HomeMy WebLinkAboutKAUFMAN AND BROAD, INC. - Certificate of Insurance - All Tr R ^jarn.original and three copies of
of 4plete certificate to: CERTIFICATE OF INSURANCE
City of Huntington Beach TO
Dept. CITY OF HUNTINGTON BEACH,CALIFORNIA
P.O.Box 190
Huntington Beach,California 92648 A MUNICIPAL CORPORATION
This is to certify that the policies of insurance as described below have been issued to the insured by the under-
signed and are in force at this time. If these policies are cancelled or changed in such a manner that will affect this certificate,the
insurance company agrees to give 30 days prior written notice,by mail,to City of Huntington Beach,P.0.Box 190, Huntington
Beach,California 92648.
Name of Insured Kaufman and Broad. Inc.
Address of Insured 10801 National Boulevard, Los Angeles. California 90064
Location of Insured Operations 11,g A.
Description of Operations_ Homp Rni 1 Apr
POLICIES IN FORCE POLICY LIMITS OF LIABILITY
NUMBER EFFECTIVE EXPIRATION
A. Workers Compensation PWC161 Statutory
Employers' Liability 4850 1/30/75 11/30/78 $ Unlimited (California)
B. Public Liability: CCP 248 * combined single
Bodily Injury: 3071 * 11/30/76 11/30/78 limit per occurrence.
and ** $400,000 CSL
Manufacturers and RDX 177
Contractors 8489 ** 11/30/76 11/30/78 $ * Each Person
Comprehensive
General ® $ * Each Accident
(Including products completed
operations)
Property Damage $ * Each Accident
C. Automobile Liability: CCP 248 $75,000 CSL
3071 * 11/30/76 11/30/78 $425,000 CSL**
Bodily Injury and $ * Each Person
RDX 17 7 $ * Each Accident
8489 ** 11/30/76 11/30/78
Property Damage $ * Each Accident
Does policy cover:
All owned automobiles 1 X )Yes ( )No
Non-owned automobiles (X )Yes ( )No
Hired automobiles (X )Yes ( )No
D. Additional Insured Endorsement:
The :insurer agrees that the City of Huntington Beach City Council,and/or all City Council appointed groups,committees,
commissions, boards 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 assureds hereunder.
E. Hold Harmless Agreement: By Insured: vice President and Treasurer
The insured agrees to protect,defend, indem4ify and save har ss the City of Huntington Beach against loss,damage or
expense by reason of any suits,claims,demands,judgements and causes of action caused by insured,his employees,agents
or any subcontractor arising out of or in consequence of the performance of all or any operations covered by the certificate
of insurance,and such insurance shall be primary to any insurance of the city.
F. Minimum Limits Required: APPROVED AS TO FORM:
Combined Single Limit Bodily Injury and/or Property Damage including Products Liability: DON P.BONFA
combined single limit per occurrence. ;put
nay
G. Remarks:
City A rney
Date_ 17/R/77
INSURANCE COMPANY REPRESENTATIV R KER Al nder & Alexander, Inc.
Continental Casualty Co. and By
Name Transportation Ins. Co. signature of Authorized R tative/Agee
Address 433 California Street Address 3550 Wilshire Boulevard, L.A. , Calif. 90010
City San Francisco, Calif. 94104 Telephone (213) 385-5211
i
11 City of Huntington Beach
P.O. BOX 160 CALIFORNIA 92646
OFFICE OF THE CITY CLERK
0 -
December 30, 1977
Kaufman & Broad Inc.
10801 National Blvd.
Los Angeles, Calif. 90064
Gentlemen:
On December 2, 1977 we returned your Certificate of Insurance issued
by Alexander & Alexander, Inc. , Los Angeles, together with a memorandum
from the City Attorney's office outlining the necessary insurance
requirements. We also sent your insurance company a City certificate
of insurance form for their use.
To date, we have not received your insurance coverage. For your
convenience we are forwarding your insurance company another City
insurance certificate for their use.
Sincerely yours,
Alicia M. Wentworth
City Clerk
CC: Alexander & Alexander, Inc.
3550 Wilshire Boulevard
Los Angeles, Calif. 90010
* J'
City of Huntington Beach
P.O. BOX 190 CALIFORNIA 92648
OFFICE OF THE CITY CLERK
December 2, 1977
Kaufman & Broad, Inc.
10801 National Blvd.
Los Angeles, CA 90064
Gentlemen:
We are returning your certificate of insurance issued by Alexander
& Alexander, Inc. , Los Angeles, together with a memorandum from
the City Attorney's office indicating the necessary insurance
requirements.
We have forwarded your insurance company a City of Huntington Beach
Insurance Certificate for their use in resubmitting your certificate.
If you have any questions please do not hesitate to contact our
office.
Sincerely yours,
Alicia M. Wentworth
City Clerk
CC: Alexander & Alexander Inc.
t
a
CITY OF HUNTINGTON BEACH
CERTIFICATE OF INSURANCE REQUIREMENTS
FROM:
DATE : ,> 7
L..-� Proof of Workers' Compensation required, or present a certi-
ficate of consent to self-insure issued by the Director of
Industrial Relations (See city form, Paragraph A) .
Public liability limits insufficient . Minimum acceptable is
$ combined single limit per occurrence including
property damage (See city form, Paragraph B) .
Automobile liability is required. Minimum acceptable is
$ combined single limit per occurrence including
property damage (See city form, Paragraph C) .
Additional insured endorsement required. Insurance company
must name the city as additional insured for the acts or
omissions to act of the insured and not of the city (See
city form, Paragraph D) .
Hold harmless agreement not signed by insured. The insured
must hold the city harmless (See city form, Paragraph E) .
Policy number and effective/expiration date missing.
Insurance company not licensed to do business in California.
The Certificate of Insurance must be issued by a surplus line
broker admitted in California or by an insurance company
licensed to do business in California.
Telephone number for insurance broker missing.
Automobile liability , Paragraph C, does policy cover:
All owned automobiles ( )yes ( )no
Non-owned automobiles ( )yes ( )no
Hired automobiles ( )yes ( )no
At least one box must be checked YES.
/� Other:
Alexander & Alexander Inc, rider'
3550 Wilshire Boulevard
Los Angeles, California 90010 rider
Telephone 213 385-5211
TWX 910.321-2907
November 29, 1977
Mrs. Alice Wentworth, City Clerk
City of Huntington Beach
P. 0. Box 190
Huntington Beach, California
Dear Mrs. Wentworth:
Re: Kaufman and Broad, Inc. , et al
We are pleased to enclose the following insurance documents:
O Insurance Policy No.
❑ Endorsement No. for Policy No.
Cx1 Certificate of Insurance. Issued in your favor and on behalf of our captioned client,
evidencing extension of insurance coverages for certificate
❑ Loss Payable Form. of insurance presently on file with your office.
EJ Audit.
❑ Binder.
❑ Document for your records.
IJ insurance Company document to be completed and returned.
❑ Invoice No.
Credit Memorandum No.
If you have any questions regarding the enclosed, please advise.
j
y truly,
& Alex ndxx Inc.
IC-lcox
1 1 r 1 1 11 •� w t Ir .�� � ,q,
DAME AND ADDRESS OF AGENCY 1^
COMPANIES AFFORDING COVERAGES
ALEXANDER & ALEXANDER, INC.
3550 WILSHIRE BOULEVARD COMPANY
LETTER TRANSPORTATION INSURANCE COMPANY
" LOS ANGELES, CALIFORNIA 90010
COMPANY
LETTER CONTINENTAL CASUALTY COMPANY
NAME AND ADDRESS OF INSURED
KAUFMAN & BROAD, INC. , ET AL LETTTER"" C DON P.APPROVED AS TO FORM: ;
10801 NATIONAL BOULEVARD A
D City Attorney
ANGELES, CALIFORNIA 90064 ETTERNY
1
COMPANY C B
LETTER in y
eputy y ornec
This is to certify that policies of insurance listed below have been issued to the insured named above and are In force at this time.
