HomeMy WebLinkAboutFinal Tract Map 12863 - A portion of TT 12863 - J.M. Peters 0
STATEMENT OF THE ACTION OF THE U TY COUNCIL
Council Chamber, City Hall
Huntington Beach, California
December S. 1988
Mayor Bannister called the regular meeting of the City Council
of the City of Huntington Beach to order at 7:30 P.M.
Present: .MacAllister. Grrppn._Winch1'11, Ran i.,5 er- Mays. Silva. Fr kkiin_e
Absent: Nnne
CONSENT CALENDAR (ITEM APPROVED)
On motion by Erskine, second MacAllister, the following item was approved, as recnmmended,
by the fallowing roll call vote:
AYES: MacAllister, Green, Winchell , Bannister, Mays, Silva, Erskine
NOES: None
ABSENT: None
+#+fs+r#+rk*t!r#t•�,►#t*,t*t,►###*rr,t*#,►*,►f+r##*,t#�#,t*##r###fit#tip*#f+#t*++#tf t##t#t,rff#++*,1�#+t
NOTICE OF COMPLETION - TRACTS 12863 b 12897 - J M PETERS - Accepted improvements dedicated
To—r-public use in Tracts 12863 and 12897, Iccated SE Atlanta b Magnolia, authorized the
release of the Faithful Performance Bond and the Monument Bond, accepted Guarantee
and Warranty Bond numbers 942940S and 9429425, instructed the City Clerk to notify
the developer and the City Treasurer to notify the bonding company of this action.
lift#rt*w rt tfrw#twtiftlr#ixfrr##wf•wff•f#ir#fw##wffwfr#f rf ifw#t�ffrfrwffwf Rwwrwt#w�wwwtRf♦
Mayor RannjqtS adjourned the regular meeting of the City Cuuncii
of the City of Huntington. Beach at ll :lg P.M.--. to Saturday, December 17, 1988
at o 02, in Huntington 5eaclif.`,_6501 Palm Ave. , Huntington Beach, CA
ATTEST: Connie BrockwA y
City Clerk• and ex-officio C erk
of the City Council of the City
Connie Brockway of Huntington beach, California
City Clerk
STATE OF CALIFORNIA Wes .BannisterMayor
County of orange
City of Huntington Beach
I , CONNIE BROCKWAY, the duly appointed and qualified City Clerk of the City
of Huntington beach, California, do hereby certify that the anove and foregoing is a
true and correct Statement of Action of th2 City Council of said City at their
regular meeting held on the 5th day of December 19 88 ,
WITNESS my hand and seal of the said City of Huntington Beach this the 6th
day 'of December 19 88 .
t: ty Clerk and ex-officio Clerk
of the City Council of the City
of Huntington Beach, California
BY ,1� 9C74r4_"
play
2/7P
t
RECQUE FOR CITY COUNC ACTION
Date December 5,-lgij8
Submitted to: Honorable Mayor and City Council
Submitted by: Paul E. Cook, City Administrator .
Prepared by: F_ Louis F. Sandoval, Director of Public Works
Subject: NOTICE OF COMPLETION TRACTS 12863 and 12897
17irrar
Consistent witti'Council Policy? [X] Yes [ ] New Policy or Exce lion ( �i"r c
Statement of Issue, Recommendation, Analysis, Funding Source, Alternative Actions, Attachments: ,2
STATEMENT OF ISSUE:
J. M. Peters Company has completed all street improvements for Tracts 12863 and 12897
and is requesting release by the City, as required by Section 66499.7 of the Subdivision
Map Act.
RECOMMENDATION:
1. :Accept the improvements dedicated for public use.
2. asP the Faithful Performance Bond.
3. eleasththe Monument Bond _
4. " Accept guarantee and warranty bond numbers 9429405 and 9429425.
5. Instruct the City Clerk to notify the developer and the City Treasurer to notify the
bonding company of this action.
