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mow= MINI 1' TE IS ISD AG A MATTER OF INFORMATION ONLY AND
' II BURNS INSURANCE BROKERAGE CONFERS NO 11 GHTSUPONTHECERTFICATEHOLDER.THIS CERTIFICATE
E 4071 LA PLAZA SUITE 210 POINOT JCIEXTEND OR ALTER THE COVERAGE AFFORDED HY THE
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0 • , • POINT CA 92629 COMPANIES AFFORDING COVERAGE
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LETTER Ten is TO Ct/4TIFY THAT THE POLARS OF wistuRANce LISTED ileum HAVE sem FIS3UED TO THE f4SURED NAMED ABOVE FOR TI-4E POUCY PERIOD
INDICATED,NOTWITHSTANDING ANY AEEItAt 1T-TERM OR coNDMON OF ANY ootITR►CT OR otrt H DOCLmENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY EIE t6>SUED OR MAY PERTAIN,THE INSURANCE AFFORD SY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXC1 BIONS AND C.oNDITONB OF SUCH POLICES.LBMrS SHOWN MAY HAVE BEEN REDUCED BY P1W IMS
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:ity Of San Juan Capi9t Si•FOULD ANT OF NE ABOVE DESCRIBED POUUES BE CANCELLED BEFORE THE
ion SieVer 3. EXPIRATION DATE THEREOF, THE IEJI$G COMPANY WILL ENDEAVOR TO
2 45 0 Paseo Adelanto ,,: MNL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LET, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OFCL.IGATION OR
:an Juan Cap i st. CA 92675 1' LIABLI tY OF ANY MO UPON INE COMPANY AGENTS OR AEPRESENTATly60.
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I ,` MEMBERS OF THE CITY COUNCIL
4 COLLENE CAMPBELL
GARY L.HAUSDORFER
DRUG u GIL JONES
1 inloRRCR I O CAROLYN NASH
IS (uRIUS.° 1961 JEFF VASOUEZ
B�
1776 I
• • CITY MANAGER
GEORGE SCARBOROUGH
November 9, 1994 •
Mr. Charlie Brown
C B Electric
114 Avenida Sierra
San Clemente, California 92672
Re: Renewal of Automobile Liability Certificate of Insurance (City Street Light Maintenance)
Dear Charlie:
The Automobile Liability Certificate of Insurance, regarding the above-referenced service, is due to
expire on November 23, 1991 In accordance with your agreement, the insurance certificate needs
to be renewed for an additional period of one year.
Please forward the updated certificate to the City, attention City Clerk's office, by November 30th.
If you have any questions, please contact me at (714) 443-6310.
Thank you for your cooperation.
Very truly yours,
keue,)9ii. 01Lci/rdae,
Dawn M. Schanderl
Deputy City Clerk
Enclosure
cc: Cheryl Johnson, City Clerk I
Nancy Barney, Administrative Assistant
32400 PASEO ADELANTO, SAN JUAN CAPISTRANO, CALIFORNIA 92675 • (714) 493-1171