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HomeMy WebLinkAboutSIERRA CYBERNETICS INC (3)A-2017-022.03 MAYOR Miguel A. Pulido MAYOR PRO TEM Juan Villages COUNCILMEMBERS Phil Bacerra Cecilia Iglesias David Penaloza Vicente Sarmiento Jose Solodo 11'' 0 • Z}U I I mJct ehl er do INSURANCE ON FILE WORK MAY PROCKU UNTIL INSURANCE EXPIRES CLERK OF COUNCIL DATE: CITY OF SANTA ANA Sierra Cybernetics, Inc. Attn: Carl La Plante, President 5140 E. La Palm Ave., Ste. 201 Anaheim Hills, CA 92807 INFORMATION TECHNOLOGY DEPARTMENT 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 vrwwsanta•ana.orc January 21, 2020 CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Daisy Gomez Re: Third and Final Extension of Consultant Agreement No. A-2017-022 to furnish information technology professional services on an on -call basis Dear Mr. La Plante: Pursuant to Section 4 C Term' of Agreement No. A-2017-022 entered into by Sierra Cybernetics, Inc. (" Consultant"), and the City of Santa Ana, dated February 7, 2017, the Agreement was extended on January 28, 2019, for a one (1) year period from February 7, 2019 to February 6, 2020. By operation of this letter, the parties agree to a third and final extension of the term of this Agreement. The time period of the Agreement is hereby extended for an additional one (1) year period, from February 7, 2020 through February 6, 2021. The insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Agreement remain unchanged and in full force and effect. Sincerely, SIE �CYBB%7M r/ Jack glulla By: Carl La Plante Chief Technology Innovations Officer Title: President Info mation Technology Department CITY OF SANTA ANA A Kristine Ridge Daisy Gomez ; \, City Manager U Clerk of Council A1)PRgK$D )4 TO FORM Ryan SANTA ANA CITY COUNCIL Miguel A Pulldo Juan villages Mcenle Samlmlo David Penabn Jose SOIOIID Phi Dec. Cmlia Iglesias Mayor Mayor Pro Tam, Ward 5 Wad 1 Wam12 Wad 3 Ward 4 Ward 6 moulido0lianla-ana om 'AlleoasRil"Naana or vsamienla(Dsenle-amswg tleenaloza(bcanlaanaAra solorioclsanla-ana.ora Pbscege(Daenla-.ma ore cmIesies(a.mlaana.ora 06270 SIERR-1 OP ID' Rh A4Ci l CERTIFICATE OF LIABILITY INSURANCE DA08102o9toznDG"ol9 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 pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 18 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 Ileu of such endorsements . PRODUCER 714-283-1999 Wright, Finnegan &Carter Insurance Associates CT Certificate Dept. 714-283-1999 P o� X T14-283-1997 U�c,re,, Ent: F A�c, Nel: 23001 La Palma Ave 9100 Yorba Linda, CA 92887 John Carter, CIC f' ss: a Ca BS W C nsuranCe.Com INSURERISI A FOROING COVERAGE MAICI INSURERA:National Fire Insurance Co of 20478 B8I INISURED qq �a alma INSURER e: Hartford INSURER C: 514dAVe.#201 Anaheim Hills, CA 928117.2069 INSURER O: INSURERE: 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. I-1 TYPE OF INSURANCE ADD. INSDPOLICY S B NUMBER POLICY SFF POLICY EXP LMITB A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Business Owners X 1034949260 04/2012019 DQ2012020 EACH Or-MRRFWF s 1,Dill DA1MAGEGORENTED MFDEXPIAnyme f 300,000 X 10000 , _ PERSONAL A ADV INJURY S 1,000,000 AGGREGATE UMIITAPPLIES PER' POUCY ElM LOC GENERAL AGGREGATE s 2,000,000 GENL X PRODUCTS. r_ompto G 2,000,000 OTHER. EPL s 10,000 A AtWOMOBILEL1ABLTY LIaM01aI�g51NGLE LIMIT : 1,000,000 YI Y P r X ANY AUTO AUp OSIONLY AUCYODUUUEED AUTOS ONLY X FIITOS ONrJLQ 1034949280 04/20/2018 04/20/2020 3 ITNJJURY Pr ettident d Oe�cti'dontQAMAGE s UMSREILAUAB OCCUR EACH OCCURRENCE S A_G__GREGAT_E__ EXCESS LWB _ CLAIMS -MADE RETENTIONS DpNDEERDg AID EMPLOYEAREL413p.ON _mil ANY 9421 RIETORIP�LUUDEDD? CUfIYE Yj I AF PROPEMgER LJ S ,Use. II yyes, dIPTION under Nnd DF.SCPIPTInN OF npERATInNS belay. NIA OTF4 01 IER EL EACH ACCIDENT S E.L DISEASE. -EA EMPLOYEE f EL DISEASE - PnUCY LIMIT A Bus Pers Prop 1034949260 04/2012019 04/2012020 Limit 31,389 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Adult one[ Schedule, me, be athched Ir more space Is regVlred) EESResume ADDITIONAL INSUTHE CITY OF RED & PRIMARY WORdIITS OFFICERS NOPAPPLIES PER THE BLANKETSADD ADDITITATIVES ONAL REVIEWED &APPROVED INSURED ENDORSEMENT ATTACHED TO THE POLICY -AS REQUIRED BY WRITTEN By RISK MANAGEMENT DIVISION CONTRACT. 