Loading...
HomeMy WebLinkAboutUNIVERSAL PROTECTION SERVICES dba ALLIED UNIVERSAL SECURITY SERVICESINSURANCE ON FILE WORK MAY PROCEED A-2022-082 UNTO. INSURANCE EXPIRES 1 23 - CLERK OF COUNCIL DATE: FIFTH AMENDMENT TO AGREEMENT �,�i,)c���2 TO PROVIDE SECURITY GUARD SERVICES THIS FIFTH AMENDMENT to the above -referenced agreement is entered into on May 17, 2022, by and between Universal Protection Services, LP, a California limited partiership, dba n, Allied Universal Security 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 cn California ("City"). z RECITALS A. The parties entered into an Agreement to Provide Security Guard Services No. A-2017- 130 dated May 16, 2017, by which Contractor agreed to provide unarmed security guard services for various City facilities ("Agreement"). B. The parties entered into a First Amendment to said Agreement No. A-2017-351 dated December 19, 2017, in order to provide additional funding to the contingency amount to provide for additional temporary services under said Agreement. C. The parties entered into a Second Amendment to said Agreement No. A-2019-080 dated May 21, 2019, in order to provide security guard services to the City's Work Center and to increase the compensation set forth in the Agreement to cover these additional services. The parties also amended said Agreement to reflect the change of Contractor's name from U.S. Security Associates to Universal Protection Service, LP, dba Allied Universal Security Services, after Allied Universal Security purchased and merged with U.S. Security Associates. D. The parties entered into a Third Amendment to said Agreement No. A-2019-093 dated June 18, 2019, in order to expand the scope of services to include roving patrols for designated City Parks, bike trails and portions of Santiago Creek and increase the total compensation of said Agreement to pay for these additional services. E. The parties entered into a Fourth Amendment to said Agreement No. A-2020-209 dated October 7, 2020, in order to station security professional that will utilize temperature screening equipment to screen individuals at City designated entry points, increase security services at 625 N. Cypress, provide security services coverage for the Water Services Department, and increase the total compensation of said Agreement. F. In accordance with the terms and conditions of said Agreement, the Parties desire to again amend Section 2 — Compensation, to increase the maximum amount of Compensation for said Agreement, and Section 3 — Term, to extend the Term of said Agreement. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions of said Agreement, as amended, except as herein modified, the parties agree as follows: Page I of 2 Section 2(a), Compensation, shall be amended to increase the maximum amount of compensation by one million, seventy four thousand, three hundred and seventy six dollars ($1,074,376.00), which includes a contingency of sixty five thousand dollars ($65,000.00), during the extended Term of said Agreement. Additionally, a revised and updated version of Contractor's Fee Schedule is attached herewith as Exhibit A-3 and incorporated herein by reference, which shall supplement Exhibit A-2 of the Fourth Amendment, and all previous versions of the Fee Schedule. 2. Section 3, Term, shall be amended to extend the Term of said Agreement through November 30, 2022. 3. Except as modified by this Fifth Amendment, all terms and conditions of said Agreement, as modified by the First, Second, Third, and Fourth Amendments, shall remain in hill force and effect. IN WITNESS WHEREOF, the Parties hereto have executed this Fifth Amendment to said Agreement on the date and year first written above. ATTEST ?AISY GQMEZrk of the Council APPROVED AS TO FORNI SONIA R. CARVALHO City Attorney i i By_L - RYAN Q. HODGE Assistant City Attomey RECON1iytENDED FOR APPROVAL NABIL SABA Executive Director Public Works Agency CITY OF SANTA ANA KRISTINE RIDGE City Manager CONTRACTOR Name: Steve Claton Title: President Page 2 of 2 EXHIBIT A-3 Various Locations Santa Ana, Califormta 1. REQUIREMENT: Provide unarmed, uniformed professional security officers who are capable of exercising good judgment, will be highly visible at all times, deter crime, and perform other duties as outlined by the client. 