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HomeMy WebLinkAboutA4625 - DESERT SHADOWS 1533 CHAPARRAL 100 STEVENS ENCROACHMENT APN 507025022 505166009ACORD• CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIO0NYYY) ~ 4/29/2025 ~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS C ERTIFICATE 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 INS URED, the p o lic y(ies) must be endorsed . If SUBROGATION IS WAIVED, subjec t to the terms and c onditio ns of the p o licy, c ertain p o licies may require an endorsement. A s tatement on this certificate does not c onfer rights to the certificate holder in lieu o f suc h endo rsement(s). PRODUCER N~~I~\;T Rafter Insurance Agency PHONE oo2-6l:ll•171l I FAX ,,..,,.. u ... c .. tt,, IA/C Nol : PO Box 3178 RECEIVED E-MAIL mike@rafterins.com La Habra, CA 90631 annRE""' IN SURERISI AFFORDING COVERAGE NAIC # UAV n C' "ln"lr INSURER A : Fortegra Specialty Company 10970 INSURED I u , I U J LVC.J INSURER B : I ne Zenith Desert Shadows Il l INSU RER C: c/o Personalized Property Mana gQfEfil CE OF THE CITY CLE 1,K,,RER O : 68950 Adelina Road INSURER E : Cathedral City, CA 92234 INSURER F : COVERAGES CERTIFICATE NUMBER· {., REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURE D NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREME NT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAI N, THE INSURA NCE AFFORDED BY TH E POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS , EXCLUSIONS ANO CONDITIO NS OF SUCH POLICIES . LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . INSR TYPE OF INSU RANCE ADOL SUBR POUCYEFF POLICY EXP LIMITS LTR louen wvn POLICY NUMBER I MM/OONYYYI IMM/OONYYYl GENERAL LIABILITY 91E1012164-00 5/01/2025 5/01/2026 EACH OCCURRENCE $ 1 ,000,00 0 '}( CO MMERCIAL GENERAL LIABILITY p~~ES ~E~~~A\ $ 300,000 A -□ Cl.AIM S-MACE ~ OCCUR MEO EXP fAfly one oorsool $ 1 000 - -PERSONAL & ADV INJURY $ Included GENERAL AGGREGATE -s 2 ,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS • COMP/OP AGG $ lnr,luded n POLICY n ~~R.. n LOC $ AUTOMOBILE LIABILITY ~~M~ 0 ~INGLE LIMIT ~ f- ANY AUTO BO0IL Y IN JU RY (Per person) $ -ALL OWNED -SCHEDULED AUTOS AUTOS BODILY INJURY (Pe< acodonl) $ -,-NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS /Per •rridontl s -- $ L UMBRELLA LIAB I ~OCCUR 9181012164-00 5/01/2025 5/01/2026 EACH OCCURR ENCE $ 2,000 ,000 A EXCESSUAB CLAIMS-MADE AGGREGATE $ 2 nnn l)QO OED I I RETENTION $ s WORKERS COMPENSATION C070602613 I T~'i,J"ff':T.V.-.. I 10~- ANO EMPLOYERS' LIABILITY Y I N 2103/2025 2/03/2026 ANY PROPRIETOR/PARTNER/EXECUTIVE □ N /A E.L. EACH ACCI DENT $ 1 000 000 B OFFICER/MEMBER EXCLUDED? (Mandato,y In NH) EL DISEASE· EA EMPLOYEE $ 1 000..000 If yes, doscnbe und8f E.L DI SEASE· POLICY LIMIT $ 1 nnn nnn DESCR IPT ION OF OPERATIONS below !\ Bldg.Fire/Special Form 91E1012164-00 5/01/2025 5/01/2026 $7,980,000 w ith $5,000 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEH ICLES (Attach ACORD 101, AddHlonal Remarks Schedule, If more space Is required) The City of Palm Springs is named as an Additional Insured on the General Liability per the attached Additional Insu red Endorse ment. Coverages are primary and non-contributory to any coverage The City of Palm Springs may carry. Waiver of Subrogation CERTIFICATE HOLDER CANCE LLATION The City of Palm Springs SHOU LD AN Y OF TH E ABOVE DESCRI BED POLIC IES BE CANC ELLED BEFO RE Attention: Ci ty Clerk THE EXPIRATION DATE THEREOF, NOTIC E WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P . 0 . Box 274 3 Palm Sp rings, CA 92263-2743 AUTHORIZED REPRES~ >~ ~ I .-- © 1988-2010 ACORD CORPORATION. All r ights reserved. A CORD 25 (201 0/05! T h a A C ORD n a me and logo are registered marks of ACORD DOC is 2002-684ZOM 11/20/2002 08:00A Fee:NC Page i of 7 Recorded in Official Records FREE RECORDING REQUESTED BY County of Riverside AND WHEN RECORDED MAIL TO: Gary L. Orso Assessor, Countv Clerk d Recorder CITY OF PALM SPRINGS 11��11111�INDesertncroa Sws haloment Permit P.O.Box 2743 Palm Springs,California 92263-2743 AGREEMENT #4625 Attn: City Clerk 11-4-02 Engineering Division M 5 U PAGE SIZE GA POOR NOCOR SMF MIGC. I Filing Fee Exempt Per Government Code 6103 ✓ t"" A R L COPY LONG REFUND NCHG E%PM ENCROACHMENT PERMIT �M �{1 + MG THIS ENCROACHMENT'PERMIT(the"Permit")is issued this 4 day of % ,2002, to Desert Shadows III, LP ("Permittee"). RECITALS: A. Pennittee is the owner of that certain real property located in the City of Palm Springs, County ofRiverside,State of California commonly known as 1533 Chaparral Road and 100 Stevens Road East, (APN 507-025-022 and 505-166- 009), more particularly described on Exhibit "A" attached hereto and incorporated herein by reference ("Permittee Property"). B. City is the owner of certain fee and/or easement interests in that certain real property located in the City of Palm Springs,County ofRiverside,State ofCalifomiaadjacentto the Applicant Property and more particularly depicted on Exhibit "B" ("City Property"). C. Permittee desires to construct a pedestrian bridge across Indian Canyon Drive North in accordance withplans approved on October 10,2002(Building PemutNo.C 3628)which will encroach on the City property inthe location depicted onExhibit"B"attached hereto and incorporated herein by reference (the "Encroachment'). D. Pursuant to the authority granted in Chapter 14.16 ofthe Palm Springs Municipal Code,the Director is granting to Permittee an encroachment permit("Permit')for the Encroachment subject to the provisions of Chapter 14.16 and the terms and conditions of this Permit as set forth below: 1. Permit. The City hereby grants a Permit to Permittee to construct the Encroachment in accordance with Chapter 14.16 of the Palm Springs Municipal Code, and upon all of the terms and conditions of this Permit statedhereon.Prior to commencement of construction,Permittee shall submit all building plans,drawings and specifications necessary for the construction ofthe Encroachment and obtain all 1 approvals and building and right-of-way construction permits required for the construction of the Encroachment. 2. Commencement of Construction. Permittee shall commence the construction of the Encroachment within a reasonable amount oftime,in no event to exceed ninety(90)days following the issuance date oftlus Permit. Before beginning any physical work on the Encroachment,Permittee shall notify the City in writing,at least twenty-four(24)hours prior to commencement of such work. Permittee shall also notify the City upon completion of the Encroachment. 3. Construction of Encroachment. Any structure placed pursuant to this Permit shall be constructed in a careful and workmanlike manner and in accordance with plans and specifications to be submitted to and approved by the City ofPahn Springs Department of Building and Safety before Permittee commences performance of any work on Permittee Property.The top ofthe foundation for the pier column shall be aminimum of one and one-half(1-1/2)feet below the existing top ofcurb.The pier column location shall not be varied from the approved plan location and face of said column shall be no closer than thirty eight and one-half(38.5) feet from the centerline of the street. The developer is responsible for any relocation of any portion ofor all ofthe bridge structure resulting fromthe bridge not being constructed per the approved plans(Building Permit No. C 3628)based on the fact that the proposed design of the pier column barely clears the ultimate street improvement locations. 4. Maintenance. Permittee shall have the right and obligation to maintain,paint,repair, restore and replace,at its own cost and expense,the Encroachment so as to keep the Encroachment and the Encroachment area in a neat,clean,first class condition and in good order and repair,including free oftrash and debris at all times. Permittee shall have access across the City Property at all times while the Permit is in effect solely for the purposes as noted in Section 3. In the event that Pennittee does not maintain the Encroachment as required herein,the City will have the option to either(i)terminate the Permit as more particularly provided in Section 11 or,(ii)after giving Permittee reasonable notice,to make such repairs or perform such maintenance as is required. If City performs the required repairs and/or maintenance,City will submit a bill to Permittee who will promptly reimburse City for such work performed. 