HomeMy WebLinkAboutJohn D. Vending and Investment - Dennis Jefcoat - 1980-07-08may be cance'leQ.b the Company by mailing to the In-
safi . iall be a sufficient tender zf mny`refund of premium
- sure�,a tft Zgd shawn in this policy or last known
due to the Insured.
address written notice stating when, riot Jess than five (5)
days thereafter, such, cancellation shall be effective. The
Property covered under this policy against the peril of
mailing of notice zs aforesaid s ` be sufficient proof of
fire is also covered against the risk of damage or destruc-
notice. The time of surrender or the effective date of the
tion by civil authority during a conflagration acid for tha
cancellation stated 'n the notice shall becor- "h- end of
purpose of retardng the same; provided that neither s;'--n
the policy period. Delivery of such written nc, ler by
conflagration nor such damage or destruction is caused
the Insured or by the Company shalt be. a ,nt'to
or contributed to by a peril otherwise excluded herein.
mailing.
Terms of this policy which are in conflict with the stat-
It the Insured cancels, earned premiums shall be corn-
utes of the State wherein this policy is Issued are hereby
amended to conform to such statutes.
puted in accordance with the customary short rate table
and procedure. if the Company cancels, earned premium
Notice to any agent or knowledge possessed by any agent
shall be computed pro rata. Pre;;iium adjustment may be
or by any other person shalt not effect a waiver or a
made at the time cancellation is effective and, if not then
-hange in any part of this policy or estop the C—pany
madC shall be made as soon as practicable after can-
from asserting any right under the terms of this policy,
the terms of this be waived changed,
cellation'becomes effective, The Company's check or the
nor shall policy or
check of its representative mailed or delivered as afore-
except by endorsement issued to form a part of this policy. r
In WITNESS WHEREOF,> ;;e Company has executed and attested these presents, but this policy shall not be valid unless
countersigned by a dub, av; horized Agent of the Company.
SPECIAL STATE PROVISIONS
TEXAS—Not'ce of Loss and Suit
Against Company
KANSAS—Suit Against Company
If this policy is issued in the State of Texas, the wordz
If this policy is issued in the State of Kansas the words
"ninety -ono (91)" are substituted for "ninety (90)" in
'five (5) years" are substituted for the word. 'twelva,
the "Notice of Los.'' Clause and the words "two (2)
(12) months" in the "Suit" Clause.
years land (1) day" are substituted for "twelve (12)
months" in the "Suit." Clause.
a. ®
®. p •
�.0 V �SW�
c�
Secretary
Pretrdeat.
Y
A
SCHEQULE
LbC..No. ADDRM
DESCRIPTION
r
eVALU2
I EDISON ELECTRIC
NATIONAL FRESH BREW COFFEE
$ 400
3201 S, HARBOR
,
-SANTA`ANA' CA
WESTI,NGHOUSE CANDY
200
2_' FOOTHILL LEMON CO.
HENNESSEY V11DWELL JUICE
510 CHASE DRIVE
J SELECTION
350_
CORONA, CA
ROWE MODEL NO. 77 CANNY
200
3 KING ENGINEERING CO,
ROWE NO. 247'SODA, MACHINE
1100
35$5 CADILLAC
RUWE NO, 77 CANDY
200
COSTA MESAS CA
ROWE N0. 465 COFFEE
1429
4 PHOENICIA FURNITURE
LA CROSS NO. 456 SODA MACHINE
1,632-
231 Nn SHEI RMAII
ROWE NO. 1400 COFFEE
106
CORONA$'CA
ROWE SNACK VENDOR
2190 �e
Ito-O?CAMPO LAUNDROMAT
LA CROSS NO. 456 SODA MACHINE
16,12
1214 S STANDARD
N r10NAL CANDY
530 Bc
SANTA ANA, CA
6 LOWE FREE DRY LAUNDROMAT
LA CROSS N0, 456 SODA MACHINE
1632 *
612 W. "I ST
W I LL I AI4S 7-UE P 3 N®ALL
500
SANTA ANA
ROWE NO* 77 CHIP VENDOR
200
7 WALKER GRAPHICS
LA CROSS N0. 456 SODA MACHINE
Z632 %,
I 1851 KAISER
WESTI,NGHOUSE CANDY MULTI -PRICE
350
ss�ue
ce+
This endorsement,f dby one of the hrt-N named companies, forms a part of the policy to which attached, effective on the incINE eption
date of the
policy unless otherwise stated herein,
PAGE I OF
Me infartnation below is rrtquired only wher, the endorsement is issued subsequent to preparaf9on of policy:!
