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HomeMy WebLinkAboutDEKRA-LITE 5City of Santa A a - Clerk of the Council "`-- AGREEMENT TERMINATION IM SM -I wu?'!?s alfl -5 I'a Please complete this form when the attached agreement is no longer in pffect. Return form to the Clerk of the Council Office Y- ~N A A? Call 647-2520 if you have any questions. GG?? ?t CLERK & CptlNCtt The agreement agreement with i?LJ O - i7 mb• was completed on and final payment has been made. Department: Phone/Ext.: 5 3g5 Signature: xsU(Y?L?+L Q`?? Date: kUQ . 31 -) 210 Revised 05-0408 ~~~ ~u~ , ~!tCN!~a~ i ~ _ ... ~~, ~ ,~ _x-.ik~s C ~ ~ :'4; i ClJlh;lln ~ t : ~~, 11~!~~ ~ /7-~'C~O Gc~.~y Lc,rne); AGREEMENT FOR MANUFACTURE, INSTALLATION AND STORAGE OF BANNERS N-2009-098 THIS AGREEMENT, made and entered into this 24`h day of July, 2009 by and between DEKRA- LITE, aCalifornia corporation (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 of California (hereinafter "City"). RECITALS A. The City desires to retain a contractor having special skill and knowledge in the field of installing holiday lighting and banners. B. Contractor represents that Contractor is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field. 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 Contractor shall manufacture, install, remove and store City owned banners, as set forth in Exhibit A to this Agreement. Additional services may be provided upon the written. request of the Deputy City Manager for Development Services. 2. COMPENSATION City agrees to pay, and Contractor agrees to accept as total payment for its services, the rates and charges identified in Exhibit A. The total sum to be expended under this Agreement shall not exceed $15,000.00 during the term of this Agreement. Payment shall be made within thirty (30) days following receipt of proper invoice evidencing work performed, subject to City normal accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 3. TERM This Agreement shall commence on July 1, 2009 and terminate on June 30, 2010, unless terminated earlier in accordance with Section 12, below. The term of this Agreement may be extended upon a writing executed by the Assistant City Manager for Development Services and the City Attorney. 4. INDEPENDENT CONTRACTOR Contractor shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This 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 Contractor performs the services which are the subject matter of this Agreement; however, the services to be provided by Contractor shall be provided in a manner consistent with all applicable standards and regulations governing such services. Contractor shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 5. INSURANCE Prior to undertaking performance of work under this Agreement, Contractor shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Contractor shall maintain commercial general liability insurance which shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Contractor'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 therefrom, and property damage, in the total amount of $1,000,000 per occurrence. Such insurance shall (a) name the City, its officers, employees, agents, volunteers and representatives as additional insured(s); (b) be primary with respect to insurance or self-insurance programs maintained by the City; and (c) contain standard separation of insureds provisions. b. Business automobile liability insurance, or equivalent 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 automobiles. c. Worker's Compensation Insurance. In accordance with the provisions of Section 3300 of the Labor Code, Contractor, if Contractor has any employees, is required to be insured against liability for worker's compensation or to undertake self-insurance. Prior to commencing the performance of the work under this Agreement, Contractor agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. The following requirements apply to the insurance to be provided by Contractor pursuant to this section: (i) Contractor shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. 