HomeMy WebLinkAboutSANTA ANA SECURITY SERVICESINSURANCE ON FILE
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!- CLERK OF COUr��� 1 9 2020
er ' DATE:
A-2020-093-01
Q ; CA At (09 FIRST AMENDMENT TO CONSULTANT AGREEMENT
THIS - FIRST AMENDMENT TO CONSULTANT AGREEMENT is made and entered
/
into this I r: day of June, 2020, by and between Santa Ana Security Services Inc., a California
corporation ("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. City and Consultant entered into a Consultant Agreement dated April 29, 2020,
Agreement # A-2020-093, to provide security services for the COVID-19 trailers
at The Link ("said Agreement").
B. City is the recipient of Homeless Housing, Assistance and Prevention Program
("HHAP-COVID") funds from the State of California. In 2020, Contractor
entered into Agreement Number 20-HCFC-00019 with the State of California
receiving and recognizing $1,385,224.15 in HHAP-COVID grant funds to be used
by Contractor to invest in COVID-19 prevention and containment efforts for
temporary shelters, including but not limited to medically indicated services and
supplies, such as testing and handwashing stations, and enhancements to existing
shelter facilities ("State HHAP-COVID Agreement"). A true and correct copy of
the State HHAP-COVID Agreement is attached hereto as Exhibit I and
incorporated herein by this reference.
C. < Consultant has been made aware of the State HHAP-COVID Agreement and
agrees to comply with all the conditions of the State HHAP-COVID Agreement
and the applicable State requirements governing the use of HHAP-COVID grant
funds.
D. In accordance with the terms and conditions of said Agreement, the Parties desire
to amend Section 2 — Compensation, to increase the maximum amount of
Compensation for said Agreement, Section 3 — Term, to extend the length of said
Agreement, and Section 10—Non-Discrimination, to comply with HHAP-COVID
funding requirements. Additionally, the Parties desire to add a new section
regarding the State HHAP-COVID Agreement funding requirements.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the
terms and conditions of said Agreement, except as herein modified, the parties agree as follows:
Section 2, Compensation, shall be amended to increase the maximum amount of
compensation by eighty-six thousand dollars ($86,000.00) such that the total sum
to be expended under said Agreement shall not exceed one -hundred and eighty-
six thousand dollars:($186,000.00) during the term of said Agreement.
2. Section 3, Term, shall be amended to extend the Term of the Agreement from
July 29, 2020, through December 31, 2020.
Page 1 of 5
3. Section 10, Non -Discrimination, shall be amended to read as follows:
"During the performance of this Agreement, Consultant and its subcontractors
shall not deny the contract's benefits to any person on the basis of race, religious
creed, color, national origin, ancestry, physical disability, mental disability,
medical condition, genetic information, marital status, sex, gender, gender
identity, gender expression, age, sexual orientation, or military and veteran status,
nor shall they discriminate unlawfully against any employee or applicant for
employment because of race, religious creed, color, national origin, ancestry,
physical disability, mental disability, medical condition, genetic information,
marital status, sex, gender, gender identity, gender expression, age, sexual
orientation, or military and veteran status. Consultant shall insure that the
evaluation and treatment of employees and applicants for employment are free of
such discrimination. Consultant and its subcontractors shall comply with the
provisions of the Fair Employment and Housing Act (Gov. Code section 12900, et
seq.), the regulations promulgated thereunder (Cal. Code Regs., tit. 2, section
11000, et seq.), the provisions of Article 9.5, Chapter 1, Part 1, Division 3, Title 2
of the Government Code (Gov. Code sections 11135-11139.5), and the
regulations or standards adopted by the awarding state agency to implement such
article. Consultant shall permit access by representatives of the Department of
Fair Employment and Housing and the awarding state agency upon reasonable
notice at any time during the normal business hours, but in no case less than 24
hours' notice, to such of its books, records, account, and all other sources of
information and its facilities as said Department or Agency shall require to
ascertain compliance with this clause. Consultant and its subcontractors shall
give written notice of their obligations under this clause to labor organizations
with which they have a collective bargaining or other agreement. (See Cal. Code
Regs., tit. 2, section 1 1105.)"
