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Please complete this form when the attached agreement is no longer in effect.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
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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
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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
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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
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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
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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.
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03/15/05
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EXCESS LlABIUn
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COMMEk(l^L UMBRELLA COVERAGE
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Ana Federal Empowerment ZOne and COunty of Orange are included as Additional Insureds (Endt G39543-C), See
A££~chment for additional WOrding-
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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~
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FROM :REBUILDING TOGETHER
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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
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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
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INSURED
Rebuilding Together
625 S. Cypress
Santa Ana CA 92701 USA
orange County
A-- ~lXXo-4j.-"l -05~
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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
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DAMAGE TO RENTED
PREMISES (Ell occurence)
YD~person
PERSONAL &: ADV INruRY
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$2,000,000
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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
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NON OWNED AUTOS
COMBINED SINGLE LIMIT
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GARAGE LIABILITY
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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
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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
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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.~
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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
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Laura \'t:;.-t -':~"'-:-7
_ _ _ ...1 ,'-. ._)i,,__':":uy
ASSIstant City AtLGr-.cy
Certificate No :
570021672930