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1994-1119_CREATIVE LIGHTING INC_Insurance CertificateACHRIP, PRODUCER (714)852-0909 Fax(714)852-1131 Milestone Insurance Agency 8 corporate Park, #130 Irvine, CA 92714-5105 INSURED Creative Lighting Inc. 1235 Red Gum Street Anaheim, CA 92806 l/ 4/1995 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY LETTER A CNA / Transcontinental Ins. Co L'E'T'TE'Ry B CNA / Valley Forge Ins. Co. COMPANY LETTER C American Cas.Co. of Reading PA COMPANY LETTER D COMPANY E LETTER OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND7094401998 01/01/95 EMPLOYERS' LIABILITY .......... oTNER DESCRIPTION OF OPERKRONSILOCATIONSIVEHICLESPIMEC14L nWS The City, its elected office: are named Additional Insured; General Liability/RE: Basket] *ln-Aav nni--ion nf rAMrVT.T.ATT4 City of San Juan Capistrano 32400 Paseo Adelanto San Juan Capistrano, CA 92675 STATUTORY LIMITS rn � rn officials, emplo see and vo1UrjP'eer* imary per Endt. 0957B as =J34DiCtV ton Court Lights 0 Old Sierra School' n the aearnf- of cif _nvaTwAim SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL liftIMIANIMInTIS MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ameowAbiwAmilm 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. :0 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION Lon .TR DATE (AIADONY) MATE(MMIDDNY) A GENERAL LasurY GENERAL AGGREGATES 2,000,00( X COMMERCIAL GENERAL LABILITY 10277III58 ............. .. ..... ....... PRODUCrCOMPADP AGO. S - ........ .. 1,000,00( CLAIMS MADE X OCCUR. ADV V INJU R Y $ i02/01/95 01/01/96i PERSONALSI 1 , 0 0 0 0 0 X OWNERS & CONTRACTORS PROT. 1 1 - I . . . I 1 EACH OCCURRENCE S . 1 .1 11 ... .. 1,000,00( FIRE DAMAGE (My wee ft) S 50,00C MED. EXPENSE (My we person): S 5,00C AUTOMOBILE LIJUIRITY COMBINED SINGLE S 1, 000,00( B: X ANY AUTO 102771873 -jmT AL- OWNED AUTOS :02/01/95 01 01 9 61 BODILY INJURY SCHEDULED AUTOS (Per person) x HIRED AUTOS BODILY INJURY X NOWCWHEO AUTOS (Per accident) $ GARAGE LIABILITY PROPERTY DAMAGE S EXCESS LIABILITY Encu OCCURRENCE s 4,000,OO C C X UMBRELLA FORM 127771887 02/01/95 01/01/96 : AGGREGATE s 4,000,OOC OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND7094401998 01/01/95 EMPLOYERS' LIABILITY .......... oTNER DESCRIPTION OF OPERKRONSILOCATIONSIVEHICLESPIMEC14L nWS The City, its elected office: are named Additional Insured; General Liability/RE: Basket] *ln-Aav nni--ion nf rAMrVT.T.ATT4 City of San Juan Capistrano 32400 Paseo Adelanto San Juan Capistrano, CA 92675 STATUTORY LIMITS rn � rn officials, emplo see and vo1UrjP'eer* imary per Endt. 0957B as =J34DiCtV ton Court Lights 0 Old Sierra School' n the aearnf- of cif _nvaTwAim SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL liftIMIANIMInTIS MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ameowAbiwAmilm CNR • • I1rY�O�ti WYe• THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED ENDORSEMENT The endorsement modifies insurance provided under the following: COMMERCIAL GENERAL UABILITY COVERAGE PART WHO IS AN INSURED (Section II) is amended to include as an insured any person or organization (called additional Insured) whom you are required to add as an additional insured on this policy under: 1. A written contract or agreement; or 2 An oral agreement or contract where a certificate of Insurance showing that person or organization as an additional Insured has been Issued; but: the written or oral contract or agreement must be: (a) currently In effect or becoming effective during the term of this policy; and (b) executed prior to the 'bodily injury,' 'property damage," 'personal Injury,' or 'advertising injury.' The insurance provided to the additional Insured is limited as follows: That person or organization Is only an additional Insured with respect to liability arising out of a. Premises you own, rent, lease, or occupy or b. 'Your work' for that additional insured by or for you. 2 The limits of insurance applicable to the additional Insured are those specified in the written contract or agreement or in the Declarations for this policy whichever are less. These limits of insurance are Inclusive of and not in addition to the limits of insurance shown in the Declarations. The insurance provided to the additional Insured does not apply to 'bodily Injury', 'property damage', 'personal Injury" or 'advertising injury' arising out of an architect's, engineer's, or surveyor's rendering of or failure to render any professional services including: The preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports, surveys, change orders, design or specifications; and 2. Supervisory, inspection, or engineering services. Any coverage provided hereunder shall be excess over any other valid and collectible insurance available to the additional Insured whether primary, excen, contingent or on any other basis unless a contract specifically requires to this Insurance be primary or you request that it apply on a primary basis. THIS ENDORSEMENT IS A PART OF YOUR POLICY AND TAKES EFFECT ON THE EFFECTIVE DATE OF YOUR POLICY UNLESS ANOTHER EFFECTIVE DATE IS SHOWN BELOW. m CREATIVE LIGHTING, INC. / 102771856 COUNTERSIGNED DATE G -17967-B (ED. 09/92) EFFECTIVE DATE OF THIS POLICY CHANGE January 4, 1995 -_ _.. ..___� ,..,._„.,„. Y.n,...,...,�....H».-.,«s�•..z:...s�.:..,uw,...,ram...rw.ca�»n:::a::,.t, cup-,—�,.'T ,_�.b._. r, _... _ ' � y ISWEOA IY WOORY7 rI 06!01/94 NIODUCER THIS CERTIFICATE 19 1 J D ASA MATTER OF INFORMATION ONLY AN CONFERS NO RIOHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFIC Brakke-SChafnitaInsurance DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY Brokers, Inc. PO C EsBELOW, 28202 Cabot Road, Suite 500 COMPANIES AFFORDING COVERAGE Laguna Niguel, CA 92677-1251 LCOE,MPANY A Fremont Compensation SM COMPANY B IIMMRED IETTEFI Creative Lighting, Inc. dba: COMPANY C Creative Lighting Maintenance 1235 RED GUM STREET COMPANYD ANAHEIM, CA 92806 LFTTfR COMPANY LETTER 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 FIEWIREMF.NT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO NTIICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJEOY TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. L¢MITS SHOWN MAY IIAVE BEEN REDUCED BY PAID CLAIMS. DO LTR TYPE OF INSURANCE POLICY NUMBER POLICT EFFECTIVE DATE IMWOO/M POLICY EXPIRATION i DATE IMMtDOM} LIMITS GANKRALUAMUTY GENERAL ACOA60ATTEE-- s��__-- GENERAL LIABRITY PAODUCTS40MPA► AGO. ! I gCOMMEACM1. CLAIMS MADE OCCUR,j I I PERSONAL 6 A0V iNJURT' S OWNER'S L CONTRACTORS PACT 1 EA CH OCC.UMI4NC: S FIRE DAMAGE IAny "a ler) i 1 MED. EXPENSE (AM enrpMn 6 AUTOMOBILE UAMUTY COMEINEO SINGLE ANY AUTO I LIMIT S ALL OWNED AUTOS 2000 INJURY S SCHEDULED AUTOS (PE, P~) HIRED AUTOS BODILY INJURY NON•OWNEO AUTOS lar r00401) GARAGE LIABILITY PROPERTY DAMAGE 'S eACSM LIABILITY EACH OCCURRENCE It AOGREGATE !S -• - - OTHER THAN UMBRELLA FORM NONKENSCOMPENMTION- A) AND WP9456902801 I OUOI194 01/01/95 EACHACCIDENT is 1,000,000 1 DSEASE—POLcruMlr S 1 1 EMPLOYERS' LIABILITY I ,000,000 ------�- DISEASE—EACH EMPLOYEE S 1.000 000 OTHER 0680PUPTION OF OPERATWMILCCAT10MMEHICLEMPECULL REM* 10 day notice of cancellation for non-payment and/or non -submission of payroll report. goal '-Nwft� City Of Sall Juan Capristrano SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 32400 Paseo AdelantO EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR Tf MAIL._ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO TNI San Juan Capristrano, Ca 9267 d ` LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OP Old Sierra SCt10O1 LIASILZ OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES JAU D RpRESEMTATNE -Xwi v 4 "� 'r�5. -•l t Y” vA'CiAI E!,QtiATTG�'tf[� TDTAL P.01 EF Mw F-1 GFJNSURA .......... ..... .... .. . .. . . K� ll/ 9/1994 .................................... PRODUCER . .. ............................... ............. ..... .............. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND (714)852-0909 Fax(714)852-1131 CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE Milestone Insurance Agency POLICIES BELOW. 8 Corporate Park, #130 COMPANIES AFFORDING COVERAGE Irvine, CA 92714-5105 S 50,00( COMPANY A CNA / Transcontinental Ins. Co ETTER ............ ... -.11-111"".1 .. .. . .... ......................... LOmPANY B CNA / Valley Forge Ins. Co. ETTER WOURED 11000100( Creative Lighting Inc. COMPANY C American Cas.Co. of Reading PA LEnER 1235 Red Gum Street (Par Person) Anaheim, CA 92806 COMPANY LETTER D BODILY INJURY COMPANY E LETTER kj-c� ky / rw 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 REOUKMENT, 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. TYPE OF PISURANCEPOLICY EFFECTIVE POLICY EXPIRATION POLICY NUMER Lam DATE (MMADDIM DATE(MMtDDNY) A: GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY 102771856 CLAIMS MADE .._](..'.,OCCUR. x . OYMER'S & CONTRACTORS PROT. B C. x ROM" LIABILITY ANY AUTO 102771873 ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY 3 LIABILITY UMBRELLA FORM 127771887 OTHER THAN UMBRELLA FORM ........................ ............................-- .............. WORIM'S COIIIIIADDIATION AND IOAPLOYERIP LIABILITY .- --.1.1- ............. -.1 ..................... I .... I ..... .... .................... I....... DESCRIPTION OF OPIRIATIONS&OCATIONIVIIISOCILMISPRCL&L iTiniis The City, its elected off are named Additional Insu Liability/RE: '01/94 02/01/ /01/94 02/01/ 02/01/94 02/01/ I GENERAL AGGREGATE s 2,oddlow ...................................................... PRODUCTS-COMPIOP AGG. 1 --- ......... ....... 1,000,00( S PERSONAL & ADV. INJURY $ 1 1,.066,00( EACH OCCURRENCE $ .......... 1 666 FIFE DAMAGE (My one flre) S 50,00( MED. E)PENSE (Any mI, person): $ .......... 5,00( COMBINED SINGLE LIMIT 11000100( BODILY INJURY (Par Person) BODILY INJURY (Per accderAI PROPERTY DAMAGE $ EACH OCCURRENCE s 4,000,00( 5. AGGREGATE s 4,000,00( STATUTORY LIMITS .......... ...... EACH ACCIDENT DISEASE P IMIT DISEASE - EACH, EMPLOYEE . .......... .. ...... ...... rn C'> ... 4�w .. - ... rn ... ........ I and va-lunteetO )57B as respect,& to SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE of San Juan Capistrano EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL WIMMIBAir 0 Paseo Adelanto MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Juan Capistrano, CA 92675 LEFT,B -- -- ----------- - IiIIIIIIIIM