HomeMy WebLinkAboutDULAC ENTERPRISES (DBA BIG RED BUS) (2)-2017INSURANCE NOT ON FILE
MAYOR WORK MAYt�N-QT PROCEED
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guel A. Pulldo
MAYtOR PRO TEM CLERK OF COUNCIL,
Michele
COUNCILMEaMBERS DATE. JAN 0 2 20igpT�'
P. David Benavides V U
Vicente Sanalent
Jose Solorio
Sal Tinajero
Juan Villages
MS�iti`y ��LGt�+''zA
James DuLac
DuLae Enterprises
395 East 4d` Street, Unit 22
Long Beach, CA 90802
CITY OF SANTA ANA
COMMUNITY DEVELOPMENT AGENCY
20 Civic Center Plaza • P.O. Box 1988
Santa Ana, California 92702
794-647-5360
wmvsanta-ana.oro
Re: Extension of Agreement A-2017-011
Dear Mr, DuLac,
A-2017-011-01
CITY MANAGER
Raul Godinez it
CITY ATTORNEY
Sonia R. Carvalho
CLERK OF THE COUNCIL
Maria D. Hulzar
Pursuant to the above referenced Agreement entered into by Big RED Bus & Long Beach
Trolley and the City of Santa Ana dated January 17, 2017, the time period of said Agreement
(Section 3 — "Term") is hereby extended for an additional twenty five (25) days, through January
25, 2018. The insurance certificates and Additional Insured Endorsement 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.
If you have any questions regarding this matter, please contact Marc Morley in the Community
Development Agency at (714) 647-6588,
Sincerely,
Ro rt Zur Schm'ed CITY ANTA
Interim Executive ctor Raul God'nex
Community Development Agency City Manager
APPROVED AS TO FORM: A
Sonia R. � hg
City Airlscl �j r
Ryan D.
Assistant
Cc: Clerk of the Council
Maria D. Iii
Clerk of the
SANTA ANA CITY COUNCIL
Usual A. POW Michele Martinez Vicente Sarmiento Jas. Sdwo P, David Bwavidess Juan YOegas Sal T7najero
RAzyor Mayar Pro Tem, Ward 2 Wald i WaN 3 Wats 4 Ward 5 Ward S
rtmdidofaisanta-ane om rr Imart'n•.z@santa-ena oro vsarm7entoQ a lL �ar) nen g jsolonoGr}aantaana om I QgNQefk,(N9anta-dna arca ryllleaaaGDsanta-ana orq si{ng�nj',a'v'Zsanto-ana oro
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AGQSZAA® CERTIFICATE OF LIABILITY INSURANCE
�,....^�
DATE `MMI°D/YYYY)
7/13/2017
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), AUTHORf2ED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADD1710NAL 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
TIB Transportation Ins Brokers
425 West Broadway, Suite 300
Glendale CA 91204
CONTACT ArcJaure UI
PHONE � , 818-246.2800 PAX .818-246.4690
aa
MIL Jaur ul tibinsurance.com
INSURER ($) AFFORDING COVERAGE NAIC #
007DW39370
INSURER A:The Burlington Insurance Co
4/11/2019
INSURED BIGRE-1
INSURERB:SCOttsdale Insurance Company 41297
Dulac Enterprises dba: Big Red Bus
James Dulac
INSURERC:General Star Indemnity Co 37362
MED EXP Any one person
4140 Paramount Blvd.,
INSURER D:
NsuRER e
Lakewood CA 90712
NSURER F:
GENERALAGGRFGATE
COVERAGES CERTIFICATE NUMBER: 586164736 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
LTR
TYPE OFINSURANC E
AUOILSUBR
INSR
NVD
POLICY NUMBER
POLICYEFF
juwail
POLICY EXP
DP"W)LIMITS
A
X I COMMERCIAL GENERAL LIABILITY
CLAIMS•MADE '�' OCCUR
Y
007DW39370
4/11/2017
4/11/2019
EACH OCCURRENCE
-DAMAGE
$1,000,000
R
PREMISES Ea occur
$100,P00
MED EXP Any one person
$1100D
PERSONAL a ADV INJURY
$110001000
GEN'L AGGREGATE LIMIT APPLIES PER
POLICY❑PRO- ❑ LOC
JECT
OTHER:
GENERALAGGRFGATE
$2,000,000
PRODUCTS - COMP/OPASS
$2,000000
$
B
AUTOMOBILE
LIABILITY
ANYAU70 ss ryHP', gpo
SCO INED X NUNgUWNED ULED
HIRED, 00
AUTOS
Y
CAS0102913
6/10/2017
0/16/2018
Ea MccidDt LE L19T
$1,000,000
BODILY INJURY (Par person)
S
BODILY INJURY (For a000ent)
$
PROPERTY DAMAGE
Pm m,ddeni
$
$
C
X
UMBRELLA LIAB
IEXCESS LIAB
X
OCCUR
CLAIMS -MADE
Y
IXG419167C
6/16/2017
6/16/2018
EACH OCCURRENCE
$4,000,000
AGGREGATE
$
_ _
DEO RETENTION$
$
WORKERS COMPENSATION
ANDEMPLOYERS•LIABILITY YIN
ANY PROPRIEfORIPARTNER/EXECUTNE ❑
OFFICERIMCMOER EXCLUDED?
tMandatorylnNlD
Ify�n, describe under
0F.$CRIPTION OF OPERATIONS bo,AY
NfA
P R0'rH-
STATUTE GR
E.EACH ACCIDENT
L.
$
E,L. DISEASE• EAEMPLOYF.E
— --
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) r
Certificate holder is Included as additional Insured as respects the operation of the named Insured.
1
2 �_----tet....•-''
Cit of Santa Ana
P.O Box 1988
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.
REPRESENTATIVE
All rrohts rARA"ed.
ACORD 25 (2014f61) The ACORD name and logo are registered marks of ACORD