Loading...
HomeMy WebLinkAboutCLEAR CHANNEL OUTDOOR, INC. „ City of Santa Ana r: Clerk of the Council AGREEMENT TERMINATION FORM COTC Office Use Only Please complete this form when the attached agreement and all amendments (if any) are no longer in effect.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). Call 647-6520 if you have any questions. The agreement with C L01-11— C r-y,, (�u; D�;rt. No. I'T J- 01-1- )10 was completed on I 14'�j and final payment has been made. (List all amendments. Use space below if needed.) Department: T'l/J r J C- Phone/Ext.: h c Yam` Signature: 000 ” Date: `J`( ( el 1 Revised 08-23-10 NSURAN'A: ON '11.11.: M09W MAN PR,X,'EE) UNTIL, IidSURANG-E EXPIRES uVJWrIL. ,hrr �, Off .r:,4 2017 1 u Clear Channel ClUtdoor CONTRACT FOR OUTDOOR ADVERTISING M A-2017-270 Page i of 3 July 25, 2017 she ann cnnOrms re. Pt of L"Wow q) in A/E New LA Renewal Takeover Product/Class Numbor; Approved as to form Rate $ 475.00 1 $ is aunva npm, spa toms, sal top" Am AND off P, CVNrautS rmnanffilea to Cfe,n' Cbanuel Dutdoo[ vie Branch 4 -Week I Total 3,300.00 $ 14,250.00 $ $ a _ $ $ s _ mast ere io be pnatc[I s orlymat Attest ecommende for Approval go n M. Funk` as City Attorney Maria p. Muizar Fre r usavipour Clerk of the Council Exe utive Director, Public Works OIL RTaR / P12C}0 1t'3 Up IO All Of US T— 1PADV P No. Of No. Of Term to N Installations Panels 4.Week Poster Bulletin PeYtnHs g 3 [77 9 75 Display Commences: 3/'1417.017 5 ace A Special Instructions/ Additional Charges: LFl:iggg005i Product Installation and Materials praduci/on lnnluded Sales T. Washington Etenrentery Sci)00/ Total Pro _ . she ann cnnOrms re. Pt of L"Wow q) in A/E New LA Renewal Takeover Product/Class Numbor; Approved as to form Rate $ 475.00 1 $ is aunva npm, spa toms, sal top" Am AND off P, CVNrautS rmnanffilea to Cfe,n' Cbanuel Dutdoo[ vie Branch 4 -Week I Total 3,300.00 $ 14,250.00 $ $ a _ $ $ s _ mast ere io be pnatc[I s orlymat Attest ecommende for Approval go n M. Funk` as City Attorney Maria p. Muizar Fre r usavipour Clerk of the Council Exe utive Director, Public Works 2S Clear Channel Outcloc)i Page 2 of 7 CONTRACT FOR OUTDO,QarjD4_R7I51NG $TgMDARD TER415 1 I:E%mED re'lils a.. it-IS.@.n, rndlnrd"p Ale m-:,,'.rngi im rpvu• nal.:,,v Bc.If, IIIIll nL.: :1111 . ul'I r.Ill IL,iV r , 11 1iill :rtol tI I '. 7: 11 .1 a1111lt I Il 1p, r3 tl5Me{I p, ia•tl:m C' iyn nh 1 11 dJ +: C< F 1111 sr d rhe.alt.vdt tl etallLrvhC t tly V.hu yi. ! . Yro.e.m III, tlHrmr byn .c. L'madrl to tlrylhllsgns 'GIrsJ 1;111 nm slcxlw�an Rem9xu,rPl Odkirn 1111 i✓11„11.. up,VflemunJOan'v. ,vdu,mo nrx LL nnv+l ,, buns. eyl «., ... (shf ae .I netts ,.;la. 1U:e Canty :o nu:.r SmvsCwlpad 'WJ-IdI lu m,Llwn 611:91,[ y 1 -u4anrglpegl6 ,.bfiavib. rS:nyVrnm crm canIhUorraTh and, I anpa"Itrnlv:rfr Cl4vinls Carvr..1 'Uunvdcr' anal) mean Ice ¢nnl:caUe tyidl'Jd :bnlrwr mean mnv.3 apUcorpAk:n prrtl tlli'punIII popsldaa'S1y v>1rtrr2dm imem,eN,,i Il+rsauraeTrI' to-1�:1�11llII"IIIII Y.Rlrtbmv+Y Shall rrrvaull lha 1111':IT ITill JTeil1r'Idy^211ry nl "I III Yqulfpndr,+v:11n urs III Si GOl,irlEY "IJWhr&JbaPo' Fall mhdn AW 11111'1) b' Itl_.9plrw]y WL40verrnny Maten]b n;,tnl (mth m Pe EFlids ConlfaJY 1'1: CGnye,f YFdlr n,u t r'!111i1 MO mf.Y•Sndl4„ `Wi!Ii Yr:y.lir:![r UV M cf. h.+.l:dl/af llte (uslae:IBr 9U ., d 61110118 .11, 11 CIIfl£ VIgd111M tlr fCI11111, mM 114. x GII115 Conit"'ILIST,m Shyann Ina (. It lry.'Atl"III 511,1 by ".IthNlnRm LYsv fpUnrel "t,"t,IQs QUrslanra, ynl4ny ImIL IBa a ,d UpnOUknwgi me Gam a1 r� r'41pnn'sh114 wenn Na eyryr Ut 9ep,3x1F NG :];r Iha lyyti fMA1Nd irlr p,e plxelneiN n11Mn a9 ... III, It, l'n@CnmpdrVn I PMOEN1 Y. J CU511Nn,YiN:Vl4'llylrl.NMdnf.irtJllrP YpNr4ef•p?'Rr[p by ltas in1111 Ny (Nld3p4,1,91.wq➢'.rl%'S891y Bxlan(151t rrn`ullo ,'uplan.r CIS"0IMITIINul. Iram lama s�Lnu. apnlan,al.^ Irl OYXl GIII 11,9'111 'ITit m :Si(aI In0.PPI It'il, in IM1d &I rli [I P93{{ud AnLWn19 l.r., 0 L1,""Id illIl,wt "'i'Idyten1111tl N+vpioxdl U".1-1111 100t II Il P16NT!i. G18UOdTIUNS ANU']SH2fA u<:RY;in'+IP?1Ty pf Th1L FlFp.'BEy' '3 i tTP CUniOAfCl1 6'.elmplII pole 0ftl 11115 tChar m:9 O2i (11) 11 .1181111 .2 III IS II 11C I1fp41 YU" m' RNA'4 'I'I JI]llp 1. Plvll I III]/ ITU (,on141 M+.O1 MS,yrIX$ V ahllWmp l,T1 II ,. ',9b1e 1@ICI3 a^ri ras.,r.+rlpu 111 W ilfll"39-M Ip nip J:tJ 01-1@111 b vhf.., C411n1 pf GISLr GIl]rY.,tl l Z 9r CLITAR G+Ilrl?151. I CIVdI CII J It ll Ill. 'it', -.I'I i+q IS .7/11 , 21,11 &It, dI,,I IIII 'I' Y IS I I 1, 11 1 S r TtI IT,,I 1111,I 111 1 14I Ill h IIIIS 1 r anYv a.'a 611alt 1:1 11 IEL&II'. Is t 1 IT QIII IT CI.. II II al, 'H II 11 tl 1P 1 / 's.l �roncu roF ra aJl ]I .a�. nl rla f. mn_u.'cp .,e}-m6nTo.nt' IT IT !'Falaa.r.!.rr 1111 .. a1aJ ., Ja Jnre6 / ,,III T. 01..:11.1[11,:-1 CII fladlCh h 2 J 1 ; 1 1. i ShapJ I d}r1A.8!I:dt 11Lr 1II9ISen1 I" -fp vont . Aher -N 1 II YdlI1,111 -1 1 i - I IT,pIl eyl :WI!JYne UP. J9YiVx IIIII11dp 5.Nlkfp I It;, 1T,' -11_/I "'V 111:11 lin Olni..J,ll:J a'.0 attIe2ll, II! on Irsr I,11a eeVV ra II:IIV 11:IS, Tell r,,oltll `^9 ".; 11 JIx F"l''v1.11(III Ilrm�dlilpIII lM1nav2 ITI' SJ 111 Itil r: 1, J. 115,9211- 1-'Brs :.r. '.1=.W41 .Il;nndllan I' 11-11 r.=aa Ir'... 111111 is l., 1.: ulF.o>a'nlara frii.r ry.-.l li, ll;l(,Vitnplpldvl I Y'JTI'IE T TP fGI,I'£LP C I1TI µl_I.ir V':S HI',I'1nrl :,:. I'll' QIlANI tiT AINp.lKi NL ->'3. PI IYA rCI TIEiDrJft`JafIgJT TSIs aE'irrYG[S OEiC0.1i{bGIN DII¢G9PIVRgC AHO GISdLlJAf3 AthV/'i11RJL ilEfi'JF y'=RI;i49VL�dILG'I NS'ITNESS i?4 A PFR IIOJIA, V.Yi oq nuavUSE d'a TdxL 1 u. SLI 1:1lar1 Cl slam,. 1 . 1 rdsr-1_191!, v.e I CGliMNT Fl?:JJI:i`: YI,iDI i•.r\Ib pF,Ll`1F'.R1' n IPWHTF.0 aq PNpPHhfgT irft�ipU(slild �UdiEFnL'n Fdtl'J G Iol, .I "i It, iclwavllpn "Iti 11 -ITITST.I Itt.11111191`/ t[I. 'i " I. 111, P.IIIIIII ll m!zJh CI"aI ellutdl yNtl -II ' Y11 Pt+4a t , l'i I,ddUs icrl Cnv:urta!'Jgil Cp tUepFn9 (dvrps3 F[dlrmq dml In ov"Spllen3iL _.. _. p II Icr ary y,;141 cczlsltC.^rt:'.I nit v,rlh S4541"'I IS Gl.ITSIIf dl ra Iv[111 1IT,1+1-1 ary 4nn aIle: III, J3 ggf.NlVde AlhTC0.1r\l, FiIG TTOUSE. CIU.Gn .1.11 14i i i 9t I, lIPLS aS 11 :111x1, IT III CIII, Cn,1IIII a 1.111, y; al pvrP0.5 fS Ct.,ip g Otlrp(yaS Clydl Ch"'CI IT, Ilse a IMdISI nr phJir,9rst+a PI Cleo 011111--1 s U.'r, or E19nu UisplsyiuSlhe Ganrpal,..n SIT "",'I .... It I PYfA'911o1131, a[hv fa9Nb Nf+enYpp.XVB 5pIR8jl'J:POs1F\'xlM1 �.FIF. Plp9paClivp U' yNS 11 f0! IhIdP,SI E b15gU0.nOo1 OF PgRrilYM'NGE. W t, CE U5E e.E4^Pp1 150012111;39 pruvilfpel lmMrn rlt:4av (`,Iu1n nl ry rete nrlaor Y. r.mw, m.ap�.lat'I a;+1111111 aumn ar orJW«n ai1xW, laflmn!I T, 611, IoVsnnll I -I III rya1dY Ihrr f.'eslnm;[ Js�2rII I S IX a l"1 'll. [IIlIlsrab ""IIISt,""LI "ll""0sp9Pln 6ivl mall dn`ldllplt Sidll"Ill 16111-111111 itO asacno-svlryehc¢p/bum 1V1 rID 4a4nI3h11113r K1, a JCI.4) Lv L3i111151p PEllDehl t'UNSIrIuIuA hru,9anr tI' J "I 'i It'llF w q IA IIe' ) jol 1 l •• • .0 IF P 11 a I I 1114 IIJrI 1 t `I a 181 Is.J,a .911 tJ:l i - a IT'S I h I P 1 G......Ywlw !I Irma+ It IrJ4 1 1- II 1 II d p all IL Vf II "b"l x la Ile h I JI i JJ Cf , a fl l er._ II" Ill l//1111 sU I YIYv 1 a 1 rj 1 141 (.aI' t 4 ? 91 ¢42ppp 'Amin it l,r p'.I Ire[rt 1511 r, .,Ii Ir ILrirnJ UfUs GudCClor Frov(,c 9ro I, rmCliIII prr al Jm1.r I,� I'il", }1 t,I rm l t 111 Htl it II.I CI 0.11'1- aK1i Je OU} II 111 -IX I. 1 I 1l Jh r 1 IT, 1 (1d ) L.atl al pr(r. 1J-1.5[•Jh da M1, A: a.ur AUt +.. tllzVl9y 111Cu. „nCN II 'S.S Mllsn ptp Neralonsdl) 6,TMANATION a. Clear Channal may by providing 14 days advance voldw nollca to Customer, and P Cureamor falitto aura such breach prior to explontrif of the in days, Iorminela fila Contract (1) upon material breach b Customer (except for breach of Customer's oblipedan to deliver Advarttslntl duietala to Cleat Channel) or 2) If any mentos to be paid by Cualorm' m ClaarChannel are past dud, Clear Channel's notice shall act forth II dmichiry of the allegdd arcade and Clear Channel agnea to provide anysuppmding doc lreameifon as may be reasonably contracted by Customer, In addhfon, Clear Channal may upon Witten notice to Guttural tarn nato this Contract IfAdvenising Materiels have not bean received by Clear Channel on or before the data inqulmd hamin, Upon any aUary undorlhis saurian(a), all uryWd, sucrued chugasiazaundar shallImmatllatdly bacome tlua end payable, b. Customer may by providmp 14 days advance When mace, to Clear Channel, end If Clear Channel WIS Io curd each breach pflor to axplredon aP the 14 days, bralmeam a C6mract upon matadal breach by Clear Channel. OUgenam's rwtiac shall setfdtlh aaammnry df the allePed breach and Customer egtaea to praalde any suppodngg documentation 49 may be reasonably requested by Clear Channel, Upon such turminahon, Clear Channsl shall pay b Customer, as liquidated damaged and not as a penalty, and as Cuaturril note and exduslvd lemony, a mum equal to the equal nameandeleblo costa necessarily Incanted by Customer ,for to the data of term muton for production and delivery to Clear Channel athe Advertbing Materials hareanderwidoh was not mspiayod. 0 Except as ofhervvlae apocNad in this C-MrAO4 novidaf PHY shall be liable to the other party for Inoldereal, Indltaat, conaequenllal or pumilva damegea or lost profits. 7. INDEMNIFICATION AND HOLD HARMUM Caused., shall depend, hoidhabancen and Indemnify Creel Channel, Its parents, aubaldlaries and Affiliated, and ftetrrospdativamtflaers, dlrerrors, ornplayaas, agents and daudgmebe From arty and all Name, actions, causes of aefon, loesea, Ilabiiitlea, demands, dnmagoe, pada(tlas, fines, aceta and oxpanaos including. vdlhotRlind4.11an, any mold mi Indlrae4 aomonuenWal, puNdveof statutory tlamegds orlostpmdts tote third and Dynamic free, connected clue or related toe Cleary nor ai't diaplayof Cualamete Adradem r Materiels and Or.1 h.r AnyContem,toady,ng,aningemenWn any rcmnnerof anecopydatvpatent, n,left,or trade Oscar :ofor olhertightof d any third peer,hat mayberatony mafNltdo11,16lm,a r leak, ardedany bele rAndallm tier's ro laIncllrdo any declaimeriersproducmay ba nvpvdoa by appfoabla laws. afaWtes, oPoinanceq rules and regh4stlons or (Ip Cuolomer'e products end carvtcas, 0. GENENAL ashwdldn and INarpratallen of tills Inovocanly waive any and ell fights to sg fie written consent of Clear Met under this Conirad for the hanxPil must have acuses to such Confdential sea to In dining, and signed by Customer and Pains Contrast and any other team at this e. The failure of Clear Channel or Customer to enforce any of the provisions of this Contract shall not be tenalmod as a general rellnyulshment or weiver of that or any other proelelon, f. All noflada nmreuMor shall be Iawlting doomed given on the data ortllspalch, and addressed to CoMeardr and Clear Channel lha adomaaas Voted In tom allos Contract A, The Invaddlty or unen(orceaWOtyof any podioh of (NO Contract shall not Affect the romalhdng For 6"! %creat, g.IF16URANCF, CERTIFICATE& CF INSUMNCE Pilar to wlderlaGng pedermancadxnrk ulMarihla C,mtraet, Clear Channel shill malnl9n ahs ehnlhaqufo Ile euianaaolors, If any, to obtain add lemmas coes;.3 l genaralfsbildylnamauce N Madirid but tnot order, Ile otilam, employees, agaric, voWNmnm slid mprusaniaAuoa e¢ adtllslnnallusuretl(s) and N;al lududn, butnotb¢ imltad W praNdton 4,;a tlm¢ Ridgy from badly and personal Injury, IndndNg dealt, owling Ihamaam and dsmafa W goporty, ratvdnghum arty aderw�c'..mance sl¢In6 oulofClearCianuaPe eperatbna In tie yodwrnarko ai ata pgromen4lnaNding, WihoatBmilalkn, adalmnlving vahlolos. the mnaunls afmsumncesbaY be notlaro tion Ws @FdwNp: allmN bnlcoverega applyarg to bodl(y and persmnd Infury, IrwlutllnA tleolB I'eauilag iharoirom, Aid pmpohp damapo,lu No blas urnmml aI fRA�� perdmedrratod,.Nlh S6,df1g,U0A t Ihn agfragale. Such Uiwrerge than (e) provide for Customer, its oftoms, tenivildms, sgmns, volwnbudm and ropresentafvda aa,Wdlllonal Ineurodh): (b) be rumor and ret cenhnwtdrygldr mapod to li sertide or aagIlnaulmne pmaome memalnad by Olurnft;Aid (o) contain atdndvd Nitrogen of filwo .esvi me. Page 3 of 3 City of Santa Ana Contract/Showing: LAX9990051 Client PO(Contract #: Clear Channel Outdoor Brand', Offer Agency: Transit Shelters Bales OHloe', Clear Channel Outdoor Account Manager: So Cal Shelter House Campaign Start: August 14, 2017 Market: LAX -All Southern California Transit Operator Clear Channel Outdoor Status'. Offer Media Type', Transit Shelters TARGET PROFILE: DMA - Los Angeles, CA Universe l8+yrs 205 Clear Channel Outdoor Segment Start: August 14, 2017 Segment End', November 26, 2017 Segment Duration: 15 Weeks) Proposal List PANEL Location Desc. TABID Area III 1 001967 Main WSlftS/O Columbine FIN -1 416999 2 001880 Sunflower NO IitW10 Greenville FIE -1 417022 3 001993 Tustin WS i 00ft SIX) 171h FIN -1 594334 4 002008 Warner SS in E/O BIrsh