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HomeMy WebLinkAboutREBUILDING TOGETHER O.C. 1A - 2004AGREEMENT TERMINATION 2020 FEB -6 PM 4: 23 Please complete this form when the attached agreement is no longer in effect. CITY OF SANTA ANA Returnform to the Deputy Clerk of the Council (M-30). Call 647-eLnAygfr IVOURMpuestions. The agreement with No. &6 j20bj- ®77— 0s8 was completed on L Bri /QXQ Pj -2X,5 -0-P and final payment has been made. Department Signature: Date: Ito,RRIM. City of Santa Ana Revised 08-28-06 Clerk of the Council ¡V, .;l,003 - t; 77 - C I INSUR/\NCE NOT ON ;- LE WORK MAY NOr PROCEED CLERK OF COUNCIL DATE~ lI-j -bY- FIRST AMENDMENT TO LEASE AGREEMENT C : fftS/J- [þ.~ THIS FIRST AMENDMENT TO LEASE AGREEMENT is entered into on September ~, 2004, by and between the City of Santa Ana ("Landlord") and Rebuilding Together Orange County ("Tenant"). Recitals: A. The parties entered into Lease Agreement N-2003-077, dated August 6,2003, (hereinafter "said Agreement") by which Tenant has leased office and storage space ("Premises") within the building known as Cypress Senior Center, 625 S. Cypress St. in the City of Santa lilla. B. The parties wish to extend the term of said Agreement for an additional two-year period and to increase the rent for the Premises. Wherefore, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, except those amended in this First Amendment to Agreement, the parties agree as follows: 1. Section 3, TERM OF LEASE, shall be amended to extend the term for an additional two-year period from October 1,2004 through September 30, 2006. 2. Section 4, RENT, shall be amended to read in full as follows: "Tenant agrees to pay to Landlord as rental, the sum of Five Hundred Fifty Dollars ($550.00), or before the first day of each and every successive calendar month during the term hereof. Rent for any period during the rental term which is less than one (1) month shall be a prorated portion of the monthly installment herein, based upon a thirty (30) day month." 3. Except as hereinabove amended, all terms and conditions of said Agreement shall remain in full force and effect. II II II II II IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to Lease Agreement on the date and year first written above. ATTEST: CITY OF SANTA ANA ~.-HE~L Clerk of the Council ~<Z5~ t>À.VIDN. REAM City Manager APPROVED AS TO FORM: JOSEPH W. FLETCHER City Attorney .J/ ( , By:?i~'ì i C '1 f~x/~l\.(k (i~,- Laura Sheedy Assistant City Attorney APPROVED AS TO CONTENT: CONSULTANT "Landlord" "Tenant" ~ STEVE CARPENTER Executive Director GERARDO MOUET Executive Director - arks, Recreation and Com unity Services FROM. :REBUILDING TOGETHER FAX NO. :667 8174 Jul. 22 2004 09:46AM P2 PRODUCER Aon Risk Services ,Inc. 1120 20th Str@et NW WaShing£on DC 20036 of washington, D.C.; Hunti ¡ OATE(MM/DO/YY) ~. 03/15/04 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONL Y ANt) CONFERS NO RIGHTS UPON THE CERT1FICATE HOLDER. THIS CERTIFICATE OOES NOT AMEND, EXtEND OR ALTER 'rHE COVf:RAGE FORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE PHONE - (866) 266-7475 INSURED RebUilding Together wÎth Christmas in Aprì'*~nd it's 1536 16th Street NW washington, DC 20016 USA FAX - (866) 467-7847 C:OMPANY A Westchester Surplus Lines Ins Co Affiliates COMPANY B "~=''''.'~¡''G.'. .,~;",,~,...c..,.,'j;~!'t'i»::::<:~."""'~ ',"""'"'3'",.,. .~- ~""'i;'-"~""~I~~'.~'I!"2~~~c.~ "'iô':" ~,~,¡."R...... .ES,~~"."",<;:~"(;¡...~¡.<::::~~~;;;;;:o.,~,,,:,:,...~:.::.~~~.;¡~... ~~""'=~~!"...~;, .