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HomeMy WebLinkAboutAIMTD, LLCINSURANCE ON FILE WORK MAY PROCEED A-2022-066-01 UNTIL INSURANCE EXPIRES tel . `5 CLERK OF COJNCIL DATE MAY 2 6 2022 FIRST AMENDMENT TO AGREEMENT WITH AIMTD, LLC., FOR ON -CALL TRAFFIC D"--TWA(k-EaA kA,) CkV�2 THIS FIRST AMENDMENT to the above -referenced agreement is entered into May 3, 2022, by and between AimTD, LLC., a California limited liability company ("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-2021-136-02 ("Agreement") dated July 20, 2021, to retain Consultant to provide traffic counting services on an on -call basis. B. The Agreement is current and in -effect through June 30, 2024. C. The parties now wish to amend the Agreement to increase compensation. The Parties therefore agree: 1. Section 2, Compensation, is hereby amended to increase the total sum available to be expended under this Agreement from $100,000 to $140,000. 2. 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 Second Amendment to the Agreement on the date and year first written above. ATTEST DAISY GOMEZ Clerk of the Council APPROVED AS TO FORM SONIA R. CARVALHO City Attorney By: Brfindon Salvatierra Deputy City Attorney CITY OF SANTA ANA KRISTINE RIDGE City Manager AIMTD, LLC. Olga Polpnih PresiderA and CEO [signatures continued on next page] Page 1 of 2 RECOMMENDED FOR APPROVAL L Q �" 3� Nab!] Saba, P.E. Executive Director Public Works Agency Page 2 of 2 ToriPierson oa9e`2D22n3.z;;,1 o,•uc• f 1110i L! CERTIFICATE OF LIABILITY INSURANCE `1 Da7a iMNIDWyyYy) 03/02/2022 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. H SUBROGATION 13 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 e°rtifieate, holder in lieu of such endorsemen s . PROoueel Staff ibleil i ROY JEFFERSON, AGENT 115 S CHAPARRAL COURT, SUITE 250 ANAHEIM HILLS, CA 92808 __ NAME: Alexandra PHONE . 714-283-5336 Pax C we, 714-2635941 ALDRIESs. alexandra(droyjeifers9n.net INSURERS) AFFORDING COVERAGE INSURER INSURER A: State Farm Mutual Automobile Insurance Company HAICe 25178 INSURED AIMTD LLC 751 WEIR CANYON RD STE 157A58 ANAHEIM, CA 92808 State Farm General Insurance Company 25151 INSURER C: INSURER D: INSURER E : INSURER F: rnvveawnm ��•���� GCIXIIrIGAIt: NUMWICR• REVISIO N NUMBER. THIS IS TO CERTIFY THAT THE POLICIES INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR INDICATED. NOTWITHSTANDING THE POLICY PERIOD UI ANY REQUIREMENT, TERM OR CONDITION ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT CERTIFICATE MAY ISSUED TO WHICH THIS ISSUED OR D PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT O SUCH TO EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. ALL THE TERMS, POLICY NUMBER ail TYPE OF INSURANCE IR OIX.BUBR P�CYEFF POUCV4 UMW COMMERCNLOENERAL LWBILITY EACH OCCURRENCE 8 2,000,000 CLAMS -MADE ® OCCUR OAtvAZiET6TE REMISE erxa E 2,000,000 MEDEXP(Anyarea ) B $ 5,000 Y Y 92-CX-M179-0 02/26/2022 02/26/2023 PERSONAL B ADV INJURY $ 2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE ®jE $ 4,000,000 POLICY T LOC PRODUCTS-COMP/OPAGG E 2,000.000 OTHER: $ AUTOMOBILE LIABILITY Y Y 11564411-008-75 091WI2121 09100/2022 EaMB Send ELIMR g 1,000,000 A ANY WNED OWNED SCHEDULED 640 3716-B28-75 02128QO22 02128/2023 BODILY INJURY (Per p«mn) s BODILY INJURY (Per ectltlen0 E AUTOS ONLY AUTOS AUTOS HIRED 1JE0 AUTOS ONLY AUTOS ONLY 5647151-A16-75 01/1612022 01/16/2023 PFtOPERTY DAMAGE Per ant E t UMBRELLA DAB OCCUR EACH OCCURRENCE E EXCESS Me CLAIMS -MADE AGGREGATE $ DELI I I RETENTIONS $ WORKERS COMPENSATION PER O - AND EMPLOYERS' LIABILITY YIN BTATUTE ER EL EACH ACCIDENT $ 1.000,000 B OFFICER/MEMBER EXCLUDED?EcurNE FNI NIA Y 92-36-P8535 0212812022 0212812023 MandatoryIn NH) ityea, descrie antler E.L. DISEASE -FA EMPLOYEEt 1,000,000 EL DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS be)OW DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule. may be aHachetl N mere space Is requmba) 30 DAY NOTICE OF CANCELLATION, EXCEPT FOR 10 DAYS NON PAYMENT OF PREMIUM WILL BE PROVIDED Additional Insured: The City of Santa Ana, its officers, officials, employees, and volunteers. City of Santa Ana Risk Management 20 Civic Center Plaza, M43 Santa Ana, CA 92701 ACORD 25 (2016103) 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 REPRESENT IVE RuIrManagneadi Oiniim 11 } IRVIesTIO6 MaRov® Br. 1 Yr. %su %!rcxtorr ©19 6-2015 ORD COF Ri<aMa„aa�„D,mm�,Iaar The ACORD name and logo are registered markilf of ACO 10014M 132649.12 03.1s.2016 Acoao® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD YY)(Y) `� 1 11/10/2021 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 CONTACT NAME: Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA PHONE (888) 202-3007 FAX No): 5 Concourse Parkway E-MAIL ADDREss: contact@hiscox.com Suite 2150 Atlanta GA, 30328 INSURERS AFFORDING COVERAGE NAICk INSURERA: Hiscox Insurance Company Inc 10200 INSURED INSURER B : AimTD LLC 751 S Weir Canyon rd, Ste 157-158 INSURER C: Anaheim, CA 92808 INSURER D : INSURER E : 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 OF INSURANCE ADOLTYPE JIM SUD POLICY NUMBER MM/DDA'Y MMIDD EXP LIMIT$ COMMERCIALGENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS -MADE OCCUR PREMISES Ea occurrence $ MED EXP (Any one careen) $ PERSONAL S ADV INJURY $ GEN'L AGGREGATE LIMIT APPLI ES PER: GENERALAGGREGATE $ POLICY JECOT1:1 LOG PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Par accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Par ewitlem $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION ANDEMPLOYERVLIABILITY YIN PER OTH- STATUTE ER ANYPROPRIETORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED7 ❑ NIA E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ A Professional Liability N UDC-1827497-EO-21 09/30/2021 09/30/2022 Each Claim: $ 2,000,000 Aggregate: $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) 20 Civic Center Plaza Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ©1988-2015 ACORD CI ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD CA Policy No. 92-CX-M179-0 CMP-4766.1 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. Page 1 of 2 CMP-4786.1 ADDITIONAL INSURED — OWNERS, LESSEES, OR CONTRACTORS (Scheduled) This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE POlicy Number: 92-Cx-M179-0 Named Insured: AIMTD LLC 751 S WEIR CANYON RD STE 157-158 ANAHL"ZM CA 92006 1800 Name And Address Of Additional insured Person Or Organization: The City of Santa Ana, its officers, officials, employees, and volunteers. SECTION II — WHO IS AN INSURED of SECTION II — LIABILITY is amended to In- clude, as an additional insured, any person or organization shown in the Schedule, but only with respect to liability for "bodily injury", property damage", or "personal and advertis- ing injury" caused, in whole or in part, by: a. Ongoing Operations (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf; in the performance of your ongoing opera- tions for that additional insured; or b. Products - Completed Operations "Your work" performed for that additional Insured and included in the "products - completed operations hazard. However, Paragraph 1. above is subject to the following: b. If coverage provided to the additional in- sured is required by a contract or agree- ment, the insurance provided to the additional insured will not be broader than that which you are required by the contract or agreement to provide for such addition- al Insured; and C. If the contract or agreement between you and the additional insured is governed by California Civil Code Section 2782 or 2762.05, the insurance provided to the additional insured is the lesser of that which: (1) Is allowed for the satisfaction of a de- fense or indemnity obligation by Cali- fornia Civil Code Section 2782 or 2782.05 for your sole liability; or (2) You are required by contract or agreement to provide for such addi- tional insured. a. The insurance afforded to the additional We have no duty to defend or indemnify the insured only applies to the extent permit- additional insured under this endorsement un- ted by law; til a claim or "suit' is tendered to us. ©, Copytight, Slate Farm Mutual Automobile Insurance Company, 2013 Includes sopydohted malarial of Insurance S-MCe6 Ofrlee, Inc., with its permisslon. CONTINUED vAM�.g..ao� aenE:vrena ArvaavID 8V. t I 7euOman �rcxaen R"IMa,ugenvrt OmralNtlr 2. Any insurance provided to the additional in- sured shall only apply with respect to a claim made or a "suit" brought for damages for which you are provided coverage. 3. With respect to the insurance afforded to the additional insured, the following is added to SECTION II -- LIMITS OF INSURANCE: If Coverage provided to the additional insured is required by contract or agreement, the most we will pay on behalf of the additional insured will be the lesser of the amount of insurance: a. Required by the contract or agreement; or b. Available under the applicable Limits Of Insurance shown in the Declarations. This endorsement shall not Increase the ap- plicable Limits Of Insurance shown in the Declarations. 4. With respect to the insurance afforded to the additional insured, the following Is added to Paragraph 3. Duties In The Event Of Occur- rence, Offense, Claim Or Suit of SECTION II — GENERAL CONDITIONS: The additional insured must: a. See to it that we are notified as soon as Practicable of an "occurrence" or an of- fense which may result in a claim. To the extent possible, notice should include: (1) How, when and where the "occur- rence" or offense took place; (2) The names and addresses of any in- jured persons and witnesses; and CMP-4786,1 CMP-4786.1 Page 2 of 2 (3) The nature and location of any injury or damage arising out of the "occur- rence" or offense; b. Tender the defense and indemnity of any claim or "suit" to us and to all other insur- ers who may have insurance potentially available to the additional insured; and c. Agree to make available any other insur- ance the additional insured has for de- fense or damages for which we would Provide coverage under SECTION It — LIABILITY. 5- With respect to the Insurance afforded the ad- ditional insured, the following replaces SEC- TION II —LIABILITY of Paragraph 7. Other Insurance of SECTION I AND SECTION II — COMMON POLICY CONDITIONS: a. This insurance is primary to and will not seek contribution from any other insurance available to the additional insured, provided that the additional insured Is a named In- sured under such other insurance. b. Regardless of any agreement between you and the additional insured, this insur- ance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional in- sured has been added as an additional in- sured on other policies. There will be no refund of premium in the event this endorsement is cancelled. All other policy provisions apply. 0. Cbpg rihl, State Farm Mutual Automobile Insurance Company, 2013 1007033 148011 08.21-2014 copyrighted Includes co ri hted material of Insurance Services office, Inc., with its permission. w�k Mg�t D� _ IfcinerID6TAfvrawmer R1 Polky No. 92-CJf-ML79-0 0455-FA7! CMR4787 Page I of I THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY GMP-478T WAIVER OF TRANSFER OF RIGHTS OR RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: SUSINESSOWNERS COVERAGE FORM SCFIEDULE Policy Number: 92-CX-ii Named Insured: AIMTD ULC 751 S WEIR CANYON RD STE 157-ISS ANANEIM, CA."o6 Name And Address Of Person Or Organization: City of Santa Ana, 20 Civic Center Plaza, Santa Ana, CA 92702 The following is added to Paragraph'10.h, of SECTION I AND SECTION 11 — COMMON POLICY CONDIMNe! We waive any right of recovery we may have against the person or organization shown In file Schedule because of payments we make