FIE -2 417062 5 006406 Warner SS 1091 EIO Fafrvlew, FIE, 2 594677 6 008411 Bristol ES 1009 NIO Hemlock FIS -1 694682 7 008415 Main WS 100H SIO Town & Country PIN 1 594686 8 008417 Main WS 1 00f NIO Washington FIN -1 594668 Market Summary No, Of Units Avg Target In -Market Impressions Plan In Market Impressions Last TAB audit: Last Audit 01101115 (310)755-7200 Page 1 of 1 Santa Ana Y Santa Ana Y Santa Ana Y Santa Ana Y Santa Ana Y Santa Ana Y Santa Ana Y Santa Ana N Scheduled 0 1,131,068 8,054,945 July 21, 2017 4:40PM CITY Or SANTA ANA FINANCE L& MANAGEMENT SERVICES AGENCY .ga PURCHASING DIVISION 20 CIVIC CENTER PLAZA AI -I(, RO. BOX 1938 • SANTA ANA, CAUFORNIA 92702 REQUEST FOR EXCEPTION TO CONIPETITIVE BIDDING PROCESS; Requests for exceptions to the competitive- bidding process require delailedjustification. This form must accompany your requisition whenever an exception to the competitive bidding process is requested. Such a request should nol be oracle unless supported by factual statements that will pass an independent audit Failure to respond frilly kO any of the questions could result in delay or rejection Of your request due to inadequate justification. The Buyer or F&MS Agency Administrative Services Manager will Cleternnine whether the justification is appropri Lite, I. Describe the product or service you wish to proeure. Use enough detail to cleanly describe what you are procuring to someone not familiar with tine process. Procuring services for implementation of bus shelter advertising media. Service will include all materials anCl labor. 2. What are the unique performance factors of the requeatecl product or service that cannot be met by another vendor? The City of Santa Ana has an exclusive agreenreet with Clear ChainnelOutCloor for the maintenance and advertising of all bus shelter, furnii'ure and stops in the city. The City receives quarterly compensation from this agreement. This contract does not provide an ability to purchase advertising in bus shelters. Any adver icing not purchased directfl'orn Clear Clranncl would include a third part} markup and therefore result in a higher costto the Citv. I HEREBY CERTIFY" THAT to the best of any knowledge, after having reviewed all pertinent information indicated available tome at this time„ the following vendor- is the sole source of supply for tile required product or service REQUESTOR zed Kekula, Sr. Civil Engineer DATE. 7 31 17 D PT./DIV. HEAD: DATE: ,. 7./ 31 / 17 Edwin "William" Ciak,ez. P.E., City Engineer REQUISITION 4: �EQ g2 ACbRbP CERTIFICATE OF LIABILITY INSURANCE DATE 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 pollcy(les) must have ADDITIONAL INSURED provisions or 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 1-832-476-6000 Aon Risk Service$ Southwest, Inc. 5555 San Felipe, Suite 1500 N MNTACT E: - PHPNE AX Extl, INC, Non: ADDRESS, INSURERS AFFORDING COVERAGE NAIL#_ INSURER A: GREENWICH INS CO 22322 Houston, TX 77056-3089 INSURED Clear Channel Outdoor, Inc. INSURER B: XL INS AFRICA INC / XL SPECIALTY INS O EACHOCCURRENCE $ 5,000,000 INSURER C: INSURER D: C/o 200 East Besse Rd. INSURER E: INSURER F: San Antonio, TX 78209 COVERAGES CERTIFICATE NUMBER: 