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93-0706_MARBELLA PLAZA_Insurance DocumentationATEA ° )C - M CERTIFICA F LIABILITY INSURA E 07/02 2004 PRODUCER (714) 505-SSSO FAX (714) SOS -5562 Dri 5col l Insurance Agency, Inc. 17782 E. 17th St., Suite #10S THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box „1085 MWLTR Tustin, CA 92780 INSURERS AFFORDING COVERAGE NAIC # INSURED Roger De Young, Etal INSURERA: Mercury Casualty 0025 355 Bristol Street #c INSURERS: Firemans Fund 0014 Costa Mesa„ CA 92626 INSURER C'. GENERAL LIABILITY INSURER D: 07/01/2004 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MWLTR 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMID POLICY EXPIRATION DATE MMIOD LIMITS San Juan Capistrano, CA 92675 GENERAL LIABILITY CCP0009229 07/01/2004 07/01/200S EACH OCCURRENCE $ 1, 000, 00 PREMISES Ea acc rence $ X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fil OCCUR MED UP (Any one parson) $ 5,000 A PERSONAL B ADV INJURY $ 1 QQQ GENERAL AGGREGATE $ 1,000,000 GEHL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,00 POLICY PRO LOCJECT AUTOMOBILE LIABILRY COMBINED SINGLE LIMIT $ ANY AUTO Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS Per person) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS Per accidw) PROPERTY DAMAGE $ Per axident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTOM OTHER THAN EA ACC $ AUTO ONLY: qGG $ EXCESSIUMBRELLA LIABILITY TBD 07/01/2004 07/01/2005 EACH OCCURRENCE $ 14,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 14,000,00 B DEDUCTIBLE RETENTION $ L 1$ WORKERS COMPENSATION AND I TORY LIMITS ER EMPLOYERS• LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOP/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYE$ 1$ OFFICERIMEMBER EXCLUDED? If yas. describe under E.L. DISEASE- POLICY LIMITSPECIALPROVISIONSbelow OTHER DESCRI ON OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Re: License Agreement Regarding Lot 216, Tract #12954, City of San Juan Capistrano, CA ounty of Orange (Marbella Plaza), Certificateholder is hereby named as additional insured n policy #CCP0008229, Cancellation Clause: Unless cancellation is for non payment of premium in which case 10 days notice may be given. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2001108)(iACORD CORPORATION 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of San Juan Capistrano, Office of the 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, City Clerk, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 32400 Paseo Adel anto OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AU`THO, PREESE,NT ATIVE Tho Cottey'r — San Juan Capistrano, CA 92675 ACORD 25 (2001108)(iACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement_ on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORP 25 (2001/08) Additional Insuredil oss Payee Cop)nMercuryCasualtyCompanyCaliforniaSpial Multi Peril Policy Effective Date: 07/01/2004 Page Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL NAMED INSURED "ET AL" It is hereby understood and agreed by all parties to this contract, that the "ET AL" named in ITEM ONE, NAMED INSURED section of this policy, includes only the following as NAMED INSUREDS: Loc. 1 & 5, ALBERTSON'S CENTER L.P. LLC, 1.00000%, DE YOUNG FAMILY TRUST, 42.57995%, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 48.87055%, ROGER A. DE YOUNG, JR., 2.5160%, DOUGLAS A. DE YOUNG, 2.51650%, WENDY A. GERDOU, 2.51650%. LOCATION#2 RDY, LLC, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 100.0000%. LOCATION #3, MARBELLA PLAZA, L.P. 530 LLC, 1.00000%, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 71.11895%, DE YOUNG FAMILY TRUST, 10.99105%, ROGER A. DE YOUNG, JR., 1.79740%, DOUGLAS A. DE YOUNG, 1.79740%, WENDY A. GERDAU, 1.79740 %, ROGER A. DE YOUNG, JR., AND SANDRA L. DE YOUNG, 4.25768%, DOUGLAS A. DE YOUNG AND CATHRYN DE YOUNG, 4.25768%, WENDY A. GERDAU & KENNETH W. GERDAU, 1.06958%, ROGER A. DE YOUNG, AS CUSTODIAN FOR KELLY A. DE YOUNG, 0.31881%, ROGER A. DE YOUNG AS CUSTODIAN FOR KASEY S. DE YOUNG,0.31881%, DOUGLAS A. DE YOUNG AS CUSTODIAN FOR SCOTT A. DE YOUNG, 0.82891%, DOUGLAS A. DE YOUNG AS CUSTODIAN FOR KATHRYN A. DE YOUNG, 0.44633%. LOC.#4., STAGE ROAD PARTNERS, DE YOUNG FAMILY TRUST, 73.80 0 0 Additional Insured/Loss Payee Cop Mercury Casualty Company California Special Multi Peril Policy Effective Date: 07/01/2004 Page 7 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL 3 1 438BFU BANK OF AMERICA, NATIONAL ASSOCIATION 333 S BEAUDRY AVE LOS ANGELES CA 90017 Loan Number: 606807 It Is Agreed That Building, Rent And Building $883 Ordinance Coverage Are Provided On A Blanket Basis. See Attached Endorsement For Vacant Land And Liability Extension. FULL POLICY TERM PREMIUM $31,939 This policy change has resulted in a return premium of -$8,035 CREDITS: Prem: 1 Bldg: 1 Management Credit, Multi -Building Credit, Sprinkler Credit Prem: 2 Bldg: 1 Management Credit, Multi -Building Credit, Sprinkler Credit Prem: 3 Bldg: 1 Age Credit, Management Credit, Multi -Building Credit, Sprinkler Credit Prem: 4 Bldg: I Management Credit, Multi -Building Credit, Sprinkler Credit Prem: 5 Bldg: I Management Credit, Multi -Building Credit Checks or drafts are accepted in payment only if they are honored when first presented. In Consideration of the Provisions and Stipulations Herein or Added Hereto and of the Premium Above Specified (or specified in endorsement attached hereto), this Company, for the tens from Inception date shown above (At 12:01 A.M. Standard Time)to expiration date shown above (At 12:01 A.M. Standard Time) at location of property involved, to an amount not exceeding the limit of liability specified, does insure the Insured named in the Declarations above and legal representatives, to the extent of the actual cash value of the property at the time of loss, but not exceeding the amount which it would cost to repair or replace the property with material of like kind and quality within a reasonable time after such loss, without allowance for any increased cost of repair or reconstruction by reason of any ordinance or law regulating construction or repair; and without compensation for loss resulting from interruption of business or manufacture, nor in any event for more than the interest of the insured, against all LOSS BY FIRE, LIGHTNING AND OTHER PERILS INSURED AGAINST IN THIS POLICY IN- CLUDING REMOVAL FROM PREMISES ENDANGERED BY THE PERILS INSURED AGAINST IN THIS POLICY, EXCEPT AS HEREINAFTER PROVIDED to the property described herein while located or contained as described in this policy, or pro rata for five days at each proper place to which any of the property shall necessarily be removed for preservation from the perils insured against in this policy, but not elsewhere. Assignment of this policy shall not be valid except with the written consent of this Company. This policy is made and accepted subject to the foregoing provisions and stipulations and those hereinafter stated, which are hereby made a part of this policy, to- gether with such other provisions, stipulations and agreements as may be added hereto, as provided by this policy. M-1 (6/83) Additional Insured/Loss Payee Cop* 4V ercury Casualty Company California Special Multi Peril Policy Effective Date:07/01/20QA_ Page 6 PolicyNum CCP0008229 Insureds Name: --ROGER DE YOUNG ETAL 3 1 U44 BANK OF AMERICA, NATIONAL ASSOCIATION 333 S BEAUDRY AVE LOS ANGELES CA 90017 Loan Number: 606807 3 1 U44 "' CITY OF SAN JUAN CAP STRANO OFFICE OF THE CITY CLERK LICENSE AGREEMENT REGARDING LOT 216, TRACT 12954, SIC, CA COUNTY OF ORANGE (MARBELLA PLAZA). 29400 PASEO ADELANTO SAN JUAN CAPISTRANO CA 92675 PREM BLDG 1 1 438BFU BANK OF AMERICA, N.A. 333 S BEAUDRY AVE 11TH FLOOR LOS ANGELES CA 90017 Loan Number: LOAN 60680 2 1 438BFU BANK OF AMERICA C/O CA BUSINESS LOAN PROCESSIN 333 S BEAUDRY AVE 11FLOOR LOS ANGELES CA 90017-1486 Loan Number: 606807 Additional Insured/Loss Payee Cop; Mercury Casualty Company California Special Multi Peril Policy Effective Date: 07/01/2004 Page 5 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL 4 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 4 1 MP -24 0777 SMP Agreed Amount Endorsement Agreed Amount 2120000 4 1 X-43 0395 Commercial Property Building Coverage Definition 4 1 X-46 0395 Amendatory Endorsement 5 1 Form MP -IOTA 0482 Special Multi -Peril Policy -Section I Special Pers Prop Fm 5 1 MP -126 0777 Replacement Cost Coverage Endorsement 5 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement GHED tI DS -1 law.;,. PREM BLDG 1 1 U44 BANK OF AMERICA, NATIONAL ASSOCIATION 333 S BEAUDRY AVE LOS ANGELES CA 90017 Loan Number: Loan 606807 1 1 U44 ALBERTSON'S INC., AND IT'S AFFILIATES AND WHOLLY OWNED SUBSIDIARIES ATTN: RECORDS CENTER 74570 PO BOX 20 BOISE ID 83726 Loan Number: Refer 1573805 2 1 U44 BANK OF AMERICA, NATIONAL ASSOCIATION 333 S BEAUDRY AVE LOS ANGELES CA 90017 Loan Number: 606807 Additional Insured/Loss Payee Cop. Mercury Casualty Company California Special Multi Peril Policy Effective Date: 07/01/2004 Page 4 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL 3084000 1 1 X-43 0395 Commercial Property Building Coverage Definition 1 1 X-46 0395 Amendatory Endorsement 2 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 2 1 MP -122 0777 Sprinkler Leakage Endorsement Designated Property Business Personal Property No 3 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 3 1 MP -122 0777 Sprinkler Leakage Endorsement Designated Property Coinsurance Percent 100 Building Coverage Yes 2 1 MP -126 0777 Replacement Cost Coverage Endorsement 2 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% 2 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 2 1 MP -24 0777 SMP Agreed Amount Endorsement Agreed Amount 1893000 2 1 X-43 0395 Commercial Property Building Coverage Definition 2 1 X-46 0395 Amendatory Endorsement Business Personal Property No 3 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 3 1 MP -122 0777 Sprinkler Leakage Endorsement Designated Property Business Personal Property No 4 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 4 1 MP -126 0777 Replacement Cost Coverage Endorsement 4 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% Coinsurance Percent 100 Building Coverage Yes 3 1 MP -126 0777 Replacement Cost Coverage Endorsement 3 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% 3 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 3 1 MP -24 0777 SMP Agreed Amount Endorsement Agreed Amount 5618000 3 1 X-43 0395 Commercial Property Building Coverage Definition 3 1 X-46 0395 Amendatory Endorsement Business Personal Property No 4 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 4 1 MP -126 0777 Replacement Cost Coverage Endorsement 4 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% Additional Insured/Loss Payee Copy ARV ercury Casualty Company California Special Multi Peril Policy Effective Date: 07/01/2004 Page 3 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL e of Forms and E It is hereby understood and agreed in consideration of the premium charged, that the following endorsements are attached to and form part of the aforementioned Policy. IL0958 1102 Exclusion of Certified Acts of Terrorism CG2173 1102 Exclusion of Certified Acts of Terrorism IL0003 0689 Calculation of Premium IL0017 1185 Common Policy Conditions IL0021 1185 Nuclear Energy Liability Exclusion Endorsement IL0270 0300 California Changes - Cancellation and NonRenewal MCC Mold EXC LIAB 1 MCC Mold EXC Property 1 MP200 0777 Special Mulit-Peril Policy Liability Insurance MP202 0678 Comprehensive General Liability Insurance Endorsement MP220 0678 Personal Injury Liability Insurance Endorsement MP -4M 0683 Special Multi -Peril Policy Conditions and Definitions SMP 10500 Mercury Casualty Company Amendatory Endorsement X-21 0980 Extended Coverage X-26 0284 Additional Exclusions X36 0195 Amendatory Coverage Endorsement X45 0599 Ordinance or Law Coverage Coverage Combined Demolition and Increased Cost of Construction MP -175 0777 Accounts Receivable Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included MP -176 0777 Valuable Papers and Records Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included SF220 1065 Fire Liability Form Refer to Amendatory Endorsement for Coverage Limits Automatically Included X-27 0983 Mini Computer Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included X-41 A 0500 Amendatory Endorsement - Mechanical Breakdown Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included X42 0395 Employee Dishonesty Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included X45 0599 Ordinance or Law Coverage Refer to Amendatory Endorsement for Coverage Limits Automatically Included PREM BLDG 1 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 1 1 MP -126 0777 Replacement Cost Coverage Endorsement 1 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% 1 I MP -198 0777 SMP Automatic Increase Insurance Endorsement 1 1 MP -24 0777 SMP Agreed Amount Endorsement Agreed Amount Additional Insured/Loss Payee Coo 400,000 Mercury Casualty Company California Special Multi Peril Policy 570,000 Effective Date: 07/01/2004 Page 2 2 1 Policy Number: CCP0008229 628,000 Insureds Name: ROGER DE YOUNG ETAL 1 1 Building 4,150,000 Replacement Cost 100% $1,000 6,375 2 1 Building 2,007,000 Replacement Cost 100% $1,000 2,375 3 1 Building 5,955,000 Replacement Cost 100% $1,000 10,573 4 1 Building 2,250,000 Replacement Cost 100% $1,000 2,663 5 1 Business Personal Property $27,000 Replacement Cost 100% $1,000 $35 Automatic Increase - Building Limit 6% and Business Personal Property 4% OPTIONAL COVERAGE(S) PREM 'E QRAGE .. ry t p,r J EDUQTIBLE P TOTAL PROPERTY PREMIUM 445 INCL INCL INCL INCL 27,091 Bodily Injury & Property Damage Liability Combined Single Limits $1,000,000 Per Occurrence/$1,000,000 Aggregate $3,890 Personal & Advertising Injury $1,000,000 Per Occurrence/$1,000,000 Aggregate Products & Completed Operations $1,000,000 Per Occurrence/$1,000,000 Aggregate Medical Expenses $5,000 Each Person/$10,000 Each Accident Additional Coverages: Vacant Land 6-10 acres $119 TOTAL LIABILITY PREMIUM $4,848 Building Ordinance 400,000 1 1 Loss of Rents 570,000 MP101 and MP101Awith 100% Coinsurance 2 1 Loss of Rents 628,000 MP 101 and MP 101A with 100% Coinsurance 3 1 Loss of Rents $1,492,000 MP 101 and MP 101A with 100% Coinsurance 4 1 Loss of Rents 302,000 MP101 and MP101A with 100% Coinsurance TOTAL PROPERTY PREMIUM 445 INCL INCL INCL INCL 27,091 Bodily Injury & Property Damage Liability Combined Single Limits $1,000,000 Per Occurrence/$1,000,000 Aggregate $3,890 Personal & Advertising Injury $1,000,000 Per Occurrence/$1,000,000 Aggregate Products & Completed Operations $1,000,000 Per Occurrence/$1,000,000 Aggregate Medical Expenses $5,000 Each Person/$10,000 Each Accident Additional Coverages: Vacant Land 6-10 acres $119 TOTAL LIABILITY PREMIUM $4,848 S2004-07-16-04.05.05.000000 P2004-07-15-13.58.53.830000 82004-07-15-16.07.22.000000 V ercury Casualty Company Additional Insured/Loss California Special Multi Peril Policy Payee Copy Effective Date 07/01/2004 Page 1 Amended Declaration Multiple Changes This declaration supersedes any previous declaration bearing the same number for this policy period. Named Insured: ROGER DE YOUNG ETAL ROGER DE YOUNG ETAL 355 BRISTOL ST # C COSTA MESA CA 92626 ilticy14 :er Policy Period To CITY OF SAN JUAN CAPISTRANO OFFICE OF 23400PASEO ADELANTO SAN JUAN CAPISTRANO CA 92675 CCP0008229 07/01/2004 - 07101/2005 Mercury Casualty Company 3881 714-505-5550 At 12:01AM Standard Time At Your Mailing Address Shown Above. DRISCOLL INS AGCY, INC Business Description: Industrial/ Shopping Center/ Loc. 5&6 are Liability Only. Loc. 7 is an Office. Form of Business: OTHER IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. Insurance is provided with respect to those premises -described herein and with respect to those coverages and kinds of property for which a specific limit of liability is shown, subject to all the terms of this policy including forms and endorsements made a part hereof: LOCATION OF PREMISES 1 1 9479 & 9743 Baseline Rd - 9713-9799 Baseline Rd - Rancho Cucamonga CA 91730 2 1 8925 Orangethorpe - Buena Park CA 90621 3 1 31103-31115 Rancho Viejo Rd - San Juan Capistrano CA 92675 4 1 7650 Stage Rd - Buena Park CA 90621 5 1 355 Bristol St # C - Costa Mesa CA 92679 Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies PRQP Q . AV IT OF CO UCT- PREM BLDG .. : '' CE LJRAN LE Px. t,. ditional Insured/Loss Payee Copy Mercury Casualty Company CITY OF SAN JUAN CAPISTRANO OFFICE OF THE CITY CLERK 23400 PASEO ADELANTO SAN JUAN CAPISTRANO CA 92675 07-07-'04 13:05 FROM -Driscoll Insurance 7145055562 FAX TRANSMITTAL SHEET Driscoll Insurance Agency, Inc. P.O. Box 1085 Tustin, CA 92781-9917 Telephone #(714) 505-5550 (888) 292-9925 Fax #(714) 505-5562 License #0538458 DATE: July 7, 2004 TO: City of San Juan Capistrano ATTN: Maria Fax #949-493-1053 Phone #949-443-6309 FROM: Dorothy Berryhill TOTAL NUMBER OF PAGES, INCLUDING THIS PAGE: T-938 /`001/004 U-116 PLEASE NOTIFY OUR OFFICE IF ALL PAGES ARE NOT RECEIVED' RE: Roger De Young, Etal Mercury Casualty Policy #CCP0008229 Property Location: 31103-31115 Rancho Viejo Rd., San Juan Capistrano, CA MESSAGE: Attached please find the policy endorsement form listing the City of San Juan Capistrano as additional insured regarding Location #3 — 31103-31115 Rancho Viejo Rd., San Juan Capistrano, CA (please circled items). Please mark your records accordingly. Thank you. VERIFICATION OF FAX SENT- _______ DATE: TIME: 0 52004-05-22-06.20.39.000000 P2011-11.40.17.840000 82004-05-21-13.48.03.000000 RV ercury Casualty Company Payee Insured/Loss California Special Multi Peril Policy Payee Copy Effective Date 07/01/2004 Page I Amended Declaration Multiple Changes This declaration supersedes any previous declaration bearing the same number for this policy period. Named Insured: ROGER DE YOUNG FETAL ROGER DE YOUNG ETAL 355 BRISTOL ST # C COSTA MESA CA 92626 CITY OF SAN JUAN CAPISTRANO OFFICE OF I23400PASEOADELANTO SAN JUAN CAPISTRANO CA 92675 Mercury Casualty Company At 12:01 AM Standard Time At Your Mailing Address Shown Above. 