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Home My WebLink AboutK & A ENTERPRISES, INC. 1AAGREEMENT TERMINATION Please complete this form when the attached agreement is no longer in effect Return form to the Sr. Deputy Clerk of the Council (M-30). Call 647-52" u GONCIL questions. The agreement with 14 61t�s QS AD03 -144-01 c 0 was completed on and final payment has been made. Department: Signature: Date: City of Santa Ana Revised 8-7-03 Clerk of the Council 4- acr 3 - / ,VV -01 INSURANtiE NOT ON FILE WORK MAY NOT PROCEED CLERK OF COUNCIL DATE: fie- �v'a`P FIRST AMENDMENT TO CONSULTANT AGREEMENT C•. PBA THIS FIRST AMENDMENT TO CONSULTANT AGREEMENT, is entered into on N[ 4V ,X,� , 2004, by and between K & A Enterprises, Inc. , d.b.a. All Signs America, a California 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 Agreement #A-2003-144, dated July 7, 2003, (hereinafter "said Agreement") by which Consultant has provided fabrication and installation of bronze plaques to designate historical properties. B. Since the inception of said Agreement, the cost of fabricating the plaques has increased. C. In accordance with the terms and conditions of said Agreement, the parties wish to amend said Agreement to increase compensation paid per plaque to provide for the increased per plaque fabrication cost. 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: That portion of Exhibit A identified as the PROPOSED FEE SCHEDULE FOR ALL SIGNS AMERICA, shall be replaced with a new Proposed Fee Schedule, attached hereto as Exhibit A-1, and incorporated by this reference. Said schedule sets forth the price City shall pay for each plaque fabricated and installed by Consultant. 2. Except as amended hereinabove, all terms and conditions of said Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to Consultant Agreement on the date and year first written above. ATTEST: P"ATRICIA E. HEALY Clerk of the Council APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney By: i n. Laura Sheedy Assistant City Attorney APPROVED AS TO CONTENT: /j A ' 4 Executive Director Planning and Building CITY OF SANTA ANA A2 DAVID N. kEAM City Manager CONSULTANT President PROPOSED FEE SCHEDULE FOR ALL SIGNS AMERICA Order Quanity Item 10 25 50 8"x10" Marker Per unit cost $ 252.26 $ 240.66 $ 225.36 Total cost per order $ 2,622.60 $ 6,016.51 $ 11.267.83 Total cost for 45 markers $ 11,351.70 $10,829.72 $10,141.04 Cx5" Marker Per unit cost $ 114.86 $ 109.85 $ 102.88 Total cost per order $ 1,148.60 $ 2,746.16 $ 5,143.91 Total cost for 172 markers $ 19,755.92 $ 18,893.60 $ 17.695.06 Sales Tax @ 7.75% $ 2,410.84 $ 2,303.56 $ 2,157.30 Installation Cost per Unit Installation on building $ 45.00 $ 41.86 $ 39.13 Installation in sidewalk $ 200.00 $ 186.05 $ 173.91 Personnel/Administrative Costs $ - $ - $ - Terms: 50% down payment on marker cost Balance net 30 ExHIBIT A 1 • ' ` ^w;r ct.Xw "r: lj tU'LL i_J rr.Lu. ,-. BLP Bronze InternakLional 260 Bartley Drive Toronto, Ontario M4A IG5 Ph: 800-567-8383 Fax: 800-246-6326 May 17, 2004 Mr. Alan Gale All Signs America 15481 Red Hill Ave. Suite B Tustin CA 92780 Ph: 714-258-3600 Fax:714.258-9029 Dear Alan, Thank you so much for the order fos the historical plaques for the City of Santa Ana. Since the job was originally bid over one year ago, we were unable to hoid the price for that length of time. Both bronze ingots and cur labor costs have increased significantly since then. The bid on yc ur 8 x 10 inch plaques was S204.26 each plus freight nine months ago. The current cost of