HomeMy WebLinkAboutK & A ENTERPRISES, INC. 1BAGREEMENT TERMINATIOD21-113 U
Please complete this form when the attached agreement is no loliggr rn-effect,—
iANA
# t rr
Return form to the Sr. Deputy Clerk of the Council (M-30). Cad 647 5n8 RN e any
questions.
The agreement with No./4- =#—O;L_ l)
was completed on 13�9A6� , and final payment has been made.
4-2003-Ili (1) (ore Department.
Signature:
Date:
City of Santa Ana
Revised 8-7-03 Clerk of the Council
A-2003-144-02
IN;URANGE N0 i 0N ; ! .E
WORK MAY kQ _ 1Pd0CEED
CLERK OF COUVIL SECOND AMENDMENT TO AGREEMENT
DATE we 91 06
C PtA THIS SECOND AMENDMENT TO AGREEMENT entered into this J 6_Ja day
of lAu�, 2005, by and between K & A Enterprises, Inc., d.b.a. All Signs
Amen a, a California corporation ("Consultant') and the City of Santa Ana, a charter
city and municipal corporation of the State of California ("City").
RECITALS:
A. The parties entered into Agreement #A-2003-144, dated July 7, 2003, (hereinafter
"said Agreement") by which Consultant has provided fabrication and installation of
bronze plaques to designate historical properties.
B. Since the inception of said Agreement, Consultant has contracted with additional
foundries and desires to utilize those foundries in fabricating plaques pursuant to said
Agreement.
C. In accordance with the terms and conditions of said Agreement, the parties wish to
extend the term of said Agreement for an additional one-year period.
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
Second Amendment to Agreement, the parties agree as follows:
Section 3, TERM, shall be amended to extend the termination date from June 30,
2005 through June 30, 2006.
2. Exhibit A, Section 3, Qualifications of Proposing Firm and Team Members, shall be
amended by adding a paragraph after that paragraph beginning with "As a foundry,
BLP Bronze International," which shall read, in full:
"Consultant may utilize foundries other than BLP Bronze International for the
production of the plaques. Consultant shall warranty that any foundry so utilized
shall produce a plaque of equal artistic and material quality as that described in this
Proposal."
3. Except as amended hereinabove, all terms and conditions of said Agreement shall
remain in full force and effect.
H
H
IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to
Agreement on the date and year first written above.
ATTEST:
PATRICIA E. HEA
Clerk of the Council
APPROVED AS TO FORM:
JOSEPH W.FLETCHER
City Attorney
Laura Sheedy
Assistant City Attorney
APPROVED AS TO CONTENT:
7A EVINO
I ecc ive Director
Planning and Building
CITY OF SANTA ANA
DAVID` N. REAM
City Manager
CONSULTANT
LEN G
President
145/28/2005 11:22 7142509029 ALL SIGNS AMERICA PAGE 02
p-20D$-►AA
SENTRY INSURANCE A MUTUAL COMPANY
STEVENS POINT, WISCONSIN
to PARTICIPATING MUTUAL COMPANY)
A MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES
CERTIFICATE OF IhSURANCE ACCCUNT NUMBER L9-39070
This certificate is issued as ■ matter of information only and confers no
rights upon the certificate holder, This certificate does not amend, extend
ur alter the coverage afforded by the policies below -
Name and Address of Nome and Address
Ce,-tlficate Holder of the Insured
THE CITY OF SANTA ANA K t A ENTERPRISES INC ❑BA
ITS OFFICERS, EMPLOYEES, ALL SIGNS AMERICA
AGENTS, VOLUNTEERS d 15481 RECHILL AVE STE AEB
REESPRESENTATIVES TUSTIN, CA 92780
20 CIVIC CENTER PLZ
SANTA ANA, CA 92701
This certificate is issued on 09-23-2005 and is effective until 09-2'-2006.
It certifies that pollcies of insurance listed below haws boon Issued to
the insured named above, Notwithstanding any requirement, term or
condi'ti:pn of Any contract or other document with respect to which this
certificate may De issued or may pertain, the insurance afforded by the
Policies described heroin is subject to all the terms, exclusions, and
conditions of such policies. Limits shown way haws been reduced by Paid
claims.
Coverage Provided Policy Number
All Limits in Thousands
Buslnessowners Liability 49-59070-01
Each Occurrence
i
Soo
Medical. Expense
0
IC
Includes: Bodily Injury
Damage to Premises
a
250
Property Damage
General Aggregate
0
1,500
Personal Injury
Products Aggregate
8
1,500
Advmrti33np Injury
Hired and Non- wned
Workers' Compensation and
Employer's Liability
Umbrella Liability
Dues Not Include:
-Pers/Adv Injury
80-CIO35 (SFA)
ALL 49-39070 31
10-2a--2005
PAGE 1
(oogn
49-39070-02 Statutory
Each Accident
a
Soo
Each Disease/Employee
a
500
Each Disease/Policy
5
500
49-39070-03 Each Occurrence
7
11000
General Aggragate
a
1,000
Products Aggregate
0
11000
APPROVI 13 AS Tb FORM
;,aura Stitt S dy
��_,a�slant City ttorney
v ,t0/20/2005 11:22 7142589029 ALL SIGNS AMERICA PAGE 03
CERTIFICATE OF INSURANCE
- (CUNT)
ACCOUNT NUPIER
49-39070
Coverage Prowided
Policy Number
All Limits in Thousands
Susinessowners Liability
49-39070-ti
Each Occurrence
a
0
Sao
10
Medical Expanse
Includes: Oodily In�i wry
Property Oamape
Damage to Pramisaa
General Apyrepete
a
4
250
11500
p l injury
Products ygreante
9
1,500
sons ar
Adyertlsiny ln6ury
Mired and Non- caned
Workers' Compensation and 49-39070-02 Statutory
Employer's Liability Each Accident
EMCN Disuse/Emplovea
Each Di.scas■/Policy
Umbrella Liability 49-39070-03 Eech Occurrence
Lines Not Include: Generel Ayp9re0ata
-Pars/Adv lniury Prcducts Apo re gate
if any of ted
are c
expiration tdate, he sthe insurers called
will aandnoticerto the certificatior to their e
holder 30 days in advance.
!'ROV) i) AS TO FORM
--.a.i,u Stilt She y
-...,.:.Lint City Attorney
BO-CI035 (SFA)
ALL 49-39070 31-040414i
10-a9-2005
PAGE 2
(0007)
t Soo
500
0 500
1,000
1,000
a 1,000
' 1.9/28/2005 11:22 7142589029 ALL SIGNS AMERICA PAGE 04
;Xi
SE yTy ►�Yii IIIN5pYpYRANCE A MMpTIUU�jTUUALLpCOMPANY SENTRY'S BPOLIEYSOWh ERS
ApMEMREN T THE6SENTRYEFAMICYNOF INSURANCE COMPANIES U tC`
POLICY NUMBER 49-39070-01
NAME INSUREDS K 6 A ENTERPRISES INC DBAI
ADDITIUNEOU}ESURED
Th• following lnformetion is required t0 coWVlat■ the sccomoenVlna
dditBUSINESS O4NERSuredICYdorlawant which forme a part of the N. Insured"e
POL
AOOcz7FnNAL
)ENMRCFMFN7 Eft
IT CCpF17Y4LUT
F SAENETALi�ANA
�G NT5�tEER50YEE5,
Rk PREESE.ATIY R
20 C1VIC CENTER PLZ
SANTA ANA. CA 92701
BP 89 05 01 67 (MECR)
ALL 49-39070-01 00 051
10-2a-20U5
(aca 0007)
BP 70 23 07 02
23F05
00M 3EPTEMBER 23, 2006
<OVZL) AS S FORM
:ua S itt She
",,tart orY
CttY Atiorne
y
SENTRY INSURANCE A MUTUAL COMPANY
STEVENS POINT, WISCONSIN
(A PARTICIPATING MUTUAL COMPANY)
A MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES
CERTIFICATE OF INSURANCE
ACCOUNT NUMBER 49-39070
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.
Name and Address of
Name and Address
Certificate Holder
of the Insured
VV
THE CITY OF SANTA ANA
K & A ENTERPRISES
INC DBA
ITS OFFICERS, EMPLOYEES,
ALL SIGNS AMERICA
t- oc3-Yl- y
AGENTS, VOLUNTEERS &
15481 REDHILL AVE
STE A&B
RESPRESENTATIVES
TUSTIN, CA 92780
20 CIVIC CENTER PLAZA
SANTA ANA, CA 92701
This certificate is issued on 09-23-2004 and is effective until 09-23-2005.
It certifies that policies of insurance listed below have been issued to
the insured named above. 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. Limits shown may have been reduced by paid
claims.
Coveraoe Provided
Policy Number All Limits in Thousands
Businessowners Liability
Includes: Bodily Injury
Property Damage
Personal Injury
Advertising Injury
Hired and Non -Owned
Workers' Compensation and
Employer's Liability
Umbrella Liability
Bpes Not Include:
-Pers/Adv Injury
If any of the listed policies
expiration date, the insurer
holder 30 days in advance.
• 80-C1035 (MECH)
ALL 49-39070 31-040416
06-27-2005
PAGE 1
(0007)
49-39070-01 Each Occurrence
$
500
Medical Expense
$
10
Damage to Premises
$
250
General Aggregate
$
11500
Products Aggregate
$
1,500
49-39070-02 Statutory
Each Accident
$
500
Each Disease/Employee
$
500
Each Disease/Policy
$
500
49-39070-03 Each Occurrence
General Aggregate
Products Aggregate
are cancelled prior to their normal
will send notice to the certificate
1,000
1,000
1,000
.M.oac 02391
j SENTRY INSURANCE A MUTUAL COMPANY
STEVENS POINT, WISCONSIN
(A PARTICIPATING MUTUAL COMPANY)
A MEMBER OF THE SENTRY FAMILY OF
[1
'0
SENTRY'S BUSINESSOWNERS
POLICY
INSURANCE COMPANIES
POLICY NUMBER 49-39070-01
NAME INSURED: K 8 A ENTERPRISES INC DBA
ADDITIONAL INSURED
SCHEDULE
The following information is required to complete the accompanying
additional insured endorsement which forms a part of the Named Insured's
BUSINESSOWNERS POLICY.
ADDITIONAL
INSURED
THE CITY OF SANTA ANA
ITS OFFICERS, EMPLOYEES,
AGENTS, VOLUNTEERS &
RESPRESENTATIVES
20 CIVIC CENTER PLAZA
SANTA ANA, CA 92701
BP 89 05 01 87 (MECH)
ALL 49-39070-01 00 041
06-27-2005
(000 0007)
ENDORSEMENT
BP 70 23 07 02
F ND RS 1ENT TEXT
S
EFFECTIVE
FROM SEPTEMBER 23, 2004
TO SEPTEMBER 23, 2005
O1i 190flf
02397
SENTRY INSURANCE A MUTUAL COMPANY
STEVENS POINT, WISCONSIN
(A PARTICIPATING MUTUAL COMPANY)
A MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES
0 CERTIFICATE OF INSURANCE ACCOUNT NUMBER 49-39070
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.
Name and Address of
Certificate Holder
THE CITY OF SANTA ANA
ITS OFFICERS, EMPLOYEES,
AGENTS, VOLUNTEERS &
RESPRESENTATIVES
20 CIVIC CENTER PLZ
SANTA ANA, CA 92701
Name and Address
of the Insured
K & A ENTERPRISES
ALL SIGNS AMERICA
15481 REDHILL AVE
TUSTIN, CA 92780
INC DBA
STE A&B
This certificate is issued on 01-09-2006 and is effective until 09-23-2006.
It certifies that policies of insurance listed below have been issued to
the insured named above. 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. Limits shown may have been reduced by paid
claims.
Coverage Provided
Businessowners Liabilit
Includes: Bodily Injury
Property Damage
Personal Injury
Advertising Injury
Workers' Compensation and
Employer's Liability
Umbrella Liability
Does Not Include:
-Pers/Adv Injury
Policy Number All Limits in Thousands
49-39070-01 Each Occurrence
Medical Expense
Damage to Premises
General Aggregate
Products Aggregate
49-39070-02 Statutory
Each Accident
Each Disease/Employee
Each Disease/Policy
49-39070-03 Each Occurrence
General Aggregate
Products Aggregate
If any of the listed policies are cancelled prior to their normal
expiration date, the insurer will send notice to the certificate
holder 30 days in advance.
