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HomeMy WebLinkAboutBartusick, Michael & Christie - 1988-01-01 /... ,L'.1.4..-.-. .. .- REQUE ' FOR CITY COUNCC ACTION ' Date November 18, 1988 Submitted to: Honorable Mayor and City Council Members Paul E. Cook, City Administrator \ Submitted by: Prepared by: ::eevt / 9 : r / ---- ‘ ....~.........I1••••••••••••••.•0000 \ • Consistent with Council Polic s [ ] New Policy or Exception Statement of Issue, Recommendation, Analysis, Funding Source, Alternative Actions, Attachments: , Statement of Issue: The City of Huntington Beach owns the building known now as "Park Bench Cafe" located on Central Park property east of Golden West and north of the Central Library on Talbert. We are in need of a new concessionaire to provide for the publics needs at this location. Recommendation: Approve the attached lease with Mr. and Mrs. Bartusick as "lessee" and authorize the Mayor and City Clerk to execute same. Analysis: The City of Huntington Beach owns two food concessions within its Central City Park. One is on the west side of Golden West and the "Park Bench Cafe" is on the east side of ,• Golden West. The former concessionaire at this location had to retire because of the serious 4 health problems of his wife. The new "lessee" was selected from several applicants after • numerous interviews and meetings. This new concessionaire promises to be a real asset to the park system and the City. Terms are; a five (5) year lease with rents at 12.5% of gross. Funding Source: Not applicable. Alternative Action: Reject present staff choice and repeat the selection process. Attachment: Lease contract 9 . ,...,$), .... . J 41 57j t PIO 5/85 • • CITY OF HUNTINGTON BEACH 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY CLERK April 13, 1989 Orange County Assessors Office • P. 0. Box 149 Santa Ana, CA 92702 Attn: Jack Walker, Real Property Dept. Enclosed is a copy of a lease agreement between the City of Huntington Beach and Michael and Christie Bartusick for city- owned property for the purpose of conducting a concession - Park Bench Cafe. If you have any questions , please call the Office of the City Clerk at 536-5405. Connie Brockway City Clerk CB:bt Enc. (Telephone: 714-536-5227) • • CITY OF HUNTINGTON BEACH 2000 MAIN STREET CALIFORNIA 92648 OFFICE OF THE CITY CLERK April 13, 1989 Michael & Christie Bartusick 9685 Pettswood Drive Huntington Beach, CA 92646 Enclosed is an executed copy of a Lease Agreement by and between the City of Huntington Beach and Michael W. Bartusick and Christie L. Bartusick for the Park Bench Cafe which was approved by the City Council on December 5, 1988. Connie Brockway City Clerk CB:bt Enc. (Telephone: 714-536-5227) • • LEASE AGREEMENT BY AND BETWEEN THE CITY OF HUNTINGTON BEACH AND MICHAEL W. BARTUSICK AND CHRISTIE L. BARTUSICK FOR THE PARK BENCH CAFE THIS AGREEMENT to lease real property is hereby made by and between the CITY OF HUNTINGTON BEACH, a municipal corporation of the State of California, hereinafter referred to as "CITY" , and MICHAEL W. BARTUSICK and CHRISTIE L . BARTUSICK, hereinafter collectively referred to as "LESSEE" , who covenant and agree as follows : 1 . OWNERSHIP OF PREMISES CITY hereby leases to LESSEE and LESSEE hereby hires from CITY the premises depicted in "Exhibit A" , attached hereto and incorporated herein by reference . 2 . PURPOSE OF THE LETTING The premises are let for the purpose of conducting a food, beverage and rental concession, and other such uses as may from time to time be approved in writing by CITY . 3 . TERM The term of this lease is five (5 ) years, to commence on November 1, 1988 and expire on October 30, 1993 . 4 . RENT The rent for the premises shall be twelve and one/half percent ( 12 .5% ) of gross receipts (sales and rentals) . A. AMOUNT AND TIME OF PAYMENT LESSEE shall compute all receipts monthly and shall pay CITY on or before the 15th day of each and every month, the rental owing to CITY and for rental due and payable under this Agreement . If received after the 15th day but postmarked on or -1- • • before the 15th day, the payment will be accepted without penalty. LESSEE shall furnish with each such rental payment, on forms provided by CITY, a detailed statement of the gross sales upon which said payment amount is computed. B. DEFINITION OF GROSS SALES OR GROSS RECEIPTS Gross sales shall constitute the sale price of all goods, wares, merchandise, rentals or products sold in, at, upon or from the leased premises , by LESSEE or its agents or employees, whether of cash or credit, and in case of sales on credit, whether payment is actually made or not . C . RECORDS AND ACCOUNTS LESSEE covenants and agrees that it will , at all times during the term of this lease, keep or cause to be kept true and complete books, records and accounts of all financial transactions in the operation of all businesses , concessions, services and activities of whatever nature conducted on or from said premises . The records must be supported by documents from which the original entry of the transaction was made, including sales slips, cash register tapes and purchase invoices . All sales and charges shall be recorded by means of cash registers which display to the customers the amounts of the transactions, certifying the amounts recorded . The registers shall be subject to approval of CITY and shall be equipped with devices which lock in daily sales totals, and which shall record on tape the transaction numbers and sales details . At the end of each day, the tape will record the total sales for that day and the LESSEE will verify the total gross sales each day by signing his/her name on the tape and then file it in -2- • • chronological order . LESSEE covenants and agrees that it will comply with and require all of its sublessees, concessionaires, licensees}? agents and employees to comply with the foregoing requirements . LESSEE covenants and agrees to delivery to CITY not later than the 15th day of each month, a true and correct statement of all gross receipts and gross sales for the preceding calendar month, showing separately: 1 . The gross sales and gross receipts from each business, concession, service, coin-operated machine or activity conducted on or from said premises . 2 . The total gross sales and gross receipts itemized as to each of the separate categories of gross sales and gross receipts upon which the percentage rentals herein reserved are based. Monthly reports shall accompany LESSEE ' S monthly payment to CITY. All books, cash register tapes, records and accounts of every kind or nature kept by LESSEE, its sublessees , agents or employees, licensees or concessionaires relating to the operation of any business, concession, service or activity conducted on or from said premises shall, at all reasonable times, be open and made available for inspection or audit by CITY, its agents or employees or the duly authorized agents and employees of the City of Huntington Beach upon request . D. AUDIT LESSEE shall also furnish to CITY copies of its quarterly California sales and use tax returns at the time each -3- • • is filed with the State of California . Such books of account records , cash receipts and other pertinent data shall be kept for a period of two ( 2 ) years after the end of each lease year . The receipt by CITY of any statement , or any payment of percentage rent for any period, shall not bind CITY as to the correctness of the statement or payment . CITY shall be entitled during the term and within two ( 2 ) years after expiration or termination of this lease to inspect and examine all LESSEE ' S books of account , records , cash receipts and other pertinent data, so CITY can ascertain LESSEE 'S gross sales . LESSEE shall cooperate fully with CITY in making the inspection . CITY shall also be entitled, once during each lease year and once after expiration or termination of this lease, to an independent audit of LESSEE ' S books of account , records, cash receipts and other pertinent data to determine LESSEE ' S gross sales , by a certified public accountant to be designated by CITY . For the purpose of auditing, LESSEE shall maintain a separate business checking account specifically for concession operation . The audit shall be limited to the determination of gross sales and shall be conducted during usual business hours at the premises . If the audit shows that there is a deficiency in the payment of any percentage rent , the deficiency shall be come immediately due and payable . The costs of the audit shall be paid by CITY unless the audit shows that LESSEE understated gross sales by more than two percent ( 2% ) , in which case LESSEE shall pay all CITY 'S costs of the audit . CITY shall keep any information gained from such statements , inspection or audit confidential and shall not -4- • • disclose it other than to carry out the purposes of this lease, except that CITY shall be permitted to divulge the contents of any statements in connection with any financing arrangements or sale of CITY 'S interest in the premises. 