51140258 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. CTR TYPE OF INSURANCE ADD INED 9 BR MD POLICY NUMBER MIN�OYEFF Y EXP MMIDDNYY LIMITS A X I COMMERCIAL GENERAL LABILITY RGD300052802 11/01/16 11/01/17 EACHOCCURRENCE $ 5,000,000 CLAIMS -MADE OCCUR -DAWTUEYT� O REN EO PREMISES Ea aciurrence $ 1,000,000 MED EXP lAny oneperson) $ Excluded PERSONAL &AOV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 POLICY C PRO- JECT El LOC PRODUCTS - COMPIOP AGO $ 5,000,000 $ OTHER: A AUTOMOBILE LIABILITY RAD943770902 11/01/16 11/01/17 COMBINED SINGLE LIMIT Ea accident $ 2,000,000 _ BODILY INJURY (Par person) $ X ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE $ Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAS CLAIMS -MADE DED I I RETENTION $ $ D WORKERS COMPENSATION AN D EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNEWEXECUTIVEF7NIA OFFICER/MEMBERE%CLUDED4 (Mandatory In NH) RBPD300052902/RWR3O02 11/O1/16 11/01/17 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 000 E.L. DISEASE - EA EMPLOYEE $ 1,000400 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 REVIEWED BY, EUNICE HEREDIA (PG 1 OF2-1 DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space la required) RE: LEASE It 38847 AT 1221 E 3RD ST, SANTA ANA, CA 92701; LAX999058, LAX9990051, LAX9990055, LAX9990056 Certificate Holder, its officers, employees, agents, volunteers and representatives as additional insured(s) on the liability policies, and such insurance is primary and non-contributory, but only to the extent of the liability assumed by the Named Insured under written contract. Workers Compensation is evidenced for employees of the Named Insured Only. 30 days notice of cancellation as agreed by written contract. CERTIFICATE HOLDER CANCELLATION ©1988-2095 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD newrequest 51140258 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF SANTA ANA, N-93 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 CIVIC CENTER PLAZA AUTHORIZED REPRESENTATIVE SANTA ANA, CA 92701 (j^„/�W�Jp �4Y`C' USA ©1988-2095 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD newrequest 51140258 POLICY NUMBER: RGD3000528-02 COMMERCIAL GENERAL LIABILITY CG 20 26 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 4IgiL VIIIA•• Name Of Additional Insured Persons) Or Organization(s): CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES 20 CIVIC CENTER PLAZA— ROSS ANNEX SANTA ANA, CA 92701 A. Section II - Who Is Aro Insured is amended to include as an additional Insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising Injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1, The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional Insured Is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional Insured. CO 20 26 0413 B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional Insured is the amount of insurance: 1, Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown In the Declarations; whichever is less. This endorsement applicable Limits of Declarations. 0 Insurance Services Office, Inc., 2012 shall not increase the Insurance shown in the Page 1 of 1 01 REVIEWED BY; EUNtCE REREDIA jPo �OF J,).. ,