06-0808_SAN MARINO ENVIRONMENTAL ASSOCIATES_Professional Services Agreement0 0
PROFESSIONAL SERVICES AGREEMENT
THIS AGREEMENT is made and entered into this 9* day of August, 2006, by
and between the City of San Juan Capistrano (hereinafter referred to as the "City") and
San Marino Environmental Associates (hereinafter referred to as "Consultant").
RECITALS:
WHEREAS, City desires to retain the services of Consultant to conduct fish surveys
along Trabuco Creek as determined necessary by the California Department of Fish &
Game (DFG) in order to prepare the Environmental Assessment pursuant to the California
Environmental Quality Act (CEQA) for Capital Improvement Project 122, Del Obispo Bridge
Widening and Circulation Improvements; and,
WHEREAS, Consultant is qualified, by virtue of their experience, training, education
and expertise, to accomplish such services.
NOW, THEREFORE, City and Consultant mutually agree as follows:
Section 1. Scope of Work.
The scope of work to be performed by Consultant shall consist of those tasks as set
forth in Exhibit 'A" attached and incorporated herein by reference.
Consultant warrants that all of its services shall be performed in a competent,
professional and satisfactory manner and in accordance with the prevalent standards of its
profession.
Section 2. Term.
This Agreement shall commence on the effective date of this Agreement and
services required hereunder shall be completed by no later than December 31, 2006,
provided CITY and the project applicant provide timely information and responses to draft
work in a timely manner.
Section 3. Compensation.
3.1 Amount.
Total compensation for the scope of services forthis Project shall not exceed
three thousand, six -hundred dollars and no cents ($3,600.00), as set forth in Exhibit "B,"
attached hereto and incorporated herein by reference.
SD
0 0
3.2 Rate Schedule.
The services shall be billed to the City at the hourly rate set forth in Exhibit
"C," attached and incorporated herein by reference. Included within the compensation are
all the Consultant's ordinary office and overhead expenses incurred by it, its agents and
employees, including meetings with the City representatives and incidental costs to
perform the stipulated services. Submittals shall be in accordance with Consultant's
proposal.
3.3 Method of Payment.
Consultant shall submit monthly invoices based on total services which have
been satisfactorily completed and specifying a percentage of projected completion for
approval by the City. The City will pay monthly progress payments based on approved
invoices in accordance with this Section.
For extra work not part of this Agreement, a written authorization from City is
required prior to Consultant undertaking any extra work.
3.4 Records of Expenses.
Consultant shall keep complete and accurate records of all costs and
expenses incidental to services covered by this Agreement. These records will be made
available at reasonable times to City.
Section 4. Independent Contractor.
It is agreed that Consultant shall act and be an independent contractor and not an
agent or employee of City, and shall obtain no rights to any benefits which accrue to City's
employees.
Section 5. Limitations Upon Subcontracting and Assignment.
The experience, knowledge, capability and reputation of Consultant, its principals
and employees were a substantial inducement for City to enter into this Agreement.
Consultant shall not contract with any other entity to perform the services required without
written approval of the City. This Agreement may not be assigned, voluntarily or by
operation of law, without the prior written approval of the City. If Consultant is permitted to
subcontract any part of this Agreement by City, Consultant shall be responsible to City for
the acts and omissions of its subcontractor as it is for persons directly employed. Nothing
contained in this Agreement shall create any contractual relationships between any
subcontractor and City. All persons engaged in the work will be considered employees of
Consultant. City will deal directly with and will make all payments to Consultant.
CIP 122, bel Obispo Bridge Widening
Personal Services Agreement-SMEA 2 of 7 August 2006
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Section 6. Changes to Scope of Work.
In the event of a change in the Scope of Work provided for in the contract
documents as requested by the City, the Parties hereto shall execute an addendum to this
Agreement setting forth with particularity all terms of the new agreement, including but not
limited to any additional Consultant's fees.
Section 7. Familiarity with Work and Construction Site.
By executing this Agreement, Consultant warrants that: (1) it has investigated the
work to be performed; (2) it has investigated the proposed construction site, including the
location of all utilities, and is aware of all conditions there; and (3) it understands the
facilities, difficulties and restrictions of the work under this Agreement. Should Consultant
discover any latent or unknown conditions materially differing from those inherent in the
work or as represented by City, it shall immediately inform City of this and shall not
proceed with further work under this Agreement until written instructions are received from
the City.
Section 8. Time of Essence.
Time is of the essence in the performance of this Agreement.
Section 9. Compliance with Law.
Consultant shall comply with all applicable laws, ordinances, codes and regulations
of federal, state and local government.
Section 10. Conflicts of Interest.
Consultant covenants that it presently has no interest and shall not acquire any
interest, direct or indirect, which would conflict in any manner or degree with the
performance of the services contemplated by this Agreement. No person having such
interest shall be employed by or associated with Consultant.
Section 11. Copies of Work Product.
At the completion of the contract period, Consultant shall have delivered to City at
least one (1) copy of any final reports and architectural drawings containing Consultant's
findings, conclusions, and recommendations with any support documentation. All reports
submitted to the City shall be in reproducible format.
All services to be rendered hereunder shall be subject to the direction and approval
of the City.