5 . CANCELLATION A. FOR CAUSE CITY may, upon thirty (30 ) days notice in writing to LESSEE, cancel and terminate this agreement and the lease granted herein without liability to CITY in the event of failure of LESSEE to comply with any of the terms or conditions or agreements hereof as may be determined solely by CITY. B. FOR PUBLIC NECESSITY CITY may, upon thirty ( 30 ) days notice in writing to LESSEE, cancel and terminate this agreement and the lease granted herein without liability to CITY when public necessity so requires, or to suspend operations hereunder in the event of public necessity or safety. Additionally, CITY may, upon sixty (60 ) days notice, terminate this agreement if the implementation of a master plan affecting the city park is imminent, and mandates exclusion of the leased premises from their current use prior to expiration of the term hereof . So far as is possible, LESSEE is granted the right to participate in the master plan process, and will be afforded the opportunity to continue to operate if it can meet the requirements imposed pursuant to the master plan. 6 . LATE CHARGE In the event any rental payment is not made on or before the due date as herein provided, a late charge of ten percent -5- • • (10%) of the amount of each rental payment shall be assessed on the day following the date such rental payment becomes due and payable. 7 . INDEMNIFICATION, DEFENSE, HOLD HARMLESS LESSEE hereby agrees to protect, defend, indemnify and hold and save harmless CITY, its officers, and employees against any and all liability, claims, judgments, costs and demands, however caused, including those resulting from death or injury to LESSEE ' S employees and damage to property, arising directly or indirectly out of the obligations herein undertaken by LESSEE, or out of the operations conducted by LESSEE, including those arising from the passive concurrent negligence of CITY, but save and except those which arise out of the active concurrent negligence, sole negligence, or the sole willful misconduct of CITY . LESSEE will conduct all defense at its sole cost and expense . Any costs of defense or attorney ' s fees incurred by CITY in enforcing this obligation will be reimbursed to CITY by LESSEE or may be awarded to CITY by a court of competent jurisdiction as costs pursuant to California Code of Civil Procedure § 1021 . 8 . INSURANCE A. GENERAL LIABILITY LESSEE shall carry at all times incident hereto, on all operations to be performed hereunder, general liability insurance, including coverage for bodily injury, property damage, and blanket contractual liability. Said insurance shall also include automotive bodily injury and property damage liability insurance . All insurance shall be underwritten by -6- • • insurance companies in forms satisfactory to CITY . Said insurance shall name the CITY, its officers, agents and employees and all public agencies as determined by the CITY as Additional Insureds . LESSEE shall subscribe for and maintain said insurance policies in full force and effect during the life of this Agreement, in an amount of not less than One Million Dollars ( $1 ,000, 000 .00 ) combined single limit coverage . If coverage is provided under a form which includes a designated general aggregate limit, such limit shall be no less than twice the per occurrence limit . In the event of aggregate coverage, LESSEE shall immediately notify CITY of any known depletion of limits . LESSEE shall require its insurer to waive its subrogation rights against CITY and agrees to provide certificates evidencing the same . Before LESSEE takes possession of the premises as contemplated herein, LESSEE shall furnish to CITY certificates of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverages; said certificates shall provide the name and policy number of each carrier and policy, and shall state that the policy is currently in force and will not be cancelled without thirty (30 ) days written notice to CITY . LESSEE shall maintain the foregoing insurance coverages in force until the expiration of this Agreement . The requirement for carrying insurance shall not derogate from the provisions for indemnification of CITY by LESSEE under Section 7 of this Agreement . CITY or its representative shall at all times have the right to demand the original or a copy of all said policies of insurance . LESSEE -7- • • shall pay, in a prompt and timely manner, the premiums on all insurance hereinabove required . B . FIRE LESSEE shall maintain in force during the entire term of this agreement, a standard broad form fire insurance policy for full replacement of the structure itself, as well as contents described in "Exhibit B" attached hereto in which the CITY is named and which any and all losses are made payable to CITY . The face amount of said policy shall be $75 ,000 .00 building and $20,000 . 00 contents , and said policy shall be on a form acceptable to the City Attorney. C . WORKERS ' COMPENSATION Pursuant to California Labor Code Section 1861, LESSEE acknowledges awareness of Section 3700 et seq. of said code, which requires every employer to be insured against liability for workers ' compensation; LESSEE covenants that it will comply with such provisions prior to commencing performance of the obligations hereunder . LESSEE shall maintain such Workers ' Compensation Insurance in an amount of not less than Five Hundred Thousand Dollars ($500,000 . 00 ) bodily injury by accident , each accident, Five Hundred Thousand Dollars ($500,000 .00 ) bodily injury by disease, each employee, and One Million Dollars ($1 ,000 ,000 .00 ) bodily injury by disease, policy limit at all times incident hereto, in forms and underwritten by insurance companies satisfactory to CITY; and LESSEE shall, prior to commencing performance of the work hereunder, furnish to CITY, on a form approved by the City Attorney, a certificate evidencing such -8- • insurance; said certificate shall include a provision that the insurer shall notify CITY at least thirty (30 ) days prior to any cancellation or modification of said insurance policy; and LESSEE shall notify CITY at least thirty (30 ) days prior to any cancellation or modification of such policy. Said insurance shall not derogate from the provisions for indemnification o CITY by LESSEE under Section 7 of this Agreement . LESSEE shall furnish to CITY a certificate of waiver of subrogation under the terms of the Workers ' Compensation Insurance . 9 . CARE OF PREMISES LESSEE shall at all times maintain the leased premises in conformity with all state and local laws and regulations . At all times during the term of this lease agreement, LESSEE, at its own cost and expense, shall keep and maintain the premises within fifty (50 ) feet radius of the building in a neat, clean and orderly condition and shall keep the exterior and interior of the building in good condition and repaired and painted as CITY shall direct . LESSEE will replace or repair all glass damage exterior or interior . The premises are leased on an "as is" basis . LESSEE shall be responsible for repair and maintenance of all equipment as per "Exhibit B" . At the end of the lease term, all equipment and premises shall be returned in good operating condition. Interior and exterior signs, decor furnishings , lights and colors shall not be added to or altered from present conditions without the prior written consent of CITY . Any and all modifications, additions or deletions to the premises or the equipment shall be made only with the prior written approval of -9- • • CITY and shall be at the sole expense of LESSEE who shall be solely responsible for any liens, encumbrances or charges upon such modification, addition or deletion. Upon the expiration of the term of this lease any such modification, addition or deletion will belong exclusively to CITY free of any lien encumbrance or charge. LESSEE shall permit CITY, its officers, agents or employees to enter said premises at all reasonable times to view the state and condition thereof, or the conduct of LESSEE 'S business . LESSEE shall not obstruct, cause or permit the obstruction of said premises or any part thereof in any manner whatsoever . LESSEE shall be responsible for any damage to the lease premises caused by LESSEE, its officers, agents or employees . The responsibility or liability for bodily injury or for property damage caused by third parties , against which LESSEE holds CITY harmless under indemnification provisions of the agreement . Failure of LESSEE to comply with written notice served by CITY with regard to the care and maintenance of the premises, including the signs, shall result in termination of this lease. 10 . DAMAGE - CANCELLATION In the event the leased premises shall be damaged through no fault of LESSEE, CITY shall not be required to repair or rebuild premises, nor shall LESSEE be entitled to damages by reason of the failure of CITY to repair or rebuild such premises; however, should said premises remain in condition not suitable for LESSEE 'S operations for a period of fifteen ( 15 ) -10- days, either party hereunder shall have the privilege to cancel this agreement and be relieved of any further liability hereunder . 11 . CITY 'S RIGHT OF INSPECTION CITY reserves the right by its authorized agents, employees or representatives to enter the leased premises to inspect the same or any part thereof at any time and to attend or protect CITY 'S interest under this lease. 12 . DEFAULT, ABANDONMENT, RIGHT OF REENTRY Time and each of the terms, covenants and conditions hereof are expressly made the essence of this agreement . If LESSEE shall fail to comply with any of the terms, covenants or conditions of this lease, including the payment of the rentals herein reserved at the time and in the amounts herein required, and shall fail to remedy such default within fifteen (15 ) days after service of a written notice from CITY so to do if the default may be cured by the payments of money, or commence in good faith to remedy any other default within fifteen ( 15 ) days and thereafter diligently prosecute the same to completion, or if LESSEE shall abandon or vacate the leased premises, CITY may, at its option, and without prior notice or demand, terminate this lease and enter upon the leased premises and take possession thereof and remove all persons therefrom with or without process of law. Upon such termination, LESSEE shall pay a sum of money equal to the amount, if any, by which the cash value of the rent reserved hereunder for the balance of the term exceeds the then cash value of the premises for the balance of the term. In the event of such termination, LESSEE -11- • shall have no further rights hereunder, and all improvements shall become the property of the CITY . LESSEE may, at its option, elect to reenter and take possession of said premises and relet said property or any part thereof for the account of LESSEE, for such rent and upon such terms as shall be satisfactory to CITY , without such reentry working a forfeiture of the rents to be paid and the covenants to be performed by LESSEE during the term of the lease . For the purpose of such reletting the CITY is authorized to make any repairs, changes, alterations or additions in or to said premises that may be necessary or convenient and if a sufficient sum shall not be realized monthly from such reletting, after paying all of the costs and expenses of such repairs , changes, alterations or additions and the expense of such reletting and the collection of the rent accruing therefor each month to satisfy the rental herein required to be paid by LESSEE, the LESSEE will satisfy and pay such deficiency each month upon demand therefor . 13 . ASSIGNMENT OR SUBLEASE No assignment or sublease of this agreement or any of the rights hereunder shall be valid or binding upon CITY without the written consent of CITY first had and obtained . Any attempt to assign this agreement without such prior written consent of CITY shall constitute a violation of this agreement and cause for cancellation hereof by CITY. 14 . UTILITIES LESSEE shall pay as when the same shall become due and payable all charges for all public utility services, including -12- • water, electricity, gas, trash and any and all other utilities . 15 . TAXES Nothing in this lease agreement shall be construed to relieve LESSEE of any obligation to pay any federal , state, county, or local license tax or tax which may be imposed or payable by reason of any statute or ordinance, and LESSEE agrees to pay promptly all license and taxes and other lawful charges that are imposed by any governmental body or agency including any possessory interest tax appraisal upon LESSEE ' S use of the premises . Further, nothing in this agreement shall be construed to relieve LESSEE of any obligation to obtain and pay the fee for any permit which may be required by any ordinance of the City of Huntington Beach . 