HomeMy WebLinkAboutTSJ Electrical & CommunicationsCity of Santa Ana C ~~~
"' - ~ Clerk of the Council
AGREEMENT TERMINATION FORM
COTC Office Use Only
Please complete this form when the attached agreement and all
amendments (if any) are no longer in effect.
Return form to the Clerk of the Council Office (M-30).
Call 647-2520 if you have any questions.
The agreement with TSJ Electrical & Communications, Inc.
No. N-2006-086 was completed on 06/30/07 and final payment has been made.
(List all amendments. Use space below if needed.)
Department: Community Development Agency
Phone/Ext.: 5376
Signature: ~~~^''~
Date: 04/26/10
Revised 04-12-10
iNilURANCE tlQI ON FILE
WClHK MAY WI PROCEED
CLERK OF COUNCIL
DATE' ~.~IJ.O'
o:C:PA (2") (C. Foll.fIor.)
N-2006-086
AUG 0.2 2006
CONSULTANT AGREEMENT
THIS AGREEMENT, made and entered into this 1st day oUuly, 2006 by and between
TSJ Plectrical & Communications, Inc., dba Masters Electric, 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 spccial skill and knowledge in the field of
public address system inslallalion.
B. Consultant represents that Consultant is able and willing to provide such services to the
City.
C. In undertaking the performance of this Agreemcnt, Consultant represents that it is
knowledgeable in its iield and that any services performed by Consultant tmdcr this
Agreement will be performed in compliance with such standards tLS may reasonably be
expected ii-Oln a professional consulting finn in the field.
NOW THEREFORE, in considcration 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 services as set forth in Exhibit A to this Agreement.
2. COMPENSATION
a. City agrees to pay, and Consultanl agrees to accept as total payment for its services,
the rates and charges identified in Exhibit A. The tolal sum to be expended under this
Agreement shall not exceed $5000.00 during the term of this Agreement.
b. Payment by City shall be made within thirty (30) days following receipl 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 June 30,
2007, unless terminated earlier in accordance with Section 12, below. The term ofthis
Agreement may be extended upon a writing executed by the Deputy City Manager for
Development Services of the Community Development Agency and the City Attorney.
4. INDEPENDENT CONTRACTOR
Consultant shall, during the entire term of this Agreement, be eonstmed to be an
independent contractor ami not an employee of the City. This Agreement is not intended nor
shall it be consttued to create an employer-employee relationship, ajoint venture relationship, or
to allow the City to exercise discretion or contt'ol over the professional manner in which
Consultant performs the services which are the subject matter of this Agreement; however, lhe
scrviccs to bc provided by Consultant shall be provided in a manner consistent with all
applicablc standards and rcgulations govcrning such services. Consultant shall pay all salaries and
wages, employer's social security taxes, unemploymcnt insurancc 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
dcscribcd bclow:
a. Commercial General Liability T O",lfance. Consultant shall maintain commcrcial
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, inclnding death resulting therefrom and danlage
to property, resulting from any act or occun'ence arising out of Consultant's operations in the
performance of this Agreement, inclnding, 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 fiIlly executed
additional insured endorsement in substantially the form attached hereto as Exhibit B upon
execution oflhis Agreement and shall be approved in lorm 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 lhe provisiono 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. If Consultant is or employs a licensed professional snch as an architect or engineer:
Professional liability (errors and omissions) insurance, with a combined single limit of not less
than $1,000,000 per claim.
2
e. 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
effcct for the entire period covered by this Agreement.
(ii) Certificates of insurance shall be furnished to the City upon execution of
this Agreement and shall be approvcd in form by the City Attorney.