CIP 122, Del Obispo Bridge Widening
Personal Services Agreement-SMEA 3 of 7 August 2006
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Section 12. Ownership of Documents.
All reports, information, data and exhibits prepared or assembled by Consultant in
connection with the performance of its services pursuant to this Agreement are confidential
to the extent permitted by law, and Consultant agrees that they shall not be made available
to any individual or organization without prior written consent of the City. All such reports,
information, data, and exhibits shall be the property of the City and shall be delivered to the
City upon demand without additional costs or expense to the City. The City acknowledges
such documents are instruments of Consultant's professional services.
Section 13. Indemnity.
Consultant shall indemnify, hold harmless, and defend the City, its Council, officers,
agents and employees from and against any and all claims and losses, costs or expenses,
including but not limited to any damage due to death or injury to any person and/or injury or
damage to any property resulting from any act or omission of Consultant or any of its
officers, employees, servants, agents, or subcontractors in the performance of this
Agreement. Such cost and expense shall include reasonable attorney fees.
Notwithstanding any other provision of this section 13, and as a separate and
independent covenant and obligation, Consultant shall indemnify and hold harmless, but
not defend City, its Council, officers, agents and employees from and against any damage,
liability, loss, cost or expense, which arise out of claim, court action, or administrative
proceeding challenging City approval of the project for which Consultant is preparing the
environmental documents, if it is determined by a court action having jurisdiction that
Consultant or any of its agents, employees, or subcontractors negligently performed its
services under this agreement. Consultant's obligation to indemnify the City shall include
reasonable attorney fees and costs.
Section 14. 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; or, by Non -admitted, Authorized Insurers approved by the City.
14.1 Comprehensive General Liability.
Throughout the term of this Agreement, Consultant 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;
CIP 122, Del Obispo Bridge Widening
Personal Services Agreement-SMEA 4 of 7 August 2006
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$1,000,000 injury to more than one person/any one occurrence/not limited to
contractual period.
14.2 Comprehensive Automobile Liability.
Throughout the term of this Agreement, Consultant shall maintain in full force
and effect Comprehensive Automobile Liability coverage on all owned; or, 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
14.3 Worker's Compensation.
If Consultant intends to employ employees to perform services under this
Agreement, Consultant shall obtain and maintain, during the term of this Agreement,
Worker's Compensation Employer's Liability Insurance in the statutory amount as required
by state law.
14.4 Proof of Insurance Requirements/Endorsement.
Prior to beginning any work under this Agreement, Consultant shall submit
the insurance certificates, including the deductible or self -retention amount, and an
additional insured endorsement to the Consultant'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 City's General Counsel for certification that the insurance requirements of this
Agreement have been satisfied.
14.5 Errors and Omissions Coverage
Throughout the term of this Agreement, Consultant shall not be required to
maintain Errors and Omissions Coverage.
14.6 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 City, except that
ten (10) days' notice shall be given if there is a cancellation due to failure to pay a
premium.
CIP 122, Del Obispo Bridge Widening
Personal Services Agreement-SMEA 5 of 7 August 2006
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14.7 Terms of Compensation.
Consultant shall not receive any compensation until all insurance provisions
have been satisfied.
14.8 Notice to Proceed.
Consultant shall not proceed with any work under this Agreement until the
City has issued a written "Notice to Proceed" verifying that Consultant has complied with all
insurance requirements of this Agreement.
Section 15. Termination.
City and Consultant shall have the right to terminate this Agreement without cause
by giving thirty (30) days' advance written notice of termination to the other party
In addition, this Agreement may be terminated for cause by providing ten (10) days
notice to the other party of a material breach of contract. If the other party does not cure
the breach of contract, then the agreement may be terminated subsequent to the ten (10)
day cure period.
Section 16. Notice.
All notices shall be personally delivered or mailed to the below listed addresses, or
to such other addresses as may be designated by written notice. These addresses shall
be used for delivery of service of process:
To City: City of San Juan Capistrano
Attn: Director of Administrative Services
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
To Consultant: Jonathan N. Baskin, Ph.D.
San Marino Environmental Associates
560 S. Greenwood Avenue
San Marino, CA 91108
Section 17. Attorneys' Fees.
If any action at law or in equity is necessary to enforce or interpret the terms of this
Agreement, the prevailing party shall be entitled to reasonable attorneys' fees, costs and
necessary disbursements in addition to any other relief to which he may be entitled.
CIP 122, Del Obispo Bridge Widening
Personal Services Agreement-SMEA 6 of 7 August 2006
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Section 18. Dispute Resolution.
In the event of a dispute arising between the parties regarding performance or
interpretation of this Agreement, the dispute shall be resolved by binding arbitration under
the auspices of the Judicial Arbitration and Mediation Service ("JAMS").
Section 19. Entire Aareement.
This Agreement constitutes the entire understanding and agreement between the
parties and supersedes all previous negotiations between them pertaining to the subject
matter thereof.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement.
CITY OF SAN JUAN CAPISTRANO
By: d�� �
Dave Adams, City Manager
SAN MARINO ENVIRONMENTAL ASSOCIATES
AF'F'KUVtU A6 I U t-UKM:
John R. h City Attorney
Exhibits: Exhibit A, Scope of Work.
