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HomeMy WebLinkAboutDEKRA-LITE (2) - 2011INSURANCE ON FILE N-2011-151 WORK MAY PROCEED UNTIL INSURANCE EXPIRES 9 - /? - /.Z CLERK OF COUNCIL 9 2?i2 SERVICE AGREEMENT DATE: JAN O'. Te? ?C2? THIS SERVICE AGREEMENT, made and entered into this ??day of September, 2011 EggGTsby and between DEKRA-CITE, a California corporation (hereinafter "Contractor"), and the City of Santa Ana, a charter city and municipal corporation (hereinafter "City"). RECITALS A. The City desires to retain a contractor having special skill and knowledge in the field of manufacturing, removing and installing decorative street banners and lighting. B. Contractor represents that Contractor is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor 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 This Agreement shall cover the labor, removal, installation and storage of banners, as well as the labor, removal, installation and maintenance of twinkle lights, including but not limited to the services set forth in Exhibit A to this Agreement. City may request additional banners, lighting or services during the term of this Agreement. Said request shall be made in writing, executed by the Interim Executive Director of the Community Development Agency, or her agent ("Executive Director"), to the Contractor, detailing the services to be provided and requiring an estimate from Contractor as to the cost of such additional services. 2. COMPENSATION a. City agrees to pay, and Contractor agrees to accept as total payment for its services, the rates and charges identified in Exhibit A. The contract award for such services pursuant to the Contractor's Proposal shall not exceed Twenty Five Thousand Dollars ($25,000.00). b. Payment 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, 2012, 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 and the City Attorney. 4. INDEPENDENT CONTRACTOR Contractor 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 Contractor performs the services which are the subject matter of this Agreement; however, the services to be provided by Contractor shall be provided in a manner consistent with all applicable standards and regulations governing such services. Contractor 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, Contractor shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Contractor 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 Contractor'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. Contractor shall supply City with a fully executed additional insured endorsement in substantially the form attached hereto as Exhibit B upon execution of this Agreement and shall be approved in form by the City Attorney. b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for owned, hired and non-owned automobiles. c. Worker's Compensation Insurance. In accordance with the provisions of Section 3300 of the Labor Code, Contractor, if Contractor 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, Contractor 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 Contractor pursuant to this section: (i) Contractor 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 furnished 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 Contractor 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 Contractor's right to be paid for its time and materials expended prior to notification of termination. Contractor 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. INDEMNIFICATION Contractor agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, consultants, special counsel, and representatives from liability for personal injury, damages, just compensation, restitution, 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 Contractor 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 Contractor 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. 7. CONFIDENTIALITY If Contractor receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Contractor 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. 8. CONFLICT OF INTEREST CLAUSE Contractor 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 Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1 98 8 telefacsimile (714) 647-6956 With courtesy copies to: Community Development Agency, City of Santa Ana City of Santa Ana 20 Civic Center Plaza (M-25) P.O. Box 1988 Santa Ana, California 92702 telefacsimile (714) 647-6939 and City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O_ Box 1988 Santa Ana, California 92702 telefacsimile (714) 647-6515 To Contractor: DEKI2.A-CITE Mike Sterling 3102 W. Alton Avenue Santa Ana, California 92704 Telephone (714) 436-0705 Telefacsimile (714) 436-0612 A party may change its address by giving notice in writing to the other party. 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 Contractor, 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 Contractor. 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 Contractor 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 Contractor, Contractor 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. In such event, Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor prior to receipt of such notice of termination 13. DISCRIMINATION Contractor 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. Contractor 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 Contractor 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. Contractor 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. Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. 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- ATTEST: Maria D. I-luizar Clerk of the Council CITY OF SANTA ANA __ __ ??> Paul Walters Interim City Manager APPROVED AS TO FORM: JOSEPH STRAKA City Attorney By: Lisa Storck^ Assistant City Attorney Recommended for Approval: Nancy T. wards Interim Ex utive Director, CDA DEKRA-CITE ;i!i????7?? MIKE STERLING General Manager `- f? Tax ID# ?? ' ??3C? y 1 7 ????e?cra-Cite ®? p?cora?an [rxscw€fticm 3102 W. Alton Ave. Ph. (714) 436-0705 Santa Ana, CA 92704 Fax. (714) 436-0612 www.dekra-lite.com BII.L TO: CITY OF SANTA ANA COMMUNITY DEVELOPMENT PO BOX 1988 M25 SANTA ANA CA 92707 PROPOSAL PRP031904 DATE 9/13/2011 PAGE: 1 SHIP TO: SOUTH SANTA ANA MERCHANTS SOUTH MAIN STREET SANTA ANA CA 92707 GABY LOMELI PHONE (714) 380-2210 Ext. 0000 INSTALL DATE N/A FAX (000) 000-0000 Ext. 0000 REMOVAL DATE Sept. 19-22, 201 1 PO Number Customer ID Salesperson ID Shipping Method Payment Terms Req Ship Date Master No. SOU110 SJ REMOVAL 50/50 O/O/0000 35,142 Quantity Item Number Description UOM Unit Price Extended Price 66 LABORREMOVAL Labor Removal of Existing Banners 8c Hardware Each $79.00 $1,254.00 From Main Street Light Poles We propose. hereby to Furnish Product and/or. Tabor- completely in: accoroanc?: with above-specifjcations,: fvr the surd of 50'h DEPOSIT DUE UPON.ACCEPTANCEC?F PROPQSAL BA6ANGE AMOUNr DUE,UPOnE INSF"ALLATION:,OR DELNEi2Y Subtotal $1,254.00 Tax $0.00 Freight $0.00 Total $1.254.00 $627.00 $627.00 Date If not accepled witFxln days.ittis prPpnsai maViie: vaiihdrawn. Oekra-l:lte; Acceptance oF.ProposaL- -The hWivklual sgntrt9 his Con Gaff atceptsme above- Proposal. and certifies to Dekra-Lire that he w site is authorized to enter tnto this Contract on behai€ o€ Oavner >?r'OpertY OWnCr:, Fw[ho?'€zed Agent .. 3102 W. Alton Ave. Ph. (714) 436-0705 Santa Ana, CA 92704 Fax. (714) 436-0612 www.dekra-lite.com BII.L TO: CITY OF SANTA ANA 20 CIVIC CENTER PLAZA, M-25 PO BOX 1988 SANTA ANA CA 92701 TERI EGGERS PHONE (714) 647-6563 Ext. 0000 FA}{ (714) 647-6549 Ext. 0000 SHiP TO: CITY OF SANTA ANA ARTISTS VILLAGE SANTA ANA CA Z23(?? PROPOSAL PRP032148 DATE 10/13/2011 PAGE: 1 INSTALL DATE NOV 2011-NOV 2012 REMOVAL DATE PO Number Customer ID Salesperson ID Shipping Method Payment Terms Req Ship Date Master No. SAN025 SJ SERVICE Net 30 O/O/0000 35,398 Quantity Item Number 1 LABORIRS 1 MA"I'ERIAL 1 LABOROTHER 1 MATERIAL 1 LABOROTHER 1 MATERIAL 1 LABOROTHER 1 MATERIAL I LABOROTHER 1 NOTE: Please Sign and Fax to 714-436-0612 Description UOM Snowfall Overlay installation, maintenance, removal Each and storage of (8) Snowfall Sets, (40) tubes, (10)per tree installed in 4 trees. INSTALL OCT 24-28, 2011 REMOVAL SAN 5-15, 2012 LED Low Voltage Clip Light Materials Each Maintenance of existing Low Voltage Lighting Each in the Artists Village Trees. DEC. 2011 LED Low Voltage Clip Light Materials Each Maintenance of existing Low Voltage Lighting Each n the Artists Village Trees. MARCH 2011 LED Low Voltage Clip Light Materials Each Maintenance of existing Low Voltage Lighting Each n the Artists Village Trees. JUNE. 2011 LED Low Voltage Clip Light Materials Each Maintenance of existing Low Voltage Lighting Each n the Artists Village Trees. SEPT. 2011 Any additional trips for Low Voltage Lighting Each repair will be billed at $95.00/hour, minimum 2 hours plus materials. Y1M1t`CN?•.ALYJSC:1?3z4Gy tp r,mnFSh DraducC ana+o? #aF.+?'? r.,4rrtl?letNY &3 acroraiaxic+e `s+Jrtt:a<2T']v8 CtrBC9F1CteC`sc'&aS: fVrina ?x +3F 5G1gti:t]ERCt51T uPOrr <1c??P'?arut? sxF dal pFiLAtSs.;E AlRDiJC'?T DL2?-ClpK)ls Ih15iTF5d.LAT10{?9: ? flEE.P;YAEItSV Unit Price Extended Price $1,200.00 $1,200.00 $583.33 $583.33 T $666.67 $666.67 $563.33 $583.33 T $666.67 $666.67 $583.33 $583.33 T $666.67 $666.67 $583.33 $583.33 T $666.67 $666.67 $0.00 $0.00 T Subtotal $6,200.00 Tax $180.84 Freight $0.00 Total $6380.84 $6.380.84 $0.00 ^?O? . _ INVOICE ? ?ekra-L?te ORD022363 Date Decoration Innovation 10/26/2011 3102 W.Alton Ave. Ph: (714) 436-0705 Santa Ana, CA 92704 Fax: (714) 436-0612 www.dekra-lite.com BILL TO: SHIP TO: CITY OF SANTA ANA CITY OF SANTA ANA 20 CIVIC CENTER PLAZA, M-25 ARTISTS VILLAGE PO BOX 1988 SANTA ANA CA SANTA ANA CA 92701 TERiEGGERS PHONE (714) 647-6563 Ext. 0000 INCTAI.I. I?,4TF. NOV 2011-NOV 2012 FAX (714) 647-6549 Ext. 0000 REMOVAL DATE PO Number Customer ID Salesperson ID Shipping Method Payment Terms R eq Ship Date Master No. SAN025 SJ SERVICE Net 30 11/16/2011 35,398 Ordered, Item Number Description Unit Price Ext. Price 1 LABORIRS Snowfall Overlay installation, maintenance, removal $1,200.00 $1,200.00 and storage of (8) Snowfall Sets, (40) tubes, (10)per tree installed in 4 trees. INSTALL OCT 24-28, 2011 REMOVAL JAN 5-15, 2012 1 MATERIAL LED Low Voltage Clip Light Materials $583.33 $58333 T 1 LABOROTHER Maintenance of existing Low Voltage Lighting $666.67 $666.67 in the Artists Village Trees. DEC. 2011 1 MATERIAL LED Low Voltage Clip Light Materials $583.33 $583.33 T I LABOROTHER Maintenance of existing Low Voltage Lighting $666.67 $666.67 n the Artists Village Trees. MARCH 2011 1 MATERIAL LED Low Voltage Clip Light Materials $58333 $58333 T 1 LABOROTHER Maintenance of existing Low Voltage Lighting $666.67 $666.67 n the Artists Village Trees. JUNE. 2011 1 MATERIAL LED Low Voltage Clip Light Materials $583.33 $58333 T 1 LABOROTHER Maintenance of existing Low Voltage Lighting $666.67 $666.67 n the Artists Village Trees. SEPT. 2011 1 NOTE: Anv additional trips for Low Voltage Lighting $0.00 $0.00 T repair will be billed at $95.00/hour, minimum 2 hours plus materials. - Subtotal $6,200.00 Tax $180.84 Freight $0.00 Total $6,3 80.84 Amount Due Upon Acceptance of Proposal $6,380.84 Balance Due Upon Installation or Delivery $0.00 ?O? \??ekra-Cite decoration Innovation 3102 W.Alton Ave. Ph: (714) 436-0705 Santa Ana, CA 92704 Fax:' (714) 436-0612 www.dekra-lite..com BILL TO: CITY OF SANTA ANA COMMUNITY DEVEL? PO BOX 1988 M25 SANTA ANA CA 92707 GABY LOMELI PHONE (714) 380-2210 Ext. 0000 _FAX (000) 000-0000 Ext. 0000 PO Number Customer ID Salesperson ID Shipping Method Payment SOU110 SJ REMOVAL 50/50 Ordered Item Number Description 66 LABORREMOVAL Labor Removal of Existing Banners 8c Hardware From Main Street Light Poles Tax Freight Total Amount Due Upon Acceptance of Proposal Balance Due Upon Installation or Delivery Subtotal INVOICE ORD021745 Date 9/26/2011 SHIP TO: SOUTH SANTA ANA MERCHANTS SOUTH MAIN STREET SANTA ANA CA 92707 TNCTAT.T. I7ATF. N/A REMOVAL DA Sept. 19-22, 2011 ?hip'Date Master No. '0000 35,142 Unit Price Ext. Price $19.00 $1,254.00 $1,254.00 $0.00 $0.00 $1,254.00 $627.00 $627.00 ACORN, CERTIFICATE OF LIABILITY INSURANCE PRODUCER g49. 756. $730 FAX 949.7$6.5740 THIS CERTIFICATE IS ISSUED AS A Spectrum Risk Mgmt. & Insurance Services ONLY AND CONFERS NO RIGHTS U. CA?LiC. #0C7748$ HOLDER. THIS CERTIFICATE DOES )i scovery ALTER THE COVERAGE AFFORDED Irvine, CA 92618 INSURED De<ra-L?te In ustrT 3102 W. Alton Ave. Santa Ana, CA 92704 ND OR INSURERS AFFORDING COVERAGE I NAIC # INSURER A: Golden Eagle Ins Corp 10836 INSURER B: INSURER C: INSURER D: INSVRER E: --- ? - >=wvv-rlscvc occrv ISSO CL)-1'o"THt INSURE?f.L41V1ED-ABOVEFOATRE POL .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 BV 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. I LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EF TI E DATE MM/DD/YYW POLI Y EXPI DATE MM/DD/YYYY LIMITS GENERAL LIABILITY X CBP3094292 04/08/2011 04/08/2012 EACH OCCURRENCE $ 1, QQQ ? QQQ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ $t)t) D?0 A CLAIMS MADE ? OCCUR MED EXP (Any one parson) $ 10 , QQQ PERSONAL 8 ADV INJURY $ 1 ,QQQ ,QQQ GENERAL AGGREGATE $ 2 OOO QQ ' , Q GEN L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2 , OOO ,QQQ POLICY jECT LOC AUT OMOBILE LIABILITY BA3094288 04/08/2011 04?0$?2U12 X ANYAVTO ? COMBINED SINGLE LIMIT (Ea accident) $ ' 1,000 000, ? A ALL OWNED AVl OS SCHEDULED AUTOS BODILY INJURY (Per person) -i ,b X X HIRED AUTOS NON-OWNED AUTOS BODILY INJVRY (Per aceldenp $ PROPERTY DAMAGE (Per ecdtlenl) $ GARAGE LIABILITY 'AUTO ONLY-EA ACCIDENT $ ANY AUTO ' OTHER THAN EA ACC $ AUTO ONLY: AGG $ E%CESS! UMBRELLA LIABILITY CU8763726 04/08/2011 04/08/2012 EACH OCCURRENCE $ 2 ,QQQ QQD X OCCUR ? CLAIMS MADE AGGREGATE $ 2 , oD0 ? t)OD A ? $ DEDUCTIBLE ?® 1j Q $ X RETENTION $ ? $ ' WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y, / N ? ??? ^ _ TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE R EXCLUDED? ? MF ld E - - . OR?iK E.L. EACH ACCIDENT $ ( an atory I n NH If yes, describe under ?OjA S T pttor?e E.L. DISEASE-EA EMPLOYEE $ SPECIAL PROVISIONS below ` C1ty E.L. DISEASE -POLICY LIMIT $ OTHER Asc? DESCRIPTION OF OPERATIONS f LOCATION8 /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS he City of Santa Ana its officers, employees, agents, volunteers and representatitives are named as dditional insured if required by written contract per attached CG2037 0704 '`Re: Notice below: 10 da s noti_c_e for non-aavment of premium I.CK I Ir'1t+A I G 1"IVLLICK CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL "`3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City Of Santa Ana REPRESENTATIVES. 2? Cl Vi C Center P7 aza AUTHORIZED REPRESENTATIVE Sa to Ana, CA 92701 Alfonso Galvez PATH ??'"?? 