HomeMy WebLinkAboutPrestige Striping Services 2
~
\t3'
City of Santa Ana
Clerk of the Council
AGREEMENT TERMINATION
Please complete this form when the attached agreement is no longer in effect. .., OCT 22 All.",
Return form to the Clerk of the Council Office (M-30),
Call 647-5237 if you have any questions, CITY OF S /d'HA ANA
============================================================~~~~~=9f=E=~~~=~L~===========
The agreement with if ~ :e
~
No, ,tV"rROO~ - 03 ~
~~ ~/2't;'~1
was completed on 6 / ~'}-/ 07
Depijrtment: c.. t>A /t'>OWNtOW ^' Ot:;: \ c.-~
,
Phone/Ext.: a; 0 0 ~
Signature:<~
Date: \0/ I ~I 07
and final payment has been made,
Revised 07 ~23-07
l' .
INSURi\Nl:~ ON fill
\/,_ n:,'(\ i'.li~'{ PROCEED .
:, 'i' iNSURANCE EXPIRES
u '3" dd---tfT
CLERK OF COUNCIL
DAlE, 5 _llrO ro
N-2006-038
CONSULTANT AGREEMENT
0: CP/!-
(e.G~
THIS AGREEMENT, made and entered into this 20th day of April, 2006 by and between
Prestige Striping Services, Inc., a California corporation (hereinafter "Consultant"), and the City
of Santa Ana, a charter city and municipal corporation organized and existing under the
Constitution and laws of the State of California (hereinafter "City").
RECITALS
A. The City desires to retain a consultant having special skill and knowledge in the field of
street and parking lot painting.
B. Consultant represents that Consultant is able and willing to provide such services to the
City.
C. In undertaking the performance of this Agreement, Consultant represents that it is
knowledgeable in its field and that any services performed by Consultant under this
Agreement will be performed in compliance with such standards as may reasonably be
expected from a professional consulting firm in the field.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the
terms and conditions hereinafter set forth, the parties agree as follows:
1. SCOPE OF SERVICES
Consultant shall perform those street painting and parking stall painting as set forth in
Attachment I, consisting of Exhibits A through I, to this Agreement.
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as total payment for its services,
the rates and charges identified in the individual Exhibits attached as Attachment I. The total
sum to be expended under this Agreement shall not exceed $10,000.00 during the term of this
Agreement.
b. Payment by City shall be made within thirty (30) days following receipt of proper
invoice evidencing work performed, subject to City accounting procedures. Payment need not
be made for work which fails to meet the standards of performance set forth in the Recitals
which may reasonably be expected by City.
3. TERM
This Agreement shall commence on the date first written above and terminate on
completion of the services, unless terminated earlier in accordance with Section 12, below.
.'
4. INDEPENDENT CONTRACTOR
Consultant shall, during the entire term of this Agreement, be construed to be an
independent contractor and not an employee of the City. This Agreement is not intended nor
shall it be construed to create an employer-employee relationship, a joint venture relationship, or
to allow the City to exercise discretion or control over the professional manner in which
Consultant performs the services which are the subject matter of this Agreement; however, the
services to be provided by Consultant shall be provided in a manner consistent with all
applicable standards and regulations governing such services. Consultant shall pay all salaries and
wages, employer's social security taxes, unemployment insurance and similar taxes relating to
employees and shall be responsible for all applicable withholding taxes.
5. INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Commercial General Liability Insurance. Consultant shall maintain commercial
general liability insurance naming the City, its officers, employees, agents, volunteers and
representatives as additional insured(s) and shall include, but not be limited to protection against
claims arising from bodily and personal injury, including death resulting therefrom and damage
to property, resulting from any act or occurrence arising out of Consultant's operations in the
performance of this Agreement, including, without limitation, acts involving vehicles. The
amounts of insurance shall be not less than the following: single limit coverage applying to
bodily and personal injury, including death resulting therefrom, and property damage, in the total
amount of $1 ,000,000 per occurrence. Consultant shall supply City with a fully executed
additional insured endorsement in substantially the form attached hereto as Attachment 2 upon
execution of this Agreement and shall be approved in form by the City Attorney.
b. Business automobile liability insurance, or equivalent form, with a combined single
limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for
owned, hired and non-owned automobiles.
c. Worker's Compensation Insurance. In accordance with the provisions of Section 3300
of the Labor Code, Consultant, if Consultant has any employees, is required to be insured against
liability for worker's compensation or to undertake self-insurance. Prior to commencing the
performance of the work under this Agreement, Consultant agrees to obtain and maintain any
employer's liability insurance with limits not less than $1,000,000 per accident.
d. The following requirements apply to the insurance to be provided by Consultant
pursuant to this section:
(i) Consultant shall maintain all insurance required above in full force and
effect for the entire period covered by this Agreement.
2
','
(ii) Certificates of insurance shall be furnished to the City upon execution of
this Agreement and shall be approved in form by the City Attorney.
(iii) Certificates and policies shall state that the policies shall not be canceled
or reduced in coverage or changed in any other material aspect without
thirty (30) days prior written notice to the City.
e. If Consultant fails or refuses to produce or maintain the insurance required by this
section or fails or refuses to furnish the City with required proof that insurance has been procured
and is in force and paid for, the City shall have the right, at the City's election, to forthwith
terminate this Agreement. Such termination shall not effect Consultant's right to be paid for its
time and materials expended prior to notification of termination. Consultant waives the right to
receive compensation and agrees to indemnify the City for any work performed prior to approval
of insurance by the City.
6. INDEMNIFICATION
Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents,
employees, consultants, special counsel, and representatives from liability for personal injury,
damages, just compensation, restitution, judicial or equitable relief arising out of claims for
personal injury, including health, and claims for property damage, which may arise from the
direct or indirect operations of the Consultant or its contractors, subcontractors, agents,
employees, or other persons acting on their behalf which relates to the services described in
section I of this Agreement. The Consultant further agrees to indemnify, hold harmless, and pay
all costs for the defense of the City, including fees and costs for special counsel to be selected by
the City, regarding any action by a third party challenging the validity of this Agreement, or
asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief
due to personal or property rights arises by reason of the terms of, or effects arising from this
Agreement. City may make all reasonable decisions with respect to its representation in any
legal proceeding.
7. CONFIDENTIALITY
If Consultant receives from the City information which due to the nature of such
information is reasonably understood to be confidential and/or proprietary, Consultant agrees
that it shall not use or disclose such information except in the performance of this Agreement,
and further agrees to exercise the same degree of care it uses to protect its own information of
like importance, but in no event less than reasonable care, "Confidential Information" shall
include all nonpublic information. Confidential information includes not only written
information, but also information transferred orally, visually, electronically, or by other means,
Confidential information disclosed to either party by any subsidiary and/or agent of the other
party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure
shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is,
through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful
possession of the Consultant without an obligation of confidentiality; (d) is required to be
disclosed by operation of law; or (e) is independently developed by the Consultant without
reference to information disclosed by the City.
3
8. CONFLICT OF INTEREST CLAUSE
Consultant covenants that it presently has no interests and shall not have interests, direct
or indirect, which would conflict in any manner with performance of services specified under
this Agreement.
9. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other
telegraphic communication in the manner provided in this Section, to the following persons:
To City:
Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
telefacsimile (714) 647-6956
With courtesy copies to:
Executive Director of Community Development
City of Santa Ana
20 Civic Center Plaza (M-25)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6549
and
City Attorney
City of Santa Ana
20 Civic Center Plaza (M-29)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6515
To Consultant:
Prestige Striping Services, Inc.
353 N. Cypress
Orange, California 92866
Telefacsimile (714) 538-8968
A party may change its address by giving notice in writing to the other party. Thereafter,
communication shall be addressed and transmitted to the new address. If sent by mail,
communication shall be effective or deemed to have been given three (3) days after it has been
deposited in the United States mail, duly registered or certified, with postage prepaid, and
addressed as set forth above. If sent by telefacsimile, communication shall be effective or
4
"
deemed to have been given twenty-four (24) hours after the time set forth on the transmission
report issued by the transmitting facsimile machine, addressed as set forth above. For purposes
of calculating these time frames, weekends, federal, state, County or City holidays shall be
excluded.
10. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Consultant, and supersedes any and all other agreements, oral or written, between the parties. In
the event of a conflict between the terms of this Agreement and any attachments hereto, the
terms of this Agreement shall prevail. This Agreement may not be modified except by written
instrument signed by the City and by an authorized representative of Consultant. The parties
agree that any terms or conditions of any purchase order or other instrument that are inconsistent
with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant nor
the City. Each party to this Agreement acknowledges that no representations, inducements,
promises or agreements, orally or otherwise, have been made by any party, or anyone acting on
behalf of any party, which are not embodied herein.
11. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Consultant,
Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior
written consent of the City and any such assignment, transfer, delegation or subcontract without
the City's prior written consent shall be considered null and void. Nothing in this Agreement
shall be construed to limit the City's ability to have any of the services which are the subject to
this Agreement performed by City personnel or by other consultants retained by City.
12. TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant
compensation for all services performed by Consultant prior to receipt of such notice of termination,
subject to the following conditions:
a. As a condition of such payment, the Executive Director may require Consultant to deliver
to the City all work product completed as of such date, and in such case such work product shall be
the property of the City unless prohibited by law, and Consultant consents to the City's use thereof
for such purposes as the City deems appropriate.
b. Payment need not be made for work which fails to meet the standard of performance
specified in the Recitals of this Agreement.
13. DISCRIMINATION
Consultant shall not discriminate because of race, color, creed, religion, sex, marital
status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited
5
by applicable law, in the recruitment, selection, training, utilization, promotion, termination or
other employment related activities. Consultant affirms that it is an equal opportunity employer
and shall comply with all applicable federal, state and local laws and regulations.
14. JURISDICTION - VENUE
This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement of any of the clauses of this Agreement
shall be determined and governed by the laws of the State of California. Both parties further
agree that Orange County, California, shall be the venue for any action or proceeding that may
be brought or arise out of, in connection with or by reason of this Agreement.
15. PROFESSIONAL LICENSES
Consultant shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services
hereunder and required by the laws and regulations of the United States, the State of California,
the City of Santa Ana and all other governmental agencies. Consultant shall notify the City
immediately and in writing of her inability to obtain or maintain such permits, licenses,
approvals, waivers, and exemptions. Said inability shall be cause for termination of this
Agreement.
16. COMPLIANCE WITH GOVERNMENTAL REQUIREMENTS
Contractor shall carry out all services pursuant to this Agreement in substantial
conformity with all applicable laws, ordinances, statutes, codes, rules, regulations, orders, and
decrees of the United States, the State of California, the County of Orange, the City, and of any
other political subdivision, agency, or instrumentality exercising jurisdiction over the City,
including all applicable federal, state, and local occupation, safety and health laws, rules,
regulations and standards, applicable state and Federal labor standards, prevailing wage
requirements, the City zoning and development standards, City permits and approvals, building,
plumbing, mechanical and electrical codes, as they may apply, and all other provisions of the
City and its Municipal Code (as they may apply), and all applicable disabled and handicapped
access requirements, including, without the limitation, the Americans With Disability Act,
42 U.S.c. S 12101 et seq., Government Code S 4450 et seq., and the Unruh Civil Rights Act,
Civil Code S 51 et seq.
17. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature hereinbelow has the power,
authority and right to bind their respective parties to each of the terms of this Agreement, and shall
indemnifY City fully, including reasonable costs and attorney's fees, for any injuries or damages to
City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn.
b. All Exhibits referenced herein and attached hereto shall be incorporated as iffully set
forth in the body of this Agreement.
6
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
PATRICIA E. HEALY
Clerk of the Council
CITY OF SANTA ANA
fLaz~
DAVIDN. REAM
City Manager
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
By:
Laura Sheedy
Assistant City Attorney
i. ,
/
PATRICIA C. WHITAKER
Executive Director of the
Community Development Agency
c//
SABAS TRUJILLO
i:~;~;~. D[{q fSDS
7
ATTACHMENT I
SCOPE OF SERVICES
Consultant shall perform street curb and parking painting services, as requested in writing by
City. Such services will be compensated at the rates set forth in Exhibit A - Rate Sheet.
City may choose any portion or all of any of the the projects listed below, for completion by
Consultant at the costs set forth therein.
. Exhibit B
. Exhibit C
. Exhibit D
. Exhibit E
. Exhibit F
. Exhibit G
. Exhibit H
. Exhibit I
5th & French Garage painting
3rd & Birch Garage painting
yd & Broadway Garage painting
5th & Main Street Garage painting
Fiesta Meter Park Restriping
Fourth Street Restriping
Angle Stall Restriping (600 N. Rose & 100 W. 2nd)
Parking Meter Stalls
8
02/23/2006 17:10 FAX
19j U1.U
.,' "
CITY OF SANTA ANA
Single Lines Stalls
$2.75
$3.75
$0.65
$0.35
$3.50
Restripe
New Layout
12" Width Line ( per ft )
Single White Line ( per ft )
TStalls
Double Lines Stalls
$3.75
$4.75
$6.50
$0.60
Restripe
New Layout
Round Ends
Double line ( per ft )
Handicap Stencil
$30.00
$45.00
$20.00
$0.25
Standard
Deluxe ( Cross Hatch & Curbs Added)
Crosshatch
Crosshatch ( per sf)
Stencils
$10.00
$7.00
$12.00
$12.00
$17.00
$22.00
$12.00
$1.25
$25.00
$45.00
Arrows
4" Stencil
6" Stencil
8" Stencil
1" Stencil
2' Stencil
8' Stencil ( per letter)
l' Number Stencil ( per digit)
4' Stop & Bar
8' Stop & Bar
Concrete Wheel Stops
$35.00
$45.00
$17.00
$12.00
New 4 ft. Installed
New 6 ft. Installed
Remove and Dispose of Existing 4 or 6 ft Wheelstops
Painting Solid 4/6 Wheel Stops
Miscellaneous
$35.00
$85.00
$0.30
$450.00
$160.00
$1,200.00
$230.00
$475.00
Speed Bumps ( $1 per ft )
Curb Painting ( per ft )
Heavy Curb prep ( per ft )
Meter Post w/4' x2" Pipe furnish & install
Handicap Sign & Post
Sandblastting Mir1!imum
Striping Minimum
Pressure Washin!!l
I EXHIBIT A I
141002
Proposal & Contract
License# 827632
02/23/2006 17:08 FAX
Submit To:
CITY OF SANTA ANA
ROCK GARCIA
305 E. FOURTH ST. SUITE 201
SANTAANA CA 9270~
PRESTIGE
S'l'RTP1NG St\R'\.'TCfiS l'r{C
l:':::'-::C: o/J..:;!'~~-5
Contract# 10702
Our Reputatwn 1:;. 011 The Lin~
Project Manager:
Abel Trujillo
Tel: 714-565-4000
Fax: 714~47-6939
Project: 5TH & FRENCH GARAGE
Address: 5TH & FRENCH ST.
City: SANTA ANA
Description:
691 Double White Line
10 Handicap
6 Crosshatch
65 Arrows Yellow ( 10 White)
399 l' Compact wI Gray Box
2 2' Exit:.
1 2' Enter
2 8ff Park Exit
38 Crosshatch ( Yellow Or White )
All Applicable Taxed Included In Price.
Terms: Due and payable "po.. ~mpldioa.
OTAL
$5,200.00
QTYs provided by:
0"" Jun 13 2005
by:
Su apPrQV
Attl!Dr.n~t': or ProD~:lIIl and C-nntrad:: r/wc accc:pt' me within proposal. You arc authorized to pcmorn the wo comprehended heNVnder and l/wc agree to pay
the said amOUtlT in accordance with the tcnns set forth. Owner/Contrnctor to accept Prestige Striping Services Inc. insul1IPcc limits. Proposals lirE: not bid Ilt
pr1:VtIiling wag,e unless !lpeciflcd. Not responsiblc f()r pulling permits 01' permit fees. By signing this PteposaVCOUtract below I/wc asrce to the attached Tenus and
C~)Jlditions.
P;Ilte: O...u.et'rcl1~tnmt!r:
PLEASE SIGN AND REMIT coPY TO,
by:
Phone 714-538-8967
pn::sdge Striping Services. Inc.
353 North Cypress Ave
Orange, CA 92866
Fax 714-538-8968
I EXHIBIT B I
141 005
Proposal & Contract
License# 827632
02/23/2006 17:09 FAX
'Submit To:
CITY OF SANTA ANA
ROCK GARCIA
305 E. FOURTH ST. SUITE 201
SANTA ANA CA 92701
PRESTIGE
STRTP1NG SR'RVICES INC
;)1::::: ~/1~t,U:&5
Contmet# 10705
Ou,. RfJpurc-r{cn Is On The Line
Project Manager:
Abel Trujillo
Tel: 714-565-4000
Fax; 714-647-6939
Project: 3RD & BlRiCH GARAGE
Address: 3RD & BIRCH ST.
City: SANTA ANA
Description:
400 Doub~e White Line
11 Handicap
21 Arrows
1 Speed Bumps
73 BU Compact wi Gray Box
12 2' Exit
1 2' Enter
9 l' No Parking
17 Crosshatch
~~ Applicab~e Taxed Included In Price.
QTV. provided by: , TOTAL $2,650.00
Tcnn.' Duc..d payable upon completinn. Presti2f! trriping Services, Inc.
Dalc, Jun 13. 2005 by' c}/ n
. S'I ~cct ti:J'1mtcc: approv~ "-
Acc~ptanc~ nf PrnnMal aad CBntrac:t: Vwc accept the within proposal. You lU'C BJrtborized to perlTom the w~* comprehended hcn::undcr and JJwc tlgree lo pay
the said amount in acccrdnnc:e with the renns set forlh. Owner/Contractor to accept Prestige Striping Senti es Inc. insurance: limits. Proposals: are not bid at
prevailing wage Wllcss specified. Not responsible for plllling permits. or permit fees, By signing this ProposaVContract below lfwc agree to the attached Tcrm.'i and
Conditions.
Oate:
Owner/Customer:
by:
PLEASE SlGN AND REMlT copy 1'0= Prcstigl: Striping Servicc~ [nc.
353 North Cyprc..,"S Ave:
Phone 714--538-8967 Orange, CA 92866
Fax 714-538-8968
I EXHIBIT C I
02/2~/2006 17:09 FAX
Submit To:
CITY OF SANTA ANA
ROCK GARCIA
305 E. FOURTH ST SUITE 201
SANTA ANA CA 92701
PRESTIGE
I4J 004
Proposal & Contract
License# 827632
STRiPtNG 51;;;RVTC;8:;i tNC
i::=~: 'i/!;/Z~5
Contract# 10704
Projed Manager:
Abel Trujilln
Our Ref'utation Is On ThE: Line
Tel: 714-565-4000
Fax: 714-647-6939
Addres.: 3RD & BRODW A Y
Project: 3RD& BRODWAYGARAGE
City: SANTA ANA
Description:
440
1
5
38
3
202
1988
2
14
1
1
Doub1e White Line
Handicap
Crosshatch
Arrows
Speed BUIlIps
8" Compact wi Gray Box
L.f. Of 4" Sing-1e Ye110w Line
2' D N
Crosshatch
2' In
2' OUt
A11 Applicab1e Taxed Inc1uded In Price.
QTY. provided by:
$4,020.00
TcrllQl: OUt aod llay.ble upon cOIDplerioll.
Do'e; Jun 13. 2005
by:
Sub' ctto lee IIpprootal
Ar:tl!.Dtnce nf ProDoul and Contnel'; I/we accept the within proposal. You arc nuthorized to perfrom tl1e wo c:omprchcndcd hereunder BJld Ywe agree. fo pay
th(: sald aJIlount in accordal\cc with dlC tt:fTll.!' set fortb. Owm:r/ConrrncIor to accc:p[ rrcstigc Striping ServiCCli jnc. insurance limits. ProposaJs are not bid at
prevailing wage unless spocit1cd. Not rcspon!liible [Or pOlling permits or permit fl::C$, By sisning this P1'oposallConD'act below lIwo agel;; TO thl:: attachl::d -rCrrrui IllId
COfIditi(lns.
Date:
OWDer/Customcr.
by:
PLi:ASE SleN AND REMlrr COpy T(}: Prestige: Striping SeI'Vices, Inc_
353 North Cyprc..,>s Ave:=
Phone 714-538-8967 Orange, CA 92866
Fa< 114-538-8968
I EXHIBIT 0 I
I4i 003
Proposal & Contract
License# 827632
02/23/2006 17:09 FAX
Submit To:
CI1Y OF SANTA ANA
ROCK GARCIA
305 E. FOURTH ST. SUITE 201
SANTA ANA CA 9270n
PRESTIGE
STR IPTN (; SE RVTC 'P.:;i rN c;
i);tt;: ri/!3t.!frfiS
Contract# 10703
OU,.. Reputa.tion,1s On. rhe tifl,e
Project Manager:
Abel Trujillo
Tel: 714-565-4000
Fax: 714-647-6939
Project: 5TH & MAIN ST. GARAGE
Address: 5TH & MAIN ST.
City: SANTA ANA
Description:
375 Double White Line
8 Handicap
8 Crosshatch
43 Arrows
2 Speed Bumps
151 l' Compact wi Gray Box
9 Crosshatch
All Applicable Taxed Included In Price.
QTYs provided by;
TAL
$2,900.00
Trnns: D.t ud payable upon completion.
Pr
nate: Jun 13 2005
by:
Subj t to Q appro
Attehlanu of Prooos.t ndl ClJntr')'u~t: I1wc accept the within proposal. You arc authorized to pc:rfrom r:b.e wO comprehended hereunder and I/wc a~ to pay
the said HIIlOwtt in accordanec wirn the toom sd. forth. Owncr/Contrac:tor to itccc:pt Prestige Saiping SclVices Inc. insur<J.nee limits. Propollals arc not bid at
prevailin~ Wilge unless !:lpecificd. Not respOOsibIe for pulling permit.!; or ~nni[ fees. By signing this Proposal/ConlI"3ct below Ifwr; agra: to the ul/ached Terms and
Conditions.
Date: OWnctlCusCo(lter:
PLEASE SIGN AND REMIif COPY TO:
by:
Phone 714-538-8967
p[l::~tige Striping Services. Inc.
353 North Cypress Ave
Orange, CA 92866
Fax 714-538-8968
I EXHIBIT E ,
S'l'RTPTNG SERVTC13.:-i T"':C
iU:::;{f!.~::\.
