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1998-0707_MALASPINA HOMEOWNERS ASSN_LICENSE AGREEMENT +�g 5. 2004 10 28AM No, 0097 P. 27362 Calk Arroyo San Juan Capistrano,CA 92675 Phone.(949)487-613t Fe>< 487-8152 Robco Insurance Lic 90750612 Services Fax To: Irene Marcote/Eng &Building DeptFrorn: Bonnie Ayersman Ext 210 Fan: 949-493-1053 Pages:4( including cover) Phone: Date: 815104 Ra: Malaspina HOA CC: Robert Foresman/Property Man 949-858-0505 0 t/rgent 0 For Review ❑Please Comment ❑Please Reply 0 Please Recycle Following please find the additional Insured certificate for the above captioned you have requested. The original will be mail`edd..,, 1 n Q/1, — I r r� �S l yV ROT 1011, l Se ccs�� 1NC5�,�2 '` D-\ 1-O uj 4 i Ina v e `3-c i- ad I ,` ug. 5. 2004 10 , 28AM No 0097 P 2 A4zV� ;. 09/0512004 wit PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER Or INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ROBCO INSURANCE SERVICES HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR License#0750612 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, 27362 Calle Arroyo COMPANIES AFFORDING COVERAGE San Juan Capistrano, CA 92675 COMPANY A PHILADELPHIA INDEMNITY CO INSURED COMPANY MALASPINA HOMEOWNERS ASSOC. B GREAT AMERICAN INS,CO. Malaspina Homeowners Assoc. COMPANY 26902 Pasco CarderO C San Juan Capistrano,CA 92675 COMPANY BJA D COVIftRAjgS THIS IS TO CERTIFY THAT 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co TYPE OF INSURANCE POLICY NUMBER POUCYGFFECTTVE P0UCyExTHRAT(Of4 LIMIT3 LTR RATE(M"DNYI D&TE(MMMMyn A GENERAL LIABILITY PHPK073427 02417/04 02/17/05 GENERAL AGGREGATE 6 2,0001000 X COMMERCIAL GENERAL UABILITY PRODUCTS-COMPIOP AGG S 2,000l000 —1 CLAIMS MADE FRI OCCUR PERSONALS ADV INJURY s LWO.W OWNERS&CONTRACTOP'SPROY EACH OCCURRENCE 1 1,000,000 FIRE OAN&AGE Any ono fire) 6 100.000 MED ExIs(Any one Colson) $ S'W A AUTOMOBILE LIABILITY PHPK073427 02(17/04 02/17/05 COMBINED SINGLE LIMIT S 1,00,000 ANY AUTO ALL OW WO AUTOS BC1DfLY INJURY SCHEDULED AUTOS (P.,Pomon) MIRED AUTOS BODILY INJURY $ NON OWNED AUTOS (P.,ace,09N) PROPERTY DAMAGE % GARAGE LIABILITY AUTO ONLY EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT S AGGREGATE $ A UCESBUAIRUTY PHUSS027698 02/17104 02q1/0S EACH OCCURRENCE S 3,000,000 UMBRELLA FORM AGGREGATE S 3,ONOW OTHER THAN UMBRELLA FORM i$ WORKERS COMPENSATION AND I T&Il,Al.yi ITI IS" ER EMPLOYERS.IUABRUITY E4EACtACCIOGNT $ THE PROPRIETOR INCL EL DISEASE POLICY LIMIT $ PARTNEAS'EXECUTivE OFFICERSAkE EXCL. RL DISEASE-EA EMPLOYEE 1 5 A OTHER PROPERTY COVERAGE PHPK073427 02117104 07./17/0S $50,000 AGREED VALUEMKLT COMMON AREA ONLY COV.$1,000 DEDUCTIBLE DESCRIMM Of OPERAT1,43NIVIUCCATIONSAfENCLESISPIECKL ITEMS CERTIFICATE HOLDER IS ADDITIONAL INSURED RE:USE OF PORTION OF THE PUBLIC RIGHT-OF-WAY FOR THE PURPOSE OF CONSTRUCTING AND MAINTAINING A CALL BOX AND RELATED APPURTENANCES. ........... ,", ,-, '�Mko@' !04T.(OCATtIH DE. ul. ry 11 qv If SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED WMAE THE CITY OF SAN JUAN CAPISTRANO EXPIRATION DATE THEREOP, THE ISSUM COMPANY 11011 11IM110 TO MAIL OFFICE OF THE CITY CLERK 'JO--DAYS"ITTEM NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE US", 32400 PASEO ADELANTO BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OSUIGAYON OR LIABILITY SAN JUAN CAPISTRANO,CA 92675 OF ANY KIND UPON THE COMPANY, ITS AGENTS ON REPRESENTATIVES, AUTHORIZED REPREAMENTA j Aug 5 200410: 28AV No 0097—P. 001058 8JA INSURED: MALASPINA HOMEOWNERS ASSOC. OTHER COVERAGES-(Continued): co POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE DATE LIMITS B DIRECTORS AND EPP5667268 02/III04 02/111051,000,000 LIMIT OFFICERS LIABILITY 11,000 DEDUCTIBLE DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS-(Continued): PROPERTY MANAGER IS INCLUDED AS NAMED INSURED ON COMMON AREA ONLY PROPERTY MANAGER IS ADDITIONAL INSURED ON D&O LIABILITY UMBRELLA IS EXCESS OVER COMMON AREA LIABILITY AND D&O LIABILITY lI li II I. jil Aig. F 2004 10: 280 No. 0097 P, 4 POLICY NUMBER: PHPK073427 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON or ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: CITY OF SAN JUAN CAPISTRANO OFFICE OF THE CITY CLERK 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 CERTIFICATE HOLDER IS ADDITIONAL INSURED RE: USE OF PORTION OF THE PUBLIC RIGHT-OF-WAY FOR THE PURPOSE OF CONSTRUCTING AND MAINTAINING A CALL BOX AND RELATED APPURTENANCES. (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 ll) 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 operations or premises owned by or rented to you. CG 20 26 11 85 Copyright, Insurance Service Office, Inc., 1984 32400 PASEO ADELANTO v / ® A MEMBERS OF THE CITY COUNCIL SAN JUAN CAPISTRANO,CA 92675 SAM ALLEVATO (949)493-1171 InneeOnAe[I DIANE L.BATHGATE (949)493-1053 FAX MOWNH 1961 WYATT HART w wsanjuancapistrano.org 1776 JOE SOTO • • DAVID M.SWERDLIN July 23, 2004 Malaspina Homeowner's Association 26902 Paseo Cardero San Juan Capistrano, CA 92675 Attention: Homeowner's Association Board Regarding: Compliance with Insurance Requirements for the Purpose of Construction and Maintaining Facilities in the Public Right-of-Way (Tract 9184). SECOND NOTICE In conjunction with the installation of a private entry gate on the public portion of Malaspina Road, the Malaspina Homeowner Association was granted the use of the public right-of- way to place a call box and related appurtenances. A license agreement was entered into between the Malaspina Homeowner's Association and the City of San Juan Capistrano City. It has come to my attention that the insurance certificate and endorsement form, required by the license agreement, expired and a new one has not been submitted to the City. The conditions of the agreement states that the Homeowner's Association would maintain in full force, during the term of the agreement, comprehensive general liability insurance and the City named as additional insured on the policy. The insurance certificate and endorsement is to be provided to the City proving that said insurance coverage is in place. The policy is to be kept current and on file in the City Clerk's office. 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 Irene Marcote at 949 443-6352. S' ely, Irene Marcote Engineering Technician Engineering and Building Department cc: Dawn Schanderl, Engineering & Building Department Maria Guevara, City Clerks Office San Juan Capistrano: Preserving the Past to Enhance the Future h V A!r MEMBERS OF THE CITY COUNCIL J' DIANE . TE JOHN S..GELFF GELFF WYATT HART JOE 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 1> II ��IIDAVIDD MM.SWEROLIN M. (949) 493-1171 DIIBBIB 1961 1776 (949) 493-1053 (FAX) INTERIM CITY MANAGER ivlvw sanjuancapistrano.org � PAMELA GIBBON C January 6, 2004 Malaspina Homeowners Association P \n 26902 Paseo Cardero San Juan Capistrano, CA 92675 `v1� RE: Compliance with Insurance Requirements — Use of Portion of the Public Right-of- Way for the purpose of constructing and maintaining a call box and related apputenances. The following insurance document is due to expire: ✓ General Liability Certificate 02/11/2004 ✓ General Liability Endorsement Form naming the City of San Juan Capistrano as additional insured. Please submit updated documentation to the City of San Juan Capistrano, attention City A e, 32400 P eo Adelanto, San Juan Capistrano, CA 92675 by the above at If h ve any questions, please contact me at (949) 443-6309. ar Secretary cc: Dawn M. Schanderl, Administrative Assistant Irene Marcote, Engineering Technician San Juan Capistrano: Preserving the Past to Enhance the Future 32400 PASEO ADEIANTO i i Fate A MEMBERS OF THE CITY COUNCIL SAN JUAN CAPISTRANO,CA 92675 /// ILLS' SAM ALLEVATO (948)483-1171 InuA MR TED DIANE L.BATHGATE (949)493-1053 FAX • FSAAIIISYFI IBBI WYATT HART www.sanjuancapistrano.org 1776 JOE SO 1`0 • • DAVID M.SWERDLIN June 19, 2004 