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HomeMy WebLinkAboutA2261 - PALM SPRINGS FLORIST HALL NPC EL ALAMEDA LICENSE AGRPALMSPR-04 ACORD~ ~ CERTIFICATE OF LIABILITY INSURANCE DATE (MMIOOIYYYY) 6/24/2025 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(ies) 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 I n lieu of such endorsement(si. PROOUCER License # 0603247 ~?,CT Georfte Petersen Insurance Agency, Inc. PHONE ) r~. No):(707) 525-4175 P .O . ox 3539 RECEIVED (AIC, No, Ext): (707 525-4150 Santa Rosa, CA 95402 t,~~n, info@gpins.com INSURER(SJ_AFFORDING COVERAGE NAIC# JUN 3 0 2025 INSURER A : T ravelers Casualty Insurance Company of Amerlc 19046 INSURED INS URER B , California Automobile Insurance Company 38342 Palm Springs Florist Inc OFFICE OF THE CITY CLE~RER c : National Casualty Company 11991 894 N Palm Canyon Dr INSURER D : ~ Palm Springs, C A 92262 INSURERE : INSURERF : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: T HIS 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 DESCRI BED HEREIN IS SUBJECT TO ALL THE T ERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LI MITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURAN CE ADDLSUBR LTR 1wan \&II.in POLICY NUMeER POLICYEFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 2 ,000,000 CLAIMS-MADE X OCCUR X 16805R523388 12/17/2024 12/17/2025 OAMAGE TO RENTED $ 500,000 PREMIS_ES (Ea o«urrerg) MEO EXP (Any one pe,son) s 5,000 PERSONAL & ADV INJURY t s 2 ,000,000 GEN"L AGGREGATE LIMIT APPLIES PER· GENERAL AGGREGATE s 4 ,000,000 X POLICY rr& LOC PR OOUCTS • COMP/OP AGG s 4 ,000,000 OTHER: s B AUTOMOBILE LIABIUTY COMBINED SI NGLE LI MIT (Ea acc;J®nt) s 1,000,000 X ANY AUTO BA040000080872 6/17/2025 6/17/2026 BOOIL Y INJURY {Per person) s OWNED SCHED ULED AUTOS ONLY AUTOS BOOIL Y INJURY (Per acciden t) s Hll'f<D AU OS ONLY NO~-g~NED AU O NLY P~OPERTY ~AMAGE _(f er accid0'11 s s UMBRELLA UAB OCCUR EACH OCCURRENCE s EXCESSUAB CLAIMS-MADE AGGREGATE s OE D RETENTION$ $ C WORKERSCOIIIPENSAT10N X PER OTH- AND EMP\.OYERS" LIABIUTY STATUTE ER Y I N WCNCC314046 4/1/2025 4/1 /2026 1 ,000,000 ANY PROPRIETOR/PAR TNER/EXECUTIVE E.L. EACH ACCIDENT $ 8.iFICER,~M~ EXCLLOED? N /A 1 ,000,000 andatory n E.L. otSEASE • EA EMPLOYEE $ ~ii5c~r~ri~ 'ot'J PERATIONS below E.L. DISEASE -POLICY LIMIT ~ 1,000,000 DESCRll'TIOH OF OPERATIONS/ LOCATIONS / VEHICLES \:!CORD 101. Additional Remarks Schedule, may be attached if more space is required) RE: Work performed by the Named Insured on half of the Certificate Holder The City of Palm Springs is named as Additional Insur ed with respects to General Liability per, CG T4 91 11 88. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Palm Spri ngs THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN A CCOR DANCE WITH THE POLICY PROVISIONS. 3200 E . Tahqultz Canyon Way Palm Springs, CA 92262 AUTHORIZED REPRESENTATIVE ~fi ~ ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved . The ACORD name and logo are registered marks of ACORD I -...""-\:;..... PALMSPR-04 A -T .,, ~ I ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) ~ 4/1/2025 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 holde r ls an ADDITIONAL INSURED, the pollcy(ies) 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 License# 0603247 22tl~CT GeorBe Petersen Insurance Agency, Inc. PHONE ( ) t~.No):(707) 525-4175 P.O. ox3539 (A/C, No, El<I): 707 525-4150 Santa Rosa, CA 95402 r.::-r-·\ ·-·o i~~ss~ info@gpins.com ,1(, ,h INSURERlSJ AFFORDING COVERAGE NAIC# £025 INSURER A : Travelers Casualty Insurance Company of Americ 19046 INSURED J ~·.-: fi7 INSURER e : California Automobile Insurance Company 38342 Palm Springs Florist Inc INSURER c : National Casualty Company j 11991 894 N Palm Canyon Dr9 r ,...,(.'. , . ._ • , lE CITY CLERKsuRER D : Palm Springs, CA 9226 • --. INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER· REVISION NUMBER· THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANC E AFFORDED BY THE POLICIES DESCRIBED HERE IN IS SUBJECT TO ALL THE TERMS , EXCLUSION S AND CON DITIONS OF SUCH POLICIES. LI MITS SHOWN MAY HAVE BE EN REDUCE D BY PAID CLAIMS. INSR TYPE OF INSURANCE ~.!'~~~~ I TA POLICY NUMBER POLICY EFF POUCYEXP LIMITS A X COMMERCIAL GE NERAL LIABILITY EACH OCCURRENCE s 2,000,000 CLAIMS-MADE X OCCUR X 6805R523388 12/17/2024 12/17/2025 DAMAGE TO RENTED PREMISES (Ea~) s 500,000 MEO EXP (Any ooe person) s 5 ,000 PERSONAL & AOV INJURY s 2,000,000 GEN'l AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 4,000,000 X POLICY ~rBr LOC PRODUCTS • COMP/OP AGG_,. $ 4,000,000 OTHER: s B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea~t) s 1,000,000 j AN Y AUTO BA040000080872 6117/2024 6/17/2025 BODILY INJURY {Per person) s OWN ED X SCHEDULED AUTOS ONLY AUTOS BOOIL Y INJURY if'er accodool} $ X HI~ AU SONLY ~~'1>'1~ PROPERTY ~AMAGE (Per accident $ I I I s UMBRELLA LIAB OCCUR I I EACH OCCURRENCE $ EXCESS LIAS CLAIMS-MADE AGGREGATE $ OED RETENTION S s C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' UA81UTY STATUTE ER Y /N WCNCC31404'6 4/1 /2025 4/1/2026 1 ,000,000 ANY PROPRIETORJPARTNERIEXECUTIVE E.L EACH ACCIDENT $ i flCERIM~M~~R EXCLUDED? N /A 1,000,000 andatory n ) E.L. DISEASE -EA EMPLOYEE, S II ~es, descnbe under 1,000,000 0 SCRJPTION OF OPERATIONS below E.L. DISEASE • POLICY LIMIT S DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ~CORD 101, Additional Remark, Schedule, may be attached If more space is required) RE : Work performed by the Named Insured on half of the Certificate Holder The City of Palm Springs Is named as Additional insured with respects to General Liability per, CG T4 9111 88 . CERTIFICATE HOLDER CANCELLATION SHOU LD ANY OF THE AB OVE DESC RIB ED POLICIES BE CANCELLE D BEFORE The City of Palm Springs TH E EXPIRATION DATE THEREOF , NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 3200 E. Tahquitz Canyon Way Palm Springs, CA 92262 AUTHO RIZED REPRESENTATIVE ~~ ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Jam- PALMSPR-04 AAGLO A` oRv CERTIFICATE OF LIABILITY INSURANCE D 12/19/2024 NYYY) 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 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 PRODUCER ""n>o w wwarr Me.— George Petersen Insurance Agency, Inc. PNONE FAX P.O. BOX 3539 (ECEIVED E-ac, Na, Ear): (707) 525�150 (AIC, Na):(707) 5254175 RECEIVED Santa Rosa, CA 95402 AD0REss: info@gpins.com LINSURER(S) AFFORDING COVERAGE _ NAICr UL L 2 6 2024 INSURER A; Travelers Casualty Insurance Company of Amerlc 19046 INSURED INSURER B: California Automobile Insurance Company 38342_ Palm Springs FlorisPEFICE OF THE CITY CLERK INSURERC: National Casualty Company 11991 894 N Palm Canyon Dr INSURER D: Palm Springs, CA 92262 INSURER E COVFRAGES CFRTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Yy) POLICY EXP INSR TYPE OF INSURANCE AODL SUBR IN IN POLICY NUMBER POLICY IS YYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMSMADE X OCCUR )( 6805R523388 12/17/2024 12/17/2025 P�M SET RENTED occurrence) 500,000 _$ 5,000 MED EXP (My olre�sm) _ f 2,000,000 PERSONAL S AGV INJURY $ 4,000,000 GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ X POLICY jECOT LOC PRODUCTS - COMPIOP AGG . $ 4,000,000 OTHER: B COMBINED SINGLE LIMIT 1'000'0QQ AUTOMOBILELWBIUTY f ANY AUTO BA040000080872 6/17/2024 6/17/2025 BODILY INJURY (Perperaon) s OWNED SCHEDULED X AUTOS ONLY AUTOS BODILYBODILY INJURY(Peraccidam). $ X AUTOS AUTO tPERTY )IMAGE $ ONLY ONL� lPe�aa=de $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ _ EXCESS UAB CLAIMS -MADE AGGREGATE $ _ DED RETENTIONS C WORKERS COMPENSATION X AND EMPLOYERS'LWBIUTY WCNCC314046 4/1/2024 4N/2025 YIN .STATUTE _OTH 1,000,000 ANY PROPRIETORNARTNERIEXECUTIVE pFFICERNEMWg�� EXCLUDED? NIA E. L. EACH ACCIDENT f 1,000,000 (Mandatory,. NNI E.L. DISEASE - EA EMPLOYEE f If Yes dewibe under 1r000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1ACORD 101, Additional Remarks Schedule, maybe a.ached if more space is required) RE: Work performed by the Named Insured on behalf of the Certificate Holder The City of Palm Springs is named as Additional insured with respects to General Liability per, CG T4 91 1188, The City of Palm Springs 3200 E. Tahquitz Canyon Way Palm Springs, CA 92262 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORRED REPRESENTATIVE ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 680-5R523386-24-42 COMMERCIAL GENERAL LIABILITY ISSUE DATE: 11/01/2024 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 Name of person or organization: CITY OF PALM SPRINGS ma SCHEDULE WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your acts or omissions. CG T4 91 11 88 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1 _J a•`�•: - .) RETURPI TO:� E. Earl & Mary Lou Hall , dba A Palm Springs Florist, apprvl CITY OF PAW SPRINGS for structure over property BOX 1786 Agreement #2261 WHO SPRINGS, CA. 92263 Resolution 15666, 10-16-85 LICENSE AGREEMENT - - —— -- THIS LICENSE, made and entered into this _o _ day of 1985 by and between the CITY OF PALM SPRINGS, hereinafter cane— d—"-Licensor" and L. EARL & MARY LOU BALL dba Palm Springs Florist, hereinafter called "Licensee". WITNESSETH: That 'licensor, for valuable consideration and the faithful performance by licensee of all the terms and covenants hereinafter set forth on its part to be performed, does hereby give to licensee the right to construct., main- tainr use and repair a walkway covering; hereinafter referred to in whole or in part as "structure", at such location upon, across and over a portion of that certain real property owned by licensor, situated in the Count of Riverside, State of California, described as follows: y The property at the southeast corner of E1 Alameda Drive and North Palm Canyon Drive, known as 894 North Palm Canyon Drive and shown as parcel numbers 505-285-001 and 505-285-002 on the 1985-86 Riverside County Assessment Rolls. This license is given upon and subject to the following terms, covenants and conditions: 1. Licensee, his successors and assigns, and his and their respective agents and employees, shall have the right and duty to maintain said structure, and shall have free access to said structure and every part thereof, at all times, for purposes of exercising the rights herein granted. 2. Licensee's rights hereunder shall be subject to all valid and existing easements, rights, leases, licenses, reservations and encumbrances whether of •recard or not oflecting said property or any portion thereof. 3. Any structure placed pursuant to this license shall be constructed in a careful and workmanlike manner and to the satisfaction of licensor and in accordance with plans and specifications to be submitted to and approved by the CILy oF' I'd III) Springs buIIding Divisiun beIure work 'i& commenced. 4. In the event the structure placed hereunder on the public right-of-way at any time interferes with or restricts the reasonable use of the proper- ty by licensor, licensee shall within sixty (60) days after written notice from licensor so to do, remove, reconstruct, alter or make changes to said structure in a manner satisfactory to licensor. 5. The licensee agrees to hold harmless and defend the licensor from liability arising from any action of the licensee and from any liability arising from injuries or damage to person or property as a result of said structure's existence. During the entire term of this License Agreement, licensee agrees to procure and maintain liability insurance at its sole expense to protect against loss from liability imposed by law for damages on account of bodily injury, including death therefrom, suffered or alleged to be suffered by any person or persons whomsoever, resulting directly or indirectly from any act or activities of the licensor or licensee, its sublicensees or any person acting for the licensor, or licensee or under its control or direction, and also to protect against loss from liability imposed by law for damages to any property of any person caused directly or indirectly by or from acts of activities of the licensor, licensee, or its sublicensees, or any person acting for the City or licensee, or under its control or direction. Such public liability and property damage insurance shall also provide for and protect the, licensor against incurring any legal cost in defending claims for alleged loss. Such public liability and property damage insurance shall be maintained in full force and effect throughout the term of the License Agreement and any extension thereof in the following minimum limits: CGe c� Bodily Injury - $500,000 each person M $1,000,000 each occurrence $1,000,000 aggregate products and completed operations Property Damage $500,000 each occurrence $500,000 aggregate A combined single limit policy with aggregate limits in the amount of $1,000,000 will be considered equivalent to the required minimum limits. All of such insurance shall be primary insurance and shall name the City of Palm Springs as an additional insured. If the operation under this License Agreement results in an increased or decreased risk in the opinion of the City Manager, then licensee agrees that the minimum limits hereinabove designated shall be changed accordingly upon request by the City Manager; provided, however, that the licensee may appeal to the City Council within ten (10) days after any increase is requested and such requirement for increased coverage shall be subject to determination by the City Council . Licensee agrees that provisions of this paragraph as to maintenance of insurance shall not be construed as limiting in any way the extent to which the licensee may be held responsible for the payment of damages to persons or property resulting from Licensee' s activities, the activi- ties of its sub-licensees activities of any person or persons for which licensee is otherwise responsible. 6. Evidence of Insurance - A Certificate of Insurance, or an appropriate insurance binder, evidencing the above insurance coverage with a company acceptable to the City's Risk Management Officer shall be submitted to the licensor prior to execution of this License Agreement on behalf of the licensor. 7. Notice to Licensor, Insurance Coverage Change - The terms of the insurance policy or policies issued to provide the above insurance coverage shall provide that said insurance may not be -amended or cancelled by the carrier, for non-payment of premiums or otherwise, without thirty (30) days prior written notice of amendment or cancellation to the licensor. In the event the said insurance is cancelled, the licensee shall , prior to the cancellation date, submit to the City Clerk new evidence of insur- ance in the amounts heretofore established. 8. Except as provided in Paragraph 4, above, this license shall not be revoked so long as said structure pursuant hereto by licensee is maintained in a manner satisfactory to the licensor and is used for the purpose for which it was designed. However, should licensee cease to use and maintain said structure for said purpose, the licensor or licensee may, by giving written notice to such effect to the other in the manner as provided herein, cancel this license and licensee shall within sixty (60) days after receipt of said notice remove said structure at his sole expense and provide a suitable walkway or landscaping within said period of sixty (60) days. In addition, should licensee at any time fail to comply with any provision of this License Agreement, licensor may revoke this License Agreement and give written notice thereof, and licensee shall within said sixty (60) day period remove the structure and restore the premises as aforesaid. 9. The notices provided in this License Agreement given by either party hereto to the other shall be deemed to have been duly given when made in writing and deposited in the United States Mail , registered and postage prepaid, addressed as follows: -2- J U f To Licensor: The City of Palm Springs P.O. Box 1786 j Palm Springs , CA 92263 07 Cc To Licensee: Palm SpringsFlorist 894 N. Palm Canyon Drive Palm_Sprinas, CA , 92262 Except as herein otherwiseprovided, the provisions of this License Agreement shall inure to the benefit of and be binding upon the parties hereto, their successors or assigns. IN WITNESS WHEREOF, said licensor and said licensee have caused this instru- ment to be executed in duplicate by their respective officers of party thereunto duly authorized as the day and year herein first above written. ATTEST: CITY OF PALM SPRINGS, CALIFORNIA By C- Cit y Cll eerk City Manager REVIEWED AND APPROVED: APPROVED BY THE CITY L'OUNCIL 6:, /61,uo BY RES. NO. Licensee STATE OF CALIFORNIA) )ss. COUNTY OF RIVERSIDE) On 1986, before me, the undersigned Notary Public in 'and for the said State, personally appeared E. Earl Hall and Mary Lou Hall , proved to me on the basis of satisfactory evidence to be the persons whose names are subscribed to the within instrument, and acknowledged that they executed it. WITNESS my hand and official seal . F OFFICIAL sEAL >�� L��?A ANNE E WICY,LIN r i ��+ NOTARY PUBLIC-CF.LIFOR NIA / � ��Y / 1 �q ry J1 RIVERSIDE CDNN?Y Notary's Signature "`` STATE OF CALIFORNIA) )ss. COUNTY OF/RIVERSIDE) On L 2����)2C_ /? 1986, before me, the undersigned Notary Public in and for the said State, personally appeared Norman R. King, known to me to be the City Manager and Judith Sumich, known to me to be the City Clerk of the CITY OF PALM SPRINGS, the Corporation that executed the within instrument, known to me to be the persons who executed the within Instrument on behalf of the Corporation herein named, and acknowledged to me that such Corporation executed the within Instrument pursuant to its by-laws, or a resolution, or ordinance. WITNESS my hand and official seal . OFT rAL SEAL ANN'E E WICKLIN r NOTARY PUBLIC-CALIFORNIA RIVERSIDE COUNTY Notary' s Signature fV.," My Comm. exfiles MAY 22, 1989 -3- +�i,<QF-IVED FOR RECORD A7'}iM C'CLACK A.M. APR 1 81986 _of iiiviriid;;S:;ita,5y, '=ii;ranir a To Licensor: The City of Palm Springs P.O. Box 1786 Palm Springs, CA 92263 To Licensee: Palm Canyon Florist 894 N. Palm Canyon Drive Palm Springs, CA 92262 Except as herein otherwise provided, the provisions of this License Agreement shall inure to the benefit of and be binding upon the parties hereto, their successors or assigns. IN WITNESS WHEREOF, said licensor and said licensee have caused this instru- ment to be executed in duplicate by their respective officers of party thereunto duly authorized as the day and year herein first above written. ATTEST: CITY OF PALM SPRINGS, CALIFORNIA y ) it ity Clerk City Manager' REVIEWED AND APPROVED: / T c: ,_/4. 0 : 2 ;7 icensee iiy §$i' C",S`§Y .vase\iC!L - -3- 0 POLICY NUMBER L 93 ABC 80043369 COVERAGE IS PROVIDED BY FIREMAN'S FUND NAMED INSURED INSURANCE COMPANY PALM SPRINGS FLORIST, INC. NOVATO, CA 949YB A STOCK INSURANCE CO. (01 ) FIREMAN'S AMERICAN BUSINESS COVERAGE POLICY FUND INSURANCE _ COMPANIES PROPERTY/LIABILITY DECLARATIONS SAN FRANCISCO CALIFORNIA WE WILL PROVIDE YOU WITH INSURANCE FOR THOSE LOCATIONS DESCRIBED IN THE GENERAL DECLARATIONS AND FOR THOSE COVERAGES FOR WHICH A SPECIFIC LIMIT OF INSURANCE (LIMIT) IS SHOWN. ------------------------------------------------------------------------------- BASIC COVERAGES LIMITS ------------------------------------------------------------------------------- SECTION 1 . COV. A BUILDINGS) REPLACEMENT COST LOC 001 $ 123, 000 COV, B BUSINESS PERSONAL PROPERTY REPLACEMENT COST LOC 001 $ 15,000 DEDUCTIBLE: $250 ------------------------------------------------------------------------------- SECTION 2. COV. C BUSINESS LIABILITY $ 500,000 OCCURRENCE E 500,000 AGGREGATE COV. D MEDICAL PAYMENTS $ 1 , 000 EACH PERSON $ 10,000 EACH ACCIDENT ------------------------------------------------------------------------------- OPTIONAL COVERAGES ------------------------------------------------------------------------------- THE OPTIONAL COVERAGES SHOWN BELOW APPLY TO ALL LOCATIONS UNLESS OTHERWISE IN- DICATED. THE LIMIT OF INSURANCE FOR THESE COVERAGES IS THE APPLICABLE SECTION 1 OR SECTION 2 LIMIT SHOWN ABOVE FOR THAT LOCATION UNLESS A LIMIT OF INSURANCE IS DESCRIBED IN THE COVERAGE FORM OR IS SHOWN BELOW. ------------------------------------------------------------------------------- EXTERIOR GLASS LOC(S) 001 MONEY AND SECURITIES $ 1 , 000 LIMIT LIABILITY COVERAGE PLUS ------------------------ ------------------------------------------------------- THESE DECLARATIONS ARE ISSUED IN CONJUNCTION WITH AND ARE PART OF POLICY FORM 140681 -12-83 END OF PROPERTY/LIABILITY -DECLARATIONS X- INSURED'S COPY ❑ BRANCH COPY