HomeMy WebLinkAboutSANTA ANA STATION DISTRICT II HOUSIG PARTNERS, LP -2012FED 2 3 2012 N-2012-017
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FIRST AMENDMEN`T' TO RIGHT OF ENTRY
AND LICENSE AGREEMENT
THIS FIRST AMENDMENT TO RIGHT OF WAY AND LICENSE AGREEMENT
(this "Amendment"), is entered into by and between SANTA ANA STATION DISTRICT II
HOUSING PARTNERS, L.P., a California limited partnership ("Licensee"); and the CITY OF
SANTA ANA and the SANTA ANA HOUSING AUTHORITY (collectively, "Licensor"), and
is made effective as of.February 15, 2012.'
RECITALS:
A. Licensee and the Community Redevelopment. Agency of the City of Santa Ana,
predecessor-in-interest of the Santa Ana Housing Authority, executed that certain Right of Entry
and License Agreement dated as of January 23, 2012 (the "Agreement") relating to entry upon
the Property for the limited environmental assessment purposes set forth in the Agreement.
B. Licensor and Licensee desire to amend and modify the Agreement to provide
Licensee with the right to enter additional property owned by Licensor for the purpose of
conducting soil sampling, as more fully set forth below, subject to the terms and provisions of
'the Agreement-
NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of
which are hereby acknowledged, the parties agree as follows:
1. Recitals. The foregoing Recitals and introductory paragraphs are
incorporated herein as if fully here set forth.
2. Defined Terms. Capitalized tenths used in this Amendment shall have
the meanings given them in the Agreement, unless otherwise indicated.
3. Property Subiect to Entry and Testin Licensor hereby grants to
Licensee -and its employees, agents and contractors the non-exclusive,. non-assignable personal
right and license to enter upon the property described below, which shall, hereafter be deemed to
comprise a part of the Property subject to the Agreement:
4. Permitted Testins. In addition tp the investigations and other activities
Licensee. -is permitted to undertalt?e on the Property pursuant to the terms of the Agreement,
Licensee is hereby granted the ri&ht' to. engage is further environuxental assessment and tes#ng on
the Property, consisting of soil sampling on the Property.
S. RStification. Except as specifrrally set .forth in this Amendment, all
provisions of Lhe Aj?reeruenL:slxall "ba txxurxotlircd auel shall rernairi n.'lull force atitl cffet;t. The '
Agreement as amended by this Amendment is-hereby ratified and. eonfnmed.
6. Cou>ateroarts and Facsimile. This. Amendment may be executed- in
multiple coutnterparts> each of which, when t?lten together shall constitute fully executed
oxiginals.. Si,gxxa:lture and transmission by ?aesirnile tra„at,?igsion shall be deemed effective as if
original signatures on the original docutrients.
.1N WITNESS WHEREQF,.the parties hereto have executed thisAmendment effectiv.'e as
of'the day and year first above written.
LICENSOR:
CITY bF SANT'A ANA, as Successor Agency
for the Community.RedevelQpment Agency
By:
Paul Wsilters, Int- rim City Manager
LICEI`dSEE;
SAl+1TA ANA STATION DISTRICT JI
HOUSINGYAI?TNERS, L.P., a California
limited partnership;
7By:. Santa AAa S`tatioR District 7I :MCrP, LLC,
a California limited liability company,
ZYa YnelnElgilLg ?011C`xx'4Ll pe?l tact
eITY ?? sA1?rTA .?,Nr4 I30usIrrG
A'CT'THOTiITY, a pillslic.liody, corporate
and: poll tic,
BY?_L.L?YIl?t cLl/i?Li GG?
Nancy T. Edwar Interim Executive Director
A'x"I?ST:
Maria D. Eiuizar
By:
APPROVED A6 TO FORM:
City Attorneyhiousing Authority General
Coun(se?l
BY=_?lJ?i
Lisa E. Storck
Assistant City AttomeylGeneral Counsel
By: Affordable Housing Access, Inc., a
California nonprofit pulilie benefit
corporation,
Its.sole tuber axed mans r
B?r•,
Name( Y'Tpliath;?n ?. We15b
Title: President
Related/Santa Ana Station. District II
Development Co., LLC, a California
limited liability Company,
Its admirxxstzative general partner
By:. -
Name; Frank Cardona
'Title: ?Tice,President
-Z-
First i\mendment -Santa Ano? Station District II ROE
4. Permitted Testine. In addition to the investigations and other activities
Licensee is permitted to undertake on the Property pursuant to the terms of the Agreement,
Licensee is hereby granted the right to engage in further environmental assessment and testing on
the .Property, consisting of soil sampling on the Property.
5. Ratification. Except as specifically set forth in this Amendment, all
provisions of the Agreement shall be unmodified. and shall remain in full force and effect. The
Agreement as amended by this Amendment is hereby ratified and confirmed.
G. Counterparts and Facsimile. This Amendment may be executed in
multiple counterparts, each of which, when taken together shall constitute fully executed
originals. Signature and transmission- by facsimile transmission shall be deemed effective as if
original signatures on the original documents.
1N WITNESS WHEREOF,.the parties hereto have executed this Amendment effective as
of the day and year first above written.
LICENSOR:
CITY OF SANTA ANA, as Successor Ageney
for the Community Redevelopment Agency
By: ?- I?/(
Paul Walters, Int rim City Manager
CITY OF SANTA ANA. HOUSING
AUTHORITY, a public body, corporate
and politic,
By:
Nancy T. Edwar ,Interim Executive Director
ATTEST:
Maria D. Huizar
By:
LICENSEE;
SANTA ANA. STATION DISTRICT II
HOUSING PARTNERS, L.P., a California
limited partnership,
By: Santa Ana Station District II MGP, LLC,
a California limited liability company,
Its managing general partner
APPROVED AS TO FORM:
City Attorney/Housing- Authority General
Counsel
By: ?.
Lisa E. Storclc
Assistant City Attorney/General Counsel
By: Affordable Housing Access, Inc., a
California nonprofit public benefit
corporation,
Its sole member and manager
sy:_
Name
Title:
Jonathan B. Webb
President
Related/Santa Ana Station District II
Development Co., LLC, a California
limited liability Company,
Its administrative general partner
By: ?/t.ltiwLc
Name: Frank Cardone
Title: Vice President
-2-
T first Amendment -Santa Ana Station District II ROE
C-R1?
1 1 12-RN-002
RIGHT OF ENTRY AND LICENSE AGREEMENT
This RIGHT OF ENTRY AND LICENSE AGREEMENT ("Agreement") is made and
entered into as of the 10th day of November, 2011 by and between COMMUNITY
REDEVELOPMENT AGENCY OF THE CITY OF SANTA ANA, a public body, corporate
and politic. (hereinafter referred to as the "Agency"), and SANTA ANA STATION DISTRICT
HOUSING PARTNERS, L.P., a California limited partnership (herein referred to as "Licensee"),
with respect to the following:
RECITALS
A. The Agency is the owner of that certain real property located in the City of Santa
Ana, California described as set forth in Exhibit A, and referred to hereinafter as the "Property".
