#3\u00bb<\/p>\n
UNITE D LAGUNA WOODS<\/p>\n
Application for Disabled Child\/Grandchild<\/p>\n
with Co-Occupancy Permit<\/p>\n
Check List<\/p>\n
Please print clearly on your application so the information provided will be legible for digital<\/p>\n
imaging. Please return completed form to Salina Kuresa in Community Services or via email at<\/p>\n
salina.kuresa@vmsinc.org; 949-268-2393.<\/p>\n
Member(s) applying for Disabled Child\/Grandchild with Co-Occupancy Application shall<\/p>\n
complete and provide the following:<\/p>\n
Complete \u201cDisabled Child\/Grandchild Health Certification\u201d form<\/p>\n
Complete \u201cApplication for Co-Occupancy Permit\u201d form<\/p>\n
Provide a National Background Check (criminal, eviction, Patriot Act, etc.) \u2014<\/p>\n
Examples:<\/p>\n
www.tenantbackgroundsearch.com (highly recommended)<\/p>\n
www.e-renter.com\/services\/tenant-screening<\/p>\n
www.applycheck.com\/our-products (for domestic and international checks)<\/p>\n
All Members and Co-occupants to provide copy of age verification document(s)<\/p>\n
(driver’s license, passport or birth certificate).<\/p>\n
Initial on co-occupancy application understanding of the \u201cno rents will be paid or<\/p>\n
collected during the duration of applicant\u2019s occupancy\u201d statement.<\/p>\n
Initial on co-occupancy application Member acknowledgment of 3rd Party Occupancy<\/p>\n
Fee (if applicable) and Member responsibility to notify Mutual of cancellation of occupancy<\/p>\n
status and to return occupant ID card to avoid charges to the account.<\/p>\n
Sign and date co-occupancy application and confirm which Member(s) to reside or not<\/p>\n
reside in unit.<\/p>\n
Initial and Sign \u201cResidency Restrictions Important Information\u201d form.<\/p>\n
Review \u201cDisclosure notice re asbestos-containing construction materials\u201d.<\/p>\n
Complete the Everbridge Emergency Notification Record on the attached form or online<\/p>\n
at lagunawoodsvillage.com, scroll to the Everbridge icon at the bottom of any page and click \u201cSign up<\/p>\n
today.\u201d<\/p>\n
Revised 12\/2025
\ni<\/p>\n
UNITED AGUNA WOODS<\/p>\n
UAL<\/p>\n
Policy for Disabled Child\/Grandchild Application<\/p>\n
POLICY FOR CO-OCCUPANCY BY DISABLED CHILD\/GRANDCHILD<\/p>\n
Itis the policy of Laguna Woods Village to provide rigorous compliance with the State of California\u2019s occupancy<\/p>\n
regulations for senior citizens\u2019 communities.<\/p>\n
California Civil Code Section 51.3 permits a disabled person or person with a disabling illness or injury who is<\/p>\n
a child or grandchild of the senior citizen to reside in an age-restricted community. All references to \u201cchild\u201d<\/p>\n
herein shall be deemed to include the existing resident(s\u2019) or prospective buyer(s\u2019) child or grandchild, if<\/p>\n
applicable. Persons who apply for co-occupancy under \u00a751.3 shall submit a disabled child\/grandchild health<\/p>\n
certification application, signed by physician for review by the Board of Directors.<\/p>\n
Applicants are advised of the following:<\/p>\n
* The Board of Directors may deny requests for co-occupancy; therefore, prospective<\/p>\n
buyer(s)<\/p>\n
are advised to defer opening escrow until a decision is made on the application;<\/p>\n
The Board may request additional documentation in considering this application;<\/p>\n
The Mutual Member is ultimately responsible for the actions of guests, lessees, and co-occupants;<\/p>\n
Occupancy of the manor by more than two persons requires a Third-Party Fee;<\/p>\n
Health re-certification shall be required at least annually, unless waived by the Board on a case by<\/p>\n
case basis, such as for a chronic and progressive debilitating disease.<\/p>\n
