Loading...
HomeMy WebLinkAboutBURGESS MOVING & STORAGEINSURANCE ON FILE VvOPi MAY PROCEED UNTIL INSURANCE EXPIRES MAY 0 3 2021 ICLERK OF COaUNCIL OAI E: Cl) fr ( I) (T4eyl AGREEMENT TO PROVIDE MOVING & STORAGE SERVICES THIS AGREEMENT is made and entered into on this 24'' d f A 'I 2021 b N-2021-084 ay o prt, , y and between Burgess Moving & Storage, ("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 City desires to retain a Consultant having special skill and knowledge in the field of moving, storage, and related services for the Link Shelter. B. Consultant represents that Consultant is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Consultant represents that it is knowledgeable in its field and that any services performed by Consultant under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting 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: SCOPE OF SERVICES Consultant shall perform during the term of this Agreement, the tasks and obligations including all labor, materials, tools, equipment, and incidental customary work required to fully and adequately complete the services described and set forth in the Estimate attached hereto as Exhibit A and incorporated by reference. 2. COMPENSATION a. City agrees to pay, and Consultant agrees to accept as total payment for its services for City, the rates and charges identified in Exhibit A. The total amount to be expended during the term of this Agreement shall not exceed $28,922.89. b. Payment by City shall be made within forty-five (45) days 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 which may reasonably be expected by City. 3. TERM This Agreement shall commence on the date first written above for a one (1) year term, unless terminated earlier in accordance with Section 15, below. Page 1 of 8 4. INDEPENDENT CONTRACTOR Consultant shall, during the entire term of this Agreement, be construed to be an independent Consultant 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 Consultant performs the services which are the subject matter of this Agreement; however, the services to be provided by Consultant shall be provided in a manner consistent with all applicable standards and regulations governing such services. Consultant 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 Consultant sunder this Agreement (`Documents & Data"). Consultant 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. Consultant represents and warrants that Consultant has the legal right to license any and all Documents & Data. Consultant makes no such representation and warranty in regard to Documents & Data which were provided to Consultant 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, Consultant shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Consultant 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 aggregate. Such insurance shall (a) name the City, its officers, employees, agents, and representatives as additional insured(s); (b) be primary and not contributory with respect to insurance or self-insurance programs maintained by the City; and (e) contain standard separation of insureds provisions. Page 2 of 8 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 provisions of Section 3700 of the Labor Code, Contractor, if Consultant 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, Consultant agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. If Consultant 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 Consultant pursuant to this section: i. Consultant shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. ii. Certificates of insurance shall 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. If Consultant 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. Consultant waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. INDEMNIFICATION Consultant agrees to defend, and shall indemnify and hold harmless the City, its officers, agents, employees, contractors, 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, its subcontractors, agents, employees, or other persons acting on its behalf which relates to the services described in section I of this Agreement; and (2) Page 3 of 8 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 Consultant 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 out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor. 8. INTELLECTUAL PROPERTY INDEMNIFICATION Consultant shall defend and indemnify the City, its officers, agents, representatives, and employees against any and all liability, including costs, for infringement of any United States' letters patent, trademark, or copyright infringement, including costs, contained in the work product or documents provided by Consultant to the City pursuant to this Agreement. 9. RECORDS Consultant shall keep records and invoices in connection with the work to be performed under this Agreement. Consultant 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 Consultant under this Agreement. All such records and invoices shall be clearly identifiable. Consultant 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. Consultant 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 Consultant under this Agreement. 10. CONFIDENTIALITY If Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Consultant 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 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 Page 4 of 8 information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Consultant without reference to information disclosed by the City. 11. CONFLICT OF INTEREST CLAUSE Consultant covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 12. NON-DISCRIMINATION Consultant shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, gender identity, gender expression, gender, medical conditions, genetic information, or military and veteran status, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization, promotion, termination or other employment related activities or any services provided under this Agreement. Consultant affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 13. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Contractor, 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 Consultant 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 is not embodied herein. 14. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Consultant 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 Contractors retained by City. Page 5 of 8 15. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultant 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 Consultant to deliver to the City all work product(s) completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Consultant 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. 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. 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 Consultant 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. Consultant 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 because for termination of this Agreement. 19. 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: Page 6 of 8 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 With courtesy copies to: Executive Director, Community Development Agency City of Santa Ana 20 Civic Center Plaza (M-25) P.O. Box 1988 Santa Ana, California 92702 Fax:714-647-6549 To Contractor: Burgess Moving & Storage Attn: Nathan Doyel 1625 Iowa Ave. P.O. Box 5547 Riverside, CA 92517 Fax:951-369-1880 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 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 after 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. 20. 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, held by the signatory or is withdrawn, b. The Agreement is the final and complete agreement and any prior or contemporaneous agreements for similar services between the parties is superseded Page 7 of 8 N-2021-084 by this Agreement. This shall not apply where the Parties are currently engaged and Consultant is providing services not contemplated by this Agreement C. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. Daisy GomezClerk of the Council :esd APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney � r By: Ryan O. dg Assistant ity Attorney RECOMMENDED FOR APPROVAL: Steven Mendoza Executive Director Community Development Agency CITY OF SANTA ANA !A Kristine Ridge City Manager CONSULTANT: BY: Tim Burgess Title: president Page 8 of 8 EXHIBIT A ESTIMATE April 9, 2021 City of Santa Ana Community Development Agency 20 Civic Center Plaza Santa Ana, CA 92701 Attn: Natalia Aparicio (714) 667-2254 naparicio@santa-ana.org ESTIMATE #20210409NAR2 Link Shelter MOVE OUT 2320 Red Hill Avenue Santa Ana, CA 92705 Scope: • Provide moving labor & equipment to furniture, boxes, and equipment as listed on the attached inventory from the Link Shelter to storage containers located on site. • Storage containers to be provided by the City of Santa Ana. • Estimate does not include moving city personnel or residents' personal property. • Estimate does not include moving fence panels. Charges: Description Qty Rate Estimated Cost Autobottom Cartons (1.5 CF) 30 $2.10 each $63.00 Large Cartons (4.5 CF) 10 $3.50 each $35.00 Tape 6 $2.50 each $15.00 Moving Labels 2000 No Charge Sales Tax $9.89 Move Out Labor 2 Drivers 10 Helpers 16 Firs $900.00/hr* $14,400.00 Total Estimated Charges** $14,622.89 *quoted rates are contract rates with the City of Santa Ana. Per contract, 4 hour minimum per day applies. **Final charges will be based on actual time & material. Nathan Doyel, Estimator 1625 Iowa Ave. P.O. Box 5547 Riverside, CA 92517-5.547 (951) 682-4300 (800)562.5700 FAX (951) 369-1880 The Link Shelter Items Location Item Room Keep Donate Notes Outdoors 1st Floor Basktball net outdoors