1994-0824_ ALL CITY MANAGEMENT SERVICES, INC._Insurance Renewal 911U61pt Q� ; — 9-9�Nf
August 24, 19W
as
Ronald Farwell, President %� t9ll �Qi
All City management5839 Green Green Valley Circle, 41 / �,,�,,.. ��,,,�"" "" ��,
Culver City, California 9023 G�lc7tx✓�s a}7v. /��r-1'4 4.�4
Re: Crossiniz Guard Services
Dear Mr. Farwell:
At their meeting of August 16. 1994, the City Council of the City of San Juan Capistrano approved
the 3rd Amendment to the Agreement for Providing Elementary School Crossing Guard Services.
The Amendment provides for a rate of$11.49 per hour of guard service provided, in an amount not
to exceed 2,532 hours or$29,092. The Amendment is effective for the period of September 8, 1994
through June 22, 1995.
A fully-executed copy of the Amendment is enclosed for your files. The general liability`iasurance9
certificate received by the City did not meet the original Agreement requirement of$5,000,006
combined single limit per occurrence for property and bodily injury. A copy of the Cit Lisbillty
Endorsement Form is enclosed for your use in meeting the requirement to provide an endorsemeddt
that the City has been legally added as an additional named insured to the insurance policies requireil
by the Agreement Please forward the insurance certificates to the City Clerk's Office as soon as
possible. If you have any questions, please contact Dawn Schanderl, Deputy City Clerk, at
443-6310.
Very truly yours,
Cheryl Johnson"'
City Clerk
Enclosure
cc: Lt. Paul Sullivan COPY
32400 PASEO ADELANTO, SAN JUAN CAPISTRANO, CALIFORNIA 92673 0 (714) 493.1171
VAM
4
MEMBERS OF THE CJTY COUNCIL
COI LENE CAMPBELL
3.1- CN HAUSDORfER
9 VES
CA OLYN
nlpvpup0 GAROLAS NASH
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1776
• • CITY MANAGER
' GEORGE SCARBOROUGH
August 24, 1994
Ronald Farwell, President
All City management
5839 Green Valley Circle, 4102
Culver City, California 90230
Re: Crossin�Gu�d Services
Dear Mr. Farwell:
At their meeting of August 16, 1994, the City Council of the City of San Juan Capistrano approved
the 3rd Amendment to the Agreement for Providing Elementary School Crossing Guard Services.
The Amendment provides for a rate of$11.49 per hour of guard service provided, in an amount not
to exceed 2,532 hours or$29,092. The Amendment is effective for the period of September 8, 1994
through June 22, 1995.
A fully-executed copy of the Amendment is enclosed for your files. The general liability insurance
certificate received by the City did not meet the original Agreement requirement of$5,000,000
combined single limit per occurrence for property and bodily injury. A copy of the City's Liability
Endorsement Form is enclosed for your use in meeting the requirement to provide an endorsement
that the City has been legally added as an additional named insured to the insurance policies required
by the Agreement. Please forward the insurance certificates to the City Clerk's Office as soon as
possible. If you have any questions, please contact Dawn Schanderl, Deputy City Clerk, at
443-6310.
Very truly yours,
Cheryl Johnson
City Clerk
Enclosure
cc: Lt. Paul Sullivan
32400 PASEO ADELANTO, SAN JUAN CAPISTRANO, CALIFORNIA 92675 0 (714) 493-1171
STATE
COMPENSATION
INSURANCE
FUND IN REFI V REFER TO
AUGUST 229 1994
CITY OF SAN JUAN CAPRISTRANO
DEPT OF BUILDING AND SAFETY ATTN: ED GREEN
32400 PASEO ADELANTO
SAN JUAN CAPRISTRANO
CA 92675
CERTIFICATE OF WORKERS'
COMPENSATION INSURANCE
CANCELLATION NOTICE
RE: CERTIFICATE DATED AUGUST 19 1994.
THE WORKERS" COMPENSATION INSURANCE POLICY FOR THE EMPLOYER
NAMED BELOW HAS BEEN CANCELLED EFFECTIVE AUGUST 1, 1994 AT
12:01 A.M.
IF YOU HAVE ANY QUESTIONS REGARDING THIS NOTICE* PLEASE
CONTACT THE EMPLOYER NAMED BELOW
EMPLOYER:
ALL CITY MANAGEMENT CO.
5839 GREEN VALLEY CIR
CULVER CITY
CALIF. 9 90230
0711283 - 94
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C—_
c�
CUSTOMER SERVICES UNIT ^>
WEST LOS ANGELES DISTRICT OFFICE c" rn
rn
(213) 965-2120 _
m
1275 Market Street•San Francisco,CA 94103-1410
SCIF 19102 Mailing Address:P.O. Box 420807•San Francisco,CA 94142-0807