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HomeMy WebLinkAboutVANGUARD VAULTS INC.8055202525 To:714 647 5406 ''~2'4 hR=?-05-2166 23:31 Fram:DPSI UPNGURRD INSURANCE ON FlLE WORKMAYpROCEED A-2005-096-O1 UNTIL INSURANCE EXPIRES /- l.~-08 C~OFCOUNCIL HATE: (0-o2o2-dr p:>/rns(2)(t. Ke)`y~ FIRST A113ENDMEN'I'TQAGREEMENT "1fI{IS FIRST AMEN]]MBNT TO AGREEMENT is entered into o[~ May 1, 2007, by and between VangttarQ VaWts, Inc., a California corporation previously known as Uata Products & Solutions, Inc. ("Contractor") and the City of Santa Ana, .t charter city and municipal corporation of the SMtc of ralifornia ("City"), k.k4'1TP.LS: ~.. The parties entered into Agreement ~ A•2005-096, dated 7uiy 14, 2005, (herehtalter "said Ag;reemerrt") by which Contractor has provided media storage services. B. In accordance with the terms and conditions of said Agreement, the parries wish to extend the term of said Agreement and lnerease compensation to pay for services during the extended term, 5'~1L'REF'ORE, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, except those amended in this P first Amenc~'.ment to Agreemern, the parties agree as follows: 1. Section 7, COMPENSATION, shall be amended to increase eompensat.:on $ZS,D00 to pay fvr san~ices during ffie term from May 1, 2007 through Aprii 30, 2008. The rates and charges set forth in Schedule A to said Agreement shall remain in effect thrqughout the extended term of said Agreement. 2. Purst[ant to Section 3, TEliM, Ciry hereby exercises its pptton to extend the term of said Agreement for another one year rerru, dwugir April 30, ,2008. 1'~T'WITl'IT:SS WHEREOF, the parties hereto have executed this First Amcndrnent to Agreement on the date and year first written above. CIT1i OF A Aiti'A a+-~-~ ?a triria K:. 1E%ealy', Cler f the Coun 'I DAVID 1J. AVi City Manager .a'?Pl(OVED AS TO FORM: i oseph W. char, City Attorney li1:COMPNE;yIDED FOR APPROVAL: Frsnciaco Outierrez ]?x ecutive Direotor - FMSA 71'` 3~tid 5DA5 D.~NI ~YSD 9@b9-Lb9-bIL EL ~80 c0.,1;/t.Ul9E1 ~!! =--- SCHEDULE A MEDIA STORAGE AGREEMENT March 2005 CITY OF SANTA ANA ACCOUNT # 2099 This Schedule A is made part of the Media Storage Agreement # 9902S between Data Products & Solutions, Inc. (hereinafter, "DPSI''), and The City of Santa Ana. STORAGE: Closed Storage Containers (City) Small Storage Container (City) Medium Storage Container (City) Document Storage Container Quantity 14 4 2 Monthly Cost Per Container $9.00 $9.00 $9.00 (Police) Medium Storage Container $9.00 3 Transport Container Large Transport Container Quantity 2 Monthly Cost Per Container $5.00 Open Slots (City) Storage slot (LTG, DLT, etc.) (City) Storage slot (Round reel, etc.) (City) Storage slot (16mm film, etc.) Quantity *20 *36 * Monthly Cost Per Slot $.30 $.30 $.15 Total Monthly Cost $126.00 $36.00 $18.00 $27.00 Total Monthly Cost $10.00 Total Monthly Cost $6.00 $10.80 (Police) Storage slot (LTG, DLT, etc.) $.30 $75.00 250 (Records) Storage slot (16mm) * Actual monthly slot count will be billed 4000 $.15 $600.00 DPSI - Data Products & Solutions, Inc., Schedule A Page t of3 LIBRARY MAINTENANCE: Monthly Cost Labor Hours Quantity Per Hour City 1 $30.00 Police Department I $30.00 NOTE: Min. I Hour/Month, based on 250 items handled per hour. Total Monthly Cost $30.00 $30.00 TRANSPORTATION: Regularly Scheduled Pickups (City) Once Weekly Pick-up and Del (police) Once Weekly Pick-up and Del (Records) *In conjunction with Police Quantity Monthly Cost Per Pickup Total Monthly Cost $80.00 $80.00 *$0.00 ON DEMAND: Emergency Inunediate delivery within 2 hours to Santa Ana, CA $125.00 per round trip plus $1.00 per container. Rush Inunediate delivery within 4 hours to Santa Ana, CA $85.00 per round trip plus $1.00 per container On-Demand Inunediate delivery within 24 hours to Santa Ana, CA $45.00 per round trip plus $1.00 per container ADMINISTRATION FEE: Includes ID Cards, receiving documentation, authorization $20.00 per month forms, Inventory reports *Only one $20.00 Admin. fee, per month, covering all City of Santa Ana accounts. TOTAL MONTHLY INVESTMENT WITH DPSI: $1,148.80 PER MONTH Total monthly billing may