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AGREEMENT TERMINATION FORM
Please complete this form when the attached agreement and all
amendments (if any) are no longer in effect.
Return form to the Clerk of the Council office (M-30)
Call 647-6520 if you have any questions.
The agreement with
COTC Office Use Only
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CLERK OFIC0
No. y4 -2(bi= ZS7C0I) was completed on 6 150170Cand final payment has been made.
(List all amendments. Use space below if needed.) Q
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Date:
Revised 08-23-10
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INSURANCE NOT ON FILE
WORK MAYNO! PROCEED
CLERK OF COUNCIL
DATE: 5 s--vy AMENDMENT TO
CONSULTANT AGREEMENT
C: PM
(f Zern) THIS AMENDMENT TO CONSULTANT AGREEMENT, is entered into this
S day of Ka 2004, by and between Science Applications International
Corporation / SAI�C, a Delaware corporation ("Consultant") and the City of Santa Ana, a
charter city and municipal corporation of the State of California ("City").
Recitals:
A. The parties entered into Consultant Agreement No. A-2001-259 dated December 17,
2001, (hereinafter "said Agreement') by which Consultant has provided historic
property resource identification, evaluation and documentation.
B. In accordance with the terms and conditions of said Agreement, the parties wish to
extend the term of said Agreement for an additional one-year period.
Wherefore, in consideration of the covenants contained in said Agreement, and subject
to all the terms and conditions of said Agreement the parties agree as follows:
1. Section 3, TERM, shall be amended to read as follows:
"This Agreement shall commence on December 17, 2001 and terminate on June 30,
2005, 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 Planning and Building Agency and the City Attorney."
IN WITNESS WHEREOF, the parties hereto have executed this Amendment to
Consultant Agreement on the date and year first written above.
CITY OF SANTA ANA
�� /)f�,,/
STEPHEN G. HB DING
Executive Director
Planning and Building Agency
APPROVED AS TO FORM
�61 SEPH W. FLETCHE
City Attorney
CERTIFICATE NUMBER
w Los-000141719-05
-PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH RISK & INSURANCE SERVICES NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
777 SOUTH FIGUEROA STREET POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
CA LICENSE NO. 0437153 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
LOS ANGELES, CA 90017-5822 COMPANIES AFFORDING COVERAGE
Attn: Barbara Llewellyn 213-346-5102
COMPANY
75988-SAIC-ALL-04-05 SAIC ENDT CANC A National Union Fire Insurance Company of PA
INSURED fi_oZ���e�JI
COMPANY
SCIENCE APPLICATIONS INTL CORP /•�ao01-159-U�
10260 Campus Point Drive
MIS F1_
San Diego, CA 92121 (J.I 37
B American Home Assurance Company
COMPANY
C Insurance Company of the State of Pennsylvania
COMPANY
D
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POUICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MMIDDNY)
POLICY EXPIRATION
DATE(MM/DDNY)
LIMITS
A
GENERAL UABWTY
GL4806264
04/01/04
04/01/05
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS -COMPIOP AGG
$ 1,000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
PERSONAL &ADV INJURY
$ 1,000,000
EACH OCCURRENCE
$ 1,000,000
TOW,ER'S& CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire)
$ 1,000,000
MED EXP (Any one n
$ 10,000
B
AUTOMOBILE
LIABILITY
CA 5188952 (AOS)
04/01/04
04/01/05
COMBINED SINGLE LIMIT
$ 1,000,000
5F
B
ANY AUTO
CA 5188955(TX)
04/01/04
04/01/05
BODILY INJURY
$
B
ALL OWNED AUTOS
CA 5188953(MA)
04/01/04
04/01/05
B
SCHEDULED AUTOS
CA 5188954(VA)
04/01/04
04/01/05
(Per parson)
BODILY INJURY
(Per awident)
$
HIREDAUTOS
NON-OWNEDAUTOS
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO:
/
`/
OTHER THAN AUTO ONLY:
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
C
C
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
WC 5212464 (DED)
WC 5212455(CA)
04/01/04
04/01/04
04/01/05
04/01/05
X TORV LIMITS ER
-"'AEim¢. •r.
EL EACH ACCIDENT
$ 3,000,000
EL DISEASE -POLICY LIMIT
$ 3,000,000
A
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
WC 5212466(RETRO)
04/01/04
04/01/05
EL DISEASE -EACH EMPLOYEE
$ 3,000,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701, its officers, employees, agents, volunteers and representatives are additional
insured under the General Liability policy referenced above, but only with respect to the services provided by the named insured under contract to the
certificate holder. Such insurance afforded by this policy is primary and non-contributory with the insurance maintained by the additional insured but only as
respects the operations performed by the named insured under the General Liability coverage.
RECEIVED
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL EN6ffhXyWW MAIL 0 DAYS WRITTEN NOTICE TO THE
City of Santa Ana APR
A
Planning Division 2994
O
CERTIFICATE HOLDER NAMED HEREIN.
Attn: Maya DeRosa rt
E
P.O. Box 1988, M-20
Santa Ana, CA 92702 SANTA AM PLANNING DEPT.
MARSH USA INC.
-(p1A.: c�, 4` r rb., )� 7 4)
ar: John F Wesley
�ILan
fr,e6�
This endorsement, effective 12:01 A,M, 04/01/2004 forms a part of
policy No. GL 484-62-64 issuedto SCIENCE APPLICATIONS INTERNATIONAL CORPORATION
by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT
This endorsement modifies insurance provided under the following;
Section II - Who is an Insured, 1., is amended to add:
f) Any person or organization to whom you become obligated to include as an additional insured
under this policy, as a result of any contract or agreement you enter into which requires you
to furnish insurance to that person or organization of the type provided by this policy, but
only with respect to liability arising out of your operations or premises owned by or rented to
you. However, the insurance provided will not exceed the lesser of:
The coverage and/or limits of this policy, or
2. The coverage and/or limits required by said contract or agreement.
J�1-3
- - - ---------
Authorized Representative or
Countersiggnature (in States Where
Applicable)
61712 (9101)
ENDORSEMENT
This endorsement, effective 12:01 A.M. 04/01 /2004 forms a part of
policy No.GL 480-62-64 issuadto SCIENCE APPLICATIONS INTERNATIONAL CORPORATION
by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
ADDITIONAL INSURED - PRIMARY INSURANCE
This endorsement modifies insurance provided under the foWwing:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
Section IV, Commercial General LlabiBty Conditions, paragraph 4., Other Insurance,
subparagraph a. Primary Insurance, is amended by the addition of the following:
However, coverage under this policy afforded to an additional insured will apply as primary
insurance where required by contract, and any other Insurance issued to such additional insured
shall apply as excess and noncontributory insurance.
..... .... ... -....................... .
Authorized Representative or
Counteraignatbre on States Where
Applicable
74434 (10199)
INSURED'S COPY