ANALYSIS:
Subdivider: J. M. Peters, 1601 Dove Street, Newport Beach, CA 92660
Engineer: Hall & Foreman, 3170 Redhill, Costa fvlesa, CA 92660
Location: S/E Atlanta & Magnolia
Lots: 77
Acreage: 17.372
Zone: R 1-FP2
ATTACHMENTS:
Sectional District Map
j
This tract has been cunstructed in substantial accordance with the plans and �t ), q 4
specifications on file In the Department of Public Works. ci
PEC:BPC:dw U J' '}
0340G �(b VIP q D
Pad 5/85
t M
SECTIONA'l DISTRICT MAP 18 ' -'10
CITY OF
f HUNTINGTON BEACH
ORANGE C0UN'TY, CALIFORNIA
USE •OF PROPERTY MAP
\n N •_
+...- ATLAMTA
� AV[NLIE
TTT
t7 - Yt•f M
T+, T
1 t~
Tm
H • i
H '71
1 ,
I
IFT—
WSAk
S �
CF—E c ,
Ifn"n'V MS1 scwlcl_ °• er.l
• � "�T ' :4.,i•ci.a a "m"ur���, -_.+
jLj
Aux L
ki
Ch
� yam,. , _ ',Tom. . i .►a4:t�::!�' '
• � t 1 sty ■K•.• .ti t,t• f"_' —+ ..�. v ... .. '; I
4 � b �•� 1 ~!! I � Y--i_>�—' ro�.,:wi i o.V+..w':c�:i ii� �
C Y� LL...___:::f,—�����Y�_+",1•�y{1„_,1 1!CC!t��1• � Ir�•�._t!'—'� C
it 11 li ! ' f li } { I1 lli , , 1 r
} ! I ! I « \
! } I I ! C y f ■ i � 1 \
'1. LM y ■. • —i .{v Imo: PR
tl Z T � •
1 I 1
f { CF-R m r
AVE ~~ t
w't�
7
JA " 0.0of H�nuiri� ton Bca`ch
M 0 -1 WN wo
....
+ P.L-. eox Igo CALIFORNIA >p
4
OFFICE OF THE 'CITY CLERK
April 17, 1987
J. M. Peters Co.
1601 Dove Street #190
Newport Beach, CA 92660
Gentlemen:
The City Council of Huntington Brach, at its regular
erneting held ap_ril 6. 1987 ,
aFFroved the Subdivision Agreement for Tract tio. 12863 .
We are enclosing herewith a duly executed cony for your
files.
Sincerely,
Alicia M. Wentworth
City Clerk
AMW:pr
Enclosure
- i
I
C?,'T"Y OF h1UNTINGTON BEACH .
2666:K IN STREET CALIFORNIA 92648
OFFICE OF THE CITY CLERK
April 9= 1987
r
First American Title . & Trust Company
114 E. ;5th St.
Santa Ana, CA 92701
Attention:
RE: Tract Hap No. 12863
This is 'to inform you that all fees have been paid 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, Department of Public Works, P. 0. Box 190, Huntington Beach,
California 92648.
1
Alicia M. Wentworth
City Clerk
AMW:bt
Enclosure
Received b -
—2z)l zl�)
Dated
ITNvphone:714 536.522.7!
SUBDIVISION AGREEMENT
THIS AGREEMENT is entered into this _ day of r
1987 , by and between CITY OF HUNTINGTON BEACH, a municipal corpora-
Lion Of the State of California, hereinafter referred to as "CITY , "
and J . M . PETERS, INC . , a California corporation , hereinafter
referred to as "SUBDIVIDER. "
RECITALS
WHEREAS , SUBDIVIDER is the owner of a tract of land in CITY ,
which it is seeking to subdivide into lots and to dedi--ate certain
streets , alleys , and other improvements therein to public use , and
is about to file with CITY a map of the tract of land known as
Tract No . 12863 , and
As a condition of the approval of said subdivision map and the
acceptance of the dedication of the streets , alleys , and other
improvements in said subdivision , SUBDIVIDER is required to enter
into an agreement with CITY to do and perform the work hereinafter
specified and to execute and deliver to CITY bonds for the faithful
performance of said agreement , for the payment of all labor and
material in connection therewith , and for the guarantee and warranty
of the work for a period of one ( 1 ) year following completion and
acceptance thereof against any defect in work or labor done, or
defective materials furnished, as required by Sect fio ','6-n99 and
'- •r.
66499 . 3 of the Government Code of the State of C lifornia , .and
Article 997 of C'ITY ' s ordinance code : f(t 11 1
1 .
