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HomeMy WebLinkAboutSANTA FE BUILDING MAINTENANCE (2)i�.�jAANCE ON FILE WORK MAY PROCEED U'N INSU �RE5 E N CLERK OF COUNCIL N ^iTF d vwi SECOND AMENDMENT TO JANITORIAL SERVICES AGREEMENT VV0t,e CO WCkr4l WITH SANTA FE BUILDING MAINTENANCE A-2020-178 THIS SECOND AMENDMENT to the above -referenced agreement is entered into on September 1, 2020, by and between Santa Fe Building Maintenance ("Consultant"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RECITALS A. The parties entered into Agreement No. A-2017-240, dated October 1, 2017, by which Consultant agreed to provide janitorial services to the Santa Ana Police Administration, Detention Facilities, and surrounding grounds ("Agreement"). The original term of the Agreement runs through September 30, 2020. The Agreement is current and in effect. B. On April 21, 2020, the parties agreed to a First Amendment to the Agreement (#A-2020-080) to provide additional services and compensation necessary to combat the spread of COVID- 19. The First Amendment also amended the term to provide additional time to be added to the Agreement. C. The parties seek to further amend the Agreement to extend the term of the Agreement for an additional year and provide additional compensation for services provided during the amended term, below. The Parties therefore agree: 1. Section 2, Compensation, is amended to increase the not -to -exceed amount by $800,248.94. This amount includes a base amount of $727,499.04 plus a 10% contingency amount of $72,749.90, for services provided at the sole discretion of the City. 2. Section 3, Term, is amended to increase the term of the Agreement from October 1, 2020, until September 30, 2021. 3. Except as modified by this Second Amendment, all terms and conditions of the Agreement, as amended, shall remain in full force and effect. [signature page to follow] #54701v4 V A-2020-178 IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Agreement on the date and year first written above. ATTEST aisy Gomez Clerk of the Council APPROVED AS TO FORM Sonia R. Carvalho City Attorney BY:`7��,�a amara ogosian Senior Assistant City Attorney RECOMMENDED FOR APPROVAL Valentin Chief of Police CITY OF SANTA ANA Kristine Ridge City Manager SANTA FE BUILDING MAINTENANCE By:tGlFinEm ��ho Title: bZ�Cro I omaI tr V 454701v4 Policy, Number: Date EnrrP••t---ere•••---d: 1/8/2009 CERTIFICATE OF LIABILITY INSURANCE ATE tMMlaD YYY) e , innnn THIS CER11FICATE 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. iMPORTANT:. it the certificate hotdor Is an ADDITIONAL INSURED, the polfcylios) must have ADDITIONAL INSURED provisions or be ondorsed, if SUBROGATION IS WANED, subject to the terms anti conditions of the policy, certain policies may require an ondorsoment. A statement on PRoaucsR VICTORIA INSURANCE AGENCY Chris D. Victoria 1740 West Katella Ave #H Orange, CA 92867 GUADALUPE MEDINA 15644 PALOMINO DRIVE CHINO HILLS, CA 91709-5510 [KiI*1�7cTN"«F r s u. t x •. , ¢ c THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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. LTR TYPE OF INSURANCE UU USR POLICY NUMBER PglCY EFF PO YEYy LIMITS - ATOOMMEROIALBENERAI. LIABILITY/ EACH OCCURRENCE g1, 000, Q40 5/ CLAIMSQAOE CKO=R 60366-65-69 3129/�a A•A TETO ITED - 3/29/2021 F g 75,000 ✓� 3AE6 EXP cne g 5,000 PERSONAL &Aov R+JURY $1,000,000 GENERAL AGGREGATE A2,011,001 GENY. AGWEGATE UNIT APPLIES PErt RO- 0 Ux POLICY f-1 PJECT PRODUCTS-$1., 000, 000 C MPfOPACd". OTHER, $ AumMosEE LIABILITY,. COMBINED +.d.. $1r000, ODD ANYAUTO MALY INJURY{PIr per" 3 CYNE AUTOONLY AUTOO 5C3t0GFi Hk.Er 60486-94-07 1/01/2020 1101/2 1 8G31LY INJURY 4Per ar�irAVP} § H FIRED NnNowNED I G § :.... AUTO$ ONLY ....... AUTOS ONLY nIUA � a A uM0REL1A lIA0 _.. EACH OCCINFRENCE $ EXCESS DAa CIAihSS•ltApE 60499-63-93 33/29/20210 1/2.9/2022 AG,".RECJTE $21000,000 CEO RE1T..NTit?N g1D,D0D g — WORKERS COMPENSATION iN ANOEMPLOYERTUABURY YIN lUf R ANY rR#CtPRiFTORfFlARfiNEWEXECUPNB B ANY PROPRIETORPARTNRAI Y to 0931-60-44 "1'15/201a 2/15/2020- F.L. EACH ACCIDENT g r000, 000 [Msrdatary in NH1 N,/' „�""� E.L DISEASE-EA1l1PU1Y11 111000,000 SCRIP TONOFOF°PAnONSDEbw EL DSEAE•POLICY LidTr $1,000,000 . A EMPLOYEE DISH=STY 60366-65-69 -- )3/29/2020 3/29/2021 $100,000 DESCRIPTION OF OPERATIONS I LOCATIONS !VEHICLES IA 11010,ArMAJ..I RPrPI SaIlc4We, may Ca atdtbW S more IF. W requime 30 DAY NOTICE OF CANCELLATION ,s RE: WRSTEND SUBSTATION - 3750 W. MCFADDEIN SUITE 41 SANTA ANA, CA 92704 ,{ CITY OF SANTA ANA, THEIR OffICERS, AGENTS, .EMPLOYEES, AND VOLUNTEERS ARE INCLUDED AS ADDITIONAL INSURED PURSUANT TO WRITTEN CONTRACT, AGREEMN 4, i' t�^I�yCE IS PRIMARY NON-CONTRIBUTORY. RISK MANAGEMENT DIVISION M } I b1OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 CIVIC CENTER PLAZA, 4TH FLOOR THS EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ICO RDA.NCE WITH THE POLICY PROVISIONS. SANTA AEA, CA 9z7oz ANG& Ac Ldta -- AUTHORUO REPRESENTATIVE - ORRIS VICTORIA4n��� IS 1988.2015 ACORD CORPORATION. All rights reservad, ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. r FARMER9 j6840 INSURANCE 2nd Edition m 0! * r: 6 1 0 # s . a ' a s This endorsement mfi insurance providedunder the folloving: BUSINESSOWNERS LMABIttTY COVERAGE FORM BUSINESSOWNERS COMMON POLICY CONDITIONS Mth respect to coverage provided by this andorsement, the provisions of the Coverage form apply unless modified by the andonsoment. SCHEDULE Name OfAdeflUonatInsured Person(a) crryops" ANA Or Organixatton(s); 'SEEJ71 OS AMENDTOADDNL INS Location Of Covered Oparatlen(s)r 375OW MCFADDCNANE SANTAANACA92744 Effective Efate Of Endorsement: k%5l6ST24 ifno enftyappaarsabova, lnformatlon rcqulred totocvmptoTe this emiarsament will shormr In the t3ectarAtEons. The BUSINESSOWNERS LIABILITY COVERAPE FORM Is amended as follows: A. With respect to theadditional insured described In Paragraph B. of th{sendorsement, thafotlowing exctusions areadded to Paragraph I . AppReable To Bustness Liability Coverage under Section 8,Exciustans: This losunurce does not applyto. t. "Bodily Injury" or "property damage" for Wrich the additional Ineured(s) Isobligated to pay damages by reason of the assumption of liability In a contract oragreemenI, This exclusion does not apply toliability for damages that tire additional haured(s) would hIn the absence ofthecontract oragraament. 2. 118odtly Injury" or"property a"occurring after: a. Your ongoing operations at the location of cowered operations other than service maintenance or repairs perforated byyouoronyour behalfhavebow complated:or b. The portion of your ongoing operation out of which the "bodily Injury" or "property damage" arises has been put to Its intesndeduse by any person or organization. But In noeventsrhaffthis Insurance to"bodllytnjury"or"property damage° arising out of your operations that were completed priortothee vedateofthisendorsement. 3. "Bad#ty injury" or "pr000rty damagie arising out of any act or omission of the additional Insured(&) or any of Its "empl< , agents or contractors other than you, except for general supervision by the additional Insured(s) of yourongotngoperations performedforthatadditional insured. q. "Pr rtydamage"to: a. Propenyownedusedorcuccupladbyorr b, Property in the care custody or control tW t � F er which tire additional Insured(s) exercise physical control, or e. Any work Including materials, parts or oqutpme nectlon with such work which is performed for theaddltionat Insured byyou. AN It, AC£VE(JO JJ66840kED2U9-IS Includes copynghtedmaterial efinsuranceServl oftloc,Inc.,withhapennissfon. Pagel oft iOW201 B. Section C. Who Is An Insured Is amended to Include as an Insured the parson(s) or organization(s) shown In the Schedule, but only to the extent that the additional Insured(s) Is held liable for "bodily Injury" or "property damage" caused In whole or In part by: 1. Yourongoing operations performed for such person or organization at the location designated above, Z The actsoromissions ofyoursubcontractorsacting on"your" behalf on the schedutedproject Inthe petformanceof your on ing ionsfortheadditional insured(s)vdtichstart and arecompt within the effective period of this e orsement,,or 3. The acts or omissions of such additional Insured(s) In connection with its general supervision of such operations. C. With respect to this endorsement, "wrap up policy" means an Amer or Contractor controlled hnstmattca Program providing one or a series of policiesdrsigned to cover a specific construction project that insures ail otmepersons and entitlesworking on such project, The OUSINESSOwNERS COMMON POLICY CONDITIONSare amended as foltow.T A. With respect to the addttlonat Insured described In Paragraph D. of this endorsement, Section N. rather insurunea is replaced bythe following: 1. PrImaryand Noncontributory Insurance The coverage provided to an additional Insured under this endorsement shall be primary and noncontributory ONCYto anytnsurance €slued dhoctlyto the additional insured If: a. The Named Insured agreed In a written contract or written agreement to provide the additional Insured coverage on a primary and noncontributory basis, b. Such written Contract or written agreement referenced in & above was executed prior to the issuance of this ntenh c. The additional Insureddesignated herein hasa policy with an Otharinsurance provision making thatpohcy eats , and d. There is no "wrap up policy" In effect for the work performed at the location designated In the Schedule of this endorsement, 2.. Extesslttsuran if there Is other valid and collectable Insurance avallable to the additional insured(s) as an additional insured under other policies covering the work performed at the location designated and described In the schedule of this endorsemen I, this Insurance will be excess over those policies. This endorsement is part of your policy. PFAWVo� rary. It is otherwise subject to all the tarmsofthepolicy, By MSk MnraactEea NT ivi510 7029 ANOE AcEUEdo Iti$+lti^Eti2o ^1 41dudeseapyrighted material otlnsurae ser m offlce, Int., with tts po . =2 rW"ron. Pof2 a.sasla 202 POLICY NUMBER. 6036E-65-69 THIS ENDORSEMENTCNANGESTHE POLICY, PLEASE READ IT CAREFULLY, FARMERS 3rdEdMon INSURANCE ,✓ AMENDMENT OF ADDITIONAL INSURED V • a • Nanw(s) OfAddfuonatInsured Porson(s) OrOrganizaf.#on(s): CITY OF SANTAANA RISK MANAGEMENT DIV ISIOiN ITS OFFICERS, AGENTS, EMPLOYEES, AND VOLUNTEERS REVIEWED & APPROVED By i<isk MANpgEmern I)ivisION ANCIE A,cEvEdo j7105•ED305-18 Includes copyffq tvd makerleloflnsuraim Servim Offla, lac..wfth Its permiston. P eIof2 a3410a �7105301 The person or organization listed above Is added to the Schedule of the fallowing endorsement: Additional insured - Controlling Interest Additional Insured - Co -Owner of Insured premises Additional Insured - Designated Person orOrganizatlon Additional Insured » Engineers, Architects Or Surveyors