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Home My WebLink AboutEXTERIOR PRODUCTS, INC. (2) -2015INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES CLERK OF COUNCIL DATE AHR 2 0 2015 SECOND AMENDMENT TO AGREEMENT cy, CD TH IS SECON I) AMENDMENT AGREEMENT is entered into this 3 1 " day 0. f CM0 December 2014, by and between Exterior Products, Inc,, a California corporation (hereinaftor �w -Contractor"), and the City of Santa Arta, a charter city and municipal corporation (hereinafter «cily"). RECITALS: N-2016-042 A. The parties entered into an Agreement dated January 1, 2013 ("Agreement for Installation, Removal and Storage. of Flags" #N2013-003) hereinafter "said Agreement", by which City has the ability to purchase now flags from Contractor, and Contractor has provided the labor, manpower and machinery to install, remove and store American flags for the City. 8, The parties entered the "Amendment to AgreemenV'#N2013-003-001 on December 30, 2013, to extend the Term and itirefease the Compensation for such extended term, C. In accordance with the torn -v, and conditions of said Agreement, the parties again wish to extend the"I"erin of said Agreement and increase the Compensation: - WHEREFORE, in consideration of flie covenants contained in said Agreement, and subjectio all the terms and conditions of said Agreement, except those arnended in this Amendment to Agreement, the parties agree as follows: 1. Section 2, "Compensation", shall be, amended to add additional funds of five Thousand Dollars ($5,000.00) for the extended Term. 2. Section 3, ... rerni",shall he amended to extend the Torin through December 31, 2015. 3, Except as hereinabove modified, the lerais -,aid conditions of said Agreement remain UaChariged and in full force and offea IN WITNESS WFTE RCOF, the parties hereto have executed this Second. Anwildmeat to Agreement on the, date and year first written above. ATTEST: d4j MAIZIA D, I WIZAk lerk of the Council dl C APPR(WED AS TO FORM: SONIA R, CARVALRO City Attorney Lisa EStorck Assistant City Attorney CIT'V OF SANTA ANA AVID EA AZOS City Manager CONTRACT R Principal Fax. (714)647.8649 ACC)IR& CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 04/22/2014 THIS CERTIFICATE IS ISSUED ASA 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 pollcy(ios) 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 Philip B. Robinson Insurance 23186 La Cadena Drive, Suite 101 Laguna Hills, CA 92653 POLICYEXP MIDD Phil Singer PHONE FA% 94 749300 Ac Not: (B49)474.8931 y MAIL.t: Das : phils(apbrinsurance.cons CBP8646664 License O: OB39032 .—.— INSURER(S) AFFORDING COVERAGE NAIL# INSURERA: Eagle ILibe Mutual) INSURED EXTERIOR PRODUCTS CORPORATION EP MANAGEMENT, INC 1031 N Shepard Street N-2015-042INSURER Anaheim, CA 92806 INSURER B: G fiEa le In r ce (Liberty Mutual) 10836 INSURERC, AIG _IRa .ngt nce Company .._� INSURER D: -- --_— — E: wee A'i'r' .— A ET R NT—TEBILITY PRFM131S,11,A ply n., ce _s„___ SOO gOg M,ED EXP (Any One parson) $ 10000 INSURER -:. COVERAGES CERTIFICATE NUMBER: 00000402.931525 REW--BION NUMBER: aa. 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, TN—SR LTR TYPE OF INSURANCEWERE _ AUTHORIZED REPRESENTATIVE POLICY NUMBER POLC EFF M 0 POLICYEXP MIDD LIMITS A GENERALLIAMLITY y CBP8646664 04123/2014 0412312015 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a. OCCUR F"" Q TO rJ i wee A'i'r' .— A ET R NT—TEBILITY PRFM131S,11,A ply n., ce _s„___ SOO gOg M,ED EXP (Any One parson) $ 10000 PERSONAL&ADV INJURY 1,0000-00 ,$ GENERAL AGGREGATE $' 2,000,0 OO iaF / fin' A . ST�RC rev GENL AOGREGATE POLICY UNIT APPLIES PER: FRO X LOC PRODUCTS -COMP/OP AGG $ 2000000 $ AUTOMOBILE LIABIUTY ANY AUTO Si§tan t f / E091NGL MIT an BODILYNJURY (Per parson) $ AU OS AUTOS AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS (// NJURY (Per neddant) $ TYGAMAGE $ do, __..._._ $ EAGGREGATE B ONE UAB X OCCUR Y CUS646364 04/2312014 04/2312016CURRENCE $ 2,000000 X EXCESS LIAR C AIMSE $ 2,000,000 DED.I.. I RETENTIONS $ C WORKERS TION ANY EMPLOYERS'ARTN TY ANDEMPLOERS' LIABILITYYIN