02-1119_MISSION SAN JUAN CAPISTRANO_License and Indemnity Agreement0
0
LICENSE AND INDEMNITY AGREEMENT
THIS LICENSE AND INDEMNITYAGREEMENT ("Agreement") is made and entered
into as of November 19, 2002, by and between San Juan Capistrano Community
Redevelopment Agency, a public body corporate and politic, hereinafter, ("San Juan
Capistrano Community Redevelopment Agency"), and Mission San Juan Capistrano, a 501
c(3) non-profit corporation, hereinafter, ("Licensee"), with reference to the following facts:
A. San Juan Capistrano Community Redevelopment Agency isthe ownerof that
certain unimproved real property located at the Northwest corner of the intersection of
Junipero Serra and Camino Capistrano in the San Juan Capistrano Community
Redevelopment Agency, County of Orange, State of California, and more particularly
described in Exhibit "A" attached hereto and incorporated herein by reference ("Property").
B. Licensee desires to use a portion of the Property to store building materials,
scaffolding, and miscellaneous equipment ("Permitted Activities"), until such a time thatthe
Mission's preservation project is completed, and the San Juan Capistrano Community
Redevelopment Agency desires to grant Licensee permission to engage in the Permitted
Activities on the Property.
NOW THEREFORE, in consideration of the mutual covenants and obligations of
the parties herein contained, and for other good and valuable consideration, the receipt
and sufficiency of which are hereby acknowledged, the parties agree as follows:
1. License. San Juan Capistrano Community Redevelopment Agency hereby
grants Licensee and its representatives and agents a revocable license to enter the
Property and engage in the Permitted Activities. In performing the Permitted Activities,
neither Licensee nor its agents or representative shall: (i) cause any damage to the
Property or any improvements thereon; or (ii) interfere with the occupants of, or business
operations on, the Property. All persons entering onto the Property pursuant to this
Agreement shall do so at their own risk.
2. Revocation of License. The license granted pursuant to this Agreement shall
be revocable by San Juan Capistrano Community Redevelopment Agency at any time,
effective immediately upon notice from San Juan Capistrano Community Redevelopment
Agency to Licensee. The revocation shall in no way prejudice any of the rights and
remedies available to San Juan Capistrano Community Redevelopment Agency at law or
in equity, and Licensee acknowledges and agrees that all of the obligations and
responsibilities of Licensee under this Agreement shall continue and survive such
termination.
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3. Permits and Aoprovals: Standard of Work. At its sole cost and expense,
Licensee shall obtain all governmental permits and authorizations required in order to
engage in the Permitted Activities. Licensee shall comply, and shall cause its agents and
representatives to comply, with all laws, codes, rules, regulations and permits applicable to
the Permitted Activities. All Permitted Activities shall be performed in accordance with the
highest standards and practices in the industry.
A. Liens. Licensee shall keep the Property free and clear of all mechanics',
material men's and other liens resulting from the Permitted Activities.
5. Insurance. Insurance required herein shall be provided by Admitted Insurers
in good standing with the State of California and having a minimum Best's Guide Rating of
A- Class VII or better.
Comprehensive General Liability. Throughout the term of this License,
Licensee shall maintain in full force and effect Comprehensive General
Liability coverage in the following minimum amounts:
$500,000 property damage;
$500,000 injury to one person/any one occurrence/not limited to
contractual period;
$1,000,000 injury to more than one person/any one occurrence/not
limited to contractual period.
ii) Comprehensive Automobile Liability. Throughout the term of this License,
Licensee shall maintain in full force and effect Comprehensive Automobile
Liability coverage, including owned, hired and non -owned vehicles in the
following minimum amounts:
$500,000 property damage;
$500,000 injury to one person/any one occurrence/not limited to
contractual period;
$1,000,000 injury to more than one person/any one occurrence/not
limited to contractual period
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iii) Worker's Compensation. Licensee shall obtain and maintain, during the term
of this License, Worker's Compensation Employer's Liability Insurance in the
statutory amount as required by state law.
iv) Proof of Insurance Requirements/Endorsement. Priorto beginning any work
under this License, Licensee shall submit the insurance certificates, including
the deductible or self -retention amount, and an additional insured
endorsement to the Licensee's general liability and umbrella liability policies
using ISO form CG 20 10 11 85 (in no event with an edition date later than
1990) to the San Juan Capistrano Community Redevelopment Agency's
General Counsel for certification that the insurance requirements of this
License have been satisfied.
V) Notice of Cancellation/Termination of Insurance. The above policy/policies
shall not terminate, nor shall they be canceled, nor the coverages reduced,
until after thirty (30) days' written notice is given to San Juan Capistrano
Community Redevelopment Agency, exceptthatten (10) days' notice shall be
given if there is a cancellation due to failure to pay a premium.
6. Indemnification.
(a.) Licensee agrees and understands that it is fully responsible for any
potential damage that may occur to the building once it is stored on the city
property.
(b.) Accordingly, Licensee shall indemnify and defend San Juan Capistrano
Community Redevelopment Agency, its elected officials and employees
harmless from any and all claims, causes of action, damages, losses, or
liabilities caused by or arising from the Licensee's storage of the subject unit
pursuant to the terms of this Agreement.
7. Notices. All notices given pursuant to or in connection with this Agreement
shall be in writing and shall be transmitted either by personal delivery, or a nationally
recognized overnight courier which keeps receipts of delivery (such as Federal Express),
or United States Mail (first class, postage prepaid, certified, return receipt requested).
Notices shall be effective upon delivery, if delivered by personal delivery or overnight
courier, or three (3) business days after mailing, if mailed in accordance with the above.
Notices to the respective parties shall be sent to the following addresses, unless written
notice of a change of address has been previously given pursuant hereto:
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To San Juan Capistrano Community Redevelopment Agency:
San Juan Capistrano
Community Redevelopment Agency
32400 Paseo Adelanto
San Juan Capistrano, California 92675
Attn: George Scarborough, City Manager
To Licensee: Mission San Juan Capistrano
31414 EI Camino Real
San Juan Capistrano, CA 92675
Attn: Jerry Miller, Administration
8. No Duty to Warn. San Juan Capistrano Community Redevelopment Agency
has no duty to inspect the Property and no duty to warn Licensee or any person of any other
latent or patent defect, condition or risk that might be incurred in entering the Property.
Licensee has inspected or will inspect the Property and hereby accepts the condition of the
Property "As Is." Licensee acknowledges that neither Licensee nor any employee, agent
or representative of Licensee has made representations or warranties concerning the
condition of the Property. All persons entering the Property under this License do so at their
own risk.
9. Authority. Each signatory hereto warrants to the other party its authority to
sign on behalf of the party for whom its purports to sign.
10. Entire Agreement. This Agreement sets forth the entire agreement of the
parties with respect to the subject matter hereof and supersedes all prior discussions,
negotiations, understandings or agreements relating thereto.
11. No Oral Modification. No alteration or variation of this Agreement shall be
valid or binding unless made in writing and signed by the parties hereto.
12. Successors and Assigns. Licensee may not assign any of its rights under this
Agreement, either voluntarily or by operation of law, without San Juan Capistrano
Community Redevelopment Agency's prior written consent. No assignment by Licensee
shall release Licensee from any liability under this Agreement. Subject to the foregoing, this
Agreement shall be binding upon and inure to the benefit of the parties hereto and their
respective heirs, personal representatives, successors and assigns.
13. Governing Law. This Agreement shall be construed in accordance with and
governed by the laws of the State of California.
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0
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14. Counterparts. This Agreement may be executed in counterpart signature
pages which, when attached to this Agreement, shall constitute one fully executed
document.
IN WITNESS WHEREOF, the parties have executed this Agreement as of the date
first above written.
