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1989-0830_GLENFED DEV CORP._Insurance Certificate - r ISSUE DATE(MM/DD/YY) 8/30/89 nlm 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 RECENT; Glendale, CA 91209 S'P I 12 35 t COMPANIES AFFORDING COVERAGE (818)409-4774 COMPANY A Fireman's Fund Insurance Companies CODE SUB-CODE CITY CLER DEPARTME INSURED L� Y'at N LETTER NY B JUAN r.,AP1ST COMPANY C LETTER GLENFED Development Corporation 16601 Ventura Blvd. COMPANY D 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.' i PERSONAL&ADVERTISING INJURY $ 1 ,000 X OWNER'S&CONTRACTOR'S PROT} EACH OCCURRENCE $ 1 ,000 FIRE DAMAGE(Any one fire) $ J . .._..___. .__ `J00 ( MEDICAL EXPENSE(Any one person) $ 5 AUTOMOBILE LIABILITY 3 : COMBINED X ANY AUTO 1 " " " ( LIMIT $ 1 ,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS i i (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS I ' (Per accident) GARAGE LIABILITY PROPERTY $ DAMAGE EXCESS LIABILITY EACH AGGREGATE OCCURRENCE $ $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY $ (EACH ACCIDENT) AND $ (DISEASE—POLICY LIMIT) EMPLOYERS'LIABILITY mm $ (DISEASE—EACH EMPLOYEE OTHER if3 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS Re: Tract #12262 CERTIFICATE HOLDER CANCELLATION Additional Insured per attached Form No. tX1 X1 CG20261185 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO City of San Juan Capistrano MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 32400 Juan o tLEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR San Juan Paseo AderanCA 92675 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS ••R REPRESENTATIVES. AUTHORIZED REPRESENTATIVE / ii7i ACORD 25-S(3/88) ©ACORD CORPORATION 1988 • e a • r THIS ENDORSEMENT CHANGES THE POLICY. PLEASv. tcEAD IT CAREFULLY. i• #'COMMERCIAL COVERAGE 1 , Af -�GENERAPEI ABILITr ▪ t� �c r .r.-.1 pt •,;''''F'. r : ,,• r tr • t+� s �s f E t 'V r S M q ,, <t,Yf`"r, '1(`4.4 5 i j c i a t rte, rs°.�'� 'i is :r �•i.�'� '. .r'. > `7 t ° • ��" ��2 i,.l'h' ..yG'.Li. N, .'.:;..,..,.:;1.,:„I'" � x,5.4 q < H V4 fit:. -; z .r ,< .i, L. �? ,a » .ti.c ., s Additional Insured a_^d ` `�, �,. " V'P =`i k �i'' ' :' 00 '',.•-t:; �� =".` ,. Dest-Designated Person or`Or anization :7,40:1y h ,, Pi' .;,,,r,`%; `�` t ic'. 5..-a'�ii".,A err-'chi.,, �.� �s 8 `' �* .. � r+# �f�''• y -,'` k '1 ,,t .r i� Yf s.. 1 �� «�a t � « ° , '.,�pti{ � Y`� � ii��.4, 4 .4 s., r �t'�.'£�•+ }` Ajs r ,3 .� , , ''POLICY'AMENDINEIV2< fyr ',,,4,,,,,,"xC 20 26,1 ,47,.., 85 ?-• , '' * +..:r -i u. ;��'rs. ,' , .ti.y ti e.,,,,i i+ 7t:14,41414.1:1 < 3' .., j Ih'„1 titt' c .tk,...,,,i,: .r. 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 #12262 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 Awes This Form must be attached to Change Endorsement when issued after the Policy is written. YM�”9 '•...7"e lrw'ww1�+.........y.,...,..r ..r......p z..-..... .. ... ..,. ..... . -w-',--,.. I��r.�,y�..Y....R,D�pJ!'�!;ThN.:,^•T .. ONE OF THE FIREMAN'S FUND INSURANCE COMPANIES AS NAMED IN THE POLICY II XCL PRESIDENT STOCK NO. CC 20 26 II 85