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HomeMy WebLinkAboutK & A ENTERPRISES, INC. 1BAGREEMENT TERMINATIOD21-113 U Please complete this form when the attached agreement is no loliggr rn-effect,— iANA # t rr Return form to the Sr. Deputy Clerk of the Council (M-30). Cad 647 5n8 RN e any questions. The agreement with No./4- =#—O;L_ l) was completed on 13�9A6� , and final payment has been made. 4-2003-Ili (1) (ore Department. Signature: Date: City of Santa Ana Revised 8-7-03 Clerk of the Council A-2003-144-02 IN;URANGE N0 i 0N ; ! .E WORK MAY kQ _ 1Pd0CEED CLERK OF COUVIL SECOND AMENDMENT TO AGREEMENT DATE we 91 06 C PtA THIS SECOND AMENDMENT TO AGREEMENT entered into this J 6_Ja day of lAu�, 2005, by and between K & A Enterprises, Inc., d.b.a. All Signs Amen a, 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, Consultant has contracted with additional foundries and desires to utilize those foundries in fabricating plaques pursuant to said Agreement. C. 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, except those amended in this Second Amendment to Agreement, the parties agree as follows: Section 3, TERM, shall be amended to extend the termination date from June 30, 2005 through June 30, 2006. 2. Exhibit A, Section 3, Qualifications of Proposing Firm and Team Members, shall be amended by adding a paragraph after that paragraph beginning with "As a foundry, BLP Bronze International," which shall read, in full: "Consultant may utilize foundries other than BLP Bronze International for the production of the plaques. Consultant shall warranty that any foundry so utilized shall produce a plaque of equal artistic and material quality as that described in this Proposal." 3. Except as amended hereinabove, all terms and conditions of said Agreement shall remain in full force and effect. H H IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to Agreement on the date and year first written above. ATTEST: PATRICIA E. HEA Clerk of the Council APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney Laura Sheedy Assistant City Attorney APPROVED AS TO CONTENT: 7A EVINO I ecc ive Director Planning and Building CITY OF SANTA ANA DAVID` N. REAM City Manager CONSULTANT LEN G President 145/28/2005 11:22 7142509029 ALL SIGNS AMERICA PAGE 02 p-20D$-►AA SENTRY INSURANCE A MUTUAL COMPANY STEVENS POINT, WISCONSIN to PARTICIPATING MUTUAL COMPANY) A MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES CERTIFICATE OF IhSURANCE ACCCUNT NUMBER L9-39070 This certificate is issued as ■ matter of information only and confers no rights upon the certificate holder, This certificate does not amend, extend ur alter the coverage afforded by the policies below - Name and Address of Nome and Address Ce,-tlficate Holder of the Insured THE CITY OF SANTA ANA K t A ENTERPRISES INC ❑BA ITS OFFICERS, EMPLOYEES, ALL SIGNS AMERICA AGENTS, VOLUNTEERS d 15481 RECHILL AVE STE AEB REESPRESENTATIVES TUSTIN, CA 92780 20 CIVIC CENTER PLZ SANTA ANA, CA 92701 This certificate is issued on 09-23-2005 and is effective until 09-2'-2006. It certifies that pollcies of insurance listed below haws boon Issued to the insured named above, Notwithstanding any requirement, term or condi'ti:pn of Any contract or other document with respect to which this certificate may De issued or may pertain, the insurance afforded by the Policies described heroin is subject to all the terms, exclusions, and conditions of such policies. Limits shown way haws been reduced by Paid claims. Coverage Provided Policy Number All Limits in Thousands Buslnessowners Liability 49-59070-01 Each Occurrence i Soo Medical. Expense 0 IC Includes: Bodily Injury Damage to Premises a 250 Property Damage General Aggregate 0 1,500 Personal Injury Products Aggregate 8 1,500 Advmrti33np Injury Hired and Non- wned Workers' Compensation and Employer's Liability Umbrella Liability Dues Not Include: -Pers/Adv Injury 80-CIO35 (SFA) ALL 49-39070 31 10-2a--2005 PAGE 1 (oogn 49-39070-02 Statutory Each Accident a Soo Each Disease/Employee a 500 Each Disease/Policy 5 500 49-39070-03 Each Occurrence 7 11000 General Aggragate a 1,000 Products Aggregate 0 11000 APPROVI 13 AS Tb FORM ;,aura Stitt S dy ��_,a�slant City ttorney v ,t0/20/2005 11:22 7142589029 ALL SIGNS AMERICA PAGE 03 CERTIFICATE OF INSURANCE - (CUNT) ACCOUNT NUPIER 49-39070 Coverage Prowided Policy Number All Limits in Thousands Susinessowners Liability 49-39070-ti Each Occurrence a 0 Sao 10 Medical Expanse Includes: Oodily In�i wry Property Oamape Damage to Pramisaa General Apyrepete a 4 250 11500 p l injury Products ygreante 9 1,500 sons ar Adyertlsiny ln6ury Mired and Non- caned Workers' Compensation and 49-39070-02 Statutory Employer's Liability Each Accident EMCN Disuse/Emplovea Each Di.scas■/Policy Umbrella Liability 49-39070-03 Eech Occurrence Lines Not Include: Generel Ayp9re0ata -Pars/Adv lniury Prcducts Apo re gate if any of ted are c expiration tdate, he sthe insurers called will aandnoticerto the certificatior to their e holder 30 days in advance. !'ROV) i) AS TO FORM --.a.i,u Stilt She y -...,.:.Lint City Attorney BO-CI035 (SFA) ALL 49-39070 31-040414i 10-a9-2005 PAGE 2 (0007) t Soo 500 0 500 1,000 1,000 a 1,000 ' 1.9/28/2005 11:22 7142589029 ALL SIGNS AMERICA PAGE 04 ;Xi SE yTy ►�Yii IIIN5pYpYRANCE A MMpTIUU�jTUUALLpCOMPANY SENTRY'S BPOLIEYSOWh ERS ApMEMREN T THE6SENTRYEFAMICYNOF INSURANCE COMPANIES U tC` POLICY NUMBER 49-39070-01 NAME INSUREDS K 6 A ENTERPRISES INC DBAI ADDITIUNEOU}ESURED Th• following lnformetion is required t0 coWVlat■ the sccomoenVlna dditBUSINESS O4NERSuredICYdorlawant which forme a part of the N. Insured"e POL AOOcz7FnNAL )ENMRCFMFN7 Eft IT CCpF17Y4LUT F SAENETALi�ANA �G NT5�tEER50YEE5, Rk PREESE.ATIY R 20 C1VIC CENTER PLZ SANTA ANA. CA 92701 BP 89 05 01 67 (MECR) ALL 49-39070-01 00 051 10-2a-20U5 (aca 0007) BP 70 23 07 02 23F05 00M 3EPTEMBER 23, 2006 <OVZL) AS S FORM :ua S itt She ",,tart orY CttY Atiorne y 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