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ALLIED UNIVERSAL EXECUTIVE PROTECTION AND INTELLIGENCE SERVICES, INC. DBA ALLIED UNIVERSAL JANITORIAL SERVICES (2)
A-2021-195-01 MAYOR �.� CITY MANAGER Valerie Amezcua Alvaro Nunez MAYOR PRO TEM :z '��? CITY ATTORNEY Thai Viet Phan 7 r SoniaC Carvalho R Y CLERK COUNCILMEMBERS _ I II3' Phil Bacerra , _ ux7• Jennifer L.Hall Johnathan Ryan Hernandez Jessie Lopez David Penaloza -- Benjamin Vazquez CITY OF SANTA ANA INSURANCE ON FILE POLICE DEPARTMENT WORK MAY PROCEED 60 Civic Center Plaza•P.O.Box 1981 UN i ILJiN6URANUE EXPIRES Santa Ana,California 92702 I /I I2UZ S"-- www.santa-ana.ora/PD CITY CLERK DATE: NOV Q 4 2024 October 4, 2024 �. c (j) (Suismn (a01.°S(oe1 V` Mark E. Olivas,President Allied Universal Janitorial Services 1551 N.Tustin Ave., Suite 650 Santa Ana,CA 92705 Re: Extension of Agreement to Provide Janitorial Services A-2021-195 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 5,2021,the time period of the Agreement is hereby extended for an additional one (1) year period until October 31, 2025. 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, ROBERT RODRIGUEZ Acting Chief of Police ATTEST: CITY OF SANT ANA c r .ALL LVARO Z City Manager APPROVED AS TO FORM: ALLIED UNIVERSAL JANITORIAL SONIA R. CARVALHO SERVICES City Attorney By: jJ/J1/f TAMARA BOGOSIAN By. Mark E. lives Senior Assistant City Attorney Title: President SANTA ANA CITY COUNCIL Valerie Amezcua Thai Viet Phan Benjamin Vazquez Jessie Lopez Phil Bacerra Johnathan Ryan Hernandez David Penaloza Mayor Mayor Pro Tern.Ward 1 Ward 2 Ward 3 Ward 4 Ward 5 Ward 6 vamezcuaRlsanta•ana.orq lohanasanta-ana.orq bvazauezc5isanta-ana.orq jessielooez@santa-ana.org pbacerra@santa-ana.org jrvanhemandezC5)santa-ana.orq doenaloza@santa-ana.orq (--- ,„---.-- II 11 9/ III II 2' III II SANTA ANA 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-2021-195 Number: Project Agreement With Allied Universal 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: TYPE OF INSURANCE POLICY NUMBER EXPIRATION COI DATE FILE NAME DATE cert_CLE_City Of AUTOMOBILE LIABILITY RAD943781807 01/01/2025 12/20/2023 Santa Ana_6755749_13.pdf cert_CLE_City Of GENERAL LIABILITY RE5943799404 01/01/2025 12/20/2023 Santa Ana_6755749_13.pdf WORKERS COMPENSATION AND cert_CLE_City Of EMPLOYERS'LIABILITY RWD300120308ADS 01/01/2025 12/20/2023 Santa Ana_6755749_13.pdf Thank you, A�� ® DATE 01%3/2025Y) 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(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 MARSH USA LLC NAME: Marsh I U.S.Operations 30 South 17th Street PHONE C No Ext: 866-966-0664 A/C No): Philadelphia,PA 19103 E-MAIL hla Attn:Philadelphia.certs@marsh.com/Fax:(212)948-0360 ADDRESS: Philadelphia.Certs@marsh.com INSURERS AFFORDING COVERAGE NAIC# CN118025105-ALL-STAND-25-26 INSURER A: Indian Harbor Insurance Company 36940 INSURED Allied Universal Topco,LLC INSURER B: Greenwich Insurance Company 22322 (See Attached for Additional Named Insureds) INSURER C: XL Insurance America 24554 161 Washington Street,Suite 600 INSURER D: Indemnity Insurance Company of North America 43575 Conshohocken,PA 19428 INSURER E: XL Specialty Insurance Company 37885 INSURER F COVERAGES CERTIFICATE NUMBER: CLE-007309485-01 REVISION NUMBER: 2 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDD/YYYY MM/Lilc1 YY A X COMMERCIAL GENERAL LIABILITY RES943799405 01/01/2025 01/01/2026 EACH OCCURRENCE $ 30,000,000 REMI CLAIMS-MADE X❑ OCCUR P E ( RENTED PREMISESS Ea occurrence) $ 30,000,000 X CONTRACTUAL LIABILITY MED EXP(Any one person) $ X SIR$1,750,000 PERSONAL&ADV INJURY $ 30,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 55,000,000 X POLICY PRO ❑ JECT LOC PRODUCTS-COMP/OP AGG $ 55,000,000 OTHER: $ B AUTOMOBILE LIABILITY RAD943781808 01/01/2025 01/01/2026 COMBINED SINGLE LIMIT $ 5,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident D UMBRELLA LIAB X OCCUR XSM G72500027 005 01/01/2025 01/01/2026 EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS-MADE Excess of General Liability, AGGREGATE $ 10,000,000 DIED I RETENTION$ Auto Liability,and Workers'Comp $ ( ) C WORKERS COMPENSATION RWD300120309 AOS 01/01/2025 01/01/2026 PER oTH- AND EMPLOYERS'LIABILITY X STATUTEI ER C ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N RWR300120409(WI) 01/01/2025 01/01/2026 E OFFICER/MEMBEREXCLUDED? � N/A E.L.EACH ACCIDENT $ 1,000,000 (Mandatory In NH) RWE943548209(CA,OH) 01/01/2025 01/01/2026 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Professional Liability RES943799405 11/11/2025 01/01/2026 Claim 2,000,000 SIR:$1,750,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Santa Ana Police Department is included as additional insured(except for workers'compensation)where required by written contract. Waiver of subrogation is applicable where required by written contract. Liability coverage shall be primary and non-contributory where required by written contract. APPROVED By Tu Tran Nguyen at 8:44 am, Jan 29, 2025 CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn:Police Administrative Budget Manager THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 60 Civic Center Plaza,M-97 ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana„CA 92701 AUTHORIZED REPRESENTATIVE @ 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN118025105 LOC#: Philadelphia ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED MARSH USA LLC Allied Universal Topco,LLC (See Attached for Additional Named Insureds) POLICY NUMBER 161 Washington Street,Suite 600 Conshohocken,PA 19428 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Excess Workers'Compensation Policy No.:RWE943548209 Insurer:XL Specialty Insurance Company Effective Dates:1/1/2025-1/1/2026 Limit: Employers Liability Each Accident:$1.000,000 Employers Liability Disease-Policy Limit:$1,000,000 Employers Liability Disease-Each Employee:$1,000,000 SIR:$1,000.000 Crime Policy No.:01-468-22-46 Insurer:National Union Fire Insurance Co. Effective Dates:08/15/2024-08/15/2025 Limit: Employee Theft or Dishonesty:$2,000,000 Clients'Property:$2,000,000 Deductible:$750,000 Contractors Pollution Liability Policy No.:CP013303734 Insurer:Commerce and Industry Insurance Company Effective Dates:01/01/2024-01/01/2026 Limit:$5.000,000 Deductible:$250.000 The General Liability and Professional Liability policies evidenced above share in the limits shown.The limits do not apply separately to the individual coverages ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Allied Universal - List of Additional Insured Last Updated December 20, 2024 Adesta LLC Intelligent Access Systems of North Carolina, Advent Systems, LLC LLC Advent Systems, LLC, dba Allied Universal Intelligent Access Systems of North Carolina, Technology Services LLC, dba Allied Universal Technology Services Allied Universal Compliance and Investigations, Michael Stapleton Associates, Ltd. Inc. Michael Stapleton Associates, Ltd., dba MSA Allied Universal Compliance and Investigations, Security Inc., fka G4S Compliance& Investigations, Inc. Michael Stapleton Associates, Ltd. dba Allied Allied Universal Event Services, Inc. Universal Enhanced Protection Services Allied Universal Executive Protection and MSA Investigations, Inc. Intelligence Services, Inc. MSA Investigations, Inc. dba Allied Universal Allied Universal Executive Protection and Enhanced Protection Services Intelligence Services, Inc. f/k/a AS Solution MSA Security Canada Limited North America, Inc. MSA Security Limited Allied Universal Finance Corporation MSAS Parent Inc. Allied Universal Holdco LLC Naki Cleaning Services, LLC Allied Universal Risk Advisory and Consulting Peoplemark, Inc. Services, Inc. Peoplemark Inc. dba Allied Universal Workforce Allied Universal Risk Advisory and Consulting Solutions Services, Inc. f/k/a Andrews International Renaissance Center Management Company Government Services, Inc. RONCO Consulting Corporation Allied Universal Sideco, Inc. Securadyne Systems Intermediate LLC AlliedBarton (NC) LLC Securadyne Systems Intermediate LLC, dba AlliedBarton (NC) LLC, dba Allied Universal Allied Universal Technology Services Security Services Securadyne Systems Texas LLC AMAG Technology, Inc. Securadyne Systems Texas LLC, dba Allied American Security Programs, Inc. Universal Technology Services Clean Sweep Building Services, LLC SFI Electronics, LLC FJC Security Services, Inc. SFI Electronics, LLC, dba Allied Universal FJC Security Services, Inc., dba