HomeMy WebLinkAboutFinal Tract Map 12747 - All of TT 12747 - Angus Petroleum C Shan L. Freidenrich,CPA,CCMT,CPFA,CPFIM P.O.Box 711
City Treasurer Huntington Beach,CA 92648-0711
www.huntingtonbeachca.gov
city.treasurer@surfcity-hb.org
Phone: (714)536-5200
Fax: (714)374-1603
Office ®f the City 'Treasurer
Accounts Receivable, Cashiering, Collections,Disbursements, Investments
December 13,2010
Great American Insurance Company
P.O. Box 5440
Orange, CA 92863
To Whom It May Concern:
This is to inform you the City of Huntington Beach City Council approved the release of the
following bonds on November 15, 2010:
Tract#12746
Guarantee and Warranty Bond No. 7277259
Tract#12747
Guarantee and Warranty Bond No. 7277258
The City is unable to locate these original bonds or a copy of them to return. We have enclosed a
copy of the City Council Action approving the release of the above-referenced bonds.
If you have any questions regarding these bonds,please contact me at(714)536-5200.
Sincerely,
Shari L. Freidenrich, CPA, CCMT, CFMA, CPFIM
City Treasurer
Enclosures
cc: Angus Petroleum Corporation
P.O. Box 2767
Long Beach, CA 90801
Bob Milani,Senior Civil Engineer(no attachments)
Joan Flynn,City Clerk(no attachments)
Joyce M.Zacks, Deputy City Treasurer(no attachments)
Charter fission: Ensure safe and timely receipt deposit,collection,investment and disbursement ofpublic funds.
7-1
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Council/Agency Meeting Held:
Deferred/Continued to:
Approved ❑ Conditionally Approved ❑ Denied % ' Fty Cle k's;Signatu e/
Council Meeting Date: November 15, 2010 Department ID Number: PW 10-057
CITY OF HUNTINGTON BEACH
REQUEST FOR CITY COUNCIL. ACTION
SUBMITTED TO: Honorable Mayor and City Council Members
SUBMITTED BY: Fred A. Wilson, City Administrator
PREPARED BY: Travis K. Hopkins, PE, Director of Public Works
SUBJECT: Approve release of the Guarantee and Warranty Bond provided as
security by the sub divider, Angus Petroleum Corporation for public
improvements in Tract 12747, located at the block bounded by
California Street, Delaware Street, Springfield Street and Rochester
Avenue
Statement of Issue: Sufficient time has elapsed since the acceptance of improvements for
Tract No. 12747 located at the block bounded by California Street, Delaware Street,
Springfield Street and Rochester Avenue and it is, therefore, recommended that the City
release to Angus Petroleum Corporation (the sub divider), the Guarantee and Warranty
Bond.
Financial impact: None.
Recommended Action: Motion to:
A) Release Guarantee and Warranty Bond No. 7277258, the security furnished for guarantee
and warranty of improvements; and,
B) Instruct the City Clerk to notify the sub divider, Angus Petroleum Corporation, of this
action, and the City Treasurer to notify the Surety, Great American Insurance Company,
of release of said bond.
Alternative Action(s): Deny the recommended action.
HB -11- Item 17. - 1
REQUEST FOR COUNCIL ACTION
MEETING DATE: 11/15/2010 DEPARTMENT ID NUMBER: PW 10-057
AnaLysis: The City Council had previously accepted the public improvements constructed
and dedicated for public use within Tract No. 12747 and accepted Guarantee and Warranty
Bend No. 7277258; the security furnished for guarantee and warranty of improvements.
California Government Code Section 66499.3(d) requires that security for the guarantee and
warranty of the improvements be posted upon acceptance of the public improvements, and
That the security remain in effect for a period of not less than one year. Constructed public
improvements consisted of paving, curbs, gutters, sidewalks, driveways, cross gutters,
wheelchair ramps, street lights, sewer and domestic water appurtenances.
The required time period has elapsed and the City Engineer has determined that the
improvements have been constructed in substantial compliance with the approved plans and
specifications, and, therefore, recommends release of the security.
following is a list of project data:
<ub divider: Angus Petroleum Corporation, P.O. Box 2767, Long Beach, CA 90801 -
Engineer: Dulin & Boynton, 729 E. Willow Street, Signal Hill, CA 90806
fiitle Co.: Great American Insurance Company, P.O. Box 5440, Orange, CA 92863
Lccatiom Block bounded by California and Delaware Streets; Springfield and Rochester
Avenue
Lots: 1
Acreage: 2.50
Zone: Oldtown Specific Plan — District 2-01
Public Works Commission Action: Not required.
Environmental Status: This recommended action to release the security is a ministerial act
and is exempt from the requirements of the California Environmental Quality Act, pursuant to
State CEQA Guidelines, Cal. Admin. Code, Title 14, Chapter 3, Section 15268(b).
Strategic Plan Goal: Enhance Economic Development
Attachment(s):
• ® • •
1. Location Ma
Item 17. - 2 HB -192-
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Tract 12747 STREET NAMES
Map produced by information contained in the City of CITY BOUNDARY
Huntington Beach Information Services Department It/ _14
Geographic Information System.Information warranted for STREET CENTERLINES(CLASS)
City use only.Huntington Beach does not guarantee its Smartstreet
completeness or accuracy. Major
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Map Produced on 10/2212010 Collector
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HB -193- Item 17. - 3
City of Huntington Beach
2000 Main Street • Huntington Beach, CA 92648
s ® OFFICE OF THE CITY CLERK
® JOAN L. FLYNN
CITY CLERK
November 23, 2010
Angus Petroleum Corp.
P. O. Box 2767
Long Beach, CA 90801
To Whom It May Concern:
Re: Release of the Securities for Tract No. 12747 located at block bounded by California
Street, Delaware Street, Springfield Street and Rochester Avenue
Please be advised that on Monday, November 15, 2010, the City Council of the City of
Huntington Beach took the following action:
Approved the release of securities for Tract No. 12747 located at block bounded by California
Street, Delaware Street, Springfield Street and Rochester Avenue
1) Release the Guarantee and Warranty Bond No. 7277258; and,
2) Instructed the City Clerk to notify the Sub divider, Angus Petroleum Corporation, of this action, and
the City Treasurer to notify the surety, Great American Insurance Company, of release of said bond.
Sincerely,
Joan L. Flynn, CIVIC
City Clerk
JF: pe
Enclosures
g: gl(owup trapt/a ceptpublic -noti doc
Sisterp g6je Qo,)apan e artacMre, New Zealand
(Telephone:71 4-536-5227)
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;, ap CITY OF HUNTINGTC: N BEACH
4 2000 MAIN STREET CALIFORNIA 92648
OFFICE OF THE CITY CLERK
October 6, 1987
First American Title Insurance b Trust
114 E. Sth Street
Santa Ana, CA 92701
i
y Attention: Subdi,!ision Officer
RE: Tract Map No. 12747 �.
This is to inform you that all fees have been paia and conditions
met on the above named tract. You are free to record same at your
convenience.
After recording, please return two prints of the Tract Map to Bruce
Crosby, Ikapartment of Public Works, P. 0. Box 190, Huntington Beach,
California 92648.
711,�.
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Alicia H. Wentworth
City Clerk
AMW:bt
Enclosure
Received by It L"Z,' ��"1 ��c4�___,�I ' �/_��r �L«��
Dated
City of Huntington Beach
t } P.O. Box t90 CALIFORNIA M"
OFFICE OF THE CITY CLERK
November 10, 1987
i
j Angus Petroleum Corp.
5772 Bolse Avenue, Suite 210
Huntington Beach, CA 92649
i
Gentlemen:
The City Council of Huntington Beach, at it: regular
meeting held . August 3, 1987 ,
approved the Subdivar;on Agreement for Tract No. 12747.
We are enclosing herewith a duly executed copy for your
files.
i
i Sincerel;,
Alicia M. Wentworth '
City Clerk
AMW:pr
Enclosure
NOT ICE" OF --'"dPL rT I ON W I Tff COND I T IONS ' TRACTS
A1ITHOR I ZA r I ON "ON RE LrASE FOR RI:COvri I NC;
TO: C I 'Y C L FP%K DA 1 f;
FROM: PUBLIC WORKS DEPARTMEN r
Bruce Crosby
TRACT NO,���7 ' _ DEVELOPER
a
CONDITIONS :
Deposit of fees for water, sewer,
drainage, engineering and inspection
Bond for Improvement . . . . . . . . . .
S i ona t urr? of Agreement . . . . . . . . .
fort i f is—ate of . . . . . . . .
I+nnd for Mill)umrnf . . . . . . . . . . .
l .il�c+r .0 �•f,1 f •r i .r I I�rnif 7 -—
1 �
Signature
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NOTICE OF COMPLIANCE WITH CONDITIONS ON TRACT/PARCEL MAP
AUTHORIZATION FOR RELEASE FOR RECORDING
Date
TO: City Clerk
FROM; PLANNING DIVISION
James W. Palin
TRACT NO. 1_+::-7&f 7
PARCEL MAP NO.
RECREATION 6 PARK FEES PAID .IIA'L /
i
OTHER:
27
M icgnature
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REQUEST" FOR CITY COUNCIL. ACTT
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:submitted to: Honorable Mayur and City Council „ (17
Suiamitted by: Charles W. Thompson, City Administeat
r
Prepared by: Douglas N. La Belle, Director, Comm i y evelopment -
Paul Cook, Director, Public Works "-;.
` Subject:
FINAL TRACT MAP 12747, BEING ALL OF TENTATIVE TRACT NO.
12747, AND BONDS AND AGREEMNTS FOR TRACT 12747
Consistent with Council Policy? [ ] Yes [ ] Nets Policy or Exception 1 • 1
Statement of Issue, Recommendation,Analysis, Fundinq Source, Alternative Actions, Attachments:
fiTAW= QE-16=:
Transmitted for your consideration and acceptance is the final map
of Tract No. 12747 being all of Tentative Tract No. 12747, located
on the block bounded by California, Springfield, Delaware and
j Rochester Streets. Tentative Tract No. 12747 will expire on May 20,
I
1988.
' RKO MEri[lrlT QN:
i
Staff recommends; that the City Council take the following actions:
1. Approve the map pursuant to the required findings set forth in
Section 66458 of the Government Code.
2. Approve the map subject to the finding that the map is in
substantial compliance with the previously approved tentative
map pursuant to the mandator.-, findings established by the
Planning Commission as set forth by Section 66474 of the
1 Government Code.
3 . Accept the offer of dedication and improvements subject to
completion of requirements shown.
4 . Instruct the City Clerk to not affix her signature to the map
i nor release it for preliminary processing by the County of
{ Orange or for recordation until the following ccnditions have
been complied with:
f a. A certificate of Insurance shall be submitted;
h. Subdivision Agreement;
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c. Drainage for the subdivision shall be approved by the
Department of Public storks prior to recordation of the
final map; and
d. Submit a plan for approval by the Department of Community
Development for the disposition and/or treatment of any
existing and proposed oil wells or oil operations locfited
or to he located on the subject property in accordance with
Condition No. 1 of the Conditions of P.pproval for Tentative
Tract No. 12747 and the Huntington Beach Ordinance Code,
Section 9680.3 .
S. It is also recommended that the City Council a..cepc the
following bonds and instruct the City Clerk to file them with
the C;.ty Treasurer. It is further recommended that the City
Council accept the subdivision agreement and instruct the City
Clerk to file one copy and return the second to the subdivider.
a. Faithful Performance Bond No. 8111-85-93
b. Labor and Material Bond No. 8111-85-93
c. Monument Bond No. 8111-85-93
i `
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SUBDIVIDER: Angus Petroleum Corp.
