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Home My WebLink AboutPACIFIC COAST SHUTTLES DBA FUTURA BUS NET, INC. (6) tNSURANCF UN FiLF ~►vOWMAY PROCEE�P, A-2023-179-02 . 2P7_ -- - DA-F. Or Cyr 20�5 CrrY MANAGER Valerie Amezeua + Alvaro NuAez MAYOR PRO TEM _, r+a� CM ATTORNEY Begarnln Vazquez Sonia R Carvalho COLINCILMEMBERS I ' C(TY CLERK Phil Sacerra a Jennrfer L Hall Johnathan Ryon Hemandez Jessie Lopez David Ponaloza Thai Viet Phan CITY OF SANTA ANA d'•pw 1q(2) Naciiot OtozCO (D7,) PUBUC WORKS AGENCY 24 Civic Center Plaza+P O Box 1988 Santa Ana,California 92702 mrw.santa int14IQ May N, 2025 Pacific Coast Shuttles dba FuturaNet Attn: Eric Lopez 4425 E. Olympic Blvd. Los Angeles,CA 90023 Re; Second Extension of Lease Agreement No.A-2023-179 Pursuant to Section 5 ("Term") of the above-referenced Lease Agreement, entered into by Pacific Coast Shuttles, LLC, a California limited liability company dba Futura Bus Net, Inc., a California Corporation and the City of Santa Ana,dated October 17,2023,the time period of the Lease Agreement is hereby further extended for an additional one-year period,through April 30,2026. Any insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Lease Agreement remain unchanged and in full tbrce and effect. 821 as, P.E. Acting Executive Director, Public Works Agency CITY 5ANT AT - A aro Nunez j Len cCity Manager APPROVED AS TO FORM PACIFIC COAST SHUTTLES, LLC. Sonia R. Carvalho DBA FUTURA BUS NET,INC City Attorney r�2r Kyle Nellesen Eric Lopez Assis}ant City Attorney Operations M ger SANTA ANA CITY COUNCIL viY Amonaa vgzqLw ThY V*t PRw j"""" Ptr a� Jdndtn RM H wool ow"rw_%� MaW raa'm Pro Tr Wrd 2 Ward 1 vvt.d 3 W Wd 4 ve d 5 wab 6 r i R� DATE CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOZES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policles may require an endorsement. A statement on this Certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTANAME; YENY CANALES AUTO INTERNATIONAL INSURANCE COMPANY PHON1xt)�CCANALES uI ,SEGLIRF NIT Fax No): _ 946 S,ATLANTIC BLVD,LOS ANGELES CA 90022 E-MAIL ADDRESS: _ INSURER 9 AFFORDING COVERAGE mm� NAM# INSURER A: NEXT INSURANCE US COMPANY _ 16285 INSURED _ - -~ INSURER B PACIFIC COAST SHUTTLE LLC INsuRSRc: 1000 E SANTA ANA BLVD,STE#105 INSURER D: �--- -- - — SANTA ANA CA 92701 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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 DESCR16ED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE D L SU8R POLICY NUMEI_R POLICY EYY MMIO�� LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $2,000,000,00 DAMAGE RENTED X COMMERCIAL GENERAL LIABILITY PREMISESEa Occurence $ 100,000.00 CLAIMS-MADE OCCUR LIED EXP(Any one person) $ 5,000.00 A _ NXT3V7VHD4-00-GL 10/01/2025 10/01/2026 PERSONAL&ADV INJURY $2,000,000,00 GBNERALAGGREGATE_ $4,000,000,00 GENT AGGREGATE LIMIT APPLIES PER; PRODUCTS,COMPIOPAGO $4 D ()000.00 POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANYAUTO BODILY INJURY(Par parson) $ ALLOWNEO SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $WON-OW _ _ HIRED AUTOS AUTO$ Nk:D pea c d nIDAMAGE $ -- UMBRELLA L1AB OCCUR F 1 �r EACH OCCURRENCE $ --- - EXCESS LIAB CLAIMS-MADEAGGREGATE $ - DED RETENTIONS --------- .$ - ¢!!WORKERS COMPENSATION 7WOC SL'TUS ;OTH f AND EMPLOYERS'LIABILITY Y N IIII ANY PROPRIETORMARTNER&XF.CUTIVE E.L.EACH ACCIDENT $ IOFFICF.IMEMBEREXCLUDED? NIAI - - (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ i If yes,deaMbe under $ I&SCRIFflON OF OPQWIQNS below E.L.DISEASE-POLICY LIMIT i I I DESCRIPTION OF OPERATIONS/LOCATIONS IVEHICLES (Attach ACORD 101,A(Idlltonat Romarks Schedule,If more space is required) COVERAGE: APPROVED ENDORSEMENT WAIVER OF SUBROGATION FORM Sy Tu Tran Nguyen at 3.36 pm,Nov 13,2025-. INCLUDED ADDITIONAL INSURED ENDORSEMENT. Tu TranIuIranNg ye°Y Nguyen°5':3 o250-8lbo3 CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA,ITS CITY COUNCIL,OFFIERS, SHOULD ANY OF THE ABOVE DE5CRISE0 POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN OFFICIALS,EMPLOYEES,AGENTS,AND VOLUNTEERS ACCORDANCE WITH THE POLICY PROVISIONS. PWAFACILITIES-SARTO AUT RfzED REPRESENTATIVE 1000 E SANTA ANA BLVD,SANTA ANA CA 92701 fdJ }'YENY CANALES-AGENT-AUTO INTERNATIONAL vF O 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 07/11/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT pAUL LIM Discovery Pro Insurance Agency NAME: FAX PHONE 505 Shatto PI Ste 201 Ne Ext: (213)252-3111 AIc No):(213)252-2059 Los Angeles,CA 90020 aonat�ss: INBOX@discoveryins.com Phone:(213)252-3111 Fax:(213)252-2059 INSURERS AFFORDING COVERAGE NAIC# INSURER A: NATIONAL LIABIITY&FIRE INS INSURED INSURER B: TEXAS INSURANCE CO PACIFIC COAST SHUTTLES LLC INSURER C: DBA:FUTURA NET INSURER D 9633 SAN MIGUEL AVE South Gate CA 90280- INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER- THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSID WVDI POLICY NUMBER MMIDDIYYYY)_(MMffiDrYYYYJ LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISES Ea occurrance $ ❑ MACE TO RENTED MED EXP(Any one person) $ PERSONAL&ADV INJURY $ - GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JEtT LOC PRODUCTS-COMPIOPAGG $ OTHER: $ A AUTOMOBILE LIABILITY X BRPCLLTCAO11300_081 11/16/2024 1V1612025 EO BINED SINGLE LIMIT $ 1,500,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA DAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERSAND EMPLOYETION RS' YIN A9WC603763 05/26/2025 05/26/2026 X PER ER" AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNEMEXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBEREXCLUDED? Y� NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If describe undLr DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) AUTO POLICY NO BRPCLLTCA011300_081188_02 ADDITIONAL INSURED: City of Santa Ana ATTN:PWA Facilities-SARTC 1000 E Santa Ana Blvd. Santa Ana,CA 92701 a�PPROVFD 6y Tu rran Nguyen at 3:37 pm,Nov 13,2025 CERTIFICATE HOLDER CANCELLATION City of Santa Ana ATTN:PWA Facilities-SARTC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1000 E Santa Ana Blvd. ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER:NXT3V7VHD4-00-GL COMMERCIAL GENERAL LIABILITY CG24041219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PROD UCTSICOM PLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): Any person or organization against whom you have agreed to waive such right of recovery in a written contract or agreement Information required to complete this Schedule, if not shown above,will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 0412 19 0 Insurance Services Office, Inc., 2018 Page 1 of 1 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. SECTION II -WHO IS AN INSURED is amended to include the following as insureds: 1. Lessor of Leased Equipment Any person or organization from whom you lease equipment when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an insured only with respect to their liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person or organization, No such person or organization is an insured under this section: a. Upon expiration or termination of their contract or agreement with you for such leased equipment ends; b. For any"bodily injury'or"property damage"caused by an"occurrence"which takes place after expiration or termination of their contract or agreement with you; or c. For any "personal and advertising injury" caused by an 'offense" which takes place after expiration or termination of their contract or agreement with you. 2. Managers or Lessors of Premises Any person or organization from whom you lease premises when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an insured only with respect to liability arising out of your ownership, maintenance or use of that part of the premises leased to you. No such person or organization is an insured under this section for any: a. For"bodily injury"or"property damage"caused by an "occurrence"which takes place after you cease to be a tenant in that premises. b. Structural alterations, new construction or demolition operations performed by or on behalf of such person ororganization. 