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Home My WebLink AboutEvidence of Property Insurance if (9r:,9:h4r4je)I ROBERT F. DRIVER ASSOCIATES • COMPLETE INSURANCE BOND SERVICE • a Division of Robert F.Driver Co.,Inc. ASSOCIATES July 31, 1996 Countywide Public Financing Authority do City of Santa Ana 20 Civic Center Plaza Santa Ana, California 92701 Stone& Youngberg LLC 4350 La Jolla Village Drive, Suite 840 San Diego, California 92122 MBIA Insurance Corporation 113 King Street New York,New York 10504 U.S. Trust Company of California,N.A. 515 South Flower Street, Suite 2700 Los Angeles, California 90071 RE: $27.725.000 Countywide Public Financing Authority 1996 Revenue Bonds Ladies and Gentlemen: We act as the insurance agent for the City of Brea(the "City"), and as such, are familiar with the City's insurance coverage for public liability and property damage insurance, fire and extended coverage insurance, and rental interruption insurance covering the Leased Premises as defined and described in that certain Lease Agreement, dated as of July 1, 1996 (the"Lease Agreement"), by and between the Countywide Public Financing Authority and the City, which includes coverage with: A. Property Insurance Allendale Mutual Insurance Company B. Liability Insurance self insured via pooling through Joint Powers Authority Insurance Company of the State of Pennsylvania 4041 MACARTHUR BLVD.,SUITE 300,P.O.BOX 6450,NEWPORT BEACH, CALIFORNIA 92658-6450 (714) 756-0271 • FAX(714) 756-2713 • LIC.#0084379 Countywide Public Financing Authority Stone& Youngberg LLC MBIA Insurance Corporation U.S. Trust Company of California,N.A. July 31, 1996 Page 2 We have reviewed and are familiar with the provisions of Sections 5.3, 5.4 and 5.5 of the Lease Agreement and have compared the coverage provided by the City's existing insurance policies, or the availability thereof (and the City's existing self-insurance coverage, if any) with the provisions of the Lease Agreement and certify that the City's insurance meets the minimum requirements set forth in the Lease Agreement, Very truly yours, ,cf�C/% .--- Sharon W.Nash t Executive Vice President SWN/stb Enc. 2 E ° g. , ® ® £+; � N'r ® Rar4 ISSUE DATE(MM/DDM') • -7„. ' �,.- h • �, x � t c ter, 7/26/96 THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. IODUCER COMPANY I OBERT F. DRIVER ASSOCIATES Allendale Mutual Insurance Company 4041 MacArthur Blvd., Ste. 300 Newport Beach, CA 92660-2511 (714) 756-0271 CODE SUB-CODE INSURED LOAN NUMBER POLICY NUMBER CITY OF BREA UA544 BREA REDEVELOPMENT AGENCY AND BREA EFFECTIVE DATE(MM/DD/YY) EXPIRATION DATE(MAMMY) CONT.UNTIL PUBLIC FINANCING AUTHORITY 07/01/96 07/01/97 IFERMINATED D ❑ NUMBER ONE CIVIC CENTER CIRCLE THIS REPLACES PRIOR EVIDENCE DATED: BREA, CA 92621 • 0SRT LINFOF O LOCATION 1 DESCRIPTION LEASE AGREEMENT DATED AS OF JULY 1, 1996 ON BREA FIRE STATION#3 LOCATED AT 400 N. KRAEMER BLVD., BREA, CA(COVERAGE INCLUDES REAL PROPERTY AND RENTAL INTERRUPTION INSURANCE).COVERAGE/PERILS/FORMS AMOUNT OF INSURANCE DEDUCTIBLE "ALL-RISK" SUBJECT TO POLICY TERMS,CONDITIONS AND EXCLUSIONS. $68,655,000 $50,000* FLOOD IS INCLUDED. EARTHQUAKE IS EXCLUDED** ** EARTHQUAKE ITEMS APPLY ONLY IF COVERAGE IS DESIGNATED AS "INCLUDED"ABOVE. * 15% DEDUCTIBLE OF THE REPLACEMENT VALUE OF THE PROPERTY INSURED IS APPLICABLE TO EARTHQUAKE. 0IXRKkoweitio4fi peola` .. _ _. _._ THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS,AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THEr POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW 30 DAYS WRITTEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW. t• Q "c} G;Ar°J-: -"f— ,'i^ saA`?3', *'a`ift; ' ` ,...-w.;+"E t%-.i�."#�at`,; ' *- NAME AND ADDRES _ NATURE OF INTEREST U.S. TRUST COMPANY OF CALIFORNIA, N.A. MORTGAGEE ADDITIONAL INSURED ATTN: CORPORATE TRUST DEPT. 515 S. FLOWER ST., SUITE 2700 I OS ANGELES, CA 90071 x LOSS PAYEE • ( • S.F. FORM - Form 438BFU NS feet: (Rev. May I. 1942)X -- ---- -- -.