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01-0701_ORANGE COUNTY FIRE AUTHORITY_InsuranceMARSH.. CERT--IFAE' lSURANCE. , CERTIMATENUMSER SEA -000469367-07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS MARSH RISK & INSURANCE SERVICES NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE P. O. BOX 193880 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE SAN FRANCISCO, CA 94119-3880 AFFORDED BY THE POLICIES DESCRIBED HEREIN. CALIFORNIA LICENSE NO. 0437153 COMPANIES AFFORDING COVERAGE 102271-FAIRA-APD-2003 Orange COMPANY A AMERICAN ALTERNATIVE INS. CORP. INSURED COMPANY Orange County Fire Authority B Attn: Karen Tafoya - -- -- -- - 1 Fire Authority Road, Building A COMPANY Irvine, CA 92602 C COMPANY D COVERAGES:, . - ... This CertifiC`a(a si7P�Ssed85'and rplac:as any'pYevlou8h/.issu+ertifKate?or the poficyipenod pot8liSeWW: i:: 1' THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO I TYPE OF INSURANCE POLICY NUMBER LTR i POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE(MM/DD/YY) DATE(MM/DD/Y1') A GENERALUABILITY VFIS-CL-0022468-1 07/01/04 '07/01/05 GENERAL AGGREGATE 2.006.000 COMMERCIAL GENERAL LIABILITY PRODUCTS -COMP/OPAGG_I$ }$ 2,000.000 CLAIMS MADE OCCUR PERSONAL&ADV INJURY __$ 1,000,000 OWNER'S& CONTRACTORS PROT EACH OCCURRENCE FIRE DAMAGE(Any one fire) MED EXP (Anyoneperson) IS 1,000,000 $ 1,000000 $ 10,000 A 1 AUTOMOBILE LIABILITY VFIS-CM-1011640-1 07/01/04 107/01/05 COMBINED SINGLE LIMIT $ 1,000,000 _1 X 1 ANY AUTO i _I ALL OWNED AUTOS BODILY INJURY $ SCHEDULED SCHEDULED AUTOS (Per person) _ BODILY INJURY $ NON-OWNEDAUTOS (Per acntlenp ��- PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY EACH. ACCIDENT -t$ _ AGGREGATE $ EXCESS UABILITY EACH OCCURRENCE I$ - - UMBRELLA FORM AGGREGATE - J$ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND EMPLOYERS' VA&CITY WCS I A - - TpRY L MITS — ELEACHACCIDENT $ THE PROPRIETOR/ INCL EL DISEASE POLICY LIMIT_ PARTNERS/EXECUTIVE OFFICERS ARE. EXCL -_-- -- EL DISEASE -EACH EMPLOYEE $ ----dT—HER DESCRIPTION OF OPERATIONSILOCATIONSAIEHICLES/SPECIAL ITEMS This Certificate shall serve as evidence of coverage in force. CEtIQ CACI p ��M1 i 4iti'aHt� �s�. y{u� y 4 ;. C',"f`}M:tlT�1tWh, MI.I�DEfi t.. ;,G 4::i� .::. :,; .. s... _... .... ' r .._x..'I. .... '��' .�.,: . ! .t !'. , SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO WIL A DAYS WRITTEN NOTICE TO THE City of San Juan Capistrano 32400 Paseo Adelanto CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR San Juan Capistrano, CA 92675 LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS CERTIFICATE. MARSH USA INC. BY: Susan Blankenburg >�O1��itlia3- P i!iiSr� 7' ,tr ,L �, r.r, r �t t1f" _ 'Ik +}'F ' p MIYFi 4392 afis S ... VALID AS OF X06/22/04 ._ fi:!! v .. Iii}!..: r.. .._i.: n:.v�I ::�eeF .�. u ... a. .:: Y mit: :,t V11f ttt :..II:; .. >. uiC.:.' �:.rT ..It? it �1nia1'txixi .a .,....I.F T•G:(5.:?r.S :v4. ,i,. .'. CERTIFICATE MARSH CERTIFICATE OF SURANCE SEA -000469367-04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS MARSH RISK & INSURANCE SERVICES NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE P.O. BOX 193880 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE SAN FRANCISCO, CA 94119-3880 AFFORDED BY THE POLICIES DESCRIBED HEREIN. CALIFORNIA LICENSE NO, 0437153 COMPANIES AFFORDING COVERAGE COMPANY 02271-FAIRA-APD-2003 Orange A AMERICAN ALTERNATIVE INS, CORP. INSURED COMPANY Orange County Fire Authority B Attn: Karen Tafoya 145 South Water Street COMPANY Orange, CA 92866-2122 C COMPANY D COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below. 1 THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMMIDDIYY} POLICY EXPIRATION DATE(MMIDDIYY) LIMITS A GENERAL LIABILITY VFIS-CL-0022468-0 07/01/03 07/01/04 GENERAL AGGREGATE is 2,000,000 PRODUCTS COMP/OP AGG $ 2.000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 0OCCUR PERSONAL &ADV INJURY $ 1,000,000 - ,000,000OWNER'S& EACH OCCURRENCE $ 1,000,000 OWNERS &CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 1.000,000 MED EXP (Any oneperson) $ 10,000 A AUTOMOBILE LIABILITY VFIS-CL-0022468-0 07/01/03 07/01/04 COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO BODILY INJURY $ (Per person) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ HIREDAUTOS NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY, EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGAE@ I►f $ UMBRELLA FORM OTHER THAN UMBRELLA FORM W $ WORKERS COMPENSATION AND EMPLOYERS'LIA91L!?Y __TORY LTJ _ R_ '� EL EACH AC�ID1T r $ t/ THE PROPRIETOR, INCL PARTNERSIEXECUTIVE OFFICERS ARE: EXCL EL DISEASE- 1 LIMITI $ EL DISEASE- MPLOYEE $ OTHER � ITT, �� m PO v Z DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS This Certificate shall serve as evidence of coverage in force. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MML 48 DAYS WRITTEN NOTICE TO THE City of San Juan Capistrano 32400 Paseo Adelanto CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR San Juan Capistrano, CA 92675 LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS CERTIFICATE. MARSH USA INC. BY: Susan Blankenburg MM1(3IO2) VALID AS OF: 07/02/03 MARSH USA INC. • CERTIFICATE OF *URANCE CEA-00046936 -0 SEA-000469367-00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Marsh Risk & Insurance Services NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE Post Office Box 193880 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE San Francisco, CA 94119-3880 AFFORDED BY THE POLICIES DESCRIBED HEREIN. COMPANIES AFFORDING COVERAGE COMPANY 02271-STAND-BLANK-2002 Orange A SPECIALTY NATIONAL INS GO INSURED COMPANY Orange County Fire Authority B Attn: Karen Tafoya COMPANY 145 South Water Street Orange, CA 92866-2122 C COMPANY D COVERAGES This certiflcota supallaadea and *'Daces any previousi ,issued Gerfificate for the pericy period noted below. 1 THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATEIM M/OOIYY) POLICY EXPIRATION DATE(MMIDDNY) LIMITS A GEN ERAL LIABILITY 3XZ13616900 07/01/02 07/01/03 GENERAL AGGREGATE $ 1,000,000 PRODUCTS - COMP/OP AGG $ X COMMERCIAL GENERAL LIABILITY CLAIMS MADE lxl OCCUR PERSONAL S ADV INJURY $ EACH OCCURRENCE $ 1,000,000 OWNER'SBCONTRACTOR'S PROT FIRE DAMAGE (Any ane fire) $ MED EXP (Any oneperson) $ A AUTOMOBILE LIABILITY 3XZ13616900 07/01/02 07/01/03 COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO BODILY INJURY $ (Per person) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per accident) HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHER THAN AUTO ONLY. ANY AUTO EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM $ OTHER TRAIN UMBRELLA FORM WORKERS COMPENSATION AND EM PLOVERS' UABIUTY I TORYLIMITS ER EL EACH ACCIDENT $ THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE EL DISEASE-POLICY LIMIT $ EL DISEASE-EACH EMPLOYEE $ OFFICERS ARE'. EXCLI OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESISPECIAL ITEMS (LIMITS MAY BE SU EJECT TO DEDUCTIBLES OR RETENTIONS) This Certificate shall serve as evidence of coverage in force. CERTIFICATE;HOLDER - - CANCELLATION - SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURERAF RDING COVERAGE WILL ENDEAVOR TO MAIL 1p DAYS WRITTEN NOTICE TO THE City of San Juan Capistrano 32400 Paseo Adelanto CERTIFICATE RNAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR San Juan Capistrano, CA 92675 LIABILITY OFA IND UPON THE IN ER gFFORDING COVERAGE. ITS AGENTS OR REPRESENTATIVES. MARS111 BY: MMt(9 .8j Y..ID SOF:07102/02 v r , FIREAGE-01 LIZC IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. :. , .: y ,a � u a, L MARSH=USA 1t� r 11K •� da a nl cS i u I u 1 ,.,..r ; _� �... .. ,::. CERTIFICATE NUMBER �� I Y Y �q L ' JA SIC 1 i� F SEA -000469367-00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Marsh Risk & Insurance Services NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE Post Office Box 193880 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE San Francisco, CA 94119-3880 AFFORDED BY THE POLICIES DESCRIBED HEREIN. Attn: Ron Green COMPANIES AFFORDING COVERAGE COMPANY 02271-Orang-Liab2-2001 A SPECIALTY NATIONAL INS CO INSURED COMPANY Orange County Fire Authority B Attn: Karen Tafoya 180 South Water Street COMPANY Orange, CA 92666 C COMPANY D 013VE{iA1$ iiIC J...4LIC THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. ISSUEDTO THE _ HEREINTH NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POUCYEFFECTIVE POUCYEXPIRATON LIMITS LTR DATE(MMIDD/YY) DATE(MM/DDM') A GENERALLIABIUTY 3ZX13616900 07101/01 07101/02 GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OP AGG $ X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑OCCUR PERSONAL 8 ADV INJURY $ EACH OCCURRENCE $ 1,000,006- OWNER'S B CONTRACTOR'S PROT A FIRE DAMAGE (M ace fire) $ X Public Entity I jah'I'ty MED EXP one n $ A AUTOMOBILE UABIUTr 3ZX13516900 07101101 07101102 COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per FwS.n) HIRED AUTOS BODILY INJURY $ NOWOWNED AUTOS (Per accitlent) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACHACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND FMPLOVERS' UABII ITY - -' __ TORY LIMITS ER .y 'a,'a":,gii"^d."p•gt :l g55" EL EACH ACCIDENT $ THE PROPRIETOR/ INCL EL DISEASE -POLICY LIMIT $ PARTNERS/EXECUTIVE F1 OFFICERS ARE EXCL EL OISEASE-EACH EMPLOYEE $ a c Ha c N DESCRIPTION OF OPERATONSILOCATDNSNEH)CLESSPECIAL ITEMS (LIMITS MAY BE SUBJECT 70 DEDUCTIBLES OR RETENTIONS) C J;''_I This Certificate shall serve as evidence of coverage in force. TC o yzz —o -H' .y. ::::.._ _•,a}�` S icgy.JJ1° - ",• BB: `�kd"LEYif>t3iftNd'.4IF'A. : -a.:q:{., :� ., j9,�. .a�x SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THELRRATON DATE TIEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL Rn DAYS MITTEN NOTICE TO THE City of San Juan Capistrano CERTIFICATE H NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 32400 Paseo Adelanto San Juan Capistrano, CA 92675 UAB ITY OFA DUPONTHEINS AF FORDING COVERAGE, ITS AGENTS OR REPREMWrATNES. MARSH I �B U 1 