B. The Agency and Santa Ana Station District, LLC, a California limited liability
company ("SASD") entered into a Disposition and Development Agreement dated June 7, 2010 ,
as amended by that certain First Amendment to the Disposition and Development Agreement
dated as of April 18, 201 1 ("DDA") with respect to disposition and development of the Property.
C. SASD assigned all of its rights and obligations under the DDA with respect to
Phase R-1 (as defined in the DDA) to the Licensee and the Licensee has accepted such
assigrmzent pursuant to an Assignment and Assumption Agreement, dated July 2, 201 O.
D. In implementation of the DDA, Licensee desires to enter onto the Property owned
by the Agency in order to undertake certain site work.
E. The Agency wishes to accommodate Licensee's desire to conduct site work on the
Property on anon-exclusive basis by granting a right of entry and license to Licensee upon
certain terms and conditions.
NOW, THEREFORE, for good and valuable consideration, Licensee and Agency do
hereby agree as follows:
1. Right of Entry and License. Provided that all of the terms and conditions of this
Agreement are fully satisfied, the Agency hereby grants to Licensee and its employees, agents and
contractors the nonexclusive, nonassignable, personal right and license to enter upon the Property to
undertake performance of the scope of work set forth in that certain contract between Licensee and
Portrait Homes, Inc./Construction Resource Management, Inc., a joint venture, a copy of which is on
file with the Agency Secretary ("Pre-Closing Work"), and for no other purposes without the prior
written approval of the Executive Director the Agency. This Agreement shall automatically
terminate and expire one hundred twenty (120) days after the date set forth above unless extended in
writing by the Agency's Executive Director (the "Term"). It is expressly understood that this
Agreement does not in any way whatsoever grant or convey any rights of possession, easement or
other cognizable property interest in the Property. Upon termination of this Agreement, any
improvctnents constructed by Licensee on the Property shall be the property of the fee title owner of
the Property.
D O C S OC/ 1523 614x9/200272-0001
2. Agreement. By execution of this Agreement, Licensee agrees for itself and on the
behalf of its employees, agents, consultants and contractors as follows:
a. That Licensee will not permit any dangerous condition or waste to be created
on the Property.
b. All acts and things done by Licensee on the Property will be done in a careful
and reasonable manner, in accordance with all federal, state and local laws. Licensee agrees and
acknowledges that nothing herein is intended, nor shall it be interpreted, as to bind the Agency or the
City of Santa Ana to issue or grant any permits or entitlements needed to perform the work specified
in paragraph 1 of this Agreement.
c. Licensee shall enter the Property entirely at its own cost, risk and expense.
d. Prior to entry onto the Property pursuant to this Agreement, the Licensee shall
secure, and shall require subcontractors, if any, to secure insurance, as described below, from a
company or companies licensed to conduct insurance business in the State of California and rated
AV:1 or better by A.M. Best Company and maintain same until the earlier to occur of expiration of
the Term or Licensee's acquisition of the Property under the DDA.
(1) Notwithstanding any inconsistent statement in the policy or any
subsequent endorsement attached thereto, the protection afforded by these policies shall be written on
an occurrence basis in which the Agency, City, and their respective elected and appointed officials,
officers, employees, agents and representatives (together, "Additional Insureds") are named as
additional insureds on all coverage, except for workers' compensation coverage, and shall:
(a) Name Additional Insureds as additional insureds on a
Commercial General Liability ("CGL") policy;
(b) Provide a combined single limit of broad form commercial
general liability insurance in the amount of Two Million Dollars ($2,000,000) per occurrence, which
will be considered equivalent to the required minimum limits, and such insurance shall (i) be written
on an occurrence form, (ii) be written with a primary policy form with limits of not less than
$1,000,000 per occurrence; (iii) be written with one or more excess layers to bring the total of
primary and excess coverage limits to not less than $2,000,000 per occurrence, (iv) not be written
with a deductible greater than $25,000 per occurrence, (v) contain a waiver of subrogation in favor of
the Agency;
(c) Provide primary automobile liability insurance for owned,
non owned, and hired vehicles, as applicable to, or for any use related to, the Pre-Closing Work, in an
amount not less than One Million Dollars ($1,000,000) combined single limit, with excess insurance
coverage to bring the total amount of automobile liability insurance coverage to an amount not less
than Two Million Dollars ($2,000,000) per accident for bodily injury and property damage;
(2) Licensee shall notify Agency not less than thirty (30) days before any
expiration, cancellation, or non renewal of such policy or policies; and
(3) The Licensee shall furnish certificates of insurance and endorsements
to the Agency prior to entry onto the Property pursuant to this Agreement and shall furnish complete
2
DOC SOC/ 1523 614x9/20 0272-000 1
copies of such policy or policies upon request by the Agency. Licensee shall also file with Agency
the following signed certification:
"I am aware of, and will comply with, Section 3700 of the
Labor Code, requiring every employer to be insured against
liability of Workers' Compensation or to undertake self-
insurance before commencing any of the work."
(4) Licensee shall comply with Sections 3700 and 3800 of the Labor
Code by securing, paying for and maintaining in full force and effect from and after the Closing, and
continuing prior to entry onto the Property pursuant to this Agreement, with the earlier to occur of
expiration of the Term or acquisition of the Property by Licensor under the DDA, complete workers'
compensation insurance, to statutory limits, with employer's liability limits not less than One Million
Dollars ($1,000,000) per occurrence, and shall furnish a Certificate of Insurance to the Agency prior
to entry onto the Property pursuant to this Agreement, before the commencement of construction.
All Additional Insureds shall not be responsible for any claims in law or equity occasioned by the
failure of the Licensee to comply with this Section 2(d). Every workers' compensation insurance
policy shall bear an endorsement or shall have attached a rider providing that, in the event of
expiration or proposed cancellation of such policy for any reason whatsoever, the Agency shall be
notified, giving the Licensee a sufficient time to comply with applicable law, but in no event less
than thirty (30) days before such expiration, cancellation, or reduction in coverage is effective or ten
(1 O) days in the event of nonpayment of premium.
(5) Should any of the required insurance coverage required be written
with an annual aggregate such aggregate shall be disclosed in writing to the Agency.
(6) If Licensee fails or refuses to produce or maintain the insurance
required by this section or fails or refuses to furnish the Agency with required proof that insurance
has been procured and is in force and paid for, the Agency shall have the right, at its election, to
forthwith terminate this Agreement.
e. Licensee shall not permit any mechanics', materialmen's or other liens of any
kind or nature ("Liens") to be filed or enforced against the Property in connection with this
Agreement. Licensee shall indemnify, defend and hold harmless Agency from all liability for any
and all liens, claims and demands, together with costs of defense and reasonable attorneys' fees,
arising from any Liens. Agency reserves the right, at its sole cost and expense, at any time and from
time to time, to post and maintain on the Property, or any portion thereof, or on the improvements on
the Property, any notices of non-responsibility or other notice as may be desirable to protect Agency
against liability. In addition to, and not as a limitation of Agency's other rights and remedies under
this Agreement, should Licensee fail, within thirty (30) days of written request from Agency, either
to discharge any Lien or to bond for any Lien, or to defend, indemnify, and hold harmless Agency
from and against any loss, damage, injury, liability or claim arising out of a Lien, then Agency, at its
option, may elect to pay such Lien, or settle or discharge such Lien and any action or judgment
related thereto and all costs, expenses and attorneys' fees incurred in doing so shall be paid to
Agency; as applicable; by Licensee upon writtemdemand. -
f. Licensee shall not have any interest in the Property or be entitled to any
reimbursement or repayment for any work performed upon the Property pursuant to this Agreement.