these plaques is $246.26 each, plus freight. The bid on your 4 x 5 inch plaques was $80.76 each plus freight twelve months ago. The current cost of these plaques is $111.86 each, plus freight. We have also instituted an additional 10% meta! surcharge to cover the 56% increase in he cost of bronze that has occurred in the last 2 months. I am not gong to add that surcharge to this job in the hopes that your customer win be able to accept our new prices. I am so sorry that we had to do this but long te, m bids are a difficult situation for all of us. I have the H(,we-Waffle House plaque in production and it will be ready in about two we Mks or sooner, if needed. I will wait to hear from you on the others. They can be produced quite quickly if you give us the go-ahead. Yours truly, Linda Krabill U.S. Marketing k anager Architectural Bronze Division BLP Bronze International ** TOTAL PAGE.01 r* SENTRY INSURANCE A MUTUAL COMPANY STEVENS POINT, WISCONSIN (A PARTICIPATING MUTUAL COMPANY) A MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES F *zMW W3i=I=IZEd']-1Z141d ACCOUNT NUMBER 49-39070 This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies below. Name and Address of Name and Address Certificate Holder of the Insured THE CITY OF SANTA ANA K & A ENTERPRISES INC DBA ITS OFFICERS, EMPLOYEES, ALL SIGNS AMERICA AGENTS, VOLUNTEERS & 15481 REDHILL AVE STE A&B RESPRESENTATIVES TUSTIN, CA 92780 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 A- L1 This certificate is issued on 09-23-2003 and is effective until 09-23-2004. It certifies that policies of insurance listed below have been issued to the insured named above. 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. Coverage Provided Businessowners Liability . Includes: Bodily Injury Property Damage Personal Injury Advertising Injury Hired and Non -Owned Workers' Compensation and Employer's Liability oes Not Include: -Pers/Adv Injury 49-39070-01 Each Occurrence 4 500 Medical Expense I 10 Fire Damage t 250 General Aggregate t 11500 Products Aggregate t 1,500 49-39070-02 Statutory Each Accident 4 500 Each Disease/Employee t 500 Each Disease/Policy t 500 49-39070-03 Each Occurrence t 1,000 General Aggregate t 11000 Products Aggregate i 1,000 If any of the listed policies are cancelled prior to their normal expiration date, the insurer will send notice to the certificate holder 30 days in advance. 80-C1035 (MECH) ALL 49-39070 31-040406 05-28-2004 PAGE 1 (0007) egy� 011IHORG 04634 SENTRY INSURANCE A MUTUAL COMPANY SENTRY'S BUSINESSOWNERS STEVENS POINT, WISCONSIN POLICY (A PARTICIPATING MUTUAL COMPANY) A MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES POLICY NUMBER 49-39070-01 NAME INSURED: K & A ENTERPRISES INC DBA ADDITIONAL INSURED SCHEDULE The following information is required to complete the accompanying additional insured endorsement which forms a part of the Named Insured's BUSINESSOWNERS POLICY. 419�1t�[�1:LI� THE CITY OF SANTA ANA ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS & RESPRESENTATIVES 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 BP 70 23 02 97 EFFECTIVE FROM SEPTEMBER 23, 2003 TO SEPTEMBER 23, 2004 BP 89 05 01 87 (MECH) ALL 49-39070-01 00 031 05-28-2004 (000 0007) 01i160NG 04640 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: BUSINESSOWNERS POLICY The information required to complete this endorsement is shown in the Declarations. The following is added to Paragraph C. WHO IS AN INSURED in the Businessowners Liability Coverage Form: 4. The person or organization shown in the Schedule, but only with respect to liability arising from "your work' for that insured by you or for you. BP70230297 0171ROY4 Aq POLICY SENTRY'S BUSINESSOWNERS (A PARTICIPATING MUTUAL COMPANY) A MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES NAME INSURED: VARITEK INC ADDITIONAL INSURED SCHEDULE POLICY NUMBER 49-07795-07 The following information is required to complete the accompanying additional insured endorsement which forms a part of the Named Insured's BUSINESSOWNERS POLICY. ADDITIONAL CITY OF SANTA ANA ITS OFFICERS BP 70 23 07 02 AGENTS AND EMPLOYEES 2 CIVIC CENTER PLZ SANTA ANA, CA 92701 BP 89 05 01 87 (MECH) VAR 49-07795-07 00 041 05-05-2004 (000 0031) EFFECTIVE FROM JUNE O1, 2004 TO JUNE O1, 2005 0 3 6 5 6 o. woAG ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies Insurance provided under the following: BUSINESSOWNERS COVERAGE FORM The information required to complete this endorsement Is shown In the Declarations. The following is added to Paragraph C. WHO IS AN INSURED in Section II - Liability 4. The person or organization shown In the Schedule, but only with respect to liability arising from your ongoing operations performed for that Insured. BP 70 23 07 02 01TIT3XI __ 06/17/2004 15:28 FAX 715 346 8069 SENTRY C/L 2 002 CY4 SENTRY INSURANCE A MUTUAL COMPANY SENTRY'S BUSINESSOWNERS AEPARTICOIPATINGIMUTUALNCOMPANYI POLICY MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES POLICY NUMBER 49-39070-01 NAME INSURED, K & A ENTERPRISES INC DBA ADDITIONAL INSURED SCHEDULE THE FOLLOWING INFORMATION 15 REQUIRED TO COMPLETE THE ACCOMPANYING ADDITIONALNERINSUREDIESS Y ORSEMENT WHICH FORMS A PART OF THE NAMED INSURED'S ADDITIONAL ENDORSEMENT EFFECTIVE INSUED THE CITY OF SANTA ANA BP 70 23 02 97 FROM SEPTEMBER 23, 2003 ITS OFFICERS, EMPLOYEES, TO SEPTEMBER 23, 2004 RESPRES°ENTATIIVESRS & 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 FOR ENSEESOVERT TEXT, y BP 89 05 01 67 (MECH) ALL 49-39070-01 00 031 06-11-2004 (000 0007) 06/17/2004 15:2 FFA% 715 046 8069 SENTRY C/L fij003 COMET DOCUMENT INQUIRY ACCOUNT AD02TZONAL INSURED - OWNERS, LESSEES OR CONTRACTORS THIS ENDORSEMENT MODIFIES INSURANCE UNDER THE FOLLOWING: BUSINESSOWNERS POLICY THE INFORMATION REQUIRED TO COMPLETE THIS LNDORSEMKNI IS SHOWN IN THE DECLARATIONS - THE FOLLOWING IS ADDED TO PARAGRAPH C- WHO IS AN INSURED IN THE HUSTNESSOWNERS LIABILITY COVERAGE FORM! q. 7-HE PERSON OR oRGAMIZATION SHOWN IN THE SCHEDULE, BUT ONLY WITH RESPECT TO LIABILITY ARISING FROM YOUR ONGOING OPERATIONS PERFORMED FOR THAT INSURED. HP 70 23 02 97 lsaa7,516 COM CO-'M110CS-03 00 721 03-OB-OI PAGE OOL 06/17/2004 15:29 FAX 715 346 8069 SENTRY C/L U 004 PRIMARY/NONCONTRIBUTORY INSURANCE THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: BUSINESSOWNERS LIABILITY COVERAGE FORM WHEN REQUIRED BY WRITTEN CONTRACT AGREEMENT OR PERMIT, THE INSURANCE PROVIDED TO THE ADDITIONAL INSUREb NAMED BELOW IS PRIMARY TO AND NONCONTRIBUTORY WITH ANY VALID AND COLLECTIBLE INSURANCE AVAILABLE TO THE ADDITIONAL INSURED. ADDITIONAL INSURED: THE CITY OF SANTA ANA ITS OFFICERS, EMPLOYEES, AGENTS, 20LCIIVICRCENTERPPLAZATATIVES CERTA0007` CA 92701 BP 70 45 08 09 ALL 1-039070-01 00 031 G%% ^� " �(D PAGE 007 \ Q9/28/2005 11:22 7142589029 ALL SIGNS AMERICA PAGE 02 A- 200IS- 14A A-em - 1AA-0I SENTRY INSURANCE A MUTUAL COMPANY d}. 2UO3— 140'01— STEVENS POINT, WISCONSIN (A PARTICIPATING MUTUAL COMPANY) A MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES CERTIFICATE OF INSURANCE ACCCUNT NUMBER 49-39070 This certiticate is issued as a matter of information only and confers no rights upon the certificate holder. Th1s certificate does not amend, extenu ur alter the coverage afforded by the policies below - Name and Address of Name and Address Ce-tiftcate Holder of the Insured THE CITY OF SANTA ANA R i A ENTERPRISES INC ONA AGENTTS SFIVOLUNTEERSO6EcS 154011REUHILLRAVE STE Aae REESPRESCNTATIVES TUSTIN, CA 92700 20 CIVIC CENTER PLL SANTA ANA, CA 92701 This certificate is issued on 09-23-2005 and is effective until 09-2'-2006. It certifies that Pollcias of insurance listed below have been issued to the insurtd named above. Notwithstanding any requirement, term or condition of .ny 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 ■oY hove been reduced by Paid claims. Coverage Provided Policy Number All Limits in Thousands Businessowners Liability 49-59070-91 Each Occurrence i Soo Modica] Expense a 10 Includes: Bodily Injury Demose to Premises a 250 Property Damage General Aggregate a 1.500 Personal Injury Products Aggregate 0 11500 Advertisingp In�ury Hired and Nvn- caned Workers' Compensation and 49-39070-02 Statutory Employer's Liability Each Accident F 500 Each Disease/Employee a 500 Each Disease/Policy S 500 Umbrella Liability 49-39070-03 Each Occurrence f 11000 Does Not Include: General Aygrepste s 1,000 -Pers/Ado Injury Products Aggregate 0 1,000 :N11PROV> lj AS ''rO FORM - - Omura Stitt S dy �,,,is[ant City ttorney 60-CIO35 (SFA) ALL 49-39070 51-040416 onuw. 10-29-200S PAGE 1 (OD07) 10/20/2005 11:22 7142589029 ALL SIGNS AMERICA PAGE 03 CERTIFICATE OF INSURANCE - (CONT) ACCOUNT NUMBER 49-39070 Coverag■ Prowidad Policy Number All Limits in Thousands Businessowners Liability 49-39070-OL Emcn Occurrence a Soo Medical Expanse 0 10 Includes: Bodily Injury Damage to Preminax a 250 Property Damage General Apgragato # 11500 Parsonal Injury Products Aggroasto 9 11500 Adrertisiny Injury Hirad and Non- "nod Workers' Compensation and 49-39070-02 Statutory Employer's Liability Each Accident 1 Soo Eacii Disease/Employaa f 500 Each Diseasa/Policy a Soo Umbrella Liability 49-39010-03 Each Occurrence 8 1,000 Ones Not Include; General Ayy grapate a 1,000 -Pars/Adv Injury Products Aggragate a 1,000 If any of the listed policies are cancelled prior to their normal txpiration date, the insurer will send notice to the certificate holder 30 days in advance. . 'f:C)VE0 AS TO FORM /,S:1� 'S She y .,.:.yen[ City Attorney 80-CID55 1SFA) ALL 49-39070 31-040416 10-to-2005 PAGE 2 (0007) I. /28/2005 11:22 7142589029 ALL SIGNS AMERICA PAGE 04 ,X1 SET yEq�{s NP$Q�jI [�W A MUTUAL cpN (A�PARTIIICIPATfNGIMUTUALNCpMPAMT)Y SENTRY'S BUS H YSOMNERS A MEMBER OF THE SENT Y FAMILY OF INSURANCE COMPANIES POLICY NUMBER 49-39070-01 NAME INSURED[ K B A ENTERPRISES INC DBA AODITIONEALDUIESUREO The following information is required to complete the 8ccom0enying edditiorel insured endorsement which forms a Dart of the Newed Insured's BLIS114ESSOWNLRS POLICY. ADDITICNAL IMFURFO FN[7DR5FMFNT EEPpFFEFFCCEETIVE IITHEEg ppCFITY((�� F SAENETA1, ANA BP 70 23 07 02 FROOM SEPTEMBER 23, 2005 AGENTS�i(t LRUATEER 0YEE5, T RE SS PPREESENrrrrrAT1VEEEESS 66 20 C'IVIC CENTER PLZ SANiA ANA, C'A 92701 �Uvcil As 'gip 1�p�M r wa S' itt She y City Attorney BP 09 05 01 07 (MECH) All 49-39070-01 00 051 10-2B-2005 (009 0007) SENTRY INSURANCE A MUTUAL COMPANY STEVENS POINT, WISCONSIN (A PARTICIPATING MUTUAL COMPANY) A MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES CERTIFICATE OF INSURANCE ACCOUNT NUMBER 49-39070 This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies below. Name and Address of Name and Address Certificate Holder of the Insured VV THE CITY OF SANTA ANA K & A ENTERPRISES INC DBA ITS OFFICERS, EMPLOYEES, ALL SIGNS AMERICA t- oc3-Yl- y AGENTS, VOLUNTEERS & 15481 REDHILL AVE STE A&B RESPRESENTATIVES TUSTIN, CA 92780 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 This certificate is issued on 09-23-2004 and is effective until 09-23-2005. It certifies that policies of insurance listed below have been issued to the insured named above. 