Exhibit B, Payment for Services.
Exhibit C, Rate Schedule.
CIP 122, Del Obispo Bridge Widening
Personal Services Agreement-SMEA 7 of 7 August 2006
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SMSA
San Marino Environmental Associates
Memorandum
To: Mr, Bill Ramsey, City of San Juan Capistrano
From: Drs. Jonathan N, Baskin and Thomas R. Haglund, Principal Senior Scientists
Data: May 25, 2006
Rec Del Obispo Bridge Fish Surveys — Scope and Budged ised
The following scope and budget for fish surveys at the Del Obispo Bridge site is based on the photos sent
me earlier and previous phone conversations and email messages.
Task 1. One time survey of fishes 500 feet upstream and 500 feet downstream of the bridge, with a memo
report including results, species found, fish habitat assessment especially for tidewater goby and steelhead
trout, possible effects of construction work activities (details not yet known) and possible mitigation
measures. This survey will be done prior to June 1"if notice to proceed is given by May 25th. Please note
that this date is subject to site access and clearance to proceed from agencies if necessary. The report will
be provided within 3 weeks of the survey.
Cost -$3.600.00
Task 2 (optional). Tidewater goby protocol surveys if needed will be conducted at the same site, at the
appropriate time of year. This is between July 1" and October 1". A protocol survey consists of two site
visits (surveys). If no gables are found on the first visit a second visit Is required no fewer than 30 days later.
This task includes a report with results including all species found and habitat assessment
recommendations. We assume that Task 1 will be implemented and two visits will be needed for this task,
Requirements Imposed by regulatory agencies could require additional work.
Cost $4.500.00
Both tasks Include all reporting to regulatory agencies as required by permit stipulations. Please note that
we consider it unlikely that the goby or steelhead trout will be found at this site. Based on the information
provided we do not think that a tarda trapping survey is necessary.
The following assumptions are being made:
Conditions during surveys will be similar to those represented in the above mentioned communications and
photos,
Safe and convenient access to the site will be provided by the City.
Payment will be provided with 30 days of submission of Invoices by SMF
Client insurance requirements will not exceed SMEA's present Insurance coverage.
0 0
Any additional meeting or other work will be charged at SMEA's standard rates. A Fee schedule is
attached.
Thank you for using the services of San Marino Environmental Associates,
117
Jonathan N. Baskin, Ph.D.
Sole Proprietor and Principal Senior Scientist
• Page 2
EXHIBIT B, PAYMENT FOR SERVICES
Del Obispo Bridge Widening
Section I. Consultant Fee: The total lump sum compensation for all services performed pursuant to
this agreement shall not exceed $3,600. This fee shall include all costs incurred by the
CONSULTANT for salary and out-of-pocket expenses for travel and miscellaneous expenses
necessary to complete all work specified in the "Scope of Work" (Exhibit "A").
Section II. Consultant Payment Schedule:
The City agrees to make progress payments to the CONSULTANT according to the following
schedule and within thirty (30) days of the submission of invoices for authorized work completed by
the consultant:
Not more than eighty percent (80%) cumulative of the total contract amount shall be paid at
submission of the draft technical report.
One -hundred percent (100%) cumulative of the total contract amount shall be authorized for
payment at the time the City accepts and approves the final technical report as
consistent with the approved scope of work (Exhibit A).
•
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CA 92675
(949) 493-1171
(949) 493-1053 FAX
www sant itwicapistratiO. org
TRANSMITTAL
TO:
Jonathan N. Baskin, Ph.D.
San Marino Environmental Associates
560 S. Greenwood Avenue
San Marino, CA 91108
DATE: November 28, 2006
IA In RID R HID
FST Rmsim 1961
1776
FROM: Maria Morris, Deputy City Clerk (949) 443-6309
MEMBERS OF THE CITY COUNCIL
SAMALLEVATO
DIANE BATHGATE
MATT HART
JOE SOTO
DAVID M. SWERDLIN
RE: Conduct Fish Surveys along Trabuco Creek (Del Obispo Bridge Widening and Circulation
Improvements)
Thank you for forwarding documentation confirming compliance with the terms of the
agreement related to insurance.
If you have questions concerning the agreement, please contact the project manager, Bill
Ramsey, Principal Planner (949) 443-6334.
An original, executed agreement is enclosed for your records.