Not Engaged By The Named insured Additional Insured - GrantorOf Franchise Additional Insured - Lessor ofl,easedEquipment Additional Insured -NlanagersorL of Premises Additional Insured -Ntortgagee AssigneeorReceiver Additional Insured - Owners, Lessees Or Contractors Addttionai Insured «Owners or Other Interests from Morn Land Has Been Leased Additional insured - Primary and Noncontributory Additional insured - Scheduled Person Or Organization Additional Insured -State or Political Subdivisions Pennits Additional Insured '-StateorPolitical Subdivisions Permits Reiatingto>Promises F—Ade€#mai insured -Vendors Waiverof nights Recovery Other REVIEWED 6 APPROVED By Disk hlnnat4EMENr DIVISION ANrir. AcEVEdo This endorsement is part of your policy. It supersedes and controls anything to the contrary. itisotherwisesulejectWait the terms of the policy. 1710 ED305.18 Indu mPysightedMaterial eflmwan sar*moffice, 1mwhhhg ton, Pag 2af2 927105 J7106302 April 2, 2020 City of Santa Ana police Department 60 Civic Center Plaza Santa Ana, CA, 92701 To whom it may concern, Santa Fe Building Maintenance does not use personal vehicles to provide services; furthermore Santa Fe Building Maintenance will utilize only company employees to perform work and will not use other professionals not part of the company under this contract. Should you have any questions regarding the information provided please contact Irinco NUno, at (909) 606- 2756, via FAX (909) 606-6469, or via e-mail Sincerely frineo None General Manager REVIEWED 6 APPROVED By Risk MANAqFMFNT ()JVjSjoN NA 2020 ANqiE ACEVEdo i� Policy Number: Tnri Piarcnn Digitally signed byTon Pierson Date Entered: 1/8/2009 ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 8/27ID2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER VICTORIA INSURANCE AGENCY Chris D. Victoria 1740 West Katella Ave #H CONTACT CHRIS VICTORIA NAME: A/C No Ext: (714) 744-4500 FAX No: (714) 744-2500 E-MAIL VICTORIAINSURANCE345@GMAIL.COM ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Orange, CA 92867 INSURER A: TRUCK INSURANCE EXCHANGE 21709 INSURED SANTA FE BUILDING MAINTENANCE INSURER B : MID-CENTURY INSURANCE COMPANY 21687 INSURERC: GUADALUPE MEDINA INSURERD: 15644 PALOMINO DRIVE CHINO HILLS, CA 91709-5510 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 CLAIMS -MADE ® OCCUR 60366-65-69 03/29/2021 3/29/2022 DAMAGE TO RENTED PREMISES Ea occurrence $ 75,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 , 000 , 000 JPRO- POLICY LOC PRODUCTS - COMP/OP AGG $ 1 , 000 , 000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1 , 000 , 000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS 60486-94-07 01/01/2021 1/01/2022 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B HIRED NON -OWNED AUTOS ONLY AUTOS ONLY A UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $2,000,000 EXCESS LIAB CLAIMS -MADE 60499-63-93 03/29/2021 3/29/2022 DED X1 RETENTION $ 10 f 000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OT PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A EMPLOYEE DISHONESTY 60366-65-69 03/29/2021 3/29/2022 $100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 30 DAY NOTICE OF CANCELLATION RE: SANTA ANA POLICE DEPARTMENT - 60 CIVIC CENTER PLAZA SANTA ANA, CA 92702 CITY OF SANTA ANA, THEIR OFFICERS, AGENTS, EMPLOYEES, AND VOLUNTEERS ARE INCLUDED AS ADDITIONAL INSURED PURSUANT TO WRITTEN CONTRACT, AGREEMENT, OR MEMORANDUM. INSURANCE IS PRIMARY NON-CONTRIBUTORY. CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA RISK MANAGEMENT DIVISION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 CIVIC CENTER PLAZA, 4TH FLOOR THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVIS SANTA ANA, CA 92702 Riek hfe�vge ne DhZlnn AUTHORIZED REPRESENTATIVE j//4■* ` REAEWm & APPROVED BY.' CHRIS VICTORIA Risk Management Cl eriral Aide ©1988-2015ACORD Cl- ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD rf:ip14►14,7i14,rtel:r_1►Cc1**f:14:1014EWw»1_Al-:447_v3rt3_1:140J4111 POLICY NUMBER:60366-65-69 mochk FARMER$ INSURANCE ADDITIONAL INSURED - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided underthe following: BUSINESSOWNERS LIABILITY COVERAGE FORM BUSINESSOWNERS COMMON POLICY CONDITIONS 16840 2nd Edition With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): CITY OF SANTAANA *SEE J7105 AMEND TO ADDNL INS Location Of Covered Operation(s): 60 CIVIC CENTER PLZ SANTA ANA CA 92701 Effective Date Of Endorsement: 05/05/20 If no entry appears above, information required to complete this endorsement will be shown in the Declarations. The BUSINESSOWNERS LIABILITY COVERAGE FORM is amended as follows: A. With respect to the additional insured described in Paragraph B. of this endorsement, the following exclusions are added to Paragraph 1. Applicable To Business Liability Coverage under Section B. Exclusions: This insurance does not apply to: 1. "Bodily injury" or "property damage" for which the additional insured(s) is obligated to pay damages by reason of the assumption of liability in a contractor agreement. This exclusion does not apply to liability for damages that the additional insured(s) would have in the absence of the contract or agreement. 2. "Bodily injury" or "property damage" occurring after: a. Your ongoing operations at the location of covered operations other than service maintenance or repairs performed by you or on your behalf have been completed; or b. The portion of your ongoing operation out of which the "bodily injury" or "property damage" arises has been put to its intended use by any person or organization. But in no event shalI this insurance apply to "bodily injury" or" property damage" arising out of your operations that were completed prior to the effective date of this endorsement. 3. "Bodily injury" or "property damage" arising out of any act or omission of the additional insured(s) or any of its "employees", agents or contractors other than you, except for general supervision by the additional insured(s) of yourongoing operations performed forthat additional insured. 4. "Property damage" to: a. Property owned, used or occupied by or rented to the additional insured(s); b. Property in the care custody or control of the additional insured(s) or over which the additional insured(s) exercise physical control; or c. Any work including materials, parts or equipment furnished in connection with such for the additional insured byyou./�■��_�"°" G�LW1Jll�t1.� %nxi Y�Q�6 Risk Management CI a i-1 Aide J6840-ED209-18 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 93-6840 ,.,.,1— , B. Section C. Who Is An Insured is amended to include as an insured the person(s) or organization(s) shown in the Schedule, but only to the extent that the additional insured(s) is held liable for "bodily injury" or "property damage" caused in whole or in part by: 1. Your ongoing operations performed for such person or organization at the location designated above; 2. The acts or omissions of your subcontractors acting on "your" behalf on the scheduled project in the performance of your ongoing operations for the additional insured(s) which start and are completed within the effective period of this endorsement; or 3. The acts or omissions of such additional insured(s) in connection with its general supervision of such operations. C. With respect to this endorsement, "wrap up policy" means an Owner or Contractor Controlled Insurance Program providing one or a series of policies designed to cover a specific construction project that insures all of the persons and entities working on such project. The BUSINESSOWNERS COMMON POLICY CONDITIONS are amended as follows: A. With respect to the additional insured described in Paragraph B. of this endorsement, Section H. Other Insurance is replaced bythefollowing: H. Otherinsurance 1. Primary and Noncontributory Insurance The coverage provided to an additional insured under this endorsement shall be primary and noncontributory ONLY to any insurance issued directlyto the additional insured if: a. The Named Insured agreed in a written contract or written agreement to provide the additional insured coverage on a primary and noncontributory basis; b. Such written contract or written agreement referenced in a. above was executed prior to the issuance of this endorsement; c. The additional insured designated herein has a policy with an Other Insurance provision making that policy excess; and d. There is no "wrap up policy" in effect for the work performed at the location designated in the Schedule of this endorsement. 2. Excesslnsurance If there is other valid and collectable insurance available to the additional insured(s) as an additional insured under other policies covering the work performed at the location designated and described in the schedule of this endorsement, this insurance will be excess overthose policies. This endorsement is part of your policy. It supersedes and controls anything to the contrary. It is otherwise subject to all the terms of the policy. G�LWC.� %nxi Y�Q�6 Risk Management CI a i-1 Aide j6840-ED2 09-18 Includes copyrighted material of I nsurance Services Office, Inc., with its permission. 93-6840 POLICY NUMBER: 60366-65-69 FARMERS INSURANCE 1110:1"4L'19161,1-417114ilk te]:►_11041f:I:11Z014EWA»1_A14:1F_U3k&7-3:140J4WA AMENDMENT OF ADDITIONAL INSURED This endorsement modifies insurance provided under the: BUSINESSOWNERS COVERAGE FORM BUSINESSOWNERS LIABILITY COVERAGE FORM BUILDING AND PERSONAL PROPERTY COVERAGE FORM COMMERCIAL GENERAL LIABILITY COVERAGE FORM APARTMENT OWNERS LIABILITY COVERAGE FORM CONDOMINIUM LIABILITY COVERAGE FORM Name(s) Of Additional Insured Person(s) Or Organization(s): CITY OF SANTAANA RISK MANAGEMENT DIVISION ITS OFFICERS, AGENTS, EMPLOYEES, AND VOLUNTEERS J 7105-E D3 05-18 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 93-7105 j7105 3rd Edition G�LWC.� %nxi Y�Q�6 Risk Management CI a i-1 Aide The person or organization listed above is added to the Schedule of the following endorsement: Additional Insured - Controlling Interest Additional Insured - Co -Owner of Insured Premises Additional Insured - Designated Person or Organization Additional Insured - Engineers, Architects Or Surveyors Not Engaged By The Named Insured Additional Insured - Grantor Of Franchise Additional Insured - Lessor of Leased Equipment Additional Insured -Managers or Lessors of Premises Additional Insured -Mortgagee, Assignee or Receiver Additional Insured - Owners, Lessees Or Contractors Additional Insured - Owners or Other Interests from Whom Land Has Been Leased Additional Insured - Primary and Noncontributory X Additional Insured - Scheduled Person Or Organization Additional Insured - State or Political Subdivisions Permits Additional Insured - State or Political Subdivisions Permits Relating to Premises Additional Insured -Vendors Waiver of Rights Recovery Other This endorsement is part of your policy. It supersedes and controls anything to the contrary. It is otherwise subject to all the terms of the policy. J 7105-E D3 05-18 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 93-7105 G�LWC.