ANYPROPRIMBERIPARTNDE/EXECUTIVE ,Mandatory In ER EXCLUDED? ® ,Mandatory la NH) If @E,tl9aTIONandsr DESCRIPTION GP OPERATIONS Below N/A Y 003796914 0610112014 0610112010 X WOSTATU- OIPb _ E.L. EACH ACCIDENT_ $_ 1,-000®0-0 _ E. L. DISEASE -EA EMPLOYEE $ 1 OOO'OOO E.L. DISEASE -POLICY LIMIT $ 1000000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEIIICLES (Aeash ACORU 101, Add UsH.l Remarks SshaduI., Irmonl apnea is mq.1red) Exterior Decorating"30 Day notice of cancellation except 10 day for nonpayment of premium The City of Santa Ana, Southern California Edison,and their respective officers, employees, agents, volunteers and representatives are named as additional insureds with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. This insurance Is primary and is not additional to or contributing with any other insurance by or for the benefit of the additional Insureds. 1aEvar�-LnI The City of Santa. Ana CommunityDevelopment PmentA Agency y Administrative Services Division m-25 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92701 _ AUTHORIZED REPRESENTATIVE PDS) O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Printed by PDS on April 22, 2014 at 10A6AM ADDITTONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company _Golden Eagle Insurance Corp This endorsement modifies such insurance as is afforded by the provisions of Policy # _CBP8645564 relating to the following: 1. The City of Santa Ana, Southern California Edison, and their respective officers, employees, agents, volunteers and representatives are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4, With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective _04/23/2014 this endorsement form as a part of Policy # CBP 8645564 Issued to _Exterior Products Corporation Named hisured Countersigned by Authorized Representative �pp�VED 0 To FOVLM 5 ORCK LISA F. t Attorney Assistant C1 Y CERTIFICATE —11A LIABILITY D4 e PRODUCER Brunet and Lopez Insurance Agency 101 S Kraemer Blvd, Ste 218 Placentia, CA 92870 License # 4002018 INsuRED —J� _— Exterior Products Corporation 1031 N Shepard Street Anaheim, CA 92806 NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR ETHER 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. CLAIMSAIADE .'...00CUR umsc swmurr F Y E N i t ',,. rEas;ilen'�� ANY AUTO '., ''.. SOOLY INJURY(Pwpeno;) ; SCHEDULED 1 A 1 AUT0.544ED AUTOS 4CN4ONEO .6491B14S3 84fl;LY INJURY (F9r eazdontY-, S Q*iPdS1291k 0412312016 R�-f -` { HtREO AUTCs AUTOS _ A,E ��. �tPmacaIra, '. S t4MRREtJ.AlrA9 DO CUR £A4"H Ct:C6RftEri`CE =4 = EXCESS LAe CI AJMC.MAnP wrt YIN V NIA 9 DESCRIPTION OF OPERATIONS t LOCATIONS 1VEMCLER (Attach ACORO iat, Additldadl Remarks Seh♦dure, it more apses [s required) ______ Exterior Decorating 30 day notice of Cancellation except 10 day for nonpayment of premium The City of Santa Ana, its officers, employees, agents, volunteers, and representatives are "mod as additional insured. This insurance is primary and any other insurance maintained by the City of Santa Ana shall be excess and non-contributory. The City of Santa Ana; Community Development Agency SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELL90 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Administrative Sonices Division M-25 ACCORDANCE WITH THE POLICY PROVISIONS. 26 Civic Canter Plaza AUTHO' aEO RapRaanNTA Santa Arta CA 927011 01 1 980-201 0 ACORD CORPORATION. All rights mervec ACORD Z6 (20110106) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 648161463 1914.1 This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM COMMERCIAL AUTO CA 20 48 02 99 With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement This endorsement identifies persons) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. SCHEDULE Name of Person(s) or Organization(s): THE CITY OF SANTA ANA CONNUINITY DEVELOPMENT AGENCY ADMINISTRATIVE SERVICES DIVISION M-25 20 CIVIC CENTER PLZ SANTA ANA, CA USA 927014058 AS 'ro F0,514 OvaSTOFCY, , �CIOVZC�yl� ��,�.J�sp, F. pttorneY Assistard City (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" Far Liability Coverage, but only to the extent that person or organization qualifies as an "insured' under the Who Is An limited Provision contained in Section 11 of the Coverage Form. CA 20 48 02 99 Copyright, Insurance Services Office, Inc,, 1998 Page I of I Cl Allstate. yb." In g.od hands, POLICY NUMBER: 648161463 COMMERCIAL. AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided raider the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective: 04 - 23 - 2 014 Countersigned By: Authorized Representative) Named Insured: EXTERIOR PRODUCTS SCHEDULE Name of Person(s) or Organization(s): THE CITY OF SANTA ANA COMMUNITY DEVELOPMENT AGENCY ADMINISTRATIVE SERVICES DIVISION M-25 20 CIVIC CENTER PLZ SANTA ANA, CA USA 927014058 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured' for Liability Coverage, but only to the extent that person or organization qualifies as an "insured' under the Who Is An Insured Provision contained in Section 11 of the Coverage Form. N Ru114R-3 CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 ❑ Additional Insured Copy Allstate, Yourre In good hands. CERTIFICATE OF INSURANCE Cl CW A01 1011 This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been issued to the Named Insured. It does not grant any rights to any parry nor can it be used, in any way, to modify coverage provided by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regardless of the provisions of any other contract, such as between the certificate holder and the Named Insured. The limits shown below are the limns provided at the policy inception. Subsequent paid claims may reduce these limits. Certificate Holder: THE CITY OF SANTA ANA COMMUNITY DEVELOPMENT AGENCY ADMINISTRATIVE SERVICES DIVISION M-25 20 CIVIC CENTER PLZ SANTA ANA, CA USA 927014058 Named Insured: EXTERIOR PRODUCTS 1031 N SHEPARD ST ANAHEIM CA 92806-2817 Automobile Uabili Insurer Name: Allstate Insurance Company Polic Number: 648161463 1 -Any Auto I X 2 - Owned Autos Only 13 - Owned Priv. Pass. Autos Only 4 - Owned Autos Other Than Priv. Pass, Autos Only 5 - Owned Autos Subject to No Fault 6 - Owned Autos Subject to a Compulsory UM Law 7 - Specifically Described Autos 8 - Hired Autos Only 9 - Nonowned Autos Only _Policy Effective Date: 04-23-2014 Policy Ex iration Date: 04-23-2015 Limitsof $1,000,000 Combined Single Limit (each accident) Insurance: BI Per Person BI Per Accident PD Per Accident Descriolon of Operations/Locations/Vehicles/Endorsements/Special Provisions Interested Pa T pe: Additional Insured -General Contractor THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER, IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES) MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH ADDITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT. Cancellation In the event of cancellation of any policy described above, the insurer will attempt to mail days written notice to the certificate holder prior to the effective date of cancellation. However, failure to do so will not impose any duty or liability upon the insurer, its agents or representatives, nor will it delay cancellation. Producer: ERIC LOPEZ Date: Authorized Representative: au114R-3 Cl CW A01 1011 Includes copyrighted material of Insurance Services Office, Inc., with its permission Allstate Insurance Company Micitional Insured Copy Page 1 of 1 ACOR CERTIFICATE OF LIABILITY INSURANCE 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 T14E POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERIS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOILDEFL IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(laa) must he endorsed. If SUBROGATION IS WAIVED, subject:to the terms and conditions of the policy, certain policies may romilre an endorsement. A statement an this certificate does not confer rights to the certificate holder in had of sash ondorsefeerit(s). PACOUCER OONTACT Melissa OvIntro "'B"o"F -------- - Swan and Lopez Insurance Agency WORErax 101 a Kraemer Blvd, She 218 am I Placentia, CA 9ZO70 License 0002018 At 19232 MaURao Exterior Products Corporation INSURER -8:- 1031 N Shepard Et r?APJRAR;';.1 Anaheim, CA 92806 -IrsURER0 -INSURER. E': `INSURERP: COVERAGE$ CERTIFICATE NUMBER: REVISION NUMB R-1 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN is SUBJECT TO ALL THE TERMS, AND155PLUYERTYLIA5ILRY rift I ---, — -------- - rr`PROPR!ETOAPARTNERMXECVnVR F! fxley EL EACHAOCIT)ENT NiAi 'P"kxG , I — I I 1 11 1".. .1-1 OFFrOiBMEMBER EXCLUDED? EL. DURASE - EA EMPLOYEE a A ImirAdATOWAN14t OV ---- -------- - Ify." d �b urde i ELDISEASE. POLCYLTMIT $ Ista Exterior Decorating 30 day notice of Cancellation except 10 day for nonpayment of premium The City of Santa Ana, its officers, empoyreas, agents, volunteers, and representatives are named as addiflonal Insured. This insurance Is primary and any other Insurance maintained by the City of Santa Ana shall be excess and non-oonfribulory. The City of Santa Ana; Commurafty Development Agency Administrative Services Division M-26 20 CIVIC Cantor Plaza WAR Ana, CA 92701 SH04LO ANY OF THE A80VE DESCRIBED POLICIES BE CANOOL19D BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED JN ACCORDANCE WITH THE POLICY PROVISIONS, JTK WiI DRe MNTA*f\, 91�4 ACORD 25 (2010106) The ACORD name and logo are registered marks of ACORD �Ri eillog 44J9 r SqMMERCAL GENERAL UAKITY UAMALSC IU RENT ED PRE- SER pEs� Y.,.1 .. ................ CLAWS-MAG4 OCCUR EXP MED.1 ----- -- - -- ------ ------ - j-------------- PBRtOrxLN Y &ADVUR ...... .. - 1- _ ,j , .......... GRINERALAT35REGAm OCUL AWREOATE UNIT APPLES PER: j PROIXICTSOCVROP MSG PRO v POLICY JRnT 1,00 ..,a $ AUTOMOBILE UAKLITY i 7I[— i COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY (PrTrannAt S ALL WANED SCHEDULES A AMS AV1S 648101483 041=015 BODILY TNUURY {1Yr=Rs6;), s 0412312016-pPOPERTY - NouorvNED X_, TAA HIRFDAUTOS AUTOS WORELLA, MAB OCCUR 17 F Von RENCE -------- AND155PLUYERTYLIA5ILRY rift I ---, — -------- - rr`PROPR!ETOAPARTNERMXECVnVR F! fxley EL EACHAOCIT)ENT NiAi 'P"kxG , I — I I 1 11 1".. .1-1 OFFrOiBMEMBER EXCLUDED? EL. DURASE - EA EMPLOYEE a A ImirAdATOWAN14t OV ---- -------- - Ify." d �b urde i ELDISEASE. POLCYLTMIT $ Ista Exterior Decorating 30 day notice of Cancellation except 10 day for nonpayment of premium The City of Santa Ana, its officers, empoyreas, agents, volunteers, and representatives are named as addiflonal Insured. This insurance Is primary and any other Insurance maintained by the City of Santa Ana shall be excess and non-oonfribulory. The City of Santa Ana; Commurafty Development Agency Administrative Services Division M-26 20 CIVIC Cantor Plaza WAR Ana, CA 92701 SH04LO ANY OF THE A80VE DESCRIBED POLICIES BE CANOOL19D BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED JN ACCORDANCE WITH THE POLICY PROVISIONS, JTK WiI DRe MNTA*f\, 91�4 ACORD 25 (2010106) The ACORD name and logo are registered marks of ACORD �Ri eillog 44J9 r POLICY NUMBER: 648161463 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this eadotnuient, thaprovisions of the Coverage Form applyunloss modified by this endorsement. This endorsement identities parson(s) or organization(s) who are' insureds" under the Who Is Air Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form, This endorsement changes the policy effective on the inception date of the policy unless another date 0 indicated below. Endorsomem Effcotivoi 04-23-2015 Countersigned By: �WvNamed ffth Insured: EXTEMOR PRODUCTS CORrORATION (A u z�od Representative) Name of Person(s) or Organization(s): THE CITY OF SANTA ANA COMMUNITY DEVELOPMENT AGENCY ADMINISTRATIVE SERVICES DIVISION M-25 20 CIVIC CENTER PLL SANTA ANA, CA USA 9270I4058 (If no entry appears above, informatioa required to complete this endorsement VAII be sho'Xilin the Declarations as applicable to the endorsement.) Each perscm or organization shown in the Scheduleisaa " insured" for Liability Coverage, but only to the extent that person or organization qualffies as an "insured" under the Who Is AnInsured ProAsion contained in Section 11 of the Coverage Form, CA 20 48 02 99 Copyright, Insurance Services Office, Inc,, 1948 Page I of I Q nwo Full Cop'