5. Alterations. Permittee may not make any alterations or changes to the Encroachment without the written approval ofDirector ofPlauning and Zoning,moreover,the bridge shall be subjeetto on- going monitoring to ensure that,in the future as adj acent properties develop and redevelop,all users ofthe structure are adequately screened from all vantage points.The Director of Planning and Zoning shall have the ability to require adjustments or modifications to the screening to maintain privacy and ensure the complete screening of all bridge users from all off-site locations and the public right-of-way. 6. Erection and Maintenance of Safety Provisions. Permittee shall,in connection with the construction and maintenance of the Encroachment,provide,erect,and maintain such lights, barriers, warning signs or other safeguards as are reasonably necessary to protect anyone utilizing the City Property for whatever reason. In the event that the City determines that suitable safeguards are not being provided, I I I I2I II All IIIIIII III IIIII I III IA II11 I III ufze02 08903 0©a zor7 i t the City may,after reasonable notice to Permittee,provide,erect and maintain such safeguards. If the City provides the safeguards pursuant to this Section 5,City shall submit a bill to Permittee,and Permittee shall immediately reimburse City for such work performed. 7. Indemnity. Permittee hereby agrees to indemnify and defendthe City,its officers,agents and employees against and to hold and save each ofthem harmless from,any and all actions,suits,claims, damages to persons or property, losses, costs, penalties, obligations, errors, omissions or liabilities (collectively"claims or liabilities")that maybe asserted or claimed by any person,firm or entity arising out of or in connection with the location,construction,maintenance,relocation or removal ofthe Encroachment,but excluding such claims or liabilities arising from the sole negligence or willful misconduct ofthe City,its officers, agents or employees, who are directly responsible to City, and in connection therewith: (a)Permittee will defend any action or actions filed in connection with any of said claims or liabilities and will pay all costs and expenses, including legal costs and attorneys'fees incurred in connection therewith; (b)Permittee will promptly pay any judgment rendered against the City,its officers,agents or employees for any such claims or liabilities and Permittee agrees to save and hold the City, its officers, agents and employees harmless therefrom; (c)In the event the City,its officers,agents or employees is made a party to any action or proceeding filed or prosecuted against Permittee for such damages or other claims arising out ofthe location,construction,maintenance,relocation or removal ofthe Encroachment, Permittee agrees to pay the City,its officers,agents or employees,any and all costs and expenses incurred by the City,its officers,agents or employees in such action orproceeding, including, but not limited to, legal costs and attorneys fees. 8. Enforcement of City Rights Through a Lien. If any owner ofthe Property defaults on the performance ofany of its obligations hereunder,the City,its employees,contractors and agents may,dt their sole option,and after making reasonable demand ofthe owner ofthe Property that it cure said default, cure the default. In making a cure,the City shall give the owners of the Property or their representative, reasonable notice of the time and manner of said action and said action shall only be at such times and in such manners as reasonably necessary to carry out this Permit. In such event,the owner of the Property shall reimburse the City for all costs and expenses related to the curing of said default plus interest at a rate often percent(10%)per annum commencing on the date that is thirty(30)days after the date notice thereof is given and ending on the date said sum is fully repaid. Any and all delinquent amounts,together with said interest,costs and reasonable attorneys fees shall be apersonal obligation ofthe owner of the Property as well as a lien and charge,with power of sale,upon the Property. The City may bring an action at law against the owner of the Property to pay any such sums. The lien provided for in this Section maybe recorded by the City as allotice of Lien against the Property in the Office ofthe Riverside County Recorder,signed and acknowledged,whichNotice of Lien shall contain a statement ofthe unpaid amount of costs and expenses. 3 1111111 III ,�a0 0 of�°5O©R Such lien may be enforced and foreclosed in a suit or action brought in any court of competent jurisdiction or in accordance with the provisions of Section 2924 ofthe California Civil Code applicable to the exercise of powers of sale for mortgages and deeds of trust,or in any other manner permitted by California law.Upon the timely curing of any default for which such lien was recorded,the City shall record an appropriate release of such lien,upon payment by the owner ofthe Property of a reasonable fee to cover the costs ofpreparing and recording such release,together with the payment of such other costs,including,without limitation, reasonable attorneys fees, court costs, interest or other fees which have been incurred. 