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. Coveraoe Provided Policy Number All Limits in Thousands Businessowners Liability Includes: Bodily Injury Property Damage Personal Injury Advertising Injury Hired and Non -Owned Workers' Compensation and Employer's Liability Umbrella Liability Bpes Not Include: -Pers/Adv Injury If any of the listed policies expiration date, the insurer holder 30 days in advance. • 80-C1035 (MECH) ALL 49-39070 31-040416 06-27-2005 PAGE 1 (0007) 49-39070-01 Each Occurrence $ 500 Medical Expense $ 10 Damage to Premises $ 250 General Aggregate $ 11500 Products Aggregate $ 1,500 49-39070-02 Statutory Each Accident $ 500 Each Disease/Employee $ 500 Each Disease/Policy $ 500 49-39070-03 Each Occurrence General Aggregate Products Aggregate are cancelled prior to their normal will send notice to the certificate 1,000 1,000 1,000 .M.oac 02391 j SENTRY INSURANCE A MUTUAL COMPANY STEVENS POINT, WISCONSIN (A PARTICIPATING MUTUAL COMPANY) A MEMBER OF THE SENTRY FAMILY OF [1 '0 SENTRY'S BUSINESSOWNERS POLICY INSURANCE COMPANIES POLICY NUMBER 49-39070-01 NAME INSURED: K 8 A ENTERPRISES INC DBA ADDITIONAL INSURED SCHEDULE The following information is required to complete the accompanying additional insured endorsement which forms a part of the Named Insured's BUSINESSOWNERS POLICY. ADDITIONAL INSURED THE CITY OF SANTA ANA ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS & RESPRESENTATIVES 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 BP 89 05 01 87 (MECH) ALL 49-39070-01 00 041 06-27-2005 (000 0007) ENDORSEMENT BP 70 23 07 02 F ND RS 1ENT TEXT S EFFECTIVE FROM SEPTEMBER 23, 2004 TO SEPTEMBER 23, 2005 O1i 190flf 02397 SENTRY INSURANCE A MUTUAL COMPANY STEVENS POINT, WISCONSIN (A PARTICIPATING MUTUAL COMPANY) A MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES 0 CERTIFICATE OF INSURANCE ACCOUNT NUMBER 49-39070 This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies below. Name and Address of Certificate Holder THE CITY OF SANTA ANA ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS & RESPRESENTATIVES 20 CIVIC CENTER PLZ SANTA ANA, CA 92701 Name and Address of the Insured K & A ENTERPRISES ALL SIGNS AMERICA 15481 REDHILL AVE TUSTIN, CA 92780 INC DBA STE A&B This certificate is issued on 01-09-2006 and is effective until 09-23-2006. It certifies that policies of insurance listed below have been issued to the insured named above. 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. Coverage Provided Businessowners Liabilit Includes: Bodily Injury Property Damage Personal Injury Advertising Injury Workers' Compensation and Employer's Liability Umbrella Liability Does Not Include: -Pers/Adv Injury Policy Number All Limits in Thousands 49-39070-01 Each Occurrence Medical Expense Damage to Premises General Aggregate Products Aggregate 49-39070-02 Statutory Each Accident Each Disease/Employee Each Disease/Policy 49-39070-03 Each Occurrence General Aggregate Products Aggregate If any of the listed policies are cancelled prior to their normal expiration date, the insurer will send notice to the certificate holder 30 days in advance. 0 80-C1035 (MECH) 500 10 250 1,500 1,500 500 500 500 1,000 1,000 1,000 ALL 49-39070 31-040416 12-12-2005 PAGE 1 (0007) o11111o1�1 02509 SENTRY INSURANCE A MUTUAL COMPANY STEVENS POINT, WISCONSIN (A PARTICIPATING MUTUAL COMPANY) A MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES TERMINATION OF CERTIFICATE ACCOUNT NUMBER 49-39070 Name and Address of Certificate Holder THE CITY OF SANTA ANA ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS & RESPRESENTATIVES 20 CIVIC CENTER PLZ SANTA ANA, CA 92701 Name and Address of the Insured K & A ENTERPRISES ALL SIGNS AMERICA 15481 REDHILL AVE TUSTIN, CA 92780 INC DBA STE A&B You are hereby notified of the termination of the certificate of insurance issued to you under the policy or policies herein described. This certificate will terminate at 12:01 A.M. standard time at the insured's mailing address, effective on the date shown below. Termination Date 11-21-2005 Type of Insurance Businessowners Liability Umbrella Liability Workers' Compensation �A replacement certificate is attached. 0 80-1020 (MECH) ALL 49-39070 31-040416 12-12-2005 PAGE 1 (0007) Policy Number 49-39070-01 49-39070-03 49-39070-02 aA 02510 SENTRY INSURANCE A MUTUAL COMPANY STEVENS POINT, WISCONSIN (A PARTICIPATING MUTUAL COMPANY) IWIPW A MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES . TERMINATION OF CERTIFICATE ACCOUNT NUMBER 49-39070 Name and Address of Certificate Holder THE CITY OF SANTA ANA ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS & RESPRESENTATIVES 20 CIVIC CENTER PLZ SANTA ANA, CA 92701 You are hereby notified of the issued to you under the policy certificate will terminate at mailing address, effective on Name and Address of the Insured K & A ENTERPRISES ALL SIGNS AMERICA 15481 REDHILL AVE TUSTIN, CA 92780 INC DBA STE A&B termination of the certificate of insurance or policies herein described. This 12:01 A.M. standard time at the insured's the date shown below. Termination Date 01-09-2006 Type of Insurance Policy Number Businessowners Liability 49-39070-01 Automobile Liability 49-39070-06 Umbrella Liability 49-39070-03 Workers' Compensation 49-39070-02 A replacement certificate is attached. c A-t�� eb 0 80-1020 (MECH) ALL 49-39070 31-040416 12-12-2005 PAGE 1 (0007) 02511 SENTRY INSURANCE A MUTUAL COMPANY SENTRY'S BUSINESSOWNERS STEVENS POINT, WISCONSIN POLICY (A PARTICIPATING MUTUAL COMPANY) A MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES • POLICY NUMBER 49-39070-01 NAME INSURED: K 8 A ENTERPRISES INC DBA ADDITIONAL INSURED SCHEDULE The following information is required to complete the accompanying additional insured endorsement which forms a part of the Named Insured's BUSINESSOWNERS POLICY. ADDITIONAL INSURED THE CITY OF SANTA ANA ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS 8 RESPRESENTATIVES 20 CIVIC CENTER PLZ SANTA ANA, CA 92701 C� 0 BP 89 05 01 87 (MECH) ALL 49-39070-01 00 051 10-28-2005 (000 0007) ENDORSEMENT BP 70 23 07 02 FOR ENDORSEMENT TEXT, SEE OVER. EFFECTIVE FROM SEPTEMBER 23, 2005 TO SEPTEMBER 23, 2006 .11,11.11, 00235 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM The information required to complete this endorsement is shown in the Declarations. The following is added to Paragraph C. WHO IS AN INSURED in Section II - Liability 4. The person or organization shown in the Schedule, but only with respect to liability arising from your ongoing operations performed for that insured. BP 70 23 07 02 Olilil%I