HomeMy WebLinkAboutTolerico's Electric 12•
AGREEMENT TERMINATION
1~?7 JAN ~ 7 ' 20
Please complete this form when the attached ageement is no lontg7~er m e ect.~ 9'
Cf 1 i
Return form to the Deputy Clerk of the Council (M-30). Call 6~'~~~37 if you ~ questions.
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The ageement with~I Q'(JI/1,{~1,~ (~/p~
No. N' pC~O 6 - 0 ~3 ~l was completed on
and final payment has been made.
Department:
NUMBER
N-2006-083 Signature:
___
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N-2006-083-01 Date:
Revised 08-28-06
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~~~~~
City of Santa Ana
Clerk of the Council
~~
~~
N-2006-083
INSURANCE ON FILE
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
/-/{j-il..o07
CLERK OF COUNCIL
DATE: q;,z/-o,
0: eM (.)CC, Futl!lr1lln J
THIS AGREEMENT, mack and entered into this l;t day of July, 2006 by and between
Tolerieo's Electric, a sole proprietorship (hereinafter "Consultant"), 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'").
CONSULTANT AGREEMF,NT
RECIT ALS
A. The City desires to retain a consultant having special skill and knowledge in the field of
electrical and lighting repair.
B. Consultant represents that Consultant is able and willing to provide such services to the
City.
C. In undertaking the performance ofthis Agreement, Consultant represents that it is
knowledgeable in its field and that any services performed by Consultant tmder this
Agreement will be performed in compliance with such standards as may reasonably be
expected from a professional consulting firm in the lield.
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
Consultant shall perform electrical and lighting repairs for the Depot at Santa Ana, as set
forth in Exhibit A to this Agreement.
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as total payment for its services,
the rates and charges identilied in Exhibit A. The total sum to be expended under this
Agrcement shall not exceed $8.000.00 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 faj Is to meet the standards 0 r perfot111Unee set forth in the Recitals
which may reasonably he expected by City.
3. TERM
This Agreement shall commence on the date first written above and terminate on June 30.
2007, unless terminated earlier in accordance with Section 12, below. The term of this
Agreement may be extended upon a writing executed by the Deputy City Manager for
Development Services and the City Attorney.
4. INDEPENDENT CONTRACTOR
Consultant shall, during the entire term of this Agreement, be construed to be an
independent contractor ami not an employee of the City. 111is 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
Consultant performs the services which are the subject matter of this Agreement; however, the
services to be provided by Consultant shall be provided in a manner consistent with all
applicable standards and rcgulations governing such services. Consultant shall pay all salaries and
wages, cmployer's social security taxes, unemployment insurance and similar taxes relating to
employees and shall he responsible lor all applicable withholding taxes.
5. INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Commercial General Liability Insurance. Consultant shall maintain commercial
gencralliability 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 lrom bodily and personal injury, including dcath rcsulting therefrom and damage
to property, resulting from any act or occurrencc arising out ofConsultant"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 therelrom, and property damage, in the total
amount of $1 ,000,000 per occurrence. Consultant 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.
h. Business automobile liability insurance, or equivalcnt form, with a combined single
limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for
owned, hired and non-owned automobilcs.
c. Worker's Compcnsation Insurance. In accordance with the provisions of Section 3300
of the Labor Co dc, Consultant, if Consultant has any employees, is required to bc insured against
liability for worker's compensation or to undertake self-insurance. Prior to commencing the
performance of the work under this Agreement, Consultant agrccs to obtain and maintain any
employer's liability insurance with limits not less than $1,000,000 per accident.
d. If Consultant is or employs a licensed professional such as an architect or engineer,
Professional liability (errors and omissions) insurance, with a combined single limit of not lcss
than $1,000.000 pcr claim.
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e. The following requirements apply to the insurance to bc providcd by Consultant
pursuant to this section:
(i) Consultant shall maintain all insurance required above in full force and
cffect 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 Attorncy.
(iii) Certificates and policies shall state that the policics shall not be canceled
or reduced in coverage or changcd in any other material aspect without
thirty (30) days prior written notice to the City.
f. If Consultant fails or refuses to produce or maintain the insurance required by this
section or fails or refuscs to furnish the City with required proof that insurance has been procurcd
and is in force and paid for, the City shall have the right, at the City's election, to forthwith
terminatc this Agreement. Such termination shall not effect Consultant's right to bc paid for its
timc and materials expended prior to notification of termination. Consultant waives the right to
receive compensatiun and agrees to indemnify the City for any work performed prior to approval
of insurance by the City.
6. INDEMNIFICATION
Consultant agrccs to and shall indemnify and hold harmless the City, its officcrs, agents,
employees, consultants, special counsel, and representatives from liability: (I) for pcrsonal
injury, damagcs, just compensatiun, restitution, judicial or equitable relicf arising out of claims
for personal injury, including health, and claims for property damagc, which may arise from the
dircct or indirect operatiuns of the Consultant 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 cquitable relief is due by reason of the tenns 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 suffercd, or alleged to
have been suffcrcd, by reason of the events referred to in this Section or by reason of the terms
of, or effccts, arising from this Agreement. The Consultant furthcr agrees to indemnily, hold
harmless, and pay all costs for the defense of the City, including fees and costs lor 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 procecding.
7. CONFIDENTIALITY
J f Consullant receives from the City information which due to the nature of such
information is reasonably understood to be confidential ancl/or proprietary, Consultant agrees
that it shall not use or disclosc such information except in the performancc of this Agreement,
and further agrees to cxercise the same degree of care it uses to protect its own information of
3
like importance, but in no event less than reasonable care. "Confidential Information" shall
inclnde all nonpublic information. Confidential information inclndes not only "Tilten
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 foregoiag 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 of the Consultant disclosed in a publicly available source; (c) is in rightful
possession of the Consultant without an obligation of confidentiality; (d) is required to be
disclosed by operation of law; or (e) is independently developed by the Consultant without
reference to information disclosed by the City.
8. CONFLICT OF INTEREST CLAUSE
Consultant covenants that it present! y has no interests and shall not have interests, dircct
or indirect, \vhich would conflict in any manner vv'ith performance of services specified under
this Agreement.
9. NOTICE
Any notice. tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to he properly given if delivered in person or
mailed by first class or eertificd mail, postage prepaid, or sent by teleCacsimile or other
telegraphic communication in the manner provided in this Section, to the Coil owing persons:
10 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:
Deputy City Manager for Development Services
City of Santa Ana
20 Civic Center Plaza (M-25)
P.O. Box 1988
Santa Ana, California 92702
telefaesimile (714) 647-6549
and
City Attorney
City of Santa Ana
20 Civie Center Plaza (M-29)
P.O. Box 1988
Santa Ana, California 92702
tclefacsimile (714) 647-6515
4
To Consultant:
Tolerico's Electric.
12321 Moana Way
Garden Grove, California 92640
(714) 636-6764
Attn: Kermeth Tolerico
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 he 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
Consultanl, and supersedes any and all other agreements, oral or written, between the parties. 10
the event ofa conflict between the terms of this Agreement and any attachments hereto, the
terms of this Agreement shall prevail. This Agreement may not he modified except by written
instrument signed by the City and by an authorized representative of Consultant. The parties
agree that any terms or conditions of any purchase order or other instrwnent that are inconsistent
with, or in addition to, the terms and conditions hereol: shall not bind or obligate Consultant 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 Consultant,
Consultant 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
shall be construed to limit the City's ability to have any of the services which are the subject to
this Agreement perJormed by City personnel or by other consultants retained hy City.
12. TJ:<:RMINATION
This Agreement may he terminated by the City upon thirty (30) days written notice of
termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant
compensation for all services perfonned by Consultant prior to receipt of such notice of termination,
subject to the following conditions:
5
a. As a condition of such payment, the Executive Director may require Consultant 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 Consultant 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 Recilals of this Agreement.
