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Home My WebLink AboutCASTLE MASONRY 2AAGREEMENT TERMINATION Please complete this form when the attached agreement is no longer in effect.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 647-5238 if you have any questions. The agreement with ~`~ f ~0.Sfif1l~c1 ~~- , No. /y-~oC}~-O~'7"ol was completed on ~J~jo~~~ ,and final payment has been made. Department: Signature: Date: City of Santa Ana Revised 8-7-03 Clerk of the Council INSURFP~ct UN flLt WORE! ~~L1Y hROCEEO UNTIL INSURANCE EXPIiiE` CLCRK OF COUNCIL: DATt ~ 31'06 ~C.l`uE~~~e~t.) FIRST AMENDMENT TO CONSULTANT AGREEMENT N-2004-081-Ot THIS FIRST AMENDMENT TO CONSULTANT AGREEMENT is entered into on July 1, 2005, by and between Castle Masonry, Inc., 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 #N-2004-087, dated July 1, 2004, (hereinafter "said Agreement") by which Consultant has provided masonry services for the Depot at Santa Ana. 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 and to increase compensation to pay for services during the extended term. 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: 1. Section 2.a., COMPENSATION, shall be deleted in its entirety and replaced with the following: "City agrees to pay, and Consultant agrees to accept as total payment for its services, the amount approved in a writing executed by the Executive Director of the Community Development Agency, as set forth in Section 1 of said Agreement, SCOPE OF SERVICES. The total sum to be expended pursuant to said Agreement shall not exceed $10,000.00, per fiscal year, during the term of said Agreement." 2. Section 3, TERM, shall be amended to extend the termination date from June 30, 2005 through June 30, 2006. 3. Except as herein amended, all terms and conditions of said Agreement shall remain in full force and effect. // // Rug 04 OS 1O:55a Tllagl p.3 OFID J DATE (MMIDOnYVY) CERTIFICATE OF LIABILITY INSURANCE CASTL-1 07/29 OS A~ORD THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION pgODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Insurance Services HOLDER. THIS CERTIFICATE DOES NOT AA'END, EXTEND OR Of Thousand Oaks, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW- PO Box 7329 Thousand Oaks CA 91359 605-495-4634 Fax: 305-494-0781 INSURERS AFFORDING COVERAGE _. NAIC# - Phone: ~-/ ED INSURER A: CBIC Insurance Co. _ __ r G INSVR ~`-aLiV~-UO / 1 v INSURER B: _. _ __. INSVRER O _ ._--- Ca$tt2le Mason4gry _ A c r n wsuRERO: __... 92649 h C Bea 8untington INSURER E. COVERAGES NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING THE POLICIES OF iNSVRANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED ER DOCUMENT WTD7 RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT Oft OTH E%LLUSIONS AND CONDITIONS OF 6UCH IN IS SUBJECT TO ALL THE TERMS , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERE MAV PERTAIN . POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. - _ 6 D LIMITS IN LTR N D SR TYPE OF INSURANCE POLICY NUMBER pATE M DDM' OIYY DATE M V SOOOOOO EACH OCCURRENCE S GENERAL LIABILITY 1326 02/28/05 02 ~26~D6 PREMI6ES (~a $ 300000 A X COMMERCWL GENERAL LIABILITY INSCE 5000 MED EXP (Any one person) _ 5 CIAIMS MADE OCCUR PERSONALBAOV INJURY S lOOOOOO _ -J ------ '_-- GENERA'. AGGREGATE $ 2000000 J - __ PNUUUGTS-COMP/OP AGG $ ZOOOOOO _ GENL AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT AUTOMOBILE LVIBILTTY GOM~INE~DI' INGLE LIMIT $ - ANY AUTO - Au.OWNEO AlJtt15 BODILY INJURY (Per person) S SCHEDULED AUTOS HIRED AUTOS BODILY INJURY ' $ (Pet amlEenl r NON~OWNED AUTOS PROPERTY DAMAGE $ (Perew~aonq - AUTO DNLV-EA AGCiDENT $ GARAGE LIABILITY EA ACC $ ANV AUTO _ OTHER THAN AUTO ONLY. AGG - _ $ EACH OCCURRENCE $ '- EKCEBBNMBRFILA LIABIl1TV - AGGREGATE $ _ OCCUR ~ CLAIMS MADE _- - $ -" OEDVCTIULE -' RETENTION 8 ~ ? V U AS 3 ~ ~' ll;°/0 $ ER TORY LIMITS _.. __ _ WORKERS COMPENSATION AND . EMPLOYERF'LIABILITV ~ e ~ - E. L. EACH ACCIDENT $ _ _ ANV PROPRIETOPIPARTNERIEXEOVTNE CER/MEMBERE%CLUDEO? F ~ T ' r -=~-`""- ---' E.L. DISEASE-EA EMPLOYE ES ____ ~OF I ____. Il yes tleealpe vber ' .G[8 ~ L I'~-~JY EL DISEASE-POLICY LIMIT $ ~ _ SPECLAL PROVISIONS below ' ~- " _ OTHER •.•.. r-.r ..~.. OPEMTIOXS / LOCATION9l VEHK;LW I EXCLUSIONS ADDED BY ENDORSEIAENT I SPECULL PROVISIONS DEBCRIPPON V P T1Te city o£ Santa Ana, its officers, agents and employees are named additional insured. 10 day notice o£ cancellation may apply for non--payment of premium. CERTIFICATE HOLDER "^"""`^"-" SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION SAN•PAAN DATE THEREOF, THE ISSUING INSURER WILL BHBG,WBR#O MAIL 3O DAYS WRRTEN NOTICE TO TXE CeRTIPICATE HOLDER NAMED TO THE LEFT, ~ The Depot at Santa Ana RePr~e~airves., 1000 E Santa Ana Blvd p108 IVE Santa Ana CA 92701 AUTHORIZED REPRESENTAT _ Tim McClain i n ACOR^ CORPORA/ION 1988 ACORD 25 (2001108) Rug 04 OS 10:54a Tllagl THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided mtder the following: MMERCIAL GENERAL LIABILITY COVERAGE PART i -~ A_ Section ^ -Who Ts An Insured is amended to / include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury" and "advertising injury" caused by your negligence in the performance of your on going operations performed for that additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additioual insured are completed. e. With respect to the insurance afforded to these additional insureds, the Following additional exclusions apply: This insurance does not apply to: I. "Bodily injury," "property damage" "personal injury or advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including but not limited to: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawing and specitications; or b. Supervisory, inspection, azchitectcral or engineering activities. 2. "Bodily injury" or "property damage" occurring after: P•~ a. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to 6e performed by or on behalf of the additional insureds) at the location of the covered operations has been completed; or b. That portion of"your work" out of which the injury or damage azises has been put to its intended use by any person or organization other that another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. 3. "Bodily Injury" or "property datnage" occurring or commencing before: a. Execution of the written contract or agreement that such person or organization be added as an additional insured on your policy. ,,, ,,. •. ,u Kati "f0 FORM _ ~ ~ , z~a" .>u~„~~,~~~ CBGL 00 41 O1 04 Contains Copyrighted Material of Page 1 of 1 d ISO Properties, Inc., with permission Rug 04 O5 10:54a Tllagl P•1 r THE DEPOT' AT SANTA ANA 1 0 0 0 EAST S A N T A ANA BOULEVARD SUITE 1 0 8 SANTA ANA CA 92701 PHONE (714) SGS-2690 FA% (714) 565-2693 '1'O'ISU. NO. OP PAI. GS INCLUDING COVF.It ~~ / d ^ UItGIiN't' ~'~I OR REVI EIit ^ PLlir\SE COMMENT' PLHASL' ILEPLY ^ PLEASE RECYCLE CACSIMILE TRANSMITTAL SHEET M,ar 10 06 09:12a Tllagl p.2 AcoRD- CERTIFICATE OF LIABILITY INSURANCE DP ID CASTL-2 GATE IMM/DDM'YVI 03 06/06 PRODUCER THIS CERTIFICATE 7S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Associated Insurance Services, HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 600 Hampshire Rd. , N210 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Westlake Village CA 91361 PhonE+:605-371-3611 Fax: 805-371-3609 INSURERS AFFORDING COVERAGE NAIC# IRSUReo A `} ~ ~~/~ , l //;~ v ~ y`LN~_v~+~ INSURER A: North AmerlcaR Capacity _25038_ _ ! ( INSURERS: Castle MaSOnry INSURERC ___ _ 4062_Mornin44 Star Dr. Huntington Seach CA 92649 INSURER D. _ INSURER P COVERAGES THE POLICIES OP IN9URANGE UJ I tU