Malaspina Homeowner's Association 26902 Paseo Cardero San Juan Capistrano, CA 92675 Attention: Homeowner's Association Board Regarding: Compliance with Insurance Requirements for the Purpose of Construction and Maintaining Facilities in the Public Right-of-Way (Tract 9184). In conjunction with the installation of a private entry gate on the public portion of Malaspina Road, the Malaspina Homeowner Association was granted the use of the public right-of- way to place a call box and related appurtenances. A license agreement was entered into between the Malaspina Homeowner's Association and the City of San Juan Capistrano City. It has come to my attention that the insurance certificate and endorsement form, required by the license agreement, expired and a new one has not been submitted to the City. The conditions of the agreement states that the Homeowner's Association would maintain in full force, during the term of the agreement, comprehensive general liability insurance and the City named as additional insured on the policy. The insurance certificate and endorsement is to be provided to the City proving that said insurance coverage is in place. The policy is to be kept current and on file in the City Clerk's office. 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 Irene Marcote at 949 443-6352. Sincerely, Irene Marcote Engineering Technician Engineering and Building Department cc: Dawn Schanderl, Engineering & Building Department vlGaria Guevara, City Clerks Office San Juan Capistrano: Preserving the Past to Enhance the Future L 4 4 Recorded in the County of Orange, California Gary L. Granville, Clerk/Recorder IIi111111111111111111111111111111111111111111111111111111111 fill 24.00 19980491675 10:21am 07/30/98 RECORDING REQUESTED BY: 005 19006577 19 04 City of San Juan Capistrano Al2 7 6.00 18.00 0.00 0.00 0.00 0.00 AND WHEN RECORDED RETURN TO: City of San Juan Capistrano Office of the City Clerk 32400 Paseo Adelanto San Juan Capistrano, CA 92675 it Reference: Malaspina/Tract 9184 P LICENSE AGREEMENT(MALASPINA) Assessor's Parcel No. 650-061-02 THIS LICENSE AGREEMENT(the"Agreement")is made this 7t day of.�,, 1999, by and between the CITY OF SAN JUAN CAPISTRANO,hereinafter referred to as "Licensor" and the MALASPINA HOMEOWNERS ASSOCIATION, hereinafter referred to as "Licensee". WHEREAS, at their meeting of May 19, 1998, the City Council approved an application to establish a gate-guarded neighborhood at the Malaspina Development, Tract 9184, and approved, in concept, a gated entry at Malaspina Road. WHEREAS,the Malaspina Homeowner's Association proposes to place a part of their entry gate improvements in a portion of the public right-of-way, NOW THEREFORE BE IT RESOLVED, Licensor and Licensee agree as follows: 1. Grant of License Licensor hereby grants to Licensee a license right to use a portion of the public right- of-way for the purpose of constructing additional asphalt street section and concrete curb, and constructing and maintaining a phone service island, electrical conduit, and street striping(the "Improvements"), at the eastern terminus of the public portion of Malaspina Road, located within the City of San Juan Capistrano, and more particularly described in Exhibit "A", attached hereto. Licensee will place the Improvements, under the direction of the Licensor's Director of Engineering and Building, in the public street. The Improvements are shown on Exhibit "B", attached hereto. -1- 2. Hold Harmless, Licensee agrees to save and defend the Licensor and its elected and appointed officials, harmless from and against any and all injuries to and deaths of persons and injuries to property or other interests and all claims, demands, costs, loss, damage, and liability, arising out of the performance of Licensee's rights and obligations under this Agreement. Licensee shall maintain in full force during the term of this agreement a policy of comprehensive general liability or commercial general liability insurance in which the limits ofliability shall not be less than One Million Dollars($1,000,000.00). Licensor shall be named as additional insured on such policy and an endorsement shall be provided to Licensor proving that said insurance coverage is in place. 3. Respon�y of Licensee to Maintain. Repair. Remove and/or Relocate the Improvements. Licensee has requested and Licensor, by execution of this Agreement, allows the Licensee, at Licensee's sole expense, to construct and maintain the Improvements in the public portion of Malaspina Road, for the benefit of Tract 9184. Licensee acknowledges that Malaspina Road from Rancho Viejo Road to its easterly terminus at Tract 9184 is a public street that has existing Licensor, the Water District of the City of San Juan Capistrano, public utility and other agency facilities. As needed, all facility owners have the right to lay, construct, reconstruct, remove and replace, renew, inspect, maintain, repair, improve and relocate their facilities in Malaspina Road right-of-way that may require repair to, removal of, and/or relocation of the Improvements. All costs to repair, remove and/or relocate the Improvements occasioned by the above shall be home by the Licensee. Before the issuance of construction permits, any of the Improvements in conflict with existing utility facilities or systems shall be redesigned, or utilities shall be relocated, subject to the approval of the specific agency/utility company, at the expense of the Licensee. Licensee further acknowledges if, during construction and/or maintenance of the Improvements by the Licensee, any of the facility owner's equipment is damaged, the costs to repair and/or replace said equipment shall be borne by the Licensee. The Licensor reserves the right to terminate this Agreement immediately if the Licensee fails to maintain the Improvements in the public street right-of-way to the point that the Licensor believes this placement to be detrimental to the public health, safety and welfare. -2- 4. Successors in Interest. This Agreement shall inure to and be binding on the heirs, successors, executors, administrators, and assignees of the Licensee. 5. Attorneys'Fees If any legal action or proceeding arising out of or relating to this Agreement is brought by either party to this Agreement, the prevailing party shall be entitled to receive from the other party, in addition to any other relief that may be granted, the reasonable attorneys' fees, costs, and expenses incurred in the action or proceeding by the prevailing party. 6 Term. This Agreement shall continue in full force and effect, subject to paragraph 4, unless terminated by the Licensee or Licensor upon ninety(90) days written notice; or, shall be terminated on ten(10) days notice if Licensee fails to adhere to any conditions of this Agreement. DATED his 11�'- day of v/ 1998, at San Juan Capistrano. ATTEST: CITY OF S AN CAPIS RANO: By titi 7 — _– 1 Jones, Mayor Cheryl Jo o , City Clerk APPROVED AS TO FORM: MALASPINA HOMEOWNERS ASSOCIATION: John Shaw, City Attorney A � BY: Robert Foresman, Secretary-Treasurer -3- CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California I County of 0qw-61 ss. /� I On �_ E / , before me, C U TE /yz h1gy Data Name and Title of Officer(e.g.,'Jam Doe,Notary Public") personally appeared /— Name(s)of Signer(s) proved to me on the basis of satisfactory evidence to be the person(&)- whose nam 1s a subscribed to the with' instrument and DEE WHITE acknowledged to me t he hefthey executed COMM. #1172005 the same in i uthorized '+ NOTARY PUBLIC•CALiFORNiA capacity(ies}, and that by hi it ORANGE COUNTY si natur n the instrument the erso r My Comm.Ezp.feb.1,20"u2 9 e(s}e p n{s},-o the entity upon behalf of which the person(sj--- acted, executed the instrument. WITNESS my hand and official seal. Place Notary Seal Above j Signature of Notary Public OPTIONAL Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Docunpt Title or Type of Document: Document Date: & fig Number of Pages: I Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name:El � �T � N rp dual C�r � Top or thumb Here � Corporate` orate Officer—Title(s): ❑ Partner—❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: /»lel <f�/Nf� 1CY)2�XL7/l� S t�ST�lfjT/Z�✓rV 01997 National Notary Association•9350 De Soto Ave.,PO.Boz 2402•Chatsworth,CA 91313-2402 Prod.No.5907 Reorder:Call Toll-Free 1-800-876-6827 PUBLIC AGENCY FORM OF ACKNOWLEDGEMENT State of California ) County of Orange ) ss. City of San Juan Capistrano ) (Gov't Code 40814 & Civil Code 1181) On July 7, 1998 , before me, Cheryl Johnson , City Clerk, personally appeared ---Gil Jones - - - ,personally known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. (SEAL) WITNESS my hand and official seal. c City Clerk OPTIONAL Capacity Claimed by Signer Description of Attached Document Municipal Corporate Officer Mayor License Agreement/Malaspina NOA Title Title or Type of Document Signer is Representing Three City of San Juan Capistrano Number of Pages July7, 1998 Date of Document Malaspina HOA Signer(s)Other Than Named Above LICENSE AGREEMENT THE LAND REFERRED TO IN THIS AGREEMENT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF ORANGE, CITY OF SAN JUAN CAPISTRANO, AND IS FURTHER DESCRIBED AS: PORTION OF MALASPINA ROAD IN THE PUBLIC RIGHT-OF-WAY, AT THE BOUNDARY OF TRACT 9184, AND ALSO KNOWN AS LOT "E" OF TRACT 12954 (GRANT DEED DATED MAY 2, 1997). EXHIBIT "A" a- / 40 /` 40 \v NEW COX. \� ?RIGHT-OF-WAY LINE CURB llooe : \� AUTOMATIC SWING GATES /' LANE DIVISION ELEMENT i PAINTED STOP BAR , / GUEST/SERVICE / O.C.F.A. APPROVED PRONE ISLAND EMERGENCY OVERRIDE KEY a \` UNLET, .� Go IN v` NEW CONC. CURB \Z. \\,`` MpLBSP'N ROAD /_ IC} v \ �PUBL EXISTING ENTR]( WALL •�; :, � ° AND PILLAR (TYP. BOTH \.•i�\ T SIDES OF ROAD) EXISTING CONCRETE CtD2B d� Di PRIVATE ENTRY GATE IMPROVEMnS IN THE PUBLIC RIGHT-OF-WAY ICAI.ts �� a 2o" AvMovxo mY, °ATz.-ti-25-q-7 EXHIBIT "B" -aRDD07/17/2003 Y' r; M AC �/17 Y OwO3 PRODUCER THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ROBCO INSURANCE SERVICES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR License#0750612 RECEIVE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 27362 Calle Arroyo COMPANIES AFFORDING COVERAGE San Juan Capistrano,CA 92675 COMPANY IN] JUL 19 A A ne A NEW HAMPSHIRE INSURANCE CO. 7 INSU COMPANY ZALASPINA HOMEOWNERS t�SOCCIT Y CLERK B KEMPER INSURANCE COMPANY Malaspina Homeowners Assoc.I N JUAN CAPI AOOMPANY 26902 Pasco Cardero San Juan Capistrano, CA 92675 COMPANY I JEH D 777 777771"t1h , 1,,, , � " �''' I COVERAGES Wlih , THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POUCY NUMBER POLICY POLICY EXPIRATION LIMITS LTR DATE(MMMDVY) A GENERAL LIABILITY CDO1967497 02111103 02/11/04 GENERAL AGGREGATE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGO $ 2,000,000 CLAIMSMADEFX70CCUR PERSONAL&ADV INJURY $ 11000,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 11ONO 1000 FIRE DAMAGE(Any we fire) $ 50.000 MED EXP(Any onePerson) $ 5.000 A AUTOMOBILE LIABILITY ANY AUTO CDO1967497 02/11/03 02/11/04 COMBINED SINGLE LIMIT $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Perawident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT $ H AGGREGATE $ A EXCESS LIABILITY UL0793931 02/11/03 02/11/04 EACH OCCURRENCE $ 3,0002000 AlUMBRELLA FORM AGGREGATE -- $ 3,000,000 OTHER THAN UMBRELLA FORM . OT $ WORKERS COMPENSATION AND TOCRYLUIT-S I- EFj EMPLOYERS'LIABILMY EL EACH ACCIDENT $ THE PROPRIETORd INCL EL DISEASE-POLICY LIMIT $ PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ A OTHER PROPERTY COVERAGE CDO1967497 02tI1103 02111104 $10,000 ALL RISK REPL COMMON AREA ONLY COST$1,000 DED 90% COIN DESCRIPTION OF OPERATIONSLOCATIONSNENCLEWSPECLIAL ITEMS CERTIFICATE HOLDER IS ADDITIONAL INSURED RE:USE OF PORTION OF THE PUBLIC RIGHT-OF-WAY FOR THE PURPOSE OF CONSTRUCTING AND MAINTAINING A CALL BOX AND RELATED APPURTENANCES. ...... j1M1P1qjjj T7777— X l'oft 'JoAtollf "!'96400N 4#16wivi SHOULD MY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF SAN JUAN CAPISTRANO EXPIRATION DATE HEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAL OFFICE OF THE CITY CLERK 30 DAYS IN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, SAN JUAN CAPISTRANO,CA 92675 F MIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LABILITY 32400 PASEO ADELANTO BUT Fa UR "I OF MY 'lie UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZE I E ENTAME 9,5,0 FIR III M�- G , 4,1W=1 ACORD,25-S(11,11,0, QN1988 1le 0_0.INI Plli 4 - i s ti 1 I (dontinUatlOnS i,(. irr .'rti'':n. ru�lr 001058 JEH INSURED: MALASPINA HOMEOWNERS ASSOC. OTHER COVERAGES -(Continued): CO POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE DATE LIMITS B DIRECTORS AND 3DY005361 02/11/01 02/11/04 $1,000,000 LIMIT OFFICERS LIABILITY $1,000 DEDUCTIBLE DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS-(Continued): PROPERTY MANAGER IS INCLUDED AS NAMED INSURED ON COMMON AREA ONLY PROPERTY MANAGER IS ADDITIONAL INSURED ON D&O UMBRELLA IS EXCESS OVER COMMON AREA LIABILITY AND D&O POLICY NUMBER: CDO1967497 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON or ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: CITY OF SAN JUAN CAPISTRANO OFFICE OF THE CITY CLERK 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 , CERTIFICATE HOLDER IS ADDITIONAL INSURED RE: USE OF PORTION OF THE PUBLIC RIGHT-OF-WAY FOR THE PURPOSE OF CONSTRUCTING AND MAINTAINING A CALL BOX AND RELATED APPURTENANCES. (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 operations or premises owned by or rented to you. CG 20 26 11 85 Copyright, Insurance Service Office, Inc., 1984 AC_ ORD �1 � _ �I "�`:Ti 1 Iil i �(� !t'Ij,� ,i ti'j�' DATE wndY , 07/17/2003 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ROBCO INSURANCE SERVICES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE License#0750612 DER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Liven Calle 0612Arroyo R E C E I R THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE San Juan Capistrano,CA 92675 c0 &A U I�p�N,� 1003 JUL 19 5 NEW HAMPSHIRE INSURANCE CO. INSURED ANY MALASPINA HOMEOWNERS ASSOC. CITY CLERK BKEMPER INSURANCE COMPANY Malaspina Homeowners Assoc. SAN JUAN CAPqtgAu 26902 Paseo Cardero C San Juan Capistrano,CA 92675 COMPANY JEH D COVERAGES ;IIInIi.Ild" .,It'i11 Ini > IIIff1�r n,;ini .IC:{i,i, lu,.i4. .. ... THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, COPOUCYEFFECTIVE POUCYEXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMMD/YY) DATE(MMIDD/YY) LIMITS A GENERAL LIABILITY CDO1967497 02/11103 02111104 GENERAL AGGREGATE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGO $ 2000000 CLAIMS MADEFil OCCUR PERSONAL B ADV INJURY $ 1000000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1000 000 FIRE DAMAGE(Any me fire) $ 50,000 MED EXP(Any one person) $ 5,000 A AUTOMOBILE UABILITY ANY AUTO CDO1967497 02/11/03 02/11/04 COMBINED SINGLE LIMIT $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Par person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGELIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ A EXCESS LIABILITY UL0793931 02/11/03 02/11/04 EACH OCCURRENCE $ 3,000,000 X UMBRELLA FORM AGGREGATE $ 3, 00,000 OTHER THAN UMBRELLA FORM TRH $ WORKERS COMPENSATION AND WC IT E EMPLOYERS'LIABILITY T LIMIT EL EACH ACCIDENT $ THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ PARTNERS/EXECUTIVE OFFICERS ARE: R EXCL I I EL DISEASE-EA EMPLOYEE $ A OTHER PROPERTY COVERAGE CD01967497 02/11/03 02/1U04 $10,000 ALL RISK REPL COMMON AREA ONLY COST$1,000 DED 90%a COIN DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES,SPECIAL ITEMS CERTIFICATE HOLDER IS ADDITIONAL INSURED RE: USE OF PORTION OF THE PUBLIC RIGHT-OF-WAY FOR THE PURPOSE OF CONSTRUCTING AND MAINTAINING A CAL OX AND RELATED APPURTENANCES. CER ICXTE,HQLPER ., , "t1, I ",,,,. „ r . , ..: .an ax' , C. "fit... 4 ':..'` i1 YiiGrS�6u�` W `Rt4iPre�rilum SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF SAN JUAN CAPISTRANO EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL OFFICE OF THE CITY CLERK 30 DAYaTHE OTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 32400 PASEO ADELANTO BUT FAIL UCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY SAN JUAN CAPISTRANO,CA 92675 OF ANY KI COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED R ATIVE ACOF�t125� i. (1,RA) ' Ci�F!ltftlUcltl011$ • I:I i� la{.: ii�l,. . is' > ; I .. 001058 JEH INSURED: MALASPINA HOMEOWNERS ASSOC. OTHER COVERAGES -(Continued): CO POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE DATE LIMITS B DIRECTORS AND 3DY005361 02/11/01 02/11/04 $1,000,000 LIMIT OFFICERS LIABILITY $1,000 DEDUCTIBLE DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS- (Continued): PROPERTY MANAGER IS INCLUDED AS NAMED INSURED ON COMMON AREA ONLY PROPERTY MANAGER IS ADDITIONAL INSURED ON D&O UMBRELLA IS EXCESS OVER COMMON AREA LIABILITY AND D&O i (i��iP61 'dg1GGI�Ct iW iSNi 11 i it r'flt�i 1 Yi �"'.{� i III;q kik iii P7.5i�S�tii i 4i- �il�al{'t't i i.tiL i�i,,m 3bd,, . . POLICY NUMBER: CDO1967497 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON or ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: CITY OF SAN JUAN CAPISTRANO OFFICE OF THE CITY CLERK 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 CERTIFICATE HOLDER IS ADDITIONAL INSURED RE: USE OF PORTION OF THE PUBLIC RIGHT-OF-WAY FOR THE PURPOSE OF CONSTRUCTING AND MAINTAINING A CALL BOX AND RELATED APPURTENANCES. (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 operations or premises owned by or rented to you. CG 20 26 11 85 Copyright, Insurance Service Office, Inc., 1984 � A �A 32400 PASEO ADELANTO 11[OA161110 SAN JUAN CAPISTRAND, CA 92675 (�I61O I 1961 MEMBERS OF THE CITY COUNCIL (949) 493-1171 1776 - DIANE BATHGATE (949) 493-1053 (FAX) .JOHN S.GELFF 1V1V11'.sant#an Capistrano.org WYATT HART O AVID M DAVID M.SWERDLIN JRGESCARSOROUGH June 16, 2003 Malaspina Homeowner's Association 26902 Paseo Cardero 01 San Juan Capistrano, CA 92675 Attention: Elgin Chalayan, President Regarding: Compliance with Insurance truction and Maintaining Facilities ii In conjunction with the installation of a . .-jd, the Malaspina Homeowner Association was gi „1 LI1e public right-of-way to place a call box and related appurtenances. A license agreement was entered into between the Malaspina Homeowner's Association and the City of San Juan Capistrano City. It has come to my attention that the insurance indorsement form, required by the license agreement, expired and a new one has not been submitted to the City. The conditions of the agreement states that the Homeowner's Association would maintain in full force, during the term of the agreement, comprehensive general liability insurance and the City named as additional insured on the policy. The insurance certificate and endorsement is to be provided to the City proving that said insurance coverage is in place. The policy is to be kept current and on file in the City Clerk's office. 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 Dawn Schanderl, Deputy City Clerk, at 949 443-6310. t4e'y' Marcote Engineering Technician Engineering and Building Department cc: Dawn Schanderl, Deputy City Cleric apemaVnalaspuvn�mgbzeimwarice DR116 VSE IS San Juan Capistrano: Preserving the Past to Enhance the Future r' . �„a 32400 PASEO ADELANTO I/ iXXAX SAN JUAN CAPISTRANO, CA 92675 • (949) 493-1177 /tpppSXIX IA61 MEMBERS OF THE CITYCODNLIL (949) 493-1053 (FAX) 1776 DIANE L DATHGATE O JOHN S.GELFF tCly w.SQYIJ t(QNCQP IS(1'Qtt O.OYg MATTHART • ° JOE BOTO DAVID M.SWERDLIN CRY MANAGER GEORGESCARBOROUGH February 18, 2003 iYialaspina Homeowners Association 26802 Paseo Cardero San Juan Capistrano, California 92675 RE: Compliance with Insurance Requirements - Use of Portion of the Public Right-of Way for the purpose of constructing and maintaining a call box and related appurtenances. ^A The following insurance documents expired: General Liability Certificate 2/11/2003 V General Liability Endorsement naming the City of San Juan Capistrano as additional insured. 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 February 26, 2003. If you have any questions, please contact me at (949) 443-6310. n Sincerely', 9� } ��J `I 4 L I X L Schanderl Deputy City Clerk cc: William Huber, Director of Engineering & Building Irene Marcote, Engineering Technician ®RUG USE IS San Juan Capistrano: nese vine :2e aSi to Enhance ripe Future / NMI"; > ...n: ....: A.• .., .nf: 3 3 WM/DD/YY) a . T y n r� is < /r: 0 1�>3: � /' . . .. :.;, 3/07/2003 ,a�..a ✓,'ai,waavxc:a,3c'/e�e 9 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ROBCO INSURANCE SERVICES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE License#0750612 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 27362 Calle Arroyo COMPANIES AFFORDING COVERAGE San Juan Capistrano, CA 92675 COMPANY A NEW HAMPSHIRE INSURANCE CO. INSURED COMPANY MALASPINA HOMEOWNERS ASSOC. a KEMPER INSURANCE COMPANY Malaspina Homeowners Assoc. 26902 Paseo Cardero COMPANY C San Juan Capistrano,CA 92675 COMPANY LLP D °si$� a;l'r�ra ,,.. ' afi.'/'$ 3 r`r.sg v , eiai fo�i5 "my: , .,P�'i.�',kcG.t.�k�`.:.P/.:.4r2.�:<�ui'.S/acro'�� .r'�uua"�l.�r' ar.4.fr�L.rpu'�. THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION UMRS LTR DATE(MMOD/YY) DATE(MM/DD/YY) A GENERALLIABILMY GENERAL AGGREGATE $ _ 2,000.000 CD01896034 02/11/01 02/11/04 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOP AGG $ 2000000 CLAIMS MADE Fx_�OCCUR PERSONALS ADV INJURY_ S _ 1,000,000 _ OWNER'S S CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(Artywe fire) $ __50,000 MED EXP(A w Pelson) i S 5.000 A AUTOMOBILE LIABILITY ANY AUTO CD01896034 02/11/01 02/11/04 COMBINED SINGLE LIMIT $ 1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Pe,son) $ X HIRED AUTOS BODILY INJURY X NONOWNEDAUTOS (PeramderO $ PROPERTY DAMAGE $ I AGE LIABILITY AUTOONLY EAACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ ` AGGREGATE $ B MEXCESS LIABILITY 7SGI33629 02/11/01 02/11/04 EACH OCCURRENCE $ 3 000 000 UMBRELLA FORM AGGREGATE $ 3,000,000 _ OTHER THAN UMBRELLA FORM $ YORKERS COMPENSATION AND RYI M - OTH W� .. .a.. EMPLOYERS'LIABILITY I EL EACH AO ENT $ THE PROPRIETORI INCL EL 6ISEASB5*OUCY Ury $ PARTNERS/EXECUTIVE -----OFFICERS ARE. EXO_ ELDISEA MPLO E $ A OTHER D'— PROPERTY COVERAGE CDO1896034 02/11/01 02/11/04 S10,00aA4 RISA RE10 COMMON AREA ONLY COSTVM0 De 90%FMIN r- '9 rT I DESCRIPTION OFOPEMTONS/LOCATIDNSIVENICLES/SPECIAL ITEMS SIS rn RE:USE OF PORTION OF THE PUBLIC RIGHT-OF-WAY FOR THE PURPOSE OF n CONSTRUCTING AND MAINTAINING A CALL BOX AND RELATED APPURTENANCES z W PROPERTY MANAGER IS INCLUDED AS NAMED INSURED ON COMMON AREA ONLY La SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY FO SAN JUAN CAPISTRANO EXPIRATON DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MNL ATTN: CITY CLERK'S OFFICE 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 32400 PASEO ADELANTO BUT FAILUR L SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY SAN JUAN CAPISTRANO,CA 92675 OF ON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. fAUT E NT VE . . $ o ,=70/r1'�+;i .r..'`:�.':.Y: Ri.' �."r'yry 3:.�r'ra,.::.t)••::r..,r:,../ 7.>: /r v 'SrTri.'G.^; vi Vii,. ::::?a�;rir..:iii-vv.,r,: .t''�,'�' cfiv. r.. .i$✓3'r.. /§'$t�.r,�!^j` r r.�e/IE.S�3:/r:':.. rI/.,.$Tri!!':i:,.',� :,: NEE INSURED: MALASPINA HOMEOWNERS ASSOC. OTHER COVERAGES- (Continued): CO POLICY EFFECTIVE POLICY EXPIRATION LTR TYPEOF INSURANCE POLICY NUMBER DATE DATE LIMITS B DIRECTORS AND 3DY005361 02/11/01 02/11/04 $1000,000 LIMIT OFFICERS LIABILITY $1:000 DEDUCTIBLE ............ ...... ................ ............................................ ....................... .................... DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS -(Continued): PROPERTY MANAGER IS ADDITIONAL INSURED ON D&O UMBRELLA IS EXCESS OVER COMMON AREA LIABILITY AND D&O g • ,, Joao • 32400 PASED ADELANTO 1ptl ApppR1 SAN JUAN CAPISTRANO, CA 92675 (848) 493.1171 R1110f111 �96� MEMBERS OF THECIVCOUNCIL (949) 493-1053 (FAX) 1776 DIANE I.GELBATFF TE MATTJOHN ART IVII'U'.SgNJQQYICq�J(S(YgtlO.OYg MATT HART • • JOESOTO DAVID M.SWERDLIN CITY MANAGER GEORGESCARWROUGM February 18, 2003 Malaspina Homeowners Association 26802 Paseo Cardero San Juan Capistrano, California 92675 RE: Compliance with Insurance Requirements - Use of Portion of the Public Right-of Way for the purpose of constructing and maintaining a call box and related appurtenances. The following insurance documents expired: l V General Liability Certificate 2/11/2003( i General Liability Endorsement naming the City of San Juan Capistrano as additional insured. 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 February 26, 2003. If you have any questions, please contact me at (949) 443-6310. Sincerely, Schanderl Deputy City Clerk cc: William Huber, Director of Engineering & Building Irene Marcote, Engineering Technician aauc use is San Juan Capistrano: Preserving the Past to Enhance the Future 03/07/03 11: 10 NO-765 UO2 �\/�i�A/� • NEW .:N Ii'li�ti: 'i. 03/07/2003 i.A ". 'A,� iROR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ROHCO INSURANCE SERVICES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ' Lieeme#0750612 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 27362 Calle Arroyo ALTER THE COVERAGE AFFORDED BY THF POLICIES BELOW. 3o COMPANIES AFFORDING COVERAGE Salt Juan Captsfruno, CA 92675 T COMPANY A NEW HAMPSHIRE INSURANCE CO. NSUNEp COMPANY -- MALASPINA HOMEOWNERS ASSOC. 0 KEMPER INSURANCE COMPANY Malaspina Homeowners Assoc. 26902 Palm Cardero COMPANY \ �( 1 pU C s�o (�C D!� San Juan Capistrano,CA 92675 D YV/I1f1�4/ 1 1U/ --- COMPANY ` ,, 1 /�)�y��q I LLP D -yV - X.Ebd«+l :iL ... ......THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW RAVE BEEN ISSUED TO THF INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMFNT 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, IXCI USIONI3 AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. DO TYPE OF INSMMNCF POLICY NUMBER POL{CYETFECTIVE POUCYEAFMATOUN UNITS LTA OATS DWAJOMPI DATP IMMNOMYI A OFNERALuANAm CDO1896034 02!11!01 02111/04 GENEquADGHmATE _ s 0000 0, X OOAAIERCUL GENERAL LIABILITY PRODUCTS COMPOP AGO i 1808,800 CLAIMS WIDE ®OCCUR PERSONAL L ADV INJURY S 3-QOy,QQQ ` OWNER'66 CONTgACTOR'BPROT IaDH a(Y:URRENCE 7 1.88�8II,8n181811_ FIRE DAMAGE ono LNl $ _$Q,�OQ_ _ �—f MED EYPA aw XIMWO Is 1000 A AUTDMOONLlL ANLL TY COMBINED DINGLE LIMIT 6 ],000,QQQ ANY AUTO CDO1896034 02/11/01 'I 02/11/04 ALL OWNED AUTOS BODILY INJURY SCHFDULFDAUTOG (PA,mr,m) i X HIREDAUTO6 BODILYINJURY X MONOWNLDAUTOS (PA,.WoHl i PROPERTY DAMAGE S GARAGE LADNRY AUTO ONLY.LA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT 3 AOOREGATE 6 R EXCESS UABNmF 750133629 02/11/01 011104 EACH OCCURRENCE 6 3 000 888 X UMBRELLA FORM AODREOATE 6 3,000,000 OTHER THAN UMRRPUA FORM i WORMERS COMPENSATION AMD BTA EMPLOYERS'LMBLITY EL EACH ACCIDENT S, , THE PROPRIETOR, INCL " EL DIBEASE.POLICY LIMIT i PARTNERSIEXEC{ITNF OFFICERS ARE: EXCL EL DISEASE-EA UAPIDYEE S A OTHER PROPERTY COVERAGE CD01896034 02/11/01 02111/04 $10.000 ALL RISK REM COMMON AREA ONLY COST$1,000 DED gc%COIN GESCRIPDDN OF OPERATIOMNLOCATIOMLVEHICLP66 PECIAL ITEMS RE:USE OF PORTION OF THE PUBLIC RIGHT-OF-WAY FOR THE PURPOSE OF CONSTRUCTING AND MAINTAINING A CALL BOX AND RELATED APPURTENANCES PROPERTY MANAGER IS INCLUDED AS NAMED INSURED ON COMMON AREA ONLY wie53R4eAaaul+« b1„s,,.MYI,aw' •.>,Awx.TA�..I...�.�,::,,.,..«,.': .. .i:.�.'.;�� i dYS ;, , f0 RR• �1�- � ..� � �I SIIOUTD ANY OF THE ABOVE DESCRIBED POU:IES SE CANCELLED BEFORE THE CITY FO SAN JUAN CAPI9MANO ENPWATIOM DATE TIIERPOF. THE USUMJ0 COMPANY WILL ENDEAVOR TO MNL ATM:CITY CLERKS OFFICE 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. 32ADO PASEO ADELANTO BUT FA6.0 L SUCH NOTICE BNALL IMPOSE NO ORUGATAM OR LIABILRY SAN JUAN CAPISTRANO,CA 92675 OF N TME COMPANY. ITS AGENTS OR AEPAES[NUTINCS. AU 6 Ni E �.v......r r+rue,wa,�+mnm'mann,wwwmm:MYlw9xltpMS��YM. .i :f}:TeHTM�RYN :,9Tl.Y,I,.T,ATT.IT.iK:IA'S}u'"..A:CwTwT. YM�I�L��S•�it^XiIK}'. N0.365 UO3 r INSURED: MALASPINA HOMEOWNERS ASSOC. OTHER COVERAGES - (Continued): CO POLICY EFFECTIVE POLICY WIRATION LTR TYPEDF?F4MJRAA'LE POLICY HUMBER DATE CAW IIMRe B DIRECTORS AND 3DY065361 02/11/01 02/11/04 $[.006.600 LIMIT OFFICERS LIABILITY $1,000 DEDUCTIBLE 1 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/SPECIAL.ITEMS-(Continued): PROPERTY MANAGER IS ADDITIONAL INSURED ON D&O UMBRELLA IS EXCESS OVER COMMON AREA LIABILITY AND D&O ri i i �7 i' _ i- i- x f. L 03r07iO3 11: 18 N0.365 D01 32400 PA5L0 AneuwNTO // Re to SAN JuwN C1Ap154X4N0, GA 92675 TA., ,11111 1 r,6r MfNOCR30F TME cI*r COURCa (949) 493-1171 rrrc (949) 493.1053 (FAX) JOHNS LYE RR GELFF Irlru gpnj vernCnpisu'unu O/S MATT MART i JOE SOip OAV O4Vi0 IN Sw[ROUN CINMANAGER GEORGE SCARROROUGN February 18, 2003 Malasptha—Fi eowners ssoc(a (onj T— �, 26802 Paseo Cardero J San Juan Capistrano, California 92675 RE: Compliance with Insurance Reguirements - Use of Portion of the Public Right-of Way for the purpose of constructing and maintaining a call box and related appurtenances. The following insurance documents expired: 1 General Liability Certificate 211112003 Y General Liability Endorsement naming the City of San Juan Capistrano as additional insured. 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 February 26, 2003. If you have any questions, please contact me at (949) 443-6310. n Sincerely, `Il�aw��der�LQ/�i Deputy City Clerk CC William Huber, Director of Engineering & Building Irene Marcote, Engineering Technician aluo usE a rhe- Future DAM(M 041187020"Oly) MINI f. PRODUCER RROEIVED THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ROBCO INSURANCE SERVIICTS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR License#0750612 APR ZU 2 16 PN '0 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 27362 Calle Arroyo COMPANIES AFFORDING COVERAGE San Juan Capistrano, CA 926757,11 Y CL; RK COMPANY DEPAR 1 piENT A NEW HAMPSHIRE INSURANCE CO. C.;;y OF 160i — INSURED JUANI If, Sfl)lh' ) COMPANY MALASPINA HOMEOWNERS 'SS66.­ B KEMPER INSURANCE COMPANY Malaspina Homeowners Assoc. COMPANY 26902 Pasco Cardero C San Juan Capistrano,CA 92675 COMPANY LLP pg gg THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 00 TYPE OF INSURANE POLICY NUMBER COPOLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MMMONY) DATE(MM/DD/YY) A GENERAL LIABILITY CD01896034 02/11/01 02/11/02 GENERAL AGGREGATE $ 2,000,000 COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP ADS $ 2,000,000 CLAIMS MADE rx]OCCUR PERSONAL&ADV INJURY 3 1,000,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE one fim) $ 50,000 MED EXP(AM one M=10 $ 5,900 A AUTOMOBILE LIABILITY ANY AUTO CDO1896034 (12/11/01 02/11/02 COMBINED SINGLE LIMIT $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Pe,P .) -y HIRED AUTOS BODILY INJURY NON-OWNEDAUTOS (Pe,..idallft) PROPERTY DAMAGE $ GAR[X-- AGE LIABILITY AUTO ONLY�EA ACCIDENT It ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE S B EXCESS LIABILITY BINDER#1058 62/11/01 02/11/02 EACH OCCURRENCE $ 3,000,000 EACH UMBRELLAFORM AGGREGATE $ 3,000,000 OTHER THAN UMBRELLA FORM i i $ FT H WC WORKERS COMPENSATION AND —7TORSTATU 7YLIMITS 7 -R EMPLOYERS'LIABILITY EL EACH ACCIDENT S THE PROPRIETOR/ INCL EL DISEASE.POLICY LIMIT $ PARTNERS/EXECUTIVE _OFFICERS ARE EXCL EL DISEASE-EA EMPLOYEE $ B OTHER DIRECTORS AND BINDER#1058 (1:2/11/01 02111/02 $1,000,000 LIMIT OFFICERS LIABILITY $1.000 DEDUCTIBLE DESCRIPTION OF OPEMTIONSILOCAnONSfVEHICLEMPECLAL ITEMS CERTIFICATE HOLDER IS ADDITIONAL INSURED RE:USE OF PORTION OF THE PUBLIC RIGHT-OF-WAY FOR THE PURPOSE OF CONSTRUCTING AND MAINTAINING A CALL BOX AND RELATED APPURTENANCES. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF SAN JUAN CAPlS`rRAN0 EXPIRATION DATE ERE F. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ' OFFICE OF THE CITY CLERK 30 DAYS OTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. 32400 PASEO ADELANTO BUT FAILUR O 0 SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY SAN JUAN CAPISIRANO,CA 92675 OF MY IND P4 THE COMPANY, ITS AGENTS OR REPRESENTATIVES. THORIZED EP ATI P,grgm a- N:1 MOWN" 16 v v:? M1 4� ,G> .a.. ..d.d... Y.Ji 9 „d.. h hr: "aN:o ig:r.,r`?ha.aS,r•.,'ho;'iyi,.'..n.$.<�v. e q �4 $"3...,�r ' � a?a � �✓�o� � o i d '' .n R 3✓ i,.3§''%d', h,% s3'y; 3t$a '/dii..,g3g'..:.fiz+v: .'' +f(f d s 3 3 f> : 3 a 001058 LLP INSURED: MALASPINA HOMEOWNERS ASSOC. OTHER COVERAGES - (Continued): (p POLICY EFFECTIVE POLICY EXPIRATION lTR TYPE OF INSURANCE POLICY NUMBER DATE DATE LIMITS A PROPERTY COVERAGE CDO1896034 02/11/01 02/11/02 $10,000 ALL RISK REPL COMMON AREA ONLY COST$1,000 DED 90% COIN DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS- (Continued): UMBRELLA IS EXCESS OVER COMMON AREA LIABILP7& D&O LIABILITY 4i lI POLICY NUMBER: CDO1896034 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON or ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: CITY OF SAN JUAN CAPISTRANO OFFICE OF THE CITY CLERK 32400 PASEO ADELANTO SAN JUAN CAPISTRANO,CA 92675 , CERTIFICATE HOLDER IS ADDITIONAL INSURED RE: USE OF PORTION OF THE PUBLIC RIGHT-OF-WAY FOR THE PURPOSE OF CONSTRUCTING AND MAINTAINING A CALL BOX AND RELATED APPURTENANCES. (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 operations or premises owned by or rented to you. 1, { CG 20 26 11 85 Copyright, Insurance Service Office, Inc., 1984 AOL DATE(M ) 04/06/2000 PRooucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ROBCO INSURANCE SERVICES ONLY AND ERS NO RIGHTS UPON THE CERTIFICATE License#0750612 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE RAGE AFFORDED BY THE POLICIES BELOW. 27362 Calie Arroyo COMPANIES AFFORDING COVERAGE San Juan Capistrano, CA 9267.5 COMPANv A RELIANCE INSURANCE COMPAWY INSURED COMPANY MALASPINA HOMEOWNERS ASSOC. B CHUBB/FEDERALIN C2 CO Malaspina Homeowners Assoc. MPANY f" 26902 Pasco Cardero C C"� 01 San Juan Capistrano, CA 92675 rn �COMPANY DDC; D 41111 in .. ........ ........ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE ICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT4=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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIL)CLAIMS. COOLICY EFFECTIVE ICY EXPIRATION TYPE OF INSURANCE POLICY DATE(MM/OD/VY) TE(MM/DD/Y LIMITS LTR DITlyvr FPOILI Y) A GENERAL LIABILITY JK2846021 02/11/98 02/11/03 GENERAL AGGREGATE i$ 2.000.000 1 MMERCiAL GENERAL LIABILITY PRODUCTS-COMPiOP AGG _$ 1000 000 CLAIMS MADE OOCCUR PERSONAL&ADViNJURY S 1 000-000 OWNER'S&CONTRACTOR'S PROT' EACH OCCURRENCE — —txocow $ 1�000 000 I MED EXP(Any one Person) $ 5,000 A AUTOMOBILE LIABILITY ANY AU70 JK2846021 02111198 02111103 COMBINED SINGLE LIMIT $ 1,000,000 ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON OWNED AUTOS (P OWNED PROPERTY DAMAGE S GARAGE LIA81UTY ALTO ONLY EA ACCIDENT ANY AUTO P, THFR THAN AUTO ONLY EACHACCIDENT $F AGGREGATE 9 B EXCESS LIABILITY 79412900 02/11/98 02111101 EACH OCCURRENCE S X : UMBRELLAPORM AGGREGATE S .3,000,000 OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND WC EMPLOYERS'LIABILITY Toa EL EACH ACCIDENT $ THE PROPRIETOR INCL EL DISEASE-POLICY POLICY LIMIT 1 $ PA NERS)FXECLITIVE I ---- - — — , ---- — OF ICERSARE EXCL EL DISEASE EA EMPLOYEEi $ B OTHER DIRECTORS AND 81152746 07/15/99 07/15/00 $1,000,000 LIMIT OFFICERS LIABILITY $1,000 DEDUCTIBLE: DESCRIPTK)PI OF OPERATIONS(LOCATIONSIYEHICLESISPECIAL ITEMS CERTIFICATE HOLDER IS ADDITIONAL INSURED RE: USE OF PORTION OF THE PUBLIC RIGHT-OF-WAY FOR THE PURPOSE OF CONSTRUCTING AND MAINTAINING A CALL BOX AND RELATED APPURTENANCES. Rf *.60* 0". SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF SAN JUAN CAPISTRANO EXPIRATION DATE THEREOF, THE I LING COMPANY WILL ENDEAVOR TO MAIL OFFICEOF THE CITY CLERK 30 DAYS WRITTEN NOTICE TCERTIFICATE HOLDER NAMED TO THE LEFT, 32400 PASEO ADELANTO BUT FAILURE ALL IMPOSE NO OBLIGATION OR LIABILITY SAN JUAN CAPISTRANO,CA 92675 Of ANY K MY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACatiq 25 8 t?85} �;x E.. ....... ............... ....... IFICATTE:i!: TT 001058 DDC INSURED: MALASPINA HOMEOWNERS ASSOC. OTHER COVERAGES - (Continued): CO POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE DATE LIMITS A PROPERTY COVERAGE JK2846021 02/11/98 02/11/03 $10,000 ALL RISK,REPL COMMON AREA ONLY COST,$1,000 DED 90% COIN DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS - (Continued): UMBRELLA IS EXCESS OVER COMMON AREA LIABILITY & D&O LIABILITY Y M • • Y POLICY NUMBER. JK2846021 COMMERCIAL GENERAL LIABILITY ' THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON or ORGANIZATION This endorsement modifies insurance provided under the following. COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization. CITY OF SAN JUAN CAPISTRANO OFFICE OF THE CITY CLERK 32400PASEO ADELANTO SAN JUAN CAPISTRANO,CA 92675 CERTIFICATE HOLDER IS ADDITIONAL INSURED RE: USE OF PORTION OF THE PUBLIC RIGHT-OF-WAY FOR THE PURPOSE OF CONSTRUCTING AND MAINTAINING A CALL BOX AND RELATED APPURTENANCES. (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 operations or premises owned by or rented to you. CG 20 26 11 85 Copyright, Insurance Service Office, Inc., 1984 Dawn Schanderl From Irene Marcote Sent: Thursday, April 06, 2000 10:55 AM To: Dawn Schanderl Subject: RE: Malaspina HOA I call the Association representative and he was going to check on it and get back to me. I just called again (thanks for reminding me) and should get an answer to you soon. thanks . . .im -----Original Message----- From: Dawn Schanderl Sent: Thursday,April 06, 2000 9:02 AM To: Irene Marcote Subject: Malaspina HOA Any luck with the insurance? I I A AOA DATE WWDWYY) U2/lU/99 PROOLVER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ROBCO INSURANCE SERVICES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR License#0750612 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 27362 Calle Arroyo COMPANIES AFFORDING COVERAG TI San Juan Capistrano,CA 92675 COMPANY A RELIANCE INSURANCE COMPANX INSURED COMPANY m MALASPINA HOMEOWNERS ASSOC. B CHUBB/FEDERAL INS.CO. Iv Malaspina Homeowners Assoc. COMPANY 26902 Paseo Cardero C San Juan Capistrano,CA 92675 Z:COMPANY mono JEH D ki THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION UNITS LTR DATE(MIUDDIM DATE DIMND/YY) A OENERALLIAmLm GENERALAGGRErATE d 00 JK2846021 02/11/98 02/11/00 J( COMMERgA1 GENERAL LIABILITY PRODUCTS-COMPlDP AGO $ 1.000,000 aAIMS MADE ®OCCUR PERSONAL&ADV INJURY $ 1,000,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE S 1.000,000 RRE DAMAGE "Am) $ 50,000 MED EXP arm wroW ! 5,000 A AUTOMOBILE LMUIIIURY ANY AUTO JK2846021 02/11/98 02/11/00 COMBINED SINGLE LIMIT d 11000,000 ALL OWNGDAUTOS BODILY INJURY SCHEDULED AUTOS (Per PPmon) S X HIRED AUTOS BODILY INJURY X NON-aWNEDAUTOS (Per=W" PROPERTY DAMAGE S GARAGE I.NBKRY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: '$6?EP;$`$6�.'."a. .