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HomeMy WebLinkAboutWEST COAST ARBORIST, INC.Rn} • ! ail ! I1 P(�cS qC FIRST AMENDMENT TO AGREEMENT WITH WEST COAST A.RBORISTS �il1v�� Ccau��� THIS FIRST AMENDMENT to the above -referenced agreement is entered into on October 2, 2018, by and between West Coast Arborists, a California corporation ("Consultant"), 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 an Agreement No. A-2015-126 dated July 8, 2015 to provide tree - trimming and maintenance services ("Agreement"). B. On July 7, 2015, the City Council approved Agreement A-2015-126 for a term starting July 8, 2015 to June 30, 2017 with two, two year options for renewal. The Agreement only specified one two year renewal which was an error. The parties wish to amend the Agreement to specify that the tern contain two, two-year options for renewal as previously approved by the City Council. C. The parties also wish to amend the Agreement to increase the compensation paid to Consultant to continue trim trimming services for the remainder of the Agreement term. Funds allocated for the Agreement were used for the unplanned removal of dead trees at City parks and additional funds are necessary to pay for the ongoing maintenance and trimming of City trees. In addition, the City requires additional tree maintenance services on a moving forward basis. The Parties therefore agree: 1, Section 2a, COMPENSATION, is revised to approve the following: A. Compensation for Term October 2. 2018 to June 30, 2019: Increase the annual not to exceed amount of $1,082,516.00 by $248,251.60 for a revised not to exceed annual amount of $1,330,767,60.00. Specifically as to the $248,251.60 increase, $130,000 will be used for on -going maintenance and tree -trimming services for the Parks, Recreation, and Community Services Agency ("PRCSA"), $10,000 for tree maintenance in the Civic Center area, and $108,251.60 (a 10% contingency) for unforeseen circumstances will may arise and require tree maintenance, tree -trimming, tree removal, or like services. B. Compensation for Optional Second Two -Year Renewal July 1.2019 to June 3.2021; Increase the annual not to exceed amount of $1,082,516.00 by $108,251.60 for tree trimming and maintenance costs for the Public Works Agency, which constitutes a 10% contingency amount of the original agreement cost. The new not to exceed amount is $1,190,767,% 2. Except as modified by this First Amendment, all terms and conditions of the Agreement shall remain in full force and effect. Page t of 2 IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Agreement on the date and year first written above. ATTEST CITY OF SANTA ANA MARIA D. 'RAUL GODINEZ ITClerk of the Council City Manager — APPROVED AS TO FORM CONSULTANT SONIA R. CARVALHO City Attorney By: �LUA!Dj LAURA A. ROSSINI Name: tbYrick Mahon Senior Assistant City Attorney Title: President AL arks, RecreatiorYand Community Services Agency [First Amendment -Agreement with West Coast Arborists] Page 2 of 2 --1, -M Tim cswrIPICANS noum'n, This CFRTIFiC'ATR IS NOTAN LISTED HELOTS POLICY LIMIT'S ARE NO LESS THAN THOSE �''Thhiis Is to Certify that I WrST COAST ARB ORISTS, INC 2200 EAST VIA BURTON NAME AND a ANAHEIM CA 92806 ADDRESS I OFINSURED ^^ L,__ INSURANCE is, at the issue date ofthis co iiEcate, insured by the Company under the policynes) listed below, The insurance afl6rdcd l tho lined p itioy(ics) Is subject to all t1wir huts , exclusions raid Conditions and is not flared by any roquiromont, latm or road !lion of any counsel or other doaumm�t with respect to chlcit this ce iritow may ltre issued. TYPE OF POLICY tXP DATE Q CONTINUOUS El EXTENDED POLICY NUMBER LIMIT OF LIABILITY 1Z POI.ICY TF-RM WORKERS COMPENSATION Statutory Limits 7/1/2019 WA7-66D-039499.078 COvr:RACRAFFDRDEDUNIXIIwc LA\4 OF THE FOLLOWING $l'Arrs: All States Exce t: NO, OH, WA, WY BnIP[.avlllsl,tnR[Lrry Rodiiy In ury lsy Accident 0 OOus'll Aegiding audlly Injury By Disease 1 000 000 Daddy /s4ury Hy Disease 0 0•. COMMERCIAL7/1/2019 C. LIABILITY I�GGENERAL 0 OCCURRLNCL El CLAIMS MADE TB2-661-039499-018 Oenatnl Aggag"" $2,000,000 Pro ltu is I Completed Operations Aggrillais $2,000 000 Patch Oawnauce $1 000 000 RE'1'RO DATE Fcrsanni & Advertising Injury $1,000,000 Fur rarnnu/Organizmion Oil,' Dana a to remises rented to ou 00 0 0 her Medical Expense $5,000 AUTOMOBILE LIABILITY 7/1/2019 A57-661-039499-038 Loch Accidmu--Sloglchull $2 000 000 9.1, And P.D, Comb ,-mad Eaett Pc,xon m..µ. w....-. OWNED NON•OWNED 416 Accident or Occurrence r L:1 uI1tRU Each Accident or0aammoco OTHER Umbrella Excess Liability 71112018-7/l/2019 TH7-661.039499-048 $5,000,000 Per Occurrence/Aggregate- ADDITIONAL COMMENTS See Addendum ]fine aoni(icnle uxpirulon dare is continuous or axeadeal teen, you will he,mbliad iCcncemp is unne and or ,educed hePmo thr cenifcsne expiration (Tale. NO'rICR OF CANCRLI,ATION: (NOT APrLICAeLE UNLESS A NLIMELI4 OIt DA)'S lS ENTRItI]D 197?if)W.I 14TWORE THR slATHO I?XrIRATION DATE THE COMPANY WILL NOT CANCEL Olt RRDUC[i TOP INSURANCE-'. APFORDED UNDER 1'1;ti AROVP POLI(:117S UNTII, Al' LEAST' 30 DAYS NOTICE OFSUCH CANCELLATION I)A9 Efd4N MAILEDTO: City of Santa Ana Public Works Agency M86 a 220 South Dai%Avenue Building -A ux Santa Ana CA 2703 Liberty Mutual Insurance Group C;Idfne Ulan Los A(Ig018s / 0603 AU'fti0RiL1IU RP:PR[iSI:NTA'I'IVE 818 W 7th Street, Suite 860 0564408 Los Angeles CA 90017 213-443.0782 6/12/2018 OFFICE PHONE DATE ISSUED This certificate is executed by L1 BERTY MUTUAL RNSURANCP GROUP as respects such i ISUM1100 as is afforded by those Companies 9246020 1 Id1 nats 1 7/10-7/19 611/2/1. ffi./2, KC/1, DJS 1 gonna 5a:ital. I VIV2910 12t05113 I'M ICn'1'1 I Pa,c 1 of 2 I.DI COI 268896 02 11 NM 772 07.10 waIF(", AGENCY CUSTOMER ID: LM„ 2819 AC"R" ADDITIONAL RE, - wt Page ...._.,�.. of ....— AGENCY LibertyMutual Insuranoo Co. National Insurahoo West ......,.,._.. NAMED INURED _._....._ WE T COAST ARBbR ISTS, INC 220 EASTVIABURTON ANAHEIM CA 92806 POLICY NUMEER CARRIER NAIC COtlE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO AGORD FORM, Ana CA 92703 Re; All jobs performed by the named insured during the policy term City of Santa Ana, its officers, employees, agents, volunteers and representatives are additional insureds with regards to general liability as their interest may appear where required by written contract, The insurance afforded by the GL policy for the benefit of the additional insured shall be primary and non-contributory. The ACORD name and logo era registered marka of ACORD 4A490230 1 LM„2019 11/1a-'1/29 , aL/2/1, AL/2, WC11. V/9 I AU191U 0mut.1. 16/12/2010 t%:05:13 J:n (CI)PI I F09� 2 Of a ADDENDUM mvlewect WA 1040 POLICY NUMBER: TB2.661-039499.01 H COMMERCtAL GENERAL, LIABILITY CG 2010 0413 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured Is amended to include as an additional insured the person(s) or organizations) 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 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, S. 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 pan of the same project. 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 Declarations. SCHEDULE Name Of Additional Insured Person(s) Location(s) of Covered operations Or Organization(s); Any owner, lessee, or contractor for whom you have Any location work is performed agreed in writing prior to a loss to provide liability Insurance Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 2010 0413 0Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER; TB2w661.039499-018 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. �N 0 14:1M14 0 0 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE WART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART 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" or "property damage" caused, In whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". 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. S. With respect to the insurance afforded to these additional insureds, the following is added to Section Ill — 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 contractor 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 Declarations, SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description of completed Operations All persons or organizations with whom you have All locations as required by a written contract or entered into a written contract or agreement, prior to an agreement entered into prior to an occurrence or occurrence or offense, to provide additional Insured offense, status. Information required to complete this Schedule. If not shown above, will be shown in the Declarations, CG 20 37 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 1 'rev;QW, el 4000 POLICY NUMBER: A$7-661-099499-038 COMMERCIAL. AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies Insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement identifies person(s) or organization(s) who are "Insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form,. SCHEDULE person or organization whom you have agreed In writing to add as an additional Insured, but only to arage and minimum limits of insurance required by the written agreement, and in no event to exceed either scope of coverage or the limits of insurance provided in this policy, jinformation required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule Is an 'Insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who is An Insured provision contained In Paragraph A,1, of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I - Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 4810 13 0Insurance Services Office, Inc., 2011 Pagel of 1 POLICY NUMBER: TB2.661.039499-018 COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ■ loklkl 0 Lei AIIIN 0 11111 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, CG 20 01 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 cevt -xl -&(\ (..k- I, This is to Certify that F—WEST COAST ARBORISTS, INC 2200 EAST VIA BURTON ANAHEIM CA 92806 L NAME AND ADDRESS OF INSURED J Liberty Mutual. INSURANCE b, at the issue date of this certificate, insured by the Company under the poliry(ies) listed below. The insurance afforded by the listed pokcy(ics) is subject o all their terns. exclusions and Conditions and is not altered by my requirement, tarn or condition of any contract or other document with respect to which this certificate may be issued. EXP DATE TYPE OF POLICY EXTENDEDXTENDED s ❑ E POLICY NUMBER LIMIT OF LIABILITY POLICY TERM WORKERS COMPENSATION Statutory Limits 7/1/2020 WA7-66D-039499-079 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: All States ExceppC ND, OH, WA. VVY EMPLOYERS LIABILITY Bodily Injury by Accidcm 1 000 000 eh.necid�„� Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL GENERAL LIABILITY 7/1/2020 TB2-661-039499-019 General Aggregate $2,000,000 ❑ OCCURRENCE Products f Completed Operations Aggregate $2,000,000 ❑ CLAIMS MADE Each Occurrence $2,000,000 Personal & Advertising Injury $2,000,000 Per Person! Orgenvauon RETRO DATE Other her Dama a to remises ranted to AUTOMOBILE LIABILITY 7/1/2020 AS7-661-039499-039 Each And P.D.CoSingle Limit $2 000,000 B.I. Ard P.D. Combined r�I LJ OWNED Each Person Each Accident or Occurrence NON -OWNED rmr�I L� HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS Re: All jobs performed by the named insured during the policy term. City of Santa Ana, Risk Management, it's officers, employees, agents, representatives, and volunteers are additional insured with regards to general liability as their interest may appear where required by written contract. The insurance afforded by the GL policy for the benefit of the additional insured shall be primary and non-contributory. • If the certificate expiration date is continuous or exrerded terra you will be notified ifcovemge is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE -THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 30 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th z z Santa Ana CA 92702 ,5 L This certificate is executed by LIBERTY MI 52390436 I LM 2819 1 '/19-7/20 - GL/2/2, Ai./2. WC/'- LDI COI 268896 02 11 Liberty Mutual Insurance Group Elaine Ulan &APPROVE / 0603eles IGEMENT DIVIS1bA Angeles AUTHORIZED REPRESENTATIVE 818 W 7th Street, Suite 850 0564408 q (1 Los Angeles CA 90017 2Ot9 I OFFICE 213-443-0782 11/1812019 PHONE DATE ISSUED .ew such insurance as is afforded by those Companies NM 772 07-10 PM (CST) I Page : of 2 POLICY NUMBER: TB2-661-039499-019 COMMERCIAL GENERAL LIABILITY CG 20 10 0413 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 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 insured(s) at the location(s) designated above. However: C. 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: Name Of Additional Insured Person(s) Or Organization(s): SCHEDULE 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. 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 Declarations. Location(s) Of Covered Operations Any owner, lessee, or contractor for whom you have Any location work is performed agreed in writing prior to a loss to provide liability insurance Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 20 10 0413 1 A A 1/ 0 Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: TB2-661-039499-019 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART A. Section 11 — 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' or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". 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. Name Of Additional Insured Person(s) B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: SCHEDULE 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 Declarations. Or Organization(s): Location And Description Of Completed Operations All persons or organizations with whom you have All locations as required by a written contract or entered into a written contract or agreement, prior to an agreement entered into prior to an occurrence or occurrence or offense, to provide additional insured offense. status. Information required to complete this Schedule, if not shown above, will be shown in the Declarations CG 20 37 0413 Insurance Services Office, Inc., 2012 Page 1 of 1 f121�q POLICY NUMBER: TB2-661-039499-019 COMMERCIAL GENERAL LIABILITY CG 20 0104 13 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 iin 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. CG 20 01 0413 112 ��urance Services Office, Inc., 2012 Page 1 of 1 ACORO® CERTIFICATE OF LIABILITY INSURANCE DA E(MM DDM W) 11it 912019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER CONTACT NAME: Theresa Roque Huggins Dreckman Insurance PNONE (562)594-6541 (582) 594-0376 Alt No Ert: Alt No: A[)DRE55: theresa@hdinsure.com License No. 0212199 5152 Katella Ave, Suite 206 INSURERS) AFFORDING COVERAGE NAICN Los Alamitos CA 90720 INSURERA: IrOnShore Specialty Ins. Co. 25445 INSURED INSURERS: West Coast Arbodsts, Inc INSURER C : 2200 E. Via Burton St. INSURER D Anaheim CA 92806 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 2019/2020 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. LTR TYPE OF INSURANCE INSO VWD POLICYNUMSER MMIpDM'YY MMIDDIYYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CIAIMS-MADE F1 OCCUR PREMISES Ma occuoence $ MED UP An are parson $ PERSONAL a ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ POLICY ❑ JECOT F1 LOC PRODUCTS-COMPIOPAGG s $ OTHER. AUTOMOBILE LIABILITY MBINEDSINGLE LIMIT Eaa dem $ BODILY INJURY(Pm person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (P era�denU $ TYDAMA E Per a=mhod $ HIRED NON-0WNED AUTOS ONLY AUTOSONLY UMBRELLA UAB OCCUR EACH OCCURRENCE S S EXCESS LABCI-AIMS-MADEAGGREGATE DED RETENTION S S WORKERS COMPENSATION AND EMPLOYERS LUIBIUTY YIN PER OTH- STATUTE ER ANY PROPRIETORMARTNEWEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? NIA E.L EACH ACCIDENT s (Mandrtmy in NH) EL DISEASE - EA EMPLOYEE S It yes, Eescr im uncer DESCRIPTION OF OPERATIONS below EL DISEASE -POLICY LIMIT $ Each Occurrence 5,000.000 A Professional Liability dy Retroactive Date: July 1, 2010 f 003666901 07/01/2019 07/01/2020 A re ate 99 9 5,000,000 1 Retention 50,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACCRD 101, AtltlSlonal Remarks Schedule, may be attached if more apace Is mquimdl APPROVED MENT DIVISION M 2019 CERTIFICATE HOLDER CAIIAAAT ♦ •• . CELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, 4th FI. AUTHORIZREPRESENTATIVE Santa Ana CA 92702 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD