HomeMy WebLinkAboutESSERGY 1B-2011VORKM ?` `''' A-2010-026-02
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LERKnF AGREEMENT TO EXTEND
?arF FE8 UNDER THE WORKFORCE INVESTMENT ACT
0 3 20H(AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009)
THIS AGREEMENT TO EXTEND, made and entered into this 18,' day of January, 2011, by and
between Essergy Consulting ("Contractor") and the City of Santa Ana, a charter city and municipal
corporation duly organized and existing under the Constitution and laws of the State of California ("City").
RECITALS'
A. The City and Contractor entered into that certain Agreement Under the Workforce Investment Act
(American Recovery and Reinvestment Act of 2009) effective February 1, 2010 (Agreement 9A-
2010-026), hereinafter referred to as "said Agreement".
B. Said Agreement was amended on September 30, 2010 (Agreement #A-2010-026-01) in order to update
and clarify Contractor's Budget and Budget Narrative.
C. The parties hereto now desire to extend the Term of said Agreement.
WHEREFORE, in consideration of the mutual and respective covenants and promises hereinafter
contained and made, and subject to all of the terms and conditions of said Agreement as hereby amended,
the parties hereto do hereby agree as follows:
1. Section III. "Time Period of Agreement" is hereby extended through June 30, 2011. As set
forth in Section IIJ. of said Agreement, "The term of this Agreement may be extended by a writing
executed by the Deputy City Manager for Development Services and the City Attorney."
2. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged
and in full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement to Extend the date and
year first above written.
APPROVED AS TO FORM:
BY: ?-
Lisa E. Storck
Assistant City Attorney
CITY OF SANTA ANA
COMMUNITY DEVELOPMENT AGENCY
BY: & Z?b 61
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Cynthia J. Nelson
Deputy City Manager for Development Services
ATTEST:
C/16 ziT--a /A
MARIA D. HUIZAR
CLERK OF THE COUNCIL
Policy Number:
Date Entered: 1 n is inn, n
'4? RO CERTIFICATE OF LIABILITY INSURANCE
1 DATE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
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License # 0756665 (8
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9114 Adams A
#144 MAa .cindiQAdamsAveZns.com
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CUSTOMER C
Huntington Beach, CA 92646
INSURER(S) AFFORDING COVERAGE NAIL
INSURED
WRJ-GT LLC
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INSURER8:United States Liability Insurance Co
Jill Dominguez INSURER C :
235 E Broadway #520
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CA 90802 INSURER D
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INSURER F :
-- i+ nunmcr.: 11tVI51UN NUMBER:
rule Io TO ctr<ur¦ II'fAl THE rVLIG1E5 OF INSUHMIGE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED NOTWITHSTANDING ANY
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DCCUAIENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY Be ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED
POLICIES By I HE HEREIN E T 0 A A TH - TERMS. EXCLUSIONS AND CONQ TONS OF SUCH LICIES. LIMITS A BEEN REDUCED BY AID CLAIMS,
INSR ADDL 9U8 POLICY EFF POLICY EXP
POLICY
M
LTR TYPE OF INSURANCE POLICY
NUMBER
INSR -9a
GENERAL LIABILITY
EACHOCCURRENCE S11000-000
A I CON1MERCIALGENERALUA61LITY X ENTED
SBP212192-3 9/1/2010 9/1 Oil PREMISES Ea occurrence $ 300,000
CLAIMS-MADE
OCCUR
I>
O F
MEDEXP An One Crson
$ 10,000
D Y
S
I PERSONAL a ADV INJURY $
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? inc
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' •
.t•1A' GENERAL AGGREGATE $ 2
000
GENLAGGREGATE LIMIT APPLIES PER:
G-
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PRODUCTS - COMPIOP AGE; ,
,000
$2,000,000
POLICY P"0. LOC 1 C
1 $
AUT OMOBILE LIABILITY
t A110"
City COMBINED SINGLE LIMIT
$
A ANYAUTO X Assistan (Ea acdden) 1,000,000
BODILY INJURY (Per person) S
ALL OWNED AUTOS
SCHEDULEDAUTOS BODILY INJURY (Per accident) $
HIREDAUTOS
SBP21219201
9/2/2010
9/1/2011
PROPERTY DAMAGE
(Perauddent) _
$
NON-OWNEDAUTOS SBP21219201 9/1/2010 9/1/2011
$
UMBRELLA LIA9 OCCUR EACHOCCURRENCE $
EXCESS LIAR CLAIMS•MADIE
AGGREGATE
§
DEDUCTIBLE
$
RETENTION $ S
WORKERS COMPENSATION
ANDEMPLOYERS'UABILITY YIN WC STATU- OTH-
TORYLIKIIIS ER
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED? ? N1A E.L. EACH ACCIOENT S
(Mandatory in NH)
flyas , describe under El DISEASE- EA EMPLOYEE $
DESCRIPTION OF OPERATIONS below E.L. 04SFASE - POLICY LJMIT S
B Professional SP1018037 7/13/2010 7/13/2011 Each Claim 11000,000
Liability Aggregate 1,000,000
DESCRIPTION OF OPERATIONSI LOCATIONS I VEHICLES (Attach ACORD 161, Add,tlonal Remarks Schedule, if more space is required)
Certificate holder is additional insured, see attached
UhRlIFIGATE HOLDER _ I AWIWI I Arln.r
City of Santa Ana SHOULD ANY OF T ABOVE !DESCRIBED POLICIES BE R
20 Civic Center Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE
I
®1988.2009 ACORD CORPORATION. All rights resarvad
na wr.v 40 1AUUVfUZJ) The ACORD name and logo are registered marks of ACORD
ProducedusingForms BassPlus software.www.Fo Soss.mmlmpreuNsPLUi"800-2oa-1877
Declaration Number: 001
Effective Date: 09/01/2010
Page 81
Policy Number: SBP212192-3
WRJ-CT, LLC
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES
OR CONTRACTORS
This endorsement modifies insurance provided under the following:
6USINESSOWNERS COVERAGE FORM
SCHEDULE*
Name of Person or Organization:
City of Santa Ana
20 Civic Center Plaza
Santa Ana, CA 92702
I Information required to complete this Schedule, if not shown on this endorsement, will be shown in the
Declarations.
The following is added to Paragraph C. Who is an
Insured In Section II - Liability:
4. Any person or organization shown in the
Schedule is also an insured, but only with
respect to liability arising out of your ongoing
operations performed for that insured.
,Appyto ED AS TO VOTA
LISA STORCK
Clty Attorney
Assistant
SIR 04 50 07 02 0 180 Properties, Inc., 2001 Page 1 of 1