Cc: Bill Ramsey, Principal Planner
San Juan Capistrano: Preserving the Past to Enhance the Future
�) P,mted on 100 % R.ry,d.d Papa,
NOV.27.2006 22:11 7078647986 STATE COMP '_NSL'RANCE #0727 P.002 /003
• ORTHOLDER COPY SC
STATE PO BOX 420807, SAN FRANCISCO,CA 94142-0807
COMPRNSATION
INSURANCE
FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE: 09-11-2006
CITY OF SAN JUAN CAPISTRANO SC
DIRECTOR OF ADMINISTRATIVE SERVICES
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO CA 82675-3603
GROUP
POLICY NUMBER- 1224154-2006
CERTIFICATE ID. s6
CERTIFICATE EXPIRES 05-01-2007
05-01-2006/05-01-2007
THIS CERTIFICATE SUPERSEDES AND CORRECTS
CERTIFICATE 0 55 DATED 08-11-2006
JOB:CIP 122 DEL OBISPO BRIDGE WIDENING
This is to Cil that we have issued a valid Workers' Compensation insurance policy In 8 form approved by the
California Insurance Commissioner to the employer named below for the policy period indicated
This policy is not subject to cancellation by the Fund except upon30 days advance written notice to the employer
We will also give you 30days advance notice should this policy be cancelled prior to its normal expiration
This certificate of insurance is not an insurance policy and does not amend, extend of 21101 the coverage afforded
by the policy listed herein Notwithstanding any requirement, term or condition Of any contract or otner document
with respect TO which this certificate Of insurance may be issued or to which it may pertain. the insurance
Afforded by the policy described herein is subject to all the terms. exclusions, and conditions. of such policy.
=1111ZED81EP*RESENTATr4ll PRESIDENT
UNLESS INDICATED OTHERWISE BY ENDORSEMENT, COVERAGE UNDER THIS POLICY EXCLUDES THE FOLLOWING:
THOSE NAMED IN THE POLICY DECLARATIONS AS AN INDIVIDUAL EMPLOYER OR A HUSBAND AND WIFE EMPLOYER;
EMPLOYEES COVERED ON A COMPREHENSIVE PERSONAL LIABILITY INSURANCE POLICY ALSO AFFORDING
CALIFORNIA WORKERS' COMPENSATION BENEFITS; EMPLOYEES EXCLUDED UNDER CALIFORNIA WORKERS'
COMPENSATION LAW.
EMPLOYER'S LIABILITY LIMIT T14CLUDING DEFENSE COSTS: 51,000,000 PER OCCURRENCE.
ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 05-01-2000 IS
ATTACHED TO AND FORMS A PART OF THIS POLICY.
EMPLOYER
BASKIN, JONATHAN N. DBA: SAN MARINO
ENVIRONMENTAL ASSOCIATES
560 S GREENWOOD AVE
SAN MARINO CA 91108
SC
[TNS,CM)
(REV 2-06) PRINTED - 08-11-2008
NOV.27.2006 22:11 7078647986 STATE COMP INSURANCE fIC727 P.003 /003
• QLICYHOLDER COPY Sc
STATE P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807
COMPENSATION
INS U R A N C E
FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE OATS' 08-11-2006
CITY OF SAN JUIN CAPISTRANO SC
DIRECTOR OF ADMINISTRATIVE SERVICES
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO CA 92675-3603
GROUP:
POLICY NUMBER' 1224154-2008
CERTIFICATE 10 56
CERTIFICATE EXPIRES' 05-01-2007
05-01-2006/05-01-2007
THIS CERTIFICATE SUPERSEDES AND CORRECTS
CERTIFICATE # 55 DATED 08-11-2006
JOB:CIP 122 DEL OBISPO BRIDGE WIDENING
This Is to certify that we have issued a valid Workers' Compensation insurance Policy in a form approved by the
California Insurance Commissioner to the employer named below for the policy period indicated.
This Policy .s not subject to cancellation by the Fund except upon30 days advance written notice to the employer
We will also give you 30days advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance Policy and does not amend, extend or alter the coverage afforded
by the policy listed herein Notwithstanding any requirement. term or condition of any contract Or Other document
with respect to which this certificate of insurance may be issued Or t0 which it may pertain, the insurance
afforded by the policy described herein is subject to all the terms, exclusions, and conditions, Of such policy
THORIZED REPRESENTATI PRESIDENT
UNLESS INDICATED OTHERWISE BY ENDORSEMENT, COVERAGE UNDER THIS POLICY EXCLUDES THE FOLLOWING:
THOSE NAMED IN THE POLICY DECLARATIONS AS AN INDIVIDUAL EMPLOYER OR A HUSBAND AND WIFE EMPLOYER;
EMPLOYEES COVERED ON A COMPREHENSIVE PERSONAL LIABILITY INSURANCE POLICY ALSO AFFORDING
CALIFORNIA WORKERS' COMPENSATION BENEFITS; EMPLOYEES EXCLUDED UNDER CALIFORNIA WORKERS'
COMPENSATION LAW.
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1.000,000 PER OCCURRENCE.
ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 05-01-2000 IS
ATTACHED TO AND FORMS A PART OF THIS POLICY.
