HomeMy WebLinkAboutGENERAL SERVICES ADMINISTRATION7 t 1
N-2016-016
REVOCABLE LICENSE FOR NON-FEDERAL USE OF REAL PROPERTY
A revocable license affecting the properly described and for the purpose designated below is hereby granted to the licensee herein named,
subject to all of the conditions, special and general, hereinafter enumerated.
Santa Ana Police Department
Santa Ana Civic Center Video Camera Systems • Rack & Radios
60 Civic Center Plaza (PO Box 1981)
Santa Ana, CA
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02/01/2016 04130/2018
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7. DESCRIPTION OF PROPERTY AFFECTED —
(As shown on ExhmU 1, 2a - 2f, Map & Design Docs . aaached hereto and made a port hereat)
Ronald Reagan FB & US Courthouse (RRCH), 411 W. 4th St., Santa Ana, CA
Santa Ana Police Dept. will install (1) wall mounted rack in the chiller room and (7) radios (Exhibits 2a -2f) to the Interior of the
roof travertine enclosure as per Exhibit 1 in conjunction with the Homeland Security Wireless Surveillance System.
9. By the acceptance of this license, the licensee agrees to abide and be bound by the following conditions:
I. SPECIAL CONDITIONS
1. The licensee must provide 48 hour notification to the GSA Building Manager whenever access to the building is required for
installation, maintenance, etc- of the equipment. Contact Anh Nguyen at 714-338-4661 or Sherry Hutchinson at 949-360-2015.
2. The licensee must escort and supervise all contractors required to enter the building to install, maintain, etc., the equipment.
3. Upon removal or relocation of any equipment, the licensee must restore the buidling to the condition prior tothe installation of
the equipment.
All General Conditions on the reverse apply.
That condition(s) No.(s)
was (were) deleted before the execution of this license.
GENERAL SERVICES ADMINISTRATION LICENSOR
LICENSEE
_
DATED (Mar . y, ear)
--
ACCEPTED (Month. day. year
I.
BY f 9gnaftse)
j( )
Ry (Sign
AME
NAME
Sherry Hutt t� n
David Cavazos
TITLE—J—
Senior Property Manager
City of Santa Ana
If License is a Corporation, the following Cortificate, of Licensee must be executed:
CERTIFICATE OF CORPORATE LICENSEE
I certify that i was a Secretary of the corporation named as licensee herein: that the person who signed said license on behalf of the
licensee was with said corporation: and that said license was duly signed for and in behalf of said corporation by authority of its
governing body, and is within the scope of its corporate powers.
(CORPORATE SEAL)
reverse)
PREVIOUS EDITION IS NOT USABLE
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Ii. GENERAL CONDITIONS
a. COMPLIANCE. Any use made of property affected by the
license, and any construction, maintenance, repair, or other
work performed thereon by the licenses, including the
installation and removal of any article or thing, shall be
accomplished in a manner satisfactory to the General Services
Administration, hereinafter referred to as GSA.
b. STRUCTURES. The license shall not place or construct
upon, over or under the property and installation or structure
of any kind or character, expect such as are specifically
authorized herein.
c. LAWS AND ORDINANCES. In the exercise of any privilege
granted by this license, licensee shall comply with all applicable
federal, state, local government, and municipal laws, statutes,
ordinances, rules, regulations, codes, decrees, orders and other
such requirements (collectively, Laws) including without
limitation Laws regarding wages and hours, health, safety,
building codes, emergencies, and security. Licensee shall
apply, pay for, and obtain all required licenses and permits,
including without limitation licenses and permits for fire and life
safety requirements.
d. SANITARY CONDITIONS. If this license gives possession
of United States property, the license shall at all times keep
the premises in a sanitary condition satisfactory to GSA.
e. DAMAGE. Except as may be otherwise provided by the
Special Conditions above, no United States property shall be
destroyed, displaced or damaged by the licensee in the
exercise of the privilege granted by this license without the
prior written consent of GSA and the express agreement of
the license promptly to replace, return, repair and restore any
such property to a condition satisfactory to GSA upon
demand.
f. INDEMNIFICATION. The licensee shall indemnify and save
harmless the United States, its agents, and employees against
any and all loss, damage, claim, or liability whatsoever, due to
personal injury or death, or damage to property of others
directly or indirectly due to the exercise by the licensee of the
privilege granted by this license, or any other act or omission
of license, including failure to comply with the obligations of
said license.
g. STORAGE. Any United States property which must be
removed to permit exercise of the privilege granted by this
license shall be stored, relorated or removed from the site,
and returned to its original location upon termination of this
license, at the sole cost and expense of the licensee, as
directed by GSA.
h. OPERATION. The licensee shall confine activities on the
property strictly to those necessary for the enjoyment of the
privilege hereby licensed, and shall refrain from marring or
impairing the appearance of said property, obstructing access
thereto, interfering with the transaction of Government
business and the convenience of the public, or jeopardizing the
safety of persons or property, or causing justifiable public
criticism.
