HomeMy WebLinkAboutPRIME DEMOLITION, INC. 1
City of Santa L a _
Clerk of the Council
4M AGREEMENT TERMINATION FORM
corc office us.
Please complete this form when the attached agreement and all amendments (ifarav]. ?F SA N TA ANA
are no longer in effect. CLE K Or COUNCIL
Return form to the Clerk of the Council Office (M-30).
Call 647-2520 if you have any questions.
(Ust ad'aewW-+drweae?. use spoee below if needed.)
The agreement with ?QL?yyJp ,? ??.?y?
Nb- - was completed on 0(9103 /.tDoo and final payment has been made.
Revised 07-22-09
Department:
Phone/Ext.:
A4'C
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6 385
Signature:
Date: ao /IDA /aQ 10
. rlvst~~a~~cE orl FILE N-2010-005
WORK N#AY PROCEED
U~ITiL 1NSURAfVCE EXPIRES
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CLERK OF C0~ CIJ„~B .~ $ Q~'
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O : Cpf4 C DEMOLITION CONTRACT
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LoY~e~~ THIS CONTRACT, made and entered into this ~~day of January, 2010, by and between Prime
Demolition, Inc., a California Corporation, hereinafter referred to as "Contractor", and the City of Santa
Ana, a charter city and municipal corporation, hereinafter referred to as "City".
RECITALS:
A. City desires to employ a general licensed building Contractor as defined in California
Business and Professions Code § 7057 to perform demolition work on property located at 325 E. Fourth
Street, in the City of Santa Ana (the "Property").
B. Contractor represents that it is qualified to perform such work as desired by City.
WHEREFORE, for and in consideration of the respective and mutual covenants and promises
hereinafter contained and made, and subject to all the terms and conditions hereof, the parties hereto agree
as follows:
1. SCOPE OF WORK
A. Project Specifications. Contractor agrees, at its sole cost and expense, to provide all supervision,
technical personnel, labor, materials, machinery, tools, equipment, fixtures and services for the work
required for demolition of the Property, in accordance with the attached bid and proposal, general
conditions, work write-ups, specifications, and drawings, which documents are incorporated herein by
reference as though fully set forth. (See Exhibit A "Project Specifications" attached hereto and incorporated
herein by reference).
Contractor shall perform all work. in conformance with applicable laws and local requirements
whether or not covered by the specifications and drawings for the work.
Contractor shall pay all sales, consumer, use and other similar taxes required by law, and shall
procure and pay for all permits and licenses necessary for the execution and completion of the work and
labor to he performed hereunder.
B. Prevailing wage. All laborers and mechanics employed by the Contractor and any subcontractor
in the performance of the work under this Agreement shall be paid wages at rates not less than the
prevailing wage as provided in the statutes applicable to public works including without limitation
Sections 1770-1780 of the California Labor Code. This paragraph does not apply to contracts which
do not exceed $2,000.
2. NOTICE TO PROCEED/NOTICES
The work shall begin no later than twenty (20) calendar days from and after Contractor receives
written notice to proceed from the City. Failure by Contractor without lawful excuse to substantially begin
work within twenty (20) days of the date of receipt of said written notice to proceed shall postpone the next
succeeding payment to the Contractor for that period of time equivalent to the time between when work was
to begin and when it did begin. City shall give said notice to proceed within forty-five (45) calendar days
from and after the date of the signing of this Contract. If the written notice to proceed is not received by
Contractor within said period, Contractor reserves the right to withdraw his bid and proposal.
Notices shall be addressed to the Contractor at: Prime Demolition, Inc
P.O. Box 6452
San Pedro, CA 90734
(951) 244-3050
Attn: Charlie Quezada
3. TIME FOR COMPLETION/ CONTRACT TERM
The term of this contract is from the date set forth above through June 30, 2010. All work shall be
satisfactorily completed within FORTY-FIVE (45) days from the date when said work is commenced.
4. CLEANUP
Contractor shall keep the premises clean and orderly during the course of the work and remove all
debris upon completion of the work. Materials and equipment that have been removed and replaced as part
of the work shall belong to Contractor.
4. CHARGES AND. LIENS/ PERFORMANCE BOND
Contractor shall pay when due all valid charges for labor and material incurred by Contractor and.
used in the construction pursuant to this Contract and shall also be responsible for keeping the job free of
mechanic's liens recorded by any of the persons enumerated in California Civil Code § 3110. If Contractor
fails to make any payments required pursuant to this paragraph, or if Contractor fails to keep said real
property free of mechanic's liens incurred by or under Contractor or its subcontractors, City may settle said
claims and Contractor shall notify the City in writing when a legitimate dispute arises between Contractor
and any and all persons enumerated in California Civil Code § 3110.
Contractor shall provide the City with a Payment Bond and Bond of Faithful Performance in the
standard amount based on the cost of the project. Such bonds shall be executed by both the Contractor and
the Surety Company to the satisfaction of the City Attorney. If Contractor fails or is unable to obtain said
bond, City may obtain and record said bond and deduct the costs from any payment due Contractor.
6. CORRECTION AND DEFECTS
Contractor shall correct any work that fails to conform to the requirements of this Contract or any
documents pursuant thereto, where said failure to conform appears during the progress of the work.
Contractor shall remedy any defects due to faulty materials, equipment or workmanship which appear
within a period of one (1) year from the date of substantial completion of the work or within such longer
period of time as may be prescribed by law or by the terms of any applicable special guarantee required by
this Contract or any document pursuant thereto.
7. GUARANTEE
Contractor guarantees the work performed for a period of one (1) year from the date of final
acceptance of all the work required by this Contract, unless the work required repair or construction of a
root; in which case Contractor guarantees the work for a period of five (5) years. Further, Contractor shall
furnish the City, all manufacturer's and supplier's written guarantees and warranties covering materials and
equipment furnished under this Contract. Contractor guarantees all materials to be as specified and all work
to be completed in a professional manner according to standard practice. Unless otherwise specified, all
materials shall be new. Contractor shall leave the work in a finished condition as determined. by acceptable
building standards and to the satisfaction of the City.
8. INSPECTIONS
Contractor shall permit the City of Santa Ana, or its designee(s), to examine and inspect the
rehabilitation work. In addition, City shall have the right to inspect any work. performed hereunder to
ensure that the work is being and has been performed in accordance with the applicable federal, state and/or
local requirements and this Contract. Contractor agrees that all work found by such inspections not to
conform to the applicable requirements to be corrected, and City shall have the right to withhold payment to
Contractor until it is so corrected.
4. UTILITIES AND COOPERATION
While this Agreement is in full force and effect, City shall permit Contractor to use existing utilities
such as light, heat, power and water to carry out and complete the work and shall cooperate with Contractor
to facilitate the performance of coverings and furniture, if and to the extent necessary.
10. OCCUPATION OF PREMISES
The premises are to be VACANT during the course of the work.
11. CHANGE ORDERS
Any changes or deviations from specifications or terms of this Contract shall be effective only upon.
the prior written consent of the Contractor and the City. All change orders will specifically describe the
work and/or changes, the additional contract price and time for completion.
12. NOTICE OF COMPLETION
The City shall execute, acknowledge, and record in the manner provided by law, a notice of
completion of work required by this Contract within fifteen (15) calendar days after final inspection and
approval of said rehabilitation work as fully completed by the City.
13. CONTRACTOR'S FEE/ COMPENSATION
Owner agrees to pay Contractor for the full and complete performance of all of Contractor's
covenants and. responsibilities hereunder in accordance with Exhibit A in the amount of $14,935.00.
Payment due Contractor shall be paid within thirty (30) calendar days after the City receives
Contractor's invoice and satisfactory releases of liens or claims for liens by Contractor, subcontractors,
laborers, and material suppliers for completed work or installed materials. Ten (10%) of such payment to
Contractor shall be retained by City. The retention funds shall be released thirty-five (35) calendar days
after final inspection and acceptance of all work to be performed by Contractor and Contractor has
furnished the City, satisfactory releases of liens or claims for liens by Contractor, subcontractors, laborers,
and material suppliers (Notice of Completion filed and recorded with the County Recorder}.
Payments may be withheld on account of defective work not remedied, claims filed, failure of
Contractor to make payments properly to subcontractors or for labor, materials, or equipment, damages by
another Contractor, or unsatisfactory performance of the work by Contractor, as determined by the City.
The project budget allows for additional funds, supported by adequately documented approved change
orders, in the amount of $3,000.00, to ensure project completion, with an overall total budget of $17,935.00.