9. Covenants Running With the Land. The covenants and restrictions by Permittee set forth in this Permit: (a)are made for the direct benefit ofthe City Property;(b)will constitute covenants running with the land and equitable servitudes;(c)will bind Pemutee and every person having any fee,leasehold or other interest in any portion ofthe Permitee Property at any time or from time to time;and(d)will inure to the benefit ofthe City and every person having any fee,leasehold or other interest in the City Property at any time or from time to time. 10. Insurance. 10.1 Insurance Requirement. During the entire term of this Permit,Permittee agrees to procure and maintain public liability and property damage insurance,at its sole expense,in an amount not less than ONE MILLION DOLLARS($1,000,000)combined single limit,insuring against all liability of Pennittee and its authorized representatives arising out of and in connection with the Encroachment or Permittee's use ofthe Encroachment. Such public liability and property damage insurance shall also provide for and protect the City against incurring any legal cost in defending claims for alleged loss. 10.2 Primary Policy; Additional Insured. All such insurance as required by this Section 6 shall be primary insurance and shall name the City as additional insured. 10.3 Insurance Increase. Not more frequently than one(1)time every three(3)years,if, in the opinion ofthe City Manager orthe City's insurance broker,the amount ofpublic liability and property damage insurance coverage at that time is not adequate,the City Manager may require modifications to this coverage. 10.4 Insurance Company. All insurance required under Us Section 8 shall be issued by an insurance company authorized to do business in the State California,with afinancial rating of at least A- 3A status as rated in the most recent edition of Best's Insurance Reports or such comparable report should Best's Insurance Reports no longer be available. 10.5 Modification or Cancellation of Policy. All insurance required pursuant to this Section 8 shall contain an endorsement requiring thirty(30)days written notice from the insurance company to City before cancellation or change in the coverage,scope,or amount of any policy. Each policy,or a certificate ofthe policy,together with evidence ofthe payment ofpremiums,shall be deposited by Permittee 4 I I I�IIII IIIIIII IIIII�III II�IIII IIII IIIIII III(IIII IIIII IIII i t 20/ 92 085 0ea with the City at the commencement of the term,and on a renewal policy not less than twenty(20)days before expiration of the term of the policy. 11. Termination. This Permit is terminable at suchtime when the City reasonably determines that continuance of the Encroachment is inconsistent with the City's use ofthe City Property or any part thereof, including but not limited to, construction,reconstruction or maintenance of the City Property provided that City may not exercise its terminationrights herewith for a period of five(5)years from the date of issuance of the permit unless such removal is done to a threat to public health and safety. Such period gives Permittee areasonable time to recover its investment.Upon making such determination,City shall give notice to Permittee that the Permit istherebyterminated(the"Termination Notice"). Uponterminationofthe Encroachment, Permittee shall remove the Encroachment and restore the City Property to its former condition, at Permittee's sole cost and expense, within one-hundred eighty (180) days following the TerminationNotice. In the event Permittee fails to remove the Encroachment and restore the City Property within said time period,the City shall have the right to do so without notice to the Permittee by the City. Permittee shall immediately reimburse the City for all out ofpocket expenses which were expended in order to remove the encroachment and restore the City Property. Said amounts shall accrue interest from the date expended by the City at the maximum legal rate of interest. 