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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. -1- 0 0 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 -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 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: -3- 0 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 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. -4- 0 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: 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 O T I?, Exhibit "A" LEGAL DESCRIPTION OF PROPERTY a4 i A portion of APN 649-191-01 as identified below: P, ► a Q CALLE Z RW Wast [al 1130 3 N M O ' m 20 I� Order.- 00000012744 TOF: TD OR Bk -Pg 649 - 19 Sht 1 of 1 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 , ?/ZsloS et,a 4tA4. a$2.. Ai7te�-701( �tca C 6=00/ 0, 0, `11105. o740. -W -A t, as 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 5ooz z z inr Dec 02 04 10:22a M9Jc nl.�ls Lr uJc 1L/1�Y laJJ rrs�. m Fara 9494819895 p.2 rnva: vv�.l vvs + ¢n�a Yc♦ ACORD.. CERTIFICATE OF LIABILITY INSURANCE bo„o4°""" PmmR 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. LIRWIN7rPE 0FINaMAMO: Pp14YMB16a NE pl1C'I LYIi A raxEIMLLIAsam CGALA012004 07101N4 07101lD5 IiRO+OCOINaENtE s1 0 0 X CdMERCML G9IERAL IYrDTY DaY/[E rORENrED on CIAJIW LIAI)E O DCfyNt NEDTDP Wi mF Pwml PERaerIw AADY1NAIRY fi OOO A DWoataT ESO GEIiERAL AQRi TE1)� GENLAp01EWTE LNRAPTRFf PFTT MOown;-CCA1P *me PoucY PRo X Loc A AUTOY®LELNBYfY NYY ADTD CGAL0042M 07MIM4 0710005 ODLlP1ED aNQE UMT S1.000A00 Paa�F) aDDRYN111Mf S IM Peal) N.I. OWNED AUM SOIEW LEDAUTO! fItDILY1NAJRY ! P'a ragaPl HIRFOAUrOa NLR-ONNFD wTos PaceERry l'MMADE ! (Pa RCNGadI OMYaE L4iUlY WTpfRIY-FAARTAFNT S OnlElITHIN IAACC S My MTO r. WworAr. AGD s ptiaaaaaR4LALWYTY O(iRIR f%AIMAB LMOE FAg1 fA�Nm f ADOWGUE ! ! y OEwam!E y MTEMIDN S B WORRERe L+pV91MTMN AND 0215W00011 11113N4 11H3A75 X r1C 3TATU- 41114. EIlLDIfASLWl1T NI'I PRm11N:TOtNARfNFRElEt1rtIVE EL EACNAR1DENf 3181)& DO F1. DIBEiIg-6F !11199 OiaN3;NNE1Nff[FJIO.UpEDT nra eaopunDr PEKINS W. S1,000AN C OMR ConVneroia)P 07101A4 07/01105 u911,e00 ICLP3MM 1ncludr4 Theft 011100"MOFOfrAllpli/LDfTllaifefNlCLEi IEN6VapNADaonFNPfRaiNrIROK PR(MaAa 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 TNRAteYa MU4 POUCMMCANCLLLiDB9 Me MR MrAeuINONWRW WLLFADFAYDR 11) fVUL �� DAwwNRa SRfnDrle Nfapq NAafiDTOMLAIR. a1TTTALIA! TRTW NfMALL MnaT m LINNur.6 NW NN01rv+TNa+NawE+tnfAQflYaae Dec 02 04 10:22a MSJc _ 949481989 p.3 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 0 § qk G Umbq GAL DES cmc rN OFPROPERTY m, A portionaAPNq$m,$,aidentified ««_: | 2 ■ k_ , C CALLE AV ® � m« � �� i � Z'§ \$� - !;D �� / ;R , & Order: 00000012744 T R T OR Bk -Pg Ag- 19 grI2f a1111 Of SFl 11A1 CPPISr 14.q • 3 3 i F i 3 x ° ary or snn 11e1 cnVlsrftANO t 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