3. Grantor of Franchise Any person or organization (referred to below as grantor of a franchise)with whom you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy,but only with respectto"bodily injury" or"property damage"arising out of"liability as grantor of a franchise to you B. With respect to the insurance afforded to these additional insureds, the following is added to SECTION III LIMITS OF INSURANCE: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations;whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. NXUS-GL-2037.1-0218 Includes material copyrighted by Insurance Services Office, Inc,used with its Page 1 of 2 permission COMMERCIAL GENERAL LIABILITY C. With respect to the provisions of this endorsement, the following is added to SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, paragraph 4.Other Insurance: Regardless of whether other insurance is available to an additional insured on a primary basis, this insurance will be primary and noncontributory if a written contract between you and the additional insured specifically requires that this insurance be primary. All other terms and conditions of the policy remain unchanged. NXUS-GL-2037.1-0218 Includes material copyrighted by Insurance Services Office, Inc. used with its Page 2 of 2 permission WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed.4.84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 1.03 _% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description Blanket Waiver-Any person or organization for whom the All CA Operations Named Insured has agreed by written contract to ftunish this waiver. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below Is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 05/26/2025 Policy No. A9WC603763 Endorsement No. 1 Insured Insurance Company National Liability&Fire Insurance Company Pacific Coast Shuttles LLC Countersigned By @1998 by the Workers'Compensation Insurance Rating Bureau of California.All rights reserved. TEXAS INSURANCE COMPANY insured Name :Pacific Coast Shuttles LLC(lotus Net) Effective Date :.11/16/2024 .Policy Period : 1111.6/2024-11/16/2025 Policy Number :BRPCLLTCA011300 081188 02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement the provisions of the Coverage Forth apply unless modified by the endorsement. This endorsement identifies person(s)or organization(s)who are added as"insureds"under the Who Is An Insured provision of the Coverage Form.This endorsement does not alter coverage provided in the Coverage Form.Unless otherwise specified below this endorsement is effective from the inception date of the Coverage. Endorsement Effective: 08/21/2025 SCHEDULE Name of Person(s)or Organization(s): City of Santa Ana, its City Council officers, officials,employees,agents, and volunteers SARTC 100 E. SANTA ANA BLVD. SANTA ANA,CA 92701 Each person or organization indicated above is an"insured"for Liability Coverage on a primary basis,but only in respect to the Named Insured's operations. The inclusion of any additional person(s)or organization(s)shall not operate to increase the limits of the Company's liability. Jeffrey A. Silver (Authorized Representative) Date:09/22/2025 11/2023 RPCAACO23_1 Page 1 of 1 TEXAS INSURANCE COMPANY Insured Name :Pacific Coast Shuttles LLC(Futura Net) Effective Date :08/21./2025 Policy Period : .11/1.6/2024-11116/2025 Policy Number :BRPCLLTCA01 130008118802 THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement,the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Pacific Coast Shuttles LLC(Futura Net) Endorsement Effective Date: 08/21/2025 SCHEDULE Name(s) Of Person(s)Or Organization(s): CITY OF SANTA ANA, it's City Council officers, officials,employees,agents,and volunteers ATTN:PWA Facilities-SARTC 100 E. SANTA ANA BLVD. SANTA ANA, CA 92701 Information required to complete this Schedule if not shown above,will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s)or organization(s)shown in the Schedule,but only to the extent that subrogation is waived prior to the "accident"or the"loss" under a contract with that person or organization. Jeffrey A. Silver (Authorized Representative) Date: 08/23/2025 11/2023 RPCAAC018_1 Page 1 of 1