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oz O z AGREEMENT TO PROVIDE VIDEO SURVEILLANCE MAINTENANCE
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> p THIS AGREEMENT is made and entered into this 18th day of February, 2020 by and between
z ¢ Y wWachter, Inc. ("Contractor'), and the City of Santa Ana, a charter city and municipal corporation
CU Qorganized and existing under the Constitution and laws of the State of California ("City").
Cl) p
z 3� RECITALS
A. The City desires to retain a contractor to provide on -call services to maintain the
video surveillance system at the Santa Ana Regional Transportation Center.
B. Contractor originally installed the system and represents that it is able and willing
to provide such services to the City following the expiration of the system's
warranty period.
C. In undertaking the performance of this Agreement, Contractor represents that it is
knowledgeable in its field and that any services performed by Contractor under this
Agreement will be performed in compliance with such standards as may reasonably
be expected from a professional contracting firm in the field.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the
terms and conditions hereinafter set forth, the parties agree as follows:
1. SCOPE OF SERVICES
On an as -needed basis, and at the sole discretion of City, Contractor shall perform the
services that are described in Exhibit A.
2. COMPENSATION
a. City neither warrants nor guarantees any minimum or maximum compensation to
Contractor under this Agreement. Contractor shall be paid only for actual services
performed under this Agreement at the rates and charges identified in Exhibit A.
The total sum to be expended under this Agreement, including for any extension
periods, shall not exceed $10,000. V
thirty (30)
b. Payment by City shall be made within Carty -€tve(45) Wys following receipt of
proper invoice evidencing work performed, subject to City accounting procedures.
Payment need not be made for work which fails to meet the standards of
performance set forth in the Recitals and Scope of Work, which may reasonably be
expected by City.
3. TERM
This Agreement shall commence on the date first written above and terminate on February
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17, 2021. The tern of this Agreement may be extended for a one (1) year period upon a writing
executed by the City Manager and the City Attorney.
4. INDEPENDENT CONTRACTOR
Contractor shall, during the entire term of this Agreement, be construed to be an
independent contractor and not an employee of the City. This Agreement is not intended nor shall
it be construed to create an employer -employee relationship, a joint venture relationship, or to
allow the City to exercise discretion or control over the professional manner in which Contractor
performs the services which are the subject matter of this Agreement; however, the services to be
provided by Contractor shall be provided in a manner consistent with all applicable standards and
regulations governing such services. Contractor shall pay all salaries and wages, employer's social
security taxes, unemployment insurance and similar taxes relating to employees and shall be
responsible for all applicable withholding taxes.
5. OWNERSHIP OF MATERIALS
This Agreement creates a non-exclusive and perpetual license for City to copy, use,
modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property
embodied in plans, specifications, studies, drawings, estimates, and other documents or works of
authorship fixed in any tangible medium of expression, including but not limited to, physical
drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or
caused to be prepared by Contractor under this Agreement ("Documents & Data"). Contractor
shall require all subcontractors to agree in writing that City is granted a non-exclusive and
perpetual license for any Documents & Data the subcontractor prepares under this Agreement.
Contractor represents and warrants that Contractor has the legal right to license any and all
Documents & Data. Contractor makes no such representation and warranty in regard to
Documents & Data which were provided to Contractor by the City. City shall not be limited in
any way in its use of the Documents and Data at any time, provided that any such use not within
the purposes intended by this Agreement shall be at City's sole risk.
6. INSURANCE
Prior to undertaking performance of work under this Agreement, Contractor shall maintain
and shall require its subcontractors, if any, to obtain and maintain insurance as described below:
a. Commercial General Liability Insurance. Contractor shall maintain commercial
general liability insurance naming the City, its officers, employees, agents,
volunteers and representatives as additional insured(s) and shall include, but not
be limited to protection against claims arising from bodily and personal injury,
including death resulting therefrom and damage to property, resulting from any
act or occurrence arising out of Contractor's operations in the performance of this
Agreement, including, without limitation, acts involving vehicles. The amounts
of insurance shall be not less than the following: single limit coverage applying to
bodily and personal injury, including death resulting therefrom, and property
damage, in the total amount of $1,000,000 per occurrence, with $2,000,000 in the
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aggregate. Such insurance shall (a) name the CITY, its officers, employees,
agents, volunteers and representatives as additional insured(s); (b) be primary
with respect to insurance or self-insurance programs maintained by the CITY; and
(c) contain standard separation of insureds provisions.
b. Business automobile liability insurance, or equivalent form, with a combined single
limit of not less than $1,000,000 per occurrence. Such insurance shall include
coverage for owned, hired and non -owned automobiles.
C. Worker's Compensation Insurance. In accordance with the California Labor Code,
Contractor, if Contractor has any employees, is required to be insured against
liability for worker's compensation or to undertake self-insurance. Prior to
commencing the performance of the work under this Agreement, Contractor agrees
to obtain and maintain any employer's liability insurance with limits not less than
$1,000,000 per accident.
d. If Contractor is or employs a licensed professional such as an architect or engineer:
Professional liability (errors and omissions) insurance, with a combined single limit
of not less than $1,000,000 per claim with $2,000,000 in the aggregate.
C. The following requirements apply to the insurance to be provided by Contractor
pursuant to this section:
f. Consultant shall maintain all insurance required above in full force and
effect for the entire period covered by this Agreement.
ii. Certificates of insurance shalt be furnished to the City upon execution of
this Agreement and shall be approved by the City.
iii. Certificates and policies shall state that the policies shall not be canceled or
reduced in coverage or changed in any other material aspect without thirty
(30) days prior written notice to the City.
iv. Where the amounts or coverage provided by the certificates of insurance
provides coverage greater than those listed by this Agreement, the amounts
provided by the certificates of insurance shall be incorporated by reference
into the Agreement.
V. Consultant shall supply City with a fully executed additional insured
endorsement.
f If Contractor• fails or refuses to produce or maintain the insurance required by this
section or fails or refuses to furnish the City with required proof that insurance has
been procured and is in force and paid for, the City shall have the right, at the City's
election, to forthwith terminate this Agreement. Such termination shall not affect
Contractor's right to be paid for its time and materials expended prior to notification
of termination. Contractor waives the right to receive compensation and agrees to
indemnify the City for any work performed prior to approval of insurance by the
City.
Page 3 of 8
7. INDEMNIFICATION
Contractor agrees to defend, and shall indemnify and hold harmless the City, its officers,
agents, employees, consultants, special counsel, and representatives from liability: (1) for personal
injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for
personal injury, including death, and claims for property damage, which may arise from the
negligent operations of the Contractor or its contractors, subcontractors, agents, employees, or
other persons acting on their behalf which relates to the services described in section 1 of this
Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution,
judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement.
This indemnity and hold harmless agreement applies to all claims for damages, just compensation,
restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the
events referred to in this Section or by reason of the terms of, or effects, arising from this
Agreement. The Contractor further agrees to indemnify, hold harmless, and pay all costs for the
defense of the City, including fees and costs for special counsel to be selected by the City,
regarding any action by a third party challenging the validity of this Agreement, or asserting that
personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal
or property rights arises by reason of the terms of, or effects arising from this Agreement. City
may make all reasonable decisions with respect to its representation in any legal proceeding.
Notwithstanding the foregoing, to the extent Contractor's services are subject to Civil Code
Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section.
2782.8, to claims that arise of, pertain to, or relate to the negligence, recklessness, or willful
misconduct of the Contractor.
S. RECORDS
Contractor shall keep records and invoices in connection with the work to be performed
under this Agreement. Contractor shall maintain complete and accurate records with respect to
the costs incurred under this Agreement and any services, expenditures, and disbursements
charged to the City for a minimum period of three (3) years, or for any longer period required by
law, from the date of final payment to Contractor under this Agreement. All such records and
invoices shall be clearly identifiable. Contractor shall allow a representative of the City to
examine, audit, and make transcripts or copies of such records and any other documents created
pursuant to this Agreement during regular business hours. Contractor shall allow inspection of all
work, data, documents, proceedings, and activities related to this Agreement for a period of three
(3) years from the date of final payment to Contractor under this Agreement.
