HomeMy WebLinkAboutPRESTIGE STRIPING SERVICES 1 -2003
INSURANCE ON FilE
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
3 - / 9- 04 .
CLERK OF COUNCil CONSULTANT AGREEMENT
DATE: 1/-4-03
, A- THIS AGREEMENT, made and entered into this ~day of 0 ÚJt>):;e.( 2003 by
G. GI> and between Prestige Striping Services, Inc., a California corporation (hereinafter "Consultant"),
(.R..~) and the City of Santa Ana, a charter city and municipal corporation organized and existing under
ft~ the Constitution and laws of the State of California (hereinafter "City").
RECITALS
N-2003-121
A. The City desires to retain a consultant having special skill and knowledge in the field of
laying out and painting parking stalls for street parking meters.
B. Consultant represents that Consultant is able and willing to provide such services to the
City.
C. In undertaking the performance of this Agreement, Consultant represents that it is
knowledgeable in its field and that any services performed by Consultant under this
Agreement will be performed in compliance with such standards as may reasonably be
expected from a professional consulting firm in the field.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the
terms and conditions hereinafter set forth, the parties agree as follows:
1.
SCOPE OF SERVICES
Consultant shall perform those services as set forth in Exhibit A to this Agreement.
2.
COMPENSA nON
a. City agrees to pay, and Consultant agrees to accept as total payment for its services,
the rates and charges identified in Exhibit A. The total sum to be expended under this
Agreement, shall not exceed $10,000.00 during the term ofthis Agreement.
b. Payment by City shall be made within thirty (30) days following receipt of proper
invoice evidencing work performed, subject to City accounting procedures. Payment need not
be made for work which fails to meet the standards of performance set forth in the Recitals
which may reasonably be expected by City.
3.
TERM
This Agreement shall commence on the date first written above and terminate on
November 1,2004, unless terminated earlier in accordance with Section 12, below. The term of
this Agreement may be extended upon a writing executed by the Executive Director of the
Community Development Agency and the City Attorney.
4.
INDEPENDENT CONTRACTOR
Consultant shall, during the entire term of this Agreement, be construed to be an
independent contractor and not an employee of the City. This Agreement is not intended nor
shall it be construed to create an employer-employee relationship, a joint venture relationship, or
to allow the City to exercise discretion or control over the professional manner in which
Consultant performs the services which are the subject matter of this Agreement; however, the
services to be provided by Consultant shall be provided in a manner consistent with all
applicable standards and regulations governing such services. Consultant shall pay all salaries and
wages, employer's social security taxes, unemployment insurance and similar taxes relating to
employees and shall be responsible for all applicable withholding taxes.
5.
INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Commercial General Liability Insurance. Consultant shall maintain commercial
general liability insurance naming the City, its officers, employees, agents, volunteers and
representatives as additional insured(s) and shall include, but not be limited to protection against
claims arising from bodily and personal injury, including death resulting therefrom and damage
to property, resulting from any act or occurrence arising out of Consultant's operations in the
performance of this Agreement, including, without limitation, acts involving vehicles. The
amounts of insurance shall be not less than the following: single limit coverage applying to
bodily and personal injury, including death resulting therefrom, and property damage, in the total
amount of$I,OOO,OOO per occurrence. Consultant shall supply City with a fully executed
additional insured endorsement in substantially the form attached hereto as Exhibit B upon
execution of this Agreement and shall be approved in form by the City Attorney.
b. Business automobile liability insurance, or equivalent form, with a combined single
limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for
owned, hired and non-owned automobiles.
c. Worker's Compensation Insurance. In accordance with the provisions of Section 3300
of the Labor Code, Consultant, if Consultant has any employees, is required to be insured against
liability for worker's compensation or to undertake self-insurance. Prior to commencing the
performance of the work under this Agreement, Consultant agrees to obtain and maintain any
employer's liability insurance with limits not less than $1,000,000 per accident.
d. The following requirements apply to the insurance to be provided by Consultant
pursuant to this section:
(i)
Consultant shall maintain all insurance required above in full force and
effect for the entire period covered by this Agreement.
