HomeMy WebLinkAboutSANTA ANA COLLEGE (RANCHO SANTIAGO COMMUNITY COLLEGE DISTRICT) 1AMAYOR
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Miguel A. Puiido
MAYOR PRO TEM
Sal Tinajero
COUNCIL MEMBERS
Angelica Amezoua
P. David Benavldes
Michele Martinez
Roman Rayne
Vincent R Sarmiento
Im
EXPIRES
)ATE. dI -23 ~l5
20 Civic Center Plaza • P.O. Box 1988
Santa Ana, California 92702
W Wumsanta- ana.oro
December 9, 2015
Rancho Santiago Community College District
Santa Ana College
Attn.: Madelyn Grant
1530 W. 17Bh Street
Santa Ana, CA 92706
Subject: Extension of Agreement 4A- 2012 -013
Dear Ms. Comeau:
A -2012- 015 -01
CITY MANAGER
David Cavazos
CITY ATTORNEY
Sonia R. Carvaiho
CLERK OF THE COUNCIL
Maria D. Hulzar
Pursuant to Agreement under the Workforce Investment Act, #A- 2012 -013, entered between
Rancho Santiago Community College District, Santa Ana College, and the City of Santa Ana,
dated February 6, 2012, Section HT — Time Period of Agreement, the expiration of the time
period of said Agreement is hereby extended for one additional year from November 30, 2015,
Until November 30, 2016. The insurance certificates, if any, are required to be extended and /or
renewed to cover this extension. All other terms and conditions of said Agreement remain
unchanged and in full force and effect.
If you have any questions in this regard, please feel free to contact my office,
Sincerely, CITY OF SANTA A A
Dell leender ��David Cavazos
Executive Direc or City Manager
Community Development Agency
APP%tCity RM: ATTEST
Son Attorney /
By:.. t. E I • f JI��i'/Y
Maria D. Huizar
ney City Cleric
SANTA ANA CITY COUNCIL
M tgaetA. - -0do ! 6a( Tinajero 1 Vm.nt R Sarmiento !aixhsta Martlez,i 1 Arg.ba Amzecua I P. navtd Banavides I Roman Reyoa
Mayor 1 Mayor Pro Tam, Ward 6 1 WaM t ( Ward 2 j Ward 3 i Ward 4 Ward 5
MPurdoraasania- ana.cxg j STinaierc ksantaana.orn 1 VSi ' sa, tg,a_na,.o —gr MMar(ne gDsanta-ana oro 1 N rm & uaCmsantaana am de nta -ara nrg � RRema0� - ana.oro
EVIDENCE OF COVERAGE
D6/22/
015
6!22/2015
This Evidence of Coverage is used as a matter o4+rifgqrlrlation only and confers no rights upon the Certificate Holder. This Evidence Of Coverage does not
amend, extend, or altgf G}1G copPTf.,a ffol`,ded tis}th@ in emcranda listed below,
MEMORANDUM NUMBER: 77 P
JOINT POWERS AUTHORIT�.{jP )V r J,�1 +' tr'S,
1 { li{
Alliance of Scholl f r qQ, �r2five ln`stJrande Programs
16550 Bloomfield Eu'�
Cerritos, CA 90703
JPA MEMBER
Rancho Santiago Community College District
2323 North Broadway
Santa Ana CA 92706
www.ASCIP.org
CONTACT NAME: Mr. Fritz Heldch, Chief Executive Officer
PHONE: (562) 404-8029
This is to certify that the Alliance of Schools for Cooperative Insurance Programs (ASCIP) Memorandum of Coverages on insurance listed below have
been issued to the Covered Party named above for the period indicated, Notwithstanding any requirement, term, or condition of any contract or other
document with respect to which this Evidence of Coverage may be used or may pertain, the coverages afforded by the Memorandum of Coverages
described herein are subject to all the terms, exclusions, and conditions of such Memorandum of Coverages.
