HomeMy WebLinkAboutSANTA ANA ANIMAL SHELTER 1A
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INSURANCE ON FILE
WORK MiW Pi~OC~ED
UNTiL ItiSURA/i\;E EXPIRES
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AMENDMENT TO PROFESSIONAL SERVICES
AGREEMENT WITH SANTA ANA SHELTER
This AMENDMENT ("AMENDMENT") is entered into, by and between the
City of Santa Ana ("CITY") and SANTA ANA ANIMAL SHELTER.
In accordance with SECTION 5. EXCLUSIVITY AND AMENDMENT OF
AGREEMENT, by and between CITY and SANTA ANA ANIMAL SHELTER,
SECTION 2. TERMS OF CONTRACT is amended as follows.
2. TERMS OF CONTRACT
The services to be performe~ pursuant to this AGREEMENT shall be on a
month to month basis, beginning September I, 2001, for a period not to
exceed 4 months.
SECTION 4. TERMINATION is amended as follows. All other terms and
conditions of the AGREEMENT shall remain the same.
4. TERMINATION
This Agreement may be terminated by the City upon thirty (30) days
written notice of termination. In such event, SANTA ANA ANIMAL
SHELTER shall be entitled to receive and the City shall pay SANTA ANA
ANIMAL SHELTER compensation for all services performed by SANTA
ANA ANIMAL SHELTER prior to receipt of such notice of termination
under the terms and conditions of this Agreement
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and
year first above written.
ATTEST:
CITY OF SANTA ANA
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'" D!,- VID N. RE
r, ger
.....
P CIA E. HEALY
Clerk of the Council
EAYOR
.....
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City A ey
By:
Paul J. Colem
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
~
(7w\w~
Paul M. Walters
Chief of Police
S~h'l'"
by:
title:
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FILE No.353 11/07 '01 15:39 'D:
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1110712001
P/lOPUCilt
ASO INSURANCE AND FINANCIAL SI'FlVICES
305 WALNUT STREET, MS B5
REDWOOD CITY, CA 94063
G!';Ind Pel Clre Cenltre, Inc.
1602 N Granq Ave
Santa AnI, CA !il27C1
ONLY ANa CONFERII NQ RIGHT!! upar THI! CIiHTI~1CA TE
lt~E'lffHEelJJl).'Qr:J~.:V nt:mi'lciI'llf~
COIlPANlI!8 AFFOIUlING CDllERAIJI!
COlfAllY ca. 011: Amtrlcan AulamDbUolnoura.- Com_v
COYANY
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Tt!1I1& TO C~FY THAT'T'I1e .POllOI :s Of IHIUIUNCI LIS P aiLOW ",VI KeN ..1,11" TO TtC INlWRiD NAMED ~ fOR THE ~1C1f P~IOD
INDlCAniD. N01\MTHSTAH!)fI4;H; MQUIRIMiKT. ~, OR CONDmON 0' >>If .cONrRACl QR OT~ ooe~"T 'MTH N!1....r TO WHlCl1 THIS
C~ftTlftCATE MAY N lliul!D 011 MAY P~TA.lN. THi jNSU~1! AffORDea IV POLICiIIS ~eeo H~R.IN IIIUIJI!CT TO ALL TERMS,
~IONtS AND CONOITICWS OF SUC" POLICieS. UWIIT81H0W0i w.v ~ IIiIN "=guc:I~ IV "^,D C&.A1M6.
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TYPli O~ INSURANCE
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_TlOIOOFQpERA7IC........._ICI-lIIII_ITIII.
Certificate hOlder.i5 named as IClqitlonallnellrecl with /1lSPl!Ci to operations of the named. inlllr'lld on thl'l prop.rty locat8d at 160
N. Grand Avenue, Santa AnOl, CA 92701. A/ld Proof of Worker'1 Compensatiofllnsurancl onlv.
FILE No.353 11/07 '01 15:40 '~:
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Additionallnsured - Desipated Person or Orlanlzation . CG 20 26 11 85
Policy Amendmel'll GeJlernl /..iabllity
Insured; Ol'llll4 Pel CIU't Cel1IIll"$, Inc.