13. DISCRIMINATION
Consultant 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. Consultant 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 has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement of any of the clauses of this Agreement
shall be determined and governed by the laws ofthe 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 eOlmection with or by reason of this Agreement.
15. PROFESSIONAL LICENSES
Consultant 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 ofthe United States, the State of California,
the City of Santa Ana and all other govenunental agencies. Consultant shall notify the City
immediately and in wriling of its inability to obtain or maintain such permits, licenses, approvals,
waivers, and exemptions. Said inability shall be cause for termination of this Agreement.
16. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature hereinhelow has the power,
aulhority and right to bind their respective parties to each of the terms of this Agreement. and shall
indenmify 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 ineorpomted as if fully set
forth in the body ofthis Agreement.
6
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
--:4 ~
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/ .~. ~ .
~-'.r~ / ~./ -
PATRICIA E. HEALY
Clerk oftbe Council
CITY OF SANTA ANA
UJiltl(..
DAVID N. REAM
City Manager
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
RECOMMENDlm FOR APPROVAL:
CONSULTANT
STE~tRDING
Deputy City Manager for
Development Services
Community Development Agency
r~"'<'<'~
KENNET . TaLERICO
Owner
Tax ID# /39 "fe:. '5187
7
,
\
, TOILERleo's ELEClRlC
LICENSE #4;:>7'11f\
Proposal
City of Santa Ann
Regiono.l Transportation Center
1000 E. Santa Ana Rlvd, Sllite 108
Santa Ana, CA. 92701
Carolyn:
Listed below arc the Hourly Rates and the Material Markup that we will be
charging the City I(lr th~ 2006-2007 AgrccmClll.
Malcri~11: Stand8.fd Markup_ 2Y.l/" over cost.
I ,:.-thoI' f{:th~~:
Monday through Frid<<y, 7AM to 6PM
hour
Saturday 7AM to 4PM
hour
:5 75.00 per
$ 75,00 per
Mond"y through Friday, 6PM to Midnight
hour
Saturday 5J>M to Midnight
hour
$ 112.50 per
$ 112.50 per
Midnight to 7AM, Sundays and Holidays
hOllr'
$ 150.00 per
RCopCclfully Submitted 09, May 2006
./
=:t( _0 I) / ~.?'L..<",2
/~-L___ /
Kenneth j. IOlene
Owner
EXHIBIT A
2321 MOANA WAY. GAROEN GROVE. CA 9.2640 .. (714, $36-6742 .. Fax (7J11) 636.6764
.;
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OOt,J~{Ol ua)l
dEr :80 90 60 ""ew
EXHIBIT B
ADDITIONAL INSURED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILITY POLICY
Insurance Company _
This endorscment modifies snch insurance as is afforded by the provisions of Policy
# relating to the following:
1. The City of Santa Ana, 20 Civic Centcr Plaza, Santa Ana, California 92701; its
omcers, employees, agents, volunteers and representatives are named as additional insureds
("additional insureds") with regard to liability and defense of suits arising [rom the operations
and uses performed by or on behalf of the named insured.
2. With respect to claims arising out of the operations and uses performcd 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 ofthe
additional insureds.
3. This insurance applies separately to each insured against whom claim is made or
suit is brought except with rcspect to the company's limits of liability. The inclusion of any
person or organization as an insured shall not alTect any right which such person or organization
would havc as a claimant if not so included.
4. With respect to the additional insureds, this insurance shall not he cancelled, or
materially reduced in coverage or limits except aftcr thirty (30) days written nolice has been
given to the City of Santa Ana, 20 Civic Ccntcr Plaza, Santa Ana, Calilornia 92701.
(Completion of the following, including countersignature, is required to make this endorsement
effective.)