2
Endorsement effective
Policy No. Endorsement No,
Named Insured
Additional Premium $ :
Returntemium S III
PD
In Advance 3 S
I5t Anniv. $ S
2nd Anniv. S' S
II,
The Aetna Casualty and Surety Company
The Standard Fire insurance Company
Hartford, Connecticut
Countersigned by
(Au:horiud. Representative)
190A55•BI f2.73
CAT, 439789
PRINTEO IN U.S,A.
8 ASPEN$ APARTMENTS MAGNOLIA OR, PEPPER SODA MACHINE $ 1500
RI VERS I DE s CA SMOKESHOP—'C I GARETTESQ 950
9 HUNTINGTON BEACH LIBRARY NATIONAL: COLD FOOD(} 3400
7111 TALBERT NATIONAL COLD DRINK 3300
HUNTINGTON BEACHI, CA NATIONAL HOT COFFEE 1800
NA N ONAL SNACKd 2400
- TOTAL 29t523
I
PAGE 2 OF 2
This enddrsementw issued by one of the below nur„ed companies, forms a part of the policy to which attached, effective nu the ifcept a'.i d"e of #ue
pnlicy unless otherwise staird herein.
(The information below is required only when this endorsement is issued subsequent to preparation of policy.)
Endorsement effective Policy No. .Endorsement No.
Named Ins„ rcd
Additional Preen m 5 Return Premium S BI I'D
In Advance S 5
Ist Anniv. 5 $
2nd Anniv. S 5
'rho )Etiia Casuaity and Surety Company
The Standa -d Fire Insurance Company
Ha.lord, Connecticut
Countersigned by
rAuthorixsd Representatives
.{5b455 �f 12.r§ CAT, ED 780
IN
PAINTED IN tr�$.A.
INVO C'
w
Arcal Insurance Service4 Inc.
Arizona/California
17291 IRVINE BLVD./SUITE 416
TUSTIN, CALIFORNIA 92680/(714) 8C2-8311
John 0. Vending & Investment 7 CUSTOMER NO.
Deinis Jefcoat DBA:
2642 Falcon Circle
Corona, California 91720
L J
NAMED
1NSUREL
PLEASE DETACH AND AMOUNT
INVOICE DATES L1710�80 1 Jt R:TDRN WITH PAYMENT REMITTED
..r
No'.POJC1' PERIOD CL a T.R POLICY NUMBER AND DESCRIPTION PREMIUM CHARGE CREDIT NOBALANCC
..i.
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f
10 3/13/80-81 30 1 59IMSP031675FCA, Aetna Cas, $192.00
Inland Marine Daily Report
Covering vending machines
at various locations.
Annual Premium
PREMIUMS DUE AND PAYABLE ON EFFECTIVE DATE OF POLICY
ARCAL INSURANCE SERVICES, INC.
