00-0502_PH- SJ LLC_Improvement & Reimbursement Agreement32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CA 92675
(949) 493-1171
(949) 493-1053 (FAX)
Iv Ivlv_sanj vancapistrano. org
October 6, 2003
The Olson Company
PH -SJ LLC
3020 Old Ranch Road #400
Seal Beach, California 90740
Jean
IBIBtMt1II4
• nuunuo � 1961
1776
RE: Compliance with Insurance Reouirements:
MEMBERS OF THE CITY COUNCIL
DIANE L. SATHGATE
JOHN S. GELFF
WYATT HART
JOESOTO
DAVID M. SWERDLIN
INTERIM CIN MANAGER
RAMELAGIBSON
(1) Improvement& Reimbursement Agreement with Capistrano Valley Water District for Water
Facilities, Tract 15771
(2) Subdivision Improvement Agreement with the City for Tract 15771
(3) Reimbursement Agreement with the City for Tract 15771
(4) Improvement & Reimbursement Agreement with the City for Tract 15771
The following insurance documents are due to expire:
✓ General Liability Certificate 10/1/2003
✓ General Liability Endorsement naming the City of San Juan Capistrano and the
Capistrano Valley Water District as additional insured's. \
✓ Automobile Liability Certificate 11/1/2003
Please submit updated documentation to the City of San Juan Capistrano, attention City Clerk's
office, 32400 Paseo Adelanto, San Juan Capistrano, CA 92675 by the above expiration dates. If you
have any questions, please contact me at (949) 443-6308.
Vff
.k (fi t LO
.k C `�J
William Huber, Director of Engineering & Building
Sam Shoucair, Senior Engineer
Brian Perry, Senior Civil Engineer
Craig Harris, Assistant Engineer
Kathleen Springer, Management Analyst I
Dawn Schanderl, Administrative Assistant
San Juan Capistrano: Preserving the Past to Enhance the Future
RECORDED AT THE REQUEST OF
AND RETURN TO:
Recorded in Official Records, County of Orange
Gary Granville, Clerk -Recorder
City of San Juan Capistrano 24,00
32400
City Clerk's Department
32400 Paseo Adelanto 102 73 Al2 0000226327 OK5am 05102100
San Juan Capistrano, CA 92675 0.00 0.00 0.00 0.00 18.00 0.00 0.00 0.00
IMPROVEMENT AND REIMBURSEMENT AGREEMENT
TENTATIVE TRACT MAP 15771
THIS REIMBURSEMENT AGREEMENT is made by and between THE CITY OF SAN
JUAN CAPISTRANO, hereinafter referred to as "City", and PH -SJ, LLC., a California limited
Liability Corporation, herein referred to as "Developer".
WITNESSETH
Whereas, City has granted approvals for Tentative Tract Map 15771 (Resolution No.
99-10-5-3); and,
Whereas, Conditions of Approval require Developer to construct certain off-site street
improvements; and,
Whereas, Developer agrees to design and construct, at its sole cost and expense of an
estimated amount of $99,095.85, the re -alignment of Trabuco Creek Road hereinafter referred
to as "Street improvements"; and,
Whereas, because the aforementioned street improvements benefits other areas of
development, the Developer is therefore entitled to reimbursement for a portion of those cost
of improvement; and,
Whereas, In accordance with the cost share calculation described in (Exhibit "A"), the
Developer agrees to be reimbursed a total of $53,796.70 for the improvements proposed to be
constructed southerly beyond the ultimate centerline of Trabuco Creek Road; and,
Whereas, Developer desires to enter into this agreement to provide means for allowing
the construction of the street improvements as well as a mechanism for crediting the Developer
for the reimbursable costs incurred in constructing such improvement; and,
Whereas, City requires that the street improvements be constructed conjointly with the
development of Tract 15771; and,
NOW, THEREFORE, in consideration of the premises hereinafter set forth, City agrees
to reimburse Developer an aforesaid sum of $53,796.70 from future development under the
following terms and conditions:
VL VA
Improvement and Reimbursement Agreement
Tract 15771(PH-SJ, LLC)
Page 2
Section 1. Reimbursement to Developer:
The reimbursement from future development, for the Street Improvement project,
totaling $53,796.70 will be collected by the City and paid to the Developer over an initial period
of fifteen (15) years from date of completion and acceptance of the street improvement work
and subject to extension for an additional period of five year as provided in section 3 of this
agreement. Timing of reimbursement payments will be according to actual proration
contributions based on traffic generation from other developers in the area who develop their
property within time period specified in Section 4.
Section 2. Design Plans
Developer designed plans shall be submitted to the City Engineer for his review and
approval prior to construction. Developer shall submit faithful performance and labor/material
bonds in the amount of the approved Engineer's Cost Estimate for the Street Improvements
work prior to approval of Final Map 15771. Said bonds shall be on a standard City form and
issued by an Agency approved by the City.
Section 3. Term of reimbursement
This agreement shall run for a period of 15 years from the completion and acceptance
of the Street improvement project. An extension of five years may be granted by the City upon
written request of developer.
Section 4. Time Frame for Repayment to Developer.
The City shall cause such other Developers to make their pro -rata contribution upon the
earlier of issuance of a building permit or approval of a Final Map.
Section 5. Liability/Indemnification/Insurance.
Developer holds City and its elected and appointed officials harmless from any claims
or liabilities that may arise during the Developer's construction of improvements, including
warranty period, described in this Agreement.
City holds Developer and its officers harmless from any claims or liabilities that may
arise out of any improvements constructed by City or any operations and maintenance of the
improvements by City.
Developer agrees to maintain liability insurance in the following amounts:
I. Comprehensive General Liability. Developer or his agent shall maintain in full force
and effect comprehensive general liability coverage, including premises operations,
0 •
Improvement and Reimbursement Agreement
Tract 15771(PH-SJ, LLC)
Page 3
products/completed operations, broad form property damage and blanket contractual liability
in the following minimum amounts:
$1,000,000 property damage
$1,000,000 injury to one person/any one occurrence/not limited to contractual period;
$1,000,000 injury to more than one person/any one occurrence/not limited to contractual
period.
II. Worker's Compensation. If Developer employs employees or subcontractors to
perform services under this Agreement, Developer shall obtain and maintain, during the
construction and warranty period of these improvements, Worker's Compensation Employer's
Liability Insurance in the statutory amount as required by State law.
These above stated policies shall not terminate nor shall they be canceled nor the
coverage reduced until after 30 days' written notice is given to the City.
Developer shall provide an endorsement to City establishing that City has been legally
added as an additional insured to the liability policy required under this Agreement.
Section 6. Force Majeure.
None of the parties hereto shall be deemed to be in default if performance of the
obligations required by this Agreement is delayed or becomes impossible because of any act
of God, earthquake, fire, strike, sickness, accident, civil commotion, epidemic, act of
government, its agencies or officers, or any legitimate cause beyond the control of the parties.
Section 7. Notices.
All notices, requests, demands, consents and other communications under this
Agreement shall be in writing, including telex and facsimile transmission and shall be deemed
to have been duly given on the date of service if served personally by telex or facsimile
transmission or 48 hours after mailing if mailed by first class mail, registered, or certified,
postage prepaid, return receipt requested, and properly addressed as follows:
TO: PH -SJ, LLC.
C/o THE OLSON COMPANY, MANAGING MEMBER
3020 Old Ranch Parkway, Suite 250
Seal Beach, CA 90740
0
Improvement and Reimbursement Agreement
Tract 15771(PH-SJ, LLC)
Page 4
TO: CITY OF SAN JUAN CAPISTRANO
Attention: City Clerk
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
Section 10. Agreement Runs with the Land.
0
This Agreement shall be binding upon and inure to the benefit of the parties hereto and
their respective representatives, assigns and successors in interest.
Section 11. Entire Agreement.
This Agreement contains the entire agreement between the parties hereto and
supersedes any prior or concurrent written or oral agreement between said parties concerning
the subject matter contained herein. There are no representations, agreements, arrangements
or undertakings, oral or written, between or among the parties hereto relating to the subject
matter contained in this Agreement which have not been fully expressed herein.