�a?y EACH ACCIDENT $ AGGREGATE S B imuOSSUABLITY 79412900 O?Jll/98 01J11/00 EACH OCCURRENCE d 3,000,000 X UMBRELLA FORM AGGREGATE S 3,000,000 OTHER THAN UMBREUA FORM d WORKERSCOMPENMTIOMANDWCSTLIM ATU- OTH- EYPLOYERrLNBLITY EL EACH ACCIDENT d THE PROPRIETORU INCL ELDIBEASE-PCUCYUMIT $ PARTNERSID(ECUTNE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE I S B DE IRECTORS AND 81152746 07/15/89 07/15/99 $1,000,000 LIMIT OFFICERS LIABILITY $1000 DEDUCTIBLE DESCRIPTION OFOPERATONMACATION&NEHICLENSPECML ITEMS CERTIFICATE HOLDER IS ADDITIONAL INSURED RE:USE OF PORTION OF THE PUBLIC RIGHT-OF-WAY FOR THE PURPOSE OF CONSTRUCTING AND MAINTAINING A CALL BOX AND RELATED APPURTENANCES. SHOULD ANY OF THE MOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CI Y OF SAN JUAN CAPISTRANO EXPSIATON DATE THE ISWNIG COMPANY NpJ ENDEAVOR TO MAIL OFFICE OF THE CITY CLERK 3GL 32400 PASEO ADELANTO �LIL DAYS TOE TO THE CFATFICATE HOLDER HAYED TO THE LEFT, SAN JUAN CAPISIRANO,CA 92675 elrr FAILURE SUCH NOME SHALL RTPOSE NO OBLIGATION oR UABI ITY OF MY K THE COMPANY ITS AGENTS OR REPRESENTATIVES. AUTHORIZED NTATIVE 001058 JEH INSURED: MALASPINA HOMEOWNERS ASSOC. OTHER COVERAGES-(Continued): CO POLICY EFFECTIVE POLICY EXPIRATION LTR TYPEOFINSURANCE POLICY NUMBER DATE DATE LIMITS A PROPERTY COVERAGE JK28"021 02/11/98 02/11/00 $10,000 ALL RISK,REPL COMMON AREA ONLY COST,$1,000 DED 90% COIN DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS-(Continued): UMBRELLA IS EXCESS OVER COMMON AREA LIABILITY&D&O LIABILITY • 32400 PASEO ADELANYO I � Q Q MEMBERS OF THE CITY COUNCIL SAN JUAN CAPISTRANO,CA 92675 LK.,1 LWl JONGECAMPBELL OHN REINER (949)493-1171 �j ....unir WATT HART (949)493-1053(FAX) ' muuuu 1961 GILJONES 1776 DAVID M.SWERDLIN CITY MANAGER GEORGE SCARBOROUGH January 18, 1999 ' Malaspina Homeowners Association 26902 Paseo Cardero San Juan Capistrano, California 92675 Re: Renewal of General Liability Certificate of Insurance (License Agreement-Use of Portion of the Public Right-of-Way for the Purpose of Constructing and Maintaining a Call Box and Related Appurtenances) Gentlemen: The General LiabilityCertificate of Insurance regarding the above-referenced License Agreement, S 6 6 > is due to expire on February 11, 1999. In accordance with your agreement,the insurance certificate needs to be renewed for an additional period of one year. The agreement requires a general liability endorsement to naming the City of San Juan Capistrano as an additional insured. I have included a City approved endorsement form to submit to your insurance company; however,your insurance company may provide their own endorsement form. Please forward the updated certificate and the endorsement form to the City, attention City Clerk's office, by February 11, 1999. If you have any questions, please contact me at(949) 443-6310. Thank you for your cooperation. Very truly yours, IXSP. � Dawn M. Schanderl Deputy City Clerk Enclosure cc: Cheryl Johnson, City Clerk Irene Marcote, Engineering Technician DRUG USE is pB San Juan Capistrano: Preserving the Past to Enhance the Future ISSUE DATE IMMIDDNY) 07/02/98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE ROBCO INSURANCE SERVICES DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE License#0750612 POLICIES BELOW, 27362 Calle Arroyo COMPANIES AFFORDING COVERAGE San Juan Capistrano,CA 92675 COMPANY A RELIANCE INSURANCE COMPANY LETTER INSURED L CETTEROmPEmR ` B CHUBWFEDERAL INS.CO. r COMPANY G. MALASPINA HOMEOWNERS ASSOC. LETTER rn Malaspina Homeowners Assoc. 26902 Paseo Cardero COMPANYn o D f m San Juan Capistrano,CA 92675 COMPANY E JEH LETTER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOIWITHSTANDING 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. C R TYPE OF NSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MAIDDYY) DATE(MMOY" GENERAL UABILIP/ GENERAL AGGREGATE S 2,000,000 J( COMMERCIAL GENERAL LIABILITY PRODUCTS OOMPIOP AGO. $ 1,000,000 A CLAIMSMADEFX�OCCUR. JK2846021 02/11/98 07/11/99 PERSONAL sADV.INJURY a 1,000,000 OWNER'S &CONTRACTORS PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE WW"fln) $ 50,000 MED.EXPENSE Wry oro pww $ 5,000 AUTOMOBILE LABILITY LIMITED SINGLE $ 1,000,000 ANY AUTO ALL OWNED AUTOS BODILY INJURY $ A SCHEDULED AUTOS JK2846021 02/11/98 02/11/99 Pwpe o X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Perms klw* $ GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILDY EACH OCCURRENCE i 3,000,000 B X UMBRELLA 79412900 02/11/98 02/11/99 AGGREGATE t 3,000,000 OTHER THAN UMBRELLA FORM .:`..<<'r.7.:$g. ¢?.:d:..:�+t :.'OP.IQR'S CC.L'PI'i l.^iATID;I STATUTORY LIMITSp.F:;':5``:6¢,".',ym'g.f$' .ki;`? EACH ACCIDENT $ c AND DISEASE—POLICY LIMIT S EMPLOYERS' LUINLITY DISEASE—EACH EMPLOYEE $ OTHER B DIRECTORS AND 81152746 07/15/89 07/15/99 $1,000,000 LIMIT OFFICERS LIABBdTY $1000 DEDUCTIBLE DESCRIPTION OF OPSRATIONSA.00ATIONSIVETNCLE&SPECIAL ITEMS CERTIFICATE HOLDER IS ADDITIONAL INSURED RE:USE OF PORTION OF THE PUBLIC RIGHT-OF-WAY FOR THE PURPOSE OF CONSTRUCTING AND MAINTAINING A CALL BOX AND RELATED APPURTENANCES. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF SAN JUAN CAPISTRANO EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO OFFICE OF THE CITY CLERK MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 32400 PASEO ADELANTO LEFT, BUT FAILU TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR SAN JUAN CAPISTRANO,CA., 92675 LIABILITY OF NO UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AU7140RI2m ATVE 001058 1W 001058 JEH INSURED: MALASPINA HOMEOWNERS ASSOC. OTHER COVERAGES,(Continued): CO POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE DATE LlMrrB A PROPERTY COVERAGE JK2946021 02/11/98 02/11/99 $10,000 ALL RISK,REPL COMMON AREA ONLY COST,$1,000 BED 90%COIN DESCRIPTION OF OPERATIONS/LOCATIONStVEHICLESISPECIAL ITEMS-(Continued): UMBRELLA IS EXCESS OVER COMMON AREA LIABILITY&D&O LIABILITY J 1 • • POLICY NUMBER: JK2846021 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON or ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: CITY OF SAN JUAN CAPISTRANO OFFICE OF THE CITY CLERK 32400PASEO ADELANTO SAN JUAN CAPISTRANO,CA.,92675 CERTIFICATE HOLDER IS ADDITIONAL INSURED RE: USE OF PORTION OF THE PUBLIC RIGHT-OF-WAY FOR THE PURPOSE OF CONSTRUCTING AND MAINTAINING A CALL BOX AND RELATED APPURTENANCES. (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 operations or premises owned by or rented to you. CG 20 2611 85 Copyright, Insurance Service Office, Inc., 1984 8. APPROVAL OF LICENSE AGREEMENT FOR IMPROVEMENTS IN THE PUBLIC RIGHT-OF-WAY RELATING TO ENTRY GATE ON MALASPINA ROAD(TRACT 9184,MALASPINA HOMEOWNERS ASSOCIATION)(600.30) As set forth in the Report dated July 7, 1998 from the Director of Engineering and Building, the Mayor and City Clerk were authorized to execute the License Agreement between the Malaspina Homeowners Association and the City for installation of an entry gate and related facilities on the public portion of Malaspina Road. The City Clerk was authorized to forward the Agreement to the Orange County Recorder for Recordation. XAAL OF AGREEMENT FOR SLOPE DISPLACEMENT WARRANTY -TRACTS 13866 AND 13437(TAYLOR WOODROW HOMES AND GTON SAN JUAN HILLS L.P. 600.30h in the Report dated July 7, 1998 from the Director of Engineering and Building, ent Establishing Slope Displacement Warranty Program" for Tracts 13866 and roved and the City Clerk was authorized to forward the Agreement to the unty ecorder for recordation. OF DESI SERVICES CONTRACT SAN JUAN CAPISTRANO TRAFFIC MODEL A TIN-FOUST ASSOCIATES INC. CIP NO. 127 6�) As set forth in the Report dated Jul 1998 from the Director of Engineering and Building, the Agreement to develop the San Juan apistrano Traffic Model was approved with Austin- Foust Associates, Inc. in the amount of 600. 11. APPROVAL OF AMENDED FINAL MAP SUBDIVISION IMPROVEMENT AGREEMENT TRACT 14379 PEPPERW D ESTATES SAN JUAN ENCLAVE. LLC) (600.30) Asset forth in the Report dated July 7, 1998 from the Direc r of Engineering and Building, the Amended Final Map and Subdivision Improvemen Agreement, Tract 14379, Pepperwood Estates was approved and the City Engineer and Ci Clerk were authorized to execute the Amended Final Map. The Mayor and City Clerk were thorized to execute the Amended Subdivision Improvement Agreement and accept the co sponding securities. The City Clerk was directed to forward the Amended Map and Am ded Subdivision Improvement Agreement to the County Recorder for recordation. 