Producer: A1buucr Basso p., Orosz
Sclledlll4l
Policy Number: MZG071SS613
iiffective Caic: IO/{)1/2001
Name (If Pmoo or Orpnl.ilon:
CitY of SlIlIa Ana
Police Pepanm~al . AtlIl: Sat, Doyle Smith
60 Civic Cemer PllIZa
Sana Ana, CA \l27ml
(If no el\lljl appeillS above, informalion reqUire(\ 10 eomplele IlIlI ~adorselllCul will be shown In tho Dcclanuions
as applicable to this ell46rUlIlllllI.)
Wbo is an IlIlllll'ed (SocliOll m is llmcndccl \0 Inclllclc
A' an insured the perSOll or or.lIlizalian II10wn in the
Schellule as an Insured bill omy willi respeClIO liAbility
arisiD& 0111 of Y01lT operaliona or promises owne<l by or
rcme(\ to you.
CG202ll1 1.Q5
Containa Cop\lflghlad MOlerlal of Inao..""" Se,..I... OffICII, Ino" li80l
FILE No.353 11/07 '01 15:40 .~:
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EXHIBIT B
ADDlTIQN"\k lN$lnrnO BNDORSilMENT
FO~ COMMRRClAL GeNERAL L.lARILITypcn..lCX
Insurance Complll1Y
Fireman'. Fund Insuranca Company
This mlloraement modifier iuch inll!rllnCe II ilafforded by the pnlvilions of Policy
/I llZGOH88613 relating to the (ollowinr:
.
I. . The- City of Santa Ana. 20 Civic Center Plall, BlIlI. An., Califomia 92701; i~
otllcer., employeei. lIilnts, volunteerHnd r'presentatives II1llI'4Mmlld as addilionai insureds
("Illdilionil inaurcds") with fllgQ'd to liability and defenrc of lulls arising from the operations
and 1l~'1 flerConned by or on behalf oCtile n,",cd insured.
2. With r~pllct 10 claims Ilililli 0111 ofthl Dperation. and lilies p.rformed by or on
Il;lllllfuf Ilia nlill1ca tnsureCl, IlIen 11l1Urtlllc:e a8 Is artordell by 11111 pOlley is pnmary and is not
l!ldilionllllo or conrnbutini with llIly lllher inlll/'/lllcc camed by or (or tile benefit of the
addhillnRI illlUtGl:b,
1. This insurancc appUes 'lIparatlly 10 .ach lnsllted aiainst Whom claim i. made or
luilll brought ,,,ee,,! willi r"~r~nt In Ih~ ~nmllanrc liI",iu ofliabllily. Till! incJw:ion of~l'
penon or Ottaniulion III IlIllnsijI'Id Ihallll0laffeGt an)' rishr Which tllch perllon or orlanizalion
"'''ult! hRve R* Ii e.laillllUlt iFnol 00 .nollld._.
4. Wllh fCIlpecl III Ille additional ir\l\lr.d., Ihi. inS\IraIlCc ahaU not be cl\ncelled, or
"'.'..ri.lly r~dl1cood In COv....ll. or limite .1I".pI Aftar 1llU1)' (30) c16yi! wrihon nOli"''' hu becu
jivan 10 the City o(SanIIlAna. 20 Civic Cmler Plan, Sant. Ana, California !l2701.
(Complclion oflbe fO!lowinS, inclulling countersignalllre, il required 10 make this enl\orsemcnl
oIIocliva.) .
Hlfecllve
PoUcyl!
luued 10
10/0110.1.
MZG07188613
Grand Pet Care ~.<<!ers, LftC.
. thl. endors.menl fonn as a pm of
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DEC.-1800IMON) 1630
ABD
TEL:650 598 0376
P. 002
Ce
E OF LIABILITY INSURANCE
PATIi'(MMIDPI'tY)
12/16/00
THIS CERTlfICAT~ IS IBBllal AS A MATTER OF INFORMATION
ONl-Y AND CONFERS NO RIGHTS Uf'ON THI! CERTIFICATE
HOLDER. THI8 CERTIFICATE ODEI NOT AMENO~ ~ENO OR
ALTER THE CllVJiRAGE AFFORDED IIY THE POUo;;lES IIELOW.
