The undersigned, a member of United Laguna Hills Mutual, a California nonprofit corporation (hereafter referred to as the \u201cCoproration\u201d), hereby requests permission of the Corporation to make the<\/p>\n
alteration described below to the manor. Said alteration (hereafter sometimes referred to as the \u201cWork\u201d) shall be performed subject to the terms and conditions printed within the application and the|<\/p>\n
latest version of the Contractor Violation Policy, which terms and conditions set out the responsibilities of the member and the below named contractor. United Laguna Hills Mutual hereby<\/p>\n
designates the the shareholder of the mutual listed below is a representative of the mutual exclusively for the purpose of obtaining a City of Laguna Woods building permit for the alteration<\/p>\n
proposed herein. By signing hereon below both shareholder and contractor acknowledge receipt of the entire Contractor Violation Policy and will adhere to the terms and conditions.<\/p>\n
A copy of the signed city final inspection is required for final acceptance by the mutual.<\/p>\n
MANOR:<\/p>\n
CITY PERMIT NO.:<\/p>\n
STREET:<\/p>\n
FINAL INSPECTION DATE:<\/p>\n
MUTUAL CONSENT NO.:<\/p>\n
CITY DEMO PERMIT NO.:<\/p>\n
FINAL INSPECTION DATE:<\/p>\n
DEMO PERMIT FINAL INSPECTION:<\/p>\n
MUTUAL CONSENT EXPIRATION DATE:<\/p>\n
MANOR MODEL NAME:<\/p>\n
MANOR PLAN NO.:<\/p>\n
PROPERTY OWNER \/ APPLICANT INFORMATION<\/p>\n
EER < cc 50x IF PROVIDING PAYMENT<\/p>\n
NAME:<\/p>\n
PHONE:<\/p>\n
STREET ADDRESS:<\/p>\n
CITY:<\/p>\n
[sTaTE:<\/p>\n
[ze:<\/p>\n
EMAIL:<\/p>\n
CONTRACTOR INFORMATION<\/p>\n
[1 | & CHECK BOX IF PROVIDING PAYMENT<\/p>\n
COMPANY NAME<\/p>\n
PHONE<\/p>\n
STREET ADDRESS:<\/p>\n
CITY:<\/p>\n
ZIP:<\/p>\n
[state:<\/p>\n
EMAIL:<\/p>\n
LICENSE:<\/p>\n
CLASS:<\/p>\n
EXPIRES:<\/p>\n
PROPOSED ALTERATIONS<\/p>\n
1<\/p>\n
. BATHROOM SPLITS<\/p>\n
15<\/p>\n
PATIO \/ BALCONY ENCLOSURES<\/p>\n
2]<\/p>\n
. BLOCK WALLS<\/p>\n
16.<\/p>\n
PATIO SLABS \/ WALKWAYS \/ PAVERS<\/p>\n
3<\/p>\n
. CABINETS – Storage:<\/p>\n
Space No.<\/p>\n
Carport No.<\/p>\n
17<\/p>\n
REMODEL:<\/p>\n
Kitchen<\/p>\n
Bathrooms<\/p>\n
Full<\/p>\n
. CABINETS\/Vanities\/Counter: Kitchen Bath: 1\/2\/3<\/p>\n
18<\/p>\n
SKYLIGHTS:<\/p>\n
5.<\/p>\n
. DISHWASHERS<\/p>\n
19<\/p>\n
SKYLIGHTS – TUBULAR:<\/p>\n
6.<\/p>\n
. DOORS – EXTERIOR<\/p>\n
20.<\/p>\n
SLIDING GLASS DOOR: RETROFIT<\/p>\n
7<\/p>\n
. EXHAUST FANS<\/p>\n
NEW<\/p>\n
CHANGE OUT<\/p>\n
21.<\/p>\n
SLIDING GLASS DOOR: NEW CONSTRUCTION<\/p>\n
8<\/p>\n
. EXTERIOR WALL ATTACHMENTS<\/p>\n
22.<\/p>\n
SOLAR PANELS<\/p>\n
9<\/p>\n
. FENCES:<\/p>\n
WROUGHT IRON<\/p>\n
VINYL<\/p>\n
23,<\/p>\n
SOFTWATER UNITS<\/p>\n
10. FLOORING – EXTERIOR:<\/p>\n
[E\u2014<\/p>\n
PATIOS<\/p>\n
EE<\/p>\n
BALCONIES<\/p>\n
24.<\/p>\n
WATER HEATER: CHANGE OUT<\/p>\n
11. GARAGE DOOR<\/p>\n
25.<\/p>\n
WATER HEATER RELOCATION: TANK TANKLESS<\/p>\n
12. GUTTERS & DOWNSPOUTS<\/p>\n
26.<\/p>\n
WASHER & DRYER<\/p>\n
13. HVAC\/MINI\/THROUGH WALL:<\/p>\n
NEW<\/p>\n
CHANGE OUT<\/p>\n
27.<\/p>\n
WINDOW: NEW CONSTRUCTION<\/p>\n
14. PATIO & BALCONY AWNINGS<\/p>\n
28.<\/p>\n
WINDOW: RETROFIT<\/p>\n
29. ELECTRICAL COMPONENTS:<\/p>\n
NO. FIXTURE\/CAN LIGHTS<\/p>\n
NO. CEILING FAN<\/p>\n
NO. OUTLETS<\/p>\n
NO. SWITCHES<\/p>\n
30. PLUMBING COMPONENTS:<\/p>\n
TUB \/ SHOWER<\/p>\n
SHOWER \/ SHOWER<\/p>\n
TUB\/ TUB<\/p>\n
OTHER:<\/p>\n
Approved per mutual standard plan(s):<\/p>\n
Approved per variance resolution:<\/p>\n
VALUATION: $<\/p>\n
10of5<\/p>\n
Revised 1-7-2026
\nIMPORTANT – READ CAREFULLY<\/p>\n
3. lunderstand and agree that | am responsible for all risks in connection<\/p>\n
1. The mutual\u2019s alteration process requires the mutual member receive a<\/p>\n
with all alteration(s) or improvements(s), including, but not limited to, the<\/p>\n
copy of the mutual standard to which the requested mutual consent<\/p>\n
applies, where applicable. The member\u2019s signature below indicates receipt<\/p>\n
costs of removing, altering, protecting or replacing the same as may be<\/p>\n
necessary or appropriate to conduct corporation business, including any<\/p>\n
and understanding of applicable standards.<\/p>\n
costs associated with remediation and clean-up or repair of mutual<\/p>\n
2. lunderstand that | will be in non-conformance if my contractor and\/or |<\/p>\n
property, caused by or resulting from alterations(s) or improvements<\/p>\n
thereof.<\/p>\n
do not conform to mutual rules and regulations, and the I may be subject<\/p>\n
to member disciplinary procedures, including the possibility of a fine(s) in<\/p>\n
accordance with the Schedule of Monetary Penalties.<\/p>\n
4. accept responsibility for my contractor maintaining all required<\/p>\n
insurance.<\/p>\n
By signing below, both shareholder and contractor agree to adhere to the four directives above.<\/p>\n
I certify that all items listed on the mutual consent will be represented on the City of Laguna Woods building and or demolition permit, and no work shall<\/p>\n
be covered WITHOUT INSPECTION AND APPROVAL by the CITY OF LAGUNA WOODS. | further understand that the mutual consent will EXPIRE within 90<\/p>\n
days unless extended in writing by Manor Alterations.<\/p>\n
\u00bb Signature of Member:<\/p>\n
Date:<\/p>\n
CONTRACTOR IMPORTANT – READ CAREFULLY: | have received, read, understand and agree to follow and confirm to all current mutual standards<\/p>\n
regarding this alteration(s). In addition, | am a contractor licensed pursuant to the laws of the State of California and agree to perform the work subject to the<\/p>\n
terms and conditions printed and included within the application. | will ensure that items requiring inspections will not be complete WITHOUT INSPECTION<\/p>\n
and APPROVAL by the CITY OF LAGUNA WOODS BUILDING INSPECTOR. For all work performed in the mutual, the contractor acknowledges receipt of the<\/p>\n
Contractor Violation Policy and will adhere to its terms and conditions. | will maintain all mutual required liability insurance. | will provide a Certificate of<\/p>\n
Libility Insurance for inclusion in this mutual consent application.<\/p>\n
\u00bb Signature of Contractor:<\/p>\n
Date:<\/p>\n
IMPORTANT NOTICE: ASBESTOS-CONTAINING MATERIALS THAT ARE BASICALLY INERT AND HARMLESS IF NOT DISTURBED MAY BE PRESENT IN CEILINGS,<\/p>\n
FLOORS AND OTHER BUILDING COMPONENTS. LEAD-BASED PAINT MAY BE PRESENT. MEMBER AND CONTRACTOR ARE CAUTIONED TO TAKE ALL<\/p>\n
REASONABLE AND PRUDENT MEASURS TO PROTECT PERSONS AND PROPERTY BEFORE DISTURBING SUCH MATERIALS. MEMBER AND CONTRACTOR AGREE<\/p>\n
TO ABIDE BY ALL FEDERAL, STATE AND LOCAL LAWS, ORDINANCES, CODES AND REGULATIONS RELATING TO DISTURBANCE, REMOVAL AND\/OR DISPOSAL OF<\/p>\n
ALL REGULATED MATERIALS. UPON REQUEST, COPIES OF DISPOSAL MANIFEST WILL BE PROVIDED TO THE CORPORATION.<\/p>\n
FOR OFFICE USE ONLY<\/p>\n
This application is approved and said member is hereby granted permission to make the above described alteration(s).<\/p>\n
Alteration code(s):<\/p>\n
VMS Inc.<\/p>\n
Permit Fee<\/p>\n
Date<\/p>\n
Misc. Fee (if applicable)<\/p>\n
Paid By<\/p>\n
Payment Reference No.<\/p>\n
20f5<\/p>\n
Revised 1-7-2026
\nTERMS AND CONDITIONS<\/p>\n
Both shareholder\/member and contractor shall abide by these TERMS & CONDITIONS, and may be held responsible for damages and take responsibility for the violations as a result of<\/p>\n
not complying with these TERMS & CONDITIONS. Contractor agrees to comply with all rules and regulations, and violation provisions as stated in these TERMS & CONDITIONS and the<\/p>\n
CONTRACTOR VIOLATION POLICY.<\/p>\n
1<\/p>\n
Mutual consent (MC) approvals: No improvement shall be installed, constructed, modified or altered at any manor (property) within United Laguna Woods Mutual<\/p>\n
(mutual) without obtaining the proper demolition and new improvement permits in the forms of MCs for alterations and demolitions made to and approved in writing by<\/p>\n
Village Management Services Inc. (VMS), Manor Alterations Division (MA) or, in the event of a variance from the mutual\u2019s alteration standards, the Architectural Control<\/p>\n