1. NOTICE. Any property of the license installed or located
on the property affected by he license shall be removed upon
30 days' written notice from GSA.
j. GUARANTEE DEPOSIT. Any deposit which may be
required to guarantee compliance with the terms and
conditions of this license shall be in the form of a certified
check, cashier's check or postal money order in the amount
designated above, payable to GSA.
It, BOND. Any bond required by this license shall be in the
amount designated above, executed in manner and form and
with sureties satisfactory to GSA.
I. EXPENSE. Any cost, expense or liability connected with or
in any manner incident to the granting , exercise, enjoyment or
relinquishment of this license shall be assumed and discharged
by the licensee.
an, FUTURE REQUIREMENTS. The licensee shall promptly
comply with such further conditions and requirements as GSA
may hereafter prescribed.
n. ATTEMPTED VARIATIONS. There shall be no variation or
departure from the terms of this license without prior written
consent of GSA.
o. NONDISCRIMINATION. The licensee agrees that no person
will be discriminated against in connection with the use made
by the licensee of the property on the ground of race, color or
national origin, nor will any person be denied the benefits of or
be subjected to discrimination under any program or activity
held, conducted or sponsored by the licensee in that any
activity, program or use made of the property by the licensee
will be in compliance with the provisions of Title VI of the Civil
Rights Act of 1964 (78 Stat. 238, 252; 42 U.S.C. 2000d)
and the applicable regulations of GSA (41 CFR Subpart
101-6.2),
The licensee will obtain from each person or firm, who
through contractual or other arrangements with the licensee,
provides services, benefits or performs work on the property,
a written agreement whereby the person or firm agrees to
assume the same obligations with respect to nondiscrimination
as those imposed upon the licensee by law and will furnish a
copy of such agreement to the licensor.
The breach by the licensee of conditions relating to
nondiscrimination shall constitute sufficient cause for
cancellations revocation of the license.
GSA FORM 1582 (RFV. 10/2013) BACK
COTC PROCESSING FORM CtearForm
Agreements / Amendments / Deeds
TO: CLERK OF THE COUNCIL OFFICE
FROM: DEPT Police Department MAIL STOP M-18
PROJECT MANAGER Ofcr. Otto Laufer EXT
The foilowing information must be provided
in requesting processing of agreements /amendments / deeds for the City:
AGREEMENT NUMBER of amendment) A + N NIA
AMENDMENT NUMBER (if applicable) ❑ IST M 2ND 8 3RD
NAME OF CONSULTANT / PARTY General Services Administration (GSA)
AMOUNT: ❑ " OVER $25.000 - (A) ❑ *UP TO $25.000 (N) r4')t '
.ev b v
afi]rCax:
COUNCIL APPROVAL DATE: N/A ITEM #:
TERM OF AGREEMENT- EFFECTIVE DATE: 02/0112016 TERMINATION DATE: 04/30/2018
SIGNATURES REQUIRED: VENDOR ❑ AGENCY
H CITY ATTORNEY OTHER
(INSURANCE APPROVAL REQUIRED BY CAO PRIOR TO SUBMITTING TO COTC)
INSURANCE REQUIRED: ❑ YES ® NO (Provide City Attorney Office approval)
❑ AUTO ❑ COL (Commercial General Liability)
Q PROFESSIONAL LIABILITY ❑ WORKERS COMPENSATION
COMMENTS: Request City Manager's authorization/signature to execute attached Revocable License
for Non -Federal Use of Real PrDDerty (Ronald Reagan Federal Courthouse). This License is for the sole purpose
of allowing the Police Department to install infrastructure on the courthouse roof for our Citv-wide Camera Svstem.
0 Needs Council Approval
0 Missing Signatures
C1 /Other-
ADDITIONAL
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ADDITIONAL REMARKS: �� � %/`"j�,'i
V O A /J rhU/ A
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