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STRAIGHTLINE COMMUNICATIONS, LLC
INSURANCE NOT ON FILE WORK MAY NOT PROCEED CLERK OF COUNCIL A-2019-147 I& DATE: SkP 0 4 2019 FIRST AMENDMENT TO AGREEMENT WITH p, zH/A iX) STRAIGHTLINE COMMUNICATIONS THIS FIRST AMENDMENT to the above -referenced agreement is entered into on September 3, 2019, by and between Straightline Communications, LLC ("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 Agreement No. A-2018-086, dated April 3, 2018, by which Consultant agreed to prepare a comprehensive Water Quality Consumer Confidence Report and to provide related auxiliary support services for the Water Resources Division of the City's Public Works Agency ("Agreement"). B. The Agreement remains in effect through April 2, 2021, with provision for extension, and the parties now wish to expand the scope of work and increase the annual amount to be expended under the Agreement in consideration of the expanded scope. The Parties therefore agree: Section 1, Scope of Services, is amended to include the additional services related to the City's 2020 Dual Water and Census Campaign that are described in Exhibit A, as attached. 2. Section 2.a., Compensation, is amended to increase the total annual sum to be expended under the term of Agreement, including any extension periods, from $70,000 to $95,000. 3. 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 APPROVED AS TO FORM SONIA R. CARV/yA�LHO, City Attorney By: v2gh,/tVK- J M. FUNK Assistant City Attorney Is) I11'Li7,1[. 4TLy I&VAZV S�DGE` - City Manager CONSULTANT ne• mda O'Hanlon Title President Page 1 of 2 FOR APPROVAL FUAD S. S ISS, PE, PLS Executive Di ctor Public Work Auencv Page 2 of 2 ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/(YYY) 03/05/2020 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. 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 Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA 520 Madison Avenue 32nd Floor CONTACT NAME: PNONE_NI (888) 202-3007I In.Na; E ADDRESS contad@hiscox.com New York, NY 10022 INSURERS AFFORDING COVERAGE NAIC0 INSURER A: Hiscox Insurance Company Inc 10200 NSUREO STRAIGHTLINE COMMUNICATIONS NauREa e 14930 Greenleaf Street INSURER o Sherman Oaks CA 91403 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. TAR TYPE OF INSURANCE ADDL SUER Pam. NUMBER POLICY EFF POLICY Elm IJIrrB COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS�MADE OCCUR DAMAGE TO RENTED PREMISE Ee¢a f MED EXP (An ana E PERSONAL B ADV INJURY f GEML AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY EF � LOC PRODUCTS-COMP/OP ADD $ $ OTHER: AUTOMOBILE UABIDTY COMBINED SINGLE LIMIT Ea accident) $ BODILY INJURY(Perpemon) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accent) E PROPERTY DAMAGE War iscadimt $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY f UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CVJMS ADE DEO RETENTION f WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNERIEXECUTIVE EACH ACCIDENT $ OFFICE WMEMBER EXCLUDED? ElE.L. NIA EA -DISEASE -EA EMPLOYEE f (Mandatory In NH) It yes. Oesvitte under DESCRIPTION OF OPERATIONSWIse E.L. DISEASE -POLICY LIMIT f A Professional Liability Y Y UDC-1531232-EO-20 01/12/2020 01/12/2021 Each Claim: Aggregate: $ 1,000,000 $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Bchedule, may M attached U nora apace is rpuked) The CM of Santa Ana and its officers, employees, agents, vdun rs and representatives each while acting under the direction of The City of Santa Ana are named as additional insureds. Hiscox will provide 30 days notice of cancellation. The CM of Santa Ana / By RISK MANAGEMENT UNISIDIN 20 Civic Center Plaza J SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Santa Ana, CA 92701 MAR THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. �- AUTHORIZEDREPRESENTATWE AN1<1E AcEvEdo © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD I, CITY OF SANTA ANA RISK MANAGEMENTa &wacoa 4HUMAN RESOURCES Managlnq Rtsk mrotvh Posture Change ` WORKERS' COMPENSATION DECLARATION hereby affirm under penalty of perjury, the (Nome/Title) following declaration: Linda O'Hanlon I certify on behalf of Straightline Communications that during the term (Consultant/Company Name) of my contract for marketing and communications services with the City of Santa Ana, (Type of service provided) I will not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with the provisions and provide proof of workers' compensation coverage immediately. Date: February 14, 2020 z Print Name: Linda O'Hanlon Print Title: President Signature: LindaO'Hanlon wrmxio? is i i»-ss arar Telephone: 818-386-1916 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. By VM REVIEWED &APPROVMEW SEEDD MAW20 ANOE AcEvEdO 1:lRisk Mgmtllnsuronce Requirements�WC Declaration 08152019 A�oQQ® LLL`lll........_ CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYVI 02/15/2020 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. 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 Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA 520 Madison Avenue 32nd Floor CONTACT NAME: PHONE (OSS) 202-3007 nl EA Ess: contact@hiscox.com New York, NY 10022 INSURE S AFFORDING COVERAGE NAICS INSURER A: Hiscox Insurance Company Inc 10200 INSURED STRAIGHTLINE COMMUNICATIONS INSURER B : 14930 Greenleaf Street MSURERC: Sherman Oaks CA 91403 IN: D: INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW RAVE 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 TR TYPE OF INSURANCE ADDLSUBR Map INVID POLICYNUMBER POLICYEFP POLICYIDP CILLATE X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1000000 CIAIMS-MADE � OCCUR / DAMAGE PRES a oocurri S 100,000 MED EXP (Any one ) S 5,DOO ✓ X I Primary A Non Contributory PERSONAL S ADV INJURY S 0 A Y Y UDC-1531232-CGL-20 01/12/2020 01/12/2021 GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 2D00,00D X POLICY [::]jEa 7LOC PRODUCTS-COMPIOPAGG sSIT Gen. Agg. $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT EA scddent $ BODILY INJURY (Per person) S ANY AUTO OWNED ASCHED AUTOS ONLY UTOS ULED BODILY INJURY (Par seedless) f PROPERTY DAMAGE Per acd0ent $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY f UMBRELLA LIAR OCCUR EACH OCCURRENCE f AGGREGATE E EXCESS LIAR CLMMS-MADE DIED I RETENTION f WORKERS COMPENSATION ANDEMPLOYERS'LUIBILITY YIN PER OTH- T ANYPROPRIETORIPARTNERIEXECUTME E.L.ACH ACCIDENT S OFFICERflAEMBEREXCLUDED9 ❑ NIE.L. (Mandatory In NH) E.L. DISEASE -EA EMPLOYE f H yas, desitdte urde DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT f DEWM"ON OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks SehaduM, may ba aeached N moro apace h nW I City of Santa Ana, its officers, employees, agents, and representatives are Additional Insureds with respects to the Hisoox General Liability Policy on a Primary and Non -Contributory basis. The Hiscox General Liability Policy is endorsed with a Waiver of Subrogation, subject to the policy's terms and conditions. Hiscox will provide 30 Days' Notice of Cancellation with 10 Days' Notice for Non -Payment of Premium in accordance with the policy provisions. VCK I IF I.A I C HVLUCK k1a 1111\VTLV I.AKI.CLLAIIVK City of Santa Ana t5y HISk MANAQEMENT DIVISION Risk Management Division, 4th Floor SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 Civic Center Plaza u.e THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Santa Ana, CA 92702 MAR Q ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE AYGIE ACEVEdo (d 1OAA-On15 ACnRn CnRPORATlnN. All rinhte rpeprved I ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ci L UII`i'IIII t"II''IlG February 26, 2020 City of Santa Ana Risk Management Department To Whom It May Concern: In regards to the services we deliver to the City of Santa Ana, the Consultant does not own a business vehicle and is not driving to City properties. Services and products are delivered via Dropbox and other online platforms based on conference calls and emails from City staff. Thank you, 4aO'Hanlon President REVIEWED & APPROVED By Risk MANACIEMENT Division MAR 020 ANCiiE ACEVEdo 14930 Greenleaf Street I Sherman Oaks, CA 91403 1 www.straightlincomm.com