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ALLIED UNIVERSAL JANITORIAL (2)
INSURANCE ON ME A-2019-190-01 WORK MAY PROCEED UNTIL INSURANCE EXPIRES CLEEKOFC UNCII_31 2020 FIRST AMENDMENT TO AGREEMENT TO PROVIDE O 'PwCIx JANITORIAL SERVICES AT VARIOUS LOCATIONS ['HIS FIRST AMENDMENT to the above -referenced agreement is entered into on March 1 2020 by and between Universal Building Maintenance, LLC. dba Allied Universal Janitorial Services ("Contractor"). and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RECITALS A. The parties entered into Agreement No. A-2019190, dated October 15, 2019. by which Contractor agreed to provide janitorial services at various city facilities, including City Hall, the Main Library, and the Santa Ana Regional Transportation Center ("Agreement"). B. The Agreement remains in effect through October 3I, 2022, with provision for extension. C. The parties now wish to amend the scope of services to include enhanced cleaning services on an as -needed basis due to the COVID-I-9-pandemic and to increase the amount to be expended under the Agreement accordingly. The Parties therefore agree: I . Section 1, Scope of Services, is amended to include the services described on Exhibit A. 2. Section 2.a, Compensation, is amended to increase the total amount to be expended under the Agreement by $340.000 through the period ending March 31, 2,021. 3. Except as modified by this First Amendment. all terms and conditions of the Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Agreement on the date and year first written above. ATTEST Daisy Gomez Clerk of the Council CITY OF SANTA ANA Kristine Ridge City Manager Signatures conlinue on next puge Page 1 of APPROVED AS TO FORM Sonia R. Carvallio City Attorney By. /►�. J in M. Funk Assistant City Attorney RECOMMENDED FOR APPROVAL M 6,. '�\(�G` if t, Nabil Saba Executive Director Public Works Agency Page 2 of 2 EXHIBIT A ( "«IEDUNIVERSA[ July 8, 2020 Gabriela P. Lomeli Project Manager City of Santa Ana — Public Works 1000 Santa Ana Blvd Santa Ana, CA 92701 714-565-2692 Gabriela, 1815 E. Wilshire Ave suite 912 Santa Ana, CA 92705 Thank you for allowing Allied Universal Janitorial Services the opportunity to submit our proposal to provide disinfecting services related to the COVID-19. Branch Location Santa Ana City various locations Price $25.00 per hour. Scone of Work COVID-19 related services "Revision to Janitorial Scope of services" attachment. Please find the attached certified products that will be used. All prices listed above include all labor, supplies and supervision. If the attached scope of work and pricing meet with your approval, please sign, and email to racosta@aus.com Once received, we will contact you to schedule the work to be completed at a time most convenient. Thank you again for the opportunity to be of service. Do not hesitate to contact me with any questions that you might have. Best Regards, Ramon Acosta Branch Manager Allied Universal Janitorial Services (714)398-3724 Revision to Janitorial Scope of Service Nightly (Services to be provided at City Hall/Ross Annex, SARTC and Corporate Yard) Contractor shall perform periodic sanitizing of all doorknobs/handles, elevator buttons/panels, stair rails, conference tables, and other frequently touched surfaces in general employee and public areas, including public lobbies, hallways, and meeting rooms/areas. Contractor shall perform daily sanitizing of public counters, public restroom fixture handles, and soap dispensers daily at 7:00 a.m., 11:00 a.m. and 3:00 p.m. Cleaning shall be performed with a soft cloth and the