2 (ii) Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved in form by the City Attorney. (iii) Certificates and policies shall state that the policies shall not be canceled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City. e. If Contractor fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not effect Contractor's right to be paid for its time and materials expended prior to notification of termination. Contractor waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 6. INDEMNIFICATION Contractor agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, contractors, special counsel, and representatives from liability for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including health, and claims for property damage, which may arise from the direct or indirect operations of the Contractor 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. The Contractor further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party 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. 7. CONFIDENTIALITY If Contractor receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Contractor agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. 8. CONFLICT OF INTEREST CLAUSE Contractor covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with 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 be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the 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 copy to: Executive Director of the Community Development Agency City of Santa Ana 20 Civic Center Plaza (M-25) P.O. Box 1988 Santa Ana, California 92702 telefacsimile (714) 647-6939 and City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O. Box 1988 Santa Ana, California 92702 telefacsimile (714) 647-6515 To Contractor: DEKRA-CITE Mike Sterling 3102 W. Alton Avenue Santa Ana, California 92704 Telefacsimile (714) 436-0612 A party may change its address by giving notice in writing to the other party. if sent by mail, 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, 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 Contractor, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Contractor. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Contractor 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 Contractor, Contractor 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 performed by City personnel or by other contractors retained by City. 4 12. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor prior to receipt of such notice of termination. 13. DISCRIMINATION Contractor 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. Contractor 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 of the 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 connection with or by reason of this Agreement. 15. PROFESSIONAL LICENSES Contractor 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 of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Contractor shall notify the City immediately and in writing 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 hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Ageement, and shall indemnify 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 incorporated as if fully set forth in the body of this Agreement. // // // // IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. CITY OF SANTA ANA ~~ ~ ~ ~ PATRICIA_ E. HEAL DAVID N. REA Clerk of t!:e Council City Manager APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney BY~ ~ Gee Laur eedy Ass stant City Attorney RECOMMENDED FOR APPROVAL: f C HIA J. N ON Deputy City Manager for Development Services DEKRA-CITE KE STERLING General Manager Tax ID# ~~ ~ ~~ ~ ~:/ ~(~;~~ r U 6 •S EXHIBIT A SCOPE OF SERVICES Qty Description Unit Price Total 22 Custom Banner 20"x60" $ 53.50 $1 177 00 4 color process digital banner printed on 13 oz , . [ndustrial grade Matte finish vinyl sewn back to back for a total weight of 26 oz. 3 year no-fade warranty. 1 Custom Banner set up charge $85 fee waived $ 0.00 $0.00 22 Mini Windbreaker single set 20" w/Band-It $66.30 $1 458 60 Arms cut to 20". , . I Custom Anodized Banner Ends (Black) $300.00 $300.00 22 Labor Removal of existing double banner brackets $29.00 $638.00 22 Install, Remove and Store single banner $89.00 $1,958.00 4 Custom Double Banner 20"x60" $107.00 $428 00 4 color process digital banner printed on 13 oz . [ndustrial grade Matte finish vinyl sewn back to back for a total weight of 26 oz. 3 year no-fade warranty. 4 Change out of Double Banners on existing brackets $131.00 $524 00 In Artist's Village Walkway. . 1 Custom Banner Set Up Charge $85 fee waived $0.00 $0.00 Subtotal $6,483.60 Tax $ 294.32 TOTAL 6 777.92 Install date August, 2009 Removal Date TBD by City 7 ' ~ ,,,r: "`~`~°~ CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) PRODUCER 04/01/2009 Stone Witter Insurance Services, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER_OF INFORMATION P O Box 8035 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ' CA Ins Lic OF15720 Agency # 2610 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Long Beach, CA 90808-8035 P 562-420-3422 F INSURERS AFF012DING COVERAGE INSURED NAIC # belcra-Cite Industries, Inc. INSURERA: St. Paul / Traveler's Companies 41521 3102 ,W. Alton Ave. INSURER B: Santa Ana; CA 92704-6817 INSURER c: 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 ~JIAY PE,°.T;I;J, THE {NSURANCE 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. ~R DD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION D LIMITS GENERAL LIABILITY ~ EACH OCCURRENCE, $ 1 000 000 /. COMMERCL4L GENERAL LIABILITY 6600420L552 04/08/2009 04/08/2010 DAMAGE TO R NTED CLAIMS MADE OCCUR PREMISES Eaocburence $ MED EXP (Anv one oersnnl x A AAA LIMITAP('P'~LI'E~S PER: IE ~ I II LOC © AUTOMOBILE LIABILITY / ANY AUTO BA1863L705 / ALL OWNED AU70S • / SCHEDULED AUTOS / HIRED AUTOS / NON~VVNEDAUTOS GARAGE LIABILITY ANYAUTO EXCESS /UMBRELLA LIABILITY / accuR ~ CLAIMS MADE CUP6374Y17A r-v iJEUUCTIBLE I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' INABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NHl OTHER _.-. ..~..~.,.,~-gin ovirwre Y I E.L. DISEASE _ Pni irtv i inner c pity Attorn ~ ' DESCRIPTION OF OPERATIONS! LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS Community Redevelopment Agency of the City of Santa Ana, its. officers, employees, agents, and representatives are included as additional insureds with respect to the insured's operations and only if required by written contract. 30 days NOC except 10. days for non-payment of premium. Community Redevelopment Agency of the City of Santa Ana 20 Civic Center Plaza, M-25 n n .-,--- ....._ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIF1CgTE 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 ~^v ~}~ o P9 ~'1 © 1988-2009 ACORD CC The ACORD name and logo are registered marks of ACORD iced using Forms Boss Web software. www.FormsBass.com; m Impressive Publlshing 800.208-1977 JURY $ 1 TE $ 2 04/08/2009 04/08/2010 (~ aBcidert) INGLE UMIT $ 1,000,000 BODILY INJURY ' (Per person) $ 1,000,000 ' BODILY INJURY (Peracddent) ~ $ 1,000,000 PROPERTY DAMAGE (Peracddent) $ 1,000,000 AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ 2,000,000 04/08/2009 04/08/2010 AGGREGATE $ EACH ACCIDENT i $ TION. All rights reserved. `r~~`, COMM RCIAL GENERAL LIABILITY POLICY NUMBER:I-660-0420L552-TCT-09 ISSUE DATE: 04-10-09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE RE D IT CAREFULLY. ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR ORGANIZATION(S): COMMUNITY REDEVELOPMENT AGENCY OF THE CITY OF SANTA ANA, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS AND REPRESENTATIVES 20 CIVIC CENTER PLAZA PO BOX 1988 SANTA ANA, CA 92702 PROJECT/LOCATION OF COVERED OPERATIONS: INSTALLATION AND REMOVAL OF HOLIDAY DECOR & BANNERS, MANUFACTURING & INSTALLING BANNERS 1. WHO IS AN INSURED - (Section II) is amended b} The insurance provided to the additional in- to include the person or organization shown in the sured does no apply to "bodily injury" " ro - Schedule above, but: , p p erty damage" r "personal injury" arising out a) Only with respect to liability for "bodily injury", of the rendering of, or failure to render, any "property damage" or "personal injury"; and professional architectural, engineering or sur- b) If, and only to the extent that, the injury or veying service ,including: damage is caused by acts or omissions of i• The prep ring, approving, or failing to you or your subcontractor in the pertormance prepare o approve, maps, shop draw- of "your work" on or for the project, or at the l ings, opini ns, reports, surveys, field or- r ocation, shown in the Schedule. The person ders or c ange orders, or the preparing, or organization does not qualify as an addi- approving, or failing to prepare or op- tional insured with respect to the independent prove, dra ings and specifications; and acts or omissions of such person or organiza- tion. ii. Superviso ,inspection, architectural or engineerin activities. 