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1998-0430_CHAMBER OF COMMERCE, SJC_Insurance Certificate A CORD e iAT ..i.i0 :C: :::::j: : i<> % : k> }: iDM .......................................................................................:.::.::::..:........................................................................................... PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Allied Specialty of California ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Insurance Agency, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 619034 COMPANIES AFFORDING COVERAGE Roseville, CA 95661-9034 COMPANY (800)434-1110 FAX: (916) 773-1590 A T.H.E. Insurance Company INSURED COMPANY San Juan Capistrano B a Chamber of Commerce COMPANY P.O. Box 1878 San Juan Capistrano, CA 92693-1878 COMPANY IV m ...........................................................:::::.::::.:....................................................................................... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 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 EZALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CZ) CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000. X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 1,000,000. A mg CLAIMS MADE X OCCUR 98LC9138 3/15/98 3/15/99 PERSONAL&ADV INJURY $ 1,000,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000. X D & 0 Coverage FIRE DAMAGE(Any one fire) $ N/A MED EXP(Any one person) $ N/A AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE _ $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WC STATU- 0TH- WORKERS COMPENSATION AND TORY LIMITS I ER EMPLOYERS'LIABILITY EL EACH ACCIDENT _ $ THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT S PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE 5 OTHER Event Dates: June 17, July 15, August 19, Spetember _6, 1998 Event Name: San Juan Summer Nites Concert Series DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Additional Insureds: City of San Juan Capistrano and all of its agents and employees. CER CA:...::,,_ .:,D i'> >><['< .;] ` >> > ><"<€ <=::Zi a:20:;»$!.%:: ::: $:;<.:,.., : > >'<>[> '>z>>inni.eini: >>»'[>' >s >S iNig i€> .,i].i»€ 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 MAIL 32400 Paseo Adelanto 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, San Juan Capistrano, CA 92675 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Attn: Dawn Schanderl AUTHORIZED REPRESE FAX (714)493-1053 APR-30-1998 11:49 FROM ..�. TO 1?14489695 P.01 t V�Un, a`t �t �� �, � t Y T! NT E( ^om) 44 � y, � � _ /30�98rT vRTHIS CERTIFIL,AItiS ISSUED AS A MATTER OF INFORMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE Allied Specialty of California HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Insurance Agency, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P-O, Box 619034 COMPANIES AFFORDING COVERAGE Roseville, CA 95661-9034 III COMPANY (800)434-1110 FAX: (916) 773-1590 1 A T.H.E. Insurance Company -r 1N3UREO COMPANY San Juan Capistrano B ' Chamber of Commerce COMPANY ___ P.O. Box 1878 1_5 San Juan Capistrano, CA 92693-1878 COMPANY I . , •• a6wusdv'.'tii : :rw lkI �iT` o: .N..r.v� ♦> v 7i+o .•v'S4f4 §� •1, wk .. aieAn r. � ., a.:w •eig� . . `a� ' '!- , ., .�-" t ( a.1N , THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER10D 11.WICATE0,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 INSVAANU(; CE POLICY NVMOER POY EFFECTIVE POLICY EXPIRATION LIMITS LTA DATE(MAVDC/YY) DATE(MAVDO/Yv) �G-E—NERAL LIABILITY GENERAL AG^vREGAYE 1 5 l,0AA t7p0. --X7 COMMERCIAL.GENERAL LIABILi7y PROQUCTS-COMPIOP AGC ,S 1,000,000. A oeri I CLAIMS MADE X OccuR 98LC9138 3/15/98 3/15/99 PERSONAL&ADM INJURY000_$ 1,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE Is 1,000,000. X D & 0 Coverage FIRE DAMAGE(Any One lirel s N/A r--' +I MED ExP(Any one Person) I S N/A Ay/MOBILE UA$ILITY ----, ANY AUTO COMBINED SINGLE LIMIT $ .---, ALL OWNED AUTOS BINJURY RY SCUEOULED AUTOS (Per person) S --- ..w,•-- mIRED AUTOS ;ONLY INJURY I S I•-- (Her eardent) .._- nON•OWNE0 AUTOS • PI•tOFERTI'DAMAGE I S T, u GARAGE LIABILITY I AUTO ONLY-EA ACCIDENT S I` k�..tNe � ,,,�«ter, ANY AUTO1.C,MER THAN AU'T'O ONLY' .s:NM.gi,yr,•tri.it , ,,:,, EACH ACCIDENT S ~^ ^^r •---5,-.5 ( tiGGTiEGATE I S EXCESS LIABILITY I EACH OCGURPENCE I S UMBRELLA FORM AGGREGATE 15 OTHER THAN UMBRELLA FORM I I s WORKERS COPENSATION AND 1,'--- w. TORY LIMITS IMITS JH rFnety,t,atµ'<a,+ i} .i: - ta,): v ,,..A EMPLOYERS.( AMITY EL EACH ACCIDENT S — THE PROPRIET'OW INCL I EL DISEASE-POLICY LIMIT $ PARTNERS/EXECUTIVE — - __.. OFFICEFIS ARE: EXCL� 1 EL OISERSE-EA EMPLOYEE 1 S O'IHER 4 `I Event Dates: June 7, July 15, August 19, Spetember 16, 1998 f Event Name: San Jun Summer Nites Concert Series 1 I DESCRIPTION OF OPERA77ONSA.OcaTION$IVEMtCLES/3PECIAL rt'EMS Additional Insureds: City of San Juan Capistrano and all of its agents and employees. ' "�„ 1 evo a t�rftt.tatt 1 t'F� =4.' u• .,. # r,.. Iu•. �,,,.•ttt.t=4;: c+�e p �wce�, . ,,�Y: as. , ,� �`k►�. .0 ia�+o�c 14 � ���Ilt��,.'..ra�ua�� ''r�"r"w, nlne""V�a>ry iaw ° ..:.... t16....•.a�►nI!'y!....valfil°I W"..,..oart>''jrcLv r�asil.tlds,sy' SHOULD ANY OF Tug A80VE OESCRIQEO POLICIES BE CANCELLED BEFORE THE City of San Juan Capistrano EXPII*AT1ON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 32400 Paseo Adelanto 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, San Juan Capistrano, CA 92675 BUT FAILURE TO MARL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UADILITY OF ANY KING UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Attn: Dawn Schanderl AUTHORIZED REPRFSE► FAX: (714) 493-1053 w�.�e••,ue• ��i _