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VALLEY MAINTENANCE CORPORATION (2)
City of Santa A..a Clerk of the Council COTC Office Use Only ----- -- - -- --- --- ---------- -------- -- AGREEMENT TERMINATION FORM Please complete this form in its entirety when the attached agreement and all amendments (if any) are no longer in effect. Note: If your agreement is grant related, please ensure that all grant retention requirements have been satisfied prior to signing the termination form. Is the agreement(s) a permanent record? Yes Nod OF THE COUNCIL JUL 26'22 FHA:26 Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. i The agreement with V&J, [ JCA COrf0r] (1 0 No. A-2018-124 was completed on and final payment has been made. (List all amendments. Use space below if needed.) A - -M -19-+ Department: ?Oc� -2 Phone/Ext.: 2 Signature: � (z (�I Date: S Revised: 10-18-16 itASURANCE NOT ON FILE A-2018-124 WORK MAY N(�' PPROCEED CLERK OF COUNCIL DATE: MAY 3 0 2018 FIRST AMENDMENT WITH VALLEY MAINTENANCE CORP. FOR JANITORIAL SERVICES AT PARK RESTROOMS AND PARK BUILDINGS St\utw C�t.uw' THIS FIRST AMENDMENT to the above -referenced agreement is entered into on May 15, 2018 by and between Valley Maintenance Corp. ("Contractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RECITALS A. The parties entered into Agreement #A-2017-125, dated June 1, 2017 ("Agreement'), by which Contractor agreed to provide high qualityj anitorial maintenance services at City park restrooms and park buildings. The Agreement shall continue through May 31, 2019, and is currently in effect. B. The parties wish to amend the Agreement to provide for additional services beginning June 1, 2018, at additional City park restrooms and buildings. The Agreement shall also be amended to reflect an increase in the overall compensation of the Agreement for these services. The Parties therefore agree: 1. Section I, Scope of Services, is amended to include the additional services for the Pacific Electric Park and the Zoo Animal Hospital as outlined in the quotes attached hereto as Exhibits A-1 and A-2. 2. Section V, Compensation, is amended to include an additional annual amount of $26,823, which includes an additional 10% contingency of $2,439 for services as required at the sole discretion of the City. The annual amount beginning June 1, 2018, shall not exceed $290,508. The total amount for the term of the Agreement, including any renewal option periods, shall not exceed $1,141,487. 3. Except as modified by this First Amendment, all terms and conditions of the Agreement shall remain in full force and effect. (Signature Page to Follow) IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Agreement on the date and year first written above. ATTEST PF Clerk. of tYe.., APPROVED AS TO FORM SONIA R. CARVALHO, City Attorney B k- Ly. LAURA A. ROSSINI Senior Assistant City Attorney RECOMMENDED FOR APPROVAL: GERARDO MOUET Executive Director. Parks, Recreation -and Community Services Agency CITY OF SANTA ANA RAUL GODI II City Manager VALLEY MAINTENANCE CORP. Title: vl G � FSJ Exhibit A-1 VALLEY MAINTENANCE CORP. 10002 Pioneer Blvd. Suite 101 Ca. 90670 VALLEY MAINTENANCE CORP TEL: (562) 948-3020 Fax: (562) 948-3081 Janitorial Services 1. WORK SCHEDULE Restrooms: Janitorial services 7days aweek Monday through Sunday Animal Hospital Floor Quarterly Strip & Wax : 2nd Sunday of Jan, April, July & Oct, 2. TIME OF SERVICE Restrooms: Between 6:00 A.M. to 8:00 A.M. or Time the management requests Animal Hospital Floor Strip & Wax : To be arranged with Zoo Management LOCATION 1801 East Chestnut Ave. Santa Ana, CA 92701 3, JOB LOCATIONS Santa Ana Zoo Public Restrooms 4. WORK SPECIFICATIONS Per existing service contract work specification 5. SUPPLIES Cleaning supplies will be supplied by: VMC Restroom supplies & trash liners will be supplied by : VMC 6. SERVICE CHARGE THE SERVICE CHARGE(S) FOR ABOVE DESCRIBED SERVICES $ 19,200.00 Per Annual ($ 1,600 Per Month) • $ 580 for 1 large restroom and $ 420 eachMfor 2 small restrooms x12 = $17,040 Animal Hospital Floor Strip & Wax : $ 540 Quarterly x 4 = $ 2,160 7. GUARANTEE You are respectfully requested to examine the results of our work and if you find our warkmanship and finished results to be less satisfactory, please call VMC immediately so we will correct the matters within 1 hour. 9. ACCEPTANCE Please indicate your approval by signing the acceptance line below. DATE OF SUBMISSION March 12, 2018 OF SERVICE AGREEMENT Valley Maintenance Corp. City of Santa Ana Exhibit A-2 VALLEY MAINTENANCE CORP. 10002 Pioneer Blvd. Suite 101 Ca. 90670 VALLEY MAINTENANCE CORP TEL: (562) 948-3020 Fax: (562) 948-3081 SERVICE AGREEMENT Janitorial Services 1, WORK SCHEDULE Janitorial services 7 days a week Monday through Sunday 2. TIME OF SERVICE After 10 PM between 10:00 P.M. to 5:00 A.M. LOCATION The corner of McFadden and Maple Street. Santa Ana, 3. JOB LOCATIONS Pacific Electric Park Restroom 4. WORK SPECIFICATIONS Per existing service contract work specification 5. SUPPLIES Cleaning supplies will be supplied by: VMC Restroom supplies & trash liners will be supplied by : VMC 6. SERVICE CHARGE THE SERVICE CHARGE{S}FOR ABOVE DESCRIBED SERVICES $ 5,184 00 Per Annual ($ 432 Per Month) 7. GUARANTEE You are respectfully requested to examine the results of our work and if you find our workmanship and finished results to be less satisfactory, please call VMC immediately so we will correct the matters within 1 hour. 9, ACCEPTANCE Please indicate your approval by signing the acceptance line below. EFFECTIVE STARTING DATE APPROVED DATE Valley Maintenance Corp. City of Santa Ana Alft ' CERTIFICATE OF LIABILITY INSURANCE o91i�'i2017 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 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 INSURANCE LAND INSURANCE SERVICES 4032 WILSHIRE BLVD SUITE 309 LOS ANGELES CA 90010 INSURED ^� VALLEY MAINTENANCE CORP. INSURANCELANDQGMAIL.COM INSUREftC UNITED STATES LIABILITY INS, CO.! 10002 PIONEER BLVD. SUITE 101 LRo ICW GROUP SANTA FE SPRINGS CA 90670 RE TRAVELERS CASUALTY ANDSURETYR F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES,OP 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 0'1-HER 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. �— POLICY EFF._ POLICY EXP LTR • ..-._._._ __. ......— INSRi TYPE OFINSURANCE POLICY NUMBER MM/DOIYYYV MMInDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11 000,000 � COMMERUAL GENERAL LIABILItt PAMAGE TO HEM SES IF:a nJeurcerce� 100 000 CLAIMS-MAOE OCCUR � $ 5 000 MED EHP'Any one pemgn .PERSONAL a AOV INJURY $ 1, 000 000 x i 'GENERAL AGGREGATE $ 2, 000, 000 _ P'EOOUCTS-00MP/0 PAG_G_ $ INCLUDED GEN�gGGREOATE LiPllr gppUE3 PER. PRO- LOG ,POLICY i �CONTRL PROPERTY OTHERS.3 _ $25,000 AUTOMOBILE ----- LIABILITY CCFIMV4035�f82-01 06/10/2010 06/10/2019I COMBINED SINGLE LIMIT (Eaeccdam) $ 11 000,000 �. ANY AU FO ALI, OWNHO AURDS BODILY INJURY (?of person) f$ BODILY INJURY (Paracciden) -'—' $ SCHEDUIBUAUTOS _- ......_.._ P $ B - HIRED Al1FO5 ,aacldVDAMAuE (Per acc!dan) NON -OWNED AUTOS AGGREGATE $ 1 000, C,00 $ UMBRELLA UAS OCCUR 1 XL1578400' �5/02(20175/02/2016 EACHOCCIIRRENCE .. _..._..._.._ .. $ 3 000,0OQ __ �.._ ...___.._.. EXCE93 LIAR LAIhISMADE' AGGREGATE $ 3 000rOQO C = PRODUCTS-0041/OP AGO $ 11 000,000 DEDUCTIBLE PERSONAL & ADP IHUVRY $ 11 000,000 RETENTION $ - WORKERS COMPENSATION ANDEMPLOYERSLIABILITY ylN� WSA5037498 18/13/20178/13/2018.. WC STATU IOTH- I.TORYLIMLCSL.- PH E-EACH ACCIDENT $ 1, 000, 000 D ANYPROPRIETORIPARTNER/EXECUTIVE OPrICER,McMSER ;NIA El DISEASEEA EMPLOYEE $ 1, 000, 000 EXCLUDED? (Mandatdryin NHl If yea, demcrlbe under OcSCR(PTIQN OF OPERATIONS oabw EL. DISEASE - POLICY LIMIT ;$ 1, 000, 0 Q 0 ISCRIME (105620659 5/24/2017I5/24/2018 THI D( $RTY 1, 000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddlBonal Ramarks Schedule, It more space Is required) \� a CERTIFICATE HOLDER IS AS AN ADDITIONAL INSURED. i s.cn I",' n l 0, nvw.1 4,grv..s-4 { uyN v CITY OF SANTA ANA SHOULD ANY OF TH OVE DE POLICIES BE CANCELLED BEFORE THE EXPIRATION ATE THE�NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 CIVIC CENTER PLAZA AUTHORIZED REPRESENTATIVE SANTA ANA CA '92702 1 9)1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, BLANKET ADDITIONAL INSURED (CONTRACTORS) (Excludes Products -Completed Operations) This OrroOrsamecf modifies Insurance provided under the following: COMMERCIAL GENERAL LIASILITY COVERAGE PART 1. WHO 13 AN INSURED - (Si IQ is emended to Include any person ororganizatiorl that you agree In a "written contract requiring Insurance" to include as an eeditlorsI insured on this Coverage Part, but: a, Only With respect to liability for "bodily injury", "property damage" of "personal Injury"; and u. If, and only to the extant that, the Injury or damage is caused by acls or omissions of you or your subcontractor In the performance of "your work" to which the "written contract requiring Insurance" appllae. The person or organization does not qualify as an additional Insured with respect to the Independent acts Or emissions of such person or organization, 2, The Insurance provided to the additional Insured by this endorsement is limited as follows a. In the event the( the Limits of Insurance of this Coverage Part shown in in, Declarations osreed the limits Of liability required by the "written contract requiring Insurance", the Insurance provided to the eddltlonal Insured shall be limited to the fill of liability required by that "written contract requiring Insurance". This endorsement shall not Increase the limits of Insurance described In SECTION III . LIMITS OF INSURANCE. b. The insurance provided to the additional Insured does not apply to "bodily Injury", "property damage" or "perecnal Injury" arising out of the rendering of, or tapers to render, any professional architectural, onginearing or surveying services, including: (1) The preparing, approving or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders or change orders, or the preparing, approving, or failing to prepare or approve, drawings and specifications: and (2) Supervisory, Inspection, architectural or engineering activili", c. The insurance provided to the additional insured does not apply to "bodily Injury" or "property damage' caused by "your work" and Included in the "prod ucts-cornp[start operations hazard", 92794 CO (lre>j 3. The Insurance provided to the additional insured by this endorsement Is excess over any valid and collectible crier Insurance, over primary, axcesa, contingent or on any other users, that Is ansl[abla to the additional Insured for a loss we cover under this, endorsement. However, if the ,written contract requiring inauranoa" specifically requires that this Insurance apply on a primary basis or a primary and \fInon-contriblutory basis, this insurance a primary to 'Jiother Insurance avallablo to the additional insured which covers that person Or organization as a named insured for such loss, and we will not share with that other Insurance. But the Insurance providrd to the additional insured by this endorsement still if, e=,lsa over any valid and collectible other insurance, whether primary, excess, contingent ol• on any other basis, that is available to the additional Insured when that psrson or organization Is an additlonal Insured under sunit other insurance, 4. As a condition of coverage provided to the additional Insured by this andorsoill a. The additional Insured must give us written noUra as soon as practicable of an "occurrence," Or an Offense which may result ,n a claim. To the extent possible, such notice should include: (1)Ho'rr, when and where the "Pururrnnca" or offense took place; (2)Tha names and addresses Of any injured Persons and witnesses; and i (3) The nature and location Offaly Injury or damage arising Out Of the "acrurrance" or efforts, b. If a claim is made or "suit" brought against the additional insured, the additional Insured must (1) immediately record the specifics of the dllaim or "suit" and the data received; and (2) Notify us as soon as preoficable. The additional insure rat see to that we receive written roil the gl I or . uit" as soon as Practicable.'N� _'yt 0 UP �C) inGodas copyrigl �IeU malerlal of [so Pmperlieo, Ina, wi, its P."Ar9loe. Prue 'I of 2 C, lfle additional i nsured mUSt ImmOdlalely Send LIS dopieR Of alllIegal papers received In rannaction with the olalrrl or ^null", cooperato with us In the Investigation or settlement of the claim or defense against the "suit and othorwlae comply will, all poPcy conditions. d. The additional insured must tanner the Catalan end Indemnity of any Claim It "sult" to any provldor of otnar Insurance which would cover such additional Insured fnt a loss we days, under this endorsement. However, this eond'ilon does not Affect whether the Insurance provided to the additional Insured by this anddrsetnent is primary to other insurance available to the otlditlonal Insured which Covers that person or organization as a named Insured as described in paragraph 3. above. 5. The following daftnitlon Is added to the OC:!r'INITIdNS section: "Written contract requiring Insurance" meane that part of any Written contract or agreement Under which you are required to Include a POISOn or organization a, an additional insured or' ')'is CoverAga Pan, prlwided that the "bodily Injury" and "property damage" occurs and the "personal Injury" Is caused by ar offense committed: A. After the signing and execution of the contract or agreement by you; b. While that part of the contract or egreeni is in effect; and c. Before the end of the policy period. 52774-00 (7107) h�clu des uopytlelVed malarial of ISO Properties, i,,_ will, its rn•Isslon. Pa pe 9n ,.IB THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsernent modules Insurance provided under the following: WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLIO`( We have the nght to recover our payments from anyone liable for an InJurY coverod by this Po Icr our right against the person or organization named In the Schedule. (This agrosmont applies only to the We Will hot enforce onr that you Perform' work under a written contract that requires you to Cbtaln this agreement Irene is,) y This agreement shall not operate directly or indirectly to benefit anyone not named In Uie Schoduie, SCHEDULE DESIGNATED PERSON: Any person or organization for which the Insured has Completed a written agreement to provide this waiver, DESIGNATED ORGANIZATION: All operations. A2A54 CG (12I0e) THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, POLICY CHANGES Northfield Insurance Company St. Paul, iNN 55102 s Named Insured Valley Maintenance Corp Policy Period: From 08/13/2016 To 08/13/2017 This endorsement modifies Insurance provided under the following: General Liability - Commercial Endorsement Number 6 Policy Number WS299101 Changes Effective 05/30/2017 Changes The following Additional Insured has been added to the policy on farm S2778-CG as per attached to read as :follows: City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92702 The following form(s) Is ADDED to the policy: S2778-CC (1/16) Other Insurance - Additional insureds ENDORSEMENT PREMIUM: $ No Change NEW TERM PREMIUM: $ No Change p��GS�Pa� 06/02/2017 SA _ Date Au11101i� nJ smi-It. (s/05) Page 1. Of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE -ADDITIONAL INSUREDS This endorsement modifies insurance provided under the following! COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS 1. The following is added to Paragraph 4.a., Primary Insurance, of SECTION IV -COMMERCIAL GENERAL LIABILITY CONDITIONS: However, if you specifically agree in a written contract or written agreement that the Insurance provided to an additional Insured underthis Coverage Part must apply on a primary basis, or a primary and non-contributory basis, this insurance Is primary to other Insurance that is available to such additional Insured which covers such additional insured as a named insured, and we will not share with that other Insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The 'personal and advertising injury" for which coverage is sought arises out of an offense committed subsequent to the signing and execution of that contract or agreement by you. 2. Paragraph 4.b.(2) of SECTION IV -COMMERCIAL GENERAL LIABILITY CONDITIONS is deleted. 3. The following is added to Paragraph 4.b.(1)(a) of SECTION IV -COMMERCIAL GENERAL LIABILITY CONDITIONS as an additional subparagraph: That Is available to the insured when the insured is added as an additional insured under any other policy. Including any umbrella or excess policy. PuPd�r P �G5 S2778-c3 (vtu) 0 2016 The Travelers Indemnity Company. Alt rights reserved. vc c�ir[ r CERTIFICATE OF LIABILITY INSURANCE DAM MMIDhiYYYY) 05/18/2.018 THIS CERTIFICATE IS ISSUED ,A5 A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFIICATE 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: T the certificatlr holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject tO the terms and conditions of the Ipolicy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such inndorsement(s). PRODUCER c0 T CT - -- NAM INSURANCE ]SAND INSURANCE SERVICES PHOE. ANA LEE NE 4032 WILSHIRE BLVD PNc ,E,n. 213-388-5505 lac Nm. 213-388f-714:8 SUITE 309 nooses$: INSURANCELANDQGMAIL. COM LOS ANGELES INSURER(S) AFFORDING OOVFRAGE NPJCq _ CA 90010 INSURER A: WESTERN WORLD INSURNACE COMPANY INSURED INSURER a. FINANCIAL INDEMNITY COMPANY VALLEY MAINTENANCE CORPORATION INSURER C_UNITED STATES LIABILITY INS, CO, INSURER.: ICW GROUP - 10002 PIONEER BLVD. SUITE 101 INSURER E: TRAVELERS CASUALTY AND SURfETY CO, SANTA FE SFIRINGS CA 90670 --- COVERAGES — r•curm,,.. r�.,,,..� INSURER F; THIS IS TO CERTIFY THAT THE 101-10ES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER THE DOCUMENT POLICY PERIOD CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES WITH RESPECT TO WHICH THIS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, INSR REDUCED BY PAID CLAIMS, I.TR TYPE OF INSURANCE _711 POLICY NUMBER POLICYEFF hiMIDD VYV POL CY EXP MMIDDIYWY LIMITS -- LIASILIPEACHOCCURRENCE 08/13/201700/13/20M 00,000 IS-MADE©OCCUR472118 FCOMMEARCTZOENERAL G NTPRE SESIEeaoou,,,,, $ 10(I,000 MED EXPAnyonaerson $ 5000 A PERSONAL&ADV INJURY $ 1, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PERGENERgLAGGREGATE $ 2,00(1, 000 Vi POLICY C]PRO❑JTL00 PRODUCTS-COMPIOPAGG $ INCLUDED OTHER. _ — AUTOMOBILE LIABILITY CONTRG.PRDPERTY OTHI3R9 $ 2EI, O(JO 06292185-0 :Ll/oz/2o1711/Da/Iola CON SIRED 5INGLE LIMIT Ee accident $ 21000,000 E ANY AUTO ALL OWNEII SCHEDULED BODILY INJURY (Par pamon) .__ $ BODILY INJURY (Pei accitlanl) _ _ $ AUTOS AUTOS NON-0VJNE'.0 HIRED AUTOS _ _ AUTOS PeEamldanlDAMAGE _._ $ UMBRELLA LIAR — AGGREGATE $ 1, 000, 000 C EXCESS LI11B OCCUR CLAIMS XL1578400A 15/02/20185/02/2019 EACH OCCURRENCE $ 51000_000 -MADE DED DETENTION$ WORKERS COMPENSATION AGOREGA'$E $ 51 000', OUO PRODUCTS $ ��D', OOO AND EMPLOYERIP LIABILITY YIN WSASQ37498 (I/13 /2017 8/13 /2018 PTATUTE 0R -__ D AOFFICE�MEMBER EXCLUDED? ❑VIA E,L. EACH ACCIDENT $ I, D00, 000 (Mantletory in NH) E.L. DISEASE- EA EMPLOYE $ 1, 000, 000 Ilyyes. Il.-be undo! DESCRIPTIONOF OPERATIONS below— E.L. OISEA$iE POLICY LIMIT $ 1,000., 000 E CRIME :110-96206-519 U5/24/2D19 05/24/2013 THIRD PARTY 11000.1000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES -(ACORD -181, Atltlitintlel RnmarES Schedule, may b..ft.0ed if re...Pa6e la regWrotl) THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, AND REPRESENTATIVE ARE NAMED AS ADDITIONAL INSURED IN REGARDS TO GENERAL LIABILITY PER THE ATTACHED' FORM. CERTIFICATE Well nGA CITY OF SANTA ANA SHOULDANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL, BE DELIVERED IN 20 CIVIC CENTER PLAZA ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE SANTA ANA CA 10163-4668I !� -1S I t ©1988-20'14 A ACORD 26 (2014i01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: NPP8472118 COMMERCIAL GENERAL LIABILITY CG 20 10 04 1VI THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS,, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR. ORGANIZATION This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) I Location(s) Of Covered Operations Or Organ ization(s): y of Santa Ana Various locations Civic Center Plaza :A nta Ana, C92701 Information required to complete this Schedule, If not shown above, will be shown In the Declaratlons. A. Section II - Who Is An Insured Is amended to include as an additional Insured the person(s) or organization(s) shown In the Schedule, but only with respect to liability for "bodily Injury", "property damage" or "personal and advertising injury" caused, In whole or in part, by: 1. Your acts or omissr.)ns; or 2. The acts or omissions of those acting on your behalf; In the performance of your ongoing operations for the additional Insured(s) at the location(s) designated above. However: 1. The Insurance afforded to such additional Insured only applies to the extent permitted by law; .and 2. If coverage provided to the additional Insured Is required by a contract or agreement, the insurance afforded to such additional Insured will not be broader than that which you are required by the contract or agreement to provide for such additional Insured. B. With respect to the Insurance afforded to these additional insureds, the following additional exclusions apply: This Insurance does not apply to "bodily Injury" or "property damage" occurring after: '.. 1. All work, Including materials, parts or equipment' furnished In connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional Insured(s) at the location of the covered operations has been completed; or 2 That portion of "your work" out of which the injury or damage arises has been put to its Intended use by any person or organization other than another contractor or subcontractor engaged In performing operations for a principal as a part of the same project, CO 20 10 0413 Copyright, Insurance Services Office, Inc., 2012 ;. 0 .. e _\ Q�G Page 1 of 2 C. With respect to the insurance afforded to these additional Insureds, the following Is added to Section III - Limits Of Insurance; If coverage provided to the additional Insured Is required by a contract or agreement, the most we will pay on behalf of the additional Insured is the amount of Insurance: 1, Required by the contract or agreement; or 2:. Available under the applicable Limits of Insurance shown In the Declarations; whichever Is less. This endorsement shall not Increase the applicable Limits of Insurance shown in the Declaratlons, 00o; G I? Page 2 of 2 Copyright, Insurance Services office, Inc,, 2012 CG 20 10 04 13 /iL VKLF DAre,M CERTIFICATE OF LIABILITY INSURANCE - ' 05/18/,018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR DOES NOT C AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POL CIES BELOW. THIS CERTIFICATE E INSURANCE DOES NOT CONSTITUTE A CONTRACT BE THE ISSUING INSURER(S), AUTHO 12ED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: 11 the certificate holder Is an ADDITIONAL INSURED, the policy(lesct ) must be endorsed. It SUBROGATION IS WAIVED, subs to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights t0 the Certificate holder in Ileu of such endoreemen s . PRODUCER NAME: y ANA LEE INSURANCE LAND INSURANCE SERVICES UUNTPHONE 213-3$S-SSDS 4032 WILSHIRE BLVD AIC No: 213-388 719 EDDHE SIIITS 309 ADo Ess: INSIIRANCELAND(PGMAIL.COM LOS ANGELES INSURE 8 AFFORDING COVERAGEINSURED Nta CA 90010 NsuRERA: W88T8RN WORLD INSURNACE COMPANY VALLEY MAINTENANCE CORPORATION WNURERe: FINANCIAL INDEMNITY COMPANY VALLEY iN URERD: ICN GROUP 10002 PIONEER BLVD. SUITE 101 ININ'SWERE• TRAVELERS CASUALTY AND SANTA PE SPRINGS CA 90670 UIIERF NEVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PE INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 100 THIS WS. SURA LIMITS ERAL WBIl1TY LM CLAIMS -MADE © OCCUR EACHOCCURREFICE P E s 1,001 t 30 , 000 1000 MEO EXP maperean) f ,GOO E x !77w�.'Ropmw 06292185-0 11/02/201711/02/2018 n PERSONAL B AW INJURY s 1100 1000 ITAPPIJES PER: LOC AUTOMOBCE'-'ASIL'TY ANY AlrtO ALL ONMED ACHEDULEO AUTOS AUTOS HIREDAUTOS NON-O MEO AUTOS GENERALAGGREGATE S 2,00 ,00T PRODUCTS-COMP/OPAGG S INC UDED .PROPBRTY e'fRRRp eWtleD M t 2 t 2100 1000 ,DOD BODILY INJURY(Po, pram) s BODILY IN.IURY (Par aai0en0 s PRMOPER WMA t AGGREGATE EACH OCCURRENCE t 1100 s 5100 ,000 1000 C D UMBRELLA IIAB OCCUR E%CESS UAB CLAIMSAIADE XL1578400A WSA5037498 5/02/20185/02/2019 8/13/2017 3/13/2018ANY AGGREGATE s 5,00 ,000 DED RETENTIONS WOR11MRS COMPENSAIION AND EMPLOYER.H' LIABILITY YIN OFFICEFINVulBER MLUOED�i ECUTfVE ❑NIA IlMyyeafttle .D OEMdRIPTION OF OPERATIONS bell. PRODUCTS O TA t $00 1000 E.L. EACH ACCIDENT s 1100 1000 EL DISEASE -EA EMPLOYE S 1,00 ,000 ELOSEASE-POUCYUMIT $ 1100 1000 8 CRIME 105620659 05/24/2018 05/24/2019 THIRD PARTY 11DO 1000 OESCRIPTON OF OPERATONB /LOCATION$ l VEHICLlS (ACOND 101, Additional RamaMS Schedule, my W aINSMtl rmora space la ra9Wnw1 THE CITY OF SANTA .ANA, ITS OFFICERS,EMPLOYEES,AGENTS,AND REPRESENTATIVE ARE NAMED AS ADDITIONAL INSURED IN REGARDS TO GENERAL LIABILITY PER THE ATTACHED FORM. CERTIFICATE LItV nco CITY OF SANTA ANA 20 CIVIC CENTER PLAZA SHOULD ANY OF THE ABOVE DESCRIBED POU( THE EXPIRATION DATE THEREOF, NOTICE ACCORDANCE WITH THE POLICY PROVISIONS. SANTA AN CA 10163-4668 9 /- V ®f 988-2014 ACORD CORPORATIO 1 ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 1'7- IN POLICYNUMBER: NPP8472118 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) I Location(s) Of Covered Operations Or Organization(s): y of Santa Ana Various locations Civic Center Plaza nta Ana, CA 92701 Information required to complete this Schedule, if not shown above, will be shown In the Declarations. A. Section II - Who Is An Insured is amended to include as an additional Insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional Insureds) at the location(s) designated above. However: 1. The Insurance afforded to such additional insured only applies; to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the Insurance afforded to such additional Insured will riot be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily Injury" or "Property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to Its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 100413 Copyright, Insurance Services Office, Inc., 2012 N%W �nG� Page 1 of C. With respect to the Insurance afforded to these additional Insureds, the following Is added to Seotlon III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we Will pay on behalf of the additional insured is the amount of Insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits Insurance shown in the Declarations; whichever Is less. This endorsement shall not Increase the applic Limits of Insurance shown In the Declarations. J Uy Page 2 of 2 Copyright, Insurance Services Office, Inc., 2012 10 04 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, BLANKET ADDITIONAL INSURED (CONTRACTORS) (Excludes Products•Completed Operations) This endorsement modifies Insurance pmvidad under the following! COMMERCIAL GENERAL LIABILITY COVERAGE PART t. WHO IS AN INSURED - (SECTION II) Is amended to V include any person or organization that you agree In a "written contract requiring Insurance" to Include as an additional insured on this Coverage Pert, but: a. Only with respect to liability for "bodily injury", "Property damage" or "personal Injury"; and b. If, and only to the extent that, the Injury or damage la caused by acts or omissions of you or your subcontractor In the performance of "your work" to which the "written contract requiring Insurance" applies. The person Or organization does not Quality as an additional Insured with respect to the independent acts or Omissions of such person or organization. 2. The Insurance Provided to the additional Insured by this endorsement is limited as follows: a. In the event that the Limits of insurance of this Coverage Part shown in the Declarations extend the limits of liability required by the "written contract requiring Insurance", its Irsurance provided to the additional insured shall be limited to the limits of liability required by that "wrifert contract requiring Insurance". This endorsement shall not Increase the limits of Insurance described in SECTION III LIMITS OF INSURANCE. b. The insurance provided to the additional Insured does not apply to "bodily Injury', •property damage" or "personal Injury" arlairlg out of the rendering of. or failure to render, any professional architectural, engineering or sumaying seNlces, Including! (1) The preparing, approving or falling to prepare or aPProve, maps. shop drawings, opinions, reports, surveys, field orders or change orders, or the Preparing, approving, Or failing to prepare or approve, drawings and speclfl0atlons; and 3. The Insurance provided to the additional insured by this endorsement Is excess over any valid and MIIGctlbla other Insurance, whether primary, excess. contingent Or on any Other basis, that Is evelablo to the adtlibonal Insured for a loss we rover under this endorsement. fluweve. if the 'written contract requiring Insurance" 21Pedifically raqui,, that this insurance apply on a primary basis or a Pnmery and on -Contributory basis, this Insurance Is Primary to other Insurance available to the additional Insured which covers that person or organization as a nomad insured for such loss, and WO will not share a11h that Other Insurance. But the insurance PrOvldea to the additional insured by this andomemont Still is excess Over any valid antl Collectible other insurance, whether Primary, excess, contingent Or on any other basis, that is available to the additional insured when that peramq Or organization Is an additional Insured under our,. other Insurance, a, As a condition of coverage provided to the adritiona; Insured by this endorsoment: a, The additional insured must give us written notice as soon as Practicable of an °occOrrenrar" Or an