Attest:
M rg ret R. Monahan, City Clerk
Approved as to Form:
By: C) J--,— �_�
John Shaw, ency Counsel
-5-
San Juan Capistrano Community
Redevelo ment Agency
a publi%b dy/corporaite and politic
Executive Director
"LICENSEE"
Mission San Juan Capistrano,
A 501 c) Non -Profit Corporation
By.k1t_,1Yz�
r Miller, Administration
P
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Exhibit "A"
LEGAL DESCRIPTION OF PROPERTY
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A portion of APN 649-191-01 as identified below:
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32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, GA 92675
(949) 493-1171
(949) 493-1053 FAx
www.sanjuancapistrano.org
July 22, 2005
s
MEMBERS OF THE CITY COUNCIL
sAMALLEVATO
DIANE BATHGATE
WYATT HART
JOE SOTO
DAVID M. SWERDLIN
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Mission San Juan Capistrano
31414 EI Camino Real10`Iarc47
San Juan Capistrano, California 92675
RE: Compliance with Insurance Requirements - License and Indemnity Agreement
for Storage
The following insurance documents are due to expire:
V General Liability Certificate 7/1/2005
V General Liability Endorsement naming the San Juan Capistrano
Community Redevelopment Agency as additional insured.
I Automobile Liability Certificate 7/1/2005
Please submit updated documentation to the City of San Juan Capistrano, attention City
Clerk's office, 32400 Paseo Adelanto, San Juan Capistrano, CA 92675. If you have any
questions, please contact me at (949) 443-6310.
Sincerely,
Mitzi O
Deputy City Clerk
cc: Douglas Dumhart, Economic Development Manager
San Juan Capistrano: Preserving the Past to Enhance the Future
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ACORD.. CERTIFICATE OF LIABILITY
INSURANCE bo„o4°"""
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Arthur J. Ga9a9har B Co. Yw.
Brokers of CA Inc LIclO726293
One Market Spear Twr8te 200
San Francisco, CA 94105
T146 CBRIFICATE IS ISNIEDAE A MATTER OF IIWDW ATION
ONLY ANDCONR9L5 NO RGHT6 UPON THE CERTIFICATE
HOLDER THIS CORI FICATE DOES NOT ANEW EXTEND OR
ALTER THE COVERAGE AFFORDED DY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE Immir
Immmo
Homes Catholic Bishop of Onngs, A
Marywood Canter
2611 E Vita Rel Drive
Orange, CA 92853.15115
INSNGRA The Ordinary Nut uat a RRB.C. 18771
INaaER a United States Fkloft and GMNan 25187
WR R c AOHoa Insuranes Company 35700
INa1REa D.
NIaMERE
COVERAGES
THE POLICES aF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTIE INSURED NAMED A90VE FORTHE POLICYPEROD RCMTE:D. NOTW WIWM DNO
AMY REQUIREMENT. TEAM OR CONDBDN OF ANY CONTRACT OR Or1ER DOCULENr WIrH RESPECYTO WHIORTHIS CERTFCATE MAYBE ISSUED OR
MAY KRTAN,THE INSURANCE AFFORDED BY THE POLICES DESCRBED HEREIN IS SUBJECT TO ALL THE TERMS.E:XCLUSIONS AND CONDITIONS DF SUCH
POLICIES. AGGREGATE LAITS SHOWN MAY HAVEBEEN REDUCED BYPAD CLANS.
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RE: Historic BNeelon Sen Juan Capiatlano, 31414 El CamYls Rest Sen Juan
Capistrano, CA 92675. Evidence of Insurance
Cw of San Juan Capistrano
32400 Passe AdelerAo
San Juan CapMtnno. CA 52575
ACORD25(MV00)1 0112
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IMPORTANT
If the predicate holder is an ADDITIONAL INSURED. the pdFcy(ios) naW be endorsed. A statsuned
on MM cediicale does not coder rights to the cendicate holder in feu d such endomement(s).
It SUBROGATION IS WAIVED. abject to the I Ma and conditions of the policy. certain policies may
require an endorsement. A sta[emed on this ceaitrale does not coder ngms to the cedfumme
holder in feu d such eMomemed(a).
DISCIANER
The Cedf'rate d Inmuance on the reveme stile of ttds foam does not constitute a codmd between
the issuing I surela). ed prized repmsedative or pwdueer. and the nartiicate holder. nor does it
aRirrnativey or negatively amend. mdend or afer the coverage afforded by the pofetes isied thereon.
Dec 02 04 10:22a Msic •
P. O. Box 697
San Juan Capistrano, CA 92693
Phone: 949-234-1300 EM 308
Fax: 949A81-9895
Email: ndavisOrnissionsic.com
F NX
7o: Maria Guevara
94948198950
p.1
From: Nancy Davis, HR Manager
Fax: 493-1053 Pages: 4
Picone: 443-6309 Date: 12=004
Re: Request for Certificate of Insurance CC:
❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
e Comments:
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CA 92675
(949) 493-1171
(949) 493-1053 FAx
www.sai jucncapist rar o.org
November 4, 2004
Mission San Juan Capistrano
31414 EI Camino Real
San Juan Capistrano, California 92675
0
MEMBERS OF THE CITY COUNCIL
IQ j
SAM AL
•� DIANE L.. BATH
BATHGATE
WYATT HART
JOE SOTO
DAVID M. SWERDLIN
RE: Compliance with Insurance Requirements - License and Indemnity Agreement for
Storage
The following insurance document is due to expire:
VWorkers Compensation Certificate 11/13/0
Please submit updated documentation to the City of San Juan Capistrano, attention City
Clerk's office, 324W Paseo Adelanto, San Juan Capistrano, CA 92675 by the above
expir�tta,p date. If Wu have any questions, please contact me at (949) 443-6309.
Administrati�6 Secretary
cc: Douglas Dumhart, Principal Management Analyst
San Juan Capistrano: Preserving the Past to Enhance the Future
rATHORA
A ORD, CERTIFICAW OF LIABILITY
INS NCE 06/28//0 °""""'
PRODUCER
Arthur J. Gallagher & Co. Ins.
Brokers of CA Inc Lic.#0726293
One Market Spear Twr Ste 200
San Francisco, CA 94105
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.
INSURERS AFFORDING COVERAGE NAIC#
INSURED
Roman Catholic Bishop of Orange, etal
PO Box 14195
Orange, CA 92863
INSURER A: The Ordinary Mutual 10171
INSURER B: United States Fidelity and Guaranty 25887
NSURER C:
INSURER D:
INSURER E:
COVERAGES
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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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
ADD'
NSR
TYPE OF INSURANCE
PODCY NUMBER
DATE IMM/DD/YYI
POLICY
MMIDD/YYON
LIMITS
A
GENERAL LIABILITY
CGAL0042004
07/01/04
07/01/05
EACH OCCURRENCE 000
COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTEDREMI
CLAIMS MADE � OCCUR
MED EXP (Any one person)
PERSONAL S ADV INJURY $11,000,000
N$2000
GENERAL AGGREGATE 000GEN'L
AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OP AGG000
POLICY jEC07 X LOC
A
AUTOMOBILE
LIABILITY
CGAL0042004
07/01/04
07/01/05
COMBINED SINGLE LIMIT
X
ANY AUTO
(Ea accitlent) $1,000,000
BODILY INJURY
ALL OWNED AUTOS
SCHEDULED AUTOS
(Per person) $
BODILY INJURY $
HIREDAUTOS
NON -OWNED AUTOS
IPer accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT $
OTHER THAN EA ACC $
ANY AUTO
AUTO ONLY: AGO $
EXCESSAIMBRELLA LIABILITY
EACH OCCURRENCE $
AGGREGATE $
OCCUR FICLAIMS MADE
a
$
DEDUCTIBLE
$
RETENTION $
B
WORKERS COMPENSATION AND
D215W00004
11/13/03
11/13/04
WCSTATU- OTH-
X I
EMPLOYERS' LABILITY
E.L. EACH ACCIDENT $1 000,000
ANY PROPRIETORIPARTNERIEXECUTIVE
E.L. DISEASE -FA EMPLOYE $1,000,000
OFFICERLMEMBER EXCLUDED?
N ea. deacdbe under
SPECIAL PROVISIONS below
E. L. EAS000LIMIT $1,000,000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
RE: Mission San Juan Capistrano, P.O. Box 697, San Juan Capistrano, CA
92693 as respects use of Storage Area owned by the City of Paseo
Adelanto in San Juan Capistrano from 8/03 thru 8/04. Certificate Holder is JUL 0 6 2004
Included as Additional Insured.
San Juan Capistrano Community
Redevelopment Agency
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -3A DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SNALL
IMPOSE NO OBLIGATION OR UABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVE
ACORD 25 (2001/08) 1 of 2 #M123823 i0(S Q ACORD
IIIT, il•1:4ElZ,II
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
AcoRo 25S t20011rost 2 of 2 #M123823
0
POLICY NUMBER: CGAL0042004 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES or
CONTRACTORS (FORM B)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization
San Juan Capistrano Community
Redevelopment Agency
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
WHO IS AN INSURED (Section II) 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: Mission San Juan Capistrano, P.O. Box 697,
92693 as respects use of Storage Area owned by
Adelanto in San Juan Capistrano from 8/03 thru
Holder is included as Additional Insured.
CG 20 10 11 85
San Juan Capistrano, CA
the City of Paseo
8/04. Certificate
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CA 92675
(949) 493-1171
(949) 4931053 FAx
www.sai�luancapistrano.org
June 2, 2004
dVAIN
I OIOR IE ROTE
' essnausxm 1961
1776
• •
Mission San Juan Capistrano
31414 EI Camino Real
San Juan Capistrano, California 92675
MEMBERS OF THE CITY COUNCIL
SAM ALLEVATO
DIANE L. SATHGATE
WYATT HART
JOE SOTO
DAVID M. SWERDLIN
RE: Compliance with Insurance Requirements - License and Indemnity Agreement for
Storage
The following insurance documents are due to expire:
I General Liability Certificate 7/1/2004
General Liability Endorsement naming the San Juan Capistrano Community 1 v
Redevelopment Agency as additional insured.
V Automobile Liability Certificate 7/1/2004
Please submit updat d documentation to the City of San Juan Capistrano, attention City
Clerk's office, 324 Paseo Adelanto, San Juan Capistrano, CA 92675 by the above
e�}atiop date. I u have any questions, please contact me at (949) 443-6309.
Secretary
M Douglas Dumhart, Economic Development Manager
San Juan Capistrano: Preserving the Past to Enhance the Future
Cliant#- 15011,
:ATHORA
ACORD. CERTIFIC E OF LIABILITY
INS NCE DATE
11/21/03°
PRODUCER -
Arthur J. Gallagher & Co. Ins.
Brokers of CA Inc Lic.00726293
One Market Spear Twr Ste 200
San Francisco, CA 94105
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.
INSURERS AFFORDING COVERAGE NAIC #
INSURED
Roman Catholic Bishop of Orange
P.O. Box 14195
Orange, CA 92863-1595
INSURER A'. The Ordinary Mutual, a R.R.G.C. 10171
INSURER B: United States Fidelity and Guaranty 25887
INSURER c: Allianz Insurance Company 35300
INSURER D:
INSURER E:
COVERAGES
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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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
WWI.
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MIDD
POUCY EXPIRATION
DATE (MM/DDNY1
LIMITS
A
GENERAL LIABILITY
CGAL0042003
07/01/03
07/01/04
EACH OCCURRENCE $1,000,000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED s50 QQQ
CLAIMS MADE O OCCUR
MED EXP (Any we person) s5,000
PERSONAL S ADV INJURY $1,000,000
GENERAL AGGREGATE s2,000.000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OP AGG $2000OQQ
POLICY PRD LOC
A
AUTOMOBILE
UASIUTY
CGAL0042003
07/01/03
07/01/04
COMBINED SINGLE LIMIT
X
ANY AUTO
(Ea accident) $1,000,000
BODILY INJURY
$
ALL OWNED AUTOS
SCHEDULED AUTOS
(Per person)
BODILY INJURY $
HIRED AUTOS
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY
AUTO ONLY -EA ACCIDENT $
OTHER THAN EA ACC $
ANY AUTO
AUTO ONLY: AGG $
EXCESSIUMBRELLA UABILITY
EACH OCCURRENCE $
7OCCUR
CLAIMS MADE
AGGREGATE $
$
DEDUCTIBLE
$
RETENTION $
B
WORKERS COMPENSATION AND
D215W00004
11/13/03
11/13/04
WCSTATU- OTH-
X I
EMPLOYERS' UASILMY
E.L. EACH ACCIDENT $1 QQQ QQQ
ANY PROPRIETOR/PARTNEWEXECUTIVE
E.L.DISEASE-EAEMPLOYE $1,000,000
OFFICER/MEMBER EXCLUDED?
M es, describe under
SPECIAL PROVISIONS below
E.L. DISEASE_ POLICYLIMIT $1,000,000
C
OTHER Commercial
CLP3003555
07/01/03
07/01/04
$250,000
Property
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
RE: Mission San Juan Capistrano, P.O. Box 697, San Juan Capistrano, CA
92693 as respects use of Storage Area owned by the City of Paseo
Adelanto in San Juan Capistrano from 8/03 thru 8/04. Certificate Holder is
included as Additional Insured.
San Juan Capistrano Community
Redevelopment Agency
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
ACORD 25 (2001/081 1 of 2 HS1159B71M115055
I ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
IEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL RQ_ DAYS wRrrr EN
TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
NO OBUGATION OR UABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED REPRESENTATIVE
ACORD
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
AWwu sss (zeovoa) 2 of 2 #S715967/M115958
POLICY NUMBER: CGAL0042003 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES or
CONTRACTORS (FORM B)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
San Juan Capistrano Community
Redevelopment Agency
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
WHO IS AN INSURED (Section II) 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: Mission San Juan Capistrano, P.O. Box 697,
92693 as respects use of Storage Area owned by
Adelanto in San Juan Capistrano from 8/03 thru
Holder is included as Additional Insured.
CG 20 10 1185
San Juan Capistrano, CA
the City of Paseo
8/04. Certificate
0
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CA 926755
(949)493-1171
(949) 493-1053 (FAX)
iviv Iv sanjnancapistranO.Org
November 4, 2003
Mission San Juan Capistrano
31414 EI Camino Real
San Juan Capistrano, California 92675
MEMBERS OF THE CITY COUNCIL
DIANE L. BATHGATE
JOHN S. GELFF
WYATT HART
JGESOTO
DAVID M. SWERDLIN
INTERIM CITY MANAGER
PAMELAGIBSON
RE: Compliance with Insurance Requirements - License and Indemnity Agreement for
Storage
The following insurance document is due to expire:
V Workers Compensation Certificate 11/13/03 0/
Please submit updated documentation to the City of San Juan Capistrano, attention City
Clerk's office, 324 Paseo Adelanto, San Juan Capistrano, CA 92675 by the above
expir4ion date. If�G have any questions, please contact me at (949) 443-6309.
Secretary
cc: Douglas Dumhart, Principal Management Analyst
\\P
San Juan Capistrano: Preserving the Past to Enhance the Future
Client#: 15G111111111,
`ATHORA
ACORQ,: OF LIABILITY
INSU
NCE
°"YYY'
CERTIFICA
ADD'
NSR
TYPE OF INSURANCE
10/229/0
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Arthur J. Gallagher & Co. Ins.
Brokers of CA Inc Lic.#0726293
One Market Spear Twr Ste 200 p �C��`
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDALTER. THIS CERTIFICATEDOES NOT
BY AMEND, E POLICIES ND OR
OW.