4. Section 20, State HHAP-COVID Agreement, shall be added to said Agreement to
read as follows:
A. City entered into State HHAP-COVID Agreement Number 20-HCFC-
00019 with the State of California receiving and recognizing
$1,385,224.15 in HHAP-COVID grant funds to be used by City to invest
in COVID-19 prevention and containment efforts for temporary shelters,
including but not limited to medically indicated services and supplies,
such as testing and handwashing stations, and enhancements to existing
shelter facilities. A true and correct copy of the State HHAP-COVID
Agreement is attached hereto as Exhibit 1 and incorporated herein by this
reference. Consultant has been made aware of the State HHAP-COVID
Agreement and agrees to comply with all the conditions of the State
HHAP-COVID Agreement and the applicable State requirements
governing the use of HHAP-COVID grant funds.
Page 2 of 5
B. Pursuant to the State HHAP-COVID Agreement, Consultant is required
to:
i. Perform the work in accordance with Federal, State and Local
housing and building codes, as applicable.
ii. Maintain at least the minimum State -required worker's
compensation for those employees who will perform the work or
any part of it.
iii. Maintain, as required by law, unemployment insurance, disability
insurance, and liability insurance in an amount that is reasonable to
compensate any person, firm or corporation who may be injured or
damaged by the Consultant in performing the work or any part of
it.
iv. Agree to include all the terms of the State HHAP-COVID
Agreement in each subcontract.
5. Except as hereinabove modified, all terms and conditions of said Agreement shall
remain in full force and effect.
(Signatures on following page)
Page 3 of 5
A-2020-093-01
IN WITNESS WHEREOF, the Parties have executed this First Amendment to Consultant
Agreement the date and year first above written.
ATTEST:
CITY OF SANTA ANA
`lip
/ --Clerk of the Council City Manager
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
By: % Y
Ryan O. l judge'
Assistant City Attorney
FOR APPROVAL:
Steven A. Mendoza
Executive Director
Community Development Agency
SANTA ANA SECURITY SERVICES
INC.:
Page 4 of 5
A-2020-093-01
EXHIBIT 1
STATE HHAP-COVII) AGREEMENT
NUMBER 20-HCFC-00019
Page 5 of 5
1 p.- 19
STATE OF CALIFORNIA -DEPARTMENT OF GENERAL SERVICES
STANDARD AGREEMENT AGREEMENT NUMBER PURCHASING AUTHORITY NUMBER (If Applicable)
STD 213 (Rev. 03R019) 1 20-HCFC-00019
i. This Agreement is entered into between the Contracting Aqencv and the Contractor named below:
CONTRACTING AGENCY NAME
Business, Consumer Services, and Housing Agency
CONTRACTOR NAME
City of Santa Ana
2. The term of this Agreement is:
SfARTDATE
Upon BCSH Approval
THROUGHENDDATE
06/30/2020
3, The maximum amount of this Agreement is:
$1,385,224.15
4. The parties agree to comply with the terms and conditions of the following exhibits, which are by this reference made a part of the Agreement.
Exhibits
Title
Pages
ExhibitA
Scope of Work
I 2
Exhibit B
Budget Detail and Payment Provisions
3
Exhibit C*
General Terms and Conditions
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These documents can be viewed othtrosl/ .dgs.canav/OLS/Resources
IN WITNESS WHEREOF, THIS AGREEMENT HAS BEEN EXECUTED BV THE PARTIES HERETO,
CONTRACTOR NAME (If other than an individual, state whether a corporation, partnership, etc.)