12. Limitation On Permittee's Remedies for Termination. It is expressly agreed that Permittee accepts this Permit with full knowledge ofthe City's termination rights hereunder.Permittee, without reservation,waives any and all rights it may have to recover for the loss,cost,or damage for City's termination and removal of said Encroachment, including any claim for taking of property, adverse condemnation, business disruption, interference with contract or any other legal or equitable remedy. Permittee's sole remedies shall be mandamus or injunction 13. Successors and Assigns. All rights and obligations created by this Permit shall be appurtenant to and shall run with the Permittee Property and the City Property and each part thereof and interest thereon, and shall be binding upon the owners of the Permittee Property and its respective successors and assigns acquiring any right,title and interest in the Permittee Property.Pennittee shall have the duty to give City written notice of any change in ownership within ten(10)days of the occurrence thereof. 14. Amendment or Modification. This Permit may not be modified or amended except by written agreement executed by the then-owner of the Permittee Property and the City Property and recorded in the Office of the County Recorder, County of Riverside, California. 15. Governing Law. This Permit shall be governed by and construed in accordance with the laws of the State of California. 16. Severabitity. The invalidity or unenforceabilityof any provision ofthisPemut with respect to a particular party or set of circumstances shall not in any way affect the validity and enforceability of any 5 i�llll Ilillll IIIIII���IIIIIII illl za° g5, 5f70aFl111111III1111111111111 o other provision hereof or the same provision when applied to another party or to a different set of dirctunstances. 17. Retardation. This Permit shall be recorded inthe Office ofthe County Recorder,Riverside County,Califomia,and it shall serve as notice to all parties succeeding tothe interest o£Permittee or the city that their use of the Permittee Property and the City Property shall be benefitted and/or restricted in the manner herein described. j lssuedBy ✓� Date � �'° City of Palm Springs I havereadthe aboveand agree to comply with theprovisions ofthis permit andto pay for any additional replacement necessary as the result of this work. Permittee — Permittee 4Sigture iq ture Type or Print Name Type or Print Name Desert Shadows II1, 1.P 1533 Chaparral Road Palm Springs, CA 92262 Telephone: 760-325-6410 6 IIIIIII IIIIIII IIIIII III IIII�II IIII IIII�I III IIIII IIII IIII 2002-68430 6 5 6 a©f'78 11 90R EXHIBIT "A" DESCRIPTION OF PERMITEE PROPERTY APN 505-166-009 All that portion of Northeast quarter of the Northeast quarter of Section 10, T 4 S, R 4 E, San Bernardino Base and Meridian, according to the official plat thereof, described as follows : BEGINNING at a point on the Easterly line of said Northeast quarter of the Northeast quarter, 286. 69 feet southerly from the Northeast quarter thereof: Thence South, on said easterly line, 60 . 00 feet; Thence Westerly parallel with the North line of said Northeast quarter of the Northeast quarter, 176 . 50 feet; Thence Northerly parallel with the Easterly line of said Northeast quarter of the Northeast quarter, 60 . 00 feet; Thence Easterly parallel with the Northerly line of said Northeast quarter of the Northeast quarter, 176. 50 feet to the POINT OF BEGINNING; Except any portion thereof included in public roads . APN 507-025-022 Lot 1 of Tract Map 29156 as shown in Book 285, Page 45 of Maps, records of Riverside County, California. EXHIBIT "B" DEPICTION OF CITY PROPERTY AND ENCROACHMENT I I I II7 ICI III II IIIIII IIIII II II11 III III IN xzrzeA7 of 705eeR ALIL CERTIFICATE OF LIABILITY INSURANCE OATE(MM4/28/ 0 4/28/2023 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 endorsement(s). PRODUCER Rafter Insurance Agency P O Box 3178 La Habra, CA 90631 CONTACT NAME: PHONE 562-697-1712 11A1 Ne: E-MAIL mlko@rafterins.com ADDRESS: INSURE S AFFORDING COVERAGE NAICf INSURER A: Response Indemnity Company 10970 INSURED INSURER B: Response Indemnity Company 7 Desert Shadows III INSURERC: a tenith C/o Personalized Property Management INSURER D: 68950 Adelina Road Cathedral City, CA 92234 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 73 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. ILTTRR TYPE OF INSURANCE ADDL SUER POLICY-NUMBERM IX:Y EFf PIO�UCY ESP LIMITS GENERAL LABILITY 91A1009694-01 5/01/2023 5/01/2024 EACH OCCURRENCE $ 1.000.000 DAMAGE TO-RE-W-E[5— PREMISES Ea occ,ohmoal S 300.000 A X COMMERCIAL GENERAL LIABILITY CLAIMS4AADE I OCCUR MEO EXP (Any one person $ 1000 PERSONAL &ADV INJURY S Included