cleaning solution shall be changed/applied frequently in order to provide a thorough disinfecting application. Cleaning solution used shall be Simple Green Clean Finish or Simple Green d Pro 5. (Simple Green All -Purpose IS NOT effective against CV-19.) Pending Risk Management approval, a cleaning solution of equal or greater value can be used. These additional services are in response to COVID 19. The City may discontinue these services with 10 days written notice. The City can request additional city facilities to be serviced under this revised scope of work at the same hourly rate being proposed. e,fj'- o h n s o n PROFESSIONAL.. HOSPITAL CLEANER & DISINFECTANT RESTROOM CLEANER & DISINFECTANT A fast and effective one-step spray and wipe virucide and disinfectant. Effective against abroad spectrum of bacteria, viruses, fungi and inhibits the growth of mold and mildew. For virtually any hard, non -porous surfaces such as countertops, stainless steel, sinks, toilets, tubs, doorknobs, floors, walls and garbage cans. EFFECTIVE AGAINST 1 MINUTE CONTACT TIME: 3 MINUTE CONTACT TIME Continued: 10 MINUTE CONTACT TIME: Viruses: Viruses: Bacteria: HIV-1 (AIDS Virus) Hepatitis B Virus (HBV) Legionella pneumophilia Influenza Type A / Hong Kong (Influenza) Hepatitis C Virus (HCV) Staphylococcus aureus 3 MINUTE CONTACT TIME: Herpes Simplex Virus Type I -Community Associated Methicillin Resistant Bacteria: Herpes Simplex Virus Type (CA-MRSA)(NRSR3)(USA400) Pseudomonas aeruginosa (Pseudomonas) Human Coronavirus Staphylococcus aureus- Multi -Drug Resistant Salmonella enterica (Salmonella) Respiratory Syncytial Virus (RSV) Viruses: Staphylococcus aureus (Staph) Rotavirus SARS Associated Coronavirus (SARS) Enterobacter aerogenes Vaccinia (Pox Virus) (cause of Severe Acute Respiratory Syndrome) Enterococ(us faecalis (Enterococcus) Fungi: Enterococ(usfaecalis-Vancomycinresistant (VRE) Candidaalbicans Escherichia coli (E. (oli) Trichophyton mentagrophytes Escherichia coli 0157:117 (the Athlete's Foot Fungus) ESBL Escherichia soli 5 MINUTE CONTACT TIME: (Extended spectrum beta-lactamase producing E. (oli) Virus: Klebsiella pneumoniae (Klebsiella) Klebsiella pneumoniae, Carbapenem-resistant Norwalk Virus (Norovirus) Listeria monorytogenes (Feline Calicivirus) Serratia marcescens Shigella dysenteriae (Shigella) Shigella flexneri serotype 1B Staphylococcus aureus -Community Associated Methicillin Resistant (CA-MRSA) (NRS384) (USA300) Staphylococcus aureus - Methicillin-Resistant (MRSA) Streptococcus pyogenes (Slrep) SC o h n s o n PROFESSIONAL— TruShot" CHEMISTRY CARTRIDGES TruShoP" fart ridges require no user mixing. The color -coded and easy -to -read cartridges simplify compliance, reduce off -label usage, and deliver the comparable dean of up toll in -use quarts. AVAILABLE PRODUCTS REST ROOM CLEANER& DISINFECTANT tj PRODUCT CODE PACKAGE SIZE DESCRIPTION IN -USE QUARTS �>•% 6DJ946 6A 10aOfinl) fiftar'DunfeUtOWN DX mWeAtp•Npto 11 UWQW, HOSPITAL CLEANER & DISINFECTANT PRODUCT CODE PACKAGE SIZE DESCRIPTION IN -USE QUARTS 6K9960 61 Nmo%ni) 1n0hG' DonIM4M Detn[t gxrmcm6ae •Vo1411 n9Y4'rY15 TRUSHOT" DISINFECTANT CLEANER SPRAYER PRODUCTCODE PACKAGE 97E DESCRIPTION IN -USE QUARTS 1390)01 4910CIM6G"laggei NIA For effective product performance, use disinfectant cleaner chemistry cartridges only with a trigger marked FOR USE ONLY WITH THE TruShot'N DISINFECTANT CLEANER DILUTION SYSTEM PRODUCT SPECIFICATIONS 1 I PRODUCTCODE 689945 689950 SURFACES Restrooms Hospitals COLOR Colorless Colorless PIT IN -USE It 11 DENSITY 1.00 g/cm3 1.00 g/Cms FRAGRANCE Fresh Odorless INCOMPATIBLE MATERIALS