I4l 008
Proposal & Contract
License# 827632
02/23/2006 17:09 FAX
Submit To;
CllY OF SANTA ANA
ROCK GARCIA
305 E. FOURTH Sf. SUITE 201
SANTA ANA CA 92701
PRESTIGE
v~:c: ~.'~;/'~e:;:)
Contract# 22784
0LI.r' lteQ/J.r.atu;m. Is On The Line
Project Manager:
Abel Trujillo
TEll: 714-565-4000
Fax: 714-647-6939
Project:
FIESTA METER PARK RESTRlPING
Address:
200 E. THIRD ST.
City: SANTA ANA
Descr.ipti.on;
61 Double White Li.nes
2 Handicap wi Crosshatch
11 Arrows
Note:
Al~ Appli.cab1e Taxes Included In pr.ice.
QTYs provided by: $410.00
D.I<: Feb 23 2006
by:
TO office- PlXOval
plllbended bereundcr and I1we agree to pay
e, insWUlce limnt. Prop05al, ace not bid at
at below Ilwe agree to dlC attached TetD\s and
TermS; D..e alld payablr: upon r:ompIeTlon.
Subj
.!r:clI!:nb.ll~ of pr-ooosal jljnd Contract: Uwc accept the within propOS"1. You are authorized to perfi'om rho "'Qr
the mid aalOl.mT il\ RCCQrdam:;c with the tcnns (l:e! tbrth. Owner/Contractor to ~t Prestige Striping Servi
prevailing wage unless ~pt:cWied, Not responsible for pulling pQrmiCi or permir fees, 8y sign ins this PropOsal/Co
Conditions.
Date:
Own<<:rICustumct:
by'
Phone 714-538-8967
Prcsti~~ Striping Services. Inc.
35) North. Cyprcss Ave
Orange, CA 92866
Fax 714-538-8968
PLeASE SlGN AND REM~T COry TO:
I EXHIBIT F (page 1 of 2) I
il-
:E
~
.9
~
.~
.
"
'"
~
9
~
o
~
...
'"
d
a
~
,;;
"
u
.~
~
~
.
.
B
.
.
o
9
~
~
i
"N
~
.~
Q
~
o
"
~
"
u
,50
~
FMP PARKING LOT
= Repaint 61 Double Line Parking Stalls
Repaint 11 Direction Arrows
. Repaint 2 Handicap Stalls
Bush
I EXHIBIT F (page 2 of 2) I
..
at
!
..
en
!
C")
1{I]007
Proposal & Contract
License# 827632
02/2~/2006 17:09 FAX
. .
Submit To:
CITY OF SANTA ANA
ROCK GARCIA
305 E FOURTH ST. SUITE 201
SANTA ANA CA 92701
PRESTIGE
~'!'RTPTNG SERVTCES TNC
;::~:::: 1.11,st1.~J~
Contracti! 22785
Our Reputation Is On The Lin.e
Project Manager:
Abel Trujillo
Tel: 714-5654000
Fax: 714-647-6939
Project:
FOURTH STREET RESTRlPING
Address:
4TH BETWE.EN FRENCH & ROSS
City: SANTA ANA
Deso:l'iption:
137 Double White Lines
Note:
All Applioable Taxes Included In Prioe.
Terms: D.t: ..ad payable upon complcaoll.
Pr
QTYs provided by: $510.00
Dot., Feb 23 2006
by,
s ~ to of' pproval
Atteob:ut4:e or ProDossl and Contnlc~ Uwe accept the within proposal. You are authorized to pcrfr('l('ll the w comprehended hcreundet and JJwe agree: to pay
the said amouDt in accordance wittl the tCf1Il!l set f'Orth. Owner/Contractor to accept Presti!;C Striping Scrv c Inc. insuranoe limits. Proposals are Dot bid at
pn:vuiling, w3ge unl~ ~pccitlcd. Not responsible for pullinS permits Of permit fct:!l. By liignmt this Prop05all tract below Vwe agree to the anadted Tenns and
Conditions,
Date: OwnerfCllstomer:
PLEASE SIGN AND REMIIl" COPY T(y.
by,
Phone 714-538-8967
Pn:stigc: Slriping Services, inc.
353 North CyprlZS Ave
Orange, CA nS66
Fax 714-538-8968
I EXHIBIT G (page 1 of 2) I
~
:::
~
o
.a
.~
"
"
~
'"
.s
::;
o
.;
o
~
...
<j
d
8
..
~
o
.~
./J
~
Q
.
8
o
.
o
9
~
~
.0'
0:
~
.~
i5
~
Q
:;<
~
~
~
B
~
"N
4TH STREET
Repaint 137 Double Line Parking Stalls
I EXHIBIT G (page 2 of 2) I
141006
Proposal & Contract
Liocnse# 82763 ~
02/2~/2006 17:09 FAX
'Submit To:
CITY OF SANTA ANA
ROCK GARCIA
305 E. FOURTH ST. SUITE 201
SANTA ANA CA 92701
PRESTIGE
S'l'RTPTNG SERV1CES INC
v:::e: ~!.2~/'..!."frI';~l
Contract# 2278b
Our Reputation Is On Tile Line
Project Manager:
Abel Trujillo
Tel: 714-565-4000
Fax: 714-647-6939
Project:
ANGLE STALL RESTRIPING
Address:
600 N. ROSE & 100 W 2ND
City: SANTA ANA
Description:
Ross:
35 Double White Lines
3 Crosshatch
6 Handicap wI Crosshatch
2nd:
15 Single White Lines
1 Crosshatch ( Yellow )
1 l' Loading Zone
Note:
All Applicable Taxes Included In Price.
QTYs provided by:
TOTAL
$530.00
Te,m': Du...d p.y.ble .p.. '.mpl.~o". Pres . tripihg Services, ~
D..., Feb 23 2006 by: - c::j'!\ -... /'-..
~ tl hjed to offia: approval
A-=C~Dta.<< u( l'ro()U!jaJ u.... Co.lnlet: 1Iwe D.ccept the widlin proposal. You are authorized to pertTom e \! Qf"k comprehended bercunder and I/wc agree to pay
the said an,ount in lICCClrdanc;: with the terms set forth. Owner/Contractor to accept Prestige Striping jcd Inc;. inSur.mCtl limits. Proposals are not bid at
prevailing wage un(~ spccitic..-d. Not responsible for pulling pc..-rmiUi or penni.1 ft:cs. By si.tnin~ this PropOsaI/Contr3ct ~low Uwe agree to tbe attached Tenus and
Conditions:.
Date:
O~nc['/Cu'tolller:
by'
Phone 714-538-8967
Prestige Striping Services, Inc.
353 North Cyprt;SS AVI;;
Orange. CA 92866
Fax 714-538-8968
PLEASE SIGN AND REMJ'!' COPY TO'
I EXHIBIT H (page 1 of 2) I
600 N. ROSS
_ Double Line StaIIs
CIVIC CENTER DRIVE
...~
_ Handicap StaIIs
~ Crosshatch
:><
~
~
<
~
=
5TH ST
,...
00
.00
00
~
~
:!1
~ 4TH ST
.s
~
.5
Jl --
~
!'l
..
:@
o;j
0
'"
z
8
'9
9 100 W. 2ND
~
0
~ _ Single Line StaIIs
'"'
o;j
~ :>< o Double Wide Stall
8 ~ ,...
'" 00
~ ~ i!i
~ < ~
.~ ~
~
~ '"
0 2ND:> 2
.
0
"
.
9
'"
~
E .
~
.~
is 1ST ST
11' N
:0
~
E
" I EXHIBIT H (page 2 of 2) I
$'
I4J 009
Proposal & Contract
License# 827632
. 02/2~/2006 17:09 FAX
Submit To:
CI1YOF SANTA ANA
ROCK GARCIA
305 E. FOURTH ST. SUITE 201
SANTA ANA CA 92701
,
PRESTIGE
S'fRTPING SP.'RVTC1:".S INC
::):;,-:;:: .:/.z~/'..H~!;6
Contract# 22787
Ou,. Reputation Is Or!. The Line
Project Manager:
Abel Trujillo
Tel: 114-5654000
Fax: 714-647-6939
Project: PARKING METERS STALLS
Address:
City: SANTA ANA
Description:
1704 'r sta11s
Note:
A) Prestige Wi11 Create Stenci1s As Specified In The Project Plan.
These Stencils Wi1l Be Released To The City Of Santa Ana Upon
Completion Of Initia1 Insta11ment Of Work.
B) Prestige Wi11 Make Sure The Areas To Be Painted ]U:e Free From
Leaves.
C) White, Pervo complaint, CODJDlercial 'rraffic Paint Wi1l Be Used.
D) New Layout Stall Wi1l Inc1ude Measuring And Marking Areas To
Be Painted And Painting New T Markings Per City Specifications.
Areas And Specs Wi11 Be Provided At A Later Date.
E) A11 App1icahle Taxed Included In Price.
Note:
Al.l ]U:eas Most Be Complete In 'rwo Weeks. After T"o Weeks $230.00 For
Every Move. If Requested By City Of Santa Ana.
0.,., Feb 23. 2006
by:
$5,640.00
QTYs provided by:
'1'enns: PlU:: and p.ynble upou tompldioao
S bj
AI:(:c....tJla~t! of ProMu,1 and Cu.tr:ut: J/we accept the within proposnl. You lire authorized tQ pcrfrom the wo
the said amount in llccordance with the lerm5 5et forth. OwnCf"/Conrract(ll" to accept Prestige Striping Scrvi
prevailinG wage unless spt:cified, Not responsible fot pulling permits or permit fees. By ~ligning this ProPQ!OaVCllb
Conditions.
Date: ()wncrlCu~torner.
PLEASE SIGN AND REMIT COry TO:
by;
Phone 7t4-538-8967
Prestige Striping Services, Inc.
353 North Cypress AvO'
O,,"'go, CA 92866
Fax 714-538-8968
I EXHIBIT I (page 1 013) I
- '"
City of Santa Ana T-Stall Locations ~ ~ \ ~ "~"O"
. .......~,... \~
~ s ; ~ ~..-
~ ~
~
!
I
.
i
~
LJL
elr~
r m"~
,~ ~
g
.
~
<
~
~
I
.
"
,
~
.
:~nl
~111 01 ni :
-I~I _ t:.J ·
. I ~~ ,~~ m"~h
~I ,. IOOrn.ITJ ~
: ~ Jl mrn(I)~
lTIi. ...... I~T ~ "'p
.). I- ·
~ :1 ~ ~ = ==
: . .-J i ~ .:
'--_ '-- '--_ -_ - - W^~. "_ .
,~ c---- - - ~- - y;JlD. · ---..---, W " =--.-
. I D ..T
\; \;. ~= . LJEJ \;
~ ~. 1""" \; !
_:,-='~' Il".-rJ- ~lmr::rl_! I L';'\\
I " "u. > Ii '- ~ ~h f]Di~
o I I 'DD.rn~ D" r\\1
--- -"s,;- J 0 Ob ~'i
. ~DIdLfLJD\
i ..t:~ IID~rn OODD ~
" ( ~r -, DD;ODBDiJ
[-'-"IGOEJf3g8L J ~
il -. I,O'S8e3'
,- - - - - )11 . -- - - - - ,- -'.~-M
8 ~
~
.
l
15THST
=11
--'
~
lIntS[
'''''~
<
') ~
I .
1..}iJlill." ~
~'~--
')
~
~
,
I--
\;
i
.
~
\;
~
~
;
=-
~
I
:31<<::::
N
~
~
o
.~
] .
"ii
~
"
~
'i'
:g
~
t:
oll
d
E
~
~
I-
.
.
.
.
.
.
~
..
:
.
-
o
.~
5
~
o
,
o SNlT,\,uu,IILVD
~ .r-;I"'"........
~ II '"
~ 1-.
l
.~ - :
is -
E~N -=-
~
'5>
~
t
1
.
-
.
.
~
- - ,',
I EXHIBIT I (page 2 of 3)J
"
City of Santa Ana L's & T's
Specifications & Layout
"!
:0
III
a.
()
c
~
0'
-r -I-
'"
"!
2'3" _L
I' '" I' "!
f'i I
'Iu~ -r
'"
"!
-I- :1-
'"
"!
_L
"!
-r
'"
"!
-I- :1-
~ '"
0
c, "!
g
~ _L
:l
'"
~ "!
0
'~ I'
.
u -r
'"
[
'" '"
9 "!
~
0
~ I' I
I ~, " -I- :1-
,.. i3"I
'"
'" '"
a "!
" _L
d':
~ 2')"
'~
~ "!
0 -~
." -r
"
.
0
. '"
.
0 "!
~ _L
0
l
u
.~ :0
;:; III
M a.
" ()
:0
~ C
~
E 0'
l I EXHIBIT I (page 3 of 3) I "!
;;
,
ATTACHMENT 2
ADDITIONAL INSURED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILITY POLICY
Insurance Company
Safcc.o ~in-e6~ ,Inc.
This endorsemep.t modifies such insurance as is afforded by the provisions of Policy
# 01 G(' llP~?>1"'-Z. relating to thefollowing:
1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its
officers, employees, agents, volunteers and representatives are named as additional insureds
("additional insureds") with regard to liability and defense of suits arising from the operations
and uses performed by or on behalf of the named insured.
2. With respect to claims arising out of the operations and uses performed by or on
behalf of the named insured, such insurance as is afforded by this policy is primary and is not
additional to or contributing with any other insurance carried by or for the benefit of the
additional insureds.
3. This insurance applies separately to each insured against whom claim is made or
suit is brought except with respect to the company's limits of liability. The inclusion of any
person or organization as an insured shall not affect any right which such person or organization
would have as a claimant if not so included.
4. With respect to the additional insureds, this insurance shall not be cancelled, or
materially reduced in coverage or limits except after thirty (30) days written notice has been
given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701.
(Completion of the following, including countersignature, is required to make this endorsement
effective.)
o~I-z-z.l2-W1-
Policy # D I Gb 111 SJ37tt-z..
Issued to ~+y Of ,<;ely1-M AnA..
Effective
, this endorsement form as a part of
Named Insured
Countersigned by
~~
Authorized Representative
9
I.
ACORD
'"
CERTIFICATE OF LIABILITY INSURANCE
PRODUCER (909)735-5335
OFI Preferred Insurance
2027 Hamner Avenue
NoreD, CA 92860-2604
FAX (909)735-3758
Services
DATE (MMlDDIYYYY)
03/17/2006
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.
INSURERS AFFORDING COVERAGE
NAIC#
'NSURED PRESTIGE STRIPING SERVICES INC.
353 N. CYPRESS ST.
ORANGE, CA 92866
tNSURERA: Safeco Business Ins.
INSURERB: Mercury Casualty Insurance Co.
INSURER c:
INSURER 0:
INSURER E;
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.
LTR NSR TYPE OF INSURANCE POLICY NUMBER OATE"MMlDrS~r- DATE MMlDDIYY LIMITS
GENERAL LIABILITY 01 CG 768379-2 03/22/2006 03/22/2007 EACH OCCURRENCE , 1,000,00
X COMMERCIAL GENERAL LIABILITY I ~~~~~s fa occurence' , ZOO,OOC
I CLAIMS MADE []] OCCUR MED EXP (Anyone person) , 10,OOC
A PERSONAL & ADV INJURY , I,OOO,OOC
-
- GENERAL AGGREGATE $ 2,OOO,00C
GEN'l AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPtOP AGG $ 2,OOO,OOC
I rnPRO- n
POLICY JEer LOC
~TOMOBILE LIABiLiTY COMBINED SINGLE LIMIT ,
ANY AUTO (Eaaccidenl) I,OOO,OOC
-
ALL OWNED AUTOS BODILY INJURY
- ,
~ SCHEDULED AUTOS ACl1071675 04/29/2006 04/29/2007 {Per person)
B
~ HIRED AUTOS BOOll Y INJURY
,
~ NON-OWNED AUTOS (Peraccidenl)
- PROPERTY DAMAGE ,
(Peraccidenl)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ,
==J ANY AUTO OTHER THAN EA Ace ,
AUTO ONLY: AGG ,
~ESS'UMBRELLA LIABILITY Recei ed By EACH OCCURRENCE ,
OCCUR D CLAIMS MADE :mta AnI ~ AGGREGATE ,
City of S ,
==J DEDUCTIBLE ,
RETENTION , .un ,>1 ,
WORKERS COMPENSATION AND -l'"Inff "'" I TORY LIMITS I I OJ~-
EMPLOYERS' LIABILITY
C ANY PROPR1ETORlPARTNERlEXECUTIVE Downtown Developr 'lent E.L. EACH ACCIDENT ,
OFFICER/MEMBER EXCLUDED? E.l. DISEASE - EA EMPLOYE ,
If yes, describe under . L.,,__
SPECIAL PROVISIONS belON E.l. DISEASE - POliCY L:MIT $
OTHER "
-.
DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT J SPECIAL PROVISIONS' I, '.'~ 1-...._\.' .',","l l'J ['
o DAYS NOTICE WILL BE SENT FOR NON PAYMENT OF PREMIUM.
ERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED. __>~Z~'f /;j-
OB: VARIOUS JOB LOCATIONS
, _c. . I c::..__.,'.,
'. .' ;;f.A.dj
,:", <_-'i; \i /\tt::)) 'iC')'
CERTIFICATE HOLDER
CITY OF SANTA ANA
A TIN : ROCK GARCIA
20 CIVIC CENTER PLAZA
SANTA ANA, CA 92701
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ~ MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
_KJI!IroOOI\IOOQXIlJlIUOOOO)lIlllIl!lOOX)lJlJQJlIl_XIIXXXX
III~JI!(_!OOtJl)l(JlJlJtJl!llllJlJQJ()l___XXXXXXXXXX
AUTHORIZED REPRESENTATIVE
ACORD 25 (2001/08)
, '_ ~K~~T~b~ ~Trt~r~~b b~HV~L~~, ~NL~
,'/
~Insurance
..
U.1. Cl:i Ibtl.,jI'::1-L.
COMME;!:tCIAL GENERAL LIABILITY
...: CG 76 35 09 05
. i~;',:/
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REAo IT CAREFULLY.
LIABILITY PLUS ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
CITY OF SANTA ANA
ATTN: ROCK GARCIA
20 CIVIC CENTER PLAZA
SANTA ANA, CA 92701
ADDITIONAL
CONTRACT,
SCHEDULE
INSURED BY WRITTEN
AGREEMENT OR PERMIT, OR
(1) The ownership, maintenance or use of
that part of premises you own, rent,
lease or occupy, subject to the following
additional provisions:
(a) This insurance does not apply to
any "occurrence" which takes place
after you cease to be a tenant in
any premises leased to or rented to
you;
(b) This insurance does not apply to
any structural alterations, new con-
struction or demolition operations
performed by or on behalf of the
person or organization added as an
insured;
(2) Your ongoing operations for that in-
sured, whether the work is performed
by you or for you;
The following paragraph is added to WHO IS AN
INSURED (Section II):
'4. Any person or organization shown in the Sched-
ule or for whom you are required by written con-
tract, agreement or permit to provide insurance
is an insured, subject to the following additional
provisions:
a, The contract, agreement or permit must be
in effect during the policy period shown in
the Declarations, and must have been exe-
cuted prior to the "bodily injury," "property
damage," "personal and advertising injury."
b. The person or organization added as an in-
sured by this endorsement is an insured only
to the extent you are held liable due to:
, i\ i;~"? ':;' \,1 r: ,_,;
to FORM
~ ;?!S____
'-----
.' L,:,' ,i U S,c.::eJy
,," '\l :\
Includes Copyrighted Material of Insurance Services Office, Inc., with its permission.
Copyright, Insurance Services, 2001
CG 76 35 09 05
Sateco and the Saleco logo are reg;s1ered tfademarks 01 Saleco Corporation
Page 1 of4 EP
(3) The maintenance, operation or use by
you of equipment leased to you by such
person or organization, subject to the
following additional provisions:
(a) This insurance does not apply to
any "occurrence" which takes place
after the equipment lease expires;
(b) This insurance does not apply to
"bodily injury" or "property dam-
age" arising out of the sole negli-
gence of such person or
organization;
(4) Permits issued by any state or political
subdivision with respect to operations
performed by you or on your behalf,
subject to the following additional pro-
vision:
This insurance does not apply to 'bodily
injury," "property damage," "personal
and advertising injury" arising out of op-
erations performed for the state or
municipality.
c. The insurance with respect to any architect,
engineer, or surveyor added as an insured
by this endorsement does not apply to
"bodily injury," 'property damage," "per-
sonal and advertising injury" arising out of
the rendering of or the failure to render any
professional services by or for you, includ-
ing:
(1) The preparing, approving, or failing to
prepare or approve maps, drawings,
opinions, reports, surveys, change or-
ders, designs or specifications; and
(2) Supervisory, inspection or engineering
services.
d. This insurance does not apply to "bodily
injury" or "property damage" included within
the "products-completed operations haz-
ard."
A person's or organization's status as an insured un-
der this endorsement ends when your operations for
that insured are completed.
No coverage will be provided if, in the absence of this
endorsement, no liability would be imposed by law on
you. Coverage shall be limited to the extent of your
negligence or fault according to the applicable princi-
ples of comparative fault.
NON-OWNED WATERCRAFT AND NON-OWNED
AIRCRAFT LIABILITY
Exclusion g. of COVERAGE A (Section I) is replaced
by the following: ,_
.c--' ~"",--"" .lL'>
t7-~?3L -
~-'-'" "') (
_"._. '::'...2..",.- ..,:""d_,~ ,____.______..._.__
'.;!! ~;d..i
\tl
'. g.
"Bodily. injury" or "property damage" arising
out 'Qfl thE! ownership, maintenance, use or
entrustme,nt to others of any aircraft, "auto'
or watercraft owned or operated by or rented
or loaned to any insured. Use includes oper-
ation and "loading or unloading."
This exclusion applies even if the claims
against any insured allege negligence or
other wrongdoing in the supervision, hiring,
employment, training or monitoring of others
by that insured, if the "occurrence" which
caused the 'bodily injury" or "property
damage" involved the ownership, mainte-
nance, use or entrustment to others of any
aircraft, "auto" or watercraft that is owned
or operated by or rented' or loaned to any in-
sured.