By signing the acknowledgement on the reverse side of this form, parents\/grandparents agree to hold<\/p>\n
harmless, the Mutual, Golden Rain Foundation and Village Management Services, Inc., Agent, and their<\/p>\n
respective directors, officers, agents and employees from any claims arising or based on the presence of or<\/p>\n
any alleged property damage or bodily injury or death caused in whole or in part or resulting from actions by<\/p>\n
the DISABLED child\/grandchild.<\/p>\n
PROCEDURE FOR REQUESTING CO-OCCUPANCY APPROVAL FOR DISABLED<\/p>\n
CHILD\/GRANDCHILD<\/p>\n
Following are the procedures for obtaining approval by the Board of Directors:<\/p>\n
1<\/p>\n
Prospective buyer or existing resident submits Disabled Child Health Certification form to the disabled<\/p>\n
child\u2019s physician for completion.<\/p>\n
2<\/p>\n
Physician completes Physician’s Certification, confirming the child\/grandchild is disabled and explaining:<\/p>\n
0<\/p>\n
Probable duration of the impairment;<\/p>\n
0<\/p>\n
Whether there is any probability of behavioral problems resulting or arising from the child\u2019s<\/p>\n
impairment which could be harmful to the child or threatening or disturbing to other<\/p>\n
residents of<\/p>\n
the community, and whether the threat can be ameliorated by means of a reasonable<\/p>\n
accommodation.<\/p>\n
The specific care that the parents\/grandparents will provide to the disabled child.<\/p>\n
Buyer or existing resident completes the acknowledgement of the terms and conditions of approval on the<\/p>\n
Certification form, and submits it to the Community Services Department for transmittal to the Board of<\/p>\n
Directors for review and approval or disapproval.<\/p>\n
Within ten (10) business days from date of receipt of Certification form containing all the required<\/p>\n
information, the Board will make its determination. The Community Services Department will transmit the<\/p>\n
Board’s decision to the prospective buyer. The buyer or resident may appeal the Board’s decision by<\/p>\n
submitting a written request to the Board within 14 days from the date of the denial notice to the buyer or<\/p>\n
resident.<\/p>\n
Pending Board action regarding the request, prospective buyer or existing resident must complete<\/p>\n
occupancy documents required by the association for Board review.<\/p>\n
Revised 12\/2025
\ni<\/p>\n
UNITED LAGUNA Woops<\/p>\n
UNIT ADDRESS<\/p>\n
DISABLED CHILD\/GRANDCHILD HEALTH CERTIFICATION<\/p>\n
RESIDENT\u2019S NAME<\/p>\n
TELEPHONE NO.<\/p>\n
RESIDENT’S RELATIONSHIP TO<\/p>\n
CHILD<\/p>\n
OPARENT<\/p>\n
OGRANDPARENT<\/p>\n
DISABLED CHILD\u2019S NAME<\/p>\n
BIRTHDATE<\/p>\n
DISABLED CHILD’S SOCIAL<\/p>\n
SECURITY #<\/p>\n
APPLICANT__ HAS \/__ HAS NOT BEEN CONVICTED OF A FELONY IN THE LAST 20 YEARS OR A<\/p>\n
MISDEMEANOR INVOLVING MORAL TURPITUDE WITHIN THE LAST 5 YEARS (Civil Code 51.3 (b)(3)(B))<\/p>\n
PHYSICIAN’S CERTIFICATION<\/p>\n
AS THE PHYSICIAN FOR THE ABOVE-NAMED DISABLED CHILD, YOU ARE REQUESTED TO PROVIDE<\/p>\n
INFORMATION RELATED TO THE PHYSICAL AND\/OR MENTAL HEALTH OF THE CHILD. THIS INFORMATION WILL<\/p>\n
BE CONSIDERED BY THE HOMEOWNERS\u2019 ASSOCIATION BOARD OF DIRECTORS IN DETERMINING WHETHER<\/p>\n
THE CHILD SHOULD BE PERMITTED TO RESIDE IN THIS SENIOR CITIZENS\u2019 COMMUNITY. YOUR CAREFUL<\/p>\n
EXPLANATION OF THE REQUIREMENTS FOR CARE, AND POTENTIAL FOR DISRUPTIVE OR DANGEROUS<\/p>\n
BEHAVIOR (TO THE CHILD OR OTHERS) IS CRITICAL TO THIS DETERMINATION.<\/p>\n
PLEASE VERIFY THE NATURE OF THE CHILD’S PHYSICAL OR MENTAL IMPAIRMENT OR DISABILITY:<\/p>\n
[O Yes, the child is disabled as defined by Civil Code 54(b) and Government Code Section 12962<\/p>\n
[J No, the child is not disabled as defined by Civil Code 54(b) and Government Code Section 12962<\/p>\n
