HomeMy WebLinkAboutFIRST AMERICAN TITLEr City of Santa Ana
Clerk of the Council
AGREEMENT TERMINATION FORM
Please complete this form in its entirety when the attached agreement and all
amendments (if any) are no longer in effect. — -
Note: If your agreement is grant related, please ensure that all grant retention requirements
have been satisfied prior to signing the termination form.
Is the agreement(s) a permanent record? Yes _ No
Return form to the Clerk of the Council Office (M-30).
Call 647-1520 if you have any questions.
The agreement with
A-2015-048-02
No. zis completed on / �1
(List all amendments. Use space below N needed.)
Department:
Use Only
and final payment has been made.
Phone/Ext.: L 6/3
Signature:
Date: 3
Revised: 10-18-I6
A-2015-048-01
MAYOR
Miguel A. Puildo
MAYOR PRO TEM
Michele Martinez
COUNCILMEMBERS
P. David Benavides
Vicente Sarmlento
Jose Solodo
Sal Tinajero
Juan Villages
♦` i
•i 1 I<t
i f
February 1, 2018
DATE:
FE
First American Title Company
Attn: Donald P. Kennedy
4 First American Way
Santa Ana, CA 92707
CITY OF SANTA ANA
PUBLIC WORKS AGENCY
20 Civic Center Plaza, M38 • P.O. Box 1888
Santa Ana, California 82702
Wymsanta-snamm
CITY MANAGER
Raul Godinez II
CITY ATTORNEY
Sonia R. Carvelho
CLERK OF THE COUNCIL
Marie 0, Hulzar
Re: Extension of Title and Escrow related Services Agreement No, A-2015-048
Dear Mr. Kennedy:
Pursuant to Section 3 ("Term") of Agreement No. A-2015-048 entered into by First American
Title Company and the City of Santa Ana, dated April 7, 2015, the time period of said Agreement
is hereby extended for an additional one (1) year period from April 1, 2018 to March 31, 2019,
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,
Fred Nlousavipour
Executive Director —
Public Works Agency
APPROVED AS TO FORM:
Sonia R, Carvalho
City Attorney
Jolirf M. Funk
Assistant City Attorney
CITY OF SANT ,/.✓'
Raul Godinez ll
City Manager
ATTEST;
Maria D. Huizar
Clerk of the Council
�" CCOR0 CERTIFICATE OF LIABILITY INSURANCE DATE/2018 IYYYY)
�,,,,,�,,,,....-• o5rzz2ole
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGI4TS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW, TI.118 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 polioy(les) must have ADDITIONAL INSURED provisions or 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 rilghts to the certificate holder In lieu of such endorsement s).
PRODUCER
{Harsh Risk R Insurance Services
17901 Von Karman Avenue Suite 1100
(949) 399.5800; License #0437163
Irvine, CA 92614
CONTACT
NAME:
N o Ext . AANo ;
JAIC
MAIL
INSURERS AFFORDING COVERAGE
NAIC i!
