1994-1231_J & W FARMS_Insurance Certificate CalFarm Insurance Company
SACRAMENTO.CALIFORNIA
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CALrARM CERTIFICATE OF INSURANCE &CC
Certificate Holder REINSTATED 12/31/94
CITY OF SAN JUAN CAPISTRANO
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO CA
92675
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.
PRODUCER INSURED
GIMLIN & UDY INSURANCE AGENCY JNW FARMS
601 DAILY DR #117 32701 ALIPAZ ST
CAMARILLO, CA SAN JUAN CAPISTRANO CA
93010 92675
COVERAGES (Afforded by the CalFarm Insurance Company, Sacramento, CA unless otherwise indicated.)
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.
POLICY EFFECTIVE POLICY EXPIRATION COMBINED BI&PD
TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIABILITY LIMIT
FARMOWNERS $ 1 ,000,000 per occurrence
PFO 0706408 01 12/31/94 12/31/95
n FARM LIABILITY $ 5,000,000
general annual
aggregate limit
AMOUNT OF INSURANCE
n FARM FIRE
El
DESCRIPTION OF OPERATIONS/LOCATION/SPECIAL ITEMS
ADDITIONAL INSURED AS PER FORM(S) ATTACHED.
CANCELLATION
If the issuing company cancels a described policy prior to the expiration date,the company
will attempt to provide 30 days written notice to the certificate holder. The issuing
company, including its representatives, shall be without obligation or liability for failure to T>•
notify or mail written notice.
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FO 440A
(Ed. 0793)
CalFarm Insurance Compa:
SACRAMENTO CALIFORNIA.
POLICY NUMBER: PFO 0706408 01 FARMOWNERS
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EFFECTIVE DATE: 12'31!94 F0308 (Ed. 0793)
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - DESIGNATED OPERATION,
LOCATION OR EQUIPMENT
This endorsement amends insurance provided under the following:
FARMOWNERS COVERAGES FORM - PART II - LIABILITY COVERAGES
FARM LIABILITY POLICY
Name and Address of Person or Entity Designated as an Additional Insured
CITY OF SAN JUAN CAPISTRANO
32400 PASEO .ADELANTO
SAN JUAN CAPISTRANO CA 92675
Designated Operation, Location or Equipment
LOCATION "B" 56 ACRES ORANGE COUNTY
32701 ALIPAZ STREET SAN JUAN CAPISTRANO CA 92675
Subject to all conditions, definitions, terms and provisions of this policy not expressly amended herein, it is
agreed between the Company and the Named Insured(s) that:
Under Section B. WHO IS AN INSURED, in paragraph 2., each of the following is also an "insured":
The persons or entities shown in the Schedule above, but only with respect to liability arising out of the desig-
nated operation or location or your use of equipment shown in the Schedule above subject to the following
additional exclusion:
This insurance. including our duty to defend "suits", does not apply to "bodily injury", "property damage", "per-
sonal injury" or "advertising injury" that arises out of, in whole or in part, or is a result of, in whole or in part. the
active or primary negligence of any person or entity designated as an additional insured above.
F0308 (Ed. 0793)
CaiFarm Insurance Company
SACRAMENTO.CALIFORNIA
•
CALFARM CERTIFICATE OF INSURANCE 0000 . 3a
cr WFp/mss
Certificate Holder REINSTATED 12/31/94
CITY OF SAN JUAN CAPISTRANO
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO CA
92675
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.
PRODUCER INSURED
GIMLIN & UDY INSURANCE AGENCY JNW FARMS
601 DAILY DR #117 32701 ALIPAZ ST
CAMARILLO, CA SAN JUAN CAPISTRANO CA
93010 92675
COVERAGES (Afforded by the CalFarm Insurance Company, Sacramento, CA unless otherwise indicated.)
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.
POLICY EFFECTIVE POLICY EXPIRATION COMBINED BI&PD
TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIABILITY LIMIT
FARMOWNERS $ 1,000,000 per occurrence
PFO 0706408 01 12/31/94 12/31/95
FARM LIABILITY $ 5,000,000
general annual
aggregate limit
AMOUNT OF INSURANCE
❑ FARM FIRE
DESCRIPTION OF OPERATIONS/LOCATION/SPECIAL ITEMS
LOCATION "B" 56 ACRES ORANGE COUNTY
32701 ALIPAZ ST SAN JUAN CAPISTRANO CA 92675
CANCELLATION
If the issuing company cancels a described policy prior to the expiration date,the company
will attempt to provide 30 days written notice to the certificate holder. The issuing
company, including its representatives, shall be without obligation or liability for failure to
notify or mail written notice.
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FO 440
(Ed. 0793)
CalFarm Insurance Company
SACRAMENTO.CALIFORNIA
CAL/ARM CERTIFICATE OF INSURANCE
Certificate Holder ISSUE DATE 12/31/94
CITY OF SAN JUAN CAPISTRANO
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO CA
92675
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.
PRODUCER INSURED
UIMLiN & UDY INSURANCE AGENCY JNW FARMS
601 DAILY DR #117 32701 ALIPAZ ST
CAMARILLO, CA SAN JUAN CAPISTRANO CA
93010 92675
COVERAGES (Afforded by the CalFarm Insurance Company, Sacramento, CA unless otherwise indicated.)
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
POLICY EFFECTIVE POLICY EXPIRATION COMBINED BI& PD
TYPE OF INSURANCE POLICY NUMBER DATE(MM,'DDIYY) DATE(MM:DD,YY) LIABILITY LIMIT
X FARMOWNERS $ 1 ,000,000 per occurrence
PFO 0706408 01 12/31/94 12/31/95
FARM LIABILITY $ 5,000,000
general annual
aggregate limit
AMOUNT OF INSURANCE
FARM FIRE
DESCRIPTION OF OPERATIONS/LOCATION/SPECIAL ITEMS
ADDITIONAL INSURED AS PER FORM(S) ATTACHED.
CANCELLATION
If the issuing company cancels a described policy prior to the expiration date,the company
will attempt to provide 30 days written notice to the certificate holder. The issuing
company, including its representatives, shall be without obligation or liability for failure to
notify or mail written notice.
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C.lA
FO 440A
(Ed. 0793)
CalFarm Insurance Comp
SACRAMENTO.CALIFORNIA
POLICY NUMBER: PFO 0706408 01 FARMOWNERS
-EFFECTIVE DATE: 12/31/94 F0308 (Ed. 0793)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - DESIGNATED OPERATION,
LOCATION OR EQUIPMENT
This endorsement amends insurance provided under the following:
FARMOWNERS COVERAGES FORM - PART II - LIABILITY COVERAGES
FARM LIABILITY POLICY
Name and Address of Person or Entity Designated as an Additional Insured
CITY OF SAN JUAN CAPISTRANO
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO CA 92675
Designated Operation, Location or Equipment
LOCATION "B" 56 ACRES ORANGE COUNTY
32701 ALIPAZ STREET SAN JUAN CAPISTRANO CA 92675
Subject to all conditions, definitions, terms and provisions of this policy not expressly amended herein, it is
agreed between the Company and the Named Insured(s) that:
Under Section B. WHO IS AN INSURED, in paragraph 2., each of the following is also an "insured":
The persons or entities shown in the Schedule above, but only with respect to liability arising out of the desig-
nated operation or location or your use of equipment shown in the Schedule above subject to the following
additional exclusion:
This insurance, including our duty to defend "suits", does not apply to "bodily injury", "property damage", "per-
sonal injury" or "advertising injury" that arises out of, in whole or in part, or is a result of, in whole or in part, the
active or primary negligence of any person or entity designated as an additional insured above.
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F0308 (Ed. 0793)