9. CONFIDENTIALITY
If Contractor receives from the City information which due to the nature of such
information is reasonably understood to be confidential and/or proprietary, Contractor agrees that
it shall not use or disclose such information except in the performance of this Agreement, and
further agrees to exercise the same degree of care it uses to protect its own information of like
importance, but in no event less than reasonable care. "Confidential Information" shall include all
nonpublic information. Confidential information includes not only written information, but also
information transferred orally, visually, electronically, or by other means. Confidential
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information disclosed to either party by any subsidiary and/or agent of the other party is covered
by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any
information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the
Contractor disclosed in a publicly available source; (c) is in rightful possession of the Contractor
without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e)
is independently developed by the Contractor without reference to information disclosed by the
City.
10. CONFLICT OF INTEREST CLAUSE
Contractor covenants that it presently has no interest and shall not have interests, direct or
indirect, which would conflict in any manner with performance of services specified under this
Agreement.
11. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this Agreement
shall be in writing and shall be deemed to be properly given if delivered in person or mailed by
first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in
the manner provided in this Section, to the following persons:
To City: Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
Fax 714- 647-6956
To Contractor:
Executive Director
Public Works Agency
City of Santa Ana
20 Civic Center Plaza (M-21)
P.O. Box 1988
Santa Ana, CA 92702
Fax 714-647-5635
Wachter, Inc.
17536 Von Karman Ave
Irvine, CA 92614
With copy to:
Wachter, Inc.
16001 W. 99th Street
Lenexa, KS 66219
Attn: Phil Kennedy
A party may change its address by giving notice in writing to the other party. Thereafter,
any communication shall be addressed and transmitted to the new address. If sent by mail,
communication shall be effective or deemed to have been given three (3) days after it has been
Page 5 of 8
deposited in the United States mail, duly registered or certified, with postage prepaid, and
addressed as set forth above, If sent by fax, communication shall be effective or deemed to have
been given twenty-four (24) hours alter the time set forth on the transmission report issued by the
transmitting facsimile machine, addressed as set forth above. For purposes of calculating these
time frames, weekends, federal, state, County or City holidays shall be excluded.
12. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Contractor regarding the subject matter herein, and supersedes any and all other agreements, oral
or written, between the parties. In the event of a conflict between the terms of this Agreement and
any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be
modified except by written instrument signed by the City and by an authorized representative of
Contractor. The parties agree that any terms or conditions of any purchase order or other instrument
that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or
obligate Contractor or the City. Each party to this Agreement acknowledges that no
representations, inducements, promises or agreements, orally or otherwise, have been made by any
party, or anyone acting on behalf of any party, which are not embodied herein.
13. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Contractor,
Contractor may not assign, transfer, delegate, or subcontract any interest herein without the prior
written consent of the City and any such assignment, transfer, delegation or subcontract without
the City's prior written consent shall be considered null and void. Nothing in this Agreement
shall be construed to limit the City's ability to have any of the services which are the subject to
this Agreement performed by City personnel or by other consultants retained by City.
14. WAIVER
No waiver of breach, failure of any condition, or any right or remedy contained in or
granted by the provisions of this Agreement shall be effective unless it is in writing and signed by
the party waiving the breach, failure, right or remedy. No waiver of any breach, failure or right, or
remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not
similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies.
15. TERMINATION
This Agreement maybe terminated by the City upon thirty (30) days written notice of
termination. In such event, Contractor shall be entitled to receive and the City shall pay Contractor
compensation for all services performed by Contractor prior to receipt of such notice of
termination, subject to the following conditions:
a. As a condition of such payment, the Executive Director may require Contractor to
deliver to the City all work product completed as of such date, and in such case
such work product shall be the property of the City unless prohibited by law, and
Page 6 of 8
Contractor consents to the City's use thereof for such purposes as the City deems
appropriate.
b, Payment need not be made for work which fails to meet the standard of
performance specified in the Recitals of this Agreement.
16, NON-DISCRIMINATION
Contractor shall not discriminate because of race, color, creed, relation, sex, marital
status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited
by applicable law, in the recruitment, selection, training, utilization, promotion, termination or
other employment related activities or in connection with any activities under this Agreement.
Contractor affirms that it is an equal opportunity employer and shall comply with all applicable
federal, state and local laws and regulations.
17. JURISDICTION -VENUE
This Agreement has been executed and delivered in the State of California and the validity,
interpretation, performance, and enforcement of any of the clauses of this Agreement shall be
determined and governed by the laws of the State of California. Both parties further agree that
Orange County, California, shall be the venue for any action or proceeding that may be brought or
arise out of, in connection with or by reason of this Agreement.
18. PROFESSIONAL LICENSES
Contractor shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder
and required by the laws and regulations of the United States, the State of California, the City of
Santa Ana and all other governmental agencies. Contractor shall notify the City immediately and
in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and
exemptions, Said inability shall be cause for termination of this Agreement.
19. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature herein below has the
power, authority and right to bind their respective parties to each of the terms of
this Agreement, and shall indemnify City fully, including reasonable costs and
attorney's fees, for any injuries or damages to City in the event that such authority
or power is not, in fact, hold by the signatory or is withdrawn.
b. All exhibits referenced herein and attached hereto shall be incorporated as if fully
set forth in the body of this Agreement.
-- signatures on next page --
Page 7 of 8
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first
above written.
ATTEST:
ez
the Council
APPROVED AS TO FORM
SONIA R. CARVALHO
City Attorney
By: r> IV, -f... L
i M. Funk
Assistant City Attorney
FOR APPROVAL
Nabil Saba
Acting Executive Director
Public Works Agency
CITY OF SANTA ANA
Kristine Ridge t!
City Manager
CONTRACTOR
r `^�
Name: Phil Kennedy
Title: Director, Operations
Page 8 of 8
EXHIBIT A
Wachter, Inc.
16001 West 99th Street
Lenexa, KS 66219
wachter.com
Colin Angus, Project Manager
Office: 949-829-9700
Cell: 949-246-4278
Colin.angus@wachter.com
Wachter Proposal
for
City of
Santa Ana
Proposal # SLA V1.1
OCTA SARTC VSS Service 2019/2020
40
wachter
Proposal issued:
9/9/2019
Proposal Valid until:
9/9/2020
Statement of Confidentiality
This proposal and supporting materials contain confidential and proprietary business information of Wachter, Inc.
These materials may be printed or photocopied for use in evaluating the proposed project but are not to be shared outside of your organization.
L0
wachter
Introduction
■ Thanks
Thank you for the opportunity to provide the following
proposal for the City of Santa Ana project.
We appreciate your consideration of Wachter — our goal is to
deliver a successful project and build a lasting partnership
with your firm.
■ The Wachter Advantage
■ Wachter At a Glance
Founded:1930
Corporate Structure: Privately Held
Total Employees: 1,400
Headquarters: Lenexa, KS
Regional Offices: 12
wachter.com I City of Santa Ana
Wachter is a leading nationwide solutions integrator offering Wachter designs, installs, and maintains these complex
managed services, electrical systems, IT networks, Industrial systems, providing clients with a competitive edge by
automation, and safety and security solutions, increasing productivity, lowering operational costs, and
streamlining internal processes.
Wachter is here to keep critical systems delivering a return on your investment.
Pricing
Service Rates
• Time and Materials pricing provides City of Santa Ana, with a'Dispatch Fee' and an 'Hourly Rate' for onsite
labor.
• Dispatch fee and/or hourly rates vary based on the 'Priority Code' assigned and are for service and MAC work
only.
• Dispatch fee includes first hour on site and the first hour of travel for all priority codes and additional
coordination fees. Any additional hours on site after the first hour will be billed the hourly rate for that priority
code.
