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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. -- — -- -- iSTBuillding AUTOMOBILE X X }[ INSURERa AMERICAN STATES INSURANCE UUrban AttnanHeand atherSHayes i 11/01/03 i INSURER C STATE COMPENSATION SEAL OLD BEACHACCAH907740 Ay #AU JAN 14 P 4: ° $ COVERAGES PITV rI In, INDICATED THE POLICIES OF INSURACE LISTED BELW HAVE BEEN I FOR THE PER ANY REQUIREMENT, TERMNOR CONDITIONOOF ANY CONTRA T QR Qr � �NT`MHi CTT TO WH CH IT IS CEIRTIIF CATE MAY BE ISSUED OAR DING 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 X POLICY r—'I PRO- JECT LOC OGLO53862 10/01/02 10/01/03 T EACH OCCURRENCE _1$1000000 FIRE DAMAGE (My ore fire) MED EXP(Any one person) $100000 $10000 PERSONAL& ADV INJURY $ 1000000 GENERAL AGGREGATE $2000000 PRODUCTS - COMP/OP AGG $ 1000000 B AUTOMOBILE X X }[ LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS � O10E8976962 11/01/02 i 11/01/03 i COMBINED a=i er SINGLELIMIT � (Ea a«�denq—^_- $ 1000000 BODILY INJURY INJURY (Per person) �_ $ BODILY dr.rl) (Per accidenq $ '— PROPERTY DAMAGE (Per a«idem) $ --__ GARAGE LIABILITY ANY AUTO -- j AUTO ONLY - EA ACCIDENT OTHER THAN EAACC UTO ONLY: AGG $ $ — A EXCESS LIABILITY X OCCUR CLAIMS MADE_ DEDUCTIBLE RETENTION $CH- —♦— OGLO53862 10/01/02 EACH OCCURRENCE 10/01/03 AGGREGATE _ ---- ----_ $ 1000000 1000000 I�$ Is S C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2607523 12/01/02 12/01/03 i TORY LIMA ER _ FE.1EACH ACCIDENT— _ $ 1000000 f E.L. DISEASE-EAEMPL00000 OYEE EL DISEASE -POLICY LIMIT $ 10 $1000000 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 e 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 LINRA INSURER B S ATECAN STATES Co yy —� 0--_-- 3020 OLD tRANCH PARKWAY #400�� J SEAL BEACH CA 90740 R c: INSURER D COMPENSATION ---_ /y 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 LIABILITY ANY AUTO 010E8976462 11/01/01 '� 11/01/02 ED LEUMIT COMBw(Ea accident) I $ 1000000 BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) $ BODILY INJURY X HIRED AUTOS X NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTOONLY-EAACCIDENT $ ACC OTHER THAN $ ANY AUTOEA _ I $ AUTO ONLY: ASS EXCESS LIABILITY EACH OCCURRENCE $400000O A IX OCCUR CLAIMS MADE XCP053863 10/01/01 10/01/02 AGGREGATE 1$ $ 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 I N p DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Certificate holders are named as Additional Insureds. cc- Da M z 0 Cr m 3" r" :2r -0 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 ACA' 4 GERTIFIGA I t VI' L'IMSILI 1 Y iiYaummnk.qLqS}y -y 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. - rban NoyBYnq, L�CTAs . &So INSuaca e: AttaitlCAN 82nTE8 IN9SJpI1liC& gs d ]11a7yN�LptoF Bus]].a17..ng INBU■rRr! STATE CONPBNSATION 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 A OEN LLIAOCMY x COMMERCWLOEMERMLABILITY =053662 CLAIMS MADE ❑OCCUR OENLAGGREWS LNARAPPYEB PEn POLICY f7 R F7, LOC 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 B AUTOMONLE X X x UIAMW ANVAUTO ALL awNEDAIJT03 BCHEDULEOAUTOS HIRED AUT06 NON-0YYNED AIfTOB I DJCX9976462 I I 11/01/01 I 11/01/02 I CO INED SLNGLE LNR � s 1000000 BODILY INJURY f IP6rpMFNB _ BODILY INJURY (Per seeVlo.I B I PRpp! aTY Obr ar�IAl IAMAO6 c ,_ CARAGEWRILITY AWAUTO AUTO ONLY -EA ACCIDENT S OTHERTTM Eh: f AUTO ONLY At,G f A FMOMLIABILITY x 000uR CLAIMS MADE XcP053663 DEDUOnALE � RETENTION s 10/01/01 10/01/02 EACH OCCURRENCE 14000000 AGGREOATE f f � B _ B C TYONO'RN COMPPRATION ANO EMPLOMPOI UMLRY I 2609523 10/27/01 12/01/02 X TOR L rA E.LEACHKenENT s 1000000 E.LDIBEAee-eAIs.PLevE :1000000 B-LOIBEmr;-pOLN.;Yurr 61000000 DF OPEMTNfWAOtAnONs1VERICLLSATEA MONS SYENOOMBErMYTISPEaAL 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 AUTHORS= NAB►RSBENMTIYE Sher m ACORD 2" 17fln r ACOROUPRIPTION I= YZ9-d Z00/Z00 d 099-1 VUE-889-Z99 00 NOS10 3111-1`10ad 9980 2002-9Z-ony it 0 0 3020 OLD RANCH PARKWAY, SUITE 400, SEAL BEACH, CA 90740 PH" (562) 370-2218 FAX (562) 596-6368 dir lf�OmAk 1b: NLIA)✓`SGL,QA,,cIY.l�i From: KimPrijate) oat - &-- Z to — y 2— p+sew Z ❑ UMent • ❑ For Ravlew Q nw" comment I7 Pletso Reply i r --N'u vp'�Gc-ewt- rr�I a c.e rec�x/-2Cewp't ❑ Please Recycle will1)ct.,j iG OSO-1- so ZOOMMny 0 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 (949)493-1171 (949)493-1053 (FAX) Ivlvly. sanjuancapistrano. org August 12, 2002 nMmnB • nunlsw 1 1961 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