2. BUDGET ESTIMATE: STAFF POSITION C ttelVRoss Amex Su . WEEKLY •40 BILL RATE S31.00 HOLIDAY& $48.50 35,439.47 $65.273.50 $20.00 Cay HatURoss Anneit 205 $27.90 $41.85 $25.089.64 $301074.d6 53M 348.08 $18.00 Corporate Yard Suoetwor 0 531.00 $46.50 $0.00 $0.00 $20.00 Cemorale Yard 118 $27.90 I $41.86 $14,441.78 $173,30i All $173,301A1 $18.00 SARTC Supervisor 40 $31.00 $46.50 $5,439.47 $65,273.60 $20.00 SARTC 248 $27.90 541.85 $30,35222 E364,226.69 342%500.29 $18.00 Mau. Library Sup 40 531.00 $46.50 $5,439.47 $65,273.60 $20,00 Main L!brary 44 $27.90 $41.85 $5.385.07 $84.820.86 $129 994.46 $18.00 Work Center Supernsor 0 $31.00 $46.50 $0.00 $0.00 $20.00 Work Center 40 $27.90 $4,A5 54,895.52 55874624 $59.746.24 $18.00 Santa Ana Senior Cntr. Su . 0 431. 0 $4e50 50.00 00 $20.00 Samar Ana Secr Center 20 $27.90 $4 115 $2,44?.75 $29, 373,12 $29,373.12 518.00 Park Patrol Supervisor 40 L $32.55 $48.83 55.711A4 568,53Z28 521.00 Park Patrol 352 1 $29.46 E44.18 $45,473.94 $545.687.30 S614.224.58 $19.00 Walter Sites Supervisor 0 1 $31.00 546.50 ' $0.00 $0.00 $20.00 V/3ter Sites 148 1 $27,90 $41.86 $18,113.42 5217,36109 .3217,361.09 1 $18.00 Sue Total Labor 1336 5168,229.11 2,016,749.26 Grortd Totar (inci. E4uioment) $178.029.11 2,136,349.26 Nato: 3; _YIr3 xv in ge tr1 i ..iais ire 71I1ei at it 39fE&o J(.qn f,'O, nie'at :o m eSS'r.an ;re rondo, C i ra!e U; 3i a 2Solt 9t ralltanla paA mk eal a _aW a3 102-�', %tat s 411e:bY9.Wr i NJ' ] Al posts Issocialao Oh IN OW MII I bled is ncurnicd. .. =10C F!e2ndt a, bill toy Ss:S ircu`ea 3S 3 E Lll T :rarge n'ederal st31e, or coal egisdairm or'31es 3. EQUIPMENT: 4. HOLIDAYS: Allied Universal recognizes the following holidays. Security officers working on these days will be paid time and one -halt Client will be billed at the overtime ratelholiday rate for those days. New Years Day President's Day Memorial Day Independence Day Labor Day Thanksgiving Day Christmas Day ..".��IEDUNIVERSAU 1. _ There lar you. Client Approval Name: Signature: Tille: Date: ALLIED UNIVERSAL SECURITY SERVICES rrancine H. Villareal Villareal A� " CERTIFICATE OF LIABILITY INSURANCE oAM01124/2022o n 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 endorsements . PRODUCER MARSH USA INC 1717 Arch Street Philadelphia, PA 19103 Attn: Philadelphia.oeds@nnarsh.win I Fax:(212) 9490380 CONTACT Marsh � U.S.Operations PHONE jFAX Mc Me Ertl. BG6-966-0864 _ _-.1.(AAIcNoI_ E-MAIL PNladi Na.Certs@nershcon ADDRESS' b — INSURER S AFFORDING COVERAGE NAICR INSURER A: Indian Harbor Insurance Company 36940 CN1 I8025105-ALL-STAND-22-23 INSUREDAlliedUniversal Topics, LLC (See Attached for Additional Named I nsureds) INSURER B : Greenwich Insurance Company 22322 INSURER 6 : XL Insurance Anni 24554 INSURER o : National Fire & Marine Insurance Company 20079 161 Washington Street, Suite 600 Conshohocken. PA 19426 INSURER E :NIA N/A INSURER F: COVERAGES CERTIFICATE NUMBER: CLE-00644TT72-26 REVISION NUMBER: 12 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 CR 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 OFINSUMNCE ADOLSURR POLICY NUMBER POLICY EFF MMDO POLICY E%P MIDD LIMITS A X OONMERCIAL GENERAL LIABILITY RES943799402 011012022 01/012023 EACH OCCURRENCE $ 30p00,000 CLAWS -MADE ',� OCCUR DAMAGE O R PREMISES Ea ocanene $ _- 30.000p00 X MED EX? (Any one person) $ CONTRACTUAL LIABILITY X SIR$1,750,000 PERSONAL SADV INJURY $ 30.000,000 GEN•L AGGREGATE LIMIT APPLIES PER: GENERAI-AGGREGATE $ 40,000,000 PRODUCTS-COMPIOP AGO $ 40,000,000 O. X POLICY JJEECT rx I LOG $ OTHER: B AUTOMOBILELNaIUTY 'RAD943781805 01/012022 01/012023 SINGLE LIMIT Eaacdeat $ 5,000,000 BODILY INJURY (Per person) $ X ANYAUTO - BODILY INJURY(Peracciden0 $ AOWNED UTOS ONLY SCHEDULED AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Pm accident $ $ UMBRELLALIAS I X OCCUR 42XSF10W9009 01/p1/2022 01/012023 EACH OCCURRENCE $ 10,OOD,000 X AGGREGATE $ 10,WD,000 EXCESSUAB CWMS-MADE Excess Of General Lability, DEO RETENTION $ Auto Liability, and Workers Camp S C C WORKERS COMPENSATION ANDENPLOYERS'LIABILITY YIN ANYFROPRIETORIPARTNEWEXECUTIVE OFFICERNi EMBEREXCLUOEO] (Mandatary in NiE.L. N/A RWD3001203-06(AOS) RWR300120406(WI) 011p12022 0MV2023 011012023 g PER OTH- STATUTE ER E.L. EACH ACCIDENTIII 10p000p DISEASE -EA EMPLOYEE $ 1.000.000 E.L. DISEASE -POLICY LIMIT $ 1 00,000 it yea, describe under DESCRIPTION OF OPERATIONS below A Professional Liability RESM799402 01/012022 01/0112023 Limit 2.000,000 SIR 1,750.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remade Schedule, maybe artachad If more space Is mqulmd) The City of Santa Ana, its aficars, employees, agents, volunteers and representatives ale induced as addtional insured where required by vmtten contrad with respect to General Liablity and Auto Lability UaDlity coverage shall be primary and non-contributory where required by written banned. Waiver of subrogation is applicabe where required by written contract. City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Risk Management Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE Ride MvwgglRtt )iwisian a� REvtD 6 APPROVED Br. H r, tI 01988-2016 ACORD C % -ia FliI ,r„t Z V:.K A"t ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD '�' Risk Management Analyst AGENCY CUSTOMER ID: CN118025105 LOCM Philadelphia q aRo® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED MARSH USA INC Allied Universal Topco, LLC (See Attached far Additional Named Insureds) 161 Washington Seel, Suite 600 POLICY NUMBER Conshohocken, PA 19428 CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Excess Workers Compeisa ion Policy No- RWB43548206 Insurer. XL Specialty Insurance Company Effective Oats: 111/2022-1112023 Limit Employers Liability Each Accident: $1 000,000 Employers Liability Disease -Policy Umit $1,000,000 Employers liability Disease -Each Employ.. $1000,000 SIR: $1.000,000 Clime Policy No.: 01-602-29-33 Insular National Upon File Insurance Ca Effective Oates: 09/152021 - 09/152022 Lurit Employee Theftor Dishonesty: $2,I7f10,000 Client Pop":$2,000,000 Deductible: S1,000,000 Contracture Pollution Liability Policy No: CP013303734 Insurer Commerce and Industry Insurance Company Effective Dates. 111012021 11/012022 Limit $5000000 Deductible S250,000 The Centel Liability and Professional Liability policies evidenced above share in the limits shown. The trade do rot apply separately to the individual coverages rVxa rvrr.�c�.W W.wwn 1r111Mo s APPIiCArHa BY' ACORD 101 (2008101) ©2005 ACORD C {{.�.JpI/ . rµh(ii.,.4 1h 14atv4e. The ACORD name and logo are registered marks Of ACORD Risk Management Analyst Named Insured: Michael Stapleton Associates, Ltd., dba MSA Allied Universal Topco LLC Security Millard Mall Services Holdco LLC Additional Named Insured: MSA Investigations, Inc. Adesta LLC MSA Security, Inc_ Advent Systems, LLC MSA Security Canada Limited Advent Systems, LLC, dba Allied Universal MSA Security Limited Technology Services NAKI Cleaning Services, LLC Allied Security Holdings LLC Peoplemark, Inc. Allied Universal Compliance and Investigations, RONCO Consulting Corporation Inc. SecurAmerica, LLC Allied Universal Compliance and Investigations, Securadyne Systems Intermediate LLC Inc., fka G4S Compliance & Investigations, Inc. Securadyne Systems Intermediate LLC, dba Allied Universal Executive Protection and Allied Universal Technology Services Intelligence Services, Inc. Securadyne Systems Texas LLC Allied Universal Finance Corporation Securadyne Systems Texas LLC, dba Allied Allied Universal Holdco LLC Universal Technology Services Allied Universal Risk Advisory and Consulting SFI Electronics, LLC Services, Inc. SFI Electronics, LLC, dba Allied Universal Allied Universal Sideco, LLC Security Systems AlliedBarton (NC) LLC SFI Electronics, LLC, dba Allied Universal AlliedBarton (NC) LLC, dba Allied Universal