30 DAY WRITTEN NOTICE OF CANCELLATION WILL BE PROVIDED TO THE CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA, SANTA ANA, CA 92701. 30 DAY A 2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN THE CITY OF SANTA ANA ACCORDANCE WITH THE POLICY PROVISIONS. RISK MANAGEMENT DIVISION 20 CIVIC CENTER DRIVE AUTHORIZED REPRESENTATIVE 4TH FLOOR 7 iSANTAA C 9 Y"^ :2018/03) © 1988-2015 ACORD CORPORATION. All rinhtR rss served The ACORD name and logo are registered marks of ACORD = Policy# 1034949260 BLANKET ADDITIONAL INSURED AND LIABILITY EXTENSION El This endorsement modifies insurance provided under the fohowingi BUSINESSOWNIERS LIABILITY COVERAGE FORM BUSINESSOWNERS COMMON POLICY CONDITIONS SB14f3932F (Ed 6-16) TABLE OF CONTENTS L . Blanket.Additional Insured Provisions A. _ Additional Insured-BlanketVendors B. Miscellaneous Additional Insureds B Additional Provisions Pertinent to Additional Insured Coverage 1. Primary—Noncontrlbutory provision 2. Definition of "written contract" 11. Liability Extension Covergges A. Bodily injury — ExpandedDefinHion B. Sioad Knowledge of Occurrence C. Estates, Legal Representatives and Spouses D. Legal Liability —Damage to Premises E. Personal and Advertising 1ltfury — Discrimination or Humiliation F. Personal and Advertising Injury — Broadened Evfctfon G. Waiver of Subrouation - Blanket I. BLANKET ADDITIONAL INSURED PROVISIONS A. ADDITIONAL INSURED — BLANKET VENDORS Who Is An Insured is amended to include as an additional insured any person or organL-ation (refen-ed to below as vendor) with whom you agreed under a 'Vvritten contract" to provide Insurance, nut only wits, respect to "bodily injuryor "property damage" arising out of "your pr?ducts" which are distributed or sold in the regular course of the vendor's business. subject to the following additional exclusions: 1. The insurance afforded the vendor clops not apply to. a. "Bodily nr-iiy' or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement, h. Any express warranty unauthorized by you c. Any physical or chemical change in the, product made intentionally by the vendor d. Repackaging; except when unpacked solely for the purpose or inspection, demonstration, testing; or the substitution of parts under inst1rctions from the manufacturer, and theri repackaged in the ariginal oontalner, Page 'I of r By Risk MANAGEMENT I;.oe%"i�7ht. lldi� All Ripris ResFrfeA 22 2 9 FRANCINE R. VILLAREAL CMA SB146932F ('Ed. 6-'16; e. Any failure to make Such inspectionsadjustments tests or servicing as the Vendor has agreed to make or normally undertakes to make in the usual course of business. in connection with the distribution or sale of the products: f. Demonstration, installation, servicing or repair operations, except such operations percrmed at the vendor's premises in connection' with the sale of the product: g. Products which, after distrituition or sale by you, have been labeled at relabeled or used as a container, part or ingredient of any other thing Of substance by or for the vendor. or In"Bodily injury" or "property darmage" arising out of the sole negligence of the vendor fur its awn acts or omissions of those of its employees or anyone else acting on its behalf. However. this exclusion does not apply to: (1) The exceptions contained in Subparagraphs d. or f.; or (2) Such inspections; adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual Bourse of business, 111 connection with the distribution or sale of the products. 2. This insurance does not apply to any insured person or organization, hrorm Vvhom you have acquired 5nDh products, of any ingredient part or container; entering into, accompanying or containing such products. 3. This provision 2. does not apply to any vendor included as an insured by an endorsament issuad bg us and made a part of this Policy 4. This provicion 2. does not apply if "bodily injury" or "property damaga" included within tiro "praducts- completed operations hazard" is excluded either by the provisions of the Policy or by endorsement B. MISCELLANEOUS ADDITIONAL INSUREDS 1. Who Is An Insured is amended to include as an insured any person or organization (called additional insured) deaoribed in parayrephe 3.a. through a.j. below whom you are required to add as an additional insured on this policy under a "written contract 2. I-lotaever, subjel always to the temta Lind conditions