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HomeMy WebLinkAboutCLR DESIGN (3)City of Santa An {rt Clerk of the Council AGREEMENT TERMINATION FORM---- _.___._..____..._ COTC Office Use Only i..---------------------------------------.-..-._.. FEB -6 PM 3: 37 Please complete this form when the attached agreement and all amendments (if any) are no longer in effect. PITY OF SAHTA MA CLERK OF COUPdCIL Return form to the Clerk of the Council Office (M-30). Call 647-6520 if you have any questions. The agreement with Luz Mun No. �} 2�11'"��BQ li was completed on JZ/3Iand final payment has been made. (List all amendments. Use space below if needed.) Department: MC jA Phone/Ext.: Signature: 4 �0 � Date: Revised 08-23-10 l`jI INSURANCE NOT ON FILE WORK MAY _W1 1 PROCEED . MAYOR Miguel APulido CLERK OF COUNCIL AO . MAYOR PRO TEM DATE. DEEC 0 7 2017 Michele Martinez COUNCILMEMBERS P. David Benavides Vicente Sarmiento Jose Solorio Sal Tinajero Juan Villages November 16, 2017 PARKS, RECREATION AND COMMUNITY SERVICES AGENCY 20 Civic Center Plaza M-23 • P.O. Box 1988 Santa Ana, California 92702 wxw.Santa-ana.om CLR Design Attn: Gregg Leicester 3295 Laguna Canyon Road, Ste C. Laguna Beach, CA 92651 A-2017-060-01 CITY MANAGER Raul Godlnez l: CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar Re: Extension of Consultant Agreement No. A-2017-060 to develop a Zoo Master Plan Dear Mr. Leicester: Pursuant to Section Tbree ("Term") of Agreement A-2017-060 entered -into by the City af_Santa Ape and_CLR Design, dated April 24, 2017, the time period of the Agreement is hereby extended for an additional one (1) year period, from January 1, 2018 to December 31, 2018. The insurance certificates are required to be _._ extended .and/or .renewed -to -cover this -extension. -All -other -terms -and -conditions of -the -Agreement remain----..-.. — - unchanged and in full force and effect. Sincerely, Gerardo Monet . Executive Director . Parks, Recreation and Community Services Agency APPROVED AS TO FORM: Sonia R. Carvalho Ciky Attorney 4oj,s7k a, k ;),�' n.i-i Laura A. Rossini Senior Assistant City Attorney CITY OF SAN ANA Raul Godinez II City Manager ATTEST: Maria D. Huizar f Cleric of the Council SANTA ANA CITY COUNCIL Miguel A. Pulido Michele Martinez Vicente Sarmiento Jose Solodo P. David aenaAdes Juanviliegas Sal nrojero Mayor Mayor Pro Tem, Ward 2 Wadi Ward Wad Wards Ward madldo0sonts-9na oro {pirIl@rlinezlansanla-enagrg ygmerlenloAsarla-ancon, lsolorloAsanta-ana.am dbeaavid� LeaasColsanta-ana.ora srna'eraAmIkMam OP ID: LP AcoRc3~ CERTIFICATE OF LIABILITY INSURANCE -�"- OATE(MMIDDMYY) 07/18/2017 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 endorsement(s). PRODUCER Wortley/Poole Professional, Ltd 1 Penn Center CONTACT Paul Lucci PHONE FAX ac No E 1:215-564-6971 ac No 21S-564.6975 1617 JFK Boulevard, Suite 880 Philadelphia, PA 19103 Paul J. Luccl E-MAIL lucci wortle oole.com pR@ yP PRODUCE' CUSTOMER to #: CLRDE-1 INSURER(S) AFFORDING COVERAGE NAIC# INSURED CLR Design, Inc INSURER A: Charter Oak Fire ins. Co. 25615 833 Chestnut Street,Suite 1000 Philadelphia, PA 19107 INSURER e : Travelers Indemnity Co. 25658 INSURER C: Travelers indemnity Co. 25674 INSURER D: XL Specialty Insurance Company 37885 MED EXP (Any one person) $ 10,00 INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: 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. ILTp TYPE OF INSURANCE ADDL SUB POLICYNUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDD[YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE LA ] OCCUR X 66D-2J979D64 07/11/2017 07/11/2018 AMAGE TO RENTED PREMISES Ea occurrence $ 1,000,00 MED EXP (Any one person) $ 10,00 &ADV INJURY $ 1,000,00 _PERSONAL GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS COMRADE AGG $ 2,013 1-1 PEO LOC POLICY JC $ AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT $ 1,000,00 (Ea accident) ANY AUTO BODILY INJURY (Per person) $ _ ALL OWNED AUTOS BODILY INJURY (Per accident) $ B X SCHEDULED AUTOS HIRED AUTOS BA-272BL15A 07/11/2017 07111/2018 PROPERTY DAMAGE (PER ACCIDENT) $ X NON -OWNED AUTOS $ $ UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 6,000,00 B EXCESS LIAB CLAIMS -MADE CUP-673GY412 07/11/2017 07/11/2018 DEDUCTIBLE $ - $ RETENTION $ C WORKERS COMPENSATIONX AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERAEXECUTIVEYIN OFFICER/MEMBER EXCLUDED? (Mandatory In NH) NIA UB7302Y24A 07/11/2017 07/11/2018 WCSTATU- OTH- TORY LIMITS ER _." E EACH ACCIDENT $ 1,000,09 E. L. DISEASE - EA EMPLOYEE $ 1,000,00 If yes, describe under DESCRIPTIONOFOPERATIONSbelow I I "— I E, L. DISEASE -POLICY LIMIT $ 1,000,00 D Professional DPR9915991 07/11/2017 07/11/2018 Ea Claim 2,000,00 Liability Ann Agg T3A 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 111 Additional Remarks Schedule, if more space is required) RE: Agreement # A-2016-377 CERTIFICATE HOLDER CANCELLATION SANTA -3 SHOULD ANY OF THE ABOVE C PQJ,t IES BE CANCELLED BEFORE Cit of Santa Ana Y THE EXPIRATION DATE EREOF ICE WILL BE DELIVERED IN ACCORDANCE WITH THEOLICY PR7'/I IONS. 20 Civic Center Plaza Santa Ana, CA 92702.1988 AUTHORIZED REPRESENTATIVE ACORD 25 (2009109) ©1988.2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED (Section II): Any person or organization that you agree in a "contract or agreement requiring insurance" to in- clude as an additional insured on this Coverage Part, but only with respect to liability for "bodily in- jury", "property damage" or "personal injury" caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing opera- tions; It. In connection with premises owned by or rented to you; or c. In connection with "your work" and included within the "products -completed operations hazard". Such person or organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injury" for which that per- son or organization has assumed liability in a con- tract or agreement. The insurance provided to such additional insured Is limited as follows: d. This insurance does not apply on any basis to any person or organization for which cover- age as an additional insured specifically is added by another endorsement to this Cover- age Part. e. This insurance does not apply to the render- ing of or failure to render any "professional services". The limits of Insurance afforded to the addi- tional insured shall be the limits which you agreed in that "contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declara- tions for this Coverage Part, whichever are less. This endorsement does not Increase the limits of insurance stated in the LIMITS OF INSURANCE (Section III) for this Coverage Part. B. The following is added to Paragraph a, of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): However, if you specifically agree in a "contract or agreement requiring insurance" that the insurance provided to an additional insured under this Cov- erage Part must apply on a primary basis, or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such addi- tional insured as a named insured, and we will not share with the other insurance, provided that; (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have entered into that "contract or agreement requiring insurance". But this insur- ance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the insured when the insured is an additional insured under any other insurance. C. The following is added to Paragraph 8, Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CON- DITIONS (Section IV): We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury'., "property damage" or "personal injury" arae *it of "your work" performed by you, or on ehalf, under a "contract or agreement r gin e" that person or orga•' n.�ai ese rights only where you have a� eo s part of the "contract or agreeme r- ance" with such person or t i Rtered into by you before, anEp of vwtte e "bodily CG D3 81 09 07 © 2007 The Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY injury' or "property damage" occurs, or the "per- sonal injury" offense is committed. D. The following definition is added to DEFINITIONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement un- der which you are required to include a person or organization as an additional insured on this Cov- erage Part, provided that the "bodily injury' and "property damage" occurs, and the 'personal in- jury' Is caused by an offense committed: a. After you have entered into that contract or agreement; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. Page 2 of 2 © 2007 The Travelers Companies, Inc. CG D3 81 09 07