HomeMy WebLinkAboutF-289[ IT [LERHFS
FILE no.
SUBJE[T:
CIrIFICATE OF INSURANCE
This is to certify that the following described policies issued in the name of........__.__._—..._._.._....._.._...__._......
R4Y N. RANDALL....._....._.......__..__............ _..__.......... _......
_._..
783 ALPHONSO. STREET' _SAN--LuI_S._O
(Nav d Ass'aa)
...... _..... ..—__.._..._........._......_......__.... —... _.... _._... _........................ .................. _.._._..... _.._._.... —._._—._......
(Nat ssf Ne aw) (dn a T.) (as)
are in force and expire as indicated herein:
Policy NoLX 51-38 tatim Dsrc...__MaY....ly._1959....__._..._.._..___. ............................................_. Pxp'.....................................
Cawagn
Limits of Liabilitr
i
25,000.00
euhpermn
Bodily lniury LiabWq—Automobile
$100,000.00
each accident
$
5,000.00
each person
Bodiy Injury liability —Except Aummobde
✓{
10, 000. 00
esch ecadrm
S
NOT COVD.
aW,,te products
Property Damage Liabili y—Amomoble
$
10, 000. 00
each accident
5,000.00
earn sccident
25, 000.00
aggregate operations
Property Damage Liability —Except Automobile
$
25, 000.00
aggregate pro'eative
$
NOT COVD.
aggrepte produm
$
25,000.00
aggress'. comr c..l
Employer's Liability: Esch Person S................... ................... _..... .......... ; Each Accident
Policy No. .... ....... ......... ............ ........ Expiation Dam ....... _.._.................................
.
Workmen's Compensation: Policy No.._NC 11,- 34 325___.......... Expiration Dam ... Al14:11.... .4....193.4... ... .............
and cover the following opeations or conk.._Remo_val._�f._b3.i:.£_hlt3..i.A.1.Da...An�iaad..SYiset._......
between Marsh Street and.Hi nts .__.._..._..
.._..._.._..._.__......__.._..�.__..__..............._._.... ...................&v__
In the event of tancelation, cel lonOW Itftl*r
advance nocia thereof m....C_.I..T......... ...
...._.__..._..._.._
at.SAN.LUIS OBI Slot CALI FORNIA
Dared at SANUIS .OBI SPOA CALIFORNIA
ss described in rid polidn
to maiL__1 Q_._.._—day weitren
of
l�retti Amrrirttn �ndemuitg fQuufyttng
s
Aufioriad Ageut.
F 2 ti?
• 0
In The Superior Court of The State of California
In and for the County of San Luis Obispo
AFFIDAVIT OF PUBLICATION
No ... .._
1124...and..112.5... XWil.)... d.THZ4T........................... ......
LEGAL Any ICU
STATE OF CALIFORNIA,
.orfcnlsnrnrav omen Tuer
ss,
the Cay Clerk of the CitN Of s.. LOW
County of San Luis Obispo
omepo. ol.n. f c.ufarm.. trill
r xe pled hid, a St. omp. In me
Cuy )fen. Om P.Im street J.1,
tth., t,
1 am a citizen of the United States and a resident of the
nhithmilme AM WhIidl,
unrnef and mad aloud. for the.an or
3d ad`IIN
County aforesaid; 1 am over the age of eighteen and not
Iimuldt etme{ryin thr
Cu, of Run Laid ohieW.
Tnr sufnnoR .h.n or detnmbbd
A teo)uamt fnua.-
A .11 at.
bon Thal or remerod from the site.
interested in the above -entitled ............_. _.
N. homing Hll ne .IImrM on oaid
prapertr. Tne iwu emwniov ecom-
Fulum oy or In,.1 A.S..' .. MS.
1 am now, and at all times embraced
end th, he .omweted M� August
S; 1W.
.___...___.._.........._..._:
A er�a..nnus I!.mutr
mrtlllrat.
lon.'su�e In that uhount. of M.O[O
in the publication herein mentioned was, the principal clerk
P iJa
hranr +Whirr Zh Wrd a 1$1%Z"
hrany l v rm sn.aan
Fork iO
ehlll Oeinea wNn
of the printers and publishers of the SAN LUIS OSISTO
P
:n, ane a rase
Ins City clerk prior to roh,nmmnr
Ouoolmn Oum.00n.. The eurr.a-
rul eiddrr affmo In hold If, ay. It,
nfnaittlul erlo m.hau 1 a. fit..
COUNTY TCLEGSAM•TSISUNC, anewspaper of general cir-
:r;.ing old .f m, man-.'. oe..n�or
/a/ J ASRICK.
Pity OI�k
culation, printed and published daily, Sundays excepted, at
July 14.
the City of San Luis Obispo in the above named county and
state; that .... __ IaLice_zl-f race.iv.in,, ita:o}ed
of which the annexed clipping is a true printed copy, was
published in the above -named newspaper and not in any
supplement thereof on the following dates, to -wit: ..............
___.._.... .._.................... ......_ ___....
.... _.._.. ___........._..............__....._................_._....__.._....... _....._..
that said newspaper was duly and regularly ascertained and
established a newspaper of general circulation by Decree
entered in the Superior Court of San Luis Obispo County,
,Lu-b 3O /�
State of California, on June 9, 1952, under the provisions of
Chapter 1, Division 7. Title 1 of the Government Code of the
N
State of California.
N
1 certify (or declare) under penalty of perjury that the fore-
going is true and correct.
fl/V v
�� Q• of
.... _ _... _.. _. _ _........... _........ _ _.. ....................... .. _................ _.. _..
(Signature of Principal Clerk)
Date____ .............. .._... ._.............................................. e 19......
SAN LUIS OBISPO
CITY HALL
The following bids were received and opened in the City
Clerk's Office at 3:00 p.m., July 21, 1458 for SILL OF CITY-
04:NED W11,0IGG AT 1124 AND 1126 BROAD SM't-;T.
Church of Jesus Christ of
Latter -Day Saints. . . . . . .s51.50
R. Randall. . . . . . . . . . .i51.51
1tC71'ICE IS MEMT GIVEN THAT the City Clerk of the City of San Luis Obispo, :tatc
of California, will receive sealed bids at his office in the City Hall, 990 Palm
Street, On Jura 21, IM Mg Ig 2t at which time they vial w, p:.io-
Lclp openers acM Tread aloud, or sa O elty clam ou, in Inc locet"j.. at
W-4 ant 1126 Broad Street in the City of San Luis Obispo.
The buildiag shall be demolished and all materlela ianludiag fouWation shell be
removed from the site. No borrdng will be allowed on mid property. 'She drzacli-
ticm shall oommeme on or before August 4, 19% mad shall be ooapleted bs A rMa .
2 58. _.
A certificate evidaming liability insurance in the amountw of $25,000 bodi:9
injury each person $100#000 bodily W=7 each aceidentp $M,OOo propert8 damage
to each pemcn an ary one oocuname stall be filed with the City Clark prim to
eomm*noing demolition operations. The successful bidder agrees to hold the oltya
its officers and employees benelms from any liability or claims for damage
arisiq; out a the bidders operation.
Said bids shall state the amount, to `.e oald to the city for said bauUdi,-ga
$
-WUC'E IS BEFM MEN 19AT the City Clerk of the City of San Luis OeLspo, State
of Californda, will receive sealed bide at his office iu the City Hail, 990 Palm
Street, on J 21 �8 uP to s(A osalook P, M, at which time they will be FmL.
licly open a xma e�.oia3, ea• -trio ea o city owned building located at
1224 and U26 Broad Street in the City of San lmia Obispo.
The build' C akail be demolished and all materials iral+ading f,amdaticn shall be
removad f:vm the site. No burning will be allowed on said property. ',[he demoli-
tion ohall commence an or before August 6, 3958 and shall be completed by Auy�eygt
25, 1958.
A certificate evidencing liability insurance in the amamtr9 of $25,000 bodily
1r•ju17 each person, $100,000 bodily injury each accident, $20,000 property da„^eeCa
to each perrm on any one ocesrance shall be .Glad with the City Clerk prim to
c easing I&Tolition operations. The successful bidder agrees N hold the city,
its e,-_"!sere and employees harmless fres any liability or claims for dmmape
artsiM cut of the bidders operations.
e�id bids ahall state the amount tc',> paid to the city for maid Nildings
RLddgkre
NOTICE IS BER882 GIVW THAT the City Clerk of the City of San ILite 0ldapo, State
of California, rill receive sealed bile at his office in the City Ball, 990 Palm
Straet, on JQ 21, 1958 up to 3too o'clock P. M. at which time they rin be pub-
lIrI7 opined &mt read"aaloudn for the sale or the city oumrd building located at
1124 slid n26 Broad Stroot in the City of San Inis Obispo.
The building shall be demolished and all materials including foundation shall be
removed from the site. go binning will be allayed an said property. The demoli-
tion ehall commence on or before Ausuat 4 1958 aid shall be ooapleted by Augast
2 8.
A cortdficstP evidencing liability insurance in the amounts of $25,000 bodily
in.,ury each porson, $100,000 bodily injury each accidents $20,000 property dnmaCa
to each Person. on any me aoanrame shall be filed with the City Clark prior to
cocmercing demolition oporwtdons. The successful bidder agrees t, hold the city,
its officers and eevploysea heirless fray any liability or claims for damage
$rising out of the bidders operations.
Said bids Bush state the anoant to ':ti paid to the city for said building,:
°q J�-5 0
�hp6" cti �f je
-_
•
• FARMERS INSURANCE GROUP
FARMERS INSURANCE EFCNANGE
TRUCK INSURA NICER CHANGE
FIRE INSURAN_CEERCHANGE
MI0.QFPTURI INSWANCE COWAN'
FARMERS AM_RI EC4_NAUTO C'ut
FARMERS NEW WORED
LIFE INSURANCE COMPANY
FARMERS INSURANCE GROUP
ATKINSON S, HOLLISTER
IOAR H16UIERA RTPE[T - RAN LUMI ORIRPO. C.01.
PHONE: LIBERTY S-6411
AUTOMOBILE -- TRUCI FIRE LIFE - PUBLIC LIABILITY CARGO
RRY
W ORKMENS COMPENSATION PERSONAL ACCIDENT GEN LIABILITY
•t.r.nerwr, 1.1.1,110y T R U C I N S U R,A N C E E X C A N 6 E .wRp'
yPNurl.n .eam T-Jae. 468o Wilshire Blr Angeles 54. Cal' APP rariow ru ibi¢ad lu.ran 3 " LJ a 12 ❑
yCIARATIONS 1101[r Larp�l ,,Rayy F wN.�.ttitrp M r ,)y b r or
AmY'C Jelwl�ll Jd/t��wM� d
. 1. Nam< of .PPlicmt_ is , Y M.
�(Pria, lsawe ad marnor) r
Mailing Aad,.., 14 1 sKcJ jJtoad u - d�,A " `T
_4... �.K .�C ......
The aPPliram is __Bain,.s of appBpnt as_
Individaal, Capormiow or CaParnenbip (wane Parraerz/
3. Inae urais .,Plim ed for to comence u — r V O to IS —
It :at A. M, Strodud Time, at the address of the applicant as stated herein and additional nrmt of calendar sontM each
fa which the mlwred presiun is paid.
{flaw i It #►Ikae iu axirei g iwr ., his abn mwitaph r. darermb., his, /o(:oudna Jrrhertwiar (if more, same i, Res iM. yosn „rl .ides
v
Name of Company
Kind ,d
Policy No. Coverage_.
Expiration
Data
Locations o
Equipment Co erei
l
COVERAGES LIMITS OF LIABILITY ADVANCE PREMIUM DEPOSIT
BODILY INJURY LIABILITY j ,00o n<h Person j d ,WO ,.oh ;comets
P'sohn"s Hazards far defined) eluded III.00o aggregate prmaumas u'U
PROPERTY n MACE r
PROPERTY DAMAGE LIABILITY —lice,[ Automobile j ,math each xcvrcenae '
Pradnrls Hazard, far defined) chuled $ aggregate Psduttr
FIRE, LIGHTNING A TRANSPORTATION_ AND THEFT ACTUAL CASH VALUE
#t j
#t
#;
COMSIVE (laluding Firer Theft)
ACTUAL CASH VALUE
/
COLLISION OR UPSET
ACTUAL CASH VALUE
Less Deductible
j
TOWING
$10 each disablement
j
MEDICAL PAYMENTS
j e¢h pone.
j
Special charges her pace andmomment attached
j
j TonsilDepmit Premium g
(IQw Total Membership oa Rein. Fee { /Spets
Amount collected smith aP, j —_— Other Credit 3- --_— ___ _ Total Credit
Balmen Due j
Ram 3. tie, mmpmy has cmuelled or declined similar insurance during the Not year and during such Period an claims Into, been made again, the
aPPhcant wit, respat to any of the hazaMs defined hmods, miumt in, herein stated:
For and in muidereann of the benefice W f» derived therefrom the submiiber mvenen[ evd.grin. with the Truck Inmnhm F'.achmsre and other moberjr, thereon through
thrir and each of then anomeydn-fact, the Truck Ilhdxwnfen Amriaaeq to exchange with all other mly nherr' pphries of fnmreanre m ram"mon metaining much Imme sod
dition theemb as may la ,e fiM by and attmveyio fah sod approved by the Brand of Gmar, rera m'ta Evei Comm tale rotary lam mored g .A, and mismfbx
herob, morthrme, mid ,,m6bs said Asserted., W M atom fe fart for s f berr, granting W it lower W eulfbi loth anotherhe pl and i a,trlar's name
plan and tesal W du ell thing whirr the aubaeriber or avAwrLme m ght mold do amv.11, or jointly eiW reference W all pol bs i,s hod, imh d rag enmllaton thetaad roux.
boo and reo ipt of .11 moth= due the F i bane, from whateve roan, and disbursement of .11 loss aM n,am,e pe,im te. egmt mirmosere and all othm tide iecdners! W the
haa ocoment of the F.xcharme and the bu.dnem of inter-inurame: auberri further agmea that Were shall to paid to said A,uie nahh, u vampnuatiov for im hemming and acting
aeattorney in tart, the memle nhip fan and twenty per absorb of the Premium Ee,i for the insure ins melded and twenty per rectum of the premiums required for ronhim..
thereof.
The remaining Pathan of the Preminm laepmat and of additional term Payment, made by man behalf of them learmler shall he applied W the payment of !oars end erpemse
av6 W the etaLlieh rmt of reeeree++aoil gerwrel surplus. Furh reserves and surplus may be InrmeNd and alvveeGd by a Board of Goverears duly sle ant by and Irom suhammx
in ' ce urth amsi.,om of policies icmal, which in id F enders. Comman age Committee or nt or awns, appeiubN by antten authority of smaid Exxubye Caarts shall
have full Puwsra to no bate purrbsom. sale+, hadm, exchange.. and tranden of inneetmente, propmaea. titles and mcuntiu, together .riW full pnamms W exxuW all restraint
the eapensee afwve referred W shall Include all tanex Iken.,o (zees, attomeyd fee sad adjustment expense and cbul eepe. of memters' nod gnvemore' mterm,
cent, mmmisia c. and such of err nsmifiml I., do. ead v,,b as mar be authorized by the Beard of (1—maon. All other rareness incuowl in ronneton sub the mrrduet
of the Rae E"Im and error of the stove e.penaa as .obal foam [Taw W arm he, agmed inch by and betwah the AnRnatioo sad the Board of Gmemon or id F..e hive Cman ittee
6.11 he home by the A.mr.r.
The principal ofhm of the Earthen,, and ite atterem,-m-fart shall be maintained in the City of Los Abandon. County of Los Angels, Rafe of California.
This agrxment my he mlgned open any nomher of counterpart= with the abbe rflxt a N if the signare of all mh re1ern were rpm. woe and the name virhvment end ehall
he bad ivg 01. sheparties thereW,:verJly and nlaideal bly a pm in policies ocood. Whinbever the nnrd'aulb riber' is used the name ,ball mean member, of the Ea clang, the
m nub,bereW, and all other submbns W th s or my whin like agreement Any policy maid 1,1W .shall h• tan-ialseaseble. ry ?
Suberibed 'i lyi,
Wiry ____. __._..__. $obecriber A APPIi
fine
Mail polity to: bourne ] Agent [I Disc. Mgr. ❑ VV no, mffecnia denvaea. giov aRlf it mue was be aigoed
(If not checked, Policy will be mailed W inured) Classic here if quoutim roll I, vrmw& ❑
rmnnar save mmo...., 1. -41w as