of this policy, including the lunita of insurance, the will not provide the additional insured with: a. A higher limit of Insurance than required by such "eVfhten contract" h. t;overa, a broader than required by such "written contract" and in no event greaterthan that described by the app?cable paragraph a through k belovi, or c. Coverage for "bodily injury^ or "property damage" included +thin the "produots•co•nipleted ot,eretions hazard' But this paragraph c, does not apply to the extent coverage for such liability is provided by paragraph 3.j. below Any coverage granted by this endorsement shall apply only to the extent permitted by lac-; 3. Only the folkwving persons or organizations can qualify as additional insured,,; under this endorsement a. Controlling Interest .Any persons or organizations with a controlling interest In you but only "vhh respectto their liability arising out or. Page ,2 of 7 (1) such person or orgdnl-aeon's financial control of you; or (2) Premises such person or organizaton owns. maintains or controls while you lease or occupy these premises: provided that the coverage granted to such additional insureds does not apply to structural alterations, neN construction or demolition operations performed CN or for such additional insured. CopAatCNA Al Riahls Reser.ed +FOCINE'RNMILREAL CMA Page : of 7 8B1A692F (Ed 6-16) b. Co-owner of Insured Premises A co-owner of a promises co -owned by you and covered under this insurance bLlt only with respect to the co -owners liability for "bodily Inlun/, "property damage" ui "personal and arhrertising injury" as co-o+n'nel Of such premises. c. Grantor of Franchise Any person or organization that has granted a franchise to you. but only v:ithi respect to such person or organization's liability for "bodily injury", "property damage". or "personal and advertising injury" as grantor of it franchise to you d. Lessor of Equipment Any r erson of organization ftom whoiy you lease equipment. but only with respect to liahility for "bodily injury', "property damage" or "personal and advertising injury" caused in whole or irl part by your maintenance: operation Or use or such equipment, provided that the "occurrence" giving rise to such "bodily injury" or "property damage" or the offense diving rise to such "personal and aU,'artlsing injury" takes place prior to the tennination of such lease e. LessorofLand Any person or organization from whom you lease land. but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" arising out of the ownership, maintenance or use of that specific part of the land leaser.) to you, provided that the "occurrence" giving rise to such "bodily injury" or "property damage" or the offense giving rise to such "personal and advertising injury', takes place priorto the termination of such lease. I he insurance hereby afforded to the additional insured does not apply to structural alterations nev] construction or demolition operations performed by; on behalf of or for such additional insured t. Lessor of Premises An owner or lessor of premises leased to you, or such owner or lessor's real estate manager. but only .with respect to liabiliv for "bodily injury", "property damage" or "personal and advertising injury" arising out of the ownership, maintenance or use Of stanch part of the premises leased to you and provided that the "occurrence" giving rise to Such "bodily injury' or "property damage" or the offense giving rise to such "porsonal and advertisin injury". takes place priorto the termination of such lease The insurance hereby afforded to the additional Insured does not apply to structural alterations. new construction or demolition operations portomted by, on behalf of or for such additional insured, g. Mortgagee, Assignee or Receiver A mortgagee, assignee or receiver of premises but only with respect to such mortgagee, assignee, or recet)ees liability for "bodily injury", "proper, damage" or "personal and advertising injury' arising ou; of the ownership, maintenance: or use of a premises by you This insuranoe does not apply to structural alterations new construction or demolition operations performed by, on behalf of or for such additional insured It. State or Politicai Subdivisions A state or government anency or subdvision or poiitioal subdivision that has