HomeMy WebLinkAboutPAYPHONE COMPANY, THE (DBA) 2B - 2010INSURANCE ON FILE
WORK MAY PROCEED N-2008-161 -02
UNTIL INSURANCE EXPIRES
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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
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'?`,?_°? ° 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. $y THE .POIlCIES
BELOW. THIS CERTIFICATE OF IN5URANEE DOES NOT CONSTITUTE A. CONTRACT BETWEEN-T1iE ISSUING INSURER(S); AUTHORRED
REPRESENTATIVEORPRODLICER,AND-THE CERTIFICATE.HOLDER.
IMPORTAN'h tf. the certlncate holder is an ADOITONAL iNSUAED, the: poliay(les) must be, endorsed_:.If SUBRt7GATION 15. WANED, subjed'to
the terms'snd eonditlons of:tlte -polity, nertein policies may raqulre_an..andorsement_ A statementon this ter#Ificate. doesriot confer rlghtsto th@
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1625 W. 'VSRNON AV8 .. INSUREn D:
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EOVERAGES CERTIFICATE NUMBER= aFVlcYnu NIT1111FIFIi•'
THIS. 15"TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN.. ISSUEDTO THE:INSUI3ED NAMED./4BOVE FOR THE.P
OLICY'PERIOD
.
INDICATED. NOTWITHSTANpiNG ANY REOUIREMENT,'TERM? OR CONDITIOieI: OF ANY CONTRACT OR'OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE ISSUEL] OR. MAY PERTAIN, THE IIVSUR'ANCE AFFORDED BY. THE POLICIES DESCRIBED- }iERE1N IS BUBJEOT TO ALL THE TERMS
,
EXCLUSIONS AND CgNDIT70N5 QF SLIG'H POLICIES. LIMITS SHOWN MAY HAVE,BEEN REDUCED BY PAID CLAIMS.
LTq -TYPEOF INSURANCE
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GEN'L AGGREGATE LiIdrr APPLIESPER PROOUCT9-COMPIOP AGG' S 1000.. 0:00
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CCP653019
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SCHEDULED AUTO6 00DILY INJURY{@ereQJdanq 6
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-OESCRIPTtON:OF OPEiiATONS/LOCATONS/VEMCLES (A1[aeh ACORD.,.1G1, ? dYle.'Hmora ePeu h,e9WnW)
CERTSFTCATE I3CIS.DER IS ?HERSBY TSa*?'+?•D AS ADD=TSONAL SNSIIRSD. X10 DAY NOTICE OF
CANCELLAT20N FOR: NON-PA7C1?.;NT. OF PREM=U?d.
L.GRI Irlcsi It ncaL.UtK CANCELLATION
City C£ Santa Ana .SHOULD ANY CF THE ABOVE DESCRIBED POLICIES BE:CANCELLEDBEFORE
C/O P117?1i.C 9fOi$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
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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- _.
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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
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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
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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
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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
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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.
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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
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®1988.2010 ACORD CORPORAUOR All rrehN reserved.
ACORD Z5 ?201010S) the ACORO name and logo are rGgislered made ofACORO
"v CERTIFICATE OF LIABILITY INSURANCE
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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
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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.
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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
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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
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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
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CANCELLATION FOR NON-PA'mw O8 PREI um.
CITY OF SANTA ARA
C/O PUBLIC TORIES AGENCY/= DEPOT
20 CIVIC CWMM PLAZA, N-21
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CA 97701
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ACORD 25 •°°°" CCIEW
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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