NOW, THEREFORE, in consideration of the promises and agreements
of tl-ie 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 ,
curbs , gutters , sidewalks , trees , landscaping , etc . , sewers ,
including construction of main lines and lot laterals and
structures; street lights , street signs , construction of domestic
water system including the construction of water mains , lot laterals
and installation of meters; engineering costs; and any miscellaneous
requirements as may be set forth in Chapter 99 of CITY 'S ordinance
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
Engineer and all of which work shall be done at the sole cost and
expense of SUBDIVIDER and as a condition for the approval of said
map and the acceptance of the dedication of said streets , alleys and
other improvements , and said work shall be completed on or before
two ( 2 ) years from the date hereof , and all labor and material bills
shall be paid .
2 . ARTERIAL HIGHWAY IMPROVEMENT.-
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 .
2 .
3 . GUARANTEE:
SUBDIVIDER shall guarantee all work and material required
to fulfill his obligation as stated 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 znd repay CITY all
ouclay and expense which 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 SUB-
DIVIDER at SUBDIVIDER ' S sole expense, a protective liability policy
in which CITY is named as an additional insured . The policy shall
insure CITY , its officers and employees against loss , darnage or
expense by reason of any 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 SUBDIVIDER 'S performance of the agreement , except where such
loss or damage expense is caused solely by the wrongful acts of
P
CITY , its agents , officers or employees in connection with the
general supervision or direction of the work to be performed under
this agreement . The policy shall provide for not less than the
following amounts :
3 .
r
Combined single limit bodily 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 such endorsements as are
required to cover the risks involved .
SUBDIVIDER shall arrange for the policies to be so condi-
tioned as to cover the performance of extra or unforeseen work ,
should .such work become necessary.
Prior to Lhe 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 of a
commitment by the insurance company to notify CITY of the expiration
or cancellation of any of the insurance policies required hereunder
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 the
Workers ' Compensation Insurance and Safety Acts of the Statte of
California , and shall indemnify, defend and hold harmless CITY from
and against all claims , demands , payments , suits , actions ,
proceedings and judgments of every nature and description , including
attorney ' s fees and costs , presented , brought or recovered against
CITY , for or on account of any liability under any of said acts
4 .
r
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 . INDEMNIFICATION AND HOLD HARMLESS
SUBDIVIDER hereby agrees to defend, indemnify and hold
harmless CITY , its officers , employees and servants from any 'and all
loss , 'damage, cost , expense , liability, claims , demands or judgments
arising directly or indirectly out of the work or project , regard- j
less of the active or passive nature of any negligence by CITY
except when such liability arises from the sole negligence or
wrongful misconduct of CITY . This agreement extends to cover the
actions and omissions of third parties as well as those of SUB-
DIVIDER t
DIVIDER and CITY . The legal defense required by this agreement
shall he 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 jurisdiction .
8 . 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
of each and eve lan e.ous condition existent
the traveling public h n every g
in said highways or any of them, and wall protect the traveling
public from such defective or dangerous conditions . That it is
understood and agreed that until the completion of all the
i
improvements herein agreed to be performed , each of said highways
not accepted as improvEd shall be under the charge of SUBDIVIDER , ror
5 .
f: . ._. S;_.-.w..wr.o+.w(i.N.�'�!::Y:"';.;..F.?'",+ •T� •.ii............... _ .. t - .. . � .... .. ._- .. .;_.... .. .. ...—.._. ._. ._ ..._.. .,..._._......._.».....,... ., .«--..... _..
1
OFFICIAL SEAL
BETTE BARILLA
STATE OF CALIFORNIA1 rt
Notary PuLxc-G>'t"s►alla
COUNY'Y OF ORANGE � ss: ORANGE COI.t�iTY ;
My Comm. Exp.Ja+t.a. 1W.
ti
On this day of �,�..(� 19 before: me,
a Clot Public in and for said County and State, personally appeared
... ► known to w- to be the Mayor
' and ' ' , known to me to be the Z City Clerk
of the City of Huntington beach, the municipal corporation that executed
the within instrument, known to me to be the persons who executed the
•' within instrument on behalf of said municipal corporation and acknowledged
; thuc�h municipal .corporation executed the same.
OFFICIAL SEAL
BETTE BARILLA
j No-iry Public-
ryi2
ORANGE CJUNTr
My Comm, Ent Jan. @, 195,)
STATE OF CALIFORNIA ;ss
COUNTYOF
-- Orange -
P
On.__Mar b� }ore me.theundersigned,a tlotary rub)c m and for
-� said State.personalty appeared __._. Robert J . Trapp and
-
Robert C. L.iewer-
,
E
Q k basis of satisfactory e�rdrnce)to be the persons who a xecuted the within instnimenl as .
Vice _-preside:ntandVice_ President 9txxXXonbehalfcf .
J. M. Peters Company, Inc.
o — - _
` the corporation therein namr_d,and act no,%ledged tome that C+FFICIAL SEAL
such corporation cRecuted the within instrument pursuant tails :-=-• KA7HLEE14 GOLOS ;
-a+.t"'• NOTARY PUBLic-CAUFORNLA
i by-laws or a resolution of its board of directors . •;•' ORANGE COUNTY
t tv , 7.;mrn E,p Oct. S. 10ft
cc �':ITF4ESS my hand and official seal
c�
s. Signatur ._- (This area}o(official notarial seal)
i
the purpose of this contract , and SUBDIVIDER may clone all or a
Portion of any street whenever it is necessary to protect the
tra. eling public during thi making of the improvements herein agreed
to be made . SUBDIVIDER hereby agrees to pay for such inspection of
highways as may be required by the City Engineer of CITY .
9 . ATTORNEYS ' FEES:
is. the event suit a s brought by CITY to enforce the terms
and provisions of this agreement or in any bond gNven to secure the
performance hereof, a reasonable attorney ' s fee , to be fixed by the
court , shall be paid by SUBDIVIDER.
IN WITNESS WHEREOF , the parties hereto have executed this
agreement the day and year first above written :
SUBDIVIDER: CITY OF HUNTINGTON BEACH:
J . M. PETERS , INC.
r
1 •�
Robert J T ap , Vic6 Pre or
l
• Robert C. Liewer , Vice Pres .
AT7;EST: APPROVED AS TO FORM:
�y • City Clerk _,fir -f; City Attorney
�-r V
REVIEWED AND APPROVED: INITIATED AND APPROVED:
•
Ci,y Adniniflfftrator Director of Public Works
i
•
6 .
EQUE FOR CITY COUNCI ACTION
Date April 6, 1987
Submitted to: Honorable Mayor and City Council �PpRovED nY
CITY COUNCIL
Submitted by: Charles W. Thompson, City Administ t r
�:19
Prepared b : James W. 'Palin, Director, Development Services
Pre ,� pC.�!�✓ �
P Y Paul Cook, Director, Public Works �J� 'O
Subject: FINAL TRACT:MAP 12863, BEING,THE FINAL T ONT7i` E
TRACT.NO.. 12863, AND.BONDS AND AGREEMENTS FOR TRACT
LOCATED ON THE SOUTHEAST CORNER OF MAGNOLIA STRE T12963 AND .�-y�t:4SL)��
ATLANTA AVENUE
Consistent with Council Policy? ( LAS [ j New Policy or Exception � 1�--
Statement of issue, Recommendation, Analysis, Funding Source, Alternative Actions, Attachments:
STATEMENT_OF ISSUE:
The final map of Tract No. 12863 being the final portion of Tentative Tract No. 12863 has
been submitted to the City Council for approval. Also Section 66499 of 0e Subdivision
Map Act requires the local agency to approve bonds and agreements for new subdivisions.
Tentative Tract No. 12863 will expire on September 16, 1988.
RECOMMENDATION:
i
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 mandatory findings
established by the Planning Commission as set forth by .Section 66474 of the
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 nor release it for
preliminary processing by the County of Orange or for recordation until the
following conditions have been complied with:
a. A deposit of fees for water, sewer, drainage, engineering and inspections shall
be provided;
b. A Certificate of Insurance shall be submitted;
c. Subdivision Agreement;
d. drainage for the subdivision shall be approved by the Department of Public
Works prior to recordation of the filial map.
e. The Declaration of Covenants, Conditions, and Restrictions shall be reviewed
and approved by the Department of Development Services and "approved as to
form" by the City Attorney prior to recordation of the final map,
� J
Plo 5/85
S. It is also 'reeortmmended chat'th,e City.Council accept the following bonds and two
copies of the Subdivision Agreement,
a. Monument Bond No. 9429435
i4
b. Faithful Performance Bond No. 942942S
c. Labor and Material Bond No. 942942S
and instruct the City Clerk to fiI 11hem with'the City Trea§&dr, It.is fur`,ther
recommended that the City Council accept the subdivision agreements an:i instruct
.the City Clerk to file one copy and return the second to the subdivider. All of the
bonds have been approved for amount by the Department of Public Works and, as to
form, by the City Attorney's Office.
ANALYSIS:
SUBDIVIDER: J.M. . Peters.Co.
1661 Dove Street #190
Newport Beach, CA 92660
ENGINEER: Hall and Foreman
3176 Redhill Avenue ,
Costa Mesa, CA 92626
LOCATION: Southeast corner of Magnolia Street and Atlanta Avenue.
ACREAGE: 2:668
LOTS: 12 lots and Lot A
UNITS: 12
ZONE: RI
GENERAL PLAN: Low 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, amended, and approved by the Planning Commission.
ENVIRONMENTAL 5TA US:
Negative Declaration No. 86-4 was approved by the Planning Commission on September
16, 1986.
FUNDING SOURCE:
Not applicable.
RCA - 4/06/87 ' -2- (7666d)
•
7
-ATTACHMENTS:
2. Sui d!Asion'A&eement
3. Monument Bbnd ,
4. Faithful'Performance Bond
5. Labor and Material Bond
JWP:RLF:gbm
RCA - 4/06/87 -3- (7666d)
Fi
,r 1 Rt Rf Rt RIO S NI RI RI at
JR1
R1"' 1 f!'i I ' : Rt RI RI ` n
RIR t RI �+ —r .3 L�l r ""`� ry `'` •ii�i+ :■ RI , L F E
i!... R) + 1Y.• RI r Ir.Yr�T4pr*F.
LRI'
f r.
� •�rI f�RE ? ;�_ a � fit
i7RtRI e�
FRI
J{1Rt IZr�.Ir�+' wi`J1• Z 0 RI
71 �
RI : • • RI : RI RI 1
iC _ 'v .r 1 AI
W T,.L... .., 1 a C4 RI
R i , -� t
• c�'- 11, f.rRIr i i 1�1 ,► ;! RI C4 ! � _ RI � s .� ,..�,��� r •
Rt
ATLANTA
RI 7 • RI RI RI
1R3• .yuaa, r. �+•�
R1 , • ■
RI RI at Rt • RI RI R1 RI S RI R I
RI RI
. IL R1
Rt RI AI
4 RI RI
3.. ri 4..•!•.., RI At RI
` CF-E
r rr�:�rn Rf R1
R at P 1
L3,r
CF-E
eta**•, �r4 =
_ w....•.. « w ars
• , RI
_J O ��+ p _ RI R
RI RI I RI RI C F—R - R I • ■ 7�! 3'
• � .w• •tw ti
2 ALIr�.Mr wn M'r r•1�.1 � �
—t RI I ; rY d v-'' r .R I b
RI RI:
I n IL 3
FIR
IFTIZ863
Fri1HTYVGTON KAC
HUNTINGTON REACH PLANNING DIVISION
NOT I CE Of ` OMPL ETI ON W I TH COND I T I CIF "IN TRACTS
` AUTHORIZATION FOR RELEASE FOR REC0RD114G
TO : CITY CLERK DATE : MCf Of
FR0h1 : PUBLIC WORKS DEPARTMENT
Br Crosby
TRACT N /�
i 1 DEVELOPER
CONDITI
Deposit of fees for ,,ater , sewer , , , ,
drainage, engineering and inspection
a Bond for Improvement ~�}
Signature of Agr-eemcnl. . , , , , ,
�crt I f I can fe o f I r,r.urj3nc0
. ,
110nd for Nionumrn t . . . . . . . . . . . .
I .,I�t ,• ,C hl,, I , i ,t I t►c,r;�f .
S i gnature _._..
NOTICE OF COMPLIANCE WITH CONDITIONS ON TRACT/PARCEL MAP
AUTHORIZATION FOR RELEASE FOR RECORDING
. 6 -
Date.