INSURER : Hartford Fire Insurance Company,,.,..--19682
318366-STND•GAWUI.18.19
INSURED
First American Financial Corporation
INSURER B : Commerce and Indust InsuranceCOm an
19410
INSURER c : Trumbull Insurance Company
27120
First American Title Insurance Company
1 First American Way
Santa Ana, CA 92707
INSURER D ;Twin City Fire Insurance Comp@DL_
-
29469
INSURER E: National Union Fire Ins. Co, of Pittsburgh, PA 119446
INSURER F :
COVERAGES CERTIFICATE NUMBER: LOSZ2300202.12 RF.VISION NIIIMI
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,
iim LSR
TYPE OF INSURANCE
ADDL
S BR
POLICYNUMBER
72CSER32911
1$
POl)CYIrM
Y
0610112018
EXP
MnNy
06101/2019
LIMITS
EACH OCCURRENCE
$ 1,000,000
A
X
COMMERCIAL GENERAL LIABILITY
OCCUR
X
DAMAGCLAIMS-MADE
Egog E c rr ce PREMISESS E
(
$ 1,000,000
MED EXP (An one person)
$ N/A
GEN'L
X
PERSONAL & ADV INJURY
$ 1,000,000
AGGREGATE LIMIT APPLIES PER:
POLICY C jF Q I " I LOC
OTHER;
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS, COMPIOP AGG
$ 2,000,000
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
720SER32909
06/0112018
06101/2010
Fa asl INdE�D�SINGLE LIMIT
$ 3,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROP t1)1AMAGE
Par acalda t
$
X
UMRELLALIAB
EXCESS LIAR
X
OCCUR
CLAIMS -MADE
BE043171631
06101/2018
06/0112019
EACH OCCURRENCE
2,000,000
AGGREGATE
$ 2,000,000
DED RETENTION $
$
C
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITYJE
YIN
ANYPROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMSEREXCLUDED? FN
(Mandatory in NH)
It yas, describe under
DESCRIPTION OF OPERATIONS below
N 1 A---
72WNR32908 (AOS)
72wI 06489 ( WI)
0610112018
0610112619
0610112019
X SER U o7RH
F.L.EACH ACCIDENT
$ 1000,000
121, DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
E
Internet LlabilitylCyber Risk
01-426-46-63
0610112018
0610112019
Each Claim:
SIR - various per pollcy
6,000,000
DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Is required)
REVIEWED BY; 3 EUNICE HE RI IDiAPG O .}
It
City of Santa Ana
Public Works Agency
20 Civic Center Plaza, 3rd Floor
Ross Annex M-36
Santa Ana, CA 92701
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
of Marsh Risk & Insurance Services
Sally Sonnenburg
01988.2016 ACORD CORPORATION. All rinhfa rASArCArI
ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD
POLICYNUMBER-,. '12 CS.8 IZ82911
THIS ENDORSEMENT -CHANGE $ THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED -OWNERS, LESSEES OR
CONTRAOTORS - OPTION I
This endorsement modifies in.�Qrance peovided under the following,
COMMER.ClAt. GENERAL LIABI.LITY COVERAQI- PART
SCHEDULE
Namo Of AddlflanaX Inpured Per
Any 'person, or organizatia.vi f roto Whom you
are required by wri.tten contract or
agreement.
A, Wth respect to those person(s) or orgarlIvAtion(s)
shown In the Schedule above when you have
agreed In a written contm.ct. or written agreement
to provide Insurance such as is afforded under this
Policy to tham, Subparagraph I., Any Other
Party, under the Additional Insureds When
Required By Written. Contract, Wrhten
Agreemont C)r Permit Paragraph
h of, Section 11 —
VVh.o Is An Insured is rep laped With the following:
t My Other Party
Any. other person or organization who Is i not
an InsurGO under Paragraphs. a. through 0.
aWvap but only with re'speot to liability for
"bodily Injury", ''properly dam age!' or "personal
and advertising injury" caused, in whole or In
,part, by your .acts or iDmisaloris or the acts or
omissions of those Etoting On YOLW,behalf;
(1) In the performance of your ongoing
qperatlon� for such additional Insured at
the project fs) or labation(s), designated In
the Srhedulo.;
(2) In oonnection with your premises owriod
by or anted to you and shown in the
Schedule: or
Form HS 24 80 07 13.
Designated Projeot(s) Or Location(sl
(3), In corinaction with "your work" for the
additional Insured at the project(s) or
lowtion(s) designated In the Schedule
and Included Within the "products-.
cownpleted operations hazard", Out -only if.
(a) The written contract or written
agreement requires you to prrMde
such coyerage to suoh additional
frigured at the project(g) or IoWion(s)
design-ated In the ,9ched * We; and
This Coverage Part providos
covera0e, for "bodily Injury" ' or.