This exclusion does not apply to:
(1) A watercraft while ashore on premises
you own or rent;
(2) A watercraft you do not own that is:
(a) Less than 52 feet long; and
(b) Not being used to carry persons or
property for a charge;
(3) Parking an "auto" on, or on the ways
next to, premises you own or rent, pro-
vided the "auto" is not owned by or
rented or loaned to you or the insured;
(4) Liability assumed under any "insured
contract" for the ownership, mainte-
nance or use of aircraft or watercraft; or
(5) "Bodily injury" or "property damage"
arising out of the operation of any of the
equipment listed in paragraph 1.(2) or
1.(3) of the definition of "mobile equip-
ment."
(6) An aircraft you do not own provided it is
not operated by any insured.
TENANTS' PROPERTY DAMAGE LIABILITY
When a Damage to Premises Rented to you Limit is
shown in the Declarations, Exclusion J. of Coverage
A, Section I is replaced by the following:
J. Damage To Property
"Property damage" to:
(1) Property you own, rent, or occupy, including
any costs or expenses incurred by you, or
any other person, organization or entity, for
repair, replacement, enhancement, restora-
tion or maintenance of such property for any
reason, including prevention of injury to a
person or damage to another's property;
Page 2 of 4
(2) Premises you sell, give away or abandon, if
the .property damage" arises out of any part
of those premises;
(3) Property loaned to you;
(4) Personal property in the care, custody or
control of the insured;
(5) That particular part of real property on which
you or any contractors or subcontractors
working directly or indirectly on your behalf
are performing operations, if the .property
damage" arises out of those operations, or
(6) That particular part of any property that must
be restored, repaired or replaced because
"your work" was incorrectly performed on it.
Paragraphs (1), (3) and (4) of this exclusion do
not apply to "property damage" (other than
damage by fire) to premises, including the con-
tents of such premises, rented to you. A separate
limit of insurance applies to Damage To Prem-
ises Rented To You as described in Section III
- Limits Of Insurance.
Paragraph (2) of this exclusion does not apply if
the premises are "your work" and were never
occupied, rented or held for rental by you.
Paragraphs (3), (4), (5) and (6) of this exclusion
do not apply to liability assumed under a side.
track agreement.
Paragraph (6) of this exclusion does not apply to
"property damage" included in the "products-
completed operations hazard."
Paragraph 6. of Section III is replaced by the follow-
ing:
6. Subject to 5. above, the Damage To Property
Limit is the most we will pay under Coverage A
for damages because of "property damage" to
anyone premises, while rented to you, or in the
case of damage by fire, while rented to you or
temporarily occupied by you with permission of
the owner.
The Tenants' Property Damage to Premises Rented
to You limit is the higher of $200,000 or the amount
shown in the Declarations as Damage to Premises
Rented to You Limit.
WHO IS AN INSURED - MANAGERS
The following is added to Paragraph 2_a. of WHO IS
AN INSURED (Section II):
/~. r -./ ~_~.~--' i~'
.J}55 y!?/-
CG 76350905
Paragraph (1) does not apply to executive officers, or
to m,magers at the supervisory level or above.
SUP.PLEMENTARY PAYMENTS - COVERAGES A
ANDB - BAIL BONDS
Paragraph 1.b. of SUPPLEMENTARY PAYMENTS _
COVERAGES A AND B is replaced by the following:
b. Up to $2,000 for cost of bail bonds required be-
cause of accidents or traffic law violations arising
out of the use of any vehicle to which the Bodily
Injury Liability Coverage applies. We do not have
to furnish these bonds.
EMPLOYEES AS INSUREDS .:. HEALTH CARE
SERVICES
Provision 2.a.(1) d. of WHO IS AN INSURED (Section
II) is deleted, unless excluded by separate endorse-
ment.
EXTENDED COVERAGE FOR NEWLY ACQUIRED
ORGANIZATIONS
Provision 4.a. of WHO IS AN INSURED (Section II) is
replaced by the following:
a. Coverage under this provision is afforded
only until the end of the policy period.
EXTENDED "PROPERTY DAMAGE"
Exclusion a. of COVERAGE A. (Section I) is amended
to read:
a_ "Bodily injury" or "property damage" expected
or intended from the standpoint of the insured.
This exclusion does not apply to "bodily injury"
or "property damage" resulting from the use of
reasonable force to protect persons or property.
INCREASED MEDICAL EXPENSE LIMIT
The medical expense limit is amended to $10,000.
KNOWLEDGE OF OCCURRENCE
The following is added to Paragraph 2. Duties In The
Event Of Occurrence, Offense, Claim Or Suit of
COMMERCIAL GENERAL LIABILITY CONDITIONS
(Section IV):
Knowledge of an "occurrence," claim or "suit" by
your agent, servant or employee shall not in itself
constitute knowledge of the named insured unless an
bfficer of the named insured has received such notice
from the agent, servant or employee.
Page 3 014
EP
UNINTENTIONAL FAILURE TO DISCLOSE ALL
HAZARDS
The following is added to Paragraph 6. Representa-
tions of COMMERCIAL GENERAL LIABILITY CONDI-
TIONS (Section IV):
If you unintentionally fail to disclose any hazards ex-
isting at the inception date of your policy, we will not
deny coverage under this Coverage Form because of
such failure. However, this provision does not affect
our right to collect additional premium or exercise our
right of cancellation or non-renewal.
\ 2 ~-,.~~_
i "_j "" __..', ...,',
~'r--k-
, .;;/--'
_.._..._' ..... m ...__. _.oO
t.,
LIBERALIZATION CLAUSE
The !ollowing paragraph is added to COMMERCIAL
GENERAL LIABILITY CONDITIONS (Section IV):
10. If a revision to this Coverage Part, which would
provide more coverage with no additional pre-
mium, becomes effective during the policy period
in the state shown in the Declarations, your pol-
icy will automatically provide this additional cov-
erage on the effective date of the revision.
Page 4 of 4
ACORO,. CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/ODNYYY)
PRODUCER
AU Insurance Services
PO Box 3646
Omaha, NE 68103-0646
(877)234-4420
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAG-,
AFFORDED BY THE POLICIES BELOW.
INSURED
Prestige Striping Services, Inc.
dba Prestige Striping Services
353 North Cyperess Street
orange, CA 92866-7016
INSURERS AFFORDING COVERAGE
INSURER A: California Insuranc~_CompanY
!NSURER 8'
NAIC #
INSURER C'
INSURER D:
INSURER E:
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.
INSRIAOD' POLICY EFFECTIVE POLICY EXPIRATION
lTR WSR TYPE OF INSURANCE POLICY NUMBER DATE'MMlDDIYYI DATE MMlDDIVY\ LIMITS
~ERAL LIABilITY
COMMERCIAL GENERAL LIABILITY
I CLAIMS MADE D OCCUR
A
~ESSlUMBRELLA L1ABIUTY
W OCCUR 0 CLAIMS MADE
h DEDUCTIBLE
H ~ETENTION $
WORKERS COMPENSA nON AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PAATNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
II yes, describe under
SPECIAL PROVISIONS below
OTHER
,'i,"::,j_;;t,;,l~ eilv /qtl. r'lG'
EACH OCCURRENCE $
~~~~~~J9E~~J~?ence\ $
MED EXP (Anv one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
PRODUCTS - COMP/O? AGG $
COMBINED SINGLE LIMIT
(Ea accident) $
BODILY INJURY
(Per person) $
BODILY INJURY
(Per accident) $
PROPERTY DAMAGE $
(Per accident)
AUTO ONLY - EA ACCIDENT $
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EACH OCCURRENCE $
AGGREGATE $
$
-
GEN'L AGGREGATE LIMIT APPLIES PEA:
I POLICY nj:g: n LOC
~OMOBILE LIABILITY
_ ANY AUTO
_ ALL OWNED AUTOS
I--- SCHEDULED AUTOS
I---- HIRED AUTOS
I---- NON-OWNED AUTOS
l:'PR\)'.i~J AS 'T( FORi\'l
n~GE LIABILITY
n ANY AUTO
XI
_:-tc--)r-~~/!'- /
:----:7'i-i '. r" '.'" 1 (~l. c. j \l
. .,. u '., ..".". ,,1.1
X I we STATU- I
. I TORY UMIT-" I
46-007016-01-01
06/01/05
06/01/06
E.L EACH ACCIDENT
1.000.000
1.000.000
1,000,000
E.L. DISEASE - EA EMPLOYEE $
EL DISEASE. POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS
Job: Pavement Markings
CERTIFICATE HOLDER
City of Santa Ana
20 Civic Center
Santa Ana, CA 92701
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL-3D....
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON
THE INSURER, ITS AGENTS OR RE SENTATI ES.
AUTHORIZED REPRESENTATIVE
@ ACORD CORPORATION 19B8
Attn; Rock Garcia
ACORD 25 (2001/08)
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIODIYYYY)
PRODuceR (909)735-5335
DFI Preferred Insurance
2027 Hamner Avenue
NoreD, CA 92860-2604
FAX (909)735-3758
Services
02/10/2006
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.
INSURERS AFFORDING COVERAGE
NAIC#
INSURED PRESTIGE STRIPING SERVICES INC.
353 N. CYPRESS ST.
ORANGE, CA 92866
JNSURERA: Safeco Business Ins.
INSURER B: Mercury Casual ty Insurance CO.
INSURER c:
INSURER 0:
INSURER E:
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.
LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE 'n'..,MfOO,wj I' DATE MMfDDfYY LIMITS
GENERAL LIABILITY 01 CG 768379-1 03/22/2005 03/22/2006 EACH OCCURRENCE , I,OOO,OOC
'x COMMERCIAL GENERAL LIABILITY 1 PREMISES Ea occurence\ , 200,OOC
I CLAIMS MADE []J OCCUR MED EXP (Anyone persoo) , 10 , OOC
A PERSONAL & ADV INJURY , I,OOO,OO(
- GENERAL AGGREGATE , 2,000,OOC
"GEN'L AGGREGATE LIMIT APPLIES PER; PRODUCTS - COMP/OP AGG , 2,OOO,OOC
I 'n:RO' n,
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- (Eaaccidenl) , I,OOO,OOC
ANY AUTO
- ALL OWNED AUTOS
~ BODILY INJURY ,
SCHEOULED AUTOS ACl1071675 04/29/2005 04/29/2006 (Per person)
B ex
HIRED AUTOS BODILY INJURY
~ (Per accident) ,
NON-OWNED AUTOS
f-
- PROPERTY DAMAGE ,
(Peraccidenl)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ,
~ ANY AUTO OTHER THAN EAACC ,
AUTO ONLY: AGG ,
EXCESSfUMBRElLA LIABILITY EACH OCCURRENCE ,
=:J OCCUR o CLAIMS MADE AGGREGATE ,
,
=1 DEDUCTIBLE ,
RETENTION , ,
WORKERS COMPENSATION AND I TORY LIMITS I rUE,,'
EMPLOYERS' LIABILITY E.L EACH ACCIDENT ,
C ANY PROPRIETORfPARTNERJEXECUTJVE
OFFICERJM!::I...tBER EXCLUDED? E.l. DISEASE. EA EMPLOYE ,
If yes. describe under E.L. DISEASE - POLICY LIMIT ,
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS J LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROvrslq~S .' (\, ,,'''un
o DAYS NOTICE WILL BE SENT FOR NON PAYMENT OF PREMIUM. '
ERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED. 7)1~~ .~~ ;(0).