ArnRll.
CERTIFIC
PRODuceR
Association Unit
ABD Ins. and Financial Services
301 Island parkway, Suite 300
Belmont, CA 94002-4110
INIU"ED
Grand Pet Care Centers Inc
1602 N Grand Ave
Santa Ana, CA 92701
INSURfIIS AI'I'O/lDING CO\/~RAGE
---;-.'U.E.', Fi re:man , s Fund InsUr~!:l<:'~
IN&uAIR B:
IN'UAE~ Cl
INS~,.e'" D:
Ii.lGURER E:
COVER AllES
THE POI.lCIE& OF INGURI\NCE waTED BELOW HAVE IlEEN ,"UED TO THE IN&URED IWIEIl AIlOIIE FOR THE POllCV PEffiOO INDICATEIl. NO'lWlTHVTANPlNO
ANY REauIAEUENT. TER~ OR CONDITION Of ANY CONTflACT OR OTHER DOCUMENT WfTH R~SPl'CT TO WHICH THIS CERTFICATE IlAV BE 19l1IJED OR
IlAY PERTAIN, THE IN8UflAHCe A~FORDED BY THE POUCE' DESCRIBED HEREIN 1& &U!lJECT To AU. THE TER~', EXClUllION& ANll CONDITIONS O~ &lJCH
.POI.lCE& AOOREOATE LII41T8 OHOWN~AYHAVE BEEN I1IOlluCED BY PAIDCLAIMB. ._
l'YPiOFtNIUAANOE PQI.ICY"UM'~FI "leu .. LI .. --. ---- 1.1..,IT6
A J!!.N.....LIA.,UTY MZG07166927 ..'CHOCCUA.E~C'.. .1.000. OQ!).
-~. "'_B'''_,''"'''1\' FI.E D...... r'"en. "" ll.. 0.0 , PJJQ_._
l- Cl....I-..SM"g(i] OCCUR M~.~E)cP.lAn~on.~'a:n1 .5_,000_______
I ' pe:R80NAL ,.... ell 'N~UA." ,1 O. 0.0..1- 000
-- ----. -- ~~~""LAQQ~~Q'TE _~4_000. 000
""Oo",,r&.COMl'IOPAO .11,0_00.000
,oe
A 'UTOMOall..OLIA.,UTY MZA60214855
.l ::: :~::o 'UTOS
_' GCI1I!'OULfO...UTQ9
X HIAf;OAUT06
. X I ~.OWNEO 'UTO~_
10/01/00 10/01/01 e."al.Eoslo.""..,,, 00
: (Euc;c; dlnl] '1,0,000
IJOD!LYIN~Ufn
Ifl'Il"P.,.IOI1)
BDDILV IN,JUA'I'
(Ptr'OOlcllnJ)
.
I aAllAlle Ll""'TY
I~ ANY AUTO
I '
P~OPIiRTY DAMADE
(PlraOOlcllnl)
,
_AUTOOPIIL'(_ ~~A.Cc;'DEN..l..-_
OTiolilHHAN ~A ~l?C J
AUTe CNL '1':
AOO S
E_ACH DCCUR~~CE_L-_
ADQ~fQA"I:~. ,_,..
t::XOIi:III.IASPLI'TT
=1 occup;t r~l CLAI",U;r~''''DE
DfDUCTll:tLE
RET12/li 0
A I W_e"&COrm;NSATlONANO
!WLOYIRI' U"IIL.ITY
.
WZP80861240
10 01/00 10/01/01
QTHIA
DllCRlflTlDH OF CPfAATION8ILOCA,jONIIVI!'HICLiIWEXCLU810NG ADgl!'D ." I:N5)QftEMl:NT/fiPI'CIAL flRDVflION8
Certificate HOlder, its officers, agents and volunteers, and employees are
named as Additional Insured with respects to General Liability.
ICA
ER
.
