HomeMy WebLinkAboutPCTA - Public Cable Television Authority - 2013-05-20 Office of the City Clerk 1 7%
CITY of HUNTINGTON BEACH
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P.O. Box 190 California 92648 M P W
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Public Cable Television Authority
Attn-. Ma4*49fie, Executive Director
10200 Slater Avenue
Fountain Valley, CA 92708
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VI Dept. ID ED 13-10 Page 1 of 2
Meeting Date:5/20/2013
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CITY OF HUNTINGTON BEACH
, ; . REQUEST FOR CITY COUNCIL ACTION
MEETING DATE: 5/20/2013
SUBMITTED TO: Honorable Mayor and City Council Members
SUBMITTED BY: Fred A. Wilson, City Manager
PREPARED BY: Bob Hall, Assistant City Manager
SUBJECT: Approve and authorize execution of a Lease Agreement between the City and
Public Cable Television Authority (PCTA)for use of the HBTV-3 studio
Statement of Issue: The City Council is asked to approve a three-year lease agreement
with the Public Cable Television Authority for the use of the HBTV- 3 studio on the lower
level of City Hall.
Financial Impact: The Lease will generate $10,800 per year for the General Fund and will
be adjusted annually according to the Consumer Price Index (CPI) at a minimum of 3% and
a maximum of 5%.
Recommended Action:
A) Approve and authorize the Mayor and City Clerk to execute the "Lease Agreement
Between the City of Huntington Beach and Public Cable Television Authority," and;
B) Authorize the City Manager to sign any documents necessary to effectuate this
Agreement.
Alternative Action(s): Do not approve Lease and direct staff accordingly.
Analysis: The Public Cable Television Authority is a joint powers agency representing the
Cities of Huntington Beach, Fountain Valley, Stanton, and Westminster with regard to video
service provider, state franchise regulation, and government access channel management.
Public Cable Television Authority has established the HBTV-3 facility (at City Hall) as the
main office for video production for the cities.
In 2009, the original lease agreement between the City and the Public Cable Television
Authority included 230 square feet of the HBTV-3 studio in the lower level of City Hall. In
July 2010, Lease Amendment No.1 increased the leased area from 230 square feet to 330
SF of exclusive area plus 1,125 SF non-exclusive area. The Amendment allowed for non- '
exclusive use of the City studios, equipment room, and ability to host live shows onsite.
Item 6. - 1 HB -146-
Dept.ID ED 13-10 Page 2 of 2
Meeting Date:5/20/2013
Public Cable Television Authority functions at the Huntington Beach facilities include
general video production activities with the use of the existing television studio facilities,
video field production, and general office management. The PCTA manages its own
internal telephone, computer, and other telecommunications services without the need to
use the City's communications and IT facilities.
The proposed lease is for a three (3) year term, at $900.00 per month with annual CPI with
adjustments of no less than 3% and not to exceed 5%. This is an increase from the current
rent of $861.00.
The Public Cable Television Authority has reviewed and approved the proposed lease
agreement.
Environmental Status: Not applicable
Strategic Plan Goal:
Enhance economic development
Attachment(s):
1. "Lease Agreement Between the City of Huntington Beach and Public Cable
Television Authority."
HB -147- Item 6. - 2
LEASE AGREEMENT BETWEEN THE CITY OF HUNTINGTON BEACH
AND PUBLIC CABLE TELEVISION AUTHORITY
THIS AGREEMENT is made and entered into by and between the CITY OF
HUNTINGTON BEACH, a municipal corporation of the State of California, hereinafter referred to
as "LESSOR", and the PUBLIC CABLE TELEVISION AUTHORITY, hereinafter referred to as
"LESSEE."
WHEREAS, LESSEE desires to lease, for public television broadcasting purposes only,
certain real property leased by LESSOR; and
LESSOR desires to let the productive use of aforesaid certain real property to LESSEE,
NOW, THEREFORE, in consideration of the mutual and respective covenants and promises
hereinafter contained and made, and subject to all terms and conditions hereof, the parties hereto do
hereby agree as follows:
1. DESCRIPTION OF PROPERTY
LESSOR hereby leases to LESSEE that certain real property, hereinafter referred to as
"Leased Property," located in the lower level of City Hall, 2000 Main Street, Huntington Beach,
California, as shown on Exhibit"A" attached to and incorporated herein by reference.