2
(iii)
Certificates of insurance shall be furnished to the City upon execution of
this Agreement and shall be approved in form by the City Attorney.
Certificates and policies shall state that the policies shall not be canceled
or reduced in coverage or changed in any other material aspect without
thirty (30) days prior written notice to the City.
(ii)
e. If Consultant fails or refuses to produce or maintain the insurance required by this
section or fails or refuses to furnish the City with required proof that insurance has been procured
and is in force and paid for, the City shall have the right, at the City's election, to forthwith
terminate this Agreement. Such termination shall not effect Consultant's right to be paid for its
time and materials expended prior to notification of termination. Consultant waives the right to
receive compensation and agrees to indemnify the City for any work performed prior to approval
of insurance by the City.
6.
INDEMNIFICATION
Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents,
employees, consultants, special counsel, and representatives from liability: (I) for personal
injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims
for personal injury, including health, and claims for property damage, which may arise from the
direct or indirect operations of the Consultant or its contractors, subcontractors, agents,
employees, or other persons acting on their behalf which relates to the services described in
section I of this Agreement; and (2) from any claim that personal injury, damages, just
compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects
arising from this Agreement. This indemnity and hold harmless agreement applies to all claims
for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to
have been suffered, by reason of the events referred to in this Section or by reason of the terms
of, or effects, arising from this Agreement. The Consultant further agrees to indemnify, hold
harmless, and pay all costs for the defense of the City, including fees and costs for special
counsel to be selected by the City, regarding any action by a third party challenging the validity
of this Agreement, or asserting that personal injury, damages, just compensation, restitution,
judicial or equitable relief due to personal or property rights arises by reason of the terms of, or
effects arising from this Agreement. City may make all reasonable decisions with respect to its
representation in any legal proceeding.
7.
CONFIDENTIALITY
If Consultant receives from the City information which due to the nature of such
information is reasonably understood to be confidential and/or proprietary, Consultant agrees
that it shall not use or disclose such information except in the performance of this Agreement,
and further agrees to exercise the same degree of care it uses to protect its own information of
like importance, but in no event less than reasonable care. "Confidential Information" shall
include all nonpublic information. Confidential information includes not only written
information, but also information transferred orally, visually, electronically, or by other means.
Confidential information disclosed to either party by any subsidiary and/or agent of the other
party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure
3
shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is,
through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful
possession of the Consultant without an obligation of confidentiality; (d) is required to be
disclosed by operation of law; or (e) is independently developed by the Consultant without
reference to information disclosed by the City.
8.
CONFLICT OF INTEREST CLAUSE
Consultant covenants that it presently has no interests and shall not have interests, direct
or indirect, which would conflict in any manner with performance of services specified under
this Agreement.
9.
NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other
telegraphic communication in the manner provided in this Section, to the following persons:
To City:
Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
telefacsimile (714) 647-6956
With courtesy copies to:
Executive Director of Community Development
City of Santa Ana
20 Civic Center Plaza (M-25)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6549
and,
City Attorney
City of Santa Ana
20 Civic Center Plaza (M-29)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6515
To Consultant:
4
Prestige Striping Services, Inc.
353 N. Cypress
Orange, California 92866
Telefacsimile (714) 538-8968
A party may change its address by giving notice in writing to the other party. Thereafter,
any notice, tender, demand, delivery, or other communication shall be addressed and transmitted
to the new address. If sent by mail, any notice, tender, demand, delivery, or other
communication shall be effective or deemed to have been given three (3) days after it has been
deposited in the United States mail, duly registered or certified, with postage prepaid, and
addressed as set forth above. If sent by telefacsimile, any notice, tender, demand, delivery, or
other communication shall be effective or deemed to have been given twenty-four (24) hours
after the time set forth on the transmission report issued by the transmitting facsimile machine,
addressed as set forth above. For purposes of calculating these time frames, weekends, federal,
state, County or City holidays shall be excluded.
10.
EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Consultant, and supersedes any and all other agreements, oral or written, between the parties. In
the event of a conflict between the terms of this Agreement and any attachments hereto, the
terms of this Agreement shall prevail. This Agreement may not be modified except by written
instrument signed by the City and by an authorized representative of Consultant. The parties
agree that any terms or conditions of any purchase order or other instrument that are inconsistent
with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant nor
the City. Each party to this Agreement acknowledges that no representations, inducements,
promises or agreements, orally or otherwise, have been made by any party, or anyone acting on
behalf of any party, which are not embodied herein.
11. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Consultant,
Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior
written consent of the City and any such assignment, transfer, delegation or subcontract without
the City's prior written consent shall be considered null and void. Nothing in this Agreement
shall be construed to limit the City's ability to have any of the services which are the subject to
this Agreement performed by City personnel or by other consultants retained by City.
12.
TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant
compensation for all services performed by Consultant prior to receipt of such notice of termination,
subject to the following conditions:
5
a. As a condition of such payment, the Executive Director may require Consultant to deliver
to the City all work product completed as of such date, and in such case such work product shall be
the property of the City unless prohibited by law, and Consultant consents to the City's use thereof
for such purposes as the City deems appropriate.
b. Payment need not be made for work which fails to meet the standard of performance
specified in the Recitals of this Agreement.
13.
DISCRIMINATION
Consultant shall not discriminate because of race, color, creed, religion, sex, marital
status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited
by applicable law, in the recruitment, selection, training, utilization, promotion, termination or
other employment related activities. Consultant affirms that it is an equal opportunity employer
and shall comply with all applicable federal, state and local laws and regulations.
14.
JURISDICTION - VENUE
This Agreement and all questions relating to its validity, interpretation, performance, and
enforcement shall be governed and construed in accordance with the laws of the State of
California. This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement of any of the clauses of this Agreement
shall be determined and governed by the laws of the State of California. Both parties further
agree that Orange County, California, shall be the venue for any action or proceeding that may
be brought or arise out of, in connection with or by reason of this Agreement.
15.
PROFESSIONAL LICENSES
Consultant shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services
hereunder and required by the laws and regulations of the United States, the State of California,
the City of Santa Ana and all other governmental agencies. Consultant shall notify the City
immediately and in writing of her inability to obtain or maintain such permits, licenses,
approvals, waivers, and exemptions. Said inability shall be cause for termination of this
Agreement.
16.
COMPLIANCE WITH GOVERNMENTAL REQUIREMENTS
Contractor shall carry out ail services pursuant to this Agreement in substantial
conformity with all applicable laws, ordinances, statutes, codes, rules, regulations, orders, and
decrees ofthe United States, the State of California, the County of Orange, the City, and of any
other political subdivision, agency, or instrumentality exercising jurisdiction over the City,
including all applicable federal, state, and local occupation, safety and health laws, rules,
regulations and standards, applicable state and F ederallabor standards, prevailing wage
requirements, the City zoning and development standards, City permits and approvals, building,
plumbing, mechanical and electrical codes, as they may apply, and all other provisions of the
6
City and its Municipal Code (as they may apply), and all applicable disabled and handicapped
access requirements, including, without the limitation, the Americans With Disability Act,
42 U.S.C. § 12101 et seq., Government Code § 4450 et seq., and the Unruh Civil Rights Act,
Civil Code § 51 et seq.
17.
MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature hereinbelow has the power,
authority and right to bind their respective parties to each of the terms of this Agreement, and shall
indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to
City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn.
b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set
forth in the body of this Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
?
