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Home My WebLink AboutREBUILDING TOGETHER O.C. 1B - 2006AGREEMENT TERMINATION 2020 FEB -b P14 4. 23 Please complete this form when the attached agreement is no longer in effect. CITY OF S IJI-A ANA Return form to the Deputy Clerk of the Council (M-30). Call 647-Ct37ja,P,ygfr lta@Vquestions. The agreement with No N-2xs -, and final payment 1 :n made. — (3\ was completed on Department: Signature:,�p,�'��. Date: In City of Santa Ana Revised 08-28-06 Clerk of the Council INSURANCE ON FILE WORK MAY pROCEED UNTIL INSURANCE EXPIRES .j - /(/-,200 7 CLERK Of COUNCil. DATE: 11-1"'1_0' 0: Pit'S (l)(C'.,,,,,,,plIhI>) THIS SECOND AMENDMENT TO LEASE AGREEMENT is entered into on October 1 6, 2006, by and between the City of Santa Ana ("Landlord") and Rebuilding Togethcr Orange County ("Tenant"). N-20m-077_02 SECOND AMENDMENT TO LEASE AGREEMENT Rccitals: A. The parties entered into Lease Agreement N-2003-077, dated Angust 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 or Santa Ana. B. The parties wish to extend the term of said Agreement for an additional onc-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 Ameudment to Agreement, the parties agree as follows: 1. Section 3, TERM OF LEASE, shall be amended to extend the term for an additional one-year period frolll October 1, 2006 through September 30, 2007. IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to Lease Agreement 011 the date and year first written above. CITY OF SANTA ANA AT1ES'C9,--y . ~_l~,=-- ,,(~ (Ii' PATRIC1A E; HEALY V Clcrk of the Councll f APPROVED AS TO fORM: . II .',. ~/JgfJl: \~l(~:ff~&ER City Attorney Recommcnded for Approval: TRNANT ~~ GERARDO MOUE' Executive Director - P Reneation and Comm1.. ~ STEV~RPENTER Executive Director ACORD.. PRODUCER . k . Aon R1S serv1ces ,Inc. 1120 20th Street NW washington DC 20036 USA of washington, D.C./ Hunt TIllS CERTIFICATE IS ISSUED AS A MA'ITER OF INFORMATION ONLY AND CONFER.'i NO RIGHTS UPON THE CERTIFICATE HOLDER. nus CERTD'ICA TE DOES NOT AMEND, EXTEND OR ALTER mE COVERAGE AFFORDED BY THE POLICIES BELOW. PHONK. 866 283-7122 FAX- 847 953-5390 INSURERS AFFORDING COVERAGE NAIC# 10172 . . 5 .. . '0 - ~ '0 '0 := ,,",un. Rebuilding Together And Its Affiliates 1536 16th street, NW washington DC 20016 USA INSUREltA: Westchester Surpl us li nes .In~ CQ INSUXER B: INSURER c: INSURER D; INSlJRERE: lHE POUCIES OF D'lSURANCE LIStED BELOW HAVE BEEN ISSUED TO TIlE INSURED NAMED ABOVB FOR THE POuey PERIOD INDICATED. NOTWmISTANDING ANY REQUIREMENT, TERM OR CONDmoN OF ANY CONTRACT OR. 01HER DOCUMENT WITH RESPECf TO WHICH nus CERTll'lCAlEMA Y BE ISSUED OR MAY PERTAIN,11IE INSURANCE AfFORDED BY TIlE POUCIES DESCRIBED HERSIN lS SUBJECT TO AU. 'I'HE TERMS, EXCLUSIONS AND CONDmONS OF SUCH POUClliS. AGGREGATE LndITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS. "". LTIl INS TYn: 01' INSURANCE POUCY NUMBER I'OUCY DA Tl(MM\DD\YY) 03/15/06 POLICY EXl'IRATION DATE(MM\DI)IYY) 03/1S/07 UMITS A ~EIlAL LIABILITY X COMMERCIAl.GF.N!llAl.UAlm.ITY CLAIMS MADE [!] 0CCUll. G22038424001 EAOl OCCURRENCE $1,000,000 $50,000 DAMAGE TO REN1EIJ PREMJSnS(EI~) ,-- PERSONAL &. ADv INJURY $1.000.000 $5,000.000 $2,000,000 rl N ., N m o ~ rl o o ~ ~ GENERAL AGGREGATE GIiN1.. AGGREGATE UMIT AI'PU&S P'ER: I!J POllCY 0;:6 0 LOC PRODUCTS - COMPiOP AGG AtITOMOII1LF. LlABIUTY ANY AlJlCc COMBINED SINGLE UMrr (Eaoccidenl) . z .e< ~ is 1:: . .'"' All OWNED AIJ fOS RaPTLY INJURY (PcrP"f'On) :;CHF-DUu;:t;J AI.JI'U': HIRED AUTOS NON OWNED AUTOS BODILY INJURY (hrll<tikml PROF'!.RTY DAMAGE (Pr"""idelIt) GAR.AGE LIABILITY AUTO ONLY - EA ACCIDE....., ANY AUTO """"m"" AlJrOONLY: EAACC AOU A EXCESS flIM8llXLLA LIABILITY ~ oa::uR 0 CLAIMS MADB G219S0201001 03/15/06 EACH OCCIJ>RENCB AGGREGATE 55,000.000 DOED!JCT1lIlI!. KlRETENTlON wonus COMPENSAnON AND SMPLOYERS'LlABJLIT\' ANY l'Rot'RlHIUR I PARTNER I EXECIJJ1VB OFFICERlMEMBER. EXCLUDED? 1fY"..lkomk .......rSPEClIIL rROVISIONS .... ;"~ """"'l. ...-. ~~ '._ r',..) ,>1 1,_..; 1.- C STATU_ 0fH. AUTHORIZED IUiPRliSEN'TATlVE E.L. BACH ACCIDIiNT ~'1s1!<- E_L D1SEASE-EA EMl'LQYEB E.L D1SEASE.POUCY UMJT om.. DESCR.lYllQN OF UJ'EllATIONSII..OCAllONSNEHlCUlSIf.XQ.USJONS ADDED BY ENOORSIlMENTISl'EClAL PROVISIONS with respect to General Liability policy, community Redevelopment Agency of Santa Ana is included as additional insu~ed where ~equired by written contract. Rebuilding Together orange county Attn: Frelda Cruze P.O. Box 329 Tustin CA 92781 USA SHOUlD ANY OFThIE ABOVE DESCRIBED POUCIES BliCANCEU.ED DEfORE TIm EXf'UVt110N DAn 1HEREOF, TIm ISSU'lNC INSURER wtU.. ENDeAVOR TO MAIL 30 DAYS WRrnBN NOTICE ronmCER:T1FtCATE HOLDER NAMED TOnir. LEFr. BUTFAlLURE TO DO SO SI-lALL IMPOSENO OBLIGATION OR UABfilTY OF ANY KIND UPON nm INSURER. ITS AGrNI'S OR REPRESENTAn\lES. ..4-M.r..f..~~,.,ttiM ~.~' !it<< c.R. . EXHIBIT B ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Com any Westchester Surplus Lines Inc. Co. p . This endorsement modifies such insurance as is afforded by the provisions of Policy It; 22038424001 relating to the following: 1. . The City of Santa Ana, 20 Civic Center Plaza, Santa Aria, Califomia"92701; its officers, employees, agents, volunteers and representatives are named as' additional insureds' ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. Wilh respect to claims arising out of the operations and uses performed 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 of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a cla#nant if not so included. 4. With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. / (Completion of the following, including countersignature, is required to make this endorsement - effective.) " .."... ':".j ;:~,..~. ,. 03115/06 - 03/15/07 , this endorsement form as a part of G22038424001 Rebuilding Together and Its Affiliates Named Insured Effective' Policy # Issued to ~2J2 . --- ._- ,.-:,-:'.,::-'-~~ c. _~.. '"' ..; .. ,-' ,,-J (~I '.. d ;, .. Countersigned by ~ Authorized Representative 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