1998-0430_CHAMBER OF COMMERCE, SJC_Insurance Certificate A CORD e iAT ..i.i0
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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
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...........................................................:::::.::::.:.......................................................................................
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
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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
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lkI �iT` o: .N..r.v� ♦> v 7i+o .•v'S4f4 §� •1, wk .. aieAn r. � ., a.:w •eig� . . `a� ' '!- , ., .�-" t
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,
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.
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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
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