Do not mix with bleach or any other household Cleaners. Strong bases SAFETY PRACTICES TO FOLLOW It's good business practice to assure that your employees have read and understood the product labels and Safety Data Sheet before using this product. The label use directions and SDS contain important hazard warnings, precautionary statements and first aid procedures. This information is available on-line at www.scjohnson-professional.com or by calling 800-294-3632. Wear personal protective equipment, chemical -resistant gloves and chemical splash goggles, when dispensing concentrates. Improper mixing or diluting of concentrate may damage surfaces and may result in physical harm to the user matching those of the concentrate. ©OEestions?Comments? (all 800-294-3632a.-t,E �- M IxtRomi(172, o h n s o n PROFESSIONAL, RESTROOM CLEANER & DISINFECTANT ` IC ,CY - EFFECTIVE AGAINST 1 MINUTE CONTACT TIME: Viruses: 'HIV-1(AIDS Vxus) 'Influenza Type / Hong Kong (Influenza) 3 MINUTE CONTACT TIME: Bacteria: Pseudomonas aeruginosa (Pseudomonas) Salmonella enterica (Salmonella) Staphylococcus aureus (Staph) Enterobacter aefogenes Enterococcus faecalis (Enterococcus) Enterococcus laecalis- Vancomycin resistant (VRE) Escherichia coli (E. (oli) Escherichia soli 0151:1-17 ESBL Escherichia coli (Extended spectrum beta-lactamase producing E. (oli) Klebsiella pneumoniae (Klebsiella) Klebsiella pneumoniae, Carbapenem-resistant Listeria monorytogenes Serfatia marcescens Shigella dysenteriae (Shigella) Shigella flexneri serolype 1B Staphylococcus aureus - Community Associated Methicillin - Resistant ((A-MRSA) (NRS384) (USA300) Staphylococcus aureus - Methicillin-Resistant (MRSA) Streptococcus pyogenes (Strep) Vimses: 'Hepatitis B Virus (HBV) 'Hepatitis C Virus (H(V) 'Herpes Simplex Virus Type I 'Herpes Simplex Virus Type 2 'Human [oronavirus 'Respiratory Syncytial Virus (RSV) 'Rotavirus 'Vaccinia (Pox Virus) 3 MINUTE CONTACT TIME Continued: Fungi: Candida albicans Trichophyton mentagrophytes (the Athlete's Foot Fungus) 5 MINUTE CONTACT TIME: Virus: 'Norwalk Virus (Norovirus) (Feline Calicivirus) 10 MINUTE CONTACT TIME: Bacteria: Legionella pneumophilia Staphylococcus aureus - Community Associated Methicillin - Resistant ((A-MRSA) (NRS123) (USA400) Staphylococcus aureus - Multi -Drug Resistant Viruses: 'SARS Associated (oronavirus (SARS) (cause of Severe Acute Respiratory Syndrome) DIRECTIONS FOR USE: It is a violation of Federal law to use this product in a manner inconsistent with its labeling. Before use in federally inspected meat and poultry food processing plants and dairies, food products and packaging materials must be removed from the room or carefully protected. GENERAL CLEANING / DEODORIZING DIRECTIONS: Spray soiled area using TruShot'" Disinfectant Cleaner Dilution System then wipe clean. Repeat for heavily soiled areas. DISINFECTION / VIRUCIDAL' / FUNGICIDAL / MOLD AND MILDEW CONTROL DIRECTIONS: Apply use -solution to hard, nonporous surfaces, thoroughly wetting surfaces ensuring complete coverage. Treated surfaces must remain wet for contact time indicated on the label. Wipe dry with a cloth, sponge or mop or allow to air dry. For heavily soiled areas, a preliminary cleaning is required. Spray 6 - 8 inches from the surface; rub with a brush, sponge or cloth. Do not breathe spray. Rinse all surfaces that come in contact with food such as countertops, appliances, tables and stovetops with potable water before reuse. Do not use on utensils, glassware and dishes. Product Code: 689945 EPA Reg. No. 6836-348-89900 170 Jf-ohnson PROFESSIONAL,.. HOSPITAL CLEANER & DISINFECTANT