and Standards Committee (ACSC) and the United board. In the event written permission is given for the installation, construction, modification or alteration of any<\/p>\n
improvement(s) upon the property, the shareholder\/member agrees to comply with the mutuals governing documents and any specific terms or conditions imposed, and<\/p>\n
that the installation, construction, modification or alteration shall be in strict compliance with the terms of the approval.<\/p>\n
All costs for maintenance, repair, renovation, replacement or removal of the improvement, present and future, are the responsibility of the property’s shareholder\/member<\/p>\n
and\/or all future mutual shareholders\/members. Contractor may be held responsible to repair mutual property damaged and\/or modified in the course of its work without<\/p>\n
having obtained the approval to do so via a duly executed MC.<\/p>\n
Parking of contractors\u2019 or other invitees\u2019 vehicles is prohibited in covered resident parking, open resident spaces, handicapped spaces or fire lanes. Contractors or other<\/p>\n
invitees must park on the street. To the extent possible, contractors\u2019 or other invitees\u2019 vehicles should be limited in number.<\/p>\n
A City of Laguna Woods permit may be required as well as a clearance requirement from the South Coast Air Quality Management District (SCAQMD) (asbestos hotline,<\/p>\n
909-396-2336). Shareholder\/member is responsible to verify and comply with all SCAQMD requirements with the City of Laguna Woods Building Department.<\/p>\n
Shareholder\/member hereby consents and grants to the mutual, MA, the Maintenance and Construction Department and their representatives a right of property entry at<\/p>\n
any time to inspect said property and its improvements and for the mutual and the department, including its representatives and contractors, to remedy any violation upon<\/p>\n
the property, including, but not limited to, removing trash and\/or any improvement installed without approval or modifying an improvement to bring the same into<\/p>\n
compliance with the terms of the approval.<\/p>\n
Subject to the Contractor Violation Policy, shareholder\/member and contractor shall be responsible for all activity by contractors, subcontractors, material suppliers and<\/p>\n
their employees and agents, any others who perform work on the property and any violation of the mutual\u2019s governing documents, including, but not limited to, traffic and<\/p>\n
parking violations, maintenance of a clean job site at all times, damage to mutual property and use of mutual property for storage of equipment or materials without prior<\/p>\n
approval. Shareholder\/member acknowledges and agrees that all such persons are his\/her invitees. Shareholder\/member shall be responsible for informing all histher<\/p>\n
invitees of the mutuals rules and regulations; however, that does not relieve contractor from compliance with the rules due to ignorance or otherwise, as contractor will<\/p>\n
sign the MC for alterations and\/or demolition as a condition to and requirement of any approval. Shareholder\/member shall be liable for any violation of the mutual\u2019s<\/p>\n
governing documents or for any damage caused by any invitee, including any fine, assessment or other charge levied in connection therewith; however, contractor is<\/p>\n
also responsible to repair all damage that was done in the execution of the alteration, consistent with item number two in this exhibit.<\/p>\n
Shareholder\/member and contractor are responsible for following the gate clearance process in place to admit contractors and other invitees. See<\/p>\n
http:\/\/www.lagunawoodsvillage.com.<\/p>\n
Shareholder’s\/member\u2019s contractors and other invitees shall travel to and from the job site by the most direct route available and are not authorized to use mutual<\/p>\n
recreational facilities or other amenities while they are in Laguna Woods Village for performance of work in connection with the property.<\/p>\n
Allimprovements must be installed in accordance with California State building code, and the published mutual architectural alterations standards, policies and<\/p>\n
guidelines. See http:\/\/www.lagunawoodsvillage.com.<\/p>\n
10.<\/p>\n
During construction, work hours established by the mutual and the noise ordinance set forth in the City of Laguna Woods municipal code must be adhered to at all times.<\/p>\n
Except in an emergency, work hours are from 7 a.m. to 5 p.m. on weekdays (quiet work permitted 7 a.m. to 8 a.m.) and 9 a.m. to 3 p.m. on Saturdays. No work is<\/p>\n
permitted on holidays and Sundays.<\/p>\n
1<\/p>\n
During construction, both the MC for demolition, alterations and the city building permit must be on display for public view at all times in a location approved by MA.<\/p>\n
12<\/p>\n
No waste or materials associated with the construction may be dumped in Laguna Woods Village trash bins; such waste or materials associated with the construction<\/p>\n
must be disposed of off-site by the contractor.<\/p>\n
13.<\/p>\n
Call the Security Services Department at 949-580-1400 to receive dumpster location approval. All dumpsters must conform to the policy for temporary containers.<\/p>\n
Dumpsters must be ordered from the approved City of Laguna Woods waste hauler and must be maintained at all times.<\/p>\n
14.<\/p>\n
Call Security at 949-580-1400 for portable bathroom placement approval.<\/p>\n
15.<\/p>\n
The MC for alterations is expected to be completed within 90 calendar days after the date of approval, unless an application is submitted with fees and approved by MA<\/p>\n
for an extension or documentation is submitted with the MC that justifies the need for a period longer 90 days and MA has agreed to this extension in writing. If the MC<\/p>\n
has an established completion period of more than 90 days but less than 180 days, the date established by the MC shall govern. An extension for a maximum of an<\/p>\n
additional 90 calendar days beyond the maximum 180-day period may be granted at the request of the shareholder\/member prior to expiration and at the discretion of<\/p>\n
MA. The contractor shall not perform any work beyond this 180-day period or six months unless authorized by MA in writing.<\/p>\n
16.<\/p>\n
Violations of the forgoing conditions or the mutual\u2019s governing documents (see http:\/www.lagunawoodsvillage.com), including, but not limited to, unpaid assessments,<\/p>\n
work outside the approved plans, excessive noise, illegal dumping or working after hours, will result in disciplinary action, which could result in a stop-work notice, loss of<\/p>\n
privileges and\/or severe fines to the shareholder\/member as presented in the Contractor Violation Policy.<\/p>\n
17.<\/p>\n
Mutual shareholder\/member and his\/her contractor shall indemnify, defend and hold harmless United and its officers, directors, committee members, employees and<\/p>\n
agents from and against any and all claims, demands, costs, fines, judgments, settlements and any other costs, expenses, amounts and liabilities arising from the mutual<\/p>\n
shareholder’s\/member’s improvements and installation, construction, design and maintenance of same.<\/p>\n
Signature of Shareholder\/Member:<\/p>\n
Date:<\/p>\n
30of5<\/p>\n
Revised 1-7-2026
\nCONTRACTOR VIOLATION POLICY<\/p>\n
Itis crucial that contractors hired by shareholders\/members strictly follow mutual rules and restrictions related to construction, improvement and repair projects. Given the proximity<\/p>\n
between units and age of the buildings, among other related factors, any deviation from mutual rules or the shareholder\u2019’s\/member\u2019s approved scope of work has the potential to have a<\/p>\n
significant impact on the property as well as the adjacent neighbors.<\/p>\n
Staff has discovered a material increase in violations by shareholder\/member contractors who are either unfamiliar with or fail to abide by mutual rules and restrictions or who perform<\/p>\n
work outside of what was approved. Often times this can lead to delays; increased project costs for shareholders\/members; increased noise, inconvenience and disturbance to neighbors;<\/p>\n
and unnecessary staff time and resources diverted to regulating and overseeing contractor violations and corrections.<\/p>\n
This Contractor Violation Policy (CVP) provides for penalties in the form of prohibiting offending contractors from performing work in United in an effort to protect shareholders\/members<\/p>\n
and United property and to encourage contractors to adhere to the rules and obligations governing the shareholders\/members and mutual.<\/p>\n
Manor Alterations (MA) is the representative acting on behalf of the managing agent, Village Management Services (VMS), for the mutual (United). This CVP classifies the noticing,<\/p>\n
violation severity, enforcement, ramifications of disciplinary actions and remedies relating to the offenses. MA would use the CVP criteria listed herein to evaluate the contractors\u2019<\/p>\n
behavior and administer notices and violations to shareholder\/member contractors.<\/p>\n
The circumstances for providing a potential violation notice or notice of violation and issuing violation suspensions are based on the severity of the offense listed in two categories as<\/p>\n
defined below:<\/p>\n
Moderate Violation<\/p>\n
1<\/p>\n
Any violation of Exhibit A \u2014 Conditions Rules & Obligations unless noted as a severe violation.<\/p>\n
Severe Violations<\/p>\n
1<\/p>\n
Any violation by a contractor performing demolition or initiating renovation work without all appropriate governmental and MA approvals inclusive of mutual consents issued<\/p>\n
by MA and City of Laguna Woods approvals, and<\/p>\n
Any contractor performing work contrary to the work specifically noted on the mutual consent (MC) issued by MA for the following:<\/p>\n
a<\/p>\n
Performing any structural removal or modification, including, but not limited to, the widening of an opening of a doorway, passageway or window or removal or<\/p>\n
modification of a structural building element (inclusive of columns, bearing walls, shear walls, foundations, exterior walls, any work that would have required a<\/p>\n
variance approval from the board or lapse of any insurance coverage so disclosed by the contactor on the mutual standard certificate of liability insurance (COLI).<\/p>\n
Performing any work that is beyond the scope of work as defined by the mutual consent (MC). This expanded work will include, but not be limited to, installing a<\/p>\n
larger quantity of materials, amending the parameters initially identified, revised layout, increased dimensions of an approved renovation or using differing<\/p>\n
materials as was indicated on the MC.<\/p>\n
Any expansion of the MC description for demolition or improvement work previously issued without further authorization from MA. Any unauthorized asbestos release<\/p>\n
contrary to city code, SCAQMD or Cal\/OSHA regulations, or<\/p>\n
The reluctance to complete the approved MC scope of work within 90 calendar days of permit issuance, or such reasonable time for the work so described on the MC as<\/p>\n
agreed to with MA when the MC was initially issued, exempting therefrom, any reasonable extension of time for force majeure condition affecting the timely completion of the<\/p>\n
work. See Exhibit A \u2014 Construction Rules & Obligations Contractor, Item 17, for complete terms relating to time of completion. A force majeure event shall be defined as an<\/p>\n
event beyond the control of the contractor affecting the timely completion of the work. Allowable force majeure events shall be considered as an event(s) affecting the entire<\/p>\n
local contracting community that would include major material shortages, war, strike, riot, catastrophic weather event, labor disputes or governmental orders relating to a<\/p>\n
pandemic. The contractor’s time shall only be extended for the duration of the force majeure event. Contractor shall notify MA within 3 business days of knowledge of such<\/p>\n
delay or the potential of a force majeure event to allow consideration of an appropriate extension of time.<\/p>\n
