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Home My WebLink AboutPRESTIGE STRIPING SERVICES, INC. 2a y~ AGREEMENT TERMINATION Please complete this form when the attached agreement is no longer in effect. Return form to the Sf. Deputy Clerk of the Council (M-3D). Call 647-5238 if you have any questions. The agreement wit~~.Q.. sJu;(l~ was completed on b / ;J-~/ 07 . , No.N-~mI.p-03cf-of , and final payment has been made. 1"",' ,,--,,. "'~: '.' . v.. . Dbpartment: c..:J;> A llr; -;.\'-' WNlOU/W Or:r~~ 6l :6 \-IV S )Rnature: hzn t) Date: 7/)-.0/07 I I City of Santa Ana Clerk of the Council , &-..-<.... Revised 8-7-03 ."-2006-038-01 . 3::.c_L;;<=o7. , b/15/t1 7 o.'~M" (.<) (,e.~) FIRST AMENDMENT TO AGREEMENT THIS FIRST AMENDMENT TO AGREEMENT is entered into on January 8, 2007, by and between Prestige Striping, 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-2006-038 dated April 20, 2006, (hereinafter "said Agreement") by which Consultant has provided street and parking lot striping services. B. In accordance with the terms and conditions of said Agreement, the parties wish to increase compensation to pay for additional striping services. 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 2, COMPENSATION, shall be amended to increase compensation by $10,000.00 to be expended in the 2006-2007 fiscal year, as set forth in Exhibit A- I, attached hereto. 2. Except as hereinabove amended, all terms and conditions of said Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to Agreement on the date and year fir written above. ~. / ./ ~ .-.--- ..// PATRICIA E. HEALY Clerk of the Council ~~ ~DAVIDN. REA: City Manager CITY OF SANTA ANA , APP~VED AS TO FORM: , "-;'; /\c!LLuLP-- 'JOSEPH W. FLETCH City Attorney PRESTIGE STRIPING SERVICES, INC. -~---- ~ ----- SABAS TRUJILLO President RECOMMENDED FOR APPROY AL: . HARDING Manager for Development Services EXHIBIT A-I STRIPING SERVICES TO BE PROVIDED BY PRESTIGE STRIPING: Date Description Amount 5/06 5th and French Garage $5,200. 6/06 N. Ross and W. 2nd St. $ 530. 6/06 3rd and Birch Garage $2,650. 6/06 4th Street $510 6/06 FMP Lot $ 410 TOTAL - 05/06 $9,300. 10/06 5th and Main $2,900. 12/06 3rd & Broadway $4.510. TOTAL to date 06/07 $7,410. '. . COpy ~-- ~E (MMfDDfYYYY) , ACORO,. CERTIFICATE OF LIABILITY INSURANCE 99/22/2006 PRODUCER TlilS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS AU Insurance Services CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE PO Box 3646 AFFORDED BY THE POLICIES BELOW. Omaha, NE 68103-0646 (877)234-4420 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A California Insurance Company -- --- Prestige Striping services, Inc. INSURER B: dba Prestige Striping Services , , 353 N INSURER C: , Cypress St Orange, CA 92866-1027 INSURER D: m I CTL 1273 342852 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BElOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. 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 SUBJEQT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TI': 00' ~~~~~~IE ~~~/=~~N 10M TYPE Of INSURANCE POLICY NUMBER LIMITS ~ERALlIA8IUTY EACH OCCURRENCE $ COMMERCIAL GENERAl LIABILITY ~~~~J7E~~~?encel $ I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $, ~ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE UMIT APPLIES PER: PRODUCTS. COMP/OP AGG $ h nPAO~ n, ~- POLICY JEeT lOC ~OMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ r- r- ALL OWNED AUTOS 80DIL Y INJURY SCHEDULED AUTOS I (Per parson) $ ~ r- HIRED AUTOS I BODILY, INJURY NON-OWNED AUTOS (Per accident) $ ~ PROPERTY DAMAGE {peracddent) $ GARAGE LIABILITY AUTO QNL Y - EA ACCIDENT $ ==i ANY AUTO OTHER THAN EAACC $ AUTO ONl Y: AGG $ p~SSlUMBRElLA LIABILITY EACH OCCURRENCE $ OCCUR D ClAIMS MADE AGGREGATE $ $ R ~EOUCT'BlE , RETENTION $ $ WORKERS COMPENSATION AND X I T~g:riM~s I r-':H~ A EMPLOYERS' LIABILITY EA ANY PROPRIETORlPARTNERlj;:XECUTlVE "6-007016-01-02 06/01/06 06/01/07 El EACH ACCIDENT $110001000 OFFICERlMEMBER EXCl"UDED? J;.l. DjSEASE '"EA F/jilf.LOYEE l~JlOO, 000 II yes, desclibe under ., ';U -j ,.2o(sdsii'pot,i;VUMi; s'i',"lJ 0 0 , 0 0 0 SPECIAL PROVISIONS below i"-"i -- OTHER hlGIo ~,c...