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HomeMy WebLinkAboutRAPID TECH (SOUTH ORANGE COUNTY COMMUNITY COLLEGE DISTRICT) 1B -2012MAYOR Miguel A. Puiido MAYOR PRO TEM Sal Tmajero COUNCIL MEMBERS Angelina Amezcua P. David Benavldes Michele Martinez Roman Rayne Vincent F. Sarmiento December 9, 2015 INSURANCE ON MLL WORK MAY PROCEED UNTIL INSURANCE EXPIRES rlvk —1 L. DATE: 12 -2,3-6 X 4 A 1 20 Civic Center Plaza • P.O. Box 19$8 Santa Ana, California 92702 tmmsanta -ana org South Orange County Community College District dba Saddleback College, Rapid Tech Attn.: Dr. Debra Fitzsimons 28000 Marguerite Parkway Mission Viejo, CA 92692 Subject: Extension of Agreement rbA -2012 -019 Dear Dr. Fitzsimons: A -2012- 019 -02 CITY MANAGER David Cavazos CITYATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar Pursuant to Agreement under the Workforce Investment Act, #A- 2012 -019, entered between South Orange County Commtiuiity College District dba Saddleback College, Rapid Tech and the City of Santa Ana, dated February t, 2012, Section III — 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 ANA I {elly Reei er�j } David Cavazos Executive irec r City Manager Community Development Agency TO FORM: ATTEST -), City Attorney r�f' Maria D. Huizar City Clerk SANTAANA CITY COUNCIL kl,g¢ei A. Nino Sal rinajem 1 Wi ant P. sarm ent. i Mrhd� M.Mr%, ( Anget,ca Amezcua I P. David 8.,.Ydea I Roman Reyna Mayo Mayer Fro Tem, W.M 6 1 WaM t I WarU 2 i Ward 3 1 Ward 5 I Ward 5 MPulido @Lazo -ena om ."iT h9 aro;DSanta- arra.oro i VSarmientti eni »- an?t;«_g I MMaranez{?santa -rag ZANnezcuapsania- ena.oro I Daenav'desfa�santa -an .g{g ! tjRevna(o7santa- ana.om - A,aolz- 6i9 Statewide Association of Community College �ERTIFICATE OF COVERAGE Issue Date Protected Insurance Program for Schools 7/9/2015 ADMINISTRATOR: LICENSE# - 0451271 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Keenan & Associates AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 901 Calle Amanecer, #200 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE San Clemente, CA 92673 AFFORDED BY THE COVERAGE DOCUMENTS BELOW. ENTITIES AFFORDING COVERAGE: 949 - 940 -1760 www,keenan.com ENTITY Statewide Association of Community Colleges ENTITY B: Protected Insurance Program for Schools COVERED PARTY: South Orange County Community College Dist 28000 Marguerite Parkway ENTITYC Mission Viejo CA 92692 ENTIrr D. ENTITY E THIS IS TO CERTI FY THAT THE COVERAGES LIS ED BELOW HAVE BEEN ISSUED TO THE COVERED PARTY NAMED ABOVE FOR THE PERIOD INDICATED. NOTWITHSTANDING ANY ITION REQUIREMENT,'YERM OR COND OF ANYL NTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. THECOVERAGE AFFORDED HERHN IS SUBJECT TO ALL THE TERMS AND CONDITIONS OF SUCH COVERAGE DOCUMENTS. MEMBER ENT COVERAGE EFFECTIVE/ RETAINED LIMIT LTR TYPE OF COVERAGE DOCUMENTS EXPIRATION DATE IDEDUC11BLE LIMITS A GENERAL LIABILITY COMBINED SINGLE LIMIT EACH OCCURRENCE I ViGENERAL LIABILITY MADE (;f OCCURRENCE SWO 00107 -29 7/1/2015 $ 50,000 $ 1,000,000 ( j.CLAINS ( GOVERNMENTCODES 7/1/2016 { ERRORS d OMISSIONS tl ,A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT EACH OCCURRENCE IyLMY AUTO SWC 00107.29 7/1/2015 $ 50,000 s 1,000,000 I HIRED AUTO I NON -ONMEO AUTO 7/1 /2016 ;;Vy/7!'T� I GARAGE LIABILITY I AUTO PHYSICAL DAMAGE A PROPERTY SWCOD107 -2g 7/1/2015 s 5,000 s 250,250,000 I AI.L RISK 7/1/2016 EACH OCCURRENCE RTHQUAKE d FLOOD UDES I EX L R A STUDENT PROFESSIONAL LIABILITY SWC00107 -29 7/1/2015 5 5,000 5 Included 711/2016 EACH OCCURRENCE B W BIKERS COMPENSATION j IWO STATUTORY LIMITS IA OTHER I EMPLOYERS' LIABILITY PIPS11712 7/1/2015 $ 711/2016 S 1,000,000 E.L. EACH ACCIDENT s 1,000,000 EXCESS WORKERS COMPENSATION I )EMPLOYERS'LIADILITY S E.L. DISEASE -EACH EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMITS OTHER S S DESCRIPTION OF OPERATIONS! LOCATONSNEHICLEStRESTRiCTIONS1SPECUL PROVISIONS: ^T As respects to the agreement behreen betMean SAWo and South Orange County CCD (mane Valley Collage). 6, i«�- L-i.,� t CERTIFICATE HOLDER: CANCELLATION ...... SHOULD ANY OF'FHE ABOVE DESCRIBED COVERAGES BE CANCE D B�Fpp THE EXP RATION DATE THEREOF, THE ISSUING ENTITY /JPA i414T City, of Santa Ana._ 20 Civic Center Plaza HIW. HAILS yI�[,gV9 IT .EN I TS ��24 Kidd TX Santa Ana CA 92702isiSiQi C3�ffitQ2?1IkKg&NY?JkKAS'k: John Stephens AUTHORIZED REPRESENTATIVF ,w- rinWx,kro n.x 155 ?20J4 ( S3tlTltO%1. j 19ft8 9µ".r Pwl Pk6 ( HE6ANh2 eRR3GH { Tj9f SOte 4A4z12 Pst {Wil9') ( Ps3x I at 6 DISCLAIMER. The Certificate of Coverage on the reverse side of this form does not constitute a contract between the issuing entity(ies), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded . by the coverage documents listed thereon. eCL'xur,�,�m 25502010 1 SQW,oRA 1 15/16 Super Pool P&L I sEEASH BARKER 1 7/913015 4120:11 PM (PDT) I.Pe, ] f 4 �l ENDORSEMENT ADDITIONAL COVERED PARTY COVERED PARTY COVERAGE DOCUMENT ADMINISTRATOR South Orange County Community Colle je ESNC 00107 -29 Keenan & Associates Subject to all its terms, conditions, exclusions, and endorsements, such additional covered party as is afforded by the coverage document shall also apply to the following entity but only as respects to liability arising directly from the actions and activities of the covered party described under "as respects" below. Additional Covered Party• City. of Santa Ana 20 Civic Center Plaza Santa Ana CA 92702 As respects to the agreement between between SAWIB and South Orange County CCD (Irvine Valley College). City of Santa Ana, its officers, employees and volunteers are named as Additional Covered Parties, Authorized Representative Issue Date: 7/9/2015 lssavmo I ,o 110M I I1 /11 sops. Mol "I I OF.""N onaxea I 'I /s /ams n: aP 1x rn (IM I rzye l oe s v