Offense which may result In a claim. To the extent Possible, such notice should inchids: (1)HOW, when and wherp the •nprurronca' or offense took plane: (2)The names and addresses of any Injured Persons and witnesses; and ' I (3) The nature and location of any In)w y m damage arising out Of the "Occurrence" or offere , b. It a claim is made or "suit" brought Against the adddional insured, the additional Insured must (1) Immediately record the spec)lies Of the Claim or "suit" and the date recelved; and (2) Supervisory, inspection, architectural or (2) NOIIiy us as soon as Practicable. anginee•ing activltes. The additional insur `1 WhLst sea to that we c. The insurance receive ,,...written noti Ihe_pi Imo . UK' as shoe provided "badly the Injury- oriel insured as pracdicabl..Qv �vy1`1 Coss not aPPIY to "hodily In)gry" or "prCostly d� damage, caused by "your work" and Included in the "proaucls-completed operations hazard'. �e G C�`C • R2174 CO OIO)) InClutln9 CO P.. iphlnu meudN ul ISO PfW-Iflas, Lx., with its permission. Pops t or2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE -ADDITIONAL INSUREDS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS 1. The following is atltletl to Paragraph 4.a., Primary Insurance, of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS: However, if you specifically agree in a written contract or written agreement that the Insurance provided to an additional insured under this Coverage Part must apply on a primary basis. or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional Insured which covers such additional insured as a named insured, and we will not share with that other Insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage Is sought occurs; and (2) The "personal and advertising injury" for which coverage is sought arises out of an offense committed; subsequent to the signing and execution of that contract or agreement by you. 2. Paragraph 4.b.(2) of SECTION IV -COMMERCIAL GENERAL LIABILITY CONDITIONS is deleted. 3. The following Is atltletl to Paragraph 4.b.(1)(a) of SECTION IV -COMMERCIAL GENERAL LIABILITY CONDITIONS as an additional subparagraph: That is available to the insured when the insured is added as an additional insured under any other policy, including any umbrella or excess policy. JeJaS S\��`aG Pamir• Q�GgP� 32778-CU (1np) ,a 2016 The Travelers Indemnity Company. All rights reserved. c. the additional Insured must Immedialely send us copies of all legal Papers received In Connection with the claim or "suit", COOparate with us In the Investigation Or settlement of the claim or dafanso against the "suit". and Oiherwisa comply with all Policy conditions. d. The additional insured most tender the defense and Indemnity of any Claim or "suit" to any provider of Other insurance Which Would cover Such additional insured for a 1088 we Cover under this endorsement. However. this condition Case not affect whether the Insurance Provided to the additional Insured by this endorsement is primary (0 ether insurance S ailabte to it's additional insured which covers that Person or organizaPGn as a named Insured as described In paragraph 3. above. 5. The fOIIOWing definition Is edged to the OIEF'INITIONS section: "Written contract fequlring Insurance" means that part of any written contract or ngreement under which you are required to Include a Person or organization as an additional insured on this Coverage Par, provided that the "bodily Injury" antl "Property damage" occur, and the "Personal injury' Is Caused by ar offense Committed - a. After the signing and execution of the contract or agreement by you; b. While that part of the contract or agreament is in effect; and C. Before the end of the policy period. QRG s27i4.CO(71071 blades capyrlghleJ ..Wrla-ai'so Pr wile., Mr. wih its W+ (Nnnipypp. Psan 2 nl i CERTIFICATE OF LIABILITY INSURANCE DATE(MY' 08/17/2018 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollCy(les) 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($). PRODUCER CONTAC NAME: ANA LEE INSURANCE LAND INSURANCE SERVICES PHONE .213-388-5505 4032 WILSHIRE BLVD E,MAp A/CNo 213-388-714 3UITE 309 INSURANCELANDOGMAIL.COM LOS ANGELES INSU 8 AFFORDING COVERAGE r1AES CA 90DIG INSURMA:EVANSTON INSURANCE COMPANY 35378 INSURED INSURERS: UNITED FINANCIAL CASUALTY:CO. 11770 VALLEY MAINTENANCE CORPORATION }�-ap��=�C.� INsuFMRC:UNITED STATES LIABILITY I S. CO. 25895 10002 PIONEER BLVD. SUITE 101 -A-C 17-Ja5 INSURER D: ICW GROUP 27847 SANTA PE SPRINGS INSURER E: TRAVELERS CASUALTY AND SURETY: COUP 19038 CA 90670 COVERAGES reorle,r ATv a INS F: ON THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUR DENAMID 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. N LTR TYPS ORINBURANCE POLICY NUMBER M UCY lFP POLICY EIfP LaY15 COMMERCIAL GENERAL LIABILITY CLAJMSMADE © OCCUR 3AA183369 OB/13/1015 OS/13/3019 EACHOECC,TOU�s� E i 1,000,000 ISES Ea u $ 100,000 A MEDEXP(An one enan S 51000 PERSONAL B ADV INJURY S 1,000r000 x GEN'L AGGREGATE UMli APPLIES PER; GENERAL AGGREGATE S 2,000,000 PdJCV❑JEEP LOC PRODUCTS-COMP/OPAGG S INCLUDED OTH R: AUTOMOBILE LMBILITY COMM. PROP! OTIT®t8 S 25,000 0629218$-0 11/02/2017 11/02/2015 eecrl.Nq INGL LIP i 2,000,000 B ANY "IRO ALL OS SCHEDULED BODILY INJURY(Per parson) $ BODILY INJURY (Pa scan.,) i AUTOSSCHED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS�MDAMAGE S AGGREGATE S 1,000,000 UMBRELLA LUIB (.` OCCUR EXCESS LIAR CLAIMS -MADE XL1578400A 5/02/20185/02/2019 EACH OCCURRENCE S 51000,000 AGGREGATE $ 51000,000 DED RETENTION WORKERS COMPENSATION PRODUCTS S 5,000,000 AND EMPLOYERS' UASILMY YIN WSA5037498 01 8/13/2018 8/13/2019 T TANY ' D OFFICERAIEMBERMLUDDEEDi�CUTIVE NIA E.L. EACH ACCIDENT E 11000,000 In EL. DISEASE SA EMPLOYE i 1,000,000 IlMyyas, OeOary e wEer E.1- DISEASE - POLICY UNIT S 11000,000 DESCRIPTION OF OPERATIONS palow E CRIME 105620659 05/24/2018 05/24/2019 THIRD PARTY $1, 000, 000 DESCMPTIONOFOPEMnMSILOCATIONS)VEHICLES ("CORD t01,AE,Er1onU RamT,ta SCMCON, may peam<na4lr mon ApAn M,pulre0l THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, AND REPRENTA{'8 ARE NAMED AS ADDITIONAL INSURED IN REGARDS TO GENERAL LIABILITY. CERTIFICATE HnI nco CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBE LICIE6\ 5jkEELLED BEFORE THE EXPIRATION DATE THERE OTICE E DEWERED IN ACCORDANCE WITH THE POLICY PROVISIONS, �C 20 CIVIC CENTER PLAZA AUTHORIZED REPRESENTATIVE SANTA ANA CA 10163-4668 w� 01988.2014 ACORD CORPORATION. All riahfs reserved_ • ••- • I 1 ,IC m�umu name ana logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY POLICY NUMBER: 3AA163369 MARKEIa EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM LIQUOR LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM SCHEDULE Additional Premium: $ Included (Check box if fully earned.