EFFICACY SHIEE`.t EFFECTIVE AGAINST 1 MINUTE (ONTACI TIME: Viruses: 'HIV-1 (AIDS Virus) 'Influenza Type A / Hong Kong (Influenza) 3 MINUTE CONTACT TIME: Bacteria: Pseudomonas aeruginosa (Pseudomonas) Salmonella enterica (Salmonella) Staphylococcus aureus (Staph) Enterobacter aerogenes Enterococcus faecalis (Enterococcus) Enterococcus faecalis-Vancomycm resistant (VRE) Escherichia (oil (E. Coll) Escherichia (oli 0157:H7 ESBL Escherichia cull (Extended spectrum beta-lactamase producing E. (oli) Klebsiella pneumoniae (Klebsiella) Klebsiella pneumoniae, Carbapenem-resistant Listeria monocytogenes Serratia marcescens Shigella dysenteriae (Shigella) Shigella flexneri serotype 16 Staphylococcus aureus - Community Associated Methicillin - Resistant ((A-MRSA) (NRS384) (USA300) Staphylococcus aureus - Methicillin-Resistant (MRSA) Streptococcus pyogenes (Strep) Viruses: 'Hepatitis B Virus (HBV) 'Hepatitis ( Virus (H(V) 'Herpes Simplex Virus Type I 'Herpes Simplex Virus Type 2 'Human Coronavirus 'Respiratory Syncytial Virus (RSV) 'Rotavirus 'Vaccinia (Pox Virus) 3 MINUTE CONTACT TIME Continued: Fungi. (andida albicans Tri(hophyton mentagrophytes (the Athlete's Foot Fungus) 5 MINUTE (ONTA0 TIME: Virus: 'Norwalk Virus (Norovirus) (Feline Calicivirus) 10 MINUTE CONTACT TIME. Bacteria: Legionella pneumophilia Staphylococcus aureus - Community Associated Methicillin - Resistant ((A-MRSA) (NRS123) (USA400) Staphylococcus aureus - Multi -Drug Resistant Viruses: 'SARS Associated Coronavirus (SARS) (cause of Severe Acute Respiratory Syndrome) DIRECTIONS FOR USE: It is a violation of Federal law to use this product in a manner inconsistent with its labeling. Before use in federally inspected meat and poultry food processing plants and dairies, food products and packaging materials must be removed from the room or carefully protected. GENERAL CLEANING / DEODORIZING DIRECTIONS: Spray soiled area using TruShot" Disinfectant (leaner Dilution System then wipe clean. Repeat for heavily soiled areas. DISINFECTION /VIRUCIDAL'/FUNGICIDAL /MOLD AND MILDEW CONTROL DIRECTIONS: Apply use -solution to hard, nonporous surfaces, thoroughly wetting surfaces ensuring complete coverage. Treated surfaces must remain wet for contact time indicated on the label. Wipe dry with a cloth, sponge or mop or allow to air dry. For heavily soiled areas, a preliminary cleaning is required. Spray 6 - 8 inches from the surface; rub with a brush, sponge or cloth. Do not breathe spray. Rinse all surfaces that come in contact with food such as countertops, appliances, tables and stovetops with potable water before reuse. Do not use on utensils, glassware and dishes. Product Code:689950 EPA Reg. No.6836-348-89900 170 THIS CERTIFICATE IS ISSUED AS CERTIFICATE DOES NOT AFFIRN BELOW. THIS CERTIFICATE OF REPRESENTATIVE OR PRODUCER IMPORTANT: If the certificate hold H SUBROGATION IS WAIVED, sub) this Certificate does not confer right PRODUCER MARSH USA INC 1717 Arch Street Philadelphia, PA 19103 Attn: Philadelphla.cerlsHmarsh.com /Fax: (212) CN11 8D25105-ALL-Pri 91 INSURED Allied Universal Topes, LLC (See Attached for Additional Named ineureds) 161 Washington Street, Suite I Conshohocken, PA 19428 NOTWITHSTANDING ANY MAY BE ISSUED OR MA AND CONDITIONS OF SO( IFICATE OF LIABILITY INSURANCE DATE(MMODNYM 1/G62p19 :R OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON TH CERTIFICATE HOLDER. THIS OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES CE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED CERTIFICATE HOLDER. DDITIOand INSURED, the policy(ies) moat have ADD terms ITIONAL INSU ED provisions or be endorsed. terms and wnditlons of the Policy, certain policies may require an endorsement. A statement on ertiflo.he held., In Ill .a.. 1 __.