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HomeMy WebLinkAboutTRES ESTRELLAS DE ORO 5 - 2015tvtlzIN U A14iEE EXPIRES �F wC7iiK MAY PROCEED A- 2015 -2$3 UN1 {i. INSllRAtvGE EXP(RF..S DATE ,IAN 2 2 29162 LICENSE AGREEMENT BY AND BETWEEN THE CITY OF SANTA ANA AND TRES ESTRELLAS DE ORO, INC. FOR USE OF THE SANTA ANA REGIONAL TRANPORTATION CENTER FACILITIES This LICENSE AGREEMENT ( "Agreement ") by and between the CITY OF SANTA ANA, a municipal corporation of the State of California ( "City ") and TRES ESTRELLAS DE ORO, INC., a California Corporation ( Referred to as "Licensee" or "Tres Estrellas ") is dated as of December 16, 2015 ( "Effective Date "). Tres Estrellas and City are sometimes individually referred to as "Party" and collectively as "Parties." 4� Q RECITALS A. Licensee is a provider of interstate bus transportation services throughout the state of California. B. Licensee desires the use of and access to the Santa Ana Regional Transportation Center Facilities (the "Facilities "), located at 1000 East Santa Ana Boulevard in the City of Santa Ana, for a bus stop for the purpose of drop off and pick up of its Invitees (defined bylow) that utilize Tres Estrellas' bus services ( "Transit Services "). City desires to allow Licensee the use of and access to the Facilities for a bus stop for the purpose of drop off and pick up of its Invitees and allowing its Invitees to utilize the Transit Services. NOW, THEREFORE, in consideration of the above recitals and the mutual covenants hereinafter contained and for good and valuable consideration, the receipt of which is hereby acknowledged, the Parties agree as follows: 1.1 Facilities Subiect to License. City owns the real property commonly known as the Santa Ana Regional Transportation Center (SARTC). Subject to the terms and conditions of this Agreement, City hereby agrees to allow Licensee the non - exclusive use of and access to two (2) bus bays at the Facilities as a bus stop for the purpose of drop off and pick up of its Invitees (defined below). THE BUS BAYS SUBJECT TO THIS LICENSE ARE BUS BAYS #7 AND #8 (The "License Area "). The parties understand that the City may unilaterally reassign the License for bus bays #7 and 48 in the future upon written notice by the City and that all terms and conditions of this license will likewise apply to any replacement bus bays. See Exhibit "A" for description of License Area. 1,2 Grant of License, Terms of License. City hereby grants to Licensee a non - exclusive license ( "License "), during the term of this Agreement, for vehicular and pedestrian ingress to and egress from the Facilities and vehicular and pe'dest'rian use of the Facilities for its regularly scheduled passenger service. THIS AGREEMENT IS INTENDED AND SHALL BE CONSTRUED ONLY AS A REVOCABLE LICENSE TO USE THE LICENSE AREA AND NOT AS A LEASE OR GRANT OF ANY POSSESSORY OR OTHER INfEREST. 1.3 Restrictions on Use of Facilities. Licensee shall not use, and shall prohibit its Agents (defined as follows) or Invitees ( defined as follows) from using the Facilities other than for the purposes specified herein. The term "Agents" shall mean Licensee' officers, directors, members, agents, employees, invitees, contractors, subcontractors, and any employees of such parties. The term "Invitees" shall mean Licensee's invitees, guests, customers or business visitors. 1.4 City pproval of Tres Estrellas' Buses. Tres Estrellas shall provide the City with documentation listing, for each and every bus providing services at the SARTC: (1) registered owner; (2) VIN number; (3) license plate number; (4) USDOT number; (5) proof of authorization from the Federal Motor Carrier Safety Administration ( "FMCSA "); (6) proof of insurance; and (7) a list of all licensed drivers who may operate the bus. Additionally, Licensee shall ensure that use of the Bus Bays shall be by clearly marked buses identifying the Tres Estrellas company name and USDOT number. Licensee agrees that it will provide the City with a list of buses that will use Bus Bay #7 and #8 as a precondition for use of the Bus Bays. Any additional buses must be approved by the City prior to beginning service. The use of any non - approved bus at the SARTC is a breach of this Agreement and will result in immediate termination thereof. 1.5 Compensation. As consideration for its use of the Facilities, Licensee agrees to pay a monthly fee of $6,000.00 per month for the term of this Agreement. Such payment shall be made payable to the City of Santa Ana, in advance for each month, and at the following address: payable to "The City of Santa Ana" and remitted to: City of Santa Ana M -13, 20 Civic Center Plaza, PO Box 1988, Santa Ana, CA 92702. A late charge of ten percent (10 %) shall be applied to any payment hereunder due but unpaid after the 10 "' of the month. The consideration for this License shall be subject to a CPI adjustment annually on the anniversary of the effective date during the term hereof. 1.6 AS -IS Condition. City makes no representation or warranty of any kind as to the condition of the License Area or any other matter relating to Licensee's use of the License Area. Licensee hereby disclaims and waives any and all objections to the physical and other characteristics and conditions of the License Area. Licensee acknowledges and agrees that the use of the License Area will be on the basis of Licensee's own investigation of the condition of the License Area. The license to use the License Area shall be granted on an "AS -IS," "WITH ALL FAULTS" basis, without representation or warranty expressed or implied by City, or by operation of law. City expressly disclaims, which Licensee hereby acknowledges and accepts, any implied warranty of condition or fitness for a particular purpose or use. Licensee's use of the License Area shall be subject to the License Area being in a usable and safe condition at the time of Licensee's use and Licensee shall be responsible for determining whether the License Area is in such condition. In connection therewith, in the event that the License Area or access thereto is damaged or obstructed or the use by Licensee is otherwise impaired, prevented or limited, City shall have no obligation or duty to repair the damage or rectify the condition to make the License Area usable or safe. 1.7 Term and Termination of License. The term of this License shall commence on December 16, 2015, and shall continue indefinitely subject to termination without cause by either Party with seven (7) days' notice, unless earlier terminated as provided herein. 1.8 No assignment of License. The permission, rights and privileges granted hereunder are nonexclusive and nontransferable. Licensee shall not, either voluntarily or by action of law, assign or transfer this License or any obligation, right, title or interest assumed by Licensee herein without the prior written consent of the City. If Licensee attempts an assignment or transfer of this License or any obligation, right, title or interest herein, City may at its option, terminate the License pursuant to Section 1.10 below and shall thereupon be relieved from any and all obligations to Licensee or its assignee or transferee. iJ 1.9 Agreement to Protect and Maintain Facilities. Licensee, on behalf of its Agents and Invitees, agrees to take all prudent action to protect the Facilities from any damage or injury caused by the exercise of this License. Licensee shall immediately notify City of any damage or injury to the Facilities caused by its use of the Facilities. 1.10 City's Right of Suspension, Termination. City reserves the right to suspend all activities or terminate this Agreement upon Licensee' non - compliance with any of the teens or conditions of this Agreement. Such suspension or termination shall be effective immediately. 1.11 Compliance with Laws; Regulatory Approvals. Licensee shall, at its sole expense, conduct and cause to be conducted all activities on the Facilities in compliance with all laws, regulations, codes, ordinances and orders of any governmental or other regulatory entity, and whether or not in the contemplation of the parties. 1.12 Indemnification. Licensee shall indemnify, defend, and hold harmless City, and its respective agents, representatives, employees, subsidiaries and affiliates ( "Covered Parties ") from and against any and all actions, suits, claims, demands, judgments, losses, expenses, or liabilities, injuries and damages to persons and property, including death, arising out of or related to Licensee's use of the License Area, the entry by any Licensee Party on the License Area or any portion of the Property or surrounding property, or Licensee's breach or default in the performance of any of its obligations under this Agreement; provided, however, that Licensee will not be obligated to indemnify the Covered Parties from any claims arising solely from the gross negligence or willful misconduct of a Covered Party. If any action or proceeding is brought against any Covered Party by reason of any such claim, Licensee, upon receipt of written notice from Covered, shall defend the same at Licensee's expense with legal counsel reasonably acceptable to Covered. Payment shall not be a condition precedent to recovery under any indemnification in this Agreement, and a finding of liability or an obligation to indemnity shall not be a condition precedent to the duty to defend. The provisions of this Section 1.11 shall survive the termination or expiration of this Agreement. 1.13 Commercial General Liability Insurance. Licensee shall maintain commercial general liability insurance which shall include, but not be limited to, protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Licensee's use of the license area, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $2,000,000 per occurrence and $5,000,000 in the aggregate. Such insurance shall (a) name the City, its officers, employees, agents, volunteers and representatives as additional insured(s); (b) be primary and not contributory with respect to insurance or self- insurance programs maintained by the City; and (c) contain standard separation of insured's provisions. 1.13 Certificates of Insurance; Additional Insured Endorsements. Prior to execution of this Agreement, Licensee shall furnish to City certificates of insurance and additional insured endorsements to each of Licensee's insurance policies, evidencing the foregoing insurance coverages as required by this Agreement. See Exhibit B for form of Additional Insured Endorsement. These certificates shall: a. provide the name and policy number of each carrier and policy; b. shall state that the policy is currently in force; and C. shall promise to provide that such policies will not be canceled, suspended, voided, reduced in coverage or in limits, or modified without thirty (30) days prior written notice of City; and Licensee shall maintain the foregoing insurance coverages in force throughout the term of this Agreement. The requirement for carrying the foregoing insurance coverages shall not derogate from the provisions for indemnification of City by Licensee under the Agreement. City or its representatives shall at all times have the right to demand the original or a copy of all these policies of insurance, which Licensee shall provide within five (5) days of City's request. 2. MISCELLANEOUS TERMS 2.1 Notices, Demands and Communications between the Parties. 2.1.1 Formal notices, demands and communications between Licensee and City shall be deemed sufficiently given if: (i) dispatched by registered or certified mail via the United States Postal Service, postage prepaid, return receipt requested, as designated in this Section; or (ii) by messenger service for immediate personal delivery; or (iii) by electronic transmittal, including fax transmissions with telephonic verification receipt. Such written notices, demands and communications may be sent in the same manner to such other addresses as either Party may from time to time designate by written notice to the other Party. 2.1.2 All notices, demands and communications shall be sent, as follows: TO LICENSEE: Tres Estrellas de Oro, Inc. 2414 E. Florence Ave. Huntington Park, CA 90255 Attention: Jose Guzman Fax: (323) 588 -7519 TO CITY: Public Works Agency City of Santa Ana 20 Civic Center Plaza (M - #) Santa Ana, California 92701 Attention: Gabriela Lomeli AND City Attorney's Office City of Santa Ana 20 Civic Center Plaza (M29) Santa Ana, California 92701 Fax: (714) 647 -6515 2.1.3 Notices that are dispatched by registered or certified mail through the United States Postal Service shall be deemed to be received, regardless of whether or when any return receipt is received by the sender or the date set forth on such return receipt, five (5) calendar days after deposit with the United States Postal Service. Notices that are dispatched by messenger for immediate personal delivery services shall be deemed received upon the day dispatched. Notices dispatched by express delivery services shall be deemed received upon execution of the delivery receipt by the Party receiving such notices. Notices dispatched through electronic transmittals shall be deemed received upon telephonic verification of such receipt. 2.2 Amendment. With the exception of a reassignment of the License Area as described in section 1.1, this Agreement may be amended at any time by the mutual consent of the Parties by an instrument in writing signed by both Parties. 2.3 Further Actions and Instruments. Each of the Parties shall cooperate with and provide reasonable assistance to the other to the extent contemplated hereunder in the performance of all obligations under this Agreement and the satisfaction of the conditions of this Agreement. 2.4 Countemarts. This Agreement may be signed in counterparts, each of which shall constitute an original. 2.5 Time is of the Essence. For each provision of this Agreement which states a specific amount of time within which the requirements thereof are to be satisfied, time shall be deemed of the essence. 2.6 Governing Law. This Agreement shall be governed by the laws of the State of California without regard to conflicts of laws principles. This Agreement shall be deemed to have been made in the County of Orange, California, regardless of the order of the signatures of the Parties affixed hereto. Any litigation or other legal proceedings which arise under or in connection with this Agreement shall be conducted in a federal or state court located within or for Orange County, California. The Parties consent to the personal jurisdiction and venue in federal or state court located within or for the County of Orange, California and hereby waive any defenses or objections thereto including defenses based on the doctrine of forum non conveniens. 2.7 Litigation Expenses. If either party to this Agreement commences an action against the other party to this Agreement arising out of or in connection with this Agreement, the prevailing party shall be entitled to recover reasonable attorneys' fees, expert witness fees, costs of investigation, and costs of suit from the losing party. 2.8 Construction; References; Captions. Since the Parties or their agents have participated fully in the preparation of this Agreement, the language of this Agreement shall be construed simply, according to its fair meaning, and not strictly for or against any Party. Any term referencing time, days or period for performance shall be deemed calendar days and not work days, except as otherwise specified in this Agreement. All references to City include all officials, officers, employees, personnel, agents, volunteers, contractors and subcontractors of City, except as otherwise specified in this Agreement. All references to Licensee include its officials, officers, employees, personnel, agents, volunteers, contractors and subcontractors, except as otherwise specified in this Agreement. The captions of the various articles and paragraphs are for convenience and ease of reference only, and do not define, limit, augment, or describe the scope, content, or intent of this Agreement. 2.9 Waiver. No delay or omission in the exercise of any right or remedy of a non - defaulting Party on any default shall impair such right or remedy or be construed as a waiver. Either Parties' consent or approval of any act by the other Party requiring its consent or approval shall not be deemed to waive or render unnecessary its consent to or approval of any subsequent act of the other Party. Any waiver by either Party of any default must be in writing and shall not be a waiver of any other default concerning the same or any other provision of this Agreement. 2.10 Rights and Remedies are Cumulative. Except with respect to rights and remedies expressly declared to be exclusive in this Agreement, the rights and remedies of the Parties are cumulative and the exercise by either Party of one or more of such rights or remedies shall not preclude the exercise by it, at the same or different times, of any other rights or remedies for the same default or any other default by the other Party. All warranties and promises to indemnify shall survive the termination, abandonment, or completion of this Agreement. 2.11 Legal Counsel. Each Party acknowledges that: (i) it has read this Agreement; (ii) it has had the opportunity to have this Agreement explained to it by legal counsel of its choice; (iii) it is aware of the content and legal effect of this Agreement; and (iv) it is not relying on any representations made by the other Party or any of the employees, agents, representatives, or attorneys of the other Party, except as expressly set forth in this Agreement. 2.12 Severabilitv. In the event that any one or more of the phrases, sentences, clauses, paragraphs, or sections contained in this Agreement shall be declared invalid or unenforceable by a valid judgment or decree of a court of competent jurisdiction, such invalidity or unenforceability shall not affect any of the remaining phrases, sentences, clauses, paragraphs, or sections of this Agreement which are hereby declared as severable and shall be interpreted to carry out the intent of the parties hereunder. 2.13 Binding Effect. The terms of this Agreement shall inure to the benefit of, and shall be binding upon, each of the Parties and their respective successors and assigns. 2.14 Authorized Representatives. The person or persons executing this Agreement on behalf Licensee and City warrants and represents that he /she has the authority to execute this Agreement on behalf of that Party and that he /she has the authority to bind that Party to the performance of its obligations hereunder. 2.15 Entire Agreement. This Agreement constitutes the entire and integrated agreement of Licensee and City with respect to the subject matter hereof and supersedes any and all prior and contemporaneous oral or written negotiations, representations or agreements. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers the day, month and year first written above. ATTEST: MARIA D. HUIZAR Clerk of the Council APPROVED AS TO FORM: Sonia R. Carvalho City Attorney B JosqAodovai Chi /Assistant City Attorney CITY OF SANTA AN DAVID CAVAZOS City Manager Dec 11 2015 12:52AM Tres Estrellas De Oro 1 21 321 321 71 RE 7N NDE FOR APP'RO'VAL: �FR D MO SAVIP UR Executive Director Public Works Agency I= TRES ESTRELLAS DE Hy C) �C Title: Av S+1> F &fr Tax TD # 435. 1►I M EXHIBIT A Santa Ana Regional Transportation Center- Site Plan EXHIBIT B ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company This endorsement modifies such insurance as is afforded by the provisions of Policy F•9 relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its 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 (3 0) 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 Policy # _ Issued to this endorsement form as a part of Named Insured Countersigned by Authorized Representative TRESE -1 OP ID: BUMA sA RG% CERTIFICATE OF LIABILITY INSURANCE 0911812015 o- 1 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 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 policyoes) 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 PRODUCER NAME y Steve Falcon Falcon & Associates insurance Services, Inc. PHONE 323,669,1±700 FAX JAIC, Me, Eon (A;C, NA) 323. 669.0785 2615 Santa Avenue A DIES,, steve@faisinc.com Commerce, CA 90040 A X COMMERCIAL GENERAL LIABILITY Steve Falcon INSURER(SI AFFORDING COVERAGE NAICe DAMAGE IE gN�:Ea xel 5 100,00 INSURER A : Colony Insurance Company 39993 INSURED Tres Estre±las de Oro Inc. INSURER B -. 1000 E. Santa Ana Blvd, #10 GFN'L AGOREGAR I. IMIT APPLIES PER Santa Ana, CA 92701 INSURER c PRODUCTS COMPIOPAGB E 5,000,00 INSURER 0 . S INSURER E COMBINED SINGLE LIMIT S INSURER F COVFRAGFS CFRTIFI('ATF NIIMIFI RFVIBtr)N NIIMRFR 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 INSR TYPE OF INSURANCE AOOL SUBR POLICY Err POLICY EXP LTR IN Sp WV I POLICY NUMBER MMICENYYYY MMOOIYYYy LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRE NCE S 51000,40 cL,uMSxanaE X oc +_Ore X 101 GL 0025103 -00 0711872415 4711812070 DAMAGE IE gN�:Ea xel 5 100,00 MES ExP =:any r,l,e $ 5104 PERSONAL A ADVwJURy a 31000,00 GFN'L AGOREGAR I. IMIT APPLIES PER GENERAL AGGREGATE b 5,000,00 X POLICY PRO. JECr L (;C PRODUCTS COMPIOPAGB E 5,000,00 OTHER S AUTOMOBILE LIABILITY mW COMBINED SINGLE LIMIT S ,Ea acnaenq ANY AUTO BODILY INJURY IPer oe•son b ALLOWNEO SCHL OUR LELI BGDUY INJURYIP =l acaaenn a AUTOS AUTOS IN,F1VVNEU PPROPERTY DAMAGE 5 MIRED AIJIOS ALTOS 5 UMBRELLA LIAR OCCUR ._.�.� EACH OCCURRENCE EXCESS LIAR CLAIMS MADE AGGREGATE .: DEC) RETENTION£ WORKERS COMPENSATION PER GTH AND EMPLOYERS' LIABILITY YIN STATUTE ER ANY PR�PRlETOiRIPAR *HERE¢CIKmE I —'- EL EACHACCIDENT 3 OFF.CERIMEMBER FACI JDE NIA __. Mandemry In NET ` E'. DISEASE FIT EMPLOYEE $ lf,s dew6euPdsl DESCRIPTON OF OPERA110NS beww EL DISEASE POUCYUM11 DESCRIPTION OF OPERATIONS I LOCATIONS (VEHICLES (ACORO 101, Addltional RVMWEs Schedule may be attached if more apnea is required) 'PLEASE SEE 2ND PAGE FOR ADDITIONAL INFORMATION RcVIE`PIED BY__.�. f EIMCE. HEREDIA {PG f OF } The City of Santa Ana, It's Officers, employees & agents 22 Civic Center Plaza (M21) Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE i=) 1US8-ZU14 AL;UKU CORPORATION. Ail rights reserved. ACORD 25 {2014101) The ACORD name and logo are registered marks of ACORD rNOTEPA® -- TRESE•1 - -- -,�._- PAGE 2 INSURED's NAME Tres Estrellas de Oro Inc. OP ID: BUMA ome 09/18/2015 Certificate holder is added as ADDITIONAL INSURED as respects to leased Premises located at the: Santa Ana Regional Transportation Center, 1000 E, Santa Ana Blvd., Santa Ana, CA 92701 and per attached endorsement. It is also agreed that this insurance shall be Primary S Non - Contributory. REV1E,VVED BY: PJ, t - 1. UNICE HERD_ °DIA (PG %OF q) ADDITIONAL INSURED ENDORSEMENT Insurance Company _Colony Insurance Company This endorsement modifies such insurance as is afforded by the provisions of Policy # _101 GL 0025103 -00 _ relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92702; its officers, employees, agents and volunteers 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 canceled, 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 92702. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective _7 /16/15 , this endorsement form as a part of Policy # _101 GL 0025103 -00 Issued to --Tres Estrellas de Oro, Inc Countersigned by RFViEWED BY: Z,14 klefiC , EUNICE HEREDIA (PG 3C)F'2� )