2. TERM
This lease shall be for a term of three (3) years commencing on AAq o D 3 and
ending on /�T D / , unless sooner terminated as herein provided. The term may be
extended for two (2) one (1) year extensions after by mutual consent.
3 RENT
LESSEE agrees to pay LESSOR as rent for the use and occupancy of the Leased Property
the sum of Nine Hundred Dollars ($900.00) per month, to be paid one (1) month in
advance. The rent specified in this section shall be paid by LESSEE to LESSOR, Post Office Box
12-3538/86347 1
190, Huntington Beach, California, 92648 Attn: City of Huntington Beach Finance Department, and
said rent shall increase annually on the anniversary date hereof by the percentage increase in the
Consumer Price Index (CPI) Los Angeles/Riverside/Orange County, All Urban Consumers, not to
exceed 5% (five percent) annually. The annual increase shall not be less than 3% (three percent)
annually irrespective of the CPI.
4. PERMITTED USE
The Leased Property shall, during the term of this lease and any extensions thereof, be used
for the purpose of a public television broadcasting facility.
5. FITNESS OF PROPERTY
It is expressly understood by all parties to this lease that LESSEE takes the Leased Property
as is, and that LESSOR makes no representation, covenant, warranty or promise that the Leased
Property is fit for any particular use, including the use for which this lease was obtained.
6. TERMINATION
This lease shall be subject to cancellation and termination by LESSOR or LESSEE at any
time with or without cause by giving the other party notice, in writing, at least ninety(90) days prior
to the date such termination shall become effective.
7. SERVICES AND UTILITIES
LESSOR shall pay for electrical and utility services which are not separately metered to the
Leased Property. LESSEE is aware that the Leased Property is supplied with a system of heating,
ventilation and air conditioning, and LESSOR shall have the obligation to continue to supply the
Leased Property with such system.
8. HOLD OVER
Should LESSEE hold over and continue in possession of said Leased Property after
expiration of the term of this lease, or any extension thereof, LESSEE'S continued occupancy of the
12-3538/86347 2
Leased Property shall be considered a month-to-month tenancy subject to all the terms and
conditions of this lease.
9. LESSEE'S COVENANT OF INDEMNITY
LESSEE hereby agrees to protect, defend, indemnify and hold harmless LESSOR, its
officers, elected or appointed officials, employees and agents from and against any and all claims,
damages, losses, expenses, judgments, demands and defense costs (including, without limitation,
costs and fees of litigation of every nature or liability of any kind or nature) arising out of or in
connection with LESSEE's (or LESSEE's subcontractors, if any) negligent performance of this
Lease Agreement or its failure to comply with any of its obligations contained in this Lease
Agreement by LESSEE, its officers, agents or employees except such loss or damage which was
caused by the negligence or willful misconduct of LESSOR. LESSOR shall be reimbursed by
LESSEE for all costs and attorneys fees incurred by LESSOR in enforcing this obligation.
LESSEE will conduct all defense at its sole cost and expense and the LESSOR shall approve
selection of LESSEE's counsel. This indemnity shall apply to all claims and liability regardless of
whether any insurance policies are applicable. The policy limits do not act as limitation upon the
amount of indemnification to be provided by the LESSEE.
10. WORKERS' COMPENSATION
LESSEE acknowledges awareness of Section 3700 et seq. of the California Labor Code,
which requires every employer to be insured against liability for workers' compensation. LESSEE
covenants that it shall comply with such provisions prior to the commencement of this Lease
Agreement. LESSEE shall obtain and furnish to LESSOR workers' compensation and employers'
liability insurance in amounts not less than the State statutory limits. LESSEE shall furnish to
LESSOR a certificate of waiver of subrogation under the terms of the workers' compensation and
12-3538/86347 3
employers' liability insurance and LESSEE shall similarly require all sublessees and contractors to
waive subrogation.
11. GENERAL PUBLIC LIABILITY INSURANCE
In addition to the workers' compensation and employers' liability insurance and LESSEE's
covenant to defend, hold harmless and indemnify LESSOR, LESSEE shall obtain and furnish to
LESSOR, a policy of general public liability insurance, including motor vehicle coverage against
any and all claims arising out of or in connection with the Leased Property. This policy shall
indemnify LESSEE, its officers, employees and agents, while acting within the scope of their
duties, against any and all claims arising out of or in connection with the Leased Property, and shall
provide coverage in not less than the following amount: combined single limit bodily injury and
property damage, including products/completed operations liability and blanket contractual liability,
of One Million Dollars ($1,000,000.00)per occurrence. If coverage is provided under a form which
includes a designated general aggregate limit, the aggregate limit must be no less than One Million
Dollars ($1,000,000.00) for the Leased Property. This policy shall name LESSOR, its officers,
elected or appointed officials, employees and agents as Additional Insureds, and shall specifically
provide that any other insurance coverage which may be applicable to the Lease Agreement shall be
deemed excess coverage and that LESSEE's insurance shall be primary.
Under no circumstances shall said above-mentioned insurance contain a self-insured
retention, or a"deductible"or any other similar form of limitation on the required coverage.
12. PROPERTY INSURANCE
LESSEE shall provide before commencement of this lease agreement and shall obtain and furnish
to LESSOR, at LESSEE's sole cost and expense, property and fire insurance with extended
coverage endorsements thereon, by a company acceptable to LESSOR authorized to conduct
insurance business in California, in an amount insuring for the full insurable value of all
12-3538/86347 4
Improvements, Trade Fixtures, personal property whether or not owned or leased by LESSEE, and
all trade inventory in or on the Leased Property against damage or destruction by fire, theft or the
elements. This policy shall contain a full replacement cost endorsement naming LESSEE as the
insured and shall not contain a coinsurance penalty provision. The policy shall also contain an
endorsement naming LESSOR as an Additional Insured. The policy shall contain a special
endorsement that such proceeds shall be used to repair, rebuild or replace any such Improvements,
Trade Fixtures, personal property whether or not owned or leased by LESSEE, and all trade
inventory so damaged or destroyed; and if not so used, such proceeds (excluding any insurance
proceeds for Trade Fixtures, personal property whether or not owned or leased by LESSEE, and
trade inventory, but only to the extent the insurance proceeds specifically cover those items) shall
be paid to LESSOR. The proceeds of any such insurance payable to LESSOR may be used, in the
sole discretion of LESSOR, for rebuilding or repair as necessary to restore the Leased Property or
for any such other purpose(s) as LESSOR sees fit.
This policy shall also contain the following endorsements:
(a) The insurer shall not cancel or reduce the insured's coverage without(30)
days prior written notice to LESSOR;
(b) LESSOR shall not be responsible for premiums or assessments on the policy.
A complete and signed certificate of insurance with all endorsements required by this
Section shall be filed with LESSOR prior to the execution of this Lease Agreement. At least thirty
(30) days prior to the expiration or termination of any such policy, a signed and complete certificate
of insurance showing that coverage has been renewed shall be filed with LESSOR.
12-3539/96347 5
13. CERTIFICATES OF INSURANCE; ADDITIONAL INSURED ENDORSEMENTS
Prior to commencement of this Lease Agreement, LESSEE shall furnish to LESSOR
certificates of insurance subject to approval of the City Attorney evidencing the foregoing insurance
coverages as required by this Lease Agreement; these certificates shall:
(a) provide the name and policy number of each carrier and policy;
(b) shall state that the policy is currently in force; and
(c) shall promise to provide that such policies shall not be canceled or
modified without thirty(30) days' prior written notice of LESSOR; however ten(10)
days' prior written notice in the event of cancellation for nonpayment of premium,
which 10-day notice provision shall not apply to property insurance in Section 22
above.
LESSEE shall maintain the foregoing insurance coverages in force during the entire term of
the Lease Agreement or any renewals or extensions thereof or during any holdover period.
The requirement for carrying the foregoing insurance coverages shall not derogate from
LESSEE's defense, hold harmless and indemnification obligations as set forth in this Lease
Agreement. LESSOR or its representatives shall at all times have the right to demand the original
or a copy of any or all the policies of insurance. LESSEE shall pay, in a prompt and timely manner,
the premiums on all insurance hereinabove required.
14. MAINTENANCE BY LESSEE
LESSEE shall, at its own cost and expense, keep and maintain all portions of the Leased
Property, including all improvements on the Leased Property and all facilities appurtenant to the
Leased Property, in good order and repair and in as safe and clean a condition as they were when
received by LESSEE from LESSOR, reasonable wear and tear also excepted.
12-3538/86347 6
15. ALTERATIONS AND LIENS
LESSEE shall not make, or permit any other person to make, any alterations to Leased
Property or to any improvement thereon or facility appurtenant thereto without the prior written
consent of LESSEE first had and obtained. LESSEE shall keep the premises free and clear from
any and all liens, claims and demands for work performed, materials furnished, or operations
conducted on Leased Property at the instance or request of LESSEE. Furthermore, any and all
alterations, additions, improvements and fixtures, made or placed in or on Leased Property by
LESSEE or any other person shall on expiration, or sooner termination of this lease, become the
property of LESSOR and remain on Leased Property; provided, however, that LESSOR shall have
the option on expiration, or sooner termination of this lease, of requiring LESSEE, at LESSEE'S
sole cost and expense, to remove any or all such alterations, additions, improvements, or fixtures
from Leased Property. Any Leased Property improvements must be approved by LESSOR's
Department of Building & Safety personnel.
16. SUB-LEASING OR ASSIGNING AS BREACH
LESSEE shall not encumber, assign, or otherwise transfer this lease, any right or interest in
this lease, or any right or interest in Leased Property or any of the improvements that may now or
hereafter be constructed or installed on LEASE PROPERTY, without the express written consent of
LESSOR first had and obtained. Neither shall LESSEE sublet Leased Property, or any part thereof,
or allow any other person, other than LESSEE'S agents, servants, and employees to occupy Leased
Property, or any part thereof, without the prior written consent of LESSEE. A consent by LESSOR
to one assignment, one subletting, or one occupation of Leased Property by another person shall not
be deemed to be a consent to any subsequent assignment, subletting, or occupation of Leased
Property by another person. Any encumbrance, assignment, transfer, or subletting without the prior
written consent of LESSOR, whether it be voluntary or involuntary, by operation of law or
12-3538/86347 7
otherwise, is void and shall, at the option of LESSOR, terminate this lease. The consent of
LESSOR to any encumbrance, assignment, including occupation or transfer hereof of LESSEE'S
interest in this lease or the subletting by LESSEE of Leased Property or parts of Leased Property
shall not be unreasonably withheld. LESSOR'S consent will be based on the financial ability of the
proposed sub-lessee/assignee in relation to LESSEE'S financial ability, as well as the proposed
party's moral character. LESSOR agrees to give or deny such consent in writing within thirty (30)
days of notice by LESSEE.
17. RELEASE OF INDEMNITY
No termination or cancellation hereof shall release LESSEE from any liability or obligation
(whether of indemnity or otherwise) which may have attached or accrued previous to, or which may
be accruing at the time of such termination or cancellation.
18. LESSEE'S COVENANT TO PEACEABLY SURRENDER PROPERTY
Upon the termination of this lease by the expiration of the term thereof, or otherwise, LESSEE
agrees to peaceably quit and surrender the Leased Property to LESSOR in good order and condition.
Any and all property of whatsoever kind or character remaining upon the Leased Property upon the
expiration or sooner termination of the lease shall thereupon be and become the personal property of
LESSOR, but this shall not prevent LESSOR from requiring LESSEE to remove, at LESSEE'S
expense, any and all personal property placed upon the Leased Property by LESSEE, which LESSOR
may desire removed from the Leased Property.
19. CUMULATIVE REMEDIES
The remedies given to LESSOR in this agreement shall not be exclusive but shall be cumulative
and in addition to all remedies now or hereafter allowed by law or elsewhere provided in this lease.
12-3538/86347 8
20. WAIVER OR BREACH
The waiver by LESSOR of any breach by LESSEE of any of the provisions of this lease shall
not constitute a continuing waiver or a waiver of any subsequent breach by LESSEE either of the same
or another provision of this lease.
21. FORCE MAJEURE—UNAVOIDABLE DELAYS
Should the performance of any act required by this lease to be performed by either LESSOR or
LESSEE be prevented or delayed by reason of an act of God, strike, lockout, labor troubles, inability to
secure materials, restrictive governmental laws or regulations, or any other cause except financial
inability not the fault of the party required to perform the act,the time for performance of the act will be
extended for a period equivalent to the period of delay and performance of the act during the period of
delay will be excused; provided, however,that nothing contained in this section shall excuse the prompt
payment of rent by LESSEE as required by this lease or the performance of any act rendered difficult
solely because of the financial condition of the party, LESSOR or LESSEE, required to perform this
act.
