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Home My WebLink AboutKOSMONT & ASSOCIATES, INC. (dba KOSMONT COMPANIES) (2) - 2018MAYOR ONSUIRANI CE ON RLE Miguel A. PulidoIRK HIM PRQICED) MAYOR PRO TEM 1aIlIL IlfPllSUliRr�+l4lIC.E NS „1 aP vela+ Michele Martin-Arm artinez uY�1J>• $ .•!b' COUNCILMEMBERS P. David Benavides CLERK OE�CyOr�U14CIL , Vicente Sarmiento [LATE:; Sff 2 5Jose Solorio Sal T najero t .G�` G,%n�q Juan Villages O0 CITY OF SANTA ANA 20 Civic Center Plaza a P.O. Bax 1988 Santa Ana, California 92702 714-647-6900 2MKggRta-ana.ora Larry J. Kosmont, CRE President and CEO Kosmont & Associates, Inc, dba Kosmont Companies 1601 N. Sepulveda Blvd., #382 Manhattan Beach, CA 90622 Re: Extension of Agreement N-2017-141 Dear Mr. Kosmont, N-2017-141-01 INTERIM CITY MANAGER Cynthia J. Kurtz CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar Pursuant to the above referenced Agreement entered into by Kosmont & Associates, Inc. dba Kosmont Companies and the City of Santa Ana dated July 7, 2017, the time period of said Agreement {Section 3 — "Term"} is hereby extended for an additional ninety (90) days, through January 3, 2018. 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 said Agreement remain unchanged and in full :Force and effect. If you have any questions regarding this matter, please contact Marc Morley in the Community Development Agency at {714} 647-6588. Sincerely, R art Zur Scl 'e CITY OF S T ANA Interim Executive irector Cynthia J. urtz Community Development Agency Interim City Manager APPROVED AS TO FORM: ATTEST: Sonia R. Carvalho Maria D. Huizar Z Clerk of the Council City e: Clerk of the Council SANTA ANA CITY COUNCIL Miguel A. Pulido Michele Martinez Vicente Sarmiento Jose Sell P. David Benavides Juan Villogas Sal Tinaloro Mayor Mayor Pro Tem, Ward 2 WaM 1 Ward 3 Ward 4 Ward 5 Ward ri nrulido .rya�Sta-a_na.ora m'madinez(hls^anta-ana.oro y*orr entQ@--onta-ana.org lvolor ora)santa-ane org dbenavides ansanigprl@A-q 'villecas(o)santa-an_:tpoi srnaeroiWsan{g��nd a.orq ACORbF CERTIFICATE OF LIABILITY INSURANCE +fir Acct#: 1171322 DATE(MMIDD/YYYY) F 1 10/01/2017 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 certificate holder in lieu of such endorsement(s). PRODUCER Lockton Companies, LLC 5847 San Felipe, Suite 320 Houston, TX 77057 CONTACT 888-828$365 NAME:PHONE I FAX A/c No : E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Ace American Insurance CO. 22667 INSURED Insperity, Inc. LIC/F INSURER B: INSURER C KOSMONT 8 ASSOCIATES, INC. 19001 Crescent Springs Drive Kingwood, TX 77339 INSURER D INSURER E: INSURER F: DAMAGE TO RENTED PREMISES Ea occurrence $ 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. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF IMMIDDrYYYY1 POLICY EXP (MMIDDNYYY)LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE FIOCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL S ADV INJURY $ GEN -L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ JPRO- PRO- ❑ LOC PRODUCTS-COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE $ Per need I UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN XPER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? NIA 064742280 10/01/2017 10101/2018 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT 1.000,000 _�$ " DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) I( V nvEuCR CITY OF SANTA ANA ATTN: MARC MORLEY 20 CIVIC CENTER PLAZA (M-25) 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 REPRESENTATIVE Ht Urvu w 1zu 1ru I I nu ear VMIJ 114111V unu Iuau are IUUIb1UrVU nrArN5 or Aa VMu Workers' Compensation and Employers' Liability Policy Named Insured Endorsement Number Insperity, Inc. UC/F City of Santa Ana KOSMONT & ASSOCIATES, INC. 20 Civic Center Plaza (M-25) Santa Ana, CA 92702 19001 Crescent Springs Drive Kingwood, TX 77339 Policy Symbol Policy Number Policy Period Effective Date of Endorsement 2 10/01/2017 TO 10/01/2018 10/01/2017 Issued By (Name of Insurance Company) Ace American Insurance Co. Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. NOTICE TO OTHERS ENDORSEMENT -SPECIFIC PARTIES A. If we cancel the Policy prior to its expiration date by notice to you or the first Named Insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic or other form of notification as we determine, to the persons or organizations listed in the schedule set out below (the "Schedule'). You or your representative must provide us with both the physical and e-mail address of such persons or organizations, and we will utilize such e-mail address or physical address that you or your representative provided to us on such Schedule. B. We will endeavor to send or deliver such notice to the e-mail address or physical address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. C. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. D. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with the information necessary to complete the Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you nor your representative provides us with e-mail and physical address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. E. We may arrange with your representative to send such notice in the event of any such cancellation. F. You will cooperate with us in providing, or in causing your representative to provide, the e-mail address and physical address of the persons or organizations listed in the Schedule. G. This endorsement does not apply in the event that you cancel the Policy. SCHEDULE Name of Certificate Holder E -Mail Address Physical Address City of Santa Ana 20 Civic Center Plaza (M-25) Santa Ana, CA 92702 All other terms and conditions of the Policy remain unchanged. I �c1zEU.e, 1%� Authorized Representative Acct#: 1171322 ALL -32688 (01/11) Page 1 of 1 z�v