIATU- ".ITS RE B.L. EA,'H ACC9DENT $1000000 B EMPLOYERS' LIABILITY ei..DISEAS'E-HAEMPLOYER $1,000000 E.L.DISEASH-POLICYLIMIT 0,000,000 C OTHER Professional EDN320854703 10/16/02 10/16/03 $1,000,000 per claim lability $1,000,000 annl aggr. DESCRIPTION OF OPERATIONS'LOCATIONS/V EHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The City of San Juan Capistrano Is named as an additional insured as respects general liability for claims arising from the operations of the named Insured. City of San Juan Capistrano Public Works Director 32400 Paseo Adelanto San Juan Capistrano, CA 92675 LD ANYOFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHEEX'PIRVFION THEREOF, THE ISSUING INSURER WILLXX MAIL30—DAYS WRITTEN CERTIFICATE HOLDERNAMEDTOTHE LEFT, 9/11/03 1:25 PM 1-510-452-2193 • Policy Number: BKO1226262 Owners Lessees or Contractors (Form B) ADDITIbNAL INSURED Change(s) Effective: 09/11/03 19494931053 • THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance policy under the following: LIABILITY COVERAGE PART: Schedule Name of Person or Organization: City of San Juan Capistrano Public Works Director 32400 Paseo Adelanto San Juan Capistrano, CA 92675 SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. CL/BF 22 40 03 95 003 9/11/03 1:25 PM 1-510-452-2193 19494931053 004 Policy Number: BKO1226262 Owners Lessees or Contractors (Form B) ADDITIbNAL INSURED Change(s) Effective: 09/11/03 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance policy under the following: LIABILITY COVERAGE PART: Schedule Name of Person or Organization: City of San Juan Capistrano Public Works Director 32400 Paseo Adelanto San Juan Capistrano, CA 92675 SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. The City of San Juan Capistrano is named as an additional insured as respects general liability for claims arising from the operations of the named insured. PRIMARY INSURANCE: IT IS UNDERSTOOD AND AGREED THAT THIS INSURANCE IS PRIMARY AND ANY OTHER INSURANCE MAINTAINED BY THE ADDITIONAL INSURED SHALL BE EXCESS ONLY AND NOT CONTRIBUTING WITH THIS INSURANCE. CL/BF 22 40 03 95 9/11/03 1:25 PM 1-510-452-2193 • 19494931053 • WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 005 This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" needs to be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement forms a pan of Policy No. WVA7724714 Issuedto: Alexander Engineers, Inc. By: St Paul Fire & Marine Premium (if any) TBD We have a 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). You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2-5% of the California workers compensation premium otherwise due on such remuneration. Schedule Person or Organization City of San Juan Capistrano Public Works Director 32400 Paseo Adelanto San Juan Capistrano, CA 92675 wr na rin na CmintorcinnPA by Job Description y}j"- CL. -yZoda, 9/11/03 11:05 AM 1-510-452-2193 19494931053 002 Al CVACMMI ACORn_. CERTIFICA OF LIABILITY INS NCE 02/;o,� °'"Y' PRODUCER Dealey, Renton & Associates 199 Los Robles Avenue#540 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE Pasadena, Ca 91101 626-894-3070 INSURED INSURERA: United States Fidel & Guaranty Alexander Engineers, Inc. INSURER B: St Paul Fire & Marine 502 W. Alosta Avenue #17 NsuRER cGreat