ON
II1GULDANY DflteAl!low tlUiIRBEDfICH.ICf!8m: CANClW!OH:HWiTt1l....AATIDN
DlTETHI:fteOF, THt; IIlutNC1INllJAeAWrU,XlQ...nV.AlL.] 0_ DAYliWRITTEN
NDTIClTa1lE CERf\flCal!: HOl.OE"NAMIDlOT~LEFT~~~IwnIOCX
-1QJD-....~..lIfJUwwndIKK
City of Santa Ana Police
Department
60 Civic Center Plaza. M-6
Santa Ana, CA 92702
ACORD21.1171S7)1 of 2 ~ IlS266918/M266916
LMP Ii ACORD COR_loTION 1_
DEC. -18 OOIMON) 1631
ABD
TEL:650 598 0376
P. 003
-,
-
.....,
IMPORTANT
II ths csnlllesls holdS( '8 an ADDITIONAL INSURED, ths pollcy(lssl must bs sndarGlld, A alalamsnt
an this clIII~lCala aoas 1101 conlsr rlghlslO Ihs C8n~lclls holdllln IIlllI of IIUCh ondoI5II/Tt8fI11Bj,
It SUBROGATION IS WAIVED, subJlICI to lhllllmnnd COndlllano or!hs policy, cor1akl poIIClII8 may
requlrs In sndDru/llllnl. A stlremlnt on this cennlcBls does nol conler rights 10 the Clrtlllclts
holder In IIIllJ of SUCh sndars9i'l1l111l(sl.
DISCLAIMER
The ClIIIWlcslll of Insurlnca on the re\/8l8S side a/ Itlls IOt'm dolls not OOI1l1lilute a conll8Cl betwlllln
thl Ilsulng In5l<rlll'(s). aulhOrlzlld rspro58ntafivo or praduclll, and thl cortIllcs18 holder. nor does II
altlrmalivsly Of nsgallvely amana, extllr1d or a_III' lhs covlllage S1tardDCl by Iha polciIl& lIS1lld !h",eon.
IICORD25.S17/8712 of 2#S266918/M255915
I
DEC. -18' 00 (MONI 16 31
ABD
'""
POI-ICY NUMBER: MZAB0214B55
TEL 650 598 0376
...,J
P 004
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REAP IT CAREFUl-I- Y.
ADDITIONAL INSURED
DESIGNA TED PERSON OR ORGANIZA nON
This endorsement modifies Insurance provided under Ihe following:
BUSINESS AUTO COVERAGE PART
GARAGE COVERAGE PART
TRUCKERS COVERAGE PART
With respect to coverage provideQ by Ihls endorsement, the provisions of the Coverage Form epply unless modl-
f18Q by llie endorsement.
Name of Person or Organization:
City of Santa Ana Police
Department
60 Civic Center Plaza, M-6
Santa Ana, CA 92702
A WHO IS AN INSURI'D is amended 10 include as
an 'l!laureQ" the person or orglnllatlon shown in
the Schedule as an Additional Insured. The cov-
erage afforded 10 the Adllitionallnsured is solely
IimlfeQ to liabllil.\lspecifically reSUlting from the
conduct of the Named Insured whlcn may be
Imputed 10 the Additionallnsurad. However, the
naming of the person or organllation shown in
the SChedule as en Adllilionallnsured 1I0es not
increase or ellar the Limit Of Insurance nor the
Scope of roverage of this policy.
B. EXCLUS/ONS
This insurance does not apply 10
1. "Bodily injurY." Dr "property damage" for
which Ihci Aaditional Insured is olillgallld to
pay damage. by reason of the essuml!tion
of liability m a contract or agreement. But
Ihis exclusion does nol apply 10 liability tor
CUCA 99 09 OB 95
SCHEDULE
damage. thallhe Additiona/lnsured would
have in the absence ofthe contract or
egreement.
2 "Bodily injury" or "property damage" ariBing
out of the use of you f "prbllucls' or work you
performed for the Add~ionallnsllred.
3. "Property clamage" to:
a. Property owned, used or occupied by Dr
renled to the AodUlonallnsured.
b. Property in the care, custody or conlrol
of the Additional Insured for any purpose
of exercising physical control.
C. Any coverage provided by this polley shall be
excess only hover any other valid and collectible
insurance w ich would apply in the absence 0'
IhlS policy. However, Ihis pOlicy shall not be ex-
cess over any policy written as specific excess.