� %nxi Y�Q�6 Risk Management CI a i-1 Aide CERTIFICATE OF LIABILITY INSURANCE DATEVM?A.TlnlYYwq 12MA2020 TH15 CERTIFICATE IS ISSUED AS A MATTER Or- INFORMATION ONLY AND CCMNkFER$ N0 RIGHTS UPON THE CERTIFICATE HOLDER- THIS CERTIFICATE DOES NOT A FFIR MATIVELY OR N EGATIVE LY AMEN D, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT 13ETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THECERTIEMCATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the pollcy{Ios) must have ADDITIONAL INSURED PFGA51on9 or be endorsed, If 8U6ROGATION IS WAIV'EO. subject to the terms and cnnditiom of the policy, certaln policies may r9quir8 art and0rsament- A statement on this certificate does not confar dohis to tho cortificata holder in lied Of such -en dorsernerlt(S). PHOOUCGR CONOdelia Samya Nf%KIE Capital Providers Insurance PHONE 1818} �}1i-091�i FAIT ?318j 675-7015 AD Nol License #OH52316 E4v A L Odelis@CMSGroup-com ADDRESS: 207E0 Ventura Blvd-, Ste 305 IrAURER(5) AFF(]RMOR) COVERAGE NALU x 'Uccdland Hills CA y1164 INSURERA: ,Falls Lake Rre $ Casualty Company 15884 INSURED INSURER B Medina, Guada upe. DBA: Sang Fe Building Malwp.na ce IN9EIRER C : 16544 Ralomeno Drive INSURER D ' INSURER E : Chino Hills CA @ 17PA INSURER F : COVERAGES CERTIFICATE: NUMBER: 2021 Vic RLVISION NUMBER_ TIIIF3 I ` 70 CERTIFY THAT THE POLI USES OF INSURANCE LISTED BELOVil HAVE SEEN ;SS.LIEU -0 FHE INZA)RED NAMED ABOVE FOR THE POLICY PERIOD IND ICA ED. NOTWITHSTAND ING ANY REQU IREMENT, TERM OIL CON OITION �)F ANY € ONTRAC,7 OTHER DOCUMENT WITH RESPECT TO WH ICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. 7FrE CNSURANINE AFFORDE13 6Y TliF Po,,.,C r.S DESCRIBED HEREIN IS SUBJECT TOALL THE TERF#4, EXCLUSIONS AND CONDITIONS OF SUCH POLI€AES OMITS SHOWN MAY HAVE BEEN REDUC E D BY PAID CLAIMS. - iN! L.TR TYPE OF FNSLIRANCE 11,130 y'] .. pOLIGY NLrM13ER POLICY t=F I's1rJl,�l?UiYYYY L.. 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JI!iHANI, F131 C.V I IMIT $ 1.000.0.90 L_ I I L I I — DESCRIPTi4N OF OPERATION 5! LOCATIONSJ VEHICLES 000RO 101.Addllianal Remarks Schotluw may beaitarhnd Irmorg gpgee In wuIrm) Job .ocation: 20 CIVIC CENTER PLAZA., SAtdTAANA, CAD2701 CITY OF SANTAANA RISK MANACFMF.NT DIVIS60Lwl 20 CIVIC CENTER PLA7A 4TH FLOOR SANaTA ANA CA 927C• S HL ULD ANY OF THE ABOV E o E$CMEIGD PCILIC IES BE CANC ELLEi BEF412E THE EXPIRATION GATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTilOR2CD REFRESEN TATNE _^— Ride Menage nenf Thviei. Y -- — REVIEwED is APPROVED BY: C'r11388-2016ACORD r -701ze 1­1 ACORD 25 (201 Gr031 The,ACORD name and logo are registered marks of AC OR Risk Management 0eri-[ Aide Santa BUILDING MAiNTENANCE April "j. 20210 Cis • (it Santa Ana Police Deb ailment (10 CiVIL; cellEcr Phiza ,traa Ana, C:A, 9270I To %,-hom it may concern, Sano Fe BLtildi T Majn1l'naj-icc does not LESC I7erSO11,LI VehiCICS to pmvidc serviui:s; SalEita Fc 80ildiflg t 1intClUill-:C W i I I LLtIIi7C MlIy r (oinpany CrYSp117 ".9 to pCrI+. tm wiSuk- and will not use otlac:r professionals not part of the company under this contract Sh4,old you have any' question mprdint the. information provided please contact Irinco Nuno, at ({ 09) 606 ?7 6, via FAX (901)) 6 06-6469. orviLt c-lmill �ir�ccrrly, v� i Iritaco N€trlo G enoral ,f fantigiv REVIEWED & APPROVED 8Y Risl M-'l-vA(,P.Pl rvr f ia,'islt?N M%� 2020 ru,l Mudgme,i Dhiakm ReoEwm & APPROVED BY' /QiG �[£/SP.Qf2 Risk NFanagement Cl eriral Aide