x 200 blue trash bins outdoors x Playground outdoors x Bicycle racks outdoors x Gates/fences outdoors x Outdoor tables outdoors x 2 desks office by entrance x filing cabinets office by entrance x Bed bug machine (heat tent) hallway x Storage shelves hallway x Clothing items Storage garage x 9 clothing racks Storage garage x Chickens books Storage garage x bookshelf Storage garage x Storage bins Storage garage x bicycles Storage garage x heating lamps(4) Storage garage x x Folding tables lounge area x 16 folding tables lounge area x 2 computers lounge area x x bookshelves back lounge area x 12 air filters x 3 office cubicals x Will be taken apart by volunteers on Volunteer day Apr. 30 Will be taken care of by building owners Will they be used? Laundry room Kitchen 2nd Floor 2 picnic tables back lounge area x bookshelves (2) back lounge area x 4 bar tables back lounge area x 8 bar stools back lounge area x water heater x Approx 100 metal cushion chairs x 200 beds 200 bed frames sleep area x 4 Tvs x 6 washers x 6 dryers x 4 storage shelves x 6 freezer/refrigerators x ovens x 2 steel tables x 3 desks x board x file medicine cabinet x conference table x approx. 100 plastic lawn chairs x bulletin board x 2 closet filing cabinets x 2 storage cabinets x Service carts x 2 water fountains x 2 office cubicals 2 folding tables x 2 glass desks x x 7 8 screws each April 9, 2021 City of Santa Ana Community Development Agency 20 Civic Center Plaza Santa Ana, CA 92701 Attn: Natalia Aparicio (714) 667-2254 naparicio@santa-ana.org ESTIMATE #20210409NAR3 Link Shelter MOVE IN TBD Santa Ana, CA 92705 Scope: • Provide moving labor & equipment to furniture, boxes, and equipment as listed on the attached inventory from storage containers located on site to new Link Shelter location (exact address TBD). • Storage containers to be provided by the City of Santa Ana. • Estimate does not include moving city personnel or residents' personal property. • Estimate does not include moving fence panels. Charges: Description Qty Rate Estimated Cost Moving Labels 2000 No Charge Move Back Labor 2 Drivers 10 Helpers 16 Hrs $900.00(hr* $14,400.00 Total Estimated Charges** $14,400.00 *Quoted rates are contract rates with the City of Santa Ana. Per contract, 4 hour minimum per day applies. **Final charges will be based on actual time & materlal. Nathan Doyel, Estimator 1625 Iowa Ave. P.O. Box 5547 Riverside, CA 92517-5547 (950 682-4300 (800) 562-5700 FAX (951) 369-1880 The Link Shelter Items Location Item Room Keen Donate Notes Outdoors Basktball net outdoors x 200 blue trash bins outdoors x Will be taken apart by volunteers on Volunteer day Apr, 30 Playground outdoors x Will be taken care of by building owners Bicycle racks outdoors x Gates/fences outdoors x Will they be used? Outdoor tables outdoors x 1st Floor 2 desks office by entrance x filing cabinets office by entrance x Bed bug machine (heat tent) hallway x Storage shelves hallway x Clothing items Storage garage x 9 clothing racks Storage garage x Childrens books Storage garage x bookshelf Storage garage x Storage bins Storage garage x bicycles Storage garage x heating lamps (4) Storage garage x x Folding tables lounge area x 16 folding tables lounge area x 2 computers lounge area x x bookshelves back lounge area x 12 air filters x 3 office cubicals x Laundry room Kitchen 2nd Floor 2 picnic tables back lounge area x bookshelves (2) back lounge area x 4 bar tables back lounge area x 8 bar stools back lounge area x water heater x Approx 100 metal cushion chairs x 200 beds 200 bed frames sleep area x 4 Tvs x 6 washers x 6 dryers x 4 storage shelves x 6 freezer/refrigerators x ovens x 2 steel tables x 3 desks x board x file medicine cabinet x conference table x approx. 100 plastic lawn chairs x bulletin board x 2 closet filing cabinets x 2 storage cabinets x Service carts x 2 water fountains x 2 office cubicals 2 folding tables x 2 glass desks x x 7 8 screws each Misc. 3 table tops Dial llallagnm trvan�m. Francine R. Villareal Vila=a D.I.: ro IPAzz isneie .1 W INLAMOV-02 KGO DAT420/2120/2D�I1 021 CERTIFICATE OF LIABILITY INSURANCE 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(les) 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 endorsements . PRODUCER License # 0757776 CONEACT Gall Schrenk HUB International Insurance Services Inc. PO Bside,ox C Riverside, CA 92517 PHONE INC,o,Eel: (951) 779-8763 FAX N°I. E-M I Gaii.Schrenk@hubinternational.com Ao�REs ; INSURERS AFFORDING COVERAGE NAICM INSURER A: TransGUard Insurance Company of America 28886 INSURED INSURER B : INSURER C: Inland Moving & Storage, Inc. INSURER D P.O. BOX 28 Riverside, CA 92502 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMRFR- 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 RESPECTTO 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 TYPE OF INSURANCE ADDLSUBR Man WAD POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADEOCCUR PD Ded: $1,000 X TCP011035717 4M/2021 41112022 EACH OCCURRENCE $ 1,000,000 DAMAGETO RENTED ce PREMISS $ 100,000 X MED EXP (Anyone ps,syl $ 5,000 PERSONAL S ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER. POLICY [X1 jPCT1:1 LOG GENERAL AGGREGATE It 2,000,000 GEN'L PRODUCTS - COMP/OP AGG g 2,000,000 Max Agg all job $ 3,000,000 OTHER: A AUTOMOBILE LIABILITY COMaBINEeD SINGLE LIMIT $. 