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HomeMy WebLinkAboutASICS SOUTHERN CALIFORNIA WRESTLING ACADEMY - 2007m' AGREEMENT TERMINATION �J: E M3t °: kpTp ,. 41L Please complete this form when the attached agreement is no longer We_ffect -` Return form to the Deputy Clerk of the Council (M -30). Call 647 -5237 if you have any questions. The agreement with No. t l - x00-7 - (3 L4 was and final payment has been made. Revised 06 -14-07 pleted on o v Department: IV Signature: �j Qom) "W, - Q Date: �i([�► City of Santa Ana Clerk of the Council C, Zoo? J INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES -D~ CLERK OF COUNCIL DATE l l 'a (o'~~ N-2007-134 b ~~~ Rec g~o,„M.SVCS. (3) CONSULTANT AGREEMENT o„, kirs [^i~rla.~ THIS AGREEMENT made and entered into this 17~' of October, 2007 by and between ASKS SOUTHERN CALIFORNIA WRESTLING ACADEMY, a limited liability 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 collegiate style wrestling classes, to provide instruction to children through the City s Leisure Class Program. Q. 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 provide wrestling instruction as set forth in Exhibit A 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 Exhibit A. 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 December 31, 2008, unless terminated earlier in accordance with Section 12, below. The term of this Agreement may be extended upon a writing executed by the Executive Director of Parks, Recreation and Community Services and the City Attorney. 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 insureds) 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 farm attached hereto as Exhibit B upon execution of this Agreement and shall be approved in form by the City Attorney. b. Reserved 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. (ii) Certificates of insurance shall be famished 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. INDENINIFICATION Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, consadtants, special counsel, and representatives from liability for personal injury, damages, just compensation, restihrtion,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 1 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 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. 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 copy to: Executive Director of Parks, Recreation and Community Services City of Santa Ana 20 Civic Center' Plaza (M-23) P.O. Box 1988 Santa Ana, California 92702 telefacsimile (714) 571-4235 To Consultant: ASKS Southern California Wrestling Academy Scott Glabb 1737 Pitcairn Drive Costa Mesa, CA 92626 Telefacsimile: (714) 567-4992 A party may change its address by giving notice in writing to the other party. Thereafter, any 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 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. ]n such event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultart prior to receipt of such notice of termination 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 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 its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 16. MISCELLANEOUS PROVISIONS a. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. CITY OF SANTA ANA ATTEST: PATRTCIA E. F(EAL Clerk ofthe~~uneit APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney By: Lau a Sheedy Assistant City Attorney RECOMMENDED FOR APPROVAL: l~~'~ "" _ GERARDO Mt Executive Direc Recreation and of Parks, nmunity Services DAVID N. RE City Manager ASKS SOUTHERN CALIFORNIA WRESTLING ACADEMY SCO GLABB Owner TAX ID# 2~a 3221 I a~ 2 0 EXHIBIT A SCOPE OF SERVICES Consultant will teach Collegiate Style Wrestling for kids beginners, ages 5-13. Participants will learn fundamental wrestling skills at a pace suitable for young children. Interactive games and drills will be introduced to help the participants develop the balance and agility required for wrestling. Participants will be instructed on nutrition and fitness -essential skills for a champion wrestler. Classes will be held on days and hours mutually agreed between Consultant and the City, at Santa Ana High School Wrestling Room. Each class will have a minimum of 10 and a maximum of 30 paid participants. If the minimum number has not been enrolled by the first class, the class will be cancelled. Consultant will provide and be responsible for equipment, records, personnel and clean up of the facilities and materials necessary to ensure the safety and effectiveness of said instruction. If Consultant allows others to teach classes, those teachers must be over 21, have obtained and maintain an instructor rating and be covered under the Consultant's insurance. Consultant will provide written documentation regarding instructor and insurance requirements. PEES Each participant will pay a $25.00 registration fee per monthly session. No refunds will be made after the second class meeting, unless the class is cancelled by the City. City will register and collect fees from participants. Consultant shall direct interested parties to the City for registration. Consultant shall receive 70% of registration fees collected by the City. City shall receive 30% as an administration fee. City may audit Consultant's records and classes to ensure compliance with this Agreement. Consultant may not waive class registration fees. City will prepare a class roster. Only registered students may participate in any class. EXHIBTT B ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company This endorsement modifies such insurance as is afforded by the provisions of Policy # relating to the following: 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 pcrfonned 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.) Effective Policy # _ Issued to this endorsement form as a par[ of Named Insured Countersigned by Authorized Representative ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE112/2007 YY) PRODUCER Phone: 1540) ]4]-95]3 Fax: 13 031 422-7 2]6 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Camp Team ONLY AND CONFERB NO RIGHTS UPON THE CERTIFICATE 7615 W. 36Th Avenue, Uni[ B-109 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Wheat Ridge CO 80033 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Capitol Indemnity Ins. Corp Asics Southern California Wrestling Academy! INSURER B: Santa Ma WOltpack Freestyle INSURER C: 7737 Pitcairn Dr. CA 92626 Costa Mean INSURER D: , INSURER E: Cf1VFrJ Ar:FS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. INGS LTR AnDT rao TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY POLICY NUMBER 0500216051 POLN:Y EFFECTIVE DATE (MEVODIYY) 11/12/2007 PoLICY EXPIRATION DATE (MMDD/Yy1 03/0112008 LIMBS CH OCCURRENCE DAMAGE TO RENrEO PROMISES (Ea occueencel 1,000,000 100,000 CLAIMS MADE X OCCUR MED. EXP (Any ane person) 5,000 A X INC ATHLETIC PARTICIPANTS PERSONALSADV INJURY 1,000,000 ENERAL AGGREGATE 2,000,000 PRODUCTS-COMP/OP AGG. 1,000,000 POLIO PRO- LOC JECT UTO MOBILE LIABILRV OMBINED SINGLE LIMIT $ ANV AUTO Ea acciden0 ~. ALL OW NED AUTOS BODILY INJURY SCHEDULED AUTOS Per perwn) HIRED AUTOS BODILY INJURY NON-OW NED PUTOS Per azcitlent PROPERTY DAMAGE Per azcidenl) GARAGE LIABILITY UTO ONLY- EA ACCIDENT ANV AUTO THER THAN EA ACC UTO ONLY: AGG %CESS /UMBRELLA LIABILRY ACH OCCURRENCE OCCUR CLAIMS MADE GGREGATE DEDUCTIBLE RETENTION$ ORXERSCOMPENSATION PNO W C STATU- NPLOVERS LIABILITY V PROPRIETOW PARTNERIE%ECUTIVE .L. EACH ACCIDENT FFN;EfUMEMBER FSCLUDE09 .L. DISEASE-EA EMPLOYEE yes, tlescribe mMer PECIAL PROVISIONS below .L. DISEASE-POLICY LIMIT ~6 THER: DESCRIPTION OF OPERATIONSlLOCATIONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTS/SPECIAL PROVISIONS Wrestling / CA Policy Deductibles: $0.00 per each bodily injury / $500.00 per each property damage claim. See Attached: CERTIFICATE HOLDER CANCELLATION City Of Santa Ana 20 Civic Center Plaze Santa Ana, CA 92702 Pf 1"~'1? ~ ~'/ ~: -~ f"~ ~~~ ~Q~Z 'lam' ~1 ~ .1>/2_--- Attentlon: -----1~f``... ~.-...::. _. _ °.ltccrcey SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION GATE THEREOF, THE ISSUING INSURER WILL MUIL 30 DAYS WRITTEN NOTICE TO THE '. CERTIFICATE HOLDER NAMED TO THE LEFT . Bob Leid ACORD 25 (2001/08) ©ACORD CORPORATION 1988 POLICY NUMBER: CS00218051 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED-OWNERS, LESSEES OR CONTRACTORS (Form B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY SCHEDULE Name of Person or Organization; City Of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92702 (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 liability arising out of "your work' for that insured by or for you Additional Insured(s): The City of Santa Ana, its otticers, employees, agents, volunteers and representatives, With respect to claims arising out of the operations and uses performed 6y or on behafl of the named insured, such insurance as is attorded 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 insured, are added as additional insured in regards to the operations of the insured. CG 20 1011 85 Copyright. Insurance Services Office, Inc., 1984 Page 1 of 1 ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DOIYVYY) 02120/2008 PRODUCER Phone: (BOO) 747.9573 Fax: (303) 422.1276 THIS CERTIfiCATE IS ISSUED AS A MATTER OF INFORMATION The Camp Team ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 7615 W. 38Th Avenue, Unit B.109 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Wheat Ridge CO 80033 ALTER THE COVEIlAGE AFFORDED BY THE POLICIES BELOW, __/1/- ~_o 9 7 -:. J 3,)./__ INSURERS AFFORDING COVERAGE NAIC# -"-- -_. __._______._____0__.._ .-- 1---- INSURED INSURER A: Capitol Indemnity Ins: Corp .-.--.---- !-. Asics Southern Cali10mla Wrestling Academy I Santa Ana I-'NSURER B: --'. Wolfpack Freestyle f'NSURER-C: . ----t-- 1737 Pitcairn Dr. - Costa Mesa, CA 92626 ' INSURER D: .- _m i 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 ,_ AOOl TYPE OF INSURANCE POLICY NUMBER Prfi;~~~~';~~)E P~~: ~~~~~ WIlTS LT" ...., GENERAL LIABILITY CS00218051 03101/2008 03101/2009 EACH OCCURRENCE ~ 1,000,000 I X AMAGE TO RENTED f$ 100,000 COMMERCIAL GENERAL LIABILITY REt.lISES (Ea OI;(;unencel I CLAIMS MADE I X I OCCUR MED. EXP (Anyon. person) r> 5,000 A X tNC ATHLETIC PARTICIPANTS ERSONAL & ADV INJURY ~ 1,000,000 3ENERAL AGGREGATE 2,000,000 RODUCTS.COMP/OP AGG. 1,000,000 i POLIC1 I PRO. I I LOC JECT ! ~UTOMOeILE LIABILITY PoMBINED SI NGLE LIMIT ANY AUTO Ea acddenl) I ALL OWNED AUTOS eOOIL Y INJURY -) L SCHEDULED AUTOS Per person) J"'-' f-, HIRED AUTOS , ~ .... .'" NON.OWNED AUTOS BODILY INJURY C,O; Por accidenl) I -, I ROPERTY DAMAGE Per accident) ;.,,", GARAGE LIABILITY . UTO ONLY - EA ACCIDENT ANY AUTO I THER THAN EAACC ~,.. ~ I LITO ONLY: AGG $ ~XCESS I UMBRELLA LIABILITY ACH OCCURRENCE $ Cf.? I I OCCUR I I CLAIMS MADE GGREGATE ". - $ \ -... , .- "J lY DEDUCTIBLE 1> RETENTION $ S ~-- .- I~~RS:A~~~~ I I nM" ~~:t~~~;P~::,~~~TKlN AND JANv PROPRIETOR/PARTNERlEXECUTtve .L. EACH ACCIDENT pFFICERillEMIl~R EXCLUDED? .L. OISEASE.EA EMPlOYEE ~ ~f yea, describe under ~PECI"'L PROVISIONS below ".L DISEASE. POLICY LIMIT ~ pTHER: -.---- DESCRIPTION OF OPERATlONS/lOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTSISPECIAl PROVISIONS Wrestling I CA Policy Deductibles: $0.00 per each bodily injury 1$500.00 pcr each properly damage claim. Additicnallnsured(s): Cily of Santa Ana, its otlicers. agents, employees, representatives, and volunteers, All participants. staff and facilities as scheduled with the company are added as addillonal insured in regards to the operations of the insured. This insurance is primary and non-contributory to any other insurance held by the insured in regards to the operations of the insured. CERTIFICATE HOLDER r City Of Santa Ana - , 20 Civic Cenler Plaza ! Santa Ana, CA 92702 I i;yp I;'~-,_-;?L, 1/ L I Attentlon~___H/':?\':__ (~_ h_ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL !.tAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. ...!^~~""'-~~~~ ':"~~~_.. ACORD 2S (2001/08) @ ACORD CORPORATION 1988 POLICY NUMBER: CS00218051 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULL Y. ADDITIONAL INSURED MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE 1. Designation of Premises (Part Leased to You): City Of Santa Ana 20 Civic Center Plaza 2. Name of Person or Organization (Additional Insured): Santa Ana, CA 92702 This insurance is primary and non-contributory 3 Additional Premium: to any other insuranc~ held by t~e insured in . regards to the operatIons of the Insured. (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 liability arising out of ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions: This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person or organization shown in the schedule. CG 20 11 11 85 Copyright. Insurance Services Office, Inc., 1984 Page 1 of 1