DOCSOC/ 1523614x9/20 0272-0 00 1
g. Licensee shall take all necessary precautions to prevent the import and/or
release into the environment of any hazardous materials which are imported to, in, on or under the
Property during this right of entry. If hazardous materials are imported onto the Property as a result
of the surveying and geotechnical soil testing, Licensee shall be solely responsible for removing such
imported hazardous materials in conformance with all governmental requirements. Licensee shall
report to the Agency, as soon as possible after each incident, any unusual or potentially important
incidents with respect to the environmental condition of the Property.
3. Indemnity. Licensee hereby agrees to defend, indemnify and hold the Agency and
the City and their officers, officials, members, employees, agents and representatives, harmless from
and against any and all loss, damage, injury, liability, claim, cost or expense (including, without
limitation, reasonable attorneys' fees, expert witness fees, court costs, and expenses) arising from or
attributable to the activities of Licensee or any of its employees, agents, consultants or contractors
upon the Property pursuant to this Agreement, including without limitation, the Site Condition. All
use of and entry upon the Property shall be at the sole cost, risk and expense of Licensee. Licensee
recognizes and understands that should this Agreement be deemed by the County of Orange to create a
possessory interest subject to property taxation, that Licensee shall be subject to the payment of property
taxes levied on such interest, and that it shall defend, indemnify and hold the Agency and the City and
their respective officers, officials, members, employees, agents and representatives, harmless from
and against any and all such claims.
4. Applicability of Certain DDA Provisions.
a. Prior to entry onto the Properly pursuant to this Agreement, the Licensee, as
"Developer" under the DDA, shall have acknowledged, in writing, the waiver or fulfillment of the
Developer's Conditions Precedent as set forth in subsections (d), (g), (i), (j), (lc), and (1).
b. The following provisions of the DDA shall also be applicable to this
Agreement from and after entry onto the Property pursuant to this Agreement, as though a Closing
occurred with respect to Phase R-1: Sections 206.4, 206.5, 206.6, 206.8, 206.9, 307.1, 309, 371,
311.1, and 312.
5. Miscellaneous.
a. Choice of Law. This Agreement is to be governed by, and construed in
accordance with, the laws of the State of California. Venue shall be in the County of Orange.
b. Remedies. Either party shall, in addition to all other rights provided herein or
as may be provided by law, be entitled to the remedies of specific performance and injunction to
enforce its rights hereunder, except to the extent expressly provided to the contrary in this
Agreement. All rights and remedies under this Agreement are cumulative and no one of them shall
be exclusive of any other, and each party shall have the right to pursue any one or all of such rights
and remedies or any other remedy which may be provided by law, whether or not stated in this
Agreement, except to the extent expressly provided to the contrary in this Agreement.
c. Counterparts. This Agreement may be executed in two (2) or more
counterparts, each of which shall be deemed an original but all of which together shall constitute one
and the same instrument.
4
DOCSOC/1523 614x9/20 0272-000 1
d. Non-Liability of Public Officials. No officer, employee, member, agent or
representative of the Agency shall be personally liable to Licensee, or any successor in interest, in the
event of any default or breach by the Agency, or for any amount which may become due to Licensee
or its successor, or for any breach of any obligation of the texrrls of this Agreement.
e. Effective Date. This Agreement shall become effective on the date of
Agency's execution of this Agreement.
f. Termination of Prior Agreements. Upon its execution, this Agreement
terminates, rescinds, repeals and makes null and void and of no further effect, any prior license or
right of entry between the parties relating to any portion of the Property.
[Signature block begins on following page.J
5
D O C S O C/ 15 23 614v 9/20027 2-0001
IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the
date and year set forth above.
ATTEST:
Mazia D. Huizar, Agency cretazy
APPROVED AS TO FORM:
JOSEPH STRAKA
Agency General Counsel
sy: ?, ?`
Lisa E. Storck
Assistant Counsel
AGENCY:
COMMUNITY REDEVELOPMENT AGENCY
OF THE CITY OF SANTA ANA, a public body,
corporate and politic
Nancy T. E ards
Interim Executive Director
[Signature block continues on next page.]
6
DOC S O C/ 1523 614x9/200272-0001
LICENSEE:
SANTA ANA STATION DISTRICT HOUSING
PARTNERS, L.P., a California limited partnership
By: Santa Ana Station District MGP, LLC,
a California limited liability company,
its managing general partner
By: Affordable Housing Access, Inc.,
a California nonprofit public benefit
corporation,
its sole member and manager
By:
J nathan B. Webb,
resident
By: Related/Santa Ana Station District
Development Co., LLC,
a California limited liability company,
its administrative general partner
By:
[End Signatures)
Frank Cardone, Vice President
DOCS OC/ 1523 614v9/200272-0001
LICENSEE:
SANTA ANA STATION DISTRICT HOUSING
PARTNERS, L.P., a California limited partnership
By: Santa Ana Station District MGP, LLC,
a California limited liability company,
its managing general partner
By: Affordable Housing Access, Inc.,
a California nonprofit public benefit
corporation,
its sole member and manager
By:
Jonathan B. Webb,
President
By: Related/Santa Ana Station District
Development Co., LLC;
a California limited liability company,
its administrative general partner
By. ?i?-a-?-.iL`
Frank Cardone, Vice President
[End Signatures)
7
DOCS OC/ 1523614v9/200272-0001
EXHIBIT A
LEGAL DESCRIPTION OF PHASE R-1
APN: 398-31 1-O 1
398-31 1-02
398-31 1-06
398-311-07
398-311-08
398-311-09
398-31 1-1 O
398-311-11
398-311-12
398-3 1 1-13
398-311-14
398-311-15
398-311-16
398-311-17
398-311-18
398-31 1-19
EXHIBIT A-1
DOC SOC/ 1523 614x9/20 02 72-000 1
RELAT-1
® DATE (M MIDO/YYW)
a?'o?o CERTIFICATE OF LIABILITY INSURANCE 1o/za/20-11
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES N07 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 certlflcata holder is an ADDITIONAL INSURED, the pollcy(ias) must be endorsed. If 3UB ROGATION IS WAIVED, subJact to
the terms and conditions of the policy, certain pDltcles may require en endorsement. A statement on this certificate does not confer rights to the
PRODUCER - - '-jj i."' namryn Vuarrar0
Commercial Liners - (949) 226-6800 PHONE 1, (949) 226-6908 ? ; (949) 226-691 O
Wells Fargo Insurance Services USA, Inc. - CA Llc#: OD08408 EDOaIEas: Kathryn.GUerraro /Dwallsfargo.com
2030 Maln Street, Su1te 200 ? INSURER(SI AFFORDING COVERAGE NAIC S
Irvine, CA 92614-7253 INSURERA: SCOtf6dalB Insurance Company 16560
INSUaso IxsuaER B - American Guarantee and Liability Insurance Com 26247
The Related Companies of CBII(ornla, LLC INSURER D
Santa Ana Station District Housing Partners, L. P. wsuRER D:_
16201 Von KBrmBn Avenue, Sul[e #900 INSURER E
Irvine, OA 92612 - INSURER F
___.__ _ ___ _____.____-...-_??._ _ nn ?nnwn e?...?a.., ur oases. ?.__ ?_, _...
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 MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFO RDEO 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 TypE OF INSURANCE AO POLICY UMBER ODD YYY PO/ I D E%P LIMITS
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A pENERAL LU\BILITY BCSO025921 09/30/11 09/30/12 EACH OCCURRENCE S 1,000.000
X COMMERCIAL GENERAL LIABILITY REMISES E 100.000
CLAIMS-MADE O OCCUR MED EXP An one aROn E O
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GENERAL AGGREGATE $ 2.000.000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPlOP AGG $ 2,000,000
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DESCRIPTION OF OPERATIONS /LOCATIONS (VEHICLES (Attach ACORD 101. AtldlDpnal Remarks Schedule, Ir mare apace Ia requlrad)
Re: Santa Ana Slatlon D(strlcl Housing Partners, L.P.
CartiOce[e Holder, its parent, subsidlarles, affiliates, directors, oRlcars, members, managers, partners, agents, employees, assignees, lenders, tenants, and
any other such entitles as may reasonable ba requested ere Included as Addillonal Insureds and Loss Payees as requlrad by written contract as per
attached endorsement. -
CERTIFICATE KV Li]CK vh.v a.??r_r. u?r,v
Santa Ana Stallon District HDUSIhg Partners, L. P. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
------- -- - --THE --EXPIRATION DATE THEREOF, NOTICE. WILL BE DELIVERED.. W _
ACCORDANCE WITH THE POLICY PROVISIONS.
16201 Von Kerman AVanue, #900
Irvine, CA 92612 AUTHORIZED REPRESENTATIVE ?- J _
The ACORD name and logo are registered marks o! ACORD ®1986-2090 ACORD CORPORATION. All rights raservetl.
ACORD 25 (2B90l05)
COMMERCIAL. GENERAL LIABILITY
CG 20 33 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED -OWNERS, LESSEES OR
CONTR??CTORS -AUTOMATIC STATUS WHEN.
REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU
Thies endorsement modifies Insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A Section 11 -Who is An Insured Is amended to
Include as an additional Insured any person or or-
ganization for whom you era performing operations
when you and such person or organization have
agreed In writing In a contract or agreement chat
such person or organization be added as an addi-
tional Insured on your policy. Such person or or-
ganlzatlon is an addltlonal Insured only with re-
spBCt to Itablllty for "bodily Injury", "property
damage' or "personal and advertising injury"
caused, in whole or In part, by:
?. Your acts or omissions; or
2. The acts or omissions of those acting on your
behalf;
In the performance of your ongoing operations for
the additional insured.
A person's or organization's status as an addltlonal
Insured under this endorsement ands when your
operations for that additlonaf insured are com-
pleted.
CG 20 33 07 O4
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B. With respect to the insurance afforded to these
additional insureds, the fallowing additional exclu-
sions apply:
This Insurance does not apply to:
1. `Bodily injury', "property damage" or "personal
and advertising Injury" ariBing out of the render-
ing of, or the failure to render, any professional
architectural, anginearing or surveying ser-
vice?, Including:
a. The preparing, eppraving, or falling to pre-
para or approve, maps, shop drawings,
opinions, reports, surveys, field orders,
change orders or drawings and speclfica-
tlons; or
b. Supervisory, Inspecilon, architectural or
engineering acilvltiea.
2. "Bodily injury' or "property damage" occurring
after:
a. All work, including materials, parts or
equipment furnished In connacllon with
such work, on the protect (other than ser-
vice, melntenanca or repairs) to be per-
formed by or on behalf of the addltlonal In-
sureds) at the location of the covered
operations has been completed; or
b. That portion of "your work" out of which the
Injury or damage arlaes has been put to Its
Intended uses by any parson or organization
other than another contractor or subcontra?
tar engaged in performing operations for e
principal as a part of the same project.
__
®ISO Properties, Inc., 2004 Page ? of 1 O
OCI AT_1
-? ®
coRO CERTIFICATE OF LIABILITY INSURANCE DATE (M M/CD/YWY)
,D/26/2D„
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, ANDTHE CERTIFICATE HOLDER.
IMPORTANT: It the certificate holder Is an ADDITIONAL INSURED, the policy lea) must be endorsed. 'If SU BROGATtON IS WAIVED, sub)ect to
the terms and condltlons of the policy, certain policies may require en elTdorsamanL A statement on this ceHltfcate does not confer rlghls to the
certificate holder In Ilau of such en dorsament(s -
PRODUCER Hp °T ?Kalhryn Guerrero
Commercial Liners - (949) 225900 PNON w E.B, (949) 225-6909 a (949) 225-69,0
Wells Fargo Insurance Services USA, Inc.-- CA Lic#: OD08408 AooRess: Kathryn.0uarraro@wellsfargo.com
2030 Maln Street, SUIte 200 IN$URER(91 AFFORDING COVERAGE NAIC N
Irvine, CA 926,4-7263 INSURER A: SCOLtBdaIB Insurance Company 1556U
_
INSURED INSUaeR e : American Guarantee and Llabllily Insurance Com 26247
Tha Related Companies of Cal[fornla, LLC INSURER c
Santa Ana $lellon Dislrlcl Housfn9 Partners. L.P. WsuaeR o
78207 Van Korman Avenue, Sul[e #900 INSURERE:
IrvInB, CIA 92.6,2 ? - INSURERF:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
NOTWITHSTANDING ANY REQUIREMENT
INDICATED
,
.
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 SVCH POLICIES_ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
WSR
R TYPE OPINSVRANCE ADOL R POLICY NUMBER MM DD/Y Y O E% LIMITS
GENERAL LIA6ILITY BGSOD2592, 09/
/1, /3O/, 2 EACH OCCURRENCE E 1.000,000
A X COMMERCIAL GENERAL LIABILIT' 30 O9 9 E D S 10D.000
CLAIMS-MADE ? OCCUR MED EXP An one person S _ O
X Oetluclible $70
000 PERSONAL 6 ADV INJURY S 1,000,000
, GENERAL AGGREGATE $ 2,000.000
GEML AGGREGATE LIMK APPLIES PER: PRODUCTS - COMPlOP AGO $ 2,000,0°0
POLICY X PR0. X LOC $
A AUTOMOBILE LIABILITY BGS0025927 09/30/„ 09/30/,2 Ea BI G INCLUDED
ANY AUTO GODLY INJURY (Per person) $
ALL OWNED
U
03 SCHEDULED
AUTOS BODILY INJURY (Per acddenl) S
A
T -OWNED AMAGE
Oec R
Pe $
X HIRED A1/T05 X AUT ?)
r
$
B X UMBRELLA LIPe X OCCUR AUC9,5736903 09/3011, 09/30/,2 EACH OCCVRRENCE $ tO.DD0,000
EXCESS LIAR CLAIMS-MADE AGGREGATE S 10,000.000
D E IONS NIL $
WORKERS COMPENSATION ^ C9TATV- OTH-
AND EMPLOYERS' LIABILITY ?