3881 714-505-5550 DRISCOLL INS AGCY. INC Business Description: Industrial/ Shopping Center/ Loc. 5&6 are Liability Only. Loc. 7 is an Office. Form of Business: OTHER IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. Insurance is provided with respect to those premises described herein and with respect to those coverages and kinds of property for which a specific limit of liability is shown, subject to all the terms of this policy including forms and endorsements made a part hereof LOCATION OF PREMISES 1 1 9713-9799 Baseline Rd - Rancho Cucamonga CA 91730 2 1 8925 Orangethorpe - Buena Park CA 90621 3 1 31103-31115 Ranc Viejo Rd - San Juan Capistrano CA 92675 4 1 76 tage Rd - Buena Park CA 90621 5 1 9743 Baseline Rd - Rancho Cucamonga CA 91730 6 1 1801 E Katella Ave - Anaheim CA 92801 7 1 355 Bristol St # C - Costa Mesa CA 92679 Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies ARMercury Casualty Company Additional Insured/Loss Payee Copt California SpeJal Multi Peril Policy Effective Date: 07/01/2004 Page 2 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL 1 1 Building 3,269,000 Replacement Cost 100% 1,000 5,022 2 1 Building 2,007,000 Replacement Cost 100% 1,000 2,375 3 1 Building 5,955,000 Replacement Cost 100% 1,000 10,573 4 1 Building 2,247,000 Replacement Cost 100% 1,000 2,659 5 1 Building 1,575,000 Not Applicable 100% 1,000 2,974 7 1 Business Personal Property $27,000 Replacement Cost 100% $1,000 $35 Automatic Increase - Building Limit 6% and Business Personal Property 4% OPTIONAL COVERAGE(S) TOTAL PROPERTY PREMIUM $28,777 Building Ordinance 400,000 445 1 1 Loss of Rents 525,000 INCL MP 101 and MP 101 A with 100% Coinsurance 2 1 Loss of Rents 597,000 INCL MP101 and MP101A with 100% Coinsurance 3 1 Loss of Rents $1,492,000 INCL MP 101 and MP 101A with 100% Coinsurance 4 1 Loss of Rents 288,000 INCL MP 101 and MP 101 A with 100% Coinsurance 5 1 Loss of Rents 100,000 INCL MPI 01 and MPI 01A with 100% Coinsurance TOTAL PROPERTY PREMIUM $28,777 Mercury Casualty CompanyAA Additional Insured/Loss Payee Cop* California Special Multi Peril Policy Effective Date: 07/01/2004 Page 3 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL Bodily Injury & Property Damage Liability Combined Single Limits $1,000,000 Per Occurrence/$1,000,000 Aggregate $5,198 Personal & Advertising Injury $1,000,000 Per Occurrence/$1,000,000 Aggregate Products & Completed Operations $1,000,000 Per Occurrence/$1,000,000 Aggregate Medical Expenses $5,000 Each Person/$10,000 Each Accident Additional Coverages - Vacant Land 6-10 acres TOTAL LIABILITY PREMIUM 119 5,317 It is hereby understood and agreed, in consideration of the premium charged, that the following endorsements are attached to and form part of the aforementioned Policy. IL0958 1102 Exclusion of Certified Acts of Terrorism CG2173 1102 Exclusion of Certified Acts of Terrorism IL0003 0689 Calculation of Premium IL0017 1185 Common Policy Conditions IL0021 1185 Nuclear Energy Liability Exclusion Endorsement IL0270 0300 California Changes - Cancellation and NonRenewal MCC Mold EXC LIAB 1 MCC Mold EXC Property 1 MP200 0777 Special Muht-Peril Policy Liability Insurance MP202 0678 Comprehensive General Liability Insurance Endorsement MP220 0678 Personal Injury Liability Insurance Endorsement MP -4M 0683 Special Multi -Peril Policy Conditions and Definitions SMP 10500 Mercury Casualty Company Amendatory Endorsement X-21 0980 Extended Coverage X-26 0284 Additional Exclusions X36 0195 Amendatory Coverage Endorsement X45 0599 Ordinance or Law Coverage Coveraee Combined Demolition and Increased Cost of Construction MP -175 0777 Accounts Receivable Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included MP -176 0777 Valuable Papers and Records Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included SF220 1065 Fire Liability Form Refer to Amendatory Endorsement for Coverage Limits Automatically Included X-27 0983 Mini Computer Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included X -41A 0500 Amendatory Endorsement - Mechanical Breakdown Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included Additional Insured/Loss Payee Copy Mercury Casualty Company California Special Multi Peril Policy Effective Date: 07/01/2004 Page 4 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL X42 0395 Employee Dishonesty Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included X45 0599 Ordinance or Law Coverage Refer to Amendatory Endorsement for Coverage Limits Automatically Included PREM BLDG I 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 1 1 MP -126 0777 Replacement Cost Coverage Endorsement I I MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% 1 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 1 1 MP -24 0777 SMP Agreed Amount Endorsement Agreed Amount 3084000 1 1 X-43 0395 Commercial Property Building Coverage Definition 1 1 X-46 0395 Amendatory Endorsement 2 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 2 1 MP -126 0777 Replacement Cost Coverage Endorsement 2 1 MP -146 0777 Loss of Rents Endorsement 4 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 4 1 MP -126 0777 Replacement Cost Coverage Endorsement 4 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% Contribution Clause Percent 100% 2 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 2 1 MP -24 0777 SMP Agreed Amount Endorsement Agreed Amount 1893000 2 1 X-43 0395 Commercial Property Building Coverage Definition 2 1 X46 0395 Amendatory Endorsement 3 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 3 1 MP -126 0777 Replacement Cost Coverage Endorsement 3 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% 3 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 3 1 MP -24 0777 SMP Agreed Amount Endorsement Aereed Amount 5618000 3 1 X-43 0395 Commercial Property Building Coverage Definition 3 1 X-46 0395 Amendatory Endorsement 4 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 4 1 MP -126 0777 Replacement Cost Coverage Endorsement 4 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% Additional Insured/Loss Payee Cope N ercury Casualty Company California Special Multi Peril Policy Effective Date: 07/01/2004 Page 5 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL 4 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 4 1 MP -24 0777 SMP Agreed Amount Endorsement 7 1 Form MP -IOTA 0482 Special Multi -Peril Policy -Section I Special Pers Prop Fm 7 1 MP -126 0777 Replacement Cost Coverage Endorsement 7 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement n D, E DS aiw PREM BLDG 1 U44 BANK OF AMERICA, NATIONAL ASSOCIATION 333 S BEAUDRY AVE LOS ANGELES CA 90017 Loan Number: Loan 606807 Agreed Amount 2120000 4 1 X-43 0395 Commercial Property Building Coverage Definition 4 1 X-46 0395 Amendatory Endorsement 5 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 5 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% 5 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 5 1 X-43 0395 Commercial Property Building Coverage Definition 5 1 X-46 0395 Amendatory Endorsement 6 1 MP -122 0777 Sprinkler Leakage Endorsement Designated Property As shown on policy. Coinsurance Percent 100 Building Coverage Business Personal Property Yes No 6 MP -198 0777 SMP Automatic Increase Insurance Endorsement 7 1 Form MP -IOTA 0482 Special Multi -Peril Policy -Section I Special Pers Prop Fm 7 1 MP -126 0777 Replacement Cost Coverage Endorsement 7 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement n D, E DS aiw PREM BLDG 1 U44 BANK OF AMERICA, NATIONAL ASSOCIATION 333 S BEAUDRY AVE LOS ANGELES CA 90017 Loan Number: Loan 606807 Additional Insured/Loss Payee Copy Mercury Casualty Company California Special Multi Peril Policy Effective Date: 07/01/2004 Page 6 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL I 1 U44 ALBERTSON'S INC., AND ITS AFFILIATES AND WHOLLY OWNED SUBSIDIARIES ATTN: RECORDS CENTER 74570 PO BOX 20 BOISE ID 83726 Loan Number: Refer 1573805 2 1 U44 BANK OF AMERICA, NATIONAL ASSOCIATION 333 S BEAUDRY AVE LOS ANGELES CA 90017 Loan Number: 606807 3 1 U44 BANK OF AMERICA, NATIONAL ASSOCIATION 333 S BEAUDRY AVE LOS ANGELES CA 90017 Loan Number: 606807 3 1 U44 CITY OF SAN JUAN CAPISTRANO OFFICE OF THE CITY CLERK LICENSE AGREEMENT REGARDING LOT 216, TRACT 12954, SIC, CA COUNTY OF ORANGE (MARBELLA PLAZA). 23400 PASEO ADELANTO SAN JUAN CAPISTRANO CA 92675 Additional Insured/Loss Payee Cop* ARV ercury Casually Company California Special Multi Peril Policy Effective Date: 07/01/2004 Page 7 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL PREM BLDG 1 1 438BFU BANK OF AMERICA, N.A. 333 S BEAUDRY AVE 11TH FLOOR LOS ANGELES CA 90017 Loan Number: LOAN 60680 2 1 438BFU BANK OF AMERICA C/O CA BUSINESS LOAN PROCESSIN 333 S BEAUDRY AVE 11FLOOR LOS ANGELES CA 90017-1486 Loan Number: 606807 3 1 438BFU BANK OF AMERICA, NATIONAL ASSOCIATION 333 S BEAUDRY AVE LOS ANGELES CA 90017 Loan Number: 606807 5 1 438BFU BANK OF AMERICA, NATIONAL ASSOCIATION 333 S BEAUDRY AVE LOS ANGELES CA 90017 Loan Number: Loan 9952695633 In Consideration of the Provisions and Stipulations Herein or Added Hereto and of the Premium Above Specified (or specified in endorsement attached hereto), this Company, for the term from Inception date shown above (At 12:01 A.M. Standard Time)to expiration date shown above (At 12:01 A.M. Standard Time) at location of property involved, to an amount not exceeding the limit of liability specified, does insure the Insured named in the Declarations above and legal representatives, to the extent of the actual cash value of the property at the time of loss, but not exceeding the amount which it would cost to repair or replace the property with material of like kind and quality within a reasonable time after such loss, without allowance for any increased cost of repair or reconstruction by reason of any ordinance or law regulating construction or repair; and without compensation for loss resulting from interruption of business or manufacture, nor in any event for more than the interest of the insured, against all LOSS BY FIRE, LIGHTNING AND OTHER PERILS INSURED AGAINST IN THIS POLICY IN- CLUDING REMOVAL FROM PREMISES ENDANGERED BY THE PERILS INSURED AGAINST IN THIS POLICY, EXCEPT AS HEREINAFTER PROVIDED to the property described herein while located or contained as described in this policy, or pro rata for five days at each proper place to which any of the property shall necessarily be removed for preservation from the perils insured against in this policy, but not elsewhere. Assignment of this policy shall not be valid except with the written consent of this Company. This policy is made and accepted subject to the foregoing provisions and stipulations and those hereinafter stated, which are hereby made a part of this policy, to- gether with such other provisions, stipulations and agreements as may be added hereto, as provided by this policy. M-1 (6/83) Additional Insured/Loss Payee Copy ercury Casualty Company California Special Multi Peril PolicyARVEffectiveDate:07/01/2004 Page 8 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL It is agreed that building coverage is provided on $1 a blanket basis. 1860 S. Lewis Street., Anahiem, CA (4 Acres, Vacant land FULL POLICY TERM PREMIU $34,094 This policy change has resulted in an additional premium of $260 CREDITS: Prem: 1 Bldg: I Management Credit, Multi-Building Credit, Sprinkler Credit Prem: 2 Bldg: 1 Management Credit, Multi-Building Credit, Sprinkler Credit Prem: 3 Bldg: 1 Age Credit, Management Credit, Multi-Building Credit, Sprinkler Credit Prem: 4 Bldg: 1 Management Credit, Multi-Building Credit, Sprinkler Credit Prem: 5 Bldg: 1 Management Credit, Multi-Building Credit, Sprinkler Credit Prem: 6 Bldg: I Management Credit, Multi-Building Credit Prem: 7 Bldg: 1 Management Credit, Multi-Building Credit Checks or drafts are accepted in payment only if they are honored when first presented. In Consideration of the Provisions and Stipulations Herein or Added Hereto and of the Premium Above Specified (or specified in endorsement attached hereto), this Company, for the term from Inception date shown above (At 12:01 A.M. Standard Time)to expiration date shown above (At 12:01 A.M. Standard Time) at location of property involved, to an amount not exceeding the limit of liability specified, does insure the Insured named in the Declarations above and legal representatives, to the extent of the actual cash value of the property at the time of loss, but not exceeding the amount which it would cost to repair or replace the property with material of like kind and quality within a reasonable time after such loss, without allowance for any increased cost of repair or reconstruction by reason of any ordinance or law regulating construction or repair; and without compensation for loss resulting from interruption of business or manufacture, nor in any event for more than the interest of the insured, against all LOSS BY FIRE, LIGHTNING AND OTHER PERILS INSURED AGAINST IN THIS POLICY IN- CLUDING REMOVAL FROM PREMISES ENDANGERED BY THE PERILS INSURED AGAINST IN THIS POLICY, EXCEPT AS HEREINAFTER PROVIDED to the property described herein while located or contained as described in this policy, or pro rata for five days at each proper place to which any of the property shall necessarily be removed for preservation from the perils insured against in this policy, but not elsewhere. Assignment of this policy shall not be valid except with the written consent of this Company. This policy is made and accepted subject to the foregoing provisions and stipulations and those hereinafter stated, which are hereby made a part of this policy, to- gether with such other provisions, stipulations and agreements as may be added hereto, as provided by this policy. M-1 (6/83) Additional Insured/Loss Payee Copo Mercury Casualty Company California Special Multi Peril Policy Effective Date: 07/01/2004 Page 1 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL NAMED INSURED "ET AL" It is hereby understood and agreed by all parties to this contract, that the "ET AL" named in ITEM ONE, NAMED INSURED section of this policy, includes only the following as NAMED INSUREDS: Loc. 1 & 5, ALBERTSON'S CENTER L.P. LLC, 1.00000%, DE YOUNG FAMILY TRUST, 42.57995%, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 48.87055%, ROGER A. DE YOUNG, JR., 2.5160%, DOUGLAS A. DE YOUNG, 2.51650%, WENDY A. GERDOU, 2.51650%. t CATION#2 RDY, LLC, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 100.0000%. CATION #3, MARBELLA PLAZA, L.P. 530 LLC, 1.00000%, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 11895%, DE YO FAMIL ST, 10.99105%, ROGER AD JR, o, OUGLAS A. DE UNG, 1.79740%, WENDY A. GERDAU, 1.79740 %, ROGER A. DE YOUNG, JR., AND SANDRA L. DE YOUNG, 5768%, DOUGLAS A. DE YOUNG AND CATHRYN DE YOUNG, 4.25768%, WENDY A. GERDAU & KENNETH W. RDAU, 1.06958%, ROGER A. DE YOUNG, AS CUSTODIAN FOR KELLY A. DE YOUNG, 0.31881%, ROGER A. DE UNG AS CUSTODIAN FOR KASEY S. DE YOUNG,0.31881%, DOUGLAS A. DE YOUNG AS CUSTODIAN FOR OTT A. DE YOUNG, 0.82891%, DOUGLAS A. DE YOUNG AS CUSTODIAN FOR KATHRYN A. DE YOUNG, 4633%. LOC.#4., STAGE ROAD PARTNERS, DE YOUNG FAMILY TRUST, 73.8 D 0 0 52004-05-22-06.19.46.000000 P2004-05-21-11.31.13.000000 82004-05-21-13.38.59.000000 ARV ercury Casualty Company Additional Insured/Loss California Special Multi Peril Policy Payee Copy Effective Date 05/19/2004 Page 1 Amended Declaration Multiple Changes T's declaration persedes any previous declaration bearing the same number for this policy period. Named Insured: ROGER DE YOU AL ROGER DE YOUNG ETAL CITY OF SAN JUAN CAPISTRANO OFFICE 355 BRISTOL ST # C 23400 PASEO ADELANTO COSTA MESA CA 92626 SAN JUAN CAPISTRANO CA 92675 CCP0008229 07/01/2003 07/01/2004 Mercury Casualty Company 3881 714-505-5550 At 12:01 AM Standard Time At Your Mailing Address Shown Above, DRISCOLL INS AGCY, INC Business Description: Industrial/ Shopping Center/ Loc. 5&6 are Liability Only. Loc. 7 is an Office. Form of Business: OTHER IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IA? THIS POLICY. Insurance is provided with respect to those premises described herein and with respect to those coverages and kinds of property for which a specific limit of liability is shown, subject to all the terms of this policy including forms and endorsements made a part hereof LOCATION OF PREMISES 1 1 9713-9799 Baseline Rd - Rancho Cucamonga CA 91730 2 1 8925 Orangethorpe - Buena Park CA 90621 3 1 31103-31115 Rancho Viejo Rd - San Juan Capistrano CA 92675 4 1 7650 Stage Rd - Buena Park CA 90621 5 1 9743 Baseline Rd - Rancho Cucamonga CA 91730 6 1 1801 E Katella Ave - Anaheim CA 92801 7 1 355 Bristol St # C - Costa Mesa CA 92679 Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies AAMercury Casualty Company Additional Insured/Loss Payee Copy California Special Multi Peril Policy Effective Date:05/19/2004 Page 2 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL 1 1 Building 3,084,000 Replacement Cost 100% 1,000 4,738 2 1 Building 1,893,000 Replacement Cost 100% 1,000 2,240 3 1 Building 5,879,000 Replacement Cost 100% 1,000 10,438 4 1 Building 2,120,000 Replacement Cost 100% 1,000 2,509 5 1 Building 1,486,000 Not Applicable 100% 1,000 2,806 7 1 Business Personal Property $26,000 Replacement Cost Automatic Increase - Building Limit 6% and Business Personal Property 4% OPTIONAL COVERAGE(S) Building Ordinance $400,000 1 1 Loss of Rents $525,000 MPI01 and MP101A with 100% Coinsurance 2 1 Loss of Rents $597,000 MP 101 and MP 101 A with 100% Coinsurance 3 1 Loss of Rents $1,492,000 MP101 and MP101A with 100% Coinsurance 4 1 Loss of Rents $288,000 MP101 and MP 101A with 100% Coinsurance 5 1 Loss of Rents $100,000 MP101 andMP101A with 100% Coinsurance 100% $1,000 $34 445 INCL INCL INCL INCL INCL TOTAL PROPERTY PREMIUM $27,904 Additional Insured/Loss Payee Co9* ARV ercury Casualty Company California Special Multi Peril Policy Effective Date:05/19/2004 Page 3 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL Bodily Injury & Property Damage Liability Combined Single Limits $1,000,000 Per Occurrence/$1,000,000 Aggregate $5,198 Personal & Advertising Injury $1,000,000 Per Occurrence/$1,000,000 Aggregate Products & Completed Operations $1,000,000 Per Occurrence/$1,000,000 Aggregate Medical Expenses $5,000 Each Person/$10,000 Each Accident Additional Coverages: Vacant Land 6-10 acres $119 TOTAL LIABILITY PREMIUM k $5,317 It is hereby understood and agreed, in consideration of the premium charged, that the following endorsements are attached to and form part of the aforementioned Policy. IL0958 1102 Exclusion of Certified Acts of Terrorism CG2173 1102 Exclusion of Certified Acts of Terrorism IL0003 0689 Calculation of Premium IL0017 1185 Common Policy Conditions IL0021 1185 Nuclear Energy Liability Exclusion Endorsement IL0270 0300 California Changes - Cancellation and NonRenewal MCC Mold EXC LIAR 1 MCC Mold EXC Property 1 MP200 0777 Special Mulit-Peril Policy Liability Insurance MP202 0678 Comprehensive General Liability Insurance Endorsement MP220 0678 Personal Injury Liability Insurance Endorsement MP -4M 0683 Special Multi -Peril Policy Conditions and Definitions SMP 10500 Mercury Casualty Company Amendatory Endorsement X-21 0980 Extended Coverage X-26 0284 Additional Exclusions X36 0195 Amendatory Coverage Endorsement X45 0599 Ordinance or Law Coverage Coverage Combined Demolition and Increased Cost of Construction MP -175 0777 Accounts Receivable Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included MP -176 0777 Valuable Papers and Records Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included SF220 1065 Fire Liability Form Refer to Amendatory Endorsement for Coverage Limits Automatically Included X-27 0983 Mini Computer Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included X -41A 0500 Amendatory Endorsement - Mechanical Breakdown Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included Additional Insured/Loss Payee Copy A4V ercury Casualty Company California Special Multi Peril Policy Effective Date: 05/19/2004 Page 4 Policy Number: CCP0009229 Insureds Name: ROGER DE YOUNG ETAL X42 0395 Employee Dishonesty Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included X45 0599 Ordinance or Law Coverage Refer to Amendatory Endorsement for Coverage Limits Automatically Included PREM BLDG I I Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 1 1 MP -126 0777 Replacement Cost Coverage Endorsement 1 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% 1 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 1 1 MP -24 0777 SMP Agreed Amount Endorsement Agreed Amount 3084000 1 1 X-43 0395 Commercial Property Building Coverage Definition 1 1 X-46 0395 Amendatory Endorsement 2 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 2 1 MP -126 0777 Replacement Cost Coverage Endorsement 2 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% 2 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 2 1 MP -24 0777 SMP Agreed Amount Endorsement Aexeed Amount 1893000 2 1 X-43 0395 Commercial Property Building Coverage Definition 2 1 X-46 0395 Amendatory Endorsement 3 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 3 1 MP -126 0777 Replacement Cost Coverage Endorsement 3 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% 3 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 3 1 MP -24 0777 SMP Agreed Amount Endorsement Agreed Amount 5618000 3 1 X-43 0395 Commercial Property Building Coverage Definition 3 1 X-46 0395 Amendatory Endorsement 4 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 4 1 MP -126 0777 Replacement Cost Coverage Endorsement 4 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% Additional Insured/Loss Payee Cop -0 k ercury Casualty Company California pecial Multi Peril Policy Effective Date:05/19/2004 Page 5 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL 4 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 4 1 MP -24 0777 SMP Agreed Amount Endorsement Agreed Amount 2120000 4 4 5 5 5 5 5 5 1 X-43 0395 Commercial Property Building Coverage Definition 1 X-46 0395 Amendatory Endorsement I Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 1 MP -122 0777 Sprinkler Leakage Endorsement Designated Property As shown on Policy. Coinsurance Percent 100 Building Coverage Yes 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 1 X-43 0395 Commercial Property Building Coverage Definition 1 X-46 0395 Amendatory Endorsement 6 1 MP -122 0777 Sprinkler Leakage Endorsement Designated Property As shown on policy. Coinsurance Percent 100 Building Coverage Yes 6 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement Business Personal Property No Business Personal Property No 7 1 Form MP -101A 0482 Special Multi -Peril Policy -Section I Special Pers Prop Fm 7 1 MP -126 0777 Replacement Cost Coverage Endorsement 7 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement PREM BLDG I U44 BANK OF AMERICA, NATIONAL ASSOCIATION 333 S BEAUDRY AVE LOS ANGELES CA 90017 Loan Number: Loan 606807 Additional Insured/Loss Payee Copy lk ercury Casualty Company California Special Multi Peril Policy Effective Date: 05/19/2004 Page 6 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL I 1 U44 ALBERTSON'S INC., AND IT'S AFFILIATES AND WHOLLY OWNED SUBSIDIARIES ATTN: RECORDS CENTER 74570 PO BOX 20 BOISE ID 83726 Loan Number: Refer 1573805 2 1 U44 BANK OF AMERICA, NATIONAL ASSOCIATION 333 S BEAUDRY AVE LOS ANGELES CA 90017 Loan Number: 606807 3 1 U44 BANK OF AMERICA, NATIONAL ASSOCIATION 333 S BEAUDRY AVE LOS ANGELES CA 90017 Loan Number. 606807 3 1 U44 CITY OF SAN JUAN CAPISTRANO OFFICE OF THE CITY CLERK LICENSE AGREEMENT REGARDING LOT 216, TRACT 12954, SJC, CA COUNTY OF ORANGE (MARBELLA PLAZA). 23400 PASEO ADELANTO SAN JUAN CAPISTRANO CA 92675 Additional Insured/Loss Payee Cop_* Mercury Casualty Company California pecial Multi Peril Policy Effective Date: 05/19/2004 Page 7 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL PREM BLDG 1 1 438BFU BANK OF AMERICA, N.A. 333 S BEAUDRY AVE 11TH FLOOR LOS ANGELES CA 90017 Loan Number: LOAN 60680 2 1 438BFU BANK OF AMERICA CIO CA BUSINESS LOAN PROCESSIN 333 S BEAUDRY AVE 11FLOOR LOS ANGELES CA 90017-1486 Loan Number: 606807 3 1 438BFU BANK OF AMERICA, NATIONAL ASSOCIATION 333 S BEAUDRY AVE LOS ANGELES CA 90017 Loan Number: 606807 5 1 438BFU BANK OF AMERICA, NATIONAL ASSOCIATION 333 S BEAUDRY AVE LOS ANGELES CA 90017 Loan Number: Loan 9952695633 In Consideration of the Provisions and Stipulations Herein or Added Hereto and of the Premium Above Specified (or specified in endorsement attached hereto), this Company, for the term from inception date shown above (At 12:01 A.M. Standard Time)to expiration date shown above (At 12:01 A.M. Standard Time) at location of properly involved, to an amount not exceeding the limit of liability specified, does insure the insured named In the Declarations above and legal representatives, to the extent of the actual cash value of the property at the time of loss, but not exceeding the amount which it would cost to repair or replace the property with material of like kind and quality within a reasonable time after such loss, without allowance for any increased cost of repair or reconstruction by reason of any ordinance or law regulating construction or repair; and without compensation for loss msuiting from interwptiur of business or manufactum, nor in any event for more than the interest of the insured, against all LOSS BY FIRE, LIGHTNING AND OTHER PERILS INSURED AGAINST IN THIS POLICY IN- CLUDING REMOVAL FROM PREMISES ENDANGERED BY THE PERILS INSURED AGAINST IN THIS POLICY, EXCEPT AS HEREINAFTER PROVIDED to the property described herein while located or contained as described in this policy, or pro rata for five days at each proper place to which any of the property shall necessarily be removed for preservation from the perils insured against in this policy, but not elsewhere. Assignment of this policy shall not be valid except with the written consent of this Company. This policy is made and accepted subject to the foregoing provisions and stipulations and those hereinafter stated, which are hereby made a part of this policy, to- gether with such other provisions, stipulations and agreements as may be added hereto, as provided by this policy. M-1 (6/83) Additional Insured1loss Payee Copy ercury Casualty Company California Special Multi Peril PolicyARVEffectiveDate:05/19/2004 Page 8 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL It is agreed that building coverage is provided on $1 a blanket basis. 1860 S. Lewis Street., Anahiem, CA (4 Acres, Vacant Ian dl CALIFORNIA ASSESSMENT - CIGA FEE $664 FULL POLICY TERM PREMIUM $33,885 This policy change has resulted in an additional premium of $87 CREDITS: Prem: 1 Bldg: 1 Management Credit, Multi -Building Credit, Sprinkler Credit Prem: 2 Bldg: I Management Credit, Multi -Building Credit, Sprinkler Credit Prem: 3 Bldg: 1 Age Credit, Management Credit, Multi -Building Credit, Sprinkler Credit Prem: 4 Bldg: 1 Management Credit, Multi -Building Credit, Sprinkler Credit Prem: 5 Bldg: 1 Management Credit, Multi -Building Credit, Sprinkler Credit Prem: 6 Bldg: I Management Credit, Multi -Building Credit Prem: 7 Bldg: 1 Management Credit, Multi -Building Credit Checks or drafts are accepted in payment only if they are honored when first presented. In Consideration of the Provisions and Stipulations Herein or Added Hereto and of the Premium Above Specified (or specified in endorsement attached hereto), this Company, for the term from inception date shown above (At 12:01 A.M. Standard Time)to expiration date shown above (At 12:01 A.M. Standard Time) at location of properly involved, to an amount not exceeding the limit of liability specified, does insure the insured named In the Declarations above and legal representatives, to the extent of the actual cash value of the property at the time of loss, but not exceeding the amount which it would cost to repair or replace the property with material of like kind and quality within a reasonable time after such loss, without allowance for any increased cost of repair or reconstruction by reason of any ordinance or law regulating construction or repair; and without compensation for loss msuiting from interwptiur of business or manufactum, nor in any event for more than the interest of the insured, against all LOSS BY FIRE, LIGHTNING AND OTHER PERILS INSURED AGAINST IN THIS POLICY IN- CLUDING REMOVAL FROM PREMISES ENDANGERED BY THE PERILS INSURED AGAINST IN THIS POLICY, EXCEPT AS HEREINAFTER PROVIDED to the property described herein while located or contained as described in this policy, or pro rata for five days at each proper place to which any of the property shall necessarily be removed for preservation from the perils insured against in this policy, but not elsewhere. Assignment of this policy shall not be valid except with the written consent of this Company. This policy is made and accepted subject to the foregoing provisions and stipulations and those hereinafter stated, which are hereby made a part of this policy, to- gether with such other provisions, stipulations and agreements as may be added hereto, as provided by this policy. M-1 (6/83) Mercury Casualty Company Additional Insured/Loss Payee Cop California S cial Multi Peril Policy Effective Date: 05119/2004 Page 1 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL NAMED INSURED "ET AL" It is hereby understood and agreed by all parties to this contract, that the "ET AL" named in ITEM ONE, NAMED INSURED section of this policy, includes only the following as NAMED INSUREDS: Loc. 1 & 5, ALBERTSON'S CENTER L.P. LLC, 1.00000%, DE YOUNG FAMILY TRUST, 42.57995%, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 48.87055%, ROGER A. DE YOUNG, JR., 2.5160%, DOUGLAS A. DE YOUNG, 2.51650%, WENDY A. GERDOU, 2.51650%. LOCATION#2 RDY, LLC, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 100.0000%. LOCATION #3, MARBELLA PLAZA, L.P. 530 LLC, 1.00000%, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 71.11895%, DE YOUNG FAMILY TRUST, 10.99105%, ROGER A. DE YOUNG, JR., 1.79740%, DOUGLAS A. DE YOUNG, 1.79740%, WENDY A. GERDAU, 1.79740 %, ROGER A. DE YOUNG, JR., AND SANDRA L. DE YOUNG, 4.25768%, DOUGLAS A. DE YOUNG AND CATHRYN DE YOUNG, 4.25768%, WENDY A. GERDAU & KENNETH W. GERDAU, 1.06958%, ROGER A. DE YOUNG, AS CUSTODIAN FOR KELLY A. DE YOUNG, 0.31881%, ROGER A. DE YOUNG AS CUSTODIAN FOR KASEY S. DE YOUNG,0.31881%, DOUGLAS A. DE YOUNG AS CUSTODIAN FOR SCOTT A. DE YOUNG, 0.82891%, DOUGLAS A. DE YOUNG AS CUSTODIAN FOR KATHRYN A. DE YOUNG, 0.44633%. LOC.#4., STAGE ROAD PARTNERS, DE YOUNG FAMILY TRUST, 73.8655%, ROGER DE YOUNG CONSTRUCTION CO. 35.7000%, ROGER A. DE YOUNG, JR., 3.0600%, DOUGLAS A. DE YOUNG, 3.0600%, STEVE CALHOUN, 0.5100%, CAROLINE H. HELMS, AS TRUSTEE OF HAZEL HOUSEMAN TRUST, 24.3775%, ROBERTSON & SUZANNE SCHAEFER TRUSTEES OF SCHAEFER TRUST, 12.1888%, PAUL HELMS & CAROLINE H. HELMS TRUSTEES, 0.2450%, PAUL HELMS, 111 111888%. LOC. #6 SC/KATELLA, LLC, DE YOUNG FAMILY TRUST, 73.8655%, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 17.2622%, DOUGLAS A. DE YOUNG AND CATHRYN DE YOUNG, 5.8169%, DOUGLAS A. DE YOUNG, AS CUSTODIAN FOR SCOTT A. DE YOUNG, 1.5277%, DOUGLAS A. DE YOUNG, AS CUSTODIAN FOR KATHRYN A. DE YOUNG, 1.5277%. LOC.#7 ROGER DE YOUNG CONSTRUCTION CO JNC., ROGER DE YOUNG 100.0w/o. VACANT LAND -ARROW & VIA VERDE, SAN DIMAS, CA - ROGER DE YOUNG CONSTRUCTION CO., INC., ROGER DE YOUNG, 100.0000%. LOT L, SAN JUAN CAPISTRANO, CA - ORTEGA PROPERTY, DE YOUNG FAMILY TRUST, 100.0000%. VACANT LAND AT Mercury Casualty CompanyAR CITY OF SAN JUAN CAPISTRANO OFFICE OF THE CITY CLERK 23400 PASEO ADELANTO SAN JUAN CAPISTRANO CA 92675 Odditional Insured/Loss Payee Copy 1, AMercury Casualty Compano Additional Insured/Loss Payee Co Californi*cial Multi Peril Policy Effective Date: 11/14/2003 Page I Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL NAMED INSURED "ET AL" It is hereby understood and agreed by all parties to this contract, that the "ET AL" named in ITEM ONE, NAMED INSURED section of th Ipolicy, includes only the following as NAMED INSUREDS: Loc. 1 & 5, ALBERTSON'S CENTER L.P. LLC, 1.00000°/x, DE YOUNG FAMILY TRUST, 42.57995%, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 48.87055%, ROGER A. DE YOUNG, JR., 2.5160%, DOUGLAS A. DE YOUNG, 2.51650%, WENDY A. GERDOU, 2.51650%. LOCATION#2 RDY, LLC, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 100.0000%. LOCATION #3, MARBELLA PLAZA, L.P. 530 LLC, 1.00000%, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 71.11895%, DE YOUNG FAMILY TRUST, 10.99105%, ROGER A. DE YOUNG, JR., 1.79740%, DOUGLAS A. DE YOUNG, 1.79740%, WENDY A. GERDAU, 1.79740 %, ROGER A. DE YOUNG, JR., AND SANDRA L. DE YOUNG, 4.25768%, DOUGLAS A. DE YOUNG AND CATHRYN DE YOUNG, 4.25768%, WENDY A. GERDAU & KENNETH W. GERDAU, 1.06958%, ROGER A. DE YOUNG, AS CUSTODIAN FOR KELLY A. DE YOUNG, 0.31881%, ROGER A. DE YOUNG AS CUSTODIAN FOR KASEY S. DE YOUNG,0.31881%, DOUGLAS A. DE YOUNG AS CUSTODIAN FOR SCOTT A. DE YOUNG, 0.82891%, DOUGLAS A. DE YOUNG AS CUSTODIAN FOR KATHRYN A. DE YOUNG, 0.44633%. LOC.#4, STAGE ROAD PARTNERS, DE YOUNG FAMILY TRUST, 73.8655°/x, ROGER DE YOUNG CONSTRUCTION CO. 35.7000%, ROGER A. DE YOUNG, JR., 3.0600%, DOUGLAS A. DE YOUNG, 3.0600%, STEVE CALHOUN, 0.5100°/x, CAROLINE H. HELMS, AS TRUSTEE OF HAZEL HOUSEMAN TRUST, 24.3775%, ROBERTSON & SUZANNE SCHAEFER TRUSTEES OF SCHAEFER TRUST, 12.1888%, PAUL HELMS & CAROLINE H. HELMS TRUSTEES, 0.2450%, PAUL HELMS, 111 12.1888%. LOC. #6 SC/KATELLA, LLC, DE YOUNG FAMILY TRUST, 73.8655%, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 17.2622%, DOUGLAS A. DE YOUNG AND CATHRYN DE YOUNG, 5.8169°/x, DOUGLAS A. DE YOUNG, AS CUSTODIAN FOR SCOTT A. DE YOUNG, 1.5277%, DOUGLAS A. DE YOUNG, AS CUSTODIAN FOR KATHRYN A. DE YOUNG, 1.5277%. LOC.#7 ROGER DE YOUNG CONSTRUCTION CO,INC., ROGER DE YOUNG 100.0000%. VACANT LAND -ARROW & VIA VERDE, SAN DIMAS, CA - ROGER DE YOUNG CONSTRUCTION CO., INC., ROGER DE YOUNG, 100.0000%. LOT L, SAN JUAN CAPISTRANO, CA - ORTEGA PROPERTY, DE YOUNG FAMILY TRUST, 100.0000%. VACANT LAND AT 0 52003-I1-25-05.29.02.000000 PAO-24-10.14.11.070000 R2003-11-24-12.19.54.000000 0 kv ercury Casualty Company Additional Insured/Loss California Special Multi Peril Policy Payee Copy Effective Date 11/14/2003 Page 1 Amended Declaration Add Coverage(s) This declaration supersedes any previous declaration bearing the same number for this policy period. Named Insured: ROGER DE YOUNG ETAL Business Description: Industrial/ Shopping Center/ Loc. 5&6 are Liability Only, Loc. 7 is an Office. Form of Business: OTHER IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. Insurance is provided with respect to those premises described herein and with respect to those coverages and kinds of property for which a specific limit of liability is shown, subject to all the terms of this policy including forms and endorsements made a part hereof: LOCATION OF PREMISES 1 1 9713-9799 Baseline Rd - Rancho Cucamonga CA 91730 2 1 8925 Orangethorpe - Buena Park CA 90621 3 1 31103-31113 Rancho Viejo Rd - San Juan Capistrano CA 92675 4 1 7650 Stage Rd - Buena Park CA 90621 5 1 9743 Baseline Rd - Rancho Cucamonga CA 91730 6 1 1801 E Katella Ave - Anaheim CA 92801 7 1 355 Bristol St # C - Costa Mesa CA 92679 Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies ARMercury Casualty Compat._ Additional Insured/Loss Payee Conn California :cial Multi Peril Policy Effective Date: 1 1/14/2003 Page 2 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL 1 1 Building 3,084,000 Replacement Cost 100% 1,000 4,738 2 1 Building 1,893,000 Replacement Cost 100% 1,000 2,240 3 1 Building 5,618,000 Replacement Cost 100% 1,000 9,974 4 1 Building 2,120,000 Replacement Cost 100% 1,000 2,509 5 1 Building 1,486,000 Not Applicable 100% 1,000 2,806 7 1 Business Personal Property $26,000 Replacement Cost Automatic Increase - Building Limit 6% and Business Personal Property 4% OPTIONAL COVERAGE(S) 100% $1,000 $34 445 INCL INCL INCL INCL INCL TOTAL PROPERTY PREMIUM $27,233 Building Ordinance 400,000 1 1 Loss of Rents 525,000 MP101 and MP101A with 100% Coinsurance 2 1 Loss of Rents 597,000 MP101 and MPIOIA with 100% Coinsurance 3 1 Loss of Rents $1,375,000 MP101 and MP101A with 100% Coinsurance 4 1 Loss of Rents 288,000 MP 101 and MP 101 A with 100% Coinsurance 5 1 Loss of Rents 100,000 MP 101 and MP 101 A with 100% Coinsurance 100% $1,000 $34 445 INCL INCL INCL INCL INCL TOTAL PROPERTY PREMIUM $27,233 Mercury Casually CompareAA Additional Insured/Loss Payee Co Californi tial Multi Peril Policy Effective4e: e: 11/14/2003 Page Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL Bodily Injury & Property Damage Liability Combined Single Limits $1,000,000 Per Occurrence/$1,000,000 Aggregate $5,145 Personal & Advertising Injury $1,000,000 Per Occurrence/$1,000,000 Aggregate Products & Completed Operations $1,000,000 Per Occurrence/$1,000,000 Aggregate Medical Expenses $5,000 Each Person/$10,000 Each Accident Additional Coverages: Vacant Land 6-10 acres TOTAL LIABILITY PREMIUM 119 5,264 It is hereby understood and agreed, in consideration of the premium charged, that the following endorsements are attached to and form part of the aforementioned Policy. IL0958 1102 Exclusion of Certified Acts of Terrorism CG2173 1102 Exclusion of Certified Acts of Terrorism IL0003 0689 Calculation of Premium IL0017 1185 Common Policy Conditions IL0021 1185 Nuclear Energy Liability Exclusion Endorsement IL0270 0300 California Changes - Cancellation and NonRenewal MCC Mold EXC LIAB 1 MCC Mold EXC Property I MP200 0777 Special Mulit-Peril Policy Liability Insurance MP202 0678 Comprehensive General Liability Insurance Endorsement MP220 0678 Personal Injury Liability Insurance Endorsement MP -4M 0683 Special Multi -Peril Policy Conditions and Definitions SMP 10500 Mercury Casualty Company Amendatory Endorsement X-21 0980 Extended Coverage X-26 0284 Additional Exclusions X36 0195 Amendatory Coverage Endorsement X45 0599 Ordinance or Law Coverage Coverage Combined Demolition and Increased Cost of Construction MP -175 0777 Accounts Receivable Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included MP -176 0777 Valuable Papers and Records Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included SF220 1065 Fire Liability Form Refer to Amendatory Endorsement for Coverage Limits Automatically Included X-27 0983 Mini Computer Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included X -41A 0500 Amendatory Endorsement - Mechanical Breakdown Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included Additional Insured/Loss Payee Coa 9 RV ercury Casualty Compal. California 3cial Multi Peril Policy Effective Date: 11/14/2003 Page 4 Policy Number. CCP0008229 Insureds Name: ROGER DE YOUNG ETAL X42 0395 Employee Dishonesty Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included X45 0599 Ordinance or Law Coverage Refer to Amendatory Endorsement for Coverage Limits Automatically Included PREM BLDG 1 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 1 1 MP -126 0777 Replacement Cost Coverage Endorsement 1 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% I 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 1 1 MP -24 0777 SMP Agreed Amount Endorsement Agreed Amount 3084000 1 1 X-43 0395 Commercial Property Building Coverage Definition 1 1 X-46 0395 Amendatory Endorsement 2 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 2 1 MP -126 0777 Replacement Cost Coverage Endorsement 2 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% 2 1 MP -198 0777 SMA Automatic Increase Insurance Endorsement 2 1 MP -24 0777 SMP Agreed Amount Endorsement Agreed Amount 1893000 2 I X-43 0395 Commercial Property Building Coverage Definition 2 1 X-46 0395 Amendatory Endorsement 3 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 3 1 MP -126 0777 Replacement Cost Coverage Endorsement 3 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% 3 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 3 1 MP -24 0777 SMP Agreed Amount Endorsement Agreed Amount 5618000 3 1 X-43 0395 Commercial Property Building Coverage Definition 3 1 X-46 0395 Amendatory Endorsement 4 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 4 1 MP -126 0777 Replacement Cost Coverage Endorsement 4 I MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% Additional Insured/Loss Payee C# Dae.:- V ercury Casualty Compal+ Californicial Multi Peril PolicyAREffective11/14/2003 Page 5 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL 4 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 4 1 MP -24 0777 SMP Agreed Amount Endorsement Agreed Amount 2120000 4 1 X-43 0395 Commercial Property Building Coverage Definition 4 1 X-46 0395 Amendatory Endorsement 5 1 Form MP -l01 0482 Special Multi -Peril Policy -Section I Special Building Form 5 1 MP -122 0777 Sprinkler Leakage Endorsement Designated Property As shown on Policy. Coinsurance Percent 100 Building Coverage Business Personal Property Yes No 5 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% 5 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 5 1 X-43 0395 Commercial Property Building Coverage Definition 5 1 X-46 0395 Amendatory Endorsement 6 1 MP -122 0777 Sprinkler Leakage Endorsement Designated Property As shown on policy. Coinsurance Percent 100 Building Coverage Business Personal Property Yes No 6 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 7 1 Form MP -IOTA 0482 Special Multi -Peril Policy -Section I Special Pers Prop Fm 7 1 MP -126 0777 Replacement Cost Coverage Endorsement 7 I MP -198 0777 SMP Automatic Increase Insurance Endorsement PREM BLDG U44 BANK OF AMERICA, N. A. 333 S BEAUDRY AVE I IT14 FLOOR LOS ANGELES CA 90017 Loan Number: Loan 606807 Additional Insured/Loss Payee Cony V ercuryCasualtyCornpar California :cial Multi Peril Policy Effective Date: 11/14/2003 Page 6 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL 1 1 U44 ALBERTSON'S INC., AND IT'S AFFILIATES AND WHOLLY OWNED SUBSIDIARIES ATTN: RECORDS CENTER 74570 PO BOX 20 BOISE ID 83726 Loan Number: Refer 1573805 2 1 U44 BANK OF AMERICA, N. A. 333 S BEAUDRY AVE 11TH FLOOR LOS ANGELES CA 90017 Loan Number: 606807 3 1 U44 BANK OF AMERICA, N. A. 333 S BEAUDRY AVE 11TH FLOOR LOS ANGELES CA 90017 Loan Number: 606807 3 1 U44 CITY OF SAN JUAN CAPISTRANO OFFICE OF THE CITY CLERK LICENSE AGREEMENT REGARDING LOT 216, TRACT 12954, SIC, CA COUNTY OF ORANGE (MARBELLA PLAZA). 23400 PASEO ADELANTO SAN JUAN CAPISTRANO CA 92675 Additional Insured/Loss Payee C AAV ercury Casualty Compa Californi*cial Multi Peril Policy Effective Date: 11/14/2003 Page 7 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL PREM BLDG 438BFU BANK OF AMERICA, N.A. 333 S BEAUDRY AVE 11TH FLOOR LOS ANGELES CA 90017 Loan Number: LOAN 60680 2 1 438BFU BANK OF AMERICA C/O CA BUSINESS LOAN PROCESSIN 333 S BEAUDRY AVE I IFLOOR LOS ANGELES CA 90017-1486 Loan Number: 606807 3 1 438BFU BANK OF AMERICA, N. A. 333 S BEAUDRY AVE 11TH FLOOR LOS ANGELES CA 90017 Loan Number: 606807 5 1 438BFU BANK OF AMERICA, N. A. 333 S BEAUDRY AVE 11TH FLOOR LOS ANGELES CA 90017 Loan Number: Loan 9952695633 A4Mercury Casualty Compan; CREDITS: Prem: I Prem: 2 Prem: 3 Prem: 4 Prem: 5 Prem: 6 Prem: 7 Additional Insured/Loss Payee Coles California :cial Multi Peril Policy Effective Date: 11/14/2003 Page Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL It is agreed that building coverage is provided on a blanket basis. 1860 S. Lewis Street-, Anahiem, CA (4 Acres, Vacantland CALIFORNIA ASSESSMENT - CIGA F E FULL POLICY TERM PREMIUM 1 650 33,147 This policy change has resulted in an additional premium of $1,920 Bldg: 1 Management Credit, Multi -Building Credit, Sprinkler Credit Bldg: 1 Management Credit, Multi -Building Credit, Sprinkler Credit Bldg: 1 Age Credit, Management Credit, Multi -Building Credit, Sprinkler Credit Bldg: 1 Management Credit, Multi -Building Credit, Sprinkler Credit Bldg: 1 Management Credit, Multi -Building Credit, Sprinkler Credit Bldg: 1 Management Credit, Multi -Building Credit Bldg: 1 Management Credit, Multi -Building Credit Checks or drafts are accepted in payment only if they are honored when first presented. In Consideration of the Provisions and Stipulations Herein or Added Hereto and of the Premium Above Specified (or specified in endorsement attached hereto), this Company, for the term from Inception date shown above (At 12:01 A.M. Standard Time)to expiration date shown above (At 12:01 A.M. Standard Time) at location of property involved, to an amount not exceeding the limit of liability specified, does insure the Insured named In the Declarations above and legal representatives, to the extent of the actual cash value of the property at the time of loss, but not exceeding the amount which it would cost to repair or replace the property with material of like kind and quality within a reasonable time after such loss, without allowance for any increased cost of repair or reconstruction by reason of any ordinance or law regulating construction or repair; and without compensation for loss resulting from interruption of business or manufacture, nor in any event for more than the interest of the insured, against all LOSS BY FIRE, LIGHTNING AND OTHER PERILS INSURED AGAINST IN THIS POLICY IN- CLUDING REMOVAL FROM PREMISES ENDANGERED BY THE PERILS INSURED AGAINST IN THIS POLICY, EXCEPT AS HEREINAFTER PROVIDED to the property described herein while located or contained as described in this policy, or pro rata for five days at each proper place to which any of the property shall necessarily be removed for preservation from the perils insured against in this policy, but not elsewhere. Assignment of this policy shall not be valid except with the written consent of this Company. This policy is made and accepted subject to the foregoing provisions and stipulations and those hereinafter stated, which are hereby made a part of this policy, to- gether with such other provisions, stipulations and agreements as may be added hereto, as provided by this policy. M-1 (6/93) Additional Insured/Loss Payee C Mercury Casualty Company California pecial Multi Peril Policy Effective Date: 10/07/2003 Page 1 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL NAMED INSURED "ET AL" It is hereby understood and agreed by all parties to this contract, that the "ET AL" named in ITEM ONE, NAMED INSURED section of th policy, includes only the following as NAMED INSUREDS: Loc. 1 & 5, ALBERTSON'S CENTER L.P. LLC, 1.00000%, DE YOUNG FAMILY TRUST, 42.57995%, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 48.87055%, ROGER A. DE YOUNG, JR., 2.5160%. DOUGLAS A. DE YOUNG, 2.51650%, WENDY A. GERDOU, 2.51650%. LOCATION#2 RDY, LLC, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 100.0000%. LOCATION #3, MARBELLA PLAZA, L.P. 530 LLC, 1.00000%, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 71.11895%, DE YOUNG FAMILY TRUST, 10.99105%, ROGER A. DE YOUNG, JR., 1.79740%, DOUGLAS A. DE YOUNG, 1.79740%, WENDY A. GERDAU, 1.79740 %, ROGER A. DE YOUNG, JR., AND SANDRA L. DE YOUNG, 4.25768%, DOUGLAS A. DE YOUNG AND CATHRYN DE YOUNG, 4.25768%, WENDY A. GERDAU & KENNETH W. GERDAU, 1.06958%, ROGER A. DE YOUNG, AS CUSTODIAN FOR KELLY A. DE YOUNG, 0.31881%, ROGER A. DE YOUNG AS CUSTODIAN FOR KASEY S. DE YOUNG,0.31881 %, DOUGLAS A. DE YOUNG AS CUSTODIAN FOR SCOTT A. DE YOUNG, 0.82891%, DOUGLAS A. DE YOUNG AS CUSTODIAN FOR KATHRYN A. DE YOUNG, 0.44633%. LOC.#4., STAGE ROAD PARTNERS, DE YOUNG FAMILY TRUST, 73.8655%. ROGER DE YOUNG CONSTRUCTION CO. 35.7000%, ROGER A. DE YOUNG, JR., 3.0600%, DOUGLAS A. DE YOUNG, 3.0600%, STEVE CALHOUN, 0.5100%, CAROLINE H. HELMS, AS TRUSTEE OF HAZEL HOUSEMAN TRUST, 24.3775%, ROBERTSON & SUZANNE SCHAEFER TRUSTEES OF SCHAEFER TRUST, 12.1888%, PAUL HELMS & CAROLINE H. HELMS TRUSTEES, 0.2450%, PAUL HELMS, 111 12,1888%. LOC. #6 SCIKATELLA, LLC, DE YOUNG FAMILY TRUST, 73.8655%, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 17.2622%, DOUGLAS A. DE YOUNG AND CATHRYN DE YOUNG, 5.8169%, DOUGLAS A. DE YOUNG, AS CUSTODIAN FOR SCOTT A. DE YOUNG, 1.5277%, DOUGLAS A. DE YOUNG, AS CUSTODIAN FOR KATHRYN A. DE YOUNG, 1.5277%. LOC.#7 ROGER DE YOUNG CONSTRUCTION CO.,INC., ROGER DE YOUNG 100.0000%. VACANT LAND -ARROW & VIA VERDE, SAN DIMAS, CA - ROGER DE YOUNG CONSTRUCTION CO., INC., ROGER DE YOUNG, 100.0000%. LOT L, SAN JUAN CAPISTRANO, CA - ORTEGA PROPERTY. DE YOUNG FAMILY TRUST, 100.0000%. VACANT LAND AT Additionallnsured/Loss Payee Cr ARV ercury Casualty Company California Special Multi Peril Policy Effective Date: 10/07/2003 Page 7 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL 2 1 438BFU BANK OF AMERICA C/O CA BUSINESS LOAN PROCESSIN 333 S BEAUDRY AVE 11 FLOOR LOS ANGELES CA 90017-1486 Loan Number: 606807 438BFU BANK OF AMERICA, N. A., ITS SUCCESSORS AND/OR ASSIGNS 333 S BEAUDRY AVE 11TH FLOOR LOS ANGELES CA 90017 Loan Number: 606807 It is agreed that building coverage is provided on 1 a blanket basis. 1860 S. Lewis Street., Anahiem, CA (4 Acres, Vacant land CALIFORNIA ASSESSMENT - CIGA FE 590 FULL POLICY TERM PREMIUM 30,092 This policy change has resulted in an additional premium of $30 Checks or drafts are accepted in payment only if they are honored when fust presented. In Consideration of the Provisions and Stipulations Herein or Added Hereto and of the Premium Above Specified (or specified in endorsement attached hereto), this Company, for the tens from inception date shown above (At 12:01 A.M. Standard Time) to expiration date shown above (At 12:01 A.M. Standard Time) at location of property involved, to an amount not exceeding the limit of liability specified, does insure the Insured named in the Declarations above and legal representatives, to the extent of the actual cash value of the property at the time of loss, but not exceeding the amount which it would cost to repair or replace the property with material of like kind and quality within a reasonable time atter such loss, without allowance for any increased cost of repair or reconstruction by reason of any ordinance or law regulating construction or repair; and without compensation for loss resulting from interruption of business or manufacture, nor in any event for more than the interest of the insured, against all LOSS BY FIRE, LIGHTNING AND OTHER PERILS INSURED AGAINST IN THIS POLICY IN. CLUDING REMOVAL FROM PREMISES ENDANGERED BY THE PERILS INSURED AGAINST IN THIS POLICY, EXCEPT AS HEREINAFTER PROVIDED to the property described herein while located or contained as described in this policy, or pro rata for five days at each proper place to which any of the property shall necessarily be removed for preservation from the perils insured against in this policy, but not elsewhere. Assignment of this policy shall not be valid except with the written consent of this Company. This policy is made and accepted subject to the foregoing provisions and stipulations and those hereinafter stated, which are hereby made a part of this policy, to - gather with such other provisions, stipulations and agreements as may be added hereto, as provided by this policy. M-1 (6/83) Additional Insured/Loss Payee C Mercury Casualty Company California ectai Multi Peril PolicyAA%Effective Date: 10/07/2003 Page 6 Policy Number: CCP0008229 Insureds Name: ROGER DE YO' ; ETAL 333 S BEAUDRY AVE 11TH FLOOR LOS ANGELES CA 90017 Loan Number: 606807 3 1 U44 BANK OF AMERICA, N. A., ITS SUCCESSORS AND/OR ASSIGNS 333 S BEAUDRY AVE 11TH FLOOR LOS ANGELES CA 90017 Loan Number: 606807 3 1 U44 CITY OF SAN JUAN CAPISTRANO OFFICE OF THE CITY CLERK LICENSE AGREEMENT REGARDING LOT 216, TRACT 12954, SIC, CA COUNTY OF ORANGE (MARBELLA PLAZA). 23400 PASEO ADELANTO SAN JUAN CAPISTRANO CA 92675 SCHEDULED LOSS PAYEES PREM BLDG 1 1 438BFU BANK OF AMERICA, N.A. 333 S BEAUDRY AVE 11TH FLOOR LOS ANGELES CA 90017 Loan Number: LOAN 60680 Additional Insured/Loss Payee Cc Mercury Casualty Company California Special Multi Peril Policy Effective Date: 10/07/2003 Page 5 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL 5 1 MP -122 0777 Sprinkler Leakage Endorsement Designated Property As shown on Policy. Coinsurance Percent 100 Building Coverage Business Personal Property Yes No 5 I MP -198 0777 SMP Automatic Increase Insurance Endorsement 6 1 MP -122 0777 Sprinkler Leakage Endorsement Designated Property As shown on policy. Coinsurance Percent 100 Building Coverage Business Personal Property Yes No 6 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 7 1 Form MP -101A 0482 Special Multi -Peril Policy -Section I Special Pers Prop Fm 7 1 MP -126 0777 Replacement Cost Coverage Endorsement 7 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement SCHEDULED ADDITIONAL INSUREDS PREM BLDG 1 U44 BANK OF AMERICA, N. A., ITS SUCCESSORS AND/OR ASSIGNS 333 S BEAUDRY AVE 11TH FLOOR LOS ANGELES CA 90017 Loan Number: Loan 606807 I U44 ALBERTSON'S INC., AND IT'S AFFILIATES AND WHOLLY OWNED SUBSIDIARIES ATTN: RECORDS CENTER 74570 PO BOX 20 BOISE ID 83726 Loan Number: Refer 1573805 2 1 U44 BANK OF AMERICA, N. A., ITS SUCCESSORS AND/OR ASSIGNS Mercury Casualty Company Additional Insured/Loss Payee C. California Special Multi Peril Policy Effective Date: 10/07/2003 Page 4 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL 1 1 MP -126 0777 Replacement Cost Coverage Endorsement I 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% 1 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 1 1 MP -24 0777 SMP Agreed Amount Endorsement Aereed Amount 3084000 1 1 X-43 0395 Commercial Property Building Coverage Definition 1 1 X-46 0395 Amendatory Endorsement 2 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 2 1 MP -126 0777 Replacement Cost Coverage Endorsement 2 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% 2 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 2 1 MP -24 0777 SMP Agreed Amount Endorsement Aereed Amount 1893000 2 1 X-43 0395 Commercial Property Building Coverage Definition 2 1 X-46 0395 Amendatory Endorsement 3 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 3 1 MP -126 0777 Replacement Cost Coverage Endorsement 3 1 MP -146 0777 Loss of Rents Endorsement 4 1 X-46 0395 Amendatory Endorsement Contribution Clause Percent 100% 3 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 3 1 MP -24 0777 SMP Agreed Amount Endorsement Agreed Amount 5618000 3 1 X-43 0395 Commercial Property Building Coverage Definition 3 1 X-46 0395 Amendatory Endorsement 4 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 4 1 MP -126 0777 Replacement Cost Coverage Endorsement 4 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% 4 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 4 1 MP -24 0777 SMP Agreed Amount Endorsement Agreed Amount 2120000 4 1 X-43 0395 Commercial Property Building Coverage Definition 4 1 X-46 0395 Amendatory Endorsement Additional Insured/Loss Payee Cc ARV ercury Casualty Company California Special Multi Peril Policy Effective Date: 10/07/2003 Page 3 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL Personal & Advertising Injury $1,000,000 Per Occurrence/$ 1,000,000 Aggregate Products & Completed Operations $1,000,000 Per Occurrence/$1,000,000 Aggregate Medical Expenses $5,000 Each Person/$10,000 Each Accident Additional Coverages: Vacant Land 6-10 acres $119 TOTAL LIABILITY PREMIUM $5,264 Schedule of Forms and Endorsements It is hereby understood and agreed, in consideration of the premium charged, that the following endorsements are attached to and form part of the aforementioned Policy. IL0958 1102 Exclusion of Certified Acts of Terrorism CG2173 1102 Exclusion of Certified Acts of Terrorism IL0003 0689 Calculation of Premium IL0017 1185 Common Policy Conditions IL0021 1185 Nuclear Energy Liability Exclusion Endorsement IL0270 0300 California Changes - Cancellation and NonRenewal MCC Mold EXC LIAB 1 MCC Mold EXC Property 1 MP200 0777 Special Mulit-Peril Policy Liability Insurance MP202 0678 Comprehensive General Liability Insurance Endorsement MP220 0678 Personal Injury Liability Insurance Endorsement MP4M 0683 Special Multi -Peril Policy Conditions and Definitions SMP 1 0500 Mercury Casualty Company Amendatory Endorsement X-21 0980 Extended Coverage X-26 0284 Additional Exclusions X36 0195 Amendatory Coverage Endorsement X45 0599 Ordinance or Law Coverage Coverase Combined Demolition and Increased Cost of Construction MP -175 0777 Accounts Receivable Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included MP -176 0777 Valuable Papers and Records Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included SF220 1065 Fire Liability Form Refer to Amendatory Endorsement for Coverage Limits Automatically Included X-27 0983 Mini—Computer Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included X-41 A 0500 Amendatory Endorsement - Mechanical Breakdown Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included X42 0395 Employee Dishonesty Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included X45 0599 Ordinance or Law Coverage Refer to Amendatory Endorsement for Coverage Limits Automatically Included PREM BLDG 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form Mercury Casualty Company PREM BLDG COVERAGE 1 I Building 2 1 Building 3 1 Building 4 1 Building Additional Insured/Loss Payee Co California Special Multi Peril Policy Effective Date: 10/07/2003 Page 2 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL LIMIT OF INSURANCE VALUATION 3,084,000 Replacement Cost 1,893,000 Replacement Cost 5,618,000 Replacement Cost 2,120,000 Replacement Cost 7 1 Business Personal Property $26,000 Replacement Cost Automatic Increase - Building Limit 6% and Business Personal Property 4% OPTIONAL COVERAGE(S) CO- DEDUCT - 445 INSURANCE IBLE PREMIUM W101 and MP 101 A with 100% Coinsurance 100% 1,000 4,738 100% 1,000 2,240 100% 1,000 9,974 100% 1,000 2,509 100% $1,000 $34 LIMIT OF PREM BLDG COVERAGE INSURANCE DEDUCTIBLE PREMIUM TOTAL PROPERTY PREMIUM $24,238 SECTION H LIABILITY COVERAGE COVERAGE LIMIT PREMIUM Bodily Injury & Property Damage Liability Combined Single Limits $1,000,000 Per Occurrence/$1,000,000 Aggregate $5,145 Building Ordinance $400,000 445 1 1 Loss of Rents $525,000 INCL W101 and MP 101 A with 100% Coinsurance 2 1 Loss of Rents $597,000 INCL MP 101 and MP 101 A with 100% Coinsurance 3 1 Loss of Rents $1,375,000 INCL MP101 and MP101Awith 100% Coinsurance 4 I Loss of Rents $288,000 INCL MP 101 and MP 101 A with 100% Coinsurance TOTAL PROPERTY PREMIUM $24,238 SECTION H LIABILITY COVERAGE COVERAGE LIMIT PREMIUM Bodily Injury & Property Damage Liability Combined Single Limits $1,000,000 Per Occurrence/$1,000,000 Aggregate $5,145 S2003 -10-28-11.1T27.000000 P2003-10-25-07.48.00.360000 R2003-10-25-09.53.24.000000 Additional Insured/Loss California Special Multi Peril Policy IN RV ercury Casualty Company Payee Copy Effective Date 10/07/2003 Page 1 Amended Declaration Add Location(s) This declaration supersedes any previous declaration bearing the same number for this policy period. Named Insured: ROGER DE YOUNG ETAL Mailing Address Additional Insured/Loss Payee ROGER DE YOUNG ETAL CITY OF SAN JUAN CAPISTRANO OFFICE OF THE C 355 BRISTOL ST # C 23400 PASEO ADELANTO COSTA MESA CA 92626 SAN JUAN CAPISTRANO CA 92675 Policy Number Policy Period Company Name Producer No. Producer Phone From To CCP0008229 07/01/2003 - 07/01/2004 Mercury Casualty Company 3881 714-505-5550 At 12:01AM Standard Time At Your Mailing Address Shown Above. DRISCOLL INS AGCY, INC Business Description: Industrial/ Shopping Center/ Loc. 5&6 are Liability Only. Loc. 7 is an Office. Form of Business: OTHER IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE TNSURANCE AS STATED IN THIS POLICY. Insurance is provided with respect to those premises described herein and with respect to those coverages and kinds of property for which a specific limit of liability is shown, subject to all the terms of this policy including forms and endorsements made a part hereof: LOCATION OF PREMISES PREM BLDG LOCATION OCCUPANCY 9713-9799 Baseline Rd - Rancho Cucamonga CA 91730 2 1 8925 Orangethorpe - Buena Park CA 90621 3 1 31103-31113 Rancho Viejo Rd - San Juan Capistrano CA 92675 4 1 7650 Stage Rd - Buena Park CA 90621 5 1 9743 Baseline Rd - Rancho Cucamonga CA 91730 6 1 1801 E Katella Ave - Anaheim CA 92801 7 1 355 Bristol St # C - Costa Mesa CA 92679 SECTION I PROPERTY COVERAGE Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Additional Insured/Loss Payee Copy RECi App) W SAN Casualty Company CITY OF SAN JUAN CAPISTRANO OFFICE OF THE CITY CLERK 23400PASEO ADELANTO SAN JUAN CAPISTRANO CA 92675 52003-10-03-09.32.11.000000 P2003-10-02-11.06.47.640000 R2003-1002-13.11 44.000000 Additional Insured/Loss lilt ercury Casualty Company Payee Copy California Special Multi Peril Policy RECEIVED Effective Date 10/01/2003 Page 1 n p '1 I Amended Declaration Decrease Exposure(s) RMp3C OCT [ f— fiisRecWaE T[ h supersedes any previous declaration bearing the same number for this policy period. Named Insured:SAN JUAti A" lgl5 tFP7U L Mailing Address Additional Insured/Loss Payee ROGER DE YOUNG ETAL CITY OF SAN JUAN CAPISTRANO OFFICE OF THE 355 BRISTOL ST # C 23400 PASEO ADELANTO COSTA MESA CA 92626 SAN JUAN CAPISTRANO CA 92675 li Policy Number Fromolicy Perio To Company Name Producer No. Producer Phone CCP0008229 07/01/2003 - 07/01/2004 Mercury Casualty Company 3881 714-505-5550 At 12:01AM Standard Time At Your Mailing Address Shown Above. DRISCOLL INS AGCY, INC Business Description: Industrial/ Shopping Center/ Loc. 5&6 are Liability Only. Loc. 7 is an Office. Form of Business: OTHER IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. Insurance is provided with respect to those premises described herein and with respect to those coverages and kinds of property for which a specific limit of liability is shown, subject to all the terms of this policy including forms and endorsements made a part hereof: LOCATION OF PREMISES PREM BLDG LOCATION OCCUPANCY 1 1 9713-9799 Baseline Rd - Rancho Cucamonga CA 91730 2 1 8925 Orangethorpe - Buena Park CA 90621 3 1 31103-31113 Rancho Viejo Rd - San Juan Capistrano CA 92675 4 1 7650 Stage Rd - Buena Park CA 90621 5 1 9743 Baseline Rd - Rancho Cucamonga CA 91730 6 1 1801 E Katella Ave - Anaheim CA 92801 7 1 355 Bristol St # C - Costa Mesa CA 92679 SECTION I PROPERTY COVERAGE Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies 7 Additional Insured/Loss Payee Col., 100% $1,000 $34 Automatic Increase - Building Limit 6% and Business Personal Property 4% Mercury Casualty Company California Special Multi Peril Policy LIMIT OF Effective Date: 10/01/2003 Page 2 Building Ordinance $400,000 445 Policy Number: CCP0008229 1 Loss of Rents $525,000 INCL MP101 and MP101A with 100% Coinsurance Insureds Name: ROGER DE YOUNG ETAL 1 Loss of Rents $597,000 INCL LIMIT OF CO- DEDUCT - 1 Loss of Rents $1,375,000 PREM BLDG COVERAGE INSURANCE VALUATION INSURANCE IBLE PREMIUM 1 Loss of Rents $288,000 1 I Building 3,084,000 Replacement Cost 100'%, 1,000 4,738 2 1 Building 1,893,000 Replacement Cost 100% 1,000 2,240 3 1 Building 5,618,000 Replacement Cost 100% 1,000 9,974 4 1 Building 2,120,000 Replacement Cost 100% 1,000 2,509 7 1 Business Personal Property $26,000 Replacement Cost 100% $1,000 $34 Automatic Increase - Building Limit 6% and Business Personal Property 4% OPTIONAL COVERAGE(S) LIMIT OF PREM BLDG COVERAGE INSURANCE DEDUCTIBLE PREMIUM Building Ordinance $400,000 445 1 1 Loss of Rents $525,000 INCL MP101 and MP101A with 100% Coinsurance 2 1 Loss of Rents $597,000 INCL MP101 and MP101Awith 100% Coinsurance 3 1 Loss of Rents $1,375,000 INCL MP101 and MPI OI A with 100% Coinsurance 4 1 Loss of Rents $288,000 INCL MP101 and MPIOIA with 100% Coinsurance TOTAL PROPERTY PREMIUM $24,238 SECTION II LIABILITY COVERAGE COVERAGE LIMIT PREMIUM Bodily Injury & Property Damage Liability Combined Single Limits $1,000,000 Per Occurrence/$ 1,000,000 Aggregate $5,145 0 ARMercury Casualty Company Additional Insured/Loss Payee Coo California Special Multi Peril Policy Effective Date: 10/01/2003 Page 3 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL Personal & Advertising Injury $1,000,000 Per Occurrence/$ 1,000,000 Aggregate Products & Completed Operations $1,000,000 Per Occurrence/$1,000,000 Aggregate Medical Expenses $5,000 Each Person/$10,000 Each Accident Additional Coverages: Vacant Land 1-5 acres $79 TOTAL LIABILITY PREMIUM $5,224 Schedule of Forms and Endorsements It is hereby understood and agreed, in consideration of the premium charged, that the following endorsements are attached to and form part of the aforementioned Policy. IL0958 1102 Exclusion of Certified Acts of Terrorism CG2173 1 102 Exclusion of Certified Acts of Terrorism IL0003 0689 Calculation of Premium IL0017 1185 Common Policy Conditions IL0021 1185 Nuclear Energy Liability Exclusion Endorsement IL0270 0300 California Changes - Cancellation and NonRenewal MCC Mold EXC LIAB 1 MCC Mold EXC Property 1 MP200 0777 Special Mulit-Peril Policy Liability Insurance MP202 0678 Comprehensive General Liability Insurance Endorsement MP220 0678 Personal Injury Liability Insurance Endorsement MP -4M 0683 Special Multi -Peril Policy Conditions and Definitions SMP 1 0500 Mercury Casualty Company Amendatory Endorsement X-21 0980 Extended Coverage X-26 0284 Additional Exclusions X36 0195 Amendatory Coverage Endorsement X45 0599 Ordinance or Law Coverage Coveraee Combined Demolition and Increased Cost of Construction MP -175 0777 Accounts Receivable Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included MP -176 0777 Valuable Papers and Records Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included SF220 1065 Fire Liability Form Refer to Amendatory Endorsement for Coverage Limits Automatically Included X-27 0983 Mini Computer Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included X-41 A 0500 Amendatory Endorsement - Mechanical Breakdown Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included X42 0395 Employee Dishonesty Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included X45 0599 Ordinance or Law Coverage Refer to Amendatory Endorsement for Coverage Limits Automatically Included PREM BLDG 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form Additional Insured/Loss Payee Cot,, at ercury Casualty Company California Special Multi Peril Policy Effective Date: 10/01/2003 Page 4 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL 1 MP -126 0777 Replacement Cost Coverage Endorsement I MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% I MP -198 0777 SMP Automatic Increase Insurance Endorsement 1 MP -24 0777 SMP Agreed Amount Endorsement Agreed Amount 3084000 1 1 X-43 0395 Commercial Property Building Coverage Definition 1 I X-46 0395 Amendatory Endorsement 2 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 2 1 MP -126 0777 Replacement Cost Coverage Endorsement 2 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100%, 2 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 2 1 MP -24 0777 SMP Agreed Amount Endorsement Agreed Amount 1893000 2 1 X-43 0395 Commercial Property Building Coverage Definition 2 1 X-46 0395 Amendatory Endorsement 3 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 3 1 MP -126 0777 Replacement Cost Coverage Endorsement 3 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% 3 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 3 1 MP -24 0777 SMP Agreed Amount Endorsement Agreed Amount 5618000 3 1 X-43 0395 Commercial Property Building Coverage Definition 3 1 X-46 0395 Amendatory Endorsement 4 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 4 1 MP -126 0777 Replacement Cost Coverage Endorsement 4 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% 4 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 4 1 MP -24 0777 SMP Agreed Amount Endorsement Agreed Amount 2120000 4 1 X-43 0395 Commercial Property Building Coverage Definition 4 1 X-46 0395 Amendatory Endorsement 0 Additional Insured/Loss Payee C* Mercury Casualty Company California Special Multi Peril Policy Effective Date: 10/01/2003 Page 5 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL 5 1 MP -122 0777 Sprinkler Leakage Endorsement Designated Property As shown on Policy. Coinsurance Percent 100 Building Coverage Yes 5 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 6 1 MP -122 0777 Sprinkler Leakage Endorsement Designated Property As shown on policy. Coinsurance Percent 100 Building Coverage Yes 6 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement Business Personal Property No Business Personal Property No 7 1 Form MP -IOTA 0482 Special Multi -Peril Policy -Section I Special Pers Prop Fm 7 1 MP -126 0777 Replacement Cost Coverage Endorsement 7 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement SCHEDULED ADDITIONAL INSUREDS PREM BLDG 1 1 U44 BANK OF AMERICA, N. A., ITS SUCCESSORS AND/OR ASSIGNS 333 S BEAUDRY AVE 11TH FLOOR LOS ANGELES CA 90017 Loan Number: Loan 606807 1 I U44 ALBERTSON'S INC., AND IT'S AFFILIATES AND WHOLLY OWNED SUBSIDIARIES ATTN: RECORDS CENTER 74570 PO BOX 20 BOISE ID 83726 Loan Number: Refer 1573805 2 1 U44 BANK OF AMERICA, N. A., ITS SUCCESSORS AND/OR ASSIGNS Mercury Casualty Company 3 1 3 1 PREM BLDG Additional Insured/Loss Payee Col,, California Special Multi Peril Policy Effective Date: 10/0 1 /2003 Page 6 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL 333 S BEAUDRY AVE 1 ITH FLOOR LOS ANGELES CA 90017 Loan Number: 606807 U44 BANK OF AMERICA, N. A., ITS SUCCESSORS AND/OR ASSIGNS 333 S BEAUDRY AVE I ITH FLOOR LOS ANGELES CA 90017 Loan Number: 606807 U44 CITY OF SAN JUAN CAPISTRANO OFFICE OF THE CITY CLERK LICENSE AGREEMENT REGARDING LOT 216, TRACT 12954, SJC, CA COUNTY OF OR (MARBELLA PLAZA). 23400 PASEO ADELANTO SAN JUAN CAPISTRANO CA 92675 SCHEDULED LOSS PAYEES 1 1 438BFU BANK OF AMERICA, N.A. 333 S BEAUDRY AVE l ITH FLOOR LOS ANGELES CA 90017 Loan Number: LOAN 60680 Additional Insured/Loss Payee C* ARV ercury Casualty Company California Special Multi Peril Policy Effective Date: 10/0 1/2003 Page 7 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL 2 1 438BFU BANK OF AMERICA C/O CA BUSINESS LOAN PROCESSIN 333 S BEAUDRY AVE I IFLOOR LOS ANGELES CA 90017-1486 Loan Number: 606807 438BFU BANK OF AMERICA, N. A., ITS SUCCESSORS AND/OR ASSIGNS 333 S BEAUDRY AVE I ITH FLOOR LOS ANGELES CA 90017 Loan Number: 606807 It is agreed that building coverage is provided on $1 a blanket basis. CALIFORNIA ASSESSMENT - CIGA FEE $589 FULL POLICY TERM PREMIUM $30,051 No Change in Premium Checks or drafts are accepted in payment only if they are honored when first presented. In Consideration of the Provisions and Stipulations Herein or Added Hereto and of the Premium Above Specified (or specified in endorsement attached hereto), this Company, for the term from inception date shown above (At 12:01 A.M. Standard Time) to expiration date shown above (At 12:01 A.M. Standard Time) at location of property involved, to an amount not exceeding the limit of liability specified, does insure the insured named in the Declarations above and legal representatives, to the extent of the actual cash value of the property at the time of loss, but not exceeding the amount which it would cost to repair or replace the property with material of like kind and quality within a reasonable time after such loss, without allowance for any increased cost of repair or reconstruction by reason of any ordinance or law regulating construction or repair; and without compensation for loss resulting from interruption of business or manufacture, nor in any event for more than the interest of the insured, against all LOSS BY FIRE, LIGHTNING AND OTHER PERILS INSURED AGAINST IN THIS POLICY IN- CLUDING REMOVAL FROM PREMISES ENDANGERED BY THE PERILS INSURED AGAINST IN THIS POLICY, EXCEPT AS HEREINAFTER PROVIDED to the property described herein while located or contained as described in this policy, or pro rata for five days at each proper place to which any of the property shall necessarily be removed for preservation from the perils insured against in this policy, but not elsewhere. Assignment of this policy shall not be valid except with the written consent of this Company. This policy is made and accepted subject N the foregoing provisions and stipulations and tfwse hereinafter stated, which are hereby made a part of this policy, to, gather with such other provisions, stipulations and agreements as may be added hereto, as provided by this policy. M-1 (6/83) Additional Insured/Loss Payee Coy, ARV ercury Casualty Company California Special Multi Peril Policy Effective Date: 10/01/2003 Page 1 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL NAMED INSURED "ET AL" It is hereby understood and agreed by all parties to this contract, that the "ET AL" named in ITEM ONE, NAMED INSURED section of th policy, includes only the following as NAMED INSUREDS: Loc. I & 5, ALBERTSON'S CENTER L.P. LLC, 1.00000'%, DE YOUNG FAMILY TRUST, 42.57995%, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 48.87055%, ROGER A. DE YOUNG, JR., 2.5160%, DOUGLAS A. DE YOUNG, 2.51650%, WENDY A. GERDOU, 2.51650%. LOCATION#2 RDY, LLC, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 100.0000%. LOCATION #3, MARBELLA PLAZA, L.P. 530 LLC, 1.00000%, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 71.11895%, DE YOUNG FAMILY TRUST, 10.99105%. ROGER A. DE YOUNG, JR., 1.79740%, DOUGLAS A. DE YOUNG, 1.79740"/x, WENDY A. GERDAU, 1.79740%, ROGER A. DE YOUNG, JR., AND SANDRA L. DE YOUNG, 4.25768%, DOUGLAS A. DE YOUNG AND CATHRYN DE YOUNG, 4.25768%. WENDY A. GERDAU & KENNETH W. GERDAU, 1.06958'%, ROGER A. DE YOUNG, AS CUSTODIAN FOR KELLY A. DE YOUNG, 0,31881 %, ROGER A. DE YOUNG AS CUSTODIAN FOR KASEY S. DE YOUNG,0.31881%, DOUGLAS A. DE YOUNG AS CUSTODIAN FOR SCOTT A. DE YOUNG, 0.82891 %, DOUGLAS A. DE YOUNG AS CUSTODIAN FOR KATHRYN A. DE YOUNG, 0.44633'%. LOC.#4., STAGE ROAD PARTNERS, DE YOUNG FAMILY TRUST, 73.8655%, ROGER DE YOUNG CONSTRUCTION CO. 35.7000%, ROGER A. DE YOUNG, JR., 3.0600%, DOUGLAS A. DE YOUNG, 3.0600%, STEVE CALHOUN, 0.5100%, CAROLINE H. HELMS, AS TRUSTEE OF HAZEL HOUSEMAN TRUST, 24.3775%, ROBERTSON & SUZANNE SCHAEFER TRUSTEES OF SCHAEFER TRUST, 12.1888%, PAUL HELMS & CAROLINE H. HELMS TRUSTEES, 0.2450%, PAUL HELMS, III 12.1888%. LOC. #6 SC/KATELLA, LLC, DE YOUNG FAMILY TRUST, 73.8655%, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 17.2622%, DOUGLAS A. DE YOUNG AND CATHRYN DE YOUNG, 5.8169%, DOUGLAS A. DE YOUNG, AS CUSTODIAN FOR SCOTT A. DE YOUNG, 1.52771%, DOUGLAS A. DE YOUNG, AS CUSTODIAN FOR KATHRYN A. DE YOUNG, 1.5277%. LOC.#7 ROGER DE YOUNG CONSTRUCTION CO.,INC., ROGER DE YOUNG 100.0000%. VACANT LAND -ARROW & VIA VERDE, SAN DIMAS, CA - ROGER DE YOUNG CONSTRUCTION CO., INC., ROGER DE YOUNG, 100.0000%. LOT L, SAN JUAN CAPISTRANO, CA - ORTEGA PROPERTY, DE YOUNG FAMILY TRUST, 100.0000%. cnD o m m Tr ' m a o r ACORR CERTIFICATE OF LIABILITY INSURANCE F7/`03' z0o PRODUCER (714) 505-5550 FAX (714) 505-5562 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Driscoll Insurance Agency, Inc. 17782 E 17th St. , Suite #105 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. OF INSURANCE P.O. Box 1085 Tustin, CA 92780 INSURERS AFFORDING COVERAGE NAIC # INSURED Roger De Young, EtaI INSURER& Mercury Casualty 0025 355 Bristol Street #c INSURERB: Firem_ans Fund 0014 Costa Mesa, CA 92626 INSURER C: 07/01/2004 INSURER D: NSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN( ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DO'TypE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMRS GENERAL LIABILITY CCP0006151 07/81171200=03 07/01/2004 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CL " AIMS MADE 1 OCCUR MED EXP (Any one Person) $ 5,000 A PERSONAL S ADV INJURY $ 1,000,000 GENERALAGGREGATE E 1 , 000, DDD GEHL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $ 1,000,000 POLICY PRO- LOCJECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO Ea aaadenQ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS Per person) HIRED AUTOS BOOILYINnt) $ NON -OWNED AUTOS Par actident) PROPERTY DAMAGE $ Per awdenp GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EXCES&UMBRELLA LIABILITY TBD 07/01/2003 07/01/2004 EACHOCCURRENCE $ 14,000,000 11X OCCUR CLAIMS MADE AGGREGATE $ 14,000,000 B DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND wC STATU- OTH- EMPLOYERS' LIABILITY E.L. EACHACCIDENT $ ANY PROPRIETOWPARTNER/EXECUTIVE E.L. DISEASE EA EMPLOYE § OFFICER/MEMBER EXCLUDED'! ys, e nd., SPECIAL E.L. DISEAysE - POLICY LIMIT $ PROVISIONS W. OTHER pN o iJ f •`1 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS r Re: License Agreement Regarding Lot 216, Tract #12954, City of San Juan Capistrano, CAI ounty of Orange (Marbella Plaza), Certificateholder is hereby named as additiorF&l ins(Jcled n policy #CCP0006151, Cancellation Clause: Unless cancellation is for non payment of ' remium in which case 10 days notice may be given. City of San Juan Capistrano, Office of the City Clerk, 32400 Paseo Adelanto San Juan Capistrano, CA 92675 ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY ITS AGENTS OR REPRESENTATIVES. ACORD 25 (2001108) ©ACORD CORPORATION 1988 ACORD 25 (2001108) 0 ARMercury Casualty Company n Additional Insured/Loss P2003-08-21-12.50.59.660000 82003-08-21-14.55.28.000000 Payee Copy California Special Multi Peril Policy Effective Date 07/01/2003 Page 1 Amended Declaration Multiple Changes This declaration supersedes any previous declaration bearing the same number for this policy period. Named Insured: ROGER DE YOUNG ETAL Mailing Address Additional Insured/Loss Payee ROGER DE YOUNG ETAL 355 BRISTOL ST # C COSTA MESA CA 92626 Policy Number Policy Period From To CCP0008229 07/01/2003 - 07/01/2004 CITY OF SAN JUAN CVIPISTRANO OFFICE OF THE C 23400 PASEO ADELAkTO o SAN JUAN CAPISTR",q CA` -g267 n a- M Company Name >;:ProduOp No.&oducer PhoneI A• J Mercury Casualty Company Z 39M 714-505-5550 At 12:01 AM Standard Time At Your Mailing Address Shown Above. DRISCOLL INS AGCY, INC Business Description: Industrial/ Shopping Center/ Loc. 5&6 are Liability Only. Loc. 7 is an Office. Form of Business: OTHER IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. Insurance is provided with respect to those premises described herein and with respect to those coverages and kinds of property for which a specific limit of liability is shown, subject to all the terms of this policy including forms and endorsements made a part hereof: LOCATION OF PREMISES PREM BLDG LOCATION OCCUPANCY 1 1 9713-9799 Baseline Rd - Rancho Cucamonga CA 91730 2 1 8925 Orangethorpe - Buena Park CA 90621 3 1 31103-31113 Rancho Viejo Rd - San Juan Capistrano CA 92675 4 1 7650 Stage Rd - Buena Park CA 90621 5 1 9743 Baseline Rd - Rancho Cucamonga CA 91730 6 1 1801 E Katella Ave - Anaheim CA 92801 7 1 355 Bristol St # C - Costa Mesa CA 92679 SECTION I PROPERTY COVERAGE Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Industrial Complexes, Shopping Centers and Single Occupancies Mercury Casualty CompanyAR PREM BLDG COVERAGE 1 1 Building 2 1 Building 3 1 Building 4 1 Building Additional Insured/Loss Payee Cc California Special Multi Peril Policy Effective Date: 07/01/2003 Page 2 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL ' LIMIT OF CO- DEDUCT - INSURANCE VALUATION INSURANCE IBLE PREMIUM 3,084,000 Replacement Cost 1,893,000 Replacement Cost 5,618,000 Replacement Cost 2,120,000 Replacement Cost 7 1 Business Personal Property $26,000 Replacement Cost Automatic Increase - Building Limit 6% and Business Personal Property 4% OPTIONAL COVERAGE(S) 1,000 4,738 LIMIT OF PREM BLDG COVERAGE INSURANCE 1,000 9,974 Building Ordinance $400,000 1 1 Loss of Rents $525,000 1,000 34 MP101 and MP101Awith 100% Coinsurance 2 1 Loss of Rents $597,000 MP101 and MP101Awith 100% Coinsurance 3 1 Loss of Rents $1,375,000 MP101 and MP101A with 100% Coinsurance 4 1 Loss of Rents $288,000 SECTION II COVERAGE MP101 and MP101A with 100% Coinsurance 100% 1,000 4,738 100% 1,000 2,240 100% 1,000 9,974 100% 1,000 2,509 100% 1,000 34 DEDUCTIBLE TOTAL PROPERTY PREMIUM LIABILITY COVERAGE LIMIT PREMIUM 445 INCL INCL INCL INCL 24,238 PREMIUM Bodily Injury & Property Damage Liability Combined Single Limits $1,000,000 Per Occurrence/$1,000,000 Aggregate $5,145 Personal & Advertising Injury $1,000,000 Per Occurrence/$1,000,000 Aggregate ARV ercury Casualty Company Products & Completed Operations Medical Expenses Additional Coverages: Vacant Land Additional Insured/Loss Payee C* California Special Multi Peril Policy Effective Date: 07/01/2003 Page 3 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL 1,000,000 Per Occurrence/$1,000,000 Aggregate 5,000 Each Person/$10,000 Each Accident 1-5 acres $79 TOTAL LIABILITY PREMIUM $5,224 Schedule of Forms and Endorsements It is hereby understood and agreed, in consideration of the premium charged, that the following endorsements are attached to and form part of the aforementioned Policy. IL0003 0689 Calculation of Premium IL0017 1185 Common Policy Conditions IL0021 1185 Nuclear Energy Liability Exclusion Endorsement IL0270 0300 California Changes - Cancellation and NonRenewal MCC Mold EXC LIAB 1 MCC Mold EXC Property 1 MP200 0777 Special Mulit-Peril Policy Liability Insurance MP202 0678 Comprehensive General Liability Insurance Endorsement MP220 0678 Personal Injury Liability Insurance Endorsement MP -4M 0683 Special Multi -Peril Policy Conditions and Definitions SMP l 0500 Mercury Casualty Company Amendatory Endorsement X-21 0980 Extended Coverage X-26 0284 Additional Exclusions X36 0195 Amendatory Coverage Endorsement X45 0599 Ordinance or Law Coverage Coverage Combined Demolition and Increased Cost of Construction MP -175 0777 Accounts Receivable Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included MP -176 0777 Valuable Papers and Records Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included SF220 1065 Fire Liability Form Refer to Amendatory Endorsement for Coverage Limits Automatically Included X-27 0983 Mini—Computer Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included X-41 A 0500 Amendatory Endorsement - Mechanical Breakdown Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included X42 0395 Employee Dishonesty Endorsement Refer to Amendatory Endorsement for Coverage Limits Automatically Included X45 0599 Ordinance or Law Coverage Refer to Amendatory Endorsement for Coverage Limits Automatically Included PREM BLDG 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 1 MP -126 0777 Replacement Cost Coverage Endorsement 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent Additional Insured/Loss Payee Cc ARV ercury Casualty Company California Special Multi Peril Policy Effective Date: 07/01/2003 Page 4 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL 100% 1 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 1 1 MP -24 0777 SMP Agreed Amount Endorsement 3 1 Agreed Amount 3084000 1 1 X-43 0395 Commercial Property Building Coverage Definition 1 1 X-46 0395 Amendatory Endorsement 2 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 2 1 MP -126 0777 Replacement Cost Coverage Endorsement 2 1 MP -146 0777 Loss of Rents Endorsement 3 1 Contribution Clause Percent 3 1 100% 2 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 2 1 MP -24 0777 SMP Agreed Amount Endorsement 4 1 Agreed Amount 1893000 2 1 X-43 0395 Commercial Property Building Coverage Definition 2 1 X-46 0395 Amendatory Endorsement 3 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 3 1 MP -126 0777 Replacement Cost Coverage Endorsement 3 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% 3 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 3 1 MP -24 0777 SMP Agreed Amount Endorsement Aereed Amount 5618000 3 1 X-43 0395 Commercial Property Building Coverage Definition 3 1 X-46 0395 Amendatory Endorsement 4 1 Form MP -101 0482 Special Multi -Peril Policy -Section I Special Building Form 4 1 MP -126 0777 Replacement Cost Coverage Endorsement 4 1 MP -146 0777 Loss of Rents Endorsement Contribution Clause Percent 100% 4 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 4 1 MP -24 0777 SMP Agreed Amount Endorsement Agreed Amount 2120000 4 1 X-43 0395 Commercial Property Building Coverage Definition 4 1 X-46 0395 Amendatory Endorsement 5 1 MP -122 0777 Sprinkler Leakage Endorsement Designated Property As shown on Policy. Coinsurance Percent Additional Insured/Loss Payee Mercury Casualty Company California pecial Multi Peril Policy Effective Date: 07/01/2003 Page 5 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL 100 Building Coverage Yes 5 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement 6 1 MP -122 0777 Sprinkler Leakage Endorsement Designated Property As shown on policy. Coinsurance Percent 100 BuildingCoverawe Yes 6 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement Business Personal Property No Business Personal Property No 7 1 Form MP -IOTA 0482 Special Multi -Peril Policy -Section I Special Pers Prop Fm 7 1 MP -126 0777 Replacement Cost Coverage Endorsement 7 1 MP -198 0777 SMP Automatic Increase Insurance Endorsement PREM BLDG SCHEDULED ADDITIONAL INSUREDS U44 ALBERTSONS INC., AND IT'S AFFILIATES AND WHOLLY OWNED SUBSIDIARIES ATTN: RECORDS CENTER 74570 PO BOX 20 BOISE ID 83726 Loan Number: Refer 1573805 U44 BANK OF AMERICA, N. A. 333 S BEAUDRY AVE 11TH FLOOR LOS ANGELES CA 90017-1486 Loan Number: Loan 606807 2 1 U44 BANK OF AMERICA, N. A. 333 S BEAUDRY AVE 11 TH FLOOR LOS ANGELES CA 90017-1486 Mercury Casualty CompanyAR 3 1 3 1 PREM BLDG Loan Number: 606807 Additional Insured/Loss Payee Cc California Special Multi Peril Policy Effective Date: 07/01/2003 Page 6 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL U44 BANK OF AMERICA, N. A. 333 S BEAUDRY AVE 11TH FLOOR LOS ANGELES CA 90017-1486 Loan Number: 606807 U44 CITY OF SAN JUAN CAPISTRANO OFFICE OF THE CITY CLERK LICENSE AGREEMENT REGARDING LOT 216, TRACT 12954, SJC, CA COUNTY OF ORANGE (MARBELLA PLAZA). 23400 PASEO ADELANTO SAN JUAN CAPISTRANO CA 92675 SCHEDULED LOSS PAYEES 438BFU BANK OF AMERICA 333 S BEAUDRY AVE 11TH FLOOR LOS ANGELES CA 90017 Loan Number: LOAN 60680 2 1 438BFU BANK OF AMERICA Additional Insured/Loss Payee C Mercury Casualty Company California pecial Multi Peril Policy Effective Date: 07/01/2003 Page 7 Policy Number: CCP00(18229 Insureds Name: ROGER DE YOUNG ETAL C/O CA BUSINESS LOAN PROCESSfN 333 S BEAUDRY AVE 11 FLOOR LOS ANGELES CA 90017-1486 Loan Number: 606807 438BFU BANK OF AMERICA, N. A. 333 S BEAUDRY AVE 11TH FLOOR LOS ANGELES CA 90017-1486 Loan Number: 606807 It is agreed that building coverage is provided on $1 a blanket basis. CALIFORNIA ASSESSMENT - CIGA FEE $589 FULL POLICY TERM PREMIUM $30,051 No Change in Premium Checks or drafts are accepted in payment only if they are honored when first presented. In Consideration of the Provisions and Stipulations Herein or Added Hereto and of the Premium Above Specified (or specified in endorsement attached hereto), this Company, for the term from inception date shown above (At 12:01 A.M. Standard Time) to expiration date shown above (At 12:01 A.M. Standard Time) at location of property involved, to an amount not exceeding the limit of liability specified, does insure the insured named in the Declarations above and legal representatives, to the extent of the actual cash value of the property at the time of loss, but not exceeding the amount which it would cost to repair or replace the property with material of like kind and quality within a reasonable time after such loss, without allowance for any increased rust of repair or reconstruction by reason of any ordinance or law regulating construction or repair; and without compensation for loss resulting from interruption of business or manufacture, nor in any event for more than the interest of the insured, against all LOSS BY FIRE, LIGHTNING AND OTHER PERILS INSURED AGAINST IN THIS POLICY IN- CLUDING REMOVAL FROM PREMISES ENDANGERED BY THE PERILS INSURED AGAINST IN THIS POLICY, EXCEPT AS HEREINAFTER PROVIDED to the property described herein while located or contained as described in this policy, or pro rata for five days at each proper place to which any of the property shall necessarily be removed for preservation from the perils insured against in this policy, but not elsewhere. Assignment of this policy shall not be valid except with the written consent of this Company. This policy is made and accepted subject to the foregoing provisions and stipulations and those hereinafter stated, which are hereby made a part of this policy, to- gether with such other provisions, stipulations and agreements as may be added hereto, as provided by this policy. M-1(6/83) Additional Insured/Loss Payee C. ARV ercury Casualty Company California Special Multi Peril Policy Effective Date: 07/01/2003 Page 1 Policy Number: CCP0008229 Insureds Name: ROGER DE YOUNG ETAL NAMED INSURED "ET AL" It is hereby understood and agreed by all parties to this contract, that the "ET AL" named in ITEM ONE, NAMED INSURED section of th policy, includes only the following as NAMED INSUREDS: Loc. I & 5, ALBERTSON'S CENTER L.P. LLC, 1.00000%, DE YOUNG FAMILY TRUST, 42.57995%, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 48.87055%, ROGER A. DE YOUNG, JR., 2.5160%, DOUGLAS A. DE YOUNG, 2.51650%, WENDY A. GERDOU, 2.51650%. LOCATION#2 RDY, LLC, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 100.0000%. LOCATION #3, MARBELLA PLAZA, L.P. 530 LLC, 1.00000%, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 71.11895%, DE YOUNG FAMILY TRUST, 10.99105%, ROGER A. DE YOUNG, JR., 1.79740%, DOUGLAS A. DE YOUNG, 1.79740%, WENDY A. GERDAU, 1.79740 %, ROGER A. DE YOUNG, JR., AND SANDRA L. DE YOUNG, 4.25768%, DOUGLAS A. DE YOUNG AND CATHRYN DE YOUNG, 4.25768%, WENDY A. GERDAU & KENNETH W. GERDAU, 1.06958%, ROGER A. DE YOUNG, AS CUSTODIAN FOR KELLY A. DE YOUNG, 0.31881%, ROGER A. DE YOUNG AS CUSTODIAN FOR KASEY S. DE YOUNG,0.31881 %, DOUGLAS A. DE YOUNG AS CUSTODIAN FOR SCOTT A. DE YOUNG, 0.82891%, DOUGLAS A. DE YOUNG AS CUSTODIAN FOR KATHRYN A. DE YOUNG, 0.44633%. LOC.#4., STAGE ROAD PARTNERS, DE YOUNG FAMILY TRUST, 73.8655%, ROGER DE YOUNG CONSTRUCTION CO. 35.7000%, ROGER A. DE YOUNG, JR., 3.0600%, DOUGLAS A. DE YOUNG, 3.0600%, STEVE CALHOUN, 0.5100%, CAROLINE H. HELMS, AS TRUSTEE OF HAZEL HOUSEMAN TRUST, 24.3775%, ROBERTSON & SUZANNE SCHAEFER TRUSTEES OF SCHAEFER TRUST, 12.1888%, PAUL HELMS & CAROLINE H. HELMS TRUSTEES, 0.2450%, PAUL HELMS, III 12.1888%. LOC. #6 SC/KATELLA, LLC, DE YOUNG FAMILY TRUST, 73.8655%, ROGER DE YOUNG FAMILY LIMITED PARTNERSHIP, 17.2622%, DOUGLAS A. DE YOUNG AND CATHRYN DE YOUNG, 5.8169%, DOUGLAS A. DE YOUNG, AS CUSTODIAN FOR SCOTT A. DE YOUNG, 1.5277%, DOUGLAS A. DE YOUNG, AS CUSTODIAN FOR KATHRYN A. DE YOUNG, 1.5277%. LOC.#7 ROGER DE YOUNG CONSTRUCTION CO.,INC., ROGER DE YOUNG 100.0000%. VACANT LAND -ARROW & VIA VERDE, SAN DIMAS, CA - ROGER DE YOUNG CONSTRUCTION CO., INC., ROGER DE YOUNG, 100.0000%. LOT L, SAN JUAN CAPISTRANO, CA - ORTEGA PROPERTY, DE YOUNG FAMILY TRUST, 100.0000%. Cl 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 949) 493-1171 949) 493-1053 (FAX) ivivir. sanjuancapistrano. org June 24, 2003 Marbella Plaza Attention: Riger De Young 355 Bristol Street, #C Costa Mesa, California 92626 11(1IINHII uunnm 1 1961 1776 MEMBERS OF THE CITY COUNCIL OIANEL. BATHGATE JOHN S. GELFF WYATTHART JOESOTODAVIDM. SWERDLIN CITYMANAGERGEORGESCARBOROUGH RE: Compliance with Insurance Requirements - License Agreement - Lot 216 of Tract 12954 The following insurance documents are due to expire: I General Liability Certificate 7/1/2003 610 ( V General Liability Endorsement naming the City of San Juan Capistrano as additional insured. ,+ ct Please submit updated documentation to the City of San Juan Capistrano, attention City Clerk's office, 32400 Paseo Adelanto, San Juan Capistrano, CA 92675 by the above expiration dates. If you have any questions, please contact me at (949) 443-6310. Sincerely, A Dawn Schanderl Deputy City Clerk cc: Cathy DuCoing onuc use Is San Juan Capistrano: Preserving the Past to Enhance the Future CERTIFICA= OF INSURANCE DATE 102 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION DRISCOLL INSURANCE AGENCY INC SUITE E. 17TH STREET SUITE (10.5 -DIVEST BUILDING ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ND ORALTERTHE COVERAGEER. THIS CATEAFFORDED BES OYTTHE POLICIES BELOW. COMPANIES AFFORDING COVERAGETUSTINCA92780 COMPANY A Mercury Casualty Company INSURED ogeCOMPANYr Do ded355BdBWI3Uet B jl. Ll./\... Costa Mesa CA 92626 MPANY CrMPANY L D COVERAGES TH15 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. TRDATETYPEOFINSURANCEPOLICYNUMBER POLICY EFFECTIVE MM/DDNY) POLICY EXPIRATION DATE (MM/DD(YY) LIMITS GENERAL LIABILITY BODILY INJURY OCC $ A COMPREHENSIVE FORM M36109 07/01/02 07/01/03 BODILY INJURY AGG $ X PREMISES/OPERATIONS PROPERTY DAMAGE OCC $ UNDERGROUNDEXPLOSION COLLAPSE HAZARDL PROPERTY DAMAGE AGG $ X PRODUCTS/COMPLETED OPER BI It PD COMBINED OCC $ 1 , 000, 000 BI & PD COMBINED AGG $ 1 000,000CONTRACTUAL PERSONAL INJURY AGG $ 1,000,000INDEPENDENTCONTRACTORS BROAD FORM PROPERTY DAMAGE X I PERSONAL INJURY AUTOMOBILE LIABILITY ANY AUTO BODILY INJURY Per person) $ ALL OWNED AUTOS (Private Pass) ALL OWNED AUTOS Other than Private Passenger) BODILY INJURY $ Per aaidenq PROPERTY DAMAGE $ HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY BODILY INJURY It PROPERTY DAMAGE $ COMBINED A EXCESS LIABILITY PENDING 07/01/02 07/01/03 EACH OCCURRENCE $ 5,000,000 AGGREGATEXUMBRELLAFORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND STATUTORj LIMIT EMPLOYERS' LIABILITY EACH ACCIDENT- - $ M DISEASE PCOX LIWTHEPROPRIETOR/ INCL PARTNERS/EXECUTIVE DISEASE EACH EMP YEE < OFFICERS ARE EXCL OTHER ON DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS Re: License Agreement Regarding Lot 216, Tract 12954, City of San Juan Certificateholder is hereby named as additional Capistrano, CA , County of Orange (Marbella Plaza) 2nd Excess Liability Policy - Firemans Fund Insurance insured on Mercury Package Policy - Renewal of Limit of Liability Policy #M36109 - Cancellation Clause: Unless 9,000,00D., - Term: 711102-7N)03 cancellation is for non payment of premium in which case 10 days notice may be given. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of San Juan Capistrano, Dike of the City Clark, EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 3M Paseo AMante BU AIL E TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY San Juan Capistrano CA 92675 F IND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. D REPRESEN E/ T. Cotter ACORD ESN (3189) ACORD CORPORATION 1993 3113-313 EJO RD. APPLIES T0: SAN0 JUAN11CAPIS , ICA This gndotsement forms part of the policy shown below, all other terms and conditions of this policy remain unchanged. Policy No. M 36109 dnsured ROGER DE YOUNG, ET AL Effective Date: 7-1-00 12:01 A.M. ADDITIONAL INSURED IT IS AGREED THAT: CITY OF SAN JUAN CAPISTRANO, OFFICE OF THE CITY CLERK 32400 PASEO ADELANTO SAN JUAN CAPISTRANO, CA 92675 IS ADDED AS AN ADDITIONAL INSURED UNDER SECTION II OF THE POLICY, BUT ONLY AS RESPECTS LOSS ARISING OUT OF OPERATIONS OF THE NAMED INSURED WHICH ARE INSURED UNDER THIS POLICY. Agent DRISCOLL INSURANCE 3881 7-28-001f U-44 5/82 ifornia Special Multi -Peril Policy MERCURY CASUALTY COMPANY HOME OFFICE a LOS ANGELES, CALIFORNIA STOCK COMPANY Policy ANumberM 36109 Renews No.: RW M29670 Agent: DRISCOLL Code: 3881 DECLARATIONS Item 1. Named Insured and Address (No.. Street. Town, county. State, zio Code) ROGER DE YOUNG, ET AL (SEE ADDITIONAL NAMED INSURED BREAKDOWN) 355 BRISTOL STREET #C COSTA MESA, CA 92626 Item 2. Policy Patio& MONTHS 36 FROM 7-1-00 To 7-1-03 12:01 A.M. Standard Time at location of described property flesh 3. The Named Insured is: individual 0 Partnership 0 Corporation 0 Joint Venture 0 Other: Item 4. Location of premises: (Enter "same• if same location as above) Occupancy of Premises No.t SEE MP22(7/77) ATTACHED LESSOR'S RISK INDUSTRIAL/ No.2 SHOPPING CENTERS No. 3 Item s. Insurance is provided with respect to those premises described above and with respect to those coverages and kinds of property for which a specific limit of liability is shown, subject to all of the terms of this policy including forms and endorsements made a part hereof: SECTION 1 L I M I T O F L I A B I L I T Y wce rues e COVERAGEoc.No.I .No. Loc. No. 1. o Loc. o B o. Loc. o. a. No. VKbIr VK BLANKET s s 100% A. Building(s) LOC. #4 3NLY)S 100% B. Personal Property SECTION 2,671,00 S 100,000$ BLANKET) BLANKET)S S 100% Addl.Coy. LOSS OF RENTS BUILDING ORDINANCE I PROPERTY COVERAGE The Loss Deductible Applicable to Section 1 shall be 100. unless otherwise stipulated by Endorsement hereto. SECTION 11 L I M I T O F L I A 61 L I T Y COVERAGE 1,000,000 Each Occurrence 1,000,000 Aggregate C. Bodily Injury & Property Damage Liability Combined Single Limits SECTION 11 S 5,000 Each Person I $ 10,000 Eacn Accident D. Premises Medical Payments LIABILITY 50,000 s 1,000,000 FIRE LEGAL LIABILITY EMPLOYERS NON–OWNED AUTO LIABILITY Addl. Coy. 1,000,000 HIRED AUTO LIABILI COVERAGE SECTION III C R I M E C 0 V E R A G E Limits as stated in the endorsement, made part of this Policy, if indicated byM Item 6. Forms and Endorsements made pan of this Policy at time of issue: MP101(4/82)16(7/77)X26(2/84)200(7/77)24(7/77) 126(7/77)202(6/78)X21(9/80)122(7/77)SF20(7/33) nNSERrNO. AND EDITION CATEI X43(3/95)X46(3/95) Isere 7. The General Conditions, Form MP -W(4-78), shaft be made a part of this policy at time of issue. X45(3/95)X36(1/95)146(7/77)198(7/77)222(7/77)X28(11/83)SF220(10/65)199EZ(4/83)X32(2/85)22(7/7 Itern B. Mortgagee: IN..E v0 AODH E551 2)438BFU(5/42) (2)U44(3/82) x Item 9. The Total Advance Premium is (ENTER BEL -O.1 S TBD • and is payable $ 25,921 Countersignature Date 8-4-001f at inception, and $ TBD Agency at at each anniversary. Agent In Consideration of the Provisions and Stipulations Herein or Added Hereto end of thil kpia"mvAbwe Specified (or specified In endorsement attached hereto), this Company. for toe term tram inception dab shown above (At 12:01 A.M. Standtrd Time) to expiration daft shown above (Af 12:01 A.M. Standard Timal at location of property Involved, to an amount not exceeding the limit of liability specified, does Insure this Insured maned in the DeplaradaM above and legal representatives, to the extent of the actual cash value of the property at the time of loss, but not exceeding the amount which It would Cost to repair or replace the Property with material of like kind and quality wlthla a reasonable time after Such loss, without allowance for any Increased Cast of repair or reconstruction b1 reason of any ordinance or law regulating construction or repair; and without compensation for loss rasulting from Interruption of business or manufacture, nor n Any event for more than the interest of the Insured, against all LOSS BY FIRE, LIGHTNING AND OTHER PERILS INSURED AGAINST IN THIS POLICY IN CLUDING REMOVAL FROM PREMISES ENDANGERED BY THE PERILS INSURED AGAINST IN THIS POLICY, EXCEPT AS HEREINAFTER PROVIDED, to the property described herein while located or contained as described In this policy, or pro rate for five days at each proper place to which any of the properU shall necessarily be removed for preservation from the perm insured against in this policy, but not elsewhere. MEMORANDUM OF INSURANCE a:••• ie mivon as a matter of information only concerning the policy named herein as it stands at the date of issue hereof. It is not ar,aiw anion this Company or Agent thereof. It Date: June 23, 2002 To: City of San Juan Capistrano Office of the City Clerk 32400 Paseo Adelanto San Juan Capistrano, CA 92675 Re: Roger De Young, eta! Mercury Casualty - Policy #M36109 Property Location: Lot 216,Tract #12954, City of San Juan Capistrano, CA IN THE ABOVE REFERENCED POLICY YOU ARE NAMED AS: Certificate Holder (X) Additional Insured Loss Payee ( ) Mortgagee ( ) Insured THE FOLLOWING IS ENCLOSED FOR YOUR RECORDS: The Original Policy ( ) Your Copy of the Policy: () True and Certified Insurance Binder Evidence of Property Insurance Form Lender's Loss Payable Endorsement (4386FU) X ) Certificate Of Insurance Form (X ) Additional Insured Endorsement(s) Enclosed is the insurance information for the named insured as proof of coverage for your interest in this risk. If there are any questions with regard to our policyholder's coverage, please call. Sincerely, Dorothy Berryhill Customer Service Representative CC: Roger De Young, etal 17782 East 17th Street, Suite 105, Tustin, CA 92780-1947 • P.O. Box 1085, Tustin, CA 92 781-991 7 714.505.5550 • Toll -Free 888.292.9925 . Fax 714.505.5562 • Lic. #0538458 E ae NtlOe CERTIFICAT F INSURANCE 060/01 D , PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION DRISCOLL INSURANCE AGENCY INC RECEIVED 17782 E 17TH STREET SUITE #105 - WEST BUILDING2 21 PM rOiTUSTINCA92780JULoi ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A Mercury Casualty CompanyC17iCLEHK INSURED Roger DB Young, eta] Cl i i1F >! N W355 Briz Street, #c JudN i:ai,..,t +ay., COMPANY B COMPANY Costa Mesa CA 92828 C COMPANY D 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. COLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMiDDM/) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY BODILY INJURY OCC $ A COMPREHENSIVE FORM M36109 07/01/01 07/01/02 BODILY INJURY AGG $ X PREMISESIOPERATIONS PROPERTY DAMAGE OCC $ UNDERGROUNDEXPLOSION6COLLAPSE HAZARD PROPERTY DAMAGE AGG $ at 8 PD COMBINED OCC $ 1 , 000,000XPRODUCTSCOMPLETEDOPER BI B PD COMBINED AGG $ 1 000,000CONTRACTUAL PERSONAL INJURY AGG $ 1,000,000INDEPENDENTCONTRACTORS BROAD FORM PROPERTY DAMAGE X PERSONAL INJURY AUTOMOBILE LIABILITY ANY AUTO BODILY INJURY $ Per person) ALL OWNED AUTOS ( RY& Pe6S) ALL OWNED AUTOS Other Man Private Passenger) BODILY INJURY $ Per aaidenp PROPERTY DAMAGE $ HIRED ALTOS NON OWNED AUTOS GARAGE LIABILITY BODILY INJURY 8 PROPERTY DAMAGE $ COMBINED A EXCESS LIABILITY PENDING 07/01/01 07/01/02 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ X UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND STATUTORY LIMITS EMPLOYERS' LIABILITY EACH ACCIDENT is THE PROPRIEYORI INCL PARTNERSIEXBCUTIVE DISEASE - POLICY LIMIT Is DISEASE - EACH EMPLOYEE $ OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONSILOCATIONSfVEHICLESISPECIAL ITEMS Re: License Agreement Regarding Lot 216, Tract 12954, City of San Juan Certificateholder is hereby named as additional Capistrano, CA , County of Orange (Marbella Plaza) insured on Mercury Package Policy - Renewal of 2nd Excess Liability Policy - Firemans Fund Insurance - Limit of Liability Policy RM36109 - Cancellation Clause: Unless 4,000,000., - Term: 7/1/01-7/1/02 cancellation is for non payment of premium in which case 10 days notice may be given. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CSL f San Jeal) Capistrano, Office of ft City EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 32400 Paseo Adelarl BUT FAIL E TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Safi Juan Capistrano CA 92675 OFA IND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. RE P(RaESSENTATt I G('-- CetlBr ACORD 25 N 398 ACORD CORPORATION 1993 0 FAX TRANSMITTAL SHEET 0 P.O. Box 1085 vi Tustin. CA 92791-9917 Telephone #t (714) 505-5550 • (888) 292-9925 Fax * (714) 505-5562 License 90538458 DATE. July 16. 2001 TO City of San Juan Capistrano, Office of The City Clerk ATrN- Dawn S FROM Dorothy Berryhill TOTAL NUMBER OF PAGES. INCLUDING THIS PAGE 3 PLEASE NOTIFY OUR OFFICE IF ALL RAGES ARE NOT RECEIVED RE Roger De Young, etas Mercury Casualty Company Policy No M3E 109 Property Location 31103-31113 Rancho Vi :?in Road. San Juan Capistrano. CA MESSAGE Attached please find a copy of the endorsement listing San Juan Capistrano, Office of City Clerk as additional insured on the policy for Roger De Young, etal in regards to the prooerty location listed above Therefore, the attached endorsement is in effect until 7/1/03 unless othervAse noted by the insurance tamer. Mercury Casualty Company If you have any questions on this matter, please let me know Thank you cc Ms- Karen White. Roger De Young, etal VERIFICATION OF FAX SENT' DATE W-! E0/10 d B1Y-1 TIME NOS! E0:9I to-9l-mr 0 - - 0 California Special Multi -Peril Vo' MERCURY CASUALTY COMPANY HOMEOFFICE 0 LOS ANOELEs-CALIF3RNIA STOCK COWANY , Policy Number 36109 Renews No.. IN M29670 Agent: DSIECOld. Code, 3881 CIECLARATIUNS kwn 1. Named Insured said Address ma Sn.Nt. $Iwy. coy. t , State. ib CoMI . to.1 tacst 9% a 2r AL (I0 ADD12UUM an= 111151111=1I111151111=1IspfltAt 335 1212'1'Ot. srtslcr k COSTA NNSA. CA 92626 Iticn 2. Policy eeriod: MON?Ms 36 rRow 7-1-00 TO 7-1-03 12:01 A.M. Standard rrne at location of described property Item 3. The Named Ins/ red Ir gpndlviduat CJ Parthership 0 Corowaeon U Joint venture [] other: we, a. t oration of oreleises: (Enter •sameI if same Iecatlon as 211" Oaupalcir of Pumices Ne.1 art UP;'2(7/77) nE` YlC lu g t zmnita am no osratw Pic. 2 rIBWer 9 CRITUS No. 3 pe.5, 101 plwlntsls described above and with respect to IW!e rnveraaes and kinds of properly for vA ldl a swift limit of 11210 IN Is sheen- subleet to all of the terms of Mrs holler Inclwllnn a1.ma >,..1 ....m.. ...I...r..•.r. • wt r....r- a- FORMS slid Endo stmenn made Owl or th;s Pollq at er pmaofIssue: MP101 4 82ao16.;'/7726284)200(7/77)Z4(7/77) 126(7L7 202s6/7277 e 1 , =43(3/95)26(3/93) T. The aaI ea bon, Sdeipal ctatame of isaul. mf.%? 493236(1/93)146(7/77)198(7/77)222(7/77)228(11/83)8127.0(10/63)1"=(4/83)232(2/83)22(7/77; mac ..o •ooncea> (2)4382110(2/42) (2)a44(3/A2) en o- The Total Advar ce Ptemlum is K. Te. scLow S TBD . and Is payable f at Inception, and S TED wntevsIgnatwe Date 8-4-OOlf Agency at at earn imnivetsary. VZZ-d COM d 814-1 -4'10 :1 E0:91 l0-sl-lllf SELIIGN I LIMIT Or L I A a 1 L n T T o. e! 1,671,ogo b. a 0. 0 O G o. a ea•rfra..c+ rareer.toa Irl-C•KC COVERAGE a s107na s f FAA A- Blrtldln sl fO 755c. S 8. Perawal Property SECT am wA lootAddl.co.. 088 ofI 00, 000 f T) s s 211111.22219. 0301RAM PROPERTY COVER t The Loss Deductible Applicable m Section I shall he 1110. unless otherwise stipulated by Endorsement hereto. SE17110M It _ L I M I T O F L I A e 1 L I T T COVERAGES t ilO s000 Each OcarrrMlY S 1s000s000 AWegate C- godny le u7 a PMMIV oamsse Liability sEmp1 eombil e S•nde Limits 11 S 3.000 Lad Person Each Accident V. Plemi,es "eat Payments LIAt11LITY 50,000 rM 1=" 1JUILISr Addl. Co.- COVERAGE 1,000.000 IMUnUS sloe -alma AMM LIA211LITr 1.0011.000 attar AN" L a- FORMS slid Endo stmenn made Owl or th;s Pollq at er pmaofIssue: MP101 4 82ao16.;'/7726284)200(7/77)Z4(7/77) 126(7L7 202s6/7277 e 1 , =43(3/95)26(3/93) T. The aaI ea bon, Sdeipal ctatame of isaul. mf.%? 493236(1/93)146(7/77)198(7/77)222(7/77)228(11/83)8127.0(10/63)1"=(4/83)232(2/83)22(7/77; mac ..o •ooncea> (2)4382110(2/42) (2)a44(3/A2) en o- The Total Advar ce Ptemlum is K. Te. scLow S TBD . and Is payable f at Inception, and S TED wntevsIgnatwe Date 8-4-OOlf Agency at at earn imnivetsary. VZZ-d COM d 814-1 -4'10 :1 E0:91 l0-sl-lllf VZZ-1 EO/EO d e ! I I* x flos , mt imi— fd i e J a k to s R 2 o R2a§ to m 77 i tea» e m i f 2 n H VZZ-1 EO/EO d e ! I I* x flos , mt imi— 0 32400 PASEO ADELANTO SAN .JUAN CAPISTRANO, CA 92675 949) 493-1171 949) 493-1053 (FAX) www.satijuanc,apistrano.org June 28, 2001 Roger De Young Marbella Plaza 355 Bristol Street #C Costa Mesa, California 92626 MEMBERS OF THE CITY COUNCIL DIANE L. BATHGATE JOHN S. GELFF JOHN GREINER WYATT HART DAVID M. SWEROLIN CITY MANAGERGEORGE SCARBOROUGH RE: Compliance with Insurance Requirements - License Agreement Lot 216, Tract 12954 - The following insurance documents are due to expire: V General Liability Certificate 7/1/01 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 the above expiration dates. If you have any questions, please contact me at (949) 443-6310. Sincerely, L i Dawn M. Schanderl Deputy City Clerk cc: Cathy DuCoing DIIU6 USEIS San Juan Capistrano: Preserving the Past to Enhance the Future A*401t* U DmlCERTIFICOFINSMCE07;2D,00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION DRISIOLL INSURANCE AGENCY INC 17762 E. 17TH STREET SUITE #105 - WEST BUILDING ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGETUSTINCA92780 COMAPANV MafCuty c INSURED oge M / Streer, tC / • ` T' i:L t 355 BrlDo Young, Costa Mesa CA 92626 7 1, COMPANY B y, <n m COMPANY N r' C COMPANY D s COVERAGES S 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. LTRDATE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVEMI POLICY EXPIRATION DATE (MM/DD(YY) LIMITS GENERAL LIABILITY BODILY INJURY OCC $ A COMPREHENSIVE FORM RENEWAL OF M29670 07/01/00 07/07/01 BODILY INJURY AGG $ X PREMISESIOPERATIONS PROPERTY DAMAGE OCC $ EXPLOSION 6DCOLLAPSE HAZARD PROPERTY DAMAGE AGG $ X PRODUCTS/ COMPLETED OPER BI & PD COMBINED OCC $ 1,000,000 BI & PD COMBINED AGG $ 1 000,000CONTRACTUAL PERSONAL INJURY AGG $ 1 , 000, 000INDEPENDENTCOMPACTORS BROAD FORM PROPERTY DAMAGE T PERSONAL INJURY AUTOMOBILE LIABILITY ANY AUTO BODILY INJURY Per person) $ ALL OWNED AUTOS (Pnvale Pass) ALL OWNED AUTOS Other than Pnvate Passenger) BODILY INJURY $ Per aaiGenp HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY BODILY INJURY 8 PROPERTY DAMAGE § COMBINED A EXCESS LIABILITY PENDING 07101/00 07/01/01 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ X UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND STATUTORY LIMITS EMPLOYERS' LIABILITY EACH ACCIDENT $ THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE DISEASE - POLICY LIMIT $ DISEASE -EACH EMPLOYEE $ OFFICERS ARP. EXCL OTHER DEBC LOCATIONSNEHICLE %eAHTEM&— , Re: cense A reemen gar din of "216 rant 12954,JCIty of San Juan Ceriiflcatehol der Is hereby named as additional Capin rano, ounty of Orang ar za insured on Mercury Package Policy - Renewal of 2nd Excess Liability Policy - Fireman, and Insurance -Limit of Liability Policy #M29670 - Cancellation Clause: Unless 4,000,000., - Term: 7/1100-7/1/01 cancellation is for non payment of premium in which case 10 days notice may be given. CERTIFICATE HOLDER CANCELLATION SHOULD ANY of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Chy of .San Juan Caplatrano, OBMe of the City Clerk, EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED To THE LEFT, 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 AGENTS OR REPRESENTATIVES. I AUTHORIZED REP SENTATIVE JC. Thomasr . ACORD 26-N 9P89 ACORD CORPORATION 1993 0 0 Dawm3chanderl I'll get you a copy as soon as I get one - I faxed the info to my contact, Craig Dootson - CDC Original Message ----- From: Dawn Schanderl Sent: Tuesday, July 18, 2000 9:23 AM To: Cathy DuCoing Subject: Marbella Plaza - Wonder Years Insurance update? (smile, smile, happy face, more smiles, bigger happy face) From: Cathy DuCoing Sent: Tuesday, July 18, 2000 11:00 AM To: Dawn Schanderl Subject: RE: Marbella Plaza - Wonder Years I'll get you a copy as soon as I get one - I faxed the info to my contact, Craig Dootson - CDC Original Message ----- From: Dawn Schanderl Sent: Tuesday, July 18, 2000 9:23 AM To: Cathy DuCoing Subject: Marbella Plaza - Wonder Years Insurance update? (smile, smile, happy face, more smiles, bigger happy face) FAX 77.4 633 4631 DOOTSON PROP MGT P03 APPLIES TO: 31103-31113 RANCHO YIEJO RD. Thi[ endorsetnmt fmasa of the SAN JUAN CAPISTRANO. CA pan polity shown below, all other terra and condition, of this policy remain unehattged. policy Plo• N 36109 Insured ROGER DE YOUNG, ET AL Effectisellate: 7-1-00 12:01 A.M. ADDITIONAL INSURED IT IS AGREED THAT: CITY OF SAN JUAN CAPISTRANO. OFFICE OF THE CITY CLERK 32400 PASEO ADEL/INTO SAN JUAN CAPISTRANO. CA 92675 IS ADDED AS AN ADDITIONAL INSURED UNDER SECTION II OF THE POLICY, BUT ONLY AS RESPECTS LASS ARISING OUT OF OPERATIONS OF THE NAND INSURED WHICH ARE INSURED UNDER THIS POLICY. Agent DRISCOLL INSURANCE 3881 U-44 3/84 i i FAX 714 031 4831 Date: August 29, 2000 DOOTSON PROP MGT 0 To: City of San Juan Capistrano Attn: Ms. Cathy DeCoing Fax #949493-1251 Re: Roger De Young, stall Mercury Casualty - Policy #M38109. Property Location: 31103-31113 Rancho Viejo Rd., San Juan Capistrano, CA AIN 3U= IN THS ABOVE REFERENCED POLICY THE CITY OF SAN JUAN CAPISTRANO IS ARE NAMED AS: Certificate Holder (x) Additional Insured Loss Payee ( ) Mortgagee () Insured THE FOLLOWING IS ENCLOSED FOR YOUR RECORDS: The Original Policy () Your Copy of the Policy: () True and Certified X) Endorsement Dated: 711/00 Evidence of Property Insurance Form Lender's Loss Payable Endorsement (438SFU) Certlfloste Of Insurance Form () Additional Insured Endoraernent(s) Enclosed is the insurance information for the named insured as proof of coverage for your interest in this risk. N them are any questions with regard to our policyhokWs coverage. Please cab. Sincerely, Dorothy Berryhill Customer Service Representative CC: Mr. Craig Dooteen, Property Manager 17782 East 17th Street, Suite -1A5, Tus[in,-CA-W780-1947-0"Aox48B5, Tuustin, CA 92781-9917 714.505.5550 . Toll -Free 888.292.9925 0 Fax 714.505.5562 • Lit. #0538458 P02 FAX 714 031 4031 DOOTSON PROP MGT 0 W. CRAIG DOOTSON, CPM 250 E. 17TH STREET, SUITE H COSTA MESA, CA 92627 PHONE: (949) 6316799 FAX (949) 631-4631 FAX TRANSMITTAL SHEET DATE: August 30, 2000 TO: ATTN: Cathy DuCoing City of San Juan Capistrano FAX (949) 493-1251 PHONE: (949) 443-8350 FROM: Craig Dootson Marbella Plaza TOTAL NUMBER OF PAGES: 3 (including this cover sheet) COMMENTS: Additional Insured Endorsement POI