1992-1215_BOYLE ENGINEERING CORPORATION_Insurance 10 ME
� ISSUE DATE(MM/OD/VY)
fM
'Or SU
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF I F RMATI N NLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
I'he Crowell Insurance Agency DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
j P. 0, Bax 19501 POLICIES BELOW.
i 43 Corporate Park, Suite 200 COMPANIES AFFORDING COVERAGE
j Irvine, CA 92713-9501
COMPANY
LETTER A
Scottsdale Insurance
COMPANY B
{INSURED LETTER -
Boyle Engineering Corporation `ETTEAYC 'II4 77
P. 0. B D x 7350 `OMPAANY D ;�
Newport Beach CA 92656-7350 ` '"^
COMPANY E rv _
`® in
�� �y�(
LETTER
CDVV y II,
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 1HW LICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECn+D WHICH THIS
i 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 POLICYEXPIRATION LIMITS f
LTR DATE(MM/DD/YY) DATE(MM/DD/YY)
(tea GENERAL LIABILITY AES001052 12/31/93 12/31/94 GENERAL AGGREGATE $ 2000000 y
I X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGO. $ 1 000000
y CLAIMS MADE X OCCUR. PERSONAL&ADV.INJURY S 1000000
t OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ 1000000
FIRE DAMAGE(Any one tire) $ 50000
MED.EXPENSE(Any one parson) $ 5000
AUTOMOBILE LIABILITY
COMBINED SINGLE $
ANY AUTO LIMIT
ALL OWNED AUTOS1
BODILY INJURY $ j
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per accident) $ '
I
GARAGE LIABILITY PROPERTY DAMAGE $
i
EXCESS LIABILITY EACH OCCURRENCE $
I UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION STATUTORY LIMITS
I EACH ACCIDENT $
AND
{ DISEASE—POLICY LIMIT $
EMPLOYERS'LIABILITY
j DISEASE—EACH EMPLOYEE $
OTHER
{
i
1 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
IRE: PLAN CHECK / CONSULTANT SERVICE AGREEMENT
(AI )
*EXCEPT IF CANCELLED FOR NON—PAYMENT OF PREMIUM, 10 DAYS NOTICE GIVEN
"N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
CITY OF SAN JUAN CAP I ISTRANO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
34200 PASEO ADELANTO LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
SAN JUAN CAP ISTRANO CA 92675 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
:* AUTHORIZED REPRESEN
Di CORNWELL Cro 11 s. gen y
ACtlI 25S Tl90J ,.,: t ; CORPORATION 1"0
O'- 0
CERTIFICA�, OF �1j w, ISSUE DATE(MM/DD/V V)
r i�r
1 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
ICONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
The Crowell Insurance Agency DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
P. 0. Box 19501 POLICIES BELOW.
43 Corporate Park Suite 200 COMPANIES AFFORDING COVERAGE
Irvine, CA 92713-9501
COMPANY A
LETTER
Scottsdale Insurance
{i COMPANY B j
;INSURED LETTER ..
1 COMPANY C
LETTER A
Boyle Engineering Corporation
P. 0. Box 7350 COMPANY
j LETTER D N < j
Newport Beach CA 92658-7350 tt ,T$
' COMPANY E �
LETTER
y .Des .nn �
I THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD j
! INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
!!!E 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 LIMITS
LTR DATE(MM/DD/YY) DATE(MM/DD/YY)
IA GENERAL LIABILITY AES001052 12/31/93 12/31/94 GENERAL AGGREGATE $ 2000000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGO. $ 1000000 j
CLAIMS MADE OCCUR. PERSONAL 8 ADV.INJURY $ 1000000
OWNER'S 8 CONTRACTOR'S PROT. EACH OCCURRENCE $ 1000000
' FIRE DAMAGE(Any one tire) $ 550000
i
MED.EXPENSE(Any one person) $ 5000
AUTOMOBILE LIABILITY *For professional liability coverage, COMBINED SINGLE $
ANY AUTO the aggregate limit is the total in— LIMIT
( ALL OWNED AUTOS surance available far all covered C l a i MS BODILY INJURY
Per parson) $
SCHEDULED AUTOS presented within the policy period.
i HIRED AUTOS The limit will be reduced by payments BODILY INJURY
NON-OWNED AUTOS (Per accident) $
of indemnity and expense.
GARAGE LIABILITY
PROPERTY DAMAGE $
EXCESS LIABILITY EACH OCCURRENCE $ ,
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
I STATUTORY LIMITS
WORKER'S COMPENSATION
EACH ACCIDENT $ I
AND
DISEASE—POLICY LIMIT $
EMPLOYERS'LIABILITY
DISEASE—EACH EMPLOYEE $
E OTHER RPL700003 12/31/93 12/31/94
*PROFESSIONAL 1000000 EACH CLAIM
LIABILITY AND AGGREGATE
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
RE: RAILROAD REALIGNMENT RIGHT OF WAY
ACQUISITION SERVICES (AI END) El
j
CATtcYi DR}T'__ K' Ti#N r
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
CITY OF SAN JUAN CAP I STR ANO MAIL-aQ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
ATN: BRIAN PERRY LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
34200 PASEO ADELANTO LIABILITY OF ANY KIND UPON THE COMPANY, ENTS OR REPRESENTATIVES.
SAN JUAN CAPISTRANO CA 92675 AUTHORIZED REPRE NTATIVE
D. CORNW L ' Cr well s. A ency
ACORD 26-B(9/96) - - PORATION-1"0
o- n
GENERAL ENDORSEMENT
in consideration of an additional premium of N/A it is hereby
understood and agreed that the following applies:
[XXX] ADDITIONAL INSURED
THE CITY OF SAN JUAN CAPISTRANO
is/are Additional Insured/s as respects to work done by Named Insured.
[ I PRIMARY COVERAGE
With respect to claims arising out of the operation of the Named
Insured, such insurance as afforded by this policy is primary and is
not additional to or contributing with any other insurance carried
by or for the benefit of the above Additional Insured/s.
[ j WAIVER OF SUBROGATION
It is understood and agreed that the Company waives the right of
subrogation against the above Additional Insured/s for project
described in certificate attached hereto.
[ ] CROSS LIABILITY CLAUSE
The naming of more than one person, firm or corporation as insureds
under this policy shall not, for that reason alone, extinguish any
rights of one insured against another, but this endorsement, and the
naming of multiple insureds, shall not increase the total liability
of the Company under this policy.
[XXX] NOTICE OF CANCELLATION
It is understood and agreed that in the event of cancellation of the
Policy for any reason other than non-payment of premium, 30 days
written notice will be sent to the following by mail:
THE CITY OF SAN JUAN CAPISTRANO
ATTN: BRIAN PERRY
34200 PASEO ADELANTO
SAN JUAN CAPISTRANO, CA 92675
In the event the policy is cancelled for non-payment of premium, 10
days written notice will be sent to the above.
Policy No.: AES001052 Effective Date: 12-31-93
Insurance Company: SCOTTSDALE INS CO
Issued to: BOYLE ENGINE G CORPORATION
(�= Issue Date: 12-29-93
Authorized epresentative
DIANA CORNWELL
JL! MEMBERS OF THE CITY COUNCIL
a COLLENE CAMPBELL
GARY L.HAUSDORFER
GIL JONES
I: ntOA IOA AIII CAROLYN NASH
nonnlu 1961 :EFF VASQUEZ
1776
• • CITY MANAGER
GEORGE SCARBOROUGH
December 7, 1993
Boyle Engineering Corporation
P.O. Box 7350 .� ,�
Newport Beach, California 92658-7350 ;)
Re: Renewal of General Liability, Automobile Liability,
Professional Liability and Workers ' Compensation (San Juan
Creek RR Bridge/Track Realignment)
Dear Gentlemen:
The General Liability, Automobile Liability, Professional Liability
and Workers' Compensation Certificates of Insurance, regarding the
above-referenced project, are due to expire on December 31, 1993 .
In accordance with your agreement, the insurance certificate needs
to be renewed for an additional period of one year. The agreement
requires a general liability endorsement form naming the City of
San Juan Capistrano as well as the San Juan Capistrano Community
Redevelopment Agency as additional insureds. I have included one
of the City approved endorsement forms to submit to your insurance
company; however, your insurance company may provide their own
endorsement form.
Please forward the updated certificates and the endorsement form
to the City, attention City Clerk's office, by the December 31st
expiration date.
If you have any questions, please contact me at (714) 493-1171
extension 243 .
Thank you for your cooperation.
Very truly yours,
&
Dawn M. Schanderl
Deputy City Clerk
Enclosure
cc: Cheryl Johnson, City Clerk
Brian Perry, Senior Civil Engineer
32400 PASEO ADELANTO, SAN JUAN CAPISTRANO, CALIFORNIA 92675 0 (714) 493-1171
......... RIME DATE(MM/DDIM
........... ..........
JUA:N
RTIFC�,ii$
12/28/93
PRODUCER THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND
Marsh iL McLennan, Incorporated CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
4695 MacArthur Court
DOES
ESB NOT AMENDOW. ,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
PLICEL
Suite 550
Newport Beach, CA 92660 COMPANIES AFFORDING COVERAGE
COMPA
LETTERNY A HARTFORD UNDERWRITERS INS CO
COMPANY
INSURIH) LETTER B
Boyle Engineering Corporation COMPANY c
1501 Quail Street LETTER
P.O. Box 7350
COMPAN
Newport Beach, CA 92658-7350 LETTER Y D
COMPANY E
�Mxe'
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 WOURANCE POLICY NUMBER POUCY EFFECTIVE POUCY(MM/DDIDIPIRATION/YY) LEA"*
LTR DATE /M ECC DATE
OMERAL UABLRY GENERAL AGGREGATE
COMMERCIAL GENERAL LABILITY PRODUCTS-COMP/OP AGG.
CLAIMSMADE =OCCUR. PERSONAL&ADV.INJURY_
OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE
FIRE DAMAGE(Any we 5.)
WED.EXPENSE(Any me Peres) 6
AUTOMOBLE L&MMUTY COMBINED SINGLE
ANY AUTO UIWr
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per Foram)
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS For acciderI)
GARAGE UkBIUTY PROPERTY DAMAGE
EXCESS LABLITY EACH OCCURRENCE
UMBRELLA FORM AGGREGATE
OTHER THAN UMBRELLA FORM
A WORKEFM COMPENUTION 72WBRItX8583 1/01/94 1/01/95 STxrUTORY LIMP$
EACH ACCIDENT t 2000000
AND DISEASE•POUCY UNIT S 2000000
EMPLOVERV LIABLITY
DISEASE-EACH EMPLOYEE Is 2000000
OTHER
DEW"TION OF REIM
RE: PLAN CHECK CONSULTANT SERVICE AGREEMENT
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF SAN JUAN CAPISTRANOax
EXPIRATION DATE THEREOF,THE ISSUING COMPANY WIURX2Z NX
34200 FAMED ADELANTO MAIL A 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
SAN JUAN CAPISTRANO, CA 92675 LEFT.ZXXZZK= NzXZXKAXKzz=zffrXWMzKXXXXX
XWXK=H HA01i71HzMh1zff2=zzNZK1=3VM9=XX1
AUTHORIIZED REPREIIENTATIVE
*,t,idock
I�a
.rsh 8 McLennan,Inc
CERTIFiCAT F INSURANCE 4 ISSUE DATE(MM/DDIYY)
1/19/93
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
The Crowell Insurance AgencyCONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
' P. 0. Box 19501 POLICIES BELOW. —,__',
43 Corporate Park, Suite 200 COMPANIES AFFORDING COVERAGE
Irvine, CA 92713-9501
COMPANY /
LETTER A /�,�^�, 30 -
LETTER
COMPANY
B
INSURED \l/
i —
COMPANY`.