?.A
ANY PROPRIETORIPARTNER/E%EDUTIVE Q ,
TL?D E.L. EACH ACCIDENT S
(Mmdatory In NH)E%CLUOEOi N/A O
i
?-Q V Y
lz
E.L. DISEASE - EA EMPLOYE
$
YY
DES?gIPT10N OF OPE TIONS be{ow ?
E.L. DISEASE -POLICY LIMIT
$
{ •
\ S
pt<or eY
s a
5 y
DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES (Anacb ACORD 101, Addlllonel Remarks Schedule, If more apace la reRUlrad)
RE: Santa Ana Station Dlstrlcl Housing Partners, L. P. -Property located al Santa Ana Blvd_ between Lecy Slrea[ and Mlntar Street
The Community Redevelopmanl Agency of the Cily of San[a Ana, Clty of Santa Ana, Its respecllva elected and appolnled ofilclals, officers, employees,
agents, and reprasentetives are Included as Additional Insureds as respects General Llabiltly per attached Addlllonal Insured Endorsement.
CERTIFICATE F10LO CK .+/?rva..p?.1-i+r •ai.v
COmmUDI[y Radavelapmen[ Agency of the Clty of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
20 CIVIC Canter P1a28, #M-26 - - - - - - - _ _. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
-ACCORDANCE WITH THE POLICY PROVISIONS: _ -
Santa Ane, CA 9270, '
AUTHORIZED REPRESENTATVE
9???---
The ACORD name end logo ere raglatered marks D(ACORD ®, 988-20,0 ACORD CORPORATION. All rights reserved.
ACORD 25 (20, 0/OS)
Pu.onam,. ,.p.us u.rn..m vamar ese m mrsersonl
COMMERCIAL C3ENERAL LIABILITY
CG 20 33 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED -OWNERS, LESSEES OR
CONTRACTORS -AUTOMATIC STATUS WHEN
REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU
This endorsement mod?fies Insurance provided under the following:
COMMERCIAL GENERAL LIABILITX COVERAC3E PART
A. Section 11 -Who is An Insured Is amended to
include as an eddttional Insured arty person or or-
genizaUon for whom you are performing operations
when you and such person or organlzatlon have
agreed In wrlUng in a contract ar agreement that
such person or organlzatlon be added as an eddl-
tlonal Insured on your policy. Such person or or-
ganization is an eddltlonal insured only with re-
spect to liability /or °bodlly Injury", "property
damage" or "personal and advertising Injury"
caused, in whole or In part, 6y:
i. Vour acts or omissions; or
2. The acts or omissions of those acting on your
behalf;
In the performance of your ongoing oparatlons for
the additional Insured.
A person's or organization's status as an addlflonal
Insured under this endorsement ends when your
oparatlons for that addlflonal Insured ere com-
pleted.
? : ?
9 ?s ?,_,i c(?..
?? ? c?tiy • P
P??\a,?n
B. With respect to the -insurance afforded to these
additional insureds, the following additional exclu-
sions apply:
This Insurance does not apply to:
i. 'Bodily Injury, "property damage" or "personal
and advertising Injury" arising out of the render-
ing of, or the failure to render, any profeaslonal
architecturel, engineering or surveying ser-
vlces; Including:
a. The preparing, approving, or falling to pre-
pare or approve, maps, shop tlrawings,
opinions, reports, surveys, field orders,
change orders or drewings and spec[tica-
Clans; or
b. Supervisory, Inspection, arohitectural or
engineering acUvltles.
2. "Bodily Injury/' or "property damage" occurring
after:
a. All work, Including materials, parts or
equipment famished In connection with
such wo?k, on the protect (other than ser-
vice, maintenance or repairs) to be per-
formed. by or on behalf oT the eddltlonal In-
surad(s) at the IoCatlon of the covered
operations has bean completed; or
b. That portion of "your work" cut of which the
Injury or damage arlees has been put to Its
Intended use by any person or organlzatlon
other than another contractor or subcontrac-
tor engaged in performing oparatlons for a
prlncipet as a part of the same pro)ect.
GG 20 33 07 D4 ? ISO ProperUas, Inc., 2004 Pago i of i D
ACORO„ CERTIFICATE OF LIABILITY INSURANCE ioiza%ZO '
PRODVCEA ?g51) 736-9477 FAX X951) 736-9478
Orion Risk Management Insurance Services , Inc.
Ca. Lic. #OD28764 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
2280 Wardlow Circle, Suite 250
Corona, CA 92880
INSURERS AFFORDING COVERAGE
NAIC#
INSDRED Portrait Homes COnstrVGtion INSURER A: Liberty Surplus
Resource Management INSURER B: SCOttSdal@ Insurance Com.
265 N. Toy Street, Suite 200 INSURER C:
corona, CA 92879 INSURER O:
INSVRER E:
AfiFC
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
TERM OR CONDITION OF ANY CONTRACT OR OTHER DQCVMENT WITH RESPECT TO WHIC
ANY REQUIREMENT H THIS CERTIFICATE MAY BE ISSUED OR
,
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 13 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS E1F SVCH
POLICIES. AGGREGATE LIMITS SHOWN MAY hiAVE BEEN REDVCED BY PAID CLAIMS.
INSR OD' TYPE OF INS VRANCE POLICY NVMBER POLICY EFFECTNE p0 C X IRATION LIMITS
GENERAL LIABILITY DGL-LA-207254-5 10/0 1/2011 10/01/2012 EACH OCCVRRENCE $ 1 0p0 OOO
X COMMERCIAL GENERAL LIABILTfY DAMAGE TO RENTED g SO OOO
CLAIMS MADE ? OCCUR MED EXP (Any one parson) $ eXCI Uded
A PERSONAL a ADV INJURY $ 1 OOO QOO
GENERAL AGGREGATE S 2 , OOO OOO
OEN"L AGGREGATE LIMIT APPLIE$PE
R
: PRODUCTS-COMPlOP AGO $ ? 2 OOO OOO
..GG
,,.
POLICY X jEC LO...p O,000,OOO POLICY AGG.
AVTOMOBILE LWBILITY COMBINED BINDLE LIMIT $
(Ea ecCldent)
ANY AUTO
ALL OWNED AVT03 BODILY INJURY $
SCHEDULED AUTOS (Per parson)
HIRED AVT09 BODILY INJURY
$
NON-OWNED AUTOS (Per eorJdenl)
PROPERTY DAMAGE $
{Per aceldenl)
GARAGE LIABILITY AUTO ONLY-FA ACCIDENT $
ANY AUTO OTHER THAN EA ACC S
AUTO ONLY: AGG 3
EXCE63/UMBRELVI LIABILITY XL50077256 10/O1/2011 10/01/2012 EACH OCCURRENCE $ 5 OOO OOO
X OCCUR ? CIAIMS MADE AGGREGATE $ S OOO OOO
B
?? $
OEDUGTIBLE y?
$ el`Q
$
X RETENTON S 4}
V ?Y $
WC STATU- OTH-
ON AND
S
EMPLOYERS' LWBILI
TY RCK
STS
ey E.L. EACH ACCIDENT S
ANYPROPRIETOR/PARTNER/EXECVTNE ?SA At{or?
FICER/MEMBER EXCLUDEDT
OF L ??{y E.L. DISEASE- EA EMPLOYEE $
ye
6PECIdAL PROVISIONS below ASS('{amt
E_L. DISEASE -POLICY LIMI7
$
Orion does not warrant that
ert does not address coverage may exist for any
overage limitations/
xclusions specific purpose or situation.
DESCRIPTION OF OPERA ONS/L ATONE/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECWLPROVISIO S
ante Ana Statinon D?strict Housing Partners, L. P., its parent, subsidiaries
, affiliates, directors,
fficers, members, managers, partners, agents, employees, assignees, lenders, tenants, and any other
uch entities as may resonably be requested as Additional Insureds per the attached endorsement.
e: SANTA AMA STATION DISTRICT PHASE I
O daysNOC except 10 days for nonpayment.
C C C
_ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE QANCELLED BEFORE THE
Santa Ana Station District- Housing Partners, EXPIRATION DATE THEREOF, THE ISSUING INSVRER WILL ENDEAVOR TO MAIL
L.P. , 1t5 parent, subsidiaries, affiliates... 30 DAYS WRITTEN NOTICE TO THE OERTIFICATE HOLDER NAMED TO THE LEFT,
• ??Full Certificate Holder Name on Next Page
18201 Von Korman AVen Ue - BUT FAILVRE TO MAIL SUCH NOTCE SHALL IMPOSE NO OBLIGATION OR LIABILITY
Suite 9OO OF ANY KIND UPON THE INSVRER. R8 AGENTS OR REPRESENTATNES.
Irvine , CA 92612 AUTHORED REPRESENTATIVE ,?(¢?
Alissa Thomas AAT
ACORD 25 (2009!08) mACORD CORPORATION 1986
Santa Ana Station District Housing Partners,
Certificate issued to Santa Ana Station District Rousing Partners, 10/28/2031
Orion Risk Management Insurance Services Inc.
10/28/2011
Full Certificate Holder Name: Santa Ana Station District Housing Partners, L.P., its parent,
subsidiaries, affiliates, di rectors officers, members, managers, partners, agents, employees, assignees,
lenders, tenants, and any other such entities as may resonably be requested as Additional Insured.
RS T? .?O'A'1vs
?ypQR?V?p
?GK
,?5?sYa??t GitY
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on thts certiRcate does not confer rights to the certificate holder in Ileu of such endorsement(s).
if SUBROGATION IS WAIVED, subject to the terms and contlltlons of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder In Iteu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the Issuing Insurer(s), authorized representative or producer, and the certificate holder, nor does tt
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 26 (200/OtS)
{
I;ibc?^ty.,
Spt.??inslnsNrnnco
('.o) ?orndtat..
rtrna,rr.r Wrn) ,t,nwtannp
Gom>txf.?rGirtxxi t?es><?rax I.?f,abilify
LI73?Ti, t'Y"Y SUB N? T7SIIN3U mrTtANCE?CtARPO yltATxA2+f
BNS>ORS13Ml3NT NO.
Mfeettva DR(a{ W1112011
7lolCay Dlumbecl OOL-tJa207254-8
Yssucd Tot VDATIUAI,r }it>NI13, , INC.
pf.EASR RTrR7D CAYI'BTtUI-L'S'.
TI#I$ 13NDOR873ML+'NT G7.FA2?IQ139 TkM POI,YAy. IT
A.DT)it1'YON SCx U? D P7tTVNRl O,R F V-VS pN RACTORS
amended to to ))aLlllty forl?'IxxluY InJuq"r.,d"Pcopctq• d t4maRd' °t"Par otMi ant \vn
;;C131sAUI.E
1Vn,no of Yorsoa or Ocgelstaations
per/. .ls royuCtrd by \vrltten rnnt rant signed by both pardra prlnr to soy "n<currencr" In wlileh cuveraRa Is suoyhrondcr tb a
c? pL11C)•.
T-.o aadoa and Acsodptlon of COmptetcd Op eratlonas -
(>n llle with tha t:nmpany
S. lwdt snspace to the lasuranco aCfonlnl to theao nddldnnxl lntoreds, the 0111n\ving Rdtllllonal tsciustnns a 1
Addittonsl Pteminrnt
Included
(If ngontry appearx abnvo, infnrmxdoo ro4ulr2d to c°mpWtn tlds rndnravmpnt will ba shown in the Dedaradnns as .
appllwbte ut Ib1x anelo>:sement.) )
?• In thao5chedade 1 utao?•7v)N, sespi ct
RdvardslnR In?uc?• caoxeJ, !n whnlo nc Jn pact by,
1. Yaacncts ac ornisslons; or
Your I>olsxif)
2. Tha acts nr ornisslons nt those act(njt on
• In d,a perFocmanoa ofyovr tmgolnR opetndona fvr the nddtdotnl tnsoted(s) at tha )ocadon(s) designated
ahova pP Y'
•Fids i»suranca does not sPptY to "Ludfly Inca ty"°r "I+mpotry• damage" ocNrrlnR afterr
col. isbs 0108 ILA ?r-C)
RppRO
`i 'S.? OF(CK
LISA `• Ctty Pttor?ey
psis{amt
c
1Liberty,
Sim ?lnalnaurnt?,ca
y.? Crn??oratton-,
LiOIYtY.lt1 @7CC?$1 ?'0716Y$1 ??+F?1•????7 at,?nnrr???v,.nr auann ..i.n?n
I (atlter than setvleo m int?enanee or rq+aUs? tonbe 7>e<Cormed by or on behalf of tl v additlonel inaa er?l( }tae
the lrxadnn cC Ota covered vpecntiohe has been eempleterli ur
2. That pmQnn ef'ynVrworl:"out ofwhleif ti+n In}uip er dnmage ndses has been put to ha (ntvnded pse by
Any petsnn oc orl•s+nizotlon uthvr than onncher contractor Or subv)ntractnr an}yged in porfornBnR
upnratlnm fnr A nriocipal AA A fart of i1+4 same l++njcct.
?'??? Y'J(? g'C OPT or,ney
t/?\S t G\'c`J
PSS`Star
f:43. 3338 OIOB
CERTHOLDER COPY
P.O. BOX 42087, SAN FRANCISCO,CA 94742-0807
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE: 10-31-2071 GROUP: 000719
POLICY NVMBER: 0000320-2010
CERTIFICATE ID: 23B
CERTIFICATE EXPIRES: D3-19-2012
03-19-2011/03-79-2012
SANTA ANA STATION DISTRICT HOUSING SK JOB:SANTA ANA STATION DISTRICT. PHASE I
PARTNERS L. P.
