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SIEMENS, INC
OnIC PRW F'E O"FEB 0l11 IL INSURANCE UPIRES CLERKuOUNCII.. r,7l~ JAN 14 2019 d IQ_c5A Lti r'Nvua bkwwp Consultant: Siemens Industry, Inc. CHANGE ORDER TO MASTER SERVICES AGREEMENT FOR THE ONGOING CITY-WIDE CAMERA SYSTEM PROJECT AND MAINTENANCE FOR THE VIDEO SECURITY ENHANCEMENT PROGRAM (Windsor Park - Change Order 2017.289-1) On October 17, 2017, Siemens Industry, Inc. and the City of Santa Ana, entered into Agreement # A- 2017.289, which provided for video security enhancement services for sites as defined by the Agreement. Pursuant to section 4 of the Agreement, the parties agree to exercise the change order provision for services as detailed in the attached Exhibit A-1 and identified as change order 2017-2894. All other terms and conditions of the Agreement remain unchanged, Y CITY OF SANTA ANA Acting City Manager ATTEST MARIA D. HUIZAR Clerk of the Council RECOMMENDED FOR APPROVAL: r LIS UOLOFF Executive Director, Parks, Recreation and Community Services SIEMENS 7USTRY, INC. DIRK G oirector f Finance APPROVED AS TO FORM: TAMARA BOGOSIAN Assistant City Attorney Exhibit A-1 Change Order 2017-289-1 ;ff4 City of Santa Ana To: Otto Laufer Cc: Michael Dietsch, Hiram Uribe Michael Dietsch /William Leclerc Siemens Southern California Project#: 44op-231411 Madison and Windsor Parks Security Change Order #t : City of Santa Ana - Windsor Park -Centennial Park Radio Please see Change Order request details below for out The installation at Windsor Park was as per initial scop installation of a non -penetrating roof structure on the roof. This structure had been planned to avoid having allow mounting of the radio antennas to create a Vill After Siemens provided all the requested documen% review it, the permission was never granted Siemens had to provide the City of link between City Hall and Windsor to the school roof, and to City Hall to Windsor park. School I School board to fabrication and delivery was at minimum tt weeks. 7cic ori might have created issues with residences close by pole (esthetics). Tedical feasibility, due to presence or trees and electrical cables in the proximity of the potential location posed a risk for logistics. Solution 2 was declined. Unrestricted SOW Page 1 1 SIpr �r Michael Dietsch {William Leclerc CC Siemens Southern California Cable Company would have requested monthly fee to the CoSA for using the network. Very long lead time was associated with this option (from 6 months to i year). Solution 3 was retained by both Siemens and the CoSA: - It is the most affordable. It brings added benefits to the CoSA by bringing network connectivi o Ce nnial Park for potential future project. Material delivery doesn't pose a risk. UN Solution 3 - Change Order Request Scope of Work In order to execute the engineering, procurement, fns &tIon, to and commissioning of adding a radio link between City Hail, centennial ar park, Siemens has already spent and will have to spend additional hours tofr izegineering, procure additional material and incur additional installation c per o g Scope of Work (see Map i and Map 2 below): Wln ;xor Pa iLc. • Use of existing sidewalk li e er Photo i below and add pole extension to mount two (2) Siklu r • Trenching (includi re 'n d repairing concrete if needed) from existing light pole to Winds Idi . Install conduit and pull power and network cable. • Procure, l , a commission two (2) new Siklu Radio antenna and mist. materia1g e o Centennial Park); soccer field light pole as per Photo 2 below. • Mod1y existing 120 vat outlet located at bottom of pole (see Photo 3 below) to tap power and bring it to the top of the pole. • Rent a boom lift for i week to install material on pole, test and commission two (2) Radio links, one (i) from City Hall to Centennial and one (1) from Centennial to Windsor. • Procure and install new Sikiu Radio antenna, Nema 4 enclosure, PoE switch and mist Unrestricted SOW Page 12 Michael bietzch /William Leclerc Stemma SIEMENSSouthern California Impact on project cost: Ln tial cost for Wc�S-p�rk•��3z azo • Materials Equipment Shipping and Warranty $63,284.38 • Siemens Project Management, Programming, Commissioning $25,437.04 • Construction Installation, Contracting and Equipment Rentals $43, 6 Change_Ord9ra_c0511.5&8.44z2 • Materials Equipment Shipping and Warranty 17, • Siemens Project Management, Programming, Commis n $ .95 • Construction Installation, Contracting and Equipm e 26,138.95 7btzai3c(W sar Park Total Cost; $ 187,264.77 Impact on schedule: Estimated time to complete scope of work between 6 to 8 weeks after reception of ®a #I. Please note that Siemens will do evA, possible. Proposal Accepted: Siemens Industry, Inc. is the work as proposed. Purchaser: By: lb t* T tie: Date 0 with Windsor Park Scope of Work is Purchase Order for Change Order Request Oir power to compress the schedule if Proposal Submitted: Siemens Industry, Inc. By: William Leclerc Title: Project Manager Date: August 13, 2018 Price valid for 30 days Unrestricted SOW Page 13 SIEMENS Michael Dietsch /William Leclerc C+V siemens Southam California Windsor. Existing Light post around (15R high) - Extension to existing sidewalk light pole. &+�j'- _ "7''*-�'^' - Trenching from existing light pole to Windsor Park building (power. network). p - Link to Centennial with New Sidu EtherHaui-2500FX - Completion of current Scope of Work once radio Zink is reedy. ;.. Trenching `Centennial : Existing Soccer Field Light post around (80ft high) - - Link to City Hall with Existing Siklu Radio - Link to Windsor with New Siktu EtherHaut-2500FX -120 Vac power outlet on one 20 amp circuit (dedicated for 3 +' poles, on that side of the field) is available_ - Install radio anumne, Name 4 box •with switch. conduit, cable, etc. Boom lit rental - Map 2: Ra N Ant Centennial Park to Windsor Park Unrestricted SOW Page 15 SIEMENS Photo 1: Windsor Photo 3: Centennial Soccer Michael Dietsch /William Leclerc Siemens Southern California Photo 2: Centennial Light Pole Unrestricted SOW Page 16 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 09/202018 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 PRODUCER MARSH USA, INC. 445 SOUTH STREET MORRISTOWN, NJ 07960-6454 610 JWHITE NOC60 INSURED SIEMENS INDUSTRY, INC BUILDING TECHNOLOGIES 1000 DEERFIELD PARKWAY BUFFALO GROVE, IL 60089 EDING COVERAGE e: Travelers Property Casualty Co. ofAmerlca 25674 COVERAGES CERTIFICATE NUMBER: NYC -010183628-36 RFVISIf1N NIIMRFR- 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, (NSR LTR ADDLISUBRI TYPE OFINSURANCE -- POLICY EFF POLICYNUMBER MMIOOIYYW POLICY EXP MMIODNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GLD11101-10 16/012016 10/01/2019 EACHOCCURRENCE $ 1,006,000 CLAIMS -MADE T' OCCUR DAMAGE TO RENTED PREMISES Ea occuoence $ 1,000,006 MED EXP (Any one person) _ _ $ 166,000 PERSONAL &ADV INJURY $ 1,666,660 LIMITAPPLIES PER:GENERAL POLICY ❑J PRO- JECT L LOC $ 10,006,666 GEN'LAGGREGATE I X AGGREGATE PRODUCTS - COMPIOP AGO --_ _ $ INCL --- I $ OTHER S AUTOMOBILE LIABILITY I ANYAUTO TC2J-CAP-7440L34A-18 10/012018 10/01/2019Eaeac tlED SINGLE LIMIT mb $ 2,000,000 $ NIA BODILY INJURY (Per person) ONED SULED X(AUTOS ONLY ALL BODILY INJURY(Pereccident) $ NIA X HIRED X NON -OWNED — _AUTOS ONLY _ AUTOS ONLY PROPERTYDAMAGE (Par eccldent) $ NIA _ $ X'. UMBRELLALIABI X OCCUR I--' CUD11102-10 10/01/2018 10/01/2019 EACHOCCURRENCE $ 1,006,000 AGGREGATE $ 1,606,060 L _ EXCESS UAB CLAIMS -MADE $ DED t RETENTION$ B C B WORKERS COMPENSATION I AND EMPLOYERS'LIABILITY YIN ANVICERIM MBER XCLUD (EXECUTIVE fMnCE18MEM BEREXCwOEO? N 'NIA ❑ (Mandatory In NH) under DESCRIPTION DESCRIPTION OF OPERATIONS below TC2J-UB-8049X566-18(AOS) TRK -UB 8049X51A-18AZ,MA,OR,WI ( ) TWXJ-UB-7440L338-18 (ON ( ) """"$500K LIMIT I $500K SIR"""" 10/01/2018 10/01/2018 10/0112018 10/01/2019 10/01/2019 10101/2619Ifyca X PER p'rH- STATUTE ER_ E.L. EACH ACCIDENT _ $ 1,000,000 _ E.L. DISEASE EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ 1,000,000 $ 1,600,000 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule,may be attached if more space is required) RE'.SII#440P-231411 PROJECT NAME: SCA6-SES-COSA- PARKS SECURITY (MADISON, WINDSOR) SEE ATTACHED,\�/�'v CPRTIPICATF HAI DFP PAMPCI I ATInki . 6 _\o _G..% -- CITY OF SANTA ANA SHOULD ANY OF THE ABO DESCRIBECIES BE CANCELLED BEFORE 20 CIVIC CENTER PLAZA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SANTA ANA, CA 92701 ACCORDANCEWITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukheriee ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACORO® AGENCY CUSTOMER ID: 100129 LOC #: Morrish ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED MARSH USA, INC. SIEMENS INDUSTRY, INC, BUILDING TECHNOLOGIES 1000 DEERFIELD PARKWAY POLICY NUMBER BUFFALO GROVE, IL 00089 CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance RE', 811#440P-231411 PROJECT NAME: BCAO-SES-COSA- PARKS SECURITY (MADISON, WINDSOR) CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE INCLUDED AS ADDITIONAL INSURED UNDER THE ABOVE REFERENCED GENERAL LIABILITY AND AUTOMOBILE LIABILITY INSURANCE POLICIES AND THE COVERAGE AFFORDED THE ADDITIONAL INSURED UNDER THESE POLICIES SHALL BE PRIMARY AND NONCONTRIBUTORY INSURANCE TO THE EXTENT THAT A CLAIM ARISES FROM THE NEGLIGENCE OF SIEMENS INDUSTRY, INC. OR ITS SUBCONTRACTORS WITH RESPECT TO ALL OPERATIONS OF THE INSURED BUT ONLY WITH RESPECT TO ALL WORK PERFORMED BY AND ON BEHALF OF THE NAMED INSURED, SIEMENS INDUSTRY, INC, FOR CERTIFICATE HOLDER UNDER CONTRACT. INCLUDED IN THE GENERAL LIABILITY POLICY, $1,000,000 PROFESSIONAL LIABILITY IS INCLUDED UNDER THE GENERAL LIABILITY POLICY AND $1,000,000 IS INCLUDED UNDER THE UMBRELLA LIABILITY POLICY, IF THESE POLICIES ARE CANCELLED FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM, THE INSURER WILL DELIVER NOTICE OF CANCELLATION TO THE CERTIFICATE HOLDER UP TO 60 DAYS PRIOR TO THE CANCELLATION OR AS REQUIRED BY WRITTEN CONTRACT, WHICHEVER 15 LESS, © 2008 ACORD CORPORATION. All riahtB The ACORD name and logo are registered marks of ACORD HDI GLOBAL INSURANCE COMPANY MANUSCRIPT ENDORSEMENT#32 Policy Number Named Insured GLD11101-10 SIEMENS CORPORATION Policy Period: Inception (M -D -Y) Expiration (M -D -Y) Effective Date and Time of Endorsement 10-01.2018 10-01-2019 10-01-2018 12:01 a.m. Standard Time at Address of the Insured. 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 Who is an insured is amended to include as an additional insured any person whom you are required to add as an additional insured on this policy under a written agreement, 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. The insurance coverage provided to such additional insured applies only to the extent required within the written agreement. The insurance coverage provided to the additional insured person shall not provide any broader coverage than you are required to provide to the additional insured person in the written agreement and shall not provide limits of insurance that exceed the lower of the Limits of Insurance provided to you in this policy, or thelimits of insurance you are required to provide in the written agreement. The insurance provided to the additional insured by this endorsement is excess over anyvalid and collectible other insurance, whether primary,. excess, contingent, or on any other basis, that is available to the additional insured for a loss we cover under this endorsement. However, if the written agreement specifically requires that this insurance apply on a primary basis, this insurance is primary. If the written agreement specifically requires this insurance applyon a primary and non-contributory basis this insurances primaryto other insurance available to the additional insured and we will not share withthat other insurance provided that the additional insured is a Named Insured under such other insurance. This endorsement shall prevail over additional insured endorsements that mayapply under this policy unless required otherwise in the written agreement. Authorized Representative 940 4 �d"d�Q' �y All terms and conditions of the policy remain unchanged. ? 07 THIS ENDORSEMENT MUST BE ATTACHED TO A CHANGE ENDORSEMENT WHEN ISSUED AF FI�F�Y$ IS WRITTEN. Page.,