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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] (