issued a permit or authorization, but only with respect to such ga!emment agency or subd'eeision or political subdivision's lability for "bodily injury", "property dammage" or "personal and ad,,ertisu g injury" arising out ot: (1) The following hazards in Connection with premises you own. rent, or ontrol and to which this insurance applies: (a) The existence, maintenance. repair. construction erection or removal of advertising signs, awnings, canopies, cellar entrances• coal holes driveways. manholes marquees, hoistaway openings; sudevralt vaults, sheet banners, or decorations and similarezPosures; or (b) The construction, erection, or removal of elevators. or (c) The ovmership. maintenance or use of any elevators covered by this Insurance' or Copy-ight C44A All RiglYe Reserved FRANCINE R. tVILLAREAL �-/� SB 1 y6932F ,A (Ed 6-16) (2) The permitted or author red operations performed by you or on your behalf But th'a coverage granted by this paragraph does not apply to: (a) "Bodily injury", "property damage" or "personal and a6fertising in0y' arising out of operations performed for the state orgovernlnent agency or subdivision or polrical sub&ision. or (b) "Bodily injury' or "prope,Yy damages' included within the "produots-completed operations hazard " With respect to this provision's requirement that additional insured status must be requested under a "Written oonL2ct". we will treat as a Vritten contract' any governmental permit that requires you to add the governmental entity as an additional insured r. Trade Show Event Lessor With respect to your participation iri a trade show event as an exhibitor presenter or displayer, any person or organization .whom you are required to nlolude as an additional insured but only wtth respect to such person or organization's liabilit✓ for "bodily injury", "property damage", or ';personal and advertising injury, cause by: a, Your acts or omissions: or b. Acts or omissions or those acting an your benalr: in the performance of your ongoing operations at the trade show premises during the trade show event. j. Other Person or Organization Any person or organization who is not on additional insured under paragra phe a. through 1. above 6uoh additional insured is an insured solely for "bodily injury. "property dainage" or "personal and advertising injury" for -which such additional insured is liable because of your acts or omissions The coverage granted by this paragraph does not apply to any person of organization (1) For "bodily injury," "property damage." or "personal and advertising injury' arising out of the rendering or failure to render any professional services: (2) For "bodily Injury" or "'property damage" Included In the "products•compteted operation: hazard" But this provision (2) does not apply to such "bodily injury" or "property damage" If. (a) It is entirely due to your negligence and specifically results from your work for the additional insured which is the subject to the "written contract and (b) The'Written contract' requires you to make the person or organization an additional insured for such "bodily injury'' or "property damage': or (3) Who Is afforded additional insured coverage under another endorsement attached to this policy. C. ADDITIONAL PROVISIONS PERTINENT TO ADDITIONAL INSURED COVERAGE With respect only to additional insured coverage provided under paragraphs A and B. above: 1. Tine BUSINESSOWNERS COMMON POLICY CONDITIONS are amended to add the forming to the Condition entitled Other Insurance: This Insurance is e.;cess of all other insurance available to an additional insured whether primary, excess, contingent or on any other basis Hovewor, if a ".kritten contract" requires that this insurance be either primary or pdmar✓ and noncontributing, then this insurance will be primary and non -Contributor' relative solely to insurance on which the additional insured Isa named Insured 2. Under Liabilk and Medical Expense Definitions. the follawing definition is added: Page ? of T "Written contract" meaiis a written contract or agreement That requires you to make a person or organization an additional insured on this policy. provded the contract or agreement a. Is curYently in erect or bstc)rnes effeCttvd during the teeth of this policy: and b. Was executed prlorto: � 201 Copyrigilt. 044 Al Rights Reserved 4FRA CFRA LINE R. VILLAREAL CAM $871) {Edd 5-15) (1) The "bodily inyrry" or "proper't; damage"; or (2) The offense That caused the "personal and advertising injury': for,vhich the additional Insured seeks coverage It. LIABILITY EXTENSION COVERAGES It is understood and agreed that this endorsemenl. amends the Businessowners Liability Coverage Form. If any Other endorsement attached to this policy amends any provision slso amended by this endorsement. then that other endorsement controls with respect to such provision, and the changes made hy this endorsement to such provision do not apply. A. Bodily Injury - ExpondedDefinition Under Liability and Medical Expenses Definitions the definition of "Bodily inlury" is deleted and replaced by the following: "Bodily injury" means physical injury, sickness or disease sustained by a person: including death, humiliation, shock, mental anguish or mental injury by that person at any time which results as a consequence of the physical injury: sickness or disease B. Broad Knowledge of Occurrence Under B&lsinessoy,ners Liability Conditions, the Condition entitled Duties In i he Event of Occurrence, Offense, Claim or Suit is amended to add the following: Paragraphs a. and b. above apply to you or to any additional inauied only when ouch "occurrence," offense, claim or %uit" is known to: (1) You or any additional insured that is an individr ral; (2) Any partner, if you or an additional insured is a partnership: (3) Any manager. If you or an additional insured is a limited liability company: (4) Any "executive officer" or insurance manager ,f you or an additional insured is a corporation: (5) Any trustee, if you or an additional insured is a trust or (6) Any elected or appointed official, If you or an additional insured is a political subdivision or public entity. This paragraph applies separately to you and any additional insured C. Estates, Legal Representatives and Spouses the estates, nelrs, legal representamles ana spouses or any natural person Insured shall also be insured under this policy; provided, however. coverage is afforded to such estates, heirs: legal reprasontatRres and spouses only for claims arising solely out of their capacity as such and. in the case of a spouse, v;here such claim seeks damages fmrn marital common property, jointly held property, or property trbnsreried frorn such natural person insured to such spouse No coverage is provided for any act error or omission of an estate, heir legal representative or spouse outside the scope of such person's capacity as such, provides nowe,rer that the spouse of a natural person Named Insured and the spouses of members or partners of joint venture or partnership Namtci Insunz-ds ate Insureds with respect to such spoureS acts errors or omissions in the conduct of the Named Insured'a business D. Legal Liability - Damage To Premises 1. Under B. Exclusions, 1. Applicable to Business Liability Coverage, EX01USIOn k. Damage To Property is replaced by the following k. Damage To Property "Property damage" to 1. Property you oknrn, rent or occupy, including any costs or expenses incufred by you or any other person, organiZatlon cr entity, for repair, replacement, enhancement, restoration or maintenance of S1314C922F (5-16) REVIEW rV IN M", Page 5 of f BY Risk MANAGEMENT PCINARNIL�LAUEAIL 2 2019 �Copiiaht. CNA All Rights Resernd a 1t�A SB 146932F CAM (Ed. 6-16) such property for any reason including pre\.lention of injury to a person or damage to another's Property: 2. PrernlSeS you sell, give oraay or abandon, if the "property damage" asses out of any part of those premises: 3. Pr.aperty loaned to you. 4. Personal property in the care, custody or control of the illsuredt 5. That particular part of any real property on ,vhicn you or any contractors or subcontractors :.-vorking directly or indirectly in your behalf are performing operations, if the "propem damage" arises out of those Operations: or 6. That particular part of any property that must be restored, repaired or replaced tecause "your uvork' 4vas incorrectly perfonred on it. Paragraph 2 of this exclusion does not apply if the premises are "your stork" and ,'refe never oceuplod, rented or held for rental by you. Paragraphs 1, 3. and 4, of this exclusion do not apply tg "property damage" (other than damage by fire or explosion) to premises (1) rented to you: (2) temporarily occupied by you with the permission of the owner, or (3) to the contents of premiaee rented to you for a period of 7 or fewer ooneeoutive days. A separate Intuit of insurance applies to Damage To Premises Rented To You as described in Section D— Liability and Medical Expenses Limits of Insurance Paragraphs 3, 4. 