MA is responsible for providing the following enforcement actions of this policy:<\/p>\n
1<\/p>\n
Substantiating violations with notices, notes and photographs; documenting and archive the violation events; and transmitting violation material to contractor and<\/p>\n
shareholder\/member,<\/p>\n
Maintaining a log of violations recording at a minimum the contractor’s name and address; detailing the violation circumstances; taking notes regarding the rules, regulations<\/p>\n
and obligations of violation; and other pertinent information of the event,<\/p>\n
Notifying the manor shareholder\/member and contractor of all violations and potential consequences within seven working days from time of MA’s knowledge of the violation,<\/p>\n
Issuing all violation notice documents are to be posted on the manor with a description of the violation(s). Contractor violations shall also be published in the biweekly news<\/p>\n
bulletin only after validation of the violation.<\/p>\n
Maintaining a master list of contractors who are ultimately determined to have engaged in violation of and\/or have been suspended under this CVP.<\/p>\n
Contractor Violations<\/p>\n
1<\/p>\n
Also see the contractor violation description below:<\/p>\n
2<\/p>\n
Moderate first violations \u2014 Any violation of the Exhibit A \u2014 Construction Rules & Obligations unless noted as a severe violation. Contractor and shareholder\/member will be<\/p>\n
notified of the first violation. All subsequent violations in this category will then escalate to a severe violation as described below.<\/p>\n
Severe violations \u2014 If the first violation is a severe first violation (or a second moderate violation) then MA shall issue a potential violation notice. MA shall allow the contractor<\/p>\n
the opportunity to explain the circumstances of the violation. Under special circumstances shall the contractor be allowed to continue work. MA shall then determine if the<\/p>\n
potential violation notice shall become a violation notice and invoke those actions described in the contractor violation description.<\/p>\n
In the event a suspension is issued, the contractor will no longer be allowed to do work within United. After the second suspension, board approval is necessary for contractor<\/p>\n
reinstatement. Thereafter, any violation would result in permanent suspension from United.<\/p>\n
a<\/p>\n
The shareholder\/member is responsible for any supplemental cost to mitigate the actions of his\/her contractor that might be attributable to the consequences of<\/p>\n
damage, including, but not limited to, remediation of emergency asbestos cleanup and mitigation, damage to mutual property and fines established by<\/p>\n
governmental agencies.<\/p>\n
The shareholder\/member is responsible for any increased costs in replacing a suspended contractor from an existing project, subject to No. 4 below.<\/p>\n
40f5<\/p>\n
Revised 1-7-2026
\nUpon issuance of a notice of severe violation, the contractor shall not be allowed to submit any new application(s), and existing applications will be refused and\/or the<\/p>\n
contractor will not be allowed to perform any further work in the mutual. However, the shareholder\/member of the manor issued the offense and any shareholder\/member who<\/p>\n
is currently using this contractor shall be allowed, with consultation, under special circumstances and only with the express written approval of MA to continue to use the<\/p>\n
offending contractor to finish an existing contract at the discretion of MA and in consideration of code compliance.<\/p>\n
Contractor Violation Description<\/p>\n
Any violation or suspension due to a violation hereunder will be viewed in totality for any work performed by the contractor in the mutual, and not on a per-project\/mutual basis.<\/p>\n
Moderate Violation<\/p>\n
1<\/p>\n
First offense \u2014 Notice of moderate violation and no further action to be taken.<\/p>\n
2<\/p>\n
Second offense \u2014 Escalation to severe violation pending MA conference (i.e., contractor will discuss with MA the basis for what was done so that MA can determine if there<\/p>\n
was a violation or a misunderstanding). If MA determines no further action is needed, it remains a moderate violation without suspension. If determined to be a second<\/p>\n
violation, MA will apply a 30-calendar-day suspension from working in the mutual.<\/p>\n
Severe Violation<\/p>\n
1<\/p>\n
First offense \u2014 Notice of potential violation. Pending conference with MA (i.e., contractor will discuss with MA the basis for what was done so that MA can determine if there<\/p>\n
was a violation or a misunderstanding). The result of this conference will be the basis a 30-calendar-day suspension.<\/p>\n
Second offense \u2014 Notice of violation and mandatory 90-day suspension.<\/p>\n
Third offense \u2014 Notice of violation and mandatory termination of contractor from all work within the mutual. Only board reinstatement can result in the contractor continuing to<\/p>\n
work in the mutual. Suspensions resulting from the second and third offense violations will occur after a conference is held between MA and the contractor to determine if<\/p>\n
there was a violation or a misunderstanding. It shall also be determined if the shareholder\/member of the manor issued the offense and any shareholder\/member that is<\/p>\n
currently using this contractor, shall be allowed, under special circumstances, to continue to use the offending contractor to finish their existing contract at the discretion of<\/p>\n
MA and in consideration of code compliance.<\/p>\n
Regardless of the violations levied as noted herein, contractor and shareholder\/member may be subject to other costs as a result of damages to mutual property.<\/p>\n
Contractor Right to Dispute<\/p>\n
The contractor’s right to dispute the violation shall be as follows:<\/p>\n
1<\/p>\n
The contractor has the right to dispute the MA notice of violation by emailing a hearing request to alterations@vmsinc.org and copying the MA supervisor and MA manager<\/p>\n
within seven calendar days of the notice of violation issuance to contractor.<\/p>\n
Said hearing request will be heard by United’s ACSC at its next appropriate hearing date.<\/p>\n
Should the contractor make a hearing request, all conditions of the violation, including the suspension, will remain in effect until the ACSC provides a final determination.<\/p>\n
Signature of Shareholder\/Member:<\/p>\n
Date:<\/p>\n
50f5<\/p>\n
Revised 1-7-2026
\nald<\/p>\n
Laguna Woods Village<\/p>\n
Certificate of Insurance Sample<\/p>\n
CERTIFICATE OF LIABILITY INSURANCE<\/p>\n
(1) Producer<\/p>\n
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS<\/p>\n
Your insurance agent;<\/p>\n
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES<\/p>\n
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED<\/p>\n
please contact your insurance<\/p>\n
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER<\/p>\n
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.<\/p>\n
carrier to have a document<\/p>\n
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on<\/p>\n
produced for you<\/p>\n
PRODUCER<\/p>\n
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).<\/p>\n
Manor Alterations<\/p>\n
ACME Insurance & Associates Insurance<\/p>\n
Ne, ext. (949) 597-4616<\/p>\n
[TRE nox: (949) 597-4316<\/p>\n
10148 Riverside Drive<\/p>\n
bbRess:<\/p>\n
Insured<\/p>\n
alterations@vmsinc.org<\/p>\n
Toluca Lake, CA91602<\/p>\n
0<\/p>\n
INSURERS) AFFORDING COVERAGE<\/p>\n
nacH<\/p>\n
Your name and address<\/p>\n
insurer A: Insurance Compa<\/p>\n
00000<\/p>\n
SURED.<\/p>\n
INSURER<\/p>\n
Smith, John<\/p>\n
INSURER C<\/p>\n
\u00a9<\/p>\n
Insurance Carrier<\/p>\n
123 Main St<\/p>\n
INSURER D.<\/p>\n
Anytown, CA 90001<\/p>\n
[2]<\/p>\n
INSURER E<\/p>\n
INSURER F<\/p>\n
Policy Number<\/p>\n
COVERAGES<\/p>\n
CERTIFICATE NUMBER:<\/p>\n
REVISION NUMBER:<\/p>\n
THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD<\/p>\n
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS<\/p>\n
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,<\/p>\n
Effective Dates<\/p>\n
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.<\/p>\n
TYPE OF INSURANCE.<\/p>\n
so] wo<\/p>\n
DOTSTER<\/p>\n
PoLicY NuMBER<\/p>\n
rs<\/p>\n
OCCURRENCE<\/p>\n
500,000<\/p>\n
A | [COMMERCIAL GENERAL LinsILITY<\/p>\n
v<\/p>\n
60412016<\/p>\n
6\/6\/2016<\/p>\n
so<\/p>\n
E TURERTED<\/p>\n
[s<\/p>\n
Liability Insurance Limits<\/p>\n
ocour<\/p>\n
PREWISES (\u00a32 occurence)<\/p>\n
Ld<\/p>\n
XYZ1234 (4)<\/p>\n
MED EXP (Any one parson)<\/p>\n
5.000<\/p>\n
Limits (maximum coverage)<\/p>\n
PERSONAL 8 ADVINURY<\/p>\n
s<\/p>\n
500,000<\/p>\n
LJ<\/p>\n
purchased for each coverage<\/p>\n
(GENL AGGREGATE LIMIT APPLES PER:<\/p>\n
\u2018GENERAL AGGREGATE<\/p>\n
s<\/p>\n
1,000,000<\/p>\n
rover] 5S<\/p>\n
Loc<\/p>\n
PRODUCTS – COMPIOR AGG | \u00a7<\/p>\n
General liability:<\/p>\n
a<\/p>\n
omer<\/p>\n
5<\/p>\n
\u201cAUTOMOBILE LIABILITY<\/p>\n
OHEINED SINGLE LAT<\/p>\n
$500,000\/$1,000,000<\/p>\n
{\u00a3a sccdent<\/p>\n
500,000<\/p>\n
| av auto<\/p>\n
BODILY INJURY (Por person)<\/p>\n
100,000<\/p>\n
Auto (personal vehicle):<\/p>\n
Ld<\/p>\n
SMCS onwy<\/p>\n
BODILY INJURY (Per accdent| 5<\/p>\n
250,000<\/p>\n
RED<\/p>\n
NON-OWNED<\/p>\n
ERTY DAVAGE<\/p>\n
B<\/p>\n
$250,000\/$500,000<\/p>\n
[]%<\/p>\n
Tos ony<\/p>\n
AUTOS ONLY<\/p>\n
Fe scan<\/p>\n
100,000<\/p>\n
g<\/p>\n
Auto (commercial vehicle):<\/p>\n
UMBRELLA UAB<\/p>\n
occur<\/p>\n
EACH OCCURRENCE<\/p>\n
s<\/p>\n
Excess Lag<\/p>\n
CLAMSADE|<\/p>\n
AGGREGATE.<\/p>\n
s<\/p>\n
$500,000\/$1,000,000<\/p>\n
H<\/p>\n
oe |<\/p>\n
[rerenmons<\/p>\n
[WORKERS COMPENSATION<\/p>\n
|AND EMPLOYERS\u2019 LIABILITY<\/p>\n
[Efrure |<\/p>\n
a<\/p>\n
NYPROPRIETOR PARTNER EXECUTIVE<\/p>\n
EL EAGH ACCIDENT<\/p>\n
s<\/p>\n
500,000<\/p>\n
Workers\u2019 Compensation<\/p>\n
OF CEANEVRER EXCLUDED?<\/p>\n
(atandatory in NH)<\/p>\n
deserve under<\/p>\n
EL DISEASE -EAEMPLOYEE] \u00a7<\/p>\n
500,000<\/p>\n
Workers\u2019 compensation and<\/p>\n
BE<\/p>\n
RIPTION OF OPERATIONS below<\/p>\n
EL Disease -oucy um |<\/p>\n
500,000<\/p>\n
Limit: $50,000<\/p>\n
employment liability:<\/p>\n
Rented\/Leased Equipment<\/p>\n
Deductible: $500<\/p>\n
$500,000\/$500,000.<\/p>\n
Example limit and deductible<\/p>\n
DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may bs atached ff more space fs required)<\/p>\n
For exceptions to workers\u2019 comp<\/p>\n
requirements, provide statement<\/p>\n
of no employees on company letterhead.<\/p>\n
Certificate Holder<\/p>\n
CERTIFICATE HOLDER<\/p>\n
CANCELLATION<\/p>\n
Golden Rain Foundation of Laguna Woods<\/p>\n
Certificate Holder<\/p>\n
\u2018SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE<\/p>\n
NOTICE WILL BE DELIVERED IN<\/p>\n
Village Management Services Inc.<\/p>\n
Golden Rain Foundation of Laguna Woods<\/p>\n
THE EXPIRATION DATE THEREOF,<\/p>\n
ACCORDANCE WITH THE POLICY PROVISIONS.<\/p>\n
Villa<\/p>\n
je Management Services Inc.<\/p>\n
0<\/p>\n
Third Laguna Hills Mutual<\/p>\n
Thir<\/p>\n
J<\/p>\n
Laguna Hills Mutual<\/p>\n
United Laguna Woods Mutual<\/p>\n
\u201cAUTHORIZED REPRESENTATIVE<\/p>\n
United Laguna Woods Mutual<\/p>\n
P.O. Box 2220<\/p>\n
Laguna Hills, CA 92654<\/p>\n
Sign here<\/p>\n
P.O. Box 2220<\/p>\n
Laguna Hills, CA 92654<\/p>\n
What is a certificate of insurance?<\/p>\n
A certificate of insurance (COI) is issued by an insurance company or broker<\/p>\n
and verifies the existence of an insurance policy.<\/p>\n
What is a \u201ccertificate holder?\u201d<\/p>\n
A certificate holder is someone who takes receipt or evidence of the COI.<\/p>\n
The certificate holder is the party to which the COI is provided.<\/p>\n
Contact Manor Alterations<\/p>\n
8 a.m. to 5 p.m., Monday through Friday \u00ae 949-597-4616 e alterations@vmsinc.org<\/p>\n
lagunawoodsvillage.com\/residents\/resident-services#manor-alterations<\/p>\n","protected":false},"author":28,"featured_media":0,"template":"","document_category":[1127],"document_type":[53],"class_list":["post-80971","document","type-document","status-publish","hentry","document_category-manor-alterations","document_type-other"],"acf":{"document":84439,"resolutions":null,"legacy_id":"","pdf_extracted_text":""},"yoast_head":"\n