• OT rate shall apply to onsite labor outside of M-F, 8-5 local; including weekends and holidays.
9/9/2019 — proposal 4 SLA VIA for City of Santa Ana — OCTA SARTC VSS Service 2019/2020
0
wachter
wachter.com ( City or Santa Ana
Access
Control/AV/Video
Surveillance — Technician
Rates
Priority Code
Response
Next Day
Trip Charge
$ 365
Service Description
Dispatch (Incl. 1n hour)
Hourly Rate
(ST/DT/Weekend)
$ 90/120/180
Pi
P2
72 Hours
$ 305
Dispatch (Incl. 1*r hour)
$ 90/120/180
P3
3-5 Days
$ 265
Dispatch (Incl. Sr' hour)
1 $ 90/120/180
Return Trips & Per Diem Fees
In the event that work cannot be completed in a single day or continuing to work would violate Wachter safety policies;
additional charges may apply.
• If the technician is within two hours from his home address, an additional dispatch fee will be charged for the
return trip the next day.
• If the technician is more than two hours from his home address, $145 for Per Diem will added to the invoice.
• If return trip is required due to equipment order, end user turn away, etc., an additional dispatch fee will be
charged for the return trip.
• City of Santa Ana will always be notified prior to incurring a return trip or Per Diem fee.
Lift Rental Fees
In the event that a lift is required to perform the work, Wachter will add lift charges to the invoice at cost plus 25%.
Rates and delivery/pickup fees vary based on location. Prices vary based on local and state taxes, delivery, and pickup
fees.
Cancellation Fees
1. Onsite
a. If the cancellation occurs after the technician is en route or onsite, the full dispatch fee and any onsite
time incurred, will be charged.
b. Some reasons for onsite cancellation, but not limited to, are:
i. Equipment not onsite or cannot be located.
ii. Site access denied.
2. 48 Hours
a. If the cancellation occurs within 48 hours of the scheduled onsite time, 50%of the dispatch fee will be
charged.
3. More than 48 Hours
a. If more than a 48-hour notice is given for cancellation, no fee will be charged.
Materials
Unless other arrangements are made pursuant to this Agreement, Wachter will provide all necessary materials to
perform the work requested. Materials will be invoiced at cost plus 20%
9/9/2019 — Pioposa! a SlA V1.1 for C tq of Sand ana — OCTA SARTC VSS service 2019/2020
0
wachter
wachter.con, I City of Santa Ana
Structured Cable System components and all equipment or software furnished and installed by Wachter will be itemized
on the ticket invoice. Hardware and other raw materials used during the Installation process (e.g. nuts, bolts, screws, ty-
raps, tape, etc.) will be identified on the invoice as 'Miscellaneous Materials'.
Project Management
Your project management team is composed of experienced project managers and project coordinators. Your project
manager will run your project and serve as your Single Point of Contact (SPOC) for all project issues. Wachter uses Trust,
our web -based project management application, to provide secure, on -demand, real-time access to your project data.
Communications
The Wachter project manager will communicate and provide reporting to the City of Santa Ana project team, per
agreed -upon requirements. All reporting and issue -management will include summaries of any issues identified during
daily communications with the field crew. All issues and escalations will be handled in an expeditious manner, and
recorded in Trust.
Warranty
Wachter, Inc. is committed to providing defect -free goods and services to its customers. Training, inspection, testing,
documentation, and other processes are followed to ensure all applicable standards are met.
Wachter, Inc. warrants all labor to be free of workmanship defects for a period of 12 months from the date the work is
performed. During this 12-month period, Wachter will promptly repair, at no cost to City of Santa Ana, any defects that
are a direct result of labor workmanship. All materials are warrantied according to the manufacturer's provided
warranty.
Should you have any quality questions or concerns, please contact your project manager or feel free to contact our
quality department at QualityAssurance@wachter.com.
Use of Customer Information
Wachter frequently uses our projects to develop case studies or modify best practices. Case studies are shared internally
and externally as part of ongoing sales and marketing. Members of our staff or marketing firm may contact key
customer personnel to gather insights on the project's outcome.
9/9/2019 — proposal # 51A V11 for Cny of Santa Ala — OCTA SARTC VSS Service 2019/2020
AC"RU CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DDIYVVY)
llkc 8/1/2020
1 2/19/2020
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 terns 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 LACld011 Companies
444 W. 47th Street, Suite 900
Kansas City MO 64112-1906
(816) 960-9000
CONTACT
A
PHONE )
MAILo Ex IA/XX No)'
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INSURED WACHTER, INC. �
6969 16001 WEST 99T'H STREET
LENEXA KS 66219
_ INSUREft(SI AFFORDING COVERAGE
INBURERA Zurich American Insurance CoUlp&11} _
INSURER R Great American Insurance CO Of New York
NAILO _
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COVERAGES * CERTIFICATE NIIMRFR• I A.c00000 o."... I., r'.I .,
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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.
INSRLTR TYPE OF INSURANCE T �gp D POLICY NUMBER POLICYEFP PODdiYEXP-'—""--
MMIODIYYYV MMIDD YYYY LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
Y
N
GLO552579907
8/1/2019
8/l/2020
EACH OCCURRENCE
$ 1000000
_
T_E
PREM9E50(Eagccure ._
$ 300000
MED EXP (Auy one person)
$ 5,000
_....._
PERSONAL &ADV INJURY
$ 1,000OQQ
_
LIMIT APFL�IES PER:
POLICY ❑X PRO-
JECTJ LOG
_
GENERALAGGRFGATE
$ 2,000000
GERLAGGREGATE
PRODUCTS-COMP/OPAGG
$ 2 QQQ OQQ�
—mac--- —
OTHER:
A
AUTOMOBILE
X
A
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLYMAUTOS
AUTOS ONLY HIRED AUUTOS ONLY
Y
N
BAP552579907
8/1/2019
8/1/2020
COMBINEDSINGLELI IT
$ 1,000 QQQ
`
BODILY INJURY (Per person)
$ XXXXXXX
BODILY INJURY (Per eccitlenl)
_
$ XXXXXXX
PROPERTY DAMAGE$Per eccidentJ
XXXXXXR
PHYS DAM
Conno/Coll Deds.
$ 5,000
B
UMBRELLAUAB
X
OCCUR
N
N
UMB2623301
8/1/2019
8/I/2020
EACH OCCURRENCE
$ 2 QQQ,00Q
X
EXCESS LIAR
CLAIMS.MADE
AGGREGATE
$ 2 QQQ QQQ
DER RETENTION$
$ XXXX
A
A
WORKERS COMPENSATION
AN BEM PLOYERS'DABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE YIN
Off-ICERIMEMBER EXCLUDED? -1
(Mandatory in NH)
Il yes, describe under
N/A
N
WC552580007
[EXCL. ND, OH, WY, & WAj
8/1/2019
8/l/2019
$/I/2020
8/1/2020
X aATUTE ERH
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1.000QQQ
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E.L. DISEASE -EA EMPLOYEE
$ 1 000 000
E.L. DISEASE -POLICY LIMIT
$ IQQO QQQ`
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached IT more space is required)
FOR CANCELLATION FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM, THE INSURER(S) WILL SEND 30 DAYS NOTICE OF
CANCELLATION TO THE CERTIFICATE HOLDER. CITY, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES
IS/ARE ADDITIONAL INSUREDS) ON A PRIMARY AND NON-CONTRIBUTORY COVERAGE BASIS AS RESPECTS LIABILITY COVERAGE FOR
THISPROJECT. INSURANCE SHOWN APPLIES ONLY TO EXTENT OF WRITTEN CONTRACT.
REYIEWED & APPROVED
16595729
CITY OF SANTA ANA
RISK MANAGEMENT DIVISION
20 CIVIC CENTER PLAZA C
SANTA ANA CA 92702
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE
TFIE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
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