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HomeMy WebLinkAboutPLACEWORKS (2)City of Santa Ana .� J1 coTc Olfice Use Only �,r t Clerk of the Cot ' 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TERMINATION FORM Please complete this form in its entirety when the attached agreement and all amendments (if any) are no longer in effect.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 City of Santa Ana have been satisfied prior to signing the termination form. Is the agreements) a permanent record? Yes No �'' Q 2M, Clerk of the Council Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. 1 , / The agreement with placed Wf�`C Y lc 1 \nr No. A-w!2g— o:o was completed on 1�` I and final payment has been made. (List all amendments. Use space below if needed.) Department: T Y -VA Phone/Ext.: Signature: Date: Revised: 1 Q 18-16 A-2018.283 I S i-1ANCE ON F!U- U'ORIC MA4 PROCEED Ji"i Pt.INy',UjANCEBVRE,; (1EM CC NCI[. 09AN 3 1 2019 �, FIRST AMENDMENT TO AGREEMENT WITH PLACEWORKS TO PROVIDE RECREATIONAL VALUE ASSESSMENT THIS FIRST AMENDMENT to the above -referenced agreement is entered into on December 1.8, 2018, by and between PlaceWorks, Inc., 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-2018-077 dated March 20, 2018, to provide recreational value assessment in connection with land conversion of City properties of various types for the purpose of converting available properties into recreational use sites and perform environmental assessments. The term of the Agreement began on March 20, 2018, and is set to expire on December 31, 2018. E. The parties wish to amend the Agreement to extend the term of the Agreement to allow the Consultant to complete its work on the valuation project. The Parties therefore agree: 1. Section 3, TERM, is revised to extend the term of the Agreement through November 5, 2019. 2. Except as modified by this First Amendment, all terms and conditions of the Agreement shall remain in full force and effect. 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 Norma Mitre i RAUL OODINEZ II Acting Clerk of the Council City Manager APPROVED AS TO FORM CONSULTANT SONIA R. CARVALHO City Attorney i 7 .✓ Ilya-1 (A"AL, ,, .A- , �,�,i , ryi l YLI _"-.--- LAURA A. ROSSINI Osync ears Senior Assistant City Attorney Title: Pj,� cipal RECtMME tD FOI�QVAL EIS DLOFF Ex tivt Director, arks, Recreation and Community Services Agency Page I of I .acC3RdW CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDD/YYYYI 06126/2018 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 poitcy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject t0 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 endorsoment(s). PRODUCER Marsh Risk & Insurance Services NAME: ---- _-. PHONE --- -"---PAX - 17901 Van Kaonan Avenue Suite 1100 I949399-5800; License g0437153 Irvine, CA 92614 nooRAPPRI fiss: Attn: Newpod8each.CenRequest(almamh,mm1F: 212-948.4323 __INSURERS)AFFORDINGCOVERAGE NAICd INSURERA:Crum&Forster SpeClalt surance Ca 44520 58923.01.Ot-18.19 INSURE INSURED PlaWInc 1N.SURER—a:—Travelers Pm CacYCp125674 � INsuaaa C: Final: The Planning Center - _ Des3 Community � .-a,O• Mac 3 MacArthur Place, Suite itOD Platy& Suite 1100 .INSURERD___ Santa Ana, CA 92707 INSURERE: INSURER F ; COVERAGES CER IIFICAIE NUMBER' IDE-nn9919ndadA DCVICMIN klnnaDee. a 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. LT - ADbLSUOR-- INSR TYPE OF INSURANCE POLICY NUMBER _...—.....-- ! POLICY EFF POLICY EXP ! MMIDD YYY lDOMW LIMITS A X COMMERCIALGENERALUABILITY X I X IEPK122995 • "', 0710112018 07101/2019 'EACH OCCURRENCE S 5,00Q000 _ CLAIMS -MADE ;_ A OCCUR ". i OWAlaET M Ei'�0 ;$_ 60.000 X 1 BI & PC - - $5,000 _. ._—_. _...___ __ rP,REMISESfEaoccunencej ; i MED EXP (qny one person) 9_ 5,000 �I ._.... I PERSONAL B ADV INJURY '.$ 5,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: —� —' GENERAL AGGREGATE $ 5,000,OW PRO- POLICY I_ 'LOG ! PRODUCTS-COMPIOPAGG $ 5,000.000 OTHER. 'Contractors Pollution ',, $ 5,000,000 B AUTOMOBILE LIABILITY X X BA7E37516718CAG 07N112018 0710112019 COMBINED SINGLE LIMIT ';$ 1,060,000 X_. ANY AUTO -00aa�N_§n�— _— _- BODILY INJURY (Per person) S I OWNED SCHEDULED - j AUTOS ONLY AUTOS "'� BODILY INJURY (Per accident) $ HIRED j NON -OWNED _ AUTOS ONLY _ AUTOS ONLY ' PROPERTVV DAMAGE _ —"- -- OomplColl Deductibles Is $1,000 UMBRELLA LAB X BUR EX6J3287561843 0710112018 07/01/2019 EACH OCCURRENCE E_NCE_ $ 4,000,000 X EXCESS LIAB _r GIAIMS-MADE —' ",, AGGREGATE S --'—" 4,000,000 DED RETENTIONS - �$ B WORKERS COMPENSATION�U87K7266761843G I (D 619 X PER GTH- AND EMPLOYERS'LIABIUTY YIN STATUTE ER ANYPROPRIETORIPARTNERIEXECUTNE OFFICERIMEMBEREXCLUDED4 NIA E.L. EACH ACCIDENT ;$ — 1,000,000 yMantlatprylnNH) rr. ! EL DISEASE -EA EMPLOYEE If 1,OD0,0D0 IfyyeadtPT,"untler OrOF OPERATIONS Oelow I —A ,_._. E L. DISEASE • POLICY LIMIT $ _ ._......_ 1,000,000 A Errors & Omissions -Claims Made I i EPK122995 0710112018 011 Each Cleim/Aggregate 5,000,000 Rego Dates: See 2nd Page DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES tACORD f of, Additional Remarks Schedule, may be arfaehed If more apace is Modules par Operations performed by the mead insured for the wnEcats holder City of Santa Ana, Its officers, agents, employees, and volunteers are Included as additional insured where required by written contract with respect to General and Auto Liability. This insurance is primary and non- contnbutory, over any existing Insurance add limited to liability arising out of the operations Of the named insured and where required by written coral lwithros"Tto General Liability. Waiver of subrogation is applicable where required by written contract with respect to General and Auto Liability. ll?? �1- �ev\e�e City of Santa Ana 20 Civic Center Plaza, M-36 Santa Ana, CA 92701 SHOULD ANY Dil ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services Rosati Martinez TION. All rtahts ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD EPK122995 Effective 07/0112018 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 SCHEDULE Name of Additional Person(s) or Crganization(s): Location And Description Of Completed Operations Where Required By Written Contract, Where Required By Written Contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section ill — Who Is An Insured within the Common Provisions is amended to include as an insured the parson(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". EN0320.0211 PAC Page 1 of 1 EPK122995 Effective o/01/2018 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED WITH WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART ERRORS AND OMISSIONS LIABILITY COVERAGE PART THIRD PARTY POLLUTION LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) or Organization(s) Where Required By Written Contract. A. SECTION III — WHO IS AN INSURED within the Common Provisions Is amended to include as an additional insured the person(s) or organization(s) indicated in the Schedule shown above, but solely with respect to "claims" caused in whole or in part, by "your work" for that person or organization performed by you, or by those acting on your behalf. This Insurance shall be primary and non-contributory, but only in the event of a named insured's sole negligence. B. We waive any right of recovery we may have against the person(s) or organization(s) indicated in the Schedule shown above because of payments we make for "damages" a rising out of "your work" performed under a designated project or contract with that parson(s) or organization(s). C. This Endorsement does not reinstate or increase the Limits of Insurance applicable to any "claim" to which the coverage afforded by this Endorsement applies. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0118-0211 Page 1 of 1 BA7E37616718CAG Effective 07/01/2018 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE —This endorsement broadens coverage. However, coverage for any Injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en. dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BROAD FORM NAMED INSURED B. BLANKET ADDITIONAL INSURED C. EMPLOYEE HIRED AUTO D. EMPLOYEES AS INSURED E. SUPPLEMENTARY PAYMENTS —INCREASED LIMITS F. HIRED AUTO — LIMITED WORLDWIDE COW ERAGE— INDEMNITY BASIS G. WAIVER OF DEDUCTIBLE— GLASS PROVISIONS A. BROAD FORM NAMED INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II —COVERED AUTOS LIABILITY COVERAGE; Any organization you newly acquire or form Car- ing the policy period over which you maintain 50% or more ownership interest and that is not separately insured for Business Auto Coverage. Coverage under this provision is afforded only un- til the 180th day after you acquire or form the or- ganization or the end of the policy period, which- ever is earlier. B. BLANKET ADDITIONAL INSURED The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION 11— COVERED AUTOS LIABILITY COVERAGE: Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an addi- tional Insured is an "Insured" for Covered Autos Liability Coverage, but only for damages to which H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES —INCREASED LIMIT J. PERSONAL PROPERTY K. AIRBAGS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS M. BLANKET WAIVER OF SUBROGATION N. UNINTENTIONAL ERRORS OR OMISSIONS this insurance applies and only to the extent that Person or organization qualifies as an "Insured" under