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Home My WebLink AboutSOLOMON, STEPHEN HOWARD 5A - 2013Vincent F. Sarmiento f l ®f CA Ill A A A I A PLANNING & BUILDING AGENCY 20 Civic Center Plaza P.O. Box 1988 • Santa Ana, California 92702 www.santa-ana.org/pba February 3, 2014 Steven H. Solomon 17853 Santiago, #107 -188 Villa Park, CA 92861 RE: Extension of Standard Consultant Agreement Dear Mr. Solomon: N- 2013 - 026 -001 CITY MANAGER David Cavazos CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Hull Pursuant to the Consultant Agreement you entered with the City of Santa Ana on April 1, 2013, Section 3 - "Term ", the time period of the agreement is hereby extended from December 31, 2013, until December 31, 2014. The insurance certificates and Additional Insured Endorsement are required to be extended and /or renewed to cover this extension. All other terms and conditions of the original agreement remain unchanged and in full force and effect. If you have any questions in this regard, please feel free to contact my office. fX.C.P,cr Karen Haluza Interim Executive Director Planning and Building Agency Edwin "William" Galvez, P.E. Interim Executive Director Public Works Agency Steven H. Solomon Hearing Officer SANTA ANA CITY COUNCIL Miguel A. Pulido Sal Tlnalero Vincent F. Sarmiento Mlchele Martinez Angelica Amezcua P. Cal Benavides Roman Rayne Mayor Mayor Pro Tom, Ward 6 Ward 1 Ward 2 Ward 3 Ward 4 Ward 5 MPulidoOlsenla-ana om STinaieroft.anta- ana.ora VSarm1ento9Dsama- ana.aro MMarlinearasantaana. ore AAma=ua(%aanta -ana ore 313enavldea2deenta- aneorn RRevna/@eanta- ana.oro INSURANCE ON FILE WORK MAY PROCEED UNTIL. INSURANCE EXPIRES MAYOR eo-/-/-( Miguel A. Pulido MAYOR PRO TEM CLERK OF COUNCIL Sal Tinajero DATE: COUNCILMEMBERS. T A paw,R 4 2014 Angelica Amezcua P. David Benavides Pbh ( I) Michele Martinez : Roman Rayne Vincent F. Sarmiento f l ®f CA Ill A A A I A PLANNING & BUILDING AGENCY 20 Civic Center Plaza P.O. Box 1988 • Santa Ana, California 92702 www.santa-ana.org/pba February 3, 2014 Steven H. Solomon 17853 Santiago, #107 -188 Villa Park, CA 92861 RE: Extension of Standard Consultant Agreement Dear Mr. Solomon: N- 2013 - 026 -001 CITY MANAGER David Cavazos CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Hull Pursuant to the Consultant Agreement you entered with the City of Santa Ana on April 1, 2013, Section 3 - "Term ", the time period of the agreement is hereby extended from December 31, 2013, until December 31, 2014. The insurance certificates and Additional Insured Endorsement are required to be extended and /or renewed to cover this extension. All other terms and conditions of the original agreement remain unchanged and in full force and effect. If you have any questions in this regard, please feel free to contact my office. fX.C.P,cr Karen Haluza Interim Executive Director Planning and Building Agency Edwin "William" Galvez, P.E. Interim Executive Director Public Works Agency Steven H. Solomon Hearing Officer SANTA ANA CITY COUNCIL Miguel A. Pulido Sal Tlnalero Vincent F. Sarmiento Mlchele Martinez Angelica Amezcua P. Cal Benavides Roman Rayne Mayor Mayor Pro Tom, Ward 6 Ward 1 Ward 2 Ward 3 Ward 4 Ward 5 MPulidoOlsenla-ana om STinaieroft.anta- ana.ora VSarm1ento9Dsama- ana.aro MMarlinearasantaana. ore AAma=ua(%aanta -ana ore 313enavldea2deenta- aneorn RRevna/@eanta- ana.oro 08/06/2013 10:02 FAX x001 1 `'"� r CERTIFICATE OF LIABILITY INSURANCE °A'�'/2013 7/29/2oz� THIS CERTIFICAT! 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 RY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CEATIFICATE HOLDER. IMPORTANT: II the certl"Uts holder I, an ADDITIONAL INSURED, the polley(We) must be anchormen. N SUBROGATION IS WAIVED, .ubpct to Ibe terms and Conditions or (he Polley, certain P0110e4 MAY repWre e0 endoge ITT. A atafemaret on thle corthICate doer not confer rlobb to the e.RIScAq holder In Ileu o1 each AndonamenN +, RODUCER COMPLETE EQUITY MARKETS INC HAW -.. 1190 Flex Court (847)541 -0900 Np)(847)541 -Oflfl4 Lake Zurich, IL 60047 AD R 6BU « _ INruAMRI "FORNNO BBVeMae g INBURERA•vnderNri . tYr6 at tloyd'Is London IBUREO • ^� , INSURER e Stephen H. Solomon INSURER C: 9471 Henderson Way NSURER b• Villa Park, CA 92861 INSURER C, OVERAGES INSURER F cFa71p IT:ATF Ntivaco� THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 199UE0 TO YHE INSURED REVISION S NUMBER: POHCY PEgA?D INDICATED. NOTWITHSTANDING BE ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE, µAy BE 195UED OR MAY PERTAIN. THE INSURANCE AFPOROED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM4 EXCLUSIONSAND CONCITIONS OPAlmW Pra tame ...moo ............ .. ..T ___..__. rn TYPE OF trISUAANCB AM AM - - v.Ime. USNERAL LIABIUtt MA VIVO POLICY NUMBER LIMITS FA H OCCURRENCE a ` COMMERCIAL GENERAL LABILITY a CWMe PR MI PSI bm NEO FXP [Any wv Nm) r -MADE OCCUR PkABONAL A ADVINJURY s GENEfuL AOOAEOATS STOW ):'1 GENL AOOREGAT6 OMIT APPLIE6 PER: PRODUCTS - COMPJOP AGO a POLICY PR � LOC a AUTOMOa(E LMUIUtt ANYAVYO "f0 SCHEDULED 3 den BDOIIY INJURY (Pet penot) g lAWTO6 NDH.OV✓NED AAAa p .rry p(e Ci BODILY INJURY (PeremNrM) t IIWCD AUTOS AUTOS Aherne IPer eRNdNMI s « a UMBRELLA LIAR OCCUR _ M EAOf$$ LIAR OUIMO -MADE EACH OCCURRENCE 4 AOtlRECATE g CEO RETENTION$ -wo RtlERS COMPENSATION a AND EMPLOYERS' LIABILITY WN )91iYtGR ANY MOPRIfTOA.eM1YW:AJE,YBGVM'f sXCLUOEm NIA SL EACH ACCk)ENT jwkr'>F Not IMlnxmory H N111 $ Vq e AMGIee wd.t 0 UORIPTN)N Of' PERATION9 teb EA OIStLOE - EA EMPLOYE r .. ProfeatlicXTal EL, 016EABE.POLICYLIMIf t a Liability 852743 06/01/13 06/01/14 $1,000,000 Each Claim 51,000,000 Agq(regate EOCPIPTION OF OpfRATIONB J LOCATIONO / vENIClE9 (An.rA ACOHU 701. Addlbul Rrnwkl 6dnbde, U rAare epeu Ia RquveA) his is a four page clertifice,te. City of Santa And Civic Center 20 Civic Center Plaza Santa Ana CA 92701 ICORD25(2O1)/05) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORUED 01988.2010 The ACORD name and b90 are rogialered marks of ACORD All rights reearved, 08/06/2013 10:03 FAX NOTICE: (6003 1. THE INSURANCE POLICY THAT YOU HAVE PURCHASED IS BEING ISSUED BY AN INSURER THAT IS NOT LICENSED BY THE STATE OF CALIFORNIA. THESE COMPANIES ARE CALLED "NONADMITTED" OR "SURPLUS LINE" INSURERS. 