14. INDEMNIF[CAT10N
Contractor shall indemnify and save harmless the City of Santa Ana, its officers and employees,
against any and all damages to property and injuries to or death of any person or persons, including
employees or agents of the City of Santa Ana, and shall defend, indemnify and save harmless Owner and
the City of Santa Ana, its officers and employees, from any and all claims, demands, suits, actions or
proceedings of any kind or nature, including, but not by way of limitation, worker's compensation claims of
or by anyone whomsoever in any way resulting from or arising out of the operations in connection
herewith, including operations of subcontractors and acts or omissions of employees or agents of Contractor
or its subcontractors.
15. INSURANCE
With respect to performance of work under this Contract, Contractor shall maintain and shall
require its subcontractors, if any, to maintain insurance as described below:
(a) Workers' compensation insurance with statutory limits, and employer's liability insurance with
limits of not less than $1,000,000 per incident; and
(b) Contractor shall maintain commercial general. liability insurance naming the City, its
officers, agents, volunteers, and employees as additional. insureds) and 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. Contractor shall supply the City with a fully executed additional insured endorsement in
substantially the form attached hereto as Exhibit B upon execution of this Agreement and shall be
approved in form by the City Attorney.
(c) 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.
(d) Contractor shall (a) furnish properly executed certificates of insurance to the City prior to
commencement of work under this Contract, which certificates shall clearly evidence all coverage required
above and provide that such insurance shall not be materially changed or terminated except on 30 days'
prior written notice to the City; and (b) maintain such insurance from the time work first commences until
completion of the work under this Contract; and (c) replace such certificate for policies expiring prior to
completion of work under this Contract.
16. CITY'S POWER TO TERMINATE
Should Contractor commit any of the acts specified in this paragraph, City may, by giving ten (10)
calendar days notice in writing thereof to Contractor, without prejudice to any other rights or remedies
given City by law or by this Contract, terminate the services of Contractor under this Contract, take
possession of all materials and appliances located on said real property, and complete the work required by
this Contract. Contractor shall be deemed to have committed an act specified in this paragraph if it shall:
(a) Be adjudged a bankrupt;
(b) Make a general assignment for the benefit of its creditors;
(c) Refuse or fail to supply enough properly skilled workers or proper materials to complete the
work required by this Contract within the time specified in this Contract;
(d) Fail to make prompt payment to subcontractors, laborers, or material men for labor
performed or materials furnished to the work required by this Contract;
(e) Persistently disregard any law or ordinance relating to the work required by this Contract
or the completion thereof; or
(f) Otherwise commit a substantial violation of any provision of this Contract.
17. RIGHTS ON TERMINATION BY CITY
Should City terminate the services of Contractor under this Contract and complete the work
pursuant without Contractor, Contractor shall not be entitled to receive any further payment under this
Contract until the work is fully completed. On completion of said work by City, if the unpaid balance of
the contract price exceeds the expenses incurred by City in completing the work, including any
compensation paid by City for managerial, administrative, or supervisorial services in completing the work,
such excess shall be promptly paid by City to Contractor. lf, however, on completion of the work by City,
the expenses incurred by City in completing said work, including any compensation by City for managerial,
administrative, or supervisorial services in completing said work, exceed the unpaid balance of the contract
price, such excess shall be promptly paid by Contractor to City.
18. CONTRACTOR'S POWER TO TERMINATE CONTRACT _
Should City fail to pay to Contractor within thirty (30) calendar days after such receipt of proper
invoice, without just cause, any amount payable by City to Contractor, Contractor may, by giving fifteen
(1 S) calendar days written notice thereof to City, terminate its services under this Contract and stop work on
said Property.
19. LIQUIDATED DAMAGES
Contractor and City agree that it would either be impractical or extremely difficult to fix actual
damages in the event Contractor fails to complete the described work within the time prescribed by this
Contract. In connection therewith, Contractor agrees to pay City liquidated damages for each calendar day
beyond the date when completion is required hereinabove, excluding extensions as stated, below in the
following a-nount: One Hundred. Dollars ($100.00) per calendar day. The amount of liquidated damages
shall be deducted from the Contractor's Retention Payment at project completion. if at any time the amount
of liquidated damages exceed the amount of Retention Payment, there shall not be any payment to the
Contractor until such time that the amount of payment due the Contractor exceeds the amount of liquidated
damages.
20. ASSIGNMENT
Contractor shall not assign any rights under this Contract except upon prior written authorization of
City. Any request for assignment must be addressed to the City and written consent of the City must be
obtained prior to Contractor assigning any rights under this Contract. Contractor shall not delegate any
authority or responsibility that would in any way purport to relieve him of any obligation imposed by this
Contract.
21. NONDISCRIMINATION, EQUAL OPPORTUNITY AND FAIR HOUSING
During the performance of this Contract, Contractor agrees to comply with all applicable
nondiscrimination, equal opportunity and fair housing and. employment laws, and shall not discriminate in
hiring on the basis of race, color, creed, religion., sex, marital status, national. origin or ancestry.
22. CONFLICT OF INTEREST
No person who is an employee, agent, consultant, officer or elected official or appointed official of
the Community Redevelopment City of the City of Santa Ana, or the City of Santa Ana, who exercises or
has exercised any functions or responsibilities with respect to the City's residential rehabilitation program,
or who is in a position to participate in adecision-making process or to gain inside information with regard
to these activities, may obtain a financial interest or benefit from this Contract, or have an interest in any
subcontract or agreement with respect hereto, either for themselves or those with whom they have family or
business ties, during their tenure or for one year thereafter.
23. 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.
24. UNAVOIDABLE DELAYS AND DEFAULTS
The time of completion of this Contract shall be extended by the number of calendar days which
Contractor is prevented from performing work as a result of: inclement weather, acts of City not
conte-nplated by this Contract, the unavailability of workers or materials due to strikes, accident, acts of
God, fire, unusual delays in transportation, unavoidable casualties, causes beyond Contractor's control, or
any cause which the City may determine justifies the delay. The Contractor shall not be entitled to an
extension in the number of calendar days for completion, unless, within five (5) days from the beginning of
such delay, he notifies the City in writing of the causes of the delay, which causes must be acceptable to the
City.
25. JURISDICTION/VENUE
This Agreement and all questions relating to its validity, interpretation, performance, and
enforcement shall. be government and construed in accordance with the laws of the State of California.
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.
26. ATTORNEY'S FEES
Should any litigation be commenced between the parties to this Contract concerning the work which
is the subject of this Contract, any provision of this Contract, or the rights and obligations of either in
relation thereto, the party prevailing in the litigation shall be entitled, in addition to such other relief as may
be granted, to a reasonable sum as and for the party's attorney's fees in the litigation.
27. TIME OF ESSENCE
Time is of the essence in performance of this Contract.
28. GENDER AND NUMBER
As used herein, the masculine shall include the feminine and masculine, and the singular shall
include the plural.
29. EXCLUSIVITY OF CONTRACT
This Contract supersedes any and all other agreements, either oral or in writing, between the parties
hereto with respect to hiring of Contractor by City, and contains all the covenants and conditions between
the parties with respect to employment of Contractor by City, and contains all the covenants and. conditions
between the parties with respect to such employment in any manner whatsoever. Each party to this
Contract, acknowledges that no representations, inducements, promises, or agreement, orally or otherwise,
have been made by any party, or anyone acting on behalf of any party, which are not embodied herein, and
that any other agreement or amendment to this Contract shall be effective only if executed in writing and
signed by City and Contractor.
30. 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 Agreement, 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 Contract on the date and year first above
written.
ATTEST:
Maria D. Huizar
Clerk of the Council
CITY OF SANTA ANA.
r
{ ,''~
David .Ream
City Manager
APPROVED AS TO FORM:
JOSEPH W.FLETCHER
City Attorney
E3y: Lisa E. Storck
Assistant City Attorney
RECOMMEND FOR APPROVAL:
Cynthia J. Nelson, Deputy City Manager
For Development Services
CONTRACTOR
Prime Demolition, Inc.
By: Charlie Quezada
Title: President
Tax ID# 86-1165755
EXHIBIT A -PROJECT SPECIFICATIONS
PROJECT NAME:
ADDRESSES:
OWNER:
CITY CONTACT:
GENERAL CONDITIONS
CONTRACTOR SHALL:
Demolition of Four Kiosks and Canopy
325 E. 4~h Street, Santa Ana, CA 92701
City of Santa Ana
Gaby Lomeli - (714) 647-5479
Ray Lirette - (714) 667-2256
• Provide all labor, material, equipment, tools, supervision and technical personnel necessary to complete the
work.
• Obtain all required permits. CITY will cover the cost of the city permits.
• Process all required notifications (AQMD).
• Perform all work in accordance with all applicable laws and regulations.
• Execute the work in accordance with the safety provisions of all applicable laws and regulations.
• Protect all surrounding property (public and private) from damage during the course of the work.
• Pay for the transportation and disposal of all demolition debris.
• Recycle all metal.
• Pay all valid charges and keep the project free of mechanic's liens.
• Protect all surrounding property (public or private) from damage, and shall (at their own expense) repair
and/or replace property that they damage.
CONTRACTOR IS RESPONSIBLE FOR:
• Knowledge of all conditions and limitations that may affect the work.
• Verifying all measurements and quantities, and locating all utilities.
• Notifying the CITY of any discrepancies and requesting clarification prior to submitting their proposals.
CONTRACTOR MUST SIGN AND DATE THE SPECIFICATIONS AND INCLUDE THEM IN THEIR BID.
BIDS THAT DO NOT CONTAIN THE SIGNED SPECS WILL BE CQNSIDERED NON-RESPONSIVE AND REJECTED.
v
Contractor's Name (Print)
Contractor's Signature
Date
. ~ ,
CITY OF SANTA ANA
COMMUNITY DEVELOPMENT AGENCY
REQUEST FOR PROPOSAL
DEMOLITION OF FOUR KIOSKS AND CANOPY
BIDDER'S STATEMENT
CERTIFICATION
I certify that I have read, understand and agree to the terms and conditions of this Request for Proposal. I have
examined the Project Specifications (Exhibit A) and preformed a physical inspection of the property. I am familiar with
all existing conditions and limitations that may impact the job. I understand and agree that I am responsible for
reporting any errors, omissions or discrepancies to the CITY for clarification prior to the submission of my proposal.
FEE /' ~ uh1
I propose to complete this project for a total amount of ~ ~ `1 ! a ~• ~ ~ dollars.
This amount includes all labor (prevailing wage), material, equipment, transportation, fees, overhead, supervision and
profit.
• ~~~ -
A~+d~~ I ~ '~ !,Sc~
PREVAILING WAGE
I acknowledge that this project is subject to the requirements of the Califomia Labor Code which stipulates that not
less than the prevailing wage rate of per diem wages from each craft or type of worker or mechanic needed to
execute the contract in the locality in which the work is to be preformed, and not less than the general prevailing rate
of per diem wages for holiday and overtime work as determined by the Director of Industrial Relations of the State of
California (DIR) shall be paid to all workers employed • ~5 X35
SCHEDULE
I will comme ~ work within ) ~ calendar days after the contract is signed, and I will substantially complete
the work _ calendar days after the date that the work commences.
`~~'~+M2 ~PYvlo~ i~'i~Vl'1-vIC
COMPLETE LEGAL NAME OF COMPANY
BUSINESS ADDRESS
PRINTED NAME OF AUTHORIZED AGENT (TITLE)
~~xk ~~
SIGNATURE OF AUTH IZ D AGENT
i>If~ ' I~fl ~~~~
FEDERAL IDENTIFICA ION NUMBER
CONTRACTORS LICENSE NUMBER AND CLASSIFICATION
THIS FORM MUST BE COMPLETED AND INCLUDED IN THE BID.
BIDS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NON-RESPONSIVE.
PHONE NUMBER
j -~?1-Its
DATE
r
SCOPE OF WORK
CONTRACTOR SHALL CAREFULLY DEMOLISH AND REMOVE:
• Two metal kiosks (approximately 400 SF each)
• Two metal kiosks (approximately 600 SF each)
• Large metal canopy (approximately 800 SF)
• All square metal posts and glue-lam beams supporting the main canopy and the canopies above the kiosks.
• All other improvements on the site excludin the paving (flatwork).
NOTE:
The metal posts supporting the main canopy and canopies above the kiosks shall be cut-off flush with the floor so
that they do not create a trip hazard. All metal shall be recycled.
The paving shall be preserved and protected from damage during the course of the work.
All electrical to the kiosks shall be removed and properly capped.
CONTRACTOR MUST SIGN AND DATE THE SPECIFICATIONS AND INCLUDE THEM IN THEIR BID.
BIDS THAT DO NOT CONTAIN THE SIGNED SPECS WILL BE CONSIDERED NONRESPONSIVE AND REJECTED.
Contractor's Name
C~ ~~~
Contractor's Signat
~~-O~_ /0
Date
d~~~ CERTIFICATE OF LIABILITY INSURANCE i%26%2 0'
PRODUCER
MCI~URE INSURANCE BROKERAGE
17671 Irvine Blvd. Suite 101 THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER TWE COVERAGE AFFORDED BY THE POLICIES BELOW.
Tustin, CA 92780
(714) 664-8911
INSURERS AFFORDING, COVERAGE
NAIC#
INSURED PRIME DEMOLITION, INC . INSURER A: COLONY INSURANCE COMPANY
P.O. SOX 6452 INSURER B: STATE COMPENSATION INS, FUND
SAN PEDRO, CA 90734 INSURER C: FINANCIAL INDEMNITY COMPANY
INSURER D:
INSURER E:
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7HE POLICIES OF INSURANCE l1STED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINQ
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPHCT TO WHICH THIS CERTIFICATE MAY eE ISSUED OR
THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL 7HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
MAY PERTAIN
,
POlIC1ES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
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POLICY NUMBER POLICY EFFECTIVE
DATE MM10D POLICYEXPIRAT N
DATE MMfDD LKr13TS
GENERAL LIABILITY EACH OCCURRENCE $ 2 OOO OOO
X COMMERCUILGENERALLUIBILITY _
PRE I E3 aoccur n $ 1OO OOO
CLAIMS MADE ~ OCCUR MEDEXP(AnyOnepersarl) $ 1 OOO
A X DED:1,000 GL3446469 03/05/09 O3/O5/1O PERSONAL&ADVINJURY s 2 000 000
X DED : 1 , OOO GENERAL AGGREGATE S 2 OOO OOO
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GEN'LAGOREGATEEIMITAPPLIESPER: PRODUCTS-COMPIOPAGG $ 2 OOO OOO
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AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
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ALLOWNEDAUTOS SODILYINJURY
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C X - HKZEDAUTOS FcFICV3140448 09/25/09 09/25/10 SODILYINJURY
NON-OWNEDAUTOS {Petacddenl} 5
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(Peraoddanl} $
GARAGELIABILffY !S ~~ .. AUTOONLY-FAACCIDENi $
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ANYAUTO ~p~~ v '~ ~~~~ EAACC $
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EXCE93NMBRELLA LIABILITY ~ -~0~(iK EACH OCCURRENCE $
OCCUR ~ CLAIMSNIADE LISA ~
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DEDUCTIBLE $
RETENTION $ $
WORK£RSCOMPENSAT[ONAND X WCSTATU• OT
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OFFICEEVMEMEERIXGLUDEO? W/C 1715763 10/01/09 10/01/10 E.LDISEASE-EA£MPLOYEE S 1 000 000
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E.LDIS£ASE-POLICYLlM1T
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OTHER
DESCRlPTIONOF OPERATIONS l LOCATIONS/ VEHICLES! EXGLUSIONSADDED BYENDORSEMENT /SPECIAL PROVfS10NS
CERTIFICATE HOLDER IS NAMED AS ADDITIONALLY INSURED PER ENDORSEMENT,
City o£ Santa Ana
20 Civia Center Plaza
Santa Ana, CA 92702
ACORD26(2001lOB}
SHOULDANYOF TH£ ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAt~,O DAYS WRITTEN
NOTICE FO THE CERTIFICATE HOEDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
EMPOSE NO OBLIGATION OR IWBIL3TY OF ANY KIND UPON THE INSURER TCS AGENTS OR
RPORATION 1888
POLICY NUMBER:GL3446469
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE AOLICY. PLEASE READ IT CAREFULLY.
ADDlT10NAL INSURED - 01NNERS, LESSEES OR
CONTRACTORS (FORM B}
This endorsemenf modifies insurance provided under the folEowing:
COMMERCIAL GENERAL LEA81LiTY COVERAGE PART
SCHEDULE
Name of Person or Organization;
CITY OF SANTA ANA
20 CIVIC CENTER PLAZA
SANTA ANA, CA 92702
(If no entry appears above information required to complete this endorsement will be shown in the
Declarations as applicable to this endorsement.)
WHO IS AN INSURED (Section il) is amended to include as an insured the person or organizafian shown in the
Schedule, but only with respect to liability arising out of "your work" for that insured by or for you.
PRIMARY INSURANCE: It is agreed that such insurance as is afforded by this policy for the benefit of
the persons or organizations as listed above shall be primary insurance as respects any claim, lass or
liability arising directly or indirectly from the insured's operations, and any ofher Insurance or self-
insurance maintained by such persons or organizations shall be noncontributory with the Insurance
provided hereunder.
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CG 2010 11 85 Copyright, Insurance Services Office, Inc. 1984