GENERAL AGGREGATE f 2,000,DDO GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S Included S POLICY PRO- LOC AUTOMOBILE LIABILITY CEa actltla tOMBINED SINGLE LIMIT BODILY INJURY Per parson) s ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Par Accident) S PROPERTY DAMAGE Per eccitlent f NON_O' ED HIREDAUTOS AUTOS f B X UMBRELLA LAB EXCESS ULAB OCCUR CLAIMS -MADE 9IB1009694-01 5/01/2023 5/01/2024 EACH OCCURRENCE f 2,000,000 AGGREGATE f 2,000-000 DED RETENTIONS S C WORKERS COMPENSATION EMPLOYERS, YIN AND EMPLOYERS, LIABILITY YIN ANY PROPRIErORMARTNERIEXECUTNE OFFICER/MEMBER EXCLUI N/A C070602613 2/03/2023µD WC STATLL f 1 000 000 2/03/20241,000,000- E.L. EACH ACCIDENT E.L DISEASE -EA EMPLOYE S (Mandatory In NN) H yes desmae under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT S BIdg.Fire/Special Form 91A1009694-01 5/01/2023 SM11/2024 $7,667,000 with $5,000 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AHach ACORD 101, Adddlonal Remarks Schedule, H more space Is squired) The City of Palm Springs is named as an Additional Insured on the General Liability RECEIVED per the attached Additional Insured Endorsement. MAY 0 i 2023 Coverages are primary and non-contributory to any Coverage The City of Palm Springs may Carry. City Hall Waiver of Subrogation Reception Desk CERTIFICATE HOLDER CANCELLATION The City of Palm Springs SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attention: City Clerk THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P. 0. Box 2743 Palm Springs, CA 92263-2743 AUTHORIZED REPRESE E 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) the ACORD name and logo are registered marks of ACORD 1 e A � " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 4/24/2024 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 endorsement(s). PRODUCER CONTACT NAME: ----------- ------ - --- Rafter Insurance Agency PHONE — 562-697-1712 I L No)__ E-MAIL mike rafterinS.com ------ ADD_ REssL P 0 Box 3178 _._ INSURERS )AFFORDING COVERAGE NAIC # La Habra, CA 90631 INSURERA: Response Indemnity Company 10970 Response Indemnity Company INSURED Desert Shadows III INSURERS: INSURER C : Th2�2ftlth — INSURER D : c/o Personalized Property Management 68950 Adelina Road INSURERE: - --- INSURER F : Cathedral City, CA 92234 GUVtKAUtb t1CM1- THIS IS 10 CERTIFY THAT THE POLICIES OF iiNSURAINCE LISTED BELO%.V HAVE SEEN ISSUED TO THE INSURED C INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_NSR NAMED ABOVE FOR THE POLICY PERIOD WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL THE TERMS, ILTR A TYPE OF INSURANCE GENERALLIABILITY �( COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR ADDL SUBR POLICY NUMBER 91A1009694-02 POLICY EFF MMIDD/YYYY 5/01/2024 POLICY EXP MMIDDIYYYY 5/01/2025 LIMITS EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ _ 300,000 MED EXP (Anyone person) $ 1000 PERSONAL & ADV INJURY $ Included GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG- - ------------------ COMBINED SINGLE LIMIT $ _ __Included $ GE_ N'L AGGREGATE LIMIT APPLIES PER POLICY PRO LOC AUTOMOBILE LIABILITY BODILY INJURY (Per person) $ ANY AUTO _ - ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS ---------- $ - ---- BODILY INJURY (Per accident) PROPERTY DAMAGE �r_t__ acciden_ ___ __—__ $ $ B X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE 91 B1009694-02 5/01 /2024 5/01 /2025 EACH OCCURRENCE -- - - - AGGREGATE —_ _ $ _ 2,000,000 _ $ _ 2,000,000 WC STATU- OTH- _ TORY-LIMI-TS_ ._._ _ER E.L. EACH ACCIDENT ---- .. C070602613 2/03/2024 2/03/2025 __._-----. DED RETENTION $ WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNERIEXECUTIVE $ 1 000 000 !L— --' s—_j.,OQ0,0 - C OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N / A E.L. DISEASE _E.i ENIPLOtt' it yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ BIdg.Fire/Special Form 91A1009694-02 5/01/2024 5/01/2025 $7,800,000 With $5,000 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City of Palm Springs is named as an Additional Insured on the General Liability per the attached Additional Insured Endorsement. Coverages are primary and non-contributory to any coverage The City of Palm Springs may carry. Waiver of Subrogation CERTIFICATE H The City of Palm Springs APR 2 9 2024 Attention: City Clerk P. 0. Box 2743 nFFICE OF THE CITY CLERK Palm Springs, CA 92263-274'3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE _. ...... . arnon rn00nDATIn AI All ri.hf. r Qp"Pri ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD