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Home My WebLink AboutECHAN, BARBARA A. 3A-2013MAYOR Miguel A. Pulido MAYOR PRO TEM Sal Tinajero COUNCILMEMBERS Angelica Anni P. David Benavides Michele Martinez Roman Reyna Vincent F. Sarmiento INSURANCE ON FILE WORK MAY PROCEED UNTIL; INSURANCE EXPIRES - / -/N CLERK OF COUNCIL DATE:. -- PEAR 4 2014 ®• F io � F'13A' � CITY OF SANTA ANA PLANNING & BUILDING AGENCY 20 Civic Center Plaza P.O. Box 1988 • Santa Ana, California 92702 www.santa-ana.org/pba February 3, 2014 Barbara Echan 3056 Madeira Avenue Costa Mesa, CA 92626 RE: Extension of Standard Consultant Agreement Dear Ms. Echan: N- 2013 - 024 -001 CITY MANAGER David Cavazos CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar 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. 6ce41< a"A_Yam_ Karen Haluza V Interim Executive Director Planning and Building Agency Edwin "William" Galvez, P.E. Interim Executive Director Public Works Agency Barbara Hearing Officer SANTA ANA CITY COUNCIL Miguel A. Pulido Sal Tinajero Vincent F. Sarmiento Michele Martinez Angelica Amezcue P. David Benavidea Roman Rayne Mayor Mayor Pro Tom, Ward 6 Ward I Ward 2 Ward 3 Ward 4 Ward 6 MPuI'do0santa -ana ora ST no ero(msanta -ana ora VSarmieninenane -ana. and MMart'nez (dsanm -ana oro AAmezcuarmsanta -ana ora DBenavdesfsanta -ana oro RRReynaQsanta -ana ora � ---ait ® ACOR® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIOnIYYYY) 7/23/2013 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 OONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(SI, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT; If the certificate holder Is an ADDITIONAL INSURED, the pollcy(ies) 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 andorssment(s), PRODUCER COMPLETE EQUITY MARKETS INC 1190 Flex Court Lake Zurich TL 60047 Zurich, NAM �oNa 1, ($47)541 -0900 acNO:(047)541 -0444 E- - Ann ss: INSVRER 6) APFOROINO OOVBRAtlE T- _ NAIGfI INSURER A: Underwri tars at Lloyds London INSURED Barbara Echan 3056 Madeira Avenue Costa Mesa, CA 92626 INSURER B: INSURER C: INSURER O: INSURER E INSURER P COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIPY 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 WHIOH 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 CLA�..IIIpMpS. Um TYPE OF INSURANCE s POLICY NUMBER M I M IODf/Y LIMITS COMMERMAL OENERALj'L"I�AD11.11! _ CLAIMS -MADE L OCCUR _ IIQMW AS ro k EACH OCCURRENCE it PREMISEeEomurtence $ _ MW EXP A2Lahe p0mon) it PERSONAL &ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY El JEC C LOO OTHER: GENERAL AGGREGATE $ PRODUCTS - COMPIOP AGO a S AUTOMOBILE LIABILITY ANYAUTO ALL OWNED ggCHEDULED AUTOS AU rps HIRED AUTOS A10)TOSWNED a ri p a I Go accitlent SINGLE $ BODILY INJURY (Par parson) $ BODILY INJURY dcoldmtl S — PHI ar ytDAMA�— $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIM6 -MADE EACH OCCURRENCE If AGGREGATE $ OED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYER$' LIABILITY y) N ANY PROPRIETORIPARTNeRAOXCOUTIVIR OPROaR1EMaER EKCWDED9 (Mandatory b, Mm IPyaa describe Under DESCRIPTION OF OPERATIONS below NIA STATUTE ER E.L. EACHACCLIT $ F. I. DISEASE - EA EMPLOYE $ EL. DISEASE • POLICY LIMIT I $ A Professional ,Liability 652764 06/01/13 06/01/14 $1,000,000 Each Claim $1,000,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Addlllonal Remarks Schedule, maybe attached I more space Is rogto) Please see pages 2 -4 for additional information. The City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DFLIVFRED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1988.2013 ACORD ACORD25(2013104) The ACORD name and logo are registered marks of ACORD Certificate of Insurance BARBARA ECHAN Policy Number: 852764 Subject to all policy terms, conditions, exclusions and endorsements of the policy. Certificate Holder is not afforded coverage under the policy. SURPLUS LINES NOTICE TO POLICYHOLDER - PLEASE SEE ATTACHED Lawrence T.P. Molloy bindorr'138 NOTICE: 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. 3. 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 -800- 927- -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 NAIL'S INTERNET WEB SITE AT WWW.NAIC.ORG. 5. 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. binders *138 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 FIVE 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) binders -138