for Inluny or damage arising out OF. a. Your ongoing operations: or b. "Your work" done under contract with that person or organization and included in the "products. Completed operations hazard". This walver applies only to the person or organization shown in the Schedule. All other policy provisions apply. CNIPA70T COPY69111. Slate Fain Mutual Ant..hue lrnumnw Conl nY. YOW %0026 137715.1 11- 0-2013 lnctutlea mpyri0llme mele6at ct Y19mm�m 8alvtces Dl�e. I.. zanfty Pomlia6 . RIsY Mwga Dmslon r' RaulEwm i Al'rRoam er: i`. e� Rok Mawgamn Omul Aide 01 A POLICY NUMBER: 515 6448-CO8-75, 640 3716-B28-75 564 7151-A16-75 NAMED INSURED: AIMTD LLC POLICY PERIOD: 02/28/2022-02/28/2023 6028BU ADDITIONAL INSURED ENDORSEMENT (Prior notice of Termination) This endorsement is part of the policy. Except for the changes this endorsement makes, all other provisions of the policy remain the same and apply to this endorsement. 1. A person or organization shown on the Declarations Page as an Additional Insured is provided Liability Coverage, but only to the extent that person or organization qualifies as an insured as defined in Liability Coverage. An Additional Insured has the same right of recovery under Liability Coverage as if they had not been shown on the Declarations page as an Additional Insured. 3. If Liability Coverage is changed or terminated as to the interest of the Additional Insured, unless another number of days is shown on the Declarations Page, we will provide the Additional Insured: a. 10 days notice of such change or termination if the policy is nonrenewed or the cancellation is for nonpayment of premium; and b. 20 days notice of such change or termination if the cancellation is for any reason other than nonpayment of premium. Name of Person or Organization: The City of Santa Ana, its officers, officials, employees, and volunteers. 20 Civic Center Plaza, M-43, Santa Ana, CA 92701 Coverage is primary and non -contributor. Waiver of Subrogation Applies to General Liability. 6028BU �. RENEWm6AvrxwmB+ dt !1 I l 7o,e a",� R¢khUru9emm,Clmral Aidr A POLICY NUMBER: 515 6448-008-75, 6403716-1328-75 POLICY PERIOD: 02/28/2022-02/28/2023 564 7151-A16-75 NAMED INSURED: AIMTD LLC 6196U 6196U WAIVER Of SUBROGATION UNDER THE LIABILITY COVERAGE This endorsement is part of the policy. Except for the changes this endorsement makes, all other provisions of the policy remain the same and apply to this endorsement. It is agreed that we will not exercise our right of subrogation under Liability Coverage as respects The name shown immediately following the title of this endorsement of the Declaration Page. Name of Person or Organization: The City of Santa Ana, its officers, officials, employees, and volunteers. 20 Civic Center Plaza, M-43, Santa Ana, CA 92701 Coverage is primary and non -contributor. Waiver of Subrogation Applies to General Liability. RAMg.1M� Rent 6AvvRavm Sr. ,uee�, WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04030s (Ed 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT • CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that You perform work under a written Contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be s °k of the California workers' compensation premium otherwise due on such remuneration. Schedule Ealsoff PI-0mantzeticnn TRAFFIC DATA City Of Santa Ana, 20 Civic Center Plaza, Santa Ana, CA 92702 This endorsement changes the policy to which it is attached and is elteclive on the date Issued unless otherwise slated, (The information below is required only when this endorsement is issued subsequent to preparation of the policy) Endorcainanr Exemvo POnGy No,02-G6-P853-5 Endorsement No. Insured insurance Company — AIMTD, LLC State Farm General Insurance Company 7515 WEIR CANYON RD STE 157-158 ANAHEIM, CA 92808 Countersigned By WC 04 03 06 (Ed 4-84) Roe A1v�.geiwtDiwinn �w®6 Mrxa.�m er ?ou >aitx.arc rmxromay�,xam�ianc