1977-0308_CROSBY COMPANY, T.J._Insurance Certificate Unionwrxw-i08
INSURANCE GROYIPLl HARBOR INSURANCE COMPANY
P.O.BOX 54201 TERMINAL ANNEX / LOS ANGERS C EIFVORNIIA 90054/ (213)937-5411
MU 10 1 56 PM 91
CITY OF
March 8, 1977 S A N !l.?A h
CAP! STRANO
The City of San Juan Capistrano
32400 Paseo Adelanto
San Juan Capistrano, California 92675
Re: Project: Major Improvements of Streets and
Sidewalks in San Juan Capistrano
Insured: DBA: T. J. Crosby Co., et al
Policy No. 125940
Gentlemen:
A Certificate of Insurance has been filed with the City on
behalf of the above entity insured with as.
The Certificate indicates The City of San Juan Capistrano as
additional insured. The manner in which the Certificate is written
does not legally provide you with the proper "Additional Insured"
coverage.
We are attaching an endorsement which we have issued under this
policy to provide you with proper coverage. Please file this with your
certificate.
Very truly yours,
HARBOR INSURANCE COMPANY
Sabado
Casualty Department
ics
Enclosure
cc: Allen Jayne Insurance Inc.
home office: 4201 WILSHIRE BOULEVARD, LOS ANGELES,CALIFORNIA 90010