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HomeMy WebLinkAboutTOLERICO'S ELECTRIC 12A• 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. t ~t~~ --------------------------------------------------------------------- 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: ___ -- N-2006-083-01 Date: Revised 08-28-06 e~ ~~~~~ City of Santa Ana Clerk of the Council ~~ ~~ THIS AMENDMENT TO AGREEMENT, made and entered into this 16th day of April, 2007, by and "vCLERKOF COUNClL . .L .,. . , N-~lJuo"":ufsJ-Ul O'TE' <0 -5 7 "AMENDMENT TO AGREEMENT 1'\" ~(~)(C,l'ul\e"ll>"J 0: cOA (lie""" THIS AMENDMENT TO AGREEMENT, made and entered into this 16th day of April, 2007, by and between the City of Santa Ana, a charter city and municipal corporation duly organized and existing under the laws of the State of Cali fomi a ("City"), and Talerico's Electric, a sole proprietorship (Contractor~'). RECITALS A_ The City and Contractor entered into that certain agreement entitled "Consultant Agreement" dated July 1, 2006, hereinafter referred to as "said Agreement", in which Contractor agreed to perform electrical work and lighting repairs at The Depot. B. The parties hereto now desire to amend the "Compensation" term, found in Section 2 of said Agreement to allow for the payment of an additional Two Thousand Dollars ($2,000.00) based upon extra costs for repairs. WHEREFORE, in consideration of the mutual and respective covenants and promises hereinafter contained and made, and subject to all the terms and conditions of said Agreement as hereby amended. the parties hereto do hereby agree as follows: 1. As full compensation for the services to be performed by Contractor pursuant to said Agreement. along with this Amendment, City agrees to pay, and Contractor agrees to accept, additional pa)'Illent in the amount of Two Thousand Dollars ($2,000.00). 2. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in full force and effect. IN WITNESS WHEREOF, the parties hereto executed this Amendment to said Agreement the date and year above written. ( ATT~A 7~ Patricia E. Healy Clerk of the CC~!lci1 CITY OF SANTA ANA ~~~ -f;:; David N. Ream. City Manager APPROVED AS TO FORM: d,L~ JOr JOSEPH FLETCHER, City Attorney RECOMMENDED FOR APPROVAL: . Harding, Deputy City Manager ment Services CONTRACTOR ~- V /~,~ KENNETH kfOLERICO Title: Oe...=:>HE....e Tax ID#: /3;;> ";l<P S<f E> 7 . Ma~ ,06 06 OS: 52a Tlla!';l p,2 03/03/2()06 FlU 11: 19 FAX 714 46/ f1731 Pro!~!S!\iOlldl Choice \.11:l[)2f002 A CORD_ CERTIFICATE OF LIABILITY INSURANCE -T DArE.(MMIDDIYYYY) 01/25/2006 ~RODUCER 1714) 467-8726 THIS CERTIFICATE IS ISsueo AS A. MAnER OF INFORMATtoN Profes$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. ~,""m t\J- CJ..co'f-OIiO IHSlJRfRA.:';.nco~~en!l_r:a}.__~n~:__~ _ Tollii'rico's Electri.c 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 1~~I~~} TY'E OJ IHSWlAN~t Jl'OUC'l' NUloWlER p~.!"~~! DA'fJ(=-~ 1.1M1l$ I ~tERAl.UAIllllTY 63%flO1.9~'6 01 01/1S/200' 01/15/2001 fACtIOCCI.lRFl.iONCE . 1.000.000 OAtM\GEJ9]:Af.~reo 100,01jQ ~ 3~-=RC!AL GeoIEtlAL UAM.1T'r' ~_SE$E~Q=c~r01ln~ . AI X '_ Ct.AIMS MADE [iJ OC:C:ufl: I I I I t..IFDFJtfl"Anooeper:sun) . ~.OOO ,~c f- Pf . 1.00C,~~ l- I I I I CFHEAAl AGGREG,o,TE . 2,000,"00 ~-~AG~n~~~An~I'''rl: 1-'11000 -r _('-('NPI')P~"" I- 2,OO~ X F'OUCY j~,.\'; loe I I I I ~~OUOIiIILi lIASLlJY , I I I I COIOllilr<EOSlNGlElMt (EallW~eotl , 1 AtN oWTO I I r MlOWNEDAUros I I I I !lCIILVIl>CJURY I If'<<~..-.l . , r---- SCHrol1I.EOAlfl'OS I 1- ,"IRIOllAllTOO I I I I 1l00IlY:N,lURY 1r'e'IOIXiden1) i: f- NON-Q\l\Il<IfOAUTOS 1-- I I I I IPRQl'loH'YlMW'lGe: (Por....i/erlI) R~eL~ ,o,UlO QNLY.EA Ac.r.IDFNr . I .-. . AfoNAUTO I I I I OTliERTliAN .1'.A.!Jfg, 1-. _.- jAUTOO~Y .^C , n~Si\MBRl'lLAlIAIlIUlY I I I I ~OCG\JRRENI:E . OCCUR DCl.,O.NSUAO[ ..GG.~(>JiITE . , ---~--_._-- ~ - R~"~TlaLE I I I I . -~-- Rf.!ENTIClN S ~~H~ . WOIIKERSCQW'ENSATtOHAND I' 1 u, 1\1)/ I - EMPl.Q'rI!Rt.. u/l.8lUTY ;;t5Av4e1 AK'f1"ROf'RlErOFllPI\RT>lERJO:ECUIIII'E 1i1~_ FLEt\lCI1ACCIDENT . Q~r ,cERlhlEMUer:< EKCWOCtl~ I I ~~E_EAEMI>L.OYEEls :ry&>,"lllcri",.,~n4~1 , Sf'€ClAlPRO\lLSICNSb<OO\'f n to I. OISf,ASE.PQLJCT I.IMlT ,~ OTHE' (/ .T I I I I i I I I I I I D~CJl:II'T1ON OF Oft"II.ATIOHSA.OCAnoN~I'IEMLCl!.SIEJ(.CllJSlO!a .wDl!![l1l Y EHOOfUlEMiHTI?tClAt. Pl\Q'V\SfONS Cerb.fJ.<::..tlil lIo~<III"" .t~ ort.ieerlJ. ~or-., 39Qn~~ ~ LIiI~~~wnt.~.v.. are n~ .. A4d~t~~~ lJ'\.ou~QlSiI. 0, All OPIII:.t:iONl aa covere<S by this policy. . 'OO\I'EaAGE IS PaIW.af &Nn NOK-Co:N':RIStn'ORyn RF.: ~ntananow/~pai~ .~ 10Q~ ~. Sauta Jw& alvd.. nos 10 ~V notice: Cancellation for DQU pll.ymont ot. pro;oa.i.'UIll. \ CERTIRCArE HOLDER (714) 565 2690 TQl {714) 565-2693 Fax CANc~LLATION SHlItJLD "-NY Of THE A.80\IC !lE$(;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, - ElECHlrONICLASl:",l"O"!oIS,tNC..(aLl0)317-GS45 11lrij'~r'l9 gill K"'lIQJI lO'j;l bl'U1L''P' ~c Y 1(' . ~"( City of Sant9 100ft E. ~lln'ta Santa Ana ACORD 25 [200'/1)6) ~.....' JNM2$(()1C~}.M An. Ana Blvd. flOe CA 92'101- ~ ACORD COftPORATION ,ta8 Plge 1 llf2 c: .~ 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 o nlM..dC!lpy ... ...~ . 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 1 of 2 Il:6 WV Ll 9flV lIDZ ,{~~! (h__ 2"d 1 ~e 111 dvE:20 LO SO Jew i -. ... .~., ~ "I Lj 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 . Page 10f 1 0 1/0 L{ L E.d PrMIlf"''''r r..nn-., r~ell.1 dSE:GO LO 60 ~ew