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Home My WebLink AboutCALIFORNIA STATE UNIVERSITY, FULLERTON (2)-2012MAYOR N!C}F!K MAY pi' "% r Miguel A. Pulldt}J1VfJ INSI94,� MAYOR PRO TEM 77 s Sal Tinajero e..,'w; l'l l(7 COUNCIL MEMBI€WK Angelica Amez TE: t 2_ Z -_ 1.5 P. David Benavides Michele Martinez Roman Rayne Vincent F. Sarmiento December 15, 2015 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 www.santa -ana orc CSU Fullerton Auxiliary Services Corporation Attn.: Denise Belle 2600 Nutwood Avenue, Suite 250 Fullerton, CA 92$31 Subject: Extension of Agreement #A- 2012 -016 Dear Ms. Belle: CITY MAFtAg9J 2- 016 -01 David Cavazos CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar Pursuant to Agreement under the Workforce Investment Act, #A- 2012 -016, entered between CSU Fullerton Auxiliary Services Corporation 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 t 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 frill force and effect. If you have any questions in this regard, please feel free to contact my office. Sincerely, Executive Dire Community Development Agency A m O Fy) Soa 411 I i JCit Attorney By:, Ryan CITY OF SANTA ANA, David Cavazos City Manager ATTEST ;' aria D. Huizar City Clerk SANTAANA CITY COUNCIL Miguel A, Puiitic SalTlmaiem i vincent E sa"anto I Mlohele Madmaz I Angell. Amezcua R navkl senavidee I R..s Reyoa Mayor Mayrn Pia inm, WeN6 j Waed1 I W.1d2 j Wadi i Ward i Ward MPNI a t - �i1� SuJet sr'•,utie� ana om Vfiarmientola)a)sgnta -and ttiiPAgrtinortd�santa- anix.Purg i AAme cua,{�senta -ana orq I OBenav tleS(blsanta- ana org RReWn Dsanln-ana.arri CERTIFICATE OF COVERAGE 6 DATE26 'MMIO2015 DI5 Y) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF EVIDENCE ONLY AND CONFERES NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR TYPE OF COVERAGE NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE A1.liant Insurance Services, Inc. MEMORANDUMNJ3 OF COVERAGE BELOW, 100 Pine Street THIS CERTIFICATE OF COVERAGE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE 11th Floor San Francisco CA 94111 - ISSUING COVERAGE PROVIDER, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: IF THE CERTIFICATE HOLDER IS AN ADDITIONAL COVERED PARTY, THE 4/1/2015 MEMORANDUM OF COVERAGE MUST BE ENDORSED. A STATEMENT ON THIS CERTIFICATE EACH OCCURRENCE DOES NOT CONFER RIGHTS TO THE CERTIFICATE HOLDER IN LIEU OF SUCH ENDORSEMENT(S), IMPORTANT: IF SUBROGATION IS WAIVED, SUBJECT TO THE TERMS AND CONDITIONS OF THE NbyMEO COVERED PARTY CSU Fullerton Auxiliary services Corporation 2600 NutWOOC1 Ave,, Suite 275 MEMORANDUMDR OF COVERAGE AN ENDORSEMENT MAY BE REQUIRED. A STATEMENT ON THE CERTIFICATE DOES NOT CONFER RIGHTS TO THE CERTIFICATE HOLDER IN LIEU OF SUCH ENDORSEMENTS). FU7.,lerton CA 9 2631-3599 PROGRAM AFFORDING COVERAGE A: CSURMA AORMA —. &:AORMA WC/Safety National Cas. CLAIMS MADE OCCUR C: COVERAGES ]'HIS IS TO CERTIFY THAT THE COVERAGE IS AFFORDEO TO THE ABOVE NAMED MEMBER, AS PROVIDED BY THE MEMORANDUMS) OF COVERAGE, FOR THE PERIOD SHDWN BELOW, NOT WITHSTANDING ANY RE.OUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE COVERAGE AFFORDED BY THE PROGRAM DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH MEMORANDUM'S) OF COVERAGE. THE FOLOWING COVERAGE IS IN EFFECT. JPA LTR TYPE OF COVERAGE MEMORANDUM NUMBER COVERAGE EFFECTIVE DATE(MMMDPaH COVERAGE EXPIRATION DATE(MMIDOMY) LIMITS A GENERAL LIABILITY AORMA- 1516 -01 4/1/2015 7/1/2016 EACH OCCURRENCE $5,000,000 FIRE DAMAGE (Any we fire) S COMMERCIALGENERAL LIABILITY CLAIMS MADE OCCUR MED EXPENSE (Any ow, Person) $5,000 PERSONAL &ACV INJURY $5,000,000 Prof _'lit GENERALAGGREGATE $5,000,000 BELL AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMPIOPAGG 55,000,000 MEMOM R PROJECT LOC ANDll A AVTDMOBICE 4IABtLiTY AORMA - 1516 -01 7/1/2015 7/1/20166 COMBINED SINGLE LIMIT $5,000,000 ANY AUTO iEa acdd.nG $ ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS NON -CA ... AUT15 B WORKERS' COMPENSATION AND EMPLOYERS LIABILITY AORPIA -WO- -1515 7J1/2015 4/1/2016 we X STATUTORY OTHER LIMITS ANY PROPRIETOWPARTNERI EXECUTIVFICPFIGERIMEMBER E.L. EACH ACCIDENT 55,000,01111 EXCLUDED? IF YES, DESCRIBED TINDER SPECIAL EL. DISEASE- EA EMPLOYEE $5,000,000 E.L. DISEASE - POLICY LIMIT $5,000,000 PROVISION BELOW OTHER OTHER DESCRIPTION OF OPERATIONStLOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIALIPROYISIONS Note: Workers' Compensation Coverage is provided as evidence only. City of Santa Ana and State of California are named as additional. covered parties as respects the Agreement under, the Workforce Investment Act for Orange County Bridge to Engineering Project. Contract No. 50104012. Term of Agreement: 12/1/2011 - 11/30/2015. CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED MEMORANDUM(S) OF COVERAGE- Attn: Manager, WIB Administrative Office BE CANCELLED BEFORE THE EXPIRATION DATE 'I'HEREOF, NOTICE WILL BE P.O. Box 1988 (M -73) DELIVERED IN ACCORDANCE WITH THE MEMORANDUM(S) OF COVERAGE Santa Ana CA 92702 PROVISIONS. AUTHORI7S:D REPRESENTATIVE V _� California Slate University Risk Management Authority Auxiliary Urgnnimtlons Risk Management Alliance Endorsement No.: Effective: Forms a part of MOC No.: Issued to: Issued by: Issued on behalf of Member: Per Blanket Additional Covered Party attached to Memorandum of Coverage of Coverage listed below 07/01/2015 AORMA -15 -16 Per Attached Certificate of Coverage CSURMA Auxiliary Organizations Risk Management Authority AORMA Member On File With Company This endorsement modifies the Memorandum of Coverage of Coverage. Please read it carefully. ADDITIONAL COVERED PARTY Additional Covered Party means any person(s), entity(ies), or organization(s) to whom the Member is obligated by virtue of any written contract to provide coverage solely with respect to bodily injury, property damage and personal injury arising out of the Member's operations or premises owned by or rented to the Member; and For which a certificate of coverage has been issued to such person(s), entity(ies) or organization(s) and is on file with CSURMA AORMA evidencing their status as an additional insured under this coverage. The coverage provided does not apply to any occurrence taking place: Prior to the Members' operations or r occupation of the premises; or 2. After the Members' operations have been completed or occupation of the premises has ceased. The limits of coverage will be limited to the limits required within the terms of the written contract of the limits of liability of this Memorandum of Coverage, whichever is less, and will apply in excess of the Members' retained limit shown in the Declarations. CSURMA AORMA will not be obligated for limits of coverage shown in the written contract that are greater than the limits of liability of this Memorandum of Coverage. The inclusion of more than one Covered Party under this policy shall not operate to impair the rights of one Covered Party against another Covered Party and the coverages afforded by this Memorandum of Coverage shall apply as though separate Memorandum of Coverage had been issued to each Covered Party. The inclusion of more than one Covered Party shall not, however, operate to increase the limit of the Company's liability. Any other insurance carried by a certificate holder which may be applicable shall be deemed excess and the Covered Party's coverage primary notwithstanding any conflicting provisions in the Covered Party's Memorandum of Coverage. A certificate holder shall not, by reason of their inclusion under this Memorandum of Coverage, incur liability for payment of premium for this Memorandum of Coverage. In the event of reduction in coverage or cancellation of this Memorandum of Coverage before the expiration date thereof, notice will be delivered in accordance with the Memorandum of Coverage provisions to each entity added as per certificates on file with CSURMA AORMA which specify that a written contract exists and requires that the entity be an additional covered party. All other terms and conditions in the Memorandum of Coverage remain unchanged. 15 \ t 2 Signed:__ _ Date: 7/1/15