ATTEST:
---:>
/
CITY OF SANTA ANA
~~
/DA VID N. REAM
City Manager
PATRICIA E. HEALY
Clerk of the Council
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
By: /(þv.~ß(iy
Laura Sheedy
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
CONSULTANT
¡jtl/
JOHN P. RJffiKSTIN
Executive Director of the
Community Development Agency
.-,;::~ "
.c~JÎLZ;;----
President
Tax ID# 3308'47506
7
06/20/2013 09:12 FAX
141002
Proposal & Contract
Uccnsell 770786
Date: '12512003rJ,
COJItrad# 10!151
Project MaDager:
Abel Trujillo
Submit To:
CITY OF SANTA ÞNA
ROCK GARCIA
305 E. FOURTH ST. SUITE 201
SANTA ÞNA. CA 92701
PRESTIGE
~"1"1tIPINO SSkVTëis"JNC
Our RepuUttion Is On. The Line
Tel: 714-565-4000
Fax: 714-647-6939
Project:
PARKING METERS STALLS
Addnss:
City:
CITY OF SANTA ANA
SANTA ANA
Deaorip~ion: FISCAL YEAR 2003-2004
1617 T SuJ.1s
46 T S1:a1l :Wew Layo\1~
Noœ:
A) Prestige Will Create Stencils As Speci£ied In The Project Plan.
Theile Steftcil.s WiJ.J. Be bleased To The Ci~y Of Santa AAa Upon
Comple~ion Of Initial. Ins1:allmant Of Work.
8) P:testiqe Will Make Sure The Areas To Be Painted Are Pree Prom
Lea........
C) White, pervo Complaint. CCIIIIII1erciaJ. Traffic Paint will Be 088d..
D) New Layout S1:al1 Wil.l Include Measuring And Marking Area" To
Be Painted And Painting New T Markings Per City Specifications.
Areas And Specs Will ø... Provided At A Later Date.
E) All Applicable Taxed Included In Price.
Note:
AlJ. Areal' Most Be Comple~e In Two Week". After
Every Mo1VEl. If Requested By City Of Santa Ana.
TWO Weeks $150.00 For
QTY. provided by:
TOTAL
$3,500.00
TUd:I! : Due .~d payable upon cODlp)t:dOD.
Prestige Striping Services, Inc.
D...: seD 25. 2003
by:
Subjc:cl to oftic;t approval
ACØtDtauœ of ProoouJ ... CO'dtraçr.: l/we accept tbe within proposal. You are authorized to ptrfrom. the work comptebended hereunder and I/We .p 10 pay
lbe suit.! amount in BCC( rdanœ with the ll;Jm5 set ronh. By signing this Pròp<JsaJ/Co"traet below I/we agree lo lhè anached Tcrms and Condîrions.
Date: OWDeI"/CustolQC1":
PLEASE SIGN AND IUtMIT COPY TO,
by:
Pho~e 714.538-8967
Prustigé Striping Se1'vk~s. Inc.
3.53 N(lrlh C)'prcss Avl!.
Onmgc:. CA Q2R66
Fax 714-538.8968
EXHIBIT A (pg. 1 of 2 )
EXHIBIT A
06/20/2013 09:12 FAX
m~~~
141003
Proposal & Contract
UCCD'" 770786
Date: '12512003 i(l
CODtracUll0!l52
Súbmit To:
CITY OF SANTA ÞNA
ROCK GARCIA
305 E. FOURTH sr. SUITE 201
SANTA ANA . CA 92701
:p,RESTIGE
~TI\1'PINC SER.\'ICES INC
Ou.r Reputation Is On 1hc Line
Project Maoager:
Abel TnQlllo
Tel: 71400565--4000
Fax: 714-647-6939
I Project:
.-..-".. .-.4.
Address:
City:
SANTAANA
Des(!rip~ion:
1663
T Sulla ( Re-ooat )
F) prestig'e Will Use Two Stenoils As Speoified :In The Projeot Plan.
G) Prestiqe Will Make Sure The Areas To Be Painted Are Free Of
Leaves.
H) White ( Pervo ) Compla.int, COIIIIII.ercial Traffic Paint Will Be Ueed.
r) A1l Applicable Taxes Included :In Price.
Toul $3,700.00
Option 1.)
Any Ad.d.i1¡;ional Striping' ( Not
Above) Will Be Charged $3.25
$150.00 Prestige Requires One
Painting.
:Included In The 1663 T Stall Listed
Per Parking Sull With A M.iniJIIuJII. Of
(1) Wee]c's Notice To Begin Addoitional
Option 2)
Any Curb Painting Will Be
$150.00 Prestig'e Requires
Cbarqed $.75 Per Foot Witoh A Minimum Of
One (1) Week's Notice To Be Paintinq.