EMPLOYER
BASKIN, JONATHAN N. DBA: SAN MARINO
ENVIRONMENTAL ASSOCIATES
560 S GREENWOOD AVE
SAN MARINO CA 81108
01N
ITN5.CNI
utev roll PRINTED ' 08-11-2006
NOV.27.2006 22:11 7078647986 STATE COMP INS"RANCE #0727 P.00: /003
STA'1'L COMPLNSATION INSURANCE FUND
FnIRFIELD CUSTOMLR SERVICF CENTER
FAX (7 0 7) 8 6 4- 7 9 8 6
PHONF. (877) 405-4545
FACSIMILE 'IRANSMITTAL SHEET
10 DRUM:
Malia Morns Tina
COMPANY DAIF
11/27/2006
FAX Nt MBLK TOTAL NO Or I'AGLS IN( LADING C,OVFR
949-493-1053
K!. YOUR KLl GKLNLG NLMBLR
❑ URC RNT LI FOA RLVIL))V ❑ VLEASh COMMENT ❑ PT.FASL RLPL1' ❑ PI.RASR RF.CYfT_[
N(1TP $(�;p MMEI3T$
Thank you,
Tina
i r. CVMPCNSATION INSuuANLC FUND
P 0 BON 1002
1 .AIRFIELD CA, 914MS. 8002
C DATEI/YMMM-2
ACO_R_D CERTIFICA OF LIABILITY INSURA
SAP1114 14 0066
PRGDUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Dale Newcomb
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Gibson S Company Insurance
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
15901 Hawthorne Blvd. #200 R E C E i V E
Lawndale CA 90260
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
s2,000,000
Phone:310-212-6006 Fax:310-212-5010
INSURERS AFFORDING COVERAGE NAIL
INSURED 2.
2n NOV 15 P 2
HUDSON SPECIALTY INS. CO.
San Marino Enviromental
R B
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Associates CITY CLERK
II' IN3URERC 11 1 - -
560 So. Greenwood AvenT�
San Marino CA 91108 JAN JUAN CAPISTR
AIfy51JRERD
000,000
S RER 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 EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
SDI'D TYPE OF INSURANCE I POLICY NUMBER
POLICY EFFECTIVLTR
DATE (MM/DDM' E
PDATE MM/ DM' N
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
s2,000,000
A X X. COMMERCIAL GENERAL LIABILITY FEC61Q8036
06/24/06 06/24/07 pq_EMIS_ES jE.EocNw ecel
550,000
CLAIMS MADE i $ OCCUR
MED EXP (Any one person)
$ 5,000
PERSONAL B ADV INJURY
$2,000 OQQ_
GENERAL AGGREGATE
$ 2,000,000
000,000
GEN 'LAGGREGATE LIMIT APPLIES PER.
I~
II PRODUCTS - COMP/OP AGGS2,
PRO-
$ POLICY JECT —LOC
AUTOMOBILE
_
LIABILITY
' COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
A
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ANY AUTO FEC6108036
06/24/06
06/24/07
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ALL OWNED AUTOS
BODILY INJURY
$
SCHEDULED AUTOS ''.,
(Per person)
$
HIRED AUTOS
BODILY INJURY
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NON -OWNED AUTOS
(Per amdenQ
{
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PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY_ EA ACCIDENT �$
ANY AUTO
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AUTO ONLY. AGG $
EX LA LIABILITY
EACH OCCURRENCE $
OCCUR i_ J CLAIMS MADE SII
AGGREGATE i $
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RETENTION $
KERS COMPENSATION AND
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LOYERS' LIABILITY
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ANY PROPRIETORIPARTNERIEXECUTIVE
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EL. DISEASE - EA EMPLOVEEIS
If yes, describe under
-- - - —-
SPECIALPROVISIONSbelow
EL DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
*Cancellation: 10 days for non-payment of premium
Certificate Holder is included as an Additional Insured as per form CG 20 10
11 85.
CERTIFICATE HOLDER CANCELLATION
L._ SANJD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
CITY OF SAN JUAN CAPISTRANO IMPOSE NO OBLIGATION OR ABILITY OF ANY KIND UPON TlyE INSURER, ITS AGENTS OR
MARIA MORRIS
32400 PASEO ADELANTO REPRESENT TIVES.
SAN JUAN CAPISTRANO CA 92675 AUTHORREDR N VVE • `
0
POLICY NUMBER: FEC6102689 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
COMMERCIAL AUTO LIABILITY
SCHEDULE
Name of Person or Organization; CITY OF SAN JUAN CAPISTRANO
32400PASEO 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
CG 20 10 11 85 Copyright. Insurance Services Office, Inc., 1984
Certificate # 9375
40 CERTIFICA OF LIABILITY INSURAN& OP ID C DATE(MM/DD/YYYY)
SANMA-2 11/13/06
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Dale Newcomb
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Gibson S Company Insurance
15901 Hawthorne Blvd. #200
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC#
Lawndale CA 90260 `'cn
Phone: 310-212-6006 Fax:310-2��i?�I r ��
Y _
INSURED
INSURERA. HUDSON SPECIALTY INS.
NS COnINSURER
-CO. --
IN URERB'
San Marino Enviromento NOV IS P 2. I
Associates
560 So. Greenwood Avenue_
San Marino CA 91108
CITY CLERK
INSURERC
INsuRERD
INSURER
4 $2,000,000
COVERAGES SAN JUAN CAFI
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
- -- -
POLICY EFFE TIVE POLICY EXPIRATION
LNSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YYLIMITS
TR
A
SII
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
I# CLAIMS MADE `X OCCUR
FEC6108036
06/24/06 06/24/07EMISEIU"U"IItu
I EACH OCCURRENCE
'MED EXP (Any oneperson
PERBONAL 8 ADV INJURY$
s2,000,000
IESDrDDD_
$5,000 - .
