HomeMy WebLinkAboutROGER REYES (2)F, N-2021-008-01
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u o CD (rt ptr, I (1) L 6 FIRST AMENDMENT TO u-nLIrY BOX ART PROGRAM
ARTIST AGREEMENT
THIS FIRST AMENDMENT TO UTILITY BOX ART PROGRAM ARTIST AGREEMENT is made
and entered Into this 19i^ day of January, 2021, by and between the City of Santa Ana a charter
city and municipal corporation, organized and existing under the Constitution and laws of the
State of California ('City"), and Roger Reyes ('Grantee')
RECITALS
A City and Grantee entered into Arts and Culture Artist Grant Program Agreement
number N-2021-", dated November 22, 2020 for the purpose of providing
grant funding pursuant to the Utility Box Art Program ('said Agreement')
B to accordance with the terms and conditions of said Agreement the parties
desire to amend Section C - Project, Subeection 1 to extend said Agreement
until June 30, 2021
NOW THEREFORE, in consideration of the mutual and respective promises and subject to the
terms and conditions of said Agreement, except as herein modified the parties agree as follows
Section C Project, Subsection 1, shall be amended to read as follows
'Artist will paint the utility box assigned to them by the City and notlang more
Paiinyna of the box must be Completed by June 30, 2021 Painting may only
occur during the hours of 7 a m. to 7 p m A minimum sidewalk clearance of four
(4) feet must be adhered to at all times "
Except as hereinabove modified, all terms and conditions of said Agreerent shaft
remain in full force and effect
IN WITNESS WHEREOF, the Parties have executed this First Amendment to Utility Box Art
Program Artist Agreement the dat year first above written
ATTE CITY OF SANTAANA
A— ;�c
ISY GOMEZ KRIST�tt��11E RIDGE
Clerk of the Council City Mahpger
APPROVED AS TO FORM ,.-GI2ANTEi= Z
SONIA R CARVALHO
City Attorney
By
Ryan O kodge
Assistant City Attorney
RECOMMENDED FOR APPROVAL
STEVEN A MENOOZA
Executive Director
Community Development Agency
pate I of I
g1tally signed by
Francine R. DlandneR.Mllareal
Burns & N-2021-008-01 Villareal Date: zoaoo'
Wilcox
101 California Street, Suite 975, San Francisco, CA 94111
Phone: (415) 421.4244 OR (800) 759-4855 Fax: (415) 421-0520
DATE: 11/19/2020 INSURANCE BINDER Page 1 of 4
THIS BINDER IS ATEMPORARY INSURANCE CONTRACT, SUBJECTTO THE CONDITIONS SHOWN BELOW.
I NSURED: City of Santa Ana S&W PRODUCER: Richard L Goblor
AGENT: MERRIWETHER & WILLIAMS INS
20 Civic Center Plaza 550 Montgomery St Ste 550
Santa Ana, CA 92701 San Francisco, CA 94111
LOCATIONS) OF RISK:
1. Maln/Chesnut- SW Corner, Santa Ana, CA 92701
2. Main/Civic Center, Santa Ana, CA 92701
3, Maln/McFadden - SW Comer, Santa Ana, CA 92701
4, Main/Bishop (SIGNAL), Santa Ana, CA 92701
5. Main/Cubbon - NW Corner, Santa Ana, CA 92701
6. Main/Russell - NW Corner, Santa Ana, CA 92701
7, Main/Borchard NW Comer, Santa Ana, CA 92701
8. Main/Edinger SW Corner, Santa Ana, CA 92701
9. Main/Pomona SE Corner, Santa Ana, CA 92701
10. Main/St. Andrew - NE Corner, Santa Ana, CA 92701
11, Main/St Gertude SE Corner, Santa Ana, CA 92701
12, Bristol/Santa Clara, Santa Ana, CA 92701
13, Bristol/Washington, Santa Ana, CA 92701
14. Bristol/1 gth St, Santa Ana, CA 02701
'15. Bristol/Civic Center Drive, Santa Ana, CA 92701
16. Bristol/Bishop or Willits, Santa Ana, CA 92701
17. Bristol/McFadden, Santa Ana, CA 92701
18. BrlstoINVIlshire, Santa Ana, CA 02701
% Bristol/Edinger (Signal Box), Santa Ana, CA 92701
20. Bristol/Edinger (I-IUB), Santa Ana, CA 92701
21. 1 st Street/Main St, Santa Ana, CA 92701
22, 3rd Street and Main, Santa Ana, CA 92701
23. 4th Street and Main, Santa Ana, CA 92701
24, 3rd Stroot and Broadway, Santa Ana, CA 92701
25. 1st StreoUDowntown Plaza, Santa Ana, CA 92701
26. Main St. and Washington, Santa Ana, CA 92701
27. Raitt Street and MacArthur Blvd., Santa Ana, CA 92701
28. Greenville and Alton, Santa Ana, CA 92701
29, Flower St. and Washington, Santa Ana, CA 92701
30. Flower St. and Bishop, Santa Ana, CA 92701
31. Flower St. and Alton, Santa Ana, CA 92701
POLICY EFFECTIVE FROM:11/0912020 AT 12:01 AM TO 01/31/2021 AT 12:01 AM STD TIME AT RISK LOCATION.
FORM OF COVERAGE: COMMERCIAL GENERAL LIABILITY OCCURRENCE
POLICY NO: CIP423084
INSURER(S):
��m wekMan?gimenEundslnn
galReME&Eo &TTAy,1'PROVrD BY.,
iAAt.i:k.i r�r 4+uNslqu.
RIak,M.�nagemene Analyst
Burns &
Wilcox
101 California Street, Suite 975, San Francisco, CA 94111
Phone: (416) 421.4244 OR (800) 760.4855 Fax: (415) 421-0620
DATE: 11/19/2020 INSURANCE BINDER Page 3 of 4
"ENDORSEMENTS & EXCLUSIONS:
UNLPFDI -COMMON POLICY DECLARATIONS,
AF001772 -CLAIM REPORTING INFORMATION.
AF100 - POLICY JACKET.
AF3380 - FRAUD & MISREPRESENTATION ENDORSEMENT.
AF3550 - MINIMUM EARNED PREMIUM & CANCELLATION CLAUSE.
AF900 - SERVICE OF SUIT,
IL0017 -COMMON POLICY CONDITIONS.
SOFAE -SCHEDULE OF FORMS & ENDORSEMENTS.
AF000839 -INJURY TO EMPLOYEES, SUBCONTRACTORS, INDEPENDENT CONTRACTORS, TEMPORARY WORKERS,
LEASED WORKERS OR VOLUNTEERS EXCLUSION.
AF001007 - COMBINED COVERAGE & EXCLUSION ENDORSEMENT: ASBESTOS EXCLUSION; LEAD EXCLUSION;
CONTRACTOR'S SPECIAL CONDITIONS; EMPLOYMENT RELATED PRACTICES EXCLUSION; NUCLEAR ENERGY LIABILITY
EXCLUSION; PROFESSIONAL SERVICES AND MALPRACTICE EXCLUSION; SEXUAL / PHYSICAL ABUSE EXCLUSION;
TOTAL POLLUTION EXCLUSION WITH HOSTILE FIRE EXCEPTION; ASSAULT& BATTERY EXCLUSION; ANTI -STACKING
AND NONDUPLICATION OF LIMITS OF INSURANCE; TENDERING OF APPLICABLE LIMIT OF INSURANCE.
AP001396 -INFRINGEMENT, MISAPPROPRIATION AND UNFAIR COMPETITION EXCLUSION.
AF001707 -AMENDMENT OF NONPAYMENT CANCELLATION CONDITION.
AF001729 -CONDITIONAL EXCLUSION OF LIABILITY/CLAIMS IN THE STATE OF MISSOURI.ONLY APPLIES IF MISSOURI
IS PRINCIPLE PLACE OF BUSINESS OR RISK CONDUCTS MORE THAN 10% OF OPERATIONS IN MISSOURI,
AF001752 -AMERICANS WITH DISABILITIES ACT AND DISCRIMINATION EXCLUSION.
AF3378 -AMENDATORY ENDORSEMENTS: CANCELLATION, CANCELLATION OF FINANCED POLICY, AUDIT
CONDITIONS,
AF3400 - SILICAOR SILICARELATED DUST EXCLUSION.
UNLPFSD1L -COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS.
AF001788 -TOTAL CANNABIS AND RELATED PRODUCTS EXCLUSION.
CG0001 - COMMERCIAL GENERAL LIABILITY COVERAGE FORM - CG0001 04-13,
002107 -ACCESS OR DISCLOSURE OF CONFIDENTIAL OR PERSONAL INFORMATION AND DATA -RELATED LIABILITY
EXCLUSION.
CG2187 - FUNGI OR BACTERIA EXCLUSION ((DOES NOT APPLY TO GOODS OR PRODUCTS INTENDED FOR BODILY
CONSUMPTION).
CG2426 -AMENDMENT OF INSURED CONTRACT DEFINITION.
AF001401 -DAMAGE TO PREMISES RENTED TO YOU LIMITATION -FIRE LEGAL LIABILITY COVERAGE.
AF000873 -KNOWN INJURY OR DAMAGE EXCLUSION FOR PERSONAL & ADVERTISING INJURY.
AF000899 -CLARIFICATION AMENDMENT TO POLICY AIRCRAFT, AUTO OR WATERCRAFT EXCLUSION.
D2 - CALIFORNIA SURPLUS LINES NOTICE,
C'APRNOTICE -CALIFORNIA PREMIUM REFUNDS NOTICE -POLICIES CANCELED BY INSURED MAY INCUR A 10%
SHORT RATE PENALTY.
CG3234 - CACHANGES.
AF001740 -DESIGNATED OPERATIONS- STATE OF NEW YORK EXCLUSION.
AF001741 -DESIGNATED OPERATIONS -STATE OF WASHINGTON EXCLUSION.
AF33509 - ASSAULT & BATTERY EXCLUSION REMOVAL (ENDORSEMENT TO REMOVE A&B EXCLUSION).
AF33510 -CLASSIFICATION LIMITATION.
AF33515A -NEW RESIDENTIAL CONSTRUCTION EXCLUSION.
AF33530 -SUBSIDENCE EXCLUSION.
AF3397 - EIFS EXCLUSION & DRYWALL EMISSION EXCLUSION.
CG0300 - DEDUCTIBLE LIABILITY.
CG2144 -LIMITATION OF COVERAGE TO A DESIGNATED PREMISES I PROJECT.
TYPIST: IN THE PROJECT BOX, TYPE THE FOLLOWING "ELECTRICAL I UTILITY BOX PAINTING FOR CITY OF SANTA ANA "
CG2154 - OCIPIWRAP-UP EXCLUSION.
GLS 261s -ADDITIONAL INSURED - INDPENDFNT CONTRACTOR (SCOTTSDALE FORM -SEE NEXT PAGE)
CONDITIONS:
RielcManegcmenk Dfvislon
,e (� RFmFv!£D&APP'RIO�gV�ED��&Ytr:
Risk ht; M901Mnt Annlyst
Burns &
Wilcox
101 California Street, Suite 975, San Francisco, CA 94111
Phone: (415) 421-4244 OR (800) 759-4855 Fax: (415) 421-0620
DATE:11/19/2020 INSURANCE BINDER Page 4 of 4
QUOTE BASED ON ONE MULTI BOX PROJECT AT FLAT RATE
MINIMUM PREMIUM APPLIES
NO AfPS INCLUDED.
PLEASE REVIEW THIS BINDER CAREFULLY AS IT MAY DIFFER FROM COVERAGES AND LIMITS REQUESTED.
THIS COMPANY BINDS THE KIND($) OF INSURANCE STIPULATED HEREIN. THE ABOVE COVERAGESARE THE ONLY COVERAGES BOUND.
ANY COVERAGE REQUESTED IN THEAPPLICATION THAT DIFFERS FROM THEABOVE IS NOT INCLUDED, THE INSURANCE IS SUBJECT TO
THE TERMS, CONDITIONS, LIMITATIONS, AND FORMS OF THE POLICY(S) IN CURRENT USE BY THE COMPANY. THIS BINDER IS
CANCELLED SIXTY (66) DAYS FROM THE EFFECTIVE DATE OR WHEN REPLACED BY A POLICY, WHICHEVER COMES FIRST.
THE AGENT MUST READ THIS CERTIFICATE AND IF NOT CORRECT RETURN IT IMMEDIATELY TO BURNS & WILCOX, LTD,
BY: Harvey Goldenberg, Authorized Representative (CA INS LIC # 0828615)
�_s+x Rlek tvlanagelnentDlvislon
REVIEWED&APPROVED BY:
4a�� P, Vw
ARM RKk N1an-16emenl Analyst
GENERAL CHANGE ENDORSEMENT
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below:
Name of Insurance Company(ies)
Atain Specialty Insurance Company Atain Spec Insurance Company 100.0% GenLiab
Inception Date Expiration Date
11/9/2020 1/3.1/2021
Endorsement Effective Policy Number Endorsement#
11/9/2020 1 CIP423084 1
Named Insured n' -- * q 11 f _ Q _.�
City of Santa Ana_ .T(.LV �C.UX.fWXJ
Countersigned By
(Authorized Representative)
IN CONSIDERATION OF THE PREMIUM PREVIOUSLY CHARGED, IT IS HEREBY UNDERSTOOD AND AGREED
THAT THE POLICY IS AMENDED AS FOLLOWS:
THE SCIJM)ULE OII LOCATIONS IS HEREBY ARffNDED TO READ I' OR. NO FURTHER CHARGE:
LOCATION41; ISTSTREETIMAINST, SANTA ANA, CA 92701
LOCATION#2: 3R.D STREETI MAIN ST. SANTA ANA, CA 92701
L0CATION#3: 4TII STREET LOCATION#: /MAIN ST. SANTA ANA, CA 92701
LOCATION#4: 310 STREET/BROAD KAY, SANTA ANA, CA 92701
LOCATION#S: 47 H STREET/ BROAD MAY SANTA ANA, CA 92701
LOCATION#6: 5T HSTREET/BROADWAY, SANTA ANA, CA 92701
LOCATION#7: 4THSTREETIBUSH, SANTA ANA, CA 92701
LOCATION#S: 1ST STREETIBR13TOL STREET; SANTA ANA, CA 92701
LOCATION#9: 17THSTREET/BRISTOL SIREET, SANTA AMA, CA 92701
LOCATION#10: MACARTFIURBLVDIBRISTOL STREET, SANTAANA, CA 92701
LOCATION411: MAINSTREETIMCFADDE'NAVE., SANTA ANA, CA 92701
LOCATION#12: HARBOR BLVDNICFADDENAFIE., SANTA ANA, CA 92701
LOCATIONO3: GRANDI DIER, &ANT A ANA, CA 92701
LOCATION04: 17TI-I STRITETICENTRE ON17TF7, SANTA ANA, CA 92701
LOCATION05; ISTS7REET%DOWNTOWNPLAZA, SANTA ANA, CA 92701
LOCATIONW 6: MADVIKASHINGTON, SANTA.ANA, CA 92701
LOCATION#17: RAITT/MACARTHUR BLIND„ SANTA ANA, CA 92701
LOCATION#I8: GREENVILLE/ALTON, SANTA ANA, CA 92701
LOCATION#19: MAIN STREETIWARNERAVE„ SANTAAAA, CA 92701
LOCATION#20. FLO fM SIMETIBISHOI , SANTA ANA, CA 92701
All other terms and conditions remain unchanged.
knhom 12/4/2020
Wek Mana�emenC DlWelan
ReqEWEo 6Mraovm By.,
Rlck Manngemeni Analyst