Limits o L abilit in Thousands(000)
COMPANY TYPE OF INSURANCE POLICY NUMBER POLICY EACH
LETTER EXPIRATION DATE t OCCURRENCE AGGREGATE
GENERAL LIABILITY BODILY INJURY s f
A ®COMPREHENSIVE FORM CCP 248 3071
11/30/78
®PREMISES—OPERATIONS PROPERTY DAMAGE $ s 1
®EXPLOSION AND COLLAPSE ^1
HAZARD
t°' ®UNDERGROUND HAZARD
R ®PRODUCTS-
'COMPLETED
OPERATIONS HAZARD BODILY INJURY AND
v ®CONTRACTUAL INSURANCE PROPERTY DAMAGE f 100 s 1,000
i ®BROAD FORM PROPERTY COMBINED
DAMAGE
I ® INDEPENDENT CONTRACTORS
L.
® PERSONAL INJURY PERSONAL INJURY $
I"
k
AUTOMOBILE LIABILITY 0004LY INJURY
(EACHPERSON) s
A COMPREHENSIVE FORM CCP 248 3071 11/30/78 BODILY INJURY $
®OWNED (EACH OCCURRENCE)
® HIRED Comprehensive - $50. ded. PROPERTY DAMAGE s
® NON-O NED Collision - Coverage self BODILY INJURY AND P : 75
`+ insured b Kaufman and Broad. Inc. �CO RTY AGE COMBINED XCESS !!ABILITY i
BODILY INJURY AND
B O UMBRELLA FORM RDX 177 8489 11/30/78 PROPERTY DAMAGE s 400 cGi.s
OTHER THAN UMBRELLA COMBINED 425 Auto
FORM
a
WORKERS'COMPENSATION STATUTORY
A PWC 161 48 50 (Calif.) 11/30/78 -
A an WC 161 48 66(Other States) 11/30/78 ` s 150 (A�.CI iDIN
EMPLOYERS'LIABILITY -wit
�A
B OTHER
s
V' Expess Umbrella RDU 292 3891 11/30/78 $1,000,000 CSL
. a
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES
Canceftbon: Should any of the above described policies be cancelled before the expiration date thereof, the Issuing com-
pany will endeavor to mail 30 days written notice to the below named Certificate holder, but failure to
mail such notice shall impose no obligation or liability of any kind upon the company.
NAME AND ADDRESS OF CERTIFICATE HOLDER. November 23, 1977
City of Huntington Beach DATE ISSUEEz
P.O. Box 190
Huntington Beach, California
Attn: Ms. Alice Wentworth IZED TATIVE
City—Clerk
William H. McGee, i e President
ACORD 75 rrd 2 77)
7 7 �
'RCT-URN ORIGINAL AND THREE COPIES OF ONLY CITY OF HUNTINGTON BEACN-6 FORM
.COMPLETED CERTIFICATE TO: CERTIFICATE OF INSURANCE OF CERTIFICATE OF INSURANCE WILL SE
ACCEPTED.
CITY OF HUNTINGTON BEACH TO
P.O. BOX 190 CITY OF HUNTINGTON BEACH, CALIFORNIA `�
HUNTINGTON BEACH. CALIFORNIA 92648 {
A MUNICIPAL CORPORATION
This is to certify that the policies of insurance as described below have,been issued to the insured by the under-
signed and are in force at this time. If these policies are cancelled or changed in such a manner that will affect this
certificate, the insurance company agrees to give 30 days prior written notice, by mail, to City of Huntington Beach,
P.O. Box 190, Huntington Beach, California 92648.
Name of Insured KAUFMAN & BROAD. INC.
Address of Insured 10801 NATIONAL mlp.- mg ANrm pep CAL I FORN IA 90064
Location of Insured Operations NATION VIDE
Description of Operations CONSTRUCTION OPERATIONS OF KAUFMAN & BROAD. INC.
IN THE CITY OF HUNTINGTON BEACH
POLICIES IN FORCE POLICY DATE LIMITS OF LIABILITY
NUMBER EFFECTIVE EXPIRATION
A. Workmen's Compensation Statutory
Employers' Liability $
B. Public Liability: CCP * $1,000,000 combined single
Bodily Injury: 9893841 11-30-73 11-30-76 limit per occurrence.
RDU
Manufacturers and 1469830 11-30-73 11-30-76
Contractors $ * Each Person
SPECIAL Comprehensive LIAR, INS
General ® $ * Each Accident
(Including products completed
operations)
Property Damage $ * Each Accident
C. Automobile Liability: INCLUDE
Bodily Injury $ * Each Person
$ * Each Accident
Property Damage $ * Each Accident
Does policy cover:
All owned automobiles ( X ) Yes ( )No
Non-owned automobiles ( X ) Yes ( )No
Hired automobiles ( X ) Yes ( ).No
D. Additional Insured Endorsement: SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY.
The insured agrees that the City of Huntington Beach City Council,and/or all City Council appointed groups,committees,
commissions;boards 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 assureds hereunder.
E. Hold Harmless Agreement: SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY.
The insured agrees to protect, defend, indemnify and save harmless the City of Huntington Beach against loss,
damage or expense by reason of any suits, claims, demands, judgements and causes of action caused by insured, his
employees, agents or any subcontractor arising, out of or in consequence of the performance of all or any operations'
covered by the certificate of insurance,and such insurance shall be primary to any insurance of the city.
F. Minimum Limits Required:
Combined Single Limit Bodily Injury and/or Property Damage including Products Liability: $1,000,000 combined single limit
per occurrence.
G. Remarks:
THIS CERTIFICATE OF INSURANCE NEITHER AFFIRMATIVELY NOR NEGATIVELY
AMENDS, EXTENDS OR ALTERS THE COVERAGE AFFORDED BY THE POLICIES
SET FORTH ABOVE,
CONTINENTAL CASUALTY COMPANY
Date (Signed) _ TRANSPORTATION INSURANCE COMPANY
I RAN C PANY
By P.
SIGfATURE OF AUTHORIZED REPRESENTATIVE
SEAL OF CORPORATION'S ATTORNEY-IN-FACT Address 433 CALIFORNIA ST,
APPROVED AS TO Fopal
SAN FRANCISCOO CALIFORNIA 94104
DO ONFA
Ci rney
Deputy City Attorndy
• This endorsemen, .,iodifies such insurance as is afforded by the p. .isions of the policy
-relating to the following designated insurance:
® SPECIAL COMPREHENSIVE LIABILITY INSURANCE
O
ADDITIONAL INSURED
IT IS AGREED THAT:
THE CITY OF HUNTINGTON BEACH CITY COUNCIL, AND/OR
ALL CITY COUNCIL APPOINTED GROUPS, COMMITTEES,
COMMISSIONS, BOARDS AND ANY OTHER CITY COUNCIL
APPOINTED BODY, PND/OR ELECTIVE AND APPOINTIVE
OFFICERS, SERVANTS OR EMPLOYEES OF THE CITY OF
HUNTINGTON BEACH, WHEN ACTING AS SUCH
ARE ADDED AS ADDITIONAL INSUREDS AS RESPECT WORK PERFORMED
BY OR FOR KAUFMAN b BROAD, INC. IN THE CITY OF HUNTINGTON
BEACH
This endorsement forms a part of and is for attachment to the following described policy issued by the CNA/INSURANCE company
designated therein, takes effect on the effective date of said policy, unless another effective date is shown below, at the hour stated in
said policy and expires concurrently with said policy.
Must Be Completed Complete Only When This Endorsement Is Not Prepared with the Policy
_ Or Is Not to be Effective with the Policy
ENDT.NO. POLICY NO. ISSUED TO EFFECTIVE DATE OF
THIS ENDORSEMENT
20 CCP 9893841 KAUFMAN & BROAD, INC. ET AL 1 10-10-74
12-17-74 EK/SE ALEXANDER 6 ALEXANDER L.A.
�'CNA/insurance r
Blank Endorsement
Countersigned by
G-31821-8 Authorized Agent
• This endorsemen, modifies such insurar(s;e as iti;afforded by the p—visions of the policy
relating to the following designated insurance'
IN SPECIAL COMPREHENSIVE LIABILITY INSURANCE
ADDITIONAL INSURED
IT IS AGREED THAT:
THE CITY OF HUNTINGTON BEACH CITY COUNCIL, AND/OR
ALL CITY COUNCIL APPOINTED GROUPS, COMMITTEES,
COMMI"SSIONS, BOARDS 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 ADDED AS ADDITIONAL INSUREDS AS RESPECT WORK PERFORMED
BY OR FOR KAUFMAN BROAD, INC. IN THE CITY OF HUNTINGTON
BEACH
This endorsement forms a part of and is for attachment to the following described policy issued by the CNA/INSURANCE company
designated therein, takes effect on the effective date of said policy, unless another effective date is shown below, at the hour stated in
said policy and expires concurrently with said policy.
Must Be Completed Complete Only 11'hen This Endorsement Is Not Prepared with the Policy
Or Is Not to he Effective with the Policy
ENDT.NO. POLICY NO. ISSUED TO EFFECTIVE DATE OF
THIS ENDORSEMENT
20 CCP 9893841 KAUFMAN & BROAD, INC. ET AL 10-10-74 f
12-17-74 EK/SE ALEXANDER &-ALEXANDER L.A.
°OCNAIinsurance
Blank by
lank Endorsement
Authorized Agent
G-31821-B
This endorsemenemodifies such insurance as is afforded by the provisions of the policy
relating to the following designated insurance:
11 SM IAL CWKWUSIVE LIABILITY muns
IT IS G.M TW:
THE CITY OF Mh11'1 Nit BEACH CITY COUNC 1 L. AND/OR
ALL CITY COUNCIL APPOIJITED &RIMPSo CDW ITI'EES.
COMMISSIONS. SAS AM ANY OTHER CITY CWKIL
0"INTED BODY, AND/OR ELECTIVE AND APPOINTIVE
OFFICERS. SEMIAN 'S OR EMPLOYEES OF THE CITY Of
11+1 ON 8=H# WHEU ACTING AS SUCH
ARE ADDED AS ADDITIONAL I NUMEDS AS RESPECT WORK PI FWDWD
BY OR FOR KAIJF l SAD, INC. IN THE CITY OF HUN1'INGTOI
SIN
This endorsement forms a part of and is for attachment to the following described policy issued by the CNA/INSURANCE company
designated therein, takes effect on the effective date of said policy, unless another effective date is shown below, at the hour stated in
said policy and expires concurrently with said policy.
Must Be Completed Complete Only When This Endorsement Is Not Prepared with the Policy
Or Is Not to be Effective with the Policy
ENDT.NO. POLICY NO. ISSUED TO EFFECTIVE DATE OF
THIS ENDORSEMENT
20 CCP 989384/ KF 14 MAN INC. ET AL 14-10-74
12-17-74 EKISE AL£IUGER ALEXA!KR LEA*
®®CNA/insurance 9
Countersigned by kZ
Blank Endorsement Authorized Agent
G-31821-B
C 3:77
Alexander & Alexander Inc. &1eemcander
xander
3550 Wilshire BoulevardT Angeles, California
Telel ephone 213 385-5211 11
Telex 673217
December 20th, 1974
I
Ms. Alicia M. Wentworth, City Clerk
City of Huntington Beach
P. 0. Box 190
Huntington Beach, California 92648
Dear Ms. Wentworth:
KAUFMAN AND BROAD, INC. , ET AL
EVIDENCE OF INSURANCE
Enclosed please find copy of amended Endorsement No. 20 issued to
our captioned client's Policy No. CCP 989 3841.
Please destroy the Endorsement No. 20 furnished you under cover
of my letter of December 18th, 1974.
Yours very truly,
ER & ALEXAND�EER, INC.
J n L. Willcox
arketing and Technical Services Department
Jw
Enclosure
This endorsement modifies such insurance as is afforded by the provisions of the policy
relating to the following designated insurance:
4 SPECIAL C{IIIi LINENS I11E L I M I L ITY I11NOWE
1-1
El
W IT i NIAL 1 NSUIIEIM
IT IS AOREW THAT
THE CITY OF MWINGTON REACH, CALIFORNIA
A NWICIPAL C00'WI ON
IS A Q AS AN M IT I ANAL INSIMIIEI} AS RESPECTS Nlilflt PEfWNHED 6Y
OR FOR 16AIWMN S 9ftWq INC. IN THE CITY OF NtNITINGTi N IEACM.
I
This endorsement forms a part of and is for attachment to the following described policy issued by the CNA;INSURANCE company
designated therein, takes effect on the effective date of said policy, unless another effective date is shown below, at the hour stated in
said policy and expires concurrently with said policy.
Must Be Completed i Contplete Only lf'hen This F,ndorsernent Is Not Prepared with the Policy
Or Is Not to be Effective with the Policy
ENDT.NO. POLICY NO. ISSUED TO EFFECTIVE DATE OF
CCP "1 "Wim 1NC. THIS ENDORSEMENT
Wk i . 11 31�'l�
*'GNA/insurance 12-16-74 MAE ''EAR AL PANDER L.A.
Blank Endorsement Countersigned by—k kA"
G-31821-B Authorized Agent
COPY
NOTICE OF INSURANCE BINDER AUTO I FIRE rAR`INj OTHER GENTLEMEN: PLEASE BE ADVISED THAT INSURANCE HAS
BEEN OR[+"'7ED AND BOUND AS LISTED, PENDING ISSUANCE OF
X A POLIC ` YOU. PLEASE ACCEPT THIS FORM AS A BINDER _
�t OPc1GiNAL � EXTENDING p AM ,DING _
City
OF PREv'iU5 NOTI r_E THIS BINDER EXPIRES pAVS FROM EFFEC TI VE DATE
NAMEINSURED City of Auntjngt-on Rearh- Cal-Ifnrnia _
PROPERTY INSURED ► Pz:otect_ive Liability Inci,ranrp
/� /�
FF ECTI V ECI LIMITS S 100,000 00,000. NFIRE DWLG S P D LIMITS S 100E000, COTENTS IS [-E
tobar 10th� 1971L AT 1')-nl O s}4t 1
EXPI W ES
V MED LIMITS S a HOME OWNERS POLICY y
E LJ COLLISION - DEDUCT. ❑ E C E. Q BROAD FORM December 9th, 1974 AT12:01 per.
A Li IJ COMP. a A C V. ❑ E DEDUCT. ❑ SPEC.FORM I-I A P L OM PINY Continental CaRtial ty rnmp o
LJ Li Q PREMIUM TO BE BASED UPON FILED INSURANCE RATES 0
G NAMED PERILS ONLY? ❑ COMMERCIAL
F
E SPEC EXCLUSIONS? ro TO VALUE ® P SUM TO BE DETERMINED BY UNDERWRITING W
AMT. OF PREMIUM $ 10/9/74 S-
LOSS PAYABLE ENDORSEMENT IN FAVOR OF AUTHORIZE 51 ATURE � DATE ~
Frank Alexander z
����AGENT�B R OKER O
Renewing coverages as per expiring Policy Alexander & Alexander, Inc.
No. CCP 853 76 92 of the Continental Casualty 3550 W'lshire Blvd. , L.A. , Calif. Z
Company
r
By: /C
a
Wesley R. Downey
FORM #55
INSURANCE FORMS CO. • P. O. BOX 4101 6 WHITTIER, CALIF. • 693-3268
P.O. BOX 190 CALIFORNIA 92 M
OFFICE OF THE CITY CLERK
City of Huntington Beach
Ire
October 25, 1974
Mr. Notman J. Metcalfe, Corporate Treasurer
Kaufman and Broad, Inc.
10801 National Boulevard
Los Angeles, CA 90064
Dear Mr. Metcalfe:
The City Attorney's Office has determined that your Notice of Insurance
Binder is insufficient as it does not comply with City requirements. Please
find enclosed Resolution No. 3887 of the City of Huntington Beach establishing
a minimum liability insurance limit.
Also enclosed is a City Certificate of Insurance form which you should use
when sending your formal policy, as it is the only form which will be accep-
ted by the City.
Please send us your corrected insurance coverage promptly.
Sincerely,
Alicia M. Wentworth
City Clerk
AA1W:CB:t l o
Encs. 2
cc: Mr. Stephen B. Havens, Controller
Kaufman and Broad, Inc.
17881 Skypark North, Irvine, CA 92707
Alexander & Alexander, Inc.
3550 Wilshire Boulevard
Los Angeles, CA
a
Alexander & Alexander Inc.
3550 Wilshire Boulevard
Los Angeles, California 90010
Telephone 213 385-5211
Telex 673217
October 9th, 1974
OCT 1 T
6 1974
Mr a G'v6 s cj
Department of Public Works BUILDING DEPT. {
City of Huntington Beach
City Hall
5th and Orange
Huntington Beach, California 7
Dear Mr. C�i 1.) . - W 1 538
CITY OF HUNTINGTON BEACH G os
PROTECTIVE LIABILITY INSURANCE S
POLICY NO. CCP853 76 92 (�
CONTINENTAL CASUALTY COMPANY
Attached please find Notice of Insurance Binder, which extends the
captioned policy, expiring 10/10/74, for sixty (60) days pending
receipt of formal policy from the insuring company.
We will forward the original policy to your attention as soon as
same is received. If you have any questions, please do not hesitate
to advise.
Yours very truly,
AL R & ALEXANDER, INC.
Je L. Willcox
Mar eting and Technical Services Department
jw
Enclosure
cc: Mr. Norman J. Metcalfe, Corporate Treasurer ,,,i
Kauffman and Broad, Inc.
10801 National Boulevard, Los Angeles, California 90064
(Enclosure)
Mr. Stephen B. Havens, Controller
a Co Kaufman and Broad, Inc.
17881 Skypark North, Irvine, California 92707
(Enclosure)
f
Fr the desk of
GEORGES
Ar" .
I v,,-v
f i
Alexander & Alexander Inc. exander
3550 Wilshire Boulevard
Los Angeles, California 90010 &Ajexander
Telephone 213 385-5211
Telex 673217
December 18, 1974
Ms. Alicia M. Wentworth, City Clerk
City of Huntington Beach
P. 0. Box 190
Huntington Beach, California 92648
Dear Ms. Wentworth:
KAUFMAN AND BROAD, INC. , ET AL
EVIDENCE OF INSURANCE
Enclosed please find your Certificate of Insurance in original and
three copies duly executed, together with a copy of Endorsement
No. 20 issued to our captioned client's Policy No. CCP989 3841,
setting forth Additional Insured wording which includes the City of
Huntington Beach, California, A Municipal Corporation.
I trust you will find the enclosed to be in order and to your
satisfaction.
Yours very truly,
ALEXANDER & ALEXANDER, INC.
Jea . L. Willcox
Mar feting and Technical Services Department
Jw
Enclosures