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HomeMy WebLinkAboutGREATER SANTA ANA VITALITY FOUNDATION - SANTA ANA CHAMBER OF COMMERCE (3)MAYOR Miguel A.Pulido MAYOR PRO TEM Michele Martinez COUNCILMEMBERS P. David Benavides Vicente Sarmiento Jose Solorio Sal Tinajero Juan Villages fl% fIDALor AA ,.Id- M©r\v,y INSURANCE NOT' ON FILE WORK MAYNQT PROCEE: CLERK OF COUNCIL DAT : MAR 0 2 7018 CITY OF SANTA ANA 20 Civic Center Plaza . P.O. Box 1988 Santa Ana, California 92702 Wgv�v.santa-ana.org February 21, 2018 Greater Santa Ana Vitality Foundation Mr. David Elliott President 1631 W. Sunflower Ave., Ste. C-35 Santa Ana, CA 92704 Re: Extension of Agreement A-2016-367 Dear Mr. Elliott, A-2016-367-02 CITY MANAGER Raul Godinez It CITY ATTORNEY Sonia R. Carvalho CLERIC OF THE COUNCIL Maria D. Huizar Pursuant to Section 3 of the above referenced Agreement entered into by the Greater Santa Ana Vitality Foundation, a non-profit arm of the Santa Ana Chamber of Commerce, and the City of Santa Ana dated December 20, 2016, the parties opted on November 30, 2017, to extend the Agreement for an additional three (3) month period through March 20, 2018. The parties, by operation of this letter, choose to exercise their option for a second extension of the Agreement tlrrough the remainder of the calendar year from March 20, 2018 through December 31, 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, Robert Zur Sclunid Interim Executive Director Community Development Agency APPROVED AS TO FORM: CITY OF STS A Raul Godinez Il City Manager ATTEST: Maria D. Huizar Clerk of the Council SANTA ANA CITY COUNCIL Miguel A. Pulido Michele Martinez Vicente Sarmiento Jose Solorio P. David Beneviaes Juan village. Sal Tinajero Mayor Mayor Pro Tem, Ward 2 Word I Ward 3 Wand 4 Wad 5 Ward 6 gtyg(iQp(p]sanlo-ana.erp pjlpgr0 Santa -en yggrmleniofalsanta-ane prp Solorio sant _M �benavdesCot.nnln gng." Mitages sena,y}gkgrg Si' rel fW-gpQ,yrg A� � CERTIFICATE OF LIABILITY INSURANCE °11122/zo 7 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 I$ WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not center rights to the certificate holder In Ileu of such endoraement(s). PRODUCER Eddie Quillares Jr. State Farm Agency 415 N. Broadway NAME: Eddie Quillares Jr. INCN.. Ex .714.81 .7150. 0 Not: 714.617715$ E-MAIL _ MAIL s eddle@eddleglnsurance.cpm__._____ Santa Ana, CA 92701 INSURERSI AFFORDING COVERAGENAIC4 INSURERA: Slate Farm Fire and Casualty Company 5143 ,.,,.,, INSURED The Greater Santa Ana Vitality Foundation INSURER B: INSURER C: 1631 W. Sunflower Ave STE C35 INSURER 0: Santa Ana, CA 92704 INSURER E: ATTN: Marty Patterson PRODUCTS - COMP/OP AGO $ 2,000,000 $ INSURER F: COVERAGES CERTIFICATE NUMBER: 75.0450 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 AO Santa Ana, CA 92701 POLICYNUMBER POLICY EFF MMIODIYYYY) POLICY EXP fMM1DDNYCr.L LIMITS A BENERALLIABILITY %' COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR �Y 92-ERS754.4 11/11/2017 11111/2018 EACHOCCURRENOE $ 11000,000 PREMISES Be mcu ante $ 300,000 MED EXP (Any one person) $ 1,000 PERSONAL$ ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 1JECTFRI LOU PRODUCTS - COMP/OP AGO $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL AUTOSNED AUTOSULED()$RPeraccitlon[ AUTOS X NON-OWNEDTY AUTOS ❑❑� ED SINGLE LI IT ent$ NJURY (Psgnl$ VETc' $HIRED DAMAGE &nl $ UMBRELLA LIAR I OCCUR EXCESS LIAR CLAIMS -MADE DEO '. 