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1991-0826_GLENFED DEV CORP._Insurance Certificate A1.I0l!1 CERTIFICAI _ OF INSURANCE ISSUE DATE(MM/DD/YY) 08/26/91 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, Glenfed Insurance Services EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW P.O. Box 1272 Glendale, California 91203 COMPANIES AFFORDING COVERAGE COMPANY LETTER p► Fireman's Fund Insurance Company CODE SUB-CODE COMPANY B INSURED LETTER GLENFED, INC. COMPANY GLENFED Development Corporation LETTER C 401 No. Brand Blvd. COMPANY D a Glendale, California 91203 `EWER _ COMPANY LETTER E Z C') c) G� �-v t COVERAGES ry : y�D.-< op THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A;aarPDfi TH OLI PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT 011,11 _�:#:'ECprO W*CH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS ( MALL TH.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 ALL LIMITS IN TWASANDS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 3,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPS AGGREGATE $ 1 ,000 A CLAIMS MADE x OCCUR. KXC 80265196 08/26/91 08/26/94 PERSONAL&ADVERTISING INJURY $ 1,000 OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ 1 ,000 FIRE DAMAGE(Any one fire) $ 500 MEDICAL EXPENSE(Any one person) $ 2 AUTOMOBILE LIABILITY COMBINED x ANY AUTO LIM T`E $ 1 ,000, ALL OWNED AUTOS 1 BODILY SCHEDULED AUTOS (INJURY P Perperson) I A HIRED AUTOS II It { fl BODILY INJURY $ NON-OWNED AUTOS (Per accident) GARAGE LIABILITY PROPERTY DAMAGE EXCESS LIABILITY EACH AGGREGATE OCCURRENCE $ $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY AND $ (EACH ACCIDENT) I $ (DISEASE—POLICY LIMIT) EMPLOYERS'LIABILITY $ (DISEASE-EACH EMPLOYEE OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS RE: TRACT NO. 12423 CERTIFICATE HOLDER CANCELLATION Additional Insured per attached form SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE No. CG20261185 EXPIRA 6ON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1111 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE City of San Juan Capistrano LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 32400 Paseo Adelanto LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. San Juan Capistrano, CA 92675 THORIZED REPRES ATIVE ACORD 25-S (3/88) ©ACORD CORPORATION 1988 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL COVERAGE GENERAL LIABILITY Additional Insured— Designated Person or Organization POLICY AMENDMENT CG 20 26 11 85 IF THE FOLLOWING INFORMATION IS NOT COMPLETE, REFER TO THE APPROPRIATE DECLARATIONS ATTACHED TO THE POLICY. INSURED POLICY NUMBER SEQUENTIAL NO. Glenfed, Inc. and Its Subsidiaries KXC80265196 001 PRODUCER EFFECTIVE DATE Glenfed Insurance Services 08/26/91 SCHEDULE NAME OF PERSON OR ORGANIZATION: Per Certificate Holder on attached Certificate of Insurance WHO IS AN INSURED (Section II) is amended to in- arising out of your operations or premises owned by or rented elude as an insured the person or organization shown in the to you. Schedule as an insured but only with respect to liability Contains Copyrighted Material of Insurance Services Office,Inc.,1984 This Form must be attached to Change Endorsement when issued after the Policy is written. ONE OF THE FIREMAN'S FUND INSURANCE COMPANIES AS NAMED IN THE POLICY I I XCL PRF:SIDE NI STOCK NO. CG 20 26 11 85