vary, depending upon actual services rendered. V AUL TLINK TRACKING SOFTWARE NO CHARGE DPSI - Data Products & Solutions, Inc., Schedule A Page 2 00 TERM: The Term of the Agreement of which the Schedule A is a part will commence on the Effective Date indicated above and continue for 2 years. Prices set forth above remain in effect for the initial term ofthe Agreement. Thereafter, upon 30 days' notice, effective on any anniversary date, storage, library maintenancelhandling, management services, transportation and administration prices may be adjusted by DPSI by a percentage up to 3 Y2 percent. The storage and service rates set forth in the Agreement are predicated upon the expectation that the storage volume and service activity frequency anticipated by the parties at the inception of the Agreement will not decline materially during the term of this Agreement. In the event that the volume is reduced by more than 20%, or its transportation frequency declines, DPSI reserves the right to review program pricing prior to the anniversary data of the Agreement. All accounts are subject to a $125.00 minimum monthly fee. AGREED TOBY: City of Santa Ana DPSI (Data Products & Solutions, Inc.) Name: Name: Signature: Signature: Title: Title: Date: Date: SERVICE ADDRESS: 20 Civic Center Plaza Santa Ana, CA 92701 ~.. f!!J!!'&~ ~~J DPSI - Data Products & Solutions, Inc., Schedule A Page 3 00 ACORD,. DATE IMMfDD/VY) 7/28/05 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION DNL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE PRODUCER 916-974~7800 John O. Bronson Co. 3636 American River Dr #200 Sacramento CA 95864 COMPANY A Transcontinental Ins Co INSURED Vanguard Vaults Inc A -,J.a;5- 0 '70 Vanguard Vaults L.A. DBA: DPSI , 9750 Kent Street Dafa.- R1CdLtds-4-SDllL~<>'l.\ I Elk Grove, CA COMPANY B American Casualty Co COMPANY C Transportation Ins Co COMPANY D St Paul Travelers CQVERAGl;$ THIS IS TO CERTIfY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INOICATED, NOTWITHSTANDING ANY REOUIREMENT, 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 PQUClE$. i..lf...'ITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLlCY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS OATE IMM/DD!YYI DATE IMM/OO/YYI TP2075893110 1/12/05 1/12/06 GENERAL AGGREGATE 2000000 PRODUCTS - COMP/OP AGG 2000000 PERSONAL & ADV INJURY 1000000 EACH OCCURRENCE 1000000 FIRE DAMAGE (Anyone firel 370000 MED EXP (Anyone person) 10000 BA2075893124 1/12/05 1/12/06 COMBINED SINGLE LIMIT 1 000000 A GENERAL lIABIUTY X COMMERCIAL GENERAL UABH_lTY CLAIMS MADE [8] OCCUR OWNER'S & CONTRACTOR'S PROT 8 AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS BOOIL Y INJURY (Per person) BOOIL Y INJURY \Per accident) PROPERTY DAMAGE GARAGE LIABILITY ANY AUTO C EXCESS lIABIUTY X UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY P20l5893138 1/12105 1/12/06 AUTO ONLY - fA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE 2000000 AGGREGATE $ 2000000 _ ___.._~_---l-_"_~".__~ i THE PROPRIETORI PARTNERS/EXECUTIVE OFFICERS ARE" D OTHER Business Services Blanket Employee Dishonesty Policy DESCRIPTION OF OPERATIONS/LOCATIONSIVEHIClESfSPECIAL ITEMS Certificate Holder is named as Additional Insured per form CG2026 attached INCL EXCL WC STATU- TORY LIMIT EL EACH ACCIDENT EL OISEASE - POLICY LIMIT OTH, ER EL DISEASE" EA EMPLOYEE $ 104329575 5/19/05 5/19/06 $15,000 Limit/No Deductible ^l'i'\, i'\ Li .~ i/ __.L. ., : :1' Li :\ CERTIFICATE HOl.DER CITY OF SANTA ANA 20 CIVIC CENTER PLAZA SANTA ANA CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAil ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OR REPRESENTATIVES, I .CORD 25'S \ 1i!l51 20.61 iii ACORD CORPORATION 1!l88 . , NAMED INSURED: Vanguard Vaults Inc/Vanguard Vaults L.A. DBA: DPSI POLICY NUMBER: 50 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Name of Person or Organization: CITY OF SANTA ANA (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 the person respect to owned by or INSURED (Section II) is amended to include as an insured or organization shown in the Schedule, but only with liability arising out of your operations or premises rented to you. APPR() i: ,,', , ".