HomeMy WebLinkAboutC.B. GLEN TILE CO. 1 -2002
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CLERK OF COUNCIL 0"'"
DATE: \O.:?::f)~ ~
THIS AGREEMENT, made and entered into this ~ay of ~002 by
and between C.B. Glen Tile Co., a sole proprietorship (hereinafter "Contractor"), and the City of
Santa Ana, a charter city and municipal corporation organized and existing under the
Constitution and laws of the State of California (hereinafter "City").
N-2002-154
CONSULTANT AGREEMENT
03
RECITALS
A. The City desires to retain a Contractor having special skill and knowledge in the field of
tile repair to provide services to the Santa Ana Depot.
B. Contractor represents that Contractor is able and willing to provide such services to the
City.
C. In undertaking the performance of this Agreement, Contractor represents that it is
knowledgeable in its field and that any services performed by Contractor under this
Agreement will be performed in compliance with such standards as may reasonably be
expected from a professional in the field.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the
terms and conditions hereinafter set forth, the parties agree as follows:
1. SCOPE OF SERVICES
Contractor shall perform those services as set forth in Exhibit A to this Agreement.
2. COMPENSATION
a. City agrees to pay, and Contractor agrees to accept as total payment for its services,
the rates and charges identified in Exhibit A. The total sum to be expended under this
Agreement, shall not exceed $9,000.00 during the term of this Agreement.
b. Payment by City shall be made within thirty (30) days following receipt of proper
invoice evidencing work performed, subject to City accounting procedures. Payment need not
be made for work which fails to meet the standards of performance set forth in the Recitals
which may reasonably be expected by City.
3. TERM
This Agreement shall commence on the date first written above and terminate on June 30,
2003, unless terminated earlier in accordance with Section 12, below. The term of this
Agreement may be extended upon a writing executed by the Executive Director of the
Community Development Agency and the City Attorney.
,
4. INDEPENDENT CONTRACTOR
Contractor shall, during the entire term of this Agreement, be construed to be an
independent contractor and not an employee ofthe City. This Agreement is not intended nor
shall it be construed to create an employer-employee relationship, a joint venture relationship, or
to allow the City to exercise discretion or control over the professional manner in which
Contractor performs the services which are the subject matter ofthis Agreement; however, the
services to be provided by Contractor shall be provided in a manner consistent with all
applicable standards and regulations governing such services. Contractor shall pay all salaries and
wages, employer's social security taxes, unemployment insurance and similar taxes relating to
employees and shall be responsible for all applicable withholding taxes.
5. INSURANCE
Prior to undertaking performance of work under this Agreement, Contractor shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Commercial General Liability Insurance. Contractor shall maintain commercial
general liability insurance naming the City, its officers, employees, agents, volunteers and
representatives as additional insured(s) and shall include, but not be limited to protection against
claims arising from bodily and personal injury, including death resulting therefrom and damage
to property, resulting from any act or occurrence arising out of Contractor's operations in the
performance of this Agreement, including, without limitation, acts involving vehicles. The
amounts of insurance shall be not less than the following: single limit coverage applying to
bodily and personal injury, including death resulting therefrom, and property damage, in the total
amount of $1 ,000,000 per occurrence. Contractor shall supply City with a fully executed
additional insured endorsement in substantially the form attached hereto as Exhibit B upon
execution of this Agreement and shall be approved in form by the City Attorney.
b. Reserved.
c. Worker's Compensation Insurance. In accordance with the provisions of Section 3300
of the Labor Code, Contractor, if Contractor has any employees, is required to be insured against
liability for worker's compensation or to undertake self-insurance. Prior to commencing the
performance of the work under this Agreement, Contractor agrees to obtain and maintain any
employer's liability insurance with limits not less than $1,000,000 per accident.
d. Reserved.
2
e. The following requirements apply to the insurance to be provided by Contractor
pursuant to this section:
(i) Contractor shall maintain all insurance required above in full force and
effect for the entire period covered by this Agreement.
(ii) Certificates of insurance shall be furnished to the City upon execution of
this Agreement and shall be approved in form by the City Attorney.
(iii) Certificates and policies shall state that the policies shall not be canceled
or reduced in coverage or changed in any other material aspect without
thirty (30) days prior written notice to the City.
f. If Contractor fails or refuses to produce or maintain the insurance required by this
section or fails or refuses to furnish the City with required proof that insurance has been procured
and is in force and paid for, the City shall have the right, at the City's election, to forthwith
terminate this Agreement. Such termination shall not effect Contractor's right to be paid for its
time and materials expended prior to notification of termination. Contractor waives the right to
receive compensation and agrees to indemnifY the City for any work performed prior to approval
of insurance by the City.
6. INDEMNIFICATION
Contractor agrees to and shall indemnifY and hold harmless the City, its officers, agents,
employees, Contractors, special counsel, and representatives from liability: (I) for personal
injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims
for personal injury, including health, and claims for property damage, which may arise from the
direct or indirect operations of the Contractor or its contractors, subcontractors, agents,
employees, or other persons acting on their behalf which relates to the services described in
section I of this Agreement; and (2) from any claim that personal injury, damages, just
compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects
arising from this Agreement. This indemnity and hold harmless agreement applies to all claims
for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to
have been suffered, by reason of the events referred to in this Section or by reason of the terms
of, or effects, arising from this Agreement. The Contractor further agrees to indemnify, hold
harmless, and pay all costs for the defense ofthe City, including fees and costs for special
counsel to be selected by the City, regarding any action by a third party challenging the validity
of this Agreement, or asserting that personal injury, damages, just compensation, restitution,
judicial or equitable relief due to personal or property rights arises by reason of the terms of, or
effects arising from this Agreement. City may make all reasonable decisions with respect to its
representation in any legal proceeding.
7. CONFIDENTIALITY
If Contractor receives from the City information which due to the nature of such
information is reasonably understood to be confidential and/or proprietary, Contractor agrees that
it shall not use or disclose such information except in the performance of this Agreement, and
further agrees to exercise the same degree of care it uses to protect its own information of like
3
importance, but in no event less than reasonable care. "Confidential Information" shall include
all nonpublic information. Confidential information includes not only written information, but
also information transferred orally, visually, electronically, or by other means. Confidential
information disclosed to either party by any subsidiary and/or agent of the other party is covered
by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to
any information that (a) has been disclosed in publicly available sources; (b) is, through no fault
ofthe Contractor disclosed in a publicly available source; (c) is in rightful possession of the
Contractor without an obligation of confidentiality; (d) is required to be disclosed by operation of
law; or ( e) is independently developed by the Contractor without reference to information
disclosed by the City.
8. CONFLICT OF INTEREST CLAUSE
Contractor covenants that it presently has no interests and shall not acquire any interests,
direct or indirect, which would conflict in any manner with performance of services specified
under this Agreement. No persons having such interest shall be employed by or associated with
Contractor.
9. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other
telegraphic communication in the manner provided in this Section, to the following persons:
To City:
Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
telefacsimile (714) 647-6956
With courtesy copies to:
Executive Director of the Community Development Agency
City of Santa Ana
20 Civic Center Plaza (M-25)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6549
and,
4
City Attorney
City of Santa Ana
20 Civic Center Plaza (M-29)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6515
To Contractor:
Clovis Glen
C.B. Glen Tile Co.
2617 Jacaranda Street
Santa Ana, CA 92705
A party may change its address by giving notice in writing to the other party. Thereafter,
any notice, tender, demand, delivery, or other communication shall be addressed and transmitted
to the new address. If sent by mail, any notice, tender, demand, delivery, or other
communication shall be effective or deemed to have been given three (3) days after it has been
deposited in the United States mail, duly registered or certified, with postage prepaid, and
addressed as set forth above. If sent by telefacsimile, any notice, tender, demand, delivery, or
other communication shall be effective or deemed to have been given twenty-four (24) hours
after the time set forth on the transmission report issued by the transmitting facsimile machine,
addressed as set forth above. For purposes of calculating these time frames, weekends, federal,
state, County or City holidays shall be excluded.
10. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Contractor, and supersedes any and all other agreements, oral or written, between the parties. In
the event of a conflict between the terms of this Agreement and any attachments hereto, the
terms of this Agreement shall prevail. This Agreement may not be modified except by written
instrument signed by the City and by an authorized representative of Contractor. The parties
agree that any terms or conditions of any purchase order or other instrument that are inconsistent
with, or in addition to, the terms and conditions hereof, shall not bind or obligate Contractor nor
the City. Each party to this Agreement acknowledges that no representations, inducements,
promises or agreements, orally or otherwise, have been made by any party, or anyone acting on
behalf of any party, which are not embodied herein.
11. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Contractor,
Contractor may not assign, transfer, delegate, or subcontract any interest herein without the prior
written consent of the City and any such assignment, transfer, delegation or subcontract without
the City's prior written consent shall be considered null and void. Nothing in this Agreement
5
shall be construed to limit the City's ability to have any of the services which are the subject to
this Agreement performed by City personnel or by other Contractors retained by City.
12. TERMINATION
This Agreement may be terminated by the City upon sixty (60) days written notice of
termination. In such event, Contractor shall be entitled to receive and the City shall pay Contractor
compensation for all services performed by Contractor prior to receipt of such notice of termination,
subject to the following conditions:
a. As a condition of such payment, the Executive Director may require Contractor to deliver
to the City all work product completed as of such date, and in such case such work product shall be
the property of the City unless prohibited by law, and Contractor consents to the City's use thereof
for such purposes as the City deems appropriate.
b. Payment need not be made for work which fails to meet the standard of performance
specified in the Recitals ofthis Agreement.
13. DISCRIMINATION
Contractor shall not discriminate because of race, color, creed, religion, sex, marital
status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited
by applicable law, in the recruitment, selection, training, utilization, promotion, termination or
other employment related activities. Contractor affirms that it is an equal opportunity employer
and shall comply with all applicable federal, state and local laws and regulations.
14. JURISDICTION - VENUE
This Agreement and all questions relating to its validity, interpretation, performance, and
enforcement shall be governed and construed in accordance with the laws of the State of
California. This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement of any of the clauses ofthis Agreement
shall be determined and governed by the laws of the State of California. Both parties further
agree that Orange County, California, shall be the venue for any action or proceeding that may
be brought or arise out of, in connection with or by reason of this Agreement.
15. PROFESSIONAL LICENSES
Contractor shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services
hereunder and required by the laws and regulations of the United States, the State of California,
the City of Santa Ana and all other governmental agencies. Contractor shall notify the City
immediately and in writing of his inability to obtain or maintain such permits, licenses,
approvals, waivers, and exemptions. Said inability shall be cause for termination of this
Agreement.
6
16. COMPLIANCE WITH GOVERNMENTAL REQUIREMENTS
Contractor shall carry out all services pursuant to this Agreement in substantial
conformity with all applicable laws, ordinances, statutes, codes, rules, regulations, orders, and
decrees of the United States, the State of California, the County of Orange, the City, and of any
other political subdivision, agency, or instrumentality exercising jurisdiction over the City,
including all applicable federal, state, and local occupation, safety and health laws, rules,
regulations and standards, applicable state and labor standards, prevailing wage requirements, the
City zoning and development standards, City permits and approvals, building, plumbing,
mechanical and electrical codes, as they map apply, and all other provisions of the City and its
Municipal Code (as they may apply), and all applicable disabled and handicapped access
requirements, including, without the limitation, the Americans With Disability Act, 42 U.S.c. S
12101 et seq., Government Code S 4450 et seq., and the Unruh Civil Rights Act, Civil Code S 51
et seq.
17. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature hereinbelow has the power,
authority and right to bind their respective parties to each of the terms ofthis Agreement, and shall
indemnifY City fully, including reasonable costs and attorney's fees, for any injuries or damages to
City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn.
b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set
forth in the body of this Agreement.
7
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and
year first above written.
ATTEST:
~.~
<<!~ ,._ J
PATRICIA E. HEALY
Clerk of the Council
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
RY.~~
Cristine L. aw
Assistant City Attorney
CITY OF SANTA ANA
.~
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City Manager
CONTRACTOR
~~
Clovis Glen
Owner
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Indi Idual SS #
8
Sep 30 02 10:13a Tllagl
EXHIBIT A
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. Free Estimates
. Shower
. Tub
C.B. Glenn Tile Co.
PuUman .
Drainboards .
Entry Way. .
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California Lie. No. 269317
Residential / RemoiUJl / Commercial
- Since 1970 -
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ATTACHID.
RE! THE 01P01' AT IANTA ANA.
REVIlED TO INCLUDE PflIMAllTWCROlNG IIII21IUL8
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BACCARELL~ J NSURRNC E .. 17145652593
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NO. 543 1;103
POLICY NWBEA: CGL689131
THIS e~OORSEMENT CHAN(lES THE POLlCY. PLEASF REA[] THIS r.AREFUlI Y
COMMERCIAl. GENERAL LIABILITY
ADDITIONAl. INSURED PRIMARY COVERAGE
Till. '"IIonl.ment m<ldill61 '"'Uflnel pro.ldld und.r tn. fOlklwlng:
COMMERCIA~ G5NERA~ I.'ABI~ITY COVi:RAGIO PART
Thll Inlullnc. I. prtmery tor !he person or argen/zlllllln IIlOwllln Ihl atIledule, bill only WIlli retlptella lilIbUIly e"ll/IV IlUl of your
worll 0< 1N11".urad by IIf tor you, Olhdr InlUrlnce 11Ialllect tlllne. InlUl'lld wHl 'POly" e..... Inll not con,rIlM. II prim.')' III ...
InlUllnce a/tor<la<l by lhie endorllll/llen' .
All oIhlf ClIldOras",enl pfOl'ltllllll. c:IIndltlll/l1 end lIXc:JuBions 0' lhilll"lurance e~ell remeill WICIlIInQtd end IDPIY 10 lI1a 1lllUl11llll1
InIUf8C1 end lt8.crlbld below.
SCHEDULE
AD~TfONA.lIN&U~~D
CITY OF SANTA ANA, ITS OFFICERS, AGENTS & EMPI.OYEt:S
C/O CAROLYN FULLERTON
THE DEPOT OF SANTA ANA
1000 EAST SANTA ANA BLVD. #108
SANTA ANA, CA 92701
CON~TJPROJ~CT
~MliO INSIJR~ C.B. GLENN TilE COMPANY, INC.
7871 HARHAY AVE:NUE
MIOWAYCITY CA 92655
PRIMMV WORDING INCUJDED.
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I3l1CCff<!ELLA I NSLI<","CE ~ 17145552693
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NO. 543 (;102
POLICY NUMBER: CGL6B9731
COMM!:RCIAL GENERA~ LIABILITY
THIS ENQORSEM!NT CHANGES THE: POUCY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSUREn-OWNERS, LESSEES OR
CONTRAC1'ORS (Form B)
TlI/I endattement madifls$ inllLlrenC8 prOVldecl ,nder thil follOwing:
COMMERCIAL GENERAJ.I.I"al~ITY
Hem. of Pelwn or Ol'llnlzltlon:
SCHEDULE
CITY OF SANTA ANA, ITS OFFICERS, AOENTS & EMPLOYEES
CIO CAIi!OL YN FULLERTON
THE DEflOT OF SANTA ANA
1000 ~Ain SANTA ANA 13LVD. .108
SANTA/INf<, CA 92701
(If no entry IIppears above. information required to camplela this &ndorBement will be Ihown in the
OecIaralions as appllcaDle 10 In/a eftdOreemllftl.l
WHO IS AN INSURED (sectIOn IIlla llmenlhclto include al an inlured the pINIon or organization
shown In lilll SChetlUle, bill only wttn reapIClIO lIabKity arilin; oLII of yoLlr ongoing operations ptII'_
formed for IhallnSLlrad.
PRIMARY WORDING INCLUDEP,
AP~T030RM
TI E l~w
Deputy City Attorney
CO,O 101093
Copyrtghl. IneY''llnce SeNteN Ofrll;e, InC., 1982
COlIifiCllla. ,e11
Date: d I' [) (' ~~
I, C ~ 1/, r~ c:!. / e J/' ^ / affirm under penalty of perjury, the following
declaration: -
I certifY that during the term of my contract with the City of Santa Ana, I will not
employ any person in any manner so as to become subject to the worker's compensation
laws of the State of California. An agree that if! should become subject tp the worker's
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply
with those provisions.
(!~~
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Signed:
C. B. GLENN TILE
CITY AGREEMENT #N-2002-154
D AfTO FORM
( (
TINE LEE SHAW
." City Attorney
DepU.,
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JOI: ntE DJ!POT AT BANTA ANA. ,IDO E. BANTA ANA BLVD.. IANTA ANA. CA. lEE ATTACHED fORM crntll.3/97 FDA COMP~I!TJ! NAMS
01' ADDITlON~ INIUMD. ""MARY WORDING AND WAIVER OF8lIIROGAll0N INC~UDfO.
'J!llCl'l '0 ClAVI FOIl NON PAYMeNT OF PRJ!MIUM
x I'DDm_INlU"D'INI~~~ LlTTI~
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PPlAATION PATi TI1B:FCliOF, Tf<< ISSUING COM"~Y WL' fr - ,0. UM",o-
DAVI WAlTTEN NOTICI TO Tl'Ii Cffllljl:ICATI HOLDfi;Ft HAMID TO fill Ui"......
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IANTA ANA RJQlONAI.
_SPORTAnON CJ!MTER
IDOl J!. 8AIITA ANA BLVD.. 1311
IANTUN.. CA 12711
AIlI.UOR:
ACllllII 2512801lDlI
"'"cy~T~d J: Q ~ ~ ~ 1
canlllCllll # 496 '"
0371833
02/11/2003 17:04
a.p.2? 02 OS. Gap
BACCARELLA INSURANCE ~ 17145652693
T1 hit
NO.471
1}05
p.a
...., 1"I-lr5 StiQrr {!J. (A.:;t 14~r,1
L ADDITIONAL INSURED ENDORSEMENT ~-t4E:
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. ... compeny LiM...o\(\ {"etlef~t .:D\~ Ca....
, 1ft"
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If' ..
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# .is MO o~I.j" 0 rel8IIllCIlO the. I falloWIng: ....".-.. , ,<j'~ ..' . '"
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("lIISclIlIOIlIII lI'lti.ndI') wlln 18\J.,c\ lD , ._ CWsn. at .. wl$lrG fI'l:lm .,.
_ml....,. and UM8 "rfoImed !IV or 'r bel'IlIll at !he N1l'/l8d In8\lI'Id. ".'. .
2. Wllh respec:l1O llllllm'~ aul of lh. ...._ and i.i'- petialmtld tI,
or an beNIf atltla ,.,,1Id ltUI\,II8d... 1\Id:l''''''' as II.M by tNa ~ '- P'lm8l'/
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.S;- - This Ine '_ .;..1.. iv 10 -., Inlured egainIl Wham claim 1.
madI or suit III . pi ~ ,. to N ~peny'1I Urillte OIl18ll111lV. The
~ C!f Id lIa.... a c:IaImItlll nol so fnalUCIea:
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.' . _ .. Wlt\ reiOacI \:0 Ih8 edCIilIaI'laIlnCUradI. thIS tnsunlllC8 sh8ll not be cancelled.
. ;r'iTIaI8fIBIlV rMU~1" ~ra;e Oft Dmtll except aile' IhIrty ~) dllWS wrlLl8l'l nolIoa "'sa
'l:Ieen glV8n to lno t-, of SiInta AM. 20 CMo CenIer PIlle. s..,ee MIl. QalifOPflIa 1127131.
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(Compldon gf flw fOllowl.... InCluding OOIl",,,,,,MtIlf8, fa required 10 melut lhIa
anClO,...-.ct a"-etlva.) . .'
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PolleY # ~5~l\Oo""LfL. 0
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D?/11/2003
17:04
-
BRCCRRELLR INSURRNCE ~ 17145652593
NO.471
[;)04
POLICY NUMBER: 2537007460-0
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES HIE POLICY PLEASE READ THIS CAREFULLY
ADDITIONAL INSURED PRIMARY COVERAGE
This end_em moclllles insuranco provldod under the following:
COMMERCIAl. GENERAL LIABILITY COVERAGE PART
This insurance Is p~m81Y for Itle pemon or organizetlon sllOWn In the schedule. but only wlln r..pecllo lIabllilV atlalng out of )lDur
WOI1c or llIellnsured by or 10r)'DU. Other insurance enorded to that insured wlil apply eo ....... and not contribute as primary III the
insutllllC8 afforded by !hIs endornemenl.
All o"er _mement provisions, conditions and eKCluslons olthl. Insuranca shall remeln unchanged and apply llI"e eddlt10nallnsured
and clescnbeG balow.
SCHEDULE
ADOITIONAL INSURED
SANTA ANA REGIONAL
TRANSPORTATION CENTER
1000 E. SANTA ANA BLVD.. #1300
SANTA ANA. CA 92701
CONTRACTJPROJECT
NAMED INSUREO C.B. GLENN TILE COMPANY, INC,
7871 HARHAY AVENUE
MIDWAY CITY CA 92655
Certificate" 4685
[;112/11/2003
17:04
BRCCRRELLR INSURRNCE ~ 17145652693
NO.4?1
[;>03
POlICY NUMBtAT-2-531OQ14So.c.a. GIeR,,"~lnc
COMMEaCIAl.-GENEIW. 1I1'BIlIlY
THIS ENDORSEMENT CHANGES THE PO\.lCY. PLEASE ReAD IT CAREFULLY
WAIVER OF TRANSFER RIGHTS OF RECOVERY
AGAINST OTHERS
This endcnemenl modifieS In8urance provided under tne following;
COMMERCiAl GENERAL LIABILITY COVERAGE PART.
CWNERS.ANO CnIllTBACmRS.PROtECJM.WA8lLlTY COVERAGE..eABJ"_..
SCHEDULE
N~.~_ Ilr QI'I8IIlZlllllW--....
City or Santa Ana, its officers. agents and emplovees
(If no 'nlTy .pPtllln abo\le. intormetlon required 10 comple18 thie Schedule wlU be Ihown in the
Oeelara!lo".s as applicable Itllhle .ndolllllllll~!')
W. waive any right of rec/lV1lIY wa may haw agalnSl lne parson or organlzlltlon ShOwn In Ih8 Sellldule
bucause of paymenls we make for Injury or damage arising oul tJf 'ytlIJ. IAIOrk' done under 3 contract WIllI
l/18t person 0. orgenlz81lon. The welvUt eppliet only to llle person or organization 8hown in the
Scnedula,
Job: The Oepot at Sanla Aana. 1000 E. S8Illa An. Blvd.. Sanla Ana. CA
CG 24 04 1 \85
Copyright. Insurance Sarvices OffiCe. Inc, 1984
0?/11/2003 17:04
-
BACCARELLA INSURANCE ~ 17145552593
NO. 471 [;)02
POLICY NUMBER: 2537007460
C. B. Glenn Tile Company, InC.
COMMERCIAL. GENERAL.UABIUTY
CO 20 10 0317
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS. LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endoraemenl modlfleB Insurilllce provided llnder Ihe following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHI!!:lUL.!
Name of 'e",on or Orlllnlzallon:
City of Senle Ana 115 officers, agents & employees
(If no enlry appelra ebovl, InformaUon required to complete 11'11& endorsement will be ahow" in the Declarallona aa
appllclPle 10 this endorsement.)
Who II An Inll/red (Sec:tlon II) Is amsnded to include as an In6llFad tha person or organiz81ion shown In tlle
SCMda.1e. bul omy wilh respeclto liability arisinG aul of your ongol"g operations performed for Ihlllnsured.
Job: Ths Depot et S.nls Ana, 1000 E. Santa MS Blvd., Sente Me, CA
CG 20 100317
Ccpyrtghl, Insurance Services Office, Inc., 1998
PIIII 1ef 1 Cl