E Boyle Engineering Corporation LETTER � �)UG101IV4�7_
P. O. Box 7350 COMPANY
Newport Beach CA 92658-7350 LETTER D
COMPANY E
LETTER Securitu Ins. Co. of Hartford
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 LIMITS
LTR DATE(MM/DD/YY) DATE(MM/DD/YY)
GENERAL LIABILITY THIS CERTIFICATE IS ISSUED AS E V I NDENC E GENERAL AGGREGATE $
COMMERCIAL GENERAL LIAB(pp PROFESSIONAL LIABILITY POLICY NUMBER PRODUCTS-COMPIOP AGG. $
CLAIMS MADE OCCUR. CORRECTION ONLY PERSONAL S ADV.INJURY $
i OWNER'S&CONTRACTOR'S CMVER AGES AND LIMITS OF NAMED INSURED EACH OCCURRENCE $
PREVIOUSLY EVIDENCED REMAIN THE SAME FIRE DAMAGE(Any one fire) $
MED.EXPENSE(Any one person) $
AUTOMOBILE LIABILITY *For professional liability coverage, COMBINED SINGLE $
ANY AUTO the aggregate limit is the total in— LIMIT
ALL OWNED AUTOS surance available for all covered claims BODILYINJURY $
SCHEDULED AUTOS presented within the policy period. (Per person)
HIRED AUTOS The limit will be reduced by payments BODILY INJURY
NON-OWNED AUTOS of indemnity and expense. (Per accident)
$ !
GARAGE LIABILITY
PROPERTY DAMAGE $
EXCESS LIABILITY EACH OCCURRENCE $ �I
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION STATUTORY LIMITS
AND EACH ACCIDENT $
DISEASE—POLICY LIMIT $
EMPLOYERS'LIABILITY
DISEASE—EACH EMPLOYEE $
E OTHER RPL891648 12/31/92 12/31/93
*PROFESSIONAL 1000000 EACH CLAIM
LIABILITY AND AGGREGATE
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
RE: DESIGN OF SAN JUAN CREEK RAILROAD BRIDGE
The City of San Juan Capistrano and the Sar) Juan Capistrano Community
Redevelopment Agency and its elected and -appointed boards, officers
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL XNMONMRXAx
CITY OF SAN JUAN CAP I STRANO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Attn: D. S h a n d e l 1, C i t y Clerk LEFT,IWX)EXIKUMX(KXXaLxMXXaxCN0aLZKKXMMRaMXttMXZXM]tXMKXM
32400 Paseo Ade 1 an t o MXmMXLe®RxBCRRwMxBeMxxet�RaateNNaxLga>dM�&BN7XwxMscx
San Jean Capistrano, CA 92675 –"-------
AUTHORIZED REPRESENTATIVE
I Crowell Ins. Ag enc D. WELL
I
ACORD 25-S(7/90) mACORD CORPORATION 1990
_..
............... .. ........
.0
.........._",................
DATE(MM/DO/YYI
...... 1/05/93
PRODUCER
THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND
Marsh & McLennan, Incorporated CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
4695 MacArthur Court
DOES IES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICBELOW.
Suite 550
Newport Beach, CA 92660 COMPANIES AFFORDING COVERAGE
COMPANY
LETTER A HARTFORD UNDERWRITERS INS CO
COMPANY
INSURED LETTER B
Boyle Engineering Corporation COMF� C
1501 Quail Street LETTER
P.O. Box 7350
COWPA
Newport Beach, CA 92658-7350 LETTERNY
COMPANY E
LETTER
777�
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 POUCY(MM/DD/YY)EFFECTIME POLICY(MM/DD/Yy)B04MTIM LIMITS
TR DATE DATE
GENERAL UABIUTY GENERAL AGGREGATE S
COMMERCIAL GENERAL LIABILITY PRODUCE-COMP/CP AGG. 6
M=CLAIMSMADE =OCCUR. PERSONAL&ADV.INJURY
OWNERS&CONTRACTORS PROT. EACH OCCURRENCE
FIRE DAMAGE(Any ons fire)
WED.EXPENSE(Any one px )
AUTOMOOKE UABIUYY COMBINED SINGLE
ANY AUTO UMIT
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per P*�)
HIRED AUTOS BODIILY INJURY
NON-OWNED AUTOS (Per am rd)
GARAGE LIABILITY PROPERTY DAMAGE
EXCESS U&BLITY EACH OCCURRENCE
UMBRELLA FORM AGGREGATE
OTHER THAN UMBRELLA FORM
A TUToRTY umrrs
WORIZIM COMPENSATION 72WBRKX8583 12/31/92 12/31/93 X
EACH ACCIDENT t 2000000
AND DISFASE-POUCY UMIT 6 2000000
EMR.OVERIr LAINUTY DISEASE-EACH EMPLOYEE & 2000000
OTHER
DESCRIPTION OF OPERATKN$AOrA7K=/VEHCLEB/@PECIAL ITEMS
RE: Railroad realignment right of way acquisition services.
