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Home My WebLink AboutHONDO COMPANY INC. 3~ ^~,-. l~ ~ " ~: City of Santa Ana Clerk of the Council _". "~~•'" AGREEMENT TERMINATION FOR COTC Office Use Only ,. ~•t ~• ''~' ,. Please complete this form when the attached agreement and all amendments (if any) `' are no longer in effect. Return form to the Clerk of the Council Office (M-30). Call647-2520 if you have any questions. The agreement with Hondo Com an ,Inc. No. N-2003-108 was completed on 06130104 and final payment has been made. (List ail amendments. Use space below if needed.) Department: Community npvPionment Agency Phone/Ext.: 5376 Signature: Date: 04/12/10 Revised D7-22-09 . INSUR'~c.E ON FILE WORK MAY PROCEED uNTIL INSURANCE EXPIRES (;;-/-04 . CONSULTANTAGREE~ CLERK OF COUNCIL DATE: IO-9-lJ3 THIS AGREEMENT, made and entered into this day of , 2003 by c: Cb11- and between Hondo Company, Inc., a California corporation (hereinafter' onsult t"), and the ¡¡, c.11 City of Santa Ana, a charter city and municipal corporation organized an existing under the ~ .r I{/':a4on) Constitution and laws of the State of California (hereinafter "City"). Fi'r,í N-2003-108 RECITALS A. The City desires to retain a consultant having special skill and knowledge in the field of fabrication and installation of wrought iron fencing and gates. B. Consultant represents that Consultant is able and willing to provide such services to the City. C. . In undertaking the performance of this Agreement, Consultant represents that it is knowledgeable in its field and that any services performed by Consultant under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional firm in the field. NOW THEREFORE, in consideration ofthe mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES Consultant shall perform those services as set forth in Exhibit A to this Agreement. 2. COMPENSATION a. City agrees to pay, and Consultant agrees to accept as total payment for its services, the rates and charges identified in Exhibit A. The total sum to be expended under this Agreement, shall not exceed $ 4,000.00 during the term of this Agreement. b. Payment by City shall be made within thirty (30) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 3. TERM This Agreement shall commence on the date first written above and terminate on June 30, 2004, unless terminated earlier in accordance with Section 12, below. However, to provide continuous, uninterrupted service to City by Consultant, this contract shall extend to all work performed by Consultant for City as of July 1,2003. The term of this Agreement may be extended upon a writing executed by the EXêcutive Director of Community Development Agency and the City Attorney. 4. INDEPENDENT CONTRACTOR Consultant shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee ofthe City. This Agreement is not intended nor shall it be construed to create an employer-employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Consultant performs the services which are the subject matter ofthis Agreement; however, the services to be provided by Consultant shall be provided in a manner consistent with all applicable standards and regulations governing such services. Consultant shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withbolding taxes. 5. INSURANCE Prior to undertaking performance of work under this Agreement, Consultant shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Consultant shall maintain commercial general liability insurance naming the City, its officers, agents, volunteers, and employees as additional insured(s) and shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Consultant's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1 ,000,000 per occurrence. Consultant shall supply City with a fully executed additional insured endorsement in substantially the form attached hereto as Exhibit B upon execution of this Agreement and shall be approved in form by the City Attorney. b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $ I ,000,000 per occurrence. Such