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HomeMy WebLinkAboutVALLEY MAINTENANCE CORPORATION (3)City of Santa ! 3 p %,t Clerk of the Council core 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TERMINATION FORM Please complete this form in its entirety when the attached agreement and all amendments (if any) are no longer in effect.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 No CLERK OF THE COUKIl_ Return form to the Clerk of the Council Office (M-30). MIL 213'22 P` :2`` Call 647-1520 if you have any questions. The agreement with VGl�M4t (!/I� (iy1GL{x1 G �A1�0{�GL�1c�l� No. A-2018AV was completed on 5 �1 2 and final payment has been made. (List all amendments. Use space below if needed.) lo�'6.Iay Department: flzLcp 5;L-;5� Phone/Ext.: Signature: Date: Revised: 10-18-16 INSURANCE NOT ON FILE WORK MAY NOT PROCEED CLERK OF COUNCIL DATESEP 1 2 2018 A-2018-787 b �LC 50 SECOND AMENDMENT TO CORPORATION FOR JANITORIAL SERVAGREEMENT VALLEY ES AT PARKRE TROOMS AND PARK Ovew G%U"-) BUILDINGS THIS SECOND AMENDMENT effective as of the 21st day of August, 2018, by and between Valley Maintenance Corporation (hereinafter "Valley") and the City of Santa Ana ("City"), a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California. RECITALS 1. On June 1, 2017, City and Valley entered into Agreement No. A-2017-125 ("Agreement') for janitorial services for park restrooms and park buildings. The Agreement was from June 1, 2017 to May 31, 2019 with two (2) one-year options for renewal. 2. On May 15, 2018, City and Valley entered into the First Amendment No. A-2018-124 to add additional services to the Agreement for Pacific Electric Park and the Zoo Animal Hospital effective June 1, 2018 at an additional cost of $26,823 per year and an annual agreement not to exceed amount for each year of $290,508. 3. The parties now wish to amend the Agreement to add additional services at the Roosevelt -Walker Community Center and to increase the daily cleanings at designated City park restrooms to twice a day and increase the compensation to pay for those services. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. Section 1, SCOPE OF SERVICES, of the Agreement will be amended to add Exhibit C attached hereto detailing the new services to be provided at the Roosevelt -Walker Community Center and increasing daily cleaning of restrooms at all listed City Parks under the Agreement starting September 1, 2018. 2. Section 2, COMPENSATION, of the Agreement will be amended to add the following: a. An additional $126,954 plus a 10% contingency of $12,696 for September 1, 2018 to May 31, 2019 for a total annual not to exceed amount of $430,158; b. (Optional first year renewal) An additional $169,272 plus a 10% contingency of $16,928 for June 1, 2019 to May 31, 2020 for a total annual not to exceed amount of $476,708; c. (Optional second year renewal) An additional $169,272 plus a 10% contingency of $16,928 for June 1, 2020 to May 31, 2021 for a total annual not to exceed amount of $476,708; and d. Total agreement not to exceed amount of $1,653,536 including all optional renewals. 3. Except as modified by this Second Amendment, the terns and conditions of the Agreement remain unchanged and in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to the Agreement the date and year first written above. ATTEST: Maria D. Huizar Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By: Aau Al� Laura A. Rossini Senior Assistant City Attorney RECOMMENDED FOR APPROVAL: CITY OF SANTA ANA Raul Godinez(TI. City Manager VALLEY MAINTENANCE CORP. -� Y.