, this cndorsement form as a part of
Effcctive
Policy #
Issued to
Named Insured
Conntersigned by
Authorized Representative
8
. Ma~ ,06 06 OS: 52a
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03/03/2()06 FlU 11: 19 FAX 714 46/ f1731 Pro!~!S!\iOlldl Choice
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A CORD_ CERTIFICATE OF LIABILITY INSURANCE -T DArE.(MMIDDIYYYY)
01/25/2006
~RODUCER 1714) 467-8726 THIS CERTIFICATE IS ISsueo AS A. MAnER OF INFORMATtoN
Profes$ioAal Cho~ce In5uran~ Sv.$ OHl Y AND CONFERS NO RIGHTS UPON ~ CERTIFICATE
HOLO~R. THIS CERTIFICATE DOES NOT AMEND. t:XTEND OR
500 N Statl\3 Col189Q Blvd, *550 ALTe: THE COVERAGE AFFORDED BY THE P'OL.ICIES aELOW,
OranO"\!: CA 92868-1613 INSURERS AFFOROING COVERAGE NAl0.
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N - ;)W'-I-OJ'O -ot lNSURB\ Il --
1232:' Moana Way IN5UR~KC ----- ~
/V-Ol.OOG,-o8':, ~n
Garden Grove CA 92840- I~";''''..
COVERAGES
rHE POLICIES ~ INSURANCf'. UsrED BROW HAVE ~ ISSUED TO lHE INSURE'il NAMED NW'JE FOR TfE POlICV PERiOD 1N00CA'!"fO. NOlWlTUSTANDING ANY
REOlIIREMENT, TERM OR CONDIIION 01' A~ CONTRACT OR OTHER OOCUMfNTWITH RESPECT TOwttCH THIS CE"RTrFlCATE MAY I*: ISSUED OR MAY PERTAIN,
THI!.; INSI,lRANCF AFFORDED BY THE POlICIES DESCRIBED HE~ I.S suHJECT TO ALL THE TERMS, EXo...VsaoNS AND CONDiTIONS ~ SUCH f'QL1;;IES
A.GGRt:.GATI: liMns SKOWN MAY HAVE BEe~ REDVCP;:D 6'( PAlO WllAS
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CERTIRCArE HOLDER
(714) 565 2690 TQl
{714) 565-2693 Fax
CANc~LLATION
SHlItJLD "-NY Of THE A.80\IC !lE$(;RtlED POUC\ES IE CAN(,:nlED IJEf'OIIl;: lJoIt.
EXPIRA'nI)!\l DAn!. THERfOF, Tf<<! ISSUlMC, IN5UltI::R I\'lU. ~._~ . ...~ TQ ""'IL
1 0 PAn WIIlTTI'N NOllCli 10 TIlE C'EitflffC"'TE ItOU'CA NAIlED TO THE U11'T, -
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City of Sant9
100ft E. ~lln'ta
Santa Ana
ACORD 25 [200'/1)6)
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An.
Ana Blvd. flOe
CA 92'101-
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ACORD COftPORATION ,ta8
Plge 1 llf2
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POLICY NUMBER: 6320019376
COMMERCIAL GENERAL UABIUTY
CG20101001
THIS ENDORSEMENT CHANGES THE POUCY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies tnsurance provided under the following;
COMMERCIAL GENERAL liABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
CITY OF SANTA ANA
PROJECT LOCATION: 1000 E. SANTA ANA BLVD. # lOa
1000 E. SANTA ANA.BLVD. # lOB
SANTA ANA, CA USA 92701-0000
(If no entry appears abo...., information recjuired to complete this endorsement will be shown in the Declarations
as appljcabJe to this endorsement.)
A. SectIon II - Who Is An Insured is amended to
include as an insured the persr>n or organization
Shown in the Schedule, but only with respecl to
liability arising out of your oogolo.9 operations
performed for that Insured.
B. VWh respect to the insurance afforded to these
additional insureds, the following exclusion is
edded:
2. Exclusions
Tills insurance does not apply to "bod~y in~
jury" or 'property damage" occurring after:
(1) All work, Including materials, parts or
equipment furnished In connection
with such work, on the project (other
1han service, maintenance or repairs)
to be pertormed by or on behalf of the
addiUonal insured( s) 8tlhe site of !he
covered operations has been com-
pleted; or
(2) That portion of 'Your work" out ot
Which the injury or damage arises has
been put to its intended use by any
person or organization other than an~
other contractor or subcontractor en.
gaged in performlng operations for a
principal as ,a part of the same project
i, ,,.
!ro:~ .
CG20101001
@ ISO Properties. Inc., 2QOC)
Page 1 oll
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ACORD... CERT~. .CA TE OF LIABiliTY INSUR. _. ~CE I OA TE (MMlOOIYYYY)
03/09/2007
PRODUCEIl: (714) 467-B726 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
l'~ofessional Choice Insurance Svs ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE OOES NOT AMENO, EXTEND OR
500 N State College Blvd, #550 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
I
I
Oranqe CA 92868-1613 INSURERS AFFORDING COVERAGE NAIC#
- N"~()j?- 08'?
INSURED INSURER A Linoo~n GenQral Ins. Co. I
--
Talerico's Electric AI" :lOe)6 -OYJ-O/ INSIIRER B:
12321 Moana Way IV.... ci606 "O8~ INSURER C !
---..--"
INSURER D' .
Garden Grove CA 92840- #";1.00 Y . OK(J-o ~SURER E: !
COVERAGES A/.. ;;U'J(jJ.l - 0 KIf -t'J, A/... tJ.Dn -V.. (') ylJ
THE POliCIES OF INSURANCF.lISTED BELOW IlAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POliCY PERIOD INDICATED. NOTWITHSTANDING ANY
REQUIKEM",NT, TERM OR CONDITION Of ANY CON.RACT OR OTHER nOCUMENT WITH RESPECT TO WHIClf THIS C(;RTIFICA TE MA Y 13~ ISSUED OR MA Y PERTAIN,
THE INSURANCE AfFORDED BY THE POLICIES DESCRIBED HEREIN IS SllBJECT TO ALL THE TERMS. EXCL~JSIONS AND CONDITIONS OF SUCH POliCIES.
AGGRECATE LIMITS SHOWN M~Y HAVF BE'EN REDUCED BY PAl 9. CLAIMS. ..- -.--
I~:: ~~~.~ TYPE OF INSURANCE I POLlCY NUMB Ell PJ'ili~~::J85~~ Pg~iil~m,~~N LIMITS
A X GENERAll.lABIUTY I 6320019376 02 01/15/2001! 01/15/2008 EACH OCCURRENCE S 1,000,000
~. I ~~~~~~?E~~J~r?onc.) .- ..
~Lr"'ERCI""l GENERAlllABlLlTY . S 1,000,000
>-- Cl.J\IMS"'....OE W OCCUR! / / / ( MED FXP (Anyone PC"'"") S 5,000
f'ERSON....l & ADV INJURY S 1,000,000
-.. / / I / / GENERAl AGGREGATE $ 2,000,000
-il' AGC~I~E liMIT I~ES PER 1 PRODUCTS. COMPIOP AGG $ 2,000,000
X POliCy ~:N!T lOC I /
( ( /
~TO!,lOBllE LIABILITY : / / I I COMBINED SINGlE lMrr
(Ea acdd.nl) S
-- ANY AUTO r---'.'
- All OWNED AUTOS I / I / BODIlY INJURY
tPef per-sM) $
-- SCHEDULED AUTOS
HIRf:U AUTO.s I I / / DODlt V lNJURY
I-- S
NON-OWNED AUTOS (P81 a.:-cldcml)
-- c---'
I I i I / PROPERTY DAMAGE
-- S
(Po( occJctenl)
GARAGE LIABILITY I AUTODNLY.EAACCIO[Nf $
n ANY AUTO .-
/ / I I OTHER THAN EAACC S
AUTO ONLY. AGG $
EXCESSIUMBRElLA liABILITY / / ( / EACH OCCURRENCE $
D OCCUR 0 CLAIMS MADE AGGREGATE $
S
~ DEDUCrlBlE / / I / $
RFTENTI(lN S t
WORKERS COMPENSATION AND / / / ( I T'6~~ mANs I IOTH-
ER
EMPLOYERS'UABllITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Lt.. EACH "'CCrDENT 3 '-
OFFICER/MEMBER EXCLUDED? I / / / !'.c. OI$EASE. FA EMI'\.OYEE S
~kcl~~tio~;~~~~ b~ow E.l. DISEASE. POLICY liMIT S
OT1<ER / ( / /
/ / / /
I I / I
VESCRIPnON OF OPERATlONSILOCATIONSNEHICLESlEXCLUSIONS ADDEO BY E//DDRSENENTiSPECIAL PROVlSIONS
The City of Santa Ana, 20 Civic Center P~azaf Santa Ana, Ca1ifornla 92701; l.ts officersr employees I agents ( vo~unt6er.
and repras9ntstiveg are na.med as "additional in3uredn wi th X"'e'ga.rd to liabili.ty and defense of suits ari.sing from the
operation. and U58S performed by or on behalf of tho naAed ~n.u~&d.
Re: All Dperatio~s as eovered Oy th1B policy.
CERTIFICATE HOLDER
(714) 565-2690 Tel
(714) 565-2693 Fax
CANCELLA liON
SHOULD ANY OF lliE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATlON DAn; THEREOf. THE JSSUlNG INSUR~~ WILL <, -.. -- TO MAll
30 ()AVS WRI~N NOTICE TO tHe CSRfIF'(CATl! HOLDER NAMED TD mE LEFT, BUT
,...,Lllllr TG Be 69 SII,I.,lL 'IIIPEl8~ '19 9BYS1TIQtJ 9R ll,l,SlllFr Sf AllV Hille !,jpell~ IE
City of Santa Ana
20 Civic Center Plaza
Santa Ana CA 92701
ACORD Z5 (2001/08)
ft.v. INS025 (0'08).05
988
. (800)3270545
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POLICY NUMBER: 6320019376 02
!"'-}
COMMERCIAL GENERAL UABIUTY
. I.G CG20 100206
THIS ENDORSEMENT CHANGES THE POUCY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION INCLUDING PRIMARY COVERAGE
COMMERCIAL GENERAL LIABILITY COVERAGE PART
This endorsement modifies insurance provided under the followIng:
SCHEDULE
Name of Person(s) or Organlzation(s)j LOcatior~s)of cowred o~rations; Additlonallnsured(s) Address:
CITY OF SANTA ANA
RE; 1000 E. SANTA ANA BLVD, SANTA ANA, CA 92701
20 CIVIC CENTER PLAZA
SANTA ANA, CA 92701
(If no entry appears above, information required to complete this schedule, [f not shown above, will be shown in .
the Dedarations..
A Section IJ. Who Is An Insured is amended Ita
include as an insured the person(s) or org;3fliza-
tion(s} shown in the Schedule, but only wHh re-
spect to liability for "bodily injury", "property darn-
. age" or "personal and advertising injury" caused,
in whole or in parI, by;
1. Your acts or omissions; or
2. The.acts or omissions of those acting on
your behalf;
in the performance of your ongoing operations
for the additional insured(s} at the location(s)
designated above.
B. With respect to the insurance afforded to these
addllionaJ insureds, the following exclusions ap-
ply:
This insurance does not apply to "bodily injury"
or .property damage" occurring after:
(1) All work, including materials, parts or
equipment furnished in connection with
such work, on the project (other than ser-
vice, maintenance or repairs) to be per-
formed by Or on behalf of the additional
insured{s) at the location of the covered
operations has been completed; or
(2) That portion of ''your work" out of which
the injury or damage arises has been put
to its intended use by any person or or-
ganization otherlhan another contractor
~. engaged in performing operations for a
. / principal as part of the same project.
. . The insurance afforded by the policy to the Addi-
/ tionallnsured{s) listed inlhe Schedule for the de-
scribed locetion{s) is primary insurance. Any other
insurance or self-insurance maintained by the Addi-
tionAl Insured(s) is excess of this insurance and
shall not contribute to it..
LGCG20100206
Contains Copyrigt:lted Material of the Insurance Services Office. Ine
2004 .
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