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HomeMy WebLinkAboutALLIED UNIVERSAL JANITORIAL (6)c�a INSURANCE ON FILE WORK MAY PROCEED UNTIL. INSURANCE EXPIRES CLERK OF COUNCIL DATE MAYOR Vicente Sarmiento MAYOR PRO TEM Phil Bacerra COUNCILMEMBERS Johnathan Ryan Hernandez Jessie Lopez Nelida Mendoza David Penaloza Thai Viet Phan A-2019-190-05 CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza e P.O. Box 1988 Santa Ana, California 92702 www.santa-ana.org October 19, 2022 Universal Building Maintenance, LLC dba Allied Universal Janitorial Services Attn: Mark E. Olivas, President 1551 N. Tustin Ave., Ste. 650 Santa Ana, CA 92705 Re: Extension of Agreement #A-2019-190 to Provide Janitorial Services CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Pursuant to Section 3 ("Term") of the above -referenced Agreement, entered into by Allied Universal Janitorial Services and the City of Santa Ana, dated October 15, 2019, the time period of the Agreement is hereby extended for an additional one-year period through October 31, 2023. Any insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Agreement remain unchanged and in full force and effect. Sincerely, ,Ji .41 f —�abil Saba, P.E. Executive Director, Public Works Agency CITY OF SANTA ANA Krisfine Ridge City Manager APPROVED AS TO FORM Bra6don Salvatierra Deputy City Attorney ATTEST i. A. <kClerk of the Council ALLIED UNIVERSAL JANITORIAL SERVICES Mork E. Oii-as President SANTA ANA CITY COUNCIL Vicenle sarmienlo Phil 6 "'s Thai Viei Phan Nelida Mendoza Jessie Lopez Johnalhan Ryan Hernandez David Penaloza Mayor Mayor Pro Tem. Ward J Ward t Ward 2 Ward 3 Ward 5 Ward 6 ysarmlenl4(a?Sanla-ana ❑rp bacerra sanla.an p Lohann0 same-ana ern nmendoza(yi5anla-ana orp 3e55E01pgez.[il5ania ana.erA iNanhemandad(al5anla-ana.or_v doanaloza[ai5ania-ana bra � 1 � 1P1l�ro�l _arc zozzozor I3Ss15 CERTIFICATE OF LIABILITY INSURANCEr rreu�ul -4al9A'MIQQNYYY) AYE(M rE(MD22 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 MARSH USA INC NAME,cUNTACT Marsh ( U.S. Operations 1717 Arch Street PHONE $fib 9fi6 46fi4 FAX Na Philadelphia, PA 19103 Alin: Philadelphia.ceds@marsh.com !fax: (212) 948-0.360 E-MAIL Philadel hla Certsmarsh,com AQQREss: P � • Cd INSURER 9 AFFORDING COVERAGE NAIL # CN118025105 ALL-STAND-STAND-23 INSURER A: Indian Harbor Insurance Company 3694D INSURED Allied Universal Topco, LLC INSURER B : Greenwich Insurance Company 22322 INSURER C: XL Insurance America 24554 (See Attached for Additional Named Insureds) 161 Washington Street, Suite 600 INSURER D : National Fire & Marine Insurance Company 20079 Conshohocken. PA 1942$ INSURER E : NIA NIA INSURER F : 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 INSn SUER WVD POLICY NUMBER POLICY EFF MMIDO/YYYY POLICY EXP MMIDQIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY RES943799402 0110V2022 0110112023 EACH OCCURRENCE g 30,000,000 CLAIMS -MADE � OCCUR -FDAMAGE TO PREMISES Ea occurrence) ence 5 30.000,000 X CONTRACTUAL LIABILITY MED EXP (Any one person) .$ SIR $1,750,000 X PERSONAL & ADV INJURY 5 30,000,000 GENLAGGREGATE X LIMIT APPLIES PER : E FE GENERAL AGGREGATE $ 40000,000 PRODUCTS - COMPIOP AGG S 40,000,0$0 POLICY .€PROECT LOC $ OTHER: ® AUTOMOBILE LIABILITY RA0943781805 0110112022 0110112023 COMBINED SINGLE LIMIT Ea accident S 5,000,000 ANY AUTO X BODILY INJURY (Per person) S OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS H€RED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLALIAB UR E-10LIC 42XSF10009009 01101/2022 01/0112023 EACH OCCURRENCE $ t0,000,000 X AGGREGATE $ 10,000,000 EXCESS LIAR MS -MADE Excess of General Liability, DEC) I I RETENTION Auto Liability, and Workers' Comp C WORKERS COMPENSATION RWD3001203-06(AOS) —07 0112022 0110112023 X PER OTH- $ C AND EMPLOYERS' LIABILITY YIN STATUTE ER ANYPROPRIETOPJPARTNERIEXECOTIVE a N 1 A RWR3001204065CNI) 01/01/2022 01101/2023 E.L. EACH ACCIDENT S 1,1100,000 OFFICERlMEMBEREXCLUDED9 (Mandatory In NH) It yes, describe under E.L. DISEASE - EA EMPLOYEE S 1,000,000 E.L. DISEASE - POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS below A Professional Liability RES943799402 0110112022 0110112023 Limit 2,000,000 SIR 1,750,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana is included as additional insured where required by written contract with respect to General Liability and Auto Liability. Liability coverage shall be primary and non-contributory where required by written contract. Waiver of subrogation is applicable where required by written contract. a.erc i irICA I t HOLDER CANCELLATION City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 ACORD 25 (2016103) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE PlIELIM & APPROVED Sr 01988-2016ACORD C The ACORD name and logo are registered marks of ACORD ` Ris k Management Anaiyst AGENCY CUSTOMER ID: CN118025105 LOC #: Philadelphia AC K ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED MARSH USA INC Allied Universal Topco, LLC (See Attached for Additional Named Insureds) 161 Washington Street, Suite 600 POLICY NUMBER Conshohocken, PA 19428 CARRIER NAIL CODE EFFECTIVE DATE:. Named Insured: Allied Universal Topco LLC Additional Named Insured: Adesta LLC Advent Systems, LLC Advent Systems, LLC, dba Allied Universal Technology Services Allied Security Holdings LLC Allied Universal Compliance and Investigations, Inc. Allied Universal Compliance and Investigations, Inc., fka G4S Compliance & Investigations, Inc. Allied Universal Executive Protection and Intelligence Services, Inc. Allied Universal Finance Corporation Allied Universal Holdco LLC Allied Universal Risk Advisory and Consulting Services, Inc. Allied Universal Sideco, LLC AlliedBarton (NC) LLC AlliedBarton (NC) LLC, dba Allied Universal Security Services AlliedBarton Security Services LLC AlliedBarton Security Services LLC, dba Allied Universal Security Services AMAG Technologies, Inc. American Security Programs, Inc. Central Defense Services, LLC ERMC LLC ERMC of America, LLC FJC Security Services, Inc. FJC Security Services, Inc., dba Allied Universal Security Services G4S Holding One LLC G4S Retail Solutions (Canada) Inc. G4S Retails Solutions (USA) Inc. G4S Secure Integration LLC G4S Secure Integration LLC dba Allied Universal Technology Services G4S Secure Solutions International Inc. G4S Secure Solutions (USA) Inc. G48 Secure Solutions (USA) Inc., dba Allied Universal G4S Technology Software Solutions LLC Intelligent Access Systems of North Carolina, LLC Intelligent Access Systems of North Carolina, LLC, dba Allied Universal Technology Services Intelligent Access Systems of North Carolina, LLC, dba Securadyne Systems Mid -Atlantic Michael Stapleton Associates, Ltd. Michael Stapleton Associates, Ltd., dba MSA Security Millard Mall Services Holdco LLC MSA Investigations, Inc. MSA Security, Inc_ MSA Security Canada Limited MSA Security Limited KAKI Cleaning Services, LLC Peoplemark, Inc. RONCO Consulting Corporation SecurAmerica, LLC Securadyne Systems Intermediate LLC Securadyne Systems Intermediate LLC, dba Allied Universal Technology Services Securadyne Systems Texas LLC Securadyne Systems Texas LLC, dba Allied Universal Technology Services SFt Electronics, LLC SFI Electronics, LLC, dba Allied Universal Security Systems SFI Electronics, LLC, dba Allied Universal Technology Services SFI Electronics, LLC, dba Universal Protection Security Systems SOS Security LLC SOS Security LLC, dba Allied Universal Risk Advisory and Consulting Services SOS Security LLC, dba Allied Universal Security Services Spectaguard Acquisition LLC Staff Pro Inc. Staff Pro Inc., dba Allied Universal Event Services Titania Insurance Co. of America TMG Facilities Management, LLC U.S. Security Associates Holding Corp. Universal Building Maintenance, LLC Universal Building Maintenance, LLC, dba Allied Universal Janitorial Services Universal Building Maintenance, LLC, dba Allied Universal Landscaping Services Universal Protection GP, Inc. Universal Protection Security Systems, LP Universal Protection Security Systems, LP, dba Allied Universal Security Systems Universal Protection Security Systems, LP, dba Allied Universal Technology Services Universal Protection Service of Canada Corporation Universal Protection Service of Canada Corporation, dba Allied Universal Security Services of Canada Nil: Risk Wnagm=i DwEREvED & APPROVED BY. 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 flo ftmek-EFD&APPRovEDBr.�. V:llul Risk Management Analyst POLICY NUMBER: RAD943781805 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 XIC 414 1013 With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. Schedule Additional Insured(s) Work Any person or organization you have agreed to All 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: 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. PdakManagemadDm im VHAR 02/01/2021 May not be copied without permission. ;: REVIEWED &AaPaavq,By. h. Includes copyrighted material of Insurance Services Office. Inc., with its permis c Ci k, It"441d Risk Managenvent Anatys l POLICY NUMBER: RAD943781805 COMMERCIAL AUTO CA04441013 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. NamedInsured: 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 person or organization provided such contract was executed prior to the date of loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 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 c0 Insurance Services Office, Inc., 2011' RItlRM=agvnm1l Msknt :i �j REMEwm & APPRovm By. ®" Risk Management Analyst ENDORSEMENT #050 This endorsement, effective 12.01 AM 01/01/2022 Forms part of policy number: RES943799402 Issued to: ALLIED UNIVERSAL TOPCO, 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 it - 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 acts 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; Mmager, ml Division REviEwm & APPRav�Q Br. ® Risk Management Analyst 4 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 e shown in the Declarations. D. The additional insured must see to it that: 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 Rick MwgAC�numf Tk�Wm PS REvEwm & ApmovE� Br. ®. Risk Management Analyst ENDORSEMENT #24 This endorsement, effective 12:01 AM 01/01/2022 Forms part of policy number: RES943799402 Issued to: ALLIED UNIVERSAL TOPCO, LLC By: INDIAN HARBOR IN5URANCE 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 Rick ManegemeMt �iV;sinr REVIEwm & APiPR.ogvED By. i �1 Risk ❑lanagernent 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 Insured Allied Universal Topco, LLC Insurance Company XL Insurance America, Inc. WC000313 (Ed. 4-84 ) 1983 National Council on Compensation Insurance. Policy No. Endorsement No. RWD3001203-06 Premium Included Countersigned by RialMem etnentDivision REvEwEo & APPRovm Sr RU K M anagement Analyst NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor Allied Universal Topco, LLC Name: Project A-2019-190-05 Number: Project Extension of Agreement #A-2019-190 to Provide Janitorial Name: Services The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the insurance requirements. No further action is required at this time. The compliant coverage(s) are: EXPIRATION COI TYPE OF INSURANCE POLICY NUMBER FILE NAME DATE DATE cert_CLE_City of AUTOMOBILE LIABILITY RAD943781806 01/01/2024 01/13/2023 Santa Ana_6844453_8.pdf cert_CLE_City of GENERAL LIABILITY RES943799403 01/01/2024 01/13/2023 Santa Ana_6844453_8.pdf cert_CLE_City of PROFESSIONAL LIABILITY RES943799403 01/01/2024 01/13/2023 Santa Ana_6844453_8.pdf WORKERS ALLIED COMPENSATION AND RWD300120307AOS 01/01/2024 12/29/2022 UNIVERSAL EMPLOYERS' LIABILITY TOPCO, LLC.pdf Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 1/18/2023 12:49 PM