Technology Services Security Services SFI Electronics, LLC, dba Universal Protection AlliedBarton Security Services LLC Security Systems AlliedBarton Security Services LLC, dba Allied SOS Security LLC Universal Security Services SOS Security LLC, dba Allied Universal Risk AMAG Technologies, Inc. Advisory and Consulting Services American Security Programs, Inc. SOS Security LLC, dba Allied Universal Security Central Defense Services, LLC Services ERMC LLC Spectaguard Acquisition LLC ERMC of America, LLC Staff Pro Inc. FJC Security Services, Inc. Staff Pro Inc., dba Allied Universal Event FJC Security Services, Inc., dba Allied Universal Services Security Services Titania insurance Co. of America G4S Holding One LLC TMG Facilities Management, LLC G4S Retail Solutions (Canada) Inc. U.S. Security Associates Holding Corp. G4S Retails Solutions (USA) Inc. Universal Building Maintenance, LLC G4S Secure Integration LLC Universal Building Maintenance, LLC, dba Allied G4S Secure Integration LLC dba Allied Universal Janitorial Services Universal Technology Services Universal Building Maintenance, LLC, dba Allied G4S Secure Solutions International Inc. Universal Landscaping Services G4S Secure Solutions (USA) Inc. Universal Protection GP, Inc. G4S Secure Solutions (USA) Inc., dba Allied Universal Protection Security Systems, LP Universal Universal Protection Security Systems, LP, dba G4S Technology Software Solutions LLC Allied Universal Security Systems Intelligent Access Systems of North Carolina, Universal Protection Security Systems, LP, dba LLC Allied Universal Technology Services Intelligent Access Systems of North Carolina, Universal Protection Service of Canada LLC, dba Allied Universal Technology Services Corporation Intelligent Access Systems of North Carolina, Universal Protection Service of Canada LLC, dba Securadyne Systems Mid -Atlantic Corporation, dba Allied Universal Security Michael Stapleton Associates, Ltd. Services of Canada A Rj k M®arft dDavicn ��REv16 6 APFw Sr. �✓ Risk Management Analyst Universal Protection Service of Canada Corporation, dba Allied Universal Technology Services Universal Protection Service of Seattle, LLC Universal Protection Service of Seattle, LLC, dba Allied Universal Security Services Universal Protection Service, LLC Universal Protection Service, LLC, dba Allied Universal Risk Advisory and Consulting Services Universal Protection Service, LLC, dba Allied Universal Security Services Universal Protection Service, LLC, dba Allied Universal Security Services, LLC Universal Protection Service, LP Universal Protection Service, LP, dba Allied Universal Risk Advisory and Consulting Services Universal Protection Service, LP, dba Allied Universal Security Services Universal Protection Service, LP, dba Allied Universal Security Services, LP Universal Services of America, LP Universal Services of America, LP, dba Allied Universal Universal Thrive Technologies, LLC Universal Thrive Technologies, LLC, dba Allied Universal Monitoring and Response Center Universal Thrive Technologies, LLC, dba Allied Universal Technology Services Universal Thrive Technologies, LLC, dba Thrive Intelligence USAGM Acquisition, LLC m. RUIet Mmtm RenE 6 AVPa��o�v�® or.. ff' F" ''L" P- K Res k mtanagement Analyst POLICY NUMBER: RAD943781805 XIC 414 1013 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. Schedule Additional Insureds Work Any person or organization you have agreed to Ali Operations include as an additional insured under written contract, provided such contract was executed prior to the date of loss. COVERED AUTOS LIABILITY COVERAGE, Who Is An Insured, is amended to include as an "insured" the person or organization listed in the Schedule above, but only with respect to liability for "bodily injury" or "property damage" otherwise covered under this policy caused, in whole or in part, by the negligent acts or omissions of: 1. You, while using a covered 'auto"; or 2. Any other person, except the additional insured or any employee or agent of the additional