insurance shall include coverage for owned, hired and non-owned automobiles. c. Worker's Compensation Insurance. In accordance with the provisions of Section 3300 of the Labor Code, Consultant, if Consultant has any employees, is required to be insured against liability for worker's compensation or to undertake self-insurance. Prior to commencing the performance of the work under this Agreement, Consultant agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. If Consultant is or employs a licensed professional such as an architect or engineer: Professional liability (errors and omissions) insurance, with a combined single limit of not less than $1,000,000 per claim. 2 e. The following requirements apply to the insurance to be provided by Consultant pursuant to this section: (ii) Consultant shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved in form by the City Attorney. Certificates and policies shall state that the policies shall not be canceled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City. (i) (iii) f. If Consultant fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not affect Consultant's right to be paid for its time and materials expended prior to notification of termination. Consultant waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 6. INDEMNIFICATION Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, consultants, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including health, and claims for property damage, which may arise from the direct or indirect operations of the Consultant or its contractors, subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section I of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Consultant further agrees to indemnify, hold harmless, and pay all costs for the defense ofthe City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. 7. CONFIDENTIALITY If Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Consultant agrees that it shaIl not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of 3 like importance, but in no event less than reasonable care. "ConfidentiaI Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be disclosed by operation oflaw; or (e) is independently developed by the Consultant without reference to information disclosed by the City. 8. CONFLICT OF INTEREST CLAUSE Consultant covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 9. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 telefacsimile (714) 647-6956 With courtesy copies to: Executive Director of Community Development Agency City of Santa Ana 20 Civic Center Plaza (M-25) P.O. Box 1988 Santa Ana, California 92702 telefacsimile (714) 647-6549 and, 4 City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O. Box 1988 Santa Ana, California 92702 telefacsimile (714) 647-6515 To Consultant: Hondo Co. Inc 2121 S Lyon Street Santa Ana, CA 92705 714-434-0215 A party may change its address by giving notice in writing to the other party. Thereafter, any notice, tender, demand, delivery, or other communication shall be addressed and transmitted to the new address. If sent by mail, any notice, tender, demand, delivery, or other communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by telefacsimile, any notice, tender, demand, delivery, or other communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 10. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Consultant, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevaiL This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Consultant. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, that terms and conditions hereof, shall not bind or obligate Consultant nor the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein. 11. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Consultant, Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement 5 shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other consultants retained by City. 12. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultant prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Consultant to deliver to the City all work product completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Consultant consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 13. DISCRIMINATION Consultant shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities. Consultant affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 14. JURISDICTION - VENUE This Agreement and all questions relating to its validity, interpretation, performance, and enforcement shall be government and construed in accordance with the laws of the State of California. This Agreement has been executed and delivered in the State ofCaIifornia and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 15. PROFESSIONAL LICENSES Consultant shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State ofCaIifornia, the City of Santa Ana and all other governmental agencies. Consultant shall notify the City immediately and in writing of her inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 6 16. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. 17. COMPLIANCE WITH GOVERNMENTAL REQUIREMENTS Consultant shall carry out all services pursuant to this Agreement in substantial conformity with all applicable laws, ordinances, statutes, codes, rules, regulations, orders, and decrees of the United States, the State of California, the County of Orange, the City, and of any other political subdivision, agency, or instrumentality exercising jurisdiction over the City, including all applicable federal, state, and local occupation, safety and health laws, rules, regulations and standards, applicable state and labor standards, prevailing wage requirements, the City zoning and development standards, City permits and approvals, building, plumbing, mechanical and electrical codes, as they map apply, and all other provisions of the City and its Municipal Code (as they may apply), and all applicable disabled and handicapped access requirements, including, without the limitation, the Americans With Disability Act, 42 U.S.C. § 12101 et seq., Government Code § 4450 et seq., and the Unruh Civil Rights Act, Civil Code § 51 et seq. 7 IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: CITY OF SANTA ANA PATRICIA E. HEALY Clerk of the Council ~~ I\JAVIDN. REAM City Manager APPROVED AS TO FORM: JOSEPH W. FLETCHER City Att Y By: Cristine . S Assistant' RECOMMENDED FOR APPROVAL: CONSULT AN ~" Ex utIve Director of the Community Development Agency Bob Lloyd 9s -33.:2 '180/ Employer ID # or Individual SS # 8 - Aug,29 03 02:08p r . Tllagl COMPANY 11IIe. Laborer Finisher Supervision Tractor Truck Dump & Tractor Tool Truck Air Compressor . June 3. 2003 Rates p... Engineering Contractors 2121 5ûuth lyon Street 5<1ntð Ana. CA 92705 714:434.0104 FAX 714.'434.0215 $ 45.00 per hour $ 47.00 per hour $ 54.00 per hour $ 80.00 per hour $ 65.00 per hour $ 95.00 per hour $ 25.00 per hour $ 115.00 per day 7141434-0104 fAX ?W434-021S EXHIBIT A Carolyn Fullerton The Depot at Santa Ana 1000 East Santa Ana Blvd., Suite 108 Santa Ana, Ca 92701 . . r . Dear Carolyn: I have reviewed the south wrought iron fence area Transportation Depot we discussed, and bave found iteœs that should be corrected. of the several The fence has three d«maged or bent panels to be repaired. One section of fence is being moved by a tree growing into the top rail of the fence and the panel sbould be relocated. Two or three of the trees have been fatally pruned anó should be removed. If you can have your maintenance company remove the trees in question, I can correct the fence at a cost of $862.00. Please review and advise. BLles . . EXHIBIT B ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company This endorsement modifies such insurance as is afforded by the provisions of Policy # relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and representatives are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the Clerk of the Council, City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective Policy # Issued to , this endorsement form as a part of Named Insured Countersigned by Authorized Representative 9 HONDCOM-01 CLTI ð60BD~ RDDUCER owermaster & Associates Insurance .0. Box 100 0631 Paramount Blvd. owney, CA 90241-0100 (562) 923-9631 DATE (MMlDDIYYYY) 6/19t2003 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 8ELOW. CERTIFICATE OF LIABILITY INSURANCE Hondo Company, Inc: 2121 South Lyon Street Santa Ana, CA 92705 INSURERS AFFORDING COVERAGE INSURER A' NIC Insurance Company , 'NSURER B,.