------- _. OR CONDITION OF ANY CC RANCE AFFORDED BY THE (UMBER: 5 IOVE FOR THE POLICY PERIOD VITH RESPECT TO WHICH THIS SUBJECT TO ALL THE TERMS, � l ivv vane H OCCU ENCECLAIM6�MADE OCCURPrp(e5ai0nal Debility is Included In Ue General Llehility limit MI6E5 EXP An SONAL&ADV neneaSIR ono son gI'L INJURY gPOLICY 51,750,000 AGGREGATE LIMB APPLIES PER JET LOC ERAL AG RELATE §OTHER; DUCTS- OMP/OP AGG SOMOBILEL"iLR RAD943781l 41120240E�ACH BINED sI §11At/2019 GL IANYAUTO nt SOWNESCHEOULEpILY INJU Y(Per pens l) aAUTOS ONLY AUTOS ILY INJU Y(Par acytlent) $HIREDNONAWNEOAUTOS ONLY AUTOS ONLY PERTY D, MALE $UMBRELULIAS X OCCURril RE59437994 EXCESS LMe CLAIMS -MAD EXCESS OF GENERAL LIABILITY 11A12019 OCCUR ENCE $ .nu emYLDYERS' LNBILRY A /A I I InnnaNlaw-ury WIl 111101/2019 1111012020 1110112010 DESCRIPTION OFOPERATIONS/LDCIII ONS Ill, HIC11TY EB (AC f01, AtlEitiond Remarks Scheaub, may be athMWl(more spamlPdqu4ed) The City of Serifs Ana, its officers, employees, agents, voihill n representatives are included as addillonal insured where coverage shall be Pril and nontanlribubry where reqhad by (ten correct. Waiver of subm albn isa EcaNa where required by written correct with 9 PP requred by written Contract RE: RFP 19-074 JANITORIAL SERVICES AT VARIOUS FA(9 Ill P Cityof Banta Ana 3 2019 Risk Management Division SHOULD ANY OF THE ABOVE DESCRIBED 20 Civic Center Playa, 41h floor THE EXPIRATION DATE THEREOF, N Santa Ana, CA 92702 ACCORDANCE WITH THE POLICY PROVISI, jSAMTW M. LAMBERTAUTHORIZEDREPREaeNTAT1vE ./ Marsh USA Inp Marl Mukhel ACORD 25 (2016/03) The CORD name and logo are registered marksgof ACORD ACORD COR GL LIMIT Liability and Auto UaNllly. Uability :S BE CANCELLED BEFORE WILL BE DELIVERED IN 'ATION. A MARSH USA ING PCLICYNUMBER CARRIER ADDITIONAL REMAF THIS ADDITIONAL RE FORM NUMBER: Fka Namedinsured, Allied Universal TOpco, LLC Additknal Named Insureds: Al ledBarlon (NO) LLC AIIkdBar(on'INC) LLC, dba Allied Uniyersal Security 1 A llisdBarlon Security Services LLC ARWRelfon Secu ly Sarvkes LLC, dba Allied Univen AllledBaMn Sexually bombes L P Aldedfladon Sodu llyServices LP, dba Allied Univmt Allied Snarly HOMII gs LLC Atlktl UPIVEnaf HoldOO LLC. Andean Inavosbonal Goomment Seniw$,.loc. Andrews Inlamadonal Government Senaces, Inc,, dba Apollo Securityinlamasonal, Inc.. C $.D Enterprises, Inc.. FJC SecudfySe'vhs,. Inc. FJC Security SONkes, Inc., dba Allied Universal Secul Guardemark(Pwan ROD), LLC Gveaismark.(PUedo Rko), I.W. dba Allied Universal £ GUardSMOrk (Puerto RICO), LLC, dba UnNersel Protect Ifllftent Access Systems of NOrlh COMORO, LLC; db, Inte%maAM$ Systems of NOA Carolina, U.C. dbt Paoplaark; Inc, Peoplencrk, LLC S%uMdyeeSysiems lnrermediate..LLC SeouradyneSystems Intermediate LLC, dbaAbled Unt Secaradyne S9slams Texas LLC Securedyne Systems Texas LLC, dba Allied Universal SFI Electronics; LLC SFI Ekctmnks, LLC, dim Aided UnIVerSal Technokgy: SFI EkckonlCS, I.I.C. dinaAlled UnfversN Security Sysi SFIElecimnios, LLC, dba Universal Proteclkn Security SpeOlpuArd Mqulsl0on LLC Stag Pro Inc. Staff Pm Inc„dba Allied UAlversal Event Services Surve➢lenCe SpeClapks, Lid. Surveillance Speclolbes, Ltd., dba Allied Universal T%b Surveillance Speclalllus, Ltd., dba Secaredyoe Systems UAlversa Bulking Mainlanance, LLG Universal Building Mainlena ce, I.I.C. dba Alled Unlwrs Un lVOrsaf Pmteallon Security System% LP Universal PmWolkn Secudly Spa", LP, dba Allied UI Universal Prate xit"I SecudtySystems, I.P. dba Allied