SPECIFY THE TYPES OF CARE AND\/OR ACCOMMODATIONS THAT THE CHILD WILL RECEIVE FROM THE<\/p>\n
PARENTS\/GRANDPARENTS (E.G., BEING DRIVEN, BATHING, FEEDING, MEDICATION, ETC.)<\/p>\n
INDICATE FREQUENCY OF REQUIRED CARE:<\/p>\n
OOTHER (PLEASE SPECIFY)<\/p>\n
ODAILY<\/p>\n
OWEEKLY<\/p>\n
OSEVERAL TIMES DAILY<\/p>\n
OMONTHLY<\/p>\n
IS IMPAIRMENT OR DISABILITY<\/p>\n
IF NO, HOW LONG WILL IT<\/p>\n
IS CHILD CAPABLE OF LIVING<\/p>\n
PERMANENT?<\/p>\n
O YES<\/p>\n
ONO<\/p>\n
LAST?<\/p>\n
INDEPENDENTLY?<\/p>\n
O YES<\/p>\n
ONO<\/p>\n
IS IT PROBABLE THAT THE CHILD\u2019S BEHAVIOR WILL BE VIOLENT, DISRUPTIVE OR THREATENING TO THE<\/p>\n
CHILD HIMSELF OR HERSELF, TO NEIGHBORS, OTHER RESIDENTS, OR STAFF? [OO YES O NO<\/p>\n
IF YES, INDICATE LEVEL OF PROBABILITY:<\/p>\n
O HIGH<\/p>\n
0 MEDIUM 0O LOW<\/p>\n
DATE<\/p>\n
PHYSICIAN’S NAME (PRINT)<\/p>\n
TELEPHONE NO.<\/p>\n
PHYSICIAN’S ADDRESS<\/p>\n
CITY<\/p>\n
STATE<\/p>\n
ZIP<\/p>\n
PHYSICIAN’S LICENSE NO.<\/p>\n
PHYSICIAN’S SIGNATURE<\/p>\n
ACKNOWLEDGEMENT BY PARENT OR GRANDPARENT<\/p>\n
| HAVE READ THE MUTUAL GUIDELINES AND POLICY PERTAINING TO AN OCCUPANCY REQUEST FOR MY|<\/p>\n
DISABLED CHILD\/GRANDCHILD ON THE REVERSE SIDE OF THIS FORM AND AGREE TO ABIDE BY THEM. | ATTEST|<\/p>\n
THAT ALL THE INFORMATION PROVIDED IN THIS CERTIFICATION FORM IS ACCURATE AND COMPLETE.<\/p>\n
DATE<\/p>\n
PARENT’S \/ GRANDPARENT\u2019S SIGNATURE<\/p>\n
DATE<\/p>\n
PARENT’S \/ GRANDPARENT’S SIGNATURE<\/p>\n
Revised 12\/2025
\ni<\/p>\n
UNITED LAGUNA Woops<\/p>\n
Application for Co-occupancy Permit<\/p>\n
Unit address<\/p>\n
Applicant 1 and Applicant 2 Information<\/p>\n
Last name<\/p>\n
First name<\/p>\n
MI<\/p>\n
Social Security No.<\/p>\n
Birthdate<\/p>\n
Email<\/p>\n
Home phone<\/p>\n
Mobile phone<\/p>\n
Marital<\/p>\n
|<\/p>\n
Married [] Widowed [] Single<\/p>\n
If under 45 years of age, indicate if spouse\/registered<\/p>\n
Status<\/p>\n
Oo<\/p>\n
Divorced [] Separated<\/p>\n
domestic partner [] or if applicant is a disabled child \/<\/p>\n
[J Registered Domestic Partner<\/p>\n
grandchild []<\/p>\n
Last name<\/p>\n
First name<\/p>\n
MI<\/p>\n
Birthdate<\/p>\n
Social Security No.<\/p>\n
Email<\/p>\n
Home phone<\/p>\n
Mobile phone<\/p>\n
Marital<\/p>\n
|<\/p>\n
Married [] Widowed [] Single<\/p>\n
If under 45 years of age, indicate if spouse\/registered<\/p>\n
Status<\/p>\n
a<\/p>\n
Divorced [] Separated<\/p>\n
domestic partner [] or if applicant is a disabled child \/<\/p>\n
[] Registered Domestic Partner<\/p>\n
grandchild []<\/p>\n
Applicant relationship to member<\/p>\n
Previous address<\/p>\n
City<\/p>\n
State<\/p>\n
Zip<\/p>\n
In case of emergency, notify<\/p>\n
Relationship to applicant<\/p>\n
Address<\/p>\n
Telephone #<\/p>\n
Member\/Co-occupant Acknowledgements<\/p>\n
We hereby apply for approval of the applicant to reside in the unit identified above as an occupant and affirm that the<\/p>\n
information provided herein is accurate to the best of our knowledge. We have read the terms and conditions for such occupancy on the<\/p>\n
reverse side of this application and agree to be bound by the terms therein. We have received a copy of the notice informing us of the<\/p>\n
possible existence of asbestos in certain buildings.<\/p>\n
We swear, under penalty of perjury, that there will not be a landlord-tenant relationship between shareholder and occupant,<\/p>\n
and that no rents will be paid or collected during the duration of applicant\u2019s occupancy, unless a lease is executed through the<\/p>\n
Laguna Woods Village leasing office.<\/p>\n
** All Members and Co-occupants must initial and agree to the \u201cno rents paid or collected\u201d statement above:<\/p>\n
Member Acknowledgment of Additional Occupant Fee and Occupancy Cancellation<\/p>\n