. I
TO: City Clerk
FROM: PLANNING ISION
Jame Pa'_in
TRACT NO.
PARCEL MAP
RECREATION & PARK FEES PAID.r .�"�
OTHER.: �
"V
i SignatUT
CITY Y br HUNTINQTON !MACH, CAI.1ronNIA pity AtiOrnay
Nuntlr►atontln►ah,CA 97648 A MUNICIPAL ConponAl ION
This k its oerlify that she "Holes of (►tsur:,nee as 41a60916.d b.in.v Itev• "on 1.....d le il.. In•ur.rl Iry tit. undo►rlen.tf .wJ•r. {n fa►nr
of thl. tire... It 11.... r-11.1r 0 0.. .r..oel1.J me (n .U.11 w rr+.r.n•r s►os will w11..4 ti.t. «rsll l....s., r1.0 ln...r.r••. «rr.r•t.y .e..+.
tr @tvo 30'daye prior wrhton nwtlsa,by small, t• U14y of Ilunslrry•nn il"oh, Inwr.►•oa •nd Amn.111r 7lvisk►n, P. 0. now 100, 11untington
Ilcnch, Gellfarilfe 97W.
Ntim4 of Inourad J .M. PETERS COM1.=11Ny'1 .INC. w
Addressof ln,; , d _1691
Lno*tion of Work or O►.erstlans to b* performed ,ALI inI;a And blnryflnlig / i /'__ /e2f,
Di-Icriptfrih of Work or Openrtlons Res dQrl ial _ Ueyelga ut
." ram". • •• POLICY DAYES•• • • •• • LIMITti OF LIABILITY r M of 1 turann4 Co.Fit
POLiCIEO IN PORCE POLICY NO, Elf In 7troua+ndy faon) 1110 Irournd R'a"rtion at lrrtlw Eliplrmiert I I�.
GENERAL LIA84''17Y
iXI COMPREHENSIVFFORM SRL3634768 07/01 /86 07/01/87 Fidelity & Casualt;
IA PREMIRE<s— OPERATIONS -000,Q00 CEL Co. of New York
Ix1 PXPLC1SION AND E e%Ow'r'"eis
COLLAPSE HAZARD
ix1 UNDIRGROUND HAZARD
1xl tAODt1CT�COhtl'LtrTED
OPIM,Tl0#4 HAZARD
iX1 CONTRACTUAL INst1RANCE
ixI .ROAD P"M PPIDPERTY
DAMAOtn
t.
Ix1 iN091`ENDENT
CONTRACTona
IxI PROFUSIONAL LIi SILITY/
e1111Rt]It>1 aL 010111l31lph1l
AUTOMOBILE LIABILITY
hi CO+tR'Rt goisavtE POSM SRI.3634768- 07/01 /8h 07/01 /87 Fidelity & Cnsual.t}
tK1 t�14NiD Texas •. L.(ln�sln Co. of New York
SRB3352298- yY`
h HIRED Other States NoahCkvurt1tos
L~C) NON.tW1NEb
EXCESS LIABILITY
tcI UMnnELLA POQM 523426012 07/01 /86 07/01 /87 E .0 Q.000 U. S. Fire Ins. Co{
I ( OTHER iwumNC>r
oovEnAdk
$100 (each acci dent)
WORKERS' COMPENSATION $500 (disease olicy limit)
AND RVI3164930 7/01 /86 7/01 /87 $100 (disease-- ac;l� employee)
Wainer ul oubrvW;cn hum
Workers'CcftV*nutlon
na uri r.
73ditional InsuraRn orramml nturer agreeo to ptov a en to or"M9IIt to e&cN polItTy shown nbuva as follows -:cluding
.r.rl.er'a •....,..) The 1.s•uror broes ♦hwl It.. Cl+y ..f Nuwtlr.etwn Routh .nd Its City Ceunall, and/n► all city Counall uppelM104 wroure,
commitlott, aantrttlroions, !search rind any other elty Councli appointed tmdy, and/or electlre and appointive officers, *.wants or
employer+ of th• City of Hlinlingtotl Btaeh, when acting as ouch are additl,:nel insureds haroundat. Such insurance is prlmeq slid not
f7►cttt or contilbutiria to env other Inturunce of ttte City of tfuntln ton teach.