22. EMERGENCY CLOSING OR CLOSING TO EFFECT REPAIR/REMODELING
THE PREMISES
LESSOR may close the Leased Property without liability therefore at any time it deems
necessary for the protection of life, limb, or property, or upon reasonable notice to effect any repair,
remodeling or rebuilding deemed necessary by LESSOR.
23. SURRENDER OF POSSESSION
LESSEE understands and agrees that upon surrender of possession he will not be entitled to a
moving cost payment or any other relocation payment under any State or Federal Relocation Assistance
Program.
12-3538/86347 9
24. CONTINGENCY
This agreement is contingent on the condition precedent that the LESSOR obtains title and
possession of the property which is the subject of this lease.
25. 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:
LESSOR: LESSEE:
City of Huntington Beach Public Cable Television Authority
Attn: Director of Economic Development Attn: Mark Jaffe, Executive Director
2000 Main Street 10200 Slater Avenue
Huntington Beach, CA 92648 Fountain Valley, CA 92708
26. ENTIRE AGREEMENT
LESSOR and LESSEE agree that this lease constitutes the entire agreement between the parties.
27. PARTIAL INVALIDITY
Should any provision of this lease be held by a court of competent jurisdiction to be either
invalid, void, or unenforceable, the remaining provisions of this lease shall remain in full force and
effect unimpaired by the holding, so long as the reasonable expectations of the parties hereto are not
impaired.
28. NON-RECYCLABLE ITEMS PROHIBITED
All foods and beverages shall be offered or sold in recyclable paper or plastic containers. No
pull-top cans or styrofoam containers are to be vended or dispensed from the Leased Property by
LESSEE. LESSOR may from time to time review the items sold and containers or utensils used or
dispensed by LESSEE for purposes of monitoring compliance with this section.
12-3538/86347 10
29. BINDING ON HEIRS AND SUCCESSORS
This lease shall be binding on and shall inure to the benefit of the heirs, executors,
administrators, successors, and assigns of the parties hereto, LESSOR and LESSEE, but nothing
contained in this section shall be construed as a consent by LESSOR to any assignment of this lease or
any interest therein by LESSOR except as provided in this lease.
30. CAPTIONS
Captions of the sections of this agreement are for convenience and reference only, and the
words contained therein shall in no way be held to explain, modify, amplify, or aid in the interpretation,
construction or meaning of the provisions of this agreement.
IN WITNESS WHEREOF, the parties hereto have caused this agreement to be executed by and
through their authorized officers / ' 4y ,20a.
PUBLIC CABLE TELEVISION UTHORITY CITY OF HUNTINGTON BEACH, a
municipal corporation of the State of
w California
By: a
nauLnaine Mayor
ITS: (circle on hairma resident/Vice President
AND
By: Ci v Clerk4W,,,0)
ora G ED AND APPROVED:
print name
ITS: (circle one) Secretary/Chief Financial Officer/Asst.
Secret -Treasurer
Director of Economic Development
REVIE D APPROVED: APPROVED AS TO FORM:
MY Manager CitylAttorney
12-3 53 8/86347 11
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sugiiy INSURANCE AND INDEMNIFICATION WAIVER
Ht9ontin �Be2chm. MODIFICATION REQUEST
'Y
1. Requested by: Luis Gomez/Economic Development
2. Date: May 9, 2013
3. Name of contractor/permittee: Public Cable Television Authority
4. Description of work to be performed: New Renewal for space in HBTV Studios
5. Value and length of contract: 3 years/$900 per month
6. Waiver/modification request: See Attachment A
7. Reason for request and why it should be granted: See Attachment A
8. Identify the risks to the City in approving this waiver/modification: None
Department Head Signature JDat&
APPROVALS
Approvals must be obtained in the order listed on this form. Two approvals are required
fora request to be granted. Approval fro the City Administrator's Office is onlyrequired if
Risk Management and t City Attorne 's Office disagree.
1. isk Management
pproved ❑ Denied
1 Igna re D t `i J
2. City Attorney's Office '
proved ❑ Den' �• � /
Signature Date
3. City Administrator's Office
❑ Approved ❑ Denied
Signature Date
If approved, the completed waiver/modification request is to be submitted to the
City Attorney's Office along with the contract for approval. Once the contract has been approved
this form is to be filed with the Risk Management Division of Human Resources
HBTV Insurance Waiver May 201.3.doc 5/9/2013 4:16:00 PM
Attachment A: Waiver/modification request, Reason for Request
Section 9. Lessee's Covenant of Indemnity
- Lessee is removing "volunteers" from language; PCTA will not have volunteers performing work
- Lessee is removing "alleged negligent" and "solo" negligence.