12. ADOPTION OF RESOLUTION SETTING A DATE AND TIME FOR A PU IC HEARING REGARDING SALE OF A PORTION OF THE HELICOPTER HI PARK SITE (WITT) (670.70) As set forth in the Report dated July 7, 1998 from the Director of Engineering and Buil g, the following Resolution setting a Public Hearing for August 4, 1998,regarding the propos City Council Minutes -5- 7/7/98 AGENDA ITEM July 7, 1998 TO: George Scarborough, City Manager FROM: William M. Huber, Director of Engineering&Building SUBJECT: Consideration of License Agreement for Improvements in the Public Right-of-way Relating to Entry Gate on Malaspina Road (Tract 9184, Malaspina Homeowners Association) RECOMMENDATION By motion, authorize the Mayor and City Clerk to execute the License Agreement between the Malaspina Homeowners Association and the City, and authorize the City Clerk to forward the Agreement to the Orange County Recorder for Recordation. STUATION A. Applicant - Malaspina Homeowner's Association Mr. Robert Foresman -HOA Representative 26902 Paseo Cardero San Juan Capistrano B. Summary and Recommendation The License Agreement is to implement the conceptual entry gate design approved by the City Council at their meeting of May 19, 1998. Improvements include constructing a call box island and related facilities and extending the existing turn-around at the easterly terminus of the public portion of Malaspina Road. See Exhibit "A". Staff has reviewed the entry design plans and believes the placement,use and maintenance of the private improvements in the public right-of-way is appropriate with the execution of the License agreement and recommends the City Council authorize the Mayor and City Clerk to execute the License Agreement. -I- FOR CITY COUNCIL AC_. C. Background Tract 9184 is a well-defined neighborhood taking access off Malaspina Road, a public street up the tract boundary. East of the tract boundary, Malaspina Road is private. See Exhibit "B". At the City Council meeting of May 19, 1998, the Malaspina Homeowner's Association presented, for City Council consideration, their application for a gate-guarded neighborhood. The City Council approved their application and approved the conceptual design for the entry gate on Malaspina Road. To provide a proper turn-around radius before the entry gates, considerable reconstruction of existing slopes on either side of the private portion of Malaspina would have to be completed. It has been determined that a license agreement between the Malaspina Homeowner's Association and the City to place part of the entry gate improvements (specifically the call box island) in the public portion of Malaspina Road is appropriate and will not affect the health, safety and welfare of the public. The Licensee shall be required to obtain all necessary construction and encroachment permits before installation of improvements. The License Agreement includes a comprehensive indemnification section that holds the City harmless during the construction of the improvements and provides for ongoing maintenance of the call box island and related facilities in the public right-of-way. This License Agreement also retains the City's and all public utilities' rights to access and maintain their infrastructure and facilities located beneath said private improvements. The burden of any repairs and maintenance to the private improvements is placed on the homeowners' association of Tract 9184 as Successor in Interest to the License Agreement. FINANCIAL CONSIDERATIONS All recording costs will be paid by the Applicant. A deposit was submitted to the Engineering Division to defray the processing costs. NOTIFICATION The Malaspina Homeowner's Association and all property owners in Tract 9184. ALTERNATE ACTIONS 1. By motion, authorize the Mayor and City Clerk to execute said Agreement and authorize the City Clerk to forward the Agreement to the Orange County Recorder for Recordation. 2. Do not authorize the Mayor and City Clerk to execute said Agreement. 3. Refer to Staff for additional information. -2- • s RECOMMENDATION By motion, authorize the Mayor and City Clerk to execute the License Agreement between the Malaspina Homeowners Association and the City, and authorize the City Clerk to forward the Agreement to the Orange County Recorder for Recordation. Respectfully Submitted: Prepared By: _ 1 A William M. Huber Irene Marcote, Director of Engineering and Building Project Manager Attachments: I. Exhibit "A" Private Improvements in Public Right-of-way Exhibit °B" Location Map -3- at / I 4v 0 NEW CONC. RIGHT_OF—WAY I SI E� CURB / \\ . \; AUTOMATIC SWING GATES /' / / ��• LANE DIVISION ELEMENT / PAINTED STOP BAR • GUEST/SERVICE / J \ O.C.F.A. APPROVED PHONE ISLAND EMERGENCY OVERRIDE KEY ° 10> � ° SWITCH INLET, \�� ' S NEW CONC. CURBA;low EXISTING ENTRY WALL AND PILLAR (TYP. BOTH \,;•��\ SIDES OF ROAD) \:.: <Pq "*gg' EXISTING CONCRETE CURB dRq IN9G� D1 PRIVATE ENTRY GATE IIIPROVEMENTS IN THE PUBLIC RIGHT-OF-WAY AMBovto BY, uwn1 t f-25- 7 9*13-bit "A" PROJECT 3 SITE LOTS NORTH LOT4 LCrI LOTS LOT 7 Lore LOT t LOT: LOTA nAKE LOT) LOT 10 LOT 1 PIiBEQ LOT 11 LOT 12 MALASPINA DEVELOPMENT SAN JUAN CAPISTRANO EXHIBIT "B" • awl" • 32400 PASEO ADELANTO (j A MEMBERS OF THE CITY COUNCIL [� (pO CAMPBELL SAN JUAN CAPISTRANO, CA 92675 V , JOHNGR R (949)493-1171 WYATT HART (949)493-1053 (FAX) imulvu IA61 GILJONES 1776 DAVID M.SWERDUN • ` • CITY MANAGER " GEORGE SCARBOROUGH July 9, 1998 Mr. Robert Foresman 26902 Paseo Cardero San Juan Capistrano, California 92675 Re: License Agreement to Guard Gate Installation Dear Mr. Foresman: At their meeting of July 7, 1998, the City Council of the City of San Juan Capistrano approved the License Agreement with the Malaspina Homeowners Association to provide for the installation of an entry gate and related facilities on the public portion of Malaspina Road. The agreement has been forwarded to the Orange County Recorder's Office. A fully- executed copy is enclosed for your files. Please feel free to contact Irene Marcote, Project Manager, at 443-6352 if you have any questions. Very truly yours, Cheryl Johnson City Clerk Enclosure cc: Engineering and Building Director (with enclosure) Irene Marcote (with enclosure) DRUG USE IS AB San Juan Capistrano: Preserving the Past to Enhance the Future • aOft 32400 PASEO ADELANTO ® ri 1 (� MEMBERS OF THE CITY COUNCIL SAN JLJAN CAPISTRANO,CA 92675 IL[l� OLLENECAMPBELL JOHNR HART (949)493-1171 (j � Intorrorrno WYATT HART (94 9)493-1053 (FAX) unuuur 1961 GILJONES 1776 DAVID M.SWERDLIN CITY MANAGER / GEORGE SCARBOROUGH July 20, 1998 'o�-'/�/ Cindy Vial(, Unit Supervisor Clerk-Recorder's Office County of Orange P. O. Box 238 Santa Ana, California 92701 Re: License Agreement for Entry Gate Purposes (Malaspina) Dear Ms. Viall: By letter dated July 8, 1998, 1 forwarded the enclosed License Agreement for recording. It was returned with a statement there was no provision to record the document. In March, 1998, a document with almost the exact same wording and for the same purpose was recorded as Document No. 19980125259, recorded on March 5, 1998. 1 spoke with Ron Cowley on July 20, 1998, who ultimately suggested your review of the document. I have enclosed a duplicate copy of this letter. If you determine the document is recordable, please stamp the Document Number and date of recording on the letter and return it to this office in the enclosed, stamped, self-addressed envelope at your earliest convenience. If the document is not recordable, I would appreciate a suggestion as to how to "fix it." Thank you for your cooperation. I can be reached at 949-443-6308 if you have any questions. Very truly yours, Cheryl Jo son City Clerk Recorded in the County of Orange, California Gary L. Granville, Clerk/Recorder Enclosure 24.00 19980491675 10:21am 07/30/98 005 19006577 19 04 Al2 7 6.00 18.00 0.00 0.00 0.00 0.00 IMBUSE San Juan Capistrano: Preserving the Past to Enhance the Future