City of Santa Ana
CONTRACTOR BUSINESS ADDRESS CITY STATE ZIP
20 Civic Center Plaza Santa Ana C
PRINTED NAME OF PERSON SIGNING
CONTRACTOR AUTHORIZED SIGNATURE DATE SIGNED
— Nj\a 3/2¢/2ozo
OF
INU 8VMLr NWIt
Business, Consumer Services, and Housing Agency
CONTRACRNGAGENCYADDRESS
CITY
STATE
ZIP
915 Capitol Mall, Suite 350A
Sacramento
CA
95814
PRINTED NAME OF PERSON SIGNING
TITLE
Lourdes Castro Ramirez
Secretary
CONTRACTINGAG CYA ORI IG TURF
DATE SIGNED
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CALIFORNIA DEPARTvtNTOF GENERALSERVICES APPROVAL
EXEMPTION (if Applicable)
Page 1 of 1
Standard Agreement
EXHIBIT A
AUTHORITY, PURPOSE, AND SCOPE OF WORK
1. Authority
Page 1 of 7
City of Santa Ana
20-HCFC-00019
Pursuant to the provisions of Section 36.00, Chapter 2, Statutes of 2020, and the
augmentation to Budget Act of 2019 Item 0515-101-0001 described in the March 18,
2020 letter from the Department of Finance to the Joint Legislative Budget Committee,
the Homeless Coordinating and Financing Council ("HCFC'), which exists within the
Business, Consumer Services and Housing Agency ("BCSW or "Agency"), shall
allocate a total of $100,000,000.00 to Continuums of Care, Large Cities (population of
300,000+) and Counties, divided proportionally based on the allocations they are
eligible to receive through the Homeless Housing, Assistance, and Prevention
program ("HHAP"). This Agreement is entered into under the authority of, and in
furtherance of the purposes of, the Budget Act of 2019.
2. Purpose
The purpose of this grant funding is to provide support to Continuums of Care, Large
Cities, and Counties to protect the health and safety of homeless populations and
reduce the spread of the COVID-19 outbreak. In accordance with the authority cited
above, the HCFC shall distribute $1,385,224.15 to the City of Santa Ana.
3. Scope of Work
The City of Santa Ana shall use $1,385,224.15 to invest in COVID-19 prevention and
containment efforts for temporary shelters, including, but not limited to, medically -
indicated services and supplies, such as testing and handwashing stations, and
enhancements to existing shelter facilities. The intent of these investments is to allow
for proper social distancing and isolation to reduce the spread of COVID-19 among
the homeless population.
4. Monitoring
City of Santa Ana shall maintain books, records, documents, and other evidence that
demonstrates the funding was used for the appropriate purposes, as laid out in the
Scope of Work. These books, records, documents, and other evidence shall be made
available for audit and inspection by the HCFC and Agency for a period of three years.
A. Annual Report Deadlines
The City of Santa Ana shall submit an expenditure report to Agency on a form and
method provided by Agency, by July 1, 2020 and January 1, 2021. If the City of
Santa Ana fails to provide such documentation, Agency may disencumber any
portion of the amount authorized by this Agreement with a 14-day written
notification.
Initials.
Page 2 of 7
City of Santa Ana
20-HCFC-00019
B. Reporting Requirements
The expenditure report shall contain detailed information including the following:
1. An ongoing tracking of the specific uses and expenditures of any program
funds broken out by uses listed below, including the current status of those
funds:
a. Diversion
b. Prevention
c. Shelter
d. Services and infection control
e. Other
2, Any additional information that Agency requests.
In addition to the reports, Agency may require supplemental reporting with written
notice to the City of Santa Ana.
5. Expenditure Deadline
Pursuant to Assembly Bill 74, Statutes of 2019, Chapter 23 (Budget Act of 2019)
SEC. 1.80, funds shall be encumbered by June 30, 2020.
Page 3 of 7
City of Santa Ana
20-HCFC-00019
EXHIBIT B
BUDGET DETAIL AND PAYMENT PROVISIONS
1. AgreementAmount
The total amount of this Agreement shall not exceed $1,385,224.15.
2. General Conditions for Disbursement
General Requirements — All grantees must submit the following forms prior to funds
being released:
A. Request for Funds Form (RFF),
B. Signed and dated PDF of the STD. 213
3. SB-89 Budget Act of 2019
SEC. 36.00. Notwithstanding any other law, $500,000,000 is hereby appropriated from
the General Fund to any item for any purpose related to the March 4, 2020
proclamation of a state of emergency upon order of the Director of Finance. Funds
appropriated in this section may not be expended prior to 72 hours after the Director
of Finance notifies the Joint Legislative Budget Committee in writing of the purposes
of the planned expenditure. The chairperson of the Joint Legislative Budget
Committee or the chairperson's designee may shorten the 72-hour period by written
notification. The amount of the appropriation in this section may be increased in
increments of $50,000,000 no sooner than 72 hours after the Director of Finance
notifies the Joint Legislative Budget Committee of the need for the increase. The
chairperson of the Joint Legislative Budget Committee or the chairperson's designee
may shorten the 72-hour period by written notification, The total appropriation under
this section shall not exceed $1,000,000,000.
Initiols:0_
Page 4 of 7
City of Santa Ana
20-HCFC-00019
EXHIBIT C
GENERAL TERMS AND CONDITIONS
APPROVAL: This Agreement is of no force or effect until signed by both parties and
approved by the Department of General Services, if required. Contractor may not
commence performance until such approval has been obtained.
1. AMENDMENT: No amendment or variation of the terms of this Agreement shall
be valid unless made in writing, signed by the parties and approved as required.
No oral understanding or Agreement not incorporated in the Agreement is
binding on any of the parties.
2. ASSIGNMENT: This Agreement is not assignable by the Contractor, either in
whole or in part, without the consent of the State in the form of a formal written
amendment.
3. AUDIT: Contractor agrees that the awarding department, the Department of
General Services, the Bureau of State Audits, or their designated representative
shall have the right to review and to copy any records and supporting
documentation pertaining to the performance of this Agreement. Contractor
agrees to maintain such records for possible audit for a minimum of three (3)
years after final payment, unless a longer period of records retention is
stipulated. Contractor agrees to allow the auditor(s) access to such records
during normal business hours and to allow interviews of any employees who
might reasonably have information related to such records. Further, Contractor
agrees to include a similar right of the State to audit records and interview staff in
any subcontract related to performance of this Agreement. (Gov. Code §8546.7,
Pub. Contract Code §10115 at seq., CCR Title 2, Section 1896).
4. INDEMNIFICATION: Contractor agrees to indemnify, defend and save harmless
the State, its officers, agents and employees from any and all claims and losses
accruing or resulting to any and all contractors, subcontractors, suppliers,
laborers, and any other person, firm or corporation furnishing or supplying work
services, materials, or supplies in connection with the performance of this
Agreement, and from any and all claims and losses accruing or resulting to any
person, firm or corporation who may be injured or damaged by Contractor in the
performance of this Agreement.
5. DISPUTES: Contractor shall continue with the responsibilities under this
Agreement during any dispute.
6. TERMINATION FOR CAUSE: The State may terminate this Agreement and be
relieved of any payments should the Contractor fail to perform the requirements
of this Agreement at the time and in the manner herein provided. In the event of
such termination the State may proceed with the work in any manner deemed
proper by the State. All costs to the State shall be deducted from any sum due
the Contractor under this Agreement and the balance, if any, shall be paid to the
Contractor upon demand.
rt
Page 5 of 7
City of Santa Ana
20-HCFC-00019
7. INDEPENDENT CONTRACTOR: Contractor, and the agents and employees of
Contractor, in the performance of this Agreement, shall act in an independent
capacity and not as officers or employees or agents of the State.