\u00ab Member is aware of and agrees to pay to the mutual an additional sum each month for each occupant of the unit in excess of<\/p>\n
two, at the rate prescribed by the mutual and GRF. A schedule of fees is available upon request and is subject to change<\/p>\n
annually. Additional fee is added to the member\u2019s account.<\/p>\n
All Members must Initial:<\/p>\n
\u00ab Member is responsible for notifying Laguna Woods Village when additional occupant(s) have moved out of the unit and for<\/p>\n
returning additional occupant(s) ID card to avoid charges to the account. All Members must Initial:<\/p>\n
JEN<\/p>\n
Co-occupant name (print)<\/p>\n
Signature<\/p>\n
Date<\/p>\n
Co-occupant name (print)<\/p>\n
Signature<\/p>\n
Date<\/p>\n
Member name (print)<\/p>\n
Signature<\/p>\n
Date<\/p>\n
To reside? [] Yes [J No<\/p>\n
Date<\/p>\n
Member name (print)<\/p>\n
Signature<\/p>\n
To reside? [] Yes [J No<\/p>\n
Member name (print)<\/p>\n
Signature<\/p>\n
Date<\/p>\n
To reside? [] Yes [J No<\/p>\n
Revised 12\/2025
\ni<\/p>\n
JNA WOODS<\/p>\n
UNITED LAGL<\/p>\n
UAL<\/p>\n
Application for Co-occupancy Permit \u2014 Page 2<\/p>\n
Primary rules governing occupancy \u2014 United Laguna Woods Mutual<\/p>\n
The parties to this agreement are the mutual corporation, hereinafter referred to as \u201cthe mutual\u201d; the member(s),<\/p>\n
hereinafter referred to as \u201cshareholder,\u201d and whose signature appears on the reverse side of this application; and the<\/p>\n
applicant(s) for occupancy, hereinafter referred to as \u201cco-occupant,\u201d and whose signature appears on the reverse side<\/p>\n
of this application. In consideration of their mutual undertakings, and by executing this application, the parties hereto<\/p>\n
agree as follows:<\/p>\n
1<\/p>\n
Co-occupant(s) shall be entitled to occupy the unit indicated on the reverse side of this application.<\/p>\n
2<\/p>\n
Co-occupant(s) and shareholder(s) affirm their intent that the co-occupant will reside in this unit and that<\/p>\n
occupant is 45 years of age or older, or is the spouse or registered domestic partner of the qualifying resident, or<\/p>\n
is a disabled child\/grandchild.<\/p>\n
Non-shareholders may reside only if they are approved to co-occupy (and meet the requirements of Section 2<\/p>\n
above), and reside with a qualifying member who is at least 55 years of age.<\/p>\n
Co-occupant(s) shall be entitled to the use and enjoyment of the facilities and services provided by the Golden<\/p>\n
Rain Foundation on the same basis as shareholders of the foundation, but will have neither ownership nor voting<\/p>\n
rights in the foundation or any mutual.<\/p>\n
Shareholder shall be responsible for the conduct and deportment of the co-occupant.<\/p>\n
Co-occupant shall be subject to the same rules, regulations and restrictions (and of the Occupancy Agreement in<\/p>\n
United Mutual) that are applicable to the shareholder, except with respect to payment of carrying charges. If co-<\/p>\n
occupant ever shall become the legal or equitable owner of the membership, co-occupant will apply for<\/p>\n
membership in the mutual (and will execute an Occupancy Agreement in United Mutual) in the form generally<\/p>\n
used by the mutual and will pay all amounts due pursuant to the Occupancy Agreement.<\/p>\n
Shareholder and co-occupant shall be equally responsible for payment of any charges incurred by co-occupant in<\/p>\n
respect to service provided by the Golden Rain Foundation or the mutual.<\/p>\n
Shareholder agrees to pay to the mutual an additional sum each month for each occupant of the unit in excess of<\/p>\n
two, at the rate prescribed by the mutual and\/or GRF.<\/p>\n
Shareholders shall be responsible for canceling the co-occupancy status and returning co-occupant\u2019s ID card<\/p>\n
when co-occupant ceases to reside in the unit.<\/p>\n
10<\/p>\n
Any party may terminate this agreement at any time upon 30 days written notice to the other parties to this<\/p>\n
agreement.<\/p>\n
1″<\/p>\n
In order to induce the mutual to execute this agreement, the other parties agree that they have no rights against<\/p>\n
the mutual as a direct or indirect result of the execution of this agreement, and in the event that there are any<\/p>\n
expenses incurred by the mutual to enforce the terms of this agreement, or to remove or take other action, or to<\/p>\n
defend any action relative to shareholder or co-occupant, as a direct or indirect result of this agreement,<\/p>\n
shareholder and co-occupant agree to hold the mutual harmless from and to pay all costs or expenses incurred<\/p>\n
by the mutual, including, but not limited to, attorney\u2019s fees, court costs or related expenses.<\/p>\n
12<\/p>\n
Co-occupant(s) affirm that they have not been convicted of a felony within the past 20 years, or a misdemeanor<\/p>\n
involving moral turpitude within the past five years.<\/p>\n
13<\/p>\n
Guests may stay a maximum of 60 days per year, and only while the qualifying senior resident is in<\/p>\n
residence.<\/p>\n
Notice to shareholders and applicants<\/p>\n
Approval of this application by the mutual, in and of itself, does not confer any right on the co-occupant other than the<\/p>\n
revocable right to occupy the unit named on the reverse of this form. As indicated, both shareholder and the mutual<\/p>\n
generally have the right to terminate occupant status at any time, without cause, provided, however, that Section 51.3<\/p>\n
of the California Civil Code may be interpreted to inhibit this right of termination in certain circumstances.<\/p>\n
Revised 12\/2025
\ni<\/p>\n
UNITED LAGUNA WOODS<\/p>\n
Unit number<\/p>\n
UAL<\/p>\n
Residency Restrictions<\/p>\n
Important Information \u2014 Please Read Carefully<\/p>\n
Co-Occupant(s) and Member(s) Must Read and Initial<\/p>\n
Please note the following residency restrictions, including but not limited to:<\/p>\n
Co-occupant(s)\/Member(s) Initial<\/p>\n
Laguna Woods Village is an independent-lifestyle and age-restricted community (as defined by<\/p>\n
California Civil Code \u00a751.3) that does not provide any form of healthcare or assisted living. Each<\/p>\n
resident is responsible for his\/her own care and welfare.<\/p>\n
HOG insurance coverage is highly recommended in order to cover improvements and alterations<\/p>\n
inside and outside the unit, personal property, liability coverage, loss of use, and loss<\/p>\n
assessment coverage, that are not covered by United Mutual’s insurance policy, which would be<\/p>\n
the responsibility of the Member.<\/p>\n
Appearance of the community is important, and residents are required to keep their balconies,<\/p>\n
patios, walkways and carports free from clutter.<\/p>\n
When moving into the community, residents are required to break down and stack moving boxes<\/p>\n
next to trash dumpsters for routine pickup. Please be advised that there are weight and volume<\/p>\n
restrictions. Call CR&R at 949-625-6735 to arrange to have excessive moving material hauled<\/p>\n
away as a chargeable service. When moving out of the community, the seller is responsible for<\/p>\n
hauling away excessive materials\/furniture.<\/p>\n
Members are required to check with the Manor Alterations Department before making any internal<\/p>\n
and external alteration, including any landscaping. Alterations are prohibited without prior review<\/p>\n
and consent. Contact Manor Alterations at 949-597-4616 or alterations@vmsinc.org. Contractors\u2019<\/p>\n
trash must not be put into community dumpsters.<\/p>\n