- akucls f/Gvs}�/ Title: VICE i9�'SS/fiLenrT Agency If•7ii1:�47 VALLEY MAINTENANCE CORP. A" 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 Listed City Park Restrooms 2nd cleanings services 7 days a week Monday through Sunday 2. TIME OF SERVICE Between 12:00 A.M. to 3:00 P.M. or Time the management requests LOCATION 3. JOB LOCATIONS Listed City of Santa Ana Park 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 $ 141,072.00 Per Annual ( $ 11,766 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. DATE OF SUBMISSION July 9, 2018 OF SERVICE AGREEMENT Valley Maintenance Corp. ® City of Santa Ana Exhibit C CITY OF SANTA ANA PARK RESTROOMS District 1 Address Contract Price end Clean Price Campesino 3311 W. 5th St. $ 352.00 $ 352.00 Edna 2140 W. Edna Dr. $ 352.00 $ 352.00 El Salvador 1825 W. Civic Center Dr. $ 352.00 $ 352.00 Riverview 1823 W. 19th St. $ 352.00 $ 352.00 Rosita 706 N. Newhope St. $ 352.00 $ 352.00 District 2 Angels 914 W. 3rd St. $ 352.00 $ 352.00 Cabrillo 1820 E. Fruit St. $ 352.00 $ 352.00 Fisher Restroom 2501 N. Flower St. $ 352.00 $ 352.00 Fisher Cabin 2501 N. Flower St. $ 352.00 $ 352.00 Logan/Chepa's 1009 N. Custer St. $ 352.00 $ 352.00 Portola 1750 E. Santa Clara Ave. $ 352.00 $ 352.00 Santiago RR "A" 510 E. Memory Lane $ 230.00 $ 230.00 Santiago RR "B" 510 E. Memory Lane $ 230,00 $ 230.00 Santiago Cabin 510 E. Memory Lane $ 200.00 $ 200.00 District 3 Delhi 2314 S. Halladay St. $ 432.00 $ 432.00 Madison 1434 S. Standard Ave. $ 432.00 $ 432.00 Memorial 2102 S. Flower St. $ 432.00 $ 432.00 Sandpointe 3700 S. Birch St. $ 432.00 $ 432.00 Pacific Electric 400 E. Maffaden 1 $ 432.00 $ 432.00 District 4 Adams 2101 W. Warner Ave. $ 432.00 $ 432.00 Centennial "A' 3000 W. Edinger Ave. $ 400.00 $ 400.00 Centennial "B" 3000 W. Edinger Ave. $ 400.00 $ 400.00 Centennial "C."3000 W. Edinger Ave. $ 400.00 $ 400.00 Centennial HGHS 3000 W. Edinger Ave. $ 432.00 $ 432.00 DYSC "A" 3000 W. Edinger Ave. $ 540.00 $ 540.00 DYSC "B" 3000 W. Edinger Ave. $ 300.00 $ 300.00 Heritage 4812 W. Camille St. $ 432.00 $ 432.00 Jerome 2101 W. Mcfadden St. $ 432.00 $ 432.00 Santa Anita 300 S. Figueroa St. $ 432.00 $ 432.00 Thornton 1801 W. Segerstrom $ 432.001 $ 432.00 Windsor 2915 W. La Verne Ave. $ 432.00 $ 432.00 Total $-11,756.00' $ 11,756.00 Exhibit C it" VALLEY MAINTENANCE CORP VALLEY MAINTENANCE CORP. 10002 Pioneer Blvd. Suite 101 Ca. 90670 TEL: (562) 948-3020 Fax: (562) 948-3081 SERVICE AGREEMENT Janitorial Services 1. WORK SCHEDULE Janitorial services 6 days a week Monday through Saturday 2. TIME OF SERVICE After 10 PM between 10:00 P.M. to 5:00 A.M. LOCATION 816 East Chestnut Ave. Santa Ana, 3. JOB LOCATIONS Roosevelt -Walker Community Center 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 $ 2,350 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 the we will correct the maters 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 ""'"'' CERTIFICATE OF LIABILITY INSURANCE F DATEIMM100/WYl THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPO016 N 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 GERTIFICATE HOLDER. IMPORTANT: If the COM111oale holder le an ADDITIONAL INSURED, the PHI; y(los) must bo ondoreod. 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 rIghU to the certificate holder In [IOU of such endorsnmnaue3 INSURANCE LAND INSURANCE SERVICES 4032 WILSHIRE BLVD SUITE 309 NAME• d11YA "a PHONE 213-3$$-4505 .O.N NA 213-388-7148'' C,11:-- A _Ap3lgAA"Su INSURANCBLAND®OMAIL.COX . LOS ANOELES INSURED VALLEY MAINTENANCE CA 90010 CORPORATION 1 INSURERI9VAFFORDIN6 COVERAGE w8UR RRA;EVANST0 INSURANCE COMPANY INSunER IS:(RJITED FINANCIAL CASUALTY CO. HAICf 3537$ 11770 INSURERCI UNITED STATES LIABILITY I S. CO. 25895 INSURER DI ICW GROUP 27847 10002 PIONEER BLVD. SANTA FE SPRINGS COVERAOFR SUITE 101 TI"�(I.. �r.,Lj CA 9067 0 neen,.,n.