Section 10. Workers' Compensation
-Lessee is removing requirement of sublessees and contractors to provide such workers
compensation and employer's liability insurance for all of the sublessees' and contractors'
employees. Lessee will not have sublesees and contractors will not have employees.
Section 11. General Liability Insurance
- Lessee is removing "volunteers" from language. PCTA will not have volunteers performing work.
Section 12. Property Insurance
- Insurance proceeds from Lessee, if Leased property is so destroyed, will not go to Lessor
HBTV Insurance Waiver_May 2013.doc 5/9/2013 4:16:00 PM
A 1:>� CERTIFICATE OF LIABILITY INSURANCE
g p FDATE
(lAM1Dt1N""
{� s/8/2013
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{Ies)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 endorsements).
PRODUCER CONTACT -
N �. Peggy Coleman►
Brown & Brown Insurance Services of CA, Inc. PHONE (714)221_1800 F 014)221-4196
MM No Nor
2401 E. Katella Ave. E-MAIL ADORgsspcoleman@bbsoCal.COm
Suite 550 INSURE S AFFORDING COVERAGE Niuc 0
Anaheim CA 92806 ttASURERA:Galden Eagle Insurance 10836
INSURED
INSURER a
Public Cable Television Authority INSURERC•
10200 Slater Avenue INSURER D r
INSURER E
Fountain Valley CA 92708 INSURERF•
COVERAGES CERTIFICATE NUMBER:CL135309141 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 iAHICH 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.
!TR TYPE OF INSURANCE POLICY EFF POLICY EXP
POLICY NUMBER M I LIMITS
GENERAL LIABILITY FACH OCCURRENCE S 1,000,000
X COMMERCtAL GENERAL LABMITY PREMISES fea gggMMMW S 100,000
A CtAMS-MADE I/ti f OCCUR 8P8428889 /2/2013 /1/2014 McDEXP(Arrialaparsonl S 5 000
PERSONA.s ADV INJURY S-- 1,000,000
000
GENERAL AGGREGATE $ 2,000,000
GENL AGGREGATE LIMIT APPLIES PER' y i:l.�' AS i L�� � PRODUCTS-COMPIOPAGG s 2,000,000
}C POLICY PECiRO LOC $
AUTOMOBILE LIABILITY rMr
k� CAMBRED iNGM LIMIT j000 AANY AUTO IT:" ') N, 8001LYtNJURYIParparaor4 S W
ALLOVPNEO SCHEDULED 86 5 /1/2013 /1/2014
AUTOS AUTOS BODILY INJURY(Peranideral $
X HIRED AUTOS X AUTOS ROPEgTY DAMAGE S
Nonawrxld $ 1.000.000
UMBRELLA UAS OCCUR EACH OCCURRENCE S
EXCESS UAB C1ATMS-MADE AGGREGATE S
CEO I I RETENTIONS S
WORKERS COMPENSATION VIC STATU• OTt1
AND EMPLOYERS'LIABILITY YIN ORYANY PROPRIErOWPARTNERIEXECUTIVE
OFnCEPJMFM8ER EXCLUDED? NIA F.L.EACH ACCIDENT $
(Mandatory In NMI £.L DISEASE-FA EMPLOYE S
Wdose**under
RtPT10N OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S
A Property-Loc #2 211P9426089 11/2013 /1/2014 Lanes Sea Below
DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES(Attach ACORO 101.AddlBanat Romads Schaduto,It mom apace is roqutrod)
RE: 2000 Main Street; Huntington Bach
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Huntington Beach ACCORDANCE WITH THE POLICY PROVISIONS.
2000 Main Street
Huntington Beach, CA 92 64 8 AUTHORIZED REPRESENTATIVE
Mike Hush/ECOLEM
ACORD 28(2010105) 01988-2010 ACORD CORPORATION. All rights reserved.
INS025(2moospi The ACORD name and logo are registered marks of ACORD
COMMENTS/REMARKS
Business Personal Property limit: $2,296; Ded $500; Co-Ins 90%; Replacement Cost
EDP Hardware Limit: $119,483; Ded: 1,000;
EDP Software Limit: $1,000; Ded: 1,000
Co-Ins 90%; Actual Cash Value
Inland Marine Scheduled Property $74,449; Ded: 1,000
City of Huntington Beach, its officers, elected or appointed officials, employees & agents
are included as additional insured/landlord as required by written contract as respects
general liability regarding the operations of the named insured per CG2011 (01/96)
attached. Revised endt to be processed by the company.
