THIRTIETH STREET ARCHITECTS (4)AGREEMENT FOR CONSULTING SERVICES
THIS AGREEMENT is made and entered into this le day of February, 1989, by
and between the SAN JUAN CAPISTRANO COMMUNITY REDEVELOPMENT AGENCY,
hereinafter referred to as "Agency," and THIRTIETH STREET ARCHITECTS, INC.,
hereinafter referred to as "Consultant."
WITNESSETH
WHEREAS, Agency requires professional consulting services for the project
described as follows:
Feasibility Studies for Driveway Realignment and Alternative Parking Layouts -
American Savings; and
WHEREAS, Consultant represents that he is duly qualified to provide said service,
NOW, THEREFORE, Agency and Consultant, for the consideration hereinafter
named, agree as follows:
SECTION I. GENERAL
The considerations of work on the project shall be governed by the conditions
contained herein. In general, the tasks delineated herein are to be performed with
minimum direction and assistance from Agency.
All work performed by Consultant, however, shall be subject to review and approval
of the Deputy Executive Director of the Community Redevelopment Agency, or his
designee at all times.
SECTION 2. SCOPE OF TASKS BY CONSULTANT
Subject to the terms and conditions of this Agreement, Consultant shall perform the
tasks as set forth in Exhibit A, attached and incorporated herein by reference.
During the performance of the above tasks, Consultant shall have access to existing
data in City and Agency files and City and Agency shall provide copies of any such data
Consultant requests at no cost to Consultant.
SECTION 3. TIME OF BEGINNING AND COMPLETION OF SERVICES
The services provided under this Agreement shall begin upon execution of this
Agreement by all parties. The services provided under this Agreement shall be com-
pleted on or before July 1, 1989.
Page 1
0
0
SECTION 4. PAYMENT FOR CONSULTANT'S SERVICES
Payments under this Agreement shall be as follows:
Monthly Invoices on an Hourly Basis of:
Principal $80/hour
Licensed Architect $60/hour
Draftsperson $48/hour
Reimbursables at 1.1 times costs
Three (3) copies of itemized bills, clearly indicating the period for which the billing
is made, and including dates on which expenses (except costs for reproduction) were
incurred, shall be submitted to: San Juan Capistrano Community Redevelopment
Agency, Attn: Nancy Erickson, 32400 Paseo Adelanto, San Juan Capistrano, California
92675.
Total cost to Agency for Consultant's services shall not exceed $2,000.
SECTION 5. COVENANT AGAINST CONTINGENT FEES
Consultant warrants that he has not employed or retained any company or person,
other than a bona fide employee working for Consultant, to solicit or secure this
Agreement, that he has not paid or agreed to pay any company or person, other than a
bona fide employee, any fee, commission, percentage, brokerage fee, gift or any other
consideration, contingent upon or resulting from the award or making of this
Agreement. For breach or violation of this warranty, Agency shall have the right to
annul this Agreement without liability or, at its sole discretion, to deduct from the
Agreement price or consideration, or otherwise recover, the full amount of such fee,
commission, percentage, brokerage fee, gift or contingent fee.
SECTION 6. EXPENSES
Consultant acknowledges Agency is under no obligation to compensate Consultant
for services rendered or expenses accrued under this Agreement in excess of the
maximum compensation specified in Section 4.
SECTION 7. OWNERSHIP OF DOCUMENTS
All tracings, plans, specifications, maps or other documents prepared or obtained
under the terms of this Agreement shall be delivered to and become the property of
Agency, and basic survey notes and sketches, charts, computations and other data
prepared or obtained under this Agreement shall be made available upon request to
Agency without restriction or limitation on their use.
SECTION 8. NON -DISCLOSURE
The designs, plans, reports, investigation, materials and documents prepared or
acquired by Consultant pursuant to this Agreement (including any duplicate copies kept
by Consultant) shall not be shown to any other public or private person or entity, except
as authorized by Agency. Consultant shall not disclose to any other public or private
person or entity any information regarding the activities of Agency, except as authorized
by Agency.
Page 2
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SECTION 9. CONFLICT OF INTEREST
For the duration of this Agreement, Consultant shall not act as consultant or
perform services of any kind for any person or entity in regard to this project without the
prior written consent of Agency.
SECTION 10. CHANGES IN SCOPE OF CONSULTANT'S SERVICES
No additional fee shall be paid by Agency for additional consulting services not
included in this Agreement without the written approval of the Agency prior to under-
taking such work. In the event of suspension of project by Agency, Consultant shall have
the right to renegotiate fees if delay is greater than six (6) months.
SECTION 11. TERMINATION
Agency may, without cause, terminate this Agreement at any time prior to
completion by Consultant of any of the services required hereunder. Notice of
Termination of this Agreement shall be given in writing to Consultant, and shall be
sufficient to complete when same is deposited in the U.S. Mail, first-class postage
prepaid.
In the event this Agreement is terminated by Agency, Consultant shall be paid the
value of services performed by him pursuant to this Agreement prior to the date of
termination thereof, such value to be the total to which he shall have become entitled, as
determined by the Agency less the amount of any payments previously made, but in no
event exceeding the maximum contract amount stated in SECTION 3.
SECTION 12. DISPUTES
Unless otherwise specified herein, any dispute over a question of fact arising under
this Agreement, which cannot be resolved by agreement between the parties, may be, by
mutual consent of the parties, submitted to a "Board of Arbitration" consisting of three
(3) arbitrators having expertise relating to this contract subject matter, one of whom
shall be selected by each of the parties, and the third by the two members selected by
the parties.
Each of the parties shall pay the member selected by it, and the compensation of the
third member shall be paid equally by the parties. The parties shall be bound by the
decision of the Board of Arbitration.
SECTION 13. NO ASSIGNMENTS
Neither any part nor all of this Agreement may be assigned or subcontracted, except
as otherwise specifically provided herein, or to which Agency, in its sole discretion,
consents to in advance thereof in writing. Any assignment or subcontracting in violation
of this provision shall be void.
SECTION 14 ENDORSEMENT ON PLANS ETC.
Consultant shall endorse all plans, data and other documentation submitted to
Agency pursuant to this Agreement.
Page 3
0 f
SECTION 15. MAINTENANCE OF RECORDS
Consultant shall maintain all books, documents, papers, employee time sheets,
accounting records and other evidence pertaining to costs incurred and shall make such
materials available at their respective offices at all reasonable times during the
contract period and for three (3) years from the date of final payment under this
Agreement, for inspection by Agency and copies thereof shall be furnished, if requested.
SECTION 16. INDEPENDENT CONTRACTOR
At all times during the term of this Agreement, Consultant shall be an independent
contractor and shall not be an employee of City or Agency. City or Agency shall have
the right to control Consultant only insofar as the results of Consultant's services
rendered pursuant to this Agreement; however, City shall not have the right to control
the means by which Consultant accomplishes services rendered pursuant to this
Agreement.
SECTION 17. INDEMNIFICATION/PROFESSIONAL LIABILITY INSURANCE
Consultant shall defend, indemnify and hold harmless Agency and City and its
respective officers, employees and agents from any claim, cost, expense or liability
arising directly or indirectly from Consultant's negligent performance of any of the
obligations imposed on it pursuant to this Agreement.
SECTION 19. INSURANCE REQUIREMENTS
A. Comprehensive General Liability. Consultant shall maintain in full force and
effect comprehensive general liability coverage, including premises operations,
products/completed operations, broad form property damage, and blanket contractual
liability in the following minimum amounts:
$500,000 property damage;
$500,000 injury to one person/any one occurrence/
not limited to contractual period;
$1,000,000 injury to more than one person/any one
occurrence/not limited to contractual period.
B. Comprehensive Automobile Liability. Consultant shall maintain in full
force and effect comprehensive automobile liability coverage, including owned, hired,
and non -owned vehicles in the following minimum amounts:
$500,000.00 property damage;
$500,000.00 injury to one person/any one occurrence/
not limited to contractual period;
$1,000,000.00 injury to more than one person/any one
occurrence/not limited to contractual period.
Page 4
0 •
SECTION 19. WORKERS' COMPENSATION
During the term of this Agreement, Consultant shall fully comply with the terms of
the laws of California concerning Workers' Compensation. Said compliance shall include,
but not be limited to, maintaining in full force and effect one or more policies of
insurance insuring against any liability Consultant may have for Workers' Compensation.
This policy/policies shall not terminate, nor shall they be cancelled, nor the
coverage reduced until after 30 days written notice is given to the City.
Consultant shall provide, prior to beginning work, Certificate(s) of Insurance to the
City establishing that the required insurance coverages have been secured by Consultant.
Consultant shall provide an endorsement to City establishing that City has been
legally added as an additional named insured to the insurance policies required under this
Agreement.
SECTION 20. TIME FOR SUBMITTING PROOF OF INSURANCE
Consultant shall submit proof of insurance requirements under this Agreement to the
City Clerk's office prior to beginning any work under this Agreement.
Consultant shall not receive any compensation until all insurance provisions have
been satisfied.
SECTION 21. LICENSES, PERMITS, ETC.
Consultant represents and warrants to Agency that he has all licenses, permits,
qualifications and approvals of whatever nature that are legally required to practice his
profession. Consultant represents and warrants to Agency that Consultant shall, at his
sole cost and expense, keep in effect at all times during the term of this Agreement, any
license, permit or approval which is legally required for Consultant to practice his
profession.
SECTION 22. CONSULTANT NOT AN AGENT
Except as Agency may specify in writing, Consultant shall have no authority,
expressed or implied, to act on behalf of Agency or City in any capacity whatsoever as
an agent. Consultant shall have no authority, expressed or implied, pursuant to this
Agreement to bind Agency to any obligation whatsoever.
SECTION 23. PERSONNEL
Consultant agrees to assign the following person/persons to perform the tasks set
forth in this Agreement:
James C. Wilson, President
Consultant shall not unilaterally alter the assignment of the above personnel without
the authorization of the Deputy Executive Director.
Agency shall have the unrestricted right to order the removal of any person/persons
assigned by Consultant by giving oral or written notice to Consultant to such effect.
Page 5
0
•
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the day
and year first hereinabove written.
CONSULTANT
Janes C. Wilson
President
SAN JUAN CAPISTRANO COMMUNITY
R;epVE PMENT CY
B
n B. Ju ian
Executive Director
Page 6
9
EXHIBIT A
SCOPE OF TASKS
•
Alternative design studies for the driveway realignment and parking lot configuration for
American Savings and Loan Association.
Consultant to meet with City and Agency staff, property owners as requested, and
prepare preliminary alternative layouts.
GPL/AGTSAI
Page 7
thirtieth
street
architects
inc.
February 3, 1989
Ms. Nancy Erickson
City of San Juan Capistrano
Community Redevelopment Agency
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
RE: Professional fees @ "American Saving Parking Lot"
Dear Nancy,
0 to�l �,I�
9. f
CA.
We appreciate the opportunity to work with the Redevelopment agency to
prepare studies to alter the parking configuration at the "American Saving
Parking Lot". It is our understanding that the scope of work will include meeting
with staff and property owners to prepare preliminary alternative layouts. We
propose to work on an hourly basis at the rates listed below not to exceed $2,000.
Principal $80./hr.
Licensed Architect $60./hr.
Draftsperson $48./hr.
In addition, reimbursable expenses such as blueprinting and photocopying will
billed at 1.1 times direct costs.
We hope this proposal meets with your approval, and hope you will contact us if
you have any questions regarding this letter.
Sincerely, K
G
Jam s C. Wilson AIA 01>
Pre dent
architecture historical rehabilitation planning
2821 newport blvd. newport beach, california 92663 fax (714) 673=8547
(714) 673-2643
MEMORANDUM March 21, 1989
TO: Stephen B. Julian, City Manager
FROM: Thomas G. Merrell, Director
Community Planning and Development
SUBJECT: Contract for Consultant Services - Thirtieth Street Architects
Attached is a contract with Thirtieth Street Architects to develop preliminary plans for
realignment of American Savings driveway and reconfiguration of the Home Savings
parking lot. The purpose of the work is to realign the driveway in conjunction with
construction on the adjacent Stroscher entry drive and signalization. The project comes
at a particularly opportune time since Home Savings is processing plans to install a drive-
through automatic teller machine. Home Savings is supportive of the project and the
realignment will result in benefits to both Home Savings and American Savings.
Total cost for the contract excluding reproductions is $2,000. The Agency's Specialized
Services account will provide funding for the contract.
Recommendation: Execute contract as submitted.
TGM:BC:st
GKS/TM3789
Attachment
MA►� 4 10
0Q-
CITY CLERK'S DEPARTMENT - ACTION REMINDER
TO ^ `on, Community Development Administrator
FROM: City Clerk DATE: November 30, 1990
SITUATION:
On February 1, 1989, the San Juan Capistrano Community Redevelopment Agency
entered into a Consulting Agreement with Thirtieth Street Architects, Inc., regarding
feasibility studies for driveway realignment and alternative parking layouts for American
Savings.
The agreement was due to expire on July 1, 1989. Agreement was extended to
December 31, 1990.
ACTION REQUESTED:
Please inform this office of the status of the above -referenced agreement.
ACTION TO BE TAKEN:
DATE WHEN NEXT ACTION (S) SHOULD BE TAKEN:
SIGNATURE OF OFFICIAL TAKING ACTION:
DATE SIGNED: 11-110-1-0
***FOR CITY CLERK'S DEPARTMENT USE ONLY***
Tickler Date: 11/30/90
Deadline Date: 12/31/90
#II& O
cc: City Attorney
Assistant City Manager
(600.40) /
i � v
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS
ADDITIONAL. INSUREDCXI
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
_ EXPIRA'[ION DATE THEREOF, THE ISSUING COMPANY WILL KgX;6X0Xm
Cl TY OF iAN ,It1AN CAP I ST RANO MAIL lO DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
CITY CLERKS DEPARTMI:-NT LEFT $�� 8y¢tC �pJttX g¢(}(I$RQ (�� g>`¢'EIJQg
.32400 PASED ADEI ANTO ER1�1K�I€HF�{41RgL�1X�]C7!L2
SAN .J11AN CAPISTRANO, CA 92675
AUTHORIZED REPRESENTATIVE
ACORD 25-S (3/88) (.. /I ( _ CACORD CORPORATION 1988
A41DO D, CERTIFICATE
CERTIFICATE ■FfEV_!/Zi
,I� S .�It..� NCE, 1--- ISSUE DATE (MM/DD/YY)
{■{.{,�YliReiM■•f"YiV�'1!1•{♦1f\L/�Y�It
08/24/90
�RODUCEF
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 COVERAGO �FFgRDEQ BY THE POLICIES BELOW
Dawn IwUiv:anre iPrviCPS, Inc_
COMPgi�AFRpR1G ��OVERAGE
1007 F. Chapman avenue
r.
Vullerton C,0 % 631 --
COMPANY
LETTER '4 CNA INSU wF.;0vmPl1NY
CODE SUB -CODE
COMPANY B
INSURED
LETTER
N
Thirti.eth Street AYChitectS
COMPANY
C
nTTN: Jame- Wil -;an
LETTER
PIWI NPWport Blvd.
COMPANY
D
NeWpOrt BeaTlh CA 92663
LETTER
COMPANY E
LETTER
;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.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS
LTR DATE (MM/DD/VV) DATE (MM/DD/VY)
GENERAL LIABILITY
GENERAL AGGREGATE $2000
n )( COMMERCIAL GENERAL LIABILITY X303457]03
(/l �)/(�jJ9QJ QJ`]/10/91 PRODUCTS-COMPIOPS AGGREGATE $1000
CLAIMS MADE X OCCUR.
PERSONAL & ADVERTISING INJURY $1000
X OWNER'S & CONTRACTOR'S PROT.
EACH OCCURRENCE $1000
FIRE DAMAGE (Any one foe) S SO
MEDICAL EXPENSE (Any one person) $ S
AUTOMOBILE LIABILITY
COMBINED
$
A ANY AUTO _10,3457763
.0/91 LIMLE
05/10/90 05/1 T 10100
ALL OWNED AUTOS
BODILY
INJURY $
SCHEDULED AUTOS
(Per person)
X HIRED AUTOS
BODILY
NJURY $
X NON OWNED AUTOS
(Per ac ident)
GARAGE LIABILITY
PROPERTY
DAMAGE $
EXCESS LIABILITY
EACH AGGREGATE
OCCURRENCE
$ $
OTHER THAN UMBRELLA FORM
STATUTORY
WORKER'S COMPENSATION
$ (EACH ACCIDENT)
AND
$ (DISEASE—POLICY LIMIT)
EMPLOYERS' LIABILITY
$ (DISEASE—EACH EMPLOYE
OTHER
!! 303457763
05/10/90 05/10/91 70 -
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS
ADDITIONAL. INSUREDCXI
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
_ EXPIRA'[ION DATE THEREOF, THE ISSUING COMPANY WILL KgX;6X0Xm
Cl TY OF iAN ,It1AN CAP I ST RANO MAIL lO DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
CITY CLERKS DEPARTMI:-NT LEFT $�� 8y¢tC �pJttX g¢(}(I$RQ (�� g>`¢'EIJQg
.32400 PASED ADEI ANTO ER1�1K�I€HF�{41RgL�1X�]C7!L2
SAN .J11AN CAPISTRANO, CA 92675
AUTHORIZED REPRESENTATIVE
ACORD 25-S (3/88) (.. /I ( _ CACORD CORPORATION 1988
POLICY NUMBER: 303457763 • CCOERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED — OWNERS, fftftES OR
CONTRACTORS (FORMicB) ' ,o nm 1911
This endorsement modifies insurance provided under the following: 5 °:•' '
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
SCHEDULE
Name of Person or Organization:
CITY OF SAN JUAN CAPISTRANO/THE SAN JUAN CAPISTRANO COMMUNITY REDEVELOPMENT AGENCY.
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the
Schedule, but only with respect to liability arising out of "your work" for that insured by or for you.
CG 20 10 1185 Copyright, Insurance Services Office, Inc., 1984 0
ASSOCIATION ADMINISTRATORS b
CONSULTANTS, INC.
19000 MacArthur Boulevard, Suite 500
Irvine, California 92715
INSURED
THIRTIETH STREET ARCHITECTS
2821 Newport Boulevard
Newport Beach, California 92663
1/29/91
THIS CERTIFICATE IB ISSUED AS A MATTER OF 004C01111ATION ONLY AND CONFERS
NO HONES UPON 171E CERTIFN:ATE: HOLDER. THIS CERTFI"'E DOES NOT A.IYEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLA;ES BELOW.
COMPANIES AFFORDING COVERAGE
CLETTEROMPANY A HARTFORD UNDERWRITERS INSURANCE COMPANY
COMPANY M3
I.F. TIER
COMPANY C
LETTER
COMPANY .
LETTER —n
LE0TfERA"Y E
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE
NOTWITHSTANDING ANY REGUNEMENT, TERM OR CONDITION OF ANY O
BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POL1C
TIONS OF SUCH POLICIES.
00
TYPE OF INSURANCE
POLICY NUMBER
n
EXPIRATION
*kSI LITV TIIOUSAIDS
D�YAjtllp
DAATEr (10040M
E AGGREGATE
DLCD
GENERAL
LIABILITY
BODILY
COMPREHENSIVE FORM
INJURY
$ $
PROPERTY
PREMISESIOPERATIINIS
E�ONE
�E$XPLON
$
& LAPSE HAZARD
PRODUCTSICOMPLETED OPERATIONS
CONTRACTUAL
EN
$ $
COMBINED
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
PERSONAL INJURY $
AUTOMOBILE
LIABILITY
ONLY
ANY AUTO
ILURY
IPPR RAMNI
$
ALL OWNED AUTOS (PRN. PASS.)
NNLY
ALL OWNED AUTOS (WPASASN)
INJURY
m mmm
$
HIRED AUTOS
PROPERTY
NON -OWNED AUTOS
DAMAGE
$
GARAGE LIABILITY
BI A
-
COMBINED
,$'
EXCESS LIABILITY
UMBRELLA FORM
IN& PD
$ $
ED
OTHER THAN UMBRELLA FORM
sTATuralr
WORKERS' COMPENSATION
_
72 NJ CF0479
09/01/90
09/01/91
$1 .000"CH ACMENT)
AND
$1 OD()(05EASE-0OLICY LIMB)
EMPLOYERS' LIABILITY
$1 DOOIDSEASE-EACH EMPLOYEE)
OTHER
LX, I KIYI NUN OF UYGMAI IUNWLL :AI NUN LHICLESISPECIAL ITEMS
CITY OF SAN JUAN CAPISTRANO
32400 Paseo Adelanto
San Juan Capistrano, California
92675
Attention: Dawn Schanderl
SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EX-
PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
AWL 30. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT. BUT FAILURE TO MAL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY
FOR AABC
•
Jan Juan (apisuanu
Cmm11tmlity
Rrdt %clupment
Agan( y
August 22, 1990
Thirtieth Street Architects
2821 Newport Boulevard
Newport Beach, California 92663
Re:
Gentlemen:
I Liabilitv and
L
019,4
The General Liability Certificate of Insurance, regarding the above -referenced project,
expired on May 10, 1990. The Workers' Compensation Certificate of Insurance is due to
expire on September 1, 1990. In accordance with your agreement, the insurance
certificates need to be renewed for an additional period of one year. The agreement
requires a general liability endorsement form naming the City of San Juan Capistrano
and the San Juan Capistrano Community Redevelopment Agency as additional insureds.
Please forward the updated certificates and the endorsement form to the City, attention
City Clerk's Department, by September 5, 1990.
If you have any questions, please contact me at (714) 493-1171 extension 244.
Thank you for your cooperation.
Very truly yours,
)u /L2 &J1a1&e&d
Dawn M. Schanderl
Records Coordinator
cc: Cassandra Walker, Community Development Manager
Cheryl Johnson, City Clerk
'329041 Pawn Adelanu,
SauJuan C putranu
(Ailuc ma 92675
711--195-1171
l 4 a
C COM
SUE3/29/90A/DD/1'V)
PR IDUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INF): RMATION DNLY AND CC HFERS
NO RIGHTS UPON HE CERTIFICAT: HOLDER. THIS I: ERTIFICA"' E DOES NOT A 'AEND,
RECEIV
D EXTEND OR ALTE I THE COVERAGIE AFFORDED BY THE POLH IES BELOW.
Association Administrators & �n 4 ' 3
!H WA COiAPANIES AFFORDING COVEFIAGE
Consultants, Inc.
A
19000 MacArthur Boulevard #500
Irvine, CA 92715 DEPART
fTER
fTER ASSOCIATED INTERNATIONAL INSURANCE CO.
�ppNV
714/833-0673 CITY Of
9 LONDON COMPANIES
IN' JRED
CC
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LE TTERNY
2821 Newport Boulevard
G:MPANV p
Newport Beach, CA 92663
LITTER
G:
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ITERMPA
CA TIER
�6181
—HIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAV: BEEN ISSUEDTO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOT WITHSTANDING ANY REOUIREMEN T, TERM OR CONDITION OF ANY : ANTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY
BE ISSUED OR MAY PERTAIN, THE INE'• URANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI-
"IONS OF SUCH POLICIES.
CO
LTR
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POLICY NUMBER
DBATE (MN. DD�ry�
DAT -/(M DEXPIRATION
YYI
LIABILITY LIMITS IN THOUSANDS
- EACH
OCCURRENCE AGGREGATE
GENERAL
LIABILITY
BODILY
COMPREHENSIVE FORM
IWURY
$
$
PRDPERTY
PREMISES/OPERATIONS
UNDERGROUND
DAMAGE
$
$
EXPLOSION 8 COLLAPSE HAZARD
_
PRODUCTS/COMPLETED OPERATIONS
CONTRACTUAL
BI s PD
COMBINED
CC
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$
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
PERSONAL INJURY
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AUTOMOBILE
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moav
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INk
IRR PERSON)
$
ALL OWNED AUTOS (PRIV. PASS-)
BOULY
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INERY
(PER ACCIDENT)
$
"...
HIRED AUTOS
-
PROPERTY
NON -OWNED AUTOS
DAMAGE
$
BI 8RD
GARAGE LIABILITY
COMBINED
$
EXCESS LIABILITY
B
UMBRELLA FORM
To be assigned
3/13/90
3/13/91
COMB IED
$ 5DD
$ 5DD
OTHER THAN UMBRELLA FORM
STATUTORY
WORKERS' COMPENSATION
ACCIDENT)
AND
$ (DISEASE -POLICY LIMIT)
EMPLOYERS' LIABILITY
fr v $ (DISEASE -EACH EMPLOYEE)
A
OTHER
Professional
Limit is $500,000* per
Liability
AEP450930
3/13/90
3/13/91
claim and in policy
DESCRIPTION OF OPERATIONS/LOCATIONSMEHICLES/SPECUIL ITEMS
Note: Excess liability policy provides following
International policy (AEP450930). *Limit shown is
form coverage in excess of Associated
not in thousands.
CITY OF SAN JUAN CAP I STRANO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX-
PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Community Redevelopment Dept. MAR. 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
32400 Paseo Adelanto LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, S AGENTS OR REPRESENTATIVES.
San Juan Capistrano CA 92675 1AIJT+4QRWEyREPRESENT,�TjyE / _ Ll^it
0
Scln lu:ui (.y, i. n.n u,
(', nnmunm
Rrdl 1, ,Jmll III
\A( Ile
August 22, 1989
Thirtieth Street Architects, Inc.
2821 Newport Blvd.
Newport Beach, California 92663
0
Re: Renewal of Workers' Compensation Certificate of Insurance
Gentlemen:
The Workers' Compensation Certificate of Insurance, regarding the above -referenced
project is due to expire on September 1, 1989. In accordance with your contract, the
insurance certificate needs to be renewed for an additional period of one year. Please
forward an updated Certificate to the City, attention City Clerk's Departement, before
the September 1, 1989, expiration date.
If you have any questions, please contact Dawn Schanderl, Records Coordinator, at (714)
493-1171 extension 244.
Thank you for your cooperation.
Very truly yours,
Mary Ann Hanover, CMC
City Clerk
MAH/dms
32100 Puaru Ad, lanto
SAtl fllall (JI)WIMIll
(.1l1lonlla 92675
%14-103,-1111
ASSOCIATION ADtIINIS
TTRATOR-S
FCiJSTANTS INCL
F' C) BOX 19571.1
IRVINE Co 92713
THIRTIETH STREET
ARCHITECTS
2S' 1 NEWPORT BVD
NEWPORT BCH
CA 9266_:
F#; ? i i39
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.
COMPANIES AFFORDING COVERAGE .
COMPANY
LETTER A
COMPANY
--- _ -- I
LETTER B
COMPANY
BODILY
LETTER C
COMPANY
HARTFORD INS GROUT'
LETTER D
COMPANY
PER
LETTER E
THIS 15 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.
LIABILITY LIMITS IN THOUSANDS
TYPE OF INSURANCE POLICY NUMBER POU CY Ed FECOVE PGUcr ExawnnoN __
PATE IMM/DD'Yv) DATE IMM'DO/YY') FAGH
AGGREGATE
GENERAL LIABILITY
COMPREHENSIVE FORM
PREMISES/OPERATIONS
UNDERGROUND
@%PLOSION &COLLAPSE HAZARD
PRODUCTS/ COUPLE TED OPERATIONS
CONTRACTUAL
INDEPENO ENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
BODILY
INJURY
PROPERTY
DAMAGE
BI&PD
COMBINED
PERSONAL INJURY
AUTOMOBILE LIABILITY
iNduRV
)PER
PERSON)
BODILY
ANY AUTO
NIURr
PER
ALL OWNED Auios
ACCIDENT)
PROPERTY
HIRED AUTOS
NONOWNEDAUTOS
DAMAGE
UARAGE LIABILITY
BI & PD
COMBINEO
—
EXCESS LIABILITY
LIMBREL- FORM
B) a PO
(COMBINED
OTHER THAN UMBRELLA FORM
72WJCF0479W 9/01/439 9/01/9Ci
1STATUTORY
WORKERS'COMPENSATION
1
AND
EMPLOYERS' LIABILITY
—
i. .
EACH ACCIDENT)
(DISEASE -EACH EMPLOYEE)
THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY
CITY OF SAN JUAN CAPIST'RANO WILL iOMAIL =:CJ DAYS WRITTEN NOTICE TO
COI`IlUNITY REDEVELOPMENT DEPT THE CERTIFICATE HOL DERNAMED TOTHE LEFT,
---A'KO Pa<.a>eo Adelanto
Sar) Juan Capistrano CA 92675 AUTHORIZED REPRESENTATIVE
i-heryl Boden for -
B
THE HARTFORD
Named Insured: THIRTHIETH STREET ARCHITECTS Pol 72 WJ CF0479 W
This endorsement forms a part of the policy as numbered above,
issued by THE HARTFORD INSURANCE GROUP company designated
therein, and takes effect as of the effective date of said
policy unless another effective date is stated herein.
Effective date: 09/01/89 Effective hour is the same as
stated in the Declarations of the policy.
ADDITIONAL INSURED EMPLOYER ENDORSEMENT
IT IS AGREED THAT SUCH INSURANCE AS IS AFFORDED BY THE POLICY
UNDER INSURING AGREEMENT I ALSO APPLIES TO:
CITY OF SAN JUAN CAPISTRANO AND THE SAN JUAN CAPISTRANO
COMMUNITY REDEVELOPMENT AGENCY
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CA 92675
AS AN ADDITIONAL INSURED EMPLOYER BUT ONLY AS RESPECTS EMPLOYEES
HIRED BY AND CARRIED ON THE PAYROLL OF THE EMPLOYER NAMED IN
ITEM I OF THE DECLARATION OF THIS POLICY.
AA&C cab ISSUE: 8/22/89 0- &�
for AAC
Authorized Agent
Nothing herein contained shall be held to vary, waive, alter or
extend any of the terms, conditions, agreements or declarations
of the policy other than as herein stated.
This endorsement shall not be binding unless countersigned by a
duly authorized agent of the company; provided that if this
endorsement takes effect as of the effective date of said policy
and, at issue of said policy, forms a part thereof, counter-
signature on the declarations page of said policy by a
duly authorized agent of the company shall constitute valid
countersignature of this endorsement.
Form G -2240-3B
ASSOCIATION ADIvlINISTRAT'ORS
'< CONSULTAN'TS INC
P C BOX I957c1
IRVINE CA 9271:=
602-�e
DATE i F,q
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORIAATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER T-11:,� CERTIFICATE
DOES NOT AMEND. WEMIMI)ILTER THE COVERAGE 4F FC BIDED BY THE
POLICIES BELOW
ANk%WP%R'8&G COVERAGE
THIS 15 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 CONTRAC - 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.
COMPANY
CITY CLERK �.
LETTER A
DEPARTMENT �I
CG
TYPE OF INSURANCE
POLICY NUMBER
LETTERNYB
JUAN tr, 'iSTPANO
THIRTIETH STREET
COMPANY
LTR
ARCHITECTS
1 LETTER C
—
213221 NEWPORT BVD
i COMPANY
HARTFORD INS GROUI..
NEWPORT BCH
LETTER
CA 9:'663 LETTER D
----_-----
OCOURENCE AGGREGATE
1 LETTER E
GENERAL
THIS 15 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 CONTRAC - 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.
LIABILITY LIMITS IN THOUSANDS
CG
TYPE OF INSURANCE
POLICY NUMBER
POLICr EFFECTIVE
PGLICr EXPIRATION
LTR
DATEIMM,DO YY`
DATBrMM,DD/_,
EACH
OCOURENCE AGGREGATE
GENERAL
LIABILITY
BODILY
COMPREHENSIVE FORM
PREMISES, OPERATIONS
TY
UNDERGROUND
EXPLOSION 8 COLLAPSIF HAZARD
PRODUCTS, COMPLETED OPERATIONS
CONTRACTUAL
",
J LH
COMBINED
INDEPENDENT CONTRA
BROAD FORM PROPERTY DAMAGE—�
Hp
III PERSONALINJURV
AUTOMOBILE LIABILITY �� t -1
AUTOMOBILE
BODILY
(PER
PERSON(
BODILY
ANY AUTO
INJURY
(PER
ALL OWNED AUTOS
ACGDENT)
PROPERTY
HIRED AUTOS
SII
NONOWNEDAUTOS
DAMAGE
BI O PD
GAHAGE LIABILITY
COMBINED
EXCESS LIABILITY
-
UMBRELLA FORM
818PD
COM&NED
OTHER THAN UMBRELLA FORM 1
D
tI7 WJCFo479W 9ioI 8,3 1 9; {;1r90
STATUTORY
WORKERS' COMPENSATION
i i It O (EACH ACGIOENTI
AND
fiilll (DISEASE -POLICY LIMIT)
EMPLOYERS' LIABILITY '
(Jon (DISEASEEACHEMPLOYEE)
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
7
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY
CITY OF SAN JUAN CAPISTRANO WILL£7VflEAV@R-LOMAIL '10 DAYS WRITTEN NOTICE TO
COMMUNITY REDEVELOPMENT DEFT THECERTIFICATEHOLDER NAMED TOTHE LEFT. _ __ ..... ,. ,
''.4It
-OCi F'a=_Seo Adeianto
_ .,an JLtan Capistrano CA 92675 AUTHORIZED REPRESENTATIVE
Cheryl Boden for AA&C B
0 0
THE HARTFORD u i tJ
Named Insured: THIRTHIETH STREET ARCHITECTS Pol 72 WJ CF0479 W
This endorsement forms a part of the policy as numbered above,
issued by THE HARTFORD INSURANCE GROUP company designated
therein, and takes effect as of the effective date of said
policy unless another effective date is stated herein.
Effective date: 09/01/89 Effective hour is the same as
stated in the Declarations of the policy.
ADDITIONAL INSURED EMPLOYER ENDORSEMENT
IT IS AGREED THAT SUCH INSURANCE AS IS AFFORDED BY THE POLICY
UNDER INSURING AGREEMENT I ALSO APPLIES TO:
CITY OF SAN JUAN CAPISTRANO AND THE SAN JUAN CAPISTRANO
COMMUNITY REDEVELOPMENT AGENCY
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CA 92675
AS AN ADDITIONAL INSURED EMPLOYER BUT ONLY AS RESPECTS EMPLOYEES
HIRED BY AND CARRIED ON THE PAYROLL OF THE EMPLOYER NAMED IN
ITEM I OF THE DECLARATION OF THIS POLICY.