1 RETENTION$ ❑ EACH OCCURRENCE $ AGGREGATE $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORAPARTNEMEXECUTNE YIN OFFICOMEMBER EXCLUDED? (Mandatory In NH) F Eyae, describe under QF11-1-111- I OPERATIONS behd� NIA ❑ E I WRTATU- OTH- 7 L T ER E.L. EACH ACCIDENT $ E.L. DISCASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (Attach ACORDIS1,AdtlHlonal Romerke Schetlule,ilmorespacelsraqulred) Additional Insured: /l The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; It officers, employees, agents and representative are named as additional Insureds ("additional Insureds") with regard to liability and defense of sults arising from the operations and uses performed by or on behalf of the named insured. J l _ CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE © 1998.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01.2012 a� cr CERTIFICATE OF LIABILITY INSURANCE °1vzzi2017 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($), 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 Eddie QUillares Jr. State Farm Agency 415 N. Broadway Santa Ana, CA 92701 NAME: C Eddie Qulllares Jr. PHONE 7 4 7 FAX NP( 71 71 EMAIL ADD addle eddieginsurance.com � _ INSURERS AFFORDING COVERAGE NAZCA INSURER A: State Farm Fire and Casualty Company 25143 INSURED Santa Ana Chamber of Commerce 1631 W. Sunflower Ave STE C35 Santa Ana, CA 92704 ATTN: Marty Perterson INSURER 8: $IatB Fafm-GBnera nSUraOCe QDmpanv 25 INSURER C: INSURERDom_ _ INSURER E,_ INSURER F COVERAGES CERTIFICATE NUMBER: 7S -04F0 RFl/ISTInM IUIIMRGG• 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, I LTR TYPE OF INSURANCE ADDLISL INSR WVDUIRIPOLICY NUMBER MMDDIYYVVY MMIDONYYY LIMITS A GENERAL LIABILITY X1 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑OCCUR Y 92 -CM -E499.2 G 0310112017 0310112018 EACHOC RET $ 3,000,000 P0_REMISES (Ee occur encej_,$ 300,000 MEDEXP�(An�neperson) $ 10,000 PERSONAL B ADV INJURY $ 3,000,000 GENERAL AGGREGATE It 61000,000 GEN'L AGGREGATE LIMITAPPLIES PER: POLICY PR LOC PRODUCTS-COMPIOP AGO $ 61000,000 B AUTOMOBILE LIABILITY ANY AUTO ALL OSCHEDULED AUUTOSS AUTOS HIREDAUTOS x NON -OWNED AUTOS 431 0540-C01.75 0910112017 03/01/2018 CJE.OMBINED NccidEryl SINGLE LIMIT $ BODILY INJURY (Par person) $ 1,000 BODILY INJURY Per accldan0 $ 1,000 PROPERTY DAMAGE Per egciden[ $ 1,000 $ UMBRELLA LIAa EXCESS LIAO OCCUR R CLAIMS -MAGE �❑ EACH OCCURRENCE $ AGGREGATE $ DEO I I RETENTION$ $ Q WORKERS COMPENSATION ANDEMPLOYERVLIABILITY YIN ANY PROPRIETORIPARTNENEXECUTIVEE.L. OFFICEIMEMBER EXCLUDE04 Y❑ (Mandatory In NH) II Vsa, daseriba under PWQM,1IQN OF OPERATIONS uel NIA 92 -EB -E908-0 02/01/2017 02/0112018 x WC BTATU- OTH- JQBY LIMITS ER EACH ACCIDENT $ 11000,000 E.LDISEASE-EAEMPLOYE $ 1,000,000 E. L. DISEASE -POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AHach ACORD 101, Additional Remarks Schodulo, it mare space is required) CERTIFICATE HOLDER renlcFl 1 ATInM City of Santa Ana 20 Civic Center Plaza SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE Q 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012