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HomeMy WebLinkAboutPAYPHONE COMPANY, THE (DBA) 2B - 2010INSURANCE ON FILE WORK MAY PROCEED N-2008-161 -02 UNTIL INSURANCE EXPIRES j - 3/ - i/ ? -,% CLERK OF COUNCIL SECOND EXTENSION OF DArE: APR 2 ,0 2011 NON-EXCLUSIVE LICENSE G , i?tiv? e o2? WTI'H THE PAYPHONE COMPANY Cl?ris?y ???? This Second Extension of License Agreement is entered into on November I, 201 O, by and between 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, (hereinafter referred to as "Licensor' and Z Venture Capital Frontiers, Inc-, dba The Payphone Company, (hereinafter referred to as "Licensee"). Recitals: A_ The Licensor and Licensee entered into the Non-Exclusive License Agreement on November 1, 2008 (said "Agreement's for Licensee to install, operate and maintain payphones and associated equipment, including any pedestal, enclosure, signage, wiring and conduit (hereinafter "payphone"} on the City-awned Property located at 1000 E. Santa Ana Boulevard, Santa Ana, California. B_ Said Agreement had an initial one year term, with three one-year extensions exercisable upon a writing signed by each of the parties. The parties extended and amended said Agreement on November 1, 2009_ C. The parties now desire to extend the term of the Agreement for the second one (1 }year option period- WHEREFORE, in consideration of the mutual and respective covenants and promises herei?fler contained and made, and subject to all of the terms and conditions of said Agreement as hereby extended, the parties hereto do hereby agree as follows- 1. The Term of said Agreement (Section 5} is hereby extended for the second one (1) additional year through October 31, 2011 _ 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 Second Extension of the Non-Exclusive License the date and yeaz first above written. ATTEST: dS'Y? ?-•? ..cam- /? Maria D. Huizaz Clerk of the Council CITY OF SANTA ANA b?C David N_ Ream City Manager APPROVED AS TO FORM: City Attorney Byc Lisa E. Stoick Assistant City Attorney RECOMMENDED FOR APPROVAL: Raul Godinzez II Executive Director Public Works Agency LICENSE --__ Karim Zaman President Tax ID # r?--?(?`?j? t SO -- (: _ '?`,?_°? ° CERTIFICATE.OF LIABILITY INSURANCE ? a tzo° a' CATE IS ISSVED AS P: MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS.:UPON-TIE CERTIFICATE HOLDER_THIS CERTIFICATE pOES NOT AFFlRMATNELY OR NEGATIVELY AMEND, EXTENb OR ALTER Tk1E COVERAGE.AFFORDED. $y THE .POIlCIES BELOW. THIS CERTIFICATE OF IN5URANEE DOES NOT CONSTITUTE A. CONTRACT BETWEEN-T1iE ISSUING INSURER(S); AUTHORRED REPRESENTATIVEORPRODLICER,AND-THE CERTIFICATE.HOLDER. IMPORTAN'h tf. the certlncate holder is an ADOITONAL iNSUAED, the: poliay(les) must be, endorsed_:.If SUBRt7GATION 15. WANED, subjed'to the terms'snd eonditlons of:tlte -polity, nertein policies may raqulre_an..andorsement_ A statementon this ter#Ificate. doesriot confer rlghtsto th@ BLACA SH88B.=NSIIR2?NCH SERVSCES -?D? _3y3:-2.93,.-3-624 ? P'?- -323-293-3540 NC No 3686- CRSNSHAW BLVD E'?L-' BLAC898RSP =?NS®YAHOO..COM - PRODUCER LOS -ANGHLES CA 90DO B -iNSU--? 