Ur Universal Profaclion Semce of Canada Co. I UnlvOrsai PmteeFea SemceotCanade Ce, dba Alllid U W"nal Protecllon Rarvkne 9 r000a r..,.,—'— AGENCY CUSTOMER ID: LOC #: SCHEDULE I Page _2 of 3 Named Insureds) f S00 NAIC FORM, and logo are registered marks of ACORD MARSH USA INC NUMBER AGENCY CUSTOMER ID:. CN118( LOC Ill. Philade NAL REMARKS SCHEDULE NAMEDINSURED A81ed Universal Tom, LLC (See Aflached fOfAGggonal Nana 161 Washington Sbee4 Suite 600 Conshohocken, PA f9428 NAIL CODE THIS ADDITIONAL REMARKS FORM ISIA+klr ULE TO ACORD FORM, Universal PMI lion Service of Canada Corporafbn., be Univesal Wesfkn Service, LUC Universal Pfotec6on Service, LL), dba Allied Universi Risk Universal Protection Servke, LLC dba Allied U)nlvem Secof ly_ arvkias, LLC. Universal Prolecton LP UnNetsal Protect100 Service, LP, dba Allied Universal kk i I rydConau, Universal Protection SeMce, Li dba Ailed UtiNersal 3powlt 3 ces , UnNBrsal Rrotacllon Servke, LP; tlba Allied Universal ecun kes, LP U0lvarselProleogon Service pi5eallle, LLC Ufllvetsal Protection Servke of SeaNe, LLC; dba AIRe[Unive a SecurityServI UnWrsal Servkres ofAmedca, LP Univesal Thrive Technoioglos, LLC UnWrsal Tlld%TechnoOglea,LLC,dbaA]W,UnWr ITe no yServkes Universal Thrive Technologies, LLC, dba Allied Univer (Mori 04 gang Respotl Universal Thrive.Technologies, U.C. dba Thrive fntelig ddt U.S. Secudly Associated. Inc. US.SecurilyAssoclates,lnc.,dba Allied Universal Rls Advisiry rdConstulund U. S. Secudlygs4oclale6 Aviation Sent=, Into, U. S. Security Associates Holding. Corp. U..S. Security Assoclaos.Holdings 11 Corp. U.S. SecudtyAssociates Holdings, Iro. U. S. SeoedtyAssociates Staffing, [do U. S. Sedunty Holdings, Ina Vance Executive Protection, In, Vince International Consulting, Inc. Page 3 of 3 name and logo are registered marks of ACORDTv `V vV ,"-..�s r ran. A+n ngnts reservetl. POLICY NUMBER: THIS This endorsement m BUSINESS AUTO C MOTOR CARRIER i AUTO DEALERS C( With respect to Trove by the endorsement, person or org ide as an addl i contract was COVERED AUTOS OAS person or organization list damage' otherwise covers 1. You, while using a 2. Any other person, ex Operating a covers "a In the performance of your or In no event shall any pal soi Endorsement if such persor or IT IS FURTHER AGREEd T All other terms and is ENT CHANGES THE POLICY, PLEASE READ IT CARE ADDITIONAL INSURED ice provided under the following: )RM i ORM RM i bythisI ; endorsement, the provisions of the Coverage Form Schedule fritten contract, provided date of Toss. OVERAGE, Who Is An insured, is amended to inch Schedule above, but only with respect to liability for "b this policy Paused, in whole or in part, by the negligentai "auto",",or the additional Insured or any employee or agent of with your permission; described In the Schedule above. organization listed In the Schedule become an "ins tnizatich is solely negligent. IN NO EVENT SHALL ANY CONTRACT OR AOR XCLUSIONS SET FORTH IN THIS POLICY. unchanged. XIC 414 1013 .Y. modified as an "insured" the f InJury" or "property it omissions of.. additional insured, Pursuant to this ALTER THE XIC 414 1013 I 611 X4 America, Inc. All Rights Reserved. Page 1 of 1 May not be copied without permission. Inoludes c pyrig ted material of Insurance Services Office, Inc;, with its permission. POLICYNUMBER: THIS ENDORS ME WAIVER OF AGAINST On This endorsement modifleg ins AUTO DEALERS COV ERi BUSINESS AUTCCO EP MOTOR CARRIER CC VEI With respect to coverage prr Modified by the endorsem t, This endorsement change thr below. med Insured: flLL'1E f Ut dorsement Effective ate ES THE POLICY. PLEASE READ IT FER OF RIGHTS OF RE US (WAIVER OF SUBF W under the following! by this endorsement, the provisions of the Cove effective on the inception date of the policy unless 'CO, LLC 1, 2019 SCHEDULE CA 04 44 10 13 FULLY. 