- CG 20 26 11 85 Copyright, Insurance Services Office, Jnc., 1984 [ l;\,',\::\ "',1 j;' ,.'d /\'",,":,i;,',\: A CORD,. CERTIFICA IE DATE IMMfDD/VY) 7/28105 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. COMPANIES AFFORDING COVERAGE PRODUCER 916-974-7800 John O. Bronson Co. 3636 American River Dr #200 Sacramento CA 95864 COMPANY A National Fire Ins 01 Hartford INSUREO Vanguard Vaults Inc Vanguard Vaults L.A. DBA: DPSI 9750 Kent Stree Elk Grove. CA 95624 COMPANY B COMPANY C COMPANY o CDVEI"lA.GES THIS IS TO CERTIFY THAT 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. co TYPE OF INSURANCE POLICY NUMBER LTR GENERAL LIABILITY COMMERCIAL GENERAL L1ABIUTY CLAIMS MADE 0 OCCUR OWNER'S & CONTRACTOR'S PROT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEO AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY UMBRELlA FORM OTHER THAN UMBRELLA FOAM A WORKERS COMPENSATION AND WC2083851349 EMPLOYERS' LIABILITY THE PROPRIETOR! INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL OTHER POLICY EFFECTIVE POLICY EXPIRATION DATE fMM/DD/YYI DATE fMM/DD/YY) LIMITS GENERAL AGGREGATE PRODUCTS - COMP/O? AGG PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Anyone fire) MED EX? (Anyone personl COMBINED SINGLE LIMIT BODILY INJURY (Perpersonl BOOIL Y INJURY {PSI accident) PROPERTY DAMAGE AUTO ONLY fA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE S, EACH OCCURRENCE AGGREGATE 7/01/05 7/01106 x ;V~"sIf~JNs EL EACH ACCIDENT El DISEASE - POLICY lIMJT OTH- ER El DISEASE - EA EMPLOYEE 1000000 1000000 1000000 . 1\1'1' .0 0;; /\C' .J Ij -:2~~ +-_.::;~ c'; , , 1 )ESCRJPTION OF OPERATlQNS/LOCATJONSIVEHIClESISPECIALIUMS I\S::;i:->tiJI1i '. 't\ CITY OF SA NT A ANA 20 CIVIC CENTER PLAZA SANTA ANA CA 92701 SHOULD ANY OF THE ABOVE DESCR/BED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WilL ENDEAVOR TO MAil ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAilURE TO MAll SUCH NOT\CE SHALL IMPOSE NO OBLIGATION OR LIABILITY OR REPRESENTATIVES. I CORD 25-8 (1/lIS) -- ;!f"j'rl~l.:;.~b". ~'... illJ05 04: 47 From: DPSI VANGUARD rl.t~l! 'llli::i.:.:I '.<.~ ::.! 01 i.. . . f~! '1' il'i''!- 'c; :: ' ,oji L '~i~lil,i!!'.J:'I": '.'.Ii!! '.1 '.' 1f' J.j I -}. I ~ I ,- j. ' .' '. ': I' " ;:,1:(, , ~ . i. ':". ,.,'C" O"..'R'-D"'=tf~'"~a''''''R~''';''~l'':~."!IJ'~~h".iS~''''~''' ,:.~:~~~y~tB"'I'Y~jffl':.i:":;'M'''''~I' ~N>~.""'~'t~"'!g'1"'') .~f~'!""""'P;~ii'~\i:,~if.J. ";;.Ti'iMMiii.iYYI'.~" 1":-: Jlnil ~n t';;~ '--: .~., ~.~ '~H:;~'?L:;.r;,< w' , ,"* ~~ > .'.' : t;;, '~ :...:.. ~~...:--: ;~. ~'. . ~. , . " . G~~'1t\4,~'~~~~Wttn 1/"7/06 f~t !:,~:-':)'j~~~w~-;:":'~:,:,'~u~j.llt4l~dM;;'~M-Kiw.',*'W ~ :~(,~., ".;:lf~'I.;.r.!i.;'~~~;~~~:."'..."=:;'~:#~;mii'N~,1i.#M~i yff'.f:i'i~.,l""i..." ..,I~,.! , : >' ..."..."...w;"<Wi'~wn'.~~~~~~:.:r.W:!,WIl' ~ ~, : "0"00" 916.974-7600 THIS CERTIFICATE IS ISSUeD AS A MATTER OF II\IFORMAnoN John O. Bronson CO. ONLY ANO CONfERS NO RIGHTS UPON THE CERnflCATE HOLOER. THIS CeRTIFICATe Does NOT AMeND, EXTeND 011 ALTER THE COVERAll!! AFFORceD BY THE POLICies BELOW. COMPANIES AFfORDING COVERAGE 805521212525 To:714 647 5406 P.2/4 A~ ;Jco)'-or6 3636 American River Dr #200 Sacramento CA 95B64 CCIotI'ANY A TrUnllQQntlnantllllnG Co "-':,tF'[O COMPANY i I Vanguard Vaults Inc B ind! V.i1guard Vaults L.A. DBA: DPSI COMPANY {;I!i'i~i: ,'i ~1~5~r~~~.t~~e.~ {J, J... L <.M~'''Y ,1~1~~;1;~%~:~~~~~1~~~i~~i!;i~m\~~~:,~~t~~~~t:~~,;;t*:y~~;~:;~l~!~!~;~~;;;:~~~~~~'~~~rti'~~~~~~i~~im:~ . , : iNDICAtED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY OCNTRACT OR OTHER COCl)MENT W1T1-l RESPECT 1'0 W"'~H THIS i 'CERTIFICATE MAY aE ISSUED OR MAY PlORTAIN. THE INSURANCE AFFORCEC BY THE PcLlCIES DESCRIBED HE!'IEIN IS SUBJ.cr TO ALL TH, TERMS, i . ';XCLUSIONS: AND CONDITIONS OP SUCH POLlCIE.S.lIMITS S!-fOWN MAV I-lAVIOl!lS::N REDuCED BV PAlO CLAIMS. ':l i ___T~~I TVPe.O!lIN~URANCf '\--:G-~'!'i'lr.,!. '.1AllltJ'I'V , VI ~: "..,C O.\';.y'~P'CtJU.. OeNt!RALLtp,UILIT'f r~> ClAIM:J MADE I]] OCCUR QWNIlfI.'$" ~CtlTFlACTQ"'$ l"Fll;IT , r ::j ~OMI1'!rr1!l,rA!QLITY I I X. i ,'INY AU'fQ ~r1 A" OWN'D AUTOS :>I.:NL!UUu;o A,u'l'OS __ HIflEO AUTOS NON.QWNED .l\UTnli , i I , ~ I '--T Arnarlcan Ca.z;ufiltv Co TransporlEltlCJn In' CD PDUCY NUMBER 'DUCy Eff'fCTNIi POLlCY l1'Xl'lnATlON DATS IMIUI'bb~'i1 OATI;lIMMfDOfYYI UMITS W20lo893110 111'-/06 1112/07 GefEA,l..I.AGaREOATi . PIIOI:IUCTS - cQMPIOP ACiG . PNClNAl... Al:lV II'IIJURy d 2001101111 .'lIOOODOII 1llOllOtlO I!ACH or.r;:ufl"f'~E .. 100DOOO ..,t .__.31000D . ltlOOO Flna DAMA.QU lAnv onlllll,1 I'\II!iDmcPIAnYDl1GlIlIr;llq) 6A2075693124 1112106 1/12/07 COt.1Blr.aeD 91N[I.& LIMIT lllOOlliO(l DOt1lLv INJURY jPQrPlIlacItI eoDllV ItoIJUfiV (~I>>Gl<tJ;rlll PROPERTY DAMACE r,-A~A:li \.'AmUTY o ANY AUTO H I . . f- 1 C' i ~CI:S~ I,IAJllUTI ; m 'JM5Rfl\.A FOR"" , - j i ---I oTHl;R.I'KANU,,"*REU"'FQfI~ '--'- , I womuns COMl>aI~A"ION At.IO l;'J1f'LaYJ:1l$' LIAImJN ! I f~e PRQf'RltiTQ'" R :"'" FAATNtl\S/EXWCt1TIVE. __ ')"r.1Cr,r1:S AFl~ (.)t(L ,-~- !-o-n,i:r.:- I PZ07aeeJ1Je 1/1 ZIOS 1/12/01 AUTO ONl....... ~ AC:C;IDIiNT , OTHER TMAN AUTO ONLY: i" '. EACH ACCII:N!NT , AGG.Al!t-.ATI':! . IfACH OCCUI'IAfNCf. .. :.:;::' "... ...GtlFlEaATf :ZoOtlDOa 2000000 . , . TWC.f!:Jif~1 'IOl.Ai-:, ;., ELl!ACtIACCIl;:,~r , EL. Cl$eA5Ii. POLICY LIMIT . ll1. OIGEASI! . tA EMpl.OYEE' d 104329575 6/19/06 6/19106 8\.lsinm;li Services 91 i?-r.ket :;mplQYQo Di::;honcatv Policy L. '. ,. CE!~Cfl!P'l'10N ';IF QPEnAT10NS/LOCATIONDNEklCLF.$15Pl:cIAL ~TEM5 "E: SERVICES PRQVIOEIJ TO T~E CITY OF SANTA ANA CEHTIFICATE HOLDER 15 NAMEO AS AN ADOITIONAL INSUREO WITH PRIMARY WORDING PER FOAMS CG2025 1169 ANO (l.lJ411c2.a 0601 ATTACHEO 10 OAYS NOTICE FOR NONPAYMENT OF PREMIUM XXX $16,000 limit/No Deductible ~ .dv/6 l;g~.~j;(,~.(9.A1:~tR~s~f:ff.i~i{f::m:i;~~:~;~:~5:~~W;7~'S!;if;f;~;;Fm?tfJE~~it:~~{~g~~:mr!:E'~~~:~a~:'9.~.~~A1j~~f'i:E;[~mFMWUJ;~Wim~;~~~~Jt~ggi:ti~~~~~::~~~:~TIk~:: CITY OF SANtA ANA 20 CiVIC C~NTER PLAZA SANTA ANA, CA 92701 sHoULD ANY OF THE .MOVE DESCRIBriQ pClI..U::Il$l IIi CANCtlt.lro Ul:FORC THE ~Plti.\TIO"" cAi'E THa::REiQf, Till: ICCUINQ: l;QMf'ANY WIlJ.' MAIL ~ i:lAVS WHI']"!'.!iN NOnCE '1'a 'THE CEflTIFICATl! HOl.DlI.R NAMm TO THE LE~. .,".........."'".......W",.,...a- "","-"LU'l'jIrLl..~/;I~ ulll:ll:i;l\ IIU~l:lnttDC'Ett1!llty t~:::::d~-D.::~:5)~;;i1}ij:~E~j~~iii~;LW!'ii~:i~:;P~7:(r; III AUT~~T^'JF \::\ ..'1-:c k::~}:6i(g:i~di~~~::!:~W.}~A=iWi:{:H!?:&~Plf*,1}E;:~;;r~~1Fm:t~t~w;,:J;~:m$PiW~~if~~~~Q:q:~~:1~6~6PO:~'A;iio~J-1,~,8.~~. Jl:GriN~cm=AI!'I'tl~~~_It'Q'\ ./J .,.,.:':..,...;t'.:ii.: .:~~."~~"'''..''', ::'~.: L.l . "." .. :0~-25-2005 04:47 From:DPSI VANGUARD 8055202525 To:714 647 5406 P.3/4 NAMED INSURED: Vanguard Vaults Inc POLICY NUMBJ;:R: 'l'P20'7SB93110 I:ili I . " ... COMMERCIAL GENERAL LIABILITY '11:1111 ~4.'~ END.. ORSEMENT CHANGES THE POLl~Y. PLEASE READ IT CAREFULLY. -ijt !'I :1'1 r :! : ~ ! I ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANiZATION II: ,II This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE Name of Person or Organization: CITY OF SANTA ANA RE: SERVICES PROVIDED TO CITY (If no ent~ appears above, informa~ion required to comple~e this endorsement will be shown in the Declarations as applicable to this endorsement) WHO IS AN INSURED (Section II) j,g ame\1ded to include ae an insured the pereon or organization shown in the Schedule, but only with respect to liability arising out of your operations or premises owned by or rented to you. ~2f~ CO 40 26 11 8S Copyright. Inl;iU(DnCC licrvicQa Office, loe" 1984 . 3CN-25-2805 04:47 From:DPSI URNGURRD 8055202525 P.4/4 '~A ..,n~ To:714 647 5406 G-134S02-B (Ed. 06101) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NON CONTRACTOR'S ADDlTION~L INSUREO ENDO.RSEMENT This andorsement modifies insurance provided under UI~ fulluwing: COMMERCIAL GENERAL LIABILITY COVERAGE PART An owner or other interest from whom land has baen leBsed by you hl)t only WiUl respect to liability arising out of the ownership, mainteMl1ce or Us~ of that specific part of Ihe , ytf5 ;; I/';; I, ./ ,_' .._._._M .. ...~ . .....-.-,--.-- - .-,,_._~., _.,..-- ' A. WHO IS AN INSURED (Section II) is amended to include liS ail insured ..ny person or organi~ation (called additional insured) described In paragraphs '1\.1.'through A.7. below whom you are requireq to . add as an additional insured on this policy under B wrlllf<n contract or written agreement; but tha written contract or written agreement must be: 1. Currenlly in effect or becoming effective ouring the term of this policy; or 2. Executed prior to the "bodily injury,' 'proptlrly damage' or '"",mon;;,1 Injury and advertlsing injury,' but Only 'the f~liowing persons or organizations are additional inSUred. und,,!! lhis endorsement and coverage provided to such additional Insureds is i1mlted as provided herein: 1, ADDITIONAL INSURED STATE OR POLITICAL SUBDIVISIONS - PERMITS A state or political subdivision subject to the fallowing provisions; (aj This insurance applies only with respect to the following hazardS for which the etate or political subdivision has issued a permit in connection with premises you own, rent, or control and 10 which this insurance applies: (1) The existence, maintenance, repair, construction, F.Jrection. or removal of advertising signs, awnings, canopies, cellar entrances, coal holes. driveways, manholes, marquees, hOistaway openings, sidewalk vaults, street banners, Or decorations and similar exposures: or (2) The construction, erectioll, or removal of elevators; or (3) The ownership, maintenance, or use of any elevators covered by this insurance. (bl This insurance applies only with respect to operations performed by you or on your behalf for which the state or political subdivision has issued 0 permit ThiS insurance does not apply to "bodily injury,' "property damage" or "personal and adverti~ing injury" arising out of operations performed for the st<lte or municipality. G-134802-D (Ed. 06/01) 2, ADDITIONAL INSURED - CONTROLUNG INTEREST Any parsons or org.miUltions with a controlling interest In you but only With respect 10 their liability arising out of; (a) Their financial control of vou; or (b) Premises they own, maintain or control while you Illose or occupy these premise.. Tills insurance does not apply to structural alterations, new construction ano demolition operaticn~ performed by or for such additional insured, 3. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PRSMISES A manager or lessor of premises but only with respect to liability arising out of the ownership, maintenance or use of that specilic part of the premises leased to ynu and subject to the following additional exclusions: This insurance doas not apply to: (a) Any "occurrence" which lakes place after you cease to be a tenant in that premises; or (1)) Stl'uclural ~lb'rlItions, new construction or demolition operations performed by or on behaif of such additional insured. 4. ADDITIONAL INSURED - MORTGAGEE, ASSIGNEE OR RECEIVER A mortgagee, assignee or receiver but only with respect to their liability as mortgegee, assignee, or receiver and ariSing out of the ownership. maintenence, or use of iii premises by you. This insurance does not apply to structural alterations, new ~onslruction or demolitiOn operations performed by or for such additional insured, 5. ADDITIONAL INSURED _ OTHER INTJ:ReSTS FROM HAS BEEN LEASED OWNERS OR WHOM LAND Page 1 of2 ,FF<~ i5-2007 THU 03127 PM 10HN 0 BRDNSON FAX N0. '. 0 ° ,q,;CCIl~t13, 'C~,~1"fIFICA7'E OF LIABIL.N"(Y 11V$URANCE DATE INOOOrvn PIirN>uG[n THIS CERTIFICATE !S ISSGED AS A~MATTER OF INFORMATlON~ ~- bNLY AND CONFERS NO RIGHTS UPON TH6 CER1'IFiC0.T'E fl}hA t) tJrum;L}JI (:U HOLDER. TH15 CERT1fICATE ODES NDT AMEND, EXTEND CIA 11j36 nO1Ul'ICiI ii 1(ia dl' I)r, SUilc?OD ALTER 719E CDVEgAGE AFFORDED 6Y 7HE POLICIES 6CLOW. _ µ hJcl"pnCaU>, C:A 95ACA __,,,__.,COMf+,gN~S AFFGgQ]NG COVERAGE,_,,.,_`., ,_~-. c} ~ G•97~1.78t1t3 wMAawv NalionAl Fird fns OfHnr[fcl'd tCNA, Maiiland, P1.1 1N:iiiji la ._~... ~.. L' anp,palel Vntl~ W. InL. cOMPSnNY Ama•ican CRSUnity Company (CNA, M.Iillnnd, f•'L.1 (nrD nd;litinn:J Ydn!uctl Indurrd hcla(w~(,~if~anyl fII~~A I ..---.,..~_ __... ~_...._..-_.._._ . _.._..-_..__._.._. I ` l ~ _~""- r ~ ll(J^___.- cDmUANV st""- urrari0n l11suranct COVLV,+n CNA, Mui[Iand,TL) f,IklifovY,{ ... ..,.. ... ,pv41T'ravoicrs(WaLnriCrrrk,CAJ ....___...