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Home My WebLink AboutICLEI (LOCAL GOVERNMENT FOR SUSTAINABILITY USA) 1C-2011K) 3 �a l� CJ MAYOR 'I� Miguel A. Pulido MAYOR PRO TEM Vincent F. Sarmiento COUNCILMEMBERS Angelica Amezcua P. David Benavides Michele Martinez Roman Rayne Sal Tinajero IiNSUHlANG1- ON HL W011K MAY PHOCEED CITY OF SANTA ANA 20 Civic Center Plaza o P.O. Box 1988 M -21 Santa Ana, California 92702 www.santa- ana.org March 11, 2015 VIA FACSIMILE & U.S. MAIL ICLEI — Local Governments for Sustainability USA 43614' Street, Suite 1520 Oakland, CA 94612 Telefacsimile 510- 844 -0698 RE: Climate Action Planning Services Agreement A- 2013 -193 A- 2013- 193 -01 Pursuant to the Services Agreement you entered into with the City of Santa Ana on November 7, 2011, and as amended by subsequent amendments, the "Term" listed in Section 3, is hereby extended from June 30, 2015, until June 30, 2016. The insurance certificates and Additional Insured Endorsement are required to be extended and/or renewed to cover this extension. All other terms and conditions of the original Agreement and amendments remain unchanged and in full force and effect. If you have any questions in this regard, please feel free to contact my office at 714 - 647 -5662. Sincerely, APPROVED AS TO FORM: r V JA�v re Mousavipour Jo Sandoval Exe utive Director C of Assistant City Attorney Publics Works Agency ATTEST: rVA Maria D. Huizar 0 Clerk of the Council SANTA ANA CITY COUNCIL Miguel A. Pulido Vincent F. Saro to Michele Martinez Angelica Amezcua P. David Benavides Roman Rayne Sal Tinajero Mayor Mayor Pro Tom, Ward 1 Ward 2 Ward 3 WaM 4 Ward 5 Ward 6 moulidl( .anja -ana am ysarmientoAsante- ene.ora mma11n.0r.anta -ana orn aemezcua(Ulsantaana org dbeng,itles(8,santa -ana ora rreynardsanta- ana.ern stinaiero(d.anta -ana om ICLEI.2 OP ID: facr�►rrn° CERTIFICATE OF LIABILITY INSURANCE GATE(MMID"015 f k,... -- ozrozrxl5 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 cor iflcate holder In lieu of such endorsement(s). INSURED 414 13th Street, Suite 400 Oakland, CA 94512 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. 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 BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. i _._..,._, r.. Y.._._.... .__...�....,.- _._...._.,_ °AOOT. $UR -T' P$E�'rF�M$LTG% .__._.__._.._r..�. LPriiT3 .__._._.._ ...... ........._... TYPE OF INSURANCE -_ __._..__POLICY NUMBERp__..._ I GENERAL LIABILITY i EACH OCCURRENCE £ 1,000,000 DAMAGEi'4 "tSENTEO ._00, A X COMMERCIAL GENERAL LIABILITY X i X 3589.39.74 WCE 1112812014,11/2612015 00 �.��ES IEa oFau(myq¢,I $ 110x0,000 CLAIMS MADE L I OCCUR MED E%P (Any one poroonl $ lrex PERSONAL &ADV INJURY $ 1,000,00 } GENERAL AGGREGATE $ 2,000,00 i GEML AGGREGATE LIMIT APPLIES PER: I ( �� _ POLICY Ir PR I LOC �_.,. ._... ( PRODUCTS- COk1PtOP AGO � $ 2,000,000 AUTOMOBILE LIABILITY I , MBINEDSINGLE UMR 1,000,000 1 eGYlU2ntL__ A &a A�ANV AUTO X 7354.99 -72 11/2612014 i 111/26/2015 .... BODILY INJURY (Per Parsen) 1ff �AUTOe NED i_. gUTOSULED BODILY INJURY (Pe(eccitlent)i$ X HIRED AUTOS I X . OSWNED i ! r n� n A )(1 UMBRELLA LIAO X OCCUR i EXCESS LIAR ) CLAIMS -MAUEI X ;7983.82 -51 1111281201411112612015 CACH OCCURRENCE ($ 2,800,00 AGGREGATE $ ._.,..,..x0 ,._ i 2,0 000 UEO ftETEN7ION$ ( WORNERS COMPENSATION ' AND EMPLOYERS' LMSILITY X T(CSTATUM 9I T (�, B ANY PROPRETORIPARTNERIEXECUTIVE Y❑ NtA� 57WECLX9368 11/011201411110112015 OrFiCERJUSMEER E %CLUUEU4 EL tACH ACCIDENT j $ 1,00E 000 EACH IManaafRYym NH) ! j DISEASE -EA CMPLOVEE$ 1,oao,oa �.__� _�.__.._ _ _...- ...... __._._. ...0._ Irr describe mIde, DESCRIPTION OF OPERATIONS below i i El. DISEASE POUCY LIMIT i $ 1,000,000 i 1 DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES (Attach ACOR0101, Ailditlanai Remarks ScheMla, if mPYRapace is mquUetl) The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insured with regard to the liability and defense of suits arising from the operations and uses performed by or for for or on behalf of the named insured. Notice of cancellation non - payment of premium is 10 days only ICLEI USA A- 2013 -193 REVIEWED BY: EUNICE HEREDIA 1 5) .' (PG. of City of Santa Ana (et al) (see below) Attn: Christy Kindig 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED IS 19IRKU1 U AGUHU GUHrUHAI JUN. AN rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Liability Insurance Endorsement Policy Period NOVEMBER 26, 2014 TO NOVEMBER26, 2015 Effective Date NOVEMBER 26, 2014 Policy Number 3589- 39 -74WCE Insured ICLEI USA INC Name of Company FEDERAL INSURANCE COMPANY Date Issued AUGUST 28, 2014 This Endorsement applies to the following forms: GENERAL. LIABILITY Under Who Is An Insured, the following provision is added. Who Is An Insured Additional insured - Persons or organizationsshown in the Schedule are insureds; but they are insureds only if you are Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by Or Organization this policy. However, the person or organization is an insured only: if and then only to the extent the person or organization is described in the Schedule; to the extent such contract or agreement requires the person or organizationto be afforded status as an insured; for activities that did not occur, in whole or in part, before the execution of the contract or agreement; and with respect to damages, toss, cost or expense for injury or damage to which this insurance applies. No person or organization is an insured under this provision; that is more specifically identified under any other provision of the Who Is An Insured section (regardless of any limitation applicable thereto). with respeetto any assumption of liability (of another person or organization)by them in a contract or agreement. This limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or Organization would have in the absence of such contractor agreement. Liability Insurance Additional Insured - Schad r iI4(a91I1r4 @p(Zoltan continued Form 8e- 02.2367 (Rev. 5 -07) Endorsement hoBQ t ICLEI USA A- 2013 -193 REVIEWED BY: EUNICE HEREDIA (PG. 3 of 5) ICLEI USA A- 2013 -193 REVIEWED BY Z#6 EUNICE HEREDIA (PG. 4 of 5) Liability Endorsement - (continued) Under Conditions, the followingprovision is added to the condition titled Other Insurance. Conditions Other Insurance— If you are obligated,pursuant to a contract or agreement,to provide the person or organization Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy, then in such case Insurance — Scheduled this insurance is primary and we will not seek contributionfrom insurance available to such person Person Or Organization or organization. Schedule Persons or organizations that you are obligated, pursuant to a contract or agreement, to provide with such insurance as is affordedby this policy. All other terns and conditions remain unchanged Authorized Representative Liability Insurance Additional Insured - Schajjgq;S16.rAWgVatlon - lastpage Form 40-02.2367 (Rev. 5 -07) Glldorsemant N�� ICLEI USA A- 2013 -193 REVIEWED BY: �� EUNICE HEREDIA (PG. 5 of 5)