the Who Is An Insured provision contained In Section it. C. EMPLOYEE HIRED AUTO 1. The following is added to Paragraph A.1., Who Is An Insured, of SECTION it — COV- ERED AUTOS LIABILITY COVERAGE; An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement In an "employee's" name, with your permission, while performing duties related to the conduct of your busi- ness. 2. The following replaces Paragraph b. in B.5., Other Insurance, of SECTION IV — BUSI- NESS AUTO CONDITIONS: b. For Hired Auto Physical Damage Cover- age, the following are deemed to be Cov- ered "autos" you own; (1) Any covered " dfp`j'yo ipase, hire, rent or bpr�� dKtcontract (2) Any fed " ut�by you employu in an "employe ' rour CA T3 53 0216 02015 The Travelers Indemnity Company. All rights res `•D\" )� 't' Page 1 of 4 Includes copyrighted material or Insurance Services prnce,Ina Itspermtavl ( BA7E37616718CAG Effective 07/01/2018 COMMERCIAL AUTO permission, while performing duties (a) With respect to any claim made or "suit" related to the Conduct of your busk brought outside the United States of ness. America, the territories and possessions However, any "auto" that is leased, hired, of the United States of America, Puerto rented or borrowed with a driver Is not a Rico and Canada: covered "auto". (i) You must arrange to defend the "in- D. EMPLOYEES As INSURED sured" against, and investigate or set. The following is added to Paragraph A, I., Who is tle any such claim or "suit" and keep An Insured, of SECTION 11— COVERED AUTOS us advised of all proceedings and ac- LIABILITY COVERAGE: dons. Any "employee" of yours is an "insured" while us- (11) Neither you nor any other involved "insured" ing a covered "auto" you don't own, hire or borrow will make any settlement In your business or your personal affairs, without our consent. E. SUPPLEMENTARY PAYMENTS — INCREASED (15) We may, at our discretion, participate LIMITS in defending the "insured" against, or in the settlement of, any claim or 1. The following replaces Paragraph A.2.a.(2), "suit". of SECTION 11— COVERED AUTOS LIABIL- (iv) We will reimburse the "insured" for ITYCOVERAGE: sums that the "insured" legally must (2) Up to $3,000 for cost of ball bonds (in- pay as damages because of "bodily cluding bonds for related traffic law viola- injury" or "property damage" to which tlons) required because of an "accident" this insurance applies, that the "in - we cover, We do not have to furnish cured" pays with our consent, but these bonds. only up to the limit described in Para- 2. The following replaces Paragraph A.2.a,(4), graph C., Limits Of Insurance, of of SECTION 11— COVERED AUTOS LIABIL• SECTION II — COVERED AUTOS ITY COVERAGE: LIABILITY COVERAGE. (4) All reasonable expenses incurred by the (v) We will reimburse the "insured" for "insured" at our request, including actual the reasonable expenses incurred ^� loss of earnings up to $500 a day be- with our consent for your investiga- ° cause of time off from work. tion of such claims and your defense " F. HIRED AUTO —LIMITED WORLDWIDE COV• of the "insured" against any such" ERAGE —INDEMNITY BASIS suit", but only up to and included within the limit described in Para - The following replaces Subparagraph (5) in Para- graph C., Limits Of Insurance, of graph B.7., Policy Period, Coverage Territory, SECTION II — COVERED AUTOS of SECTION IV — BUSINESS AUTO CONDI- LIABILITY COVERAGE, and not in TIONS: addition to such limit. Our duty to °C (6) Anywhere in the world, except any country or make such payments ends when we jurisdiction while any trade sanction, em- have used up the applicable limit of bargo• or similar regulation imposed by the insurance In payments for damages, United States of America applies to and pro- settlements or defense expenses. hibits the transaction of business with or (b) This insurance is excess over any valid within such country or jurisdiction, for Cov. and collectible other insurance available MER eyed Autos Lability Coverage for any covered to the "insured" whether primary, excess, "auto" that you lease, hire, rent or borrow contingent or on any other basis. iiiiER1 ° without a driver for a period of 30 days or less (c) This insurance is not a substitute for re- and that is not an "auto" you lease, hire, rent quired or compulso rance In any _ or borrow from any of your "employees", country outside t States, it r- partners (if you are a partnership), members Puert and scions, o s, o and (if you are a limited liability company) or Canes Canada. members of their households. Page t 4 of © 2015 The Travelers Indemnity Company. All rights reserved. 