1989-0707_BOTACO, INC._Insurance EndorsementA.
B.
r UABII.ITY ENDORSEMENT 0
CITY OF SAN WAN RANO
COMMUNITY REDEVELOPMENT
GENCY
32400 Paseo Adeiattto
San Jean Capistrano, Califon" 92675
ATTNs
POLICY INFORMATION
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Insurance Company
Policy Term (From)
Named Insured BM
Address of Namedl
CANADIAN INS. CO. OF
Limit of Liability Any One
Endorsement 0 L6394
Policy Number c3A 559216
Endorsement Effective Date 7-7-89
General Liability Aggregate (check ones)
Applies "per location/project" X
Is twice the occurrence limit
Deductible or Self -Insured Retention (Nil unless otherwise specifiedk
$
Coverage is equivalent to:
Comprehensive General Liability form GL0002 (Ed 1/73)
x
Commercial General Liability "claims -made" form CG0002
Bodily Injury and Property Damage Coverage is:
"claims -made"
X "occurrence"
If claims -made, the retroactive date is
POLICY AMENDMENTS
This endorsement is issued in consideration of the policy premium. Notwithstanding any inconsistent
statement in the policy to which this endorsement is attached or any other endorsement attached
thereto, it is agreed as follows:
1. INSURED. The City and the Community Redevelopment Agency, its elected or appointed
officers, officials, employees and volunteers are included as insureds with regard to damages
and defense of claims arising from: (a) activities performed by or on behalf of the Named
Insured, (b) products and completed operations of the Named Insured, or (c) premises owned,
leased or used by the Named Insured.
2. CONTRIBUTION NOT REQUIRED. As respects: (a) work performed by the Named Insured
for or on behalf of the City; or (b) products sold by the Named Insured to the City; or (c)
premises leased by the Named Insured from the City, the Insurance afforded by this policy
shall be primary Insurance as respects the City, its elected or appointed officers, officials,
employees or volunteers; or stand in an unbroken chain of coverage excess of the Named
Insureds scheduled underlying primary coverage. In either event, any other insurance
maintained by the City, its elected or appointed officers, officials, employees or volunteers
shall be in excess of this insurance and shall not contribute with it.
(OVER)
I SCOPE OF COVERAGE. This policy, if primary, affords coverage at least as broad as:
(1) Insurance Services Office form number GL 0002 (Ed. 1173), Comprehensive General
Liability Insurance and Insurance Services Office form number GL 0404 Broad Form
comprehensive General Liability endorsement; or
(2) Insurance Services Office Commercial General Liability Coverage, "occurrence"
form CG 0001 or "claims -made' form CG 0002; or
(3) If excess, affords coverage which is at least as broad as the primary insurance
forms referenced in the preceding sections (1) and (2).
#. SEVERABILITY OF INTEREST. The insurance afforded by this policy applies separately to
each insured who is seeking coverage or against whom a claim is made or a suit is brought,
except with respect to the Company's limit of liability.
3. PROVISIONS REGARDING THE INSURED'S DUTIES AFTER ACCIDENT OR LOSS. Any
failure to comply with reporting provisions of the policy shall not affect coverage provided
to the City and the Community Redevelopment Agency, its elected or appointed officers,
officials, employees or volunteers.
4 CANCELLATION NOTICE. The insurance afforded by this policy shall not be suspended,
voided, cancelled, reduced in coverage or in limits except after thirty (30) days' prior written
notice by certified mail return receipt requested has been given to the City. Such notice
shall be addressed as shown in the heading of this endorsement.
C. INCIDENT AND CLAIM REPORTING PROCEDURE
Incidents and claims are to be reported to the insurer at:
ATTN:
Title (Department)
SPA oOASr INSURANCE AGTICY, im-
Company
31726 ROM VM00 RD #213
Street Address
SAN JUAN WISIRW, CA 92675
City State Zip Code)
714) 831-2963
(Telephone)
D. SIGNATURE OF INSURER OR AUTHORIZED REPRESENTATIVE OF THE INSURER
1, JAMS E. PAUL (print/type name), warrant that I have authority to bind the below listed
insurance company and by my sign"ure hereon do'sa biod,.this company.
2E OF AUTHORIZED REPRESENTATIVE (original
required on endorsement furnished to the City)
CMANIZATICN: SEA CDASr INSURANCE
pIRESS: 31726 RANM VMD HID #213, SAN JUAN CARS, CA
TITLE: PRRsmm
TELPPH3 E: (714 ) 831-2963