The URL can be used to link to this page

02-1009_AUSTIN-FOUST ASSOCIATES, INC._Insurance Certificate��— DATE (MM/DD/YY) ACORD. CERTIFICOE OF LIABILITY INSWNCE 10/09/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 600 S. Lake Ave., Suite 308 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pasadena, CA 91106 626 844 3070 INSURERS AFFORDING COVERAGE INSURED ` INsuRERA: St. Paul Fire &Marine Austin Foust Associates, Inc. _INSURER B: American Motorists Ins_. Co. 2020 North Tustin Avenue INsuRER c: Security Ins. C_o._of Hartford_ Santa Ana, CA 92705 --- - - INSURER D: INSURER E' THEPOLICIESOF 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ _ INSR - - POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY A GENERAL LIABILITY RP06642703 08115/02 08/15/03 EACH OCCURRENCE I s3 00,000 XCOMM ERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $50 DDD CLAIMS MADE � OCCUR i MED EXP (Any one person) $5,000 - PERSONAL 8 ADV INJURY_ $3,000,000 _ i GENERAL AGGREGATE $5 000,000 _ GEN'L AGGREGATE LIMITAPPLIES PER: V PRODUCTS $5"00 POLICY jE� LOC V ( AAUTOMOBILE LIABILITY RP06642703 08/15/02 08/15/03 COMBINED SINGLE LIMIT $•2,000,000 (Ea accident) ANY AUTO ALL OWNED AUTOS - BODILY INJURY $ /1 j (Per person) SCHEDULED AUTOS V _ X HIRED AUTOS BODILY INJURY X NON -OWNED AUTOS (Pereccitlent) PROPERTY DAMAGE is - - _ (Per accident) GARAGE LIABILITY _AUTO ONLY - EA ACCIDENT $ - - ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGO $ EXCESS LIABILITY EACH OCCURRENCE _ - $ OCCUR CLAIMS MADE AGGREGATE _$_ DEDUCTIBLE _-$ RETENTION $ '$ B WORKERS COMPENSATION AND 7CW21231606 09/01/02 09/01/03 1 X WC STATU- IOTH. -_ TQRYLIMIT$_L EMPLOYERS' LIABILITY E L. EACH ACCIDENT $1,000,00_0 E.L. DISEASE -EA EMPLOYEE $1,000,000 _ E. L. DISEASE -POLICY LIMIT $1,000,000 C OTHER Professional ',AEE0221754 03/25/02 03/25/03 / $1,000,000 per claim Liability �/ $2,000,000 annl aggr- DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: Plan Check Services City of San Juan Capistrano is additional insured on the commercial general liabiqR 1 Il and the hired and non -owned liability . .-. r : i it CD -1 0 M City of San Juan Capistrano Attn: City Clerk's Office 32400 Paseo Adelanto San Juan Capistrano, CA 92675 SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCEZLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3D—_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLD ER NAM ED TO THE LEFT, BUT FAILU RE TO DO SO SH ALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIN D UPON THE INSURER,ITS AGENTS OR ACORD 25-S (7/97)1 of 1 #S79783/M77974 r V AAF © ACORD CORPORATION 1988 Policy Number: RP06642703 Owners Lessees or Contractors (Form B) ADDITIbNAL INSURED Change(s) Effective: 10/09/02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance policy under the following: LIABILITY COVERAGE PART: Schedule Name of Person or Organization: City of San Juan Capistrano Attn: City Clerk's Office 32400 Paseo Adelanto San Juan Capistrano, CA 92675 SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. Re: Plan Check Services City of San Juan Capistrano is additional insured on the commercial general liability and the hired and non -owned liability . CL/BF 22 40 03 95