s. RECYCLING CERTIFICATION: The Contractor shall certify in writing under
penalty of perjury, the minimum, if not exact, percentage of post -consumer
material as defined in the Public Contract Code Section 12200, in products,
materials, goods, or supplies offered or sold to the State regardless of whether
the product meets the requirements of Public Contract Code Section 12209. With
respect to printer or duplication cartridges that comply with the requirements of
Section 12156(e), the certification required by this subdivision shall specify that
the cartridges so comply (Pub. Contract Code §12205),
9. NON-DISCRIMINATION CLAUSE: During the performance of this Agreement,
Contractor and its subcontractors shall not deny the contract's benefits to any
person on the basis of race, religious creed, color, national origin, ancestry,
physical disability, mental disability, medical condition, genetic information,
marital status, sex, gender, gender identity, gender expression, age, sexual
orientation, or military and veteran status, nor shall they discriminate unlawfully
against any employee or applicant for employment because of race, religious
creed, color, national origin, ancestry, physical disability, mental disability,
medical condition, genetic information, marital status, sex, gender, gender
identity, gender expression, age, sexual orientation, or military and veteran
status. Contractor shall insure that the evaluation and treatment of employees
and applicants for employment are free of such discrimination. Contractor and
subcontractors shall comply with the provisions of the Fair Employment and
Housing Act (Gov. Code §12900 et seq.), the regulations promulgated
thereunder (Cal. Code Regs., tit. 2, §11000 et seq.), the provisions of Article 9.5,
Chapter 1, Part 1, Division 3, Title 2 of the Government Code (Gov. Code
§§11135-11139.5), and the regulations or standards adopted by the awarding
state agency to implement such article. Contractor shall permit access by
representatives of the Department of Fair Employment and Housing and the
awarding state agency upon reasonable notice at any time during the normal
business hours, but in no case less than 24 hours' notice, to such of its books,
records, accounts, and all other sources of information and its facilities as said
Department or Agency shall require to ascertain compliance with this clause.
Contractor and its subcontractors shall give written notice of their obligations
under this clause to labor organizations with which they have a collective
bargaining or other agreement. (See Cal. Code Regs., tit. 2, §11105.)
Contractor shall include the nondiscrimination and compliance provisions of this clause
in all subcontracts to perform work under the Agreement.
10. CERTIFICATION CLAUSES: The CONTRACTOR CERTIFICATION CLAUSES
contained in the document CCC 04/2017 are hereby incorporated by reference
and made a part of this Agreement by thisreference as if attached hereto.
Initials60
Page 6 of 7
City of Santa Ana
20-HCFC-00019
11. TIMELINESS: Time is of the essence in this Agreement.
12. COMPENSATION: The consideration to be paid Contractor, as provided herein,
shall be in compensation for all of Contractor's expenses incurred in the
performance hereof, including travel, per diem, and taxes, unless otherwise
expressly so provided.
13. GOVERNING LAW: This contract is governed by and shall be interpreted in
accordance with the laws of the State of California.
14. ANTITRUST CLAIMS: The Contractor by signing this agreement hereby certifies
that if these services or goods are obtained by means of a competitive bid, the
Contractor shall comply with the requirements of the Government Codes
Sections set out below.
a. The Government Code Chapter on Antitrust claims contains the following
definitions:
1. 'Public purchase" means a purchase by means of competitive bids of goods,
services, or materials by the State or any of its political subdivisions or public
agencies on whose behalf the Attorney General may bring an action pursuant to
subdivision (c) of Section 16750 of the Business and Professions Code.
2. 'Public purchasing body" means the State or the subdivision or agency making a
public purchase. Government Code Section 4550.
b. In submitting a bid to a public purchasing body, the bidder offers and agrees that
if the bid is accepted, it will assign to the purchasing body all rights, title, and
interest in and to all causes of action it may have under Section 4 of the Clayton
Act (15 U.S.C. Sec. 15) or under the Cartwright Act (Chapter 2 (commencing with
Section 16700) of Part 2 of Division 7 of the Business and Professions Code),
arising from purchases of goods, materials, or services by the bidder for sale to
the purchasing body pursuant to the bid. Such assignment shall be made and
become effective at the time the purchasing body tenders final payment to the
bidder. Government Code Section 4552.
c. If an awarding body or public purchasing body receives, either through judgment
or settlement, a monetary recovery for a cause of action assigned under this
chapter, the assignor shall be entitled to receive reimbursement for actual legal
costs incurred and may, upon demand, recover from the public body any portion
of the recovery, including treble damages, attributable to overcharges that were
paid by the assignor but were not paid by the public body as part of the bid price,
less the expenses incurred in obtaining that portion of the recovery. Government
Code Section 4553.
d, Upon demand in writing by the assignor, the assignee shall, within one year from
such demand, reassign the cause of action assigned under this part if the
assignor has been or may have been injured by the violation of law for which the
cause of action arose and (a) the assignee has not been injured thereby, or (b)
the assignee declines to file a court action for the cause of action. See
Government Code Section 4554.
