HomeMy WebLinkAboutMEXICAN AMERICAN OPP FOUND 2A - 2003 iNSURANCE ON FILE
¢ WORK MAY PROCEED ·
MAYOR UNTIL iNSURANCE E, XPII~
MigueJ A. Pulido
MAYOR PRO TEM
Brett E. Franklin GLERK OF COUNCIL
C~NClLMEMBERsDAIE: I~ ~1~
Claudia C. Alwrez
Lisa Bist
Albe~a D, Christy
Mike Garcia
Jose Solorio
May 6, 2003
CITY OF SANTA ANA
OFFICE OF THE CITY ATTORNEY
20 CIVIC CENTER PLAZA M-29 * P.O. BOX 1988
SANTA ANA, CALIFORNIA 92702
(714) 647-5201 * Fax (714) 647-6515
Mexican American Opportunity Foundation
502 S. Ross Street
Santa Ana, CA 92701
Atto: Martin Castro
A-2003-084
CITY MANAGER
David N. Ream
CITY ATTORNEY
Joseph W. Fletcher
CLERK OF THE COUNCIL
Patricia E. Healy
RE: Extension of Lease Term
Dear Mr. Castro:
This correspondence shall serve as the exercise of the one-year option included in the
Lease Agreement entered between the City of Santa Ana and Mexican American
Opportunity Foundation ("MAOF") originally dated July 16, 2001. As you are aware,
the Amended Lease expires on May 30, 2003, unless extended for an additional year,
under the same terms and conditions as the original agreement (See Lease Agreement,
Section 3. "Term of Lease").
Please evidence your agreement to the extension of the lease an additional year, with new
termination date of May 30, 2004, by signing below as indicated and return to the City as
soon as possible. Thank you for your assistance in this regard.
Sincerely,
JOSEPH W. FLETCHER
City Attorney
By: Lisa Storck
Assistant City Attomey
APPR~V.~ AS TO C, ONTENT
David N. Ream
City Manager
RECOMMENDED FOR APPROVAL:
$ x~ecuti~:e~:t~c~or,
CDA
"MAOF"
Martin Castro, President
Mexican American
Opportunity Foundation
,ACORD. CERTIFICA -:- F LIABi'[ITY INSU
(626)599-8830 ~-8831
General Insurance SerVices
E. Santa Clara Street
Suite 100
Arcadia, CA 91006
Mexican American Opportunity Foundation
401 N. Garfield Avenue
Montebello, CA 90640
DATE
01/31/2003
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURERA: Philadelphia Tnsurance Company
INSURER E:
INSURER C:
INSURER D:
INSURER E: Amended 02/07/03
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO~NITHSTANDING
ANY REQUIREMENT. TERM OR CONDITIO~ 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.
ANY AUTO
ACL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON~)WNED AUTOS
ANY AUTO
EXCES~ LIADIMTY
OCCUR [] CLAIMS MADE
DEDUCTIELE
RETENTION $
WORKERS COMPENSATION AND
DATE (MM/OD/Y~
01/30/2003
01/30/2003
~'0 FOR~
DATE (M~DDffY)
01/30/2004
01/30/2004
1,000,00(
IO0,OOC
5,00C
1,000,00C
2;000,00C
2,000,00C
1,O00,OOC
~DDED BY ENDORSEMENT/SPECIAL PROVISIONS
Additional Tnsured
of Santa Ana, its Officers, Agents, Representatives, Employees & Volunteers are
~amed as Additional Insured with respects to a $2,000 grant that was awarded from the
y Development Agency.
tent day-Notice of Cancellation shall be given jn the event of non-payment of premium.
HOLDER I X t ADOITIONALINEUREO;INSURERLET~:~ A CANCELLATION
City of Santa Ana
Community Development Agency
M-25
P.O. Box i98
Santa Ana, CA 92702
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WI L ~ ~t~T~ MAiL
30 DAYS WRITTEN NOT!CE TO THE CERTIFICATE HOLOER NAMED TO THE LEFT,
AUTHORIZED REPRESENTATIVE
Michael Martin
FP, X HO. : 714-G47-G54g
I'1~9, 14 Z~G ~: 10PH
P!
ADDITIONAL INSURED ENDORSEMENT
This .endorsement modifies su.ch insurance as is afforded by the provisiens of Policy
# ~;;~f)~..[0~l~¢;~ relat,ng to the following:
1. The City of Santa Aha, 20 Civic Center Plaza, Santa Ana, California
g2701; 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 behaff of the named insured.
2. With respect to claims adsing 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 insumds.
3. This insurance applies separately to each Insured against whom claim is
made or suit is brougM 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
auoh pemon or organization would have as a claimant if not so included.
4. With respect to the additional insureds, this insurance shall not be
canceled, or materially reduoed in coverage or limits except after thirty (30) days written
notice has been given to the City of Santa Ana. 20 Civic Center' Plaza, Santa Aha,
California 92701.
(completion of the following, including countersignature, is required to make this
endorsement effective.)
Effectlv~ ~/¢~l~)JO~-' ~/'¢t~)/~)~ _ ,thisendor.mentformasapartof
' ' - ' Na"m~lnsured / ....
Countersigned
-5 Authorized Representative
APPROVED AS TO FORM
Dcptdy Chy Attorney
I O CER'{'II
ISSUE DATE:
,ERTHOLDER COPY
807, SAN FRANCISCO, CA, 94342-0807
COMPENSATION INSURANCE
'.GROUP:
.POLICY NUMBER:. . 064380822~O3
)CERTIFICATE ID;,, ..
CERTIFICATE E~,PI~ES? 07-O!-'2004
~ ~ O7-O1~2~3/07-O1-2~4.
SANTI ~ ': , ~
.' This is to Cerfif¢ ~t We hsve issued ~ ~lid ',Wd~k~' Co~ensat on ' n~r~e po~ cv n a ~¢m ..... ' ~ ~
; '.: ' ~alif~rnia ~bra~ Commlssi0~br ~o the ~t&y~r n~md b~ro~ fo~,~6 policy perio~ indicate~ ~proged by2the
SC
'~'his~;poli i~'~not subject to' cancellation ,by*.t~e F~und ~cept Ul~on 30 days' ad~;a~ce written notiCb to ~ff'empl~ye{., : - ¢,
. ~ - , . . , . - ;:%
.We, will, also giyeSyoq ~o ~ :a¢~ce.noti0~}sh~ld th s~ policy be cadc~lled pr or to ~ts n6r~expjr~t ~m
Th]~:ce¢~cate of insurance ~s nc. an i. suran~e pohcy~d does not a~n~ ex~n~ or, attar the coverage afforded -
bX ~he ~lre~es hstffd, heroi~. Nqtwlthsta~d~ng any. [equi~meh~, -te~m, Or c&n~io¢ q¢ any CB~t~t ~;~0~g,=~cu~ · ,
With resp~ ~o whic:~ this certificate of insurance.~~ 'Ue~i~sued,or ~y~r~l~)the ns~a6de affdt~ ,~he ) ,~}'~ ~}}: ,'-,'
-policies~descHbe~ horo~n }s subject to a'! the terms.~e~tp~0n~ a~ condifion~ o?'~uch-polc es ;'~'. ? ' '~,:' '?"; ;=~
~F~ECT~VE
MEXICAN A~ER]
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