The ,,Etna Casualty and Surety Company
The Standard Fire Insurance Company
Hartford, Connecticut 0611s
LIFE & CASUALLY
tr ;idj .,. Yn.✓N�w. 4R rtt�Y- t/! -t% d.5'.(N' k^'ti^Y.�.!��"R
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Wi
tk 71 NAME, A14D ADDRESS or ArrN,.l ,• - � t
Arcal InsurancL Services, Inc. COMPANIES ArTORDING COVERAGES
iK <: 17291 Irvine Blvd., Suite 416 - caraPnM %� C
Tustin, CA 92680 1FTTEI1 Aetna Casualty & Sum-!;y Company
(714)-832-�8311 _
GaMF'ANr 13
NAAN ADoRrS5 AIE c7F IN4UREd COMPANY{�
Den is Jefcoat DBA: tftrrlr *+*
} John D. Vending & Investment COMPANY
t 2642 Falcon Circle kf rtra 5.1,
Corona, CA 91720
614PANr
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t f r1 ER
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«ihis Is to C. rldy that ppokies of 1n; ianre listed be'uw ha,c qr t n ,s!;u(.d to the Ir s wed Women oboe and are,n la r at t i' i N;'vi f sM t; ,-: , ,{ t, q , r, , r {
{ r' of ,any r c'r tet crottmr document wrfn m respect to Much th) cc rrf r {tn iy b�l issiloOr may p^.rta n the ,n .;,rcrc^. aflGr 1 k+ rt t t, , r} 0,,t.ntlod <u tra
tarnas, eAc.ustens ard' onditlans of se5h po8aes
{ _ — — Llmlts at L1abtllt ut T hot and , t t
IVF11 Of INS, "RAN, t I t v Ni et. I'
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GENERAL LIgE31LiTY
A ,XX III
IJ OMrRtf F S14G Fr�nrn Policy number to fo ll ow 3-' 13-82
rl7 rdl �^ O[t; I{AT,ONS �
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CPTLO`FC 2T, I IACI"IV h`
OVICIR
:r A 1lnland Marine # 59 IMSP 031675 FCA 3-13-'82 � $27,491.
�I1kniiinim of fIkrn:,t N,•ti1t�,v ir.,
A Coverage applies to all operations � *CEI�,�� `r
AIA
t Cancellation, Similo arty atf vtb• :tttt'4rx t3F j t *r?a 1 - ta, c t t' ied t , ,. +r 1 r r, r >'i(j'N• ,"Itt'.iif I
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,rA.-r {r Ar„I t1,F, A.tr;• ;tr,� r
�'4 1 City of Huntington Beach Main Library r ,•t,nr. Marchw25,1981.,
n
ATTN: Risk Manr qer
r P. 0. Box 711
s-41 Huntington Beach, CA 52648
,w=»,ty I'^'�' +".�°`*{�!t:"1¢sF'.^.: ? d3:nX"sYc.*ofi':-tea ;icP,zi+;Misfk%�*�.: �w.:r"+�rrr,maeas:we+mmrrrnirarY:*u°t'fTwr+r"�T•«.xai.z*,.cr .rt:., sen •'�Nnv a'�,"rr-a °rcere .w+KnSy, ..x w�+, �,r ,...Ce Mw , :.n :..r
Rovini Original and COPY
conYr diva �'ertiticato to: CERTIFICATE OF INSURANCE Approved as to Form.
City Of M-qM g n BeAci}' i0 fail Hutt City Attorrtt:y
City Attorney
P. p. AOx 190 CITY OF iiJNTINGTON BEACH, CALIFORNIA
Huntington Beach. CA eg4B By:
Copy to Risk Manager sfvy,r approval A MUNICIPAL CORPORATION
This IA to certify that the policies of insurancr/ as described below have beer•, issued to the insured by the undersigned and are in force
at this time. If these policies are cancelled ,or changed in such a, manner that, will affect this certificate, 'he insurance company agrees
to give 10 days prior written notice, by mail, to City of Huntington Beach P. 0. Box 711, Huntington Beach, California 92648. ALL
ITEMS MUST BE COMIsLETI D, ANY DELETION OR CHANGE IN THIS FORM SHALL BE SIGNED AND DINED By AN
AUTHORIZcO REPRESENTATIVE OF THE INSURANCE COMPANY AND MUST BE APPROVF..D iN WRITING BY THE CiTY
ATTORNEY.
Name of Insured - John D. Vending & hiyeStmeni
Address of insured �2642 Ci1s Ct)n Ci rel Q. C(jy l�. CA 91720
Location of Work or Operations to be performed Various
Description of Work or Operations Vendi nq machines
POLICY DATES
LIMITS OF LIABILITY
NAME OF COMPANY
Effective
Expiration
POLICIES IN FORCE
POLICY NO.
In Thousands (000)
( INS,)
GENERAL LIABILITY
iX COMPREHENSIVE FORM
291 71 11 07
3-103-82
3-13-83
300;coo. CSL
Centennial Insur
Each
XX PREMISES • OPERATIONS
Company
11 EXPLOSION AND
COLLAPSE HAZARD
( I UNDERGROUND HAZARD
PRODUCTS COMPLETED
OPERATIONS HA3ARO
iI CONTRACTUAL
INSURANCE
i t BROAD FORM
p
M
f2 � r,
� M T?
PROPERTY DAMAGE.
0 3
1 I iNDEPENOENT
CONTRACTORS
I I PERSONAL INJURY
AUTOMOBILE LIABILITY
XX COMPREHENSIVE. FORM
XX OWNED
� 300,000. CSL
Each Occuranco
i I HIRED
I. i NON•OWNEO.
EXCESS LIABILITY
I UMBRELLA FORM
1 I OTHER THAN
$
UMBREL}.A FORM
WORKERS' COMPEASAV'ION
Pending
q �-19-82
3-19-83
Fremont Indemnity
and
Insurance Comp_n,
EMPLOYERS' LIABILITY
i
Additiorial Insured Endorsement.
The insurer agrees that the City of Huntington Brach and its City Council, and/or all City Council appointed groups, committees,
commissions, board, and any other City Cuunci) appointed body, and/or elective and appointive officers, servants or employees of the
City of Huntington Beach, When acting as such are additional insureds hereunder, for the acts of the insured, and such insurance shall
be primary to any insurance of the City of Huntington Beach, as their interest may appear.
Def. Mai_nh 22 ° 1282 -.• AUTHORIZE F E ESENT TIV fiIF INSURANCE COMPANY
INSLr'• ►NCE COMPANY Centenni aI 1 nsUranCe CO r l "/G7�' ti'
By
Name Arcal Insurance Servic's;�Inc , 17291 Irvine
rd4,,o,�.GanrHs�.`w�195F.��.�,.wa- �.•�:�.�*•/i.d' dtt>ss.--� ,.....,
rY ne City Blvd., Ste. 416, Tustin, CA , 92680
city .'. Blvd., �
relQpnor, 714 832 8311
HOLD HARMLESS AGREEMENT
(to be executed by insured
The insured ° agrees to protect, defend, Indomnify, save, and hold harmless the City of Huntington Beach It%
offices, agents, and umployees against any liability, loss, damagf,, 'ost, or expense by reason of any and all liability, suits, claim#,
demands, judgments and causes of action caused by insured, his employees, agents or any subcontractor or by an lists pa ty arlting
of wr_ltx consecttt�ncq of the perfarmanca of all or�operptin for Which this certlficote .i c�' uihed.
(2l Partnership (3) orpo a
HOLD HARMLt `S SIGNED; By Insed:Titlei
(All names %boil be printed or t
Yr�d BYlnsurod; Title
baibvruacy %ipnatutn,l r l
ti
If Corporation, TWO Officers must sign, or present evidence of authorization to bind Cp .. rporatlon.
REQUA� TKI0111
O lfic
� 1 1944,
,.,�--. -•---T�at4 June 26, 1981
i cxmX cz,�xx�
_Submitted to: Honorable Mayor Ruth Finley and City Council
Submitted by: Charles W. Thompson, City Aom�in�istrator�j�f
Prgpa�ed by: Vincent G. Moorhouse, Director, Community Services
Subject: Agreement/City of Huntington Beach and Dennis Jetcoat, Doing Business
as John-D Vending and Investment
Statement of Issue, Recommendation, Analysis, Fund+ng source, Alternative Anions, Attachments.,
STATEMENT OF ISSUE
The Library Division desires to continue to provide food and drink services to library
patrons via four vending machines which are owned by the City and located in an area
designated for food services in the lower level of the library.
RECOMMENDATION
Approve the attached agreement between the City and Dennis Jefcoat, doing business.
as John D- Vending and Investment.
ANALYSIS
The city owns four vending machines which John-D Vending and Investment currently
services in the refreshment/lounge area of the lower level, of the library. The machines
provide hot and cold beverages and assorted snack foods for 2.5. to 44 per item.
These machines have generated $2,664,84 in revenue for the city during the past
contract period from July 1980 through May 1981, or an average of $242.25 per month.
John-D Vending has repaired acid stocked the machines and received 8U% of gross sales
which the city received-20% of sales'. The attached contract is for a flat fee
of $250 per month or 5,,000 for the corning year. Setting the flat fee insures the
city of constant earnings and saves the time involved in figuring our the percentage
and making weekly reports as its currently being done,
Other vendors offering similar services have been asked for bids for this service and
John-D Vending has offered the best earnings and service arrangemen',
FUNDING SOURCE
No funds are necessary since vending machines are owned 'by the city and the vending
machine company will. provide all food and beverage items and maintain the machines.
ALTERNATIVES
w. C"ovincil could choose not to renew contract or to offer food and beverage services
Co library patrons.
2. Council could choose another vendor for ti-ese ser;�ces.
PICA 4/81
;t;A REGOEST FOR CITY CW&L ACTION
Submitted by waltPr W. Johnsi Department _TA h ra r3r
Date Prepared Jump 'I , 19,ca Backup Material Attached FXJ Yes No
Subject Vending Machine Agreement
City Administrator's Comments
Z fI
�-.
Approve as Recommended
CITY CLIrRFC
Statement of Issue, Recommendation, Analysis, Funding Source, Alternative Actions: �✓
STATEMENT OF ISSUE:
The library has four vending machines that belong to the City as a result of the settlement
with Prentice Taylor. The library does not have a cafeteria and therefore,. wishes to keep
the vending mach
RECOMMENDED ACTION:
It is recommended that the City and John-D Vending & Investments enter into ttte
attached agreement for the purpose of providing a service to its patrons and employees,
as well as raising revenjaes.
ANALYSIS:
The library was contacted by four, vendors. The vendors offered 10% ~f the gross receipts
with the exception of John-D. Vending & Investment. His offer is 20% of the gross receipts
.and he will maintain the machines.
ALTERNATIVE
Council .may direct Purchasing to sell the machines as surplus property.
FUNDING SOURCE:
No funds needed.
w10 ins'
� l
i
� y
John-D Vending and Investment
2642 Falcon Circle
Corona, CA 91720
Attn`: Dennis JRfcoat
The City Council of the City of Huntington Beach at its regular
meting held Tuesday, July 8, 1980 approved an agreement with
your firm for the providing of vending machine service at the
Huntington Central Library.
Enclosed is a duly executed copy of said agreement, together
with a copy of the insurance certificate which you submitted.
Alicia M. Wentworth
City Clerk
AMW:cb
enc.
City of Huntington Beach
C gym - P.O. BOX ISO CALIFORNIA 92648
... , OFFICE OF THE CITY CLERK
July 9, 1980
i
I
Pawl de Pfyffer
Orange County Assessor's Office
P . 0, Box 149
Santa Ana, CA. 92702
!' Attn: Real Property Departmient
I
Enclosed are copies of lease agreements for :she furnishing of vending
machines and typewriters on City owned property which were approved by
the City Council of the City of Huntington Beach on July 8, 1980.
Inasmuch as we are in some doubt as to whether these agreements constitute
possessory interest, we are leaving that decision up to your discretion.
If you have any questions, please call the Office of the City Clerk at
536-5227.
Alicia M. Wentworth
City Clerk
AMW:bt
Enclosures