OB: VARIOUS JOB LOCATIONS
\.!...._..,,,y'....,,)
": ,\11- " ',ey
CERTIFICATE HOLDER
CITY OF SANTA ANA
ATTN: ROCK GARCIA
20 CIVIC CENTER PLAZA
SANTA ANA, CA 92701
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ~~ MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
~KX~KX~NJ(K!l>>XJllllQlllll~K){)(XXX
II<< ' IlK)QJlj( ){)(Xlll'OOllQIOlllJl\llll!llK<<\lOOIXXXXXXXXXX
AUTHOR I} EPRESENTAl: ,
l: ill/7 Ul II Pl~
@ACORDCORPORATION 1988
ACORD 25 (2001108)
PRESTIGE STRIPING SERVICES INC.
01 CG 768379 1
COMMERCIAL GENERAL LIABILITY
CG 86 74 10 02
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFUllY.
CONTRACTORS LIABILITY PLUS ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
Name of Person or Organization:
CITY OF SANTA ANA
ATTN: ROCK GARCIA
20 DIVIC CENTE~ PLAZA
SANTA ANA, CA 92701
DUTY TO DEFEND
Paragraph a. of SECTION I - COVERAGE A and
COVERAGE B is replaced by Ihe following:
a. We will pay those sums that Ihe insured be.
comes legally obligated 10 pay as damages
because of "bodily injury". .property
damage" or .personal injury and advertising
injury" 10 which Ihis insurance appUes. We
will have the right and duty 10 defend the in.
sured against any "suit. seeking those dam.
ages. Our duty to defend begins once you
notify us of a "suit" as described in SEC.
TlON tv - COMMERCIAL GENERAL L1.
ABILITY CONDITIONS, 2.b. However, we
will have no duty to defend Ihe insured
against any "suit.. seeking damages for
"bodily injury", "property damage", or
"personal injury or adver1ising injury" 10
which this insurance does not apply. We
may, at our ,discretion, investigate any
"occurrence" and seWs any claim or "suit..
that may result. But:
/\ :'~'J
fq. ,()
"j' ;;.~"' '
SCHEDULE
.
(1) The amount we wili pay for damages is
limited as described in SECTION III _
LIMITS OF INSURANCE; and
(2) Our righl and duty to defend ends when
we have used up the applicable limit of
insurance in the payment of judgments
or settlements under COVERAGES A
or B or medical expenses under COV.
ERAGE C.
No other obligation or liability to pay sums or
perform acts or services is covered unless ex-
plicitly provided for under SUPPLEMENTARY
PAYMENTS - COVERAGES A AND B.
EMPLOYERS LIABILITY
The last paragraph of exclusion e. of SECTION I _
COVERAGE A Is replaced by the following:
This exclusion does nol appiy to liability assumed
by Ihe insured under an "insured contract" ex.
cept for that part of a conlract or agreement Ihal
FC)it~lf1,qemnlfies any person or organization for their
sole liability.
, ;),
'--.-- ',.-.,(;' .-';. /.
;f'i) /_G::___.~--
-r-'~SI'l~ "...;._..:,Jy
I:' \.
CG 86 74 10 02
'1' C -; ,~ \'
Page 1 of 5
~ A ~l<<td t~ 01 WECO Cort:01i~
EP
-.. REPRINTED FROM THE FORMS lIBRARY--
WRONGFUL EVICTION
The following exclusion is added to SECTION I
COVERAGE B:
The wrongful eviction from, wrongful entry into,
or invasion of the right of private occupancy of a
room, dwelling or premises arising out of any:
(1) "property damage" to the room, dwell.
ing or premises; or
(2) "bodily injury" sustained through occu.
pancy of a room, dwelling or premises.
ADDITIONAL INSURED - BY WRITTEN CON-
TRACT, AGREEMENT OR PERMIT, OR SCHED-
ULE
The following paragraph is added to SECTION II _
WHO IS AN INSURED:
5. Any person or organization shown in the Sched-
ule or for whom you are required by written con-
tract, agreement or permit to provide insurance
is an insured, subject to the following additional
proviSions:
a. The contract, agreement or permit must be
in eHect during the policy periOd shown in
the Declarations, and must have been exe.
culed prior to the "bodily injury," "property
damage," "personal and advertising injury."
b. The person or organization added as an in-
sured by this endorsement is an insured only
to the extent you are held liabie due to:
(1) The ownership, maintenance or use of
Ihat part of premises you own, rent,
lease or occupy, subject to the following
additional provisions:
(a) This insurance does not apply 10
any "occurrence" which takes place
atter ~tOU cease to be a tenant in
any premises leased to or rented to
you;
(b) This insurance does nol apply to
any structural alterations, new con-
struction or demolition operations
pertormed by or on behall of the
person or organization added as an
insured;
(2) Your ongoing operations for that in.
sured, whether Ihe work is pertormed
by you or for you;
/\ i' r;~. ~j ,. 1_-, "._,
\..:
~--I.5S :/&
7:::, .
~.,
Page20f5
(3) The maintenance, operation or use by
you of equipment leased to you by such
person or organization, subject to the
following additional provisions:
(a) This insurance does not apply to
any "occurrence" which takes place
after the equipment lease expires;
(b) This insurance does not apply to
"bodily injury" or "property
damage" arising out of the sole
negligence of such person or or.
ganization;
(4) Permits issued by any state or political
subdivision with respect to operations
pertormed by you or on your behall,
subject to the fOllowing additional pro-
vision:
This insurance does not apply to 'tlodily
injury," "property damage," "personal
and advertising injury- arising out of op-
erations performed for the state or
municipality;
c. The insurance with respect to any architect,
engineer, or surveyor added as an insured
by this endorsemenl does not apply to
-bOdily injury," "property damage,"
"personal and advertising Injury" arising oul
of the rendering alar the failure to render
any professional services by or lor you, in-
cluding:
(1) The preparing, approving, or failing 10
prepare or approve maps, drawings,
opinions, reports, surveys, change or.
ders, designs or speCifications; and
(2) Supervisory, inspection or engineering
services.
d, This insurance does not appiy to 'tlodily
Injury" or "property damage" Included within
the "'products-completed operations haz-
ard.-
8. A person's or organization's status as an in-
sured under this endorsement ends when
your operations for that insured are com-
pleled.
f, No coverage will be provided if, in the ab-
sence of this endorsement, no Ilabifity would
be imposed by law on you. Coverage shall
be limited to the extent of your negligence
or fault according to the appficable principles
of comparative fault.
.... REPRINTED FROM THE FORMS llBRARy ....
g. The defense of any claim or "suit" must be
tendered as Soon as practicable to all other
insurers which potentially provide insurance
for such claim or "suit".
h. The insurance provided will not exceed the
lesser of:
(1) The coverage and/or limits ot this policy,
or
(2) The coverage and/or limits required by
said contracl, agreement or permit.
NON-0WNED WATERCRAFT AND NON.OWNED
AIRCRAFT LIABILITY
Exclusion g. 01 SECTION I - COVERAGE A is re-
placed by the foliowing:
g. "Bodily injury" or "property damage" arising ..
out of the ownership, maintenance, use or
entrustment 10 others 01 any aircraft, "auto"
or watercraft owned or operated by or rented
or loaned 10 any insured. Use includes oper-
ation and "loading or unloading."
This exclusion applies even if the claims
against any insured allege negligence or
other wrongdoing ;n the supeNision, hiring,
employmenl, training or monitoring of others
by that insured, if the "occurrence" which
caused the "bodily injury" or "property
damage" involved the ownership, mainte-
nance, use or entrustment to others of any
aircraft. "auto" or watercraft Ihat is owned
or operaled by or renled or loaned to any in.
sured.
This exclusion does not apply to:
(1) A watercraft while ashore on premises
you Own or rent;
(2) A watercraft you do nol own that is:
(a) Less than 52 feet long: and
(b) Not being used to carry persons or
property for a Charge;
(3) Parking an "auto" on, or on Ihe ways
next to, premises you Own or rent, pro-
vided the "aulo" is not owned by or
rented or loaned to you or the insured;
(4) liability assumed under any "insured
contract" ,lor the ownership, mainte-
nance or use of aircralt or watercraft; or
(5) "BOdily injury" or 'property damage"
arising out of the operation of any of the
,j
i~J
CG86741002
__~~J!fL
.l:.:-r: >, .
~':l\
Page30t5
equipment listed in paragraph 1.(2) or
1.(3) of the delinition of "mobile equip-
ment.-
(6) An aircraft you do not Own provided it is
nol operated by any Insured.
TENANTS' PROPERTY DAMAGE LIABILITY
When Damage To Premises Rented To You limit is
shown in the Declarations, SECTION f _ COVER.
AGE A, exclusion J., is replaced by the following:
J. Damage To Property
"Property damage" 10:
(1) Property you own, renl, or occupy. in-
cluding any costs or expenses incurred
by you, or any other person. organiza-
lion or entity, for repair, replacement,
enhancement, restoration or mainte.
nanea of such property for any reason,
inClUding prevention of injury 10 a per.
son or damage to another's property;
(2) Premises you sell, give away or aban-
don, if [he "property damage" arises out
of any part of lhose premises;
(3) Property loaned to you;
(4) Personal property in the care. custody
or conlrol of the insured;
(5) That particular part of real property on
which you or any contractors or sub-
contractors WOrking directly or indirectly
on your behalf are performing oper-
ations, if the "property damage~ arises
out of those operations, or
(6) Thai particular part of any property thai
must be reslored, repaired or replaced
because '"your work" was incorrectly
performed on it.
Paragraphs (1), (3) and (4) of this exclusion
do not apply to "property damage" (olher
than damage by fire) to premises, including
the conlenls of such premises, rented to
you. A separate limit of insurance applies to
Damage To Premises Rented To You as
described in SECTION "' _ LIMITS OF
INSURANCE. Paragraph (2) of this exclu-
sion does not apply il the premises are "your
work" and were never occupied, renled or
hetd for renlal by you.
EP
'.
.... REPRINTEO F"ROM' THE FORMS lI8RARY--
Paragraphs (3), (4), (5) and (6) of this exclu.
Sion do nol apply to liability assumed under
a sidetrack agreement.
Paragraph (6) of this exclusion does not ap-
ply 10 "property damage" included in Ihe
"prOducts-completed operations hazard."
Paragraph 6. of Section III is replaced by the follow-
ing:
6. Subjecl 10 5. above. the Damage To Property
Limit is the mosl we will pay under COVERAGE
A for damages because of "property damage" 10
anyone premises. while renled to you, or in the
case of damage by fire, while renled 10 you or
temporarily occupied by you with permission of
Ihe owner.
The Tenants' Property Damage To Premises Renled
To You Limit is Ihe higher of $200,000 or Ihe amounl
shown in the Declarations as Damage To Premises
Rented To You limit.
WHO IS AN INSURED _ MANAGERS
The fOllowing is added 10 Paragraph 2.a. 01 SECTION
II - WHO IS AN INSURED:
Paragraph (1) does nol apply 10 execulive oHicers, or
10 managers at the supervisory Jevel or above.