(iii) Certificates and policies shall state that the policies shall not be canceled
or reduced in coveragc or changed in any other material aspect without
thirty (30) days prior written notice to the City.
f. If Consultant fails or refuses to prOlluce or maintain the insurance required by this
section or fails or reulscs 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 indenmify and hold harmless the City, its ollicers, agents,
employees, consultants, special counsel, and representatives from liahility: (I) lor personal
injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims
for personal injury, including health, and claims for property danlage, 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; and (2) from any claim that personal injury, damages, just
compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects
arising from this Agreement. This indemnity and hold harmless agreement applies to all claims
for damages, just compensation, restitution, judicial or equitable relief suJTered, or alleged to
have been suffered, by reason of the events referred to in this Section or by reason ofthe terms
of, or effects, arising from 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 thc City, regarding any action by a third party challenging the validity
of this Agreement, or asserting that personal injmy, 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
infornlation 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 urrther agrees to exercise the same degree of care it uses to protect its own information of
3
like importance, but in no event less than reasonable care. "Confidential Information" shall
include all nonpublic information. Confidential information includes not only Wlitten
informatiou, but also information transferred orally, visually, electronically, or by other means.
Confidential information disclosed to either party hy 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 infonnation that (a) has heen disclosed in publicly availahle 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 ohligation of confidentiality; (d) is required to be
di.,closed by operation of law; or (c) is independently developed by the Consultant without
reference to infonnat;on disclosed by the City.
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 Agrecment.
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 celtified mail, postage prepaid, or sent by telefacsimile or other
telegraphic communication in the maImer provided in tms Section, to the following person",
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 ofthe Community Development Agency
City of Santa Ana
20 Civic Center Plaza (M-25)
P.O. Box 1988
Santa Ana, California 92702
tclefacsimilc (714) 647-6515
and,
4
City Attorney
City of Santa Ana
20 Civic Center Plaza (M-29)
P.O. Box 1988
Santa Ana, CaliJornia 92702
telefacsimile (714) 647-6515
To Consultant:
Masters Electric
11651 Stcrling Avenue #H
Riverside, California 92501
telefacsimile 951-785-5284
Attn: Rejean Royer
A party may change its address by giving noticc in writing to the other pmty. Thereafter,
any notice, tender, demand, delivery, or other communication shall be addressed and transmitted
to the new address. Ifscnt by mail, any notice, tender, demand, delivery, or olher
commlmication 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, any notice, tender, demand, delivery, or
other communication shall be effective or 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 thcsc timc frames, weekends, federal,
state, County or City holidays shall be excludcd.
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, betwccn thc 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 Agreemcnt may not be modified except by written
instrwllent 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, inducemcnts,
promiscs or agreements, orally or otherwise, have been made by any party, or anyonc acting on
bchalf of any party, which are not embodied herein.
11. ASSIGNMENT
Inasmuch as this Agrcement 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
5
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 pcrsonncl or by other consultants retained by City.
12. TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
ternlination. In such event, Consultant shaIl be entitled to receive and the City shall pay Consultant
compensation for all services performed by Consultant plioI' 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
lor such purposes as the City deems appropliate.
b. Payment need not be made for work which fails to meet the standard of perlornlance
specified in the Recitals of this Agreement.
13. DISCRIMINATION
Consultant shall not discriminate because ofmce, color, creed, religion, sex, marital
status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited
by applicable law, in the recruitment, selection, training, utilization, promotion, termination or
other employment related acti vities. 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 he determined and governed by the laws of the State of California. Both parties further
agree that Orange County, Calilornia, shall be the venue for any action or proceeding that may
be brought or arise out of, in cOlUlection 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 Calilornia,
the City of Santa Ana and all other governmental agencies. Consultant shall notily the City
immediately and in writing of its inability to obtain or maintain such pennits, licenses, approvals,
waivers, and exemptions. Said inability shall be cause for termination of this Agreement.
G
16. 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 damagcs to
City in the event that such authority or power is not, in fact, held by the signatory or is withdra\'m.
b. All Exhibits referenced herein and attached hereto shall be incorporated as iffully set
forth in the body of this Agreement.
IN WITNESS WHEREOF, thc parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
CITY"il2ti2~
DAVID N. REAM
City Manager
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
By: ~1__;_.-'C/-t/",
Laura Sheedy /
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
CONSULT ANT
R.- , ~
. O)C'~
REJEAN ROYER
~%()3bS
Tax ID #
7
G/B/2GCt6 10;23 11.'1 FRO~:; ~l,,~ter-~ Elect::ic Ha~t..,r'J ~lectric TO; 1714 565-2693
PAGE: mil Of' 001
TSJ Electrical & Communications, Inc
dba, Masters Electric
11651 Sterling Avenne # H, Riverside, Ca. 92503
Phone, 951-785-0921 Fax 951-785-5248
License C1 0: 768926
EXHIBIT At
PROPOSAL
Depot At Santa Ana
1000 E. Santa 1m3
Santa Ana Ca.92701
Att: Carolyn Fullerton
PROJECT: The Depot At Santa Ana Station.
PROPOSAL
DATE:06/19!06
This pfDpo5a~ 5upersedes any oral quotation which may have been furnished by seller to buyer with respect to the
above mentioned project. The prices and terms on this proposal are not subject to ami changes or other agreements
unless approved by seller in writing. Proposals are valid for 30 days but cancelable in the event of strikes, accidents,
fires and material availability and all other causr;:s br;:yoml seller's conlrol Terms inconslstent ",-ith order will not be
binding on seller. Price" cover only materials listed below based on our interpretation of plans and specifications.
Additional equipment unless negotiated prior to order placement shall be billed accordingly and become an integral
part or any Contract, Written Agreement, or Pukhase Order. There is a re-stocking fee equal to a minimum of 25%
of the manufacture's list price on all returned material.
DI~SCRWTlON
I. Provide service work [or repair of paging system.
2. Labor rate would be@$90.00 Vehicle expanse $27.50
3. Responsr;: time on trouble call with in 4hrs after notification
4 ContactpeTsonat(951)-515~1458
5. By accepting this quote it would lock in rate for a year.
Bid Amount: Time and material
If you have any questions conceming this proposal or any other matter, Plca'ic feel free to call
anytime.
Respeclfully;
Rejean ROYi:f
r:XHIBIT AoA
Rpr 26 06 04:45p
Tl1agl
p.2
AmRD.. CERTIFICATE OF LIABILITY INSURANCE
PROOUC~ (626)584..3040 FAX (626)795-4881
Hayward Tilton & Rolapp Ins. Assoc., Inc.
license 10614365 ~
225 S. Lake Avenue. Suite 2~O
Pasadena, CA 91101 ,4' I. ~'0" INSURERSAFFORDING~O~ERAG=---_
JNSUR!;:D TSJ Electrical & Communications Inc. ~N::''mERA; Admiral Insurance
DBA: Masters Electric rlllSrnl.lHI; Clarendon Nat:1on~iI1SCo
116S1 Sterling Avenue, Suite II IN5URERC: _,,_
--
Riverside. CA 92503 INSURERn
._--~-
INSURER E"
DATE(J.I~
04/20/2006
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON nll;- CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED gv THE IES BELOW.
NAlC#
eVES
mE POllCJES OF INSURANCE LISTED BELOW HAVE BEeN ISSUED TOn"lI: INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITI1STAN01NG
ANY HEQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPFCT TO'WHICH THIS CERTIF/(',ATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POllCIF:"> DESCRIBED HERClN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLlCI~S.AGGn.EGATE LIMITS SHOWN MAY HAvE BEEN REDuCED BY PAID ClAIMS.
'''R 0' lYe'O"NSURANCE 'ouc,"u",,,, I'OL~Y_~'QVY:'!ll,~~ . -.~.m; __
GENERAL LlABIlITY CA00000611970Z o~7ioiiOo~ 104/'1'0/2007 EACH <X:CuRRE/.;CE _ 1; 1,000:00
I fJ- COMNERCI^L. C - ENffitlL LIABIUTY DMIAGi; rOl~.E..~ ~__ SO. 00
CLAIMS MADE I XJ OCCUR MEl}~_(Ally"""perscnJ $. ----Exc1ud
A I - --- -- PERSONAl&_,,,..,,,, ~--.!..!lOO.OO
__I GE~AAtAGGREGATE $__ 2,000,000
Gl,N'LAccru:OATE L1MITAPPUIi:.::; PEeR, ~rs~AGG $_2,000,00
X POLICY j~r [J LOC
AUTOMOl:!lLELIABllITY
ANY AUTO
ALL OWNED AIJTQ::;
SCHEDULFflAIFOS
HrREDAlJTOS
NON-DWNcn AUTOS
cal~^.~ V
cf'.~ .')ir
.. ~c}A ~
COMBINED SINGLE lI~IT
(81aWdttnl.J
.
!lODtLYI~RY
~pe.-.'J")
,
,YINJURY
.~accld""'l)
.
GARAGF LIABiliTY
ANY AUTO
I'RQPCRTY DAMA,o!:
(Perllcd-d(l<lt)
AUI DOr-l.Y - lOA ACCIDENT
,
,
--
EXCESSlUMBRELLA L1ARlUlY
OCClJR [1 CLAIMS MADE
OTHF:R THAN
AUTO ONlY:
EA AGe $
EACH OCCURRENCE
--
AGGREGATE
AGG ,
.
,
---10ErJIJCTIULE
RETENTION S
WORKERS COMPENSATION AND
EMPLOYERS' UASlUTY
8 ~1F:~~1~W~~~i!;CUTIvr:
lfyes,OOscnoomwier
SP8.:tAL ~y~s_roNs beluw
OTHER
01KR0031566 10/13/200S
10/18/2006
X -'M':STATU_ orn
TORY
EL EACHACClllENT S
E.l.DlS~~EMPl..OYE S
EL UISEASE-POLICYUMIT $
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--
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,
_._hOOO.OQO
1,000,00
1,000 000
~ 1_.
DESCRIPTION OF OPERATIONS I LqCAOONS fVEHICLESfEXCLU5lONS ADDED 6YEHDOR$l:MENT f SPECIAl. PRQVlSI~ d b h d . d
ertificate Holder 1$ named as additional insured as respects serV1ces provide y t e name 1nsure
er attached form AD 06 61 01 04 for General Liability only.
CERTlFfCATF t10LDER
//)
"
Cancellation~lO days notice for non-payment OT premium.
- -~- .)
>---'~"CA CE LATION
'SHOUl!) !o.\lY OF T1-1E ABOVEDESCllliJ!':U POLICIES BE CAi'.ICElLED REFORE THf'
EXPIRATION DATE THERE:OF, THE ISSUINlO INSURl;R WILL ENOEAVORTOMAlL
"'30 !JAYS ~TTEN NOTICETO THE CERTlFICAn: HOLDER NAMED TO THJ::: lEFT.
auf FAILURE TO MAIL SUCH NOTIce SHAll IMPOSE NO OBLIGATION OR UABJLITY
OF /lNf KINO UPOHTKEINSURER, rTSAGENTS OR REPRESf'NTAlJVeS_
AUTHOrU1:I!OReflRESSNTAT1VE ~ J....J. .If'I1,,,*" M'~'
Sandra Marro uin/SAM ~~,
@ACORD CORPORATION 1981
ihe Depot of Santa Ana
1000 E. Santa Ana Blvd.
Suite 108
Santa Ana, CA 92701
ACORD 2S (2001/06)
Apr 26 06 04:45p
T 11 ag 1
p.4
The Depot of Santa Ana
Certificate issued to The De~ot of Santa Ana
Hayward Tilton & Rolapp Ins: Assoc.. Inc.
04/Z0/Z006
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AODlfrONAl INSURED - OWNERS, LESSEFS OR
CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION - INCLUDING PRODUCTS - COMPLETED OPERATIONS [AMENDED)
Pulicy # CAOOU00689702
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Any entity from wholll you are performing ongoing and completed operations, but only if reauire:d by
writt.en C.Ontrdct prior to an "occurrence" or loss.
(If no entry appears above, information required to complete this endorsement will be shown in the
Declarations as applicable to this endorsement).
WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in
the Schedule, but only with respect to lia~il;ty caused by your ofl~oing and completed operations
perfomed for the insured.
S. With respects to the insurance afforded to these additional insureds, the fOllowing exclusions are
added.
2. ExclUSions
a. This insurance does not apply to "bodily injury" Or. "property
damage" arising our of "your work" that has been completed by
prior to the policy period. "Your work" will be deemed
earliest of tbe followinq timc5:
or for you
completed at the
(l) \1hen all of ttle worl< caned for in your contract list has been
c.ompleted.
(2) When a1-1 of the work to be done at the job si te has been
your contraLt calls for work at more than one job
site.
completed it
(3) When that part of the work done at a job site has be~n put to its
intended use by any person or organization other than another contractor or
subcontractor working on the same project. Work that may need service. maintenance,
correction, repair or replac~mp.nt, but which ;s otherwise complete, will be
treated as completed.
b. Th-is insurance does not apply to ll<lbllity caused by the sole
negligence of thp. person or organization shown in the
schedull'! _
AD 06 61 01 01
,,_/>~:-. I
/ '-<~~q.;::;:.C~
npr '26 06 04:45p
Tllac:;l
p.3
IMPORTANT
If the certificate holder is an ADOrl lONAL INSURED, ths policy(les) must be endorsed. A statement
on this certjfic..ale does not canfor rights to the certifi~te holder in lieu of such endorsement(s).
If SUBROGATION IS WANED, subject to the terms and conditions of the poliL'y-, cartain policies may
require an endorsement. A statement on this certificate does not oonfer rights to tha certificate
holder tn lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does nol constitute a contract between
the is~uing jnsurer(s), authorized reprt"sentative or producer, and tho certificate holder. nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
I
,
ACORD 25 (2001/08)
EXHIBIT B
ADDITIONAL INSURED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILITY POLICY
Insurance Company
This endorsement modities such insurance as is ai10rded by the provisions of Policy
# relating to the tallowing:
I. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 9270 I; 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 ofthc namcd insurcd.
2. With respect to claims arising out ofthe operations and uses perlorrned by or on
behalf ofthe named insured, such insurance as is alIorded 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 madc 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 havc 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 requircd to make this endorsement
effective. )
Effective
Policy #
Issued to
, this endorsement form as a part of
Named Insured
Countersigned by
Authorized Representative
R
Mitre-Ramirez, Norma
N-~oa,,- 'V8'c,
From:
Sent:
To:
Subject:
Fullerton, Carolyn
Thursday, August 24, 20062:37 PM
Mitre-Ramirez, Norma
RE: TSJ Electrical & Communications
Importance:
High
Thanks. I will get that rectified ASAP.
---- Onginal Message-----
From: Mitre-Ramirez, Norma
Sent: Thursday, August 24, 2006 2:35 PM
To: Fullerton, Carolyn
Subject: RE: TSJ Electrical & Communications
Ok. I will be sending it over to you. Please note the the insurance provided was not acceptable as it names 'The
Depot of Santa Ana" as the certificate holder. I reviewed with Laura Sheedy and she Indicated that it should read. "the
City of Santa Ana, its officers, employees, agents, representatives and volunteers" Please see attached email.
Thank you,
Norma Mitre<< Message: RE: TSJ Electrical & Communications, Inc., dba Masters Electric >>
714-647-5237
-----Original Message-----
From: Fullerton, Carolyn
Sent: Thursday, August 24,20062:32 PM
To: Mitre-Ramirez, Norma
Subject: RE: TSJ Electrical & Communications
Yes, I am.
-----Original Message---
From: Mitre-Ramirez, Norma
Sent: Thursday, August 24, 2006 2:31 PM
To: Fullerton, Carolyn
Subject: TSJ Electrical & Communications
Hello Carolyn - Are you handling the TSJ Electrical & Communications, Ine, dba Masters Electric agreement?
Norma Mitre-R.
Deputy Clerk of the Council
City of Santa Ana
(714)647-5237
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Mitre-Ramirez, Norma
From:
Sent:
To:
Subject:
Sheedy, Laura
Monday, August 21, 2006 1 :38 PM
Mitre-Ramirez, Norma
RE: TSJ Electrical & Communications, Inc., dba Masters Electric
Hi Norma
Yes, the additional insured should be "the City of Santa Ana, Its officers, employees, agents, representatives and
volunteers" - not the Depot.
Thanks
Luara
From: Mitre-Ramirez, Norma
Sent: Monday, August 21, 2006 11:3S AM
To: Sheedy, Laura
Cc: Gerardo, Karen
Subject: TSJ Electrical & Communications, Inc" dba Masters Electric
Hello Sheedy- The agreement IS made between the City of Santa Ana and TSJ however, the insurance provided
references "The Depot of Santa Ana" It should be the City of Santa Ana, right? Please advise.
Than k you.
Norma Mitre-R
(714)647-5237
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