HomeMy WebLinkAboutVALLEY OAK SYSTEMS (AON) - 2003
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A-2003-069
SECOND AMENDMENT TO V ALLEY OAK SYSTEMS
SOFTWARE LICENSE, SERVICE, AND MAINTENANCE AGREEMENT
THIS SECOND AMENDMENT, made and entered into this )-flv day of April 2003, by and between,
V ALLEY OAK SYSTEMS (VOS) and the City of Santa Ana, a charter city and municipal corporation
duly organized and existing under the Constitution and laws of the State of California ("City"),
collectively referred to herein as "the Parties".
RECIIALS
The Parties hereto now desire to amend Exhibit D (SOFTW ARE MAINTENANCE AND
SUPPORT AGREEMENT) to allow for continuous uninterrupted service under said
. í7' agreement.
\? ~~ . WHEREFORE, in consideration of the mutual and respective covenants and promises hereinafter
~~~(~ contained and made, and subject to all of the terms and conditions of said Agreement as hereby amended,
<. '" t the parties hereto do hereby agree as follows:
\)
A . The Parties entered into that certain agreement entitled "V ALLEY OAK SYSTEMS
SOFTWARE LICENSE, SERVICE, AND MAINTENANCE AGREEMENT ", hereinafter
referred to as "said Agreement", for installation, training and maintenance of the City of Santa
Ana Personnel Services Agency workers compensation and liability computer programs;
1. Exhibit D, Section 2, Maintenance and Support Services of said Agreement is hereby amended to
add subsection:
d. VOS agrees to provide additional training to City as requested. Said training shall be
provided by VOS at an hourly rate not to exceed $187.50 per hour.
2. Exhibit D, Section 2, Maintenance and Support Services of said Agreement is hereby amended to
add subsection:
e. VOS agrees to provide updates, upgrades and support services as per the standard
support and maintenance agreement that entitles City to request vas support to perform
upgrades of any standard VOS release during business hours. Other non-standard services can be
requested on a time and expense basis (as per VOS' Service Level Agreement).
3. Exhibit D, Section 2, Maintenance and Support Services of said Agreement is hereby amended to
add subsection:
f. VOS agrees to provide the iVaS application to City with an increase to the current
maintenance fee. City shall have the option for VOS to perform certain implementation services for
iVaS, which is estimated to take up to ten (10) days. (See Section 5 below for fees associated with
maintenance and the optional implementation services.) City agrees that the addition of the iVaS
application ("iVOS") will fall under the same terms and conditions specified in the Software License
Agreement for the original Software. All rights granted to City by VOS for the Software in the
Software License Agreement will be granted to City for iVOS. VOS shall, at all times, retain
ownership of all rights, title and interest of iVOS.
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4. Exhibit D, Section 5, Term and Termination of said Agreemént is her~by amended to strike
subsection a in its entirety and replace with:
a. This Maintenance Agreement shall commence upon execution of this agreement and
continue in effect for a period of three years.
5. Exhibit D Section 6, Fees and Charges of said Agreement is hereby amended to add:
The fee for the additional customer training shall not exceed $15,000.00 for the three-year period ofthis
amendment. .
As per Section 2(e) above, the fee for updates, upgrades, and standard support services shall not exceed
$50,200 for the three-year period of this amendment.
The fee increase for the addition of the iVOS application for the first year will be $8,401.13.
Maintenance fees for iVOS will not be effective until actual use by the City. Once the initiation of
productive use of iVOS takes place, the fee increase will be prorated to run coterminous with the
. current maintenance schedule. If iVOS is implemented, the maintenance fee amount shall not
exceed $78,200. Certain functions to implement iVOS can be performed by either City or VOS. If
City opts to have VOS perform the work, the hourly rate of $187.50 shall be charged for such
services, and is estimated to take up to ten days, at a rate not to exceed $15,000.
City shall pay for all on site travel expenses necessary to provide the services offered by VOS, which
shall not exceed $5,000 during the three-year period. City shall provide written consent to all
reimbursable expenses; which such consent shall not be unreasonably withheld.
6. Option~ 1 Services
City shall have the option to purchase the following services over the three-year period:
.
Develop custom Tf',portS: Analyze reporting needs, then design and develop custom reports
based on client requirements.
VOS Support F.xtr~ - Supplemental support services which fall outside of the existing Support
Maintenance and Service Agreement, such as such as Windows Network Administration,
DBA services and Citrix Administration.
GeneT~l rommltine: This service typically involves resolving issues in connection with
legislative changes, business operation efficiencies, adoption of additional lines of insurance,
inclusion of additional insured or the specification of custom functionality.
.
.
These services shall be available at the hourly rate of $187.50, and could take up to fifteen (15) days to
conclude the service, and shall not exceed $22,500.00.
The total cost of the additional services included in this amendment, includes $78,200 to cover the cost
of the annual maintenance agreement for three years (inclusive of iVOS), and all total costs of this
amended agreement shall not exceed $135,700.00.
5. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and
in full force and effect.
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IN WITNESS WHEREOF, the parties hereto have executed this Amendment to said Agreement the
date and year first above written.
ATTEST:
CITY 9¥ SAN~NA
( . /';)'}
¿/~~t-¿"::¿¡J¿¿~ ---
DAVID N. REAM
City Manager
PATRICIA E. HEALY
Clerk of the Council
APPROVED AS TO FORM:
JOSEPH W. FLETCH R
City Attorney
APPROVED AS TO CONTENT:
CONSULTANT
R4?/;U/¿
Robert Faulhaber
President
hR-m1l%1
Employer ID # or Individual SS
-
A CORP. CERTIFICA OF LIABILITY IN SURA 'E 1 DATE (MM/DD/YY)
07/30/2002
PRODUCER THIS CERTIFICATE IS ISSUED AS A MA TIER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Kurl & Jordan Ins. Agcy. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1818 Catalina Ct. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Livermore, CA. 94550 INSURERS AFFORDING COVERAGE
_(92;:)) 606-7713 --
INSURED Valley Oak Systems, Inc. INSURER A: United States Liabilitv
5~34 I~';:;;;.- n Safeco
3189 Danville Blvd. Ste 255 /" INSURER'C;. Mt. Vernon Fire --
Alamo, CA 94507 ~ J ftNSURER D:
I ~ INSURER E:
COVERAGES (N
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSi!J~o TO THtlìNSI:.tREO-NAMED ABÒVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OT~R' DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERE1N IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
l~f~1 --------- --~-- iiI~~rMEJ/ri'¡¡9J~~E Pgk~i~~~~~~J!,?N --- ----
TYPE OF INSURANCE POLICY NUMBER LIMITS
I GENERAL LIABILITY ~ .',," ,.,. EACH OCCURRENCE $1, 000, OQ~
- :>q COMMERCIAL GENERAL LIABILITY f------
FIRE DAMAGE (Anyone fire) $25,000
A-r-:J CLAIMS MADE [K] OCCUR I MED EXP (Anyone person) $1,000
PPPI000316-C 07/28/02 07/28/03 PERSONAL & ADV INJURY $1,000,000
: I GENERAL AGGREGATE $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $1,000,000
~-l ¡--I PRO- nLOC
i X POLICY JECT
I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
4 ANY AUTO (Ea accident) $1,000,000
i-- -- ALL OWNED AUTOS BODILY INJURY $
l--J SCHEDULED AUTOS (Per person)
B l~~ HIRED AUTOS 02-CC-870022-4 09/10/01 09/10/02 BODILY INJURY
I XI NON-OWNED AUTOS 02-CC-870022-5 09/10/02 09/10/03 (Per accident) $
j -~-~--._.- -------- PROPERTY DAMAGE $
, j (Per accident)
! GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
.-1 ANY AUTO ----
I OTHER THAN EA ACC $
---
AUTO ONLY AGG $
I EXCESS LIABILITY EACH OCCURRENCE $2,000,000
X OCCUR CLAIMS MADE jXL131673-C I AGGREGATE $4,000,000
i i
107/28/02 07/28/03 $
C -I DEDUCTIBLE (over Gen. Liab.) $
RETENTION $ $
WORKERS COMPENSATION AND - I TORY LIMITS I IOJ~-
EMPLOYERS' LIABILITY --
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
-~
E.L. DISEASE - POLICY LIMIT $
OTH ER
A! Prof. Liability PPP1000316 07/28/02 07/28/03 $3,000,000
I , .-, -.: ¡.ij '()R.í'-,l
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS -.', i' I' ",-, L~-.
Certificate holder is named as an additional insure~.,..,~.O<-=-=-~
,_._~~..---"
L~I ,; ",¡".'
''\ t -Y ( It\, .'\ll("fl)CY
L) ..~. I
CERTIFICA TE HOLDER 1 I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ]JL DAYS WRITTEN
Jeff Stevens - Risk Mgr. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
20 Civic Center Plaza IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Santa Ana, CA. 92701 REPRESENTATIVES.
AUTHORIZED REPRE ~~
~
ACORD 25-S (7/97) ~ c¡) ACORD CORPORATION 1988
..
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POLICY NUMBER: PPPIOOO316-C
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
ADDITIONAL INSURED-OWNERS, LESSEES OR
CONTRACTORS (FORM B)
THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING:
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
SCHEDULE
NAME OF PERSON OR ORGANIZATION:
The City of Santa Ana, its officers, agents, employees and volunteers
20 Civic Center Plaza
Santa Ana, CA. 9270 1
(I f no entry appears above, information required to complete this endorsement will be shown in
the declarations as applicable to this endorsement.)
Who is an insured (Section II) is amended to include as an insured the person(s) or
organization(s) shown in the schedule, but only with respect to liability arising out of your
ongoing operations for that insured by or for you.
, n'", ¡' ( ') '\i ;: , ") ,\ (.,
l\ 1 1 i"-.- L.. l.,
FOR1V1
---' ~-"--'.'___"'N'__'_"---'-
r.'O:';'" ~- "j\ tor ¡ICY
>',~ , . '. '.' ',' .' . ,
CG20lO 1093
Copyright, Insurance Services Office, Inc. 1996
Page I of 1
ACORQM CERTIFiCAtE OF LIABILITY INS*NCE I DATE (MM/DDIYY)
09/27/2002
PRODUCER (650)341-4484 FAX (650)341-4465 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Business Professional Ins. Assoc. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1519 South B Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
San Mateo, CA 94402 INSURERS AFFORDING COVERAGE
INSURED Vall ey Oak Systems Inc. INSURER A: AIG American International Co.
3189 Danville Blvd. #100 INSURER B:
Alamo, CA 94507 INSURER c:
INSURER D:
I INSURER E:
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~T: TYPE OF INSURANCE POLICY NUMBER PD,k+EY ~~~ggmE
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE D OCCUR
LIMITS
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
LOC
COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY
(Per accident) $
NON-OWNED AUTOS
PROPERTY DAMAGE $
(Per accident)
AUTO ONLY - EA ACCIDENT $
EA ACC $
AGG $
$
$
$
OTHER THAN
AUTO ONLY:
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
OCCUR 0 CLAIMS MADE
EACH OCCURRENCE
AGGREGATE
DEDUCTIBLE
RETENTION
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
C 314 58 96 CALIFORNIA
C 314 55 88 - MICHIGAN
C 314 57 16 - PENN / FL
10/16/2002
10/16/2003
$
$
$
A
$
E.L DISEASE - EA EMPLOYE $
$
1,000,000
1,000,000
1,000,000
OTHER
DESCRIPTION OF OPERATlONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
roof of Insurance
¡ 1I
Deputy (i!\ AtW/ï¡CV
---....---..
CERTIFICATE HOLDER
ADDITIONAL INSURED; INSURER LETTER:
CANCELLATION
City of Santa Ana
Attn: Jeff Stevens Risk
20 Civic Center Plaza
Santa Ana, CA 92901
Manager
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
~~~
@ACORD CORPORATION 1988
Debbie U land22/SANDEE
ACORD 25-S (7/97)
FAX:
(714)647-5311
tAœBQM CERTIFICATE OF LIABILITY INSURANCE I DATE IMMfDDfYYYV
08/25/2004
PROOUCER (650)341-4484 FAX (650)341-4465 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Business Professional Ins. Assoc. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1519 South B Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
San Mateo, CA 94402
INSURERS AFFORDING COVERAGE NAIC#
INSURED Valley Oak Systems Inc. þ..-lfffl-003 INSURER A Federal Insurance/Chubb Ins.
5000 Executive Pkwy., Suite 340 A- ¡¡'0(¡I.-~5 INSURER B Granite State Ins. Co
San Ramon, CA 94583 -'t'~D0.3-o(,<¡ INSURER c:
INSURER 0:
INSURER E:
C E
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 0 OCCUR
3582-10-16 PLE 07/28/2004
LIMITS
$
$
MED EXP (Anyone person) $
PERSONAL & ADV INJURY $
$
PRODUCTS. COMP/OP AGG $
07/28/2005
EACH OCCURRENCE
DAMAGE TO RENTED
A
GENERAL AGGREGATE
LOC
7499-64-69 07/28/2004 07/28/2005 COMBINED SINGLE LIMIT
(Eaaccidenl) $
BODILY INJURY $
(Per person)
BODILY INJURY $
(Peraccidenl)
//2 PROPERTY DAMAGE $
(Peraccidenl)
AUTOMOBILE LIABILITY
ANY AUTO
A
X ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON-OWNED AUTOS
AUTO ONLY - EA ACCIDENT $
EAACC $
AGG $
$
$
$
$
$
GARAGE LIABILITY
ANY AUTO
OTHER THAN
AUTO ONLY'
EXCESSfUMBRELLA LIABILITY
OCCUR 0 CLAIMS MADE
7983-41-70 07/28/2004
EACH OCCURRENCE
AGGREGATE
07/28/2005
A
EXCLUDES PROFESSIONAL
LIABILITY
DEDUCTIBLE
X RETENTION
$
10,00
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
B ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
o;~ressional Liability
A
CA
PA/FL
MI/MD
10/16/2003
x wc STATU-
E,L. EACH ACCIDENT
OTH-
WC 311-14-75
WC 311-12-24
WC 311-12-23
10/16/2004
1,000,00
300,00
10,000
1,000,00
2,000,00
2,000,00
$
3,000,00
3,000,00
07/28/2004
07/28/2005
E.L, DISEASE - EA EMPLOYE $
E,L. DISEASE - POLICY LIMIT $
$3,000,000
$50,000 Deductible
1,000,00
1,000,00
1,000,00
3582-10-16
(EXCLUDED FROM EXCESS
LIABILITY POLICY)
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
he City of Santa Ana, its officers, agents, employees, and volunteers
'n respects to insureds business operations.
are named as Additional Insureds
dditional Insured applies to General Liability policy only
10 day notice of cancellation for non payment of premium shall apply.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ~~ MAIL
JL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
~~II!IJ0IItXi1llX>1lXIUIOOXJ(XX
IOOOOOOOOIJIj(JOOOO(¡)IIII(ItXXIOOtXIJ(~XXXXXXXX
City of Santa Ana
Jeff Stevens- Risk Mgr.
20 Civic Center Plaza
Santa Ana, CA 92701
AUTHORIZED REPRESENTATIVE
~~-
@ACORD CORPORATION 1988
f'vU}-
ACORD 25 (2001/08)
. .
COMMERCIAL GENERAL LIABILITY
Valley Oak Systems Inc.
Policy Number 3582-10-16-PLE
Federallnsurance/Chubb
ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS
(FORM B)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
The City of Santa Ana, its Officers, Agents, Employees, and Volunteers.
(If no entry appears above, information required to complete this endorsement will be shown in the
Declarations as applicabie to this endorsement)
WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown
in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that
insured.
SUCH INSURANCE AS IS AFFORDED BY THE GENERAL LIABILITY POLICY
IS PRIMARY INSURANCE AND NO OTHER INSURANCE OF THE ADDITIONAL INSURED
WILL BE CALLED UPON TO CONTRIBUTE TO A LOSS.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
CG 2010 1093
tg/L2¿'{~ 2/2
ACOHa. CERTIFICATE OF LIABILITY INSURANCE I DATE IMM/DOIYYYY}
11/03/2005
PROO~CER (6$0)341-4484 FAX (650)341-4465 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Business Professional Ins. Assoc. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1519 South B Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
San Mateo, CA 94402
INSURERS AFFORDING COVERAGE NAIC#
INSURED Valley Oak Systems Inc. ~- \/I'Iq -00'3 INSURER A:. Federal Insurance/Chubb Ins.
5000 Executive Pkwy., Suite 340 A- '2.00~ '035 INSURER B: Granite State Ins. Co
San Ramon, CA 94583 A - '2.~ -OlD'! INSURER c:
INSURER 0:
/I, - 2COS - an.. INSURER E:
COVERAGES
LIMITS
lYPE OF INSURANCE
GENERAL LIABILITY
e-
X COMMERCIAL GENERAL LIABILITY
l CLAIMS MADE [K] OCCUR
EACH OCCURRENCE $ 1,000,000
DAMAGE TO RENTED $ 1,000,000
MED EXP (Anyone person) $ 10 , 000
PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
PRODUCTS - COMPIOP AGG $ 1,000,000
A
A
e-
f-
GEN'L AGGREGATE LIMIT APPLIES PER
h POLICY n m?i n lOC
~TOMOBILE I..lA81L1TY
ANY AUTO
-
~ ALL OWNED AUTOS
~ SCHEDULED AUTOS
~ HIRED AUTOS
~ NON-OWNED AUTOS
7499-64-69 07/28/2005
07/28/2006
COMBINED SINGLE LIMIT
(Eaaccident)
$
1,000,000
BODilY INJURY
{Per person)
$
BCDll Y INJURY
(Peraccidenl)
$
PROPERTY DAMAGE
(Per accident)
$
-;RAGE LIABILITY
II ANY AUTO
AUTO ONLY - EA ACCIDENT $
OTHER THAN
AUTO ONLY
EAACC $
AGG $
$
$
$
$
$
3,000,000
3,000,00C
A
~ESSIUMBRElLA LIABILITY
--.J OCCUR D CLAIMS MADE
h DEDUCTIBLE
!xi RETENTION $ 10, OO(
7983-41-70 07/28/2005
07/28/2006
EACH OCCURRENCE
AGGREGATE
EXCLUDES PROFESSIONAL
LIABILITY
CA WC 184-37-90 10/16/2005
MI WC 184-40-07
ALL OTHER STATES -
WC 184-34-39
3582-10-16 07/28/2005 07/28/2006
(EXCLUDED FROM EXCESS
LIABILITY POLICY)
h-~ESCR1PnON OF OPERA TlONS I LOCA TlONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
he City of Santa Ana, its officers, agents, employees, and volunteers
n respects to insureds business operations.
WORKERS COMPENSA TlON AND
!::""PtDV~P_o;;' I.lA81UlY
B ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER.'MEMBER EXCLUDED?
10/16/2006 x~sT~I~~1 IOJ~.
El. EACH ~,CCIDENT
$
1,000,000
1,000,000
1,000,000
Ilyes,oescribeunder
SPECIAL PROVISIONS belOW
E,L DISEASE - EA EMPLOYEE $
EL DISEASE - POLICY LIMIT $
_OT",",
~rotessional Liability
A
$3,000,000
$50,000 Deductible
are named as Additional Insureds
~dditional Insured applies to General Liability policy only
~10 day notice of cancellation for non payment of premium shall apply.
City of Santa Ana
. Jeff Stevens- Risk Mgr.
20 Civic Center Plaza
Santa Ana, CA 92701
'ROVED AS 1'0 ,-
~k.e./t.//J;
~~;tt SI.d;iy
1t City Altor'l
C....,....,., I .....,,....,
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAil
-1!!- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR l.IABllITY
CERTIFICATE HOLDER
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
~~-
Debbie Unland/SANDEE
ACORD 25 (2001/08)
@ACORD CORPORATION 1988
COMMERCIAL GENERAL LIABILITY
Valley Oak Systems Inc.
Policy Number 3582-1Q-16-PLE
Federallnsurance/Chubb
ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS
(FORM B)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
The City of Santa Ana, Its Officers, Agents, Employees, and Volunteers.
(If no entry appears above, information required to complete this endorsement will be shown in the
Declarations as applicable to this endorsement.)
WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown
in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that
insured.
SUCH INSURANCE AS IS AFFORDED BY THE GENERAL LIABILITY POLICY
IS PRIMARY INSURANCE AND NO OTHER INSURANCE OF THE ADDITIONAL INSURED
WILL BE CALLED UPON TO CONTRIBUTE TO A LOSS.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
CO 2010 1093
\l'PRuv,:u AS ,0 f"OltM
_j(~~ ?Ie-
l.aura S,ill Shoedy
\','Jstai1t City Attor:.ey