Initials:
Page 7 of 7
City of Santa Ana
20-HCFC-00019
15. CHILD SUPPORT COMPLIANCE ACT: For any Agreement in excess of
$100,000, the contractor acknowledges in accordance with Public Contract Code
7110, that:
a. The contractor recognizes the importance of child and family support obligations
and shall fully comply with all applicable state and federal laws relating to child
and family support enforcement, including, but not limited to, disclosure of
information and compliance with earnings assignment orders, as provided in
Chapter 8 (commencing with section 5200) of Part 5 of Division 9 of the Family
Code; and
b. The contractor, to the best of its knowledge is fully complying with the earnings
assignment orders of all employees and is providing the names of all new
employees to the New Hire Registry maintained by the California Employment
Development Department.
16. UNENFORCEABLE PROVISION: In the event that any provision of this
Agreement is unenforceable or held to be unenforceable, then the parties agree
that all other provisions of this Agreement have force and effect and shall not be
affected thereby.
17. PRIORITY HIRING CONSIDERATIONS: If this Contract includes services in
excess of $200,000, the Contractor shall give priority consideration in filling
vacancies in positions funded by the Contract to qualified recipients of aid under
Welfare and Institutions Code Section 11200 in accordance with Pub. Contract
Code §10353.
19.SMALL BUSINESS PARTICIPATION AND DVBE PARTICIPATION REPORTING
a. If for this Contract Contractor made a commitment to achieve small business
participation, then Contractor must within 60 days of receiving final payment under this
Contract (or within such other time period as may be specified elsewhere in this
Contract) report to the awarding department the actual percentage of small business
participation that was achieved. (Govt.Code § 14841.)
b. If for this Contract Contractor made a commitment to achieve disabled veteran business
enterprise (DVBE) participation, then Contractor must within 60 days of receiving final
payment under this Contract (or within such other time period as may be specified
elsewhere In this Contract) certify in a report to the awarding department: (1) the total
amount the prime Contractor received under the Contract; (2) the name and address of
the DVBE(s) that participated in the performance of the Contract; (3) the amount each
DVBE received from the prime Contractor; (4) that all payments under the Contract have
been made to the DVBE; and (5) the actual percentage of DVBE participation that was
achieved. A person or entity that knowingly provides false information shall be subject to
a civil penalty for each violation. (Mil. & Vets. Code § 999.5(d); Govt. Code § 14841.)
18. LOSS LEADER: If this contract involves the furnishing of equipment, materials, or
supplies then the following statement is incorporated: It is unlawful for any person
engaged in business within this state to sell or use any article or product as a"loss
leader" as defined In Section 17030 of the Business and Professions Code. (PCC
10344(e).)
Initials
ALVKLJ CERTIFICATE OF LIABILITY INSURANCE DATEIMMNO!YYYYI
L� 04/27/2020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANC 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: It the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. It SUBROGATION IS WAIVED, subject to
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PRODUCER
CONTACT
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Elgers Insurance Services, Inc.
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909 31a`-059s
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12403 Central Avenue, #306
ADDRESS
elgersinsurance@gmail Com
Chino, CA 91710
INSURERI4I AFFORDING COVERAGE
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INSURER A.
Kinsale Insurance Company
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INSURER C
9801 Hibiscus Avenue
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CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDniONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
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REVIEWED &APPROVED
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City of Santa Ana
Risk Management Division
20 Civic Center Plaza
Santa Ana,CA 92701
THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
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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 LIABILITY COVERAGE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUER(S),
AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER
IMPORTANT: It the certificate holder is an ADDITIONAL COVERED the policy(ies) must be endorsed. If SUBROGATION IS WANED, 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 endersement(s).
PRODucrrt
CONTACT
Union -Employer Joint Plan Sponsors
NAME:
Compass Pilot
Omega Community Labor Association
330 Bullard Avenue
PLANE
FKI:
Clovis, CA 93612
N. E.n
(B33)427.4568 IAR'. Not, (800)673-0183
MAG
In1D@compasspilotwc. W m
ISSUE") AFFORDING COVERAGE
COVERED
1551JER A:_
- --.