'ERY MON) Form apply unless er date is indicated Natne(s) Of Person(e) Or Or zation(s): Any person or organizatio or organization provided s 1 wt ah ei e waive of our right to recover is required by written contract c itract was executed to 1he date with such person prior of loss, Information required to cor 1ples this Schedule, if not shown above, will be shown in the Deck f i irations. The Transfer Of Right O' eCovery Against Others To Us condition don not apply to the person(s) or organizatlon( ) s o in the Schedule, but only to the extent that subrog tion Is waived prior to the "accident" or the '1 ss" uiider a contract with that person or organlzation. I' CA 04 44 10 13 �i1surance Services O � ffice, Inc., 2011 Page 1 of 1 This endorser Forms part of Issued to: AU By: LEXINGTC This endorsement me GUARDSECUREIGEI A. SECTION it • ho organization(s) w o is require that a speltific B. The insurance prov "professional liabil ty' t 1. Your ads or Orr Issk 2, The acts or omi ssia In the perfarmance of additional insured and However: 1. The Insurance and 2. If coverage pros insurance affordec contract or agreen C. With respect to Section III —Limits If coverage provide an behalf of the ac 1. Required by the 2. Available under endorsement shall D. The additional li 1. We are noted ; claim. 2. We receive writt 3. A request for de issued by another i insured. E This insurance is additional insured t 1. The additional in 2. You have agreec not seek contributic to to ENDORSEMENT #050 12:01 AM 11101/2019 082695264 kL TOPCO, LLC :COMPANY INSURED • DESIGNATED PERSON OR ORGANIZA insurance provided by the following: tL AND PROFESSIONAL LIABILITY COVERAGE FORM i Insured is amended to Include as an additional insured a red to be added by written contract or written agreement w number be used. to additional insureds applies oily to "bodily injury", "property ersonal and advertising injury" caused, in whole or in part, by. or If those acting on your behalf ongoing operations for the additional insured; or'your work' I rded in the'products-ccmpleted operations hazard" o such additional Insured only applies to the extent permitted by Is he additional Insured Is required by a contract or agreement, the additional insured will not be broader than that which you are regi vvide for such additional insured. ance afforded to these additional Insureds, the following is added I ance: additional insured is required by a contract or agreement, the mo, nsured is the amount of insurance: or agreement; or cable Limits of Insurance shown in the Declarations; whichever is Lase the applicable Limits of Insurance shown in the Declarations. cost see to it that: is practicable of an "occurrence" ar offense that may result in a ! of a claim or "suit' as soon as practicable; and of Indemnity of the claim or "suit" will promptly be brought against rider which the additional insured also has rights an insured or ad to and will not seek contribution from any other insurance availab u policy provided that: a Named Insured under such other insurance; and g in a contract or agreement that this Insurance would be primary ny other insurance available to the additional insured. All other terms and Ondit$ns remain as written. Iq or not 'ned for that ,ad by the we will pay as. This y policy tonal to an id would AvSgwitad F CovMaralgna!ura (In LFXD00O21 LX0404 This endorser Forms part of Issued to: ALL By: LEXINGTC ENDORSEMENT #24 ve 12:01 AM 11/01/2019 ber:082095284 tSAL TOPCO. LLC ICE COMPANY ISFER OF RIGHTS OF RECOVERY AGAINST OTHI This endorsement mod`ras Insurance provided under the following: SECURITY GUARD G IINERALAND PROFESSIONAL LIABILITY COVERAGE PART SCHEDULE Name of aersor or fJr�an:�n,tn Where required W vn (If no entry appears a Declarations as applic The TRANSFER OF I amended by the ddit We waive any fight of above because o I pay work' done undai a cc operations hazard.- Tt Ali other terms acid col LEX00CO21 LX0404 n contract. a, Information required to aompbte this endorsement will be show e to this endorsement) *VERY AGAINST OTHERS TO US Condition (Section Iv — COD of the following; overy the may have against the person or organization shown In ti its we make for injury or damage arising out of your ongoing opei act with that person or organization and included in the 'Products - valved applies only to the person or organization shown in the Scl ions remain as written. 1q TO US in the ITIONS) is Schedule ions or 'you mpleted dule above. WORKERS COMPENSATI N A D EMPLOYERS LIABILITY INSURANCE POLICY We have the right to reco our right against the pens YOU perform work under a This agreement shall not Any person or organization organization provided such This endorsement chant (The Information below is Endorsement Effective t Insured ALLIED UNIVERSAL insurance Company XL Insuranoe Amerloa, Ino. wC, 00 0313 (Ed. 4-84) 1983 National Counell an RIbHT TO RECOVER'PROM OTHERS ENDORSEM mtg from anyone liable for an Injury covered by this pi atlon named In the Schedule. (This agreement applle of that requires you to obtain this agreement from us.) r Indirectly to benefit; anyone not named Schedule of our right to recoverfs required by written contram executed prior to the date of foss. iy to which it is attached and is effective on the date issued un1w only when this endorsement is issued subsequent to prepal Policy No. RWD30012o3-o3 Endorsement LC 111 Countersigned by WC 00 0313 (Ed. :y.We will not enforce only to the extent that person or otherwise stated. ai the policy.) Jennifer Vesqu M MARSH 110D1 USAInc 00Lekeline Blvd, g t. Suite 200 Austin, Tx 78717 October 31, 2019 Subject: Allied Univer Certificate of Attached is your rene liability program. If this certificate is no to 212 948-0360. We If your certificate requ Sincerely, Jennifer Vasquez Certificate Specialists ;a LLC for the November 1, 2019 to November 1, 2020 policy F please mark delete and email to Philadelphia.cc rate the certificate so you will no longer receive. please contact your representative at Allied Universal c LEADERSHIP, KNOWLECK4J1DNS..*Vtt 16/p 00 forthe or fax NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor Allied Universal Topco, LLC Name: Project A-2019-190-05 Number: Project Extension of Agreement #A-2019-190 to Provide Janitorial Name: Services The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the insurance requirements. No further action is required at this time. The compliant coverage(s) are: EXPIRATION COI TYPE OF INSURANCE POLICY NUMBER FILE NAME DATE DATE cert_CLE_City of AUTOMOBILE LIABILITY RAD943781806 01/01/2024 01/13/2023 Santa Ana_6844453_8.pdf cert_CLE_City of GENERAL LIABILITY RES943799403 01/01/2024 01/13/2023 Santa Ana_6844453_8.pdf cert_CLE_City of PROFESSIONAL LIABILITY RES943799403 01/01/2024 01/13/2023 Santa Ana_6844453_8.pdf WORKERS ALLIED COMPENSATION AND RWD300120307AOS 01/01/2024 12/29/2022 UNIVERSAL EMPLOYERS' LIABILITY TOPCO, LLC.pdf Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 1/18/2023 12:49 PM