Relatives and other guests may stay overnight for a total of 60 days in any 12-month period.<\/p>\n
Relatives and guests may not stay in a resident’s home during the absence of the resident.<\/p>\n
Board approval is required for all persons wishing to reside in the community. Contact<\/p>\n
Community Services at 949-268-2393 before any change in residency status.<\/p>\n
The maximum number of persons allowed to occupy a unit is equal to the number of bedrooms<\/p>\n
plus one. There are additional monthly fees for more than two occupants.<\/p>\n
Units may not be sublet for more than 12 months and not less than 30 days.<\/p>\n
United is billed directly from the tax assessor and the shareholder\/member reimburses the mutual<\/p>\n
through monthly assessments. Members of United are cautioned to prepare for property tax<\/p>\n
increases in monthly assessments.<\/p>\n
Coyotes and other wildlife are active in and around Laguna Woods Village. Wildlife activity is<\/p>\n
regulated by state and city laws. Village Management Services Inc., the Golden Rain Foundation<\/p>\n
of Laguna Woods, Third Laguna Hills Mutual and United Laguna Woods Mutual assume no<\/p>\n
liability for wildlife encounters or related incidents and are not responsible for any injury, damage<\/p>\n
or nuisance caused by coyotes or other wildlife.<\/p>\n
I\/We, the undersigned, have read the above and agree to comply with the rules of this community.<\/p>\n
Date<\/p>\n
1 Name (Print)<\/p>\n
Signature<\/p>\n
Click or tap to enter a<\/p>\n
date.<\/p>\n
Date<\/p>\n
2 Name (Print)<\/p>\n
Signature<\/p>\n
Click or tap to enter a<\/p>\n
date.<\/p>\n
Revised 12\/2025
\nZain Woods Village\u2019<\/p>\n
Notice<\/p>\n
To<\/p>\n
Employees, contractors employed by the Laguna Woods Village<\/p>\n
associations, members and prospective purchasers of dwelling units at<\/p>\n
Laguna Woods Village, Laguna Woods<\/p>\n
From:<\/p>\n
Village Management Services Inc.<\/p>\n
Subject:<\/p>\n
Disclosure notice: Laguna Woods Village buildings constructed with<\/p>\n
asbestos-containing construction materials<\/p>\n
Health & Safety Code 25915.2 and 25915.5 require the mutual to provide annual notice about<\/p>\n
the existence of asbestos-containing materials (ACM) in nonresidential public buildings in the<\/p>\n
mutual to all employees and contractors performing work within said buildings, and to all<\/p>\n
members of the mutual.<\/p>\n
In addition, the mutual is required to disclose to new owners, within 15 days of acquiring title to<\/p>\n
a unit, the existence of asbestos-containing material in nonresidential public buildings within<\/p>\n
the mutual.<\/p>\n
Village Management Services Inc., as employer, and as agent, for the associations that own<\/p>\n
or manage the buildings at Laguna Woods Village, Laguna Woods, for their members,<\/p>\n
hereby notifies all its employees, contractors and all mutual members and transferees, that<\/p>\n
some buildings within Laguna Woods Village have been surveyed and found to contain<\/p>\n
asbestos.<\/p>\n
The analytical method used to determine asbestos content was polarized light<\/p>\n
microscopy\/dispersion staining. Since the community has an active asbestos operations and<\/p>\n
maintenance program, testing is ongoing. Because of the high cost to conduct a complete<\/p>\n
asbestos survey and analysis of all buildings, surveys are conducted only upon repair,<\/p>\n
remodel, addition to or removal of a building or part of a building suspected to contain<\/p>\n
asbestos materials, as required by labor codes. The certificates of analysis for any testing<\/p>\n
received to date are available to employees, contractors, owners and tenants and<\/p>\n
transferees for review and photocopying from the Laguna Woods Village Human<\/p>\n
Resources\/Safety Office, 24351 El Toro Road, Laguna Woods, CA., between 9 a.m. and 5<\/p>\n
p-m., Monday through Friday.<\/p>\n
The following buildings in Laguna Woods Village, Laguna Woods, were constructed prior to<\/p>\n
1979 and thus may contain asbestos in one or more construction materials: All community<\/p>\n
facilities buildings (with the exception of Clubhouse 7, the mini-gym at Clubhouse 1, the<\/p>\n
broadband services building, the Laguna Woods Village Community Center, the vehicle<\/p>\n
maintenance building, and a portion of the warehouse\u2014all constructed after 1979), including<\/p>\n
clubhouses and outbuildings, library, maintenance warehouse building, stables, gatehouses,<\/p>\n
garden center buildings, all detached laundry buildings and residential buildings numbers 1<\/p>\n
through 5543 inclusive.<\/p>\n
Disclosure notice: Asbestos-containing construction materials continued on next page<\/p>\n
Revised 12\/2025
\n1% \u2014 Laguna Woods Village\u2019<\/p>\n
Disclosure notice: Asbestos-containing construction materials continued from previous page<\/p>\n
At the time most of the buildings in Laguna Woods Village were constructed, asbestos-<\/p>\n
containing materials met local codes as well as state and federal regulations and were<\/p>\n
extensively used in many building products, including but not limited to: ceiling tile, floor<\/p>\n
tile\/linoleum and mastic, textured wall surfaces, sprayed acoustical ceilings, fire doors,<\/p>\n
structural fireproofing, pipe\/boiler insulation, attic insulation and heating duct<\/p>\n
material\/insulation.<\/p>\n
According to the National Cancer Institute and the Environmental Protection Agency, any<\/p>\n
asbestos in these materials does not present a threat to health so long as the asbestos is not<\/p>\n
disturbed and does not become airborne.<\/p>\n
However, because breathing asbestos has been known in some instances to cause cancer<\/p>\n
and other forms of lung disease, sanding, scraping, drilling, sawing, crushing,<\/p>\n
tearing\/breaking up or otherwise disturbing asbestos-containing materials presents a<\/p>\n
potential health risk. Therefore, you are directed not to perform such tasks in areas with<\/p>\n
ACM present or suspected unless the area\/materials have been tested and found not to<\/p>\n
contain asbestos or if specifically assigned or contracted to do such work and it is in<\/p>\n
accordance with all federal, state, and local laws as well as internal guidelines called for in<\/p>\n
the asbestos operations and maintenance plan and other company safety and environmental<\/p>\n
policies and procedures.<\/p>\n
Village Management Services Inc. employees whose work orders require them to construct,<\/p>\n
repair, maintain or otherwise disturb construction materials that may contain asbestos are<\/p>\n
hereby directed to follow the current regulations and policies noted above and to wear the<\/p>\n
required protective equipment, prior to performing such work. Questions concerning<\/p>\n
instructions and equipment should be directed to the HR\/Safety Supervisor at 949-597-<\/p>\n
4321.<\/p>\n
It is illegal to place asbestos materials or debris in Laguna Woods Village trash dumpsters.<\/p>\n
Such materials must be disposed of separately in accordance with state and county<\/p>\n
regulations to avoid fines. Contact the HR\/Safety Supervisor at 949-597-4321 for details.<\/p>\n
If you become aware of any asbestos-containing material becoming damaged or otherwise<\/p>\n
disturbed, please contact Laguna Woods Village Customer Service at 949-597-4600, or the<\/p>\n
HR\/Safety Supervisor at 949-597-4321.<\/p>\n
Village Management Services Inc.<\/p>\n
Revised 12\/2025
\nZain Woods Village\u2019<\/p>\n
Alerts and Emergency Notifications Powered by<\/p>\n
Yeverbridge<\/p>\n
Everbridge is Laguna Woods Village’s official emergency notification system\u2014a robust and widely used<\/p>\n
platform that enhances our ability to keep you informed via text, email and phone during critical events.<\/p>\n
The Village Management Services Security Services Department and the Laguna Woods Village Disaster<\/p>\n
Preparedness Task Force encourage all residents to take a few minutes to ensure their contact<\/p>\n
information is up to date. Staying informed is essential for community safety\u2014register today to receive<\/p>\n
critical alerts when they matter most.<\/p>\n
Everbridge notifications cover alert and emergency situations, including:<\/p>\n
Critical power outages<\/p>\n
Earthquake emergency procedures<\/p>\n
Evacuations per the Orange County Fire Authority<\/p>\n
Gate or road closures<\/p>\n
Wildfire<\/p>\n
Other safety threats<\/p>\n
How to Submit Your Form or Enroll Online<\/p>\n
Please complete the form on the reverse side and return it in person to the Laguna Woods Village<\/p>\n
Community Center front desk at 24351 El Toro Road or mail it to:<\/p>\n
Village Management Services Inc.<\/p>\n
Attn: General Manager’s Office<\/p>\n
24351 El Toro Road<\/p>\n
Laguna Woods, CA 92637<\/p>\n
To enroll via the Laguna Woods Village website, visit lagunawoodsvillage.com, scroll to the Everbridge icon<\/p>\n
at the bottom of any page and click \u201cSign up today.\u201d<\/p>\n
To enroll or customize your alert preferences on the resident portal: Visit lagunawoodsvillage.com ><\/p>\n
Resident login. To customize alerts, log in to the portal, click \u201cUpdate Your Info,\u201d scroll to \u201cContact<\/p>\n
Preferences,\u201d and select \u201cI consent to receive official HOA communications via email.\u201d<\/p>\n
All information provided for Everbridge notifications is kept strictly confidential and will only be used to<\/p>\n
contact you in the event of an emergency.<\/p>\n
Don\u2019t wait\u2014sign up today to stay informed and prepared!<\/p>\n
Revised 12\/2025
\nZain Woods Village\u2019<\/p>\n
everbridge Contact Information Form and Emergency Notification Record<\/p>\n
Manoris [] Leased [] Owner-occupied [] Vacant<\/p>\n
Date<\/p>\n
Your Information<\/p>\n
Resident ID<\/p>\n
Manor<\/p>\n
Name<\/p>\n
Email<\/p>\n
Home phone<\/p>\n
Cell phone<\/p>\n
Non-occupant owner address<\/p>\n
City, state, zip<\/p>\n
Emergency Contact(s)<\/p>\n
Name<\/p>\n
Relationship<\/p>\n
Home number<\/p>\n
Email<\/p>\n
Work number<\/p>\n
Cell number<\/p>\n
Address<\/p>\n
City, state, zip<\/p>\n
Name<\/p>\n
Relationship<\/p>\n
Home number<\/p>\n
Email<\/p>\n
Work number<\/p>\n
Mobile number<\/p>\n
Address<\/p>\n
City, state, zip<\/p>\n
Attorney name<\/p>\n
Phone<\/p>\n
Power of Attorney\/Trustee name<\/p>\n
Phone<\/p>\n
Pet care contact name<\/p>\n
Phone<\/p>\n
Doctor name<\/p>\n
Phone<\/p>\n
Note: California Civil Code Section 4041 requires owners to provide annual written notice to the association<\/p>\n
of the following. This includes contact information of the legal representative, if any, including any person<\/p>\n
with power of attorney or other person who can be contacted in the event of an emergency or extended<\/p>\n
absence from the manor. Emergency contact information may be given to hospital personnel upon request.<\/p>\n
Rev. 10\/10\/2025
\nZa Woods Village\u2019<\/p>\n
Rev. 10\/10\/2025<\/p>\n","protected":false},"author":2,"featured_media":0,"template":"","document_category":[1720],"document_type":[53],"class_list":["post-49254","document","type-document","status-publish","hentry","document_category-admin-services","document_type-other"],"acf":{"document":79323,"resolutions":null,"legacy_id":"7477","pdf_extracted_text":""},"yoast_head":"\n