- '~t......'::,.. ~ N-~OO3-()77 COMPANY C COMPANY D n.IIS IS To CEATIFY THAT rHE POLICIES OF INSURANCE LISTED GROW HAVE BEEN ISSUED lO ml: INSURED NAMEn ABOVE FOR mE POLICY PE¡:¡IOD INDICATED. NOrwlTHSTAIIIOING ANY REQUIRI;MENT. TERM OR CONDITION OF ANY CONTRACT OR OTHE" DOCUMENT WllH RESPECT TO WHICH THIS CeRTlFlC"TF MAY BE ~WE!) DR MNf !'CATAIN. mE INSURANCE AFFOAùED BY THE POUCIES DEscr~IBED HEREIN IS SUBJECT TO All THE TERMS. EXCLUSIONS AND CONOmoNSOF SUCH POLICIES. liMITS SHOWN MA'Y HAV£ BEEN REOuceD BY PAID CLAIMS. (;0 l1R n n' Of' '''RR.\'WE roLlq "'.'''"f:R I'O'.IC\. H~y'('II\.[ >()LIC\ ~XI'II<.. no" D.H~ IM\I/nM .., D.\ ~ (~'\lI1)D" YI LDIITS " GENERAlllABIUTY GlW nSS2f> (,OMMERCIAL GENJiItAL lIABILITY 03/15/04 03/15/05 GFN£RAlAGGRECAT~ PIiOOUC'rs - COMPIOP AOG $5.000.000 n.ooo,ooO SI,OOU.OOO U.OOO.OOO SSO.OOO SS. , r , r , < < < ~ (; " " X COMMERCIAL GENERAL LIABILITY - X CLAIM!:, M^Dt, 0 OCCUR OWNER.S A CONTRACTOR'S I'ROT PEnSONAL '" AOv INJURY EACH OCCURRENCI: fiRE DAMAGE!""" ontO Ii",) AVTOM081LE LIABILITY ANY AI/TO All. OWNEn AUTO~ Mt:D I;)(P l~f'V Of\E' pç"iOn~ :ž .: ¡: !§ ... " U A. COMBIN~D SINGLE LIMIT SCHEOUL!:D AUTOS HIRfl) AUTOS ~") - / {/..£.. =~ ,.. / /<2- DODll Y INJUÀY ( ~tor P~'SO'" NUN.OWNr:O AUTOS (lOOIl Y INJURY !Pcr acc"'~rn! PROt'ERTY OAMAc;t' ANY AUTO AUTO ONL Y, EA ACCIDEHl OI"ER THAN AUTO ONl.V EXCESS LlABIUn UMDRElLA I'OnM Cuw 780587-0 COMMEk(l^L UMBRELLA COVERAGE 03/15/04 EACH I\CCIDI;/, T AGGREGAT OJ/IS/OS EACt I OCCURHENCE AGßm:GA TE OTI FR THAN UMDRElLA FORM ---.-- WOIiIIŒR"$ COMP_A'nQN AND eMPLOYERS' LIABIlITY THF. PROPRJITOl'\! PARTNER~ecvnvE OFFrC!:RS ARE: INCL EXCl ElUIS~SE-"OLlCY LIMIT H DISEASE."" "MPLOYEE ",,-. ... ~: e ' ~ ~ 3 ~ ~ ~ ..... ti G GI «:..Ii:. ~ bi.! ~ ~¡~~~~~r~N~~A2~~~~~ffi~~Lr~ of Fullerson, City of laguana woods, city of Huntington Beach, san£a Ana Federal Empowerment ZOne and COunty of Orange are included as Additional Insureds (Endt G39543-C), See A££~chment for additional WOrding- , . ~ .. ~ , ~ '... Rebuilding TogeLher orange County Attention: Steve carpenter PO Box 329 Tustin CA 92781-0329 USA SHOULD ANY OF mE ABOVf:: D¡;:SCRl8ED POt.lC!ES BE CANcelLED 8EI'ORE rHE EJ<Plf\ATION Oo\TI; T1iEREOF. THE; '&SUING COMPANY WILL ENDEAVOFl TO MAlt. 30 DAYS WRITtEN NOTICE lo THE CERTIFICATE HOLDER NAMED TO THE l.EFT, Bll:-AA¡llJAl;-.:rO,~ ~ S~1&>Q6¡¡ ~~..QoOH..I~ Q5-~ N~~ IT~G~~E ..,~ AUlHORlZI:DFlEPRESf::NTATrVE ,4.- ~.~....-...~.., 'Y'~JU"-~« \ ~---.. ,¡;,;:; fVW-y FROM :REBUILDING TOGETHER -4. ,'...' 4U.l...j FAX NO. :667 8174 . Jul. 22 2004 09:47AM P3 ! l'-l~.)J.C:¿¡:1'-: PARI<<=: Ci/ID nE'-~R'-ATI""N - " ~.¡;, '-' PA5O:: 03 ADDITIONAL lNSL"RED ENDORSEMENT FOR CO~1MERCIA.L GENER~ LIABILITY I!OLIQ In5urance Compwy ~~S\ t,We. ~ :5v~~\IJS L'M.e~ Ir\S. Co. Thi61~r17g mdkiies such insurance as is afforded by the provisions of Policy tJ S. relating to the fonowing; 1. The City of Santa Ana, and the City of Santa Ana. located III 20 Civic Center Plaza, Santa Ana, California 92701; and their respc:ctiyO officers. employees, agc:nts, volunteers and representati\l'eg are named as additiona1 in!!urec!s ("additJonal ins!1reds") ",th regard to 1iabJJity and defense of suits arising f-om the operations and uses performed by or on beha1f of the named insured. 2. With respect 10 claims arisi~ out of toe operations and uses perfonned by or on behaJfof Ùle named insured, !luch ím;urance as is a.fforded by this po]ícy isprima.ry aud is nOT add1[jonal to or conrributJ.:tg with any other insurance carried by or fQr the benefit ofth~ additional insureds. 3. This insurance applies separately to each insured againat whom ciaim ig mado or suit is brought except with respect to the company's lia1Ïfs of liability. The indusion of any perSOD or organ.izarjon as an insured shall not affect any right which su;b person Ot m&anization would have as a claimant ifnot 60 included. 4. W11h respect to the additional insureds, this insur:u1C-e shaJI not be cancelleè, or mareriaUy reduced in coverage or limits except after thíny (30) days wTÏ[¡o! nohcs bas been given to the COIn..1uwity Redevelopment Agency oftl1e City of Santa Ana, 20 Civic çent~ Plaza (M.25), Santa Ana, California 92701. (Completion of tbe foIlowing, jocluding countersignatun~., is requ:red to make this endorsement effective.) Effectiye Ó 3 . /5, oc./ Policy #. :? t, !sSUedto~vadJ~ to¥"t\..'Õ!1" w',"" ~~!I A:f~I'\ -~t~ A~~\ å,~ Named Insured . this endorsemem rorm as a pan of COuntèT9igned by ~ Autho 'zed Represcntat¡\I'e ~Ç(/,;¿/:< ACO PRODl!CIL(~ Aon Risk services ,Inc. of Washington, D.C./ Hunt 1120 20th Street NW Washington DC 20036 USA 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 TIlE POLICIES BELOW. PIIONE. 866 283-7122 FAX- 847 953-5390 INSURERS AFFORDING COVERAGE NAIC# 10172 " .. ~ c .. "C - " .. "C '0 == INSURED Rebuilding Together 625 S. Cypress Santa Ana CA 92701 USA orange County A-- ~lXXo-4j.-"l -05~ /'(- Aoo.3 -- 077 N -- =00 _D17--01 N -- ?oo~-o77-0::J. INSURER A; Westchester Surplus Lines Ins CO INSURER B; INSURER c: INSURER D: INSURER E: TIlE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR D'I LTR INS TYPE OF INSURANCE POUCY NUMBER POLlCY EFFECT DATE(MM\DD\yy) 03/15/07 POLICY EXPIRATION DATE(MM\DD\YY) 03/15/08 LIMITS A ~ERAL UABILlTY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ~ OCCUR G2203974AOOl EACH OCCURRENCE n,ooo,OOO noo,ooo DAMAGE TO RENTED PREMISES (Ell occurence) YD~person PERSONAL &: ADV INruRY n,ooo,OOO $2,000,000 $2,000,000 o m en N .... <0 .-< N o o .... ~ GEN'L AGGREGATE LIMIT APPLIES PER: E:J POLICY D;:g: 0 LOC GENERAL AGGREGATE PRODUCTS - COMPIOP AGG AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS COMBINED SINGLE LIMIT (Eaaccidenl) o Z .. ~ y '" 'E .. u BODILY INJURY (Perperson) BODlLYlNruRY (per accident) PROPERTY DAMAGE (per accident) GARAGE LIABILITY AUTO ONLY. EA ACCIDENT A B ANYAUTO EXCESS !UMBRElLA LIABILITY ~ OCCUR 0 CLAIMS MADE OTHER TIlAN EAACC AUTO ONLY: AGG G21980201002 03/15/07 EACH OCCURRENCE AGGREGATE $5,000,000 DDEDUCIlBLE DRETENTION f / 2. WORKERS COMPENSATION AND EMPLOYERS'LIABILlTY ANY PROPRIETOR I PARTNER I EXEClmVE OFFICERlMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS "I~ E.L. EACH ACCIDENT E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT - ~ ~ -.;: B ~ ~ ~ ~ ~ ~ ~ ~ ~ - OTHER DESCRIPTION OF OPERATIONSJLOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Santa Ana is included as Additional Insured with respect to the General Liability policy. See Attached Additional Insured Endorsement. City of Santa Ana Attn: Frank Hernandez 20 Civic Center Dr. Community Development Agency Santa Ana CA 92702 USA SHOULD ANY OF TIlE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE TIIEREOF, TIlE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO TIlE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ....st..-~~~~~4M 1.( .,; !il.~ "" f INSURED Rebuilding Together Orange 625 S. cypress Santa Ana CA 92701 USA County CG 20 10 11 85 COMMERCIAL GENERAL LIABILITY ADDITIONAL INSURED CONTRACTORS (FORM B) OWNERS, LESSEES OR This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. Name of Person or organization: City of Santa Ana project: (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the schedule, but only with respect to the liability arising out of "your work" for that insured by or for you. CG 20 10 11 85 Copyright, Insurance services office, Inc., 1984 A~'''RO'' -..t _Ci - ,( C 2) A..S TF~ ~'~'t'")~)!I. If '-'" .. .........,...1\'1 ~?/L Laura \'t:;.-t -':~"'-:-7 _ _ _ ...1 ,'-. ._)i,,__':":uy ASSIstant City AtLGr-.cy Certificate No : 570021672930