OFREMARK COPYRIGHT 2000, AM SERVICES INC.
Forming a part of
Policy Number: CBP 8428889
Coverage Is Provided In GOLDEN EAGLE INSURANCE CORPORATION
Named Insured: Agent:
PUBLIC CABLE TELEVISION BROWN&BROWN INSURANCE SERVIC
AUTHORITY ES OF CALIFORNIA INC
Agent Code: 4295336 Agent Phone: (714)221.1800
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED-MANAGERS OR LESSORS OF PREMISES
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
1. Designation of Premises(Part Leased to You):
10200 SLATER AVE FOUNTAIN VALLEY,CA 927
2. Name of Person or Organization(Additional Insured):
CITY OF HUNTINGTON BEACH,
ITS OFFICERS,ELECTED OR
2000 MAIN STREET
HUNTINGTON BEACH CA 92648-
3. Additional Premium:
SEE PREMIUM SCHEDULE
1. Designation of Premises(Part Leased to You):
2000 MAIN STREET HUNTINGTON BEACH, CA 92
2. Name of Person or Organization(Additional Insured):
THE CITY OF HUNTINGTON BEACH
ITS OFFICERS,ELECTED OR
2000 MAIN STREET
HUNTINGTON BEACH CA 92648-
3. Additional Premium:
SEE PREMIUM SCHEDULE
CG 20 11 (0119 6) Copyright.Insurance Services Office.Inc..1994
INSURED COPY
05/0112013 8428889 NPC650P 1903 PODMO60D J08657 GCAFPPN OOWBS19 Page 67
(if no entry appears above,the information required to complete this endorsement will be shown in the Declarations as
applicable to this endorsement.)
WHO IS AN INSURED(Section II)is amended to include as an insured the person or organization shown in the Schedule
but only with respect to liability arising out of the ownership,maintenance or use of that part of the premises leased to you
and shown in the Schedule and subject to the following additional exclusions:
This insurance does not apply to:
1. Any'occurrence"which takes place after you cease to be a tenant in that premises.
2. Structural alterations,new construction or demolition operations performed by or on behalf of the person or
organization shown in the Schedule.
GG 20 11 (01/9 6) Copyright.insurance Services Office.Inc.,1994
INSURED COPY
05/0112013 842M9 NPCMP 1903 PGDM080D J08657 GCAFPPN 00008520 Page 66
f
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s CITY OF HUNTINGTON BEACH ►,
2000 Main Street, Huntington Beach, CA 92648 }
Declaration of Non-Employer Status
In order to comply with the City Council Resolution No. 6277, you are required i
to provide proof of Workers' Compensation Insurance. if you have no,
employees, this form must be signed and returned to:
City of Huntington Beach
2000 Main Street
Huntington Beach, CA 92648
I certify that in the performance of the activity or work for which this permit is
issued, l shall not employ any person in any manner so as to become subject to
California Workers' Compensation Insurance.requirements.
I authorize the City of Huntington Beach to immediately and retroactively
revoke the license or permit issued under this declaration if I hire any
employees) or become subject to the provision of the laws requiring Workers'
Compensation insurance.
/ i
Applicant/Company Name: fuibr- 4 1 Te yr f;o�7 /fbdr' y
Address: f d.2Dl� S.,1 ATr, lYy
Applicant's Signature: --
Title: GC�ti'G u f r y i- 2tg-f0►�'
Location Signed: -OWa (/d/rY
Date Signed:
Telephone Number:
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City ® f Huntington Beach
2000 Main Street ® Huntington Beach, CA 92648
(714) 536-5227 ® www.huntingtonbeachea.gov
v
FF6 17 19a9,P�0` office of the City Clem
Joan L. Flynn, City Clerk
May 22, 2013
Public Cable Television Authority
Attn: Mark Jaffe, Executive Director
10200 Slater Avenue
Fountain Valley, CA 92708
Dear Mr. Jaffe:
Enclosed for your records is a copy of the fully executed "Lease Agreement Between the
City of Huntington Beach and Public Cable Television Authority."
Sincerely,
IVA
ar
Jrn L. Flynn, CMC
City Clerk
JF:pe
Enclosure
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