HomeMy WebLinkAboutSENSIS (2)MAYOR
Miguel A. Pulido
MAYOR PRO TEM
Michele Martinez
COUNCILMEMBERS
P. David Benavides
Vicente Sarmiento
Jose Solorio
Sal Tinajero
Juan Villages
OFFICE OF THE CHIEF OF POLICE
60 Civic Center Plaza
Santa Ana, California 92701
wwwsanta-ana.ora
June 14, 2017
Gloria Johnson
Sensis, Inc.
811 Wilshire Blvd., Suite 2050
Los Angeles, CA 90017
Re: First Extension of Consultant Agreement No. A-2016-154
Dear Ms. Johnson:
A-2016-154 —01
INTERIM CITY MANAGER
Cynthia J. Kurtz
CITY ATTORNEY
Sonia R. Carvalho
CLERK OF THE COUNCIL
Maria D. Hulzar
Pursuant to Section 3 of Agreement No. A-2016-154, entered into by Sensis, Inc. and the
City of Santa Ana, dated June 21, 2016, the term of the Agreement is hereby extended from June
21, 2017 to February 28, 2018. The insurance certificates are required to be extended and/or
renewed to cover this extension. All other tenns and conditions of the Agreement remain
unchanged and in full force and effect.
Sincerely,
Dawn
Acting Chief of Police
Santa Ana Police Department
CITY OF SANTA ANA
ATTEST
J. Kur Marfa D. Huizar
itv anager _d Clerk of Council
APPROVED AS TO FORM ouRMGILONFiLE
WORK MA`t PROGEED
r N't`I1 INSURANCE EXPIRES
Tamara Bogosian, Assistant City Attorney t<LL:FlK OF COUNCIL / 1
11't 7 A^S
SANTA ANA CITY COUNCIL
fAqual A. PWido Michele Martinez vtente samrrwn Jose spleno P. bawd aenaAdes duan UAlegas Sat Tinatero
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A� hP CERTIFICATE OF LIABILITY INSURANCE
DATE
s�13/20>�
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 policy(les) 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
certificate holder in lieu of such endorsements .
PRODUCER
CAONMTACTE: Carlos Alfaro
N
_
PHONE (818)781-8112 INC N 1, (018)981-2460
INSURENEX - VN Insurance Services
California Lic. OF23523
E-MAIL CdY109.ea0inBllreneX.COdo
ADDRESS:
14402 Baynes Street, Suite 103
_
________1NSURERfSt AFFORDING COVERAGE NAICIf
Van NUye� CA 91401
INSURERA:Sentinel_ Insurance Company Ltd 11000
_
INSURED
INSURERBAmGuard Insurance Company 92390
INSURERCA-Xis apples Insurance Company 37273
Sensis Inc,
DBA:Quijote Corporation
INSURER D:
BIB S. Broadway Suite 1100
INSURER E:
Los Angeles CA 90014
1 INSURER F:
COVERAGES CERTIFICATE NUMBER:CL1732101589 REVISION NUMBER:
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
R
SUER
TYPE OF INSURANCE ADDL POLICY NUMBER POLICY EFF
....P LIC E P
LIMITS
A
X COMMERCIAL GENERAL LIABILITY
CLXMS.MADE O OCCUR
EACH OCCURRENCE 1,000,000
_$
DAMAGET RENTED 1,000,000
PREMISES Ea ac- rr co $
MEDEXP{Anyoneperson $ 10,000
X S7SIIABG5955 5/26/2017
5/26/2018
PERSONAL &ADV INJURY $.
_
..........................1,000,000
GENERALAGGREGATE S 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY EJ JECT LOC
PRODUCTS COMPIOP AGG $2,000,000
..... ....................
Nomowned $ 1,000,000
OTHER
AUTOMOBILE LIABILITY
COMBINED SINGLE_IMI 1 $ 2,000,000
Ea accident
'A
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS 578BABO5955 5/16/2017
5/26/2018
BODILY INJURY (Per person) $
— -"
BODILY INJURY (Par accident) $
HIRED ALTO$ NXNON-OWNEDPROPERTY
X HIRED AUTOS X AUTOSPeraccident
DAMAGE
$
UMBRELLA UAB OCCUR
EACHOCCURRENCE $
EXCESS LU B CLAIMS MADE
AGGREGATE 1$
DED RETENTIONIs
WORRERS COMPENSATION
AND EMPLOYERS LIABILITY YIN
X PER 0TH•
STATUTE ER
E.L. EACH ACCIDENT $ 1,000 000
B
ANY PROPRIETOMPARTNERfEXECUTIVE
OFFICER/MEMBER E%CLUDED? y NIA
(Mandatory in NIB shwC700298 3/1/2017
3/1/2018
E.L. DISEASE - EA EMPLOYE $ 1 000 000
N, dostabs under
0DCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT $ 1,000,000
C
Professional Liability MCN000107111502 4/4/2017
4/4/2018
Each Claim 2,000,000
A
Business Personal Propety 57SBABG5955 5/26/2017
5/26/2018
85,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
Santa Ana Police Department is added as an additional insured to the policy. Coverage is subject to the
terms and conditions of the insurance policy.
,0,4A�O /tf ✓po.
CERTIFICATE HOLDER CANCELLATION
EN
ACORD 25 (2014701)
INS025m iorl)
0 1988.2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Santa Ana Police Department
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
60 Civic Center Plaza
ACCORDANCE WITH THE POLICY PROVISIONS.
Santa Ana, CA 92701
AUTHORIZED REPRESENTATIVE
Carlos Alfay.'o/MF,
ACORD 25 (2014701)
INS025m iorl)
0 1988.2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD