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HomeMy WebLinkAboutGRAFFITI PROTECTIVE COATINGS, INC (3)A-2020-155-02 MAYOR Valerie Amezcua MAYOR PRO TEM Thai Viet Phan Phil Bacerra Johnathan Ryan Hernandez Jessie Lopez David Penaloza INSURAR80TPny9quez WORn Id AY PROCEED UNT:i INSURANCE EXPIRES _ 11 CITY CLE�.h, CATE-UI l 0 9 2024 September 24, 2024 CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 mmv.santa-ana.oro CITY MANAGER Alvaro Nuflez CITY ATTORNEY Sonia R. Carvalho CITY CLERK Jennifer L Hall Graffiti Protective Coatings, Inc. Attn: Carla Lenhoff, President 419 N. Larchmont Blvd., #264 Los Angeles, CA 90004 p•.pWA(zi �USt SuYt4dytu(kp� Re: Second Extension of Agreement (A-2020-155) for Graffiti Removal Services Pursuant to Section 3 C Perm') of the above -referenced Agreement, entered into by Graffiti Protective Coatings, Inc. ('Contractor) and the City of Santa Ana, dated July 21, 2020, the time period of the Agreement is hereby further extended for an additional one (1) year period until October 31, 2025. Any insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Agreement remain unchanged and in full force and effect. � L` Q V 9 4, Nabil Saba Executive Director Public Works Agency CITYTSANTA ANA qn') u Alvaro Nuiiez City Manager APPROVED AS TO FORM Sonia R. Carvalho, City Attorney Jonathan Martinez,;",' Assistant City Attorney ATTEST SANTA ANA CITY COUNCIL Wa do Amazwa Thai Viet Phan Benjamin Vazquez Jessie Lopez Philaamtra JohnaPan Ryan Hmande 0.vWPena1oza Mayor Mayor Pm Tem, Wa 1 Wad2 Wad Wad W.W5 Mm6 remazwaraysantaane om IpJ�9�{3nta-ana om b ueaIDsanta-anal ess eloveaIDsanla-errs om obaw �san rvanfannantlezlAsanta-ma.om tlonalo at ,M,na om A nirtitniki y' $6RYlF,PRO-01 SGONZALEZ DA2H620224 ,a►`oRo` CERTIFICA � 1 I I J$ mdt THIS CERTIFICATE ISSUEDMATTEELY R OFMATION�YOQNLLEEY%XAAJND CONF IS Tad UJj0 J�,C�F@�IFjCATE HOLDER. THIS EDIAS RATE DOES NOT RMAA NEGAF BY THE POLICIES CERBELOW. THIS CERTIFICATE OF INSURANCE DOES ON 1��t N THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIF TE LL'tl LL.. VV ����........ ����AAAA IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(lef, must hav^ ' _. ., .,_'NSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the polir 1, certain 24a0 5 endorsement. A statement on this certificate does not confer rights to the certificate ho in lieu of such end rsement s . LT••® PRODUCER License # 0757776 W JT Michelleyqxgqs HUB International Insurance Services Inc. PH1E 3000 Executive Parkway (916) 7 18 , Nul:(951) 231-2572 Suite300 °-MAIL .cal.cpu hubinternational.com San Ramon, CA 94583 INSURERSINSURERSI AFFORDING COVERAGE NAIC If INSURER A: Colony Insurance Company 39993 INSURED Insurance Com an INSURERB:Libe�Mutual Fire Insurance Company 23035 23035Fire INSURER C:The First Liberty Insurance Corporation 33588 Graffiti Protective Coatings, Inc. INSURER D: 419 North Larchmont, #264 Los Angeles, CA 90004 INSURER E: INSURER F: CfTVFRAr:FC r.FRTIPICATF NIIMRFR- 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 TYPEOFINSURANCE ADOLSUBR INS2 Min POLICY NUMBER POLICY EFFWwoDsyyYyT POLICY E%P Mi LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE g 1,000,000 CLAIMS -MADE FA] OCCUR X X PACEP4246050 2/17/2024 2/17/2025 DAMAGE T EREaNTED .gaim� PREMISESMED $ 100,000 EXP (Any one erson $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jEO 0 LOD GENERAL AGGREGATE 11 2,000,000 PRODUCTS-COMP/OPAGG 2,000,000 S OTHER: B AUTOMOBILE LIABILITY EOMBINED SINGLE LIMIT $2,000,000 BODILY INJURY Per rson 9. X ANY AUTO X X AS2491.466837.014 1112024 1112025 BODILY INJURY Per accident $. ONMED SCHEDULED AUTOS ONLY AUr0p5 PI2e0a nt AMAGE P $ p AIRI'OS ONLY ABTO-0 ONLY $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY YIN ONFFICPERMIEMBOERIEXCLU�E�P ECUTIVE ( enOaR Y nNH( NIA X C6-Z91-466837-024 1/1/2024 1/1/2025 E.L. EACH ACCIDENT 11000,000 E.L. DISEASE -EA EMPLOYE 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below I I I DESCRIPTION OFOPERATIONSILOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached K more space is mqulmou Re: Service Contract, Contractor Agreement: A-2020.155. City of Santa Ana, its officers, agents, employees and representatives are Additional Insured with regard to the General Liability policy, when required by written contract, per the attached endorsement forms EPACE101 08114 and EPACE100 08114. Coverage is Primary & Non —Contributory with regard to the General Liability policy, when required by written contract, perthe attached endorsement form EPACE107 07/14. Waiver of Subrogation applies to the General Liability policy, when required by written contract, per the attached endorsement form EPACE113 07114. Additional Insured applies with regard to the Auto Liability policy, when required by written contract, per the attached endorsement form AC8467 04/15. Waiver of Subrogation applies to the Auto Liability SEE ATTACHED ACORD 101 City of Santa Ana Attn: Risk management 20 Civic Center Plaza, 4th Floor Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLIc1ER BF CANCFI I.ED BEFORE THE EXPIRATION DATE THEREO ACCORDANCE WITH THE POLICY PR( AUTHORIZED REPRESENTATNE REMEwaAPFROv®IN: , a�: ¢ IileleTIDrlmnBel Boveci ft ' R+�:r Auvuta ®� link Management Specialist ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD