1993-0915_C.B. ELECTRIC_Insurance Certificate TJII ('TP F : • A 04,
• '"''"' '"'''''''''''''''''''''...........................................................................................................
4k4110110 "'"":"'CERTIFICi OF INSURANCE ISSUE DATE(MWDEUTY)
09/15/93
PRODUCER1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE
R W BURNS INSURANCE BROKERAGE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
34071 LA PLAZA SUITE 210 POLICIES BELOW.
DANA POINT CA 92629
COMPANIES AFFORDING COVERAGE
( 714) 240-8350
(714 ) 240-1436 FAX COMPANY A
OCT 1 3 1993 LETTER SAFECO INSURANCE COMPANY
COMPANY B
INSURED LETTER FINANCIAL INDEMNITY COMPANY
C B Electric COMPANY C
114 Avenida Sierra LETTER
San Clemente CA 92672 COMPANY D
(714 ) 492-3013 LETTER
COMPANY E
LETTER
CQVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
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 POUCY EFFECTIVE
TYPE OF INSURANCE POLICY NUMBER POUCY EXPIRATION UMITS
LTR DATE(MWDD/YY) DATE(MM/DONY)
A GENERAL UABILITY GENERAL AGGREGATE S 1, 000, 000
X COMMERCIAL GENERAL UABIUTY PRODUCTS-COMP/OP AGG. $1, 000, 000
CLAIMS MADE X OCCUR. SL 2285548 07/23/93 07/23/94 PERSONAL&ADV.INJURY 51, 000, 000
OWNERS&CONTRACTORS PROT. EACH OCCURRENCE $1, 000, 000
FIRE DAMAGE(Any one fire) 50 000
MED.EXPENSE(Anyoneperson) $ 5, 000
B AUTOMOBILE UABIUTY COMBINED SINGLE
ANY AUTO UMIT
ALL OWNED AUTOS BODILY INJURY
X SCHEDULED AUTOS (Per person) I$250,000
HIRED AUTOS C3822874 06/22/93 11/23/93 BODILY INJURY
NON-OWNED AUTOS (Per accident) $500, 000
GARAGE UABIUTY
PROPERTY DAMAGE $100,000
EXCESS UABIUTY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE
OTHER THAN UMBRELLA FORM
STATUTORY UMITS
WORKER'S COMPENSATION / EACH ACCIDENT
AND
DISEASE-POUCY UMIT
EMPLOYERS'UABILITY
DISEASE-EACH EMPLOYEE I$
OTHER
I/ I II
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
ALL OPERATIONS OF THE NAMED INSURED
ADDITIONAL INSURED: SEE PAGE TWO (2 ) ATTACHED TO THIS DOCUMENT
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF SAN JUAN CAPISTRANO EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO
32450 PASEO ADELANTO Ni MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
SAN JUAN CAPISTRANO, CA. 9 2 6 7 5 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
ATTN: RON S I EVERS AUTHORIZED REPRESENTATIVE
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PAGE 2 9-15-93
CHARLES D BROWN DBA C. B. ELECTRIC
CERTIFICATE TO CITY OF SAN JUAN ET AL
ADDITIONAL INSUREDS :
The City and the Community Redevelopment Agency, its elected
or appointed officers, officials , employees and volunteers
are included as insureds with gard to damages .