HomeMy WebLinkAboutOLSON GROUP, LTD, THE (4)A-2016-252-01
INSURANCE ON FILE
MAYOR
WORK MAY PROCEED
Miguel A Pulido
UNTIL INSURANCE EXPIRES
MAYOR PRO TEM
—L
j3 yO
Juan Villegas
COUNCILMEMBERS
CLERK FC UNTIL
Cecilia Iglesias
DATE. AUG 2 g 2019
David Penaloza
Vicente Sarmiento
Jose Solorio
(29
D�. CID (n CITY OF SANTA ANA
C r1J R. ctc bo rrJ
SANTA ANA POLICE DEPARTMENT
60 Civic Center Plaza
Santa Ana, California 92701
w .santa-ana.ora
May 15, 2019
The Olson Group, Ltd.
Attn: Kyle B. Olson
300 N. Washington St., Ste. 600
Alexandria, VA 22314
Re: Extension of Agreement #A-2016-252 to provide training course and exercises
Dear Mr. Olson,
CITY MANAGER
Kristine Ridge
CITY ATTORNEY
Sonia R. Carvalho
ACTING CLERK OF THE COUNCIL
Norma Mitre
Pursuant to Section 4 ("Term') of Agreement No. A-2016-252 ("Agreement") entered into by The Olson
Group, Ltd. and the City of Santa Ana, dated August 16, 2016, the time period of said Agreement is hereby
extended for an additional one (1) year period, from August 16, 2019 to August 15, 2020. The insurance
certificates are required to be extended and/or renewed to cover this extension. All other terms and
conditions of said Agreement remain unchanged and in full force and effect.
Sincerely.
David YaWntin
ief of Police
CITY OF SANTA ANA:
Krisrta Ridge
City Manager
APPROVED AS TO FORM:
Sonia R. Carvalho
Attomey
Tara Bogosian
Assistant City Attomey
CONTRACTOR
yle • .
..,
� 4 t
DAISY GOMEZ
COUNCILCLERK OF THE
SANTA ANA CITY COUNCIL
Miguel A Pulido A V&,gas viwrie se: 'O,eo NA Penaloaa Jose Solwio vawm Cewlia lglesras
Mayor Mayor Pro Tern. Ward 5 Ward l Wad 2 Ward 3 Ward 4 Ward a
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CERTIFICATE OF LIABILITY INSURANCE
BELOW. THIS CERTIFICATE OF
Watch, Graham:& Ogden Inr, Inc,
7723Ashton :Avenue
Manassas VA 2010D
The Olson Group Ltd r1114011ER340 N Wae11j11g10n $tJeaf SUIYE 600 Alexandria VA 2xS1A
THIS 16 TO CERTIFY THATTHE POLICIES OF INS URANCE.LISTED BELOW HAVE 85ENISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS. SUBJECT TO.ALLTHE.TERMS, .
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS. SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Ib
TYPEOFIN$URANCE
INSO
WVD
POLICY NUMBER
Mla
EXP
MMJDDM9'Y
_. LIMITS
_
COMMERCIALOENERAL LIABILITY
EAC, UR EHCE
IT 9 00"00
Ea"_ nw
:a 100 �00
CLAIMS -MADE 19 OCCURPREMISES(
5. 1 006
RED UP (AnL Wle Datsrml
A
Y
3:SUOU45016
0211312019
02I312OZO
.-..
PERSONAL&ADV INJURY
S 1,000000
LIMITAPPjjU�SSS :
OENERALAGGREGATE
a 2,000,0U0
ERQDVOTS-COMMPAGG
2,000,000
�G.E✓NLAGGREGATC jPER
/! POUCY JEGT id LOD
OTHER:
AUTOMOBILE UA9141TY -
BWEO. INGLE LIM
Ea auitle t
$ T,000,000
BODILY INJURY(PW Person]
ff
ANYAUTO
aODILYINJURY(Pmeadidann
s
A
OWNED SCHEDULED
CSU0046015'
02M312019
02/1312020
AUTO' ONLY j No.0O
jRRED NONAWNED.
PROPERTY DAMAGE
peracGdanl
AUTOS ONLY.AUTO$ ONLY
a
�{
UMBRELLA UAll
OCCUR
EACHOCCURRENCE
6,000,000
AGGREGATE
$ 0000,000
-A
EXCESSLIA
C4AIM&MADE.
QS00008181
02/1312049
0211g12020
DED. RETENTION S
a
WORKERS COMPENSATION
STATUTE FR
AND EMPLOYERS` MABRITY YIN
ANY PROPRIETORIPARTNEIVEXECUTIVE
NIA
CA1CV9069355
U3M412019
03/1412020
EL EACHACCIOENT
8 1,000,000
SL D19EA9E- MR YEE
a 1000R00
B
OFFICERIMEMSER EXCW0ED?
iMendaSmyln NMI
if yes describe undo(
DESCRIPTION OF OPERATIONS Irs. _
N.L. pI$EA5E+pOLiCY LIMIT.'g
1000,000
DESCRIPTION OF OPERATIONS :I.LOCATION94 WHICLES (ACORD 101, Addrsonaf RamarksSchadute, may:6a suadnad If Monnspace is mquf1d).
City of Santa Ana, its OHcer$, agents, and aRlPloyees are named as Additional Insured as required by Written Contract, Subject to policy forms and
conditions.
Nt D
MAPPROVEDENT
BY RI
v ve �trta
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
,�,...�.++.....o.*+w. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Santa Ana fS`A(yi,� M. I.fn'iRr ACCORDANCE WITH THE POLICY PROVISIONS.
NTHBE
20 ONTO Canter Plaza
AUTHORIZED REPRESENTATIVE
9th Floor ,f n
Santa Ana CA 92710 ply
CJ 1880.2016 A.CORD CORPORATION. All rights renamed.
ACORD 25 (2016103) The.AGORO name and logo areregisteredmarks of ACORD
C£}MMERCIALGENERAL LIABILITY
CSOA4371213
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY..
as aa. - a a a ore a- a e
A» S an% If - WHO IS AN INSURED is
amended to Include as an additional Insured
4 respect to 'bodily
or "personal, and
in whole of to part.
2. The sets or omissions; of those acting on
your babor in 1-0 perfoaMan0a M your
anOng operations for the additional fat
sured; or
3. "Your wcW' performed for the additional
Insured and included in the "products -
completed operations hazare.
If riot specified other-Ase in the written can -
bed or affeement, a persons or organiza
Lien's status as additional insured under this
endorsement ends one year *tier your opera-
tionsfoe that additional Insured are-:comptete€i
The written contract or agreement must be
currently to effect or be me effective during
the term of this Coverage. Fart --She contractor
agreement must be executed prior to the "bod-
iiy injury", `Property daxtage'" or 'personal and
advertising Injury" to which this endorsement
periaim
a
1. The insurance afforded to such additonai
insured only applies to the extent permit-
ted by taw: and
2. If coverage provided to the; additional In-
sured Is required by a contract or agree-
ment., the Insurance afforded to such ad-
dMenat insured will not be broader- than
that which you are required by the con-
tract or agreement to provide for such ad-
ditional tiresured.
B. With respect to the Insurance afforded to
these additional insureds, the following addi-
tional exclusions apply:
This insurance does not apply to:
I Modify injury "property damage or "per
swat and advertising injury" arising out of
the rendering of, or the failure to render,
any professional architectural, engineer-
ing or surveying services, mctudmgg
a, The preparing, approving, or failing to
prepare or approve, maps, shop
drawings, opinions, reports, surveys,
field orders, change orders or draw-
ings and specifications, or
b. Supervisory, Inspection, architectural
or engineering activittes
2. "Bodily injury" or "property damage" ads-
Ing out of 'your wadi" for which a cinispli-
dated (wrap-up) Insurance program has
been provided by the prime contrac-
[oriproject manager or owner of the con-
skructio€ project in which you are Involved.