2 , 000,000
GENERAL AGGREGATE
4 $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
_
PRODUCTS - COMP/OP AGG
$2,000,000
'X I POLICY PECTRO LOC
AUTOMOBILE
LIABILITY
ANY AUTO "�
COMBINED SINGLE LIMIT
(Ea accident
$
BODILY INJURY
(Per person)
$ n
-
ALL OWNED AUTOS
SCHEDULED AUTOS
-
BODILY INJURY
(Per accident)
-
$
HIRED AUTOS
NON -OWNED AUTOS i
IPROPERTY
r
F
- -
DAMAGE
(Per accident)
$
GARAGE LIABILITY
,AUTO ONLY -EA ACCIDENT
$
;OTHER THAN - --
EA ACC
-�-......
$
ANY AUTO
--
$
AUTO ONLY AGG
EXCESS/UMBRELLA LIABILITY
OCCUR I� CLAIMS MADE
EACH OCCURRENCE
$
AGGREGATE $
— - — _i$
DEDUCTIBLE
$
RETENTION $
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED'
ITORY LIMITS ER
- - —"-'--
E.L. EACH ACCIDENT li $
E.L. DISEASE - EA EMPLOYEE,
If yes, describe under
E.L.
SPECIAL PROVISIONS below
DISEASE -POLICY LIMIT I $
OTHER
I
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS PER FORM NUMBER CG 20
10 it 85.
DEPUTY CITY CLERK
PLANNING DEPARTMENT
MARIA MORRIS
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO CA 92675
ACORD 25 f2001/08I
DEPUTYC I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATKX
GATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 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
REPRESENTATIVES. 1/il
AUTHORIZED RERRES I
9 0
POLICY NUMBER: FEC6102689 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
SCHEDULE
Name of Person or Organization; ATTN: MARIA MORRIS
DEPUTY CITY CLERK
PLANNING DEPARTMENT
32400PASEO 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
CG 20 10 11 85 Copyright. Insurance Services Office, Inc., 1984
Certificate # 9375
Tuesday, November 14, 2006 10:42 AM Christy Schmidt (310) 212-5941
p 02
ACORv_ CERTIFICA
OF LIABILITY INSURAII GP ID DATE IMWGDO'YYY,
06/24107
SANE4A-2 11/14/06
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Dale Newcomb
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Gibson 6 Company Insurance
PrASONAI. SGDYINNWY ls2,000, 000
MOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
15901 Hawthorne Blvd. 0200
ALTER THE COVERAGE A/FORDED BY THE POLICIES BELOW.
r V
Lawndale, CA 90260
�
Phone:310-212-6006 Fa::310-212-5010
'—I PRO.
— 1HULICY f JLCI LL1L-1,_y, �•_.-,y"—
INSURERS AffORDING COVERAGE ,NAICx
wcDRAD
I
M UMMA: HUDSON 9PSCIALTY INS. CO.
!
CUM91Pt0 SMGLt VIAT 1 31,000,000
San Marino Enviromental
Associates
—'----" --'"
560 So. Greenwood Avenue
I (EE—mRo)_
San Marino CA 91108
I INSHRER F J
TIM POI If.VpnF IN'fl?Inmrr I IpTCD 0 CLOW I IAVC MI rH MAUrD TO TI'IC INn11RP0N"POAPOVF FOR Tor POI I[YFrRIOOINDICATTO. NOT0TIIFTANO)NO
ANY ArM11RrivrNT, TERMOR CONDITION Or ANY f.ONTRAf.T OR OT Irn DnCIIMrNT W PTI I RFSMCT TO WIIICI I T111.S OrRTFICATE MAY BE ISSUED OR !
MAY PERTAIN. TI IC INSIIRANCC AM ON CCU BY'I'HE POLICIES DESCRIBED HEREIN IS SUGJCCT TO ALL TI IE TCRMS. EXCLUSIONS AND CONUII IONS OH SUCH
PULICII,S AG6KtGA It LIMP I S SHOWN MAY HAV F AFFN HFI1tICol, HV I•ANJ Ct AIMS.
MSR MDD'L ... .._-._- pLI EPP���y�(E pl��y EXPIRA�Ip
LTR NSRD TYPEOF INSUIVT% POLICY NUMICR I PDgT��MMIOIYYII iPDA1EIMMNDI'111N E �v Lmmm, DD,ODD -
GENERALLUDILIIV ._._ .I
A X X; COMMERCIALGtNEHALUABILIIY j FEC6108036
i 06/24(06
06/24107
PHtM15ES(EAecwAIPAf s 501000
r.1 AIAL1 AU OF 1X IMr.11P:
MED eAr (AF r"v.,)$5,000
PrASONAI. SGDYINNWY ls2,000, 000
GENERAL AGGRCDATr i$2.000,000
orN+ nnFwrnn+r 1 uun nPP,MR PrA I
�
rn........r nr,oe ruT 2 , 000 , 000
'—I PRO.
— 1HULICY f JLCI LL1L-1,_y, �•_.-,y"—
I
I AUTOMOBILE LIABILITY
!
CUM91Pt0 SMGLt VIAT 1 31,000,000
A ANY AI ITn FEC 630Bp36
!. .�
06/24/06
06/24/07
I (EE—mRo)_
ALL.DWNCD AUTOS
DDDILV INJURY
SCHEDULED AUTOS I
'
IN.r pnr.nnl S
i.. X HIOEO I,U+OC
I
-T_
BODILY INJURY I =
' X_ NDMOWNFD MITOS I
I
I (Per XNeli)e� -
! PROPERTY DAMnO[
1
j
...., ... _.
I
IP., ADOMnD
i
............ _.—.
GAMGC LIABILITY
___.._�
AUTO ONLYEAACCIDCNT
OTHEI'THAN LA ACC S
I ANYAVIIJ
Ann . 3
CXCES40MBRELLA LIABILITY
I I
EACH UGCURRENCE I $
OCCUR ! CLAIMS MARC
I
AGGREGATE S
__..)
.. DEOUCTIOLC
1
S
RF.TFNnON g
I_
..... _....... _..
S
I INGRAM& COMPENSATION AND
! I
TVwTOPv fir___
it
EMPLOVCRN• LIMN ITY
1
__
!S
ANY PRORUCTOPIPARTNCArXCCUTNC
E.l EACH ACCIDENT
Orr,ccn,MCMOCr LXtl..IIDCU•
F 1 OISF,ASE - EA LMPLUrLLI R
SPPflnl PRiN KION}Pnnu.
I ,
FL DIXEISLAt..POI1fV1 M"
OTHER
I 1
*Cancellation: 10 days for non-payment of premium
Certificate Holder is included as an Additional Insured as per form CG 20 10
11 85.
C-SANLTN IRIOULD ANY OF THE ABOVE DESGRIBEO POLICIES BE CANCELLED BErORC THE EXPINA rIGN
DATE THEREOF. THE ISSUING INSURER WILL ENoNAVRN TD MAY 30• OAysmiTTEN
NOTICE TO TIIC CERTIFN:AIE MOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
MITI OF SAN JUAN CAPI STRAND
MARIA MORRIS IMPOSF NO ORLNJJLTIONOR BILJTV AOF ANY XWD UPON Ti INSURED. ITR AGFJJTS CA
32400 PASEO ADELANTO REPRESENT nVEa 'F'!'' f
SAN JUAN CAPISTRANO CA 92675 AUTHORQEDR B N nvc - r.1
Gibson 6 Company Insurance Q..•`
AOORD 25 (2001)00) LO ACORD CORPORATION 191111
Tuesday, November 14, 2006 10.42 AM Christy Schmidt (310) 2125941 p 03
• •
POLICY NUMBER: FEC6102689 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
COMMERCIAL AUTO LIABILITY
SCHEDULE
Name of Parson or Organization; CITY OF SAN JUAN CAPISTRANO
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
CG 20 10 11 85 Copyright. Insurance Services Office, Inc.. 1984
Certificate # 9375
Tuesday, November 14, 200810:42 AM Christy Schmidt (310) 212-5941
Gibson Wompany Insurance Brokelanc.
15901 Hawthorne Blvd., Suite 200
Lawndale, CA 90260
Phone: (310) 212-6006 ext. 3047
Fax: (310) 212-5941
Attention: Marie Morris
Company, City of San Juan Capistrano
Fax Number: (949) 661-5451
Voice Number:
From: Christy Schmidt
Company: Gibson & Company Insurance
Fax Number: (310) 212-5941
Voice Number: (310) 212-6006
Subject: Certificate of Insurance
Comments:
Date: 11/14/2006
Number of Pages: 3
ear Ms. Morris:
er our telephone conversation I am faxing the revised certificate of
surance for San Marino Environmental Associates. I will put the
riginal in the mail,
hank you,
hristy Schmidt
P.01
Mcrday, November 1
2006 4.26 PM Christy Schmidt (310) 212-5941
Gibson ecompany Insurance Brokeenc.
15901 Hawthorne Blvd., Suite 200
Lawndale, CA 90260
Phone: (310) 212-6006 ext. 3047
Fax: (310) 212-5941
Attention: Maria Morris
Company: Deputy City Clerk
Fax Number: (949) 661-5451
Voice Number:
From: Christy Schmidt
Company: Gibson & Company Insurance
Fax Number: (310) 212-5941
Voice Number: (310) 212-6006
Subject: Certificate of Insurance
Comments:
Date: 11/13/2006
Number of Pages: 3
)ear Ms. Morris:
am faxing a copy of the certificate of insurance for San Marino
Avironmental Associates. I will put the original in the mail.
'hank you,
)hristy Schmidt
/// q1, 6
i�
P.01
Monday, Notemher 13, 2006 4.26 PM Christy Schmidt (310) 21
p 02
ACORD,,, CERTIFICA'T'E OF LIABILITY INSURANCE DIP z sDAiiMiesANwa1G
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Dale Newcomb ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Gibson a Company Insurance HOLDER. THIS CERTIFICATE DOES NOT AFAFND, EXTEND OR
15901 Hawthorne Blvd. 4200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Lawndole CA 90260
Phone'310-212-6006 Fax:310-212-5010 INSURERS AFFORDING COVERAGE NAICAt
Irisuw° msuRrRA HUDSON SPECIALTY INS. CO-
Irvsunen D
San Mlrino Enviromental
AaaOOiatae p 1NSUNFH I. .... ...—.___.. ___. _.