>.,) DES~RIPi}ON OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSlm,S ADDED BY ENDORSEMENT I SPECIAL PROVISIONS , -", Li " 'j- S~;:edy o : Pavement Markings f~- ',~ i.:, 1.:. Cd_y Artor:-.ey CERTIFICATE HOLDER City of Santa Ana 20 Civic Center Santa Anal CA 92701 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL J~ DAYS WRITTEN NOTICE TO THE 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. AlITHORIZEO REPRESENTATive ~- 6~<,$4__C OD78336 @ ACORD CORPORATION 1988 Attn~~Ck Garcia ACORD 25 (2001108) ,---:;- . CERTIFICAT~ OF LIABILITY INSURA~ICE T DATE (MMIDDfYYYY) .. ACORD 03/17/2006 ---TM PROOUCER (909)735-5335 FAX (9u~)735-3758 THIS CERTIFICATE k ;SUED AS A MATTER OF INFORMATION bFI Preferred Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2027 Hamner Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Norco, CA 92860-2604 INSURERS AFFORDING COVERAGE NAIC# INSURED PRESTIGE STRIPING SERVICES INC. INSURER A: Safeco Business Ins. 353 N. CYPRESS ST. INSURER B: Mercury Casualty Insurance Co. ORANGE, CA 92866 INSURER c: INSURER 0: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 0 TYPE OF INSURANCE POLICY NUMBER DATE ."i"M/DDtvYl- LIMITS LTR NSR DATE MMlDDNY GENERAL LIABILITY 01 CG 768379-2 03/22/2006 03/22/2007 EACH OCCURRENCE . 1,000,001 "x COMMERCIAL GENERAL LIABILITY I PREMISEsYE~~~u~~nce\ $ 200,000 I CLAIMS MADE [KJ OCCUR MED EXP (Anyone person) $ 10,OO~ A PERSONAL & ADV INJURY $ 1,000,000 - GENERAL AGGREGATE $ 2,000,000 - GEN'l AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 I' 'n:RO' n, POLICY JECT lOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - (Eaaccldenl) $ 1,000,001 ANY AUTO - ALL OWNED AUTOS BODilY INJURY X $ SCHEDULED AUTOS ACl1071675 04/29/2006 04/29/2007 (Perpersoo) B X HIRED AUTOS BODILY INJURY I-"- (Peraccidenl) $ ~ NON-oWNED AUTOS f--- PROPERTY DAMAGE $ {Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG , EXCESS/UMBRELLA LIABILITY Recei lied By EACH OCCURRENCE $ b OCCUR D CLAIMS MADE AGGREGATE $ City of S onto AnI $ R DEDUCTIBLE $ RETENTION $ ...n ,>1 'lnn~ $ WORKERS COMPENSATION AND ...nn ~ I TORY LIMITS I IU~~' EMPLOYERS' LIABILITY C ANY PROPRIETORlPARTNERlEXECUTIVE Developr ~ent E.L. EACH ACCIDENT $ OFFICERfMEMBER EXCLUDED? Downtown E.l. DISEASE - EA EMPLOYE $ If yes. describe under -- SPECIAL PROViSIONS beloN . ... l:L DISEASE - POLiCY LiMIT $ OTHER - .I;;!IVII DESCRIPTION OF OPERATIONS J LOCATIONS J VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS .:. . d ..'> ,'j t" A ~O DAYS NOTICE WILL BE SENT FOR NON PAYMENT OF PREMIUM. ~ERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED. >> " /~ , ," .1. ._~) OB: VARIOUS JOB LOCATIONS . :::;;/ __4~~___ "'. -....1 ,,,,'-"'H'i I ,._" CERTIFICATE HOLDER CITY OF SANTA ANA A TTN : ROCk GARCIA 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ~ MAIL 3.0.....- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, _K)(_K)(IUlQOO{IJl~II!1OOlJIIJl)QJlII~KIIXXXX ""'~J1KJOO('IOOtJQl(IIXJlI!JOO()QJ(Jl__~XXXXXXXXXX AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) PRESTIGE STRIPING SERVICES, INC. ./'. . ~Insurance .. 01 CG 768379-2 COMMEltCIAL GENERAL LIABILITY . CG 76 35 09 05 ~':'5~'_:~: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REAo IT CAREFULLY. LIABILITY PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: CITY OF SANTA ANA ATTN: ROCK GARCIA 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 ADDITIONAL CONTRACT, SCHEDULE INSURED AGREEMENT OR BY WRITTEN PERMIT, OR (1) The ownership, maintenance or use of that part of premises you own, rent, lease or occupy, subject to the following additional provisions: (a) This insurance does not apply to any "occurrence" which takes place after you cease to be a tenant in any premises leased to or rented to you; (b) This insurance does not apply to any structural alterations, new con- struction or demolition operations performed by or on behalf of the person or organization added as an insured; (2) Your ongoing operations for that in- sured, whether the work is performed by you or for you; The following paragraph is added to WHO IS AN INSURED (Section II): .4. Any person or organization shown in the Sched- ule or for whom you are required by written con- tract, agreement or permit to provide insurance is an insured, subject to the following additional provisions: a. The contract, agreement or permit must be in effect during the policy period shown in the Declarations, and must have been exe- cuted prior to the "bodily injury," "property damage," "personal and advertising injury." b. The person or organization added as an in- sured by this endorsement is an insured only to the extent you are held lia.ble due. to: ',) I~'OR?vl ;&> !c!r; Includes Copyrighted Material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services, 2001 CO 76 35 09 os Saleeo and the Sale(:o logo are registered trademarks of Safeco Corpor<lt1on Pags 1 Of4 EP . (3) The maintenar, _, operation or use by you of equipment leased to you by such person or organization, subject to the following additional provisions: (a) This insurance does not apply to any "occurrence" which takes place after the equipment lease expires; (b) This insurance does not apply to "bodily injury" or "property dam- age" arising out of the sole nagli- gence of such person or organization; (4) Permits issued by any state or political subdivision with respect to operations performed by you or on your behalf, subject to the following additional pro- vision: This insurance does not apply to "bodily injury," "property damage," "personal and advertising injury" arising out of op- erations performed for the state or municipality, c, The insurance with respect to any architect, engineer, or surveyor added as an insured by this endorsement does not apply to "bodily injury," "property damage," "per- sonal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, includ- ing: (1) The preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports, surveys, change or. ders, designs or specifications; and (2) Supervisory, inspection or engineering services. d. This insurance does not apply to "bodily injury" or "property damage" included within the "products-completed operations haz- ard." A person's or organization's status as an insured un- der this endorsement ends when your operations for that insured are completed. No coverage will be provided if, in the absence of this endorsement, no liability would be imposed by law on you. Coverage shall be limited to the extent of your negligence or fault according to the applicable princi- ples of comparative fault. NON-OWNED WATERCRAFT AND NON-OWNED AIRCRAFT LIABILITY Exclusion g. of COVERAGE A (Section I) is replaced by the following: ~L'~ '. &'-f:' 3/." r- T ,;~ / ." ,_.,_~"",d____. '..r ..,' ,. g. "Slldil, ' "jury" or "property damage" arising out',qf) th<:j ownership, maintenance, use or entrustment to others of any aircraft, "auto" or watercraft owned or operated by or rented or/oaned to any insured. Use includes oper- ation and "loading or unloading." This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage" involved the ownership, mainte- nance, use or entrustment to others of any aircraft, "auto" or watercraft that is owned or operated by or rented or loaned to any in- sured. This exclusion does not apply to: (1) A watercraft while ashore on premises you own or rent; (2) A watercraft you do not own that is: (a) Less than 52 feet long: and (b) Not being used to carry persons or property for a charge; (3) Parking an "auto" on, or on the ways next to, premises you own or rent, pro- vided the "auto" is not owned by or rented or loaned to you or the insured; (4) Liability assumed under any "insured contract" for the ownership, mainte- nance or use of aircraft or watercraft; or (5) "Bodily injury" or "property damage" arising out of the operation of any of the equipment listed in paragraph 1.(2) or 1.(3) of the definition of "mobile equip- ment." (6) An aircraft you do not own provided it is not operated by any insured. TENANTS' PROPERTY DAMAGE LIABILITY When a Damage to Premises Rented to you Limit is shown in the Declarations, Exclusion J, of Coverage A, Section I is replaced by the following: J. Damage To Property "Property damage" to: (1) Property you own, rent, or occupy, including any costs or expenses incurred by you, or any other person, organization or entity, for repair, replacement, enhancement, restora- tion or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property: Page2or4 (2) Premises you sell, 9.. d away or abandon, if the .property damage" arises out of any part of those premises; (3) Property loaned to you; (4) Personal property in the care, custody or control of the insured; (5) That particular part of real property on which you or any contractors or subcontractors working directly or indirectly on your behalf are performing operations, if the .property damage" arises out of those operations, or (6) That particular part of any property that must be restored, repaired or replaced because "your work" was incorrectly performed on it. Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire) to premises, including the con- tents of such premises, rented to you. A separate limit of insurance applies to Damage To Prem- ises Rented To You as described in Section III - Limits Of Insurance. Paragraph (2) of this exclusion does not apply if the premises are "your work" and were never occupied, rented or held for rental by you. Paragraphs (3), (4), (5) and (6) of this exclusion do not apply to liability assumed under a side- track agreement. Paragraph (6) of this exclusion does not apply to "property damage" included in the "products- completed operations hazard." Paragraph 6. of Section III is replaced by the follow- ing: 6. Subject to 5. above, the Damage To Property Limit is the most we will pay under Coverage A for damages because of "property damage" to anyone premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily occupied by you with permission of the owner. The Tenants' Property Damage to Premises Rented to You limit"is the higher of $200,000 or the amount shown in the Declarations as Damage to Premises Rented to You Limit. WHO IS AN INSURED _ MANAGERS The following is added to Paragraph 2.a. of WHO IS AN INSURED (Section II): '~_.~.:C~;? : >>/' <,- IX/ ." -, - --,...- CG 76 35 09 05 Paragraph (1) d<-_~ not apply to executive Officers, or to m;magers at the supervisory level or above. SUPPLEMENTARY PAYMENTS - COVERAGES A AND'S - SAil SONDS. Paragraph 1.b. of SUPPLEMENTARY PAYMENTS _ COVERAGES A AND B is replaced by the following: b. Up to $2,000 for cost of bail bonds required be- cause of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. EMPLOYEES AS INSUREDS - HEALTH CARE SERVICES Provision 2.a.(I) d. of WHO IS AN INSURED (Section II) is deleted, unless excluded by separate endorse- ment. EXTENDED COVERAGE FOR NEWLY ACQUIRED ORGANIZATIONS Provision 4.a. of WHO IS AN INSURED (Section II) is replaced by the following: a. Coverage under this provision is afforded only until the end of the policy period. EXTENDED "PROPERTY DAMAGE" Exclusion a. of COVERAGE A. (Section I) is amended to read: a. "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. INCREASED MEDICAL EXPENSE LIMIT The medical expense limit is amended to $10,000. KNOWLEDGE OF OCCURRENCE The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): Knowledge of an "occurrence," claim or "suit" by your agent, servant or employee shall not in itself constitute knowledge of the named insured unless an officer of the named insured has received such notice from the agent, servant or employee. Page 3 014 EP . , . UNINTENTIONAL FAILURE ..} DISCLOSE ALL HAZARDS The following is added to Paragraph 6. Representa- tions of COMMERCIAL GENERAL LIABILITY CONDI- TIONS (Section IV): If you unintentionally fail to disclose any hazards ex- isting at the inception date of your policy, we will not deny coverage under this Coverage Form because of such failure. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or non-renewal. Pc >;<' 'C~;;-~ ./ '--",,,) .-i1__J ". ....- _." " .-,-,--"'- L1BERALlZATIO" ..;LAUSE The !ollowing paragraph is added to COMMERCIAL GENFRAL LIABILITY CONDITIONS (Section IV): 10. If a revision to thi.s Coverage Part, which would provide more coverage with no additional pre- mium, becomes effective during the policy period in the state shown in the Declarations, your pol- icy will automatically provide this additional cov- erage on the effective date of the revision. Page4of4 ACORD CERTIFICATE OF LIABILITY INSURANCE TM DATE IMMIDDIVYYY) 03/22/2007 PROpucER (909)735-5335 DFZ Preferred Insurance 2027 Hamner Avenue FAX (909)735-3758 Services 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. Norco, CA 92860-2604 INSURERS AFFORDING COVERAGE NAIC # INSURED PRESTIGE STRIPING SERVICES INC. INSURER^: AMERICAN STATE INSURANCE COMPANY 353 N. CYPRESS ST. A,~P_02C1 ' INSURER B: MERCURY CASUALTY INSURANCE COMPA Y ORANGE, CA 92866 ~ o+'~ / INSURER C: CALIFORNIA INSURANCE COMPANY ~{ ~' O~ 6 ~ f{' 6 INSURER 0: O INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 7HE POLICY PERIOD INDICATED. NOTWITHSTANDING ANV 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 7HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OFINSURANCE POLICY NUMBER DATE MM/DDIYY DATE MMIDDIYI' LIMITS GENERAL LIABILITY Ol CG 768379-3 03/22/2007 03/22/2008 EACH OCCURRENCE 5 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence S 200,000 CLAIMS MADE ~ OCCUR MEO EXP (Any one person) $ 10, 000 A PEP.GONA! E.P.OV'NJURY 5 1,000,00^ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANV AUTO (Ea accidenU 1, OOO , OOO ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS AC 11071675 04/29/2007 04/29/2008 (Per person) B J( HIRED AUTOS BODILY INJURY $ J( NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ IPer accidem) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANV AUTO OTHER THAN EA ACC S AUTO ONLY: AGG $ EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ~ CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION 5 $ WORKERS COMPENSATION ANO TORY LIMITS ER EMPLOVERS'LIABILITV 46_006122_01_02 06/01/7.006 06/01/2007 E.L. EACH ACCIDENT $ 1,000,000 ANY PRCPRIFTOPoPARTNERlF..%FCUTI'.rE ------~----- -------------- OFFICER/MEMDER EXCLUIIED? E.L DISEASE - EA EMPLOYEE $ 1 r OOO, 000 I( yes, descnbe under SPECIAL PROVISIONS below E.L. DISEASE- POLICY LIMIT $ 1 r OOO OO , OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PRONSIONS 0 DAYS NOTICE WILL BE SENT FOR NON PAYMENT OF PREMIUM. ERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED. OB: VARIOUS 706 LOCATIONS ,r1 , :!'.r - % ~ verreirnre unl nco / ---- ~-- CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E%PIRATION DATE THEREOF, THE ISSUING INSURER WILL R%~E101A(~R MAIL ~Q-DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, CITY OF SANTA ANA ~p~Rx~90H19Q~9G1fKxgCq~q~%p049(gA~FpRRA9l~rR7AM0(94X4QRriXXXX ATTN: ROCK GARCIA 20 CIVIC CENTER PLAZA Sl9CAHSX9HPiliPfd9(R701 RXR)C%9E KA1~9€~M(A(7lNEJ(XXXXXXXXXX SANTA ANA, CA 92701 AUTHORIZED REPRESENTA E ACORD 25 (2001/08) IJXIi V RU V V Rt• V RN I I V I~ . oo.. PRESTIGE STRIPING SERVICES-, INC.' • ~ Insurance s TIi1S ENDORSEMENT CHANGES THE POLICY. O1 CG 768379-3 CCMM~J~f~IA,L GENERAL LIABILITY ' CG 78 35 09 Ofi PLEASE REA' CAREFULLY. . LIABILITY PLUS ENDORSEMENT This endorsement modifies insurance provided under the fotiowing: COMMERCIAL GENERAL UABWTY COVERAOE'PART SCHEDULE Name 6t perion'or Oryanizatlon: CITY OF SANTA ANA ADDITIONAL INSURED - BY WRITTEN CONTRACT, AGREEMENT OR PERMIT, OR . SCHEDULE Tha topowinp paragraph is added to 4VH0 IS AN INSURED (Section II): . 4. Any person or organization shown in the Sched• ule or for.whom you are required by written con' tract, agreement or permit to provide insurance Is an fnswed, subject to the following additional provisions: a. 'The contract, agreement or.permit must be in effect during the policy period shown In the Declarations, and must have been exe- cuted prior to the •tiodily lr>)ury,• "property damage,' "personal and advertising trt(ury.' b, Tho person or organization added as an tn• saved by this endorsement is an insured only to the extent you are held liable due to: (1) The ownership, maintenance or use of that part of premises you own, rent, lease or occupy, subject t0 the foliowfng additional provisions: (a) This Insurance does not apply to any "occurrence' which takes piece after you cease to be a tenant In any premises leased to or rented to you; (b) This insurance does not apply to any structural alterations, new con' struetion or demolition operations performed by or on behalf of the person or organization added as an insured; (2) Your ongoing operations for that in• sured, whether the work Is porformed by you or for you; . `~~ ~t5 Includes yriphted Material of Insurance Services Office, Inc., with its permission. CopyApht, Insurance Services, 2001 N(W ..~ IM t./r. MO. M. nOYgw.• u.a.wt. N i+,r. o«o..~w. 06 70 35 09 03 Pp.l of4 EP ?. I• •B dil .iNurY" or •propert~:d • age' arising (3).The malntenance,,operatton or use by ;+g' ou@'.R~~; •~;bwnershlp, mante~nce, Use or . you of equipment.ls3'aired~td you by such ;: end+~••+. • •e to others of any aircraft, :"auto" person or orgadzation, subject to the ~,^, • : or~nr'atefcr~8it owned or operated by or rented fogowing addltiortal Provisions: •;~~, .. ort{ anad to spyy Insured. Use Includes oper- (a) This Insurance does not apply to ;~:; ~ nd "to~.ding or unloading.' any roccurrence` wNch takes place ~. ; ~'• after the equipment lease expires; TFita, 'exclusion appges even If the claims against any Insured allege nepllgence or (b) This insurance' does not apply to ottieF Wrongdoing in the supervision, hiring, 'bodily injury' or 'property dam' employment, training or mottltoring of others age' arising out of the sole negli• ~ by that Insured, if the 'occurrence" which Bence of such person or caused the 'bodily injury" or 'property organization; damage' Involved the ownership, mainte- (4) Permits issued by any state or political Hance, use o entrustment to othara of any subdiNsion with respect to operations aircraft, auto or watercraft that Is owned performed by you or on your behalf, or operated by or rented or loaned to any in- subjoct to the following addtional pro- sured. vision: This exclusion does not apply to; This Insurance does. not apply to 'bodily ~~) q wdtercraft wfille ashore on premises Injury;' "property' damage,' "personal yrou own or rent; and advertising Injury" arising out of op• orations performed for the state or (2) A watercraft.you tb not own that Is: muhiclpality. (a) Cess than s2 feet loop; and c. The insurance with respect to any architect, (b) Not being used to carry parsons or engineer, or surveyor added as an Insured property for a charge; by thla ,endorsement does • not apply to "bodiy injury,' 'property damage,' •per• (3) Parking an "auto" on, or on the ways sonal and advertising Injury- arlsin9 out of next to, premises you own •or rent, pro- the rendering of or the faJltue to render any vfded the "auto' is not owned by or professlonal~ services by or for you, includ- rented or loaned to you or the insured; Ing: (4) Uabilify assumed under any "Insured (i) The preparing, approving, or falinp to contract" for the ownership, malnte- prepare or approve maps, drawings, Hance or use of aircraft of watercraft; or opinions, reports, surveys, change or- •Bodit i " ' " dens, designs or speciRcatlons; and (~ Y NurY or property damage aRsing out of the operation of any of the (2) Supervisory, Inspection or englneerinp equipment listed (n paragraph f.(2) or services. f.(3} of the definition of "mobile equip' d. This insurance does not apply to~ •boddy moot." injury" or "property damage' included witNn (6) An•alrcraft you do not own pravlded it is the 'products-completed operations haz• not operated by any insured. ard.• TENANTS' PROPERTY DAMAGE LIABILITY A person's or organization's status as an Insured un• der this endorsement ends when your operations (or When a Damage to Premises Rented to you Umit is that Insured are completed. shown in the Declarations, 'F-xclusion J. of Coverage No coverage wW be provided q, to tla absence of tWs A, Section 1 Is replaced by the following: endorsement, no Uability would be imposed•by law on ). Damage To Property you. Coverage sf>aU be limited to the extent or yyoour "property damago• tb; nepllgence or faurt according to the applicable prlnd- ples of comparetive fault. (1) Property you own, rant, or occupy, including any costs or expenses Incurred by you, or NON-OWNED WATERCRAFT AND NON-OWNED any. other parson, organization or entity, for AIRCRAFT LIAI3IUTY repair, replacement, onhancement, restore- • uon or maintenance of such property for any Exclusion g. of CCVERAt3E A (Section 1) is replaced reason, including prevention of injury to a by the following: person or damage to another's property; ~J ,., E~(i';1" `~ ~~ ~%s r•aaora i ,, „ (2) f remises you sell, y(ve away or abandon, if the 'property damage' arises otrt of any part of those premises; (9) Property loaned to you; (4) Personal property In the care, custody or control of the Instued~ (5) That parttcutaz part of real property on whlcfi you or any contractors or subcontractors working directly or indirectly on your behalf are performing operations, if the 'property damage' arises out of ttwse operations, or (6) That partlcWar part of any property that must be restored, repaired or replaced because "your work' was )ncorcectly performed on it. Paragraphs (1), (3) and (4) of this exclusion do not apply to 'property damage' (other than damage by fire) to premises, Including the con' tents of such premises, rented to you. A separate limit of Inswance applies to Damage To Prem• ises Rented To You as described in Section Ili - Um1ts Of Instsance. Part~graph (1) does not.gppty to executive c{fiders, or to in~rtagazs at the sujSdrvisory level or above. SU.•~,f,EM~NTttRY R~MENTS - COVERAGES A AN.B - yUL' BON ~.. parkDraph 1.b. of SUpF. LEMENTARY PAYMENT8 - COVERAGES A AND B •ts replaced by the fo!lowing: b. Up to 52,000 for cost of ball bonds required be• cause of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily injury IJab111ty Coverage appaes. We do not have to furNsh these bonds. EMPLOYEES AS INSUREDS ~ HEALTH CARE SPRVlCE3 Provision 2.a,(1~ d. of tNHO.IS AN INSURED (Section II) Is'deleted, unless excluded by separate endors~- men't. Ekl'ENbED COVERAGE FOR NEWLY /fCOU1RED ORGAAf1ZATlON3 Paragraph (2) of this exclusion does not apply if the premises are 'your work" and were never Provision 4.a, of 1NH0 IS AN INSURED {Section II) is occupied, rented or held for rental by you. replaced by the following: Paragraphs (3), (4), (5) and (8) of this exclusion a. Coverage ;under th(s provision is afforded do not apply to (lability assumed under aside- only until the end of the policy period. track agresinent. EXTENDED "PROPERTY DAMAGE" Paragraph (e) of this exGUSion does not apply to •proporty damage' includod fn the 'products' Exclusion a, or OOVERAQEA. (Se Won 1) Is amended completed operations hazard." to read: Paragraph 8. of Section III is replaced by the fouow• ~ing: , 8. Subject to 6. above, the Damage To Property Umit is the most we,will pay under Coverage A for damages because of 'property damage' to any one premises, white rented to you, or in the case of damage by fire, whilo rented to you or temporargy occupied by you with permission of the owner. The Tenants' Property Damage to Premissa Rented to You limit is the higher of 5200,000 or the amount shown to the Oelrlprattons as Damage to Premtseg Rented to You'L1m1L WHO IS AN INSURED - MANAGEAS a. •Bodify inJtuy or 'property damage' expected or intended /nom the standpoint of the insured. 71tis exclusion does not apply to •bodly injury" or 'property damage' resufttng tram the use of reasonable force to protect persons or property. INCREASED MEDICAL EXPENSE LIMIT The medical expense 11m1t is amended to 510,000. KNOWLEDGE OF OCCURRENCE The following is added to Paragraph 2. Dudes In The (:vent ~ Of Occurcence, Offense, Claim Or Suit of COMMERCWL l3ENERAC t.lAB1UTY CONDITIONS (Section 11r): Tha rotlowing la added to Paragraph 2a. of 4VH0 IS Krawlodge of an •occurcen'ce,• claim or 'suit" by AN INSURED (Section II): Your agent, servant W employee shalt not in ltseu consdttde knowledge of~the named insured uNess an odlcer of the named insured has received such notice from the agent, servant or employee. co ra ss oa oa -/~,~ l~~ - r.o. o or a .. UNINTENTIONAL FAILURE TO D1SCL05E ALL HAZAAD8 Tho (oAowlnp Is added to ParaDraph & Representa• dons of COMMERCIAL GENERAL LIABILITY CONDh TICNS (Section IV); !f you unintentionally fall to disciose any hazards ex• istfnp at the inception data of your poUcy, we wiU not deny coverage under this Coverage Form because of such faAure. However, this provision dces rat affect our right to collect additional premltun or exercise our rlpht of Cancellation or non•renewal. clause The~gQoydnp paraflra~ `tis added to COMMERCIAL QE I RI}!: l!lAB1UTY ~;; OITION3 (Section !V); tD. •a revision to tht;~pverape Part, which would rovide more covsrape with no addttlonal pra- mlum, becomes effective during the policy period in the statd shown In'the Declarations, your po-- (cy wiU automaticatly.provide this addltlonal cov erape on the effective date of the revision. ~~~)'-Ji. ~ ,t:~M ~~. Pay ~ of 4 ACORO,. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDfYYYV) I 1 06/21/2007 PRODUCER N-,z]O{, M 038 THIS CERTIFICATE IS IssueD AS f'.. MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CE~TIFICATE HOLDER. THIS AU Insurance Services I//M J.OO' -OJ,g-O/ CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE PO Box 3646 AFFORDED BY THE POLICIES BELOW. Omaha, NE 68103-0646 ,41 -.,lOO' - oJ/! -Ol (877) 234-4420 INSURERS AFFOROING COvERAGE NAIC # - ----- --- ~.R~A California Insurance Co. --- 237310 INSURED " f-=-'-- Prestige striping Services, Inc. INSURER 8' dba prestige Striping Services .--- 1054 Railroad St ~~RER c ---- --- Corona, CA 92882-1947 ~~.~ -- , ~TL 1273 377898 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. 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 INSUQANCE 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. INSRIADD'L1 - -~-- POOt-Y EFFECTIVE POLICY' EXPIRATION I -- lTR !INSRnI TYPE OF INSURANCE POLICY NUMBER OATE MMfDDIYY DATE IMMIDDIYYI I LIMITS GENERAlllABILITV EACH OCCURRENCE $ ~ DAMAGETORENTED--' COMMERCIAL GENERAL LIABILITY ~.EREMISES (E<:l_(,,-ccurrencel $ CLAIMS MADE DOCCUR ~_E'XP (Any 011E' lJersun) S _ _ _ PERSONAL &_flDV Ir:!J~ ~__ I _ _ GENERAL AGGREGATf:: S GEN'L AGGRf::GATE LIMIT APPLIES PER I ,cc--, ---, PRO n ' I I POLICY I JECT' , laC ~t~~;~ BHIREDAlITOs.- I NON OWNED AUTOS =--1 --- ----- - J'.!10DUCTS_.:_COMP/OP AGG S COMBINEO SINGLE LIMIT (Ea accident) I- s -- BODILY INJURY {Per person) - " I -- BODILY INJURY {Per,lr.rldf'nt) s - -- PROPERTY DAMAGE IPerdu::ldent\ , ~~GE LIABILITY --lANY AUTO AUTO ONl Y . EA ACC! DENT S OTHER THAN AUTO ONLY EAACC S - AGG S EXCESSlUMBRELLA LIABILITY C OCCUR 0 CLAIMS MADE EACH OCCURRENCE $ $ . ~ $ --- ~~.!E - DEDUCTIBLE' --- A RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED" iiyes,d,:,scribeunder SPECIAL PROVISIONS below OTHER 46-006122-03-07 i 06/01/07 06/01/08 X ! T~~.jI~JI~S I IO~~- E.L EACH ACCIDFNT 1, 000, 000 ____ _2.._ E L DISEASE EA EMF'LOYEE S 1, 000 , 0 0 0 E.L DISEASE _ POLICY LIMiT S 1, 00 b , 000 '. t DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ~ ., \. ~ '.. (;, ,- CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Santa Ana EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 305 E Fourth Street St. 201 DAYS WRITTEN NOTICE TO THE CERTIF!CATE HOLDE~ NAMED TO THE LEFT, BUT 92701 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON Santa Ana, CA THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ~ .&2,.1: Attnzl Rock Garcia -A-. OD7 8 3 3 6 ACORD 25 (2001/08) @ ACORD CORPORATION 19A8