16 . NOTICE Any written notice given under the terms of this agreement shall be either delivered personally or mailed, postage prepaid, addressed to the party concerned as follows : TO CITY: TO LESSEE: City of Huntington Beach Michael and Christie Bartusick Real Property Management 9685 Pettswood Drive 2000 Main Street Huntington Beach, Calif . 92646 Huntington Beach, Cal . 92648 17 . COMPLIANCE WITH LAWS LESSEE shall comply with all state, county, city and federal laws that relate to LESSEE 'S operations hereunder . 18 . SECURITY DEPOSIT LESSEE shall provide CITY with a $1 ,000 . 00 deposit, payable to CITY with the interest being paid to the LESSEE to be -13- i • approved by the City Treasurer, to be used by CITY to repair and maintain the leased premises as per Section 9 and 10 of this lease agreement, upon LESSEE 'S noncompliance with CITY ' S written notice . Within fifteen ( 15 ) days of CITY 'S written notice to the LESSEE that the required work has been completed, LESSEE shall provide CITY with such sums of cash so as to maintain the 1,000 .00 deposit . If the cash is not received, CITY will use deposit and LESSEE will pride a new $1,000 .00 deposit within fifteen ( 15 ) days after deposit has been used . If , at the conclusion of the lease term, any sums remain on deposit, they shall be refunded to LESSEE . 19 . HOURS LESSEE shall provide service to the public and remain open for business such hours as best to serve the public. LESSEE 'S schedule of the hours when such services are provided shall be subject to the CITY 'S Director of Community Services for prior written approval , and any changes or deviations to such schedules thereafter must be approved in writing by the Director . 20 . DELIVERIES CITY will approve the days and time deliveries may be made by any person, LESSEE or LESSEE ' S employees . To enable LESSEE to have access upon CITY 'S property, LESSEE must have written consent from CITY. REST OF PAGE NOT USED -14- • • 21 . The foregoing represents the entire agreement between the parties . IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers the day, month and year first above written . LESSEE : CITY F HUNTINGTO BEAC------ffa-419 . a mun cipal co ai •n eze..e...4...c........ .44,, _„( Mi a W. Bartusick Mayor Christie L. Bartusick ATTEST : APPROVED AS TO FORM: afteif4:41 ea:04406a, ar.„11-f )Z.7„,,_AP2-,--N___, City Clerk y// 3/gcj /o -/ _cy yCity Attorney REV WED AND APPROVD: IN E PROVED: �' City Administrator Chief of dministrative Servi es �i -15- ._..1 t 111:.1 1 if AK,E. � 1 A/o?ToscAtE c' K : - PARK_ BENCH CArz -rAzgER AVE, . • • EXHIBIT B CITY OF HUNTINGTON BEACH COMMUNITY SERVICES DEPARTMENT HUNTINGTON CENTRAL PARK RESTAURANT INVENTORY Back Room 1 ea. Water Heater Smith 780-H-7432380 1 ea. Fly Fan Hunter No Serial Number 1 ea. Burglar Alarm System (not working) Preparation Area 2 ea. Preparation Stainless Steel Tables 1 ea. Triple Stainless Sink 1 ea. Double Refrigerator Ureco 31073 1 ea. Chalkboard 1 ea. Single Freezer Ureco 31072 15 ft. Stainless Steel Shelving Storage Area 1 ea. Coffee Maker Bunn 72914 1 ea. 3'x2' Stainless Steel Platform for CO2 Bottles Serving Area 2 ea. Paper Towel Dispenser 1 ea. Triple Heat Light Unit 1 ea. Grill with Fryer Wells 7756 2 ea. Preparation Stainless Steel Tables 1 ea. Refrigerator Delfield 3 ea. Stainless Steel Shelving I ea. Refrigerated Food Display Case 4 ea. Chalkboards Dining Room I ea. Air Door Mars 815PE36C-L 1 ea. Ceiling Fan Light 1 ea. Fly Fan Galaxy 1 ea. 30 Gallon Plastic Trash Can 4159j i / 1 V / / / SET TAB STOPS AT ARROWS s DATE(MM/DD/YY) 3• 12-28 _ • Of CERTIFICA E OF INSURANCE ISSUE 8 8 PRODUCER �'�YC - �. ., . . .. '_,tHIS.a.ERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Alpel Insurance Agency, Inc . _ 25301 Cabot Road #101 ( : i ; I °G(l COMPANIES AFFORDING COVERAGE 7 Laguna Hills , Ca 92653 I'd I . .. . .AI u` COMPANY A LETTER Golden Eagle Insurance • COMPANY B INSURED 43(s3 LETTER Michael Bartusick COMPANY , DBA: Par,Ik Bench Cafe LETTER C 17732 Goldenwest Street COMPANY Huntington Beach, Ca 92643 LETTER COMPANY E LETTER • COVERAGES THIS IS TO CERTIFY THAT 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 CONDI- TIONS OF SUCH POLICIES. LIABILITY LIMITS IN THOUSANDS CO EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER LTR DATE(MM/DD/YY) DATE(MMDD/YY) EACH OCCURRENCE AGGREGATE GENERAL LIABILITY BODILY X COMPREHENSIVE FORM INJURY $ $ PREMISES/OPERATIONS PROPERTY UNDERGROUND DAMAGE $ $ EXPLOSION&COLLAPSE HAZARD © PRODUCTS/COMPLETED OPERATIONS A ® CONTRACTUAL PGR 06 62 14 9-20-88 Bism 9-20-89 COMBINED $ 1000 $ 1000 , INDEPENDENT CONTRACTORS © BROAD FORM PROPERTY DAMAGE © PERSONAL INJURY PERSONAL INJURY $1000 , AUTOMOBILE LIABILITY BODILY INJURY ■ ANY AUTO (PER PERSOI;) $ ALL OWNED AUTOS(PRIV. PASS) BODILY OT THAN INJURY ALL OWNED AUTOS(PRHIV.ER PASS.) IPER ACCIDENT) $ HIRED AUTOS , PROPERTY NON-OWNED AUTOS DAMAGE $ GARAGE LIABILITY COMBINED $ EXCESS LIABILITY UMBRELLA FORM CI 8 BD COMBINED $ $ OTHER THAN UMBRELLA FORM STATUTORY WORKERS' COMPENSATION $ (EACH ACCIDENT) ' AND ' EMPLOYERS' LIABILITY OR`s r eY $ (DISEASE POLICY LIMIT) 0�' T��. -C,O $ (DISEASE EACH EMPLOYEE) OTHER — — — Fyn • - i},. ,t0-O( �4 &O J' �� LU 1 `iVl Gk '' v"J G✓S DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMSB-1 CERTIFICATE HOLDER - ,CANCELLATION '` City of Huntington Beach SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED. FI�il3' PIRAT DATE���THEREOF, THE ISSUING IQQ��UI� COMPANY WILL zEE�f ��}} 2000 Main Street LEFT �VAX RS Y��� rlQ¢(9A+�� L /FY Huntington Beach, Ca 92048 AAKK NX XX KWX ATTN: Ivor Githsam AUTHORIZED REPRESENTATIVE '. Insurance & Benefits Dept. ACORD 25(8184) © IIR/ACORD CORPORATION 1984 JG-- • • �� , STATE P.O. BOX 807,SAN FRANCISCO, CA 94101-0807 COMPENSATION I NI SURAr".CE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE MARCH 24 , 1989 POLICY NUMBER: 1091654 - 89 CERTIFICATE EXPIRES: 3- 1 -90 CITY OF HUNTINGTON BEACH BUILDING DIVISION, 3RD FLOOR ATTENTION : GLORIA GITSHAM 2000 MAIN STREET JOB: ALL OPERATIONS HUNTINGTON BEACH , CA 92648 L This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. 30 This policy is not subject to cancellation by the Fund except upon tenys'advance written notice to the employer. 30 We will also give you TENAys'advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance 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. sc: 164 PRESIDENT EMPLOYER ' S LIABILITY LIMIT - $3 ,000 0 PER OCCURRENCE . ENDORSEMENT #0015 ENTITLED ADDITIONAL INSURED EMPLOYER EFFECTIVE 03/24/89 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. NAME OF ADDITIONAL INSURED: CITY OF HUNTINGTON BEACH ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS ' NOTICE EFFECTIVE 03/24/89 IS ATTACHED TO AND FORMS A PART OF THIS POLICY . KETIVIST AS F 9 0 0RM ttorneY IiU " GAIL 1 tY . .� ;,L coz neY BY; ,„-eZ2 r ''•� � 1v r r,'rt � EMPLOYER 3c.3 MICHAEL W. BARTUSICK & CHRISTIE..LYNI:I ,BARTUSICK DBA THE PARK BEACH CAFE 17732 GOLDENWEST STREET HUNTINGTON BEACH CALIFORNIA 92648 L SCIF 10262(REV. 10-86) OLD 262A 0--(;-- E • • • STATE P.O. BOX 807,SAN FRANCISCO, CA 94101.0807 COMPENSATION INSURANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE MARCH 24 , 1989 POLICY NUMBER: 1091654 - 89 CERTIFICATE EXPIRES: 3-1-90 I-- CITY OF HUNTINGTON BEACH BUILDING DIVISION , 3RD FLOOR ATTENTION : GLORIA GITSHAM 2000 MAIN STREET JOB: ALL OPERATIONS HUNTINGTON BEACH , CA 92648 L This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California __ Insurance Commissioner to the employer named below for the policy period indicated. 30 This policy is not subject to cancellation by the Fund except upon ten>ys'advance written notice to the employer. 30 We will also give you TEN, ys'advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance 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. x wie/i.__ PRESIDENT --- EMPLOYER 'S LIABILITY LIMIT . $3 ,5,9_,--0-6 /PERO OCCURRENCE . ENDORSEMENT #0015 ENTITLED ADDITIONAL INSURED EMPLOYER EFFECTIVE 03/24/89 IS ATTACHED TO AND FORMS A PART OF THIS POLICY . NAME OF ADDITIONAL INSURED: CITY OF HUNTINGTON BEACH ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS ' NOTICE EFFECTIVE 03/24/89 IS ATTACHED TO AND FORMS A PART OF THIS POLICY . APPR0 AS TO F0R1J�:' ,f htt,orneY J BY e ����2 '' "92.- -3 _2 j ----tr-7 EMPLOYER I. I _MICHAEL W. BARTUSICK & CISTIE LYNN .BARTUSICK DIVA THE PARK BEACH CAFE 17732 GOLDEN.' EST STREET HUNTINGTON BEACH . CALIFORNIA 92648 L SCIF 10262(REV. 10-86) OLD 262A J The document you are searching for has not been imaged and cannot be viewed electronically. For information on how to locate this document for viewing, please contact or visit the City Clerk's Office for assistance. 2000 Main Street 2nd Floor — City Hall Huntington Beach CA, 92648 (714) 536-5227