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Home My WebLink AboutSADDLEBACK COLLEGE (SOUTH ORANGE COUNTY COMMUNITY COLLEGE DISTRICT) 1B( MAYOR Miguel A. Pulida ., MAYOR PRO TEM n Sal I �( COUNCIL L ME MEMBERS Angelica Amezcua P. David Benavides Michele Martinez r� Roman Reyna Vincent F. Sarmiento r—IMIZ`AI-Iy[Nly: INSURANCE ON FILE- CITY MANAGER WORK MAY PROCEED � David Cavazos CITY ATTORNEY UN'T'IL INSURANCE EXPIRES o = Sonia R. Carvalho , ';; CLERK OF THE COUNCIL GiERK OF COUNCIL Maria D. Huizar DATE: t2.- 23 15 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 z8wy Santa -ana ore December 15, 2015 South Orange County Community College District Arm,: Dr. Debra, Fitzsimons 28000 Marguerite Parkway Mission Viejo, CA 92692 Subject: Extension of Agreement ' #A- 2012 -014 Dear Dr. Fitzsimons: Pursuant to Agreement under the Workforce Investment Act, #A- 2012 -01.4, entered between South Orange County Community College District dba Saddleback College and the City of Santa Ana, dated February 6, 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, 2416. The insurance certificates, if any, are required to be extended and/or renewed to cover this extension. Alt 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 Ilel P�' Ree s David Cavazos Executive Director City Manager Community Development Agency APPissit TO FORM: ATTEST Sonia ,City Attorney By:i� AID e Maria D. FIuizar if Attorney City Cl erk SANTAANA CITY COUNCIL Miguel A. Polido I 5a1'nnalero I Vincent R Sarmlenfo I Michele Marllnez i Angelica Amezcua Pnavid ti..idee I Ramen Reps Mayor 1 Maycr Pro 7em, Ware! 6 1 Ward t i WarzF 2 j Ward 3 j Ward 4 j Wald S MPutdo I B e�gnten m(cta ana og 6aenavde�s.nnc RRevnannn Statewide Association of Community College �ERTIFICATE OF COVERAGE Issue Date Protected Insurance Program for Schools 7/9/2015 ADMINISTRATOR: LICENSE It 0451271 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Keenan & Associates AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 901 Calls 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 ENTITYA. Statewide Association of Community Colleges ENTITY B: Protected Insurance Program for Schools COVERED PARTY: South Orange County Community College Dist 28000 Marguerite Parkway ENTITY C: Mission Viejo CA 92692 ENTITY D: ENTITY E', THIS IS TO CERTTIFYTHAT THE COVERAGES LISTED BELOW HAVE BEEN ISSUED TO THE COVERED PARTY NAMEDABOVE FOR THE PERIOD INDICATED, NOTWITHSTANDINGANY REQUIREMENT,hERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE COVERAGE AFFOR DED HERPIN IS SUBJECT TO ALL THE TERMS AND CONDITIONS OF SUCH COVERAGE DOCUMENTS. MEMBER ENT LTR TYPE OF COVERAGE COVERAGE DOCUMENTS EFFECTIVEI EXPIRATION DATE RETAINED LIMIT I DEDUCTIBLE LIMITS A GENERAL LIABILITY COMBINED SINGLE LIMIT EACH OCCURRENCE 14GENERALLIABILITY CLAIMS MADE (4 OCCURRENCE SW000107 -29 7/1/215 $ 50,000 $ 1,000,000 I I GOVERNMENT CODES 7/1/2016 I ERRORS &OMISSIONS II A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT EACH OCCURRENCE ANY AUTO SWC 60107 -29 711/2015 $ 50,000 s 1,000,000 I HIRED AUTO 7/1 /2016 I NON- OWNEDAUTO I GARAGE LIABILITY I AUTO PHYSICAL DAMAGE A PR[[[[[[OPERTY SWC00107 -29 7/1/2015 s 5,000 s 250,250,000 t ALL RISK 7/1/2016 EACH OCCURRENCE t EXCLUDES EARTHQUAKE & FLOOD I BUILOER'S RISK A STUDENT PROFESSIONAL LIABILITY SWC00107 -29 7/1/2015 $ 5,000 s Included 7/1/2016 EACH OCCURRENCE B WORKERS COMPENSATION t I WC STATUTORY LIMITS I✓I OTHER 11/j EMPLOYERS' LIABILITY PIPS11712 7/1/2015 $ 7/1/2016 e 1,000,000 E.1— EACH ACCIDENT $ 1,000,000 EXCESS WORKERS COMPENSATION $ I I EMPLOYERS'LIANLITY E.L. DISEASE. EACH EMPLOYEE S 1,000,000 E.L. DISEASE - POLICY LIMITS OTHER S 5 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIRESTRICTIONSISPECIAL WOVISIONS: As respects to the agreement between between SAWIB and South Orange County CCD (Irvine Valley College).9- tpc_r— �''-�� r qq). q J I 1I.A1 f. CERTIFICATE HOLDER: CANCELLATION ...... SHOULD ANY OF THE ABOVE DESCRIBED COVERAGES BE CANCELED a O THE EXPIRATION DATE THEREOF, THE ISSUING ENTI7YIJPA Cityof,SantaAna WILL L� MAIL 30 DAV W IT E E I CATE D AM 0T0 HG � ��`Y�� 20 Civic Center Plaza�25�24iYb w Y Santa Ana CA 92702 atsxwxaxiwxxxxxx: John Stephens AUT14DRIZED REPRESENTATIVE ]551203e .SOIITxOeA t5 /16 Supe[ Pool PsL I DGCANl1 app RCR 1 1/9/2015 A:]eaP P11 (PDT) I Pu9e 1 of 6 DISCLAIMER The Certificate of Coverage on the reverse side of this form does hot 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 alterthe coverage afforded by the coverage documents listed thereon. )Yn "h 255/2010 1 60WHORA 1 15116 Super Pool P &L I OE6ANN BARKER 1 7/9/241$ 4:30:13 PM IMT) I Pn90 2 of 6 ENDORSEMENT ADDITIONAL COVERED PARTY COVERED PARTY COVERAGE DOCUMENT ADMINISTRATOR South Orange County Community Colle je ANC 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. FAA 8 Authorized Representative Issue Date: 7/9/2015 25532010 1 swTHORA 1 15 116 saner Pool P&L I DeEANN BARKER 1 7/5/2015 5:20a2 Pm (PDT) I Page 3 of 6