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Home My WebLink AboutAIMTD LLCMAYOR Miguel A. Pulldo MAYOR PRO TEM Michele Martinez COUNCILMEMBERS P. David Benavides Vicente Sarmienle 'use Solorlo Sal Tinajero Juan Viilsgas N co-) M�r�a I,t5V INSURANCE NOT ON FILE WORK MAY aT PROCEED CLERK OF COUNCIL DATE -'.DEC 0 6 2018 CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza M-36 • P.O. Box 1988 M-36 Santa Ana, California 92702 www panta-ana dro November 26, 2018 AimTD LLC 751 S. Weir Canyon Rd, Suite 157-158 Anaheim, CA 92808 Attn: Olga Polunin, President and CEO Re: Extension of Agreement No. A-2017-329 Dear Ms. Pohmin: A-2017-329-01 CITY MANAGER Raul Godinez II CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL. Maria D. Hulzar Pursuant to Section 3 of Agreement No. A-2017-329, entered into by AimTD LLC and the City of Santa Ana, dated December 5, 2017, the term of the Agreement is hereby extended for an additional one (1) year period, from December 5, 2018 through December 4, 2019. The insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Agreement remain unchanged and in full force and effect. Sincerely, Fuad S. Sweiss, PE, PLS Executive Director Public Works Agency CITY OF SANTA ANA Raul Ga ine 11 City Manag�r—l--" APPROVED AS TO FORM UAAOl J#i"M. Funk, Assistant City Attorney ATTEST Mafia D. Huizar Clerk of Council SANTA ANA CITY COUNCIL Miguel A. Pulled Michele Mannez Vicente Sanelento Jose Solode P. David 9anavtdes Juan Vilegae Sal Unajero Mayor Mayor Noreen, Ward 2 Ward 1 Ward 3 Ward 4 Ward 5 Ward 6 Mgjj,a Mnta-anaorg mirrauting ,QkWta-ana.ore yg@mjgrdoolsMgtaag ore Iorlo(aJsanta-ana era I�1 era g^ serge-env_q(g Ivlli (1 1 ;t'nelamt�saola ana oru 1 CERTIFICATE OF LIABILITY INSURANCE DATE(MMRIDNM) 10/1912018 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 cartincerte hoidar is an ADDITIONAL INSURED, the pDllcy(les) must have ADDITIONAL INSURED provlslons or be endorsed. H SUBROGATION IS WAIVED, subject to the terms and conditions of the p011cy, Certain policies may require an ondomement. A statement on this Cortiflcate does not confer rights, to the certificate holder In lieu of such endorsements . PRODUCER GO TACT $WeFarM ROY JEFFERSON, AGENT PONE 714-283.6336 PAx 7 44-283.5941 "")royI lee N r 116 S CHAPARRAL CT, SUITE 260 Ai: M L �royjaHeraon.net �- 10 ANAHEIM, CA 92805 INSUREMS) APFORBING COMCOmpany C0 1 s RERA: State Farm General Insuranc51 1xsuREo INs Rare a: State Farm Mutual Automobil78AIMTD LLC -INSURERC: 751 WEIR CANYON ROAD, SUITE 157.158INSURER 2 DANAHEIM, CA 92808 1�teURER INSUR RF: �_ nc NAMED rgOVE F01 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A60VE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VM ICH 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. ItI SR TYPE OFINSURANCE AO bR P LICYN MB PO C PD YEYP MDrYYrIn -�—�— LOU _-- XI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE f 2,000,000 f 2.000,000 CLAIMS -MADE ❑OCCUR MEDE%P one non Y Y 92-CX-M179.0 02/26/2018 $ 5,000 02/20/2019 PERSONAL A ADV INJURY $ 2,000,000 LIMIT APPLIES PER: POLICY jEeT1:1 GENE AL AGGREGATE f 4,000,000 GENLAOGREGATE PRODUCTS-COMPIOPAGO f 4,000,000 LOC HER: s AUTOMOBILE LIABILITY Y Y 4358589-D25-75 10119/2018 10126/2019 ' EI uM ANY AUTO scNEouLEn 5756448•C08.75 10/19/2015 p9/08/2019 BODILY INJURY Per non _ ( p° ) f ry 1,OOD 000 BODILY INJURY(Peraccblen0 $ 1,000.000^� AUTOS AUTOS ONLY AUTOS AUTOS ONLY AUTN SONNY -PE tl GE f 11000,000 3 UMBRELLA UAB OCCUR EACH OCCURRENCE f "CEO$UAL CLAIMS MADE AGGREGATE $� -- CEO TION S WORKERS COMPENSATION Eft T . AND EMPLOYERS'UABILMY YIN T E E1,VACHACCIOENT s 1,000,000 AY OFFRBER EXCLUDED?ECUTVE ICE/MEMa NIA 92-EK-T968.4 02/28/2018 02/2812019 E.L. DISEASE-EAEPLOYE S 1,000,000 1Mantla.$%In NN) IIYaa, describe under E.L DISEASE -POLICY LIMIT 3 1,000,000 OES RIPTI N 9.FO RATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORO tei, Addlllonal Remerks Sebadulo, may ba aaaehed if MoM apace H vquhed) .30 DAY. NOTICE OF CANCELLATION, EXCEPT FOR 10 DAYS FOR NON-PAYMENT OF PREMIUM WILL BE PROVIDED. CEVIEWED BY: EUNICE HEREDIA(PGI,p j SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ADDITIONAL INSURED: ACCORDANCE WITH THE POLICY PROVISIONS, CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS 20 CIVIC CENTER PLAZA AUTHORIZED TATNE SANTA ANA, CA 92702 19 15 C RD CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks f ACORD 1001438 132849.12 03:16401e Policy No. 92-CW 179-0 CMP-4706.1 Page 1 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CMP-4766.1 ADDITIONAL INSURED —OWNERS, LESSEES, OR CONTRACTORS (Scheduled) This endorsement modifies insurance provided under the following: SCHEDULE Policy Number: 92-Cx-M179-0 Named InsureC. AIMTD LLC 751 S WEIR CANYON RD STE 157-158 ANAHEIM, CA 92808 Name And Address Of Additional Insured Person Or Organization: CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS 20 CIVIC CENTER PLAZA SANTA ANA, CA 92702 SECTION 11 — WHO IS AN INSURED of SECTION 11 -- LIABILITY Is amended to In- clude, as an additional Insured, any person or organization shown in the Schedule, but only with respect to liability for "bodily injury', "property damage", or "personal and advertis- ing Injury" caused, in whole or in part, by: a. Ongoing Operations (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf; in the performance of your ongoing opera- tions for that additional Insured; or b. Products -Completed Operations "Your work" performed for that additional insured and included in the "products - completed operations hazard". However, Paragraph 1. above Is subject to the following: a. The Insurance afforded to the additional insured only applies to the extent permit- ted bylaw; b. If coverage provided to the additional in- sured is required by a contract or agree- ment, the insurance provided to the additional Insured will not be broader than that which you are required by the contract or agreement to provide for such addition- al Insured; and c. If the contract or agreement between you and the additional insured is governed by California Civil Code Section 2782 or 2782.05, the insurance provided to the additional insured is the lesser of that which: (1) Is allowed for the satisfaction of a de- fines or indemnity obligation by Cali- fornia Civil Code Section 2782 or 2782.05 for your sole liability; or (2) You are required by contract or agreement to provide for such addi- tional insured. We have no duty to defend or -indemnify the additional insured under this endorsement un- til a claim or "suit" Is tendered to us. 0, Copyright, Stale Forth Mutual Automobile Insurance Company, 2013 Includes copyrighted material of In CON INUEOoss Office, Inc., with Its peal REVIEWFU 13Y: EUNIGE HCiiEDIA (PCa`�pOF ) _� '�-` 2�Any insurance provided rothe additional in- ouradoha||on|yoyplyeithreapeo18>adoim made ura'ouit'brought for damages for which you are provided coverage. 8.With respect (othe Insurance afforded tothe additional Insured, the following iadded tn SECTION U^—UM[TS0FINSURANCE: || coverage provided tuthe additional insured isrequired bycontract oragre*mont,the most *wwill pay or) behalf ofthe additional insured will 0othe lesser ofthe umouniofInsurance! a�Required bythe contract orayroemoot;ur h.Available under the applicable Limits 0f Insurance shown inthe Declarations. This endorsement shall not Increase the ap' plicable Limim0/Insurance shown inthe Uoo|amt|ono, 4, With respect tothe )oouronxeafforded k/the oddifiona|Insured, the following isadded tu Paragraph 3Duties )nThe Event QfOxcur` ronom,0ffoose.C/airn(}rSu|to[SEClRON U--GENERAL CONDITIONS: Theadditional inSuredmust: a. 800 to it that we are notified ausoon ao practicable of an 'occurrence" or an of - tense which may result in a claim. To the extent pvsoib|e.notice should inc|uUo: (1)How, when and where the "nrcup r0000"oroffansntookp|aco� (2) The names and addresses nfany in- jured persons and witnesses; and xap;m�� cypm,m, pog°zm2 (3)'Flip nature and location ofany injury ordumn0aarising ouLofthe ^0000r- ronoo'oroffenso� ` h.Tenderthe defense and indemnity of any daimo."ouit" tuLis and k)all other insur- ers whomuyhuveiosuraooepotonLiaUy available tnthe additional Mou,ed�and o,Agree tnmake available any niha/i000p unootkcaddib^np|iosuradhaofurde' fonann/damaDesfor which woWould provide coverage Linder SECTION i|~~ LIABILITY. 5,With respect ¢/ the insurance afforded the aU^ d0onu| insured, the hWa*in8 nep|uvao SEC- TION 11 --LIABILITY of ParahT.0dher Insurance ofSECTION } AND SECTION ||'~ C0MMONPPUCYCO0D|Ti<}0S: a�This insurance isprimary toand will not seek contribution from any other insurance available iothe additional insured, provided tha1the additional insorediomnamed in- sured unUerouohothorinsu,anue, b.Regardless ofany agreement between you and the additional insured, this insur. anco|oexcess over any other insurance whether primory.excess, contingent or oil any other basis for which the additional in' suredhasbounaddedasanadmiona|iv` SurcUnnother policies There will be no refund ofpromium in the event this endorsement iocancelled. All other policy provisions apply. � u`moos 107033/«m1108-2/�20/; MEMORANDUM To: From: William Galvez, City Engineer Public Works Agency Date: November 27, 2018 Zed Kekula, Senior Civil Engineer Public Works Agency Subject: Traffic Counting Agreement Extensions Attached please find two agreement extensions for traffic counting services with AimTD LLC and Transportation Studies, Inc. The original agreements for both companies are set to expire on December 4, 2018 and are attached for reference. However, the agreements in section 3 allow for a one year time extension.We need Fuad's signature on the agreement and we will then forward it for the City Manager's signature. Oil' e- �'I J w S/ Dom° i s ✓�S i� ,�I� I CERTIFICATE OF LIABILITY INSURANCE DAM (x"mDYYyY) 11/15/2019 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(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PNC B (888) 202-3007 FAX �, Hiscox Inc. d/b/a/ Hisc x Insurance Agency in CA 520 Madison Avenue ADDRESS: contact®hiscox.CAm Floor New New York, NY 10022 INSUMP481 AFFORDING COVERAGE NA1Cf INSURERA: HISCOx Insurance Company Inc 102DO INSURED INSURER B : AimTD LLC 751 S Weir Canyon rd, ste 157-158 INSURER C: Anaheim, CA 92808 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE 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. INBR TYPE OF INSURANCE ADD JIM JIMSUBS POLICY NUMBER PWDDY EFF rYYYYI POD DY EXP NYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S DAMAGE TO RENT MA CLAIMS -DE ❑ OCCUR rD PREMISES f MED EXP (Airy are parson) S PERSONAL$ADV INJURY $ GEN'L AGGREGATE LIMB APPLIES PER: GENERAL AGGREGATE S POLICY ❑JIO- ET LOG PRODUCTS-COMP)OPAGG $ S OTHER: AUTOMOSILELL461LITY COMBINED SINGLE LIMIT E $ BODILY INJURY (Par parson) $ ANY AUTO OWNED I SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Ps ewdenl) $ PROPERTY DAMAGE Par awdam $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY S UMBRELLAI-MB OCCUR FACHOCCURRENCE f AGGREGATE $ EXCESS UAB CLAIMSdAADE DEO I I RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS'LUIBILIT' YIN PER OTH- STAME ER ANYPROPRIETOIWMTNERIEXECUTIVE E.L. EACH ACCIDENT $ OFFICERMIEMBEREXCLUDED? ❑ NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMB $ B yyaaaa dIPTION uraler DESCRIPtION OF OPERATIONS W. A Professional Liability N UDC-1827497-EO-19 09/30/2019 09/302020 Each Claim: $ 2,000,000 Aggregate: $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Ramaraa Schedule, may bo anacM K mom space b mquimd) Ana er Plaza CA 92702 0 2019 M. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD DATE IMMNO/YYYYI ACO ° CERTIFICATE OF LIABILITY INSURANCE 11/0712019 CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. have ADDITIONAL INSURED probrl vlas or be endorsed. IMPORTANT: If the certificate hOltlar i8 an ADDITIONAL INSURED, the poticy{iec) must WAIVED, subject to the torms and conditions of the policy, certain policies may require an endomeme 1. A statement on It SUBROGATION IS this ""Rate does not confer rights to the certificate holder in lieu of suc oenq ors � PRODUCER NAPE' z PHONE 714-283-5336 Not; 714283.6941 ROY JEFFERSON, AGENT Eed. 115 S CHAPARRAL COURT, SUITE 250 E'11FR' atexandfa®royjaflerson•IIeI ANAHEIM HILLS. CA 92808 wall SI AFFOROINBCOVEMDE N1uee 26161 NeuRet A: State Farts General Insurenos any wsureo INSURER a: war C: AIMTO LLC aeuR D: 751 WEIR CANYON RD STE 157-158 tNwlRelE: ANAHEIM, CA 92808 F: ecvlmnu W IYrtFR• COVERAGES CERTIFICATE NUYtlCK: •---•-• 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 1MTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LlmITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF wsuruuwe POLICY YEFF POUcY uY1s EACH OLCGRRENGE S 2,000,000 COMMERCIAL GENERAL LIABILITY CLAMS+IAOE OCCUR PREM fEXP W. 2.000.DOO S 5,000 MEO pneonl PERSOMALaADVINJURY f 2•000•000 g Y Y 92-CX-M179-0 0=612019 02/MO20 GENERAL AGGREGATE t 4,000,000 GENL AGGREGATE LIMIT APPLIES PER' POLICY ❑ JECT LOC PRODUCTS-COMP,OP AGO S 2.000,000 i A THER: AUTOMoaeuAsaln ANY AUTO AUTOS ONLY ALA HIRED MWOVINE0 AUTOS ONLY ADIOS ONLY Y Y 5166448COB-75 6403716-EM-75 031=019 D212&2019 03A812020 02128=0 BINED - mf s LILY INJURY (PM PAID) �s S(3&LY INJURY (Par acad.4 1,OW,000 t 1,000.0130 R RTY Per S 1,000,000 S IRYnE1L.ALL18 EXCES3 LIPS;CLAIMS#1ADE OCCUR EACH OCWRRENCE S S AGGREGATE Is 0 i RETENTION WORKERSCWAENSATIDN AND EMPLOYERS' UAMLITY YIN ANY PROPRI MR,PARTNERIEXECUTIVE DIFICERMEMBER EXCLUDED` rawK%I YIe NM uR OFOM=O 6CRWTION OF OPERATICN9 Miw B NIA Y 92-GA-D960-6 02f28l2019 OW287020 SS H- T EL EACH ACGDENT i 1,000,000 E.L DISFISE-EA EMPLOYE S 10D0000 El tXSFASE-POLICY LNR f 1,OD0,000 DESCRIPTION OF OPERA TON31 LOCATIONS I VEHICLES VXQMD 101. ASMNeIW RARMrIte S.a Nev,raytee Aw.lvvU If e ePeLe P KfR1KP] 30 DAY NOTICE OF CANCELLATION, EXCEPT FOR 10 DAYS NON PAYMENT OF PREMIUM WILL BE PROVIDED SUBJECT TO POLICY TERMS, CONDITIONS S EXCLUSIONS. City of Santa Area Risk Management Division. 401 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES ME CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Q ,L PPR POORDANCE VATH THE POLICY PROVISIONS. l7l APPR. A 10, _ 0 2019 I I. All righfs ACORD 26 (20/6103) T12RWR�WWd�W""Isteq(ad marks of APHU :001e 1S 01.12 W&Q*10 POLICY NUMBER: 640 3716-B28-75 NAMED INSURED: AIMTD LLC POLICY PERIOD: 02/28/2019-02129/2020 ept for the changes This endorsement is part of the policy. Exch this eis ndorsement- other makes, all ment nt other provisions of the policy remain the same and apply 1. A person or organization shown on the Declarations Page as an Additional Insured is provided Liability Coverage, but only to the extent that person or organization qualifies as an insured as defined in Liability Coverage. 2. An Additional Insured has the same right recovAdditery under Liability Coverage as if they had not been shown on the Declarations pageas an 3. If Liability Coverage is changed or terminated as to the interest of the Additional Insured, unless another number of days is shown on the Declarations Page, we will provide the Additional Insured: or termination if the policy is nonrenewed or the a. 10 days notice of such change cancellation is for nonpayment of premium; and b. 20 days notice of such change or termination if the cancellation is for any reason other than nonpayment of premium. Name of Person or Organization: City of Santa Ana, its officers, employees an agents and representatives are additional insured's with respect to general liability and auto liability per the attached endorsements or as required by written contract. i ar and Non -Contributory. insurance is pr m Y _ — — - . Waiver of Subrogation Applies to General Liability. Coverage is primary and non -contributor & APPROVED IGEMENT DIVISION 20 2019 M. LAMBERT POLICY NUMBER: 640 3716-828-75 POLICY PERIOD: 02/28/2019-02/28/2020 NAMED INSURED: AIMTD LLC 6196U WAIVER OF SUBROGATION UNDER THE LIABILITY COVERAGE This endorsement is part of the policy. Except for the changes this endorsement makes, all other provisions of the policy remain the same and apply to this endorsement. It is agreed that we will not exercise our right of subrogation under Liability Coverage as respects The name shown immediately following the title of this endorsement of the Declaration Page. Name of Person or Organization: City of Santa Ana, its officers, employees an agents and representatives are additional insured's with respect to general liability and auto liability per the attached endorsements or as required by written contract. Insurance is primary and Non -Contributory. Coverage is primary and non -contributor. Waiver of Subrogation Applies to General Liability 6196U REVIEWED & APPROVED 1 By RI�MANAGEMENT DIVISION 202019 M. LAMBERT POLICY NUMBER: 515 6448-008-75 POLICY PERIOD: 02/28/2019-02/29/2020 NAMED INSURED: AIMTD LLC 6028BU ADDITIONAL INSURED ENDORSEMENT (Prior notice of Termination) This endorsement is part of the policy. Except for the changes this endorsement makes, all other provisions of the policy remain the same and apply to this endorsement. 1. A person or organization shown on the Declarations Page as an Additional Insured is provided Liability Coverage, but only to the extent that person or organization qualifies as an insured as defined in Liability Coverage. 2. An Additional Insured has the same right of recovery under Liability Coverage as if they had not been shown on the Declarations page as an Additional Insured. 3. If Liability Coverage is changed or terminated as to the interest of the Additional Insured, unless another number of days is shown on the Declarations Page, we will provide the Additional Insured: a. 10 days notice of such change or termination if the policy is nonrenewed or the cancellation is for nonpayment of premium; and b. 20 days notice of such change or termination if the cancellation is for any reason other than nonpayment of premium. Name of Person or Organization: City of Santa Ana, its officers, employees an agents and representatives are additional insured's with respect to general liability and auto liability per the attached endorsements or as required by written contract. Insurance is primary and Non -Contributory. Coverage is primary and non -contributor. Waiver of Subrogation Applies to General Liability. & APPROVED %GFMENT DIVISION 20 2019 M. LAMBERT F POLICY NUMBER: 515 6448-008-75 POLICY PERIOD: 02/28/2019-02/28/2020 NAMED INSURED: AIMTD LLC 6196U WAIVER OF SUBROGATION UNDER THE LIABILITY COVERAGE This endorsement is part of the policy. Except for the changes this endorsement makes, all other provisions of the policy remain the same and apply to this endorsement. It is agreed that we will not exercise our right of subrogation under Liability Coverage as respects The name shown immediately following the title of this endorsement of the Declaration Page. Name of Person or Organization: City of Santa Ana, its officers, employees an agents and representatives are additional insured's with respect to general liability and auto liability per the attached endorsements or as required by written contract. Insurance is primary and Non -Contributory. Coverage is primary and non -contributor. Waiver of Subrogation Applies to General Liability. 6196U REVIEWED & APPROVED By RiskilINANAGIFIVENT DIVISION 20 2019 M. LAMBERT WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 0403 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We 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.) You must maintain payroll records accurately segregating the remuneration of your employees white engaged in the wont described in the Schedule. The additional premium for this endorsement shall be 5 % of the California workers' Compensation premium otherwise due on such remuneration. Schedule Person or Orggntzatron City of Santa Ana, its officers, employees an agents and representatives are add'R'ional insureds with respect to general liability and auto liability per TRAFFIC DATA the attached endorsements oral required by written contract Insurance is primary and Non -Contributory. This endorsement changes the pdicy to which it is aWa ed and is efieclive on the date issued unless olhelwise state t (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Insured AIMTD, LLC 751 S WER CANYON RD STE 1S7.158 ANAHEIM, CA 928M WC 04 03 06 (Ed. 4-94) Policy No.92-GA-D96G-8 Endorsement No. Insurance Company Stare Farm General Insurance Company Countersigned By & APPROVED IcirMFM DiviSfON 20 2019 Printed in D S.A. M. LAMBERT Policy No. 92-CX-M 179-0 °Page i of2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CMP-4786.1 ADDITIONAL INSURED — OWNERS, LESSEES, OR CONTRACTORS (Scheduled) This endorsement modifies insurance provided under the following: SCHEDULE Policy Number: 92-CX-M179-0 Named InsureC. AIMTO LLC 751 S WEIR CANYON RO STE 157-159 ANAHEIM. CA 9280E Name And Address Of Additional Insured Person Or Organization: City of Santa Ana, Its officers, employees an agents and representatives are additional insured's With respect to general liability and auto liability Per the attached endorsements or as required by written contract. Insurance is primary and Non -Contributory. 1. SECTION it — WHO IS AN INSURED of SECTION 6 — LIABILITY is amended to in- clude, as an additional insured, arty person or organization shown in the Schedule, but only with respect to liability for "badly injury -property damage", or "personal and advertis- ing injury"caused, in whole or in part, by: a. Ongoing Operations (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, in the performance of your ongoing opera- tions for that additional Insured; or b. Products — Completed Operations 'Your work" performed for that additional insured and included in the 'products - completed operations hazard". However, Paragraph 1. above Is subject to the following: a. The insurance afforded to the additional insured only applies to the extent permit- ted by law; b. If coverage provided to the additional in- sured is required by a contract or agree- ment, the nsurance provided to the additional insured will not be broader than that which you are required by the contract or agreement to provide for such addition- al insured; and c. if the contract or agreement between you and the additional insured is governed by California Civil Code Section 2782 or 2782.05. the insurance provided to the additional insured is the lesser of that which: (1) Is allowed for the satisfaction of a de- fense or Indemnity obligation byy Cait- fomia Civil Code Section 2782 or 2782.05 for your sole liability: or (2) You are required by contract or agreement to provide for such addi- donaiinsured. We have no duty to defend or indemnify the additional insured under this endorsement un- til a claim or "suit" is tendered to us. r, Copyrl9M, Stets Faro Atu l Aaa 19 fm jrs ce co"is,, 2013 IntluOea mFNn9Na,1 material of V:CO�tfT�l UN EO Oft"'Ins.. wb as psmeaawn. RFVI WED&APPROVED 13 ' RI MANAGEMENT DNISION I .. C 20 2019 M. LAMBERT C 04 03 06 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY W(Ed.4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA ble for an njur red oue have the right to right against the recover OUT or organization msfrom amed In the Schedule.t(This agreeement appli Policy only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the worts described in the Schedule. be The additional premium for this endorsement shall 5 0� or the California workers compensation premium otherwise due on such remuneration. Schedule City of Santa Ana, Its officers, employees an agents and representatives are TRAFFIC DATA additional insured's with respect to general liability and auto liability per the attached endorsements or as required by written contract. insurance is primary and Non -Contributory. This endorsement changes the policy to which it is attached and is effedive on the date issued unless "Twise stab policy.) (The information below is required only when this endorsement is issued subsequent to preparation of the p Endorsement Efiedw policy No. 92-CX-Ml79-0 Endorsement No, Insured Insurance Company State Farm General Insurance ComPany AIMTD, LLC 751 S WEIR CANYON RD STE 157-158 ANAHEIM, CA 92808 Countersigned By WC 04 03 os REVIEWED &APPROVED pr meC in 0.5 A (Ed. 4-84) BY R15 ANAGEMENT DIVISION 202019 M. LAMBERT