5772 Bolsa Avenue, Suite 210
Huntington Beach, CA 92649
ENGINEER: Dulin & Boynton
729 E. Willow Street
Signal Hill, CA 90806
II LOCATION: Block bounded by California, Springfield, Delaware
and Rochester Streets
ACREAGE: 2.5
LOTS: One lot
NO. OF UNITS: None
ZONE: Oldtown Specific Plan-District 2-01
GENERAL PLAN: Medium Density Residential
DISCUSSIQN:
The map has been examined and certified by the Director of Public
Works and the Secretary to the Planning Commission as being
substantially in accordance with the tentative map as .filed with,
j amended and approved by the Planning Commission. However, Condition
No. 1 on the tentative tract map states that the developer shall
receive approval for plans for the disposition and/or treatment of
i
RCA - 8/3/87 -2- (8742d)
c
i
any existing or proposed oil wells or oil operations I.,cated or to
be located thereon (Huntington Beach Ordinance Code, section 9680.3)
prior to recordation of the map. There was compliance with this
condition when Use Permit No. 86-7 was approved in October 1986.
However, the City Council action of January 5, 1987, rescinded the
use permit. Thus, the City Council may accept the final map but the
City Clerk cannot release it for recordation by the County until an
approved plan has been submitted (Recommended Action No. 4d) .
ENVIBQMZNTAL STAB
On May 20, 1986, the Planning Corrrni.ssion approved Negative
Declaration No. 86-20 for Tentative Tract Map 12747. This action to
accept the Final Map is exempt from the requirements of the
California Environmental Quality Act, Section 15268(b) .
Not applicable.
i MENAT11M. ACTIQN:
The City Council may elect to continue to a date uncertain the
acceptance of Final Map No. 12747 until such time as Condition No. 1
of Tentative Tract 12747 has been met.
1. Area map
2. Planning Co.�mission minutes dated May 20, 1986
3 . Faithful performance Bond No. 813.1-85-93
4 . Labor and Material Bend No. 8111-85-93
5. Monument Bond No. 8111-85-93
6. Subdivision Agreement
DNL:PP:kla
RCA - 8/3/87 -3- (8742d)
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6 , All street improvements and utilities shall be constructed per
Public Works Standards.
7. The existing sidewalks on Huntington Street and Toronto Avenue
shall be removed and be constructed adjacent to the curb (7
ft. widel .
8 . A copy of final recorded map shall be filed with the
Department of Development Services and Department of public
Works.
9. A soils Report shall be submitted to the Department of Public
Works in conjunction with the grading plan.
10 . Hydrology and hydraulics studies shall also be submitted per
City of. Huntington Beach requirementE.
11 . Provide a 15 ft. average setback, with a 10 ft. minimum and 20
1 ft. maximum setback . Setback shall be for landscape purposes
and have a 15 ft. average, calculated Per street frontage, j
12 . Permits shall be obtained for any removal of existing
.structures.
1.3. Prior to recordation of the final map, all parcels within this
tentative tract shall be held under common ownership.
D-4 TENTATIVE TRACT i12747
Tentative Tract 12747 is a request to consolidate 20 parcels into
one ( 1) lot. Included within this request is the vacation of the
alley - which to mostly unimproved - and vacation of 3 ft. of the
street frontagt surrounding the subject property except for
Delaware. The yurpose of this lot consolidation is to facilitate an
oil unitization Vroject to be developed by Angus Petroleum Corp.
The proposed site plan, zone change and associated Environmental
1 Impact Report will be brought before the Planning Commission for
consideration at a Zuture date.
1
1 pursuant to the environmental regulations in effect at this time,
the Department of Development services posted draft Negative
Declacation No. 86-20 for ten days, and no comments, either verbal
or written were received. The staff, in its initial study of the
project, has recommended %hat a negative declaration, be issued.
Prior to any action. on Tentative Tract 12747, it is necessary for
the Planning Commission to ieview and act on Negative Declaration
No. 86-20,
Staff indicated that condition of approval ell should be deleted and
replaced with an amended condition.
PC Minutes - 5/20/86 -18- (5241d)
Spencer Sheldon, h. gus Petroleum, spoke on item D-31 Tentative Tract
Map 112746 and V-4, Tentative Tract Map 012747, He wanted condition
i11 deleted from the tract naps. He felt it would be more
Appropriate to deal with the setback issue at the site plan stage of
the process.
A MOTION WAS MADE 8Y SCHUMACHER, SECOND BY WINCHELL, TO APPROVE
TENTATIVE TRACT MAP #12747 WITH FISiDINGS AND AMENDED CONDITIONS BY
THE POLLOWINC VOTE:
AYES: Rowe, Winchell, Schumacher, Livengood, Porter
NOES: None
ABSENT: Erskine, Mirjahangir (out of room)
ABSTAIN: None
NOTION PASSED
FINDINGS FOR APPROVAL:
i 1 . The General Plan has set forth provisions for this type of
land use as well as setting forth objectives for the
implementation of the development. Therefore, the project, as
proposed, complies with the City's Gelieral Plan.
2 . The lot size, depth, frontage, street width, and other design
and implementation features of the tract map are proposed to
be constructed in compliance with standard plans and
specifications on file with the City, as well as in compliance
with the State Mlap `Act and City Subdiviaion Ordinance.
3. The proposed subdivisior of this 1.67 acre site zoned Old Town
Specific Plan District 2-O will comply with applicable
provisions of the Huntington Beach Municipal Code.
dNDITIONS OF APPROVAL:
j 1 . Prior to recordation of the final map, developer shall receive
i approval for plans for the disposition and/or treatment of any
existing or proposed oil wells or oil operations located or to
be located thereon (Huntington Beach Code Section 9680.3) .
2. prior to issuance of any permits, the developer shall submit a
j geological report in order to comply with the provisions of
the Alquist-Priolo Special Study Zone. Said report shall be
prepared in accordance with State requirements.
3. Access to the site s;iall be designed to the satisfaction of
the City Development Services and Public Works Department
through the site plan review process prior to the issuance of
building permits.
PC Minutes - 5/20/36 -19- (5241d)
4
4 . All streets surrounding the tract except Delaware st-,all be 27 '
half streets. This requires the vacation of 3 ft. of
right-of-way on the tract maps. Sidewalks shall be 7 ft. wide.
and the distance from centerline to curb face shall be 20 ft .
Delaware shall have a half street per Public Works Department
requirements.
S. All corner right-of-way radii shall be designed per Public
Works Department standards.
6 . All street improvements and utilities shall be constructed per
Public Works Standards.
7. The existing sidewalk on Rochester Avenue shall be removed and
be constructed adjacent to the curb (7 ft. wide) , per Public
Works standards.
B. A copy of final recorded map shall be filed with the
Department of Development Services and Department of Public
! Works.
9. A Soils Report shall be submitted to the Department of Public
Works in conjunction with the grading plan .
10. Hydrology and hydraulics studies shall also be submitted per
City of Huntington Beach requirements.
11 . Provide a 15 ft. average setback , with a 10 ft. minimum and 20
ft. maximum setback. Setback shal' be for landscape purponea
and have a 15 ft. average, calculated per street frontage.
12. Permits shall be obtained for any removal of the existing
structures.
l3. Prior to recordation of the final map, all parcels within this
tentative tract shall be held under common ownership.
'+ D-5 SITE PLAN AMENDMENT 86-8
Site plan. Amendment 86-8 is a request: to permit a LOGO square foot
expansion to a previously approved Rtructure on the west aide of
Crystal approximately 300 feet north of Clay Avenue.
ENVIRONMENTAL STATUS:
Pursuant to the environmental regulations in effect at this time the
subject request is categorically exempt Section 15303 Class 3 of the
California Environmental Quality Act.
Applicant was present and available for questions .
Staff commented that the last Plan Check reflected adequate parking
for this proposal.
PC Minutes - 5/20/86 -20- (52+41d)
I
1
J• CITY OF HUNTiNOVO l BEACH
INTER•CEPt1RTMENT COMMUNICATION
IN Tuft XACM
To EDWARD THOMPSON From ARTHUR DE LA LOZA
Insurance & Benefits A^.ting City Attorney
Subject Angus Petroleum Insurance pate September 22, 1987
Certificates
1 . Please review and approve the limite reflected on the
f
attached certificates . Thereafter, kindly return to the C +'
undersigned if so approved.
2. By carbon copy hereof I hereby request that the Clerk
furnish our office with copies of the Subdivision Agreements
For TrActs 1274a and 12747.
3 . Also by carbon copy hereof I request that Mr . Ed Ru;yna,
the handling attorney in this matter, advise if there are any
problems with the approval from his perspective.
The certificate will be reviewed in light of all of the above
information.
i
i ARTHUR DE LA LOZA
Acting City Attorney
i
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Attachment
cc: City Clerk
Edwar3 J. Rutyna, Deputy City Attorney
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SHELDON CONSULTING SERVICES
Seacliff Office Park
2134 Main Street, Suite 285
Huntington Beach, California 92648
(714) 536-1437
Gosernmcttt Relations • Environmental Kegu:ations • Project Permitting
September 22, 1987
Mr. E. 11. Thompson
z-nsurance 6 Benefits Manager
City of Huntington Beach
2000 Main Street
Huntington Beach, California 92648
Re: Certificates of Insurance
Tracts 12746 and 12747
Deer Mr. Thompson:
The Subdivision Agreements between the City and ANGUS Petroleum
Corporation covering the above referenced tracts calls in
paragraph 5 for insurance coverage of not less than $1 ,000 ,000.
combined single limit per occurance. In our meeting of August 31 ,
1987 you indicated you would accept aggregate limits to such
coverage if sufficient excess or umbrella coverage was also
available to reasonable cover any City liability exposure.
in that regard, I have attached Certificates of _insurance
evid^racing the following coverage:
Company Coverage Llmils
Per occurance Aggregate
1 . Cal . Union Gen'l Liability $ 11000 ,000 . $ 11000,000 ,
2. Progressive Excess Liability $ 11000,000 . $ 110001000 .
I +
3 . Lloyds Umbrella Liability $23 ,000,000 . $23,000,000 .
I �
li
ii In addition, I have attached Certificates of insurance covering
automobile liability and workers ' compensation.
After reviewing these Certificates of Insurance, would you advise
me if they satisfy the insurance requirements of the Subdivision
Agreements. As he are anxious tc have the fina] tract maps filed,
your earliest review and determination on this matter would be
most appreciated.
vex truly yours,
SCSI S e er C. Sh don ,
A!/iliatvd with Laird ,'associates: Houston,Texas and Washington,D.C.
