1996-0319_EMPIRE PIPE CLEANING & EQUIPMENT_Insurance Renewal Jane
coo:
MEMBERS OF THE CITY COUNCIL
COLLENE CAMPBELL
di
WYATT HART
DRUG USE GIL JONES
IS CAROLYN NASH
DAVID SWERDLIN
•March 19, 1996 • CITY MANAGER
GEORGE SCARBOROUGH
Empire Pipe Cleaning &
Equipment
P.O. Box 8035
Anaheim, California 92802
Re: Renewal of General Liability and Automobile Liability Certificates of Insurance (City
Sanitary Sewer Line Maintenance)
Gentlemen:
The General Liability and Automobile Liability Certificates of Insurance, regarding the above-
referenced project, are due to expire on April 7, 1996. In accordance with your agreement, the
insurance certificates need to be renewed for an additional period of one year. The agreement
requires a general liability endorsement form naming the City of San Juan Capistrano as an additional
insured. I have included a City approved endorsement form to submit to your insurance company;
however, your insurance company may provide their own endorsement form.
Please forward the updated certificates and the endorsement form to the City, attention City Clerk's
office, by the due date.
If you have any questions, please contact me at (714) 443-6310.
Thank you for your cooperation.
Very truly yours,
Ateti)hooliok,duLe__,
Dawn M. Schanderl
Deputy City Clerk
Enclosure
cc: Cheryl Johnson, City Clerl!
Silvia Cintron, Secretary Public Land & Facilities
32400 PASEO ADELANTO, SAN JUAN CAPISTRANO, CALIFORNIA 92675 • (714) 493-1171