1988-0111_ZAGROS COMPANY_Insurance Certificate®
I 01-11-88 KJ
PRODUCER
THIS CERTIFICATE ISSUED A MATTER OF INFORMATION ONLY AND CONFERS
VO RIGHTS UPON'!HE CERTIFICATE MOLDER. THIS CERTIFICATE DOES NOT AMEND,
SADDLEBACK WEST INSURANCE
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
150 EL CAMINO REAL,
#112
COMPANIES AFFORDING COVERAGE
TUSTIN, CALIFORNIA
92680
CC!APANY A
LIFTER SCOTTSDALE INSURANCE COMPANY
COMPANY
LE"TER s
INSURED
CO1TERNY C
ZAGROS COMPANY
30 WINTERSWEFT WAY
COIAPANV
D
IRVINE, CALIFORNIA
92715
LEI .TER
COMPANY E
LEITER
e
THIS IS TO CERTIFY THAT POLICIES OF NSURANCE LISTED BELOW HAVE
SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REGUIREMEN", TERM OR CONDITION OF ANY
C:INTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY
BE ISSUED OR MAY PERTAIN, THE INSL RANCE AFFORDED BY THE POLICIES
DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONO4
TIONS OF SUCH POLICIES.
CO
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIABILITY LIMITS IN THOUSANDS
LTR
DATE (MWMNY)
DATE (MWDDIYY)
EACH AGGREGATE
OCCURRENCE
GENERAL
LIABILITY
_
BODILY
A
COMPREHENSIVE FORM
INJURY $
$
PREMISES/OPERATIONS
PROPERTY.
UNDERGROUND
DAMAGE $
$
EXPLOSION 6 COLLAPSE HAZARD
PRODUCTS/COMPLETED OPERATIONS
CONTRACTUAL
BI a PD
COMBINED $ 1,00c$
1,00o
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
GLS
108981
03-27-87
03-27-88
PERSONAL INJURY
$ 11000
AUTOMOBILE
LIABILITY
EMILY
ANY AUTO
RY
(PER PERSON
$
-
ALL OWNED AUTOS (PRIV. PASS)
8�clty
ALL OWNED AUTOS (OTHER PTHAN�
2 31
(PERALrmENH
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY
DAMAGE
$
GARAGE LIABILITY
t.1 �
6
C B
COMBINED
$
EXCESS LIABILITY
All
UMBRELLA FORM
v
--
Si s PD
COMBINED
C
$
$
OTHER THAN UMBRELLA FORM
"V omyowm_-HB
�\ TM L'M
STATUTORY
WORKERS' COMPENSATION
$(EACH ACCIDENT)
AND
-; $ (05EASE-POLICY LIMIT)
EMPLOYERS' LIABILITY
--
l�Ll
$ (DISEASE -EACH EMPLOYEE)
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNIEHICLES/SPECIAL ITEMS — ALL OPERATIONS OF THE INSURED.
CITY OF SAN JUAN CAPISTRANO IS HEREBY NAMED AS ADDITIONAL INSURED.
CITY OF SAN JUAN CAPISTRANO
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CALIFORN
92675
L
LAut<UJ, INC.
SU wINTER�)wEET
1rtV!Nc,
CNLiFURNiA y2/1D
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
PIRATION DATE THEREOF, THE ISSUING COMPANY WILL;
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HDLDEI
LEFT, 811kMttlRR Ti01A1AlY SUCMMdi6pSf9A16L]t B11SG6HROSOADlR6'.
THE
SCIF 10262 (REV. 10.86) OLD 262A