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03-0326_AUSTIN-FOUST ASSOCIATES, INC._Insurance Certificate (2)DATE (MMID ACORQ CERTIFICAT60F LIABILITY INSURAVCE 03/26/03MYI dRGDUCER 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 199 S Los Robles Ave Ste 540 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pasadena, CA 91101 RECEIVED 626 844-3070 INSURERS AFFORDING COVERAGE INSURED INSURER A: United States Fidelity & Guaranty Austin Foust Associates P Jim INSURER APR . a �' 21 INSURER B: American Motorists Ins. Co.*" 2020 North Tustin Avenu INSURER C: Security Ins. Co. of Hartford_- _ Santa Ana, CA 92705 Cil l ,f CLERK 'INSURER D: _ JUAN CAPISTRAN NSURERE: aTaTtt: x•Ts» 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 rypE OF INSURANCE LTR POLICY NUMBER POUCY EFFECTIVE 'POLICY MIMMDEXPIRATON DATE MM/DD/YY DATE M/DD/YY LIMITS A IIG�GENERALLIABILITY BKO1261229 06/15/02 06/15/03 E�OCCURRENCE $3000,000 X COMMERCIALGENERALLIABILITY General Liability FIRE DAMAGE (Anyone fire) $300000 _ J CLAIMS MADE 1XI OCCUR excludes claims MED EXP (Any one person) $ 000_ _ _ - arlsing out Of PERSONAL BADV INJURY $3,000,000 _ the performance GENERAL AGGREGATE $5,000,000 hLG1AGGREGATELIMITAPPLIES PER: of professional PRODUCTS -COMP/OP AGG - $5 000,000POLICY PEO - LOC ServIC@B. I A AUTOMOBILE LIABILITY BKO1261229 08/15/02 08/15/03 COMBINED SINGLE LIMIT $'J,000,000 AUTO (Ea accident)) _ LiANY ALL OWNED AUTOS BODILY INJURY ',$ SCHEDULED AUTOS (Per person) - - BODILY INJURY X HIRED AUTOS $ X NON OWNED AUTOS (Per accident) - PROPERTY DAMAGE $ -__ (Per accident) - GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ _ _ _ OCCUR F -] CLAIMS$ CLAIMS MADE � _ DEDUCTIBLE $ _. _ _ _ RETENTION $ $ B ON AND WORKERS COMPENSATION 7CW21231606 09/61/62 09/01/63 STAN- OTH- X T RY IMI_T ER [E, EACHACCID_E_N_ _ $1,000,000 EMPLOYERS'LIABILIry E.L. DISEASE -EAEMPLOYEE1 $1,000,000 _ E.L. DISEASE -POLICY LIMIT 1$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 OPERAnONS/LOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL 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: Plan Check Services (See Attached Descriptions) SHOULD ANYOFTHE ABOVE DESCRIBED POLX:IESBE CAW CELLED BEFORE THE EXPIRATION City of San Juan Capistrano DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3D - DAYS WRITTEN Attn: City Clerk's Office NOTICETOTHE CERTIFICATE HOLDERNAIMEDTOTHELEFT, BUTFAILURE TODOSOSHALL 32400 Paseo Adelanto IMPOSE NOOBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR San Juan Capistrano, CA 92675 REPRESENTATIVES. ACORD 25-S (7/97)1 of 2 #M85519 IF M JMV O ACORD CORPORATION 1988 (Continued from City of San Juan Capistrano is additional insured on the commercial general liability and the hired and non -owned liability. AMS 25.3 (07/971 2 11 Policy Number: 3KO1261229 Owners Lessees or Contractors (Form B) ADDITIbNAL INSURED Change(s) Effective: 03/26/03 El 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 �� trosur� encs Gom�p�inlas Kemper/National Indemnity Cut Throwh 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 (NICO) will pay on behalf of Kemper 100% 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 party 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 Croup 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. The actual wording of the notice will always govern the application of this cut -through notice.