~ercury Casualty Company 'NSURER c, TOPA Insurance Company INSURER 0: INSURER E: NAICII T. . ......-~r--.- INSURED COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PA:D CLAIMS, NSR DD' POLICY NUM8~R I POLICY EFFECTIVE i POLICY EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY GS306976 I CLAIMS MADE [!] OCCUR 6/1/2003 6/1/2004 EACH OCCURRENCE $ -- DAMA E PREMISES Ea occureoce $ I MED EX!'-lAAY one person) .~- PERSONAL &. ADV INJURY $ GENERA~~~GREGATE $~ - PRODUCTS - COM~~P AGG $ -".~. ---- , lOC B AUTOMOBILE lIABILITY ] ANY AUTO -~.:.I ALLQWNEDAUTOS X ~ SCHEDULED AUTOS I X ' HIRED AUTOS X NON-QWNED AUTOS AC1 02567456 APP COMBINED SINGLE LIMIT $ 6/1/2003 6t1 t2004 (Eesccident) L- BODilY INJURY $ (Per person) BODtL Y INJURY $ (Per accident) -- PROPERTY DAMAGE $ : (Peraccidenl) GARAGE LIABILITY L ra Shced~ . . AUTO ONL,! - 5A ACCIDENT $ ANY AUTO . ç'W A\I~ ¡ I,...y OTHER THAN EA ACC $ Deputy' - 1 AUTO ONLY: AGG $ EXCESSfUMBRELLA UABIUTY EACH OCCURRENCE $ 2,000,00 C X OCCUR D CLAIMS MADE XL16371 6/1/2003 6/1/2004 AGGREGATE $ 2,000,0 c-- .--- I $ DEDUCTiBlE ' $ '--- RETENTION $ $ WORKERS COMPENSATION AND OTH- EMPLOYERS' LIABILITY -fR- --- ANY PROPRIETOR/PAhTNER/EXECUTIVE $ -- OFFICER/MEMBER EXCLUDED? E.L I?l~~_S.~ - EA EMPLOYEE $ g~~~I~f~~J¡~1óNS below E.L. DISEASE - POLICY LIMIT $ OTHER B Commercial Automobile AC102567456 6/1/2003 6/1/2004 Comp & Collision $500 De DESCRIPTION OF OPERATIONS J LOCATIONS J VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT J SPECIAL PROVISIONS "10 DAY NOTICE OF CANCELLATION FOR NON-PAYMENT OF PREMIUM" City of Santa Ana, its officers, agents & Employees are named as additional insured per the attached form. CERTIFICATE HOLDER CANCELLATION The Depot Of Santa Ana 1000 E. Santa Ana Blvd. 11108 Santa Ana, CA 92701- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPlRA110 DATE THEREOF, TIiE ISSUING INSURER WlLI"jQ(.V~V}tnt MAIL 3~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ~LL CAü*24JUN'030M 11 :3'3 ~ AUTHORIZED REPRESENTATIVE @ACORD CORPORATION 1968 ACORD 25 (2001/08) Ju1 31,03 0?:20a . . T1lagl .., ... From: Catherine Van At 8owenna.r &. Oates FIXID: 5628623482 To: CaroJine Dale: 713012003 04:04 PM Pag.: 2 012 \ ~. .. AODITIONAL INSURED ENDORSEMENT .~ '~urance COmpany N i (, -L~<NU1(fJ. ¿(:/tVJ«ft 9-- ~r~~rt modifies such insuranl:e " ;¡ afforded by the proviSiOns of Policy ~ relating to the foUoWing: . 1. The City 01 Santa Ana, 20 Civic Center Plaza, sanlB Àn8, California 9270 1 ; IlS officer¡;, employees, ogenls and repl'Qsentativ811 are named as additiOl'1$1 insureds ('additional insureds") Witf1 regard to liabllìty end defense of suits arising from the operations and uses performed by 01' on behaij of the named insured. 2. With respect to clalm~ arl5ìT1Q out 01 the opere-liOn/¡ and uses performed by or 01'1 behalf of the namad insured. such Il'1surance as Is afforded by~ and is not additional to or tontrlbutlrJ,j with any other Ì!'I3Uronce ~- or for the benefìt of the addjtiooal insureds. 3. This Insul6I1ce applies separately \0 each insured against wf10m claim is made or suit is brol.lght except wUI1 respltl;\ 10 the company's limits of liability. The Inclusion 01 any person or organization as an insured sh(/I not affect any right which such person or organization would have as a claimant If not so im;ludl!ld: 4, With respect to the addilional insureds. this insurance shall not be canceAed, Of materially reduced in coverege or ~mi~ except aller thirty (30) days wr illen notice has been given to the City of santa Ana. 20 Civtc Center Pleza, SlInts Me, Callfornis 92101. (Completion of the following, Including countersignature, Is required to make this endorsement effective.) IWective {;; ! ( 10;5 r.:¡5:;'D~ Issued to H OI1d,fJ ê.ol''f?6I-n~J ,J.L¿ Named Insur~ ;;, . this endorsement form as a pari of Policy Ii , S~6.,(i.Î 't>'-~4' (YIIITIA..t ~C('>o'f«-"jl. .~ 11 8J.""'~ /á' c::::;. ~/ . .J -oIe,.-. 0 ~ / CountersIgned by TO FORM Lam" ,) h:~dy Deputy City Attorney. ~ œt'QN ZBÞ£~8ë:9S . OJ 00101 t,1>:£t œ/0£/t.I!I p.2 ~' ACOR~M PRODUCER ~ CERTIFICATE OF LIABILITY INSURANCE (562) 923-9631 Bowermaster & Associates Insurance P.O. Box 100 10631 Paramount Blvd. Downey, CA 90241-0100 INSURED Hondo Company, Inc. 2121 South Lyon Street Santa Ana, CA 92705 tJ - ðo:J?;;; -I Oß HONDCOM-01 YACA DATE (MM/DDIYYVY) 6/3/2004 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE . ---- --- - ----. ----- --------- ---- ~NSURER A~Larld~ark_Aml3rical!.!n.surance Co. Jt-i§URER 13:~ercury_Çasualty Ce>'!1J>cmy INSUR~R C TOPA Insur~nce C()mpal1}'. -. INSURER D: State Comp~nsation Insurance Fund INSURER E: NAIC# COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR~ÖD".- - - - - ~OLICYNUMBER--TpOI..ICYEFFECTIVE POUCYEXPIRATION j GENERAL LIABILITY X IX..1 CO~MERCIAL GENERAL LIABILITY I..LHA 126254 r - - I CLAIMS MADE X OCCUR! , A GEN'L AGGREGATE LIMIT APPLIES PER: , 'POLlCY:X PRO- - LOC B AUTOMOBILE LIABILITY ANY AUTO 'I X ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO C EXCESS/UMBRELLA LIABILITY XJ OCCUR 1-- CLAIMS MADE DEDUCTIBLE RETENTION $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes. describe under SPECIAL PROVISIONS below OTHER EACH OCCURRENCE IDA-MAGE TO RENTED - I PREMI~E~ (E? o<::c~rence) - MED EXP JAny one p~~on) , PERSONAL & ADV INJURY 6/1/2004 6/1/2005 GENERAL AGGREGATE t $ P~ODUCTS_:C9MP/O-"I\GG $- IAC11059573 6/1/2005 COMBINED SINGLE LIMIT (Ea accident) 6/1/2004 BODILY INJURY (Per person) BODILY INJURY (Per accident) ! I /_:J PROPERTY DAMAGE ! (Per accident) AUT()()NL Y - EA ACCIDE'iT, $ I OTHER THAN EA ACel! - AUTO ONlY: XL 16371 ~J=ACH ()C;c;URRE~E I AGGREGATE 6/1/2004 6/112005 146792504 ! $ ~~J T~~$],JI~Ël. J °J~~ EL EACH ACCIDENT I $ ______n_,'__- ------....,..-;--- E.L. DISEASE - EA EMPLOYEE' $ E.L. DISEASE - POLICY LIMIT $ 1/1/2004 1/1/2005 DESCRIPTION OF OPERATIONS / LOCA TrONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT t SPECIAL PROVISIONS * 10 day notice of cancellation due to non payment of premium LIMITS AGG. $ , $ --1$ [:=- $ $ $ $ $ $ $ $ 2,000,00 2,000,00 - - 1,000,00 ------ -- 1,000,00 ------ -- --- 1,000,00 Certificate Holder is named as additional insured as their interest may appear with respect to the insured's operation as per attached form CG 20101185 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WIL~ MAIL 3~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ~LL -_._-~..._.._- rJ'J'Y . - I ..., ". . Name Insured: Hondo Company, Inc Policy No.: LHA 126254 This Endorsement Changes The Policy. Pleas. R..d It Cllrefully. ADDITIONAL INSURED : BLANKET - PRIMARY ~~....~ ,...:;-.,. - Uf>er~ r~OI\in~- - - - - - COMMERCIAL GENSRAl LIABILITY COVERAGE FORM pel'8On 41r. OI'gIU1lzàt1on 10 whom or to Which you are obligated by virtue of II written contract or by the ance Or of. permit, to provide jnsurance cuch as ie øffon:Jed by th;. policy. elf ertry ~ above,. information required to COfnpIete this endorse~ Will be shown In tha Declarations as pplloa }ÓthiŠendorrmenl) 8 ION II )' WHo IS A~ INSURED is amended to inclUde 88 an insured the persor¡ or organl2atlon shown in the E r.E, but only With r8Spect to U8bility artslng out of 'VOur work" for th8t Insured by or 10r you If U ar, Ii :~Ired by a written contract to provide primary lneurance, this policy shall be primary as I'e6pects your 1gence .d SECTION IV - COMMERCIAL GENERAL LIABIU'J'Y CONDITIONS, 4. Other Insurancø does not pPIy, ;Þnly with respect to coverage provided by this policy. SCHEDULE I' I I'; I: , '. P;' ',-:::. ( , '> . /.) \. ,-",-7j... j ( / I~: :"/i/. Lee ¿<"-~:/ ~. , . Endoraement No.: --.-. - ---.---.--.- Includes copyrighted material (if Insurance Servtcee omœ, Inc. 1984 with its permi88/on