07-0604_D.M. KISLLING CONSTRUCTION_Transmittal Insurance•
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CA 92675
(949) 493-1171
(949) 49310$3 FAx
www.sanjuancapistrano.org
June 4, 2007
D.M. Kisling Construction
P.O. Box 250
Laguna Beach, CA 92652
1A
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MEMBERS OF THE CITY COUNCIL
RE: Compliance with Insurance Requirements — SC -04 Terminal Pipeline
Maintenance Services
The following insurance documents are due to expire:
✓ General Liability Certificate 7/1/2007
SAM ALLEVATO
THOMAS W. HRIBAR
MARK NIELSEN
JOE SOTO
DR. LONDRES USO
✓ General Liability Endorsement Form naming the City of San Juan
Capistrano as additional insured.
✓ Automobile Liability Certificate 7/1/2007
Please submit updated documentation by the above expiration dates to the City of San
Juan Capistrano, attention City Clerk's office, 32400 Paseo Adelanto, San Juan
Ca trano, A 92675 or fax to (949) 493-1053. If you have any questions, please
c nta t oe/at (949) 443-6309.
n"s - � C
Deputy Ci y Clerl�
cc: Christine Casper, Secretary
San Juan Capistrano: Preserving the Past to Enhance the Future
Q1* Printed on 100% recycled paper