HomeMy WebLinkAboutH.P.L. MECHANICAL, INC. 1A 2City of Santa Ana
Clerk of the Council
AGREEMENT TERMINATION FORM
Please complete this form when the attached agreement and all
amendments (if any) are no longer in effect.
Return form to the Clerk of the Council Office (M-30).
The agreement with 0.L. L. K--eclviani ctrl,
COTC Office Use Only
CITY OF SA mA !-,,,NA
No. X --,00(0 - 050 _v l was completed on ((7 (310 (o and final payment has been made.
(List all amendments. Use space below if needed.)
Department: UDA
Phone/Ext.: x53}
Signature:
Date:
P.eAsed 0412-10
N-2006-050-01
INSURANCE NOT ON FILE
WORK MAY NOT PROCEED
CLERK OF COUNCIL FIRST AMENDMENT TO AGREEMENT
DATE: 9-6.06
O: cpA) CZ) Cc. F411W ri)
THIS FIRST AMENDMENT TO AGREEMENT is entered into on August lst,
2006, by and between H.P.L. Mechanical, Inc., a California corporation ("Consultant')
and the City of Santa Ana, a charter city and municipal corporation of the State of
California ("City").
RECITALS:
A. The parties entered into Agreement N-2006-050, dated June 1, 2006, (hereinafter
"said Agreement") by which Consultant was contracted to repair a gas leak at the
Depot in Santa Ana.
B. During the course of repair, additional services were required.
C. In accordance with the terms and conditions of said Agreement, the parties wish to
increase the compensation available to pay for the additional services provided by
Consultant.
WHEREFORE, in consideration of the covenants contained in said Agreement, and
subject to all the terms and conditions of said Agreement, except those amended in this
First Amendment to Agreement, the parties agree as follows:
Section 2.a., COMPENSATION, shall be amended to increase compensation by
$1602. The total amount to be paid for repairs during the 2006-2007 fiscal year shall
not exceed $1602.00.
2. Except as herein amended, all terms and conditions of said Agreement shall remain in
full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to
Agreement on the date and year first -written above.
ATTEST:
PATRICIA E. HEAL
Clerk of the Council
APPROVED AS TO FORM:
JOSEPH W.FLETCHER
City Attorney
By: 10
La46 Sheedy
Assistant City Attorney
APPROVED AS TO CONTENT:
,' Z6.
1
ST HEN G. HA ING
Deputy City Mau ger for
Development Services
CITY OF SANTA ANA
DAVID N. REAM
City Manager
CONSULTANT
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H RY P. LO AKIN
CEO
Sep 22 06 09:40a Tllagl
CERTIFICATE OF LIABILITY INSURANCE
BOSHELL I14S'AOE=Y ROA96080)
Agents 6 Brokers, Inc.
P.O. Box 4648
Mission Viejo CA 92690
Phone:949-855-0430 Fax:949-837-5528
INSURED Al A'®06-060
&-C2006 - 060 ^®/
H. P.L.omaechanical, Inc.
SantaLA[ianCAt92701
ONLY
CERTIFICATE
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1PLME-1_Loel�n.�Qe
ATTER OF INFORMATION
'ON THE C ERTIFICATE
JOT AMEND, EXTEND OR
BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIL p
INSURER A:
Landmark American Ins C,+
INSURER B:
Peerless Insurance Comp. qL
INSURERCI
UnitoB Notional [naoxaoca Co.
INSURER Q;
Anoximn Bu.eontm t ifv
NSURERE
S
THE POI ICIFA OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHS FANUIN�.
ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICAI E MAV BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICICS DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMA, EXCLUSIONS AND CONDITIONS UP SUCF —�
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS p��py+�9
LTR NSR TYPEDPINSURANCE POLICY NUMBER PATE ( DA 1' ,I
IYMI15
GENERAL LIABILITY EACH OCCURRENCT �.. DOQ OOO
A X X COMMERCIAL GENERAL LIABILITY LHA128650 09/01/05 09/01/06 PRENI5�wum VHER
tq+rantll S5C L00C
CLAIMS MADE Rl OCCUR j MEOEXP(Any.ne. sa I I S5,000
IX9ev. of Interest iPERsoNALBAavmLF :,000,000
�1....— — GENERALAGGRECM I Do), QQO
GENI AGGREGATE LIMIT APPLIES PER: PRODUCTS • COVPr,F GGIS.?, 1f111, (700
X POLICY PAN we
AVTOMORILR LIABILITY
cob eB aEDISINGarI NU s x: oOQOQD j
B ' R ANY AUTO CBP9621365 09/01/05. 09/01/06 �
ALL OWNED AUTOS
BODILYINJURY _
SCHEOULFDAUTOS a (Per pmon)
1 HIRED AUTOS
IURNJ
I
LY
D
80ILY Y
, NON-0WNED AUTOS
- BO NJ) '
. (Ytr btn08N)
GARAGE LWBILITY
ANYALrP0
IXCESSNMBRELLA LIABILITY
C IX I OCCUR n CLAIMSMADE I FCX0002907
hDEDUCTIBLE
i
RETENTION $
WORKERS COMPENSATION AND
D I EMP LDYERS'LIABILITT WC598901402
� ANY PROPRIETOWPARTNEWEXECUT'IVE
OFFICEWMENBER E%CLUOE04 '
09/01/051 09/01/06
09/01/051 09/01/06
AUTO ONLY EA ACCIUI N:
OTHER THAN tSa iCC
S
AUTO ONLY. I(.G
EACH OCCURRENCE
f 4, QQQ, ODo
AGGREGATE __
: 4 � 0011. 000
__ _
S
,
RLL_..
X
TORY LIMITBt
E.L. EACH ACCIDENT
E_L. DISEASE -EA EMPL IYEE
S1,000,OOO
5 L, 000,_000
E.L. DISEASE. POLICY I IMI7
51,000 QQQ
*10 days notice for non payment of premium, The City of Santa Ana, 20 Civic
Center Plaza, Santa Ana CA 92701, its officers, employees, agents 6
representatives are included as Additional Insureds per form CG201O(1.1/S5)
attached.
Ci of Santa Ana DEPOT -1
SHOULD ANYOF THE AROM OESCRIBED POLIMES RE CANCFLLEU SE=ORE THE EXPIRATION
City DATE THEREOF. THE ISSUING INSURER WILL M1JAIL 30*-nArU WRITTEN
Tile Depot At Santa Ana NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHFI.FPT�'-�L
1000 B. Santa Ana Blvd. #108 D,HMaP.,wwuNwltwu;u.s.Iw;waw,.,as.n.aturs oR
Santa Ana, CA 92701
-------
AUTHOR 0 E T
J $0 1
ACORD 25 (2001100) ORD CORPORATION 1958
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Sep,22 06 09:40a T11ag1 F'.3
STERLING WtSI INS rU:lbittnrrtnisa I., .. --
Thrs'Eridoraernent CA01 qes rhe Pottay. Please Read it Carelully,
ADDITIONAL INSURED .
BLANKET a PRIMARY
This ondorsement modifioa Insurance provided under the rollowtng:
COMMERCIAL GENERAL WANILITY COVERAGH IrORM
SCHEDULE
Name of Perron at Orgahitlslion:
Any person arorganization to whom or to which you are obligated by vtrtue of a written carnraci o by the
Issuance or existence of it permit, to provide insurance Won as in afforded by this policy.
(it no entry appears above, Information requited to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.
SECTION ll . WHO IS AN 114SURED is amended to Include as an Insured the person or organization shown r
the SCt1EDULE, but.nnly with reaped to lability arising out of 'your work' for that insured by or for ,you
it you are required by a written contract to provide primary insurance, this policy shall be primary as remprcte your
nepllgence and SECTION IV — COMMCRCIAL OFNERAL LIABILITY CONDITIONS, 4. Other Insurance dose
not apply, but only with respect to coverage provided by this ppliuy.
This endorsement cffecdve
forms part of policy Number LUA128650
issued to HPL Mechanical Inc
by Landmark American Tnsurance C0aw"mentNo.l
HSG 15-001 6fo Includes copyrlig his, -dm aterial of Insurance Services Office, Inc. 1984
(002010 IISE) with its permission