HomeMy WebLinkAboutGREYHOUND LINES, INC. (11)A-2023-090A
JMARMAYOR
Valerie Amezcua
MAYOR PRO TEM
Thai Viet Phan
Phil Became
Johnathan Ryan Hernandez
Jessie Lopez
David Penaloza
Benjamin Vazquez
INSOi;ANCE ON FILE
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UNTIL w SURANCE EXPIRES
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CITY CLERK DATE:
o: ?VJA(It) JUL 0 8 2024
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Greyhound Lines, Inc.
Attn: Real Estate P.O.
Box 660362 Dallas, TX
72566
CITY OF SANTA ANA
PUBLIC WORKS AGENCY
20 Civic Center Plaza - P.O. Box 1988
Santa Ana, California 92702
wwW.santa-ana.ora
May 21, 2024
ACTING CITY MANAGER
Alvaro Nuflez
CITY ATTORNEY
Sonia R. Carvalho
CITY CLERK
Jennifer L. Hall
Re: Extension of License Aereement (A-2023-090) for Use of the Santa Ana Reeional
Transportation Center (SARTC) Facilities
Pursuant to Section 1.3 ("Commencement Date of Agreement') of the above -referenced Agreement,
entered into by Greyhound Lines, Inc. ("Licensee"), and the City of Santa Ana, dated May 16, 2023,
the time period of the Agreement is hereby extended for an additional one-year period through June
30, 2025. Any insurance certificates are required to be extended and/or renewed to cover this extension.
All other terms and conditions of the Agreement, including the Consent to Sub -License Agreement
(#A-2023-090-01) dated February 29, 2024, remain unchanged and in full force and effect.
Sincerely,
—,P
Nabil Saba, PE
Executive Director,
Public Works Agency
CITY OF SANT7U&'�-7-
IL
Alvaro Nunez
Acting City Manager
APPROVED AS TO FORM
Jos Montoya
Assistant City Attorney
GREYHOUND LINES, INC.
B' Rodney Surber
Vice President of Operations
SANTA ANA CITY COUNCIL
Valerie Ania.. Thai Viet Phan
Benjamin Vazquez
Jessie Lopez Phil Bates
Johnalhan Ryan Hemandez
David Penaloza
Mayor Mahar Pro Tem, We'd t
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CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDIYYYY)
05/0612024
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, ANDTHE 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
PRODUCER
McGrlff Insurance Services, LLC
5400 SW Meadows Road, Suite 240
Lake Oswego, OR 97035
Digitall
INSURED - - - - -/ - — L)y /--%I
Greyhound Lines, Inc. �/
PO Box 660632
Dallas, TX 75266-036 Date.
Acevedo na•n,q
COVERAGES
CERTIf ICATE NUMBER:TVR5245U
503-943-6621
REVISION NUMBER:
NAIC p
17324
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.
INSR
LTR
OF INSURANCE
ADDLTYPE
INSD
WVD SUER
POLICY NUMBER
MMIOUY�
MMIOOIY YY
LIMnS
'A
X
COMMERCIAL GENERAL LIABILITY
GL-RRG-001023-01
12/31/2023
12/31/2024
EACH OCCURRENCE
$ 10,000,000
CLAWS -MADE FxIOCCUR
DAMAGE To PREMISES Ee oc. ante
$ 5,000,000
MED EXP (Any one person)
$ 5,000
PERSONAL B AOV INJURY
$ 10,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERALAGGREGATE
$ 10,000,000
POLICY JECT LOC
PRODUCTS-COMP/OP AGG
$ 10,000,000
$
OTHER:
A
AUTOMOBILE
LIABILITY
AL-RRG-001023-01(ADS)
12/31/2023
12/31/2024
COMBINED SINGLE LIMIT
Ea accident
10,000.000
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
1X
BODILY INJURY (Per acodent)
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Peraccidant
$
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAR
CLAIMS -MADE
DIED I I RETENTION$
J $
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOWPARTNEWEXECUTIVE
62790879 AOS)
62790880 CA)
04/01/2024
04/01/2025
PER OTH-
X STATUTE
E.L. EACH ACCIDENT
$ 3,000,000
OFFICEMMEMBER EXCLUDED? ❑
(Mandatory in NH)
NIA
E.L. DISEASE - EA EMPLOYEE
$ 3,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 3,000,000
B
Auto Liability
AL7281073 AOS/NY)
04/Oi/2024
04/01/2025
Combined Single Limit
10,000,000
C
AL7281072 MA)
$
$
$
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Addhional Remarks Schedule, maybe atlached if more space is required)
Contractual Liability coverage is included under the General Liability policy. RE: Leased Location: The Depot at Santa Ana; 1000 East Santa Ana Boulevard, Santa Ana,
CA. City of Santa Ana, its agents, officers, employees and volunteers are included as Additional Insured in accordance with the policy provisions of the General Liability
policy. General Liability policy evidenced herein is Primary and Non -Contributory to other insurance available to an Additional Insured, but only in accordance with the
policy's provisions. A Waiver of Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the Workers' Compensation policy. Should
General Liability policy be cancelled before the expiration date thereof, the policy provisions will govern how notice of cancellation may be delivered to certificate holders in
accordance with the policy provisions.
City of Santa Ana
Risk Management Division
20 Civic Center Plaza, 4th Floor
Santa Ana, CA 92701
USA
SHOULD ANY OF THE ABOVE DESCRI
THE EXPIRATION DATE THEREOI
ACCORDANCE WITH THE POLICY PRC
AUTHORIZED REPRESENTATIVE
,g RiekMaMgemDeLDivieipn 5-
o REVIEWED& APPROVED BY:
A--p "441
Risk Management Specialist _
ACORD 25 (2016/03)
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The ACORD name and logo are registered marks of ACORD
All rinint. remn•ed
ACORD 25 (2016/03)
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The ACORD name and logo are registered marks of ACORD
All rinint. remn•ed
POLICY NUMBER: GL-RRG-001023-01 COMMERCIAL GENERAL LIABILITY
CG24041219
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
ELECTRONIC DATA LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES
POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
RAILROAD PROTECTIVE LIABILITY COVERAGE PART
UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS
�tM(4-11JIt4
Name Of Person(s) Or Organization(s):
AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
The following is added to Paragraph B. Transfer Of
Rights Of Recovery Against Others To Us of
Section IV — Conditions:
We waive any right of recovery against the
person(s) or organization(s) shown in the Schedule
above because of payments we make under this
Coverage Part. Such waiver by us applies only to
the extent that the insured has waived its right of
recovery against such person(s) or organization(s)
prior to loss. This endorsement applies only to the
person(s) or organization(s) shown in the Schedule
above.
CG 24 04 12 19 0 Insurance Services Office, Inc., 2018
RiAMmugemadoMs1an
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Page 1 of 1
POLICY NUMBER:GL-RRG-001023-01
COMMERCIAL GENERAL LIABILITY
CG 20 26 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - DESIGNATED
PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the fallowing:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization (a):
City of Santa Ana, Santa Ana, CA
a
A. Section II - Who Is An Insured is amended to
include as an additional insured the persons) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury",
"property damage" or "personal and advertising
injury" caused, in whole or in part, by your acts
or omissions or the acts or omissions of those
acting on your behalf:
1. In the performance of your ongoing
operations; or
2. In connection with your premises owned by
or rented to you.
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted
by law; and
2. If coverage provided to the additional
insured is required by a contract or
agreement, the insurance afforded to such
additional insured will not be broader than
that which you are required by the contract
or agreement to provide for such additional
insured.
B. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III - Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most
we will pay on behalf of the additional insured
is the amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable limits of
insurance;
whichever is less.
This endorsement shall not increase the
applicable limits of insurance.
RIAMnncgemmtDM i.
RLMe D 6 APPROVED Sr _
A+ju Acauado
Risk Management SpeaMist
or
CG 20 26 12 19 0 Insurance Services Office, Inc., 2018 Page 1 of 1