HomeMy WebLinkAboutRAPID TECH (SOUTH ORANGE COUNTY COMMUNITY COLLEGE DISTRICT) 1B -2012MAYOR
Miguel A. Puiido
MAYOR PRO TEM
Sal Tmajero
COUNCIL MEMBERS
Angelina Amezcua
P. David Benavldes
Michele Martinez
Roman Rayne
Vincent F. Sarmiento
December 9, 2015
INSURANCE ON MLL
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
rlvk —1 L.
DATE: 12 -2,3-6
X 4 A 1
20 Civic Center Plaza • P.O. Box 19$8
Santa Ana, California 92702
tmmsanta -ana org
South Orange County Community College District
dba Saddleback College, Rapid Tech
Attn.: Dr. Debra Fitzsimons
28000 Marguerite Parkway
Mission Viejo, CA 92692
Subject: Extension of Agreement rbA -2012 -019
Dear Dr. Fitzsimons:
A -2012- 019 -02
CITY MANAGER
David Cavazos
CITYATTORNEY
Sonia R. Carvalho
CLERK OF THE COUNCIL
Maria D. Huizar
Pursuant to Agreement under the Workforce Investment Act, #A- 2012 -019, entered between
South Orange County Commtiuiity College District dba Saddleback College, Rapid Tech and the
City of Santa Ana, dated February t, 2012, Section III — Time Period of Agreement, the
expiration of the time period of said Agreement is hereby extended for one additional year from
November 30, 2015, until November 30, 2016. The insurance certificates, if any, are required to
be extended and /or renewed to cover this extension. All other terms and conditions of said
Agreement remain unchanged and in full force and effect.
If you have any questions in this regard, please feel free to contact my office.
Sincerely, CITY OF SANTA ANA
I {elly Reei er�j } David Cavazos
Executive irec r City Manager
Community Development Agency
TO FORM: ATTEST
-), City Attorney
r�f'
Maria D. Huizar
City Clerk
SANTAANA CITY COUNCIL
kl,g¢ei A. Nino Sal rinajem 1 Wi ant P. sarm ent. i Mrhd� M.Mr%, ( Anget,ca Amezcua I P. David 8.,.Ydea I Roman Reyna
Mayo Mayer Fro Tem, W.M 6 1 WaM t I WarU 2 i Ward 3 1 Ward 5 I Ward 5
MPulido @Lazo -ena om ."iT h9 aro;DSanta- arra.oro i VSarmientti eni »- an?t;«_g I MMaranez{?santa -rag ZANnezcuapsania- ena.oro I Daenav'desfa�santa -an .g{g ! tjRevna(o7santa- ana.om
- A,aolz- 6i9
Statewide Association of Community College �ERTIFICATE OF COVERAGE
Issue Date
Protected Insurance Program for Schools
7/9/2015
ADMINISTRATOR: LICENSE# - 0451271
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
Keenan & Associates
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
901 Calle Amanecer, #200
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
San Clemente, CA 92673
AFFORDED BY THE COVERAGE DOCUMENTS BELOW.
ENTITIES AFFORDING COVERAGE:
949 - 940 -1760
www,keenan.com
ENTITY Statewide Association of Community Colleges
ENTITY B: Protected Insurance Program for Schools
COVERED PARTY:
South Orange County Community College Dist
28000 Marguerite Parkway
ENTITYC
Mission Viejo CA 92692
ENTIrr D.
ENTITY E
THIS IS TO CERTI FY THAT THE COVERAGES LIS ED BELOW HAVE BEEN ISSUED TO THE COVERED PARTY NAMED ABOVE FOR THE PERIOD INDICATED. NOTWITHSTANDING ANY
ITION
REQUIREMENT,'YERM OR COND OF ANYL NTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. THECOVERAGE
AFFORDED HERHN IS SUBJECT TO ALL THE TERMS AND CONDITIONS OF SUCH COVERAGE DOCUMENTS.
MEMBER
ENT
COVERAGE
EFFECTIVE/
RETAINED LIMIT
LTR
TYPE OF COVERAGE
DOCUMENTS
EXPIRATION DATE
IDEDUC11BLE
LIMITS
A
GENERAL LIABILITY
COMBINED SINGLE LIMIT EACH OCCURRENCE
I ViGENERAL LIABILITY
MADE (;f OCCURRENCE
SWO 00107 -29
7/1/2015
$ 50,000
$ 1,000,000
( j.CLAINS
( GOVERNMENTCODES
7/1/2016
{ ERRORS d OMISSIONS
tl
,A
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT EACH OCCURRENCE
IyLMY AUTO
SWC 00107.29
7/1/2015
$ 50,000
s 1,000,000
I HIRED AUTO
I NON -ONMEO AUTO
7/1 /2016
;;Vy/7!'T�
I GARAGE LIABILITY
I AUTO PHYSICAL DAMAGE
A
PROPERTY
SWCOD107 -2g
7/1/2015
s 5,000
s 250,250,000
I AI.L RISK
7/1/2016
EACH OCCURRENCE
RTHQUAKE d FLOOD
UDES
I EX L R
A
STUDENT PROFESSIONAL LIABILITY
SWC00107 -29
7/1/2015
5 5,000
5 Included
711/2016
EACH OCCURRENCE
B
W BIKERS COMPENSATION
j IWO STATUTORY LIMITS IA OTHER
I EMPLOYERS' LIABILITY
PIPS11712
7/1/2015
$
711/2016
S 1,000,000
E.L. EACH ACCIDENT
s 1,000,000
EXCESS WORKERS COMPENSATION
I )EMPLOYERS'LIADILITY
S
E.L. DISEASE -EACH EMPLOYEE
$ 1,000,000
E.L. DISEASE -POLICY LIMITS
OTHER
S
S
DESCRIPTION OF OPERATIONS! LOCATONSNEHICLEStRESTRiCTIONS1SPECUL PROVISIONS: ^T
As respects to the agreement behreen betMean SAWo and South Orange County CCD (mane Valley Collage). 6, i«�- L-i.,�
t
CERTIFICATE HOLDER:
CANCELLATION ...... SHOULD ANY OF'FHE ABOVE DESCRIBED COVERAGES BE
CANCE D B�Fpp THE EXP RATION DATE THEREOF, THE ISSUING ENTITY /JPA
i414T
City, of Santa Ana._
20 Civic Center Plaza
HIW. HAILS yI�[,gV9 IT .EN I TS
��24 Kidd
TX
Santa Ana CA 92702isiSiQi
C3�ffitQ2?1IkKg&NY?JkKAS'k:
John Stephens AUTHORIZED REPRESENTATIVF
,w- rinWx,kro n.x
155 ?20J4 ( S3tlTltO%1. j 19ft8 9µ".r Pwl Pk6 ( HE6ANh2 eRR3GH { Tj9f SOte 4A4z12 Pst {Wil9') ( Ps3x I at 6
DISCLAIMER.
The Certificate of Coverage on the reverse side of this form does not constitute a contract between the issuing
entity(ies), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively
amend, extend or alter the coverage afforded . by the coverage documents listed thereon.
eCL'xur,�,�m
25502010 1 SQW,oRA 1 15/16 Super Pool P&L I sEEASH BARKER 1 7/913015 4120:11 PM (PDT) I.Pe, ] f 4
�l
ENDORSEMENT
ADDITIONAL COVERED PARTY
COVERED PARTY COVERAGE DOCUMENT ADMINISTRATOR
South Orange County Community Colle je ESNC 00107 -29 Keenan & Associates
Subject to all its terms, conditions, exclusions, and endorsements, such additional
covered party as is afforded by the coverage document shall also apply to the following
entity but only as respects to liability arising directly from the actions and activities of the
covered party described under "as respects" below.
Additional Covered Party•
City. of Santa Ana
20 Civic Center Plaza
Santa Ana CA 92702
As respects to the agreement between between SAWIB and South Orange County CCD (Irvine Valley College).
City of Santa Ana, its officers, employees and volunteers are named as Additional Covered Parties,
Authorized Representative
Issue Date: 7/9/2015
lssavmo I ,o 110M I I1 /11 sops. Mol "I I OF.""N onaxea I 'I /s /ams n: aP 1x rn (IM I rzye l oe s
v