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03-0326_AUSTIN-FOUST ASSOCIATES, INC._Insurance CertificateACOR M CERTIFICA' Dealey, Renton & Associates 199 S Los Robles Ave Ste 540 Pasadena, CA 91101 626 844-3070 INSURED Austin Foust Associates, Inc. 2020 North Tustin Avenue Santa Ana, CA 92705 OF LIABILITY INSURAMCE DATE (MM/D 03/26/03DNY) 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. RECEIVE 3 INSURERS AFFORDING COVERAGE IU03 APA -8 Ito A: United States Fidelity & Guaranty _ PINSURER e: American Motorists Ins. Co.** SAN JUAN CAPIST INSURERC: Security Ins. Co. of Hartford CITY CLERK' D: NSURER E: �Wv 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.- INSR -- - _ LTR TYPE OF INSURANCE PODCY NUMBER POLICY EFFECTIVE DATE M/DD/YY POLICY E%PIRATION LIMITS DATE MM/DD/YY A I GENERAL LIABILITY BK01261229 08/15/02 000 08/15/03 EACH OCCURRENCE s3000000 FX ' COMMERCIAL GENERAL LIABILITY -- Liability FIRE DAMAGE (Any one fire) $300,000- (General CLAIMS MADE occuR excludes claims MED EXP (Any one person) $5,000 - - — arisingoutof PERSONAL &ADV INJURY $3,000,D00 the performance GENERAL AGGREGATE $5000,000 _ GEN'LAGGREGATE LIMITAPPLIES PER: of professional "PRODUCTS COMP/OP AGO $5000,000 _ - - POLICY F_ PEP LOC services. A AUTOMOBILE LIABILITY BKO1261229 08/15/02 08/15/03 COMBINED SINGLE LIMIT $•� 000,000 ANY AUTO (Ea accitlenq _ - -- - -- ALL OWNED AUTOS INJURY $ iBODILY (Per person)- SCHEDULED AUTOS X HIRED AUTOSBODILY INJURY $ NON -OWNED AUTOS �(Peraccident) F - PROPERTY DAMAGE $ -X (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ _ OTHER THAN EA ACC $ ANY AUTO -- AUTO ONLY: AGG $ E%CESS LIABILITY EACH OCCURRENCE _ $ OCCUR _ J CLAIMS MADE AGGREGATE _ $ DEDUCTIBLE $ - ---- — RETENTION $ $ WORKERS COMPENSATION AND 7CW21231606 WC STA 09/01/03 X T RYLIMIT ER EMPLOYERS' LIABILITY 109/01/02 E.L. EACH ACCIDENT $1,000,000 _ E.L.DISEASE-EA EMPLOYEE $1,000,000 _ i I E.L. DISEASE -POLICY LIMIT $1,000,000 C OTHER Professional 'AEE0229522 03/25/03 03/25/04 $1,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONSILOCAnONSIVEHICLEVEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS ** The insurer's payment obligations are backed by a Cut Through Agreement to National Indemnity Company, an A++ rated Berkshire Hathaway subsidiary. A summary of the Cut Through Agreement is attached. Re: Personal Services Agreement. (See Attached Descriptions) City of San Juan Capistrano Attn: Jill Thomas 32400 Paseo Adelanto San Juan Capistrano, CA 92675 SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETH E EXRRATION DATE THEREOF, THE ISSUING INSURER WILLAKR58VAJIM MAIL An DAYS WRITTEN NOTICETOTHE CERTIFICATE HOLDER NAM ED TOTHE LEFT, BX73R JfRfljMj01D= REPRESENTATI tz- M. ACORD 25-S (7/97)1 of 2 #M85519 F JMV O ACORD CORPORATION 1988 DEMOTIONS (Continued from Pa 1) City of San Juan Capistrano is additional insured on the commercial general liability and the hired and non-owned liability. AMS 25.3 (07/97) 2 of 2 #M85519 • Policy Number: BKO1261229 Owners Lessees or Contractors (Form B) ADDITIbNAL INSURED Change(s) Effective: 03/26/03 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: Jill Thomas 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: Personal Services Agreement. City additional insured on the commercial and non -owned liability . CL/BF 22 40 03 95 of San Juan Capistrano is general liability and the hired Irreura paole• • 0 Kemp er/National Indemnity Cut -Through Summary In the event Kemper receives an order to cease policy payments or is deemed insolvent by a court or regulatory order: • For policies where the notice is provided at the policy inception date, National Indemnity Company NCO) will pay on behalf of Kemper l0o% of policy payment obligations not previously paid by Kemper. • For policies where the notice is provided effective mid-term, NICO will pay on behalf of Kemper 100% of policy payment obligations not previously paid by Kemper for any claim where damages, loss or offense commences on or after the date on which the notice was provided. • Claim payments to insureds and claimants, including payments to mortgagees and assignees are covered, as are legally declared payable dividends, retro premium adjustments and return premiums Third parry liability payments will be made upon either legal judgement, approval by Kemper prior to any order, or NICO approval after such order • An insured does not have to notify NICO of any claims or suits unless they have received actual notice of an order issued by a court or regulator • All policy payment obligations of the original policy continue to apply • NICO will bear 100% of all reasonable defense costs • There is no sunset provision on the payment obligation by NICO • NICO is the lead member of the Berkshire Hathaway Group of insurance companies and is `A++' rated by A.M. Best and AAA by Standard & Poor's Disclaimer- This is not intended to be a legal interpretation. yhe actual wording of the notice will always govern the application of this cut -through notice.