Option 3)
Re-striping Of Any Double-line
Per stall A Min~ Of $150.00
To Begin Painting
Parking' Stall Wil1. Be Charqed. $3.25
Prestige Requires One Week'e Notice
QTY s provided by:
TOTAL
.
Tenns : Vue aad payable 0'00 completion.
Prestige Striping Services, Inc.
Da..: Sea 25. 2003
b"
Subjcct to office approval
ð-cceþtaDœ or ProDosal aud Cuatrf.d:: I/we accept the: within proposal. You arc authoœed 10 perfrom the work wmprehended hereunder and I/we agree to pay
Ihe said amounl in 3co.>rd:u\co with Ihe terms set COl'rh. By signing tM~ Proposal/COßtr:J.CI below J/we agree to the attached TètJßS atld Conditio~
Oate: OwDCr/Custoluer:
PLEASE SIGN AND REMrr COPY TO:
by:
Phone 714.538.8967
Prcstìg~ Striping SétviC'~s. Inc.
35.' North Cypn:s:s Avt;
Ora ngc, CA 92866
Fax 714.538.8968
EXHIBIT A (pg. 2 of 2 )
MmI.~IIII.'IIO
City of Santa Ana Parking Meter Locations
EXHIBIT B
10103
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City of Santa Ana L's & T's
Typical layout
I EXHIBIT C I N
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ADDITIONAL INSURED ENDORSEMENT r; J , Ó
FOR COMMERCIAL GENERAL LIABILITY POLICY 1
EXHIBIT B
Insurance Company
This endorsement modifies such insurance as is afforded by the provisions of Policy
# relating to the following:
I. 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.
2. With respect to claims arising out of the operations and uses performed by or on
behalf of the named insured, such insurance as is afforded by this policy is primary and is not
additional to or contributing with any other insurance carried by or for the benefit of the
additional insureds.
3. This insurance applies separately to each insured against whom claim is made or
suit is brought except with respect to the company's limits of liability. The inclusion of any
person or organization as an insured shall not affect any right which such person or organization
would have as a claimant if not so included.
4. With respect to the additional insureds, this insurance shall not be cancelled, or
materially reduced in coverage or limits except after thirty (30) days written notice has been
given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701.
(Completion of the following, including countersignature, is required to make this endorsement
effective. )
Effective
Policy #
Issued to
, this endorsement form as a part of
Named Insured
Countersigned by
Authorized Representative
8
,
,
ACORD . CERTIFICATE OF LIABILITY INSURANCE
Pro, 714 538-8723
Kimbrell Insurance Agency
950 E Katella Ave., Suite 4
Orange, Ca 92867
TillS CI:RTlflCAIE IS ISSUED AS A '\/lATTER OF 1\lF'ORr.u\TI():I¡!
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
Company
A
Admiral Insurance Company
Company
Insured
PRESTO 1- NAM
B
Company
Prestige Striping Services,
353 N. Cypress St.
Inc.
c
Company
CO
LTR
THIS JS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVe FOR THE POLICY
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 PQLlClfS DESCRIBED HEREIN IS SUBJECT TO ALL
THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. liMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY POLICY
EFFECTIVE EXPIRATION
DATE DATE
POLICY NUMBER
LIMITS
TYPE OF INSURANCE
A
Commercial General liability
,: Claims Made ílJOccur
Owner's & Contractor's Protective
A03AG16442
03/19/03
03/19/04
General A re ate
Products-Completed Ops A
Personal &. Advertisin Injur
Each Occurrence
Fire Dama ejan 1 fire)
Medical Ex ense(an one erson) $
AUTOMOBILE LIABILITY
Any Auto
All Owned Autos
Scheduled Autos
Hired Autos
Non-Owned Autos
Combined Single limit
Bodily Injury
(perpersonl
Bodily Injury
(peraccidentl
Property Damage
GARAGE LIABILITY
Any Auto
. ~ i ò-.':"j
;.~j !~S
l) FORM
AutoOnly.Eac Accident
Other Than Auto Only
Each Accident
A re ate $
,
,
The Proprietorl
Partners/Executive
OHicersare:
OTHER
Incl
Excl
Each Occurrence
A rate
EXCESS LIABILITY
UmbrelleForm
Other Than Umbrella form
WORKERS' COMPENSATION
EMPLOYERS' LIABILITY
D'-~,1lli)
Statutory limit
El Each Accident
EL Disease-Polic limit
ELDisease.EaEm 10 ee
Other
OESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS
ity of Santa Ana, its officers, agents & employees are named as Additional
nsured. See Attached Endorsement.
CERTIFICATE HOLDER
CANCELLATION
03
City Of Santa Ana
20 Civic Center Drive
Santa Ana, CA 92701
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCelLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL er MAIL
---3...Q- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT,
ACORD 25-S 1011951
Ðy: In8UI.nc. Vi8illll., Inc.
GACORD CORPORATION 19BB
~
roLIcY NUMBER, A03AG16442
Prestige Striping Services,
Inc.
C:OM>$RCIAL GENERAL LIABILITY
PREST06-NAM
10/07/03
THIS ENDORSEMENT CHANGES THE POLICY.
PLEASE READ IT CAREFULLY.
ADDITIOliIAL
INSURED
CONTRACTORS
OWNERS ,
(FORM B)
LESSEES
or
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
SCIIEDULE
Name of Person or organization (Additional Insured):
City Of Santa Ana,
Agents & Employees
Its Officers,
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as
applicable to this endorsement.)
WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule,
but only with respect to liability arising out of 'your work' for that insured by or for you.
u) AS TO
-,~
FOt?
. :~. /dlorney
CG 20 10 11 85
. 061.P9/201J 08:18 FAX
)B!El2/2BB:3 15: 4'3
714-647-69:39
DOWNTOWN DEVELOPMENT
141003
PAGE ß6106
Insurance Company
lìdfh/~AL J/1StlK:..'{IJ~E~'
Tb.is endorsement modifies sucb, insu:nwce as is aff'oroed by the provisions of Policy
# ,t:} 03,48Ihý!tfótre1qting to the foIlowU1.g:
1. The City of Santa An.II, 20 Civic Center Plaza, Santa Ana, CalifOXDia 92701; its
officers. employees. agents, voluntœrs and representatives are named as additionaI Íl:lSUteds
("additional i11Surecb") with :wgard to liability me! defense of suits arisfug from the opetatiœs
and uses perfmtned by or on behalf of the named i.n$ured.
2. With respect to claims arising out of the operations and uses .perfonned by or on
behalf of the nam~ ins1l.'red, such insurance as is afforded by this policy is primaIy and is not
additional to or contributing with any other insurance carried by or for the benefit of the
additional insureds.
3. This insllI8I1Ce applies separately to eaçh insured against whom claim is made or
suit is brought except with respect to the company's limits of liability. The inclusion of any
pexson or organization as an insured shall not affect any right wbich such person or organization
would have as a c:lairoant if not so included.
4. Wj,th respect to the additional ínsureds, tJlj,s insurance shall not be cancelled, or
materially red\:ICed in coverage or limits ~xcept after t:bi.rty (30) days written notice has been
given to the City of Santa Ana, 20 Civic Center Plaza, Santa~. CalifOrnia 9Z701.
(Completion of the following, including countersignature, is required to make this endorsemeut
effective.)
Effective
Policy #
Issued to
this endorsement form as a part of
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Named Insured
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Au o' ed Rep.\'esentat:íve
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KimbrelllD8uraDOe A¡¡.mey
Il1O 1i:)WeIIa Ave.. lite 4
Or....CA 1IJI88'1-50S8
Bus (714) IIa8-87III J'ø (714) 538-8724
CAU-f0818848
01/23/2014 01:03 FAX
F~OM
141 002
(THU)MAY 13200411 :07lST.11 :06/NO, 6320994810 P
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Kimbrell LnsuranQe Agency
950 E Katella Ave., Suite
Orange, Ca 92867
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THIS CEft'1'IFICATE IS ISSUED AS Po MATTER Of INFORMATION
ONI.Y AND CONfeRS NO ItICHT$ uPON T1fE CERTIfICATE HOI.DER.
THIS CeRTIFlCA'J'e DOES NOT AMEND. EXTE1\IQ OR ALTER THE
COvEAAGç AFFORDED BY THE POLIClia$ MJ.OW.
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A
Admiral Insurance company
In!lured
N - ~O.3 - /..2./
PRESTOJ."NAI'I
CQmpany
B
~restige Striping Ser~icQQ,
353 N. Cypress St.
Inc.
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIS'I'EO Ðet.OW Iot.Wi lIiEN ISSUED TO TWIi INSURED NAMED ABOVE FOR 'HE POLICY
INI:IICATEI;I, NQiWITHSTANQINIò ANY REOI.IIAI¡MEr.n'. 'I'IØIIM 011 OONOITION Of ANY CONTRACT OR on' ~R DOCUMENT wrTH RE$PI;CT TO WHICH
,1'11$ C!A1'I~leA"I'E MAY ee ISSUED OR MAV PERTAIII.. THE INSURANCE AFFDRDED BY ÎHÉ f'OLICU¡S DfiScRl8iO ' ØI~'H IS SUBJECT TO All
THI!: TI!:ItMS. ¡¡XC~USIDNS AND CDNCITION5 OF 5\JCI1 PQL.ICJ~$. LIMlI S SI1ÚWN MAY t1AVe II! eouc D 111"( "AID CLI\I~S.
PQI,ICY POlley
PFECTIVI: t:XPlAA'/'JON
DATE DATe
POLICY NUMIII:R
UMITS
A
TYP£ OF INSURANCE
alERAL LIABILITY
Comm~rr;lol <;Gn... LiaI>ilit~
C~m' Mòd~ IJ:. DcCNr
OWn<;ll ~ I!o r;;omr_ar., p,olOCtlwc
CAOOOOOOO3479-02
3/19/04 03/19/05
AUT M L UABIUTY
An~AuIA)
All Owno:d ÁUt".
ScheduloKl Au1o~
Hil'" Þ-YtOW
Non:Ownod Auto.
C::_I- Singh. limit
Bodily Injury
IpIII' p"",..n)
8.411.,. 1"lury
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DESCRIPTION OF OPERATIONS/LOCATION.
HICLES/SPEClAI. InMS
QQ Attached Additional Insured Endorsement
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Ci ty of Santa Ana
20 Civic Center Drive
Santa Ana, CA 92701
,vWr
01/23/2014 01:04 FAX
F~OM
141003
(T H U ) MAY 1 3 200 4 11: 0 71 ST. 11 : 0 BIN O. 6 3 2 0 9 9 481 0 P 2
ADDmONAL INSURED ENDORSEMENT
FOR. COMMERCIAL GENERAL LIABILITY ~LTCY
Insurance Company -Ai "",~....{ :z:." 1>N "<HW''' ¿$-ìf1.,...Y
'This endorse¡:nent modifies such insur.ance as is afforded by the provisions of Poliçy
# ~ ~~ ... (;11- . relating to the following:
1. The City of Santa Ana, 20 Ci vic Center Plaza, Santa Ana, Californi a 92701; ìC&
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.
2. With respect to claims arising out of the operations and uses performed by or on
behalf of the named insured, such insurance as is afforded by thhi poHey is primary and is nor
additional to or contributing with any other insurance carried by or for the benefit of the
additiona] insmeds.
3. This insurance applies separately to each insured against whom claim is made or
suit is brought except with respect to the company's limits of liability. Th~ inclusion of any
person or organization as an insured shaH not affect any right which such person or organizaríon
would have as a claimant if not so included.
4. With respect to the additiona.l insureds, this insurance shall not be cancelled, or
materially reduced in coverage or limits except after thirty (30) days written notice has been
given to the City of Santa Ana, 20 Civic Center PJaza, Santa Ana, California 92701.
(Completjon of the following, including countersignarurc, is required to make this endorsemßnt
effecti ve.)
Effective
Polic y #
Issued to
. this endorsement form as a part of
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