San Francisco, CA 94105 ll
INSURERS AFFORDING COVERAGE NAIC 11
INSURED 1
Roman Catholic Bishop og� 3
P.O. Box 14195
Orange, CA 92663-1595 L'• .. ( +1'(. l '•
S AN
INSURERA: The Ordinary Mutual, a R.R.G.C. 10171
INSURERS: Phoenix Assurance Company of New Yo 35262
INSURERc: Allianz Insurance Company 35300
INSURERD:
INSURER E: REPLACES CERT ISSUED 10/27/03
COVERAGES
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
ADD'
NSR
TYPE OF INSURANCE
POLICY NUMBER
POUCY EFFECTNE
DATE MIDD
POLICY EXPIRATION
DATE MMIDDIYY
UMITS
A
GENERAL LIABILITY
CGAL0042003
07/01/03
07/01/04
EACH OCCURRENCE $1 000 000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED $50 ,000
CLAIMS MADE F—x1 OCCUR
MED EXP (Any one person) $5,000
PERSONAL S ADV INJURY $1006000
GENERAL AGGREGATE s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OP AGG $2006000
POLICY F JE: 7 LOC
A
AUTOMOBILE
LIABILITY
CGAL0042003
07/01/03
07/01/04
COMBINED SINGLE LIMIT
X
ANY AUTO
(Ea accident) $1,000,000
BODILY INJURY
ALL OWNED AUTOS
SCHEDULED AUTOS
(Per person) $
INJURY
BODILYaccident)
HIRED AUTOS
NON -OWNED AUTOS
(Perr accitlenp $
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT $
OTHER THAN EA ACC $
ANY AUTO
AUTO ONLY: AGG $
EXCESSAIMBRELLA LIABILITY
EACH OCCURRENCE $
AGGREGATE $
OCCUR EICLAIMS MADE
$
DEDUCTIBLE
$
RETENTION $
B
WORKERS COMPENSATION AND
CIA10021703
11/13/02
11/13/03
WCSTAT-U OTH-
X I
LIMEMPLOYERS'
UASIUTY
E.L. EACH ACCIDENT $11,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE - EA EMPLOYEE $1,000,000
OFFICERIMEMSER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT $1,000,000
C
OTHER Commercial
CLP3003555
07/01/03
07/01/04
$250,000
Property
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
RE: Mission San Juan Capistrano, P.O. Box 697, San Juan Capistrano, CA
92693 as respects use of Storage Area owned by the City of Paseo
Adelanto in San Juan Capistrano from 6/03 thru 8/04. Certificate Holder is
included as Additional Insured.
San Juan Capistrano Community
Redevelopment Agency
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
ACORD 25(2001/06) 1 of 4S11A41R/M1n7679
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL �j' 6_ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED REPRESENTATIVE
it*M
G
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
(2001/081 11 nf7 MQ44AA4R/M1n7679
0
POLICY NUMBER: CGAL0042003 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES or
CONTRACTORS (FORM B)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
San Juan Capistrano Community
Redevelopment Agency
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
WHO IS AN INSURED (Section II) 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: Mission San Juan Capistrano, P.O. Box 697,
92693 as respects use of Storage Area owned by
Adelanto in San Juan Capistrano from 8/03 thru
Holder is included as Additional Insured.
CG 20 10 11 85
San Juan Capistrano, CA
the City of Paseo
8/04. Certificate
n J.sls Lr an J.v/�/cvv� .�:Yo rnuc L/Y nigt�l.r o.Jc
ACOM. CERTIE1CATE.Qf_ LtABILLTY
INSURANCE 101
PRODDER
Arthur J. Gallagher & Co. Iris.
Brokers of CA Inc L kJP0726293
One Market Spear Twr Ste 209
San Francisco, CA 94105
THIS CERTIFICATE ISISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER TAS-CERTIFICATFWRNOfAMEND, ERTERDTIIC
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDINGcoVERAGE IF
INSURED -
Raman CathoRt Bishop aMrange
P.O. Bax 14195
Orange; CA428634595-
INSURER The Ordinary Mutual, itR.R.G.C. 10171
waIRERa Phoenix Assurance Company of New Yor 35282
w RER a A9ianz Insurance Company 35300
wa RERD:
wslmEx a REPLACES CERT ISSUED 10127103
COVERAGES
THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED PROVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUINEMENT. TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTFICATE MAYBE ISSUED OR
MAY PERTAN. THE INSURANCE AFFORDED BY THEPOLICES DESPISED HEREIN IS SUB,ECT TO ALLTHE TERMS,EXCLUSIONSArD CONDITIDNS OF SUCH
POLICES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLANS.
m
=
TTPwwImv i %
PO AUIN FIS-..
POLICY FCTNF
FNNRAINNI
LFaT} .
A
GENF UARwn
CGAL0042003
07101103
07101/04
sT 000
FAOf aCtX,
. CaMMFACY GENERALLMBuw
DANAOE55 OOe
CVNA6MAGE 7aCGVR
MEDEIPSS
PERST DDO O00
GENERAGENLAGGREGAIEUMTAPPLIES
PROOULlS OB0000
POLICY PRP.. . LOC
ECI
A
-
ALRONGSLELMNUTY
�
"YAUTO
CGAL11042003 -
07101/03-
07107/04
COMBINED aNO.E LM
(EANDSNA) - 57,000,000. -
900LYINJURY 5
(P.SR.)a P
ALL ONNED AUTO6
SLNEOULEDAUfi6-'-
SOgIY INJURY S
HIN:DAUTOS
PROPERTYDAMAGE 5
(P.. )
GmAOE LIABILITY
AUTOONLY-EAAC mw S
OTHERTSM- EA ACC S
ANYWTO
AUTOMLY xcG S
EXEBa1BlRELLALMaLRY
EACH OGWRRENE S
OCWR �LLALMSNAOE
AOpLEGATE 3
3
S
DEW CTIBLE
S
RETENTION S
&
�xwH - -
61410027703-
17113102- -
114KNO3--
XSTAN-W-
EMPLOMMVS MBLnY
ANYPRWRETCRRARTNER XEGUTIVE
ELEA HACODENT S7000000
EL DISEASE -EA EA QVEE $1
OFFI6 MEMBER EXCLUDED?
unbr
I/s.ASPP MS bel,
I
E.L. MSEME -PNJCY LIMIT I 51000000
C
OTHER Commerolal
CLP3003555
07101103
07/01/04
$250,000
Properly
DESCUMM OF OPERATIONS] LOGLTMSI VEHICLE!] EEQUSIONS ADDED BY EN00RDELENT I SPERAL MCFASIOIN
RE: Mission San Juan Capistrano, P.O. Box 697, San Juan Capistrano, CA
92693ae-respects useof Stan"WAPea owned by-th"Ity of Passe - -
Adelanto in Sen Juan Capistrano from $103 thru 6/04. Certificate Holder is
Included asAddklonWInsured. ._
reeTorBre Um rFD rANrel I ATlnu
ACORD 25 (2001100)1 of 2 861144181111107679 1fC8
f
WODLDANYOF 111E ABOVE pEtiDRBED POINREB SE CANCELLED BEFORE THE UPR AMN
San Juar Capietraon.COmmunityT_
DATETNEREa,iHE RBUNe INNIRERNLLFJIOFAVORTO MNL —M— DAYS,MITTEN
Redevelopment Agency
NOTIE TOTHE ERTFIOLTE HOLDER NAMED TO TNI LEFT. BUT FALMIE TODOBO NNALL
32400 Paseo Adetaraa
IMPOSENOOBLIGATIONoRLMLRYWANYILNOwax THEINSWER.RSAx TSM
- San Juan Capistrano, CA 92675
wD41ES ATNEB.
AUTHORMED REPRESENTATM
ACORD 25 (2001100)1 of 2 861144181111107679 1fC8
f
14161! 4! 6A 1 GJ/ LVV✓ J.'ZV Cf1Vl J/ Z 1{1[1111'6A
Y � Vl• •
9MLO \l l;\ \ H
If the certificate holder is an ADDITIONAL INSURED, the poky(les) must be endorsed, A statement
on this certficete does not codes tuts to thecertfs;ate holder in Wuor such andorsement(sy
If SUBROGATION -IS WAIVED setae - to -the amsare corKtkbmof-tnerpolity,ceftewpoii+" may
requite an endasemert. A statement on this certificate does not cooter tights to the cedficate
holder-irr'iiew of-suel eMorsermant(s): --
DISCLAUAER
The Certificate- of Insurance on the reverse side of this fonn does not constitute a contract between
the issuing instsel(s), wAbodzed representffiIve or producer, and the cedikale holder, -nor does It
affirmatively or negatively amend, emend or star the coverage afforded by the policies listed thereon.
,�YVIW MVV rNV YVVi (fir% atllragranmwfofa
nigu Lr nA
1v,#4vvV .]:Yu e� un Ytn nigl Lr aA
•
POLICY NUIMBER: -CGALD0420U3 tbMMERCtAt GENERAL LIABL7
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
kD MOKAL INSURED = OWNERS, LESSEES o�
CONTRACTORS-(FORNM-
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY C(YVERAGEPTT
SCHEDULE J
Name of Person or Organization:
San Juan Capistrano Community.
Redevelopment Agency
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
of no entry appears above, information required to compete this endorsementwill be shown in the Declarations
as applicable to this endorsement)
WHUIS AN fNSUREU(Section ff) is amendedto include as an insuredtheperson or organization shown in they
Schedule, but only with respect to liability arising out of "your work' for that insured by or for you.
RE: Mission Sas Juan -Capistrano, P -.O. Box697,-San
92693 as respects use of.Storage Area owned by the
Axlelanto in San Juan Capistrano -from "o3 thrn 8/o4
Holder is included as Additional Insured.
CG 20-1919-W-
Juan --Capistrano; CA-
-City of Paseo
Certificat-
n1s/11.r AX 1V/I)4VVJ 0.`U YHVL 1/Y Illb'll ll'4A
gyp_
Arthur J. Gallagher & Co.
ImurameBrokersof Californiarjnc.
One Market, Spear Tot ,#200, San Francisco, CA 94105
CA License #0726293
faCSiiiiir@
To.-
Name:
Company: .
Fax Number:
Voice Phone
From;
Name;
Fax Number:
Voice Phone
Fax Notes:
Atm: Dougtas Durnhart,
Date' and time of transmission: -Wednesday'; October 29'; 2003 3:45:16 PM
Numberof pages including this cover sheet: 04
A network fax server Communicated Document
Maria Guevara
From:
Sent:
To:
Subject:
Hi Douglas,
Maria Guevara
Tuesday, October 28, 2003 2:34 PM
Douglas Dumhart
SJC Mission Insurance
I hate to tell you, but the insurance you brought this morning we already
have, what we need is the Worker's Comp.
Thank you
Maria Luisa Fraga Guevara
rlr__wI. 4CP—
k7.i II! rel :Z1
A CERTIFICA
OF LIABILITY INSUINKNCE ;oz7/03°"YY"'
PRODUCERTHIS
Arthur J. Gallagher & Co. Ins.
Brokers of CA Inc Lic.#0726293
One Market Spear Twr Ste 200
San Francisco, CA 94105
RECEIVED
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.
I URERS AFFORDING COVERAGE NAIC #
INSURED Roman Catholic Bishop of Oran jV3 OCT 29
P.O. Box 14195 `-"
Orange, CA 92863 Ci I UL`V-"
SAN JUAE� cp,plSiR
RERA: The Ordinary Mutual, a R.R.G.C. 10171
INSURER B:
INS RERC.
CGAL0042003
INSURER E:
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.
NSR
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICYEFFECTIVE
DATE MMIDDM/
POUCYEXPIRATI N
GATE MMR)D
LIMITS
A
GENERAL LIABILITY
CGAL0042003
07/01/03
07/01/04
EACH OCCURRENCE $1000000
DPREMISES AMAGE TO RENTED $50,000
X COMMERCIAL GENERAL LIABILITY
MED EXP (Any one person) $5,000
CLAIMS MADE f—X1 OCCUR
PERSONAL A ADV INJURY $1,000,000
GENERA -AGGREGATE s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG $2006000
17 POLICY JAR LOC
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
CGAL0042003
07/01/03
07/01/04
COMBINED SINGLE LIMIT $1,000,000
(Ea accident)
BODILY INJURY
(Per person) $
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Peraccident) $
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT $
OTHER THAN EA ACC $
ANY AUTO
AUTO ONLY: AGO $
EXCESSNMBRELLA LIABILITY
EACH OCCURRENCE $
AGGREGATE $
OCCUR CLAIMS MADE
S
$
DEDUCTIBLE
$
RETENTION $
STATUTR
- O H-
WORKERS COMPENSATION AND
TWOTE
E.L. EACH ACCIDENT $
EMPLOYERS' LUMMUTY
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE - EA EMPLOYEE $
OFFICERMEMBER EXCLUDED?
n yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE -POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
RE: Mission San Juan Capistrano, P.O. Box 697, San Juan Capistrano, CA
92693 as respects use of Storage Area owned by the City of Paseo
Adelanto in San Juan Capistrano from 8/03 thru 8/04. Certificate Holder is
included as Additional Insured.
San Juan Capistrano Community
Redevelopment Agency
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
ANY OF THE ABOVE
CANCELLED BEFORE THE EXPIRATION I
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _.39— DAYS wRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
25 (2001/08) 1 of 2 #S114322/M103626 ISCS 9 ACORD CORPORATION 1988
RightFax 10/27/2003 11:21 PAGE 1/4 RightFax
Arthur J. Gallagher & Co.
Insurance Brokers of California, Inc.
One Market, Spear Towct-#200, San Francisco, CA 94105
CA License #0726293
Facsimile Transmission
T0: Name: Attn: Dougfas Dumhart.
Company: City of San Juan Capistrano
Fax Number: T9494BM74-
Voice Phone
From: Name:
Fax Number:
Voice Phone
Fax Notes:
Date and time of transmission_ Monday, October 27, 2003.11:19:24 AM -
Number of pages including this cover sheet: 04
A network fax server Communicated Document
0
San Juan Capistrano
Community
Redevelopment
Agency
June 24, 2003
Mission San Juan Capistrano
31414 EI Camino Real
San Juan Capistrano, California 92675
1
SECOND REQUEST
RE: Compliance with Insurance Requirements - License and Indemnity Agreement for
Storage
The following insurance documents are due to expire:
V General Liability Certificate 7/1/2003
V General Liability Endorsement naming the San Juan Capistrano Community'
Redevelopment Agency as additional insured.
V Automobile Liability Certificate 7/1/2003 W
Please submit updated documentation to the City of San Juan Capistrano, attention City
Clerk's office, 32400 Paseo Adelanto, San Juan Capistrano, CA 92675 by the above
expiration dates. If you have any questions, please contact me at (949) 443-6310.
Sincerely,
Dawn Schanderl
Deputy City Clerk
cc: Douglas Dumhart, Principal Management Analyst
32400 Paseo Adelanto
San Juan Capistrano
California 92675
949-493-1171
City of San Juan Capistrano
32400 Paseo Adelanto
San Juan Capistrano, CA. 92675
(949) 493-1171
Fax: (949) 493-1053
FAX TRANSMISSION COVER SHEET
Date: /41
To: 4-r—"
Fax:
Re: �i/vcs
Sender: /ca"
YOU SHOULD RECEIVE PAGE(S), INCLUDING THIS COVER SHEET. IF
YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (949)
IA-LCIU�
ACORD CERTIFICA49 OF LIABILITY INSUONCE 12 /02°°'y"'
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Arthur J. Gallagher & Co. Ins. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Brokers of CA Inc Lic.#0726293 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
One lVrket Spear Twr Ste 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
San Francisco, CA 94105 INSURERS AFFORDING COVERAGE
INSURED
Roman Catholic Bishop of Orange,
INSURER A; The Ordinary Mutual - a R.R.G.C.
r-- _-- -- -
A Corporation Sole, etal INSURER B Connecticut Indemnity Company
Post Office Box 14195 INSURER o Affiliated F.M. Insurance Company -
Orange, CA 92863-1595 INSURER D
(INSURER E.
COVERAGES
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, OCCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR- - POLICYEFFECTIVE POLICYEXPIRATION
LT TYPE OF INSURANCE POLICY NUMBER i DATE(MMIDD/Yni7 LIMITS
A
GENERAL LIABILITY ICGAL0042002 07/01/02 07/01/03
EACH OCCURRENCE _$1,000,000
X COMMERCIAL GENERAL LIABILITY''.
FIRE DAMAGE (Anyone fire)
1 CLAIMS MADE1___X OCCUR(
1
_$50&00_ _
,J/I MED EXP _(Anyone person) 1$5,000 _
• PERSONAL& ADV INJURY 1$1,000 000
Ili
GENERAL AGGREGATE $1,000,000
GEN'POLICY OATELIMITAPPLIESPER:
PRODUCTS COMP/OPAGG $1,000000
POLICY PRO X LOC
A AUTOMOBILE LIABILITY CGAL0042002 07/01/02 07/01/03
II
COMBINED SINGLE LIMIT $1,000,000
X ANV AUTO
) (Eaaccident)
ALL OWNED AUTOS
BODILY INJURY
Perperson)$
SCHEDULED AUTOS
HIRED AUTOS
--- -
I BODILY INJURY $
_ NON-OWNEDAUTOS
(Peraccident) — - -
I PROPERTY DAMAGE Is
(Per accident)
GARAGE LIABILITY
AUTO ONLY- EA ACCIOENTI $
ANYAUTO
IOTHERTHAN EAACC_,$ -
AUTO ONLY: AGO $
EXCESS LIABILITY
EACH OCCURRENCE $ _
'OCCUR (CLAIMS MADE(
AGGREGATE $
L— $
_ DEDUCTIBLE
RETENTION $
$
B woRKERscoMPEIL LTIONAND
CIA10021703 11/13/02 11/13/03
X ..QBSL TU- _ 10TH
-1 - "
EMPLOYERS LIABILITY
E.L. EACH ACCI DENT
_4$1,000,000
' E.L DI SE-EAE►(&OYES $1_,00_0,00_0 -
E.L.DtS6Ri SE-POL LIMIT OO,000
C OTHER Commercial P TR953 07/01/02
107/01/03
1$250 o rT{
All Risks" Cover
rri
C11) 0
G
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BYENDI HSEMENT/SPECIAL PROVISIONS
Dr -
RE: Mission San Juan Capistrano, P.O. Box 697, San Juan Capistrano, CA 92693 as respects nm C
as respects use of City Owned/and/Storage for storage of Tiles, Bricks and Adobe.
�a i71
Certificate Holder Is Additional Insured.
D F
a cn
C:) r
San Juan Capistrano Community
Redevelopment Agency
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
ACORD 25• S (7/9711 of 2 MQQ3Q47/MA771 A
SHOULDANYOFTHE ABOVE DESCRIBED POLICESBE CANCELLED BEFORETHE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVORTO MAIL30- DAYSWRRTEN
NOTICETOTHE CERTIFICATE HOLDER NAMEDTOTHE LEFT, BLIMPAILURE TO DO SOSHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITSAGENTSOR
AUTHORIZED REPRESENTATIVE
MAR o ACORD CORPORATION 7988
POLICY NUMBER: CGAL0042002 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES or
CONTRACTORS (FORM B)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
San Juan Capistrano Community
Redevelopment Agency
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
WHO IS AN INSURED (Section II) 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: Mission San Juan Capistrano, P
92693 as respects as respects use
storage of Tiles, Bricks and Adobe
Insured.
CG 20 10 11 85
O. Box 697, San Juan Capistrano, CA
of City Owned/and/Storage for
Certificate Holder Is Additional
3. LICENSE AGREEMENT APPROVED WITH MISSION SAN JUAN CAPISTRANO
FOR STORAGE OF BUILDING MATERIALS AND SUPPLIES ON THE CAPPELLO
PROPERTY; AND, CITY MANAGER AUTHORIZED TO EXECUTE THE
AGREEMENT. (60Q. 10)
BOARD ACTIONS: f l�
C1. REVISED REGULAR MEETING SCHEDULE APPROVED, CANCELING THE
REGULAR MEETING OF THE BOARD OF DIRECTORS SCHEDULED FOR
DECEMBER 17, 2002 (610.15)
Project Description: The adopted regular meeting scheduled for the Board of
Directors includes meetings on the first and third Tuesdays of each month. Staff
reviewed the anticipated workloads for December and recommends canceling the
regular meeting of December 17, 2002.
Written Communications: Report dated November 19, 2002, from Meg Monahan,
Agency Secretary.
Board Action: Moved by Director Swerdlin, seconded by Director Gelff and carried
unanimously, 3-0, to approve the revised Regular Meeting Schedule, canceling the
Regular Meeting of the Board of Directors, scheduled for December 17, 2002.
ADJOURNMENT
There being no further business, Director Campbell adjourned the meeting at 7:30 p.m. to
a Regular meeting, Tuesday, December 3, 2002, at 5:30 p.m. for Closed Session and
7:00 p.m. for the Public Business Session in the City Council Chamber.
Respectfully submitted,
(L ��
MA RET R. MONAHAN, SECRETARY
Approved: January 7, 2003
ATTEST:
iOpp
t�V ,// z
CRA Minutes 2 11-19-02
0 0
Community Redevelopment Agency
CRA 11/19/2002
AGENDA ITEM 83
TO: George Scarborough, Executive Director
FROM: Douglas D. Dumhart, Principal Management Analyst
SUBJECT: Consideration of License Agreement with Mission San Juan Capistrano for
storage on the Cappello property.
RECOMMENDATION:
By motion, approve the License Agreement with Mission San Juan Capistrano for the storage
of building materials and supplies on the Cappello property and authorize the City Manager to
execute the agreement.
SUMMARY:
The Mission has been undergoing a renovation for several years. During the rehabilitation of the
soldiers barracks, the Mission utilized the Cappello property shed to store the adobe bricks from
inclement weather. The Cappello shed is located on Paseo Adelanto just south of the RV storage
lot entrance. This temporary use of Agency property worked well for both parties.
The Mission is continuing its aggressive preservation effort and has requested continued use of
the property to store building materials and supplies. This storage lot is critical to their successful
preservation effort because they have no place on site to store these materials.
Mission San Juan Capistrano believes the work remaining could take up to three years to
complete. Given the length of the term, it is prudent to have a more formal agreement for their
temporary storage on Agency property. Staff has prepared a License Agreement with Mission
San Juan Capistrano that can be revoked at any time upon immediate notice to the Mission. The
License also requires the Mission to provide insurance and indemnify the Agency. The License
and Indemnity Agreement is provided as Attachment 1 to this report.
BOARD/COMMISSION REVIEW:
N/A
FINANCIAL CONSIDERATIONS:
The License Agreement does not require any valuable consideration from the Mission. There
is no cost to the Agency in executing this Agreement.
FOR CITY COUNCIL AGENDA`
0
Community Redevelopment Agency
Agenda Item
NOTIFICATION:
John Loomis, 30th St. Architects*
Jerry Miller, Mission San Juan Capistrano*
ALTERNATE ACTIONS:
-2-
0
November 19, 2002
By motion, approve the License Agreement with Mission San Juan Capistrano for the
storage of building materials and supplies on the Cappello property and authorize the
City Manager to execute the agreement.
2. By motion, approve the License Agreement with Mission San Juan Capistrano for the
storage of building materials and supplies on the Cappello property and authorize the
City Manager to execute the agreement subject to modifications.
3. Refer to staff for additional information.
RECOMMENDATION:
By motion, approve the License Agreement with Mission San Juan Capistrano for the storage
of building materials and supplies on the Cappello property and authorize the City Manager to
execute the agreement.
Resp ctfully submitted, 46-x�,Ov
1 T
Douglas 9. Dumhart
Principal Management Analyst
Attachments: 1. License Agreement
0 0
LICENSE AND INDEMNITY AGREEMENT
THIS LICENSE AND INDEMNITY AGREEMENT ("Agreement") is made and entered
into as of November 19, 2002, by and between San Juan Capistrano Community
Redevelopment Agency, a public body corporate and politic, hereinafter, ("San Juan
Capistrano Community Redevelopment Agency"), and Mission San Juan Capistrano, a 501
c(3) non-profit corporation, hereinafter, ("Licensee"), with reference to the following facts:
A. San Juan Capistrano Community Redevelopment Agency is the owner of that
certain unimproved real property located at the Northwest corner of the intersection of
Junipero Serra and Camino Capistrano in the San Juan Capistrano Community
Redevelopment Agency, County of Orange, State of California, and more particularly
described in Exhibit "A" attached hereto and incorporated herein by reference ("Property").
B. Licensee desires to use a portion of the Property to store building materials,
scaffolding, and miscellaneous equipment ("Permitted Activities"), until such a time that the
Mission's preservation project is completed, and the San Juan Capistrano Community
Redevelopment Agency desires to grant Licensee permission to engage in the Permitted
Activities on the Property.
NOW THEREFORE, in consideration of the mutual covenants and obligations of
the parties herein contained, and for other good and valuable consideration, the receipt
and sufficiency of which are hereby acknowledged, the parties agree as follows:
1. License. San Juan Capistrano Community Redevelopment Agency hereby
grants Licensee and its representatives and agents a revocable license to enter the
Property and engage in the Permitted Activities. In performing the Permitted Activities,
neither Licensee nor its agents or representative shall: (i) cause any damage to the
Property or any improvements thereon; or (ii) interfere with the occupants of, or business
operations on, the Property. All persons entering onto the Property pursuant to this
Agreement shall do so at their own risk.
2. Revocation of License. The license granted pursuant to this Agreement shall
be revocable by San Juan Capistrano Community Redevelopment Agency at any time,
effective immediately upon notice from San Juan Capistrano Community Redevelopment
Agency to Licensee. The revocation shall in no way prejudice any of the rights and
remedies available to San Juan Capistrano Community Redevelopment Agency at law or
in equity, and Licensee acknowledges and agrees that all of the obligations and
responsibilities of Licensee under this Agreement shall continue and survive such
termination.
-1-
Attachment 1
0 10
3. Permits and Approvals: Standard of Work. At its sole cost and expense,
Licensee shall obtain all governmental permits and authorizations required in order to
engage in the Permitted Activities. Licensee shall comply, and shall cause its agents and
representatives to comply, with all laws, codes, rules, regulations and permits applicable to
the Permitted Activities. All Permitted Activities shall be performed in accordance with the
highest standards and practices in the industry.
4. Liens. Licensee shall keep the Property free and clear of all mechanics',
material men's and other liens resulting from the Permitted Activities.
5. Insurance. Insurance required herein shall be provided by Admitted Insurers
in good standing with the State of California and having a minimum Best's Guide Rating of
A- Class VII or better.
Comprehensive General Liability. Throughout the term of this License,
Licensee shall maintain in full force and effect Comprehensive General
Liability coverage in the following minimum amounts:
$500,000 property damage;
$500,000 injury to one person/any one occurrence/not limited to
contractual period;
$1,000,000 injury to more than one person/any one occurrence/not
limited to contractual period.
ii) Comprehensive Automobile Liability. Throughout the term of this License,
Licensee shall maintain in full force and effect Comprehensive Automobile
Liability coverage, including owned, hired and non -owned vehicles in p°
following minimum amounts:
$500,000 property damage;
$500,000 injury to one person/any one occurrence/not limited to
contractual period;
$1,000,000 injury to more than one person/any one occurrence/not
limited to contractual period
-2-
0 0
iii) Worker's Compensation. Licensee shall obtain and maintain, during the term
of this License, Worker's Compensation Employer's Liability Insurance in the
statutory amount as required by state law.
iv) Proof of Insurance Requirements/Endorsement. Prior to beginning any work
under this License, Licensee shall submitthe insurance certificates, including
the deductible or self -retention amount, and an additional insured
endorsement to the Licensee's general liability and umbrella liability policies
using ISO form CG 20 10 11 85 (in no event with an edition date later than
1990) to the San Juan Capistrano Community Redevelopment Agency's
General Counsel for certification that the insurance requirements of this
License have been satisfied.
V) Notice of Cancellation/Termination of Insurance. The above policy/policies
shall not terminate, nor shall they be canceled, nor the coverages reduced,
until after thirty (30) days' written notice is given to San Juan Capistrano
Community Redevelopment Agency, exceptthatten (10) days' notice shall be
given if there is a cancellation due to failure to pay a premium.
6. Indemnification.
(a.) Licensee agrees and understands that it is fully responsible for any
potential damage that may occur to the building once it is stored on the city
property.
(b.) Accordingly, Licensee shall indemnify and defend San Juan Capistrano
Community Redevelopment Agency, its elected officials and employees
harmless from any and all claims, causes of action, damages, losses, or
liabilities caused by or arising from the Licensee's storage of the subject unit
pursuant to the terms of this Agreement.
7. Notices. All notices given pursuant to or in connection with this Agreement
shall be in writing and shall be transmitted either by personal delivery, or a nationally
recognized overnight courier which keeps receipts of delivery (such as Federal Express),
or United States Mail (first class, postage prepaid, certified, return receipt requested).
Notices shall be effective upon delivery, if delivered by personal delivery or overnight
courier, or three (3) business days after mailing, if mailed in accordance with the above.
Notices to the respective parties shall be sent to the following addresses, unless written
notice of a change of address has been previously given pursuant hereto:
-3-
0
To San Juan Capistrano Community Redevelopment Agency:
San Juan Capistrano
Community Redevelopment Agency
32400 Paseo Adelanto
San Juan Capistrano, California 92675
Attn: George Scarborough, City Manager
To Licensee: Mission San Juan Capistrano
31414 EI Camino Real
San Juan Capistrano, CA 92675
Attn: Jerry Miller, Administration
8. No Duty to Warn. San Juan Capistrano Community Redevelopment Agency
has no duty to inspect the Property and no duty to warn Licensee or any person of any other
latent or patent defect, condition or risk that might be incurred in entering the Property.
Licensee has inspected or will inspect the Property and hereby accepts the condition of the
Property "As Is." Licensee acknowledges that neither Licensee nor any employee, agent
or representative of Licensee has made representations or warranties concerning the
condition of the Property. All persons entering the Property underthis License do so attheir
own risk.
9. Authority. Each signatory hereto warrants to the other party its authority to
sign on behalf of the party for whom its purports to sign.
10. Entire Agreement. This Agreement sets forth the entire agreement of the
parties with respect to the subject matter hereof and supersedes all prior discussions,
negotiations, understandings or agreements relating thereto.
11. No Oral Modification. No alteration or variation of this Agreement shall be
valid or binding unless made in writing and signed by the parties hereto.
12. Successors and Assigns. Licensee may not assign any of its rights under this
Agreement, either voluntarily or by operation of law, without San Juan Capistrano
Community Redevelopment Agency's prior written consent. No assignment by Licensee
shall release Licensee from any liability under this Agreement. Subject to the foregoing, this
Agreement shall be binding upon and inure to the benefit of the parties hereto and their
respective heirs, personal representatives, successors and assigns.
13. Governing Law. This Agreement shall be construed in accordance with and
governed by the laws of the State of California.
-4-
9
0
14. Counterparts. This Agreement may be executed in counterpart signature
pages which, when attached to this Agreement, shall constitute one fully executed
document.
IN WITNESS WHEREOF, the parties have executed this Agreement as of the date
first above written.
Attest:
Margaret R. Monahan, City Clerk
Approved as to Form:
By: _ q q____
John Sh w, Agency Counsel
-5-
San Juan Capistrano Community
Redevelopment Agency
a public body corporate and politic
By:
George Scarborough, Executive Director
"LICENSEE"
Mission San Juan Capistrano,
A 501 c13yNon-Profit Corporation
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San Juan Capistrano
Community
Redevelopment
Agency
Mission San Juan Capistrano
31414 EI Camino Real
San Juan Capistrano, CA 92675
Attention: Jerry Miller, Administration
Dear Mr. Miller:
0
November 20, 2002
A License and Indemnity Agreement was approved the Board of Directors of the
Community Redevelopment Agency at their meeting of November 19, 2002. Section 5.
Insurance of the agreement requires that certain insurance terms be met during the
term of this agreement.
Insurance evidence may be faxed to (949) 493-1053, followed by original signed
documents. I have enclosed copies of pages 2 and 3 of the agreement for your
reference in supplying this documentation. Upon receipt, a fully executed original
agreement will be forwarded to your attention.
If you have questions specific to the contact, please contact the project manager,
Douglas Dumhart, Principal Management Analyst (949) 443-6316. If you have
questions regarding the forms of insurance needed, please contact Dawn Schanderl,
Deputy City Clerk (949) 443-6310.
Thank you,
CMC
cc: Douglas Dumhart, Principal Management Analyst
,,,,B;Tw—n Schanderl, Deputy City Clerk
32400 Paseo Adelanto
San Juan Capistrano
California 92675
714 - 493-1171
0 0
3. Permits and Approvals: Standard of Work. At its sole cost and expense,
Licensee shall obtain all governmental permits and authorizations required in order to
engage in the Permitted Activities. Licensee shall comply, and shall cause its agents and
representatives to comply, with all laws, codes, rules, regulations and permits applicable to
the Permitted Activities. All Permitted Activities shall be performed in accordance with the
highest standards and practices in the industry.
4. Liens. Licensee shall keep the Property free and clear of all mechanics',
material men's and other liens resulting from the Permitted Activities.
5. Insurance. Insurance required herein shall be provided by Admitted Insurers
in good standing with the State of California and having a minimum Best's Guide Rating of
A- Class VII or better.
Comprehensive General Liability. Throughout the term of this License,
Licensee shall maintain in full force and effect Comprehensive General
Liability coverage in the following minimum amounts:
$500,000 property damage;
$500,000 injury to one person/any one occurrence/not limited to
contractual period;
$1,000,000 injury to more than one person/any one occurrence/not
limited to contractual period.
ii) Comprehensive Automobile Liability. Throughout the term of this License,
Licensee shall maintain in full force and effect Comprehensive Automobile
Liability coverage, including owned, hired and non -owned vehicles in the
following minimum amounts:
$500,000 property damage;
$500,000 injury to one person/any one occurrence/not limited to
contractual period;
$1,000,000 injury to more than one person/any one occurrence/not
limited to contractual period
-2-
0 0
iii) Worker's Compensation. Licensee shall obtain and maintain, during the term
of this License, Worker's Compensation Employer's Liability Insurance in the
statutory amount as required by state law.
iv) Proof of Insurance Requirements/Endorsement. Priorto beginning any work
underthis License, Licensee shall submitthe insurance certificates, including
the deductible or self -retention amount, and an additional insured
endorsement to the Licensee's general liability and umbrella liability policies
using ISO form CG 20 10 11 85 (in no event with an edition date later than
1990) to the San Juan Capistrano Community Redevelopment Agency's
General Counsel for certification that the insurance requirements of this
License have been satisfied.
v) Notice of Cancellation/Termination of Insurance. The above policy/policies
shall not terminate, nor shall they be canceled, nor the coverages reduced,
until after thirty (30) days' written notice is given to San Juan Capistrano
Community Redevelopment Agency, exceptthatten (10) days' notice shall be
given if there is a cancellation due to failure to pay a premium.
6. Indemnification.
(a.) Licensee agrees and understands that it is fully responsible for any
potential damage that may occur to the building once it is stored on the city
property.
(b.) Accordingly, Licensee shall indemnify and defend San Juan Capistrano
Community Redevelopment Agency, its elected officials and employees
harmless from any and all claims, causes of action, damages, losses, or
liabilities caused by or arising from the Licensee's storage of the subject unit
pursuant to the terms of this Agreement.
7. Notices. All notices given pursuant to or in connection with this Agreement
shall be in writing and shall be transmitted either by personal delivery, or a nationally
recognized overnight courier which keeps receipts of delivery (such as Federal Express),
or United States Mail (first class, postage prepaid, certified, return receipt requested).
Notices shall be effective upon delivery, if delivered by personal delivery or overnight
courier, or three (3) business days after mailing, if mailed in accordance with the above.
Notices to the respective parties shall be sent to the following addresses, unless written
notice of a change of address has been previously given pursuant hereto:
-3-
OF SAN 1 CAPISTRANO N
s CITY IAN
w 3
Y 3
C
FIIMAirnlviv
u CITY OF SAN JUAN CAPISTRANO K
San Juan Capistrano
Community
Redevelopment
Agency
•
C�
November 22, 2002
NOTIFICATION OF ACTION BY THE
SAN JUAN CAPISTRANO COMMUNITY REDEVELOPMENT AGENCY
On November 19, 2002 the San Juan Capistrano Community Redevelopment Agency
met regarding: "Consideration of License Agreement with Mission San Juan
Capistrano for storage on the Cappello property" Item No. (B3)
The following action was taken at the meeting: License agreement with Mission San
Juan Capistrano for the storage of building materials and supplies on the
Cappello property approved; and the City Manager Authorized to execute the
agreement.
If you have any questions regarding this action, please contact Douglas Dumhart,
Principal Management Analyst at 443-6316 for more detailed information.
Thank you,
Meg ona an, CMC
Age cy Se retary
Cc: Jerry Miller, Mission San Juan Capistrano; John Loomis, 30th Street Architects;
Douglas Dumhart, Principal Management Analyst
32400 Paseo Adelanto
San Juan Capistrano
California 92675
714 - 493- 1171
n
L.J
San Juan Capistrano
Community
Redevelopment
Agency NOTIFICATION OF MEETING OF POTENTIAL INTEREST
SAN JUAN CAPISTRANO REDEVELOPMENT AGENCY
The Board of Directors of San Juan Capistrano Community Redevelopment Agency will
meet at 7:00 p.m. on November 19, 2002, in the City Council Chamber in City Hall, to
consider: "Consideration of License Agreement with Mission San Juan Capistrano
for storage on the Cappello property" — Item No. B3
If you have specific thoughts or concerns regarding this item, you are encouraged to
participate in this decision making process. You can communicate with the Board of
Directors through correspondence addressed to the Board and/or by attending the
meeting and speaking to the Board during the public meeting.
Correspondence related to this item must be received at City Hall by 5:00 p.m. on
Monday, November 18, 2002 to allow time for the Board to consider its content.
If you would like to speak at the meeting, please complete a blue "Request to Speak"
form found inside the entrance to the Council Chamber. This form is turned in at the
staff table, just in front of the Council dais. You will be called to speak by the Chairman
when the item is considered.
You have received this notice at the request of the City staff member Douglas Dumhart,
Principal Management Analyst. You may contact that staff member at (949) 443-6316
with any questions.
The Community Redevelopment Agency agenda is available to you on the City's web
site: www.sanjuancapistrano.org.
Thank you for your interest,
/`C����Jd1t4!zd�
Meg Monahan, CMC
City Clerk
cc: John Loomis, 30th St. Architects*; Jerry Miller, Mission San Juan Capistrano*;
Douglas Dumhart, Principal Management Analyst
* Received staff report
32400 Paseo Adelanto
San Juan Capistrano
California 92675
949-493-1171
ITS OF SAN JUAN CAPISTRANOa
Z
Z
g
'e -
's e« � 4mv�mm,rt
o CITY OF SAN JUAN CAPISTRANO�
San Juan Capistrano
Community
Redevelopment
Agency
•
Mission San Juan Capistrano
31414 EI Camino Real
San Juan Capistrano, CA 92675
Attention: Jerry Miller, Administration
Dear Mr. Miller:
Cl
December 30, 2002
A fully executed, original License and Indemnity Agreement was related to storage of
buildings materials at a Community Redevelopment Agency property is enclosed.
We have received the required evidence of insurance. Please keep in mind that this
evidence must be maintained current with our office during the term of the agreement.
You may begin to proceed under the terms of this agreement in coordination with the
project manager, Douglas Dumhart, Principal Management Analyst (949) 443-6316.
Thank you,
Meo ahan, CMC
Cit CI k
Enclosure: License agreement
cc: Douglas Dumhart, Principal Management Analyst
awn Schanded, Deputy City Clerk
32400 Paseo Adelanto
San Juan Capistrano
California 92675
714 - 493-1171
CITY OF SAN JUAN CAIISTI ANO n
3
camm�-1-
CITY OF SAN ILAM1 CAVISIAAVO+
San Juan Capistrano
Community
Redevelopment
Agency
Mission San Juan Capistrano
31414 EI Camino Real
San Juan Capistrano, CA 92675
Attention: Jerry Miller, Administration
Dear Mr. Miller:
n
u
November 20, 2002
A License and Indemnity Agreement was approved the Board of Directors of the
Community Redevelopment Agency at their meeting of November 19, 2002. Section 5.
Insurance of the agreement requires that certain insurance terms be met during the
term of this agreement.
Insurance evidence may be faxed to (949) 493-1053, followed by original signed
documents. I have enclosed copies of pages 2 and 3 of the agreement for your
reference in supplying this documentation. Upon receipt, a fully executed original
agreement will be forwarded to your attention.
If you have questions specific to the contact, please contact the project manager,
Douglas Dumhart, Principal Management Analyst (949) 443-6316. If you have
questions regarding the forms of insurance needed, please contact Dawn Schanderl,
Deputy City Clerk (949) 443-6310.
Thank you,
CMC
cc: Douglas Dumhart, Principal Management Analyst
Dawn Schanderi, Deputy City Clerk
32400 Paseo Adelanto
San Juan Capistrano
California 92675
714 - 493-1171