San Ma no CA 91109 NnugrA n !
560 30ri. Greenw od Avenue _._.__ _
TIP POIalt$ OF INWHANU LISTED OCL OWI PVT APtN ISSUtU IU IML IN:ILInrn NAMFrI ARCIVE FUN HtI`OLIGYPERIOD INDICATFO NOTWITK51MOING
ANY Rr0U1NbMtN 1. I'EnM 011 CONDITION or -ANY ,ON I HAL I UN OTHER DOCI IMrNT W i I H Ht SHLL I I U WMI6H T wi crRDFICATF MAY FE IiSU[U UB
WY Pr RTAIN. 1Ht- INSUNANCt Al I URDEC BY 7111' POI RIIFS nHSCIUBtU MERLIN In SIM JF1:T TO AI. I, IHt ILHMS, EXCLUSIONS AND
CONORIONCI OH SUCN
r Q%.Mti, AGGRr WP I {M0$$HI)WN MAY HAVE DCCN RrCilrFO W RAMI tLAIMG.
45RADDLjPOCICVEFF=,IJVF'POLICY EXrIRATION
_ TR 1N6R4 TYPEOF INSUMNCE POLICY NUMBER UAFFIMM/(LOIYY) 10ATE IMMVDDIYYI
--
LIMITS
- _
GENERAL LIABILITY
!EACH OCCtIn RCNrr
t 2, 000, 000
A X LUMMERfaAL GrNrnAI IIADII ITY FEC6108036 06/24/06 06/24/07
_-
pq ¢c nn� n,J� H45D 1.000
LLAIMS MADE '`XJ OOC(IR
! MLO t,AH IAAY ere yt 1001
;55,000
_
IPCR :ONAI AnI)y ONJVNY
i2, 000,000
1FN1, qLI NLGAIt LIMA All4C3 PCR' ''.
LkN"ALA LNEDATE ;92,000,000
PgOOp1.i4 (TIMI /UI qO4:s2,000,000
X rourY irr°° l uc `.......
AUTOMODIL6 I IAHR n T
—
I-
! CQ.01 CL ]MN Lt LIMIT
.__.
ANY AUTO
;IEJtlxill[III)
i
- ALL nwwrn nu7n:
-
glIIIIII Y INJVHY
_.
SLHtOULCD n11TOS
IHInCO NITO^-----
❑ODILYINJURV
I _--NDN IiWNFI1 AI/IUu
(PCI t'I<rni)
GARAGE LIADILITY
ANY AUTO
I I
1 - FXCE53/UMBRELLA LMIT'
OIL
1T-
UCCUN CLAIMS WOF
DCDIMTIN r
k\IFNIIIIN }
WORKERR COMPENSATIOH ANTI
EMPLOYFRS' LIABILITY
ANY PROrR1/TORIPARTNFkItALLU I IVt
GFFILFR.t,M0t1( GACLUDCD7
CERTIFICATE
10 11 05.
PROPFRTY 11AMA11 i
i (I'Bi pGaUe,ll) '
�- I �AI ITD ONIY.YAALIdUtNi IF --__�
rnm_r, t
j OTIIrR TI qN ,
AIA 0ONLY _ �ADO � S —
CAfll Orf,IIRRFN(tp 1
Ar (nEfni1' ! t
it
�
..1TnAY I IMI I$ Ell
---
i I e1. EACH nrr.InrNT
I,t L. UI5tA$C CACMPLOYr('1
— : E L. DlSrnsr POI ICY LIM11 1
I
.. .... . _.. .....__
JIDNS 1 LOCATIONS I VEHna ES I EACLI/SIDNS 40000 DV ENnO0.5EiMFNT / SPEdAI PROVISIONS
HOLDER IS NAMED AS ADDITIONAL INSURED AS PER FORM NUMBER CG 20
DEPUTY CITY CLERK
PLANNING DEPARTMENT
MARIA MORRIS
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO CA 92675
DEPUTYC SHOULDANYOr THE ABOVCDESCRIVEP POLIPES BE CANCELLED BCFORC 7NE kEPIRAno
DATCTHEREOF,IHH ISSVINGIN5URER WILL ENDEAVOR TO MAIL 30 TAYSMITTEN
NO 1'1CR TO THE CERTIFICATE NOLUCR NAMED TO 1.1 FFT, BUT FNLURE TO DO SO SMALL
IMPOSE NO ODLIGAPON OR LIABILITY OF ANY KIND UPON THE N611RER, NS AGENTS OR
REPRESENTATIVES. -4
1988
Monday, Nofember 13, 2006 4.26 PM Christy Schmidt (310) 212-5941 _ _ p.03
POLICY NUMBER FEC6102689 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
COMMERCIAI GENERAL LIABILITY
SCHEDULE
Name of Person or organization; ATTN: MARIA MORRIS
DEPUTY CITY CLERK
PLANNING DEPARTMENT
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
CG 20 10 11 85 Copyright Insurance Services Office, Inc , 1984
Cedificaie✓r 937s