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HomeMy WebLinkAboutCREATIVE SIGN, INC. (2)N-2023-217-01 MAYOR Valerie Amezcua MAYOR PRO TEM Thai Viet Phan COUNCILMEMBERS Phil Bacerra Johnathan Ryan Hernandez Jessie Lopez David Penaloza Benjamin Vazquez CITY OF SANTA ANA INSURANCE ON FILE PLANNING AND BUILDING AGENCY WORK MAY PROCEED 20 Civic Center Plaza . P.O. Box 1998 UNTIL INSURANCE EXPIRES Santa Ana, California 92702 loI Pb I w aanta-ana.ora ,12 DATE;LERAPR 2 2 2024 March 11, 2024 Creative Sign, Inc. Attn: Patricia Morrison 17922 Lyons Cir. Huntington Beach, CA 92647 INTERIM CITY MANAGER Thomas R. Hatch CITY ATTORNEY Sonia R. Carvalho CITY CLERK Jennifer L. Hall Re: Extension of Agreement HN-2023-217 to Provide Graphic Design, Commercial Screen. & Design Services Pursuant to Section 3 ("Term") of the above -referenced Agreement, entered into by Creative Sign, Inc., and the City of Santa Ana, dated June 1, 2023, the time period of the Agreement is hereby extended for an additional one-year period, from June I, 2024 through May 31, 2025. Any insurance certificates are required to be extended and/or renewed to cover this extension. All other terns and conditions of the Agreement remain unchanged and in full force and effect. Sincerely, w�✓ � M- It It - a e- Executive Director, Planning & Building Agency CITY OF SANTA AN Alvaro Nunez Acting City Manager APPROVED AS TO FORM Sonia R. Carvalho City Attorney ' gy�v� Jonathan T. Martinez PATRICIA M.ORRIS014 Patricia Morrison Assistant City Attorney Owner SANTA ANA CITY COUNCIL Valerie Amezaa Th., Vial Phan Bat mr, Vaaquez Maya, Mayor Pm Tam, Ward 1 Ward Jessie Lopez PM1ll Bawma JOM1nalhan Ryan HemaMez Ward) Ward Ward e® NXeniHaenle-are om bve azMaemaana om alloaea(AsanWana om mhda a®sa anM1ementlez®sanla- awltl Pedal.. Wam5 Villareal, Francine From: City of Santa Ana <certificate-request@ctraxjdidata.com> Sent: Tuesday, August 22, 2023 1:39 PM To: PBA Admin Subject: Internal Notice of Compliance NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor Creative Sign, Inc. Name: Project TBD (015) Number: Project Agreement Between The City Of Santa Ana And Creative Sign, Inc. To Name: Provide Graphic Design, Commercial Screen & Design Services The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the insurance requirements. No further action is required at this time. The compliant coverage(s) are: TYPE OF INSURANCE POLICY EXPIRATION COI DATE NUMBER DATE GENERAL LIABILITY BK566187999 06/20/2024 06/01/2023 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 102396201 07/16/2024 07/18/2023 Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 8/22/2023 4:39 PM FILE NAME COI EXP 6.20.2024.pdf COI City of Santa Ana - Creative Sign.pdf', 1 DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 06/27/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER Corie Olive NAME: FAX PHONE SullivanCurtisMonroe, LLC - #0E83670(949) 250-7172(949) 852-9762 (A/C, No): (A/C, No, Ext): E-MAIL Claims Reporting (800)427-3253colive@sullicurt.com Ejhjubmmz!tjhofe!cz! ADDRESS: 2010 Main St., Ste. 700 INSURER(S) AFFORDING COVERAGENAIC # IrvineCA92614Ohio Security Insurance Co24082 Bohjf! INSURER A : Bohjf!Bdfwfep! INSURED California Automobile Insurance Co.38342 INSURER B : Creative Sign, Inc INSURER C : 17922 Lyons Cir INSURER D : Ebuf;!3135/19/1:! INSURER E : Huntington BeachCA92647 INSURER F : Bdfwfep 22;1:;37!.18(11( 24-25 GL/CAU COVERAGESCERTIFICATE NUMBER:REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADDLSUBR INSRPOLICY EFFPOLICY EXP TYPE OF INSURANCELIMITS POLICY NUMBER LTR(MM/DD/YYYY)(MM/DD/YYYY) INSDWVD COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE$ DAMAGE TO RENTED 300,000 CLAIMS-MADEOCCUR$ PREMISES (Ea occurrence) 15,000 MED EXP (Any one person)$ AYYBKS6618799906/20/202406/20/20251,000,000 PERSONAL & ADV INJURY$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ PRO- 2,000,000 POLICYLOCPRODUCTS - COMP/OP AGG$ JECT Schedule Mod Factor 1 $ OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY 1,000,000 $ (Ea accident) ANY AUTOBODILY INJURY (Per person)$ OWNEDSCHEDULED BBA04000006878507/11/202307/11/2024 BODILY INJURY (Per accident)$ AUTOS ONLYAUTOS HIREDNON-OWNEDPROPERTY DAMAGE $ (Per accident) AUTOS ONLYAUTOS ONLY Uninsured motorist3,500 $ property damage UMBRELLA LIAB OCCUREACH OCCURRENCE$ EXCESS LIAB CLAIMS-MADEAGGREGATE$ DEDRETENTION$$ PEROTH- WORKERS COMPENSATION STATUTEER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ N / A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT$ Printers Errors and Omissions BKS6618799906/20/202406/20/2025$1,000,000 Each Claim$2,000,000 aggr DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) "Sign Shop" City of Santa Ana is added as Additional Insured with Waiver of Subrogation, in regards to general liability, per attached form. CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana Risk Management Division 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa AnaCA92702 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 07/15/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER Mary Frid NAME: FAX PHONE Capital Providers Insurance(818) 676-0016(818) 676-0015 (A/C, No): (A/C, No, Ext): E-MAIL License #0H52316mfrid@cpisgroup.com ADDRESS: 20750 Ventura Blvd., Ste 305 INSURER(S) AFFORDING COVERAGENAIC # Woodland HillsCA91364Pacific Compensation Insurance Company/Copperpoint INSURER A : INSURED INSURER B : Creative Sign, Inc., DBA: Creative Screen Art INSURER C : 17922 Lyons Circle INSURER D : INSURER E : Huntington BeachCA92647 INSURER F : 24-25 WC COVERAGESCERTIFICATE NUMBER:REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADDLSUBR INSRPOLICY EFFPOLICY EXP TYPE OF INSURANCELIMITS POLICY NUMBER LTR(MM/DD/YYYY)(MM/DD/YYYY) INSDWVD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE$ DAMAGE TO RENTED CLAIMS-MADEOCCUR$ PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY$ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ PRO- POLICYLOCPRODUCTS - COMP/OP AGG$ JECT $ OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $ (Ea accident) ANY AUTOBODILY INJURY (Per person)$ OWNEDSCHEDULED BODILY INJURY (Per accident)$ AUTOS ONLYAUTOS HIREDNON-OWNEDPROPERTY DAMAGE $ (Per accident) AUTOS ONLYAUTOS ONLY $ UMBRELLA LIAB OCCUREACH OCCURRENCE$ EXCESS LIAB CLAIMS-MADEAGGREGATE$ DEDRETENTION$$ PEROTH- WORKERS COMPENSATION STATUTEER AND EMPLOYERS' LIABILITY Y / N 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ A N / A 102396207/16/202407/16/2025 OFFICER/MEMBER EXCLUDED? 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT$ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana / Risk Management Dvision 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa AnaCA92702 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD