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SULLY-MILLER CONTRACTING COMPANY - Certificates of Insurance
MARSH & MCLENNAN, 1= INCORPORATED CERTIFICATE OF INSURANCE , w TO: CITY. OF HUNTINGTON BEACH 2000. MAIN STREET HUNTINGTON 'BEACH, CALIF 92648 THIS -IS TO 'CERTIFY that the following insurance policy has been-.issued to' UNION OIL COMPANY OF- CALIFORNIA and its subsidiary SULLT-MILLER .CONTRACTING .COMPANY and that said contract of insurance, subject to the respective terms and conditions, affords Bodily Injury, Property Damage Liability and Blanket Contractual Liability for all operations, including Autocnobiles,' bt4fted, hired or used, CENTRAL NATIONAL INSURANCE COMPANY COMBINED SINGLE LIMIT BODILY (Cravens, Dargan. & Co,) INJURY AND PROPERTY DAMAGE POLICY NO, : CNX-160729 EACH ACCIDENT OR OCCURRENCE $1,000,000.00 Term: November 1, 1975 MARSH & McLENNAN, INCORPORATED November 1, 197B By: �3 Agent thirty (30) In the event of cancellation of the above contract of insurance, the Undertrriters will give not less than XIULXXM days advance notice by mail to the party or parties - to whom this certificate is issued at the address stated herein which shall be sufficient proof of notice. ADDITIONAL INSURED: The party or parties to whom this Certificate of Insurance is issued isho=X= covered as Insured(s) under the terms of the contract of insurance described above. If so covered, the insurance with respect to such party or parties is subject to all of the terms and conditions of said contract of. insurance, and to , the special conditions, if any, stated below. SPECIAL CONDITIONS: APPLICABLE AS RESPECTS TO THE FOLLOWING LEASED PROPERTY: THE EAST HALF OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 35, TOWNSHIP 5 SOUTH, RANGE ll WEST IN THE RANCHO LAS BOLSAS,, IN THE CITY OF HUNTINGTON BEACH, COUNTY OF ORANGE, STATE OF CALIFORNIA. — - -- ---SEE -REVERSE-SIDE- - -- -- --- — - Dated: October 25, 1976 _ LOS ANGELES, CALIFORNIA "THE COMPANY 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.." "THE COMPANY 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, JUDGMENTS 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. am Affiliates of Connecticut General Lifr •urance Company !'!//,y � �A- 6- /'O l.,I ✓ gq"tTM Pq , � °`� msursnoe oompemy 3580 Wilshire Blvd., Los Angeles, Calif. 90010 (213) 380-5650 February 9, 1976 5,00 City of Huntington Beach Dept. of Public Works P. 0. Box 190 Huntington Beach, California 92648 Re: Named Insured: Union Oil Corporation, Et al Policy No. : CNX 16 07 29 Address : 461 South Boylston St. , Los Angeles, Ca 90017 Gentlemen: In accordance with the conditions of the Certificate issued to you on November 1, 1975 , this is to notify you that the policy in caption is being cancelled effective March 12, 1976 Sincerely, GRAVENS, DARGAN & CO J . aneT Clauson Central National Insurance Company of Omaha eb rEe LOP �i�>~,lia Wal�i�tr 6 1976 Hued i3"C '-CA► p. Printed in U.S.A. rM MARSH & McLENNAN, U U b9�L INCORPORATED CERTIFICATE OF INSURANCE rCEIVED 01:4P7. OF PUBLIC WORK." TO: CITY OF HUNTINGTON BEACH DEPT. OF PUBLIC WORKS N O V 5 1975 POST OFFICE BOX 190 HUNTINGTON BEACH, CALIFORNIA. 92648 MUNT7NaY� BEACH, CALIF THIS IS TO CERTIFY that the following insurance policy has been issued to UNION OIL COMPANY OF CALIFORNIA and its subsidiary SULLY-MILLER CONTRACTING COMPANY and that said contract of insurance, subject to the respective terms and conditions, affords Bodily Injury, Property Damage Liability and Blanket Contractual Liability for all operations, including Automobiles, owned, hired or used. CENTRAL NATIONAL INSURANCE COMPANY COMBINED SINGLE LIMIT BODILY (Cravens, Dargan & Co.) INJURY AND PROPERTY DAMAGE POLICY NO. : CNX-160729 EACH ACCIDENT OR OCCURRENCE $1,000,000.00 Term: November 1, 1975- MARSH & McLENNAN, INCORPORATED November 1, 1976 . By: � t� [.t - t,�r�. Agent In the event of cancellation of the above contract of insurance, the Underwriters will give not less than ten (10) days advance notice by mail to the party or parties to whom this certificate is issued at the address stated herein which shall be sufficient proof of notice. ADDITIONAL INSURED: The art or parties to whom this Certificate of Insurance is party P r.. issued is/xwacAD& covered as Insured(s) under the terms of the contract of insurance r described above. If so covered, the insurance with respect to such party or parties is subject to all of the terms and conditions of said contract of insurance, and to ' the special conditions, if any, stated below. SPECIAL CONDITIONS• APPLICABLE AS RESPECTS TO TRANSPORTATION EQUIPMENT WITHIN THE CITY OF HUNTINGTON BEACH CITY LIMITS. • m • z Dated: November 1, 1975 LOS ANGELES, CALIFORNIA }� RETURN ORIGINAL l 1,RL COPIES OF • ONLY CITY OF I, N FORM COMPLETED CERTIFICATE TO: CERTIFICATE OF INSURANCE OF CERTIFICATE OF INSURANCE WILL BE ACCEPTED. CITY OF HL'NTIIICTON PEACH TO DEPARTMENT OF PUBLIC WORKS P.O. Box I90 CITY OF HUNTINGTON BEACH, CALIFORNIA HUNTINI;TON HEACH, 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 SULLY-M IZER CONTRACTING COMPANY Address of Insured 3000 East South Street, Long Beach, California 90805 Location of Insured Operations ___State of California Description of Operations ANY AND ALL OPERATIONS POLICIES IN"FORCE POLICY DATE LIMITS OF LIABILITY NUMBER EFFECTIVE EXPIRATION A. Workmen's Compensation Statutory Employers' Liability $ B. Public Liability: L147758 11-1-72 Until COMBINED SINGLE LIMIT, BODILY Bodily Injury: Canceled INJURY & PROPERTY DAMAGE Manufacturers and $100,000.00 Contractors $ Each Person Comprehensive General 1XI L147758 11-1-72 Until $ Each Accident (Including products completed Canceled operations) EMPLOYE tSUEELUS LINES INS. CO. COMBINED SINGLE LIMIT, BODILY INJURY PROPERTY GE $5 ,000 Property DamageIs c cident C. Automobile Liability: Bodily Injury INCLUDED IN ABOVE $ 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: The insured agrees that the City of Huntington Beach and/or members of the City Council or boards or commissions and elective and appointive officers, servant or employee of the City of Huntington Beach when acting as such, are additional assureds hereunder. E. Hold Harmless Agreement: 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 operations covered by this certificate. F. Minimum Limits Required: Public Liability (Products liability, including completed operations) Bodily injury-each person $250,000.00 each accident $500,000.00 Property damage $100,000.00 G. Remarks: (Signed) The Gontineatal Insurance Co. w ALA RATED By - __)eVr sI g7(YV�'�'bY'X �U'aE1�l�S'1•�1YXYIV'�E RETURN ORIGINAL AND THREE COPIES OF ONLY CITY OF HUNTINGTON BEACH'S FORM COMPLETED CERTIFICATE TO: CERTIFICATE OF INSURANCE OF CERTIFICATE OF INSURANCE WILL BE ACCEPTED. CITY OF HUNTINGTON DLACH TO DEPARTMENT OF PUBLIC WORKS 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 ZI Comm Address of Insured 3000 RA Mt! Routh Street —Long ar' CS14.#0t04,a 908043 Location of Insured Operations State Of Ca1i89se#a Description of Operations,_ ANY AND ALL (]p>�IuTIt>ihTB POLICIES IN FORCE POLICY DATE LIMITS OF LIABILITY NUMBER EFFECTIVE EXPIRATION A. Workmen's Compensation Statutory Employers' Liability $ B. Public Liability: L1477580 1I-1-72 Until COIGINZD SINGLE LWITS BODILY Bodily Injury: Canceled INJURY 6 PAOP1=Y DAMAGE Manufacturers and $1000000.00 Contractors F1 $ Each Person Comprehensive General U L1477580 11-1-72 til $ Each Accident (Including products completed Reeled operations) MOW12141sumus S INS. 00. CM8INZD SIN GL I LUUT O BODILY � ,000Pro Property Damage $ RRc cen s C. Automobile Liability: Bodily Injury INCLLWII IN ABO I $ Each Person $ Each Accident Property Damage $ Each Accident Does policy cover: All owned automobiles (Y ) Yes ( ) No Non-owned automobiles ( ) Yes ( ) No Hired automobiles (_ ) Yes ( ).No D. Additional Insured Endorsement: The insured agrees that the City of Huntington Beach and/or members of the City Council or boards or commissions and elective and appointive officers, servant or employee of the City of Huntington Beach when acting as such, are additional assureds hereunder. E. Hold Harmless Agreement: 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 operations covered by this certificate. F. Minimum Limits Required: Public Liability (Products liability, including completed operations) Bodily injury-each person $250,000.00 each accident $500,000.00 Property damage $100,000.00 G. Remarks: (Sig9`Jk� By SIGNATURE OF A HORIZED REPRESENTATIVE w i,'F.I(Ikt4 ()NIGINAL A'4D 1IINUF CUP IES OF // y^� y �* y C yy c:i ! F-� Sf(/^nE{F-^ — ONLY CITY OF HUNTINGTON EF.ACH'S FORM CER(IFtCATC TC'; l.t,R IFICs'.11 I.. Ul'' INSURANCE OF CFRT"IFICATE of INSURANCE WILL 13E ACCEPTED. CI'Y OF HV-0;'.r.TLN rAf H DEPARTMENT OF' PUBLIC WORKS tVJ 11.0. F,ox 190 CITY C" I";`-ITl1,IrT ?N [1,7�.. CH, CALIFORNIA HUNTINGTON PEACH, i1FO9NIA 4 PAR A MUNICIPAL C.UR'PORATION This is to certify that the policies of insurance as described below have been issued to the insured by the under- signed and ore in force at this time. If these policies are cancelled or changed in such a manner thol 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 140, Huntington Beach, California 92648. Name of Insured r Address of Insured_ aSt—leffe"'WASWIN "I'VdIet,_Laft Dosch, .._..fort.,_ 95 Location of Insured Operations *"to of Cattfurnto r Description of Operations ANY MO ALL 0MUTIONS POLICIES IN FORCE POLICY DATE LIMITS OF LIABILITY NUMBER EFFECTIVE EXPIRATION A. Workmen's Compensation Statutory Employers' Liability $ B. Public Liability: L1677 11-1-I2 Until INID SINGU L24IYs DOILY Bodily Injury: COMM1e4 INJURY & PIPX'Y DAHAGR Manufacturers and $100,000.00 Contractors El $ Each Person Comprehensive General ® L1477 11-1-72 Uttti 1 $ Each Accident (Including products completed Caaee1>d operations) tR R LINKS INS* 0114 At"I>rm SINGU LIMIT III 1, Property Damage $ =JURY Y gcAOMPL +}50()s000 C. Automobile Liability: Bodily Injury IN ASTMS $ Each Person $ Each Accident Property Damage $ Each Accident Does policy cover: All owned automobiles ( � ) Yes ( ) No Non-owned automobiles ( ) Yes ( ) NO Hired automobiles ( � ) Yes ( ) No D. Additional Insured Endorsement: The insured agrees that the City of Huntington Beach and/or members of the City Council or boards or commissions and elective and oppointive officers, servant or employee of the City of Huntington Beach when acting as such, are additional ossureds hereunder. E. Hold Harmless Agreement: 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, onenis or any subcontractor arising, out of or in consequence of the performance of all operations covered by this certificate. F. Minimum Limits Required: Public Liability (Products liability, including completed operations) Bodily injury-each person $250,000.00 each accident $500,000.00 Property dar„age $100,000.00 G. Remarks: __ — - (Signepd�} SIGNATURE OF AUTHORIZED REPRESENTATIVE [ ' • RETVNN ORIGINAL •NU THREE COPIES Or ONLY CITY 09 HUNTINGTON BEACH-9 FORM c OMrLET[O CCR TIr IC AT[TOI CERTIFICATE OF INSURANCE or CERTIFICATE OF INSURANCE WILL 9[ ACCEFTM CITT Or Hl'NIINGrON BEACH TO DEPARTMENT Or PUBLIC WORKS 1.0.box 19O CITY OF HUNTINGTON BEACH,CALIFORNIA HUNTINGTON BEACH, CALIFORNIA 926.E 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 SULLY-MILLER CONTRACTING COMPANY Address of Insured 3000 East South Street, Long Beach, California 90805 Location of Insured Operations State of California Description of Operations ANY AND ALL OPERATIONS POLICY • POLICIES IN FORCE NUMBER DATE LIMITS OF LIABILITY EFFECTIVE EXPIRATION A. Workmen's Compensation Statutory Employers' Liability $ B. Public Liability: L14775 11-1-72 Until COMBINED SINGLE LIMIT, BODILY Bodily Injury: Canceled INJURY & PROPERTY DAMAGE Manufacturers and $100,000.00 Contractors $ Each Person Comprehensive General F1 L14775 11-1-72 Until $ Each Accident (Including products completed Canceled operations) EMPLOYE tSLMZXS LINES INS. CO. COMBINED SINGLE LIMIT, BODILY ,00O Property Damage $ yhAhcident C. Automobile Liability: Bodily Injury INCLUDE) IN ABOVE $ Each Person $ Each Accident ' Property Damage $ Each Accident Does policy cover: All owned automobiles ($ )Yes ( )No Non-owned automobiles (X )Yes ( )No Hired automobiles (B )Yes ( ).No D. Additional Insured Endorsement: The insured agrees that the City of Huntington Beach and/or members of the City Council or boards or commissions and elective and appointive officers, servant or employee of the City of Huntington Beach when acting as such, are additional assureds hereunder. E. Hold'Hormless Agreement: 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 operations covered by this certificate. F. Minimum Limits Required: Public Liability (Products liability, including completed operations) Bodily injury-each person $250,000.00 each accident $500,000.00 Property damage $100,000.00 G. Remarks: ( 1-Ir*sur-e..ee - - N ----.. - 8�7....�igYCbY'.YZiYIfGI�7gGt�i'O�Q3iYL1D11Y.YYA'q�...... STATE OF CALIFORNIA ss. COUNTY OF LOS ANGELES On this I- day of August 19 72 before me, a Notary Public, within and for said County and State, personally appeared Robert A Oppelt to me personally known, who being duly sworn, upon oath, did any that he is the Agent and/or Attorney-in-fact of and for the HIGHLANDS INSURANCE COMPANY, a corporation created, organized and existing under and by virtue of the laws of the State of Texas that the Corporate seal affixed to the foregoing within instrument is the seal of said Company, that the seal was affixed, and the said instrument was executed by authority of its Board of Direc- tors, and the said RObert A Oppelt did acknowledge that he executed the said instrument as the free act and deed of said Company. z,, O FILIAL SEAL (SEAL) *" �t',,�ptsp�,Pu�f�:A„ r ?_[pl_IGuALIr:ORNIA /" PRINCIPAL OFFICE IN `"r_ rP LCS A.',.GELES COUNTY 1010 My Commission ex".COrS.Ilission Expire Nov. 26, 1973 STATE OF CALIFORNIA, ss. COUNTY OF LOS ANGELES ` AUGUST 1st 19 72 ON — — before me the undersiggn�ed a Notary Public in and for said State, personally appeared .K. MacGREGOR known to me to be the PRESIDENT _ of the SULLY—MILLER CONTRACTING COMPANY the Corporation that executed the within Instrument, known to me to be the person who executed the within Instrument, on behalf of the Corporation,therein named, and acknowledged to me that such Corporation executed the same. OFFICIAL REAL WITNESS my hand and official seal. MURIEL V. SMITH NOTARY PUBLIC•CALIFOR'NIA ' LOS ANGELES COUNTY! —� my Commb> W Expires Sept. 26, 1972 Notar Public in and for said State. ACKNOWLEDGMENT—Corporation—wolcotts Form 222--Rev.3-64 — HIGHLANDS INSURANCE GJMPANY HIGHLANDS UNDERWRITERS INSURANCE CO. A CULLEN CENTER BANK BLDG. HOUSTON, TEXAS 77002 BOND NUMBER 901608-B PREMIUM: $20.00 ENCROACHMENT BOND KNOW ALL MEN BY THESE PRESENTS: That we, SULLY-MILLER CONTRACTING COMPANY, 3000 East South Street, Long Beach, California, (hereinafter called Principal), as Principal, and HIGHLANDS INSURANCE COMPANY, a corporation organized and doing business under and by virtue of the laws of the State of Texas, and duly licensed for the purpose of making, guaranteeing or becoming sole surety upon bonds or undertakings required or authorized by the laws of the State of California, (hereinafter called Surety), as Surety, are held and firmly bound unto the CITY OF HUNTINGTON BEACH, DIRECTOR OF PUBLIC WORKS, (hereinafter called Obligee), as Obligee, in the just and full sum of TWO THOUSAND AND N0/100 DOLLARS ($2,000.00) lawful money of the United States of America, for the payment of which, well and truly to be made, we hereby bind ourselves and our and each of our successors and assigns, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION ARE SUCH THAT, WHEREAS, Principal is required to file surety bond of $2,000.00 conditioned to guarantee the repair or replacement of any public streets or bridges or other property which may be damaged as a result of applicant moving or having upon public streets, any overload. NOW, THEREFORE, if Principal shall fully comply with provisions as set out in Article 618; S.6189.2, then this obligation to be null and void. The term of this bond is One (1) year from the date hereof. IN WITNESS WHEREOF, said Principal and said Surety have caused these presents to be duly signed and sealed this 1st day of August, 1972. SULLY-MILLER CONTRACTING COMPANY BY: R. K. M XREGOR - P t'5�1 AT HIGHLANDS INSURANCE C A BY: ?� Rob t 'A. Oppelt, Attor - -Fact V B1025 7/71 SULLY-MILLER 3000 EAST SOUTH STREET/P.O.BOX 5399/LONG BEACH,CALIFORNIA 90805/(213) 531-3550 (213) 774-0714 CONTRACTING CO. August 1, 1972 City of Huntington Beach Director of Public Works P.O. Box 190 Huntington Beach, California 92648 Re: Encroachment Bond No: 901608-B Gentlemen: For your consideration enclosed please find a Continuation Certificate for the Encroachment Bond for the period of August 1, 1972 to August 1, 1973. Very truly yours, SULLY-MILLER CONTRACTING COMPANY /Y� I � Michele Drakulich Insurance Department MD Enclosure RECEIVED off'•©ft'OUSUC WQRKS AU G 21972 Crw ow H GENERAL ENGINEERING CONTRACTOR SINCE 1923 ASPHALT & ROCK PRODUCTS MANUFACTURER RETURN ORDINAL AND THREE COPIED OF ,•ALY CITY OF HUNTINGTON BEACH'S FORM COMPLETED CERTIFICATE Tot CERTIFICATE OF INSURANCE OF CERTIFICATE OF INSURANCE WILL BE ACCEPTED. CITY OF HUNTINGTON BEACH - TO DEPARTMENT OF PUBLIC WORKS P.O. Box Ito CITY OF HUNTINGTON BEACH, CALIFORNIA HUNTINGTON BEACH, CALIFORNIA 92945 A MU141CIPAL CORPORATION This is to certify that the policies of insurance as described below have been issuedto 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 SULLY-MILLER CONTRACTING COMPANY Address of Insured 3000 East South Street, Long Beach, California 90805 Location of Insured Operations state of California Description of Operations ANY AND ALL OPERATIONS POLICIES IN FORCE POLICY DATE LIMITS OF LIABILITY NUMBER EFFECTIVE EXPIRATION A. Workmen's Compensation Statutory Employers' Liability $ B. Public Liability: 3 '' COMINED SINGL LIMIT BODILY 84740SA( ) 11/1/69 11/1/72 � � PROP DIt11Z1AGB Bodily Injury: 10 ,000.00 Manufacturers and Contractors $ Each Person Comprehensive General® 840028 11/1/69 11/1/72 $ Each Accident (including products completed MQUI IUR 'SURPLUS LIKES INS. C . COMBINED SINGLE LIMIT, BODILY operations) .00 Property Damage $ Each Accident C. Automobile Liability: Bodily Injury INCLUDE] IN ABOVE $ 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 Endorsemenfi: The insured agrees that the City of Huntington Beach and/or members of the City Council or boards or commissions and elective and appointive officers, servant or employee of the City of Huntington Beach when acting as such, are additional asslrreds hereunder. E. Hold'Harmless Agreement: The insured agrees to protect, defend, indemoifr 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 arisir#out of or in consequence of the performance of all operations covered by this certificate. F. Minimum Limits Required: Public Liability (Products liability, including completed operations) Bodily injury-each.person $250,000.00,`. each accident 00,000.00, -Property damage V00,000.00 G. Remarks: wepyloco BURP I 8 INS. CO. ABTDIA CASUALTY & SURETY CO. AETNA CASUALTY 6 SURETY CO. (Signed) URANC OMPANY OF CALIFORNIA w By s NATURE Q UTHORIZED REPRESENTATIVE y 4 r RITM16 0111eIaAL AND 110k♦ 400 OF CIOLT CITY OF NIIBTINISTeN SCACn•s FORM CBM►LsraB COTIPfCATa T"1 CERTIFICATE OF INSURANCE _ Of' Cu1TWICATS or INBUAANCC WILL Bs ACCEFTae. CITY of NUNTIeeteN ssACM To aaPABTMaIIT or PUBLIC Wa %$ P.O.Wes Ise CITY OF HUNTINGTON BEACH,CALIFORNIA NUMTIMIT" e4CM. C"1"21MA ea"s 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 the" policies are cancelled or changed in such a manner that will off act 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 SULLY-MILLER CONTRACTING COMPANY Address of Insured 3000 Bast South Street, Long Beach, California 90805 Location of Insured Operations State of California Description of Operations ANY AND-AM O�gHS POLICIES IN FORCE POLICY DATE LIMITS OF LIABILITY NUM11ER EFF CTIVE EXPIRATION A. Workman's Compensation Statutory Employers' Liability $ B. Public Liability: 33AL- COMBINED SINGLE LIMIT BODILY 84740SR( ) 11/1/69 11/1/72lOQ 008 Bodily Injury: , .00 Manufacturers and Contractors 0 ;-Each Person o Cmpn,henaive e ; Each Accident Goner ® E-60028 ll/1/69 ll/1/72 (Including products completed EMPLOYER 'SURPLUS LINES INS. CC. COMBINED SINGLE-LIMIT, BODILY operations) .00 Proporty Damage $ Each Accident C. Automobile Liability: ' Bodily Injury INCLUDE IN ABOVE $ Each Person Each Accident Property Damage $ Each Accident Does policy cover: All owned automobiles ( X )Yes ( )No Non-owned automobiles ( X )Yoe ( )No Hired automobiles ( X )Yes ( )No_ 0. Additional Insured Endorsement: The insured agrees that the City of Huntington Beach and/or members of the City Council or.boards or commissions and elective and'oppointive officers, servant or employee of the City of Huntington Beach when acting as such,are additional assureds hereunder. E. Hold Harmless Agroement: 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, *game or any subtoirt►octor arisingr out of or in consequence of the performance of all operations covered by this certificate. F. Minimum Limits Required: Public Liability (Products liability, including completed operations) Bodily Injury-each person $250,000.00 each accident $500,000.00 Property damage $100,000.00 0. Remarks: EMPLOYERS' SURPLUS LINES INS. CO. AETNA CASUALTY & SURETY CO. S*"12 III BY AETNA CASUALTY & SURETY CO. (Signed) INSURANC6.COMPANY By- MA & M- t�r V-41� OF CALIFORNIA $IONA-ru RE Of AUTHORIZED REPRESEN't ATIVE Mr-IIOP , Ixc. uni AO"n e Of CALORMIA MIA CERTIFICATE OF INSURANCE (2�_Q cc TO: CITY OF HUNTINGTON BEACH o 9 ? CITY HALL, CIVIC CENTER C� HUNTINGTON BEACH, CALIFORNIA THIS IS TO CERTIFY that the following insurance policies have been issued to UNION OIL COMPANY OF CALIFORNIA and its subsidiary SULLY-MILLER CONTRACTING COMPANY and that said contracts of insurance, subject to their respective terms and conditions, afford Bodily Injury, Property Damage Liability and Blanket Contractual Liability for all operations, including Automobiles, owned, hired or used. AETNA CASUALTY AND SURETY COMPANY COMBINED SINGLE LIMIT BODILY INJURY POLICY NO. 33AL 84740 SR(Y) AND PROPERTY DAMAGE, EACH ACCIDENT OR -OCCURRENCE - $ 100,000.00 Term: November 1, 1969 to November 1, 1972 MARSH & McLENNAN, INC. OF CALIFORNIA By Agent EMPLOYERS' SURPLUS LINES INSURANCE COMPANY COMBINED SINGLE LIMIT BODILY INJURY POLICY NO. E-60028 AND PROPERTY DAMAGE, EACH ACCIDENT OR OCCURRENCE - $ 900,000.00 Term: November 1, 1969 to EXCESS OF - - - $ 100,000.00 November 1, 1972 SAYRE & TOSO INC. By Agent AW In the event of cancellation of the above contracts of insurance, the Underwriters will give not less than ten (10) days advance notice by mail to the party or parties to whom this certificate is issued at the address stated herein which shall be sufficient proof of notice. ADDITIONAL INSURED: The party or parties to whom this Certificate of Insurance is' issued is/are DMV covered as Insureds) under the terms of the contracts of insurance described above. If so covered, the insurance with respect to such party or parties is subject to all of the terms and conditions of said contracts of insurance, and to the special conditions, if any, stated below. SPECIAL CONDITIONS: Applicable as respects all operations performed for the certificate holder by Sully-Miller Contracting Company. Dated: October 24, 1969 LOS ANGELES, CALIFORNIA 4 ; ,A J.. . ., . 8 & MLIFORWA �c union 0•CA IIfOR NIA 3 CERTIFICATE OF INSURANCE TO: an W 1- in nil a&%= e` U14 fa Yi� 7tA THIS IS TO CERTIFY that the following insurance policies have been issued to UNION OIL COMPANY OF CALIFORNIA and its subsidiary NILL?• SOMM 3I M aampm ,and that said contracts of insurance, subject to their respective terms and conditions, afford Bodily Injury, Property Damage Liability and Blanket Contractual Liability for all operations, including Automobiles, owned, hired or used. AETNA CASUALTY AND SURETY COMPANY COMBINED SINGLE LIMIT BODILY INJURY POLICY NO. 33AL 84740 SR(Y) AND PROPERTY DAMAGE, EACH ACCIDENT OR OCCURRENCE - $ 1O©0 00,00 Term: November 1, 1969 to November 1, 1972 MARSH & McLENNAN, INC. OF CALIFORNIA By l � �. Agent EMPLOYERS' SURPLUS LINES INSURANCE; COMPANY COMBINED SINGLE LIMIT BODILY INJURY POLICY NO. E-60028 AND PROPERTY DAMAGE, EACH ACCIDENT OR OCCURRENCE - $ "69MG.00 Term: November 1, 1969 to EXCESS OF - - - $ 1O09MG.0O November 1, 1972 SAYRE & TOSO INC. By Agent In the event of cancellation of the above contracts of insurance, the Underwriters will give not less than ten (10) days advance notice by mail to the party or parties to whom this certificate is issued at the address stated herein which shall be sufficient proof of notice. ADDITIONAL INSURED: The party or parties to whom this Certificate of Insurance is issued is/are 9W covered as Insured(s) under the terms of the contracts of insurance described above. If so covered, the insurance with respect to such party or parties is subject to all of the terms and conditions of said contracts of insurance, and to the special conditions, if any, stated below. SPECIAL CONDITIONS: , ftU*4*&* ay ryep,Ma all epsatLaw pertonud dw the N!!�ili �rliils Y� lu11�•1lL21ar l�is'i�cfii�O �r. Dated: @sue 1 LOS ANGELES, CALII�OR G I LOS ANGELES �'r/ M I ' "g) "'Ne. NEW YORK SAN FRANCISCO B05TON OAKLAND OF CALIFORNIA BUFFALO PORTLAND ROCHESTER SEATTLE SOUTHERN DIVISION SYRACUSE PHOENIX PHILADELPHIA SAN DIEGO PITTSBURGH S POKANE I N S U RAN C E AT LANTA JUNEAU _ MON7REAL CHICAG0 ETROIO 3663 WEST SIXTH STREET WINNIPTORONTO D ETROIT WINNIPEG KALAMAZOO CALGARY C LEVELAND DOS ANGELES,CALIFORNIA 90005 EDMONTON INDIANAPOLIS VANCOUVER MINNEAPOLIS TELEPHONE 381-8"2 WINDSOR ST. PAUL OUEBEC DULUTH MILWAUKEE LONDON 5U. LOUIS October 15, 1969 ROMESELS TLSA NEW ORLEANS CARACAS RICHMOND SAD PAULO M IAMI MELBOURNE CHARLESTON City of Huntington Beach 5YDNEY City Hall Civic Center Huntington Beach, California SULLY-MILLER CONTRACTING COMPANY UNION OIL COMPANY OF CALIFORNIA AND SUBSIDIARIES COMPREHENSIVE GENERAL LIABILITY INSURANCE Gentlemen: As a holder of a Certificate of Insurance evidencing coverage for Comprehensive General Liability, including Automobile and Contractual Liability, we the insurance brokers for Union Oil Company of California and their subsidiaries wish to advise that the renewals of these policies are now in process. li Pending receipt of the new policies, please accept this letter as our commitment of intent to renew this insurance effective j November 1, 1969, subject to the same terms and conditions as the expiring policies. The Certificate you now hold will be renewed bearing the same limits and Special Conditions as soon as the new policy numbers are issued. We thank you for your cooperation. I Sincerely yours, RUSSEL D. JOHNSON RDJ DRS:NG LOS ANGELES Y-kRan JA M_Lw, * NAN,) 7-m. NEW YORK SAN FRANCISCO BOSTON OAKLAND OF CALIFORNIA BUFFALO PORTLAND ROCHESTER SEATTLE SOUTHERN DIVISION SYRACUSE PHOENIX PHILADELPHIA SAN DIEGO PITTSBURGH SPOKANE INS UIiANC E ATLANTA JUNEAU _ MONTREAL CHICAGO 3663 WEST SIXTH STREET TO DETROIT WI RONTO D ETROINNIPEG KALAMAZOO CALGARY C LEVELAND LDS ANGELES,CALIPORNLA. 90005 E0MONTON INDIANAPOLIS VANCOUVER MINNEAPOLIS TELEPHONE 381-8882 WINDSOR ST. PAUL OLIEBEC DULUTH LONDON MILWAUKEE BRUSSELS TULLOUIS October 16, 1969 ROME W ORLEANS /� C SA NEW RICHMOND City of Huntington Beach MELBOU PAULO M IAMI RNE CHARLESTON Huntington Beach, California SY DNEY UNION OIL COMPANY OF CALIFORNIA AND SUBSIDIARIES COMPREHENSIVE GENERAL LIABILITY INSURANCE Gentlemen: As a holder of a Certificate of Insurance evidencing coverage for Comprehensive General Liability, including Automobile and Contractual Liability, we the insurance brokers for Union Oil Company of California and their subsidiaries wish to advise that the renewals of these policies are now in process. Pending receipt of the new policies, please accept this letter as our commitment of intent to renew this insurance effective November 1, 1969, subject to the same terms and conditions as the expiring policies. The Certificate you now hold will be renewed bearing the same limits and Special Conditions as soon as the new policy numbers are issued. We thank you for your cooperation. Sincerely yours, RUSSEL D. JOHNS RDJ DRS:NG CERTIFICATE OF INSURANCE - G TO: City of Huntington Bead., City Hall . Civic Center j -Huntington Beach, Calif. i THIS IS TO CERTIFY that the following insurance policies have been issued to UNION OIL COMPANY OF CALIFORNIA and its wholly owned subsidiary SULLY-MILLER CONTRACTING COMPANY i and that said contract of insurance, subject to its respective terms and conditions, affords Bodily Injury and Property Damage Liability insurance for all operations , including the ownership, maintenance or use of automobiles, AETNA CASUALTY & SURETY COi PAi2\1Y COMBINED SINGLE LIMIT TERM POLICY NO. 33AL 75127SR(Y) BODILY INJURY AND PROPERTY October 1, 1968 to DAMAGE, Each Accident or November 1, 1969 1 Occurrence - $50,000.00 MARSH & McLE2NAV, IN C. i of California ByY�c-� !� ,: G'LCL �d� Agent UNDERWRITERS AT LLOYD'S AND/OR $950,000.00 Excess of TERM INSURANCE COMPANIES THROUGH SWETT & 50,000.00 October 1, 1968 to CRAWFORD November 1, 1969 CERTIFICATES NOS. 41830 AND 104798 SWET; ,i RAW�-0RD By ADDITIONAL INSURED: The party or parties to whom this Certificate" of insurance is issued is/ ,7X covered as Insureds) under the terms of the contract of insurance described above. If so covered, the insurance with respect to such party or parties is subject to all of the terms and conditions of said contract of insurance and to the special conditions i` M,y, stated below. SPECIAL CONDITIONS: Applicable as respects all operations performed for the certificate holder by Sully- Miller Contracting Company. In the event of cancellation of the above contract of insurance, the underwriters will give not less than thirty (30) days advance notice by mail to the party or parties to whom this certificate is issued at the address stated herein. The mailing of such notice as afore- said, shall be sufficient proof of notice. DATED:_Septe.-:ber 24, 1968 _ Los Angeles, California #125 CERTIFICATE OF INSURANCE Leatherby Insurance Service, Inc. L S 218 East Commonwealth Avenue Box 568 Fullerton, California 1 LA 6.4603 OW 1-0718 SYMBOL OF SERVICE NAMED SULLY—MILLER CONTRACTING COMPANY INSURED 3000 East South Street Long Beach, California CERTIFICATE City of Huntington Beach ISSUED TO Engineering Department Huntington Beach, California THIS IS TO CERTIFY that the INDUSTRIAL INDEMNITY COMPANY & HARBOR INSURANCE COMPANY has issued, to the insured named herein, policies of'insurance which provide, subject to the provisions, conditions and limitations contained therein, and during their effective period, coverage as described below: KIND OF INSURANCE POLICY NUMBER POLICY PERIOD LIMITS OF LIABILITY COMPENSATION CR 316835 EFF 10/1/65 STATUTORY CALIFORNIA COMPENSATION- WORKMEN'S COMPENSATION EXP 10/1/66 LIABILITY BODILY INJURY LIABILITY- LG 7S3SOO AUTOMOBILE $5,000,000 EBODILY INJURY XCEPT AUTOMOBILE LIABILITY- and EFF 10/1/64 Combined Single Limit of Liability — per occurrence PROPERTY DAMAGE LIABILITY- 102268 10/1/67 Including completed operations AUTOMOBILE EXP PROPERTY DAMAGE LIABILITY- EXCEPT AUTOMOBILE AUTOMOBILE PHYSICAL DAMAGE COMPREHENSIVE EFF = FIRE, LIGHTNING 3 TRANSPORTATION s THEFT EXP S COLLISION OR UPSET ACV LESS S DEDUCTIBLE LOSS PAYABLE TO REMARKS COVERAGE INCLUDES BLANKET CONTRACTUAL This policy shall not be canceled nor materially reduced in coverage until after 30 days written notice of such can- celation or reduction in coverage shall have been mailed to this certificate holder. CEATHERBY INSURANCE SERVICE, INC. DATE September 9, 1965 BY AUTHORIZED REPRESENTATIVE At"- Y CER`1FICATE OF Leatherby Insurance Service, Inc. L I S INSURANCE 218 East Commonwealth Avenue Box 568 Fullerton, California LA 64603 OW 1-0718 SYMBOL OF SERVICE NAMED SULLY—MILLER CONTRACTING COMPANY INSURED 3000 EAST SOUTH STREET • LONG BEACH, CALIFORNIA CERTIFICATE CITY OF HUNTINGTON BEACH ISSUED TO POST OFFICE BOX 190 HUNTINGTON BEACH, CALIFORNIA 92648 — Attn: PAUL JONES, CITY CLERK THIS IS TO CERTIFY that the INDUSTRIAL INDEMNITY COMPANY & HARBOR INSURANCE COMPANY has issued, to the insured named herein, policies of insurance which provide, subject to the provisions, conditions and limitations contained therein, and during their effective period, coverage as described below: KIND OF INSURANCE POLICY NUMBER POLICY PERIOD LIMITS OF LIABILITY COMPENSATION CR 753340 EFF 10/1/64 STATUTORY CALIFORNIA COMPENSATION- WORKMEN'S COMPENSATION !XP LIABILITY BODILY INJURY LIABILITY- AUTOMOBILE LG 753500 $1,000,000. BODILY INJURY EXCEPT AUTOMOBILE LIABILITY- and EFF 10/1/64 Combined Single Limit of Liability — per occurrence wu°oMo LEAMAGE LIABILITY-- 102268 ExP 10/1/65 Including completed operations PROPERTY DAMAGE LIABILITY- EXCEPT AUTOMOBILE AUTOMOBILE PHYSICAL DAMAGE COMPREHENSIVE EFF s FIRE. LIGHTNING Q TRANSPORTATION $ THEFT EXP i COLLISION OR UPSET ACV LESS S DEDUCTIBLE LOSS PAYABLE TO REMARKS CITY OF HUNTINGTON BEACH NAMED AS ADDITIONAL INSURED PER COPY OF ENDORSEMENTS ATTACHED. COVERAGE INCLUDES BLANKET CONTRACTUAL RECONSTURCTION, SURFACING AND IMPROVEMENTS OF BOLSA AVENUE, McFADDEN STREET AND SPRINGDALE, CITY OF HUNTINGTON BEACH, CALIFORNIA. This polity shall not be canceled nor materially reduced in coverage until after 30 days written notice of such can- celation or reduction in coverage shall have been mailed to this certificate holder. DATE February 5. 1965 LEATHERBY INSURANCE SERVICE, INC. BY SM Job 81062 AUT ORIZED RE RESENTATIVE . ENDORSEMENT ADDITIONAL INSURED IT IS AGREED THAT SUCH INSURANCE AS IS AFFORDED BY THE POLICY FOR BODILY INJURY AND FOR PROPERTY DAMAGE LIABILITY APPLIES, SUBJECT TO THE FOLLOWING PROVISIONS: 1. THE UNQUALIFIED WORD "INSURED" ALSO INCLUDES CITY OF HUNTINGTON BEACH BUT ONLY WITH RESPECT TO WORK PERFORMED BY THE NAMED INSURED IN CONNECTION WITH THE FOLLOWING DESCRIBED OPERATIONS: RECONSTRUCTION, SURFACING AND IMPROV$1lWS OF BOLSA AVENUE KcFADDEN STREET AND SPRINGDALE SM Job #81062 2. THE INSURANCE WITH RESPECT TO SAID PERSON OR ORGANIZATION DOES NOT APPLY: A) TO LIABILITY ASSUMED BY SAID PERSON OR ORGANIZATION UNDER ANY CONTRACT OR AGREEMENT. B) TO ANY ACT OR OMISSION OF SAID PERSON OR ORGANIZATION OR ANY OF HIS EMPLOYEES, OTHER THAN GENERAL SUPERVISION OF WORK PERFORMED BY THE NAMED INSURED. C) TO OPERATIONS WHICH HAVE BEEN COMPLETED OR ABANDONED BY THE NAMED INSURED. ADDITIONAL PREMIUM AT AUDIT BI PD Rate Code 0514 - per $100,contract cost .026 .015 Estimated Contract Cost $109,107.00 All other terms and conditions of this policy remain unchanged. This endorsement is hereby made a part of policy No. LG 753500 issued to SULLY-RLLER CONTRACTING COMPANY ET AL Endorsement No. 48 INDUSTRIAL INDEMNITY COMPANY LEATH5. 1UY I l-1YIJ I ,� . � Effective February 6, 1965 BY AUTHORIZED REFRESENTATIVF.0' - FORM IX005 ®f ENDORSEMENT NO. 29 ADDITIONAL INTEREST ENDORSEMENT 1. It is agreed that the insurance afforded by this Policy applies severally as to each Assured except that the inclusion of more than one Assured shall not operate to increase the limit of the Company liability; and the inclusion here- under of any person or organization as an Assured shall not affect any right which such person or organization would have as a claimant if not so included. 2. It is further agreed that CITY OY MWINC'TON I3zAcH,, CAL IXIA (additional interest) is recognized as additional Assured under the Policy but only as respects claims covered by the Policy and resulting from operations performed# r by SIB►Y—XUJJ R, COMACTINC CELANT (additional interest) by or for (named Assured) The effective date of this Endorsement isirobnary 6, 196-5 All other Terms and Conditions remain unchanged. This Endorsement is attached to and made a part of Policy No. 102268 Issued to:-, 80IL1Y-4M= CWVACTT 3 COMPANY Broker: LZATIEW INSOWCB SB$YICI , INC. Date of Issue: , HARBOR INSURANC COMPANY .2/611615 By � y AUTHORIZED REPRESENTATIVE HC 6055-CFS (ED. 11.63) 5M (6.64) INDUSTRIAL INDEMNITY COMPANY CERTIFICATE ,�. (A STOCK COM4,_,,4Y) —r OF NAMED e HOME OFFICE SAN cNCISCO INSURANCE INSURED SULLY-MILLER CONTRACTING COMPANY 3000 SOUTH STREET LONG BEACH, CALIFORNIA CERTIFICATE CERTIFICATE ISSUED TO CITY OF HUNT I NGTON BEACH ISSUED BY . INDUSTRIAL INDEMNITY COMPANY P. 0. BOX 190 3745 LONG BEACH BLVD. HUNT I NGTON BEACH, CALIFORNIA LONG BEAC1�`;`rCAL I FORN I A arr srwre Effective any loss under Physical Damage Coverage is payable as interests may appear to the Named Insured and the Lienholder named below in accordance with Loss Payable Endorsement(49A)on reverse side. LIENHOLDER . As respects the following described outomobile(s): YEAR TRADE NAME BODY TYPE AND MODEL SERIAL NUMBER INDUSTRIAL INDEMNITY COMPANY has issued coverage effective as of the dates and for the periods and limits specified below and subject to all terms, conditions, provisions, exclusions and limitations of the described Binders or Policies whether shown by endorsement or otherwise. KIND OF INSURANCE POLICY NUMBER POLICY PERIOD LIMITS OF .LIABILITY COMPENSATION EFII ID-1— 3 COMPENSATION— WORKMEN'S COMPENSATION CR 752644 EXJO- 1 —64 EMPLOYER 5 L ALBIUTY�A$2000,000 PER OCCURRENCE COMPENSATION EFf STATUTORY COMPENSATION STATES) OF WORKMEN'S COMPENSATION EXP EMPLOYER'S LIABILITY—$ PER OCCURRENCE LIABILITY EACH PERSON EACH ACCIDENT BODILY INJURY-LIABILITY— AUTOMOBILE $ $ BODILY INJURY LIABILITY— EACH PERSON EACH ACCIDENT EXCEPT AUTOMOBILE EfF $ $ PROPERTY DAMAGE LIABILITY— EACH,ACCIDENT AUTOMOBILE EXP $ PROPERTY DAMAGE LIABILITY— EACH ACCIDENT AGGREGATE EXCEPT AUTOMOBILE $ $ AUTOMOBILE PHYSICAL DAMAGE COMPREHENSIVE EFF $' FIRE,LIGHTNING&TRANSPORTATION $ THEFT (BROAD FORM) EXP $ COLLISION OR UPSET ACTUAL CASH VALUE LESS$ DEDUCTIBLE GLASS EFF REPLACEMENT COST PER EXP SCHEDULE FILED WITH COMPANY INLAND MARINE EFF EXP $ EFF EXP $- REMARKS;' This policy shall not be canceled nor reduced in coverage until after 10 days written notice of such cancelation or reduction in coverage shall have been mailed to this certificate holder. Certified this 27TH day of SEPTEMBER i9 63 INDUSTRIAL INDEMNITY COMPANY Producer LEATHERBY INS. SERVICE INC. IX031-R3 (1-69) 6 DC Authorized Representative I 49 A ',0TOK4GBfLE LOSS PAYABLE With respect to the interest`oflthe Lien-Holder indicated on-,the Certificate of Insurance its successors and assigns, (hereinafter called the Lien- Holder), in its capacity as'cond•itional Vendor or Morfgagee'or otherwise, in the property insured under this policy, this company hereby agrees as follows: I. Loss or damage, if any,fo the property described in this policy shall be payable firstly tpp the Lien-Holder and secondly to the insured, as their interests may appear, provided "nevertheless that upon demand by the Lien-Holder updn.the company for separate settlement the amount of said Toss shall be paid directly to the Lien-Holder to the extent of its interest and the balance, if any, shall be payable to the insured. 2. The insurance under this policy as to the interest only of the Lien-Holder shall not be impaired in any way by any change in the title or owner ship of the property or by any breach of warranty or condition of the policy, or by any omission or neglect, or by the performance of any act its violation of any terms or conditions of the policy or because of the failure to perform any act required by the terms or conditions of the policy - or�b'ecause of the subjection of the property to any conditions, use or operation not permitted by-the policy or because of any false statement concerning this policy or the subject thereof, by the insured or the insured's employees, agents or representatives; whether occurring before or after the attachment of this agreement, or whether before or after the loss; PROVIDED, however, that the wrongful conversion, embezzle- ment or secretion by the Purchaser. Mortgagor, or Lessee in possession of the insured property under mortgage, conditional sale, contract, lease agreement, or other contract is not covered under this policy unless specifically insured against and premium paid therefor.-' 3. In"the event of failure of the insured to pay any premium or additional premium which shall be or Become due under the terms of this policy, this company agrees to-give written notice to the-Lien-Holder of such non-payment of premium after sixty (60) days from and within one hundrel and twenty (120) days after due date of.such premium and it is a condition of the continuance'of'the,rights of the Lien._Holder hereunder that the Lien-Holder when so notified in writing by this company'of the failure of the insured to pay such premium sha41 pay or cause to be paid the premium due within ten (10) days following receipt of the company's demand in writing therefor. If=the Lien-Holder shall decline to pay said premium or additional premium, the rights of the Lien-Holder under this Automobile Loss.Poya6le Endorsement-shallnot be terminated before ten (10) days after receipt of said written notice by the Lien-Holder. 4. If the company elects to,cancel this policy in whole or in part for non-payment of premium, or for any other reason, the company will forward a copy of the cancellation notice to the Lien-Holder at its office specified hereinafter concurrently with the sending of notice to the insured but"in such-case this policy shall continue in force for the benefit of the Lien-Holder only for ten (10) days after written notice of such can- cellation is received by the Lien-Holder. In no event, as to the interest only of-the Lien-Holder, shall cancellation of any insurance under this policy covering the,property described in the policy be effected at the request of the insured before ten (10) days after written notice of request for cancellation shall have been .given to the Lien-Holder by the company. In the event of cancellation of this policy the unearned premium shall be paid to the Lien-Holder, provided the said Lien-Holder has advanced the premium. S. If there be any other insurance upon the within-described property, this company shall be liable under this policy as to the Lien-Holder only for the proportion of such loss or damage that the sum hereby insured bears to the whole amount of valid and collectible insurance of similar char- acter on said property under policies held by, payable to and expressly consented to by the LienlHolder, and to the extent of payments so made this company shall be subrogated (pro rata with all other insurers contributing to said payment)"to all of the Lien-Holder's rights of contri- bution under said other insurance. 6. Whenever this company shall pay to the Lien-Holder any sum for loss or damage under Ali policy and shall claim that as to the insured no liability therefor exists, this company at its option, may pay to the Lien-Holder the whole principal sum and interest due or to become due from tha,-insured,on the,obligation secured by the property insured under this policy, (with refund of all interest not accrued), and this company shall thereupon receive a full assignment and transfer, without recourse, of said obligation and the security held as collateral thereto; but no sub- ro"tion-shall impair the right of the Lien-Holder to recover the"full amount of its claim. . 7. The coverage granted under this policy shall continue in full force and effect as to the interest of the Lien-Holder only, for a period of ten (1`0) days after expiration of said policy unless an acceptable.policy_in renewal thereof with -loss thereunder. payable to the Lien-Holder in accord- ance with the terms of this Automobile Loss Payatle ndQrsement shall(h` M btger'Sssued by some insurance company and accep"ted'by the Lien- Holder. In the event of a loss not otherwise covered during time extended,tQnl W )• days period herein referred to, an annual policy covering the same hazards to the property insured under the original policy shall be'issued and Kccepted by the Lien-Holder and Mortgagor. S. Should the ownership and right of possession of any of the property covered under this policy become vested in the Lieri:Holder or its agent, this policy shall continue for the term thereof for the benefit of the Lien-Holder (with all incidents of ownership of the policy) but, in such event. Paragraphs two (2'), five (5) and six'(6) of this Automobile Loss Payable Endorsement shall no. longer apply; provided, nevertheless, all privi- leges and endorsements which, by reason of the printed conditions of this policy, are or may be{necessary to maintain the validity of the contract are hereby granted for a period of thirty (30) days and all notices likewise required to be given to the company,by the insured are hereby waived for a period of thirty (30) days with the exception of requirements applying at the time of or subsequent to a loss. 9. All notices herein provided to be given by the Company to the Lien-Holder in connection with this policy and this Automobile Loss Payable Endorsement shall be mailed to or delivered to the Lien-Holder at its office or branch as indicated on the Certificate of Insurance. All other terms and conditions of this policy remain unchanged. This endorsement is hereby made a part of the policy number indicated on the Certificate of Insurance. INDUSTRIAL INDENTNITY COMPANY � A INDUSTRIAL INDEMNITY COMrANY CERTIFICATE *, .� (A STOCK CON 4Y) OF NAMED , HOME OFFICE SAN FRANCISCO INSURANCE INSURED STILLY-MILLER CONTRACTING COMPANY 3000 :ATM STREET LONG BEACH,, CAL L F NI A CERTIFICATE CERTIFICATE ISSUED TO ISSUED BY INDU T E CO PANY C I TY 1 'I NGTON BEACH 31 1� I BLwoo �`Pyy P. 0♦�py�B x I" (�_y �pyy `6 LAB BEMW;ET C14L#FORN I A • i f T t NGT BEACH, CAU FORNt A � CITY STATE Effective any loss under Physical Damage Coverage is payable as interests may appear to the Named Insured and the Lienholder named below in accordance with Loss Payable Endorsement(49A)on reverse side. LIENHOLDER . As respects the following described automobile(s): YEAR TRADE NAME BODY TYPE AND MODEL SERIAL NUMBER INDUSTRIAL IND188MNITY COMPANY has issued coverage effective as of the dates and for the periods and limits specified below and subject to all terms, conditions, provisions, exclusions and limitations of the described Binders or Policies whether shown by endorsement or otherwise. KIND OF INSURANCE POLICY NUMBER POLICY PERIOD LIMITS OF LIABILITY COMPENSATION ap EF** - "N' ON— WORKMEN'S COMPENSATION CR 75260 EXIF� IS STATUTORY EMPLOYER S LIABILITY— 2,000,000 000 00 PER OCCURRENCE COMPENSATION EFF STATUTORY COMPENSATION STATE(S) OF WORKMEN'S COMPENSATION EXP EMPLOYER'S LIABILITY—$ PER OCCURRENCE LIABILITY EACH PERSON- EACH ACCIDENT BODILY.-INJURY LIABJL)TY- AUTOMOBILE $ $ BODILY INJURY LIABILITY— EACH PERSON EACH ACCIDENT EXCEPT AUTOMOBILE EFF $ $ EACH ACCIDENT PROPERTY DAMAGE LIABILITY— AUTOMOB I LE EXP $ PROPERTY DAMAGE LIABILITY— EACH'ACCIDENT AGGREGATE EXCEPT AUTOMOBILE $ AUTOMOBILE PHYSICAL DAMAGE COMPREHENSIVE EFF $ FIRE,LIGHTNING&TRANSPORTATION $ THEFT (BROAD FORM) EXP $ COLLISION OR UPSET ACTUAL CASH VALUE LESS $ DEDUCTIBLE GLASS EFF REPLACEMENT COST PER EXP SCHEDULE FILED WITH COMPANY INLAND MARINE EFF EXP $ EFF EXP $ REMARKS: This policy shall not be canceled nor reduced in coverage until after to days written notice of such cancelation or reduction in coverage shall have been mailed to this certificate holder. Certified this 17TH day ofUPT,041ft 19 INDUSTRIAL INDEMNITY COMPANY Producer LEATNERRY INS. SERVI-CE t KC. ay Authorized Representative 1X031-R3 (1-63) 49 A AUTOMOBILE LOSS PAYABLE With respect to the interest of the Lien-Holder indicated on the Certificate of Insurance its successors and assigns, (hereinafter called the Lien- Holder), in its capacity as conditional Vendor or Mortgagee or otherwise, in the property insured under this policy, this company hereby agrees as follows: I. Loss or damae, if any to the property described in this policy shall be payable firstly to the Lien-Holder and secondly to the insured, as their interests may appea�, provided'nevertheless that upon demand by We Lien-Holder upo1 the company for separate'settlement the amount of said loss shall be paid to the Lien-Holder to the extent of its interest and the balance, if any, shall be payable to the insured. 2. The insurance under this policy as to the interest only of the Lien-Holder shall not be impaired in any way by any change in the title or owner- ship of the property or by any breach of warranty or condition of the policy, or by any omission or neglect, or by the performance of any act in violation of any terms or conditions of the policy or because of the failure to perform any act required by the terms or conditions of the policy or tocause of the subjection of the property to any conditions, use or operation not permitted by the policy or because of any false statement concerning this policy or the subject thereof, by the insured or thl insured's erriployees-, agents or representafives; whether occurring before or after the attachment of this agreement, or whether before or after the loss; PROVIDED, however, that the wrongful conversion, embezzle- ment or secretion by the Purchaser. Mortgagor, or Lessee in possession of the insured property under mortgage, conditional sale, contract, lease agreement, or other contract is not covered under this policy uatless specifically insured against and premium paid therefor. 3. In the event of failure of the insured to pay any premium or additional premium which shall be or become due under the terms of this policy, this company agrees to give written notice to the Lien-Holder of such non-payment of premium after sixty (60) days from and within one hundred and twenty (120) days after due date of such premium and it is a condition of the.continuance,of the rights of the Lien-Holder hereunder that the Lien-Holder when so notified in writing by this company of the failure of the insured to pay such premium shall pay or cause to be paid the premium due within ten (10) days following.-receipt of the company's demand in writing therefor. If the Lien-Holder shall Aecline to pay said premium or additional premium, the rights of the Lien-Holder under this Automobile Loss Payable Endorsement shall not be terminated before ten (10) days after receipt of said written; notice by.the Lien-Holder. 4. If the company elects to cancel this policy in whole or in part for non-payment of;premium, or for any.other reason, the company will forward a 'copy of the'cancellation notice to the Lien-Holder at its office specified hereinafter concurrently with the sending of notice to the insured but ig such case this policy shall continue in force for the benefit of the Lien-Holder only for ten (10) days after written notice of such can- cellation is received by the Lien-Holder. In no event, as to the'inferest only of,the Lien-Holder, shall cancellation of any insurance under this policy,covering the,prpperfy described in the policy be effected at the request of the insured before ten (10) days after written notice of request for cancellation shell 'hale'Mien given to the Lien-Holder by..the company. In the event of cancellation of this policy.the unearned premium shalt 6.e paid to the Vien-Holder, provided the said Lien-Holder has advanced the premium. 5. If there be any other insurance upon the within-described property, this company shall be lia6te-under flit's policy as to the Lien-Holder only for the proportion of such loss or damage that'the sum hereby insured bears to the whole amount of valid and collectible insurance of similar char. acter.on said property,under 'policies held Iby, payable to and expressly consented to by the Lien-Holder, and to the extent of payments so made this company shall be subrogated (pro rate with all other insurers contributing to said payment) to all of the Lien-Holder's rights of contri- bution under said other insurance. 6. Whenever this company shall pay to the Lien-Holder any sum for loss or damage under this policy otd shall claim that as to'the insured no liability therefor exists, this company at its option, may pay to the Lien-Holder the whole principal sum and interest due or to become due from the insureclton,the o6ii<gatiian secured by the property insured under this policy, (with refund of all interest not accrued), and this company shall ,thereupon receive a full assignment and transfer, without recourse, of said obligation and the security held as collateral thereto; but'no sub- rogatjon shall impair the.right of the Lien-Holder to recover the full amount of its'claim..., 7. The coverage granted under this policy shall continue in full force and effect as to the interest.of the Lien-Holder only,tfor a period of ten (10) days after'expiration of said policy unless an acceptable policy in renewal thereof with loss thereunder payable to the Lien-Holder in accord- ance with the terms of fliis Automobile Lost Payable Endorsement shall have-Been'issued by some insurance company and accepted by the Lien- Holder. In the event of a loss not otherwise covered during th'e extended ten.(10) days period herein referred to, an annual policy covering the same hazards to the property insured underthe original policy shall be issued,and'accepted by the Lien-Holder and Mortgagor. 8. Should the ownership and.right of possession of any of the property covered under this policy become vested in the Lien-Holder or its agent, this policy shall continue for the term,th is reof for the benefit of the Lien-Holder (with all incidents of ownership of the policy) but, in such event, Paragraphs two-(2), five (5) and six (6),.of this Automobile Loss Payable Endorsement shall no longer apply; provided, nevertheless, all privi. Ieges and 'endorsements which,.by reason of the printed conditions of this policy, are or may be necessary to maintain the validity of the contract are hereby granted for a"period,of thirty t30) days and all notices likewise required to be given to the company by the insured are hereby waived for a period of thirty (30) days with the exception of requirements applying at the time of or subsequent to a loss. 9. All notices herein provided to be given by the Company to the Lien-Holder in connection with this policy and this Automobile Loss Payable Endorsement shall be mailed to or delivered to the Lien-Holder at its office or branch as indicated on the Certificate of Insurance. All other terms and conditions of this policy remain unchanged. This endorsement is hereby made a part of the policy number indicated on the Certificate of Insurance. INDUSTRIAL INDEMNITY COMPANY tgo LIS Leatherby Insurance Service, Inc. Symbol of Service Certificate of Insurance THIS IS TO CERTIFY that the Industrial Indemnity and Harbor Insurance company has issued, to the insured named herein, policies of insurance which provide, subject to the provisions, conditions and limitations contained therein, and during their effective period, coverage as described below: Name of Insured SULLY - MILLER CONTRACTING COMPANY Address 3000 EAST SOUTH STREET LONG BEACH, CAI XFORNIA TYPE OF POLICY POLICY NUMBER POLICY DATES LIMITS Workmen's Compensation I STATUTORY Bodily Injury Liability Industrial LG752773 2 2 63-2 2 66 100, 000. Each Perso,i Not Automobile 100, 000. Each Acci3ent 100, 000. Aggregate Harbor 0083 2 2 6 -2 2 6 z-_.. Property Damage Liability Industrial LG752773 2/2/63-2/2/66 100, 000. Each Person Not Automobile 100, 000. Each Accident 100, 000. Aggregate Automobile Bodily Injury Industrial LG752773 2 f 2163-2/2/66 100, 000. Each Person Liability 100, 000. Each Accideni Harbor 100833 2 2 63-2 2 66 900, 000. Excess Automobile Property Damage Industrial LG752773 2/2/63-2/2/66 100, 000. Each Accideni Liability (Harbor 100833 2./2,63-2/2/66 goo-Am- Excess_ Automobile Physical Damage Collision $ Deductible. Comprehensive ❑ Fire and Theft Combined Additional Coverage F) Description of Auto Year and Make Capacity I Identification No. In the event of material change or cancellation of any of said policies, written notice thereof will be given by regular mail to CTTY OF HtTNT'TNMC)N BEACH P.O. Box 190 at _ Huntington Beach,. California at whose request this certificate is given, but the Industrial Indemnity and Harbor Insurance Company shall not be liable for failure to give such notice, or for any error.It is herein agreed that this policy will not be cancelled or materially altered until after the expiration of ten (10) days written advance notice to the certificate holder. Countersigned Date may29t-h; 1962 LEATHERPY I '�JZ' ^� u�^ r, `'C. i \ ij , ei1'tv� ..'J lt,� LC Authorized R!epreseritativ ENDORSEMENT "-J` ADDITIONAL INSURED IT IS AGREED THAT SUCH INSURANCE AS IS AFFORDED BY TILTS POLICY ALSO APPLIES TO: CITY OF HUNTINGTOIN BEACH P.O. BOX 190 RUNTINGTON BFACR, CALIFORNIA AS ADDITIONAL NAMED INSU 'S-SUBJECT TO THE FOLLOWING PROVIS IONS: 1. THE UNQUALIFIED WORD "INSURED" WAEREVER USED IN THE POLICY ALSO INCLUDES THE PERSON OR ORGANIZATION NAMED ABOVE, BUT ONLY WITH RESPECT TO: LIABILITY ARISING OUT OF OPERATIOlte OF THE ORIGINAL NAMED INSURED. 2. THE INSURANCE WITH RESPECT TO SAID PERSON OR ORGANIZATION D= NOT APPLY TO BODILY INJURY TO OP SICKNESS, DISEASE OR t3 TN OF ANY EMPLOYEES OF SAID PERSON OR. ORGANIZATION WE= ENGAGED IN THE EMPLOYMENT THEREOF. 3. THE INCLUSION UREIN OF SAID PERSON OR ORGANIZATION AS AN ADDITIONAL INSURED SHALL NOT OsPERA.TI$ TO INCREASE THE COMPANY'S LIABILITY AS SET FOWM ELSEWHERE IN THIS POLICY AMW THE AMOUNT OR AMOUNTS FOR WR.ICH THE COMPANY WOULD HAVE BEEN LIABLE IF -ONLY ONE PERSON OR INTEREST HAD BEEN NAMED AS INSURED. 4. IT IS FURTHER UNDERSTOOD AND AGREED THAT NOTICE OF CANCELLATION FAILED TO TUB INSURED NAMED IN ITEM I OF THE POLICY AS PROVIDED IN THE POLICY WLL BE DREMED NOTICE TO ALL ADDITIONAL INSUREDS' IN THIS ENDORSVQXT. All other terms and conditions of this policy remain unchanged. This endorsement is hereby made a part of policy No.LG 752773 issued to SULLY—MILLER CONTRACTING CO. , T'T AL Endorsement No. INDUSTRIAL INDEMNITY COMPANY LEA�IcRBY I'�RANCE SERVICE, IN Effective By By �c ------------ E * AUTHORIZED FIEP ESENTATIVE. ��' rY. FORM IX005 - Of I ENDORSEMENT NO. 23 ADDITIONAL INTEREST ENDORSEMENT 1. It is agreed that the insurance afforded by this Certificate applies severally as to each Assured except that the inclusion of more than one Assured shall not operate to increase the limit of the Underwriters liability;. and the inclusion hereunder of any person or organization as an Assured shall not affect any right which such person or organization would have as a claimant if not so included. 2. It is further agreed that CIS OF IIIIINTIIMOTON )HIJACK Y.O. Am Ito w4atinstaft Reek, Ci Aiylii (additional interest) is recognized as additional Assured under the Certificate but only as respects claims covered by the Certificate AS RIP= TO WMK II*IIERlOIII M BY $8tn-mI.t-.1RB CMIA +CTM COMM. (additional interest) by or for (named Assured) The effective date of this Endorsement is )AY 29, 1%3 All other Terms and Conditions remain unchanged. This Endorsement is attached to and made a part of Certificate No. I0013 Issued to: S LLY-NILUM ,C01111TIRACTOG CGWAXT, RT AL Broker: LUNY IlW"tI UWX 9MV=, 1K. MUOQ I19SURANCB COMFANy Date of Issue: 5l29/63 By: SWETT & CRAWFORD U-5565 CFS (ED 11-31) 1014 2-63 STATE COMPENSATION INSURANCE FUND EXECUTIVE OFFICES SAN FRANCISCO I LOS ANGELES BRANCH OFFICE • 600 SO. LAFAYETTE PARK PLACE • LOS ANGELES 54 August 17, 1962 City of Huntington Beach CERTIFICATE OF WORKMEN'S P. 0 Box 190 Huntington Beach, California COMPENSATION INSURANCE • Attention: City Clerk Policy No. 199540-61 Policy Period : 10-1-61/62 THIS IS TO CERTIFY that we have issued a valid Workmen's Compensation Insurance Policy in a form approved by the Insurance Commissioner to the Employer named below for the policy period indicated. This Policy is not subject to cancellation by the Fund except upon ten days' advance written notice to the Employer. We will also give you TEN days' advance notice should this Policy be cancelled prior to its normal expiration. By Branch Manager Employer SULLY—MILLER CONTRACTING COMPANY 3000' East South Street Long Beach 5, California FORM 262 L. A. hi STATE COMPENSATION INSURANCE FUND EXECUTIVE OFFICES SAN FRANCISCO 1 LOS ANGELES BRANCH OFFICE • 600 SO. LAFAYETTE PARK PLACE • LOS ANGELES 54 May 28, 1962 City of Huntington Beach CERTIFICATE OF WORKMEN'S City Hall Huntington Beach, California COMPENSATION INSURANCE Attention: Paul C . Jones Policy No. 199540-61 Policy Period : 10-1-61/62 THIS IS TO CERTIFY that we have issued a valid Workmen's Compensation Insurance Policy in a form approved by the Insurance Commissioner to the Employer named below for the policy period indicated. This Policy is not subject to cancellation by the Fund except upon ten days' advance written notice to the Employer. We will also give you TEN days' advance notice should this Policy be cancelled prior to its normal expiration. By Z4-041� �� Branch Manager Employer SULLY-MILLER CONTRACTING COMPANY 3000 East South Street Long Beach 5, California FORM 262 L. A bl CERTIFICATE OF INSURANCE .UNITED...STATES .FIRE INSURANCE ......COMPANY Effective.........................MAY 28, 1962 .......... .......................................................................................... THIS IS TO CERTIFY TO...........CITY...OF...HUNTINGTON...BEACH.................................................................................................................................................. (Name of Cerlfi o der) of.............._CITY HALL, HUNTINGTON BEACH? CALIFOMIA ......... .................... ..............PAUL C. JONES ..... (Address of Certificate-holder) that on the above date the following described insurance policies, issued by this Company, are in full force and effect: DESCRIPTIVE SCHEDULE Name of Insured.............SULLY-.MILLE.R.. CONTRACTING ....................................................................................................................................................................... ........ ... ...................................................................................................................................................................................................................................-.......................................................... Address of Insured........3000 East South. _Street, Long Beach, California ..................................................................... ............................................................................................................................................................................................................................................................................................................................ LocationCovered....._.............................................................................................U.......S......A................................................................................................................................................ Description of Location or Operations Covered......................AL.L OPERATIONS ....................................................................................................................................................... .................................................................................................................................................................................................................................................................................................................. ...................... .............................................................................................................................................................................................................................................................................................. ......................................................................................................................................................................................................................................_..................................................................................... Types of Insurance: Name of Coverage Policy Effective Expiration Limits of Number Date Date Liability Workmen's Compensation Statutory Public Liability—Bodily Injury (Not Auto) CAG 481339 11/19/60 11/19/63 $ 500,000 each person S 500,000 each accident Public Liability—Property Damage(Not Auto) CAG 481339 11/19/60 11/19/63 $ 50,000 each accident S 50,000 aggregate Contractors'Protective—Bodily Injury CAG 481339 11/19/60 11/19/63 $ 500,000 each person $ 500,000 each accident Contractors'Protective—Property Damage CAG 481339 11/19/60 11/19/63 $ 50,000 each accident = 503,000 aggregate Automobile—Bodily Injury CAG 481339 11/19/60 11/19/63 $ 500,000 each person $ 500,000 each accident Automobile—kroperty Damage CAG 481339 11/19/60 11/19/63 $ 500,000 each accident AauQWV It is herein agreed that this policy will not be cancelled or materially altered until after the expiration of ten (10) days written advance notice to the certificate holder. Plate Glass Should any of the above described policies be cancelled before the normal expiration date thereof, the Company will endeavor to give written notice to the above Named Certificate-holder, but failure to give such notice shall impose no obligation or liability of any kind upon the Company. UNITED STATE° I SURAN COMPANY . ................. ................ .................... . ............... ............................. ... By.... _. ................. ............. .. ....,.... ..... . . . .................................... ordon M. Dougherty Authorize Represe►ltative FM. 103.00.4 (Agent to send Company One Duplicate Copy for each Policy listed hereon) A 60S ANGELES SAN FRANCISCO SEATTLE MEMORANDUM OF INSURANCE Arranged By APPLETON & COX OF CALIFORNIA, INC. This is to certify to: CITY OF HUNTINGTON BEACH CITY HALL HUNTINGTON BEACH, CALIFORNIA ATTENTION: PAUL C. JONES that the following described insurance is in force at this date with Underwriters at Lloyd's, London, and/or Companies for the following named Assured: SULLY-MILLER CONTRACTING COMPANY 3000 East South Street Long Beach, California TYPE OF INSURANCE POLICY NO. EXPIRATION AMOUNT OF LIMITS PM 37424 11/19/63 $ EXCESS BODILY INJURY AND PROPERTY DAMAGE TO PROVIDE $ COMBINED SINGLE LIMIT OF $1,000,000.00 The issuance of this Memorandum of Insurance is for information only and shall not be construed as any amendment or extension of the poiicy(ies) above described. Any amendment, change or extension of such policy0es) can only be effected by specific endorsement attached thereto. Should the above mentioned a le d during the above named policy period in such manner at to affect th ra m f California, Inc., will endeavor to give 5 days written notice to the abo d d f M m, but failure to give such notice shall impose no obligation of any kit o oaf a i ornia, Inc., or the Underwriters. impose no obligation of any kit It is herein agreed that this policy will not be cancelled or materially altered until after the expiration of ten (10) days written advance notice to the certificate holder. Dated: APPLETON & COX OF CALIFORNIA, INC. —— - MAY 2 8 ------ --- ---- ------19.62...- By- 4or�o__nM. ugherty 00-S-31 B zoM-s-ss-K CERTIFICATE OF INSURANCE UNITED STATES FIRE INSURANCE ..........................................................................................................................I......I.....................................COW& Effective....................Aq9Rqt l7.i 1262.................................................. THIS IS TO CERTIFY TO HUNTINGTON BEACH ........................................................................................................................................................................ of.._._._._._._BOX 19.9.1. HUNTINGTON BEACH.- CALIFORNIA (Name of Certificate-holder) ........... ...........*** *............................. (Add'eve of Certificate-hol4er) that on the above date the following described policies, issued by this Company, are in full force and effect: DESCRIPTIVE SCHEDULE Name of insured..............HLLY-MILTZR CONTRACTING .COMPANY ............................................................................................................................................................................................................................................................ ................... ... ............................................................................................................................................................................................................................................................................................... Address of Insured 3Q�Qq East S.qut.h S.tr.ee.t.......Long Aeaqh.2 C.alifo.rnla................................................................................................ ....................................................................................................................................................................................................................................................................................................I........................ LocationCovered.._._._._._._....................................................................................U........S........A.................................................................................................................................................. Description of Location or Operations Covered.._._._.......... A.LL OPERATIONS. ......................................................................................................................... ......... ..... . .. .. ......................I..............................................................................................................................................................................................................................................I..................................................... ............................................................................................................................................................................................................................................................................................................................ ............................................................................................................................................................................................................................................................................................................................ Types of Insurance: Name of Coverage Policy Effective Expiration Limits Of Number Date Date Liability Workmen's Compensation Statutory Public Liability—Bodily Nury(Not Auto) CAG 481339 11/19/60 11/19/63 $ 500,000 each person $ 5002000 each accident Public Liability—Property Damage(Not Auto) CAG 481339 11/19/60 11/19/63 S 50,000 each accident $ 50,000 aggregate Contractors'Protective—Bodily Injury CAG 481339 11/19/60 11/19/63 $ 500,000 each person $ 500,000 each accident Contractors'Protective—Property Damage CAG 481339 11/19/60 11/19/63 $ 50,000 each accident $ 50,,000 aggregate Automobile—Bodily Injury CAG 481339 11/19/60 11/19/63 $ 500,000 each person S 5002000 each accident Automobile—kroperty Damage CAG 481339 11/19/60 11/19/63 $ 500)000 each accident )8040M It is herein agreed that this policv will not be cancelled or materially altered unt�l after the expiration of ten (10) days written advance notice to the certificate holder. Plate Glow Should any of the,above described policies be cancelled before the normal expiration date thereof, the Company will endeavor to give written notice to the above Named Certificate-holder, but failure to give suc otice shall impose no obligation or liability of any kind upon the Company. UNITED S AT FIRE I ANCE .......................... ..T44T FIRE ............................ .... ............I........... ...... ANY -7 By ... ... .. .... ........... ................. ........... .. ......................... .. ..................... Gordon M. Dougherty f1r rorized esentative IrM. 103-OO.A (Agent to send Company One Duplicate Copy for each Policy listed h CERTIFICATE OF INSURANCE UNITED -STATES .FIRE INSURANCE................................................................COMPANY Effective.................... ...1 ... +�63.............................................................. THIS IS TO CERTIFY TO...O..M..!�s...0 ... .. ..100................................................................................................................ !� C�i� (Name of Certificate holder) of ...............................................................................................................................................N.... .....................1.............................................................................................................................................................................................................. (Addmu of Certificate-holder) that on the above date the following described insurance policies, issued by this Company, are in full force and effect: DESCRIPTIVE SCHEDULE Name of insured.............SULLY-.KLLE.R.... ONTRACTING COWANY ............ ................................................................................................................................................................................... .................. . ... ............................................................................................................................................................................................................................................................................................... Address of Insured.._._._3000 East South Street.....Long Beach. .California ............................................................................................................................................................................................................................................_.........................................................................:...... LocationCovered................................................................................................U........5.....A................................................................................................................................................ Description of Location or Operations Covered......................AL.L OPERATIONS ...................................................................................................................................................... ........................................................................................................................................................................................................................................................................................................................... . ............................. ............................................................................................................................................................................................................................................................................................... ......................................................................................................................................................................................................................................_...................................................................................... Types of Insurance: Name of Coverage Policy Effective Expiration Limits of Number Date Date Liability Workmen's Compensation statutory Public Liability—Bodily Injury(Not Auto) CAG 481339 11/19/60 11/19/63 t 500,000 each person j 500,000 each accident Public Liability—Property Damage(Not Auto) CAG 481339 11/19/60 11/19/63 $ 50,000 each accident $ 50,000 aggregate Contractors'Protective—Bodily Injury $ 500,000 each person CAG 481339 11/19/60 11/19/63 500,000: each accident Contractors'Protective—Property Damage CAG 481339 11/19/60 11/19/63 $ 50,000 each accident i 50,000 aggregate Automobile—Bodily Injury CAG 481339 11/19/60 11/19/63 $ 500,000 each person $ 500,000 each accident Automobile—Property Damage $ 500,000 each accident CAG 481339 11/19/60 11/19/63 c It is herein agreed that this policy will not be cancelled or materially altered until after the expiration of ten (10) days written advance notice to the certificate holder. Plate Glaaa Should any of the above described policies be cancelled before the normal expiration date thereof, theompany will endeavor to give written notice to the above Named Certificate-holder, but failure to give such notice 11 impose no obligation or liability of any kind upon the Company. UNITED STATE IRE INSURAN CO B _._._. ................. ...... ....... ....... ......... ... ............... ... ............. ...... Gordan M. Dougherty Author a Represent t e FM. ics.00.• (Agent to send Company One Duplicate Copy for each Policy listed hereon) LOS ANGELES SAN FRrANCISCO SEATTLE MEMORANDUM OF INSURANCE Arranged By APPLETON & COX OF CALIFORNIA, INC. This is to certify to: CITY CLERK CITY OF HUNTINGTON BEACH Box 190 HUNTINGTON BEACH CALIPORNIA that the following described insurance is in force at this date with Underwriters at Lloyd's, London, and/or Companies for the following named Assured: SULLY-MILLER CONTRACTING COMPANY 3000 East South Street Long Beach, California TYPE OF INSURANCE POLICY NO. EXPIRATION AMOUNT OF LIMITS PM 37424 11/19/63 $ _ EXCESS BODILY INJURY AND PROPERTY DAMAGE TO PROVIDE $ COMBINED SINGLE LIMIT OF $1,000,000.00 The issuance of this Memorandum of Insurance is for information only and shall not be construed as any amendment or extension of the policy(ies) above described. Any amendment, change or extension of such policy(ies) can only be effected by specific endorsement attached thereto. Should the above mentionedA;6 a le �,d during the above named policy period in such manner at to affect thra malifornia, Inc., will endeavor to give 5 days written notice to the abo d d fM , but failure to give such notice shall impose no obligation of any ki A o 0 of o i ornia, Inc., or the Underwriters. It is herein agreed that this policy will not be cancelled or materially altered until after the expiration of ten (10) days written advance notice to the certificate holder. Dated: APPLETON & COX OF CALIFORNIA, IN ---August-17------ - --- ----19- 62- - -- ordon M. Dougherty 00-5-31 8 20M-9•59•K 0 LOS ANGELES SAN FKANCISCO SEATTLE MEMORANDUM OF INSURANCE Arranged By APPLETON & COX OF CALIFORNIA, INC. This is to certify to: l -- that the following described insurance is in force at this date with Underwriters at Lloyd's, London, and/or Companies for the following named Assured: SULLY-MILLER CONTRACTING COMPANY 3000 East South Street _ Long Beach, California TYPE OF INSURANCE POLICY NO. EXPIRATION AMOUNT OF LIMITS PM 37424 11/19/63 $ EXCESS BODILY INJURY AND PROPERTY DAMAGE TO PROVIDE $ COMBINED SINGLE LIMIT OF $1,000,000.00 The issuance of this Memorandum of Insurance is for information only and shall not be construed as any amendment or extension of the policy(ies) above described. Any amendment, change or extension of such policy(ies) can only be effected by specific endorsement attached thereto. Should the above mentionedlk6 a le d during the above named policy period in such manner at to affect tr m California, Inc., will endeavor to give 5 days written notice to the a d d Iva m, but failure to give such notice shall impose no obligation of any A of a i ornia, Inc., or the Underwriters. It is herein agreed that this policy will not be cancelled or materially altered until after the expiration of ten (10) days written advance notice to the certificate holder. Dated: APPLETON & COX OF CALIFORNIA, INC. --- _ ----- --- - - -19._- B -— Gordon M. Dougherty 00-S-31 B 2oN-9.89-K 0