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1998-0719_ALL AMERICAN ASPHALT_Insurance Certificate i r DATE MM/DD/YY is • ::<:.:> ::: :>:: ::: .:: 'i::.:.:' :::2`%; •;:: :::::::::;i s. ::,. >. ..;... ..a:::::::i: PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Ca I 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 .O. Box 5995 COMPANIES AFFORDING COVERAGE Orange , CA 92863-5995 COMPANY 714-937-1824 A H1H America INSURED COMPANY All American Asphalt B Great American Insurance Co P .O. Box 2229 COMPANY Corona , CA 91718-2229 C Hartford Insurance Group t COMPANY D RLI Insurance Company 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,NOTW ITHSTANDINGANYREQUIREMENT,TERMOR CONDITION OF ANYCONTRACT OR OTHER DOCUMENT WITH RESPECT TO 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 DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 2000000 D X COMMERCIAL GENERAL LIABILITY RL00001956 8/01 /98 8/01 /99 PRODUCTS•COMP/OP AGG $ 1000000 CLAIMS MADE X OCCUR CERTHOLDER IS ADD' L PERSONAL & ADV INJURY $ 1000000 OWNER'S&CONTRACTOR'S PROT INS . PER BLANKET EACH OCCURRENCE $ 1000000 CG20 10 ATTCH , FIRE DAMAGE(Any one fire) $ 50000 MED EXP (Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ C X ANY AUTO 72UENGK5491 8/01 /98 8/01 /99 1000000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) X $10 ,000 D e d• PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY • EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ 10000000 B X UMBRELLA FORM TUU2 184649 8/01 /98 ' 8/01 /99 AGGREGATE $ 10000000 OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND X STATUTORY LIMITS EMPLOYERS'LIABILITY --- -A _ C000994001 8/01 /98 8/01 /99 EACH ACCIDENT $ 1000000 THE PROPRIETOR/ INCL DISEASE•POLICY LIMIT $ PARTNERS/EXECUTIVE 1000000 OFFICERS ARE: EXCL DISEASE•EACH EMPLOYEE $3,21" 1000000 OTHER /7 c rn , C..71 rn DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS G < ro rn RE : Preventative Street Maintenance , 1997-1998 , ro v 30 days notice of cancellation except 10 days for non—payment of premium. xpt cLs CER11FI ATE FHOI DEE3 CANCELLATION • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILOO (tXIXXMAIL City of San J a u n Capistrano 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn . : B . Perry/C . Johnson 11(9001940RX9(9(9(yC,E7F X9(IXX7E9C5fE9C7FR9FX7QXXXXXXIA(9(X IX9(90XXX 32400 Paseo A d e I a n i o R9(XXXX,7MFXX(JP7(X7F➢(XX(9MF7h(7 R*7(1 XXXXX€X,XXX900Q90X AUTHORIZED REPRESENTATIVE San Juan Capistrano , CA 92675 053011000 ACORQ 29 9::(3/90 GQRD CORPORATION 199$:. • POLICY NUMBER: RLO 0001956 COMMERCIAL GENERAL LIABILITY INSURED: ALL AMERICAN ASPHALT EFFECTIVE: 8-1-98 THIS ENDORSEMENT CHANGES THIS POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: Any Person, Organization, Partnership or Joint Venture, only if you have previously entered into a contract with such party in which it states that such party shall be an Additional Insured. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. This insurance shall apply as primary insurance as respects any Person, Organization, Partnership or Joint Venture named above, and any other insurance available to such Person, Organization, Partnership or Joint Venture shall be excess and not contributory with the insurance afforded by this policy. CG 20 10 11 85 ©Copyright, Insurance Services Office, Inc., 1984 endorse2.wpd