2. The insurance provided to the additional insured c} by this endorsement is limited as follows: The insuranc provided to the additional in- a) In the event that the Limits of Insurance of sured does n t apply to "bodily injury" or "property da age" caused by "your work" this Coverage Part shown in the Declarations and included n the "products-completed op- exceed the limits of liability required by a erations haza d" unless a "written contract "written contract requiring insurance" for that requiring insu ante" specifically requires you additional insured, the insurance provided to to provide su h coverage for that additional the additional insured shall be limited to the insured, and Shen the insurance provided to limits of liability required by that "written con- the additional insured applies only to such tract requiring insurance". This endorsement "bodily injury" or "property damage" that oc- shall not increase the limits of insurance de- curs before th end of the period of time for scribed in Section III -Limits Of Insurance. which the "w itten contract requiring insur- ance" require you to provide such coverage CG D2 47 08 05 ©2005 The St. Paul Travelers Companies, Inc Page 1 of 2 COMMERCIAL GENERAL LIABILITY or the end of the policy period, whichever is earlier. 3. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible "other insurance", whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover under this endorsement. However, if a "written contract requiring insurance" for that ad- ditional insured specifically requires that this in- surance apply on a primary basis or a primary and non-contributory basis, this insurance is pri- mary to "other insurance" available to the addi- tional insured which covers that person or organi- zation as a named insured for such loss, and we will not share with that "other insurance". But the insurance provided to the additional insured by this endorsement still is excess over any valid and collectible "other insurance", whether pri- mary, excess, contingent or on any other basis, that is available to the additional insured when fhat person or organization is an additional in- sured under such "other insurance". 4. As a condition of coverage provided to the additional insured by this endorsement: a} The additional insured must give us written notice as soon as practicable of an "occur- rence" or an offense which may result in a claim. To the extent possible, such notice should include: f. How, when and where the "occurrence" or offense took place; ii. The names and addresses of any injured persons and witnesses; and iii. The nature and location of any injury or damage arising out of the "occurrence" or offense. b) If a claim is made or "suit" is brought against the additional insured, the additional insured must: c. i. Immedia claim or ii. Notify us record the specifics of the t" and the date received; and soon as practicable. The additiona insured must see to it that we receive writte notice of the claim or "suit" as soon as practi able. c) The addition I insured must immediately send us copie of all legal papers received in connection wi h the claim ar "suit", cooperate with us in th investigation or settlement of the claim or ~ efense against the "suit", and otherwise co ply with all policy conditions. d) The addition I insured must tender the de- fense and ind mnity of any claim or "suit" to any provider f "other insurance" which would cover the ad itional insured for a loss we cover under t is endorsement. However, this condition doe not affect whether the insur- ance provide ~ to the additional insured by this endorse ent is primary fo "other insur- ance" avails le to the additional insured which covers hat person or organization as a named insure as described in paragraph 3. above. 5. The following deft ition is added to SECTION V. -DEFINITIONS: "Written contr ct requiring insurance" means that part of ar~y written contract or agreement under which you are required to include a person or or anization as an. additional in- sured on this Coverage Part, provided that the "bodily inj ry" and "property damage" oc- curs and the "personal injury" is caused by an offense committed: a. After ijlhe signing and execution of the contract or agreement by you; b. While) that part of the contract or agreement is in effect; and the end of the policy period. Page 2 of 2 ©2005 The St. Paul Travelers Companies, Inc CG D2 47 08 05 ,~~ DATE (MMIDDIYYYY) A~~ ~ CERTIFICATE OF LIABILITY IN~URANC~ 04/01/2009 PROOU Stone Witter Insurance Services, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P O Box 8035 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR CA tns Lic OF15720 Agency # 2610 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Long Beach, CA 90808-8035 _ INSURERS AFFORDING COVERAGE NAIC # _ P 562-420-3423 F __ - ------- INSURED Dekra-Cite Industries, InC. INSURER A: St. PaUI 1 Trayeler~S COm anies _ 4 5 - _._. -__ p 3102 W. Alton Ave. wsuRER B: _ _ .- ------- Santa Ana, CA 92704-6817 _wsuRERC: __-_ _ __ ___________ INSURER D: _..__- __.-.__- -___-. INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUKEU NAMtU ABUVt rvn i nc r~ui. ~ ru~ivv u. ~i~.r., tea. ~.~+• ~•• ~ ~ •~-~ • •• •--•• •- CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, TERM OR CONDITION OF ANY Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN, THE INSURANCE AFFORDED B POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ _ _ _______ __ _ _____ INSR ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS EACH OCCURRENCE $ 1~000LOOO GENERAL LIABILITY COMMERCWL GENERAL LIABILITY 6600420L552 04108!2009 04/08/2010 _ DAMAGE TO RENTED PREMISE~Ea occurence~_ _$ _ _ _ CLAIMS MADE ~ OCCUR MED EXP (Any one person) _ $ __ 5,000 _ PERSONAL&ADVINJURY $1r000,OOO _____ - --" GENERAL AGGREGATE $ 2 OOO --- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -.COMP/OP AGG $_2,000,000.__ _. __ I POLICY PRO LOC © AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 OOO OOO BA1863L705 04108/2009 04/0II/2010 (Ea accident) ANY AUTO ALL OV~/NED AUTOS BODILY INJURY $ 1,000,000 EDULED AUTOS (Per person) _ - SCH HIRED AUTOS BODILY INJURY $ 1 000,000 N-0VMJED AUTOS (Per acddent) , NO _ _ -" "~"" PROPERTY DAMAGE $ 1 000 000 - (Peracddent) , , GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE_ $,2,000,000_ _ - OCCUR ~ CLAIMSMADE CUP6374Y17A 0410812009 04/08/2010 AGGREGATE _ _ _ $__. __.- _ $- DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION VvC STATU- OTH- T4R.Y_11M1. _FR_. _-.. __- _ __ -. AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ACH ACCIDENT E.L. E $ __ __ __ ^ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) _ _ _ _ _ _E.L. DISEASE - EA EMPLOYE $_ _ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER I DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS The Community Redevelopment Agency of Santa Ana is named as additional insured if required by written contract. 30 days NOC except 10 days for non-payment of premium. CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Downtown Development Division DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 305 E. Fourth Street, #201 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SNALL Santa Ana, CA 92701 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE y4 ACORD 25 (2009101) ©1988-2009 ACORD CO The ACORD name and logo are registered marks of ACORD Produced using Forms Boss Web software, www.FormsBoss.com; ©Impresslve Publishing 800-208-1977 ATIO All rights reserved. ~~'AT~ COMPENSATION I N S U R A N C E ~_~'" t.J N t~ HOME OFFICE SAN FRANCISCO ENDORSEMENT AGREEMENT SPECIFIC ENDORSEMENT ELIMINATED ~~~ ~ ~ , ~~~ REP 41 238-08 003338 RENEWAL SP 1-67-81-68 PAGE 41 OF 85 ALL EFFECTIVE DATES ARE AT 12:01 AM PACIFIC EFFECTIVE OCTOBER 1, 2008 AT 12.01 A.M. STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME DEKRA-CITE INDUSTRIES, INC 3102 W ACTON AVE SANTA ANA, CA 92704 ANYTHING IN THIS POLICY TO THE CONTRARY NOTWITHSTANDING, IT IS AGREED THAT THE ENDORSEMENT(S) ENTITLED ADDITIONAL INSURED EMPLOYER NUMBER 0015 REGARDING CITY OF SANTA ANA ATTACHED TO AND FORMING A PART OF THIS POLICY IS HEREBY ELIMINATED. NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: SEPTEMBER 22, 2008 9928 C~~~f \~y~e..~ ~~~~ I V ~ COMPENSATION I N S U R A N C E ~_ ~UNt~ POLICYWOLDER COPY Sp P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 CERTIFICATE OF WORI(ERS' COMPENSATION INSURANCE ISSUE DATE: 10-01-2008 CITY OF SANTA ANA 20 CIVIC CENTER PLZ M-25 SANTA ANA CA 92701-4058 SP GROUP: 000238 POLICY NUMBER: 0003338-2008 CERTIFICATE ID: 11 CERTIFICATE EXPIRES: 10-01-2009 10-01-2008/10-01-2009 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. THORIZED REPRESENTATI PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #1600 - JEFFREY LOPEZ, PRE SEC TREA - EXCLUDED. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10-01-2007 IS ATTACHED TO AND FORMS APART OF THIS POLICY. APp~~ _..-....-~--"~i 5t~eedy ~~Uta 5t~ ,yi~.ni•r~~,,. t Cit~% A5ti``t~n EMPLOYER DEKRA-CITE INDUSTRIES, INCORPORATED SP 3102 W ACTON AVE SANTA ANA CA 92704 (REV.2-05) PRINTED 09-17-2008 M0410