HomeMy WebLinkAboutL.A. CHA MAINTENANCE COMPANY (2)City of Santa _ .a
Clerk of the Council
AGREEMENT TERMINATION
Make sure to include all
amendments if any.
Please complete this form when the attached agreement is no longer in effect.
$- ; n A
Return form to the Clerk of the Council Office(M-30). �� , .bra
Call 647-2520 if you have any questions. CL E -
------------------------------------,At--,,----------------------------------------------------
The agreement with 1. • F, MAl &"co —
No. _ ��26 � b� f S4� was completed on it) h", I
and final payment has been made.
ft. 2.001 -I20 CS) We
Revised 05-04-08
Department: CPA-
AdIVUJI
Phone/Eat.:
51407
Signature:
0-,"
Date:
U
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INSURANCE ON r'-fL
WORK MAY PROGEES
UNTUNSURANCE EAi`r'-`
\a'
CLERK OF G l0G to C IL
-7
1;?--1C
A-2007-120-001
THIS FIRST AMENDMENT TO CUSTODIAL MAINTENANCE AGREEMENT,
made and entered into this __L_ day of c w _ D .2009 by and between L.A. CHA Maintenance
Company, (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 ofCalifbmia
(hereinafter "City").
RECITALS
A. The City and Contractor entered into the Custodial Maintenance Agreement (#A-2007-120)
('said AWfty W') dated June 1, 2007, for Conwaaw to perfi m litter control and
maintenance services. The Agreement had a two (2) year term with a provision for three
one-year renewals.
B. At this time, the parties hereto desire to amend the Agreement to extend its term.
WHEREFORE, in consideration of the mutual and respective covenants and promises hereinafter contained
and made, and subject to all of the terms and conditions of said Custodial Maintenance Agreement as
hereby arnended, the parities hereto do hereby agree as follows:
The term of the Agreement (Section 3) shall be extended until all funds are expended.
2. All other terms and conditions shall remain the same as set forth in said Agrement.
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment on the date
and year first above written.
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
By: L C", O
Lisa E. Storck
Assistant City Attorney
CONSULT
President
ID # 574-74-68
RECOMMENDED FOR APPROVAL:
4By: - - _ -
Cynthia . Nelson, Deputy City
Manager for Development Services
CITY OF SANTA ANA
David N. Rea , City Ma ger
'r
ATTEST:
✓Patricia E. Healy,fClerk of the Council
FROM : L. A. CHA MAINTENANCE CO. / FAX NO. : i8183668403
VIIII Jake. 27 2009 12' 26Ph1 P3
k .,'J -UV.+ uvcl ,.) — iu. .. -,
QC(2aD.. CERTIFICATE OF LIABILITY INSURANCE —�
► 665a a macro one, tr10. dba: Macro mourance Services THIS CI;RTIF1CAT6 IS ISS4sp AS A MATTER OF
QryLY ANO cmFms NO Rtawa UPON TFIe
3640 Wilshire Blvd,, Suits 900 H- ol,11R. TW5 c,'R.A ICATE DO s NOT AMEN{
L.os Angeles, CA 90019 Lie- 40�97b2tt � AW' TNf cayt'I�ki a aF1 gum BY VHF r+o+
To[. (213) 00-1411 1 FAX: (213) 383.4986 i INSURW6 AFFORDING 06VERA0E
wcuaee L. A.C.M_ ins. .igsuaERR NAXW ar J!" 6 0MODt ...
dba: LA Gha Maintenance Co, AMLAMB: Progressive Casualty insurance Co.
19916 San Pernanuo M rsion 1310. 1 z— souttcerR fnaurahce Gore sg nY
Nerthridgiv, CA 94326 ,,,,IA**v,
MAY PFFtT41N. Tuft INS(sR.4PiC6 Aftok5E4 BY TFI9 POLICIES GGSCR:6':P h
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W610007228.01 ` 1-1-2009 ! 1.1-2010
Co tilleate Holder is named as an Additional Insured per pollay forms and andarawyi6nts.
." 10 DAYS NOTICE OF CANCELLATION FOR NON-PAYMENT.
snouwtwYCaTiii•ADtl4E pk6t5M6lQa4LIC16i A8dMk8L' ED 9ErdAE rilEr�(PllAity7
City of Santa Ana DATx YkXMf, TH0159aINd IkBLMVALL OMIYJ CT0 MAL k3Q DAYS MUM
COmmuidly Service Agency WtE TA THB 90TIPAUR MCLOP f"AD to TK LiPT, DFW4*X.3#M�5; WK
20 CiVIC Center Plaza, M 26 11�!tla �.�x x°c ►�°x>
Santa Area, CA 92702
ORD 29 --_ 6AC13En inns
FROM : L.A. CHA MA I NTENANCE CO..,,' FAX NO. : 18183668403 Jan. 27 2009 12 : 25PH P2
ADDITIONAL INSURED ENDORSEMENT
lnsuranc+eCompany Na^ vi ctors Insurance Cc�
This endorsement modifies such insurance as is afforded by the provision of policy
# 0 4 -10 0 6 8 518 relating to the foil owi►1g;
I. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its
offcas, employfts, agents "d r PmftRtatives are named as additional insureds
("additional insureds") with regard to liability and defense ofsuits arising from the
operation$ and uses p&&nvwd by or an beltslf of the named incurred.
2. With respect to claims arising out Of'the operation and uses performed by or on
behalf ofthe named insured such insurance as is afiPorded 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 ,g eparately to each iEtsurW against whom claim is rttade orsuit
Is brought except with respect to the company,$ limits ofliability, The inclusion of
any parson or nrganifttiort as an Insured shall not ate atty right which such person
organization would have as a claimant If trot so Included.
4. With respect to tits adtlitlotIal triSuted3, this insurance shall not be can(xller, or
materially reduced in coverage or limits except after thirty 00) days written notice
has bt-00.9ivon to the City OfSanta Ana, 20 (`'vic Center Plain Santa Aria, Ca.til`ornia
92701
(COMPletion of the following) including countersignature, Is required to make this
eadorsmeot efl'eetiv+e,)
Effective 12/01 /08-12/07 j09
Rolicy # ..._. 0 4 �-1 0 0 6 s 5 / 0 ""'"""" �"�' this endorsement forrxl as a part. of
Issured to City of Santa _.A a._.._._,
Nanvd Insured
Counters
FROM : L. A. CHA MAINTENANCE CO.
INSURANCE LAND INS
4032 WILSHIRE BL #309
IDS ANGELES, CA goo 10
Named insured
L.A. CHA MAINTENANCE
18816 SN FRNNOD MS5N
NORTrfRiDGE, CA 91326
FAX NO. : 18183668403
000040
Commercial Auto
Insurance Coverage Summary
This is your revised Renewal
Declarations Page
( Apr. 28 2009 12:35PM P2
/�/QD,Cs/Qf,.ft/Uf
Policy dumber: 02068519.8
Underwritten by:
Uni U Financial Casualty company
May h 23. 2009
Polk / Period: Mar 25, 20o9 -Sep 25, 2009
Pagt I of 2
p rogressiveagent.com
Online Service
Maki• payments, check biding activity, print
polio: documents, or check the status of a
clairr
213.388.5505
INSURANCE LANs) INS
01119Ct your brakarfor personalised service.
800-444-4497
For C ISIOmer service If your broker is
unavailable or to report a claim.
Your caverage begins on March 25, 2009 at 12:01 a.m. This policy expires on September 25, 2009 at 12:01 a.m.
This coverage summary replaces your prior one. Your insurance policy and any policy endorsements contain a full explanation of
your coverage. The policy limits shown far an auto may not be combined with the limits for the same coverage on another auto,
unless the policy contract allows the stacking of limits. The policy contract is form 6912 (03105). The contract is modified by forms
Z435 (12/06), 475gCA (09/06), 2852CA (09/06), 4757 (03/05), 4852CA (10/04), 4881CA (12104) and Z228 (07105),
The Warned insured organization type is a corporation.
but(ine of caverage
[te;criQ[ibn Units
Oeducobte
Liabllfty 7a Others ..........
Bodily Injury and Property Damage Liability
................. . .........
$1,000,000 combined single limit
Uninsured/Underinsurecl Motorist
..................................................
Uninsured Motorist Pro rT Da
...,., J? y.... "?age...
each S15,000each rson
....,.�... /$30,000 each accidµnt
$3,500 each acddent.................................
"' 50 e
............................................
Medical Payments
......
81,000 each person ......
Subtata! policy premium
Calfomia Vehicle Assessment fee................................................................................
........
l.
ll
Tata) 6 month pollcyIpremlum........... ..... .................
............ I... .......... ......"....I".... ........
Rated driver
Premiuri�
$539
R
°......................... 9
$624.00
....1.
0.90
$.624.90
1. riw>;il�cNa............................................. �PPROVE13..AS"TO.FORM ......... ,....................... ...........
..
Auto coverage schedule
1 1997 Toyota Pickup LauSheedy
VIN: 4TANL42NXVZ298312 A,ssistapr�f nittjYZip �Qcie `yg1325
Radius; 50
Liability ..ability U ..... 8t UM PO Me Pay
Premium$539 ..,..,.....$39 ................. ............ ................................................ „.,.,..............,................
$37" g Auto Total
$624
Premium discounts
poliq
..............I ......
Paid in Full and Renewal
FWM64a9 CA(I;JI06) `+i
Continued
'it i:11 lvllil l7i'1/ �'r 31V"t�.
r
FROM : L. A. CHR MA i NTENANCE CO. FAX NO. 18183668403 � �
ARr. �B 2009 12: 3SPM P2
INSURANCE LAND IS��+�f�/��y
4032 WILSHIRE8L 9309
I.OS ANGELES, CA g00 io ononaa
Named insured
e� ib L,,�Lt. Vt q ,o
Policy number: 02068519-8
Undervuritten by;
United Financial casualty Company
L.A. CHA MAINTENANCE Mar h 23, 2009
18816 SN FRNNDO MSSN Pofic/ Period: Mar 25, 2009 - Sep 25, 2009
NORTHRIDGE, CA 91326 eat) of z
Commercial Auto
Insurance Coverage Summary
This is your revised Renewal
Declarations Page
prograssiveagent.com
Online Service
Mak,• payments, check billing activity, print
PO N r documents, or check the ;fetus of a
clairr.
213.388.55oS
INSURANCE LAND INS
Qrt-lct your broker for personalized Service,
800-444-4487
Fo(c-rstomer service if your broker
unavlilable or to report a claim.
Your coverage begins on Mardi 25, 2009 at 12:01 a.m. Th) policy expires on September 25, .'009 at 12:01 a.m.
This coverage summary replaces your prior one. Your insurance policy and any policy endorsements contain a full explanation of
your coverage. The pollcy limits shown for an auto may not be combined with the rim its for the same coverage on another auto,
unless the policy contract allows the stacking of limits, The policy contract is form 5912 (03/05). The contract Is modified by forms
Z435 (12/06), 4759CA (09/06), 2852CA (09/06), 4757 (03/05), 4852CA (10/04), 4881CA (12/04) and 2228 (0710%
The named Insured organization type is a corporation.
Oui ine of coverage
,u1ption
Limits
Liability To Oihers...................................--............................. ........................_ .._....._......o...... bta Premium
Bodily injury and Property damage 0i.Ii 1 00 $539
••� ••• ••• � tY $ 0,000 combined single limit
uninsured dnWr .......
/UndednstrredMotorlst $15,000each rson
611111 used Motorist Pro fly Dd................................................... each accident 39
Med6 Payments., ......"?age.......... $3,500 each accident .........................................
......... .. $0,.,....................37
$1,000 each person
Subtotal policy premium
g
CalifonttaVehiclaAssessment Fee ..... ................................................................... ... ............................... $624.00
Total 6 month policy premium 0.90
,.6Z4.90
Rated driver $
I. HWAN CHA ...................................................................... ........................................
................
..................
Auto coverage schedule
i 1997 Toyota Pickup
VIN: 4TANL42NXVZ298312 Garaging Zip Code: 9732.5
Liability U3lu Radius; 50
Premium h........ u►, ulm es... Des ro Med Pay
$599 $39 $37......,...$g.................................................................................. Auto7IXal
$624
Nrnium discounts
Par4y
..................................
U20b8514-8 """"""
Paid in Full ..........................................
and Renewal """
Form 6409 C4 (I Zto6) a
Continued