__..._.._~. _ COVE;.tAOf::i ' 4HIt1 IS lr1 C.k:R'({FY TFIAY'I'!i5 r'ULICICS OF INSURANCE USI'ED OFLOW }IAVE ACkN 1R3UEU TO T'HE fN3URf..P NAMED ABOVE FOR THE POL.ICV G"'iRl!;D IIQr11441'i Y1, fJITfN9TFISTAPJgINf,. ANY 1180UIPC MEN'I', 'fkRM DR CONDITION OF ANY CONTINCY OR OTHER DOCUMENT KITH RESPECT TO WHICI' THIS I 16 MAY OC 13~Jk3 Oli MAY !'(:RTA1N, THE INSURANCE AfFORIJk'D BY 7NE F04CIE^ DESCRIBED }I CCgi I `ILIA' AND Ct1NhIg9 NG OF 5'UCH FOLIPF.S_ LIMITS 51, ,_,. ,_ ._-__. .~il.i_~, ~_-.` EHEIN (3 SURJHCT Tq ALL THE 11-RI n9, .C ,I,Ii ISpI. _„ -_. _ CD POLICY CrrlC71V[ PtlLICY E%PIRATIDN G! M"UPANI R POpI Y NUMUtO uMl7g (MMD IYYI PnT I,rA cd'Nqun M'rjlll.l'IV ~~-~~"p 10750110 --, IUWN MAY NADa fE[EN REDUCED BY EIMMrODNYI~~~-~~~~~~~~~ ~~~~~~~•~ L.O[I D0~ CN[PaL ACOAEGATE ! I Il, 00 c , s ~ oulvD7 olrkvos --_.`._._,..~ _~,--'--.. .•_.u.a6.6gL101, F,ENk'1LVL lIfiI11l.ITY ..,~..^_ p^~-._-••.--. T...... ); _ "_' ~ nowlcrs ~ CDMPIDP Acu o 2,110(1,00(1 t't NIA9 M+Di. ~(, 10.'.CUf1 ~ PCPSONAl~3 AGV VUURY ~ C~ ~-~ (_~~, rV I ~5 -: _,_.,._W._._. __ 1. 011]'!0. ' sm'a.F'd Y~rl.Nrnacuur;; Ynor ~ eacH CCCUNnrrrcE a ~ „L,060,Q(10 ~' _ -.,_ ___... _.--_...__'M[D E%P nor xxx'prxva p•._...'_'- -,770,00 A IO,f.,001 .. ~ h7n u P li ~ ~ _. I . .. .__. _~ .,-._.... _, __...,_. ~ .. '; u rev AUlD Yn.n v..._ .. ._._- all K . -....~ 1i.4^_(J75B97124 .-__ .-. ._.. 01/12107 0)/12/DS CQMdINCD SINGLC LIMIT y I,OPD,[i001 II rll i. W VNC^ AJ'fD3 ~~- { dODILV IN,IVHY d Ll %4hf (fU;ll'.,A7r09 IPOI Pu~rw ll~~~. ~..-.. ...._ I III II,U AIATtleI ~ - '~' BODILY INJURY A NI; N UWN[I] M1u rD3 IPnr ocr.IxunU ..i ~~..,....,. .. _. .... ... ,.._ PNOPCOTY PAMAD:: 1 I ,,,, . ON IIITV ~ DTHfN THAN CA ACCIO(.NT TC `N~_ aU1'0 ONLY: i LNV'gll~... _... ._. ~~~ .._~_. _~ ALH wCCIOLNTN e l I _ ~_-___ ._ 1JI207559S 13N 2q[t [A Ir^Ib1W4114 ~ -- - 01712N7 OU12/OB AAGi91 GaTC PI NC[_0~~ ~1i't O~Ifi J f A UIMI n;LwI SH'ul fp~ . f7(I GA nr UIM:1HIFLA r0U1Vl ( DXn " Mlfh.. LUMI'L V.'AlION 6`Iq ~ 7 Ymiruln r,^.~qna my I 1t1.1Y11h111S~t LWi Inr,l n4l,n raR/ ' III` EL enm+acclncmr 1 ._ ..~- AI'ipu ir,T XI [,U'IVE '/GL EL DIEFASC-POLICY IIMif / "_.. __. i'1119f Lh+Ar(I FYCL CL OIS[ASC~ka CMr6PVCC e OrAUI __.. _- ._...-~. .. ~..,.__ ,3v; ~urHy Nrrvicca i 1(19324573 O$!V)!OG 0,5/19!07 Lirtnkl .515,000 AY i 1la:,F cl P.rnll7u)'''C I:h::fulPny,ly No Dcduc@b!c Palik~y ~T+/~ ]FaJ111li fluty tlP OYf.IIA'!fl)N9,ADrATIUN9fVEH1L11;5151Y.C4AL II;Mg~ ~ ~TT-.~'~ ,. 1;(: ED.6:Vie'L9 PR(JViI)FiII 1'0 Ti II: CifY OP SANTA ANA fl'J l' Ui~ FAN'I'A AhIA Laura Sr;J[ .i l; Lizy ul'7D;7ti'alnl Asws[ant Chy At[or:;cv :AT k HD;.DEf{ f .._,~~-'~^~~m~ ~ - ~ ~ ~- CANC.Ff A A'1'1nN ^nl0 Unv Nnxtcc Ynr Nn rrrYOrSnN'rnnnn n'1-r"PJt GYNf7A ItiCLi,Y/W PO SIiRVI(']35 rIT c;ra)c (~rn~nsr~ rL,nrn M-I z snrarnnNn,(~n ~z~o) AiZJ1CR ~Y:s (fci ~j._.. f SHOVED ANY Of THE ASOVE DLgOWNCD POLICIES OE GANCI:LLFD Ir.FOgE 1HE E%HMTION DATE TIIEPEOr, THE lESUING COMPANY WILL ENDEA /GP TU NON 30 DATE WNITTFN NOTCE TO 1'HC CY:RTIFICATE HOLDRfl NAMPU TO YHE L[(i, 01IT fAgNrtE To MAIL gVOH ND71CC SHALL IMPOSC NO DSLIGATeOAI fi/1 F+40RRY Os 0.NY %IND DPDN TIlC COMYANY, IlS ACENf6 pq REPRCSFNTAIIVE;. AVTIIORIZEP IIEPRE%kT1TATIYE ~'~--'- -~-~'~-"~"'~-~ --'"--- I~~~~ //~~ t~' +n/ ACDRD CDRF lAT'0?I }BE71 _.._ .._....._T7'" Q F~E1-15-2007 THU 03:27 PN JOHN 0 BRONSON FAX N0, • F, 'J (3179:171:9 010'1 PJAMf,.t? IIUStJRYir): 1'nngwud Vnu4le ]nc PULIGV PJI.+h"THf:[i: C'P?.U75S93110 Page 7 of 2 {MPOEtiY'ANP: THIS ENDORSEMENT CONTAINS DUTIES THAT APPLY TO TtiF ADD!'T'{t~NAt. iNaURI~D IN THE= EVirNT OF OCCURRENCE, OFFENSE, CLAIM OR SUt7. 5EE lyAPZAGRAF'I•i C.'1, i~F TH15 ENDORSEMENT FOR THE5E: E]UTIES. A(..r.3C;), 'THIS EN~J~IRSEINENT CWANGES THE CGNTRACTUAL LIABILITY COVEF7AGb: Wll'1-I RkSf'EC'f5 "1"d TWt; "~30QILY INJURY" OR "PROPERTY [)AMAGE" ARISING CfU ~' Cif- `f11k: "PRdDIJC;°'fS-CgMPI.ETl=l7 OPERATIONS fiAZARD". SEE PARAGRAPH 8.3. CIr ThllS E:.NOOI~SkMEN'f FOR TWlS COVERAGE CHANGE. Tf•i!S ENDCiFiSEM~:N'f CHANCES TWE POLICY, PLEASE REAP IT CAREFULLY, ~: t'~NTI'~AC1"C1R`S SCN~DULED AND BLANKHT ADDITIONAL 1NSURE'C+ i~NC."~+~~S~M~NT WITH LiMITEd PI~ODUCTS•COMPLETED OPERA7lONS COVERAGE 7hiu e:n':IC~1•Gemtnt rno.tihes insurance provided under the fallgwing: C[,?L1MCr;CalAl 4EWN5RAl_ LIAEiILITY CPVERAGI~ PART SCHEDULE N~tnsa 47f Pcrsc=n ar Crrclirnization: {;1'I'Y c,7P 4AfY']'A ANA Addrarrr;;s 2t) C'!VI(" CIi1J'i'1?R f°C.AZA M-12 SANTA ANA, CA 927Q1 pratc,nairrsd i'roject: 1Z f is Sl3fiV1C1i51'lia)vli,Jtif.)'1'D T'h1C1 Cf1'Y C)tr SANTA ANA iF',o~aeraga under if~is rndarsemont is not affected by an entry ar lack of entry to the Schedule above.) A, tNIiU I5 !1N fNf3UER~U ISectian Iq is amended to Include as an Insured any person ar organization, Inc;luan5g +ar;y per."on araftJanixation shown In fhe scftedufe above, (called addltional insured) whom you are requlrecl to :adrl a„ an adr,litianal inyurecl an this policy under a written contract or written agreement; Aut the vdr'J.tcn r.,crnl,raci sir writfon agreem ant must be: 6, i3urrFmtly in caFert ar becoming effectlvo during the term of this policy; and ;E. Cxr,~cuted I:~rinr la tits "bodily injury," "property damage," or "personal and advertising injury". Iii. 'fh~s insurariee provided to the additional insured (s limited as follows; 9. 'fhak parson or arganlz;ativn is an addltional insured solely for liability due to your negligenaa sperific:atly resulting from "your work" for t'ne additional insured whlah fs the subject of the written contract ar w"ittnr agreement, No coverage applies to liability resulting from the sale negligmnce of the additional insursr.'. 2, The Umlts of Insurance applicable to the additional insured are those specified in the written contract or writt~.n rrElreement or in the Declarations of this policy, whichever is less. Those Limits of Insuranc<: are. h~clusiva nf, and not in addition to, the Limits of Insurance shown in the Declaratiens. ;!, 'Ina coverage provided to the additional insured by this endorsement and paragraph f, of the d~fiait:on of °insl.rrrd cr~rrkraca" under DkF1Nl'f14N5 (Section V) do not apply 40 "bodily injury" or "property d:~r~ngc' arising out of kh~a "praduots-completed operations hazard" unless required by the written con:rsrrt ar written a;}reement. When coverage does apply to "bodily injury" or "property damage" arising ou`. of the "products•compteted operations hazard" such coverage will not apply beyond: a. '1 he pi:riod v}Lima required by tho written contract ar written agreement; or A:'PIfO~Bll A`'S'+fT?O FORM Ae.,rs[aa. guy :; i~un~ty hill-i5-2007 THU 03;28 PN JOHN 0 BRONSON FAX N0, F, 0;? u'I%`3G7t~, fi1Q1 Page 2 of 2 h, 5 yt~arS from dt~a rnmpletian of "your work" on the project which is the subject of the written wont+'act ar written agroemanC, v~hir:hever is le5s'. ~. 'f iv ;insurance ,nrnuided to tits additions! insured does not appry to "bodily injury," "property tlamage," or "f%c:YSOn.el sock advertising injury" arising out of an architect's, engineer's, ar surveyor's rendering ct nr trtilura bs rends: r any prgfosslanal services including: a. ~{1i:'. preparin,y, approving, ar failing to prepare or approvo maps, shop drawings, opinions, reports, surveys, tl4:ld orders, change orders or drawings and specifications; and tr. Supcrvlrar~ry, ar inspection activities performed as part of any related architectural or enginerriry activities. t,,;, As raepects thn covcrag~: provided tinder this endorsement, SECTION 1V -COMMERCIAL GI;NEY'.~+.4, t.i,~k3tt_il'Y CAN(JiTIpNS are amended as fellows: 1. '1'l~,a foNovdin±~ i5 adrJed to the l7uties In The Event of Occurrence, Offense, Cialm or Suit Condition: a. An addition Jl insurt:d under this endorsement will as soon es practicahle: ('1) Give written notice of an gccurrence or an offense to us which may result in a claim or "suit" tmdee' ihi.=.> ins+dmnce; (2y '(dnu~Nr khP defenso and indi:mnity of any claim or "sulk" to any other insurer which also has insure^ncua for a lass we cover under this Coverage Part; and (d} Agrgc fa ntak u available any other Insurance which the additional insured has for a loss we caat~r untt::r this Coverage; I~arC. f. W~ hr+v:, nq duty to defend or indemnify an additional insured under this endorsement untN rre receive writta:n police aF a claim or "suit" Prate the additional insured, 2. Mtrragrsph 4,ka, of tho Qther tnsuranco Condition is deleted end replaced with the fcpowing; p, ttJthor ir'rnsn:ancc 17. E.x,;e;srslnsurance This; insuranra i;~ excess over any other insurance naming the additional insured as an Inaurxxl whr„char prirr~a;y, rxcoss, contingent or on any other basis unless a writtr*n contract or wri!;,gin ago:;ampnt sp?aificaliy requires Utat this insurance be either primary or primary Ind nonrrn(rihuting. Ai ~~.Rfl1/rll AS TC FORM iaura ai:. . ~~~1,T' y Assistanr ::rxy t;uarr,ey FkE3- 5-2007 THi1 03128 PN JOHN 0 BRONSON FAX N0. P, 0'i /a l ~f?l~,„ CBR"{`IFICATB O~ LIABILITY INSURANCE DAir;Mlnlnn,YYl _ C2/1.f2(f4? vl4npUC,r ~ TH13 CERTIFICATE I5133UED p5 A MATTEA OF INFGRMATION ONLY AND CONFERS NO glGNTS UPON THE CEgT(FICq I'E ,Ig110 (7 '..)r0A`%Oil Cu HOLDEN. THIS CERt'IF)CATE DOES Not AMEND, EXTEND GR 3Q13f1 It111PflCilry 12iVCY LYf, 5uGL 20(1 ALTER THE GOVERACE APFOgDED SV T}IE POLICIES SELOW. _ $OCralttcph?, C"A 95664 _ ,_,-.._,,, CDMPANIFS AFFCHDING CCIVERAGE~ ._,_ __-_ ,. '71h-97"--7R1)U cDMPnNY A TYampnnutlnn [nnur0nec ('nrnpany (CNA. M'ai1lnnJ. Fl.) Iri'iutiiD .. ~._NlNxinu[llrlnills.lnc~_.... ._.._ ..... __... __ ._....__ .~.~..__,_._,_._.__.._..~. --.__ _._. ._... .. __ COMPANY B 11750 Feur Fllra [yik C4Rr,v, CA 95bt4 C¢VffiAL;ES ' 111' i I:I 'IG i1EFlTIFY I'fVA7 YHL I'YTL ICILS Df• IN^aUpANCE LISTED BELOW HAVE IhUICnTLf), h10'PWi BIC fAfrUINLi ,4rJY P:EOUTAEh-0EN'L TkRPA 011 CONDITION Of CF 11711 ICAl'C' MAY CE I5,",UEtI Dit MAV PFRYAIN, rHE INSURAryLE AFFORDCO FX!:1.4n~17pl ~i AMD CON01'I l0"IS qP SUCH POLICIES. LIMITS EHDWN MAY I _. .._.. ...... _. ...,~.._._ ..__. ..... .., ~ __.. .._,......_....,._._...._.J._ Tpl YYDC tx4N,IInnNR Yd{(CY NUMPEn ~~nI NL,NI.I IAIIP.IYV ~,.041iJrRCl,at 05N IIAL IIr,[tll.ll'Y ~ri,nxaL Mr•iYL L..~u:Gatc ,;nVJI'nY & CUVT(UGlfib'9 rnDr ., . n'n'oc4Nd,IJ, l lgcN ICY . _ . ...,.. ..~ _._ . __ ..._.. __., ___..... 7 W,'AU'10 ..,U.nwmcD nnroN ' "CI I DIILI,N ANTC, ...~ .nv'I: Au rns N01,~4TWNLD AUIpC ..,I ... .. ~--... _. .. .._.. ., .. ..., J-.. , ...__..,,..__~~...... ~~..._.._.___...~..-..~......__..._~..~~. cA)'v, r.3 unnll rrr `'nlly unto ....I . ... ....... .. _.. r e ldetnl.lrv Llr,lNll,u.n ~ ll, I II Ii TN,AN UhilN,i I to I DI'J`n -.. .. :... .......hOHM 'YOLhi I!;J UDMDf:I1.SnT100 /~~ti7 ~-... .._ __....__.. .__. FNPU?YU~~~r LIA¢unrr I WC'?03.985f 311'1 .A ~ ry4 Mlul^uILYpO/ 1 MCL 1 I°n9 N(''dft NCGh i IVl pll ~'~IV,'/ ARE.' .~ _. TNCL .. .. .. .......... I} . _.. ___.- ___ . -. ._ ..~-__ Oll4C cpMrnnr _c _ COMr'ANY .~-. ~^- p N ISOUED TO THE INSUflEp NAMED ABGVE FOR THE POLIIy (FEI1107 V CON'iflACT CR O'PHEfl DOCUMENT WITH RESPF C'i TO WHICH THI;; THE POLICIES DESCflIGLp HEflnN IS SUBJECT TD ALL THE TF.eh99, N REDUCED DY PAID CLAIMS, CPP[CYIVE POLICY C%PIMTION PMITS drtiE (MM7bDlYY) DAYf IMM1DDIYYI ,_.__ __.. _..-_ ~ ."._.. __. . PHOpUC,S ~COMPICP AUC 6 PtnCONALB FDV INJQryY S EACN OCCUMkNCE 3 FIRE DAMAGE IAOY P,+P 4m1 -y _ 6 MF.L) FNP IAIIY ndP P_r'':onl. ,~^ 9.~_i_..-~....~ 9pMBINLO D1Nr7tC LIM,f .i - OpOILY INJUFY r.., ...,.,..,,~, _ - , 0 I~eiaocl~i;~~~~•• C f RDPt H'rY DAMnGE ~~~~~-_ --J• AUYO ONLYV Cn 4GC,D[N,• f ~ ~-~~_~~~-_- ~~, D,11CR TNAN AU'I'D pNLY _ -~ ~_~`~~-~ EACI1 ACClOCNI a ~•,.--• •~ nOGHCGArE 6 ~. _ [ACH OCf,UHn[NCL B _."-_~,..~._... .__ ~~~~_-~ ~ ~.~ ._.. _..r AGORCCATE ___ ~ ~..~_. _ 07!01/06 .__, ..-, 07!(11/07 _,- -_._. ._. TyVC STATU: -7-1CTN: . xJTIrBY,>~1tSS.-1__.LCJL_ ~ ""--'~-'-` ,1 kACN ACQOCNi L, , Ii ~ ) I,CDD,OOD ` ~ EA UI_CASC-EA CMPIpY LE Y u _.1.[k;hCOC I UI G:DIf IICIY C GGR}'I P'1CgTll HCICEH GANCELLA710N •„`'IR DPy Nblire lur Nbn-Pnynarol/Nnn-IWp',uliPC`*" -IIONLD ANY OP iNF ABOVC DFSDRIB£b POLICIC5 EE DANOHLLfD P,:rDNE YNE gKpIRAT10N DATE THSnEOF, THE ISSUING GOMDANY W)LL cNDkRVOn Td ,VAIC L'{ { ~', (~[' SA N,1 h ,~Nrt 7O 00.43 WflIT1TN NOTICE Ttl YXk Ctxl'IPICAYC NOtb[n NAMCD i'+ TIIL LkYT, BUT FAILURE TO MAIL SUCH NDTICE EbAI,L NAPO"E NO OptlGATMU! i.R l!0.-IlffY AI;I'N~I,YNDAKB[.LYfINPOSfsRVICEiS dFANYNRppUPONiHEdOMPANY,ITBAGCNTSpp-EPflCBFNTAT1435, +1}S'jV{~~Y:N{1{:('i{P{,Y~ AUTNO-IZF:O NU'RE3LNTATIYL' ShN'I`A APIA, ('1t 92'70 .1 ~~j/[,i~ ~~$ 1'© r-' ~M "r _.._..._ .... _. ....._ _.__ _ . _,.-...-. -_ ~_ _.. ~_39~d0~ CRP LITIOi~1~96(~ Laura, al.,~ _ Assista,x t;r[y , Lr,,