"property darviage" Included within the
"'products -completed dperations
hazard",
The Inture1ioo afforded to t ' he addlflonM
insun6d shovM In the Schedule applies,
(1) Only It, the 'bodily InjulYl or "property
dornage' occurs, or the "personal and
advertising injury" offense is committed:
(a) During the policy period; and
(b) Subsequent M the exacwtion of such
written contract or written agroementi
and
107=9
0 2013, The Harfford
(includes copyrighted Material of Insurarloo SerVices Office, [no., with Its permission.)
111111111 J I I'll 11111111 o
Prior to the expiration of the ponQd of
11methat thew written contraot ear written
agr�eroent requires such Insuronop
be prmAded to the additional Insured,
(2) Only to they oxtent permitted bylaw; and
(3). Will not by brooder ' than that which you
are. raquIred by the' written Contract or
written agreement to Orom'.M for .woh
additional Insured,
With resp(gat to the insurance afforded to the
porsm(s). or orgmnizatlon'(s) that ore,add Ition al
Mr,"reds under this endorsement, the
fpllpwlng Additional exclusion applies:
This hisurance does not apply to "bodily
lhfury", "property dami3ge" or 'psrs.anal and
;Advertising 1*0" arising out of the rendering
of, or the fallur's to. render, -any professional
arohiteptuivi, Ong,00669 Or surVeying
services,. Including,,
(1) The preparing, *approving, or Wing to
prepare or approve maps, shop. drawinp,
gpinton% reports, surveys, field orders,
chanoe'ordL-rs, dedigns or gpealffoWlonv;
or
$upervisbry, Inspection, ar&t;ectqrmj or
en,g!neering aolyltle.,s.
The limits Of insumnbe that apply to the additional
Intured shown in the Schedule are desafted in the
LlMits Of Insurance section,
How this insuranqo applies when other insurance I�
avullable to the oddiflooal Insured is desodbed in the
Other insurance Condition in Section IV
Cornmerelal General Liability Condiflont, except as
athenivise amended below,
IS. with respect to insurarice' p.r,Qvidqd to the
person(s). or orgahlz.afion(s) that are additional
insured& under brit - -endorsement; the When You
Add Oibera As An Additildnal Insured To Thl't
ItIsuranoe subparagraph, under the. Other
11's"ratIce Condition of.806dorl IV— Commercial
Genetal Qibillity Conditionwis replaced with the:
following;
When You Add Others As An Additional
Insured To This Insurance
(a) Pdrnary Inskjraho4 When Required. By.
Contract
This Insurance Is priit try. if ,you have agreed
in a written contract or writteri ogreervient that
this Insurance l e.primetry, If other losurahce
Is also pilmory, we will share with all that
other insurance icy the method des orlbed In
Paragraph (q) below. This Insurance aaeB not
apply to other insurance to which the,
additional Insured In the Sahedula.'has bpen
added as an additional Insured.
(b) Primmy .And Non-Contfibutory To Other
Insuratioe When Required By Contract
This Insurance Is primary to and will not seek
ooritflbutfon from any other insurance
avallable,to an additional insured under your
policy, provided that,
(I) The additional insured in the, schedule Is
a Tamed Insured under rwoh other
Insurance: and
(11) You have agreed in a Written contract or
written agreement that this Insurance
would be primary and would not seek
contribution from any other Insurance
a\rallaWo to the additional Insured in the
schedule.
(C) � ethod Of Sharing
if all of the other Insurance permits
cOntribution by .equal -shares, we will follow
this method also, Under this approach, each
insures` contributes equal amounts L11101 it has
paid its applicable limit of insurance or none cf
the lose remains, whichever comes first.
If any of the other lnsurgAoe. does not permit
contgoution by %jual shares, we will
contribute b,„i limits. Underthismethod, each
insurer's shave 'ls.hoisod' sari the ratio of its
ApPlioablb limit of hisurahce to M. 10ta I
applicable Itmits of Insurance' of all insurers,
At , e. other t.rma And cmdilfons In the policy remain
qnghanged.
Page 2 of 2 Form IIS 24 80 D7 13
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