American Assurance Co. Glendora, CA 91740 NMURER D: INSURER E: L THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSFANDIN ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED O MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUC POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSRTYPE POLICY EFFECTIVE POLICY EXPIRATION LIMITS OF INSURANCE POLICY NUMBER YY M D A GENERAL LIABILITY BKO1226262 10/16/02 10/16/03 EACH OCCURRENCE E1,000,000 FIRE DAMAGE (Any n -F— £1000000 X COMMERCIALGBNERALLIABILITY MED RXP (An one p,n ) $10000 CLAIMS MAER Fx—] TCCUR PERSONAL&ADVINJURY t1 000000 GENERAL AGGREGATE s2,000,000 GEN'LAGOREGATE LIMITAPPLIBS PER: PRODUCTS-COMPIOPAGC, $2000000 POLICY PSO LOC A AUTOMOBILE LIABILITY BKO1226262 10/16102 10/16/03 CDMBINED SINGLE LIMIT $1,000,000 ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (P¢Persory SCHEDULED AUTOS EODILY INJURY $ X HIRED AUTOS X /F<r accirnt) NONOWNED AUTOS PR,IPRRTY DAMAGE t (Per uciaenn GARAGE LIABILITY AUTOONLY RAACCIDBNT $ CPHERTHAN PA ACS $ ANYAUTO AUTO,-NLY: ACO $ EXCESS LIABILITY EACH OCCURRRNCB $ _ AGOREGATE S OCCUR FICLAIMSMACE $ DEDUCTIBLE RHTENTION S$ B WORKERS COMPENSATION AND WVA 09/01/03 09/01,04 X WC ST PIT �1'H- R.L. PATH. ACCIDENT $1.000,000 B EMPLOYERS' LIABILITY H.L. DI$EA� -BA EMPLOY88 t1 000000 E.L. DISEASE -POLICY LI MIT £1000000 C OTHER Professional EDN320854703 10/16/02 10/16/03 $1,000,000 per claim lability $1,000,000 annl aggr. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS "The Insurer's policy payment obligations are backed by a cut -through to National Indemnity Company, an A++ rated Berkshire Hathaway subsidiary. Please see the attached document confirming this arrangement. The City of San Juan Capistrano Is named as an additional Insured as (See Attached Descriptions) City of San Juan Capistrano Public Works Director 32400 Paseo Adelanto San Juan Capistrano, CA 92675 SHOULD ANYOFTHEABOW DESCRIBED POLIOS BE CANCELLED BEFORETH E EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL-XXXX 000MMAII'3D_ DAYS WRBTEN NOTICE TOTHE C'ERTIFIGATE HOLDER N.AMEDTOTHE LEFT. B 9/11/03 11:05 AM 1-510-452-2193 19494931053 003 DES PTIONS (Continued from P 1) respects general liability for claims arising from the operations of the named Insured. 9/11/03 11:05 AM Policy Number 1-510-452-2193 Pi BKO1226262 Owners Lessees or Contractors (Form B) ADDITIbNAL INSURED Change(s) Effective: 02/10/03 19494931053 • THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance policy under the following: LIABILITY COVERAGE PART: Schedule Name of Person or Organization: City of San Juan Capistrano Public Works Director 32400 Paseo Adelanto San Juan Capistrano, CA 92675 SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. CL/BF 22 40 03 95 004 9/11/03 11:05 AM Policy Number 1-510-452-2193 u BKO1226262 Owners Lessees or Contractors (Form B) ADDITIbNAL INSURED Change(s) Effective: 02/10/03 19494931053 • THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance policy under the following: LIABILITY COVERAGE PART: Schedule Name of Person or Organization: City of San Juan Capistrano Public Works Director 32400 Paseo Adelanto San Juan Capistrano, CA 92675 SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. 005 The City of San Juan Capistrano is named as an additional insured as respects general liability for claims arising from the operations of the named insured. PRIMARY INSURANCE: IT IS UNDERSTOOD AND AGREED THAT THIS INSURANCE IS PRIMARY AND ANY OTHER INSURANCE MAINTAINED BY THE ADDITIONAL INSURED SHALL BE EXCESS ONLY AND NOT CONTRIBUTING WITH THIS INSURANCE. CL/BF 22 40 03 95 9/11/03 11:05 AM 1-510-452-2193 19494931053 006 • 0 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" needs to be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement forms a part of Policy No. WVA Issuedto: Alexander Engineers, Inc. By: St Paul Fire & Marine Premium (if any) TBD We have a 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). You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2-5% of the California workers compensation premium otherwise due on such remuneration. Schedule Person or Organization City of San Juan Capistrano Public Works Director 32400 Paseo Adelanto San Juan Capistrano, CA 92675 Wr na av na rmmtaminnwl by Job Description Jan -28-03 08:14A Alexander Engineers Inc 626 963 9386 P.03 1/24/03 4:25 PM 1-510-45Z-"3 1act3aa3asaa & Uvc AI CVe MA& CERTIFICATE OF LIABILITY INSURANCE o;R;�;""' rRGaJCER De*ley,ROMon6Ae*oclelee THIS CERTIFICATE IS ISSUED AS A MATTER OF TNFORM411ON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND U 600 S. Links Avenue 6306 ALTER THE COVERAGE AFFORDED BV THE POLICIES BELOW. INSURERS AFFORDING COVERAGE Pasadena, Ca silos 626644-3070 INM,aED INWW A: Unfted State* FNe91y i Guaranty Alexander Engineers, Inc. INaJRER w American Mntorlsb hra. Co. SM W. Aloafa Avenue 017 1NsvRERc Gaal American Asauranee Co. Glendora, CA 91740 Ms.IReR D. mureRR E X tLMMNNCL4.r,iRwil" I.1.11.IY CLAIMS MADII 7 iF:<:IIR City of San Juan Capistrano Atin: Peer Salgado 32400 Pee" Adelento San Juan Ceplelra", CA 92676 ACORD 25-S 17IV7'I 1 of I 11Se3SS211H60303 'TReAeoveDeacl®ep raR-.ce el: eAYEewep eerGNETN EexvIMT1O1 •, Txe usulxc InauRea W1Liaaxa�MAl13(L�pAYf wamex C¢R AT[Np.DENNwMxpl'GTNc Y:R. BIOOa0ee1m0 MMm MAF 0 ACORD CORPORATION IVBR THEcPOLICTF.S OF DSSURANOI LIxrEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOtB FOR FEE POIIEN FERIOD INDICATED, NOTWTTHSI'ANUIN ANY RBQUIREmeNT, TERM UR CONDITION OP ANY CONTRACT OR OTHER DOMfIZNT WITH RESPECT TO WHICH THIS C'YR'nYICA'IL MAlBE 1SSUPD 0 MAY PPATAIN. THP. TNSURANC B AFFORDED BY THE POLIOS OESCI BED HEREIN IS SCHISM TO ALL THE TERMS, PYCT.OSIONS AND CONDITIONS OF SUCt POLICIES. AGGREGATE LDIJ S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MS TYPE W INSUMNM PMICT NUMB POIACT ETPECI'IV'E C4 EA RA IIXI IJMITe A GENEMI.LIAMI.ITY SK01226262 io/16JD2 10/I6,93 EALII C•1:URRFM.Y. t MRS UAMAGRi —Are! tl0100 •N.' X tLMMNNCL4.r,iRwil" I.1.11.IY CLAIMS MADII 7 iF:<:IIR 1,12D UNI, t MOW iERSCNAtk AR'INJVRY S1.000AW 4BN'BRALN:GR9:AYB s2,000AW OBN1NJGREOAIU LIMO' AYI•LIBS I K: Pkr t'l$ �v'•MVM AC:• [2000 - r:n.IR M Nli A AMWOKILRIJASILITT ANY.VltO BKO1226262 10/10RBS/02 eYfa 10/16,93 SAdEINEp ANry6LIMR 11,000,000 R.[ w'clai! BGDIL.Y INJURY Ye* pO ALL CMNIO A'RrN N]IICIPILPU AM, G &MILY INAMY Rn neiln[, t X X NIRRG ADT:'S Nr•H+:wNEG AUT•JS rRifERTYi•AMnGP. [ GARAGE LIANUTP AUFOGNI.Y- KA AMDP.NI t M1ERT).N L•A A'JC I ANY NII '^. ALg0ow LY'. AW 1 ERCtOLLABILITY DAGI D$URRP.N:'P. t AGGREGATE [ OCCUR �ClnIM!'11AM f 1 D1101j1=O1A 1 RM11NII0N t B WCR%EMS L'OMP[NGTIW AND 7CW33763003 o"IM2 09/01,93 X WCSTATU. c7H. EL.LICr1ACJOQM 11000 B EMM.OER!" LIABILITY E.L.DISRAIM EABAIPLIYUH 11000000 E.L.DWAV. P•?LIR LIMB 10WAW C OTNiER Protaallonal EON320854703 10/1102 10/1610.1 S1,00DAW per claim Willy - $1,000,000 snnl sggr. mcwrr10N gCXEAATION1yLOCATIGNE/VUIICLP$'IXCLUBIONE ADDED BY PAVDCREEMGNT9PF.CIwL niWIB10NE The CHy of San Juan Caplstrano Is named an an addMbnal Insured as respects genera111s69Hyfor claims arising from the operations of the named Insured. City of San Juan Capistrano Atin: Peer Salgado 32400 Pee" Adelento San Juan Ceplelra", CA 92676 ACORD 25-S 17IV7'I 1 of I 11Se3SS211H60303 'TReAeoveDeacl®ep raR-.ce el: eAYEewep eerGNETN EexvIMT1O1 •, Txe usulxc InauRea W1Liaaxa�MAl13(L�pAYf wamex C¢R AT[Np.DENNwMxpl'GTNc Y:R. BIOOa0ee1m0 MMm MAF 0 ACORD CORPORATION IVBR Jan -28-03 08:15A Alexander Engineers Inc 626 963 9386 P.04 1/24703 4:Z5 PM 1-510-45Z 3 1ti'LCi`.1E3"J'J-7tlt3 • UVU Policy Number: BK02226262 Owners Lessees or Contractors (Form B) ADDITIbNAL INSURED Change(s) Effective: 01/24/03 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, This endorsement modifies insurance policy under the following: LIABILITY COVERAGE PART: Schedule Name of Person or Organization: City of San Juan Capistrano Attn: Peter Salgado 32400 Paseo Adelanto San Juan Capistrano, CA 92675 SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of 'your work" for that insured by or for you, CL/BF 22 40 03 95 Jan -28-03 08:15A Alexander Engineers Inc 626 963 9386 P.05 1/Zqf" 4:Z0 PPI I-D1u-4DZW:S • VV4 Policy Number: BRO1226262 Owners Lessees or Contractors (Form B) ADDITIbNAL INSURED Change(s) Effective: 01/24/03 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance policy under the following: LiABiLITY COVERAGE PART: Schedule Name of Person or Organization: City of San Juan Capistrano Attn: Peter Salgado 32400 Paseo Adelanto San Juan Capistrano, CA 92675 SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work' for that insured by or for you. The City of San Juan Capistrano is named as an additional insured as respects general liability for claims arising from the operations of the named insured. PRIMARY INSURANCE: IT IS UNDERSTOOD AND AGREED THAT THIS INSURANCE IS PRIMARY AND ANY OTHER INSURANCE MAINTAINED BY THE ADDITIONAL INSURED SHALL BE EXCESS ONLY AND NOT CONTRIBUTING WITH THIS INSURANCE. CL/BF 22 40 03 95 Jan -28-D3 O8:15A Alexander Engineers Inc 626 963 9386 P.O6 Itzq/03 4:Z5 pM 1"blu-40C r 11:5408aaaaao • vva WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The loeowhg "altaN hg deuce" needs to be OOr V1eleo only when this endorsement K Issued oubcequent to proMatifn of Ere Pdky.) This endorsement forms a part of Policy No. 7CW33763003 issuedto: Alexander Engineers, Inc. By: American Motorists Ins. Co. Premium (if any) TBD_ Werlrave a 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), You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2-5% of the California workers compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description city of San Juan Capistrano Attn: Peter Salgado 32400 Paseo Adelanto San Juan Capistrano, CA 92675 WC 04 03 06 - Countersigned by (Ed. 4.84) Authorized Representative