53 02 16 Includes copyrighted material of Insurance Services Office, Inc. with Its isgiytt. oc=7 ��. EA7E37616713CAG Effective 07/01/2018 You agree to maintain all required or compulsory insurance in any such coun- try up to the minimum limits required by local law. Your failure to comply with compulsory insurance requirements will not invalidate the coverage afforded by this policy, but we will only be liable to the same extent we would have been liable had you complied with the compulsory in- surance requirements. (d) It is understood that we are not an admit- ted or authorized insurer outside the United States of America, Its terrftorfes and possessions, Puerto Rico and Can- ada. We assume no responsibility for the furnishing of certificates of insurance, or for compliance in any way with the laws of other countries relating to insurance. G. WAIVER OF DEDUCTIBLE —GLASS The following is added to Paragraph D„ Deducti. ble, of SECTION III — PHYSICAL DAMAGE COVERAGE: No deductible for a covered "autc" will apply to glass damage if the glass is repaired rather then replaced, H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE —INCREASED LIMIT The following replaces the last sentence of Para- graph AA.b., Lass Of Use Expenses, of SEC- TION Ill— PHYSICAL. DAMAGE COVERAGE: However, the most we will pay for any expenses for loss of use is $65 per day, to a maximum of $750 for any one "accident". I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT The following replaces the first sentence in Para- graph AA.a., Transportation Expenses, of SECTION Ill — PHYSICAL DAMAGE COVER- AGE We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in- curred by you because of the total theft of a cov- ered "auto" of the private passenger type. J. PERSONAL PROPERTY The following is added to Paragraph A4., Cover- age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE; Personal Property We will pay 'tip to $400 For "loss" to wearing ap- parel and other personal property which is: (1) Owned by an "insured"; and COMMERCIAL AUTO (2) In or on your covered "auto". This coverage applies only in the event of a total theft of your covered "auto". No deductibles apply to this Personal Property coverage, K. AIRBAGS The following Is added to Paragraph B.3„ Exclu- sions, of SECTION Ili — PHYSICAL DAMAGE COVERAGE: Exclusion 1a, does not apply to "loss" to one or more airbags in a covered "auto" you own that in- flate due to a cause other than a cause of "loss" set forth In Paragraphs A.1.b, and A.tc., but only: a. If that "auto" is a covered "auto" for Compre- hensive Coverage under this policy; b. The airbags are not covered under any war- ranty; and c. The airbags were not Intentionally inflated. We will pay up to a maximum of $1.000 for any one "loss". L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS The following is added to Paragraph A.2.a., of SECTION IV — BUSINESS AUTO CONDITIONS: Your duty to give us or our authorized representa- tive prompt notice of the "accident" or "loss" ap- plies only when the "accldent' or "loss" is known to: (a) You (if you are an indfviduai); (b) A partner (if you are a partnership)'. (c) A member (if you are a limited liability com- pany); (d) An executive officer, director or insurance manager (if you are a corporation or other or- ganization); or (a) Any "employee" authorized by you to give no- tice of the "accident" at "loss". M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.S., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — BUSINESS AUTO CONDI- TIONS: S. Transfer Of Rights Of Recovery Against Others To Us We waive any right of re v� we may have against any person or_A nation to the e - tent required of y a en ca ct signed and era prfof 1p�an cident" or"loss", provi ed tha` he c �r"loss" arises out of op ritglri�'Rttvt, by CAT3630215®2015The Travelers indemnityCompany. All rights resarv3wo-' 0\ CSr,3' Page3of4 includes copyrighted malelalollmiurenca Servfaes Office. Inc. wlth`Ifs permiss4,ll , BA7E37616718CAG Efrective 07/01/2018 COMMERCIAL AUTO such contract. The waiver applies only to the The unintentional omission of, or unintentional person or organization designated In such error in, any Information given by you shall not contract. prejudice your rights under this insurance. How- N, UNINTENTIONAL ERRORS OR OMISSIONS ever this provision does not affect our right to col. The following is added to Paragraph UZ, Con lest additional premium or exercise our right of cealment, Misrepresentation, Or Fraud, of cancellation ornon•renewal, SECTION IV — BUSINESS AUTO CONDITIONS: p�GCJ Page 4 of 4 020161he Travelers Indemnlly Company. Aa rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office, lac, with its permission. umxae