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COMMONWEALTH LAND TITLE CO.
February 1, 2018 Commonwealth Land Title Company Attn: Griffin A. Wayne 4100 Newport Place Drive, Ste. 120 Newport Beach, CA 92660 A-2015-049-01 CITY MANAGER Raul Godinez It CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar Re: Extension of Title and Escrow related Services Agreement No. A-2015-049 Dear Mr. Wayne: Pursuant to Section 3 ("Term") of Agreement No. A-2015-049 entered into by Commonwealth Land Title Company and the City of Santa Ana, dated April 30, 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 Mousavipou CITY OF SA TA AN Executive Director — Raul Godinez II Public Works Agency City Manager APPROVED AS TO FORM: Sonia R. Carvalho City Attorney J6Kn M. Funk Assistant City Attorney ATTEST: Maria D. Huizar Clerk of the Council INSURANCE NOT ON FILE MAYOR YORK MAY NOT PROCEE _ -- Miguel A. Pulido CLERK OF COUNCIL MAYOR_ DATE: FEB 12 2018 Michele Martinez COUNCILMEMBERS P. David Benevides - Vicente Sarmlento ® Jasa Solorto Sal Tinajero Juan Villages v\(A��) CITY OF SANTA ANA PUBLIC WORKS AGENCY 24 Civic Center Plaza, M36 s P.O. Box 1888 Santa Ana,. California 82742 wsmw.santa-angora February 1, 2018 Commonwealth Land Title Company Attn: Griffin A. Wayne 4100 Newport Place Drive, Ste. 120 Newport Beach, CA 92660 A-2015-049-01 CITY MANAGER Raul Godinez It CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar Re: Extension of Title and Escrow related Services Agreement No. A-2015-049 Dear Mr. Wayne: Pursuant to Section 3 ("Term") of Agreement No. A-2015-049 entered into by Commonwealth Land Title Company and the City of Santa Ana, dated April 30, 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 Mousavipou CITY OF SA TA AN Executive Director — Raul Godinez II Public Works Agency City Manager APPROVED AS TO FORM: Sonia R. Carvalho City Attorney J6Kn M. Funk Assistant City Attorney ATTEST: Maria D. Huizar Clerk of the Council Page 1 of 2 ACORLO0 ACC> CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 11/17/2018 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(ies) 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER Willis Insurance Services of Georgia, Inc. c/o 26 Century Blvd P.O. Box 305191 CONTACT NAME: PHONE FAX /C No Ext: 1-877-945-7378 AIC No: 1-888-467-2378 JA/., E-MAIL c ADDRESS: ertificates@willis. com INSURERS AFFORDING COVERAGE NAIC # Nashville, TN 372305191 USA INSURERA: Hartford Fire Insurance Company 19682 INSURED Fidelity National Financial Inc and its Subsidiaries Attn: Risk Mgmt Dept INSURER B: Continental Insurance Company 35289 INSURERC: Hartford Accident and Indemnity Company 22357 INSURER D: Twin City Fire Insurance Company 29459 601 Riverside Ave, Bldg 5 Jacksonville, FL 32204 INSURER E: Allianz Global Risks US Insurance Company 35300 INSURER F: COVERAGES CERTIFICATE NUMBER: W8879296 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. ILTR TYPE OF INSURANCE ADDDL WVD SUER POLICY NUMBER MM/DPOLIDYIYEYYY POLICY EXP MMIDD/YYYY LIMITS X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR DAMAGE(ED 1,000,000 PREMISESSEaa occurrence $ MED EXP (Any one person) $ 0 A X Host Liquor Liability Y 20CSEC90929 11/15/2018 11/15/2019 PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 X POLICY I PRO- JECT ❑ LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident BODILY INJURY (Per person) $ )( ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 20CSEC90930 11/15/2018 11/15/2019 BODILY INJURY (Per accident) $ X HIRED NON-OWN�iED ,h,.?. NLY �eiTtD15 OUL Caae is Ix PROPERTY DAMAGE $ dent Per accire $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE 6011818715 11/15/2017 12/15/2018 DED I X I RETENTION $ 0 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/M EMBER EXCLUDED? No (Mandatory in NH) NIA 20WNC90926 11/15/2018 11/15/2019 X PER OTH- STATUTE OR E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below El. DISEASE - POLICY LIMIT $ 1,000,000 D Workers Compensation and 20WBRC90927 11/15/2018 11/15/2019 E.L. Each Accident $1,000,000 Employers Liability - E.L. Disease- Ea Emp $1,000,000 Per Statute E.L.Disease-Pol Limit $1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) Additional Named Insureds: Commonwealth Land Title Company SEE ATTACHED 14 REVIEWED BY: EUNICE HEREDIA (PG I OF ) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVE 20 Civic Center Drive U V Santa Ana, CA 92701 Q ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 17059368 BATCH: 958186 AGENCY CUSTOMER ID: LOC #: .4 oR ADDITIONAL REMARKS SCHEDULE Page 2 Of 2 AGENCY NAMED INSURED Willis Insurance Services of Georgia, Inc. Fidelity National Financial Inc and its Subsidiaries Attn: Risk Mgmt Dept 601 Riverside Ave, Bldg 5 POLICY NUMBER See Page 1 Jacksonville, FL 32204 CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and representatives are named as Additional Insureds ("Additional Insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the Named Insured. The General Liability coverage is written on a Primary and Non -Contributory basis with the Separation of Insureds form. INSURER AFFORDING COVERAGE: Allianz Global Risks US Insurance Company POLICY NUMBER: USP00049218 EFF DATE: 11/15/2018 EXP DATE: 11/15/2019 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Bldgs/BPP/BI Limit $200,000,000 Special with Quake/Flood Replacement Cost Property Quota Share ADDITIONAL REMARKS: All Effective 11/15/2018 - 11/15/2019 Carrier: Allianz Policy Number: USP00049218 Limit: $40M po $200M Carrier: Ace American Policy Number: CXD37839000008 Limit: $50M po $200M Carrier: Westport Policy Number: NAP045198907 Limit: $40M po $200M Carrier: Zurich American Policy Number: PPR489174109 Limit: $70M po $200M NAIL#: 35300 REVIEWED BY: 11EUNICE HEREDIA (PGfe OF y) ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 17059368 BATCH: 958186 CERT: W8879296 Policy Number: 20CSEC90929 Effective Date: 11/15/2018 Named Insured and Address Fidelity National Financial Inc and its Subsidiaries THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AULJI I IOIVAL IIVJUKCL) — UCJIGIVA T CU rr-KOUN VK ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and representatives. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an Insured the person or organization shown in the Schedule as an Insured by only with respect to liability arising out of your operations or premises owned by or rented to you. Form GN 20 26 13 (ED. 10/91) Printed in U.S.A. (NS) jit ©1991, The Hartford (Includes copyrighted material of Insurance Services Office with its permission. Copyright, Insurance Services Office, Inc. 1984) REVIEWED BY: EUNICE HEREDIA (P O ) POLICY NUMBER: 20CSEC90929 COMMERCIAL GENERAL LIABILITY INSURED: Fidelity National Financial Inc and its Subsidiaries THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Persons or Organization: The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and representatives. Information required to complete this Schedule, if not shown in the Declarations. The following is added to Paragraph 8. Transfer of Rights of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 ©ISO Properties, Inc. REVIEWED BY: EUNICE HEREDIA (PGq OF )