DATE If 1S a"
(Attach Notary Acknowledgment)
DATE -*/WO a
a (Y-��
APPROVED TO FORM
CITY ATTORNEY
PH -SJ, LLC.
a California,4.im
0
CITY OF
0
Corporation
PRESIDENT
E
0
Improvement and Reimbursement Agreement
Tract 15771(PH-SJ, LLC)
Page 5
ATTACHMENT A
PUBLIC IMPROVEMENTS TO BE CONSTRUCTED BY DEVELOPER SUBJECT TO
REIMBURSEMENT FROM FUTURE DEVELOPERS
Construction and re -alignment of the most westerly 500 foot -section of Trabuco Road, including
a connector road, the closure of the existing street intersection and all related appurtenances.
SUMMARY OF REIMBURSABLE COST
IMPROVEMENTS SUBJECT TO REIMBURSEMENT ESTIMATED AMOUNT
Trabuco Road, Half Width of Street
$37,529.10
Connector Road
$6,159.50
Intersection Closure and Related Appurtenances
$7,063.00
Subtotal
$50,751.60
Design review and inspection (6%)
$3,045.10
TOTAL
$53,796.70
The surety bonds shall be posted with the City upon the earlier of issuance of
Encroachment/Construction Permit for said improvements or Final Map Approval for Tract
15771.
STATE OF CALIFORNIA
ss.
COUNTY OF ORANGE
0
On April 5, 2000, before me, Joan M. Bunashe, personally appeared Mark Buckland
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person
whose name is subscribed to the within instrument and acknowledged to me that he executed the
same in his authorized capacity, and that by his signature on the instrument the person, or the entity
upon behalf of which the person acted, executed the instrument.
WITNESS my hand and official seal.
JOAN JA BUNMHE
Omnge County
�.
:: ,tiBunashe
0
PUBLIC AGENCY FORM OF ACKNOWLEDGEMENT
State of California
County of Orange ) ss.
City of San Juan Capistrano )
(Gov't Code 40814 & Civil Code 1181)
On Aril 18,2000 , before me, Cheryl Johnson , City Clerk, personally
appeared - - - College Campbell - - - , personally known to me
to be the person whose name is subscribed to the within instrument and acknowledged to me that
she executed the same in her authorized capacity, and that by her signature on the instrument the
person, or the entity upon behalf of which the person acted, executed the instrument.
WITNESS my hand and official seal.
OPTIONAL
Capacity Claimed by Signer Description of Attached Document
Municipal Corporate Officer
Mayor Improvement & Reimbursement Agreement
Title Title or Type of Document
Signer is Representing 5
City of San Juan Capistrano Number of Pages
April 18, 2000
Date of Document
PH -SJ, LLC
Signer(s) Other Than Named Above
CORP. CERTIFICATE OF LIABILITY INSURANCE OPIDDATE($IMIDWYV)
SONUl I 01/13/0:
i 7
COVERAGES
INR TYpE OF INSURANCE
LTR
ONLY AND CONFERS NO�HTS UPON THE CERTIFICATE
MHC Insurance services Inc
POLI Y EXPIRATIO
DATE MM/DD/YY
HOLDER.
I
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
796 W. 9th Street
10/01/02
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
San Pedro CA 90731
_1$1000000
FIRE DAMAGE (My ore fire)
MED EXP(Any one person)
$100000
$10000
Phone:310-221-0917 Fax:310-221-0966
$ 1000000
GENERAL AGGREGATE
INSURERS AFFORDING COVERAGE
INSURED PH -SJ, LLC r I ^
Olson
Housing, LP,Urban C t
$ 1000000
INSURER A-
------
ILLINOIS UNION INSURANCE CO.
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MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DF_SC RI PED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SHCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INR TYpE OF INSURANCE
LTR
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDD/YY
POLI Y EXPIRATIO
DATE MM/DD/YY
LIMITS
GENERAL LIABILITY
A j X COMMERCIAL GENERAL LIABILITY
CLAIMS MADEOX OCCUR
SENT AGGREGATE LIMIT APPLIES PER
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PRODUCTS - COMP/OP AGG
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WORKERS COMPENSATION AND
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2607523
12/01/02
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f E.L. DISEASE-EAEMPL00000
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OTHER
DESCRIPTION OF OPERATIONS/LOCAnONSNEHICL ES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Certificate holder is named as additional insured per the attached endorseme
nt.
CERTIFICATE HOLDER y I ADDITIONAL INSURED; INSURER LETTER: _ CANCELLATION
CITYSA2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAnO
CITY OF SAN JUAN CAPISTRANO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ,30 DAYS WRITTEN
Attn : Dawn M. Schanderl , NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Deputy City Clerk IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO CA 92675 REPRESENTATIVES.
i
CANWERCIAL GENERAL LIABILITY •
INSURANCE COMPANY: Illinois Union Insurance Co.
POLICY NUMBER: OGLO53862
INSURED: PH -SJ, LLC; Olson Urban Housing, LP, Olson Urban Housing, LLC, The Olson
Company and Alamitos Building
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNER, LESSEES OR
CONTRACTORS (FORM B)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
Name of Person or Organization:
SCHEDULE
CITY OF SAN JUAN CAPISTRANO and
THE CAPISTRANO VALLEY WATER DISTRICT ALL OPERATIONS
(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 1II) is amended to included an insured the person or organization shown in the
Schedule, but only with respect to liability out of "your work" for that insured by or for you.
PRIMARY & NON-CONTRIBUTORY ENDORSEMENT
IT IS AGREED THAT SUCH INSURANCE AS IS AFFORDED BY THIS POLICY OR BY THESE POLICIES
FOR THE BENEFIT OF THE ADDITIONAL INSURED (S) SHOWN ABOVE SHALL BE PRIMARY, BUT
ONLY AS RESPECTS ANY CLAIM, LOSS OR LIABILITY ARSING OUT OF THE OPERATIONS OF THE
NAMED INSURED (S), HIS SUB-CONTRACORS OR MATERIAL MEN OR SUPPLIERS AND ANY
INSURANCE MAINTAINED BY THE ADDITIONAL INSURED (S) SHALL BE EXCESS AND NON-
CONTRIBUTING.
i
i
d Siggnatu
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Aut � e
natu re
CG 2010 11 85
•
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CA 92675
(949) 493-1171
(949) 493-1053 (FAX)
www.saS PangilsyaAbbj
The Olson Company
PH -SJ LLC
3020 Old Ranch Road #400
Seal Beach, California 90740
Joe* � •
.A
IIf01lOIAfl1
nunnrcA ti 1961
1776
RE: Compliance with Insurance Requirements:
MEMBERS OF THE CITY COUNCIL
DIME L. BATHGATE
COLLENE CP SELL
JOHN S. GELFF
MATT HAAT
DAVID M. SWEROLIN
CITY MANAGER
GEORGE SCARBOROUGH
(1) Improvement & Reimbursement Agreement with Capistrano Valley Water District
for Water Facilities, Tract 15771
(2) Subdivision Imrovement Agreement with the City for Tract 15771
iAit Agreement with the City for Tract 15771
Improvement & Reimbursement Agreement with the City for Tract 15771
The following insurance documents have expired:
I General Liability Certificate 10/1/2002
V General Liability Endorsement naming the City of San Juan Capistrano and
the Capistrano Valley Water District as additional insureds.
V Automobile Liability Certificate 11/1/2002
V Workers' Compensation Certificate 12/1/2002
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 January 13,
2003. If you have any questions, please contact me at (949) 443-6310.
Sincerely,
Dawn M. Schanderl
Deputy City Clerk
cc: William Huber, Director of Engineering & Building
Sam Shoucair, Senior Engineer
Brian Perry, Senior Civil Engineer
Craig Harris, Assistant Engineer
Kathleen Springer, Management Analyst
San Juan Capistrano: Preserving the Past to Enhance the Future
acoRn.. CERTIFICA.TE OF LIABILITY INSUaANCI;SON,PUl ID DA 08E(MM/D/23/02DIYY)
ONLY AND CONFERS740 RIGHTS UPON THE CERTIFICATE
NHC Insurance Services Inc
HOLDER.
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
796 W. 9th Street
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
San Pedro CA 90731
-
LIMITS
INSURERS AFFORDING COVERAGE
Phone:310-221-0917 Fax:310-221-0966
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
INSURED
Urban LP, Olson
A
ILLINOIS UNION INSURANCE COOlson
gHqousing,
panyoandnAlamitosTBuilding
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INSURER B
S ATECAN STATES
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SEAL BEACH CA 90740
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COMPENSATION
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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
1N R
LTR
TYPE OF INSURANCE
POLICY NUMBER
POSY EFFECTIVE P LI Y E%PIRATION
DATE MM/DDIYY DATE MM/DDNY
-
LIMITS
IMPOSE NO OBLIGATION OR LIABILITY F ANY KIND UPON THE INSURER, ITS AGENTS OR
GENERAL LIABILITY
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
EACH OCCURRENCE $ 10000_0.0_
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
OGLO53862
10/01/01. 10/01/02
i
FIRE DAMAGE (Any one tire) '$50000
��,MED EXP (Any one person) $5000
PERSONAL S ADV INJURY
$1000000
- -
GENERAL AGGREGATE
$2000000
GENL AGGREGATE LIMIT APPLIES PER.
PRODUCTS; COMPIOP AGG
$ 1000000
POLICY PRO- LOC
JECT
B
AUTOMOBILE
X
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ANY AUTO 010E8976462
11/01/01
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ALL OWNED AUTOS
SCHEDULED AUTOS
(Per person)
$
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X
HIRED AUTOS
X
NON -OWNED AUTOS
(Per accident)
$
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(Per accident)
$
GARAGE
LIABILITY
AUTOONLY-EAACCIDENT
$
ACC
OTHER THAN
$
ANY AUTOEA
_
I $
AUTO ONLY: ASS
EXCESS LIABILITY
EACH OCCURRENCE
$400000O
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IX OCCUR CLAIMS MADE XCP053863
10/01/01
10/01/02
AGGREGATE
1$
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
WC bIAIV U111 -
X TORY LIMITS ER
L, EMPLOYERS' LIABILITY
2607523
10/27/01
12/01/02
E. L. EACH ACCIDENT
$1000000
E L. DISEASE - E —EMPLOYEE
$ 1000000
E DISEASE -POLICY LIMIT
$ 1000000
OTHEA
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DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Certificate holders are named as Additional Insureds. cc- Da M
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CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION F" N n
CITYSJC
SHOULD ANY OF THE ABOVE DESCRIBED MOLICIES B®ONCELLED BEFORE THE EXPIRNTIOIN
City of San Juan Capistrano
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOOTO MAIL 30 DAYS WRITTEN
Capistrano Valley Water Dist.
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Attn : Dawn Schanderl
32400 PASEO ADELANTO
IMPOSE NO OBLIGATION OR LIABILITY F ANY KIND UPON THE INSURER, ITS AGENTS OR
SAN JUAN CAPISTRANO CA 92675
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Sher Lorni
ACORD 25-5 (7/97) 1 AVCACUKU Lv 3il J)(A I ION 9966
NHL INSUKHN(k INC oax=310-316-6536 Aug 20002 1204 P. 01
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PRORUM TCFII
ONLY ANDCON ERS NO RIGHTS UPONHE ERTIFF
RHC Inour:100 Sorvices Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND."
796 N. 9th Street ALTER THE COVERAGE AFFORDED BY THE POLICIII
Ban Radio CA 90731 INSURERS AFFORDING COVERAGE
Phone:310-221-0917 Paxe310-221-0966
Olson Urbap Housing,��.F plson INSURERA- ILLINOIS UNICN INSUAANCIE CO. -
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9 0.9�>iACH�90T4�� Y #400 I NS�RB_ .�
THE POLICES OF INSURANOE Lu:Tcn BELOW NAVE OFM ISSUEDTO THE INSURED NAMED ABOVE FOM rM9 POLICY PERIOD IRWCA ED. NOTWRHBrMOWa
ANY AEOUIPEMENF. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUNENTVBTH RESPECT TO WHICH THIS CERTIFICATE MAY BE BOILED OR
MAY PERTA K THE INBURANCE APPORDEO BY THE POLICES DSBCRMED HEREIN IB SUBJECT TO ALL THE TERMS. l%CLURMS AND CONDITIONS OE SUCH
POLICIP9. AGGREGATE UM"a BMOAN MAY HAVE BEEN REDUCEO BY PAID CLANS.
IN TYPE Op VnINA= POLICY NUMBER MTE �N4 UNRB
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CLAIMS MADE ❑OCCUR
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10/01/01
10/01/02
BACK OCCURAENCG $ 1000000
FfMDAMAGE U"werm1 ,50000
MED ERP LAnp ION P6nwd 35000
PERSONAL 6 API INJURY 61000000
GENERALAOORRwTE i 2000000
;DUCTS. COMPIOP AGO 61000000
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Certificate holders are named as AdditiRmal InsurSda.
CERTIFICATE HOLDER JM I ADDITIOML INSURED: INSURER LETTER; CANCELLATION
CITYBJC COULD ANY Of THE MOVE WWRREED POLICIES EE CANCO191) SEPORE THE CMATION
City Of San Juan Capistrano DATE THeRBOF, NNE ISSUING N6UMER YYILL RNOPAVOR 7D RRIIII. -32—RAYs MINTTSN
Capistrano Valley W$Lt0r Diat. NOTICE To THE CIDSWICATE HOLDEN NAMED TO THE LEFT, OUT PAN IIRE 7000905MALL
Attn: Dawn Bchandarl INPOSCNOODIICATIONORUANLIIY PANT MIND UPON TW NWRek RSA4ENrE ON
32400 PASEO ADELAW20 REPN"wrATLVEA
SAN JMN CAPISTAANO CA 92675
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3020 OLD RANCH PARKWAY, SUITE 400,
SEAL BEACH, CA 90740
PH" (562) 370-2218 FAX (562) 596-6368
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32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CA 92675
(949)493-1171
(949)493-1053 (FAX)
Ivlvly. sanjuancapistrano. org
August 12, 2002
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1776
MEMBERS OF THE CITY COUNCIL
DIANE BATHGATE
COUENE CAMPBELL
JOHN S. GELFF
MATT HART
DAVID M. SWERDUN
CITY MANAGER
GEORGESCARBOROUGH
PH -SJ, LLC a�oz SECOND REQUEST
The Olson Company
3020 Old Ranch Parkway #400
Seal Beach, California 90740
RE: Compliance with Insurance Requirements - Subdivision Improvement Agreement
Tract 15771/Reimbursement Agreement
The following insurance documents have expired:
Y General Liability Certificate 5/1/2002
V General Liability Endorsement CG 20 10 1185 naming the City of San Juan
Capistrano and the Capistrano Valley Water District as additional insureds.
Other Information: Please list City of San Juan Capistrano and the Capistrano
Valley Water District as certificate holders
Please submit updated documentation to the City of San Juan Capistrano, attention City
Clerk's office, 32400 Paseo Adelanto, San Juan Capistrano, CA 92675 immediately. If you
have any questions, please contact me at (949) 443-6310.
Sincerely,
Dawn M. Schanderl
Deputy City Clerk
cc: Sam Shoucair, Senior Engineer
San Juan Capistrano: Preserving the Past to Enhance the Future
ACURD CERTIFICO"E OF
LIABILITY INSLWNCEcSR AS DATE (MM/DD/YY)
OLSONUI 06/02/00
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
NHC Insurance Services Inc
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3848 Carson Street #100
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Torrance CA 90503
COMPANIES AFFORDING COVERAGE -
Ana Bello
PhoneNo 310-540-5332 Fax No.
COMPANY �2
A UNDERWRITERS AT LLOYD'S
INSURED
COMPANY
B AMERICAN STATES INSURANCE
OLSON-PORT HDENEME, LLC; OLSON
URBAN HOUSING, LLC; THE OLSON
COMPANY & ALAMITOS BUILDING
COMPANY
C INS. CO. OF THE STATE OF PA
3020 OLD RANCH PARKWAY #400
Seal Beach CA 90740
COMPANY
D SUPERIOR NATIONAL
COVERAGES
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.
TYPE OF INSURANCE POLI NUMBER
LTR
POLICY EFFECTIVE POLICY EXPIRATION LIMITS
DATE (MM/DD/19') DATE (MMIDD )
LIABILITY -
GENERAL AGGREGATE $ 2000000
GENERAL
A XICOMMERCIAL GENERAL LIABILITY 618/991635001/061 O5/O1JOO O5/Ol/O2
PRODUCTS-COMwOP AGG $2000000
j CLAIMS MADE � OCCUR
PERSONAL& ADV INJURY $1000000
EACH OCCURRENCE $1000000
WNER'S& CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire) $50000
'MED EXP (Any one person) $ SOOO
AUTOMOBILE LIABILITY
B X I ANY AUTO 010ES976461
11/01/99 11/01/00
COMBINED SINGLE LIMIT
$ 1000000
'BODILY INJURY $
(Per person)
~ ALL OWNED AUTOS
AUTOS
BODILY INJURY
(Per accident) $
X�SCHEDULED
HIRED AUTOS
fX NON -OWNED,
PROPERTY DAMAGE
$
— — -- -
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
;$
OTHER THAN AUTO ONLY:
ANY AUTO
EACH ACCIDENT
$
—
AGGREGATE
$
--
EXCESS LIABILITY
EACH OCCURRENCE $20000000
L'
UMBRELLA FORM 42006693
05/01/00
05/01/02
'AGGREGATE $ 20000000
$
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WC STATU- 0TH-
'TORN LIM175 ER
_
EL EACH ACCIDENT $ 1000000
EL DISEASE -POLICY LIMIT $ 1000000
Di
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
WDN90889A
11/07/99
11/07/00
EL DISEASE - EA EMPLOYEE OOOOOO
OTHER
C
n V— C7
ate' N m
DESCRIPTION OF OPERATIONS/LOCATIONS(VEHICLESISPECIAL ITEMS
THE CITY OF SAN JUAN CAPISTRANO & CAPISTRANO VALLEY WATER DISTRICT IS NAMEDan i:° O
AS ADDITIONAL INSURED PER THE ATTACHED ENDORSEMENT.
G
CERTIFICATE HOLDER
CANCELLATION
SANJAUI
SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF SAN JUAN CAPISTRANO
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
& CAPISTRANO VALLEY WATER
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
DISTRICT
32400 PASEO ADELANTO
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
SAN JUAN CAPISTRANO CA 92675
OF ANY KIND UPON THE COMPANY, ITS AGENIS OR REPRESENTATIVES.
AUTHORIZED REPRESEIftATIVE
Ana Bello
ACORD 25•S (1/95)
.. ACORD CORPORATION 1988
•
CG 2010 1185
COMMERCIAL GENERAL LIABILITY
POLICY NUMBER: 618/991635001/061
INSURED: OLSON-PORT HUENEME, LLC; OLSON URBAN
HOUSING, LLC, THE OLSON COMPANY &
ALAMITOS BUILDING
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT
CAREFULLY.
ADDITIONAL INSURED - OWNER, LESSEES OR
CONTRACTORS (FORM B)
This endorsement modifies insurance provided under the, following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
SCHEDULE
Name of Person or Organization:
CITY OF SAN JUAN CAPISTRANO & All Operations
CAPISTRANO VALLEY WATER DISTRICT
(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 included as an insured the person or organization
shown in the Schedule, but only as respect to liability arising our of "your work" for that Insured by or for
you.
This insurance is primary and any other insurance maintained by such additional insured is noncontribution
with this insurance as respect to legal liability or claims caused by, arising out of or resulting form the acts
or omissions of the named insurance, or of other performed on behalf of the named insured.
CG 2010 1185
0
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CA 92675
(949) 493-1171
(949) 493-1053 (FAX)
April 26, 2000
The Olson Company
3020 Old Ranch Parkway, Suite 250
Seal Beach, California 90740
E
MEMBERS OF THE CITY COUNML
COLLENE CAMPBELL
JOHN GREINER
MATT HART
GIL JONES
DAVID M. SVERDLIN
CITY MANAGER
GEORGE SCARBOROUGH
Re: Final Map and Subdivision Improvement Agreement - Tract 15771
Gentlemen:
At their meeting of April 18, 2000, the City Council of the City of San Juan Capistrano took
action to approve the Final Map for Tract No. 15771, based on its conformance to the
Subdivision Map Act and the approved Tentative Tract Map. The Subdivision Improvement
Agreement was also approved and a copy is enclosed for your files. Also enclosed is a
fully -executed copy of the previously -approved Improvement and Reimbursement
Agreement for Tract 15771.
Both agreements have been forwarded to the Orange County Recorder. Please feel free
to contact Sam Shoucair at 443-6355 if you have any questions.
Very truly yours,
Cheryl Johnson
City Clerk
Enclosure
cc: Alan Short
Engineering and Building Director (with enclosure)
Sam Shoucair (with enclosure)
onuu USE
Is
San Juan Capistrano: Preserving the Past to Enhance the Future
0
Cheryl Johnson
To: Sam Shoucair
Subject: FW: Olson Reimbursement Agreement
0
Sam
I'm confused. I'm trying to track down the Reimbursement Agreement and here's the response I got from Tom T. Help???
Cheryl
-----Original Message -----
From:
Tom Tomlinson
Sent:
Tuesday, March 28, 2000 2:28 PM
To:
Cheryl Johnson
Cc:
Sam Shoucair
Subject:
RE: Olson Reimbursement Agreement
Actually, the project was taken over by myself. One of the requirements that the City Council wanted before approving the
tentative map was the reimbursement agreement. Their action in approving the tentative map was to approve the subject
agreement and authorize its execution. Sam Shoucair is the staff person that prepared the agreement. Its my
understanding that he has an unexecuted copy of the agreement. I believe all he has to do is have the Olson Company
execute the agreement and the City Manager Is authorized to execute on behalf of the City.
-----Original Message -----
From: Cheryl Johnson
Sent: Tuesday, March 28, 2000 2:17 PM
To: Tom Tomlinson
Subject: Olson Reimbursement Agreement
Tom
Do you know the status of the Olson Reimbursement AGreement? It was John Grace's project and Sam was here
looking for it and we could find absolutely nothing.
Cheryl
V-
L
•
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CA 92675
(949) 493-1171
(949) 493-1053 (FAX)
April 26, 2000
MEMBERS OF THE CITY COUNCIL
COLLENE CAMPBELL
JOHN GREINER
WYATT HART
GIL JONES
DAVID M. SWERDLIN
CITY MANAGER
GEORGE SCARBOROUGH
Clerk -Recorder's Office
County of Orange
P. O. Box 238 CONFORMED COPY
Santa Ana, California 92701 Not Compared with Original
Re: Improvement and Reimbursement Agreement - Tract 15771
Gentlemen:
The following document is enclosed for recordation:
Improvement and Reimbursement Agreement - Tract 15771
A check in the amount of $25 is enclosed to cover recording and conformed copy fees.
When placed of record, please return said document to this office.
Please stamp Document Number and date of recording on this letter and return it, as the
conformed copy, to this office in the enclosed, stamped, self-addressed envelope at your
earliest convenience.
Thank you for your cooperation.
Very truly yours,
Cheryl Johnson
City Clerk
Recorded in Official Records. County of Orange
Gary Granville, Clerk -Recorder
I1111111111111111111111111111111111111111111111111111111124.00
Enclosure 20000226327 09.25am 05102100
10273A127
0.00 0.00 0.00 0.00 18.00 0.00 0.00 0 00
onus us¢
Is
San Juan Capistrano: Preserving the Past to Enhance the Future
MEMORANDUM
TO: Memo to File
FROM: Maria Guevara, Secretary
DATE: May 12, 2000
SUBJECT: PH -SJ LLC
Staff Report of City Council Meeting of 10/5/99 Referencing Reimbursement Agreement
may be found in the following file:
420.40 TR 15771 1999
THE OLSON COMPANY
Approved
There is also a Subdivision Improvement Agreement found under:
600.30 Subdivision Improvement 2000
PH -SJ, LLC
T 15771