-.. .. _ INSURER E: TRAVELERS CASUALTY AND SURETY: COMPANY 19038 INS ERF• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED NUMBER:REVISION TO THE INSURED NAMED ABOVEOft THE POLICV PERIOD NOTWITHSTANDING AN INDICATED. Y REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT Oft 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. IN R WPEOFINSURANCE P LI NU BE COMMADNBRAL DOCILITY O IY FP YE D LlNtig CLAIMS -MADE �CCCUR 3AA183369 EACHOCCURRENCE 3 08/13/2018 03/13/2019 DAMAT3ETORENN 11000,000 f 100OLIO A MEDEXP Alme1Mfaa�. $ 51000 R OEN'LAOORE TB LIMIT APPLIES PER: PERSONAL&ADV INJURY 3 1,000 OLIO j� �LpC pOUCyPROOUCTS• GENERAL AGGREGATE 8 ,000, O00 OTHER: OTHERi� COMPfOP AGO f INCLODED AUTOMOBILE LIABILITY06292285-0 CONTRL. PRDPBRTY aTiAak9 b 25,000 11102/201T 11/02/201a eDIN N L CMI f 2, 000,000 ALL OWNED B SCHEDULED BODILY INJURY(Perpe,cuId I AUT09 AUTOS NON -OWNED BODILY INJURY (PerecGQenil S HIREDAUTOS AU709 g E Oi IT UMBRELLALIAa OCCUR AGGREGATE f 1,-009,000 XL1578400A C EXCESS UAB 5/02/20155/02/2019 EACHOGCURRENCE f 51000, 000 CLAIMS.MADE AGGREGATE A 5, GOO, OOD OEO RETENTION WORKERS COMPENSATIONS PRODUCTS S GOO, OLIO AND EMPLOYERS' LIABILITY YIN WSA3037498 01 CUTIVE NEMBEq 8/13/2019 8/13/2019 6?hLUI D OFFICeq EXCUDED�9 ®NIA (ehnilatorylHy".d"OaNNl E.L.EACHACCIDENr 3 1,000,000 Ifyee, ddecdbe under OF OPeRTION$bdlow EL. DISEASE-EAEMPLOYE 3 1,000,000 EX, DISEASE -POLICY LIMIT f 1,000,000 TERSIg2lPTION IME 105620659 05/24/2018 05/24/2019 THIRD PARTY $1, 000, 000 DESCRIPTION OF OPERATIONS I LOCATWNS I VEHICLE$ RCORD Of. Adaaenal Reeads Schedul =yby be audhad if man apace I$ eglMcdl THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, AND REPRENT�FOE ARE NAMED AS ADDITIONAL INSURED IN REGARDS TO GENERAL LIABILITY. CERTIFICATE HOLOFR CITY OF SANTA ANA 20 CIVIC CENTER PLAZA SANTA ANA e rr.en ne mn.., SHOULD ANY OF THI THE EXPIRATION ACCORDANCE WITH CA 10163-4668 ,..o n... -- eu„In enu logo are registered marls Of ACORD a.. DELIVERED IN COMMERCIAL GENERAL LIABILITY POLICY NUMBER: 3AA183369 Mill 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 PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE FORM SCHEDULE Additlonal 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 yop 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: 1. The Insurance afforded to such additional Insured only applies to the extent permitted bylaw; 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 Indemnify 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 applicable limits or insurance shown in the Declarations��� / All otherterms and conditions remain unchanged. MEGL 0009.01 05 16 Includes copyrighted material of Insurance Services O ice, Inc.,eC G� page 1 of 1 with Its permission. COMMERCIAL GENERAL LIABILITY POLICY NUMBER: 3AA183369 MARKEL® 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 SCHM11F 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. ay MEGL 0241-01 06 16 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with Its permission. COMMERCIAL GENERAL: LIABILITY 0020010413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARESULLY, PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSICOMPLETED 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. I ox 3xy�5�¢d CG 20 01 0413 Q 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 We have the right to recover our payments from anyone liable for an Injury covered by this policy. Wq will not enforce our right against the person Or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us), The additional premium Tor this endorsement shall be 3 %of the total California Workers' Compensation premium otherwise due, u Person or Organization ANY PERSON OR ORGANIZATION WHEN REQUIRED BY WRITTEN CONTRACT Schedule Job Description , ALL CA OPERATIONS C)N C,P�Pat� This endorsement 9thanges the policy to.whieh it is attached and Is effective on the date Issued unless otherwise stated. (The Informetlor> 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 Insurance Company INSURANCE COMPANY OF THE WEST WC 99 06 34 (Ed. W) Countersigned By MUM Premium $ INCL, 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