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1989-0830_GLENFED DEV CORP._Insurance Certificate ©© • 30 - ; ISSUE DATE(MM/DD/YY) ,,� • 8/30/89 nim PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS �1E NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, GLENFED Insurance Servi7�� I EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW P.O. Box 1272 Glendale, CA 9120 ,1) I !2 35 DU COMPANIES AFFORDING COVERAGE (818)409-4774 CITY CLERK COMPANY ETTER LETTER A Fireman's Fund Insurance Companies CODE SUB-COD®EPARTMENT LETTER CITY OF SAN COMPANY INSURED JUAN.CA01STRANO--— LETTER B I COMPANY C LETTER GLENFED Development Corporation 16601 Ventura Blvd. COMPANY LETTER Encino, CA 91436 COMPANY E LETTER 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, 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 3 000 A X COMMERCIAL GENERAL LIABILITY KXC 6141493 8-26-88 8-26-91 PRODUCTS-COMP/OPS AGGREGATE $ 1 ,000 CLAIMS MADE X OCCUR. PERSONAL&ADVERTISING INJURY $ 1 ,000 X OWNER'S&CONTRACTOR'S PROT, EACH OCCURRENCE I' $ 1,000___ FIRE DAMAGE(Any one fire) $ 5i0 MEDICAL EXPENSE(Any one person) $ 5 AUTOMOBILE LIABILITY COMBINED XANY AUTO 1, ,, " SINGLE $ LIMIT 1 ,000 ALL OWNED AUTOS I BODILY INJURY $ SCHEDULED AUTOS I (Per person) HIRED AUTOS i BODILY ! I j INJURY $ NON-OWNED AUTOS (Per accident) GARAGE LIABILITY ; PROPERTY DAMAGE $ EXCESS LIABILITY EACH AGGREGATE OCCURRENCE $ $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY w"*'= $ (EACH ACCIDENT) AND ..� ._..............._..... .. $ (DISEASE—POLICY LIMIT) EMPLOYERS'LIABILITY $ '; (DISEASE—EACH EMPLOYEE OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL TLITEMS Re: Tract #12423 CERTIFICATE HOLDER CANCELLATION X' Additional Insured per attached Form SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE No. %GRO ?1XX5X CG20261185 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 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 AUTHORIZED REPRESENTATIVE A . SitRi ACORD_25-S (3/88) a `' • • t a THIS ENDORSEMENT L1IANGES THE POLICY. PLEASE, HEAD IT CAREFULLY. > 1. +f�....t. Y A` 4�te. ylr i' '..,Y ','. k%i+.rlr`a�t k,.' ;ifGOMMERCTATC4VA ; '. • ° ° ;4 r k%" 1 fir.; tr ryt5': ,v7..: f t . t, 1 � GENERAPRIABILITY � ,z, A,, ' "dt " ' - ch, v: "* � 'R " :4/1,1414r'. . YkiIt � %S�d, bap , Fw vt F �P yaFt .+ c �{fKA t', rr• - i.;: i ? ,4A .) t r�YY ? ,! a�� 4,a$ * • , {, ! .'"It.,H ay ..$ 14�� , , , , t { ,,i . ,Additional Irmo" , , , ' • ,41., : Fm ! 'f.' s I .,.� 0 ... x ,: ,aprz, r ‘, „ .--ti . , , t , •JR;� ••,,,,t, k -4.M _ f Y Designated Person or Organization - '. v �` n .'' � Yp .t £ 41 w� ''US • ' N �cri1`�; iiGtK " - y 't ;y '' :7 iN,k - Pr .. 1 .q�; Z. � „ s1A. • R�, ;� 4h,Q♦ 4,..0,44A-': 5 F * � MrF . 4,POEI AMENDbENT -� ` 2O 26 ) , X • � � r.; 4-1,,- r ,, ".•,,i%;','”, � , ," ,;; � ., .. . . ,., , , 1;s�bti:•':tr �.w_I�:. �s.3^�saawr..urt+,. . IF THE FOLLOWING INFORMATION IS NOT COMPLETE, REFER TO THE APPROPRIATE DECLARATIONS ATTACHED TO THE POLICY. INSURED GLENFED Development Corporation POLICY NUMBER SEQUENTIAL NO. KXC 6141493 001 PRODUCER EFFECTIVE DATE GLENFED Insurance Services 8/26/88-91 SCHEDULE Re: Tract #12423 NAME OF PERSON OR ORGANIZATION: City of San Juan Capistrano 32400 Paseo Adelanto San Juan Capistrano, CA 92675 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. ve.'.....<lAw1 a-.t w^-....rt,-•-. ...;,..7r!, .... .w..�.T:s.._..�- ....-._.�„-.. ........_... ew,r...._,..r-.r,...'+w.....n,.«.naN.�•-.:.^r Mr.. m, "^T"',+' P :\?” .. ONE OF THE FIREMAN'S FUND INSURANCE COMPANIES As NAMED IN THE POLICY • 1 II XCL PRESIDENT , STOCK NO. CG 20 26 II 85