4CORD 25 (2009!01) ©1988-2009 ACORD CORPORATION. All rights reserved. I"he ACORD name and logo are registered marks of ACORD -__ Policy Number: CBP3o94292 ? ....,.,o,?yc ?s rrov?aea In c.?oLDEN EAGLE INSURANCE CORPORATION Named Insured: Agent: DEKRA-CITE INDUSTRIES, SPECTRUM RISK MANAGEMENT & INS INC, THE JEFFREY LOPEZ REFER TO NAMED INSURED SCHEDULE Agent Gode: 4295959 Agent Phone: (949)-756-5730 THIS ENDORSEMENT CHANGES THE POLICY- PLEASE READ IT CAREFULLY- ADDITIONAL INSURED -OWNERS RS -COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Section 11 - Who Is An Incur®d is amended to include as an additional insured the parson(s) or organisation(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in pars, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional Insured and included in the °products-completed operations hazard". SCHEDULE Name Of Additional Insured Person{s) Or Organization(s); ANY PERSON OR ORGANIZATION WHEN YOU AND SUCH PERSON OR ORGANIZATION HAVE AGREED IN WRITING IN A CONTRACT, AGREEMENT OR PERMIT THAT SUCH PERSON OR ORGANIZATION BE ADDED AS AN ADD'L INSURED ON YOUR POLICY TO PROVIDE INSURANCE SUCH AS IS AFFORDED UNDER THIS COVERAGE PART Location And Description Of Completed Operations: ANY LOCATION AT WHICH YOU PERFORMED WORK DESCRIBED IN WRITING IN THE CONTRACT, AGREEMENT OR PERMIT FOR A PERSON OR ORGANIZATION THAT HAS BEEN QUALIFIED AS AN ADDITIONAL INSURED IN THIS ENDORSEMENT. Information required to complete this Schedule, if not shown above, will be shown In the Declarations_ S`tOFOR? A'gQROV£? S?RCK ?\SP E' qty Attor?e?l Ass start G ?y 0 ISO Properties, Inc., 2004 CG 20 37 (07/04) AGENT COPY nn in sxi?n+n RIIAd'Jg7 NFI ICXRf:RnRn6 o?nnnncnn ?e ?n Rn ?rn??on, nnnnnn?n Panw ono ACORO' oP ID: r ? CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODlYYY1Q TH19CERTIFICATE IS 1SSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOL E3R'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 193UING INSURER(S), AUTT-IORIZEO REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the eertlflcate holder Is an ADDITIONAL INSURED, the policy(les) must ba endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain pollctes may require an endorsement A statement on this cartlflrale does not confer rights to the eertlfleata holder In Ilau ofsueh endorsements . PRODUCER 909?86?861 I.In E^ Lea Sands AAI AIS,CISR CRIS Alllant Insurance Servlees,lne P ONE Llc-0C38881) 908-866-20'13 r R,. w..,,.909?T4-6773 _ ono e ..?-.___._ _ _ __ ___ ?rc ._._ _. e? ......, Dekre Llte Industries Inc 3102 West Alton Avenue Santa Ana, CA 92704 OF r.rv?,lrvaa rrvr ntuuIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TE AND CONDff10NS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- ,rrw,ar as„wANCe --- --- PO YNUMBER MMIO 6P p0 N ? ? GENERAL LrA9A,nY COMMER EACH OCCURRENCE S CVIL GENERAL LIABILITY CL P E ISES S AIMS-0IAOE OCCUR MED E1(P M one rso S _ PERSONAL b ADV INJURY S GEN'L AGGREG L GENERAL AGGREGATE S ATE IMIT APPLIES PER ? POLIC P ?? PRODUGT9-COMP/OP AGO S Y LOC AUTOMOB6E LNae.IIY S .4NY AVTO `Y ? ? COMBINED 91NGLE LIMIT (Ee ecrltlenl) S V BODI ALLOWNED AUTOS ? LY INJURY (Per person) S UrOS -( ORC+ ? DODILY INJURY (Per e¢Idenl) S H RED AUTOS ?. CJ Ptt p` ?gy PROPERTY DAMAGE S NON G?ty ?\S (Perecldent) OWNED AUTOS ? ? s?sta s S VNBREILA LJAa OCCUR s EXOE99 Llga EACH OCCVRRENCE 5 CLAIMS-MADE ' AGGREGATE 5 DEDUCTIBLE S ENTION W ORI?R9 ODMPQISATION S qN0 EMPLOYER9• LIAB61nf x WC TAT OTH- A R Y OFF C M EM R P J V G?E ? CPCA'12591 03/2'1/1'1 D3/2'1/12 ' I E II E E (CL O N /A M d l E.L EACH ACCIDENT s 1,000,00 ( en e ory In NH) H yes, tlerallba under - E.L. DISEASE-EA EMPLOYEE s 1,D00,D0 DE9CRIPTION OF OPERATIONS Uebw nrerem..n.r..r,.eee-?.....e,?....??....._..._...?__ ._. . ___-- _ _ _ E.L. DI9EA9E-POLICY LIMB _ S 1,000,D0 - _...__-__.-..._.._.___..?_._. .. .....?--r-,.-.-.-v.,.eor CISAN01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXpIRAT70N DATE THEREOF, NOTICE WILL BE DELNERED IN 20 CIVIC Center Plaza M-26 ACCORDANCE Wfrtt THE POLICY PROVL410N8. Santa Ana, CA 92 701-4 0 6 8 AUTHOre¢EO RrpRESENTATNE -? © 1988-2009 ACORD CORPORATION- All rights reserved. ACORD 26 (2009/09) The ACORD name and logo are registered marks of ACORD