3. 'Bodily injury". "property damage' or "Per,
semi and advertising'injulr)r to any ern-
ployee of you or to any obligation of the
additional insured to Indemnity another
because of damages arising out of such
injury,
NIT
in dudes copyrighted marserat of ISO
C5CA4374213 Nope€ties,[no , with its permissibm Page 1of2
4. 13odlly Initary , "propaety cmaga" or 'peg-
swat and advertising inlunj' for v Rich the
Named Insured is afforded no covo age
under this policy of Insurance,
, With respect to the insurance afkrded to
these additional insureds, SECTION Fit - LINT-;
ITS OF INSURANCE Isamended`to Include:
The limits applicable to the additional Insured
are those specified In the written contract or
agreement or to the Declarations laratjgns of this Cov-
erage Pad, whichever is less. If no limier are
specified in the written contract car agreement,
the limits applicable to the addittonal insured
are those specified In the Oectarations ofi this
Coverage Part The lintits of Insurance are In-
ciusive a and nourt addition to the limits €if In-
surance shown In the Decla ation&
D. Min reaped to the insurance afforded to
these additional Insureds, SECTION IV -
COMMERCIAL GENERAL LMILITY CON-
DITTIONS, 4. Other Insurance,is amended to
fnduda
Any coverage provided herein will be excess
over any other valid and collectible insurance
available to the additional insured whether
primary, o=easd, contingent or on any other
basis unless you have acr-eed in a written con-
tract or written agreement executed prior to
any toss that this insurance will be primary..
This insurance wilt be noacontributory only if
you have Aso agreed in a written contract or
tnctwfas c opyr€gnrad ena€carat of ISO
Properties, Its.. 1thllts permission,
Page 2 of 2
ACOCERTIFICATE OF LIABILITY INSURANCE
DATE(MY)
03lO6/2020Re
/2020
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.
N 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
NAME: Nicole Noonan
PHO%NE (703) 530-1300 uc No : (703) 530-9994
Welch, Graham B Ogden Ins., Inc.
ADDRESS: nnoon.n@wgoins.corn
7723 Ashton Avenue
INSURER(S) AFFORDING COVERAGE
NAIL a
INSURER A: CSU Producer Resources, Inc.
Manassas VA 20109
INSURED /
INSURER B: Accident Fund General
12304
INSURER C:
The Olson Group Ltd J/
INSURER D:
300 N Washington Street
INSURER E:
Suite 600
INSURER F:
Alexandria VA 22314
COVERAGES CERTIFICATE NUMBER: 20-21 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
IRM25a
POLICY NUMBER
MWDONYYY)
(MMJDDNYYYI
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1.000,000
CLAIM$ -MADE ® OCCURVAM'ES'(E='
S '00,000
MED EXP (An Pne erson)
S 1.000
PERSONAL AADV INJURY
S 1.000.000
A
Y
CS00045016
02/13/20220
(/
02/1312021
/
GENT. AGGREGATE LIMIT APPLIES PER:
GENERALAGGREGATE
f 2,000,000
PRODUCTS - COMPIOPAGG
$ 2,000,000
POLICY ❑ J;CT 7 LOC
S
OTHER:
I
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
s 1,000,000
BODILY INJURY (Per PMeon)
S
ANY AUTO
BODILY IWURY IPer acdOmO
S
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
CS00045016
02/13i20?�D
✓
02/13/2021
t�
P nDAMA E
tl
5
f
UMBRELLALIAB
OCCUR
EACH OCCURRENCE
S 5,000,000
A
EXCESS LIAR
CLNMS-MADE
CS00068161
02/13/2020
02/13/2021
AGGREGATE
S 5,000.000
DED
RETENTION
B
WORKERS COMPENSATION
AND EMPLOYERS LIABILITY YIN
ANY PROPRIETORIPARTNERIE%ECUTIVE
OFFICEWMEMBER EXCLUDED?
(Mandatory In NH)
NIA
wCV6089388
03/14/2020
✓
03/14/2021
PER OT-
IN TA ft
E.L. EACH ACCIDENT
S 1,000,000
EL. DISEASE - EA EMPLOYEE
f 1,000,000
E.L. DISEASE -POLICY LINT
f 1,000,000
H vas. tlescMevMx
DESCRIPTION OF OPERATIONS OBImv
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD101. AddiOonal Remarks Schedule, may Oe aNachad H more apace Is mouired)
/
City of Santa Ana, its officers, agents, and employees are named as Additional Insured as required by Written contract, subject to policy forms and J
Conditions. 30 day notice of cancellation applies, except for non-payment. v//
REVIEWED & APPROVED
By RISk MANAGEMENT DjVI510N
City of Santa Ana
20 Civic Center Plaza
4th Floor
Santa Ana
A/NGIE ACEVEdc
CA 92710
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
(11OAL9n15 ACr1Rn
HOW.. resunmad
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
MAYOR
Miguel A. Pulido
MAYOR PRO TEM
Juan Viilegas
COUNCILMEMBERS
Cecilia Iglesias
David Penabza
Vicente Sarniento
Jose Solorio
CITY OF SANTA ANA
SANTA ANA POLICE DEPARTMENT
60 Civic Center Plaza
Santa Ana, California 92701
W .santa-ana.oro
May I5, 2019 J
The Olson Group, Ltd.
Attn: Kyle B. Olson
300 N. Washington St., Ste. 600
Alexandria, VA 22314
Re: Extension of Agreement #A-2016-252 to provide training course and exercises
Dear Mr. Olson,
CITY MANAGER
Kristine Ridge
CITY ATTORNEY
Sonia R. Carvalho
ACTING CLERK OF THE COUNCIL
Norma Mitre
Pursuant to Section 4 ("Term") of Agreement No. A-2016-252 ("Agreement') entered into by The Olson
Group, Ltd. and the City of Santa Ana, dated August 16, 2016. the time period of said Agreement is hereby
extended for an additional one ( I ) year period, from August 16. 2019 to August 15, 2020. The insurance
certificates are required to be extended and/or renewed to cover this extension. All other terms and
conditions of said Agreement remain unchanged and in full force and effect.
Sincerely.
David Valentin
Chief of Police
CITY OF SANTA ANA:
Kristine Ridge
City Manager
APPROVED AS TO FORM:
Sonia R. Carvalho
v Attorney
I IROM&
T mara Bogosian
Assistant City Attorney
CONTRACTOR
vie Ison
Presid t
ATTEST:
Norma Mitre
Acting Clerk of the Council
s REVIEWED & APPROVED
MAR 9 2U
{Uii A do
SANTA ANA CITY COUNCIL
MIgiH A Pulido Juan V llegas vl @ to Sa IWO D..d Penabza Jaae Solorio vacant Ce ha Iplavas
Mayor Mayor Pro Tem. Wart! 5 Word Ward] Ward3 Werda Wa a
mau idd&san aana om eoas2sanwna as renla@samaana.Ma doenatou�IDsarttaana oro rsdono�samaana na nolesiaalBsenlo-ana.om
0The
Olson
Group,
Ltd.
February 19, 2020
City of Santa Ana
Risk Management Division
20 Civic Center Plaza, 4th Floor
Santa Ana, CA 92702
RE: Anaheim/Santa Ana UASI Agreement
To Whom It May Concern:
300 N. Washington Street
Suite 600
Alexandria, VA 22314
P: (703) 518-9982, F: (703) 518-9988
w .olsongroupitdxonn
In response to the extension of Agreement No. A-2016-252 and requested
information on our automobile liability policy for the above referenced contract
does not own any vehicles. Should The Olson Group acquire any vehicles for
the duration of this contract we will:
1. Purchase any owned or all owned automobile insurance; and
2. Shall be primary, and any insurance carried by the City of Santa Ana
shall be excess and noncontributory.
Sincerely,
Kyl B.Olson
resident
c & g1ppovED
RtiV�E�MD A4EMENT DIVISION
By w5k
Z�
ANG`EVEdo
EXPERIENCE- INSIGHT -SERVICE