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AUTH041110 AEFAISEHTATIVE OF THE INSURANCE COMPANY AND Ir1U37 111 APPROVED IN WAITING BY THE CITY
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I a,KID 62700- 7127/86 I27/67 ICg9--aL gaUgaU Insurance
1rt,I c o 375L Ccapanies
1 rCr+cwrlo accident
Isrtn uABILrrY __._._ ��
1 I w1AtlLA rOAy { 1
1 1 WWII T1tA01
Vw1A1LLAtpAtt
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Add.t.tr•At I.•Iurtd Erdn+utrnrnt:
11•t Intwo, jv,h" I!ul lht Crly Of HuntiPr,-I y SORCh Ind III Of,CQWACll, ANVOt et: Lily CQWmcil eppOsAtod FrOVOI,tertmiMlirl,
C04"rnraont,OC/r:1 n'd any Olher oly C&U Wil 1pwln:Ad fawy,OF4101..Kurt and tpa0.nlirl^tt•errt,Mrrtnn Or tfhpf0y6••Of Ott
{,ly Of (•IrntIACon Tlt1f1, trt,tm a1 IjN/1 tVCfI Sri'ldd(116,11tl lot►erdt MtrunOt••,for 1ha IC11 r.f Iht 104Yrtd,and such.ntult•rCt th.11
Or Or.revy le any i^wrlr[f of lht City of Hunil-vCv1 sreth,it tht:r:rlrtr.t flUy job#••.
I
n"• 1 ALftrORl2to 641►AttI11TATIV 01 1 AAteCt Colo
Alry
l64VXA1kC(CO&WART ,r,&j ttntnn Iy laYllw.;i�.Y� p1
..M.----,_...,.. _ .�. ._....._.. AIMrt1.� a, ifarsriJs S Peet. 22t�0
..— 170 w .fib?fe c,, _ San Fj3,ncjpc2 Cc, 2) 111_5R25
HOLD HAA/.tttlti ACRtEMENT
Ito 1-408 PCV IOe by Inittrad
Th. .wru.Kl 1 to r 1 ycl.01(onA1. Inarrnnlly, 1 :.aid hormteat the Crly of Nuntinvon 114wh r1t*
a►t.c.n, rt.nlr, rr+�l N .Ply J+tltry, lilt,i.malt.c by anon of/ny " tdt tl.b.flty, writ.�•tnn
dt••t+rtOt•NdT tow o"JOR it4lvatl by I/IrrI//Q,hh M N trrlroo"Itbeior N T w Aby Ihirt Ir1
•.n a1 tr . tM p•farrnry l: d1 tw any Itlry for whiwh Ihk SO-11"Wo of(neur �.
PMRwnntp (4)OSh/f t/1Ma)
1 r 'For r+..t w It7.,t �+—• M
rl++wv 1
f y I wh, r ?Irk
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mod•.■1 TO Y+a1 Io tit t,"I Anse-w
fte.,.t Rat 1)(r.r CITI .r MUMTINGTON OEACM,CALIFOR...A
1' r1 it,:. 17C • ry;
IL.w1...T+..•Woeh, A MIJFIICIPAL COAI'ORATION
Tivt n to 1rlt.tr that the 0014101 of lowwropo" of dovwlld.J p.ttpre hove been i•yad to It-6 ihwtw try oha vndeh+gewp/and en in fwtr
at I%.,twA. If owes pentin are trw►4d at 1fWF%1b/in 11eC)t a lrwwwrr Ih+l will afoot this enrtittt 141t the 'MV16rre•101IMPIely$94 91
to rn 30 dew s:#r wtlttrrt rglim.Yr thril,t•Cary of Hun6foran ewrth.P.0./o• 711.Mrnlinr0ow fi•roh,Its,46144.41 13".ALL
ITEMS MUST III COM►LMO, ANY DELETION OR CHANCE IN THIS FORM SMALL pE SICFIEO AND PATIO by AN
AtJrmont2to R(PRES(NTArfVE OF THE INSURANCE COMPANY AND MUST if AI/ROVEU IN WRITING If TM1 CITY
A77011►rEY,
No-vto of Ittotorod QLl UB Pe&role ja CorpOTation
Ae►/et■ofInrurrdC.I e, ifie+I*PI,s,Gar ant, Elli—ci.r Co-U Bale •rtrizer Harm E-2ag,qaa rM0CI8cO,Ca
Lax�tiwv df tyor►N t}pernld�r 4 M perisrtrr4 TSaCt IQ- 1 1k.6 jj1Intjn&tA0 BGAI-h C -
L�1 fftllan wl weak«0.'I+I1tierru 11, Pt5411 d In Subaty'sionCd and
w.�.w.•
y.,.,-- -.■....�, LIwITY Cr LIA1I;,ITy /LN1t of ;GY►A1ar
►okictt1 I t fOACt POLICY wJ. t1►w"" 10rw-vt*4 Ilk?Noww.vk fowl list.!J
oI►JOIAL LIAJILITY I
L j COMPREw(k11V[FOAM ,
t I /Pf W1S(j-Or[IIATIODA Eheh oo•rat.a
t ) [ReLoaq��rr5
1 t "O(AsltOV409A;AJ10
t t 01100UCTS COMPL6'T10
OrEAATIOMS NAZAAU
1 COWAACTUAL
INSURANCE
I 1 IAO:IO F oat w
0`0110111TY DAMACC
1 1 1*O[/[KO[NT
C0011RACT0111
I 1 rt1I30yAL uauAY
ALIT0600411,E LIABILITY I
CaesrR[w10071VI rOftw t .
+ 1 0"'Ito [[,r CIL
1 t eltlttO
1 1 ►r0•t OyeNT?
Eac1111 LIAJILITY FE 468_ i 2/28/87 2128/88 Progressive Casualty
I 1 U"4AtLLA FOAM 1728 11 .OQQ-046 I
wd r•
grwtR T1tArr / TIBtIi'aptt Company i
KI occurrence
LtwHItLLA rC+nw
MOAotR1• $1,000,000 pro ucts/cofapleted
04 ope tlGna aggregate
futrLaripr L1AYILITY
.t I Y ..■■.r�..lVtiw*��MI.I..I.■1.1 I ■ I�I■ -V�.I.■IY ■�I.�.�
Add•tlenrl►•,twoo Endtresmeow
Tett .ht9•r stem that the City Of Mronllnpon i•eth ehd its Of','COYA0.11fWat Ot City Caunfit apyto.ntetll rruin,to'tlrhi"ret.
ranm•rnant,06 dt 11td ant.ether 01y Cpunrll Jopwnup ttuoy,HtC/pr e.etairt end fo"iMivt 11kall,serve'►t o/01hlr1Cy1"rt of the
1.1y of Mwatintbn &$Ch.tr"ten wilhy as MtCh Ire additional irsiurrttt hnr•unga•,tot the KIt 0!111 IAou.14.#"a Ihetl
br p+wwery to tnT';AIV01mce of tht C;rf of Hvntlnnoeo e"Ch,rI t!.r.1 ir.trrnt avy$owe,.
O■�. ,^ (� A "O1ytltt4 n1►A111 1tT TWVIAG!IhiVUPOCE cWl ANY
1trlUAA*rt CO•+ANr �� .t['F�.S/LeF= .J r'L 1+t' _ �.11./
Adldl
A,r+.•,r t71iL � � , a*r ��`��--
MOLD HAIIMLE39 AclltLwtNr
(64 11e at rtvll It•r Inturad)
1•''t•1••"d • .yre•r to CMKt,tetfend.Intivennity, 1ho, . hiormlort the C.ty of Mlrntlrtrow tooth rlr
Orf•le•n, re+wu, r.oe nor YabtYry, hen,do Auto,nrt. d+ o+t art any r+14 el!IlaYiillr,
i.t.entll, a tttnlsw oorre�d try +etwroll.Ab atnN n .IuYrontroe+►r r by enr IAi �ty
oa or the paolonwrw•of on Or artY alrt►rot; ry I irha•h t1111 oe+11f1tiTo r I
• n , i71 Perts+enrttF ( , ' 1�1 i}t�r rnml
in ilphrpt Fr t.v.r-w o
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A
I
9E fUnt.TO: CERTIFICATE OF INSURANCE APPROVED AS TO FORM
Lily of huntington esoch TO
Inwrg"is A 9ene1113 Div,Mgn --».�------
P.O.son 190 C17 V OF IIU'1TINGTON BEACH,CALIFORNIA City Attorney
Huntintron Basch,CA 9215/e
A MUNICIPAL L'Qi1ftQRATION
This is to etrt►fy that the policies of Insurance as described below have been Issued to the insured by the,undersigned and are In force
Ft this time. :( these policies or# cancelled or changed in such a manner that will affect this certificate, the ir.su►ance company agines
to give 30 dsyt prior written notice,by mail,to City of Huntington Beach,Insurance and Benefits D:vition,P.0. Box 190, Huntington
;leas)),Califoinis 92648.
Name of Insured Angus PeTrole= Corporation
Address of lntarerd C O Pacific Gas and Electric Co.'['[ Beale :itreetri yen: h-280.0ftn F, uncjjXX4&rs.
Location of Wort;or Operations to be performed Tract No. 12 4fi Huntington Beach,Ce.
Description of Work or Operations An ssnei I fij:d I g Subdivi a,I go. Aareement between Named Insured and
POLICY DATES LIMITS Of LIABILITY Nam.of Insurance Co.IL
POLICIES IN FORCE POLICY h0. Etfretive Expiration In Thoutends 10001 $elf Irtsu'rd Retention or
RPM—
GENERAL LIABILITY
1 1 COMPREHENSIVE FORM 1
1
( I PREMME5—OPERATIONS ti CSL i
Each Ocovrenor
1 ) EXPLOSION AND
COLLAPSE HAZARD
( J UNDERGROUND HAZAA0
1 ) P14ODLICTS COMPLETED
dl'EMIATIONS HAZARD
( ) COWAACTUAL INSURANCE
1 1 $ROAD FORM PROPERTY
DAMAGE
I 1 INDEPENDiNT
CONTRACTORS
1 i PROFEJtiwONAL Ll"ILITY!
ERROR$i OMISSIONS
AUTOMOBILE LIABILITY
1 1 COMPREHENSIVE FORM
I I OWNED 2— CSL
1 1 HIRED Each Oaovrrnre
1
( I NON-OWNED
This is a claims Uttderwriters at
EXCESS LIABILITY made: policy Lloyd's and
k) UMORELLA FORM 1_23,000,QQCiearh Insurance Companies
i
I1 OTHER INSURANCE $23,000,000 aggro ate
COVERAOC 01
. r[? �
tMORKERV COMPENSATION �
AND
"elver of atttwossslion from
tteakers'Cotrgwd,rion
Iwurar.
Additional Insured Endwitine:it: The insurer agrees to provide an endorsement to each policy shown above as follows (excluding
1 wotker's comp.) The insurer agrees that the City of Huntington Fte3ch t-id its City Council,and/or el;City Council appointed groups,
eommitteet, commitsions, boards and any other City Council appointed body, andlor elect;ve anti appointive officers, fervent$ or
employees of the City of Huntington teach,when acting as such are adcitional insure'';heretinder.Such Insurance is primary and not
excess or contribut'ma to anyt,.,rtr insurxrce u: Cii r' • r..a r:uh:n ate;i:'sa.h.
This esttificata Is loved ass nv.tter of Infairmstion.This ce*tifieste P"nt an insu►-nce polity and does not smsnd,extend er slier the coverage afforded
j by the policles listed hrrrin.Notwithflonding my requirement,lean or condition cI any car Iricl •other docdrrlMt with respect to whith this ettlHiute
of Irtwronce may be Issued or may Wain,the inwrente afforded by the policin iteeribed heroin t•ubjeci to all the tames, excluslans sod conditions of
VXhPaliak". Underwriters at Lloyd's, and
Johneon & H1 ins 10AL t'fl ACC .a-DAD I IE
Aavnryer*11takwimpe IrnurenceCompany C 0 Qlobel SiieciE}1 Risks
44 _omit-5, =At,.5an Fr ncS�rt.•Cn• 4 y,� �et.Sui�cC (I]�i&jn El- aCAls;c4,Ca.
too,
William Plisch
(ante of pwi2n to he Crintwed Authorised 54n Onto
�-1 al-6200 or
NOTE:Author tied nigneturs mey be the arrits K agent has placed insurance
Telephone number through an panty prrrrnmi with the inscror. if insurance it brokered.
nuthorirrd OpromPs must be that of■n officieI of the insurance ro,opany.
SEE REVERSE SIDE rOl1 HOLD HARMLESS AGArENIENT
The City of Huntington Bosch requires by ordinance that a Certificate of Insurance be on file with ut for the ittuance of a permit or
license;and that it be kept current for at long at that permit or license is in force.
i,
The certificate you now have on file with the City will expire or the date shown on bottom of mailing label.Please have you r agent
submit rn updated Certificate of Insurance,on this form prior to thin expiration date. Failure to comply may result in the cancellation
of your pornnit or license and the closing down of your operation to went.This is the only notice of cancellation you will receive from
the City of Huntington Beach.
THE CITY OF HUNTINGTON BEACH MUST BE AN ADDITIONAL NAMED INSURED.
':II Certificates of Insurance should be mailed to the Insurance and Benefits Office, City of Huntington Beach,P.O.Box 190,Hunting.
ton Beach,California 926".If you have any questions, please call this office at 536.5990.
DEFENSE, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
The andorsigne 4 Insured Contractor, a Sale Proprietor/General Partnership/California Limited Partnership/California Corporation/
Other (you mutt circle the appropriate choice or fill in the blank) hereby agrees to defend,
Indemnify and hold harmifis the City of Huntington Beach,its officers,employees and setyants(hereinafter collectively referred to as
City)from any and all loss,damage,colt,expense,liability.claims,ckmands or judgmentt arising diroctty or indirectly out of the work,
projois, event or amor purpose our Wpicn the rr,Lnmpanyrrry eerlliiwim of ii.,urYrn.^ is rtlit(tVitt Gf tla —;:ia {,
nature of any negligence by City except when such liability arises from the sole negiigence or wrongful misconduct of the City.This
elroement extendt to weer the actiol:' and oanistions of third parties as well as those of the Insured Contractor (indemnitor)and the
City (indemniteet). The legal defense required by this agreement thail be provided upon regvest by the City and at the sole expentrr Of
the Insured Contractor. Any costs of detente or atto,neys' fees incurred by City in enfarcing thit agreement shall be reimbursed to
City or may be awerded to City by a court of competent jurisdiction.
SIGNED: By: Title:
By: Title:
If a Corporation, TWO OFFICERS mutt sign; or. In the alternative, present satitfactory evidence of your authatity to bind yawl
Corporation.
I
1010 aim
f
t
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I t
i
� CITY OF HUNTINGTON BEACH
Insurance N Benefits Division
{ t P.O.Btix 190 '
Huntington Bosch,CA 92648
I
I 11FTUAl'iTO: CERTIFICATE OF INSURANCE APPROVED AS TO FORM
�"V of Huntington Bosch TO
Inwttw►c.i Benafitt Divis,on
P.0.son Ito CITY OF HUNTIiJGTON BEACH,CALIFORNIA City Attorney
l Huntington Booth,CA 92648 A MUNICIPAL CORPORATION
I
! This it to certify that the policies of Insurance as described belov have been issued to the insured by the undersigned and sire in force Lf�
P) at this ilme. If them policies are cancelled or changed i. such a manner that will affect this certificate,the insurance company soothes L�f-t-
tefito give 30 days prior written notice,by mail,to City s.f H.itington Beset),Insurance and Benefits'vivition,P.0.Box 190,Huntington
Beach,California 92648,
Motor of Insured Anatt■ Re<��?Q? �j?QLILf.LoO
Address of Insured 10 P+xait a Gas Mind ,Usta.tris: U-77..:Scalt atrgpf- Htmnm £T980,,An Eracci sco Ca,
Location of Work or Operatiom!o be performed TYs_Ct No. 12746 Nuntindton Beach,Cs.
Description of Work or OperaNcint As Bpeci I iedi ijn�tSubdivision A hem2al bCtyeen UMCi T� n ,r_l A
City of of lY l'�/QJ#ietiiS'Jl=itT'IT TT'a T.TS'."IY t1�l�tZTTs::R 'r z
fY! POLICY DATE$ LIMITS OF LiAAILITY N�rno of Insurance Co.L
POLICIES IN FORCE POLICY NO. Effective Cx iration In Thousands(00'0) Sill Insured Retention o►
P ue b
GENERAL LIABILITY
1 COWREHENSIVE FOrIM
1 PREMISES-OPERATIONS f .-.....-- VSL
i ( 1 EXPLOSIrYN AND Each Oecurana
1
COLLAPSE HAZARD
i
I 1 UNDERGROUND HAZARD
1 ) PItotwcre COMPLETED
OPERATIt;'•t HAZARD
II CONTRACTUAL INSURANCE
1 1 BROAD FORM PROPERTY
DAMAOff
I INDEPENDENT
CONTRACTORS
if PROPESSIONAL LIABILITY/
ERRORII`OMISSIONS
AVTOhMiLE LIABILITY
fits COMPREHEFI IVE FORM
(Xl OWNED HA-h06- 7/27/137 7/27/88 s-IQQ,OW CSL The Hoop Indemnity
1XI HIRED 7663 fodt t?eevrer+ar
ixl NON'OYINED
EXCESS LIABILITY
If UMBRELLA FORM t
r 1 OTHER INSURANCE
r COVFRACE
i
WORKERS,COMPENLA rioN
AND
443.e:d6htoption from
Workers,cefn/enrwtlon
Irsrsirer,
Add:1onof Insured Endorser;Mnt: the lnsu er agrees to provide an endorsement to each policy 0-uwn above at !allows (excluding
wotket's ecrnp.l The insurer enters that tb.a City of Iltintittgton Beach and its City Council,andtr r ill City Council appointed groups,
committees, tomm',stiort, hoards and any other City Council appointed body, end/or elective and appointive officers, servanit or
employee% of the City of Huntington Beach,when acting as such are additional insureds hereunder. Such insurance is primary and not
*Atats or eontributin to rtinr insurance of the City of tiontinyms Zeach.
This cortificato is►#sued as a metier or In!armsfion.This cwtificats it hot on Insurance policy and doe#not amend,extend or alter the coverage afforded
by the policies ilstod ho-sin.Noivv1Ihr•nnf;ng any roquirement,term or condition of tiny contract or other document with re.pnrt to which this csrtifieale
of inwr roes nuir be Iwued or may pertain,the Insurance afforded by the policies described trerein b subject to all the terms, reclusion;and conditions of
rohnson & Higgins _ The Home: :ndemnity Company
Atwry of IlrcitK+M Insurance Company
?t nt-ri ,S.trPPJ..kfLLl i'tu>Ca.RCSLSiar r 8 t, 1g,Q0.uan _FrrAWLIPSOrCa.
�Nr�ite�et Pwa�n t� C,o.Haclar Auth6111" b azure off$
(415 j281.670_ NOTE:Authorized stensturs may be the agents if gent hat placed ImYtence
Tolotshono numbs► through on agency agrearrnent with the insurer. II in#urattea is browned,
autharirt~d fignatura muff ter that of an official of the irroutsnce company,
SEE REVERSE Sint: ron HOLD HARMLESS AGREEMENT
The'City of Huntington Beach requires by ordinance that a Certificate of Insurance be on file with us for she issuance of a permit or
license;acid that it be kept current for at long at that permit or license Is in forc►.
The Certificate you now have on file with the City will expire on the date shown on bottom cf mailing istwl.Please frave your agent
submit an updated Certificate of Insurance,on this form prior to this txp4ation date.Failure to compIV may •result in the cancellation
of your permit or license and the closing down of your operation or event.This is the only notice of cancellation you will receive from
the City of Huntington Beach.
THE CITY OF HUNTINGTON BEACH MUST NE AN ADDITIONAL NAMED INSURED,
All Certificates of Insurance should be mailed to the Insurance and Benefits Offire, City of Huntington Beach,P.O.Box 190,Hunting-
ton Beech,California 97"S.If you have any quattions,ploase call thin office at 539.5990.
1 EIEFENSE,INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
' The undersigned Insured Contracter, a Sole Proprietor/General Partnership/California Limited Partnership/California Corporation/
Other (you must circle the appropriate choice or fill In the blank) hereby agrees to defend,
indemnify and hold harmlets the City of Huntington Beach,tit officers,employees,Ind servants(hercinafter collectively referred to at
City)from any and all lots,damepa,cost,expenm,liability,claims,rfems.ids or judgments arising ditecify of indirectly out of the work,
project, event or other purport for which the accompanying certificate of insurance Is provided, regardless of the active or passive)
nature of any negliyewA by City except when such liability ariset from the sole negligence or wrongful misconduct of the City.This
i to•r►-int +s#fn0i le Corer ruse acticr!c _n%f :missions of W-e;artfa:as we;i rs those of the fnwrad Czontracsor (indamnitoo rind the
f( City (indemnit4et). The legal drfvnse required by this agreement shall be provided upon request by thq City and at the sole expense of
the Inruted Contractor, Any costs of defenm or attorneys fees Incurred by City in enforcing this 691eernent shall be reimbursed to
City or may be awarded to City by a court of competent jurisdiction.
SIGNED: By: Title:
By: Title:
If a CorpotatWn, TWO OFFICERS must sign; or, in the alternative, peasant sstisfactory evidence of your omhority to bind your
Corporation.
Fla 11/>ita
1
I
I
1
7
d
l CITY OF AUNTINGTON REACH
Insurance&SFntfits pivisiun
? P.O.Box 190
��^•����- Huntington Beach,CA 92W
I .
AFTUAH TA- CEATIFIrATE OF INSURANCE APoROVEO AS TO FORM
�fiy ar M,,ntinplon Ogren TO
Irraurarmw&Oanefits Division —. .
P.O.rox 1*0 CITY OF HUNTINGTON BEACH,CALWORNIA City Attorney
Huntinfton pesch,CA 9264E A MUNICIPAL CORPORATION
This Is to certify that the policies of Insurance as described below have been issued to the insured by the undersigned and are In force
iat this time. If these policies are cancelled Or chanced in such a manner that will affect tllis certificate,the insurance company agrees
to give 30 days prior written noticis,by mail,to City of Huntington Beach.insurance and Benefits Division,P.y:.Box 190,Huntington
Beach,Californiii 92645.
Name of Insured Angus Petroleum Cor2oration j
f Address of Insured ,C o Pacific Gres end Electric C2,77 Beau str_ r_ .-ecRnnm E-28,2fia FrADCJar 4JCfl- j
Lacrtinn of Work of Opo.itton%to t>e performed Tract No. 1.2746 ifuntinpton Beach,Ca. -
i
Description of Work or Opert'ions As spel;ILL d In Subdiyiaion Agre-ement-Actleell Named =1red,apd
.�.r� .�,�...e.. �....=..n,. �X. POLICY
4tnL1i�R44 GATES
t DATES LIMITS OF LIABILITY l�rna nf-lnturanci Co.a
POLICIES IN FORCE POLICY NO. Self pil!eetira Expiration In Thousands IOOGI OMuesured Ratention or
I GENERAL LIABILITY
( i COMPRTHENSIVE FORM
i 1 PREMISE&—OPERATIONS S CSL
i 1 EXPLOSION AND Each Oeewerroa
j COLLAPSE HAZARD
I i UNDERGROUND HAZARb
l i PRODUCTS COMPLETED
OPERATIONS HAZARD
I I cin"TRACTUAL INSURANCE
( I OROAD PdRIN►ROPERTY
DAMAGE
i i INDEPENDENT
CONTRACTORS
i I ►ROFE"IONAL LIABILITY/
1111111011111111 OMISSIONS
AUTOiV!OBILE LIABILITY
i J COMPREHENSIVE FORM
J OWNEU S CSL
Etc Oaatrrenw
( i HIRED
` i I NON-OWNED
EXCESS LIABILITY
i 1 UMORELLA FORM f_...�
( 1 OTHi.H INSURANCE
i COVIRAGE
WORKERS'COMPiNT.'TI')N 0618_02_ V1/87 7/1/68 $100,OOC-Cacti ace. F=ployers
AND 037502 $100,000-eech emp Insurance oi'
14aleer of rubtogf.Sen from
work."'Gan+re+,attion $2,500,000-bodily Wausau
Ifet►rr injury by disease
Additional Insured Endorsement: The insurer agrees to provide an endotsentmt to eath policy shown above ar• follows (excluding
worket's comp.) The Insurer Deters that the City of Huntington Beac!i and Its City Council,and/or all City Council*;)pointed groups,
committees, rontm4sions, boards and any other City Council appointed body, and/or elective antl appoiniiie officers, servants or
employees 0 the City of Huntington 0i ash,when acting as such are additional insured%hereunder.Such insurance is primary and not
excess or contribuptrm to any other insurance or tree City of Huntinviun Bench.
�Sl�.' !'1 1r..�LThlyA'-/�1's++eF�'Sfai'aTw yf t'�'f'h•�•!aa ^L4•YTTT'e - �. _ �'�"YS^^:�f'••`'S.T'i^'�'^.`�•�4T.T'�S=T1'•If'="tT'S1
This corfificats Is isuat!as a fetter of infeernetion.This certificate is not on insuranca policy and does nut amend,errand ur flier the coverage afforded
by the patici"listed heron.NorwiOwatwinp any regr'teerent,term or condition of any contract of other dotunr,nt with respect to which th►s certificate
of Insurenae may be issued or troy wain,the inwrancv afforded by the policisi de tcr►btd herein It subject to all the taints, vaclusions and cor4tions of
wth palialaa.
Jlahngnp
toy of Iralr•UJ"J= IM— u i 1 Co fi Inatirel lrf" flr Jdali nit
_. 5 pany
Ca in;, t,, �*rACI.,mn ErzneI s�„Ca 5550,0CCalifornia SStreet,San ?rancisco Ca.
X" WORit
xi11S la
rn
a an to ontads Auth�rl Our •
Rite
Tlily 981 NOTE:Authn►i:rd tipnsfure mrY Sae the agents tf Wni has pieced insurance
Telephone tun rrbtr hi► thrruel, an apency starasmepit with the insurer, if insurance Is btohtred,
author tad signature must he%tat of on official of the insurence comprny.
SEE REVERSE SIDE POR HOLD VARMLESS AGnEEMENT
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The City of Huntington Beech requires br ordinance that a Certificate of Insurance be on file with us for the hit.ance of a permit or
jieenst;and that it be kept current for as long as that permit or license it in force,
The rertificate'you now have on file with the City will expire on the date shown on bottom of mailing label.Please have your agent
submit ran;updated Certif watt of Insurance,on tt.it form prior to this txpiration date. Failure to comply may retult in the cancellation
Of your permit or license and the closing down of your cperation or event. This is the only notice of cancellation you will receive from
the City of Huntington Beach.
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THE CITY OF HUNTINGTON REACH MUST BEAN ADDITIONAL NAMED INSURED.
All Certificates of Insurance should bt mailed to the Insurance and Benefits Office, City of Huntington Beach,P.O. Box 190, Hunting-
ton Beach,California 92648.It you have any questions,please call this office at 536.5990.
(JEftN:E, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
The undersigr►ed Insurcd Contractor, a Sole Proprietor/General Partnership/California Limited Partnership/California Corporation/
Other (you must circle the appropriate choice or fill in the blank) herby agrees to defend,
indemnify and hold harmless the City of Huntington Beech,its officers, employees ind servants (hereinafter collectively referred to as
City) from any and ofi lots,dos,",cost,expense,liability,claims,demands or Jut+9ments arising dirtclly or indirectly out of the work,
piojvs.t, evtot of other purpose for which the accompanying certificate of insurance is provided, reguelloss of the active or passive
j nature of any negligence by City except when such liability arises from the sole negligence or wrongful misconduct of the City.This
t a4teensent extendr to corer tM actions and omittions of third parties as well as thou of the Insdred Contractor (inde•nnitor)aw'the
iCity (indemnite+es), The legal dttenw required by this agreement shall be provided upon request by the City and at the We ex;► ,s of
this inttirRf r t-n•reetot Arow en*94 nt 04fcn4+ at cstr rneys' tees incurred by City in enfcsCIN th'.: ayt7srr•,t :h:': t. imb r.3N to
City or tray be awarded to City by a court of competent jurisdiction.
SIGNED: Ely: Title:
Iiy: a.+..w,.�.... Title:
If a Corportothm, TWO OFFICERS mutt sign: or, in ►vie alternative, present satitfactory evidence of your authority to bind your
� , Cntpaatbq.
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NO A/1111
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4 CITY OF HUNTINGTON BEACH
Insurance& Benefits Division
P.U.Box 190
r\+rrv.h.w hyr Huntington Beach,CA 92648
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N •
SUBDIVISION AGREEMENT
THIS AGREEMENT is entered into this 3,d day of A -I4,C-"
1987, by and between CITY OE' HUNTINGTON BEACH, a municipal corpora-
tion of the State of California, hereinafter referred to as 'CITY, " 11
and ANGUS PETROLEUM CORYORArION, a Delaware Corporatiun, hereinafter
referred to as "SUBDIVIDER. "
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RECITALS
TAL_S
WHEREAS, SUBDIVIDER is the owner of a tract of land in CITY,
which it is seeking to subdivide into lots and to dedicate certain
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streets, alleys, and other improvements therein to public use, and I '
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is about to file with CITY a map of the tract of land known as
Tract No. 12747, and
As a condition of the approval of said subdivision map and the
acceptance of the dedication of the streets, alleys, and other b ,
improvements in said subdivision, ON BDI'✓IDER is required to enter
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into an agreement with CITY to do al:c' perform the work hereinafter
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specified and to execute and delii,# c to CITY bands for the faithful
performance of said agreement, `"or the payment of all labor and i
material in connection therLwit: , , and for the guarantee and warranty
of the work for a perior+ of one ( 1 ) year following completion and
acceptance thereoFjgpinst any defect in work or labor done, or
defective materials furnished, as required by Sections 66499 and
66499. 3 of the Government Code of the State of California, and
Article 997 of CITY's ordinance code:
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NOW, TH.&REFORE, in consideration of the promises and agreements
of the parties as herein set forth, the parties agree as follows :
1 . GENERAL STREET CONSTRUCTION:
SUBDIVIDER does hereby agree to do and perform the follow-
ing work in said tract:
The construction of streets, including excavation, paving,
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curt . gutters, sidewalks, trees, landscaping, etc. , sewers,
including construction of main lines and lot laterals and
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structures; street lights, street eigns, construction of domestic
water system including the: construction of water mains, lot laterals
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and installation of meters; engineering costs; and any miscellaneous
requirements as may be set forth in Chapter 99 of CITY 'S otdinancj
,
code, and all of which said work shall be done and performed in
{
accordance with plans, specifications and profiles which have been
approved by the City Engineer and filed in the office of the City
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Engineer and all of which work shall be_ done at the sole cost and !
exi)ense of SUBDIVIDER and as a condition for the approval of said
map and the acceptance of the dedication of said streets, alleys and
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other improvements, and said work shall be completed on or before
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two (2) years from the ante hereof, and all .abor and material bills
shall be paid .
2. ARTERIAL HIGHWAY 1MPROVEMENT:
SUBDIVIDER agrees to complete all arterial highway improve-
ments, including perimeter walls and landscaping, prior to release
or connection of utilities for occupancy for any lot in the Tract.
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3. GUARANTEE:
SUBDIVIDER shall guarantee all work and material required
to fultill his obligation as scateu herein for a period of one (1 )
year following the date of City Council acceptance of same.
4. FAITHFUL PERFORMANCE:
SUBDIVIDER shall. faithfully perform all of the work agreed
herein to be done by SUBDIVIDER and shall fully indemnify and save
harmless CITY from all cost and damage which it may suffer by reason
of failure so to do and shall fully reimburse and repay CITY all
outlay and expense wnich CITY may incur in making good any such
default.
5. INSURANCE;:
SUBDIVIDER agrees to furnish to CITY and maintain in force
:until the completion of the work herein agreed to be done by SUH-
DIVIDER at SUBDIVIDER'S sole expense, a protective liability policy
in which CITY is named an in additional insured. The policy shall
insure CITY, its officers and employees against loss, damage or
expense by reason of arty suits, claims, demands, judgments and
causes of action caused by SUBDIVIDER, his employees, agents, sub-
contractors, or by any third party arising out of or in consequence
of SUEDIVIDER'S performance of the agreement, except where such
loss, damage or expense is caused solely by the wrongful acts of
CITY, ita agents, officers or employees in connection with the
general supervision or direction the work to be performed under
this agreement. The policy shall provide for not less than the
following amounts:
3.
combined single limit budily injury and/or
property damage including products liability:
$1,000,000 combined single limit per
occurrence.
Such policy shall provide coverage at least as broad as
} that provided in the Standard Form approved by the National Bureau
} of Casualty Underwriters, together with cur.'s endorsements as are
required to rover the risky involved.
SUBDIVIDER shall arrange for the policies to be so condi-
tioned as to cover the performance of extra or unforeseen work,
}
i should such work become necessary.
Prior to the recordation of the Final Tract Map, evidence
of insurance shall be furnished in a form satisfactory to the City
Attorney. In addition, SUBDIVIDER shall Furnish evidence o.'L: a
commitment by the insurance company to notify CITY of the expiration
or cancellation of any of the insurance policies required hereunder
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not less than thirty ( 30) days before each expiration or cancella-
tion is effective.
6. WORKERS' COMPENSATION:
SUBDIVIDER shall comply with all of the provisions of they
Workers ' Compensation Insurance and Safety Acts of the State of
California, and shall indemnify, defend and hold harmless CITY from
and against all claims, demands, payments, suits, actions,
proceedings anu judgments of every nature and description, including
attorney's fees and costs, presented, brought or recovered against
CITY, for of on account of any liability under any of said acts
4 .
which may be incurred by reason of any work to be performed by
SUBDIVIDER under this agreement, and shall provide to CITY evidence
of Workers ' Compensation Insurance satisfactory to the City Attorney.
7. LIABILITY FOR WORK:
i CITY shall not, nor shall any officer or employee thereof,
be liable or responsible for any accident, loss of damage happening
or occurring to the work specified in this contract prior to the
completion and acceptance of same, nor shall CITY nor any officer or
employee thereof be liable for any person or property injured by
s
! reason of the nature of said work, but all of said liabilities shall
be assumed by SUBDIVIDER. SUBDIVIDER .Further agrees to protect CITY
and the officers thereof from all liability or claim because of, or
arising out of, the use of any patent or unpatented article in the
construction of said work .
fi. PUBLIC WARNING AND PROTECTION:
SUBDIVIDER shall at all times from and after the acceptance
by City Council of the highways offered for dedication in said work
or improvement by said Council, give good and adequate warning to
the traveling public of each and every dangerous condition existent
in said highways or any of the�z, and will protect the traveling
public from such defective or dangerous conditions. That it is
understood and agreed that until the completion of all the
improvements herein agreed to be performed, each of said highways
not accepted as improved shall be under the charge of .SUBDIVIDER, for
the purpose- of this contract, and .SUBDIVIDER may close all or a
portion of any street whenever it is necessary Lo protect the
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traveling public daring the inaking of the improvements herein agreed
to be made. SUBDIVIDER hereby agrees to Pay for such inspection of
;iighways as may be required by the City Engineer of CITY.
9. DEFENSE, INDEMNIFICATION AND 1101"D HARMLESS:
SUBDIVIDER hereby agrees to defend, indemnify and hold
harmless CITY, its officers, employees and servants from any and all
a loss, damage, cost, expense, liability, claims, demands or judgments
i
arising directly or inaircetly out of the work , pro3ect, event or
Other purpose for which the accompanying certificate of insurance is
provided, regardless of til
e lc active or passive nature of any negli-
gence by CITY except when such liability arises from the sole negli-
gence or wrongful misconduct of CITY. This agreement extends to
cover the actions and omicsio:ns of third parties .as well as those of
SUBDIVIDER and CITY, The legal defense required by this agreement
shall be provided upon request by CITY and at the sole expense of
SUBDIVIDER. Any costs of defense or attorneys ' fees incurred by
CITY in enforcing this agreement shall be reimbursed to CITY or may
be awarded to CITY by a court of competent jurisdication .
10. ATTORNEYS'_FEES:
In the event suit is brought by CITY to enforce the terms
and provisions, of thin agreement or in any bond given to secure the
performance hereof, a reasonable attorney 's fee, to be fixed by the
court, shall be paid by SUBDIVIDER.
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AY•11 i
..i •:'.'�. !� ':� =:�,�yXl'it �.'a,�, 74a x'... ;'�'„4,�^. .•a i. .. .'f,4,•x i', ..+_P ��� V�'w•,•:..,...��` :i 1;'.,�T'.!r'r + r ,y.
STATE Of CALIForuJIh 1 s9
COUNTY CIF ORANGE )
On this ?3th day of 19 87 before M±,
$ Notary Public in and for said Cu';nty And State
Jac1: Kelly personally apFeaxed
�_.11 �w,, known to me to be the Mayer
and r_ i�, A. }3rac):wav r known
to me to ha thm baptlty City C1axk
of the City of Huntington Beech, the :aunicip al corporation that executed
thr within instruvent, known to am to be the perso-s who executed the
Within instrument on behalf of said municipai corporation and acknowledged
to me that such municipal corporation executed the awrey
OFMIAL SEAL
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i ( +v .S+ •4 . , ,i ti' tF,��.l�ewr6 AiY;:C�A 1!•6' J •1 of Mru
STATE OF CALIFOE41A )
• ) ss
COUNTY OF ORANGE )
On the 31st day of July, 1987, before me, the undersigned, a
Notary public in and for said State, personally appeared
John D. Carmichael, known to ine to be the Vice President of ANGUS
Petroleum Corporation, the corporation that executed the within
instrument , and acknowledged to me that such corporation executed
the within instrument pursuant to its by-laws or a resolution of
its Board of Directors .
WITNESS 14Y HAND AND OFFICIAL SEAL _. . .._.....
SttT EY Cu,:rcN
N�rcry f ur„'jc - CaCiarnta
PR INCIPAL CUM IN
' GRANGE r-Wlialy
c/ A1Y GC`Mr.rr:5:c!j rXPIkES CCTCFER,18, 1959
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CIT1 .F Ht1NTM(;40N GEACH CALIFOR.,,A
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II•.w1.••�.� f'A'/:5a.7 A MUNICIPAL CORrpAATION
Th•t a to etrt.ft tmi et, tsdru+ of Irayrer.p +1 d+fvlb.J Wov.,hale teem.at.-4 to if.intur.d try the wnd.n;V,_d ten in Itsrer
el 0rr 1.1.e to Ih,e. xl,e•er en ai"Grit d w<nv+pvt) in fY[s t nvnnel 'hot ntll effort$h,t C7rt/f.efit, oh•;nrwranct cvrnp,,ny Via,,
is we 0 40s pr,ar "Inn" nol.rn,try mr.l,to C1fY Of Ht,nlinrpan Ce..fh,P.0,Son 111.Hvnlirytan leech.GLfornrf 9I(rAtl, ALL
ITEMS BUST BE CCMrLMO, ANY DELETION OR CHANGE Itl THIS FORM SMALL 8C SICNED AND DATED 3Y AN
AUMOCUO AEPAESENTATIVE OF THE INSURANCE COMPANY AND MUST of APTAOVED IN WAITING MY THE CITY
ATTORNEY,
• Him"of InswreA
+ng5ll . etro cum orparat ba
A6art�ol!mwr.�l
C/o Pacific ,Gau and Electric Co.77 Beale Street Room E•280,San Francisco,Ca
Lx+lkn of Nock of Cp++17101"w bf podamud
Tract t{o. 071 _ 1C747 Huntington Beach, Ca.Overerot.rrw of Wak a O;+nllorr � t 6
1 ' r C 1 An r ur"MCU�WP_= tlftint�ti Ttmured and
tY Of 1 _ WWI Of LIA/1Ltri NA.Y1 Of COM►Agr
roLIC111 IN 10ACl MUrY rap. amw•,rw I l.rr•nbn 1•tlwr..r,(pptl IINSJ
QIPIIAAL LIA•ILITY t'
I COurAtle(NSIV(FOAu
11 fAlwilt.3 OPIAATIONI U' 7/2$/87 /28/$8 �}�-L�69;�6@—al alifornia Union
I 1 I111LOPON AND Q�1��
CULLAP11 nA;ARD ,11,QQQ,000
I I UND(AGROUN0►1/.tAAO Aggregate
t t PAOOUC7{COMPL(Tt0
O►LAATIONSHA=ARO
I COMTAACTUAL J
IM1UAANcE
1 IAQAO/OAu
►ROrtArY oAMAGt l
( ( tNOtI(t10tNT
COHTAA�Tr;A{
( ( f(ASO+ralLIIaJURY
AV704. 6IL(LIA{ILITY
fy 1 Cd++►At1+(N1rY(fCIAAt
1'I o++NtD )62 0• 7 7/$ /2 87 9 aL au u Zno cart
I WIR10 375, ? xxx omp its
1 Poo"VwPo10 ac dent
txcta LIASILITY
1 I U+e9R1LLA FOAM
1 uu•PoILIA tOnw - --
tt1 "Alt(Ar CQ►e+1fa"TIQ,4
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tt+►loy(AT LIAStuTY
dil.onal Lrtwfd[ndorttmtnt;
+ram
rTe r^wear Iprrrt thel Ihl C;ly of Huntir.00, C+aeh and ill C;I�Uunail, anel/ot A Cily G1uncil 10(vinlfd 9foupl,cammittfcl,
tOrrtm•►I•Ont,boald► end InY Olhlr C:1Y CvuMil 1ppuinlad twdy,anC/Ot f:fctivt ant:/APJiRGlif Cefitare.Nfvtntt at Ihployrra of Ihf
` C•tr of Hvnlingtpn S+ath,rahrn aellnj it lush oft addlilontl Intufrdl har•vnnft,lot IM lets of lht Intuead,and tv<h rntwiarea Ihwl:
by pr,mrrl loamy"'l L016"K"'It Ihf City Of Hun11n,1on do►ch,to Ih►;r;rice He(flit'mwoo.
0+.a I) Ab•T►tOAl2C0 AIPR(tIKTAYIV Olt
MPoCt C AwT /-7'
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-+—. 37.S2CL.NJ.14hirc j} vd _ II p►tancisco Ca . 94 1 11-5825_____,__
t;.. in1 Anoelte' ti qrQ Q — II T.e-.n.... (415) Ati1l_111L1 --
HOLD MAAM
LEaL AGRCEMi:tT
T h a ,rwl, Ito Iw utcvlfie by Intu►«l f'lw
Ill;•rrlart, ptftnJ, InDfrrin(ly, r hold turrnlflf Ilya C;I of Hwnll IOn eaech r(1yti.
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IL by too.hit
trvl rl •• , ° IM a>..for+w.,l,t ��+. or my aubaonurcur w 6y any Third ^9
of O .il pf fny •
�. tlrify for whid, this anlllti4 •f!nwn It:ayt.{SI /+rywarfnlp It'1
t"{'�� w IeQr10 ({)��/11lnf1 fit=•
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1
FIET911N To: LERTIFICATE OF INSURANCE )%PPI39GAS To MIN
CiW,ol Iluntin�tnn 11:301 _--
Inwrenes&tlrnetitt Division TO /
P.O.Box 190 CITY OF 14tJNTINGTON BEACH,CALIPORNIA City Attorney
Huntington Beach,CA 92E4P,
• A MUNICIPAL CORPORATION
This Is to certify that the policies of Insurance as describcd below have been issued:o Via insured by the undersigned and are in force
at this time. If these policies are cancelled at changed in such a manner that will affect this certificate, the Insurance compiny agrees
to give 30 days prier written notice,by mail, to City of humington Beach, Insurance and Benefits Division,P.O.Box 190, Huntington
Brarh,California 02648.
Name of Insured Angus Petroletzn Corporation
Address of Insurers c/o Pacific: Gas and Electric CO. 77 ELale 5trc7et, Room E-280, Satz Francisco,
Location of Work ur Operations to he performed Tract No. 12747 IItn•ttington Ceach, Ca Ca
Description of Work or Operations As specs f ied in SI:JCivision Agrecvxant bcLw,-en Njn-od insured
c'ttic Ci{ 0 t>rl'111 toll
POLICY PATES LIMITS OF LIABILITY f e of Insurs"Co.&Co.&
POt ICIES IN FORCE POLICY NO. Effective Expiration In Thouande(ON) Serf Insured Astenflon or
• GENERAL LIABILITY
I ) COMPREHENSIVE FORM
I 1 PREMISES-OPERATIONS 3 CSC
( I EXPLOSION AND Each Oseurvew
COLLAPSE HAZARD
I 1 UNDERGROUND HAZARD
I I PROOUCTS COWLrrED
DPARIA 1131a{ss MAXARD
I I CCtNYRACTUAL INSURANCE
I 1 @ROAD FORM PROPERTY
DAMAGE r
I 1 IMPOPENDENT
CONTRACTORS
I t PROFESSIONAL LIABILITY/
&KROH&fa OMIWIONS
AUTOIMCOILI LIABILITY
i 1 COWREHENSIHE FORM
iI OWNED E-----_.-......
C>SL
t } ItttitEtt lauh Oetvrat+oe �
I ) NON430INEi)
EXCESS LIABILITY This is a chants Underwriters at
)001) 5/1/87 5/1/88 made policy Lloyd's and/
IX1 UWAILLA FORM S 23,000.000 each Insurance Cariaanies
I1 OTHEHINSURANCE $23,000,000 agcjre to f
COVERAGE
WORKEfIV C004PENUTION V�!��`� '� •� ��
AND
"twos of subropetiort freer i
Wofkefr'Certesamm on
Ittuwx.