9;AFFOIiO1NG COVERAGE' NAIO• IN6UREO D16URea A: GENTiJRY ?SNSIIRANCS COMPANY Z VSNTDR$.. CAP=TAI:-FRONT=$RS. =NC- tRS[iRErt':B_.TOPA 2NSII3tAIJCS COMPANY DBA TBH PAYPB:ONS. .COMPANY AND T88: ZAMAN C3ROUP -uisUra=RC: 1625 W. 'VSRNON AV8 .. INSUREn D: LOS ANOSLHS ? / ?CA 9.0062 ?INSDREitec ? (O - INBIIRER F EOVERAGES CERTIFICATE NUMBER= aFVlcYnu NIT1111FIFIi•' THIS. 15"TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN.. ISSUEDTO THE:INSUI3ED NAMED./4BOVE FOR THE.P OLICY'PERIOD . INDICATED. NOTWITHSTANpiNG ANY REOUIREMENT,'TERM? OR CONDITIOieI: OF ANY CONTRACT OR'OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUEL] OR. MAY PERTAIN, THE IIVSUR'ANCE AFFORDED BY. THE POLICIES DESCRIBED- }iERE1N IS BUBJEOT TO ALL THE TERMS , EXCLUSIONS AND CgNDIT70N5 QF SLIG'H POLICIES. LIMITS SHOWN MAY HAVE,BEEN REDUCED BY PAID CLAIMS. LTq -TYPEOF INSURANCE POLICYNUMBeR. POLICY EFP u/D ? POLH:Y evD LlM1T3-. GEwEI+nLLUU3urrr CCPEi53Q.19' BS/az/a41o oslas?zoi EACHOCCURraEew?E s 1,-0?O:D., 00`0 GOMMERCIALOENERAL LIABILRY PREMI6 ' nee- 5 10 O. OQO GLAINISMADE ?. OCCUR MED EXP ( o,» ermon] 5 S', O OO A PEPSONAL.S-ADVINJURY 5 1rO.O.O.OAO GENERAL AGGREGATE S 2000'.. 0?'OO GEN'L AGGREGATE LiIdrr APPLIESPER PROOUCT9-COMPIOP AGG' S 1000.. 0:00 POLICY PRO- LOC. nvamo era o •--- 5 1..O.OA.. OOO AUT OYOHII.E LV1e1LnY ANY AUTO CCP653019 OS/31/2D70 DS /31/2011 ODMHINEO SINGLE iIMrf (Ee9RJCent] c,,, 1,0.00. OO'0 ALI OWNED AV705 BODILY INJURY(Per Peraon]' 6 SCHEDULED AUTO6 00DILY INJURY{@ereQJdanq 6 A . PROPERTY DAMAGE 5 HIRED;AUTOS (per aeeldenl] NON-0WNEDAUT05. § 5 UMBRELLA LIAB pC?R Yr:66"0186 os/si/zoio 03/31/201Y. EACH OCCURRENCE 5 S, DOD, OAO E%CEBS.IJA6 CLAlIN5?i1.4DE AGGREGATE 'S S', 000,000 B DEDUCTIBLE 5 RETENTION -6 6 WO RKERS.CONP ENSATION WC STATU-- OTii- ..AND EitPLOYERB' LVABIIJTY ' S O FO N .ANY PROPF3IETOR/PARTNER/EXECtJT1VE Y/ APPROVED A DFFlCERPoIENBER EXCLUDED? ? N/A - E1. EACH ACCIDENT S '[MendaloryIn.NH] II ea'-deaedbe ind ? EI DISEASE:-EA EMPLOYE S y f er DESCRIPTON OF OPERATONS below EL DISEASE-POLICY LlArtrf 5 uia Stitt S e y -OESCRIPTtON:OF OPEiiATONS/LOCATONS/VEMCLES (A1[aeh ACORD.,.1G1, ? dYle.'Hmora ePeu h,e9WnW) CERTSFTCATE I3CIS.DER IS ?HERSBY TSa*?'+?•D AS ADD=TSONAL SNSIIRSD. X10 DAY NOTICE OF CANCELLAT20N FOR: NON-PA7C1?.;NT. OF PREM=U?d. L.GRI Irlcsi It ncaL.UtK CANCELLATION City C£ Santa Ana .SHOULD ANY CF THE ABOVE DESCRIBED POLICIES BE:CANCELLEDBEFORE C/O P117?1i.C 9fOi$H AgeaCyr/Tkle Depot THE EXPIRATON DATE THEREOF, NOTCE WILL BE DELNEREO IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic'CanterPlaza, M-2'1 - AVTHOR® REPRE9 - SANTA ANA CA 92701 if?? ,.?? x'1988-20D9 ACURO."CORPORATION. All rights reserved AGV12O 20 (2089/OBj The AGORD name and logo ere registered -marks-of ACORD i i \ _ I1 V -a e?0? l ? / STATE P.O_ BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPENSATION I N S U R A N C E `J ^? D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE JUNE 11, 2030 1948603 - i0 POLICY NUMBER: CERTIFICATE EXPIRES: 5-31-11 r- THE CITY OF SANTA ANA THE DEPOT OF SANTA ANA 1000 EAST SANTA ANA HLVD 8108 SANTA ANA CA 92701 L This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California -- - -- - lnsnrance-?ommissionar-to-thaBmplayeF-named-below-ion-ikaepo{isy-paciac-LindicatacL- _. - 3yy0 _- __ This policy is not subj?c0t to cancellation by the Fund except upon iA71' days' advance written notice to the employer. We will also give you ?`?N days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein, Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions of such policy. - . 1/ A HORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS. 31,000,000 PER OCCURRENCE. ENDORSEMENT i?2065 ENTITLED CERTIFICATE HOLDERS'NOTICE EFFECTIVE 05/31/10 IS ATTACHED TO AND FORMS A PART OF THIS POLiCY_ AF77? ?-;'! ?: __3 /?=: i O FOKN1 - i,.... ,? ... ,_ Y Asa.??_. ..? ._.sy .>. 1_„?rney EMPLOYER Z VENTURE CAPITAL FRONTIERS INC DBAa THE PAYPHONE COMPANY/THE ZAMAN GROUP 1625 WEST VERNON AVE LOS ANGELES CA 90042 L wsoa 3CIF X0282 (REV. 02-08) CERTHOLDER COPY P.O_ BOX 420807, SAN FRANCISCO,CA 94142-0807 CERTIFICATE OF WtD?KC??'-?11?pE1kSAT10N INSURANCE ?F v' ?? ISSUE DATE: OS-31-2011 GROUP: [? j T ?({ _ - POLICY F,I.??IU?yMBER: 1 9 48603-201 1 ?t ? f..M1 - G?FiTY?IY..'H'4E ID: 12 L - CR?Fi;TIQ1?ATE EXPIRES: OS-31 -2012 OS?-/31 -201 1 /05-31 -2012 THE CITY OF SANTA ANA SJ ?x ? 0? ? ? ? ? ?'? ?? THE DEPOT OF SANTA ANA 1000 EAST SANTA ANA BLVD #108 SANTA ANA CA 92701 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms?e x?c l?usion?s+, and conditions, of such policy. wl'NO? t ??y?? Authorized Representative President and GEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #1600 - ZAMAN, KARIM, P,5 T - EXCLUDED_ ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 08-19-2010 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. l?Pp?U Vy?/Y?AS TU t'C?'a?iv? // y? _ __ aura Stitt S[zccdy Assistan?. City At.orr, e. ? EMPLOYER Z VENTURE CAPITAL FRONTIERS, INC. DBA: THE PAYPHONE COMPANY AND THE ZAMAN GROUP 1625 W VERNON AVE LOS ANGELES CA 90062 SJ M0408 (RE V.B-2010) PRINTED 04-15-2011 ?1. A( OND CERTIFICATE OF LIABILITY INSURANCE DA03"3N1 `1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HO LDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES 9 UTE A CONTRACT BETWEEN THE ISSUING INSURERjSl AUTHORIZED 1 , REPRESENTATIVE OR PRODUCER, AND THE CEP%FI 4 1 IMPORTANT: N the Gengla6 holder is an ADDITIONAL INSURED, the policy lee um Be endorsed II SUBROGATION IS WA1VE0, subject to he terms and conditions of the policy, w1bin polic4?y r OrMS endGreerent. A sMleneenton this cedlflcdedoes not a?rrlghts to the I i ? mdlfic&holderin Ilea of aueh erdorwmenljaj. Y a?;Z T mooucm ,It. C GLACE ICA SYSH6 _ SHEEP INSURANCE SERVICES 323.293.7624 w 323297 3590 78 M, . I 86 CRANSHAN BLVD BLACRSBEEPINS®YAAOO,CON aRESS, CEN 7URY SURETY COMPANY IMUfd31p: IMwm 2 10011011: VENTURE CAPITAL FRONTIERS, INC. IMWRC, OBA THE PAYP80N8 COMPANY AND TH8 2AMRN GROUP IlnuuBO,, 1625 %, VERNON AVE. - ? INaIRFa E, (??-? cA 30062 Los ANDeLe3, •dC INauMRr , wrcnnuca cenIRIDAm%urABB%: RENSON NUMBER: n0 la lu cchllrr INAI Ins POOCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PE RIOD INDICATED, NOTWITHSTANDING ANY REOUIREMENT, TERN OR CONDITION OF ANY CONTRACTOR 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 TEAMS , EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. OMNI cull - -K-X- INemR ryPFOFIX9UMNEE am PGUCYNUNBER Pmimm OUCYFPF Immo P UMne G&FMLLXXIm CCP713276 05-31-11 05-31-12 EACHCCCUBPEM1SE - L, 1 000 , 00D -- CCMMENCULCEIFNUABIEIIV PREMI{EEaar wl a 100,000 3lIMGMADE ?OUJJB MEBEID kYmeNw) 1 91000 A PERECNBIaACVINARY 1 1 000 000 , 1 GENERPIAGGPEGAIE e 2 000 000 , 1 rourA• °PO Lce '°'°m°"n uwrwn 8 1 OOD 000 WI GipXIELUXUn CCP713276 OS•31?11 DB•31?12 EaaasummmslNGIEONn aNrAmG suoarlwuvpwpmnl s A uLaprvEO scI[oMEo WICC ANOB BGNLYINIwrryxea?Nm 8 NIRECW110.S pUf0.S NEG Pq(PEBTYGA4AGE { ml 6 UXBLEW DIB ?CCLR EACHDUJIRRENCF e EPLFffilUe CWMBMNF MfiMGAIE { MG BEIENII(N{ { WONXFMWXIFXU.nWI NC $TAIU Om AroFwLaaERawaam rIN V3sll A ? T? F RM ANYFACPRIEIgNW1NERfiNffNNF GFFI[ERMEIBEREX¢UCED1 ? NIA _,;,u ELFACNACCmEM { IhnAINryAXN Nhq AmtnGUOEV ?? ? ELCIGUEFEPEMPL I CESreIP[IINVCFGPERATICNB&5x ELCIGFAEEPxICYDMIi ;NAUlua+t^L nltome CEBCP?IICNWgEMnWfiILCCAIpN6lYtNpLFS t4hohAIXM1GI,lAENAnIRmMBdbM,Mmonpe,B?µhal CBATIFICATB HOLDER IS H8R8BY NAMED AS ADDITIONAL INSURED. A10 DAY NOTICE OF CANCELLATION ROA NON•PAYMBNT OF PREMIUM. CERTIFICATE HOLDER CANCELLA1lON CITY OF SANTA ANA SNWLOANYOFTNEPBOVEOESCRIBEO POLITIES BECAXCELIEOBEFORE C?0 POBLIC MORES A0?'CY?TBS OSPOT iNE EXPRANdI OAIE iHE11E0F, X0? W1LL EE DELIVERED IN ALCOROANCEWIININE POLImPAOVI & 20 CIVIC CSNTBA PWEA, N•21 Al1MGgPm MMAFmpIhE SANTA ANA, CA 92701 LOS ANGELES DA 90008 INN1gERa AFPogpNGOEMGE NAIGI 0EN'LAGGBEDIIElIMI1APRlE9 PEN'. PFCOUCI6-CCMP4PA00 9 2,0001000 ®1988.2010 ACORD CORPORAUOR All rrehN reserved. ACORD Z5 ?201010S) the ACORO name and logo are rGgislered made ofACORO "v CERTIFICATE OF LIABILITY INSURANCE ALU THIS CERTIFICATE IS 155UE0 AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY DR NEGATIVELY Ndf;ND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES EE10W. THIS CERTIFICATE OF INSURANCE DOC'S NOT CONSTNrUTE A CONTRACT BETVdEEN THE ISSUING INSURER(S?, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE H01DER. CRENSHAW BLVD ANGELES CA 90008 SHEEP INSURANCE SERVICES Z VENTCRB CAPITAL FRONTIERS, L"iC. DBA THE PAYPHONE COMPANY ANU THE 2AMAN GRDUP 1626 W, VERNON AVE, ?? ?Q ? LOS ANGELES, a(JQb CA 90062 INDICATED. HEREIN IS SUBJEC' 10 All SHE A A (Resdi ALOe0171, Addllmsl aamsae Schsduls, Hmom spun h mpuirotlj t'1'iFICATE HOLDER IS HEREBY NAi?D AS ADDITIONAI, INSURED. •IO DAY NOTICE OF ?CELLATION FOR NON-PAYMENT OF PREMIUM, ITIfICATE HOLDER %' ..CANCELLATION 'Y DF SANTA ANA SNOUIDANYOFTHEABOVEDESCRIBEDPCLICIESBECAh'CEllEOBEFDAE i PUBLIC WORRS ACBNCY?THB DEPOT 'THE EXPIRATIDN DATE THEREO(, NOTICE Wlll BE DELNEREO IN kCCOROANCE WITH THE POIJCY P?OUIS10N5, CNIC CENTER PLAZA, M•2I // ANA, CA 92701 ACORD 25 X2010105) The ACORD name and logo are registered margs of ACORD + oRd CERTIFICATE OF LIABILITY INSURANCE r i9 TMB CtUR111gCA7E m 188U® A8 A SATTER OF INPORIWITION ONLY AND CONPERB NO RIGHTS UPON THIS CERTIFICATE HOLDER. Tm6 CERTIFICATE DOES NOT APPIRNATiVELY OR NBOATNELY AMEND. EXI D OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOBB NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S). AUTHORIZED RE ROBENTATNE OR PRODUCER. AND THE CERTIFICATE HOLDER. ANT: N ow wrdramb holder M an ADDITIONAL 0=1101% the pacy(W must be enders" If SUBROGATION b WANE), iTW M Ow Mm and wntlEbns OF the POW amWn Policies Rey mgmrs an andonwmsnL A aMMmam on BIM owditm S don not = to riy11M to We am meat hall" M IW BLACK BMW INSURANCE EEBVICBS 3886 CHME MN BLVD ? 05.7 G 90008 Z VBHTURE CAPITAL PROMISES 3310 r DAM TIES PAYPWM COMPANY, I= ZANAN GROUP a: 1635 N. VERNON AVZ./ Araoog-( G, 90067 .._._a A31ffaL8E, '1' 1 E i n.m.mm.¢ w laY em.Daa HAVE OEM MMM TO THE EIS RM NAt? ABOVE FOR THE POLICY PERIOD NpCAT®. N OTY6Tl -A'W"-8 ANY R?mRBMENT. TE IA OR CONDITION OF ANY CONTRACT OR OTHER DOCIESER VRTR RESPECT TO NtCH THIS CERTIFICATE WRY BE umm OR MAY PERTAIN, THE INSURANCE AFFORDED BY Tt1E POUCSO DEAD HERON 18 B=0CT TO ALL THE TERM EEAUSIONBA D CONDITIONS OF SUCH POUCIEL LWR88HOMN MAY WAE BEEN REDUCED BY PAW CLASS. TymmoulISASes aa>oIALUAeom Roo m IMINIPALLWALWY CAM&MADE W) CCP760649 e5/21/2013 05/31/201 3® 3 11000,000 a 100 000 0=Mt AMORKPuftwopmuo a 3.000 A Pmmm% mw mUw a 1,000,000 ® IL A • SNErALABSIN IATE a 00 0 0 am1ESATN uen AFFIJNS PR + 0 for e? oas 5wma 0 1 000 004 A LIARM AAW{LqAUNm W&A ® CCP768649 05/31/3013 05/31/3013 aR33LY51Aw FrPrarR - - a P §= aomr wuwrFamrrq a wMAVrw Aulas a ,NIN-.ARAM eaoalw aocvR a a A PPROVED A AGGRIMM ll a ee M AW NmwemIF um ow onwLkumnv I N TO f yi a " 1®DR N/0. BAOIAC?PC. T 5 r= Stilt SI - etasEAeE_eA a 1ATIONS below edy EL DePAee. a l1v Orac? eeaCae?e011eF@Ol0.TwlB/leG7NM5INB5Cl9 Vb ACCM1M,AaaerNl F,Yrm Wm.Oa.Na qn IBMWA" IFICILTE SOLDER I8 HEREBY BMW AS ADDITIONAL INSURED. •10 DAY NOTICE OF CANCELLATION FOR NON-PA'mw O8 PREI um. CITY OF SANTA ARA C/O PUBLIC TORIES AGENCY/= DEPOT 20 CIVIC CWMM PLAZA, N-21 BANTA AEA, CA 97701 anpn,D ANYOP THE ABOVE DBBCRm® POLICIES BE CANCLLlBO BEFORE THE 101PSATION DATE TNMU E._tJOTDR WILL BE DEAMM N ACORD 25 •°°°" CCIEW (2070A? The ACORD nanw and M8o an ropMMred melks of ACORD ADDITIONAL INSURED ENDORS OM FOR COMME_RCLAt OEN RAi LIA Tl'V POLICY Insurance Company Century Surety Insurance Comma This endorsement modifies such insurance as is afforded by the provisions of Policy # CCP768649 relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, Calif rmia 92701; its officers. employees, agents, volunteers and representatives are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such iasuramce 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 ea an insured shall not affect any right which such prison or organization would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be cenoelled, 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.) E1Ta4ive MAY 31, 2012 this endorsement form as a part of Policy # 1= to Z 3M MM C_AprTAL EROWEERS. INC DBA THE PAYPHONE COMPA THE ZAMAN GROUP Named Insured Countersigned by Authorized Representative