1997-1017_ALL AMERICAN ASPHALT_Insurance Certificate TE MM/DDIYY ... � � ::.`::i ': ��. ::.. - �:: .. ::. £iiii;:;`ii;;::iii;.''ii::.ii::.:.::.i,:::::::.::::;o;;::::; ( .::: 1.11 ><; ;:. ; > ........ .:::::>; :> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE C a l c o Ins Brokers & Agents HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 600 City Parkway West ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P .0. Box 5995 COMPANIES AFFORDING COVERAGE Orange , CA 92863-5995 COMPANY 714-937-1824 A Clarendon National Insurance INSURED COMPANY �/' _ All American Asphalt B Federal Insurance Company -TT- P .O. -}IrP .O. Box 2229 COMPANY Corona , CA 91718-2229 C Calif Casualty Indemnity Exch..---/`\ COMPANY D Insurance Co . of the West COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDINGANY REQUIREMENT,TERMOR CONDITION OF ANYCONTRACT OR OTHER DOCUMENT WITHRESPECTTO WHICHTHIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO ' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR I DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 2000000 A X COMMERCIAL GENERAL LIABILITY TNC0698970188 8/01/97 8/01/98 PRODUCTS-COMP/OP AGG $ 1000000 CLAIMS MADE X OCCUR CERTHOLDER IS ADDL IN PERSONAL & ADV INJURY $ 1000000 OWNER'S&CONTRACTOR'S PROT PER BLANKET ADD' L INS EACH OCCURRENCE $ 1000000 END. CG2010 ATTACHED FIRE DAMAGE(Any one fire) $ 50000_ MED EXP (Any one person) I$ 5000 AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT $ D X ANY AUTO XH0140948802 8/01/97 8/01/98 1000000 ALL OWNED AUTOS BODILY INJURY 6 SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) X $10 ,000 SIR PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ 10000000 B UMBRELLA FORM (g$)78736784 8/01/97 8/01/98 AGGREGATE $ 10000000 OTHER THAN UMBRELLA FORM $ I WORKERS COMPENSATION AND XI STATUTORY LIMITS I EM'LOYERS'LIABILITY -- C _ WC6801199703 8/01 /g7 8/01/98 EACH ACCIDENT $ 2000000 THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT $ PARTNERS/EXECUTIVE 2000000 OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE $ 2000000 OTHER O n -4 c}_ is.) DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIALITEMSZ-Q r • �+ -i Z74 rn RE : Preventative Street Maintenance 1997-1998 ` '-` .— -a,D:ar,• rn ✓t X,.r, N 'w — c�i,-,,' .. t.oJ rn 30 days notice of cancellation except 10 days for non-payment of premium x0 G RTfFICATE HC LL3ER..... . ,:.....: : CANCELLA td.N ;: ;<. i.... ... . : ... . ... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELItESBEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL /61-4 Pto MAIL City of San J a u n Capistrano 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn. : B. Perry/C. JohnsoniUti Tic11t, MK#e11.1rdi VUE 1AatAls)butgoA osis=mpgx 32400 Paseo Ade I an i o 'bxifdbliix xS3 +X1K xiitxA goer&xim xa x San Juan Capistrano , CA 92675 AUTHORIZED REPRESENTATIVE j \id „ /3(11,1000 i i [ kca11��25 s 1s1s�) ....... Y� D..CiP,vaATrtira:;tssI>'. L.1O (11-85) POLICY NUMBER: TNC065. 0138 EFFECTIVE: 8/01, INSURED: ALL AP______:TAN ASPHALT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARE.=tJIJ Y. CG 20 10 11 85 ADDITIONAL INSURED--OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE. Name of Perron or Organiztion: Any Perycn. OrTni--r:crz Po.rzersaio or Joint Ve"ture. oniv if vcu have previously enter=-.1 into a.contract with SUCZ parr./ in which it star= that sac Lar': �;�'.I.! oe a Additional Insurer. (If no entry apce_rabove. information recuired to ccmpiete .his encor!2ment will .e sincwn .n the Cec'.araticns as acciicable to this endcr =rnent.) _ WHO IS AN INSURED (Se=-,:enIi) i<_ amended to inciuce as an insured the person cr cr_=nizaticn shown in the Schedule, but only with recce-: to liability arising out cr "your work" for that insured by or fcr you. ?"nis insurance shnil aooiv as arznary insuranc: as r=per-s any Perron, Or?_=isation, paruzer-sbip or Joint Venture -named above, and any other insurance available to such Person, Orznni-^rich. Parmershio or Joint Venture ,i17-7i1 be e:cc�s and not contributory with the assurance aziorded'ov this City of San Juan Capistrano Attn. : B. Perry/C. Johnson 32400 Paseo Adelanio San Juan Capistrano, CA 92675 • The City of San Juan , its elected and appointed officials and REH Holdings, Inc. as a named insured. t Caoyngnt. Insurance Services Cffic_. Inc.. 1984 Oct-06-97 09t53A alT nerican asphalt. ld 90 36 7600 P.03 LIABILITY ENDORSEMENT c1TY OF SAN JUAN CAPISTRANO 32400 Paseo Adetante San Juan Capistrano, California, 92675 ATTN: A. POLICY INFORMATION Endorsement t 1. insurance Company Clarendon ; Policy Number TNC0698970188 2. Policy Term (From/1/97 (70j871/98 ,Endorsement Effective Date 8/-1/9/ 3. Named Insured All American Asphalt _- 4. Address of Named Insured P 0_ Rnx 2229 3. Limit of Liability Any One Occurrence/Aggregate S L,000,000 r 2000 1.000 General Liability Aggregate (check one:) Applies "per Iocation/proiect" _ y is twice the occurrence limit 6. Deductible or Self-Insured Retention(Nil unless otherwise specified): SIQ�p00 7. Coverage is equivalent to: Comprehensive General Liability form GL0002 (Ed 1/73) CG2010 Commercial General Liability "claims-made" form CGG0O2 A. Bodily Injury and Property Damage Coverage is: "claims-made" "occurrence" If claims-made, the retroactive date is 8. POLICY AMENDMENTS This endorsement is issued in consideration of the policy premium. Notwithstanding any inconsistent statement in the policy to which this endorsement is attached or any other endorsement attached thereto, it Is agreed as fdioersr 1. INSURED. The City, its elected or appointed officers, officials, employees and volunteers are included as insureds with regard to damages and defense of claims arising from: (a) activitlea performed by or on behalf of the Named Insured, (b) products and completed operations of the Named Insured, or (c) premises owned, leased or used by the Named Insured. 2. CONTRIBUTION NOT REQUIRED. Al respects: (a) work performed by the Named Insured for or on behalf of the City; or (b) products sold by the Named Insured to the City; or (e) premises leased by tile Named Insured from the City, the insurance afforded by this policy shall be primary insurance as respects the City, its elected or appointed officers, officials, employees or volunteers; or stand in an unbroken chain of coverage excess of the Named Insured, scheduled underlying primary coverage. In either event, any other insurance maintained by the City, its elected or appointed of ficers, of ticiais, employees or volunteers shall be in excess of this insurance and shall:tot contribute with it. .Oct-06-97 09: 53A al - merican asphalt"'° ld 90 36 7600 P_ 04 3.. SCLWE OF COVERAGE. This policy, if primary, affords coverage at least as broad as: (1) Insurance Services Office form number GL 0002 (Ed. 1/73), Comprehensive Genet Liability Insurance and Insurance Services Of[ice form number GI. 0404 Broad For comprehensive General Liability endorsement; or (2) Insurance Services Office Commercial General Liability Coverage, "cccurrenc form CG 0001 or "claims-made" form CG 0402; or (3) If excess, affords coverage which is at least as broad as the primary insurani forms referenced in the preceding sectiones (1) and (2). 4. SEVERABILITY OF INTEREST. The insurance afforded by this policy applies separately each inured who is seeking coverage or against whom a claim is made or a suit is brougb except with respect to the Company's Limit of liability. 3. PROVISIONS REGARDING THE INSURED'S DUTIES AFTER ACCIDENT OR LOSS. Ar failure to comply with reporting provisions of the policy shall not affect coverage provide to the City and the Community Redevelopment Agency, its elected or appointed officer: officials, employees or volunteers. 6. CANCELLATION NOTICE. The insurance afforded by this policy shall not be suspende,. voided, cancelled, reduced in coverage or in limits except after thirty (30) days' prior writte notice by certified mail return receipt requested has been given to the City. Such notic shall be addressed as shown in the heading of this endorsement. C. INCIDENT AND CLAIM REPORTING PROCEDURE Incidents and claims are to be reported to the Insurer at: ATTN: Susan Diotte - Garcia Title (Department) Toplis & Harding, Inc. Company 5670 Wilshire Blvd. , 20th Floor ZStreet Addres Los Angeles, CA M-ity) (Siete) (Zip Cade) 213 - 964-8500 eel ptx ne D. SIGNATURE OF INSURER OR AUTHORIZED REPRESPNTATIVE OF THE INSURER ITerry Decker , _ (print/type name), warrant that I have authority to bind the below listec ityp{ insurance company and by my signature hereon so bind i pa �'V SSINATUR£ AUTH RIZ D REPRESENTATIVE (original signature required on endorsement ftrnished to the City CRGNIZATICN: Calco Ins. Brokers TITLE: Account Administrator ALIRE55: P.O. Box 5995 TSE_ (714) 937-4323 Orange, CA 92863-5995 • ' CL 344 (11-85) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 25 03 11 85 AMENDMENT-AGGREGATE LIMITS OF INSURANCE (PER PROJECT) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The General Aggregate Limit under LIMITS OF INSURANCE (SECTION III) applies separately to each of your projects away from premises owned by or rented to you. BAUTHENT1CO '•�,:.�; ^�'y Copyright. Insurance Services Office, Inc., 1984