2. THE INSURER IS NOT SUBJECT TO THE FINANCIAL SOLVENCY REGULATION AND ENFORCEMENT THAT APPLY TO CALIFORNIA LICENSED INSURERS. 1 THE INSURER DOES NOT PARTICIPATE IN ANY OF THE INSURANCE GUARANTEE FUNDS CREATED BY CALIFORNIA LAW. THEREFORE, THESE FUNDS WILL NOT PAY YOUR CLAIMS OR PROTECT YOUR ASSETS IF THE INSURER BECOMES INSOLVENT AND IS UNABLE TO MAKE PAYMENTS AS PROMISED. 4. THE INSURER SHOULD BE LICENSED EITHER AS A FOREIGN INSURER IN ANOTHER STATE IN THE UNITED STATES OR AS A NON - UNITED STATES (ALIEN) INSURER. YOU SHOULD ASK QUESTIONS OF YOUR INSURANCE AGENT, BROKER, OR "SURPLUS LINE" BROKER OR CONTACT THE CALIFORNIA DEPARTMENT OF INSURANCE AT THE FOLLOWING TOLL -FREE TELEPHONE NUMBER: 1- 80(027 -4357. ASK WHETHER OR NOT THE INSURER IS LICENSED AS A FOREIGN OR NON - UNITED STATES (ALIEN) INSURER AND FOR ADDITIONAL INFORMATION ABOUT THE INSURER. YOU MAY ALSO CONTACT THE NAIC'S INTERNET WEB SITE AT WWW.NAIC.ORG. S. FOREIGN INSURERS SHOULD BE LICENSED BY A STATE IN THE UNITED STATES AND YOU MAY CONTACT THAT STATE'S DEPARTMENT OF INSURANCE TO OBTAIN MORE INFORMATION ABOUT THAT INSURER, 6. FOR NON - UNITED STATES (ALIEN) INSURERS, THE INSURER SHOULD BE LICENSED BY A COUNTRY OUTSIDE OF THE UNITED STATES AND SHOULD BE ON THE NAIC'S INTERNATIONAL INSURERS DEPARTMENT (IID) LISTING OF APPROVED NONADMITTED NON - UNITED STATES INSURERS. ASK YOUR AGENT, BROKER OR "SURPLUS LINE" BROKER TO OBTAIN MORE INFORMATION ABOUT THAT INSURER. hiiulr.n`IM1R 08/08/2019 10:03 FAX r,I 7. CALIFORNIA MAINTAINS A LIST OF APPROVED SURPLUS LINE INSURERS. ASK YOUR AGENT OR BROKER IF THE INSURER IS ON THAT LIST, OR VIEW THAT LIST AT THE INTERNET WEB SITE OF THE CALIFORNIA DEPARTMENT OF INSURANCE: WWW.INSURANCE.CA.GOV_ 8. IF YOU, AS THE APPLICANT, REQUIRED THAT THE INSURANCE POLICY YOU HAVE PURCHASED BE BOUND IMMEDIATELY, EITHER BECAUSE EXISTING COVERAGE WAS GOING TO LAPSE WITHIN TWO BUSINESS DAYS OR BECAUSE YOU WERE REQUIRED TO HAVE COVERAGE, WITHIN TWO BUSINESS DAYS, AND YOU DID NOT RECEIVE THIS DISCLOSURE FORM AND A REQUEST FOR YOUR SIGNATURE UNTIL AFTER COVERAGE BECAME EFFECTIVE, YOU HAVE THE RIGHT TO CANCEL THIS POLICY WITHIN DIVE DAYS OF RECEIVING THIS DISCLOSURE. IF YOU CANCEL COVERAGE, THE PREMIUM WILL BE PRORATED AND ANY BROKER'S FEE CHARGED FOR THIS INSURANCE WILL BE RETURNED TO YOU. D-2 (Effective July 21, 2011) hineeri'138 08/08/2013 10:03 FAX Certificate of Insurance STEPHEN H. SOLOMON Policy Number: 8V743 Subject to all pot �y terms, conditions exclusions and endorsements of the policy. The City of Santa Ana is listed as an a dd itional inured but only Per the terms and conditions of the endorsement generated and subject to all policy terms, conditions, exclusions, and endorsements, SURPLUS LINES NOTICE TO POLICYHOLDER - PLEASE SEE ATTACHED s Lawrence T.P. Molloy bindoW13s U004