SUPPLEMENTARY PAYMENTS _ COVERAGES A
AND B - BAIL BONDS
Paragraph 1.b. of SUPPLEMENTARY PAYMENTS
- COVERAGES A AND B is replaced by Ihe lollow-
ing:
b. Up 10 $2,000 lor cost of ball bonds required
because 01 accidents or traHic law viola lions
arising out of Ihe use of any vehicle 10 which
the Bodily InjUry liability Coverage applies.
We do no! have to furnish lhese bonds.
SUPPLEMENTARY PAYMENTS _ COVERAGES A
AND B - INDEMNiTEES AND ADDITIONAL iN.
SUREDS
Paragraph 2.f.(1) (d) of SUPPLEMENTARY PAY.
MENTS - COVERAGES A AND B is replaced by
Ihe following:
(d) Cooperate wilh us wilh respecl
to coordinating other applicable
Insurance and self-insured
:..~ t :~,'
f. :.
12:>)5.!(:,--
-'- :,
..1.. "-
'''Pag'. 4 of 5
retention available to the in-
',demnitee; and
EMPLOYEES AS I&SUREDS _ HEALTH CARE
SERVICE
Provision 2.a.(1) d. 01 SECTION II _ WHO IS AN
INSURED Is deleted. unless excluded by separale
endorsement.
EXTENDED COVERAGE FOR NEWLY ACQUIRED
ORGANIZATIONS
Provision 4... of SECTION II - WHO IS AN IN.
SURED is replaced by the following:
.. Coverage under Ihis provision is aHorded
only until the end of Ihe policy period.
EXTENDED "PROPERTY DAMAGE"
Exclusion .. 01 SECTION I - COVERAGE A IS
amended to read:
a. "Bodily injury" or "property damage" ex.
pected or intended Irom the standpoinl olthe
insured. This exclusion does not apply to
"bOdily injury" or "property damage" resull.
ing from the use of reasonable force 10 pro-
tecl persons or property.
INCREASED MEDICAL EXPENSE LIMIT
The medical expense Iimil is amended to $10.000.
KNOWLEDGE OF OCCURRENCE
The following is added 10 Paragraph 2. SECTION IV
COMMERCIAL GENERAL LIABILITY
CONDITIONS Duties In The Event Of Occurrence.
Offense. Claim Or Suit of:
Knowledge of an "Occurrence," claim or "suit.. by
your agent, servant or employee shall nol in itself
constitute knowledge of the named insured unless an
oHicer of the named insured has received such notice
from the agent. selVant or employee.
INSURED CONTRACT
The following definition is added 10 SECTION V _
DEFINITIONS, Delinll/on 9. "insured contracl" par-
agraph f.:
,'..i',
(4) That part 01 any contracl or agree-
ment lhat indemnities any person
or organization for the indemnitee's
sole lort liabilily.
"
.... REPRINTEOFROM THE FORMS liBRARY -..
OTHER INSURANCE
The first paragraph of Other Insurance of SECTION
IV - COMMERCIAL GENERAL LIABilITY CON-
DITIONS is replaced with the following:
If other valid and collectible insurance, or any self-in.
sured retention, is available to the insured for a loss
we Cover under COVERAGE A or B of this Coverage
Part, our obligations are limited as follows:
METHOD OF SHARING
The second paragraph of Method 01 Sharing of SEC-
TION IV - COMMERCIAL GENERAL lIABfllTY
CONDITIONS is replaced with the following:
II any 01 the other insurance does nol permil conlrj.
bution by equal shares or is subject to a self-insured....
retention, we will contribute by limifs. Under this
method, each insurer's share is based on the ratio of
its applicable II mil of insurance or self-insured fa.
lenlian or both combined to the total applicable limits
of insurance of all insurers and the amount of any
self.insured relention.
/. ,n
. ro FORM
..__..~:u:(U) ..
__."CO.,., .- , -..."._.o;;-dJ
,(<"t, C;;y i\ttGr:,cy
CG86741002
Pag.Sots
UNINTENTIONAL FAilURE TO DISCLOSE All
HAZARDS
The following is added to Paragraph 6. Representa.
tions of SECTION IV - COMMERCIAL GENERAL
liABILITY CONDITIONS:
If you unintentionally fail to disclose any hazards ex-
isling at the inceplion date of your policy, we will not
deny coverage under this Coverage Form because of
such failure. However, this provision does not aHect
our right to collect additional premium or exercise our
right of cancellation or non.renewal. ..
LIBERALIZATION CLAUSE
The following paragraph is added to SECTION IV _
COMMERCIAL GENERAL LIABILITY CONDI-
TIONS:
10. If a revision to this Coverage Part, which would
provide more coverage with no addiliona!
premium, becomes eHeclive during the policy
period in the state shown in the Declarations,
your policy will automaticaily provide this addi.
tional coverage on Ihe eHective date of the reo
vision.
EP
ACORD CERTIFICATE OF LIABILITY INSURANCE
TM DATE IMMIDDIVYYY)
03/22/2007
PROpucER (909)735-5335
DFZ Preferred Insurance
2027 Hamner Avenue FAX (909)735-3758
Services 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.
Norco, CA 92860-2604
INSURERS AFFORDING COVERAGE
NAIC #
INSURED PRESTIGE STRIPING SERVICES INC. INSURER^: AMERICAN STATE INSURANCE COMPANY
353 N. CYPRESS ST. A,~P_02C1
' INSURER B: MERCURY CASUALTY INSURANCE COMPA Y
ORANGE, CA 92866 ~ o+'~
/ INSURER C: CALIFORNIA INSURANCE COMPANY
~{ ~' O~ 6
~
f{' 6 INSURER 0:
O INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 7HE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL 7HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR NSR TYPE OFINSURANCE POLICY NUMBER DATE MM/DDIYY DATE MMIDDIYI' LIMITS
GENERAL LIABILITY Ol CG 768379-3 03/22/2007 03/22/2008 EACH OCCURRENCE 5 1,000,000
X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence S 200,000
CLAIMS MADE ~ OCCUR MEO EXP (Any one person) $ 10, 000
A PEP.GONA! E.P.OV'NJURY 5 1,000,00^
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000
POLICY PRO LOC
JECT
AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT
$
ANV AUTO (Ea accidenU 1, OOO , OOO
ALL OWNED AUTOS BODILY INJURY
$
X SCHEDULED AUTOS AC 11071675 04/29/2007 04/29/2008 (Per person)
B
J( HIRED AUTOS BODILY INJURY $
J( NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
IPer accidem)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S
ANV AUTO OTHER THAN EA ACC S
AUTO ONLY: AGG $
EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR ~ CLAIMS MADE AGGREGATE $
$
DEDUCTIBLE $
RETENTION 5 $
WORKERS COMPENSATION ANO TORY LIMITS ER
EMPLOVERS'LIABILITV 46_006122_01_02 06/01/7.006 06/01/2007 E.L. EACH ACCIDENT $ 1,000,000
ANY PRCPRIFTOPoPARTNERlF..%FCUTI'.rE ------~----- --------------
OFFICER/MEMDER EXCLUIIED? E.L DISEASE - EA EMPLOYEE $ 1 r OOO, 000
I( yes, descnbe under
SPECIAL PROVISIONS below E.L. DISEASE- POLICY LIMIT $ 1 r OOO OO
,
OTHER
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PRONSIONS
0 DAYS NOTICE WILL BE SENT FOR NON PAYMENT OF PREMIUM.
ERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED.
OB: VARIOUS 706 LOCATIONS
,r1
,
:!'.r
-
%
~
verreirnre unl nco / ---- ~-- CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
E%PIRATION DATE THEREOF, THE ISSUING INSURER WILL R%~E101A(~R MAIL
~Q-DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
CITY OF SANTA ANA ~p~Rx~90H19Q~9G1fKxgCq~q~%p049(gA~FpRRA9l~rR7AM0(94X4QRriXXXX
ATTN: ROCK GARCIA
20 CIVIC CENTER PLAZA
Sl9CAHSX9HPiliPfd9(R701 RXR)C%9E KA1~9€~M(A(7lNEJ(XXXXXXXXXX
SANTA ANA, CA 92701 AUTHORIZED REPRESENTA E
ACORD 25 (2001/08) IJXIi V RU V V Rt• V RN I I V I~ . oo..
PRESTIGE STRIPING SERVICES-, INC.'
• ~ Insurance
s
TIi1S ENDORSEMENT CHANGES THE POLICY.
O1 CG 768379-3
CCMM~J~f~IA,L GENERAL LIABILITY
' CG 78 35 09 Ofi
PLEASE REA' CAREFULLY. .
LIABILITY PLUS ENDORSEMENT
This endorsement modifies insurance provided under the fotiowing:
COMMERCIAL GENERAL UABWTY COVERAOE'PART
SCHEDULE
Name 6t perion'or Oryanizatlon:
CITY OF SANTA ANA
ADDITIONAL INSURED - BY WRITTEN
CONTRACT, AGREEMENT OR PERMIT, OR .
SCHEDULE
Tha topowinp paragraph is added to 4VH0 IS AN
INSURED (Section II):
. 4. Any person or organization shown in the Sched•
ule or for.whom you are required by written con'
tract, agreement or permit to provide insurance
Is an fnswed, subject to the following additional
provisions:
a. 'The contract, agreement or.permit must be
in effect during the policy period shown In
the Declarations, and must have been exe-
cuted prior to the •tiodily lr>)ury,• "property
damage,' "personal and advertising trt(ury.'
b, Tho person or organization added as an tn•
saved by this endorsement is an insured only
to the extent you are held liable due to:
(1) The ownership, maintenance or use of
that part of premises you own, rent,
lease or occupy, subject t0 the foliowfng
additional provisions:
(a) This Insurance does not apply to
any "occurrence' which takes piece
after you cease to be a tenant In
any premises leased to or rented to
you;
(b) This insurance does not apply to
any structural alterations, new con'
struetion or demolition operations
performed by or on behalf of the
person or organization added as an
insured;
(2) Your ongoing operations for that in•
sured, whether the work Is porformed
by you or for you;
. `~~ ~t5
Includes yriphted Material of Insurance Services Office, Inc., with its permission.
CopyApht, Insurance Services, 2001
N(W ..~ IM t./r. MO. M. nOYgw.• u.a.wt. N i+,r. o«o..~w.