5. and 6 of this exclusion do i apply to liability, assumed under a sidetrack agreement. Paragraph 6 of this exclusion does not apply to "property damage" included in the "products•completed operations hazard " 2. Under B. Exclusions, 1. Applicable to Business Liability Coverage, the follioving paragraph is added, and replaces the similar paragraph; if any, beneath paragraph (14) of the exe!tision entitled Personal and Advertising Injury: Exclusions c, d, e, f, g, h, I, k, I, in, n, and o, do not apply to damage by fire to premises vrhile rented to you or te.mporanly occupied by you with permission of the ownaror to the oontents of pn_miscs rented to you for a period of 7 or fe'vrer oonSecutiva days. A separate limit of insurance applies to this coverage as described In Section D. Liability And Medical Expenses Limits Of Insurance 3. The first Paragraph under item 5. Damage To Premises Rented To You Limit cf the section entitled Liability And Medical Expenses Limits Of Insurance .a replaced by the following The mdkGt we will pray under 3usiness Lability for damages because of "propady damage" to tiny one premises while rented to you or temporarily Occupied by you with the permission or the ov;ner. including contents of such premises rented to you for a period of 7 or fewer consectrive days, is the Drainage to Premises Rented to You limit shown inM., Declaration. E. Personal and Advertising Injury— Diseriminatibn or Humiliation 1. Under Liability and Medical Expenses Definitions, the dennition of "Personal and advertising injury" Is amended to add the following: h. Discrimination of humlllatien that results in iii)ury to the feelings of reputation of a natural peison but only it such discrimination or humiliation is: (1) Not clone Intention ally by or at the direction of: (a) The Insumd: it Page 6 of 7 2 2 t9 U cap,:rionr CNA All Rii Resered FRANCINE R. VILLAREAL 111111111 ClVA 5BiAB93Y (Ed 6-15) (b) Any "executive officer," director. stockholder partner, member or manager (if you are a limited liability company) of the insured; and (2) fJol directly or indirectly related to the employment, prospective employment, past employment ur termination of employment of any person or person by any insured 2. Under B. Exclusions, 1. Applicable to Business Liability Covaraga, the exclusion entitled Porsonal and Advertising injury is amender.) to add the following additional exclusions: (15) Disc rimination Relating to Room, Dwelling or Premises caused by discrimination directly or indirectly related to the sale rental, lease or sub -lease or prospective sale, rental, lease. or sub -]ease of any room, dowelling or premiseo by or at the direction of any insured (16)Employment Related Discrimination Discrimination or humiliation directly or indirectly related to the employment, prospective employment, past employment or termination of employment of any person by any insured (17)Fines or Penalties rines or ponaltioc Isviad or imposed by a govornmontal amity bacauss of discrimination 3. This provision (Personal and Advertising Injury — Discrimination or Humiliation) does not apply if Personal and Advertising injury Liablllty is e>:oluded either by the provisione of the Policy, or by endorsement F. Personal and Advertising Injury - Broadened Eviction Under Liability and Medical Expenses Definitions the definition of 'Personal and aU,ertising injury" is amended to delete Paragraph c and replace it With the following: c. The wrongful eviction from, wrongful entry into, or invasion of the right of private occupancy of a room dwelling or premises that a person or Organ ",.ton occupies committed by of on behalf of its owner, landlord or lessor G, Waiver of Subrogation —Blanket We vrahie any right of recovery we may have against: a. Any person or organi�!atien with whom you have a written contract that requires %tch a waiver rill other terms and conditions of the Policy remain unchanged REVIEWED & APPROVED ByRisk MANA1LjMtN Page i of 1 AU 2 21 000Ynaht: vNA All Rlahl6 Resr;rved FRANCINE R. VILLAREAL CNN CNA601 o3Xx (09-14) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies Insurance provided under the folluwiny: BUSINESSOtNNERS COMMW POLICY CONDITIONS The following is added to Paragraph K Other Insurance and supersedes any provision to the contrary. Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution Bern any other insurance available to an additional insured under your Policy provided that: 1. The additional insured is a Named Insured under such other insuranoe; and P. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek oontnbutlon from any other Insuiance available to the additional insured All other terms and conditions of the Policy remain unchanged. Page 'I of 1 REVIEWED & APPROVED By RJisk MANAGEMENT DIVISION Capyoglt LHA Q Rlphts Resented. Includes eopYi{{neMmAtedal of Insufpnce SeNIcCS Office. in vAh its p". imslcit CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDM'YY) 0811412019 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 polley(les) must 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 endomement(s). PRODUCER CONTACT AME: AL KRUEGER AL KRUEGER P"c°°. N..Exnl 714-779-0560- -- - we Noa: 714-779-G704 4501 E. LA PALMA AVE., #120 oaaesa' alkneageragentQgmall.mm ANAHEIM, CA 92807 ...........1.1 ---- -T ...._. INSURED SIERRA CYBERNETICS INC., 5140 E. LA PALMA AVE., #201 ANAHEIM, CA 92807 INSURER A; State Compensation Insurance Fund of California INSURER B: Admiral Insurance Company COVFRAGFS CFRTIFICATF MIIMRFR. RclTtmnM Muutavo. 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. IrvSR _- ADO[jyUbN' POLICY EFF POLICY XP qp TYPE OF INSURANCE I ' POLICY NUMBER MMIIEA Yy MMR)OIYYY LIMITS CONMERc1AL GENERAL LIABILITY EACH OCCURRENCE $ CUIGS-MADE !OCCUR .. _ AIJMGEREaaai vrrmo-- 5 MED EXP(Any om P.rs.n) S _ PERSONAL a AOV INLRY S _ OENERALAOGREWE GGEEN'L AGGREGATE LMIT APPLIES PER: POLICY JECT _ LOU PRODUCTS - COMATHP AGE S OTHER: -s. AUTOMOBILE 1I� LIABILITY COMBINED IINGLE UMI E..cdd0 0 S S ZANY AUTO BODILY INJURY Spar p.rwnl ALL OWNED SCHEDULED AUTOS ;AUTOS I HIREDAUTOS NON -OWNED AUTOS BODILY INJURY (Per eFmeM1 PROPERTY DAMAGE: __ S - - S UMBRELLA LMB (OCCUR EACH OCCURRENCE S AGGREGATE s EXCESS WC CLAIMS,XMI E S DE-0 RII ETENRONS WORKERS COMPENSATION OTH- L� A AND EMPLOYERS' LIABILITY YIN ANYMIOPRIETORPARINENEXCCUIVE ❑iN/A OFFICERIMEMBER EXCLWE07 A/ iD27670-19 0/13fIR019 Odl]OR020 E.L.EACH ACCIDENT S 1.000,000 - EL. EISEASE-EA ENUPLOYEE (MandNorylnNNl rye a.mro..M., DESCRIPTION OF OPERATIONS balmy J` It 1,000,000 EL.mSEASE-POLICYUMT S 1,000,000 g PROFESSIONAL LIABILITY X E0000046785-02 001144?020 i0WVU2021 Each Claim s 1,000.000 Aggregate S 2,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES 1ACORD 101, Atld1110nal Remarks SclmdUl., may be attached d more spate I. n REVIEWED &APPROVED By RISIC MANAGEMENT DIVISION Z 22 19 crT a.nnt.c��rpnvry � ---- �— City Of Santa Ana Risk Management Division 20 Civic Canter Plaza. 4th Door Santa Ana . CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THIRTY Ise) DAY PRIOR WRITTEN NOTICE OF CANCELLATION AUTHORIZED REPRESENTATIVE �Ba V 1BHd-ZU14 ACUKU UUKPUKA] IUN. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SIERRA CYBERNETICS 5140 E. LA PALMA AVE., SUITE 201 a ANAHEIM HILLS, CA 92807-2069-714-921-1212 o FAX 714-921-2086 26 March 2019 Melanie Torres Information Technology Department 20 Civic Center Plaza, M-42 Santa Ana, CA 92701 Subject: Sierra Automobile Insurance Reference; Agreement A-2017-022-02 Dear Melanie, Please find this letter as confirmation in addressing item B for Automobile Liability Insurance. Sierra Cybernetics, Inc. consultants do not drive their cars during work hours for any City of Santa Ana business. Sierra Cybernetics, Inc. consultants drive their own vehicles to and from work, and carry their own automobile insurance. Sierra Cybernetics, Inc. does not pay for commute time for consultants that are assigned to The City of Santa Ana. If Sierra Cybernetics, Inc, consultants drive during their lunch hour, it is at their own risk, and are covered by their own vehicle insurance. Sincerely yours, Carl LaPlante President RgE VIEWED & AINAcEMPPRENTpOV oD Risk /1ACNE R2 VzIL1LARE,AL