AA&C cab ISSUE: 8/22/89
for AAC
Authorized Agent
Nothing herein contained shall be held to vary, waive, alter or
extend any of the terms, conditions, agreements or declarations
of the policy other than as herein stated.
This endorsement shall not be binding unless countersigned by a
duly authorized agent of the company; provided that if this
endorsement takes effect as of the effective date of said policy
and, at issue of said policy, forms a part thereof, counter-
signature on the declarations page of said policy by a
duly authorized agent of the company shall constitute valid
countersignature of this endorsement.
Form G -2240-3B
0
0 ew-4o
CITY CLERK'S DEPARTMENT - ACTION REMINDER
TO. Nancy Erickson, Community Development Administrator
FROM: City Clerk DATE: June 15, 1989
SITUATION:
On February 1, 1989, the San Juan Capistrano Community Redevelopment Agency
entered into a Consulting Agreement with Thirtieth Street Architects, Inc., regarding
feasibility studies for driveway realignment and alternative parking layouts for American
Savings.
ACTION REQUESTED:
The agreement is due to expire on July 1, 1989. Please inform this office of the status of
the above -referenced agreement.
ACTION TO BE TAKEN:
DATE WHEN NEXT ACTION (S) SHOULD BE TAKEN:
SIGNATURE OF OFFICIAL TAKING ACTION:
DATE SIGNED:
r
***FOR CITY CLERK'S DEPARTMENT USE ONLY***
Tickler Date: 6/15/89
Deadline Date: 7/1/89
cc: City Attorney
Assistant City Manager
(600.40)
C of
s4/13/894/oom)
THIS CATE IS ISSUED AS A MATTER OF INFO: RMATION ONLY AND CC NFERS
FOR IDUCER
CERT
ON 'HE CERTIFK:AT S HOLDER. THIS C ERTIFICA'-E DOES NOT A IAEND,
O ALTE 1 TTHHE—COVERAGIi AFFORDED BY THE POLITIES BELOW.
ASSOCIATION ADMINISTRATORS & ap
16 AW
CONSULTANTS, INC.
I' AENIES AFFORDING COVEIAGE
P. 0. BOX 19570
r;K
IRVINE CA 92713
aLEXINGTON INSURANCE COMPANY
IapPwlry � � Ri1F11
LE ITER
INE JRED
`•
THIRTIETH STREET ARCHITECTS
LE TERNY
COMPANY p
-TER
2821 Newport Boulevard
Newport Beach, California 92663
LE
HARTFORD INSURANCE GROUP
COMPANY E
LE TIER
!HIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVIP BEEN ISSUEDTO,rHE INSURED NAMED ABOVE FOR THE POLICY PERKXIINDICATED.
'IOTWITHSTANDINO ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY
FIE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLI.AES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI-
I IONS OF SUCH POLICIES.
COPOLICY
LTR
TYPE OF INSURANCE
POLICY NUMBER
EF'CTIVE
DATE (MM )DYY)
POLI(, E%PIRATION
DATI (MMDONY)
LIABILITY OMITS IN THOUSANDS
-
EA H
OC:_:URRENCE
AGGREGATE
GENERAL
LIABILITY
_
BODILY
COMPREHENSIVE FORM
INJURY
$
PROPERTY
PREMISES/OPERATIONS
UNDERGND
DAMAGE
$
$
EXPLOSION& COLLAPSE HAZARD
PRODUCTSICOMPLETED OPERATIONS
_
CONTRACTUAL
BI& PD
COMBINED
C
`P
G
`P
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
PERSONAL INJURY
$
AUTOMOBILE
LIABILITY
BOD .V
ANY AUTO
NJOY
M'EN�NI
$
ALL OWNED AUTOS (PRIV. PASS.)
,
BMJ
ALL OWNED AUTOS OTHER THAN)
PRIV. PASS.
(PPERPAMDENT)
$
HIRED AUTOS
PROPERTY
NON -OWNED AUTOS
DAMAGE
$
GARAGE LIABILITY
RI 8 PD
COMBINED
$
_ ^'
EXCESS
LIABILITY
UMBRELLA FORM
BI & PD
COMBINED
$
C
P
OTHER THAN UMBRELLA FORM
WORKERS' COMPENSATION
srgruTonvI-----.Lp-
'$1 OOO IEacHACCIDENT)
D
72 WJ CF0479 W
9/01/88
9/01/89:
AND
:` $1 000 (DISEASE -POLICY LIMIT)
EMPLOYERS' LIABILITY
$1 000 (DISEASEEACHEMPLOYEE)
A
OTHER
Professional
PC55916572698
3/13/89
3/13/90
Limit: 1,000 per
Liability
claim & policy aggrega
DESCRIPTION OF OPERATIONS/LOCATIONEiNEHICLES/SPECIAL ITEMS
• • I
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX -
CITY OF SAN JUAN CAPISTRANO
PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR T
Attn: Brian Fisk
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO T
LEFT, OBLEGATIOH ON LI
32400 Paseo adelanto
ENTAAVES.
San Juan Capistrano, CA 92675
AUTHORIZED
CJ ebbWebberley REPRESENTATIVE
ley for AA&C C%I _�✓�•S/
COPY
THE HARTFORD
Named Insured: THIRTIETH STREET ARCHITECTS Pol 72WJCF0479W
This endorsement forms a part of the policy as numbered above,
issued by THE HARTFORD INSURANCE GROUP company designated
therein, and takes effect as of the effective date of said
policy unless another effective date is stated herein.
Effective date: 4/13/89 Effective hour is the same as
stated in the Declarations of the policy.
ADDITIONAL INSURED EMPLOYER ENDORSEMENT
IT IS AGREED THAT SUCH INSURANCE AS IS AFFORDED BY THE POLICY
UNDER INSURING AGREEMENT I ALSO APPLIES TO:
CITY OF SAN JUAN CAPISTRANO
ATTN: BRIAN FISK
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CA 92675
AS AN ADDITIONAL INSURED EMPLOYER BUT ONLY AS RESPECTS EMPLOYEES
HIRED BY AND CARRIED ON THE PAYROLL OF THE EMPLOYER NAMED IN
ITEM I OF THE DECLARATION OF THIS POLICY.
AAC WAB ISSUE: 4/13/89 1
CJ WE BERELY fo AAC
Aut orized Agent
Nothing herein contained shall be held to vary, waive, alter or
extend any of the terms, conditions, agreements or declarations
of the policy other than as herein stated.
This endorsement shall not be binding unless countersigned by a
duly authorized agent of the company; provided that if this
endorsement takes effect as of the effective date of said policy
and, at issue of said policy, forms a part thereof, counter-
signature on the declarations page of said policy by a
duly authorized agent of the company shall constitute valid
countersignature of this endorsement.
Form G -2240-3B
CCIAPANY
LETTER Iiii
THISISTOCEA .THA-Pot(CIESOFINSURANCE LISTED FIELO% HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,
NOTWITHSTANDING: All' ^IE:I,'REMENT, TERM OF CONIC TION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY
SE ISSUED OR IAA's PEP-=:!, -HE INSURANCE A=°O ROE'D Ely' HE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI-
TIONS OF SUCH PG OF. ..
CO TYPE OFII I < I- ...':B.I._.___
LiR
GENERAL UABILI- i
A K I COMMERCIAL III II - I
CLAMS MAL'
OWNER'S6 CON-:, I I
DMOBILE LIA 3,
ANY AUTO
ALL OWNED AL S
SCHEDULED Ali'
HIRED AUTOS
NON -OWNED At f ;
GARAGE LIABIL _
EXCESS LIABILIT'
OTHER THAN UIJ I 1
WORKERS 'COP FIv CI
A111:
EMPLOYER:; .:,,3 I.-'
OTHER - --
-,_---
�.---- POLIC+EFEt IW
DATE 'MNOUYV',
ISSUE DATE (MM/DD/Y'V)
ALL LIMITS IN THOUSANDS
05/17/89
PRODUCER -.
- -
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
$ 1008
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
Davco Inauran:.P Se.v._•EB IRc.Oper, ID IT
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
_
1007 E. Chap.=l. ANQ
{ COMPANIES AFFORDING COVERAGE
Fullerton CI d.'5i
_
A 'CIA
PERSONAL 6 ADYERTISING INJURY
LETTER
INSURANCE COMPANY
EACH OCCURRENCE
—�
INSURED
LE"TER -
Thirtieth Str'Le, ,rc;r::ectr.
L i'A"ANY
C
2821 Newport !.vd,
ITER
Newport Beach CA ? .
-F --`
CC AF ANY
ATTN: Jam Nilson
FTTER
CCIAPANY
LETTER Iiii
THISISTOCEA .THA-Pot(CIESOFINSURANCE LISTED FIELO% HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,
NOTWITHSTANDING: All' ^IE:I,'REMENT, TERM OF CONIC TION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY
SE ISSUED OR IAA's PEP-=:!, -HE INSURANCE A=°O ROE'D Ely' HE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI-
TIONS OF SUCH PG OF. ..
CO TYPE OFII I < I- ...':B.I._.___
LiR
GENERAL UABILI- i
A K I COMMERCIAL III II - I
CLAMS MAL'
OWNER'S6 CON-:, I I
DMOBILE LIA 3,
ANY AUTO
ALL OWNED AL S
SCHEDULED Ali'
HIRED AUTOS
NON -OWNED At f ;
GARAGE LIABIL _
EXCESS LIABILIT'
OTHER THAN UIJ I 1
WORKERS 'COP FIv CI
A111:
EMPLOYER:; .:,,3 I.-'
OTHER - --
-,_---
�.---- POLIC+EFEt IW
DATE 'MNOUYV',
POLICY EXPIRATION
DATE Will
ALL LIMITS IN THOUSANDS
�—
GENERAL AGGREGATE
$ 1008
05/10/89
05/10/90
PRODUCTS-COMP/OPS AGGREGATE
$1000
PERSONAL 6 ADYERTISING INJURY
$ 1000
EACH OCCURRENCE
$ 1000
FIRE DAMAGE ZANY ONE FIRE)
$ 50
MEDICAL EXPENSE (ANY ONE PERSON) $ 5
CSL
$
BODILY
WURY
PERSON)
(BPEEpp
V
$
I�NPJEN5�V
ACCIR DENT,
$
PROPERTY
DAMAGE
$
OCCURRENCE
AGGREGATE
_
—_--_—
STATUTORY
$
(EACH ACCIDENT)
$
(DISEASE -POLICY LIMIT)
$
(DISEASE EACH EMPLOYEE)
DESCRIPTION OF OPLH AT-: ;_ATONSI'VEH0.[�I-EST-.7-I LE/EFECIALITEMS
ALL OPERATIONS OF WE" IIS FED.
CITY OF SAN JUAN (AP.S'rAA+
NARY LAMB
32400 PASEO ADELlil
SAN JUAN CAPISTRANO, ;A 9.IE`i
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX-
PIRATION DATE THEREOF, THE ISSUING COMPANY WILL EXq§fWSVXX0
a7F' MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
\
LEFT, �E\ BIIIB1F�KdR�iiB)IOiiIBI90ZdC EIINQABDCt�IN!
wra�n>ixaa aT$sR am
AUTHORIZED REPRESENTATIVE
. GL 20 09
(Ed. Ol 73)
This endorsement forms a part of the policy to which attached. effective on the inception date of the policy unless otherwise stated herein.
(The following information is required only when this endorsement is issued subsequent to preparation of policy.)
Endorsement effective 4-27-89 Policy No. BU0711212-01 Endorsement No.
Named Insured THIRTIETH STREET ARCHITECTS
Additional Premium S AT AUDIT Countersigned by �...
(Authorized Representative)
This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following:
COMPREHENSIVE GENERAL LIABILITY INSURANCE
MANUFACTURERS AND CONTRACTORS LIABILITY INSURANCE
ADDITIONAL INSURED
(Owners or Cordractors)
CITY OF SAN JUAN CAPISTRANO &
COMMUNITY REDEVELOPMENT AGENCY
Schedule
Name of Pelson or Organization
(Additional Insured) Location of Covered Operations
Premium Bases Rates Advance Premium
Bodily Injury Liability - Cost 5100 of cost S
Property Damage Liability Cost 5100 of cost S
Total Advance Premium SAT AUDIT
It is agreed that:
1. The "Persons Insured" provision is amended to include as an insured the person or organization named above (hereinafter called "additional insurtd" ),
but only with respect to liability arising out of (1) operations performed for the additional insured by the named insured at the location designated above
or (2) acts or omissions of the additional insured in connection with his general supervision of such operations.
1. None of the exclusions of the policy, except exclusions (a). (c). (1), (g). (r). (I) and (m). apply to this insurance
3. Additional Exclusions This insurance does not apply
(a) to bodily injury or property damage occurring after
(1) all work on the project (other than service. maintenance or repairs) to be performed by or on behalf of the additional insured at the site of the
covered operations has been completed or
(2) that portwn of the named im aved's work out of which the injury or damage arses has been put to its intended use by any person or organization
other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project:
(b) to bodily injury of property damage arising out of any act or omission of the additional insured or any of his employees. other than general super•
vision of work performed for the additional insured by the named inwred;
(c) to property damage to
(1) property owned or occupied by or rented to the additional insured,
(2) property used by the additional insured.
(3) property in the care. custody or control of the additional insured or as to which the additional insured is for any purpose exercising physical
control, or
(a) work performed for the additional insured by the lamed insured.
l Addilional Definition when used in reference to this insurance. "work" includes materials. parts and equipment furnished in connection therewith.
GL 20 09 01 73
KAY a i
ASSSOCIATION ADMINISTRATORS
K CONSULTANTS INC
P 0 BOX 19570
IRVINE CA 92713
fMIA001YY5/11/89
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
COMPANIES AFFORDING COVERAGE
COMPANY
LETTER A
COMPANY----�—_---
LETTER B
INSUR"IRTIETH STREET
COMPANY
ARCHITECTS
2821 NEWPORTE;VD
LETTER C
___l
COMPANY
NEWPORT BCH CA 92663
LETTER D
COMPANY LEXINGTON INS. CO.
LETTER E
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.
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIABILITY LIMITS IN THOUSANDS
LTR
LT
DATE IMM/OD'YYI
DATE(MM'OD/YYIEACH
AGGREGATE
OCCURENCE
GENERAL
LIABILITY
BODILY
COMPREHENSIVE FORM
INJURv
PREMISES/ OPERATIONS
PROPERTY
UNDERGROUND
DAMAGE
EXPLOSION 8 COLLAPSE HAZARD
PRODUCTS/ COMPLETED OPERATIONS
CONTRACTUAL
PI8 PD
COMBINED
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL IWURY
PERSONAL INJURY
AUTOMOBILE LIABILITY
IBNO,IDURv
(PER
PERSONI
BODILY
IWURY
ANY AUTO'
(PER
ALL OWNED AUTOS
ACCIDENT)
MIRED AUTOS
_s
PY
iNON
OWNEDAUTOS
\� ._
DAMAGE
DIBP�I
GARAGE LIABILITY'
�J
COMBINED�
EXCESS LIABILITY
_
UMBRELLA FORM
' 61
COMBIBI NED
OTHER THAN UMBRELLA FORM
sraruTOar
WORKERS' COMPENSATION
(EACH ACCIDENTI
AND
(DISEASE POLICY LIMIT)
EMPLOYERS' LIABILITY
(DISEASE -EACH EMPLOYEE)
E
OTHER
C55916571477
3/13/8
3/13/8
LI 1x000
K See Below
--
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
*PROFESSIONAL
LIABILITY LIMIT PER CLAIM
AND POLICY AGGREGATE.
SHOD ED ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEILEO BEFORE
THE EXPIRATION DATE THEREOF THE ISSUING COMPANY
CITY OF SAN JUAN CAPISTRANO
WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO
COMMUNITY REDEVELOPMENT DEPT
THE CE RTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH
_
RREPRESEOT�r.vBs(TvofANY KIND UPON
1�ecoMNNvirso�ENoo
32400 F'ASEO ADELANT4
TS
SAN JUAN CAF'ISTRANO CA 92675
AUTHOR¢ E T E —_---
CHE N 0 AAC L
u
IMM1oo/m 5/11/89
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
AS50CIATION ADMINISTRATORS
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
K CONSULTANTS INC
POLICIES BELOW
P 0 BOX 19570
COMPANIES AFFORDING COVERAGE
IRVINE CA 92713
COMPANY
LETTER A
COMPANY
LETTER B
INSURJ%IRTIETH STREET
-
COMPANY
ARCHITECTS
2821 NEWPORT BVD
LETTER C
COMPANY HARTFORD INS GROUP
NEWPORT BCH CA 92663
LETTER D
COMPANY
LETTER E
THIS IS TO CERTIFY THAT THE POLICIES
OF INSURANCE LISTED BELOW HAVE
BEEN ISSUED TO THE
INSURED NAMED
ABOVE FOR THE POLICY PERIMAYBE
NOTWITHSTANDING ANY REQUIREMENT,
TERM OR CONDITION OF ANY CONTRACT
OR OTHER DOCUMENT
WITH RESPECT
TO WHICH THIS CERTIISSUED
OR MAY PERTAIN, THE INSURANCE
AFFORDED BY THE POLICIES DESCRIBED
HEREIN IS
SUBJECT TO ALL THE
TERMS, EXCLUSIONS. AND
SUCH POLICIESGO
TYPE OFINSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIABILITY LIMITS IN THLTR
DgrEIMM/DD�YY
Dere IMM/DD-w
EAcn
OCCURENCE
'
GENERAL LIABILITY
BOD10
COMPREHENSIVE FORM'
INJURY
PREMISES/OPERATIONS
PRO P ERrY
UNDERGROUND
DAMAGE
EXPLOSION 8 COLLAPSE HAZARD
-
PRODUCTS/ COMPLETED OPERATIONS
CONTRACTUAL
BIB PD
COMBINED
INDEPENDENT CONTRACTORS
I
I1
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
I
PERSONAL. INJURY
aoDlLr
AUTOMOBILE LIABILITY
IWURY
IPER
PERBON
BODILY
I IWURv
ANY AUTO
ALL OWNED AUTOS
ACCIDENiI
-PROPERTY
HIRED AUTOS
NUNOWNEDAUTOS
DAMAGI E
GARAGE LIABILITY
BI PC
COMBINED
EXCESS LIABILITY
-
UMBRELLA FORM
BI 8 PO
COMBINED
OTHER THAN UMBRELLA FORM
—
72NJCF0479W
9/01/8E
9101/891STATUTORY
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
(EACH ACCIDENTI
i s 000
(DISEASEPOLICYUNIT)
1,000 (DISEASE EACH EMPLOYEEI
OTHER
i
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
ALL ARCHITECTURAL/ENGINEERING OPERATIONS
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF THE ISSUING COMPANY
CITY OF SAN JUAN CAPISTRANO WILLEHEEAs48?FBMAIL 30 DAYS_WRITTEN NOTICE TO
COMMUNITY REDEVELOPMENT DEPT THE CERTIFICATE HOLDERNAMED TO THE LEFT
3:400 PASEO ADELANTO
SAN JUAN CAPISTRANO CA 92675 AUTHORIZED REP E T IV
L`6
LAURA O t AA8C L
u
THE HARTFORD
Named Insured: THIRTIETH STREET ARCHITECTS Pol 72WJCF0479W
This endorsement forms a part of the policy as numbered above,
issued by THE HARTFORD INSURANCE GROUP company designated
therein, and takes effect as of the effective date of said
policy unless another effective date is stated herein.
Effective date: 5/10/89 Effective hour is the same as
stated in the Declarations of the policy.
ADDITIONAL INSURED EMPLOYER ENDORSEMENT
IT IS AGREED THAT SUCH INSURANCE AS IS AFFORDED BY THE POLICY
UNDER INSURING AGREEMENT I ALSO APPLIES TO:
CITY OF SAN JUAN CAPISTRANO AND THE SAN JUAN CAPISTRANO
COMMUNITY REDEVELOPMENT AGENCY
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CALIFORNIA 92675
AS AN ADDITIONAL INSURED EMPLOYER BUT ONLY AS RESPECTS EMPLOYEES
HIRED BY AND CARRIED ON THE PAYROLL OF THE EMPLOYER NAMED IN
ITEM I OF THE DECLARATION OF THIS POLICY.
AAC L7P ISSUE: 5/10/89 a-, YiIN
LAURA J. PRATT or AAC
Authorized Ag t
Nothing herein contained shall be held to vary, waive, alter or
extend any of the terms, conditions, agreements or declarations
of the policy other than as herein stated.
This endorsement shall not be binding unless countersigned by a
duly authorized agent of the company; provided that if this
endorsement takes effect as of the effective date of said policy
and, at issue of said policy, forms a part thereof, counter-
signature on the declarations page of said policy by a
duly authorized agent of the company shall constitute valid
countersignature of this endorsement.
Form G -2240-3B