06 70 35 09 03 Pp.l of4 EP
?. I•
•B dil .iNurY" or •propert~:d • age' arising
(3).The malntenance,,operatton or use by ;+g' ou@'.R~~; •~;bwnershlp, mante~nce, Use or
. you of equipment.ls3'aired~td you by such ;: end+~••+. • •e to others of any aircraft, :"auto"
person or orgadzation, subject to the ~,^, • : or~nr'atefcr~8it owned or operated by or rented
fogowing addltiortal Provisions: •;~~, .. ort{ anad to spyy Insured. Use Includes oper-
(a) This Insurance does not apply to ;~:; ~ nd "to~.ding or unloading.'
any roccurrence` wNch takes place ~. ; ~'•
after the equipment lease expires; TFita, 'exclusion appges even If the claims
against any Insured allege nepllgence or
(b) This insurance' does not apply to ottieF Wrongdoing in the supervision, hiring,
'bodily injury' or 'property dam' employment, training or mottltoring of others
age' arising out of the sole negli• ~ by that Insured, if the 'occurrence" which
Bence of such person or caused the 'bodily injury" or 'property
organization; damage' Involved the ownership, mainte-
(4) Permits issued by any state or political Hance, use o entrustment to othara of any
subdiNsion with respect to operations aircraft, auto or watercraft that Is owned
performed by you or on your behalf, or operated by or rented or loaned to any in-
subjoct to the following addtional pro- sured.
vision: This exclusion does not apply to;
This Insurance does. not apply to 'bodily ~~) q wdtercraft wfille ashore on premises
Injury;' "property' damage,' "personal yrou own or rent;
and advertising Injury" arising out of op•
orations performed for the state or (2) A watercraft.you tb not own that Is:
muhiclpality. (a) Cess than s2 feet loop; and
c. The insurance with respect to any architect, (b) Not being used to carry parsons or
engineer, or surveyor added as an Insured property for a charge;
by thla ,endorsement does • not apply to
"bodiy injury,' 'property damage,' •per• (3) Parking an "auto" on, or on the ways
sonal and advertising Injury- arlsin9 out of next to, premises you own •or rent, pro-
the rendering of or the faJltue to render any vfded the "auto' is not owned by or
professlonal~ services by or for you, includ- rented or loaned to you or the insured;
Ing: (4) Uabilify assumed under any "Insured
(i) The preparing, approving, or falinp to contract" for the ownership, malnte-
prepare or approve maps, drawings, Hance or use of aircraft of watercraft; or
opinions, reports, surveys, change or- •Bodit i " ' "
dens, designs or speciRcatlons; and (~ Y NurY or property damage
aRsing out of the operation of any of the
(2) Supervisory, Inspection or englneerinp equipment listed (n paragraph f.(2) or
services. f.(3} of the definition of "mobile equip'
d. This insurance does not apply to~ •boddy moot."
injury" or "property damage' included witNn (6) An•alrcraft you do not own pravlded it is
the 'products-completed operations haz• not operated by any insured.
ard.•
TENANTS' PROPERTY DAMAGE LIABILITY
A person's or organization's status as an Insured un•
der this endorsement ends when your operations (or When a Damage to Premises Rented to you Umit is
that Insured are completed. shown in the Declarations, 'F-xclusion J. of Coverage
No coverage wW be provided q, to tla absence of tWs A, Section 1 Is replaced by the following:
endorsement, no Uability would be imposed•by law on ). Damage To Property
you. Coverage sf>aU be limited to the extent or yyoour "property damago• tb;
nepllgence or faurt according to the applicable prlnd-
ples of comparetive fault. (1) Property you own, rant, or occupy, including
any costs or expenses Incurred by you, or
NON-OWNED WATERCRAFT AND NON-OWNED any. other parson, organization or entity, for
AIRCRAFT LIAI3IUTY repair, replacement, onhancement, restore-
• uon or maintenance of such property for any
Exclusion g. of CCVERAt3E A (Section 1) is replaced reason, including prevention of injury to a
by the following: person or damage to another's property;
~J ,., E~(i';1"
`~ ~~ ~%s r•aaora
i ,, „
(2) f remises you sell, y(ve away or abandon, if
the 'property damage' arises otrt of any part
of those premises;
(9) Property loaned to you;
(4) Personal property In the care, custody or
control of the Instued~
(5) That parttcutaz part of real property on whlcfi
you or any contractors or subcontractors
working directly or indirectly on your behalf
are performing operations, if the 'property
damage' arises out of ttwse operations, or
(6) That partlcWar part of any property that must
be restored, repaired or replaced because
"your work' was )ncorcectly performed on it.
Paragraphs (1), (3) and (4) of this exclusion do
not apply to 'property damage' (other than
damage by fire) to premises, Including the con'
tents of such premises, rented to you. A separate
limit of Inswance applies to Damage To Prem•
ises Rented To You as described in Section Ili
- Um1ts Of Instsance.
Part~graph (1) does not.gppty to executive c{fiders, or
to in~rtagazs at the sujSdrvisory level or above.
SU.•~,f,EM~NTttRY R~MENTS - COVERAGES A
AN.B - yUL' BON
~..
parkDraph 1.b. of SUpF. LEMENTARY PAYMENT8 -
COVERAGES A AND B •ts replaced by the fo!lowing:
b. Up to 52,000 for cost of ball bonds required be•
cause of accidents or traffic law violations arising
out of the use of any vehicle to which the Bodily
injury IJab111ty Coverage appaes. We do not have
to furNsh these bonds.
EMPLOYEES AS INSUREDS ~ HEALTH CARE
SPRVlCE3
Provision 2.a,(1~ d. of tNHO.IS AN INSURED (Section
II) Is'deleted, unless excluded by separate endors~-
men't.
Ekl'ENbED COVERAGE FOR NEWLY /fCOU1RED
ORGAAf1ZATlON3
Paragraph (2) of this exclusion does not apply if
the premises are 'your work" and were never Provision 4.a, of 1NH0 IS AN INSURED {Section II) is
occupied, rented or held for rental by you. replaced by the following:
Paragraphs (3), (4), (5) and (8) of this exclusion a. Coverage ;under th(s provision is afforded
do not apply to (lability assumed under aside- only until the end of the policy period.
track agresinent. EXTENDED "PROPERTY DAMAGE"
Paragraph (e) of this exGUSion does not apply to
•proporty damage' includod fn the 'products' Exclusion a, or OOVERAQEA. (Se Won 1) Is amended
completed operations hazard." to read:
Paragraph 8. of Section III is replaced by the fouow•
~ing: ,
8. Subject to 6. above, the Damage To Property
Umit is the most we,will pay under Coverage A
for damages because of 'property damage' to
any one premises, white rented to you, or in the
case of damage by fire, whilo rented to you or
temporargy occupied by you with permission of
the owner.
The Tenants' Property Damage to Premissa Rented
to You limit is the higher of 5200,000 or the amount
shown to the Oelrlprattons as Damage to Premtseg
Rented to You'L1m1L
WHO IS AN INSURED - MANAGEAS
a. •Bodify inJtuy or 'property damage' expected
or intended /nom the standpoint of the insured.
71tis exclusion does not apply to •bodly injury"
or 'property damage' resufttng tram the use of
reasonable force to protect persons or property.
INCREASED MEDICAL EXPENSE LIMIT
The medical expense 11m1t is amended to 510,000.
KNOWLEDGE OF OCCURRENCE
The following is added to Paragraph 2. Dudes In The
(:vent ~ Of Occurcence, Offense, Claim Or Suit of
COMMERCWL l3ENERAC t.lAB1UTY CONDITIONS
(Section 11r):
Tha rotlowing la added to Paragraph 2a. of 4VH0 IS Krawlodge of an •occurcen'ce,• claim or 'suit" by
AN INSURED (Section II): Your agent, servant W employee shalt not in ltseu
consdttde knowledge of~the named insured uNess an
odlcer of the named insured has received such notice
from the agent, servant or employee.
co ra ss oa oa -/~,~ l~~ - r.o. o or a ..
UNINTENTIONAL FAILURE TO D1SCL05E ALL
HAZAAD8
Tho (oAowlnp Is added to ParaDraph & Representa•
dons of COMMERCIAL GENERAL LIABILITY CONDh
TICNS (Section IV);
!f you unintentionally fall to disciose any hazards ex•
istfnp at the inception data of your poUcy, we wiU not
deny coverage under this Coverage Form because of
such faAure. However, this provision dces rat affect
our right to collect additional premltun or exercise our
rlpht of Cancellation or non•renewal.
clause
The~gQoydnp paraflra~ `tis added to COMMERCIAL
QE I RI}!: l!lAB1UTY ~;; OITION3 (Section !V);
tD. •a revision to tht;~pverape Part, which would
rovide more covsrape with no addttlonal pra-
mlum, becomes effective during the policy period
in the statd shown In'the Declarations, your po--
(cy wiU automaticatly.provide this addltlonal cov
erape on the effective date of the revision.
~~~)'-Ji. ~ ,t:~M
~~.
Pay ~ of 4
ACORO,. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDfYYYV) I
1 06/21/2007
PRODUCER N-,z]O{, M 038 THIS CERTIFICATE IS IssueD AS f'.. MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CE~TIFICATE HOLDER. THIS
AU Insurance Services I//M J.OO' -OJ,g-O/ CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
PO Box 3646 AFFORDED BY THE POLICIES BELOW.
Omaha, NE 68103-0646 ,41 -.,lOO' - oJ/! -Ol
(877) 234-4420 INSURERS AFFOROING COvERAGE NAIC # -
-----
--- ~.R~A California Insurance Co. --- 237310
INSURED " f-=-'--
Prestige striping Services, Inc. INSURER 8'
dba prestige Striping Services .---
1054 Railroad St ~~RER c ---- ---
Corona, CA 92882-1947 ~~.~ --
, ~TL 1273 377898 INSURER E
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 INSUQANCE 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.
INSRIADD'L1 - -~-- POOt-Y EFFECTIVE POLICY' EXPIRATION I --
lTR !INSRnI TYPE OF INSURANCE POLICY NUMBER OATE MMfDDIYY DATE IMMIDDIYYI I LIMITS
GENERAlllABILITV EACH OCCURRENCE $
~ DAMAGETORENTED--'
COMMERCIAL GENERAL LIABILITY ~.EREMISES (E<:l_(,,-ccurrencel $
CLAIMS MADE DOCCUR ~_E'XP (Any 011E' lJersun) S
_ _ _ PERSONAL &_flDV Ir:!J~ ~__
I _ _ GENERAL AGGREGATf:: S
GEN'L AGGRf::GATE LIMIT APPLIES PER I
,cc--, ---, PRO n '
I I POLICY I JECT' , laC
~t~~;~
BHIREDAlITOs.-
I NON OWNED AUTOS
=--1
---
-----
-
J'.!10DUCTS_.:_COMP/OP AGG S
COMBINEO SINGLE LIMIT
(Ea accident)
I-
s
--
BODILY INJURY
{Per person)
-
"
I
--
BODILY INJURY
{Per,lr.rldf'nt)
s
-
--
PROPERTY DAMAGE
IPerdu::ldent\
,
~~GE LIABILITY
--lANY AUTO
AUTO ONl Y . EA ACC! DENT S
OTHER THAN
AUTO ONLY
EAACC S
-
AGG S
EXCESSlUMBRELLA LIABILITY
C OCCUR 0 CLAIMS MADE
EACH OCCURRENCE
$
$
.
~
$
---
~~.!E
-
DEDUCTIBLE'
---
A
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED"
iiyes,d,:,scribeunder
SPECIAL PROVISIONS below
OTHER
46-006122-03-07 i
06/01/07
06/01/08
X ! T~~.jI~JI~S I IO~~-
E.L EACH ACCIDFNT 1, 000, 000
____ _2.._
E L DISEASE EA EMF'LOYEE S 1, 000 , 0 0 0
E.L DISEASE _ POLICY LIMiT S 1, 00 b , 000
'. t
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
~
.,
\. ~ '.. (;, ,-
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Santa Ana EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30
305 E Fourth Street St. 201 DAYS WRITTEN NOTICE TO THE CERTIF!CATE HOLDE~ NAMED TO THE LEFT, BUT
92701 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON
Santa Ana, CA THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ~ .&2,.1:
Attnzl Rock Garcia -A-. OD7 8 3 3 6
ACORD 25 (2001/08)
@ ACORD CORPORATION 19A8