79207 VON KARMAN AVE STE 900
IRVINE CA 92812-1097
This Is to certify that we have Issued a valid Workers' Compensation Insuranoe? policy In a form approved by the
California Insurance ?Commissfoner to the employer named below for the policy period Indicated.
This policy Is not sub]ect to cancella[lon by the Fund except upon 30 days advance written notice to the employer.
We will also give you 30 days advance notloe should thts polloy be cancelled prior tc Its normal expiration.
This certificate of Insurance Is not an insurance policy and does not emend, extend or alter the coverage afforded
by the policy Ifs[ed herein. Notwithstanding any requirement, term or condition of any contract or other document
w)th respect [o which this eertif lcate of Insurance may ba Issued or to which it may pertain, the Insurenoa
afforded by the policy described herein Is sub]ect to ell the terms,?/??/?x?clusion?sr, and conditions; -of such policy.
t ? `eYHt+a C
Authorized Representa[IVS President and CEO
EMPLOYERrS?LIABILZTY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE.
ENDORSEMENT #2066 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 03-19-2009 IS
ATTACHED TO AND FORMS A PART OP THIS POLICY.
???
EnnPl_oY£R LISA E. STORCK
Assistant City Attorney
_.
PORTRAIT HOMES,INC SK
2B6 N JOY ST STE 200
CORONA CA 92979
IB1 £,SK]
PRINTED 10-37-2071
SK
IRE V,6. 2010)
ACORD„ CERTIFICATE OF LIABILITY INSURANCE ioizizoii
PRODUCER (g51) 736-9477 FAX (951) 736-9478 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Orion Risk Management Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Ca. Lic. ?JOD28764 ? ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
2280 Wardlow Circle, Suite 250
Corona, CA 92880 INSURERS AFFORDING COVERAGE NAIC #
INSURED Portra t Homes Construct on [NSURERA Liberty Surplus
Resource Management INSDRER E: Scottsdale Insurance Com.
265 N. ]oy Street, Suite 200 INSURER C:
Corona, CA 92879 INSURER O:
INSURER E:
L [i .i
LICIES OP INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
THE
PO
TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TH15 CERTIFICATE MAY BE ISSUED OR
ANY REgUIREMENT
,
MAY PERTAIN. THE INSURANCE 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.
I SR DO• TYPE OF INSURANCE POLICY NV MBER POLICY FFECTNE P Y XPI ON LIMIT9
GENERAL LlAE1LITY DGL-LA-207254-5 1O/Ol/2011 10/01/2012 EACH OCCURRENCE S ], OOO OOO
X COMMERCIAL GENERAL LUU3ILITY _ DAMAGE TO RENTED $ SO OOO
CLAIMS MADE ? OCCUR MED EXP (Any one parson) S eXCl uded
A PERSONAL&ADV INJURY S I OOO OOO
GENERAL AGGREGATE $ 2 OOO OOO
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPlOP A00 5 2 , OOO OOO
POLICY X JEC LO(.? O , GOO, OOO POLICY AGG.
AUT OMOBILE LIABILITY COMBINED SINGLE LIM17 S
- ANY AUTO (Ea accidanq
ALL OWNED AUTOS BODILY INJURY $
(Per parson)
SCHEDULED AVT09
HIRED AUTOS SODILY INJURY
$
(Per acGdenl)
NON-OWNED AUTOS
- PROPERTY DAMAGE $
(Par s WdanV
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
'ANY AUTO OTHERTHAN EA ACC S
AUTO ONLY: AGG S
EXCESSNMBRELLA LV\DILITY XLS0077256 lO/Ol/2011 10/01/2012 EACH OCCV RRENCE S $ OOO OOO
X OCCUR Q CLAIMS MADE AGGREGATE 9 $ , OOO OOO
B
EO $
DEDUCTIBLE q ?+
'? ?? $
X RETENTION S g
Fr•O??Y ? $
? WC STAT V- OTH-
WORKERS COMPENSATION AND - -
_ . ?j
<
EMPLOYERS' LU\SILITY - ?
? _
.
C `A
???? E.L EACH ACCIDENT S
ANY PROPRIETOFi/PARTNER/EX£CUTNE
OFFICERRviEMSER EXCLUDED] ,??"
L' _ _`
? i ";4 E.L. DISEASE-EA EMPLOYEE S
Uyes-desaYbe urWer
SPECIAL PROVISIONS below $LSta?L E"L DISEASE-POLICY LIMIT S
Orion does not warrant that
ert does not address coverage may exist for any
overage limitations/ specific purpose or situation.
xclusions
DESCRIPTION OF OPERATONS /LOCATIONS / VEMCLES /EXCLUSIONS ADDED 6Y ENDORSEMENT! 6PECWL PROVISION9
obsite: Santa Ana Station District, 600 N. Lacy Street, Santa Ana, CA.
ertificate holder is listed as additional insured per the attached endorsement.
O days NOC except 10 days for nonpayment.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
The Related Companies of California 3O GAYS WRITTEN NOTICE 70 THE CERTIFICATE HOLDER NAMED TO THE LEFT,
18201 VOn Kerman AVenue BUT FAILURE TO MAIL SVCR NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILIrY
Suite 9OO OF ANY RING UPON THE INSDRER, ITS AGENTS OR REPRESENTATIVES.
Irvine, CA 92612 AUTHORIZED REPRESENTATIVE ?..?ea ??
Alissa Thomas AAT
ACORD 26 (2007!08) Ie?ACOH;u c: L?nrvnly I Ivry -.aoo
IMPORTANT
It the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2001/08)
ldb e?^ty,.
Stu• ?1nylnetirnnao
Crn•??ot•adt?tr •.
Gomxm.?zcxiaY Gexie?al I.r1?ab?Yiiy
'LII3EXt'TY S•C7Rpz•,LjS II?SSURANC? CORxiORA,TXAX'J
(A Atnv m.mwW-Stork Inwwnca ebmpan7,t¢re[nafitt tho'CanY•xaY`l
BNDORST?MBNT NO.
Sifcollv0 Datot _ _ 1 0 7112 01 1
-000oy Nombert E)OL-LA-207264-6
lacuad'TOt PORTRAY!' HOWIM8, INC,
THIS J3NDOR9Rlv78•NT CH/t 7.TOBS TH6 P07,TCY. 1'T-?A9F.Rt`AD iT CARAAUT.L'Y.
ADII)MONALIKSURIX
ALIT; U U P7tRSON OTC p OAfilIZAT QNTRAC•FORS
Name, of porson oc Orgatdawtlon+
A. reyufSaQ vy •vrhten ennlrnet $igned by both parllra runt to any "n<eavrcnce" in tvWch cove rags (a sought matter
SCH13DU7.6
th
Policy.