Allied Universal Security Systems Security Services SFI Electronics, LLC, dba Allied Universal G4S Holding One LLC Technology Services G4S Retail Solutions (Canada) Inc. SFI Electronics, LLC, dba Universal Protection G4S Retail Solutions (Canada) Inc. dba Security Systems Deposita, an Allied Universal Company SOS Security LLC G4S Retails Solutions (USA) Inc. SOS Security LLC, dba Allied Universal Risk G4S Retails Solutions (USA) Inc., dba Deposita, Advisory and Consulting Services an Allied Universal Company SOS Security LLC, dba Allied Universal Security G4S Secure Integration LLC Services G4S Secure Integration LLC dba Allied Spectaguard Acquisition LLC Universal Technology Services Staff Pro Inc. G4S Secure Solutions International Inc. Staff Pro Inc., dba Allied Universal Event G4S Secure Solutions (Puerto Rico) Inc. Services G4S Secure Solutions (USA) Inc. Titania Insurance Co. of America G4S Secure Solutions (USA) Inc., dba Allied U.S. Security Associates Holding Corp. Universal Universal Building Maintenance, LLC G4S Technology Software LLC Universal Building Maintenance, LLC, dba Allied Guardsmark (Puerto Rico), LLC Universal Janitorial Services Guardsmark (Puerto Rico), LLC, dba Allied Universal Building Maintenance, LLC, dba Allied Universal Security Services, LLC Universal Landscaping Services Guardsmark (Puerto Rico), LLC, dba Universal Universal Group Holdings LLC Protection Service, LLC Universal Protection GP, Inc. Allied Universal - List of Additional Insured Last Updated December 20, 2024 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 Universal Protection Service of Canada Corporation, dba Allied Universal Technology 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 UPSH Inc. USA GP Sub LLC USA Intermediate, Inc. USAGM Acquisition, LLC Vance Executive Protection, Inc. Vance International Consulting, Inc. POLICY NUMBER: RAD943781808 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 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: 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. Page 1 of 1 VHAR 12/02/2019 May not be copied without permission. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. POLICY NUMBER: RAD943781808 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. Named Insured: ALLIED UNIVERSAL TOPCO, LLC Endorsement Effective Date: January 1, 2025 SCHEDULE Name(s) Of Person(s)Or Organ iza tion(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 waned 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 Page 1 ENDORSEMENT#050 This endorsement, effective on 01/01/2025 at 12:01 A.M. standard time, forms a part of Policy No. RES943799405 of the INDIAN HARBOR INSURANCE COMPANY Issued to ALLIED UNIVERSAL TOPCO, LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided by the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM 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 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: 1. 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 shown in the Declarations. MAN US @ 2025 X.L.America Inc.All Rights Reserved May not be copied without permission Includes copyrighted material of Insurance Services Office,Inc.with its permission 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: 1. 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 @ 2025 X.L.America Inc.All Rights Reserved May not be copied without permission Includes copyrighted material of Insurance Services Office,Inc.with its permission ENDORSEMENT#024 This endorsement, effective on 01/01/2025 at 12:01 A.M. standard time, forms a part of Policy No. RES943799405 of the INDIAN HARBOR INSURANCE COMPANY Issued to ALLIED UNIVERSAL TOPCO, LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM 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 @2025 X.L.America Inc.All Rights Reserved May not be copied without permission Includes copyrighted material of Insurance Services Office,Inc.with its permission 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 01-01-2025 Policy No. RWD3001203-09 Endorsement No. Insured Allied Universal Topco, LLC Insurance Company Countersigned by `-- XL Insurance America, Inc. WC000313 (Ed.4-84) 1983 National Council on Compensation Insurance.