HomeMy WebLinkAboutOVERLAND, PACIFIC & CUTLER 3A
~
~
City of Santa 4Ail
Clerk of the Cou"
AGREEMENT TERMINATION
e
lUJR 1M Y I 2 -
Please complete this form when the attached agreement is no longer in effect. AM 9: lfO
Return form t? the Clerk of the <?ouncil Office (M-30). CIT"/
Cal/647-5237 If you have any questions. eL.l:\ A PiA
==================================================================~~4CJL==================
The agreement with
Overland, Pacific & Cutler, Inc. (Previously Overland Resources)
No. A-2003-038 ~ A -.2003 -03 8" - 0/ was completed on 3/31/04
and final payment has been made.
Continuous
Department:
Design Engineering - ROW
Phone/Ext. :
5067 - Kent Jorgensen/Cindy
Gomez
Signature:
~.Q -,
~
Date:
4/29/08
Revised 07 -23'{)7
.
.
4- -.)003 -03<f'-()J
FIRST AMENDMENT TO AGREEMENT
TIns FIRST AMENDMENT TO AGREEMENT is entered into on
--ID A-2W :3 J , 2004, by and between Overland, Pacific & Cutler, Inc., a
California corporation ("Consultant") and the City of Santa Ana, a charter city and
municipal corporation ofthe State of California ("City").
Recitals:
A. The City and Overland Resources, Inc. entered into Agreement A-2003-038, dated
March 3, 2003, (hereinafter "said Agreement") by which Consultant has provided
right of way services to the City.
B. On August 13,2003, Overland Resources, Inc. was purchased by Consultant, which
assumed the rights, liabilities and obligations of Overland Resources, Inc. under said
Agreement.
C. In accordance with the terms and conditions of said Agreement, the parties wish to
e~end the term 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, except those amended in this First
Amendment to Consultant Agreement, the parties agree as follows:
Pursuant to Section 3 of said Agreement, Consultant and City agree to extend the term of
said Agreement for one year, beginning April I, 2004 and ending March 31, 2005.
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to
Consultant Agreement on the date and year first written above.
¿ 0L ..
J6~ri~i~ ~LE~c{~
City Attorney
CITY ~FSANT A ~
~
JA ES G. ROSS
E ecutive Director of Public Works
APPROVED AS TO FORM:
',-" ~
CONSULTANT
Overlan, 'fie & Cutler, Inc.
BARRY McDANI
Chief Executive Officer
K:IWPDOCSIDOO4IPOOIIOOOl1653.DOC
,'-..
CERTIFICj;\~ OF LlABqJTY INSUrlNC;E--
A CORD
~'."_.'.--~--TM
-_."-------
DATE (MMJDDNY)
02 27 04
.niiIS. CERTIFICATE Îi.-¡:.Sl;¡:i) AS A MATH" OF INFORMATION
ONl Y AND CONFEF:: NO RIGt'I,; UPON HiE CERTIFICATE
HOLIlER. THIS CERTIFlCA i E DOES NOT AMEND, EXTEND OR
ALTUi THE COVERAGE AFi'ORDED BY THE POLICIES BELOW.
PRODUCER.
l'.ICHER INrURANCJ:: AGENCY
1255 PROSPECT AVENUE
HERMOSA BEACH, CA 90254
(310) 798-1650
(31.0) 798-1654/FAX
OVERLAND PACIFIC &
100 W. Broad\~ay
Long Beach, CA
INSUAEr~-": AF¡=C;-;OING COVLT~AnE
-----....--
NSUR~:D
CUTLER,
#500
90802
INC
IWURER A" ILLINOIS UNHfN INSURANCE COMPANY
INSur¡ER B:
INSURER G:
INSURER O.
--~
,
COV:cRA(,ES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INšA -.- POLICY EFFECTIVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER ATE MM 0 D
GENŒAL LIABILITY
15. --- COMMERCIAL GENERAL LIABILITY
~= ClAIMS MADE 0 OCCUR
GEN'l AGGREGATE LIMIT APPLIES PER.
I PRO-
~.......lPOLlCY JECT LOC
AUTOMOBilE LIABILITY
INSURER E.
LIMITS
$
FIREDAMAGE(AnyonefireL $ ------
$
~---~-------
PERSONAL & ADV INJURY $
------
GENERAL AGGREGATE $
PRODUCTS - COMP/Or AGG $
------- --.---.--------
EACH OCCURRENCE
-------~---
MED EXP (Any o':..~.:.::.~nl
ANY AUTO
COMBINED SINGLE LIMIT
(Eaaçcid~nt)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODilY INJURY
(Per person)
$
-.----
_._--~_._----
HIRED AUTOS
BODILY ¡NJURY
(Per accid~nt)
$
NON-OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
-=-J OCCUR D CLAIMS MADE
I\.PP1;~()\/ .hI-'
&~
':
)h.L'{
AUTO ONLY - EA ACCIDENT $
EAACC $
-----_.~---~- --------
AGG $
EACH OCCURRENCE $
----------- -------------------
AGGRmATE $
--------------- "
$
$
.n__~___---
$
OTHER THAN
AUTO ONLY:
DEDUCTIBLE
RETENTION $
I WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
V!J--
j",ò,i 1;; l'~ 1 -
El. EACH ACCIDENT $
E.l. DISEASE - EA EMPLOYEE $
E.l. DISEASE - POLICY LIMIT $
A
OTHER
- "' . -- ---------- -- -- ---- -- - ---
OESCRIf'TlON OF OPERATIONS/LOCATIONSNEHICLE.5/EXClUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
PROFESSIONAL
"RRORS & OMISSIO
- -- - - ----------------- --..-
BMI 20010437
11/15/03 11/01/04 $2,000,000
$2_, ogo, _000
EACH CLAIM
AGGREGATE
----------------
*30 DAYS EXCEPT
CERTIFICATE HOLDER
CITY OF SANTA ANA
PUBLIC WORKS DEPARTMEN'f
20 CIVIC CENTER PLAZA
SANTA ANA, CA 92701
10 DAYS FOR NON-PAYMENT OF PREMIUMS
AODITIONAlINSU~EDi INSURER lETTER: CANCELLATION
SHOULD ANY OF THE AnOVE DESCRIBED rOLlCI ES BE CANCELLED BEFORETHE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAil -~-- DAYS WRITTEN
M-36
Attn:
ACORD 25-S (7/97)
Tai
Hi
ins
r¡D
-.-1M
CERTIFICATE OF ~ABILlTY INSURANCE ~~í~~ï~
TIiIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CON FEnS NO RIGHTS UPON TliE CEf<TIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
~ICHER INSURANCE AGENCY
L255 PROSPECT AVENUE
~ERMOSA BEACH, CA 90254
(310) 798-1650
(310j298-1654/FAX
)VERLAND PACIFIC & CUTLER,
,00 W. Broadway #500
~ong Beach, CA 90802
A~ ).Do3'-,o1D
INSURERS AFFORDING COVERAGE
INC
INSURER A: GREAT AM'JŒlCAN E-&S INSURANCE COMPANY
INSURER B:
\003 -038
INSURER c:
INSURER D:
-_.,~
INSURER E:
" OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. N01WITHSTANDING
t:MENT, TERM OR CONDITION OF ANY CONTRACT OR OTHEfJ DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
I, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
GREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY EFFECTIVE POLICY EXPJRÀTION
DATE M D DAT MM DO
06/24/03 06/24/04
PE OF INSURANCE
ABILITY
POLICY NUMBER
PL 5574310
LIMITS
EACH OCCURRENCE $ 1 0 0 0 0 0 0
FIRE DAMAGE tAny one lire) $ 10 P 0 0 0 -
MED EX? (Anyone per30n) $ exc 1 ude
PERSONAL & ADV INJURY $ 10 0 0 0 0 0
GENERAlAGGREGATl $ 2000000
~~-~-~..~
PRODUCTS - COMP/OP AGG $ exc 1 ude
:::RCIAL GENERAL LIABILITY
AIMS MADE ŒJ OCCUfì
lOC
PL 5574310
06/24/03 06/24/04
COMBINED SINGLE LIMIT
(Eaaccident)
$
1000000
JTO
NED AUTOS
JlED AUTOS
\UTOS
BODILY INJURY
(Per person)
$
~--
VNED AUTOS
BOD1L Y INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
91L1TY
fa
AUTO ONLY - E'AACCIDENT $
_._~----
EA Ace $
- .,._-~_.-
AGG $
$
--------.--.-
$
--_._"_~,...--
$
$
$
EACH OCCURRENCE
$
OTHER THAN
AUTO ONLY.
31L1TY
0 CLAIMS MADE
-. ---"-'--
AGGREGATE
ISLE
ON
--
)MPENSATION AND
LlABILllY
._---~
$
---
E.L. DISEASE - EA EMPLOYEE $
~---
E.L. DISEASE. POLICY LIMIT $
--'--
---~-
-~-~,_. -------~--~--'---"-'-'--'-~'-_._--'---_._-'--
- ---'. '-------"--'----.. .-------------..----
P<õRAIION:>/LOCATIONSjVEHI(;LES/tXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
, ITS OFFICERS, AGENTSW, EMPLOYEES, CONSULTANTS, SPECIAL COUNSEL &
TATIVES ARE NAMED AS ADDITIONAL INSURED PER ATTACHED CG8225
EXCEPT 10 DAYS FOR NON-PAYMENT OF PREMIUMS
-IOLOER ADDITIONALJNSUAED; INSURER lETTER: CANCELLATION
'TY OF SANTA ANA
'BLIC WORKS DEPARTMENT
CIVIC CENTER PLAZA M-36
NTA ANA, CA 92701
SHOULD ANYOF THE AüOVE DESr. ,fBED POLICIES SE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _'!!- DAYS WRITTEN
.tn:
/97)
Tai
Hi
ins
.
OVERLAND PACIFIC & CUTLER INC
Policy #PL55743íO ,.
Effective: 06/24/2003 to 06/24/,2004
JLGØAT AMM'I!:AH ,~Iì co....,,",..
s.....w.-c. .. A"Ulfl"-'i F'",",,~I"" 1:l1'P"?rIi:'~'~
,eo WA&.8.lT If~. cu",r;*,iAT!. Ot'i,O +£;.GI
.
CG 82:£11
IJ:4 07 981
THiS [flDORE, iMENT CI' ,;nlfS THE POLU:Y. PU':AS'I: ItaAP IT CAlll!FUU-.'(.
eo;w.œ.<¡C!AI. GENI!RA1. LIABIliTY ÐlANŒT
ADDIl10NAL INaIJRED EN)OR8EIIØI1'
COMMERCIAl. Gßl4ERAI. LiA81UTT COVERAGE PAAT
T/lil ...dor..mom modif,es in_-- prcwid8d """or 11>0 føllovMlf
A. WHO IS AH INSURED lSec'Iion IQ ¡. -
to «Iude as an In-.d ...y "",IOn or 0(-
aoni<Mion I~II.,, a<l4tiØIIIII """"'ad) wl1Ot1l yo..
.... reqUIred 10 ~ au an IOCkIitiornol "'-8<1 on
1011 PQIIC'f unaor.
" a writt8n CQf11I"acI or agre«nam: or;
2. ~ orar contrCC't or 6¡)""øewneot wnera iii
comflelle of II181.1r1nCe Ihowong It1at !>Wï
IOn or orOl\ÌZatiOll a. In .CI<II~onaI In.,.
sure<! lias b-. ¡alullCt
but 1NI wriÞ8n Dr oral ContrACI mua~ be:
/
3, c.....onay in .ffact or þ'CDmon" .ffoctive
duronll tho corm of 1hi1 policy: an" ,
4¡. ."ecu'oQ pnor to me -Þo<Iily in,...,:
'prøporty damagu. - Dr 'po<soo.! or)d 8d-
YSrt"'lf19 ItIJ'II'Y" WI1ic/I firSt """"fa,l. on
or aflOl' 1hO dat8 of 1ho Ì/1CaptIOo of ~
policy poriO<l. .. 8IIo....n In 1110 POOIara-
nons p,,1I" of 1I1e policy but pnO(" Yo 1/Ie
0...1101' or trM dotAl of a"pira1'OII or can-
cellatIOn of "". pOliCy.
/I, WI1/I (8Of*'t 10 Iha "''''''ance .trQ(~ ILICI1
AatlIÞ<>rW In...rad. 1/1<1 fOllOwing aqQtjOrM!
provi..ona apply:
1. 1I>iIt peroon or or\lOlllmon .$ only an AQ-
~j¡¡Of\~ tn~:-~d \N.tJ¡ n:i~'f"t;C-~ tI.J I~il¡-,V
"'''OS out of:
æ. promiE.. or .C¡"''P'"8nr you own, rent
leasH, cr, occup,,: or
b. your CO{!QIng oper- performea
for 1/IIIt Additional Insured by or for
you.
'it... ioJur8l1Ca prOVIded to s..ch AddJt¡ooal In-
....8<1 - not apply Yo "Þodlly In....,.. or
-propeny cIMNe" Included within 1/Ie "pro-
"""'-comp-Q "f>8'lItiomo huW"d.-
3, n. ~mi~ of In...,-I/>C<I IIpplicable to Iny
- Alldttoonal ""'''''84 lira tIIo.. opac.-
IIIId In trM Wf',UIIO """tracI or agr..""",'
or in tIJa 1)""....- for 1/111 policy,
wttic:haVa( ar. leSS IIOd ara S\Ib1IC1 Yo 1118
tllml' anc condl~on' of 1/110 co,II.rllll"
lorm TheM LIIMS of lnIurance are lr1ciU-
.ìllÐ of If1CI nol I/TI<!dM>n to 1/16 Pmi1. of
In~c. ahowo Jf1 the Dec~on$
3. A ppr$Of1'1 or oruanlZatiorf. Ita.... as an
ACldltJonal lmoor"" I.fIQar t/Ii. ondorslll11ent
endS 30 Gays "fu" your op...a~on. or
IIQfMtTl80t for Ihn Addaionol In....-Od ...
complet/Od Dr -, or 1/10 8I<P~TIO' of
au poliCy. WIIlcltevor I. '''''Of
C. The onsur...,,, p"Q\/Jdad 10 .., AddltJ0n8l In-
surad _. not lJIPIy to -þOdily In¡ury,- "prop-
Ø(ty -~. or 'p8/'1ONII or)d OdvOI'h..g.n-
jury- .,Iing 0111 of In an::Mecr.. lnQin&e( a,
0( surv8Vor.. r8Od8ring of or faüure 10 ,.-onder
any profeseionlll _v.""" ~1IIgo
,. 1ho ~ong. tppf'ovlfIII, cr flllJ.nQ to pr'-
pro Ø(' epprOVIt mapa. Clf'lIWlnll". OPJnono.
roport"- ........ys. Change orders, dOlÍlJ'1 Dr
If"',,¡fication., II1d
CG 82 21\ 1I'd. 07/981 XS
Copyright 1mI"'...,,, $ltI'1IÏC\Jo OffICe, Inc.. 1998
11'''8' 1 of 21
'l'() to'ORíVJ
118ft."">:';;~iff'~;~T~,:\';;'P,'Jf:'<n...... ..
'. "'.'~ ''''''''''' '.'" I .
~-,,~~,-
¡;l'l.~ () V ~:
~r
'l/":'\£e 'lY:~!f~-------
. ~'-"'\"'.,' .l. ,-,Il> ,', dUJ t¡I~:,
,- ""'-'''''';'''''''l\¡''{¡.~,\t~!>':~ ,.,,~'.t'~'-"""'>,
'--~.';;'_1:~tn:\'.....~......"""".~~. ~~ ~
"
.
:L I14*'Vl8OI'r. inlpllC1ÍOll. or e:-",'noerlO\1
IIINÏCK
COV"8QO provided herein shall ,...-v. .. 8x-
C8" OIlOf' IIIIY omor vi41<! 8IId c:oIIec1iÞ18 in-
...ranee avail8Þ:. 10 ...~ AddiIiOnll 1/IOIur8d
/
.
whInhIr 1h8 D1I1ØI' insInnc. '1 primary. ...-
eN!\. CQ')~ 0( on IIIV ø1I1er þa.¡. ....l8n
. wr\1I8<I 1:0"...8C:"'" ~t Ipecific:lllr
Aquir8. 11118 0I1IIr'8t\Cð be p"""8<Y
!\.PPROV)J-D
. ro r<JRNI
~6~rlt!si~:(1
A.,:,,~,l~,~,;:L (l~, '~'\lLOr¡:CY
CCJ 62 25 lEd 07/!lB1 XS
CQprrogl1l. InG<I'IInce ServIces Office. 1I1C, 1998
f'a¡¡ø :;: of 2,
-
- """"'~~~''''''~':r~IJ:'''ÌI'k,~'.~~""," 1J iI.-~-,lt,..~~,,:...~ ,~,,_.~
ACORD", CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDOIYYYY)
7/20/2004
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Venbrook Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
22801 Ventura Blvd, Third Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Woodland Hili., CA 91364 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Phone 818-225-8200 Fax 818-225-8210
INSURERS AFFORDING COVERAGE NAICII
INSURED Overland, Pacific & Cutler, Inc. INSURER A, Great American E & 5 Company
100 West Broadway INSURER B, The Hartford Insurance Company
Suite 500 'OSURER c, Everest National Insurance
Long Beach, CA 90802 INSURER [>. illinois Union Insurance Company
, INSURER E, RSUI Indemnitv Company
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
rNSR DO POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
6/24/2004
6/1/2005
LIMITS
$ 1,000,000
$ 50,000
$ Excluded
PERSONAL&ADVINJURY $ 1,000,000
$ 2,000,000
PRODUCTS. COMP/OP AGG $ Excluded
PREMISES Ea occu nee
MED EXP An one person)
...ENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY PL 5574310-01
A CLAIMS MADE ŒJ OCCUR
GEN'LAGGREGATE LIMIT APPLIES PER:
PRO- LOG
AUTOMOBILE UAØIUTY
ANY ALITO 72 UECUM6536
ALL OWNED AUTOS
B SCHEDULED AUTOS
X HIRED AUTOS
X NON-QWNED AUTOS
GARAGE UABIUTY
ANY AUTO
EXCESSlUMBRELlA UABIUTY
X OCCUR 0 CLAIMS MADE NHA212256
E
EACH OCCURRENCE
GENERAL AGGREGATE
6/24/2004
6/24/2005
COMBINED SINGLE LIMIT
(Eaaccid&fll)
$ 1,000,000
BODilY INJURY
(Per person)
$
BODilY INJURY
(Peraccidenl)
$
PROPERTY DAMAGE
(Peraccidenl)
$
ì/9/200 4
6/1/2005
AUTO ONLY - EA ACCIDENT $
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EACH OCCURRENCE $ 1,000,000
AGGREGATE $ 1,000,000
$
$
$
i)~iJl.J(;i.n:sLt;
RETENTION
$
WORKERS COMPENSATION AND
EMPLOYERS' UABIUTY
C ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? YES
g~:~:¡'~(~~~S1ÓNS below
D ~;;','~royment Practice. Llab &
Errors & Omissions Prof Llab
3900048305-041
6/1/2004
6/1/2005
x we STATU-
om-
BMI20010437
6/24/2004
6/1/2005
E.L. EACH ACCIDENT $ 1,000,000
E.L. DISEASE - EA EMPLOYEE $ 1,000,000
E.L. DISEASE - POLICY LIMIT $ 1,000,000
EPL: $1,000,000 - $15,000 Retention
E & 0: $2,000,000 - $50,000 Retention
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PR
"10 Days Notice of Cancellation for Non-Payment of Premium"
AS TO FORM
CERTIFICATE HOLDER
City of Santa Ana
Public Works Department
Attn: Talg Higgins
20 Civic Center Plaza
Santa Ana, CA 92701-
A
itionallnsure
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO so SHALL
IMPOSE NO OBUGATION OR UABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2001/08)
~
J-..1.
e
0 e
@ACORD CORPORATION 1988
..--,
POLICY NUMBER: PL 5574310-01
POLICY TERM: 06/24/2004 - 06/01/2005
COMMERCIAL GENERAL LIABILITY
ADDITIONAL INSURED ENDORSEMENT
This endorsement modifies insurance provided under the following:
Commercial General Liability Coverage Part
SCHEDULE
Name of Person or Organization:
City of Santa Ana, its officers, agents, employees, consultants, special counsel &
representatives.
WHO IS AN INSURED (SEmON II) is amended to include as an insured the
person or organization shown in the schedule as an insured but only with respect to
liability arising out of your operations or premises owned by or rented to you,
For: Overland, Pacific & Cutler, Inc,
CG 20 10 11 85
Copyright, Insurance services office Inc. 1984
\ ~ ' ')"1 ~
I ~ .d ) ìl~ 'I J
." "'0 A'; '!, FOR1vJ
~~~,)h --
AS.::ilSr31' -...,. .Y
, l Ll1y Attorney