NX
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
m
City of San Juan Capistrano EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILMZZZXXK
Attn: Brian Perry MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
34200 Passo Adelanto
LEFT,XXXMZIMXM=MMXOUMMMKMZ=MKJM=ZKXXXXX
xazm=xmmmxzx3mzmmpjn=Xzxz=KNKKXRZR=XXX
San Juan Capistrano, CA 92675
AUTHOFMD REYVE111131TATNE
. . . 10 Br a
W
------- 7`7
K F UM;Fjf)l1'Y)
rm P. MOE,04"ANOV'WA*�W,
I JA ONLY AND CONFERS
t'E.,G rI- 1';c LCA.TE DOES NOT AMEND,
I �t I�JFS BELOW
TI ..:I II I i'1 f
,
SIC a L t s d a 1.ER I n 5 U Fa TIS_P_
COr,:11 r
INSUREp LEI F;
P.oyle EnRineering Corporation COMIo,r'
P. 0. Boy 7350 L ET FEp
1-dewPort Beach CA 92658-7350 C0VFA!.,
LFI 7 rP
COMPANY E
iElIER
Securitu Ins. of Hartford
THIS IS TO CERTIFY THAT 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 I'DILICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS,AND CONDI-
TIONS OF SUCH POLICIES.
PILIO UIECTIVE LIABILITY LIMITS IN THOUSANDS
CO TYPE OF INSURANCE POLICY NUMBER I TDE:�
LTR OA IE IMMIDOW) DATE MMI OCCEUACRHENCE AGGREGATE
, T
-4
A GENERAL LIABILITY AES000696 /9 12/31/93 ...IL,
19
'X COMPREHENSIVE FORM NJIRI
I, WITH RESPECT TO WORK PERFORM MID $_ $
PREMISES/OPERATIONS Cl Y ERC,
XX BY THE NAMED INSUR I Cl Y RE IIEF 11
VjNLR,MUHULNU DAMAGE
X
I EXPLOSION &COU APSE HAZARD OF SAN JUAN CAPISTRANO IS NAMED $ $
:X PRODUCTS/COMPLETED OPERATIONS ADDITIONAL INSURED li GENERAL
X
X UAL LIABILITY AB I L ITY ONLY CONTRACTBI 6 PD
COMBINED $ 100C $ 100
X x INDEPENDENT CONTRACTORS
2LX BROAD FORM PROPERTY DAMAGE
PERSONAL 11X PERSONAL INJURY
$ loo
AUTOMOBILE LIABILITY
INJUP
$
ANY AUTO
ALL OWNED AUTOS(PRIV PASS �IL T I
*For professional lialbility coverage NJURY
ALL OWNED AUTOS(OTHER THAN the aggregate al
PRIV PASS te limit !is the to 'PER ACCCENT� $
HIRED AUTOS insurance avaialble lis
all covered PROPERTY
NON-OWNED AUTOS claims presentedwi hin the policy DAMAGE $
GARAGE LIABILITY period. The limit ill be redluced BI&PD
- bu uaurr n t s o f I n d itu & exnse. COMBINED $
EXCESS LIABILITY
UMBRELLA FORM 61&ED
COMBINED $ $
OTHER THAN UMBRELLA FORM
WORKERS'COMPENSATION STATUTORY
AND 1§$ ((DISEE
LIACCIDENT)
EMPLOYERS' LIABILITY ASE WI-10 LIMIT)
1$ (DISEASE EACH EMPLOYEE)
E OTHER RPL490089 12/31/92 12/31/93
*PROFESSIONAL 1000 EACH CLAIM
LIABILITY MIND AGGREGATE
DESCRIPTION OF OPERATtONSILOCATIONSIVEHICLESISPECIAL ITEMS RE: RAILROAD REALIGNMENT RIGHT OF WAY
ACQUISITION SERVCIES (AI END)
**EXCEPT IF CANCELLED FOR NON-PAY, 10 DAY NOTICE WILL. BE GIVEN
*.N I I aL91A1M;01%0, -
CITY OF SAN JUAN CAP ISTRANO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX-
PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
ATN: MI DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
34200 PASEO ADELANTO LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UP S.JIGENTS OR. EPRESENTATIVES.
SAN JUAN CAP ISTRANO CA 92615 AUTHORIZED REP RIESENTAIRIVE
Crowell I Agency CORN LL_
GENtRAL ENDORSEMENT
In consideration of an additional premium of n/a, it is hereby
understood and agreed that the following applies:
[x4 ADDITIONAL INSURED
THE CITY OF SAN JUAN CAPISTRANO
is/are Additional Insured/s as respects work done by Named Insured.
[ ] PRIMARY COVERAGE
With respect to claims arising out of the operations of the Named
Insured, such insurance as afforded by this policy is primary and is
not additional to our contributing with any other insurance carried
by or for the benefit of the above Additional Insured/s.
[ ] WAIVER OF SUBROGATION
It is understood and agreed that the Company waives the right of
subrogation against the above Additional Insured/s for project
described in certificate attached hereto.
[ I CROSS LIABILITY CLAUSE
The naming of more than one person, firm or corporation as insureds
under this policy shall not, for that reason alone, extinguish any
rights of one insured against another, but this endorsement, and the
naming of multiple insureds, shall not increase the total liability
of the Company under this policy.
[ A NOTICE OF CANCELLATION_
It is understood and agreed that in the event of cancellation of the
Policy for any reason other than non-payment of premium, 30 days
written notice will be sent to the following by mail.
THE CITY OF SAN JUAR CAPISTRANO
ATN: BRIAN PERRY
34200 PASEO ADELANTO
SAN JUAN CAPISTRANO CA 92675
In the event the policy is cancelled for non-payment of premium, 10
days written notice will be sent to the above.
