HomeMy WebLinkAboutSOLOMON, STEPHEN HOWARD �^� NI- 02014 - 130-01 '..
MAYOR
ALL CURRENT t�
I1tt� p _t j r ACTING CITY MANAGER
Miguel A.Pulido INSQflAl LiE NOT ON FILE ILE ,�-.,os . Cynthia Kurtz
MAYOR PRO TEM CITY N3AYVRT C� fEED 4M � CITY ATTORNEY
Michele Martinez R Sonia R.Carvalho
COUNCILMEMBERS LERK OF COUNCIIL ./! ,J CLERK OF THE COUNCIL
P.David Benavides i �i 4;54' �s • Maria D.Huizar
Vicente Sarmiento DATE: is-31-/7 -'
Jose Solorio r r r,
Sal Tinajero •heed, W C
Juan Viliegas .Qro 6-1-17 CITY OF SANTA ANA
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(y� OFFICE OF THE CITY ATTORNEY
U a r� . 20 Civic Center Plaza,M29•RO.Box 1988
Santa Ana,California 92702
714-647-5201 • Fax 714-647-6515
www.santa-ana.orq
August 24, 2017
Mr. Stephen Solomon
17853 Santiago Blvd. #107-188
Villa Park, CA 92861
Re: Extension of Consultant Agreement
Agreement No. N-2014-130
Dear Mr. Solomon:
Pursuant to Section 3 ("Term") of the Agreement No.N-2014-130, entered between Stephen H. Solomon
and the City of Santa Ana, dated August 25, 2014,the time period of said Agreement is hereby extended for
the first additional one(1)year period, from August 25,2017 through August 25, 2018.
The insurance certificates 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.
Sincerely, CITY OF SANTA ANA
Candida Neal P ynt 'aK
Acting Executive Director Acting C. ' Manager
Planning and Building Agency
APPROVED AS TO FORM: ATTEST:
Sonia R. Carvalho
City Attorney
r vim_ I*ORO,
Lisa Storek Maria D. Huizar <, ; „-
Assistant City Attorney "Clerk of the Council
SANTA ANA CITY COUNCIL
Miguel A.Pulido Michele Martinez Vicente Sarmiento Jose Solorio P.David Benavides Juan Villeges Sal Tinajero
Mayor Mayor Pro Tern,Ward 2 Ward I Ward 3 Wart 4 Ward 5 Ward 6
meulidorasanta-anaorq mimartinez([esenta-anaorq vsarmientoCresanta-anaorq jsolorioeSsanta-anaorq dbenavides(eesenta-anaorq jvillegasrasanta-anaorq stinalero(a'senta-ana.org
Accwif CERTIFICATE OF LIABILITY INSURANCE DATE(MNIDDJYYYT)
kr.. 05/10/17
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 MEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE ODES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE CR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WANED,subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on
this certificate doss not confer rights to the certificate holder In lieu of such erdorsementis
PRODUCER CONTACT
AME
uuarmFao._C__�� P N vq:_ai 541-94 .4
COMPLETE EQUITY MARKETS INC PHONE 847, 41 900 FAX T ( _7} _,______
E-MAIL
1190 Flex Court Aoess. T
Lake Zurich,IL 60047 INSURER(S)AFFORDINGCOVERAOC• . ._,..NAIC
dao Complete Equity Markets Insurance Agency,Inc. INSURER A: Underwriters at Lloyd's London
INSURED INSURERS_
Stephen H.Solomon
INSURER CI
INSURER 0:
18861 Ridgewood Lane INSURER E:
:,r e, I 86 INSURER P:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
t- 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 TI'IIS
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.
IIJSSR TYPE OF INSURANCE ACM.SAAR_- -- POLICY EFF POLICY EXP --
LTR INSD 4WD POLICY NUMBER (MNIDDIYYYY) (MMIDIMYYYYI LIMITS
COMMERCVRL GENERAL UASILRTY EACH OCCURRENCE _ S
DAMNAG`EY(31RBNTED
CtAIM&MADE OCCUR PREIAISE51F.a mows $__
MED EXP(Any one person) $
PERSONAL&ADV INJURY $
GE IL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE
POLICY PEC
RC ri LOC PRODUCTS-CCMPIOP AGG $
OTHER: _ 4
AUTOMOBILE LIABILITY COMBINED SINGLE LIMB $
ANY AUTO BODILY INJURY(Per omen) S
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY(Pet Mtle
On) $
HIRED NON-OWNED pROPERTY DAMAGE - -_-
AUTOS ONLY _...._ AUTOS ONLY (Per awIdey
UMBRELLALIAS I OCCUR i EACH OCCURRENCE
ENCESSLIAB CLAIMS-MADE AGGREGATE $
DED RETENTIONWorS
ANDD L PERS.lIATIONILIT PER ERI't-
AND£L�LOYERS'LIA81LItt YlN STATUTE ER
ELANYPRCPRIETORIPARTNEWEXECUOVEACCIDENT
EACH AC $
OFFICER/MEMBER EXCLUDED? I^I NIA
Mandatory in NH) .EL.DISEASE-EA EMPLOYEE $
tvyee,danute under - --
DLSCRIPnCHOFOPERATIONSbeloW i E.L.DISEASE-POLICY LIMIT $
Each Claim $1,000,000
X Professional Liability 856445 06(01117 06)01118 Aggregate $1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES IACORD 101,Additional Remm+a Sohodale,may he attached a more space is required)
Subject to all policy terms,conditions, exclusions and endorsements. The City of Santa Ana is listed as an additional
insured but only per the terms&conditions of the endorsement generated ad subject to all polo terms,conditions,
exclusions, and endorsements. // I
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CERTIFICATE HOLDER CA VCELLATION
The City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Civic Center THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS.
Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE
4tard« 7-77/466(4.—
IS,
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