®) A. Who Is An Insured is amended to include as an additional Insured any person or entity to whom yoo are obligated by valid written contract to provide such coverage, but only with respect to negligent acts or omissions of the Named Insured and only with respect to any coverage not otherwise excluded In the policy. However: The Insurance afforded to such additional Insured only applies to the extent permitted by law; and 2. If coverage provided to the additional Insured is required by a contract or agreement, the Insurance afforded to such additional Insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. Our agreement to accept an additional Insured provision in a contract is not an acceptance of any other provisions of the contract or the contract in total. When coverage does not apply for the Named Insured, no coverage or defense will apply for the additional insured. No coverage applies to the additional Insured shown in the Schedule of this endorsement for injury or damage of any type to any "employee" of the Named Insured or to any obligation of the additional insured to ihdemnify another because of damages arising out of such Injury or damage. B. With respect to the insurance afforded to these additional insured, the following is added to limits of insurance: If coverage provided to the additional Insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the appllcable limits of insurance shown in the Declaretlonsea � � All other terms and conditions remain unchanged. v eras �• MEGL 0009-01 05 16 Includes copyrighted material of Insurance Services O ice, Inc., Q�G Page 1 of 1 with Its permisslon. COMMERCIAL GENERAL LIABILITY POLICY NUMBER: 3AA183369 off MARK@L® EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.: BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE Name Of Person Or Organization: Any person(s) or organization(s) with whom the Named Insured agrees, in a written contract executed prior to the 'occurrence", to waive rights of recovery Additional Premium: $ Included The following is added to Condition 8. Transfer Of Rights Of Recovery Against Others To Us under Section IV — Commercial General Liability Conditions, We waive any right of recovery we may have against any person or organization shown in the. Schedule of this endorsement. This waiver applies only to the person or organization shown in the Schedule of this endorsement. All other terms and conditions remain unchanged. edgy ,�S S\\ J\a �Pa���,. Q�GS MEGL 0241-01 05 16 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in' a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. Q�G 101. CG 20 01 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- BLANKET have the ht to our ments from our right against the personror organ ation named in theone able for an Schedule. Injury agreemecovered nt applithis es lonly. to, ll not extent thaenforce you perform work under a written contract that requires you to obtain this agreement from us). The additional premium for this endorsement shall be otherwise due, 5 Person or Organization ANY PERSON OR ORGANIZATION WHEN REQUIRED BY WRITTEN CONTRACT 3 % of the total California Workers' Compensation premium Schedule Job Description ' ALL CA OPERATIONS G\���. Q� This endorsement 'hanges the policy to which It is attached and Is effective on the date issued unless otherwise stated. (The Informatlo�below Is required only when this endorsement Is Issued subsequent to preparation of the policy.) Endorsement Effective 08/1.3/2018 Policy No. WSA 5037498 01 Endorsement No, insured VALLEY MAINTENANCE CORPORATION Premium $ INCL. Insurance Company INSURANCE COMPANY OF THE WEST Countersigned By WC 99 06 34 (Ed. 8-00) WSU850 ACCOR17 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/OD /YYY) 11/29/2018 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 CONTNAME pCT ANA LEE INSURANCE LAND INSURANCE SERVICES PHONE FAX (A/C,.Np,.EXq: 213-388-5505 Iac,Nel: 213-388-7148 4032 WILSHIRE BLVD E-MAIL ADDRESS: INSURANCELANDQGMAIL. COM SUITE 309 INSURER( S AFFORDING COVERAGE NAICN LOS ANGELES CA 90010 INSURER A:EVANSTON INSURANCE COMPANY 35378 INSURED .F}-p"�I-I-10�.5- INSURER B: UNITED FINANCIAL CASUALTY CO. 11770 VALLEY MAINTENANCE CORPORATION,+_am—N INSURER CUNITED STATES LIABILITY INS. CO. 25895 _ �. -.'� INSURERD: ICW GROUP 27847 10002 PIONEER BLVD. SUITE 101 INSURERE: TRAVELERS CASUALTY AND SURETY COMPANY 19038 SANTA FE SPRINGS CA 90670 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 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. INSR ADDL SUBR LTR TYPE OF INSURANCE D POLICY EFF POLICY EXP POLICY NUMBER MMIDDIYYYY) MMIDDIYYYY) LIMITS V/ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1,000,000 3AA183369 OB/13/201808/13/2019-DAMAGETO RENTED CLAIMS -MADE OCCUR PREMISES (Ea occRence $ 100,000 MEDEXP(Anyonepersan) $ 51000 A X PERSONAL BADV INJURY $ 1,000,000 DEVIL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY PRO- JECT LOC PRODUCTS - COMPIOP AGG S INCLUDED OTHER: CONTRL.PROPERTY OTHERS S 25, 000 AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT $ 062921651 11/02/2018 11/02/2019 (Ea accident) _. 2,000,000 ANYAUTO BODILY INJURY (Per person) S B ALL OWNED SCHEDULED X AUTOS V AUTOS BODILY INJURY (Per accident) S NON -OWNED HIREDAUTOS AUTOS PROPERTY DAMAGE $ _Per accitlent AGGREGATE $ 1,000,000 UMBRELLA LIAR OCCUR XL1578400A 05/02/201805/ 02/ 2019 EACH OCCURRENCE $ 5,000,000 C] EXCESS LIAB CLAIMS -MADE AGGREGATE $ 5,000,000 DED RETENTION$ PRODUCTS $ 5,000,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN WSA5037498 O1 OB/13 /2018 OB/13/2019__§TATUTE ER_ _ ANY PROPRIETORIPARTNER/EXECUTIVE E. L. EACH ACCIDENT $ 11000,000 D OFFICER/MEMBER EXCLUDED? Y❑ NIA - --- (Mandatory in NH) ELDISEASE - EA EMPLOYEE$ 11000,000 If yes describe under DESCRIPTION OF OPERATIONS below EL.DISEASE - POLICY LIMIT $ 11000,000 E CRIME 105620659 05/24/2018 05/24/2019 THIRD PARTY $1, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be allached if more space is required) THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, ANDSENTATIVES ARE NAMED AS ADDITIONAL INSURED IN REGARDS TO GENERAL LIA$T���\ �� G�a�`'asr. CITY OF SANTA ANA SHOULD ANY OF THE ABOVE D'I POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 CIVIC CENTER PLAZA AUTHORIZED REPRESENTATIVE SANTA ANA CA 10163-4668 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD `Rff CERTIFICATEF LIABILITY INSURANCE DATE(MWDMYYYY1 10/28r/ 019 THIS CERTIFICATE IS ISSUED AS A FATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TH S 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 certlflcato holder Is an ADDITIONAL INSURED, the polley{los) must be ondorsod. If SUBROGATION IS WAIVED, subject to the Corms and conditions of the policy, certain pollcles may require an Ghdorsem ant. A statement on this bortiflcate does not confer rights to the certificate holder In llou of such ondorsomont(s), PRCOUa ER CONTACT NAME: NIA JEOIN INSURANCE LAND INSURANCE SERVICES jAgC 213 388-55i15 _ rAx �. il3-3 5-"7148 4032 IaTLE"tiIRE BLED E.MrIL iNSU C %ANDid IL ..COM _ DDRESS; _... _.._ T SUITS 3 09 I vsua S�Ftora[ �No Cc c g � w Hnic tr L OS ANGELES _.. CA v90010 INSURERAi i A TSTON INSURANCE COMPANY 3 5 3 713 Nsu aBD �.w CO 117 7 0 L"_..., VALLEY MAINTENANCE CORPORATION TIO INSURER UNITED STATES CASUALTY� ICI CO t '� 8 9 5__ ir�^L°aRiacr: INSURFRBUNIT�iS PIATANCIAL TCW GROUP 27847 10 102 PSONRSR SLAXii, SUITE 101 INSURERS; TRAVELERS CASUALTY AND SURETY CO.' 19038 SANTA F'ESPRINGS CA 90670 IN5UREAFF COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: TH S IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY" PERIOD INDICATED NOT IATTISTAIwt2I' O ANY REQUIREMENT, TEPID ON CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH T'Hts CERTIFICA11 MAY BE ISSUtD OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS ANN CONDITIONS OF SUCH POLICIES. LIMITS SHOWNMAYHAVE BEEN REDUCED BY PAID CLAIMS SY ] PDLICVEFE P c-EAF s t ra TYPE OF INSURANCE POLICY NUMBER IMML)DdYYYY' MM"U"YYI = LIMITS t COMMERCIAL 0. NERAL LIABILITY 2n20 •....� 353541: 08/13/201F9 08 3'3 BA•�6iOCC,LdRf2ENGE .r S 1,00() ,OOt� 4"'LPriEti�u-MrxTd J OCCURi t-1 1 . k__fi�*�E$LE�"�+:C�rr�ncs,�� ._ NON-CONTRIBUTORY FRTtLARY NONS. . KED Exw(Any_ ,n 5, 000 X x P¢ RSexvnL AOV I NJURY s 1 00 01 0 00 i IkN L A6GRLGA1L; L1MfT A£"PLIES PER CESIEra L AGGREGATE �a 2 000 , Q tl 0 t I POLICY _._...: LE�Pr 3.._ _L PR C7uJC 0 • OMP1C/ AC% INCLUDED r ETHER 25, 000 AI1TUMrr1 LE LIAl3tlLlPV wtOMBINEDSIN "LE LIMI I I� 2, O 0 O fl 0 0 i062S2185-2 � /a /aces aip¢aar E�aa E 1 ...._. ANY AUTO BODILY INJURY (Per cson) ALL OWNED 1 LHEE'VLED x x t AW OS _ i AUTOS IaOf3�LY INJURY: (Per Irddara9) � S h uilCt?A4JTCJS ttiC�I9-I"- 1t;i: Ctc f'I�'T`��TrANYA�,R ,w AUTOS w I. m...._ AGGREGATE $ 11 000, 000 UMBRELLA LIAL3 (OUCUR XL1578400 05/02/2019 05/02/ 0201 EACHOCCURRENCE s 5, 000,:000 C rx2r9s LIAR Al Ts-nrAdc . ACAECATf m r 0 0 O it 0 0 __. . .. oED d raEx NTI is T i PRODUCTS-COX/OP Aocl L 1 000,000 rcRRERs Co PCNSATION PrR ri fi A:CSEMPLO`FI;RS'LIA13ILWTY YtN `WSA 5037498 02 08/13/2019,00/13/202C "t�,.I !ANY 1 kE;3i�REl'OR�PARTCERYE.AECUTI4IE L^ 1r FiCERWEMBER RncLLDE.c N r A l xas EACH ACCIDENT 0" ndatary In NH) L � TASFASF• FA EMP OYEd' a 1,000, 000 18 m ns dwq- kNe una,nr......,...... I s2CSCt31111ION (IF OPIRALIONS 1*111 o e L,. DISEASE PCUGY LIMIT ` 5 1,000, .000 CRIME �105620659 � �CE/24/2015'05124/202C THIRD PART I � $7., 000,, 000 DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES IACORD ID1, AddlHonai Reinardr ScYsad.rFu, veasy to attsRa©d if �nra sE,7acn ¢s asqu;reag CERTIFICATE HOLDER IS AS AN ALI ITIQ�Al INSURED. CERTIFICATE OF INSURANCE SHALL PROVIDE THIRT (30) DAY PRIOR WRITTEN NOTICE OF CANCELLATION REVIEWED & APPROVED By Risk MANA(4F.,Mt.,NT DivisioN CERTIFICATE HOLDER CANCELLATION CITY OF SANT]§ ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE RISX MANAGEMENT c I:rT DIVISION N 1tz1=V—'TNE WEXPIRATION DATE NOTICE WILL BE tEilrtREa INCI :R. I [,AC O DANEWITH THE POLICY THEREOF, PROVISIONS. 20 CIVIC CENTER PLAZA, 4TH FLOOR AUTHORIZED REPRESENTATIVE j SA3vt'TA. ANA CA 92702 CO 1'988-2014 ACORD CORPORATI N; I tights reserved.. ACORD 25 (2014101) The ACORD name and Ingo are registered mares of ACORD ahp Efri1G Smdmcaus a'rx al ._ CERTIFICATE OF LIABILITY INSURANCE Ohs 2 T f 201 THIS CERTIFICATE IS ISSUED AS A MATTER. OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE CUES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW4 THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: NT: It tho certificate holder is an ADDITIONAL INSURED, fire polleyhesj must be endorsod, If SUBROGATION ATION IS WAIVED, soBject to , the terns and Conditions of the policy, certain policies may require an endorsement. A statement on this certificate dons not center rights to the certificate holder In lieu of such ondorse r ont . PraODUCEa RAv Fin 'TEON W 213-388-5505 INSU ANCE LAND 4032RyFZLSHItf BLVL INSURANCE SERVICES IT All % �IN�"TiliANC LA DOOM IL. C'O t 3 _21 BS 1 5' SUITS 309 rNSi1RERIFf atFatNoERAGaw TING _.. LOS ,ANGELES CA 90010 INSUXTERA EVANSTON INS URANC V COMPANY 35378 N ttFLrTsam IT iI FINANCIAL CASUALTY CO li 10 mm v VrALL Y MAINTENANCE CORPORATION rNStIRYrJTt UtdTTETI STATES LIABILITY INS. CC. 25$g a 11111110ICW GROUP mm 2 TE47 10002 PIONEER" BLVD. SUITE 101 INSVRErRE TRAVELERS CASUALTY AND SURETY CO,, 19038 SANTA F'E SPRINGS CA 90670 AtaR�R�a COVERAGES CERTIFICATE NUMBER- REVISION NUMBER,. THIS IS TO CERTIFY' THAT THE POLICIES OF INSURANCE LISTED BELOWiIAVE: SEEN ISSUED TO THE INSURED NAMED AtYCaVE FCTR THE POLICY PERICiI�—. INDICATED, NOIWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VAIICH 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 SEEN REDUCED BY PAID CLAIMS � T -_w. -_ _. _..•AUVERMA ... POLICY EF" 600[dhII LIMITS LTA TYPE OF aNSURANCE am ICY j POLICY NU MwOoryMy4jMMnSffy: €ir-Nwct fRt COMMERCIALGENEGENERAL EACt# CiUdr�" 1, 000000 el/ 3 353541 06/13/201,9 00/13/2D20 HA"CPieJI#IAYIYi.. _ -_ CLAIN,'84AOP OCCUR Fri Tt IT;tYr ytnLTn�t-. s 100,000 P!IMARB NON CONTRTBUTO1R 5,000' A X XPERSrNAY a itPV IN URY s 1 0 0 0 O:I 0 WWI AGGREGATE LIMIT A0XIES PFR2,000, I'UL4CY El zpj 21 LOC �' $_. , , Y is .z �. , , INCLUDED dTHLR: S $ 2 5, 0 0 0 ��: _._ .�.. sR :EIELA sIlsL,r. I,iAYt AUTOMOSILELIASILITV' s:sTa /aoaa xzldT' /adla.r C:A :k.Az+�19__ 3 2,000 000 062921851 ANYAUTO BOVILY INJURY (Pot ponen) S ITrtL"f INJURY IPaw acaldw,tp S AUTOS AUTOS NON Du ,Era Ra rdTrYbANA& .. HIREOAUTOS Yi AUTOS AC3tfTtRCtA7'f I 1, 000, 000 UhitRELLALie cr tR TCL157300B rs calacsPlLsl z/Se e I:teLlc salst�Itlr.° s 5,000,000 C EXCESS LtAa rre AdM, NAfibr vrR;r°nFrxrrL _ T.. 5, Q 0 0, 0 0 0 PRODUCTS CO)4/OP AGO 1 tlT 0 tl , L7Il. IA RrTPrn*aaaf ,�.�.-.�.•; _._.�__� _ _> T RT zoYststuraSLenrR.w AAdON wtBA 50174 8 02 oa/zar�dri� iYIl13/2Ratl STATRIgE 1 I Ia AND EhMLO'YERS LIAeIUTY 'YIN EI d;pudaARrt�AIraI s 11000,000 I"'T.MtEM11errEErustYro� �y�NrA _ 1,�OG10,00Ci (Ma-lptory I,, NIII °o- " Y" I fNSEASr -EA FMi t IDYFr ;: es, II tea, drasmsz�r xtds .: Iyt° I. Lr �r..AEL. POLICY LIMIT L 1. „ 0 0 di 0 0 0 CRIMP, 105620659 05/24/201,9 05/24/2020 THIRD PARTY $1„000,0 0 DESCRIPTION Or OPERATIONS t LOCATIONS I VEHICLES ;ACtTRTS 9DY, Ad lCtlaxsxl R�M�N�a Sat,advia, my &ss satARr�and it rir�Rs spaca I✓a e�RAstrndt CERTIFICATE HOLDER TE AS AN ADDITIONAL INSURED. CERTIC,I TE OF INSURANCE SHALL PROVIDE THIRTY (30) DAY PRIOR WRITTEN NOTICE OF CANCELLATION. REVIEWED & APPROVED CERTIFICATE HOLDER�F I NCELLATIC� � CITY OF SANT"i ANA4 f THE EXPIRATION DATE THEREOF, NOTICE WILL RE DELIVERED I� � � SHOULD ANY OF THE ABOVE DESCRMETT POI-011S BE CANCELLED BEFORE CI: ItTSY tIAFIACRfSNT DIIfISI10N; dSCCORDANCEWITH THE POLICY PRDVV$SIONS . 20 CIVIC CENTER PLAZA, 4TH T'" CI . VILLARb' 714OLAE1arzrnPRESFN1ArIVF w„ SANTA ANA CA 92702 i 1988a20 ACCJRG CCSFtFC7RATIC7N. II tAUttfu.rczse r rcrrJ, ACORD 25 (20141`01) The ACORD name and logo are registered marks of ACORD COMMERCIAL G>E:NERAL:6IABILITY POLICY NUMI3K 3AA3ti354t g1l � 1 fflmia e. EVANSTON INSURANCE COMPANY f` I THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. I ; BLANKET WAIVER OF TRANSFER OF RIGHTS OF RE.COVEW AGAINST OTHERS TO US This endorsement modlfles Insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE FORM it _ SCHEDULE Name Of Person Or Organlzatton: Any persons} or orgenlzatlon(s) with wham the Named Insured agrees, In a written contract executed prior to the 'Occurrence", to waive rights of recovery Addltlonal Premlum: $ Included The (allowing is added to Condition 8. Transfer Of Rights Of Recovery Against Others To us under) Sgc Commercial General Liability Conditions: We waive any right of recovery we may have against any parson or organization shown In the Sc6edu endorsement, This waiver applies only to the parson or organization shown in the Schedule of this endorsement. All other terms and conditions remain unchanged REVIEWED:&APPROVED By Risk MANAgEN1ENT DI WON I o zo i� FRANCIN R. VIL REAL go of this MEGL 0241.01 0516 Includes copyrighted 'material of Insurance Services Offlce, Inc., Page 1 of 1 with Its permission. ; ° I COMMERCIAL GENERAL LIABILITY POLICY NUMBER:3AA353541 f NARKErl EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, j BLANKET ADDITIONAL INSURED This endorseineht'mod lfles insurance provided under the following: COMMERCI 14 GENERAL LiABIUTY COVERAGE FORM LIQUOR;LIABILITY COVERAGE FORM OWNERS MID 00NT CTORS.;PROTECTIVr LIAB1LI-rY'EOVERAGE FORM PRODUCTSICOMPLE- TEq 0PtRATIONS'1.IABILITY,'ddVERAGE FORM I SCHEDULE, i Additional Premium: $Included (Check box If fully earned ®) Please refer to each Coverage Form to determine which terms are defined. Words shown In quotations on this endorsement may or may riot be defined In all Coverage Forms. A. Who Is qqn Insured is amended to include as an additional Insured any person or entity to whom you an) required by valid written.conlractor.abreoment to provide such coverage, but only with respect'to "bodily injury", "property damage" (Includin'o'"bodlly Injury".and "prcipo ty_darnage" Included In the "products -completed operations hazard"), and "personal and advertising injury" caused,:In wNhole or in pari, by the negltgont acts or omissions of the Named Insured and only with resp Eect to any coverage not otharwlse excluded In the policy. However 1, The Iinsurance ' afforded to such additional Insured only applies to the extent permitted by law; and 2, The Insurance afforded to such additional Insured will not be broader than that which you are required by the valid wrIII16n contract or agreement to provide for such additional Insured, i Our agreement to accept an additional Insured provision In a valid written contract or agreement 1s not an acceptance of any other provlslons of such contract or agreement or the contract or agreement In total. When coverage does not apply for the Named Insured, no coverage or defense will apply for the addltlonal insured. No coverage applies to such additional Insured for Injury or damage of any type to any "employee" of the Named Insured or to any obligation of the addlllonal Insured to Indemnify another because of damages arising out of Much Injury or damage. f3. With respeato the Insurance afforded to these additional Insured, the following Is added to Ilmits of insurance: I The most'we will pay on behalf of the additional insured Is the amount of Insurance: 1. Requlred by the valid written contractor agreement; or 2. Avallable under the applicable Itmlls of Insurance shown In the Declarations; whlchev�r Is less. This endbrsament shalt not Increase the applicable Ilmits of Insurance shown in the Declarations All otharterms and conditions remain unchanged, MEGL 000i-01 0818 Includes copyrighted material of Insurance Servlces:Off[ce inc. IPag- 1 of 1 with Its permIREiM EWED. & APPROVED By Risk MANAGEMENT DiviSiON I FRANCINE R. VILLAREAL COMMERCIAL GENEwRA J LIABILITY Cc 20'o1 a413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY— OTHER INSURANCE CONIJITION 4 This endorsement modifies Insurance provided under the following; ii LITY COVERAGE -PART PRO UC 5l C MPI.ETEL) OPAL bt4blRAL ERATIONS IONS LIABILITY OVERAGE PART ! i i f l The following Is added to the Other Insurance i Condition and supersedes arty Provision to the (z1 You have agreed in writing In alchdul l e contrary; agreement that this Insurance) Mould be primary and would not seek contribution Primary And,Noncontrlbutory Insurance from any other Insurance evall#b o to the This Insuren'ce l 'ptlmary.•to-and will no sock addRlonal Insured. E �: contributlnn.,from any other;lnsurance avallbbie to an addltionol Insursd' under your- ;policy I provided liiht' r (i) The additions! Insured is a Named insured under such other Insurance; and I Et I REVIEWED & APPROVED By Risk MANAGEMENT DIVISION �CG 2U t)7 Q4 t3 OO By Services Office, Inc., 2 12 "M Rk - FRA CINE R. VILLAREAL f 'I t pvb61 of 1 WORkERS'COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY I i WC 99 06 34 (Ed, 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET We have fhe right to recover our payments from anyone liable for an injury covered by this policy, We t not enforce our right against the person or organization named In the Schedule. (This agreement apn wplies only to the Vol(xtent that You perronork under a written contract that requires you to obtain this agreement from e The additional premium for this endorsement shall be 3 % of the total California Workers' Compensatl�n premium 'otherwise due. I Schedule Person or Organization Job 17escrlption I ANY PERSON / ORC ALL CA OPERATIONS WHEN REQUIRED BY WRITTEN CONTRACT 1 i This endorsement changes the Palley to which It Is attached and Is effective on the date issued unless otherwise stated. (The Information below is required only when this endorsement is Issued subsequent to preparation of t G policy.) Endorsement Effective 08/13/2019 Policy No. WSA 5037498 02 Endorsement No Insured V21LEY MAINTENANCE CORPORATION Premium $ IqCL . Insurance f;ompany INSURANCE COMPANY OF THE WEST s Countersigned ey WC 99 06 3' (Ed.. gnu) BEV! QED & APPROVED Y Risk Mn�vn��iwa,vr Di i' FRANC R. V1L1AREgt WAIVER O.F—SUBROCtiATiQN El- DORSIMENT This endorsement Modifies insurance: provided under the, following.. Motor Trock Cargo Legal Lability Coverage Endorsement Commercraf General Llatallity COveragt Endarsement We agree tOVaiveahybnd ail:subroSation claians-againstthe person or organization desrgnated below -except far losses that are due 16 whole or.part to the" negligence, or errors and amisslans of the d:eslgnated person or organization, PRiN TE DEVELOPMENT NV LLC TUN8'S LLC CHARLDS DUNN•REAL ESTATE SERVICES INC 900 Val 6TH ST STH r-LbOA LOS AWELES. CA 90017, t This endor-sementappll-es to Policy Number: 06292166-1. Issued to: VALLEY MAINTENANCE CORP, Endorsement Effective: 03/01/20,19 Expiration: 1t/02/2b19 All other terms, Ilmlts and pruvislons of this policy remain unchanged. I i r s F Form e610105J09j REVIEIVED & APPROVED BY Risk MnNNEMI:Nt DivisioN OCT 02 2019 V—FAG LAR EAL 4 .Pli98RFiJI E n Additional insured Endorsement Jarneief Peman or Organintlen 1,R1ME 0WELOPIVISIAi`IUV LL•O NG'S'LLG HAEgL1 S,D7 NN REAL ESTATE•3ERVICES INC 00 VV 6' H1'ST 8.V1f L00R If ',OS ANGLES GA 90011. The person or organization named alcove Is an Insured with respect to such liability coverage as -Is .atfforded by,the Voilty hut this: insurance applles to said Insured orilyas a person liable for tho conduct of anotherinsun�d and then -only to the oxtent.of that Ilablllty. We also agree with you thatinsurance provlded bythis endorsement will -be petmaryfbr any power urlt speatfically described on the Declarations Page. f Omit of Llablll'ty 6odlly Injury $2,000,000 each per§on/ $2,000,000 each accldtnt I DpertyDamage $2,000,1300 each accident Combined Uabll[ty $2,000,000 each acrfdent Aftotherterms, llmlts and pro slons.of this policy remain unchanged. This endarsementappIles to Policy. Number: 062€ 2165.1. issued to (Name of Insured}, VALLEY MAINTENANCE CORP. kffective•date of endorsement; 03/01/2019 Policy expiration date: 1V02/2019 ;Form 1198.(01/04) REVIEWED & APPROVED By Risk MANAQEMr:NT Dftri5lON OC 0 2 2Q19 4RNC-1NE-*R.AkE_QA_tL___ �k I COMMERCIAL GENERAL LIABILITY ,nn V EVANSTON 'INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ T CAREFULLY. � I PRODUCTS -COMPLETED OPERATIONS INCLUDED IN GENERAL AGGREGATE LIMIT This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM A, Paragraph 2. under Section III —Limits Of Insurance is replaced by the following: 2. The General Aggregate Limit Is the most we will pay for.the sum of: a. Medical expenses under Coverage C; b. Damages under Coverage A, including damages because of "bodily Injury" or "property "products -completed operations hazard"; and c. Damages under Coverage B. B. Paragraph 3. under Section III — Limits Of Insurance Is deleted In Its entirety. 'Included In the C. Paragraph b.(3) of Definition 16. "Products -completed operations hazard" under Section V — Definitions is deleted In Its entirety. All other terms and conditions remain unchanged. MEGL 0172 10 14 REVIEWED & APPROVED By Risk MANArjEMFNT DMSi0N 0 0 2 Z019 FRANCINE . VIL REAL I Includes copyrighted material of Insurance services Office, Inc., Page 1 of 1 with its permission. i l