1
AdditiaZ Insured Ettdorsernent: The insurer srilrOls to {provide an endorsement to each policy shown above as follow (excluding i
worl,er's comp.) The insurer Watt that the City of Huntington Beach and its City Council,and/or all City Council appointed Croups,
nommittees, commissions, board-, and any other City Council a;tpointed body, and/or elective and appointive officers, servants or f
earpfoyees of the City of Huntington Beach,when acting as such are sdditionaf insureds hereundsr.Such ir,stirance is primary and not
excess T cent►ibutin to Dreg other intursnre of the City of Huntington Beach.
aa+maerars _.. x-nfgr_c turarx of he City
o B each.
This certifieste is Itswd as is nnttar of Information.This certificate is nat an insurance policy and done not snood,extend or altar the coverage afforded
by the poiieise listed herein,Nalwithstandir#any requ;ransant.term or condition of any cantri ct or othar document with r"ct t.r which this ceettficate
of irdwarnw may be➢trued or may pertaln,the insurance afforded by the potieias described herein is subJect to all the tvrrns, excluslunt and contlitks e ns of
weh peliak%
U;ide writers at L,loyd's arid/
John., Brok a �crin% Insurance Ccmmnies
Ap+'ky or RratkeraBa i
345 Q1 t,)Q„a �r,-.,.ter _ c: Fr.tn• ao. C�� q65 c/O Global,. peciat 4Rils�,s 4
A"now --�i ornia Ste om S 0 Sate Fr'ancisca,
ne f
William Plirw f�, � f
�i..r�se wtyn to '�ot—"�aeta�"`-'"" - ��,
Pt arired gnat . :�v.,r�. i
(415) 991-6700 itt
TalaFlrone nunurnhar � -' NOTE:Authorized signatur11
/wy arena If agent has p'aetx!In urerTeA t
through an agency agreement with the Insurer, If in"irance It Wilk-wed, !
sutlx1ri:ed signature must be that of an offirial of the i►►goanve Company, ,
SEE REVERSE SIDE FOR HOLn HAI;iALESS AGREEMENT
'h W
Y
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The City of Huntington Beach requires by ordinanc-, that a Certificate of insurance he on file with us for tire issuance of a permit or
license;and that it be I:ept current for at Ito tfrat permit or license is in force.
Th.. Certificate you now have on file with the City will expire on the date shown on bottom of mailing label. please have your agent
submit an updated Certificate of Insurance,on this form prior to this expiration date. Failure to comply may result in the cancellation
of your permit or license and tire dosing down of your operation or event.This is the only notice of cancellation you will receive from
the City of Huntington Beach.
THE CITY OF HUNTIFIGTON BEACH MUST BE AN ADDITIONAL NAMED INSCIAED.
All Certificates of Insurance should be mailed to the Insuranca and Benefits Office, City of Huntington Beach,P.O.Box 190,Blunting-
ton Roach,California 92618. If you have any questions,please call this office at 536.5990.
DEFENSE, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
The undersigned Insured Contractor, a Sole Proprietor/General Partnership/California Limited Partnership/California Corporation/
Other ...,. (you must circle the appropriate choice or fill in tha blank) hereby agmea to defend,
indemnify and hold harmless the City of Huntington Beach,its officers,ampleyeas and servants(hereinaftrr collectively referred to as
City)from any and all loss,damage,cost,expense,liability, claims,demands or judgments arising directly or indirectly out of the work,
project, event or other purpasn for which the accompanying certificate of insurance is provided. regardiess of the active or passive
nature of any negligence by City except .vhen such liability arises from the sole negligence or wrongful misconduct of the City.This
agreement extends to cover the actions and omissions of 0ird parties a:well as those of the Insured Contractor (indemnitorj and the
City (indemniteesl. The legal defense required by this tgreernsnt shall be provided upon request by the City and at the sole expense of
On Insured Contractor. Any costs of defense or attorneys fees incurred by City in enforcing this kgreement shall be reimbursed to
City or may be as►arded to City by a court of competent jurisdiction.
SIGNED- By: Title:By: Title:
If a Corporation, TWO OFFICERS must sign; or, in the alternative, present satisfactory evidence of your authority to bind your
corporation.
Flo Wn
• CITY OF HUNTINGTON BEACH
w' Insurance do Benefits Division
P.0.Box 190
Huntington Beach,CA 92648
CERTIFICATE OF IriSLIRANCE t.NPI10'JED A�Two FOntt
IIeTu:irl TO. �
City of Huntington Bach TO
Insuranco F=Benefits Division
P.0.Box 100 CiTY OF HUNTINGTON BEACH,CALIFORNIA City A.ttoweol
Huntirgton 1712ch,CA 91,G43 A MUNICIPAL CORPORATION
i his is to certify that the policies of Insurance as described below have been issued to the insured by the undersigned and are fit force
at this time. if these policies are cancelled or changed in such a manner that tiviil effect this certificate,the insurance company agrees
to give 30 days prior written notice,by(nail,to City of Huntington Beach, Insurance and Benefits Division,P.0.Box 190, Huntington
Beach,Califatnia 92648.
Name of Insured Angus PetroleLmi Corporation
/o Pj1Cific C-Aj and Elecf-is Co 77 Bcotle Street, Rom E-289, San I'I•F)n L•`�CO, Ca
Address of Insured --
Location of Work or Operations to be performed —Tract No. 12747 fit.tntincFton Pooch, Ca
Description of Work or Operations A�lflcci in Subdivision Aare ant Y etweon Nalmd Insured and
i�ti t^+.Fn... c' ___ Co.
��'�' - Niima vl Insure,rea Co.S
POLICY DATES LIMITS Of•LIABILITY Sstf Insured Retention or
POLICIES IN FORCE POLICY NO. Effective Expiration In Thouu.ndt 1000) Oealuctirrle.
GENERAL LIABILITY
( 1 COMPREHENSIVE FORM
I I PREMISES—OPERATION3 i CSL
j Each O"uron"
�{ ( 1 EXPLOSION AND
COLLAPSE HAZARD
I 1 UNDERGROUND HAZARD
( 1 PRODUCTS COMPLETED
OPERATIONS HAZARD
( 1 CONTRACTUAL INSURANCE
( 1 BROAD FORM PROPERTY
DAMAGE
If INDEPENDENT
CONTRACTORS
( 1 PROFESSIONAL LIABILITY/
ERRORS It OMISSIONS
AUTOMOBILE LIABILITY
(:4 COMPREHENSIVE FORM BA-408- 7/27/E7 7/27/98
7663 S 300,000 CSL 'The 110M Itn3ermnlity
1)4 OKINED -
Etch Uccurersoe
04 HIRED
I)J NON-OWNED
EXCESS LIABILITY
I 1 UMBRELLA FORM =
( 1 OTHER INSURANCE
I COVERAGE
WORKEPV COMPliNSATION
AND
W+Iva of subreption from
i Wonctts'C4ttrpiartattlon
Irou►et.
Additional Insured Endorsament: The insurer sgreas�to provide an endorsement to each policy shown above as follows (excluding
worker's comp.) The inturei agrees that the City of Huntington Beach anti its City Council,and/or all City Council appointed groups,
committees, commitsions, hoards and any other City Council appointed body, and/or elective and appointive officers, servants or
employees of the City of Huntington Beach,when acting as such are additional Insureds hereunder.Such insurance it primary and not
exerts or contributing tc,any other insurance of the City of Huntington Beach.
,�YLY i["�.--:.�.�.+�� ifi.F=.SZT.iY��:YS'b iR:�S�.:FY.L 1T����•��:.�...3.:.."'Y�' -i=��LS.'Z�.1.'-��.1 ..�^+.�'J'��.� �.�'�wY'2�
This eertificste is lsaued as n matter of Informrlion.This certificate it not an insurance policy and does not amend,extend or siler the coverage afforded
by the policies lived herein.Notwithstanding any mquirominit,te.m or condition of any contract or other document with rnpact to which this certiflc.ste
of{t»urenee may be issued or may pertain,the insurance afforded by the policies daswtibed herein Is subject to all the towit, exclusions Lind condifk,w of
such poNt.ee.
J01=CM & fiiciains 'llie Home Indanity Ccgy�any
Awry or Brokers" Insurance Company
345 California Street, San Francisco, Ca 3 Erbarcadero CO- It:er, Suite f-1900, San Frazlcisca,
Miaei R an-ee Ice .-111. I Ca
William Plisch Zt, u ...J � /��r.' L rl✓ /0 15`- ''7
amisot anontb ntsm Authorized Sige.51ure Date �...._1
(415) 981-6700 NOTE:Authorized clgnature may he the agents If agent list Placed insurance
Telephone number through au agency ep•eemint with the insurer. If intursnca is brokered,
outhorited signature must be that 31 an official of the insurance company,
FEE REVERSE SLOE raR HOLD HARMLESS AGREEMENT
The City of huntingtor Beach requires by ordinance that a Certificate of Instsrarce be on file with us for tire issuance of A permit or
license:and that it be kept current for as long as that permit or license is in force.
The certificate you now have on file with the City will expire on the date shown on bottom of mailing label. Please ha—.1e your agent
submit an updated Certificate of Insurance,on this forrn prior to this expiration date. failure to comply may result in tlse cancellation
of your permit or license and the closing down of your operation ur event.Thit is the only notice of cancellation you will receive from
the City of Huntington teach.
THE CITY OF FIUNTINGTON REACH MUST BE AN ADDITIONAL NAMED insunEO.
All Certificates of Insurance should lie mailed to the Insurance and Benefits Office, City of Huntington Brach,P.O. Box 190,Hunting-
ton Beach,California 92648. If you have any questions,please cell this office at 53G'5990.
i
! DEFENSE, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
The undersigned Insured Contractor, a Sole Proprietor/General Partnership/California Limited Partnership/California Corporation/
Other (you must circle the appropriate choice or fill in the blank) hereby agrees to defend,
Indemnify and hold ttarmlets the City of Huntington Beach, its oTficers,employees and servants(hereinafter collectively referred to as
City)from any and all loss,damage,cost,expense,liability,claims,demands or judgmEnts nrisinn directly or indirectly out of the wort;,
project, event or other purpose lot which the accornpanying certificate of assurance is provided, regardless of the active or passive
:nature of any negligence by City except when such liability arises from the sole negligence or wrongful misconduct of the City.This
{ agreement extends to cover tlse actions .end omissions of third parties as well as those of the Insured Contractor(indamnitor)and the
City (indemnitees)•The legal defense required by this agreement shall be provided upon request by the City and at the sole expense of
the Insured Contractor. Any costs of defense or attorneys' tees incurred lIy City in enforcing this agreement shall be reimbursed to
{ City or nsary,be awarded to City by a court of competunt jurisdiction.
SIGNED: By: Title:
By: Title:
If a Corporation, TWO OFFICERS must sign: or, in the alternative, present satisfactory evidence of your authority to bind your
Corporation.
PIO elm
1
1
i
CITY OF HUNTINGTON BEACH
Insurance&Benefits Division
' P.0.Box 190
Huntington Pitach,CA 92648
nETWINTO: CERTIFICATE OF INSURANCE AFPnOVEpASTO 1`01'I t
City of I-Iunvn iton Elfacti TO
jnsurance G I3one;its Division
P.O.Box 190 CITY OF HUNTINGTON BEACH,CALIFORNIA City Atturnay
Iluntialtan Brach,CA 92645
A RIUNICIP/1L CORPORATION
This is to certify that the polieics of Insurance as described below have been issued to the insured by the undersigned and are in furce
at this time. If these politics are canceled or changed in such a manner that will affect this cartificate,the insurance company agrees
to give 30 days prior written notice,by mail,to City of Huntinjtor,death,Insurance and Benefits Division,P.O.Box 190, Huntington
Beach,California 92648.
N3mo of Insured An(lus P(_tLolc'= CoKp2ration
Addrets of Insured c/o Pacific. Gas and Electric Co. 77 Beale Street, Roan E-280 San Francisco, Ca
location of Work or Operations to be performed 'Pract No. 12741, f iuntinciton F3CachL Ca
Description of Work or Operations As specified in Subdivision Agrearvnt between Named Insured and
aE Ant in n k�eacF1.
t ii -_...-,..-..,�-.,.__ _..�s�.u-s s:--^--^car_ -.w-•---r--�
POLICY DATES LIM1 5 OF LIABILITY Nor"*of Ineurattu Cc.!k
POLICIES IN FORCE POLICY NO. Effective Expiration In Thousands(DW) D Sall
Insuted Retention or
t
GENERAL LIABILITY
I 1 COWAFHENSIVE FORM
( ] PREMISES—OPERATIONS S C:5L
f l EXPLOSION AND Earl►Ace+rr#rtc+
COLLAPSE HAZARD
I 1 UNDERGROUND WIZARD
11 PRODUCTS 0DW1.0E0
OPERATIONS HAZARD
11 CONTRACTUAL INSURANCE
11 SIROAD FOAM PROPERTY
DAMAGE
( J INDEPENOCNT
CONTRACTORS
I 1 PROFESSIONAL LIABILITY/
F.RPORS lit 0i4 IMONS
AUTOMOBILE LIABILITY
11 cOMPREHENSIVFi FORM
11 OWNED S CSL
( ] HIRED tech Occure on
11 NON-OWNED
EXCESS LIABILITY
11 UeMRELLA FARM i
1 1 OTHER INSURANCE
COVERAGE
WORKEF,ti'COMPENSATION 0618-02- 7/l/87 7/1/8$ 5100,000 each acc. Moyers
ANA 037502 `100,000 each cam. Insurance of
dNftiverofo4wopilonfresss 2,600,000 Lx'lily Wausau
Worken'Compertastion Lnjury by disease
Imunw. I
Additional Insured Endoisemant: the Insomf agrees to provide an endorsement to eiah policy shown above as follows (exelucing
worker's comp.) The inimor agrees that the City of Huntington Bosch and its City Council,and/or all City Council appointed grodps,
committees, commission:, boardt and any other City Council appointed body, and/or elective and appointive officers, servants or
amployees of the City of Huntington[leach,when beting as such are additional insureds hereundar.Such Insurance is primary and not
excess or coritrihuting to any other insura,nco of the City of Huntington Beach.
wr-iacs�aa-_-
This certificate Is issued as a metier of information.This eenificate is not an Insurance policy and deos not Amend,extend or sites the covers"afforded
by the rilickm lilted twsin.Nctwithstonding any raqulFernent,term or condliion of any contract or other document with rarpeat to veh(A.this rwt1ficate
Of insurance n*v b#Issued or coati•pot!aiii,the Iniurrnce afforded by the policies dnctiLed Wales is%object to all the terms, axclusiont end conditkins of
Koh policies.
Joh'Ison & Higgins Miployers Insurance of Wausau
Agntry or trokeirsp Incur.•o•Company
S California street Sat rranciscor Ca_ 550 C fax' a .S zh, San--" nciscy, Ca
___.. r tie t 7.�
William Plisch 4'�
Name;?,Farcan to ne onto AuthorlerA Gisp ature C
le(415) 961-6700 NOTE:AmSori:ed signature nay be the#gents if agent hips parted Insurance
TNaAhons nun+Fssr through An agency agre#mant with the insurer. If insurance is brokered,
outhoricsd signature must he omt of an ulliciel of th,insurance eorrmpeny,
SEE REVERSE SIDE FOR HOLD HARMLESS ACIHr:FMENT f'
i
J
The City of Huntington [;Each requires by ordinance that a Certificate of Insurance he on file:with us for the issuance of,i permit or
license;and that it be kept current for as long as that permit or lieensi:is in force.
Thq ct.-rtificate you now have on file with the City will expire on the date shown on bottom of mailing label. Please have your agent
submit an updated Certificate of Insurance,on this form prior to this expiration date. Failure to comply may result in the cancellation
of your permit or license and the rlo+ing down of yot:r operation or client.This is the only notice of cancellation you will receive from
the City of Huntington Beach.
i
THF.CITY OF HUNTt.IGTON BEACH MUST BE AN ADDITIONAL NAMED INSURED.
i
All Certificates of Insurance should be mailed to the Insurance and Benefits office,City of funtington Beach,P.O.Box 190,Hunting.
ton Beach,California 92648.If yr u have any questions, please call this office at 536.5990.
i
DEFENSE, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
The undersigned Insured Contractor, a Solt: Proprietor/General Partnership/California Limited Partnership/California Corporation/
Other (you must circle the appropriate choice or fill in the blank) hereby agrees to defend,
Indemnify and hold harmir:ss the City of Huntington Beach,its officers,employees and servants(hereinafter collectively referred to as
City)from any and rill loss,eramage,rott,expenw,liability,Oaims,demands or Judgments arising directly or indirectly out of the work,
project, event or other purpose for which the accompanying certificate of insurance is provided, regardless of the active or passive,
nature of any negligenre by City except when such liability arises from the sole negligence or wrongful misconduct of the City.This
agreement extends to cover the actions and omissions of third parties as well as those of the Insured Contractor (indemnitor)and the
City (inderrnitem). The legal defense required by this agreement shall be provided upon request by the City lsrd at the sole expense of
the Insured Contractor. Any costs of defense or attorneys' fuss incurred by City in enforcing this agreement shall be reimbursed to
City or may be awarded to City by a court of competent Jurisdiction.
SIGNED: By: Title:
By: .- Title:
If a Corporation, TWO OFFICERS must sign, or, in the alternative, present satisfactory evidence of your authority to bind your
Corporation.
I
Flo 6/80
I
I '
+ CITY OF HUNTINGTON BEACH •
Insurance&Bentfits Division
�•% P.G.Box 190
•^^.,�w��, Huntington Beach,CA 92648
fr...A IV" INr"a CITS' -F HUNIINICsTON OCACII.CALIFo1l...A
r 11 14, I 90 #
' If.r.Irr,+.•a}Irarh,fib 7:6f-0 A tdt1NICIMI t:YI11IURATION
Tlua,I to terl.fr that ti.a pdKl.r of trout^" to dtrvtb+J b0o.r have boon ieAowd 16 the tr.aured IrT IP%*unrart3lr44 604 are 701 fear
at Itra two,II aka Oki#$ate eu•ara1W W chose 1ol'n w,ctt t auttnrt that wlit Iffttt tfwa pRifieeta,the ittawaKt t4lRpaeaT f rer/
I1*.a der*t+ f;M rwinan slo,rr rsVif,t•Gry of Hv.rhA(lon DmIh.0.0.box 711.Maaniarvre t GfeCh.CAGhtr.a ITW.ALL
1TIM; VIT It COWL[--CO. ANY DELETION Otl CHANCE lii :1115 FOAM PULL AC v4pila AND DATED iY AN
AUt110AIZE0 AEIIIESENTATIVE OF THE INSUIIANCI: CCIAtANY AND MUST It A"ROV1:0 IN 1MAITINC l/Y THE CITY
ATTotINCY. ,
Moon of f•aww ---•�—
gtya . ro all ot'iioR oa
•woifticv* c o Pacifia Can. and Eltetric Co.17 Betels 3tre11t Rocca E-285,eaa Franciaco,Ca. .
Letttaliwt eat TKast ee t�tlttw to w preAarxwd ...,.....-.
vast act ].2't t� _ 1274T Huntington Beach,Ca.
of ferlyti.arr.et tlydt rN Oils FtlOrr -"—••�
efrt&d in gut I-2XV1l�wt1� hSt can ttieana.ri 33red and
0 M 1�.-. LIMIT'SOF LIA41LITY kAaat allCOaa►Arty
POLIClfr IN FORCL rD ILY1fa0. t ' trp-rrtnn to rotowa m twu IIIItiJ
OtM/RAL LIMILITY
( ) CAwRENINiIVt FpRw '
I rRera►ttt-atRATwMt 0- J2C,'G'7 J2$/$8 r}`+30e-We eat r4slifornia WIon
12?
t 1 IVtOSIONAMC '• ,
CCLLA/St HAZARa $10 ow,oco
( I {N GfOOSIOWNG KUARO Aggreaate
It In00UCTSCOu/LCT10
OFtRATICNi KAYAAO
I
11 COWAACTUAL
11ry11M1MCi l
1 1 /BOAC FORM
PWIRrY CAMAGI
1 1 tMO1►th'CtIIT
CONTRACTORS E
i 1 1119013ONAL IMJURY
AVfQ%1C1114t 41A/14tt'Y
i
t I GQu►R[MtN=IVE FORM
t t>MIMto 700- 7127/85 /27/8? rEta%;r:OCp_.....at rvrau Yndruraaca
37502 storey f]mpAl7seo
r +tot.-rJr.Mto accident j
RXit4 LfA/ILtTY '
1 1 V"611(LL4 FORM r
( 1 OfMIR TMAN
UVIRELLA rOA44 i
FOR It l RI't S7i►(It(.A'i IOIt
and
11w1.6rto UAa►urY
AddN.orat Inturad CrWywnta�t:
T'te '"cant art" that the aty of Nunlimon swch and:I1 Gt,CoumCil,ar4lo►all 01V Council 009.,11 d(rovpl,eomminare.
Con 1169nt,ft#edt IN m oth"Gly Cour40 InOoin:ad body.4ACf0r.:active and e30'j�nlist t 1f.Cert.atrr.'Ir or ernl'Iorm of the
'017 of Hunt MOA 04eeh,Wh1f%W-hV a/welt an tddltlontl lnturadt horaungao.12r the acts of the In,u+ad.a J such irtmorrr tl.all
>W 1lrrmarry•re my iitwlr CI Of the t;aty of HVnthg'art Ceath,al thaw inlrrrrr!nay IVD7 �.
A►Amenurp KIPPtIlk-IATIV k
r I MkCt C AMY h�—
`
IMIURAI•CI CO+srANT -Cal 11131 a- IY
ram.,• �, Aft.. 101 11forniet 3 e # 22Y2
u,Y _ gig_.lrrallsifaeowC .:_. t�.�7:Sao
Ctt� ^-t A rs.al was �tt�� r. 11 T.irRsr � j�. 14
4�
HOLD HAAMLEli ACAtt:►fCN'r
(la l>r e+tr,clrlrC by 01"1.41
to tmKW4.Attend.InearnntrV. Mead hermlava the City of Nvnllryre,t Damn.
aRl' Chr NtI.daervga,r 6 anon of eny snd ati tbb.11 insIRR ra d In-fad. hit1' 1T,w+tr.ew l of or, � N%y owbom rtutrrtor w Sty am Shied nrprfanrynr st eFl M which " W11files of Irrtitr
•I11 li;/ta*ae^NY!/ (41 01fW(title) �
I M tOM10t tr ina.eFaf T>+le
Yn r.wa.t•Ntad «+�
rr Iar/Uf ��