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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 'do.® rvlleda4l@SaMadna wo vsarmianlor&sanla-ana orn doenal.u0sanaana wa adwwhlsanlaana dro ualasms(Essnla-ana ora 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