tltLUW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERI00 INDICATED. NOTW ITH$TANDING ANY REOVIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMPNI' WITH RESPECT TO WHICH THIS CER TIFICATE MAYBE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POUGES DESCRIBED HEREIN IS fiVBJEGT TO ALL THE TERMS, E%CLU$IONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. RlSR NBR TYPE OF INSURANCE POLICY NUMBER OATS MMIpD~ DATE MMlDOM( LIMITS GENERAL LIABILITY EACH OCCURRENCE $ lOOOOOO _ _ A }( X COMMERCIA! GENERALLIABIUTV PNG0002646-00 02/28(06 02/ 28/07 PR[M~ISESEaocwrnncel _ 6 50000 ____.. I IOCCUR ~CLAIMSNIADE r ][ MEDEXPIAfyeneperson! $5000 ` _ } ~IJ.~ _ l -.._ ._ ~-. PERSONAL&AUV INJURY _.-_ $1DDDDDQ _- _.__ GENERAL AGGREGATE $2000000 CEN'L AGGRCGATC LIMIT gPPLIES PER: PRODUCTS-COMPIOP AbG 52000000 POLICY JPERC ~ LOC ~~ ~ ~ ~~~ AUTOMOBILE LIABILITY ~ COMBINED SINGLE LIMIT $ ANY AUTO (Ea aacitlenQ ALL OWNED AU?09 BODILY IN.llIRY $ SCHEDULED AUT09 (Per person) HIRED AUTOS BOCEYINJURY $ I ~~ NON~OINNED aUT09 (Per accident) - ___ _ PROFCRTY DAMAGE $ 1 (Per acci~enU GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ "ANY AUTO OTHER TITAN ,EA ACG ~R ,_ AUTO ONLY AGG $ E%CPSAUMBRELLA LIABILITY _ EACH OCCURRCNCE 4 J OCCUR ~ CLAIMS MADE , :, , -~ AGGREGATE S -_. 8 uL ~ .~neoucT -, r ~ ~ ' ._ .._.- .__ E ~ l e -- I ...c ~i , ~i ~ - ,_-.- .-~- _ _ ___..__ RETENTION S -- _ ~ ~ $ 'WORKERS COMPENSATION AND ~' TORY LIMITS EH ~ EMPLOYERfi'LIABILITY - '~- ~ - - -"- E. L. EACMACCiDENT -'-- -- ~-~ 8 MANY YHOPRIETOR/PARTNEPoE%ECUTIVC 'DFTI CcJ dEMBER EXGLUDEDp EL DISEASE-EA EMPLOYEE S Inv d ,roe „ader -- _. _. SPECIAL PROVISIONS below E1 D'SEASE POLICY LIMIT $ OTHER DESCRIPTION OF OPFRATiON61LOCATIONS I VEHICLES / EXCLUBION6 ADDED BY ENDORSEMENT i SPECIAL PROVISIONS The City of Santa Ana, its officers, agents and employees are named as addditional insured. 10 day notice of cancellation may apply for non-payment of premium. Job:Masonry Repair. This cextificate superceeds previously issued certificate. sANTAAt~ ~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BF CANCELLED6EFORETHEE%PIRATIOI The Depot at Santa Ana 1000 E. Santa Ana Slvd. Suite 108 OATS THEREOF, THE I6SUING INSURER W7LLFMBfiAMBLFTO MAIL 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,iYFFa6HAEi9~G~i6HiHA~k Santa Ana LA 92'101 p.3 Mar 10 06 09:12a Tllagl COMMERCIAL GENERAL LIABILITY CG 20 33 O7 98 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the folowing: COMMERCIAL GENERAL LIABILITY COVERAGE PART A._Section II -Who is An lnsured is amended to include as an insured any person or organization for whom you are pertorming operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability aris- ing out of your ongoing operations pertormed for that insured. A person's or organization's status as an insured under this endorsement ends when your operations for that insured are completed. Coverage provided by this policy to the Additional lnsured(s) shown in the Schedule shall be primary insurance and any other insurance maintained by the Additional Insured{s) shall be excess and non-contributory, but only as respects any claim or liability determined to be the result of the sole negligence or responsibility of the Named Insured and only if required of the Named Insured by written contract. B. With respect to the insurance afforded these addi- tional insureds, the following additional exclusion applies: This insurance does not apply to' "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: 1. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, re- ports, surveys, field orders, change orders or drawings and specifications; and 2. Supervisory, inspection, architectural or engi- neering activities. ', r- ,, __ __. ~~ __:_ . CG 20 33 07 98 Copyright, Insurance Services Office, Inc., 1997 Page 1 of 1 ^