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1997-0314_BLAS AGUILAR FOUNDATION_Insurance CertificateCERTIFICA OF DATE LIABILITY INSUONCIELAF1 03/14/97 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Bowman Company Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Service, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 689 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tustin CA 92781-0689 COMPANIES AFFORDING COVERAGE COMPANY Phone No. 714-838-0622 Fez No. 714-730-9071 A Western Heritage Insurance Co. INSURED COMPANY e COMPANY Blas Aguilar Foundation C 31806 El Camino Real San Juan Capistrano CA 92675 COMPANY D 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 LTR TYPE OF IN5URANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $1,000,000 A X COMMERCIAL GENERAL LIABILITY SCP0264325 03/01/97 03/01/98 PRODUCTS-COMP/OP AGG S CLAIMS MADE [Xj OCCUR PERSONAL B ADV INJURY S 1,000,000 EACH OCCURRENCE $ 1 , 000 , OOO OWNER'S S CONTRACTOR`S PROT FIRE DAMAGE (Any one fire) $50,000 MED EXP (Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY $ (Per person) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per accident) HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT S AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE S AGGREGATE S UMBRELLA FORM S OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WCRY AT - OTR EL EACH ACCIDENT $ THE PROPRIETORI INCL PARTNERS/EXECUTIVE EL DISEASE -POLICY LIMIT $ EL DISEASE - FA EMPLOYEE $ OFFICERS ARE: EXCL OTHER A Commercial Applica SCP0264325 03/01/97 03/01/98 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Per attached Form No. CG2026 CERTIFICATE HOLDER CANCELLATION CITYSJC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of San Juan Capistrano EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL Community Redevelopment Agency 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: Mary Laub 32400 Paseo Adelanto SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY San Juan Capistrano CA 92675 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRES TATIVES. AU RIZEDTATIVp ACORD 25S (1195) ,/{/� CACORD CORPORATION 1988 • 11 8 POLICY NUMBER: SCP02 4325 (11'855 ) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 26 1185 ADDITIONAL INSURED -DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CITY OF SCHEDULE Name of Person or Organization: SAN JUAN CAPISTRANO COMMUNITY REDEVELOPMENT AGENCY 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA. 92675 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section 11) is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your operations or premises owned by or rented to you. Copyright, Insurance Services Office, Inc., 1984