1000000 BODILY INJURY Per arson $ ANYAUTO OWNED X SCHEDULED AUTOS ONLY AUU�T�,NO.pSSWNEp X TCP011035717 4/112021 4/112022 BODILY INJURY Per accident $ PeOracECHitlent AMAGE $ X X AUTOS ONLY X AUrOS ONLY Liability Ded. $1k 8 A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS UAB CLAIMS -MADE TC0000018211 4/112021 4/112022 RED X I RETENTION$ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIEfOR/PARTNERIEXECUTIVE ❑ OFFICERNEMBT�q EXCLUDED? (Mandatory in NHI, If yes, describe under NIA PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE --- DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT I $ A Cargo Liability TCP011035717 41112021 4/1/2022 jAny One LOSS 1 100,000 A Cargo Liab. DED: $1K TCP011035717 4/112021 4/1/2022 Aggregate In Transit 200,000 DESCRIPTION OF OPERATIONS ILOCATIONSIVEHICLES ACORD1111, Additional Remarks Schedule,ma beattached Umorespaceiare,idad) Insured Location 1625 Iowa Ave, Riverside CA 2607. Umbrella policy follows underlying policies GL & Auto City of Santa Ana, officers, agents, employees, and volunteers are Additional Insured with regard to General Liability when required by written contract per the attached endorsement form 064058 0418. Primary & Non -Contributory wording applies with regard to General Liability when required by written contract per the attached endorsement form CG2001 0413. Additional Insured with regard to Autol Liability when required by written contract per the attached endorsement form 014108 0418. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CityOf Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center plaza Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE n �,i? RhkM &APPRcfv elwt An' REVIEwED6FVPRov®Br. ACORD 25 (2016/03) ©1988-2015 ACORD C ,� Risk Management Analyst The ACORD name and logo are registered marks Of ACORD A` Rb® CERTIFICATE OF LIABILITY INSURANCE DATE( M/2D2) 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 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 Champion Risk & Insurance Services, L.P. 12250 El Camino Real, Ste 375 CONTACT NAME: FAX 8583897900 A/c No: nAIL DDRe s: certsonly@championrisk.net LICENSE# OH18156 San Diego CA 92130 INSURERS AFFORDING COVERAGE NAIL# INSURER A: Insurance Company of the West 27847 INSURED SURGE-3 INSURER B : Inland Moving & Storage Co DBA Burgess Moving and Storage INSURER C: INSURER D P.O. BOX 28 Riverside CA 92502 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 1471031158 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 INSURANCEJM2 ADDLSUBR POLICY NUMBER POLICY EFF MMIDDIIYYYY POLICY EXP MOLICY EXIP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS -MADE OCCUR PREMISES Ea oocunence $ MED EXP(My one person) $ PERSONAL & AOV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: POLICY 0 PEO LOC GENERALAGGREGATE $ PRODUCTS - COMPIOP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS Per accident BODILY INJURY ( ) $ NON -OWNED HIRED AUTOS AUTOS PROPERTYDAMAGE Per accitl n $ 8 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN WSD5G3405604 7/1/2020 7/1/2021 X TSPTEARTUTE I I OERH E. L EACH ACCIDENT $1.000.000 ANY PROPRIETORIPARTNEWEXECUTIVE CFFICERIMEMBER EXCLUDED? NIA E.L. DISEASE -EA EMPLOYEE $1,0D0,00D (Mandatory In NH) If yes, describe under EL DISEASE -POLICY LIMIT $1,0D0,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or memorandum of understanding. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and noncontributory. City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD C ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD i RWeMnugemenfDMelon yi ccREVIEWE06pDAPPR1O'VI®aYl: ment Analyv Risk Manage00 AGENCY CUSTOMER ID: INLAMOV-02 KGOAD A�0 LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY License # 0757776 NAMED INSURED HUB International Insurance Services Inc. Inland Moving & Storage, Inc. P.O. Box 28 Riverside, CA 92502 POLICY NUMBER EE PAGE 1 CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTIVE DATE: SEE PAGE 1 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of OperationslLocationsIVehicles: Should the policies be cancelled before the expiration date, Hub International Insurance Services Inc. (Hub), independent of any rights which may be afforded within the policies to the certificate holder named below, will provide to such certificate holder notice of such cancellation within thirty (30) days of the cancellation date, except in the event the cancellation is due to non-payment of premium, in which case Hub will provide to such certificate holder notice of such cancellation within ten (10) days of the cancellation date. ACORD 101 (2008101) © 2008 ACORD COF The ACORD name and logo are registered marks of ACORD RlskMarugemmtDMilm y < REVIt is APPROVE] BY: - Risk Management Analyst INSURED; Inland Moving and Storage Co. AM" TRANSGUARD, COMMERCIAL GENERAL LIABILITY 064058 04 18 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - BLANKET This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective Date: 04/01/2021 Policy Number: TCP 0110357 17 A. Additional Insured Coverage 1. SECTION II — WHO IS AN INSURED, is amended to include as an "insured" any person(s) or organization(s) with respect to the conduct of your business, other than: (1) A "van line" that is party to a written agreement with you that appoints you as its agent for purposes of providing moving and relocation services; or (2) A "van line" that is scheduled on any Additional Insured — Van Line endorsement to this policy; and further provided that you have agreed to add such person or organization as an additional "insured" pursuant to an express provision in a written "insured contract' or other written agreement, or in a permit issued to you by a governmental or public authority. Any person or organization is an additional "insured" solely with respect to "bodily injury" or "property damage" caused by an "accident' arising out of: (1) The conduct of your business; and (2) Your operations under the "insured contract', other written agreement, or permit that takes place after: (a) You executed the "insured contract' or written agreement; or (b) The permit has been issued to you; and then only to the limited extent and for no higher limits of insurance required in such "insured contract', other written agreement, or permit. B. Definitions For purposes of this endorsement only, the following definition is added: 1. Van Line means a person or organization for which you have been appointed as an agent for purposes of providing moving and relocation services. All other terms and conditions of the policy remain the same. 064058 04 18 TRANSGUARD INSURANCE COMPANY OF AMERICA, INC. Includes copyrighted material of Insurance Services Office, Inc., with it RiskMwaganadDiAsIon a REVIEWED & APPRov®aY: - U Ruk Management Malys[ INSURED: Inland Moving and Storage Co. POLICY NUMBER: TCP 0110357 17 EFFECTIVE DATES: 04/01/2021 to 04/01/2022 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 04 13 © Insurance Services Office, Inc., 2012 y.-„E. w,kWogemmtnty m t+"� `� RenEwm 6 APPROVED BY. el p 'lL�wc( Risk Management Analyst INSURED: Inland Moving and Storage Co. ® TRANSGUARD, msvwne, cwlrnw w.wtwct,.�r COMMERCIAL AUTO 014108 04/18 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - BLANKET This endorsement modifies insurance provided under the following: MOTOR CARRIER COVERAGE FORM This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective Date: Policy Number: 04/01/2021 TCP 0110357 17 A. Additional Insured Coverage 1. SECTION II — COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured, is amended to include as an "insured" the person(s) or organization(s) with respect to the ownership, maintenance, or use of a covered "auto', other than: (1) A "van line' that is party to a written agreement with you that appoints you as its agent for purposes of providing moving and relocation services; or (2) A "van line" that is scheduled on any Additional Insured — Van Line endorsement to this policy; and further provided that you have agreed to add such person or organization as an additional "insured" pursuant to an express provision in a written "insured contract' or other written agreement, or in a permit issued to you by a governmental or public authority. Any person or organization is an additional "insured" solely with respect to "bodily injury' or 'property damage' caused by an "accident' arising out of: (1) The ownership, maintenance or use of a covered "auto"; and (2) Your operations under the "insured contract', other written agreement, or permit that takes place after: (a) You executed the "insured contract' or written agreement; or (b) The permit has been issued to you; and then only to the limited extent and for no higher limits of insurance required in such "insured contract', other written agreement, or permit. B. Definitions For purposes of this endorsement only, the following definition is added: 1. Van Line means a person or organization for which you have been appointed as an agent for purposes of providing moving and relocation services. All other terms and conditions of the policy remain the same. TRANSGUARD INSURANCE COMPANY OF AMERICA, INC. 014108 04/18 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Risk Mougemmt DW[m REmeva) & ArvRov® By., F ae 2. V:EL— �Risk lvlanagemen[Mniyst