Policy No. AES000696 Effective Date: 1-4-93
Insurance Cc pain SCOTTSDALE INS CO
Iss to: B YL ENGINEERING CORPORATION
Issue Date: 1-4-93
Authorized Representative
$ '9
Alcoa
$
MTWO 12/31/92
PRODUCER TH15 CERTIFICATE 15 ISSUED ASA MATTER Of INFORMATION AND
Marsh Q McLennan, Incorporated CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
4695 MacArthur Court POLICIES BELOW.
Suite 550
Newport Beach, CA 92660 COMPANIES AFFORDING COVERAGE
COMPANY
LEA HARTFORD FIRE INSURANCE CO
COMPANY
NWRED LETTER B
Boyle Engineering Corporation
1501 Quail Street
R"" C
P.O. BOX 7350
Newport Beach, CA 92658-7350 SER"" D \3
SER"" E
Coy
10.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLIO 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.
COTYRE OF NWRANCE POLICY NUMBER TOY EFFECTNE POLICY EXPIRATION I/AT8
TR DATE(MM/DD/YY) DATE(MM/DD/YY)
GENERAL LIABILITY GENERAL AGGREGATE i
COMMERCIAL GENERAL LLAZILRY PRODUCTS-CDEW/OP AGQ E
CLAIMS MADE =OCCUR. PERSONAL&ADV.INJURY i
OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE f
FIRE DAMAGE(Ary"Are) i
MED.EXPENSE(Ary meprmn) E
A AUTOMOBILE LIABILITY 2UENM%8532 12/31/92 12/31/93 COMBINED SINGLE
A X ANY AUTO 2UENMXSSSI 12/31/92 12/31/93 Umrr i L000000
ALL OWNED AUTOS
BODILY INJURY
O- i
SCHEDED AUTOS IPer perms)
HIRED AUTOS
BODILY INJURY i
NON-OWNED AUTOS (Per emWerK)
GARAGE UABLIIY
PROPERTY DAMAGE
X PIP-TEXAS i
EXCEBB LLABNTY EACH OCCURRENCE i
UMBRELLA FORM AGGREGATE i
OTHER HER TWIN UMBRELLA FORM
WORKERS COAPENSATIOH `STATIITORYrUMIrS,`
EACH ACODENT ,`...
AND
DISEASE-POLICY LIMIT i
EMPLOYEW LIABl1TY
DISEASE-EACH EMPLOYEE E
OTHER
DESCISPTION OF OMPATIGNSACCATIONS/VEHICLES/SPECIAL ITEMS
Certificate holder is named as additional insured but only with respect to
work performed for the additional interest by the named insured on San
Juan Creek Road widening Project.
t.`�R...7>FICi%'f1lb�+i1F:�.: : .:.�: .. � . ::.:., �A['NC�ttjL'�lUN .._._..: . .<:.. .,. . ...... . . :...`:�;��'V`y':?�ii'c' `•4`:°•°ii;
I -"-
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of San Juan Capistrano EXPIRATION DATE THEREOF,THE ISSUING COMPANY WIUxxZKZ%X$
Community Redevelopment AQenCy MAIL 'A9 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Attn: Dana Rasden
LEFT,ffiH%OD]CESD[Y&67ICFHNHOE76NYC0KZRMXKZZZZMKXXX%%
32400 Paseo Adelanto 4:: xKKZ 7FXltiC[Gid XKx2 EX=ZKx CXOES767WCiERl9ES=S9r7CXX%%
San Juan Capistrano, CA 92675 _;;?AUTHGR�D REPRESENTATNE
By Roger H. Smith
CKO(c 12/20/90
The Crowell Insurance Agency
P, 0. Box 19501
43 Corporate Park, Suite 200
Irvine, CA 92713-9501 Owe 77 2 M "
CITY CLERecottsdale insurance
0EPARTIM"
INSURE' CITY OF SAN
Boyle Engineering Corporation JW CAP4TUM
P. 0. Box 7350
Newport Beach CA 92658-7350
Security Ins. Co. of Hartford
cq(
THIS IS TO CE RTI ii;' A-�r
NOTWITHSTA IDI P TIF CATC MAY
BE ISSUED Of M, AND CONDI
TIONS OF SOM
co TYPE ( F I IN THOUSAND:;
LTR
G NERAL LI,,Bfi AES000503 12/31/90 12/31/91
COMPREHF ISIV
A PREMISES4 FEE
UNDERGSIRONO Coverage on General Liability policy is primary and
EXPLCON &C
PRODUCTS,IOM non-contributing with any insurance maintained by
CON7RACR At additional insureds.
1000$ 1000
INDEPENDF;T C
BROAD FOR A P
PERSONAL NJU I iNjURI $ 1000
AUTOMOBILE LI
ANY AUTO
ALL OWNEE AU
I ALL OWNFE AU *For professional liability coverage,
F_ I
HIRED AUTF 3 the aggregate limit is the total insurance, ,.,, ,. -- ------
NON OWNEE, AD available for ply covered claims presentqwV ;5-_ - } I
GARAGE LlAill within the polcperiod. The limit wilt,
be reduced by aments of indemnity and
EXCESS LIABILET expenses.
UMBRELLA IORE
�nmarT:$ $
OTHER THAI ON II)lZIM
-**e)oc_ept Vf cancelled for non—payment of p,,T�efftxum,
WORKERS CC WENSATIO(I 10 days notice given. TACH A(CIDENT
AP
III DISEASE "OLICY LIMIT,
EMPLOYERE _IABIUTY
_F DISEASE FACHEMPLO,[F[
OTHER RPL4W47631 12/31/90 12/31/91
PROFESSIONAL LIAR $1000 per claim and
j _C"0k_iR_&1_*SROAD BRIDGE in the aggregate
1CRI E, 1Q*EWM0VATjMAWH
The City of San Juan Capistrano and the San Juan Capistrano Community
Redevelopment Agency and its elected and appointed boards, officers, employees are
SHCU.0 AiIY OF THE ABO,E OtSCRIBIED POLICIES BE CANCELLED BEFORE THE EX-
PiFIA110k 'JAIF 'HEREOF, THE ISSUING COMPANY WILL E*ft*WWkXTqX
P,
CITY OF SAN JUAN CAPISTRANO MAIL **30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Attn: D. Shandell, City Clerk [LEFT.
32400 Paseo Adelanto
ALITHI�FT217P :,FPRE'F1,-,lT1F
Ca
San Juan Capistrano, CA 92675 Carol Krotine
0 IIRIACORO CORPORATION 1964
GENERAL ENDORSEMENT
In consideration of an additional premium of INCLUDED it is hereby
understood and agreed that the following applies:
i� 1 �7 XXXX ADDITIONAL INSURED
Ch�p�t CITYa S1�aJUA�V RANO AND THE SAP! JUAN CAPISTRANO COMMUNITY REDEVELOPMENT AGENCY
is/are Additional Insured/s as respects work done by Named Insured.
Check if applicable
XXXX PRIMARY COVERAGE
With respect to claims arising out pf the operations of the Named
Insured, such insurance as afforded by this policy is primary and is
not additional to or contributing with any other insurance carried
by or for the benefit of the above Additional Insured/s.
WAIVER OF SUBROGATION
Check if applicable
It is understood and agreed that the Company waives the right of
subrogation against the above Additional Insured/s for project
described in certificate attached hereto.
CROSS LIABILITY CLAUSE
Check if applicable
The naming of more than one person, firm or corporation as insureds
under this policy shall not, for that reason alone, extinguish any
rights of one insured against another, but this endorsement, and the
naming of multiple insureds, shall not increase the total liability
of the Company under this policy.
NOTICE OF CANCELLATION
Check if applicable XXX
It is understood and agreed that in the event of cancellation of the
Policy for any reason other than non-payment of premium, 30 days
written notice will be sent to the following by mail.
CITY OF SAN JUAN CAPISTRANO
Attn: City Clerk
32400 Paseo Adelanto
San Juan Cpaistrano, CA 92675
In the event the policy is cancelled for non-payment of premium, 10
days written notice will be sent to the above
Policy No. AES000503 Effective date: 12/31 /90
Insurance Company: Scottsdale Insurance Company
Issued to: BOYLE ENGINEERING 1 0RP3RATIOIa
Authorized Representative � � I
Issue date: 12/31/90 ck
AI-10
CERTIFICA i JF INSURANCE ✓�-% I, � ISSUE DATE(MM/DD/YY)
��J 6-18-90
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh & McLennan, Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,
P.O. Box 7650 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW i
Newport Beach, CA 92658 COMPANIES AFFORDING COVERAGE
<<)N !° tI ng rU1 tan
COMPANYA Fireman's Fund Insurance Company
'CODE SUB-CODE
D CtirAdAr'aYi�'�''
:INSURED rLETTER+
Boyle Engineering Corporation °OMPARNY c '
TT
P.O. Box 7350
Newport Beach, CA 92658-7350 COMPANY
LETTER D
i COMPANY E f
LETTER I
!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 j TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION )ALL LIMITS IN THOUSANDS
LTR DATE(MMIDD/YV) DATE(MM/DDIVV) I
GENERAL LIABILITY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPS AGGREGATE $
CLAIMS MADE OCCUR. PERSONAL A ADVERTISING INJURY $
OWNER'S A CONTRACTOR'S PROT. EACH OCCURRENCE $
FIRE DAMAGE(Any one fire) $
MEDICAL EXPENSE(Any one person) $
AUTOMOBILE LIABILITY COMBINED
SINGL $ 1,000
A x ANY AUTO LIMIT
I ALL OWNED AUTOS MXA80075346 (CA) 12/31/89 12/31/90 BODILY
SCHEDULED AUTOS MXA6663112 (TX) (Per/person) $
x HIRED AUTOS MXX80407495(AOS) BODILY
NON-OWNED AUTOS INJURY $
x (Per accidenq
GARAGE LIABILITY PROPERTY $ I
DAMAGE
I EXCESS LIABILITY EACH AGGREGATE I
OCCURRENCE
$ $
OTHER THAN UMBRELLA FORM '
i
WORKER'S COMPENSATION STATUTORY
AND $ (EACH ACCIDENT)
EMPLOYERS'LIABILITY $ (DISEASE—POLICY LIMIT)
$ (DISEASE—EACH EMPLOYEE))
OTHER
V
�DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS ;
i
"The City of San Juan Capistrano and the San RE: Design of San Juan Creek Railroad Bridge ;
Juan Capistrano Community Redevelopment Agency and its elected and appointed Boards, Officers,
Wayt -Amdditional insureds with res ect to this subject ro 'ect & contract with CITY"
CERTIFicM 4L�± F'F -
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
Attn Dawn Shandel 1 , C1 ty Clerk MAIL�_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Finance Department LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
32400 Paseo Adel anto LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
I UTHORR ENTATJVE �/
San Juan Capistrano, CA 92675 4
i
Mars c ennan, Inca
�,ACORD 28•S(3V88) ®ACORD CORPORATION 1988
CERTIFiCAT OF INSURANCE
ISSUE GATE(MM/DP/YV)
6-18-90
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,
3 Marsh & McLennan, Inc. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
P.O. Box 7650 nF-Pfvf-(1
Newport Beach, CA 92658Ii!� COMPANIES AFFORDING COVERAGE
Jim 19 11 op P�Y SII
{ LETTER A Hartford- Insurance Company
CODE SUB-CODE P Y
INSURED (; TI '" L'E7T€R B
JUA!a ..;. , .
Boyle Engineering Corporation COMPANYC
P.O. Box 7350
Newport Beach, CA 92658-7350 COMPANY
LETTER D
COMPANY E
LETTER
COVERAOES
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.
i
tCoTYPEOF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LTR DATE(MM/DD/VV) DATE(MM/DD/YY) ALL LIMITS IN THOUSANDS
GENERAL LIABILITY GENERAL AGGREGATE $
i COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPS AGGREGATE S
f CLAIMS MADE OCCUR, PERSONAL 8 ADVERTISING INJURY $
OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $
FIRE DAMAGE(Any one tire) $
MEDICAL EXPENSE(Any one person) $
AUTOMOBILE LIABILITY COMBINED
SINGLE $
ANY AUTO LIMIT
i ALL OWNED AUTOS BODILY
NJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY
NON-OWNED AUTOS INJURY $
(Per accident)
GARAGE LIABILITY
PROPERTY $
DAMAGE
EXCESS LIABILITY EACH AGGREGATE
OCCURRENCE
$ $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
STATUTORY
A AND 72WBEG3679W 12/31/89 12/31/90 $ 2 000 (EACH ACCIDENT)
EMPLOYERS'LIABILITY $ 2,000 (DISEASE—POLICY LIMIT)
$ 2,000 (DISEASE—EACH EMPLOYEE
OTHER
1
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS RE: Design of San Juan Creek Railroad Bridge
"The City of San Juan Capistrano and the San Juan Capistrano Community Redevelopment Agency
and its elected and appointed Boards, Officers, & Employees are additional insureds with
Gontr
CEFi i Ic4fE ioLDIER cANCEtL14YiEfN "
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
{ Attn: Dawn Shandel l , City Clerk MAIL-31_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Finance Department LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
32400 Paseo Adel anto LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
San Juan Capistrano, CA 92675 THOR ESENTATIVEC_�
arsh & McLennan, Inc.
ACORD 25.5 3188 CACORO CORPORATION 1989
r ISSUE DATE(MM/DD/VV)
� • - � 6/19/90
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON 7HE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,
The Crowell Insurance Agency EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
43 Corporate Park, Suite 200
Irvine, CA 92714 COMPANIES AFFORDING COVERAGE
COMPANY -�� --
LET ER Scottsdale Insurances
COMPANY ----- O
INSURED LETTER B
Boyle Engineering Corporation
COMPANY
P. C y-
P. O. Box 7330 LETTE
Newport Beach CA 92658-7350 cOMPANv --- - — ,r •�
LETTER D
COMPANY
LETTIBR E Design Professionals Fds. Co.
•THIS IS TO CERTIFY THAT 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.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVEFtheSan
PIRATION LIABILITY LIMITS IN THOUSANDS
LTR DATE IMM/DO�YYI /DDNY) D EACH
AGGREGATE
GENERAL LIABILITY AES000413 12/31/89 1/90 BODILY
X COMPREHENSIVE FORM INJURY $ $
X PREMfSES/OPERATIONS The City of San Juan Ca'istrano and JuaUNDERGROUND Capistrano Community Re evelopment and i ROPERTY
X EXPLOSION&COLLAPSE HAZARD elected and appointed b ardS, officers,
and $ $
X PRODUCTS/COMPLETED OPERATIONS
CONTRACTUAL employees are addition a insureds with respect BI a PD
X COMBINED$ 100 1000
X INDEPENDENT to this subject project and contractwith CITY.
X BROAD FORM PROPERTY DAMAGE Additional insured applies to General Liab. only.
X PERSONAL INJURY Coverage on General Liability policy is primary PERSONAL INJURY $ too
and non-contributing wi h any insurance maintained
by add
AUTOMOBILE LIABILITY lrtlonarZTIS"["[TredS.
BODILY
INJURY
ANY AUTO FOR PROFESSIONAL LI BILITY CO RAGE, (PER PERSON)$
ALL OWNED autos (IPRIv. PASS HE
HE AGGREGATE LIMIT S THE TOT L INSURAN WDILY
ALL OWNED AUTOS (OTHER THAN
/ VAILABLE FOR ALL CO ERED CLAI S PRESENT IA'IDANCIOEN,$
PRI
HIRED AUTOS ITHIN THE POLICY PE IOD. THE LIMIT WIL PROPERTY
NON OWNED AUTOS E REDUCED BY PAYMEN�S OF INDE ITY AND DAMAGE $
GARAGE LIABILITY XPENSES. I C MB NED
-- - $
EX:OTHER
LIABILITY --_ -- �- -- --� --� -- -� - ---
BI&PD
UMBRELLA FORM *EXCEPT IF CANCELLED FOR NON-PAYMENT comBweD$ $
THANUMBRELLAFORM F PREMIUM, 30 DAYS -NOTICE GI_ N
slAruroav
WORKER'S COMPENSATION
$ (EACH ACCIDENT)
AND
EMPLOYERS' LIABILITY $ DISEASEPOLICYLIMIT)
OTHER eRPL447638 12/31 12/31/9C $ (DISEASEEACH EMPLOYEE)
PROFESSIONAL LIABI $1000 PER CLAIM AN
L _�_ __ 1 _ IN THE AGGREGATE
DESCRIPTION of OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS RE: DESIGN OF SAN JUAN CREEK RAILROAD BRIDGE
**except if cancelled for non-payment of premium, 10 days notice given.
CITY OF SAN JUAN CAPISTRANO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX-
PIRATION DATE THEREOF, THE ISSUEING COMPANY WILL IN1IIBiWDRXD0KMAIL
Attn: Dawn Shandell,City Clerk,Fina.Dep **30Ai% WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
32400 Paseo Adelanto .��RM019�3"NA
San Juan Capistrano, CA 92675 AUTHORIZED REPRESENTATIVE 1�
CAROL KROTINE w�
ij b Eesti It
I v B t3 IW
b 'N
bbEWT!%W lG
*�r-XCEbJ !L rVOCF!- "FP
F XbEW2EP
U gFnr(El, BA IODEWL41 J .r. :kin
^11 J-PI10 JHE t:.Or-IC 1 1!) _kHt- f-I W T
Vv i 7 vo f-. LOB J; r WE? 4t5-ZL:s�
,HE Vlek6F3V0:
I iPF UQ! er I
*LOh
VE2000,41 73 IS I
7
6 b9i F
'ya
GENERAL ENDORSEMENT
In consideration of an additional premium of Included ,it is hereby
understood and agreed that the following applies:
ADDITIONAL INSURED
Check if applicable xx
THE CITY OF SAN JUAN CAPISTRANO AND THE SAN JUAN CAPISTRANO COMMUNITY REDEVELOPMENT
AGENCY AND ITS ELECTED & APPOINTED BOARDS, OFFICERS, AND EMPLOYEES
is/are Additional Insured/s as respects work done by Named Insured.
PRIMARY COVERAGE
Check if applicable xx
With respect to claims arising out of the operations of the Named
Insured, such insurance as afforded by this policy is primary and is
not additional to or contributing with any other insurance carried
by or for the benefit of the above Additional Insured/s.
WAIVER OF SUBROGATION
Check if applicable
It is understood and agreed that the Company waives the right of
subrogation against the above Additional Insured/s for project
described in certificate attached hereto.
CROSS LIABILITY CLAUSE
Check if applicable
The naming of more than one person, firm or corporation as insureds
under this policy shall not, for that reason alone, extinguish any
rights of one insured against another, but this endorsement, and the
naming of multiple insureds, shall not increase the total liability
of the Company under this policy.
NOTICE OF CANCELLATION
Check if applicable xx
It is understood and agreed that in the event of cancellation of the
Policy for any reason other than non-payment of premium, 30 days
written notice will be sent to the following by mail.
CITY OF SAN JUAN CAPISTRANO
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
In the event the policy is cancelled for non-payment of premium, 10
days written notice will be sent to the above
Policy No. AES000413 Effective date: 6/14/90
Insurance Company: Scottsdale Insurance Com anv
Issued to: —soYz��RcrNEEXzNu aRPaR IIa�
Authorized Representative Tt 9
Issue date: 6/19/90 ck
ANSI,
rg
MISSUEDATEIMM/DO/YY)
C
ACORD 1/10/91
777.19"
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh i McLennan incorporated NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND,
4695 MacArthur Court END OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Suite 550 COMPANIES AFFORDING COVERAGE
Newport Beach, CA 92660 jRN14 2 3P " I"
CODE SUB-CODE CITY kLHARTFORD ACCIDENT 8 INDEX. CO.
tmv-
INSURED efwa B
Boyle Engineering Corporation"—kCOMPANY
P. O. Box 7350 LETTER C
Newport Beach, CA 92658-7350 COMPANY D
LETTER
COMPANY E
LETTER
THIS ISTO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE 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 BYTHEPOLICIES 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 POIUCYEFFECTWE POLICY EXPIRATION ALL LIMITS IN THOUSANDS
LTR DATE(MM/DD/YYj DATE(MMIDOt"
GENERAL LKWUTY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCTS-OOIAP/OPS AGGREGATE $
—7 CLAIMS KADEE] OCCUR PERSONAL&ADVERTISING INJURY S
OWNERS&CONTRACTORS PROr. EACH OCCURRENCE 6
FIRE DAMAGE I"
MEDICALEXPENSE (Any.pen ) S
AUTOMOBILE LIABILITY COMBINED
SINGLE $
ANY AUTO LIMIT
ALL OWNED AUTOS BODILY
SCHEDULED AUTOS INJURY(P-Person)
HIRED AUTOS BODILY
NON-OWNED AUTOSINJURY 9(Pw auW.M)
GARAGE LIABILITY PROPERTY $
DAMAGE
EXCESS LABILITY EACH AGGREGATE
OCCURRENCE
OTHER THAN UMBRELLA FORM
A STATUTORY
WORKER'S COMPENSATION 72WMU8580 12/31/90 12/31/91
AND f2 0 0 0 (EACH ACCIDENT)
EMPLOYERS' LIABILITY 2000 PWASE—POUCY'J"'M
$ 2000 (DISEASE—EACH EMPLOYEE)
OTHER
DESCRIPTION OFOPERATk)NS/LOCATMS/VEHK:LU/REgTMCTMS/SPECLALrrEms
As respects: Design of San Juan Creek Railroad Bridge.
r IT
............
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—3D DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Finance Department LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
Attn: Dawn Shandell, City Clrk 111
1 THE COMPANY. ITSAGENTS OR REPRESENTATIVES.
.1. LIABILITY OF
32400 Paseo Adelanto ANY KIND UPON
San Juan Capistrano, CA 9267S AUTHORIZI REPRESENTATIVE
T
gk�h.
... .....