T-.oowtloa and PaccJptlon of Cotnpleled Operatloncl
<ht lilt whh tho cnmilanY•
Addlilona} Ptamfitttt%
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L\?A F'G?t?l Attorc?eY
. Ass\sta?t
CERTHOLDER COPY
P.O. BOX 420807, SAN FRANCISCO,CA 94 1 42-0 80 7
CERTIFICATE OP WORKERS' COMPENSATION INSURANCE
ISSUE DATE: 10-28-2011 GROUP: 000718
_ POLICY NUMBER: 0000320-2010
CERTIFICATE ID: 240
- CERTIFICATE EXPIRES: 03-19-2012
03-19-2011103-19-2072
THE RELATED COMPANIES OF-CALIFORNIA SK JOB: SANTA ANA STATION DISTRICT
BOO N. LACY STREET
19201 VON KARMAN AVE STE 900. SANTA ANA
IRVINE CA 82612-1087 CA
This is to certify that we have Issued a valid Workers' Compensation Insurance policy In a form approved by the
California Insurance Commissioner !o the employer named below for the polloy period Indicated.
This policy Is net subject to cancalletlon by the Fund except upon 30 days advance written notice to the employer.
We will also give you 30 days advance notice should th(s policy be cancelled prior to Its normal explrat}on.
This oertlfice[e of Insurance Is not an insurance policy and does not amend, extend or alter the novefaga afforded
by the pOllcy listed herein. Notwithstanding any. requlrernant, term or condition of any oontraot or other document
with respect to which this certif loate of Insurance may be Issued or to which it may pertain, the Insuranoe
afforded by the policy described herein 1s subJect to all the terms,c/?afix?clu?s_lons, aOnd conditions, of such policy.
Authorized Repres antative President and CEO
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $7,000,000 PER OCCURRENCE.
ENDORSEMENT N20B5 ENTITLED CERTIFICATE HOLDERS NOTICE EPFECTIVE 03-19-2009 IS
ATTACHED TO AND FORMS A PART OF THIS POLICY.
EMPLOYER
PORTRAIT HOMES,INC
265 N JOY ST STE 200
CORONA CA 92979
APPROVED AS TO FORM
LISA E. STORGK
;Assistant Clty Attorney
SK
SK
[B1 E,SK]
taev,a-zo tol PRINTED : 10-28-2011
ACORO CERTIFICATE OF LIABILITY INSURANCE ioizsjzoil
PRODVCER ?951? 736-9477 FAX (951 736-9478
Orion Risk Management Insurance Services, Inc.
Ca. Li c. #0028764 THIS CERTIFICATE IS ISSUED A3 A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
2280 Wardlow Circle, Suite 250
Corona, CA 92880
INSURERS AFFORDING COVERAGE
NAIL #
INSURED portra t Homes Construction - ?INSURERA Liberty Surplus
Resource Management INSURER B. Scottsdale Insurance Com.
265 N. Joy Street, Suite 200 INSURER C:
Corona, CA 92879 INSURER D:
INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W]TH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
ANY REQUIREMENT
,
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUS(ON3 AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR DD' TYPE OF INSVRANCE POLICY NUMBER POLICYE FEOTNE POL OV E%P Tf N LIM17S
GENERAL LIABILITY OGL-LA-207254-5 IO/Ol/2011 10/01/2012 EACH OCCURRENCE s 1, pp0 000
X COMMERCIAL GENERAL L WBILITY DAMAGE TO RENTED $ SO, OOO
CLAIMS MADE ? OCCUR MED EXP (Any one person) $ excl Uded
A PERSONAL &ADV INJVRY $ 1 OOO OOO
GENERAL AGGREGATE $ 2 OOO OOO
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2 OOO OOO
POLICY X jEC LOC$ O,000,OOO POLICY AGG.
AUT OMOBILE LIABILITY - COMB WED SINGLE LIMIT
S
ANY AUTO (Ea acGtlant)
ALL OWNED AUTOS BODILY INJURY
?
SCHEDULED AUTOS (Pet person)
HIRED AUTOS
BODILY INJURY
$
NON-OWNED AUTOS (Per eceldent)
PROPERTY DAMAGE $
(Par eWdent)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTD OTHER THAN EA ACC S
AUTO ONLY: AGG $
EXCE83/UMBRELLA LIABILITY XLSOO772 $6 lO/Ol/2011 10/01/2012 EACH OCCURRENCE S S OOO OOO
X OCCUR Q CIAlM3 MADE AGGREGATE S $ OOO OOO
B $
DEDUCTIBLE $
X RETENTION $ $
WORKERS COMPENSATON ANO ?C ?
V WC STATU- OTH-
EMPLOYER3' LIABILITY ?
ANY PROPR
X .?T ?+
y L
p
~? E.L EACH ACCIOENi $
IETOR/PARTNER/E
ECVTNE
OFFICER/MEMBER EXCLUOE07 .yi
JCf+ r ??? E.L. DISEASE - EA EMPLOYEE S
If yea, tleacr)ba urWer
SPECIAL PROVISIONS below ??,r{
?a`^
R
E.L. DISEASE -POLICY LIMIT
$
OTHER ?? ?
n
? ?
.,t?v(
' Orion dOeS not warrant that
ert does not address y
?
;ti
G
t ?
overage limitations/ Assist ,
,
n coverage may exist for any
xclusions specific urpose or situation.
DESCRIPTION OF OPE TSONS[ L ATIONS /VEHICLES /EXCLUSIONS ADDED BY NDORSEMEHT/ SPECI L PROV1910N3
?
?
'?
?
ts successors & assigns ATIMA
opment Corp
ells Fargo A
toraa
a Housing Community Deve
re named as additional insured per the attached endorsement.
e; SANTA ANA STATION DISTRICT PHASE 2
O days NOC except 10 days for nonpayment.
SHOVED ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
i Wells Fargo Affordable HOUSI ng Community E%PIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
Development Corp its successors&assi gns ATIMA $O DAYS WRIT7EN NOTIGE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Attn:Director of Tax Credit Asset Mgrnt
301 S . Col 7 ege Street BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLJGATION OR LIABILITY
MAC 0 30 5 3-170 OF ANY KIND VPON THE INSURER, ITB AGENTS OR REPRESENTATIVES.
Charlotte, NC 28288-0713 AUTHORIZED REPRESENTATNE
Alissa Thomas AAT
ACORO 25 (2001/00) ®ACORD CORPORATION '1988
Santa Ana Station District Housing Partners, L. P.
18201 Von Karman Avenue, Suite 900
Irvine, California 92612
(949) 660-7272 Fax (949) 660-7273
November 4, 2011
Agency Executive Director
Community Redevelopment Agency of the
City of Santa Ana
ZO Civic Center Plaza, M-25
Santa Ana, CA 92701
RE: STATION DISTRICT PHASE I -RIGHT OF ENTRY Sc LICENSE AGREEMENT
To Agency Executive Director:
Pursuant to Section 2(d)(2) of the RIGHT OF ENTRY AND LICENSE AGREEMENT entered
into by and between COMMUNITY REDEVELOPMENT AGENCY OF THE CITY OF SANTA
ANA and SANTA ANA STATION DISTRICT HOUSING PARTNERS, L. P., a California
limited partnership ("Licensee"), Licensee certifies:
"I am aware of, and will comply with, Section 3700 of the Labor Code, requiring every
employer to be insured against liability of Workers' Compensation or to undertake self-
insurance before commencing any work."
AM TL
Very truly yours,
Santa Ana Station District Housing Partners, L. P.
William A. Witte
General Partner ,?? Ag S
?' - L\SA E-'C\ty Attorr?e?J
pssistart