TYPE OF COVERAGE
DDL
MEMORANDUM NUMBERtMOC) (m,�
°Ymml
POLICY E P
LIMIT OF LIABILIN I COVERAGE
GENERALLIASILITY
COMBINED SINGLE LIMIT PEH OCCURRENCE
$ $5,000,000
OCCURRENCE
MOC #77
71112015
7/1/2016
AGGREGATE
s N/A
Personal ln iury
$
Errors & Omission
$
Employment Practices
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT PER OCCURRENCE
$ $5,000,000
AUTOMOTIVE PHYSICAL DAMAGE
MOC #77
7/112015
71112016
ACTUAL CASH VALUE
COMPREHENSIVE /COLLISION
$
ANYAUTO
awned Auto
$
Hired Auto
$
PROPERTY
AND CONDITION CN COST SUBJECT TO POLICY LIMITS,
TERMS,
BUILDING I CONTENTS
+
FIRE, THEFT, RENTAL INTERRUPTION
$
$
WORKERS COMPENSATION
AND EMPLOYERS' LIASILRY
NIA
EACH ACCIDENT
$
PER EMPLOYEE
$
E] WC STATUTORY LIMITS
POLICY LIMIT
$
OTHER
EMPLOYEE DISHONESTY (CRIME)
SUBJECT TO POLICY LIMITS, TERMS, AND CONDITIONS
C—) J
$
V
E�t�
$
—__-
etl
$
$
ADDITIONAL REMARKS: p.,a
As respects to Bridge t0 Engineering Program
=
CERTIFICATE HOLDER
CANCELLATION - _ OJ
Should any of the above coverages for the Covered Party be changed or withdrawn prior
to the expiration date issued above, ASCIP will mail 30 days written notice to the
City of Santa Ana
Clerk of the City Council
20 Civic Center Plaza (M -73, M -30)
Santa Ana CA 92702
Certificate Holder, but failure to mail such notice shall impose no obligation or liability of
any kind upon ASCIP, Its agents, or representatives.
AUTHORIZEDREPRESENTAI "IVE: Fritz Helrich
'ASCIP is ajointpowers authority pursuanttn Adoe I(mmmeragg with 5e60n 6500) Chapters ofowsion7orule3 of the Governrnem Code and SWio0s 39603 and 81603 ofthe Education Code. Rev 5.97
25196912 1 77 1 15/16 411 Types WC I Percy 1ppez 1 6/22/2015 7:15:50 M: (Pn1') I Page 1 of 2
iddiftional Covered Party Endorsement
District: Rancho Santiago Community College District Endorsement No.
25186912
Additions! Covered Party: Description of`0ppratioris; Vehicle, or Property:
City of Santa Ana
As respects to Bridge to Engineering Program
its officers, agents, employees and volunteers and the Slate of
California, its officers, employees and volunteers
Coverage Period: ve:7/1/2015 " Expit °es 12:Ofl ariA.:7l�i2o16
The coverage provided to the Covered Party is hereby extended by this endorsement to the Additional Covered Party named above
in accordance with the provisions contained in the Memorandum of Coverage (MOC). The coverage extended hereby applies only
with respect to liability arising out of activities in the Description of Operations, Vehicle, or Property noted above. It is intended by
ASCIP in issuing this endorsement to defend and/or indemnify the Additional Covered Party only if the District is solely negligent.
In issuing this endorsement, ASCIP intends and agrees to extend coverage pursuant to the terms and conditions of the MOC to the
Additional Covered Party named above only to the extent that the Additional Covered Party faces liability arising out of claims,
demands, or lawsuits claiming money damages on account of bodily injury or property damage as defined and limited in the ASCIP
MOC. The limits of liability extended to the Additional Covered Party listed above is $5,000,000 per occurrence for liability.
Authorized Representative: /
Date Issued; 6/22/2015
ASCIP is ajoint powers authority pursuant to Article I (commencing with Section 6500) of Chapter 5 of Division 7 of Title I of the Government
Code and Sections 39603 and 81.603 of the Education Code,
Rev 5/97
251ee932 1 77 1 15/1a All TmEs WC 1 nancy Lw !,Ez 1 e /22 /2415 7r15:so An (eoTl I azse 2 oe 2