insured, operating a covered "auto" with your permission; in the performance of your work as described in the Schedule above. In no event shall any person or organization listed in the Schedule become an "insured" pursuant to this Endorsement if such person or organization is solely negligent. IT IS FURTHER AGREED THAT IN NO EVENT SHALL ANY CONTRACT OR AGREEMENT ALTER THE CONDITIONS, COVERAGES OR EXCLUSIONS SET FORTH IN THIS POLICY. All other terms and conditions of this policy remain unchanged. XIC 414 1013 © 2013 X.L. America, Inc. All Rights Reserved. AM Dtw onVHAR 02/01/2021 May not be copied without permission. ®arIncludes copyrighted material of Insurance Services Office, Inc., with ifs permislrne�t Malyst POLICY NUMBER: RAD943781805 COMMERCIAL AUTO CA 04 44 1013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: ALLIED UNIVERSAL TOPCO, LLC Endorsement Effective Date: January 1, 2022 SCHEDULE Name(s) Of Person(s) Or Organization(s): Any person or organization where waiver of our right to recover is required by written contract with such or organization provided such contract was executed prior to the date of loss. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 10 13 © Insurance Services Office, Inc., 2011 the Declarations. t. �q Risk Mougement DWion QQREvlero & Avva,� lw® ar♦. p'MIA.@irM Il. �i..cutrna Ruk Management Analyst ENDORSEMENT ti0S0 This endorsement, effective 12:01 AM O1/O1/2022 Forms part of policy number: RES943799402 Issued to: ALLIED UNIVERSALTOPCO, LLC By: INDIAN HARBOR INSURANCE COMPANY ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided by the following: EXCESS GENERAL LIABILITY POLICY A. SECTION II - Who Is an Insured is amended to include as an additional insured a person(s) or organization(s) who is required to be added by written contract or written agreement which does not require that a specific form number be used. B. The insurance provided to additional insureds applies only to "bodily injury", "property damage", "professional liability" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The ads or omissions of those acting on your behalf In the performance of your ongoing operations for the additional insured; or "your work" performed for that additional insured and included in the "products -completed operations hazard" However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law, and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: x�M ,off N� K ftEvievEo 6 Arvaw®Br: It Risk Management MallYst Required by the contractor agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance a shown in the Declarations. D. The additional insured must see to it that: 1. We are notified as soon as practicable of an "occurrence" or offense that may result in a claim. 2. We receive written notice of a claim or "suit" as soon as practicable; and 3. A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured also has rights an insured or additional insured. E. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: The additional insured is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. All other terms and conditions remain as written. MANUS RioieM-T-9 dtrM= yH fitvlEweofi APPfi6vHJ �' 9Y' t f.s R V (Cana! : Risk APnagement Analyst ENDORSEMENT #24 This endorsement, effective 12:01 AM 01/O1/2022 Forms part of policy number: RES943799402 Issued to: ALLIED UNIVERSALTOPCO, LLC By: INDIAN HARBOR INSURANCE COMPANY WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Name of person or Organization: Where required by written contract. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement) The TRANSFER OF RECOVERY AGAINST OTHERS TO US Condition (Section IV — CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard." This waived applies only to the person or organization shown in the Schedule above. All other terms and conditions remain as written. MANUS Risk MmngemmiDhisim ,v `,, REvier�oS AavwwmBr 8I If. r' Fne�ni:M.t z. v:.