0 80-C1035 (MECH)
500
10
250
1,500
1,500
500
500
500
1,000
1,000
1,000
ALL 49-39070 31-040416
12-12-2005
PAGE 1
(0007)
o11111o1�1 02509
SENTRY INSURANCE A MUTUAL COMPANY
STEVENS POINT, WISCONSIN
(A PARTICIPATING MUTUAL COMPANY)
A MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES
TERMINATION OF CERTIFICATE ACCOUNT NUMBER 49-39070
Name and Address of
Certificate Holder
THE CITY OF SANTA ANA
ITS OFFICERS, EMPLOYEES,
AGENTS, VOLUNTEERS &
RESPRESENTATIVES
20 CIVIC CENTER PLZ
SANTA ANA, CA 92701
Name and Address
of the Insured
K & A ENTERPRISES
ALL SIGNS AMERICA
15481 REDHILL AVE
TUSTIN, CA 92780
INC DBA
STE A&B
You are hereby notified of the termination of the certificate of insurance
issued to you under the policy or policies herein described. This
certificate will terminate at 12:01 A.M. standard time at the insured's
mailing address, effective on the date shown below.
Termination Date 11-21-2005
Type of Insurance
Businessowners Liability
Umbrella Liability
Workers' Compensation
�A replacement certificate is attached.
0 80-1020 (MECH)
ALL 49-39070 31-040416
12-12-2005
PAGE 1
(0007)
Policy Number
49-39070-01
49-39070-03
49-39070-02
aA 02510
SENTRY INSURANCE A MUTUAL COMPANY
STEVENS POINT, WISCONSIN
(A PARTICIPATING MUTUAL COMPANY)
IWIPW A MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES
. TERMINATION OF CERTIFICATE ACCOUNT NUMBER 49-39070
Name and Address of
Certificate Holder
THE CITY OF SANTA ANA
ITS OFFICERS, EMPLOYEES,
AGENTS, VOLUNTEERS &
RESPRESENTATIVES
20 CIVIC CENTER PLZ
SANTA ANA, CA 92701
You are hereby notified of the
issued to you under the policy
certificate will terminate at
mailing address, effective on
Name and Address
of the Insured
K & A ENTERPRISES
ALL SIGNS AMERICA
15481 REDHILL AVE
TUSTIN, CA 92780
INC DBA
STE A&B
termination of the certificate of insurance
or policies herein described. This
12:01 A.M. standard time at the insured's
the date shown below.
Termination Date 01-09-2006
Type of Insurance Policy Number
Businessowners Liability 49-39070-01
Automobile Liability 49-39070-06
Umbrella Liability 49-39070-03
Workers' Compensation 49-39070-02
A replacement certificate is attached.
c A-t�� eb
0 80-1020 (MECH)
ALL 49-39070 31-040416
12-12-2005
PAGE 1
(0007)
02511
SENTRY INSURANCE A MUTUAL COMPANY SENTRY'S BUSINESSOWNERS
STEVENS POINT, WISCONSIN POLICY
(A PARTICIPATING MUTUAL COMPANY)
A MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES
•
POLICY NUMBER 49-39070-01
NAME INSURED: K 8 A ENTERPRISES INC DBA
ADDITIONAL INSURED
SCHEDULE
The following information is required to complete the accompanying
additional insured endorsement which forms a part of the Named Insured's
BUSINESSOWNERS POLICY.
ADDITIONAL
INSURED
THE CITY OF SANTA ANA
ITS OFFICERS, EMPLOYEES,
AGENTS, VOLUNTEERS 8
RESPRESENTATIVES
20 CIVIC CENTER PLZ
SANTA ANA, CA 92701
C�
0 BP 89 05 01 87 (MECH)
ALL 49-39070-01 00 051
10-28-2005
(000 0007)
ENDORSEMENT
BP 70 23 07 02
FOR ENDORSEMENT TEXT,
SEE OVER.
EFFECTIVE
FROM SEPTEMBER 23, 2005
TO SEPTEMBER 23, 2006
.11,11.11, 00235
ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS COVERAGE FORM
The information required to complete this endorsement is shown in the Declarations.
The following is added to Paragraph C. WHO IS AN INSURED in Section II - Liability
4. The person or organization shown in the Schedule, but only with respect to liability arising
from your ongoing operations performed for that insured.
BP 70 23 07 02
Olilil%I