CQMPASSPILOT
Santa Ana Security Services, Inc
FRISA-based member benefit program of
1717 S. Main St.
OMEGA COMMUNRY LABOR ASSOCIATION
Santa Ana, CA 92708
SwERD
ISSUERC:
COVERAGES CERTIFICATE NUMBER: EP1OOt
REVISION NUMB ER•
THIS IS TO CERTIFY THAT THE POLICIES OF COVERAGE LISTED BELOW HAVE BEEN ISSUED To THE COVERED 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 COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL
THE TERMS EXCLUSIONS AND CONDITIONSOF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
LnR 7YPa OFCOYERAGE AOUL3 V0
CGYPOLICY EFF- -POLICY t7lP
O YfYO POLILYNUNGER .. UrefE ....
COHMERCLLL 6EHEFAL Wfiaf[T EACH OCfAMENGE S
MMAGETO RENTED_
GRAILS 4AOE OCCUR PREARSEStEsewnw,w) S
PEPSOGML A ADY RIARr'I ;
GEN'L AGGREGATE LIMIT PER GENERAL AG(>ltEGAIE S
POLICY PRO LOC PRODUCTS CCaPRJP AGG S
JECT
S
AatouoBLLE uAeturYCOM811140 - _ I 5
tE" erg+ee m
ANYAUTD BODILY INJURY(Pw Tp,wn) S
ALL OWNED SC"kD4A1:n -
AUTO5 AUTOS BODILY PRAIRY P.a 11 S
HIREOAUr OS NON OWNED AUTOS,rPRPOPETTY IMAGE S
S
UMERELLALL" IX:C1R
_. _.. EACFUOCWPfIENCE S
E%CESSLWa CJJ,WS.MAOE AGGREGATE S
DED RErEHUCN S
A WORNEH.S bO100`90011001 - .EP-CA-202"i 412712020 46M20 1 j P9R
ANDfLPLOYERS LU,aIIiY J/ STATUTE_. EGt
My PMETOEUPARTNEIL'EXEW
EL, EACHACCIDENT S _ I.000,000
OPciCE FICERAdBR1(IER F%CLINED IYGNJNJ EL O15E(LSE FA ELPLOYEES 1,000.000
E.L. DISEASE POLPCYLOAT S 1000000
�CMl OPOPrdrAl tLOCATgNSrWWUS:I?EVI WED & dpp
Omega Community Labor Association offers employer Na " !� I �RQ's a e mge limits As an edsa-protected member beriefit
program (Compass Pilot) AN liability protection and mamber��1(jofrpesYSS'�i '� il3��Ve bargaining agreement only. U.S Dept of tabor
Form M-1 Multiple employer welfare arrangement fang coda: ECE. ''ii''
Workers' compensation coverage benerit provided Solely for the NJLW r d ��jh tho agreement 4eMreen Elemental PEO arw Onlage
Community Labor Assodaeon.
CERTIFICATE HOLDER 1114I1, HCE FG L ATIoN
Covered Copy
SHOULD ANY OF THE ABOVE OESCMBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN
ACCORDANCE WITH THE POLICYPROWSIONS_
AUTHORIZED REPRESENTATIVE
0mC a
DocuSign Envelope ID: FC5B037C-FBF24EAI.8699-DECOF1327031
"Santa Ana Security Services Inc."
301 W. 2"d Street #110 Santa Ana, CA 92701 (714) 883-6377
June 17, 2020
City of Santa Ana
20 Civic Center Plaza
Santa Ana, CA 92701
Dear Sir or Madam:
The scope of services is limited to security on sight where the trailers are located and does
not involve transportation to the work site. No vehicles are being used under the contract
Sincerely,
E}}D��xqq-��aaulVVl��Sig ��neE Ey.
.IIDBU]9]DEF<AS
Mike Gonzalez
REVIEWED & APPROVED
By Risk MANAGEMENT DivisiON
JU}�7 2020
ANGIE ACEVEdC