�*1 l Risk f:Ranagemen[Analyst WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Any person or organization where waiver of our right to recover is required by written contract with such person or organization provided such contract was executed prior to the date of loss. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below Is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured RWD3001203-06 Premium Included Abject universal Topco, LLC Insurance Company XL Insurance America, Inc. Countersigned by WC 00 03 13 (Ed. 4-84) r > Risk t,AOrgemerttAuiebn eeREviswEo i Avvfa,o,v'» BrA. 19H] National couneii on cranpensation insurance. ran! A Y�A�.lar�tb Risk Nianagement Analyst ENDORSEMENT#49 This endorsement, effective 11:01 AM 01/01/2022 Forms part of policy number: RES943799402 Issued to: ALLIED UNIVERSAL TOPCO, LLC By: INDIAN HARBOR INSURANCE COMPANY AMENDMENT OF CANCELATION CLAUSE ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY POLICY Section IV —CONDITION #12, Cancellation, is deleted in its entirety and replaced with the following: 1. The first Named insured shown in the Declarations may cancel this policy by mailing or delivering to us ad- vance written notice of cancellation. 2. We may cancel this policy by mailing or delivering to the first Named Insured, all additional named insureds, and all certificate holder's written notice of cancellation at least: a. 10 days before the effective date of cancellation if we cancel for nonpayment or premium: or b. 90 days before the effective date of cancellation if we cancel for any other reason. It is further understood that ninety (90) will be given for material change. 3. We will mail or deliver our notice to the first Named insured's"last mailing address known to us. 4. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. S. If this policy is canceled, we will send the Named Insured any premium refund due. if we cancel, the refund will be pro rata. If the first Named Insured cancels, earned premium will be calculated in accordance with the customary pro-rata table and procedure, or the Minimum Earned Premium at the inception of the policy shown in of the Declarations, whichever is greater. The cancellation will be effective even if we have not made or offered a refund. 6. If notice is mailed, proof of mailing will be sufficient proof of notice. 7. If we decide to non -renew this policy, we will provide the first Named insured with 90-days written notice. 8. It is further agreed that notice of cancellation or non -renewal will be given, in writing, to the Risk management Department. All other terms and conditions remain as written. RlskM-9-ent DIM'= fk-vi ri &APPR By: ?ti•��C/{ �yLM6�= � Y�IfAM1G4 Ruk Management Analyst WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 57 ENDORSEMENT# This endorsement, effective 12:01 a.m. forms a part of Policy No. RWD3001203-06 issued to Allied Universal Topco, LLC by XL Insurance America, Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CANCELLATION NOTIFICATION TO OTHERS ENDORSEMENT This endorsement modifies insurance provided under the following: WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY 12/1 In the event coverage is cancelled for any statutorily permitted reason, other than nonpayment of premium, advanced written notice will be mailed or delivered to person(s) or entity(ies) according to the notification schedule shown below: Number of Days Advanced Name of Person(s) or Entity(ies) Mailing Address: Notice of Cancellation: Per the most current schedule maintained by 30 Marsh USA Inc. and furnished to AXA XL no less than 45 days prior to the effective date of the cancellation. All other terms and conditions of the Policy remain unchanged. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective insured Allied Universal Topco, LLC Insurance Company XL Insurance America, Inc. Policy No. Endorsement No. RWD3001203-06 Premium$ Included Countersigned by WC 99 06 57 a Ruk Mvegeme d D mmn Ed. 12/10 © 2010 X-L. America, Inc. All Rights Reserved- May litnE u o&AwRw®ev May not be copied without permission. 5 ��K R. G:!/.�aud �� Ruktvtznzgemert[Mzlyst