Thir wom4111-4 h (ruevl at a ►•...tlor 04 hrh•rMatlan.Title wootll!t wr•it ant en Insursnes rollev%nJ dt.oe net amend,salend of aitor the*•horses wf4r►dvel
by the Folieler tirted hetoln.Nolwithrtending any+sttuirsrnent,toornt at eandition of any enntrrct or other dncurnl+►t with retool to whleh this eertifiaale
of (nwter" •++wy he leeuerf of may pariah.the (nrurenvo arfartl.d by the r.allei•s rf..erih"l lietrin is sub j•tn rn ail tl.. tettne, e.rlu►lons sad eonditlons of
luth pollelart.
Fred S. James & Co. of Texas, Inc. Fidelity & Cnsua.lty Co. of New York
rr*3,A q .Ts,rnt•• t. r" nr 'r•rnvhe Tn_ Fitir•l t t it L (`r1=111 nI•tr ('n ^f Ndt,r vht•tr
3811 Turtle Creek Blvd .
Lock Box 1 t
1 TX 75219-4419 BY . ,-j
Dallas,
Attn: Cheryl Foster Leonard Smitii�, Jr .
(214 ) 651--4000 Authorized Representative
The City of Huntington Beach requires by )►dinmice that a Certificate of Insurance bo on file with us for the issuance of a permit or
license; and that ii be kept current for as long as that permit or license is in farce.
The certificate you now have on file with the City will expire on the date shown on bottom of rnailiny 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 closing down of your operatiorr or event. This it tine only notice of cancellation you will receive from
the City of Huntington Beach.
THE CITY OF HUNTINGTON BEACH MUST IIE AN ADDITIONAL NAMED INSURED.
All Certificates of Insurance should be mailed to the Insurance and Benefits Office, City of Huntington Beach, P. 0. Bux 190, Hunting-
ton Beach, California 9264B. If you have any questions, plaase call this office at 536.5990.
DEFENSE, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
The, undersigned Insured Contractor, a Sole Proprietor/General Partnership/Califor'nia.Limited Partnershi California Corporation
Other (you must circle the appropriate choice or fill in tf,e.hlank) here y agrees o7r'u ,
indemnify and hold harmless the City of Huntington Beach..its officers, employees and servants (hereinafter collectively referred to a:
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 purpose for which the accompanying certificate of insurance 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 the actions and omissions of third parties as well as those of the Insured Contractor (indemnitor) and the
City (indemnitees). The legal defense required by this agrcein- eat shall be provided upon request by the City and at the sole expense of
the Insured Contractm. Any costs of defens or.,attorneys' fees incurred by City in enforcing this agreement shall hi reimbursed to
City or may be ji and d to tj a'co of , mp ire ryiction.
SIGNED: By: 31 Title: Vice President
By: Title: Vice 'resident
If a Corporation, T eE 'Wst sign; or, in the alternative, present satisfactory evidence of your authority to :.;r,d your
Corporation. '� '�T Jr 7 1
I .
STATE OF CALIFORNIA ORANGE
COUNTY OF--
0 --------
. before me,the undersigned,a Notary Public in and for
F ,i. Tv - and
e scidStaie;personally appeared
..,.
o , C!�Ll*Mer ,personally known to me for proved to me on the
E
c. c basis of satisfactory evidence)to be these r�so�nss�o executed the within instrurn snt as.__ _
r a ��,G.' _President andG`�� -t/_ � - -2nbehalf of__. ..
ii E
o ci �, X PETERS GClralf',t�lY, h _
o ;
C the corporation therein named,and acknowledged to me that
$ � s..wrr wr
0 n suchcorporation executed the within instrument pursuanttoils MMM E;UIX
U s A rvrrr.PUtllrt capon"isy laws or a resolution of Its board of directors. ; wcr.a awes of
dv+bt C LK"
WITNESS my and and official seal. urtanaaw t'r no r Is"
` / (This area lot official notanxl seal)
°n Sign / - —
• CITY OF HUNTINGTON BEACH
Division
Insurance R Benefits Dr s on
P.O. Box Igo
Huntington Beach. CA 9264E