--- ._-__LENDER'S.LOSS-PAYABLE ENDORSEMENT 1. Loss or damage,ii any, under this policy, shall be paid to the Payee named on the first page of this policy, its successors and assigns. hereinafter referred to as "the Lender in whatever form or capacity its interests may appear and whether said interest be vested in said Lender in its individual or in its disclosed or undisclosed fiduciary or representative capacity, or otherwise, or vested in a nominee or trustee of said Lender. Z. The insurance under this policy, or any rider or endorsement attached thereto, as to the interest only of the Lender, its succes- sors and assigns, shall not be invalidated nor suspended: (a) by any error, omission, or change respecting the ownership, description. possession,or location of the subject of the insurance or the interest therein.or the title thereto; t h) by the commencement of foreclosure proceedings or the giving of notice of sale of any of the property covered by this policy by virtue of any mortgage or trust deed; (c) by any breach of warranty,act,omission.neglect,or non-compliance with any of the provisions of this policy, including any and all riders now or hereafter attached thereto: by the named insured, the borrnwer. mortgagor, trustor. vendee. owner, tenant. warehouseman. cus- todian.occupant.or by the agents of either or any of them or by the happening of any event permitted by them or either of them,or their agents.or which they failed to prevent, whether occurring before or after the attachment of this endorsement,or whether before car alter a loss. which under the provisions of this policy of insurance or of any rider or endorsement attached thereto would invalidate or sus- pend the insurance as to the named insured, excluding herefrom. however, any acts or omissions of the Lender while exercising active control and management of the property. 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 or on account of any change in occupancy or increase in hazard not permitted by this policy. this Company agrees to give wntten notice to the Lender 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 Lender hereunder that the Lender 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 Lender shall decline to pay said premium or additional premium,the rights of the Lender under this Lender's Loss Payable Endorsement shall not be terminated before ten (10) days after receipt of said written notice by the Lender. 4. Whenever this Company shall pay to the Lender any sum for loss or damage under this policy and shall claim that as to the insured no liability therefor exists, this Company, at its option. may pay to the Lender the whole principal sum and interest and other indebtedness due or to become due from the insured, whether secured or unsecured. Iwith refund of all interest not accrued), and this Company, to the extent of such payment,shall thereupon receive a full assignment and transfer, without recourse. of the debt and all rights and securities held as collateral thereto. 5. If there be any other insurance upon the within described property,this Company shall be liable under this policy as to the,eender for the proportion of such loss or damage that the sum hereby insured bears to the entire insurance of similar character on said property under policies held by,payable to and expressly consented to by the Lender. Any Contribution Clause included in any Fallen Building Clause Waiver or any Extended Coverage Endorsement attached to this contract of insurance is hereby nullified,and also any Contribu- tion Clause in any other endorsement or rider attached to this contract of insurance is hereby nullified except Contribution Clauses for the compliance with which the insured has received reduction in the rate charged or has received extension of the coverage to include hazards other than fire and compliance with such Contribution Clause is made a part of the consideration for insuring such other hazards. The Lender upon the payment to it of the full amount of its claim, will subrogate this Company (pro rata with all other insurers con- tributing to said payment) to all of the Lender's rights of contribution under said other insurance. 6. This Company reserves the right to cancel this policy at any time, as provided by its terms. but in such case this policy shall continue in force for the benefit of the Lender for ten (10) days after written notice of such cancellation is received by the Lender and shall then cease. 7. This policy shall remain in full force and effect as to the interest of the Lender for a period of ten (10) days alter its expiration unless an acceptable policy in renewal thereof with loss thereunder payable to the Lender in accordance with the terms of this Lender's Loss Payable Endorsement shall have been issued by some insurance company and accepted by the Lender. 8. Should legal title to and beneficial ownership of any of the property covered under this policy become vested in the Lender or its agents. insurance under this policy shall continue for the term thereof for the benefit of the Lender but, in such event, any privileges granted by this Lender's Loss Payable Endorsement which are not also granted the insured under-the terms and conditions of this policy and/or under other riders or endorsements attached thereto shall not apply to the insurance hereunder as respects such property. 9. All notices herein provided to be given by the Company to the Lender in connection with this policy and this Lender's Loss Payable Endorsement shall be mailed to or delivered to the Lender at its office or branch described on the first page of the policy. Approved: Board of Fire Underwriters of the Pacific. California Bankers' Association. Committee on Insurance. .rvie 7/26/96 a d { ram' ",�..- ISSUE DATE(MMIDDIW) THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. RODUCER COMPANY .tOBERT F. DRIVER ASSOCIATES Allendale Mutual Insurance Company 4041 MacArthur Blvd., Ste. 300 Newport Beach, CA 92660-2511 (714) 756-0271 CODE SUB-CODE • INSURED LOAN NUMBER POLICY NUMBER CITY OF BREA UA544 BREA REDEVELOPMENT AGENCY AND BREA EFFECTIVE DATE(MM/DOIYY) EXPIRATION DATE(MM/DO/TY) CONT.UNTIL PUBLIC FINANCING AUTHORITY 07/01/96 07/01/97 IFERMINATDD � NUMBER ONE CIVIC CENTER CIRCLE THIS REPLACES PRIOR EVIDENCE DATED: BREA, CA 92621 OPE 7Y. N ORMA710N -- LOCATION/DESCRIPTION �` w LEASE AGREEMENT DATED AS OF JULY 1, 1996 ON BREA FIRE STATION#3 LOCATED AT 400 N. KRAEMER BLVD., BREA, CA(COVERAGE INCLUDES REAL PROPERTY AND RENTAL INTERRUPTION INSURANCE). .:RAG .E .. .... COVERAGEIPERILSIFORMS AMOUNT OF INSURANCE DEDUCTIBLE "ALL-RISK" SUBJECT TO POLICY TERMS,CONDITIONS AND EXCLUSIONS. $68,655,000 $50,000* FLOOD IS INCLUDED. EARTHQUAKE IS EXCLUDED** ** EARTHQUAKE ITEMS APPLY ONLY IF COVERAGE IS DESIGNATED AS "INCLUDED"ABOVE. * 15% DEDUCTIBLE OF THE REPLACEMENT VALUE OF THE PROPERTY INSURED IS APPLICABLE TO EARTHQUAKE. fG It 0 THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS,AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW 30 DAYS WRITTEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW. DU I ''al ,ER NAME AND ADDRESS NATURE OF INTEREST MBIA INSURANCE CORPORATION I MORTGAGEE X ADDITIONAL INSURED ATTN: INSURED PORTFOLIO MANAGEMENT 113 KING ST. ARMONK, NY 10504 LOSS PAYEE I I (OTHER)_ SIGNATURE OF HO ZED AGENT FC PANY • ADDITIONAL INSURED ENDORSEMENT IT IS UNDERSTOOD AND AGREED THAT THE CERTIFICATE HOLDER SHOWN ON THE ATTACHED CERTIFICATE OF INSURANCE IS ADDED AS AN ADDITIONAL INSURED AS RESPECTS THE INTEREST SHOWN ON THE CERTIFICATE. EVIDENCE OF CONTRACT OF POOLED SELF-INSURANCE ISSUE DATE 7/26/96 ROBERT F. DRIVER ASSOCIATES THIS EVIDENCE OF CONTRACT IS ISSUED AS A MATTER f.O. BOX 6450 OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON CWPORT BEACH, CA 92658-6450 THE HOLDER. THIS DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE CONTRACT (714)756-0271 DESCRIBED BELOW. COVERAGE AFFORDED BY * INSURED ORANGE COUNTY CITIES RISK MANAGEMENT AUTHORITY AND LETTER A: INDIVIDUAL CITY'S SELF-INSURED RETENTION MEMBER AGENCY OF: CITY OF BREA LETTER B: "Orange County Cities Risk Management Authority,A Public #1 CIVIC CENTER CIRCLE Agency." BREA, CA 92621 MEMBER AGENCY OF THE ORANGE COUNTY CITIES RISK MANAGEMENT AUTHORITY COVERAGE PER CA.GOVERNMENT CODE SECTION 990.4(a), 990.8(c) THIS IS TO CERTIFY THAT THE PARTY NAMED ABOVE HAS ENTERED INTO A CONTRACT OF POOLED SELF- INSURANCE AS LISTED BELOW FOR CONTRACT PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EVIDENCE OF SELF-INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE COVERAGE AFFORDED BY SELF-INSURANCE CONTRACT DESCRIBED HERE IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF THE CONTRACT OF SELF-INSURANCE. CONTRACT CONTRACT CONTRACT LIABILITY LIMITS IN THOUSANDS LTR TYPE OF COVERAGE NUMBER EFFECTIVE EXPIRATION EACH AGGREGATE DATE DATE OCCURRENCE A GENERAL AND AUTOMOBILE SELF INSURED LIABILITY 7/1/96 7/1/97 BI&PD 250, N/A COMBINED PERSONAL INJURY $ INCL. B EXCESS LIABILITY`" OCC0010 7/1/96 7/1/97 BI&PD 1, 750 , $20, 000, COMBINED ** THE ABOVE NOTED CONTRACT OF SELF-INSURANCE IS A CLAIMS-MADE CONTRACT DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/SPECIAL ITEMS LEASE AGREEMENT DATED AS OF JULY 1, 1996 ON BREA FIRE STATION #3 LOCATED AT 400 N. KRAEMER BLVD. , BREA, CA. OL """THE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID LOSSES HOLDER CANCELLATION COUNTYWIDE PUBLIC FINANCING SHOULD ANY OF THE ABOVE DESCRIBED CONTRACTS BE CANCELLED BEFORE THE AUTHORITY AND THEIR RESPECTIVE EXPIRATION DATE THEREOF,THE RISK MANAGEMENT AUTHORITY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE HOLDER NAMED HEREON BUT FAILURE TO MAIL MEMBERS, OFFICERS, EMPLOYEES AND SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE RISK ASSIGNS MANAGEMENT AUTHORITY,OR ITS REPRESENTATIVES. ATTN: EXECUTIVE DIRECTOR AUTHORIZ SIGNATURE 20 CIVIC CENTER PLAZA ( j[S.) SANTA ANA, CA 92701 • This endorsement forms a part of the Contract of Pooled Self Insurance to which it is attached, effective on the inception date of the Contract of Pooled Self Insurance unless otherwise stated herein. Endorsement effective July 1, 1996 Endorsement No. BR-10 CONTRACT OF POOLED SELF INSURANCE NO. OCC0010 Named Insured: ORANGE COUNTY CITIES RISK MANAGEM AUTHORITY Q J Countersigned ( uthoriz Representative) CITY OF BREA This endorsement modified such insurance as is afforded by the provisions of the Contract of Pooled. Self Insurance relating to the following: MUNICIPAL LIABILITY As authorized by California Government Code Section 990.4 (a) , 990.8 (c) and 991.2. ADDITIONAL INSURED (Owners or Lessees) It is agreed that : 1. The "Persons Insured" provision is amended to include as an insured the person or organization named below but only with respect to liability arising out of operations performed for such insured by or on behalf of the named insured. 2. The applicable limit of the Authority's liability for the insurance afforded under the Contractual Liability Insurance Coverage Part forming a part of this policy shall be reduced by any amount paid as damages under this endorsement on behalf of the person or organization named below. SCHEDULE Name of Person or Organization - (Additional Insured) As Respects COUNTYWIDE PUBLIC FINANCING LEASE AGREEMENT DATED AS OF JULY AUTHORITY AND THEIR RESPECTIVE 1, 1996 ON BREA FIRE STATION #3 MEMBERS, OFFICERS, EMPLOYEES AND LOCATED AT 400 N. KRAEMER BLVD. , ASSIGNS BREA, CA. ATTN: EXECUTIVE DIRECTOR 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 6/25/96 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ROBERT F. DRIVER COMPANY, INC. AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 4041 MacArthur Blvd., Suite 300 CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Jewport Beach, CA 92660-2511 (714) 756-0271 COMPANIES AFFORDING COVERAGE n ARNY A Insurance Company of the State of PA INSURED Orange County Cities Risk Management Authority COMPANY B LETTER and Member City of Brea COMPANY C LETTER Number One Civic Center Circle COMPANY D LETTER Brea, CA 92621 COMPANY E LETTER 1TA1^`.3kW�',. `aSim THis IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY-PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSION AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE COMMERCIAL GENERAL PRODUCTS-COMP/OP AGG. LIABILITY CLAIMS OCCUR PERSONAL S ADV.INJURY MADE OWNER'S&CONTRACTOR'S EACH OCCURRENCE PROT. FIRE DAMAGE(My one fire) MED.EXPENSE(My one ) AUTOMOBILE LIABILITY C COO COMBINED SINGLE ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) GARAGE LIABILITY PROPERTY DAMAGE A EXCESS LIABILITY 4295-4286 07/01/95 07/01/98 EACH OCCURRENCE $1,000,000 UMBRELLA FORM AGGREGATE $1,000,000 x OTHER THAN UMBRELLA FORM STATUTORY LIMITS ¢-±---- WORKER'S COMPENSATION EACH ACCIDENT AND DISEASE-POLICY LIMIT EMPLOYER'S LIABILITY DISEASE-EACH EMPLOYEE OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Lease Agreement dated as of July 1,1996 on Brea Fire Station#3 located at 400 N.Kraemer Blvd.,Brea,CA.Additional Insured Endorsement to follow. C FG � _ _ R NC _r0 Countywide Public Financing Authority SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE and their Respective Members, Officers, EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Employees and Assigns $Q DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ATTN: Executive Director BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE OBLIGATION OR LIABILITY OF 20 Civic Center Plaza ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES Santa Ana, CA 92701 rI AUTHOR! E ESENTATIV I_ L