Insurance - CMSD - 1970-07-21 20-01- •5 119 GAYLY, MARTIN & FAY,INC rug X L X- 10 4 5 3 9 9
LOS ANGELES -
EXCESS LIABILITY POLICY
4-,mj 01 FIREMAN'S FUND
CO,
I Co age provided the Company do Ignated by nbe �� �`
—
101 I stock 'mu Company (he ailed the Comps ) FIREMAN'S 18 THE AMERICAN
re
DECLARATIONS FUND COM
AMERICAN 07 NATIONAL SURETY
ITEM I. ED' ADDRESS(NO ST ET TOV COU STATE) CO FOR ION
r—
CITY OF COSTA MESA
THE COSTA MESA SANITARY DISTRICT
P 0. BOX 1200
COSTA MESA, CALIFORNIA
L
7/1/70 7/1/73 J a a� c�cat
ITEM z.- IOr (HO.DA ) ExP 101 (110 DA ) rPf T fl mg PO'x vs In/• ,Tr e
4' p
i
ITEM 3. THE INSURANCE AFFORDED IS ONI Y '1TF RESPECT TO SUCH AND SO TAI OF HE FOLI UV,ING COVEF GES AS 'RE INDICATED -
BY SPECIFIC LIMIT OR LIMITS OF LIABILITY AS RFCPECTS SUCH COVERAGES THIS POLICY SHALL_ APPLY AS EXCESS OF THE PRI .IARY
LIMITS INDICATED, AND THE COMPAN` SHALL BE LIABLE ONLY FOR THE DIFFERENCE BETWEEI SUCH PRIMARY LII ITS AND THE COM-
BINED LIMITS INDICATED SO THAT THE TOTAL AMOUNT OF INSURANCE SHALL EQUAL SUCF Cr DINED LI I 'S.
LIMITS OF LIABILITY
COVERAGE
PRIMARY LIMITS OF LI ILITY CC BINED LII ITS OF LIABI TV
5 .000 SO $ 000 PERSOr
A BODILY INJURY $ AS ,000 ACC REF OR OCCUR AS 000 EACH ACCIDE! OR OCCURRENCE
LIABILITY AGE NOD Si
5 ,000 CO'
ED or lo:
PER PER 00o co! ED oPEP
$ END ,000 ACH ACC OP OCCU $ END .000 IDE OR OCCU
END ,000 AGGREGATE OP ION $ END .000 :GREGA OPER
B- PROPERTY DAMAGE $ ,000 AGGREG. IECT $ ,000 EGA ROT
LIABILITY $ 1 000 AGG EC, RDDUCT $ #]_ .000 AGGREC POD
CO b ETED OP 10! CO! OP TIOIIS
$ 000 AGGREGATE COr ACT $ .000 GGREC COI. AL
ITEM C.
(A)
DEPOSIT PREMIUM $ 6020 (As Per End y2)
(B)
MINIMUM PREMIUM 5 6020 ANNUALLY
IC) THE FOLLO''ING PERCENTAGES OF THE EARNED PREMIUMS PAID UNDER THE POLICY OF THE PRIMARY INSURER SHALL BE USED IN
- COMPUTATION OF THE FINAL EARNED PREMIU HEREUNDER.
-
AUTOMOBILE OTHER THAN AUTOMOBILE
•
BODILY INJURY LIABILITY CHARGE I° FIAT CHARGE X
r
PROPERTY DAMAGE LIABILITY FIAT CHARGE FIAT CHARGE ><
ITEM SCHEDULE OF PRIMARY 4SURF NCE d
NAME OF PRIMARY INSURER(S) POLICY NUMBER) �i-+
V r
Pacific Indemnity Co LP 11416 CO
Pacific Indemnity Co LP 11417
CO
(O
/ i. r
COUNTERSIGNATURE DATE Cry GNATURECOF/AUTHORIZED AGENT
JULY 21, 1970 �c�- i
5772-5-66
r, _ THE COMPANY
Agrees ith the insured, named a the declaration rode a part hereof, in con ideration of the payrr_ it of the premium and in reliance
upon the statements in the declarations and subject to the limits of liability conditions and other terns of this policy
INSURING AGREEMENTS
I. To pay on behalf of the insured all sums Thich the insured primary policy or policies spe died in the declarations as primary
shall become legally ;obligated to pay as damage because of: Insurance and Issued by the'Primary Insurer or Insurers indicated.
(a) Bodily injury sick less or diseas including death at any II. The n surer'ce afforded by this.policy cess over the amount
time resulting therefrom, herein eferred to as "bodily injury' of primary limits stated Ito 3 of the declarations and applies
sustai ,d by any persor or pe one and only (1) afte the Primal- Insurer ha paid or shall he been held
liable to pay such primary limits plus sts or (2) ii the it the
(b) Injury to or destruction of property including los of Insured has by Ir _II judgn ent been adjudged to pay a sum rhich
thereof, herein refe ed is as property dam rage exceeds their its of liability of th Prin ry Insurer and the Primary
Insur has'add and an ig out of th hazards coy red by and as defined in the costs covered he,itte
poliicyilwhich are innc dental therettolnnns, plus
DEFINITIONS
1. COSTS The cord 'Costs means interest on judgr ails im 4. PRIMARY INSURANCE. 'Primary insurance means the policy
tigation, adjustment and legal expel excluding;all expenses or poll spe 'fled in Item 5 of the declarations and ssued by
for salaried employe and retai ed counsel and all office the Primcry Insur
expen of the insured.
5 PRI1viARY LIMITS 'Primary limits means the total amount
2. PERIOD OF INSURANCE The words period of Insurance of all poll y limits of liability applicable under pr mary surance.
mean the policy period stated in Item 2 of the declarations
6. COMBINED LIMITS. 'Combined limits means the total amount
3. PRIMARY INSURER 'Primary Insurer means th Insurer or of all polio, limits of liability applicable under both primary
Insure spe ified in Item 5 of the declarations ; r 1 insurance and this policy combined
NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT
(BROAD FORM)
It is agreed that the policy does not apply IV As used n this endorsement:
1. Under any Liability Coverage to injury sickness disease, 'hazardous properties include idioacti toxic or explosive
death or destruction properties
(a) with respect to which an Insured ruder the policy is also or nuclear mate ma!' means source material, special nuclear material
insured under a nuclear energy liability poli y Issued by Nuclear or byproduct material,
Energy Liability Insurance Association, Mutual Atomi Energy
Liability Unde ite or Nuclear Insurance Association of Canada, sour mate 'al' special nuclear mate ml' and 'byproduct
or 'ould be an insured unde any such policy but for its termi- mate I¢1' have the meanings given them in the Atomic Energy
nation ipon exhaustion of its limit of liability or Act of 1954 or in any lay, amendatory thereof,
(b) resulting from the hazardoi properties of nuclear material spent fuel' means any fuel element or fuel component, solid
and •ith respect to which (1) any person or organization is liquid, rh'ch has been used or exposed to radiation in a
required to maintain financial protection pursuant tc the Ator nuclear reactor,
Energy Act of 1954, or any law amendatory thereof, or (2) the
insured had thi policy not been issued would be, entitled to waste means any waste material (1) containing byproduct
indemnity from the United State of America,or any agency thereof, 4 rsn or
Y 9 Y material and (2)any resulting from the operation by any person or
unde any agreement entered into by the United State cf Ame i<a, organization of any nuclear facility included within the definition
or any agency thereof, with any pe son or organization. of nuclear facility unde paragraph (a) or (b) thereof,
II. Under any Medical Payments Coverage or under-any Supple- nuclear facility. means ___
mentary Payments provision relating to immediate medical or
surgical relief, to expense incurred with respect to bodily injury (a) any nuclear reacto
sickne disease or death resulting from the hazardous properties (b) any equpment or dev de igned or used for (1) separating
of nuclear material and an ing out of the operation of a nuclear the isotope of uranium or plutonium, (2) processing or utilizing
facility by any,person or organization spent fuel, or (3) handling, proce sing-or packaging waste,
RI. Under any Liability Coverage, to injury siccnes disease, or)alloying of special dnuclear mate iah if pat any time the abricating total
death or destruction resulting from the hazardous properties of amount of ch mate sal in the custody of the Insured at the
nuclear nate ial; if premises wher such equipment or de ice is located consists of
or contains more than grams of utor mum or urnium(a) the nuclear material (I) is at any nuclear facility owned any combination thereof,5orr more than 250 grams of urn um 235,
by or operated by or on behalf of, an ins red or (2) has been
discharged or dispe sed therefrom, (d) any structure, basin, excavation, premise or plat prepared
or used for the storage or disposal of .ante
(b) the nuclear material is contained in spent fuel or waste at and Includes the ite on 'hich any of the foregoing located,
any time pos sed, handled, used, proces ed, stored, transported all operations conducted on such site and all premise used for
or disposed of by or of behalf of as insured, or such operations;
(c) the injury sickne disease, death or destructior or out nuclear eacto
of the furnishing by an insured of ervices materials arts or means any apparatus designed or used to
equipment in conne Lion nh the planning, construction, sustain nuclear fission in a self-supporting t to ahain reaction or to
tenance operation or use of any nuclear facility but if such contain a critical mass of fissionable material,
facility located within the United States of Amer ca, its to With respect to injury to destruction of property the word
tories or posses ions or Canada, tin exclusion (c) appli only to injury or destruction includes all forms of radioactive con-
injury to or destruction of property at such nuclear facility lamination of property P
F
It is agreed that Insuring Agreement I of this policy is amended
to include all provisions of Insuring Agreement I of the Primary
•
Insurance as Scheduled in Item #5 of the Policy Declarations
•
Endt
POLICY NUMBER INSURED EFFECTIVE
XLX 104 53 99 CITY OF COSTA MESA, ET AL 7-1-70
FIREMAN'S FUND INSURANCE COMPANY PRODUCER
THE AMERICAN INSURANCE COMPANY
NATIONAL SURETY CORPORATION Bayly Martin & Fay, Inc
ASSOCIATED INDEMNITY CORPORATION COUNTERSIGNATURE 0 AUT 7, ZED AGENT
AMERICAN AUTOMOBILE INSURANCE COMPANY
FIREMAN'S FUND INSURANCE COMPANY OF TEXAS
PRESIDENT _J /I
J/yy/ //�`
180009 -6-65 SETS
I
ANNIVERSARY ENDORSEMENT
It is agreed that the Annual premiums ahall be payable
as follows
Effective date 7/1/70 $6020
First Anniv 7/1/71 To be determined
Second Anniv 7/1/72 To be determined
POLICY NUMBER INSURED EFFECTIVE
FIREMAN'S FUND INSURANCE COMPANY PRODUCER End.112
THE AMERICAN INSURANCE COMPANY
NATIONAL SURETY CORPORATION
ASSOCIATED INDEMNITY CORPORATION
C O U NT�G ATURE OF
A HOR IZE
DAGENT AA AUTOMOBILE INSURANCE COMPANY /
FIREMAN'S FUND INURANCE COMPAN Y OF TEXAS
I27 4 PRESIDENT eV% /
e
/ �(
100009-6-65 SETS
LIMITS OF LIABILITY ENDORSEMENT—EXCESS LIABILITY
The Limits of Liability as shorn in Item 3 of the Declarations are ammo ided to read
•
COVERAGE PRIMARY LIMITS OF LIABILITY COMBINED LIMITS OF LIABILITY
BODILY INJURY AND nn
PROPERTY DAMAGE LIABILITY $ 1,000,000 EACH OCCURRENCE $ 5,000,000•EACH OCCURRENCE
SINGLE LIMIT $ 1,000,000 AGGREGATE $ 5,000,000 AGGREGATE
Ac TE
The foregoing limits of liability shall be deemed to be stated in them declarations of the poll y within the meaning of any applicable
policy provision.
POLICY NUMBER INSURED EFFECTIVE
FIREMAN'S FUND INSURANCE COMPANY PRODUCER
THE AMERICAN INSURANCE COMPANY
NATIONAL SURETY CORPORATION End.#1
ASSOCIATED INDEMNITY CORPORATION
COUNTERSIGNATURE OF AUTHORIZED AGENT
AMERICAN AUTOMOBILE INSURANCE COMPANY J\{ -
PRESIDENT 70-X GI'�✓1 // /
175005-7-67 (PRIMARY COMBINED SINGLE LIMIT)
ATTACH ENDORSEMENTS HERE
L
;
CONDITIONS
1. PAYMENT OF COSTS described the Cancelation conditior of thi poll y if this
(a) In the nt of claim or claims fig vh ch ore terminated policy canceled as the in pros coded.
by ettlement or fudgr ent for not 'or than the prime y li its, Ir the event of change in the pren m or rat ig of any primary
then no its shall be payable by the Company insurance ;bile this policy force, the named ured shall
(b) Should, ho ver the amount of settlement or judgment for notify the Company in writi ig as soon as practicable and, .
which such claim or claims are terminated exc d the primary at the opti of the Company the pr;miu hereon may be
limits such costs as are incurred per tally by the insured th rdjusted accordingly
the written consent of the Compc iy and 'hich ar of covered Th Comp< iy shall have the right to exam: the named
by primary insurance, will be paid by the Company Provided, insured' books and records at any ti dur ig the period of
hoverer, that payment of inter st shall be limited lc ite st isuranc and ithi one year ti eafti, for the purpose of
accruing alter entry of judgment on rah part the eof as does determi 'GI actual earned premi mm
not e' ed the Company limit of lubibty thereor until the
Co ipany has paid, tendered or deposited in court such part of 4 FIGHT OF APPEAL In the el, ^.t the Primary Insur the
such judgment as does iot exceed the limit of the Compar ins d elects not to appeal a judgment ess :f th pri na
liability thereon. li nits, th Company may elect to conduct such appeal at its own
expense and shall be liable for the taxable court costs iterest
2 MAINTENANCE OF PRIMARY INSURANCE At the inceptior inside ital th eto and for premium on required ap_eat bonds
of this policy the primal- insurance ith primary limits as stated di ch or iot payable under primary insurance pros ded that
in the declarations shall be in full fc co and effect and th rite in no ent shall the total li,bility of the Company exceed the
shall be mai:tained lull for and effect without change difference between the primary limits and the combined limits
except fo reduction of th aggregate primal-, limit of liability stated in the declarations, plus taxable court costs and ite st
ilely by eason of claims with respect to bodily injury or prop- to the extent provided by Condition l-(b). I
erty damage occurring during the pe mod of thi policy
5 SUBROGATION In the event of any payme it 'der thi
Failure to maintain the primary ins ranee any change th policy the insured will notify th Compam of any of th ins red
Primari Ir .er or any change in the pr nary surance eN ept rights of recovery therefor agar st any pe nor or organizaLon.
as provided above ith spect to aggregate primary limits of The Cor my shall be subrogated to all such rights of the
liability hall cor stitute a breach of this condition by the named insured and the isurcd shall execute cl deliver struments
insured and shall automatically to 'mate thi poll y without and papers and do v;hate'er els nee sary to sezur such
notice unless the Company conse its thereto by ender ent fights. The insured shall do iothing afte los to prejudice
Issued to for part of this policy Premium adlustn nt shall be such fights.
made as soar as practicable thereafter but payment or tender Any amount recoi red th ough subrogati or ether se shall
of unearned premier is net a condition of termination be apporti ed in the im rder of payment of the claim or
In the event of change in the pr hum or rating of the pri mi claims involved to the extent of actual part nt thereof by all
miry
insurance ?He this policy is in force, the named insured shall cot ests and the expense of all such reco• and proceedings
notify the Company in writing as soon as practicable and, at the in connection therewith shall be apportioned m the ratio of
option of the Company the premium hereon may be adjusted respective ecox If there no recovery in proceedings
accordingly conducted solely by the Company the Company shall bear the
expenses thereof.
The insurance afforded by thi policy is subject to the same jar- 6. NOTIFICATION OF CLAIMS The tnsur_d upoi nog'ledge of
rarities term (including the terms used to de ibe,the applica- 6, N NOTIFICATION O or OFr CL likely to give ise of a no,
he
ton of the limits of liability), conditions and exclumoi as or
contained in the primary insurance on the effective date of this under,shall gi immediate written notice thereof to the Company
policy xcept, unle otherwise specifically provided in thi pol- 7 CANCELATION Thi policy may be canceled by the named
icy any such warrant terms conditions or exclusions relating insured by mailing to the Company written notice tat ^g then
to the following: thereafter such cancelation shall be effective This policy may
(a) premium; be canceled by the Co npany by made'g to the named insured
(b) the obligation to investigat and defend: at the address shown in thi poli y eritte notice stating when
not les thar ten days thereafter such cancelation shall be
(c) the amount and limits of liability effective. The mailing of notice as aforesaid shall be suffi ent
(d) any enewal agreement. proof of notice and the effect: date and hour of can elation
stated in the noti shall become the end of the policy period
3. PREMIUM. The deposit premium stated in the declarations is Delivery of such written noti either by the named insured or
an estimated premium only Upon termination of this policy or by the Company shall be equivalent to marling If the named
at such other time as may be specified herein, the earned insured cancels, earned premi mm shall be computed in accord-
premium shall be computed m accordar ith the methcd of ance nth the customary short rate table and procedur If the
computation stated in th doctor itions If the earned premium Company car els earned premium shall be computed pro rata
In either rent the minimum premium stated in the declaration
thus computed exceeds the deposit premium paid, the named
insured shall pay the amount in exce thereof to the Company shall be adjusted short rate or pro rata as the cis may be
if le the Company shall retur to the named insured the Premium adjustment may be made either at the time cancelation
unearned portion paid In no event shall the earned pr 'mum effected or as soon as practicable after cancellation becomes
be less than the minimum premium stated in the declarations, effect' but payment or tender of unearned premiun is not a
or the short rate or pro rata adjustment of the mi imum pr iun condition of cancelation
IN WITNESS WHEREOF the Company has caused thi policy to be igned by its President and Secretary but the same shall not be
binding upon the Company unle ounter igned by an author zed agent of the Company
SECRETARY PRESIDENT