HomeMy WebLinkAboutMGE UPS SYSTEMS, INC. 1 - 2004
"
.
:;.SÜRÞ.NCEtiQi ON FILE
WORK MÞ.Y NOT PROCEED
CLERK OF COUNCIL
DAif:. ð ~,/"o1
A-2004-019
CONSULTANT AGREEMENT
c,:Þb
h'¡q¡J...
THIS AGREEMENT, made and entered into this 2 day of fi"ß,WAÂ( ,2004 by
and between MGE UPS Systems, Inc., a California corporation (hereinafter "Consultant"), and
the City of Santa Ana, a charter city and municipal corporation organized and existing under the
Constitution and laws of the State of California (hereinafter "City").
RECITALS
A. The City desires to retain a consultant having special skill and knowledge in the field of
providing maintenance and repair work on uninterruptible power systems.
B. Consultant represents that Consultant is able and willing to provide such services to the
City.
C. In undertaking the performance of this Agreement, Consultant represents that it is
knowledgeable in its field and that any services performed by Consultant under this
Agreement will be performed in compliance with such standards as may reasonably be
expected ftom a professional consulting firm in the field.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the
terms and conditions hereinafter set forth, the parties agree as follows:
1.
SCOPE OF SERVICES
Consultant shall perform those services as set forth in the Equipment Schedule submitted
by Consultant, attached hereto as Exhibit A to this Agreement.
2.
COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as total payment for its services,
the rates and charges identified in Exhibit A. The total sum to be expended under this
Agreement, shall not exceed $14,675.00 during the term of this Agreement.
b. Payment by City shall be made within thirty (30) days following receipt of proper
invoice evidencing work performed, subject to City accounting procedures. Payment need not
be made for work which fails to meet the standards of performance set forth in the Recitals
which may reasonably be expected by City.
3.
TERM
This Agreement shall commence on the date first written above and shall last for the term
of one (1) full year, unless terminated earlier in accordance with Section 12, below. City shall
have the option to renew this agreement for 2 additional one year terms at the prices identified in
.
,."
Exhibit A. The term ofthis Agreement may be extended upon a writing executed by the
Executive Director of the Finance and Management Services Agency and the City Attorney.
4.
INDEPENDENT CONTRACTOR
Consultant shall, during the entire term of this Agreement, be construed to be an
independent contractor and not an employee of the City. This Agreement is not intended nor
shall it be construed to create an employer-employee relationship, a joint venture relationship, or
to allow the City to exercise discretion or control over the professional manner in which
Consultant performs the services which are the subject matter of this Agreement; however, the
services to be provided by Consultant shall be provided in a manner consistent with all
applicable standards and regulations governing such services. Consultant shall pay all salaries and
wages, employer's social security taxes, unemployment insurance and similar taxes relating to
employees and shall be responsible for all applicable withholding taxes.
5.
INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Commercial General Liability Insurance. Consultant shall maintain commercial
general liability insurance naming the City, its officers, agents, volunteers, and employees as
additional insured(s) and shall include, but not be limited to protection against claims arising
ftom bodily and personal injury, including death resulting thereftom and damage to property,
resulting ftom any act or occurrence arising out of Consultant's operations in the performance of
this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance
shall be not less than the following: single limit coverage applying to bodily and personal injury,
including death resulting thereftom, and property damage, in the total amount of $1 ,000,000 per
occurrence. Consultant shall supply City with a fully executed additional insured endorsement in
substantially the form attached hereto as Exhibit B upon execution ofthis Agreement and shall
be approved in form by the City Attorney.
b. Business automobile liability insurance, or equivalent form, with a combined single
limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for
owned, hired and non-owned automobiles.
c. Worker's Compensation Insurance. In accordance with the provisions of Section 3300
of the Labor Code, Consultant, if Consultant has any employees, is required to be insured against
liability for worker's compensation or to undertake self-insurance. Prior to commencing the
performance of the work under this Agreement, Consultant agrees to obtain and maintain any
employer's liability insurance with limits not less than $1,000,000 per accident.
d. If Consultant is or employs a licensed professional such as an architect or engineer:
Professional liability (errors and omissions) insurance, with a combined single limit of not less
than $1,000,000 per claim.
','"
2
'~ '
,,'
e. The following requirements apply to the insurance to be provided by Consultant
pursuant to this section:
(i)
Consultant shall maintain all insurance required above in full force and
effect for the entire period covered by this Agreement.
Certificates of insurance shall be fumished to the City upon execution of
this Agreement and shall be approved in form by the City Attorney.
Certificates and policies shall state that the policies shall not be canceled
or reduced in coverage or changed in any other material aspect without
thirty (30) days prior written notice to the City.
(ii)
(iii)
f. If Consultant fails or refuses to produce or maintain the insurance required by this
section or fails or refuses to furnish the City with required proofthat insurance has been procured
and is in force and paid for, the City shall have the right, at the City's election, to forthwith
terminate this Agreement. Such termination shall not effect Consultant's right to be paid for its
time and materials expended prior to notification oftermination. Consultant waives the right to
receive compensation and agrees to indemnify the City for any work performed prior to approval
of insurance by the City.
6.
INDEMNIFICATION
Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents,
employees, consultants, special counsel, and representatives from liability: (1) for personal
injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims
for personal injury, including health, and claims for property damage, which may arise from the
direct or indirect operations of the Consultant or its contractors, subcontractors, agents,
employees, or other persons acting on their behalf which relates to the services described in
section 1 of this Agreement; and (2) from any claim that personal injury, damages, just
compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects
arising from this Agreement. This indemnity and hold harmless agreement applies to all claims
for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to
have been suffered, by reason ofthe events referred to in this Section or by reason of the terms
of, or effects, arising from this Agreement. The Consultant further agrees to indemnifY, hold
harmless, and pay all costs for the defense of the City, including fees and costs for special
counsel to be selected by the City, regarding any action by a third party challenging the validity
of this Agreement, or asserting that personal injury, damages, just compensation, restitution,
judicial or equitable relief due to personal or property rights arises by reason of the terms of, or
effects arising from this Agreement. City may make all reasonable decisions with respect to its
representation in any legal proceeding.
7.
CONFIDENTIALITY
If Consultant receives from the City information which due to the nature of such
information is reasonably understood to be confidential and/or proprietary, Consultant agrees
that it shall not use or disclose such information except in the performance ofthis Agreement,
and further agrees to exercise the same degree of care it uses to protect its own information of
3
'.'
"
like importance, but in no event less than reasonable care, "Confidential Information" shall
include all nonpublic information. Confidential information includes not only written
information, but also information transferred orally, visually, electronically, or by other means,
Confidential information disclosed to either party by any subsidiary and/or agent of the other
party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure
shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is,
through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful
possession of the Consultant without an obligation of confidentiality; (d) is required to be
disclosed by operation oflaw; or (e) is independently developed by the Consultant without
reference to information disclosed by the City,
8.
CONFLICT OF INTEREST CLAUSE
Consultant covenants that it presently has no interests and shall not have interests, direct
or indirect, which would conflict in any manner with performance of services specified under
this Agreement.
9.
NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other
telegraphic communication in the manner provided in this Section, to the following persons:
To City:
Clerk ofthe City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
Telefacsimile (714) 647-6956
With courtesy copies to:
Building Maintenance Superintendent
City of Santa Ana
20 Civic Center Plaza (M-11)
P.O. Box 1988
Santa Ana, California 92702
4
','
"
and,
City Attorney
City of Santa Ana
20 Civic Center Plaza (M-29)
P.O. Box 1988
Santa Ana, California 92702
Telefacsimile (714) 647-6515
To Consultant:
MGE UPS Systems, Inc,
1660 Scenic Avenue
Costa Mesa, CA 92626
Telefacsimile (714) 557-3256
Attn: Janine Stock
A party may change its address by giving notice in writing to the other party. Thereafter,
any notice, tender, demand, delivery, or other communication shall be addressed and transmitted
to the new address. If sent by mail, any notice, tender, demand, delivery, or other
communication shall be effective or deemed to have been given three (3) days after it has been
deposited in the United States mail, duly registered or certified, with postage prepaid, and
addressed as set forth above. If sent by telefacsimile, any notice, tender, demand, delivery, or
other communication shall be effective or deemed to have been given twenty-four (24) hours
after the time set forth on the transmission report issued by the transmitting facsimile machine,
addressed as set forth above. For purposes of calculating these time frames, weekends, federal,
state, County or City holidays shall be excluded.
10.
EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Consultant, and supersedes any and all other agreements, oral or written, between the parties. In
the event of a conflict between the terms of this Agreement and any attachments hereto, the
terms of this Agreement shall prevail. This Agreement may not be modified except by written
instrument signed by the City and by an authorized representative of Consultant. The parties
agree that any terms or conditions of any purchase order or other instrument that are inconsistent
with, or in addition to, that terms and conditions hereof, shall not bind or obligate Consultant nor
the City. Each party to this Agreement acknowledges that no representations, inducements,
promises or agreements, orally or otherwise, have been made by any party, or anyone acting on
behalf of any party, which are not embodied herein.
5
",
,,'
11. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Consultant,
Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior
written consent ofthe City and any such assignment, transfer, delegation or subcontract without
the City's prior written consent shall be considered null and void, Nothing in this Agreement
shall be construed to limit the City's ability to have any ofthe services which are the subject to
this Agreement performed by City personnel or by other consultants retained by City.
12.
TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant
compensation for all services performed by Consultant prior to receipt of such notice of termination,
subject to the following conditions:
a. As a condition of such payment, the Executive Director may require Consultant to deliver
to the City all work product completed as of such date, and in such case such work product shall be
the property of the City unless prohibited by law, and Consultant consents to the City's use thereof
for such purposes as the City deems appropriate.
b. Payment need not be made for work which fails to meet the standard of performance
specified in the Recitals of this Agreement.
13.
DISCRIMINATION
Consultant shall not discriminate because of race, color, creed, religion, sex, marital
status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited
by applicable law, in the recruitment, selection, training, utilization, promotion, termination or
other employment related activities. Consultant affirms that it is an equal opportunity employer
and shall comply with all applicable federal, state and local laws and regulations.
14.
JURISDICTION - VENUE
This Agreement and all questions relating to its validity, interpretation, performance, and
enforcement shall be government and construed in accordance with the laws ofthe State of
California, This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement of any ofthe clauses of this Agreement
shall be determined and governed by the laws of the State of California. Both parties further
agree that Orange County, California, shall be the venue for any action or proceeding that may
be brought or arise out of, in connection with or by reason ofthis Agreement.
15.
PROFESSIONAL LICENSES
Consultant shall, throughout the term ofthis Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision ofthe services
6
'.
..¡,
. .
hereunder and required by the laws and regulations of the United States, the State of California,
the City of Santa Ana and all other governmental agencies. Consultant shall notify the City
immediately and in writing of her inability to obtain or maintain such permits, licenses,
approvals, waivers, and exemptions. Said inability shall be cause for termination ofthis
Agreement.
16.
MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature hereinbelow has the power,
authority and right to bind their respective parties to each of the terms of this Agreement, and shall
indemnifY City fully, including reasonable costs and attorney's fees, for any injuries or damages to
City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn.
b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set
forth in the body of this Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ö^A~::.~~
~ PATRICIA E. HEALY
Clerk ofthe Council
CITY~
DAVIDN.REAM
City Manager
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
'L..
By:
Micliael Vigtliotta
Deputy City Attorney
ED FOR APPROVAL:
C~
~\LM j,.. GPI\..V\;61Z-N
C\.\;~\Vi? fINI\(\L.-IPd- CffÌ~
Employer ID # or Individual SS #
, c oloma
Executive irector ofthe
Finance Ana Management
Services Agency
7
\'
.. J2:î
, . W
14 04 12:5Sp
Greg P.3:;:ne
94370202:;;:
p..:;;
MGE
fii).."1'l1'~-ìl '
~"'r"' .' . ,
'..' \j ~
,."
UPS S Y ST EMS
EQUIPMENT SCHEDULE
Line Agreement Description of Equipment, P.M, Billing Annual
Item Qty, Type and Serial Number Frequency Frequency Price
1 4 Premeir EPS2000 SN: 50815-01,0305,07 Annual Annua! $ 10,931,00
2 192 Balt SerVice External batte cabinets Semi-annual Annuai $ 3,744.00
"
I,
INCLUDED:
Facto technical 5U art
Call Mana amen! of ali re orted site avents
II
Field modifications
Re lacement arts
Labor and travel ex ensa for re ir service 5x9
Res onse time wilhin nex! business da
1 Preventive maintenance visit on UPS
Batte Maintenance w/2 PM visits
NOT INCLUDED:
Re lacemenl batteries
Proactive DC Ca re !acemen!
EFFECTIVE DATES:
CUSTOMER CARE CENTER
800/438-7373
SUBSCRIBER ACCEPTANCE:
City of Santa Ana
Santa Ana, Ca,
1211/03.11/30/06
Total Annual Price
Total price for 3 years:
MGEACC TANCE:
$ 14,675,00
$ 44,025,00
Name:
MGE UPS Systems
Costa Mesa, Ca.
Name: ¡JGILM \.,., Sr"l.V¡¿~~
clh~P Fq~f\'(\C,.'¡¡',L- Q 'l%R-
Title: CaRtr.,;"'" M"''''~99r
'-
Signature:
Signature:
Title:
Date:
Date:
~~£.--()'-\
EXHIBIT
A
.'
, .
, .
EXHIBIT B
ADDITIONAL INSURED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILITY POLICY
Insurance Company
This endorsement modifies such insurance as is afforded by the provisions of Policy
# relating to the following:
1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its
officers, employees, agents, volunteers and representatives are named as additional insureds
("additional insureds") with regard to liability and defense of suits arising from the operations
and uses performed by or on behalf of the named insured.
2. With respect to claims arising out ofthe operations and uses performed by or on
behalf of the named insured, such insurance as is afforded by this policy is primary and is not
additional to or contributing with any other insurance carried by or for the benefit of the
additional insureds.
3. This insurance applies separately to each insured against whom claim is made or
suit is brought except with respect to the company's limits of liability. The inclusion of any
person or organization as an insured shall not affect any right which such person or organization
would have as a claimant if not so included.
4. With respect to the additional insureds, this insurance shall not be cancelled, or
materially reduced in coverage or limits except after thirty (30) days written notice has been
given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701.
(Completion of the following, including countersignature, is required to make this endorsement
effective.)
Effective
Policy #
Issued to
, this endorsement form as a part of
Named Insured
Coun1ersigned by
Authorized Representative
A CfLRD,. CERTIFICATE OF LIABILITY INSURANCE Page 1 of 3 I DATE
06/10/2004
PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
willis North America, Inc. - Regional Cart Center HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. o. Box 305191
Nashville, TN 372305191 INSURERS AFFORDING COVERAGE
INSURED MGE UPS Systems, Inc. INSURER A: Federal Insurance Company 20281-005
1660 Scenic Avenue Æ-dÐo't- 0/9 INSURER B: Federal Insurance Company 20281-001
Costa Mesa, CA 92626
INSURER C; Continental Insurance Company 35289-001
INSURER 0:
, INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LlSTEO 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.
~~~ TYPE OF INSURANCE POLICY NUMBER POL.ICY EFFECTIVE POLICY EXPIRATION LIMITS
A ~NERAL LIABILITY 35818734 6/1/2004 6/1/2005 EACH OCCURRENCE $ 1 000 000
X CGMMERC¡ALGEN~RALUABILlTY I FIRE DAMAGE (Anyone fire) $ 1 000 000
l CLAIMS MADE W OCCUR MED EXP (Anyone person) $ 10 000
PERSONAL & ADV INJURY $ 1 000 000
- GENERAL AGGREGATE $ 2 000 000
~'L AGG~EñE LlMIT APñS PER: PRODUCTS. COMP/OP AGG $ 2 000 000
X POLlCY ~B9.; LOC
B ~TOMOBILE LIABILITY 73528020 6/1/2004 6/1/2005 COMBINED SINGLE LIMIT 1,000,000
(Eaaccident) $
1L ANY AUTO
- ALL OWNED AUTOS BODILY INJURY
{Per person) $
- SCHEDULED AUTOS
- HIRED AUTOS BODILY INJURY
~Æ~l $
- NON-OWNED AUTOS -l;¡ fir (Peraccidenl)
- PROPERTY DAMAGE $
(Peraccidenl)
=rAGE L<ABILITY V t / AUTO ONLY. EAACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
C ~ESS LIABILITY CUP2076547265 6/1/2004 6/1/2005 EACH OCCURRENCE $ 2 000 000
X OCCUR D CLAiMS MADE AGGREGATE $ 2 000 000
$
=1 DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I ,'XÇ¿,ST~T,¥~ I IOJ~-
EMPLOYERS' LIABILITY
, EL. EACH ACCIDENT $
E.L. DISEASE. EA EMPLOYEE $
E.L. DISEASE. POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
TH~S VO~DS AND REPLACES PREV~OUSLY ~SSUED CERT~F~CATE DATED: 6/1/2004 W~TH ~D: 4426163
The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701: Its officers,
employees, agents, volunteers and representatives are included as additional insured under the
above referenced General Liability (for.m attached) and Automobile Liability Insurance policies and
the cover~~~ afforded the additional insured under these policies shall be primary and
non-contri uto~' insurance to the extent that a ~laim arises from the nenli~en~e of MGE UPS
CERTIFICATE HOLDER I x I ADDITIONAL INSURED; INSURER LETTER; CANCELLATION
SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRmEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
City of Santa Ana IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Building Maintenance Division REPRI=~IV¡:C1;.
Attn: Mario Ghizzi
P.O. Box 1988 M-11 A¡m/!:~~ Reyy:.ATIV~
Sant,a Ana, CA 92702
ACORD 25-S (7/97) Coll:l015672 Tpl:263777 Cert: 4459'558 @ACORDCORPORATION1988
,
wtlhs CERTIFICATE OF LIABILITY INSURANCE Page 2 of 3 T DATE
06/1012004
PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
willis North America. Inc. - Regional Cert Center HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. Q. Box 305191
Nashville, TN 372305191 INSURERS AFFORDING COVERAGE
INSURED MGE UPS Systems, Inc. INSURER A: Federal Insurance Company 20281-005
1660 Scenic Avenue INSURER B: Federal Insurance Company 20281-001
Costa Mesa, CA 92626
INSURER C: Continental Insurance Company 35289-001
INSURER D:
, INSURER E:
DESCRIPTION OF OPERATJONSII..OCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS
Systems, Inc. or its subcontractors with respect to all operations of the insured but only with
respect to all work performed by and on behalf of the named insured MGE UPS Systems, Inc. for
certificate under contract.
~741
Co11:1015672 Tp1:263777 Cert:4459558
. .
Page 3 of 3
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed, A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s),
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),
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon,
~311
ACORD 25-S (7/97)
Coll,1015672 Tpl'263777 Cert:4459558
.'
. .
'¡!>OLlCY NUMBER: 35818734
COMMERCIAL GENERAL LIABILITY
CG20101001
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701:
teers and representatives
Its officers, employees, agents, voiun-
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as
applicable to this endorsement.)
A, Section II - Who Is An Insured is amended to include as an insured the person or organization shown in the ~
operations performed for that insured,
B, With respect to the insurance afforded to these additional insureds, the following exclusion is added:
2, Exclusions
This insurance does not apply to "bodily injury" or "property damage" occurring after:
(1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other
than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of
the covered operations has been completed; or
(2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any
person or organization other than anoth8r contractor or subcontractor engaged in performing operations for a
principal as a part of the same project.
Re: The coverage afforded the additional insured under these policies shall be primary and non-contributory in-
surance to the extent that a ciaim arises from the negligence of MGE UPS Systems, Inc, or its subcontractors with
respect to all operations of the insured but only with respect to all work performed by and on behalf of the named
insured MGE UPS Systems, Inc, for certificate under contract.
~~ fir
CG20101001
@ ISO Properties, Inc" 2000
Page 1 of 1
[J
~
Mar 06 2006 12:14PM
HP LASERJET FAX
714-436-0167
1".2
~
PROIXlCllA
AtORDm CERTIFICATE OF LIABILlTYINSURANCEp&lIe:1 of 3 r C6/C";;'~CC!i
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORIIATlON
ONLY AND CONFERS NO RIOHTll UPON THE CERTIFICATE
HOLDER. THIS CERTIFICIlTE DOES' NOT AlIENO, EXTEN> OR
ALTER me COVeRAGe AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC#
877-945-7378
w.iUS_ :8QI:tb. .&MMi.a., bOo
a6 cent:ul:y BvdI.
it. 0_ ~ 30111.91
...Irri;L1., 'l'Irt 372105191.
.. Rell'io:aal c.z.t c*Ct.er
lNI\J1lm
"'B 1M ~.t_. Xnc. -A-;;u;o1':O/C]
~::~'~~. .4-~.tdf-Olq-OI
eoato _.. CA "626" _ ;).ro'f-Olf-o;;...
,
INSUFlE~ A~ redu.l JIW'\lI;"~
tN8lJAER8: r.(ler.1 Ina.UZ'~ ~_1!I.V
!HSlf'ERC; ....dcmel 'CII.ioo. I'~. :ID8U~OIl!II c
Il'ElH.RQ;
I~RE;
:il02U-OQ5
20281-001
~ 1?4.t1-001
COYERAGES
THE POlJeES OF INSURNIICE USTED BELOW HAVE BEeN ISSUED TO ll-lE INSURED NAMED ABOVE FOR THE PQ.ICY p~IOD INDICATED. N01WfTHSTA~G
~Y FlEaUlREMENT, TEAM OR 001I00100 Ol' lolly CONTRACT OR OTHE" DOCUMENT WITH RESPECT 10 WHICH THIS CERTlACATE MAY 9E ISSlJEO OR
MA.V PEf\T AIN.J. nE INSURANCe AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSf)NS AND CCJ.IDITIONS OF SUCH
POL.IClES_ AI3I.1REGATE tJMITS SHOWN MAY HAVE BEEN AEOUCI!D EJV PAID ClAIMS.
.
TVPEOf ltCIUftANCE
GE'MI!!RALLlAIlUTY
OOMNERCIIIlGEIiB\N...UM!ll1JrY
CLAIMS ~ADE. [i] QCQJR
POUC'f NUMBER
Ulll'T1l
A
35811734
.
.
MEOEXP' A ,... .... . :1
PEAS~I.NJVlNJiJRY .
GENERALAGGREGATE .
PAODUClS-COMPIOPAGG . ~ 00 DOC
6/:1/2005 6/:112006 COMBINEOSlNGLf LIMIT . 1.000.000
(t.lIOCllO"8n!J
BODlLYIMJUl'IY $
(Pttr..,._)
BODILY IHJUAY .
(PIIrMCIiant)
PROPERTYDAIrM-GE .
(I"e~atGkl..l)
..
73528020
fIlC>>l-OWNEOAUTOS
QAMGEUA&ILl'n'
ANYAlJTO
AUTO ONt. V . fA ,t,()ctDBfT $
fAACC I
AGO
O1I-IERl'J-W.I
AUTOOIC.Y:
c
UCl!Uu.....\TY BB2t&3107
OCCUFl 0 Cl.AlUSMAoe
6/:l./~005
6/:1/2006
EACHOCCUARENCE
AGCJRmATE
o
OEOuc;TJBLE
~. .
WORICI!R8 COIIPl!NILl Tf(JN AND
I!!M PLOY~A8' U.-..ur...
ANY PftOProETQPWPAATNEfVEXE;CUTlYE
QFPICEWMEMEfI EXCUJDEO?
=~~~below
0__
EL EACttACClCoENT
E.Lr:>>SEASi:.-EA,Ehf'U)\'EE
E.L Df6EASE.PQUCVUMIT
.'-0
DEBCJUP'nON Of OPI!RATiotlllLOCATIONIINEIICL!8/t.XX::UIlSlONI MlDI!D .... "'QORlI!MEN1l'SPEC'~ pROYI.O"
Tbe city o~ Santa ADa~ 20 CivIc Cen~er Pl..., Santa ~, California .2701; xta offic.r.t
4IIIIPl~... &98I1t., "'IOluntem:. aDd repreaeatat.lve8 are iDClu4ad. .. ad4itiOlla1 ill81lz:oed UI14eI:' the
above x:e~eren<l.4 ~.n.ral tJ.abili~y C_ra_nt to ~ollow :from c.rrier) &BCl .....tCOllObile Liability
:In.ur....,. poUci.. eD4 the ec>YU'&g'e a:f~o_ tM w.44i.tic:ma1 inaured und.r thu. poUci.. BhaLl be
pr~ry ad non-col1trihutory iJ1.uranae to ~ 6XteDt tbat .. alaia sri... :f'rom the aeIJ1:l~ or lID!
UPS S7.t..., be.. or 1t. IIUbaontractoZ'. with ~peot to &J.~ oper:atioJ11!J of' the in.area but OD1y wit.ll
ERTlFICATI! HOLDER
CANCELLATION
"'DULDANYOP'11teABOW!oe8CRflI!!DPOl..ICI!III!CAJICI!LLJ!:DltlFOM TtIIl UNtATIOl\I
DATE l1IER1!O', THE 1......0 IN&URE~ WLL 81DP,AVOA TO MAIL ~ DAYS WFlTTIN
NOTICI! TO lltE Cf:ft1W'lCATIE '.OUNiR NAIlED TO Tit! LUl, IIUT FAlLWlE TO DO 80 8tIAU..
IlIIf'OIt ND Ol!tJM.l1ON.oR LIIIIIIIUTY OF AN'{ I(IflD UPON THE .......M, ITa AGierrs ()A
ei t.y of Santa Ana
JlUilcti.ng ....t.nteoanc. Ui...i.loft
r.1:.1iD: -.rlQ G1bi..i
P~o. Boa 1'.8 ~11
Banta ~.. CA '2102
ACORD 26 (2001108)
Co:1:1.1311gtg Tpl.37S021
OACORDCOI'Il'ORATION 11/18
I.!'
,>
C
Mar 06 2006 12:14PM HP LASERJET FAX
714-436-0167
p.3
willis CERTIFICATE OF LIABILITY INSURANCE page 3 of 3 I .....
0610213005
PftQDU~R 877-'45-7378 THIS CERTFICATE 16 ISSUED AS " M"TTBR OF INFORIIATlON
ONLY AND ........~D'OS NO RIGHTS UPON THE CERTIFICATE
Ifilll. !forth ~E'laa, :!:ElC!. - "fri.QbJ. o.rt. C_-t..~ HOLDER. THIS CERTIFICATE DOES NOT AIIE!HD, EXTEND OR
26 CP,~lCy 81".. AL TEA THE COVl!FlAOE AFFORDED BY THI! POI.ICIE8 Bel.OW.
P. o. ~ lD51J~
...hv1l1., ~ 372305191 lNSURER6AFFOADlNG COVERAGE NAlCil
1N8UMD ----
IIQ.I!I UPI ay_t_1 :InCl. INSURER A; P~a1. n.u.raIHNI CoMIIItaZl..v 20281.-005
A~~a, L~ ~. !NSUREt:l8: ~J:..1 n-urauoe cmr-.a1W 20:a81.-001
1.660 8oe:ra1c n..
eo.ta ....., CA 92626 INSlFlEA c: "cioa.a1 O'Dicm fin I"II~:DG. c..-........ or nUS-GO.1
INSUFlEFI D:
, II'IS~ERE'_
DSlCRIPTION Of" QlI9V.ltDNI/ TIONStIIEtIl
a.rti~i~.t. ~r contract.
"
AJXlED Q"t !NoOfIIBUII!IfI'lDECIAL PFIOYB1ONB
...(/ffJ.. :Alz....
Co11.1311'l' ~1.37lS031 Cert.5831004
~
Liability Insurance
Endorsement
Policy Period
JUNE 1,2005 TO JUNE 1,2006
Effective Date
JUNE 1, 2005
Policy Number
3581-87-34'1BO
Insured
MGE UPS SYSTEMS, INC.
Name of Company
FEDERAL INSURANCECOMPANY
Date Issued
MARCil 7, 2006
GENERAL L1ABI L1TY
This Endorsementapplies to the following forms:
Who Is An Insured
Owners, Lessees Or
Contractors
Liability Insurance
Form 80 02 230f{Rev. 4 01)
Under Who Is An Insured, the following provision is added:
Any person or organization designated below is an insured; but they are insureds only with respect
to their liability as owner, lessee or contractor arising out of your ongoing operations performed for
that insured.
~3/z
Additional Insured - Owners, uRet.eJ1.enGecGtGpy
Endorsement
continued
Page 1
Who Is An Insured
Owners, Lessees Or
Contractors
(continued)
Liability Insurance
Farm 80~02-230tKRev. 4-01)
Designated Owners, Lessees Or Contractors
City of Santa Ana
Clerk of the City Council
Civic Center Plaza, M- 30
P.O. Box 1988
Santa Ana, CA 92702-1988
All other terms and conditions remain unchanged.
Authorized Representative
/2;w-~r--
Additions/Insured - Owners, LesseeRefe:fene..e Copy
Endorsement
7fJ3r/7
last page
Page 2
Liability Insurance
Endorsement
Policy Period
JUNE I, 2005 TO JUNE 1,2006
Effective Date
JUNE I, 2005
Policy Number
3581-87- 34-1BO
Insured
MGE UPS SYSTEMS,INC.
Name of Company
FEDERAL INSURANCECOMP ANY
Date Issued
MARCH 7,2006
This Endorsementapplies to the following forms:
GENERAL LIABILITY
Conditions
Olherlnsurance"
Primary Additional
Insured
Liability Insurance
Form 80 02 265:tEd. 4 01)
Under Conditions, the following condition is added:
I f you agree, in a written contract, agreement or permit, to provide primary insurance for any
person or organization included in Who Is An Insured, this Other Insurance Y Primary Additional
Insured condition applies.
If other valid and collectible insurance is available to the insured for loss we would otherwise
cover under this insurance, our obligations are limited as follows.
Primary Insurance
This insurance is primary. We will not seek contributions from any other insurance available to the
person or organization with whom you agree to include in Who Is An Insured, except when the
Excess Insurance provision applies.
Excess Insurance
This insurance is excess over any other insurance, whether primary, excess, contingent or on any
other basis:
A. that is Fire, Extended Coverage, Builder'sRisk, Installation Risk or similar insurance for
your work;
P5s17
Other Insurance - Primary AddiSelemtlCe Copy
Endorsement
continued
Page 1
Conditions
Other Insurance'
Primary Additional
Insured
(continued)
Liability Insurance
Form 80 02 265::(Ed.4 01)
B.
that is insurance that applies to property damage to premises rented to you or temporarily
occupied by you with permission of the owner;
if the loss arises out of aircraft, autos or watercraft (to the extent not subject to the Aircraft,
Autos Or Watercraft exclusion);
c.
D. that is insurance:
I. provided to you by any person or organization working under contract or agreement
for you; or
2. under which you are included as an insured; or
E. that is insurance under any Property section of this policy.
When this insurance is excess, we will have no duty to defend the insured against any suit ifany
other insurer has a duty to defend such insured against such suit. Ifno other insurer defends, we
will undertake to do so, but we will be entitled to the insurcd'srights against all those other
Insurers.
When this insurance is excess over other insurance, we will pay only our share of the amount of
loss, ifany, that exceeds the sum of the total:
amount that all other insurance would pay for loss in the absence of1his insurance; and
of all deductible and self-insuremmounts under all other insurance.
We will share the remaining loss, if any, with any other insurance that is not described in this
Excess Insurance provision and was not negotiated specifically to apply in excess of the Limits Of
Insurance shown in the Declarations of this insurance.
Method of Sharing
Ifall of the other insurance permits contribution by equal shares, we will follow this method also.
Under this method each insurer contributes equal amounts until it has paid its applicable limits of
insurance or none of the loss remains, whichever comes first.
(fany of the other insurance does not permit contribution by equal shares, we will contribute by
limits. Under this method, each insurer'sshare is based on the ratio of its applicable limits of
insurance to the total applicable limits of insurance of all insurers.
All other terms and conditions remain unchanged.
Authorized Representative
w~
/?3 (pI?
Other Insurance ~ Primary Additiona.f1le.terenCe Copy
Endorsement
last page
Page 2
Liability Insurance
Endorsement
Policy Period
JUNE 1,2005 TO JUNE 1,2006
Effective Date
JUNE I, 2005
Policy Number
358 I -87- 34>1BO
Insured
MGE UPS SYSTEMS, INC.
Name of Company
FEDERALINSURANCECOMPANY
Date Issued
MARCil 7,2006
This Endorsementapplies to the following fanns:
GENERAL LIABILITY
It is agreed that Form 80-02-26530ther Insurance -Primary
Additional Insured applies to the following additional insured:
City of Santa Ana
Clerk of the City Council
Civic Center Plaza, M- 30
P.O. Box 1988
Santa Ana, CA 92702
All other terms and conditions remain unchanged.
Authorized Representative
W~r
~717
Liability Insurance
Form 80-02-237~Ed. 4-94)
Endorsement
PRIMARYINON-CONTRIBUTORY-CITY OF SANTA ANA
Reference Cop)'
last page
Page 1
Mar 06 2006 12:14PM
HP LASERJET FAX
714-436-0167
p.4
ACORD. CERTIFICATE OF UABILITY INSURANCE OPID~ DATE (MMIODIYWYI
WIWP-l 1~ /19 /~5
'RODU~ TIiIS CeRTIFICATE 19 ISSUED AS A MATTE~ OF INFOItMATlON
Riak st~atagi.. eo.pany ONLY ANO CONFE~S NO ~IGHT& UPOH THE CERTIFICATE
aisk strategi",. %n* Brokeraqe HOLDI!R. THIS CERTIl'ICATI! DOES MOT AMI!IID, EXTEND OR
160 reder~l Street ALTI!R THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Bastan IdA 021.10
thone:S~'-330-5?OO rAx:6~?-43P-375a 1118Uftl!RS AFfORClNO COVERAOE NAlCN
,.......u .
Mal: Ill'll S!"~' J:nc, INfilJER....: "au.au In_uraoae c~y
aPE iechn loq~es, Inc. ,.........
:En ~2r Xne. ~c;:
A~tI1: gAl!;lept.
1660 See 1.e Avenue INS~D-
Costa Meaa CA P2626
Iil$I..RERE
COVERAGES
nE POUC\E8 OF' 'HSU~ US'lEO eaow /"lAVE BEEN ISSUED TO THE INSlRf,:O~ Jl8OI4E FOR'tl-IE p(ll\C'/ PERlOl) INDlCAla> NOl"MTl-mJlNDm
/1J>I.YREOllIR8ENT TERMOR CONDl~OFIWfOOl'fTWCT ORanER DOclIlEN'rWIn-iRalFECTTO 'MilCH THIS camF,~TEW.'1 BE ISSt)fO(lR
Mo'.'t' PfRlAir'\l, TH: INSI.FWa AI'f'OD:DB't Tl-EPOUClE& OESCRIIEDH:RElN 15 SUB..ECTlO.....L TlIElERMS, ExQ..l.lSlOHSNlDCOlO!T'IOr6Of su:H
POLIClES.AGeREGA.1ElIMlTSSHO'WN II!4Y loWJE et:EN.P.EOUCED 8'\' PI,lO rt.ANs.
LlR ~ TY~ W NUIlAN~
~l_""
cow..eACw..~ lWtlUlY
, cu.1MS \We 0 0CClR
I"OLlctY N....,...
~~MIllIOO1Yr
JiJDl'YY1 ,"".
EAOI OCCURENCE ,
~iE.~renclo\ .
MEO EXP (NJ~ ~. ptr/iDfl) ,
PF~ "A."YIII~,U~V .
GEtoEAAL AGGR!GATE ,
FRaJUCTS - COf,lPJQP AGG ,
C0M91tED SlOOl.E lUT .
lEeetOidlrlll
-.
((OL y II'URY .
""''''"'''.
90DIL Y IMAJRV ,
(PWullddlnt)
pROPERfY DAMAGE .
(par<<Oiltllf)
r-
~Nl AGMEG.41E LMT NlPlleGPER
h,,,,,,,,,n~ nlOC
~o.aea.e LNLlT't'
r- NIV.AUrO
AlL ~O.NJlOS
e---
f-- sut:l.UtU JUIU:)
_ HREDAUTOS
__ "-'ON ~nn-os
r-
q'":::nv
p:e:~L&AO::eWtt
R:= .
~KII\1o~,*PI:1~l'tJIMJ
"'LOY'iiR8' LIA8LfN
A Nf(l"rlOt'RIeTOiV'AIl~]lA::
OFFtCf.RM:~R EXCl\l:lE:t)'f
~J:1r==SIlllow
0......
WCXl!814a816101.5
10/01/05
10/01/06
.
.
..... .
,
,
,
,
,
~lloilt
El. """'ACacarr . 1 000,000
E.L OISEl'\SE &<a..>t.0'l'~ '1,000,000
ELO""""".POUCYl""T 11 000 000
~~
Vir'.:? I #
y-~:y~ '~J
I' V
AUrO <N. y - E4ACCI~JJT
EAACe
~ occun;;"fCf::
_lE
_r...,
~.B\led as
Bllqi.D4IlIezo.e
JrON8 IlOCA: E~ / IiiXCLUItON. ADDED IW E Nl'1 SflECIAL I"R1CMl1 toNS
.-u'idenc.e o~ inallranOf!:. Mon-pay cancel not.ice i.a 10
~o,:...iA'1 work on _" equtpment.
day", Pie1d
CEATII'ICA TE HOLDIIt
City of Santa .......
Cl.ezk oL the c:l.tJi' CouncU
CiviC! Center Plaza , M-30
1'.0. Box 19"
Santa Ana ~ P2702-198e
CNtCEt.LA.TtoN
Cft!'SU IKOULO /lIfY Of TtII!MOVE DESCRIIW POL1C11iiI_ CNQ9.L.EO !l!!!I"MIi lt4i EiXPfiI\T1()N
DAl1i THEREOF. ltie IUUIf<<i ...'URliA Will ENDEAVOR TO MAlL !L DAV. WFfl'1TEN
NO'IICIi TP'THa C:~n; HOUlER NAMED ToO TtS L.liFl, iIVT FMIA5 TQgQl VQtWJJ.
JIIPOI~ NO ORllG'Al1ON OR LWlLrTYOF Rl'f KIHO UPON TIE INSURER, IT!: AQilfT9 OR
IlEPfIEI~11Yf&
ACORD 25 (20D11G8)
OACORDCORPORAnoM1S8B
ADDITIONAL INSURED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILITY POLICY
Insurance Company: Willis North America, Inc.
This endorsement modifies such insurance as is afforded by the provisions of Policy
# 3581873 relating to the following:
1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its
officers, employees, agents, volunteers and representatives are named as additional insureds
("additional insureds") with regard to liability and defense of suits arising from the operations
and uses performed by or on behalf of the named insured.
2. With respect to claims arising out of the operations and uses performed by or on
behalf of the named insured, such insurance as is afforded by this policy is primary and is not
additional to or contributing with any other insurance carried by or for the benefit of the
additional insureds.
3. This insurance applies separately to each insured against whom claim is made or
suit is brought except with respect to the company's limits of liability. The inclusion of any
person or organization as an insured shall not affect any right which such person or organization
would have as a claimant if not so included.
~
4. With respect to the additional insureds, this insurance shall not be cancelled, or
materially reduced in coverage or limits except after thirty (30) days written notice has been
given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701.
(Completion of the following, including countersignature, is required to make this endorsement
effective. )
Effective March 8, 2006, this endorsement form as a part of Policy # 35818734
Issued to the City of Santa Ana.
Countersigned by
MARSH
CERTIFICATE OF INSURANCE
CERTIFICATE NUMBER
NYC-002669902-01
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POUCIES DESCRIBED HEREIN.
PRODUCER
. MARSH USA INC.
200 CLARENDON STREET
BOSTON, MA 02116
MGE UPS SYSTEMS, INC.
1660 SCENIC AVENUE
COSTA MESA, CA 92626
A - JOM-O/ 9
A - J.0611 -(jJ 9- 0/
-oJ..
- OJ
COMPANIES AFFORDING COVERAGE
99713-APCC--07/07
COMPANY
A VIGILANT INSURANCE COMPANY
INSURED
(,
f'
COMPANY
B GREAT NORTHERN INSURANCE COMPANY
I(
f(
COMPANY
C WAUSAU BUSINESS INSURANCE COMPANY
I
I
COMPANY
D NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA
COVERAGES This certifICate supersedes and-replaces any previOlJs~yj~uedcediflcl1te_fo'r:thepolicy_pertod-noted below. 1
THIS 15 TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLlCY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Cr~ I ~PE OF INSURANCE l
! GENERAL LIABILITY !
A ~MMERCIAL GENERAL LIABILITY 13531-48-45
~ CLAIMS MADE [I] OCCUR I
~ ,OWNER'S & CONTRACTOR'S PROT
~.sIF, .
, I
AUTOMOBILE LIABILITY
-,
B ~ ANY AUTO
l_ ALL OWNED AUTOS
~ SCHEDULED AUTOS
_ HIRED AUTOS
NON.OWNED AUTOS
X PHYSICAL DAMAGE
X OMP & COLL $1 ,000
C
WCK-Z91-439161-016
10/01/06
10/01/07
LIMITS
~~L AGGREGATE $ 4,000,000
PRODUCTS - COMPIOP AGG $ 4,000,000
PERSONA.~ & ADV INJURY $ 2,000,000
EACH OCCURRENCE $ 2,000,000
~.IRE DAMAGE (Anyone firtll $ 1,000,000
MED EXP (Anv one nersonl $ 10,000
COMBINED SINGLE LIMIT $ 1,000,000
.-
BODILY INJURY $
(per person)
BODILY INJURY $
(per accident)
PROPERTY DAMAGE $
AUTOONLY-EAACCIDENT i $
OTH~~ THAN ,AUTO ~.
EACH ~CIDENT $
AGGREGATE ! $
EACH OCCURRENCE $ 5,000,000
AGGREGATE ,$ 5,000,000
-
$
X ...v;!..';:,;?,I~TU- I OJ,\"
TORY L1MITS_
EL EACH ACCIDENT $ 1,000.000
EL DISEASE.POLlCY LIMIT ,$ 1,000,000
EL DISEASE-EACH EMPLOyEE $ 1,000,000
POliCY NUMBER
06/01/07
7320-34-35
106/01/07
I
I
07/01/07
GARAGE LIABILITY
-
_ ANY AUTO
-_.'
EXCESS LIABILITY
o ~ UMBRELLA FORM
: OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
4485537
06/01/07
1
07/01/07
1 THE PROPRIETOR!
. PARTNERS/EXECUTIVE
i OFFICERS ARE:
IU'H<.
~INCL
I : EXCL
"
",..
,?O'vSD A TO FORM
- --, /' Lu
I _ 7:Y--. vFr Lef C (cfyI'-r ,'"'717 '
<..p;?)~ !" iCer ,y /C.vc> /r1b~v \
C oK {lUll;'';
DESCRIPTION OF OPERATIONS/LOCATIONSrvEHICLES/SPECIAL ITEMS
.-.-.
"~-1-'-'-"'i~;'-; :'l!,i~ S:.....;.;J/
1\ 3.,..~W,1L (:ity AttOf:1CY
CERTIFICATE HOLDER
CANCELLATION
City of Santa Ana
Attn: Clerk of the City Council
Civic Center Plaza, M-30 P.O. Box 1988
Santa Ana, CA 92702-1988
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION D,l,TE THEREOF,
THE INSURER AFFORDING COVERAGE 'MLL ENDEAVOR TO MAIL ----30 DAYS WRITTEN NOTICE TO THE
CERTIFICATE HOLDER NAMED HEREI\I, BUT FAILURE TO MAIL SUCH NOTICE Sf-'ALL IMPOSE NO OBlIGAT100 OR
LIABILrTY OF ANY KINO UPOO THE INSURER AFFORDING COVERAGE. ITS AGENTS OR REPRESENTATIVES, OR THE
ISSUER OFTHIS CERTIFICATE
MARSH USA INC.
BY: Edward R Ford
MM1 (3102)
~7?~
VAUD AS OF: 06/27/07
MARSH
CERTIFICATE OF INSURANCE
CERTIFICATE NUMBeR
NYC-002667482-01
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POUC1ES DESCRIBED HEREIN.
PRODUCER
. MARSH USA INC.
200 CLARENDON STREET
BOSTON, MA 02116
COMPANIES AFFORDING COVERAGE
--- -
99713-APCC--07/07
--.'--
INSURED
COMPANY
A VIGILANT INSURANCE COMPANY
MGE UPS SYSTEMS, INC.
1660 SCENIC AVENUE
COSTA MESA, CA 92626
COMPANY
B GREAT NORTHERN INSURANCE COMPANY
COMPANY
C WAUSAU BUSINESS INSURANCE COMPANY
-,-
COMPANY
D NATIONAL UNION FIRE INS. CO, OF PITTSBURGH, PA
COVERAGES This certificate supersedes and replaces any previOusly issued certificate for th~poHcy. period noted below ~ 1
THIS 15 TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
~' TYPE OF 'NSURANCE I------::'Cy NUMBER
I GENERAL UABlLITY I
A [Xl C~MMERCIALGENERAL_~IABILlTY 13531-48-45
= CLAIMS MADE [] OCCUR
,-_' OWNER'S & CONTRACTOR'S PROT i
~ $2MMSIR . _I
I' POLICY EFFECTIVE POLICY EXPIRATION
I DATE (MMIDDJYV) DATE (MMJDDIYY)
06/01/07
I
107/01/07
AUTOMOBILE L1ABfUTY
,
107/01/07
B ~,ANYAUTO
~ ALL OWNED AUTOS
SCHEDULED AUTOS
1. HIRED AUTOS
NON.OWNED AUTOS
X PHYSICAL DAMAGE
X OMP. & COLL $1 ,000
GARAGE LIABILITY
7320-34-35
06/01/07
-"!
R' ANY AUTO
r--
~CESS LIABILITY
o ~ UMBRELLA FORM
I OTHER THAN UMBRELLA FORM
I WORKERS COMPENSATION AND
! EMPLOYERS' LIABILITY
I'>
THE PROPRIETORJ IXlINCL
PARTNERSJEXECUTIVE I":'=---j
I OFFICERS ARE: ' EXCL
o,HO.
4485537
06/01107
07101/07
10/01/06
10/01/07
WCK-Z91-439161-016
LIMITS
t:NERAL AGGREGATE
, PR~QUCTS-CO~~OPAGG
PERSONAl & ADV INJURY
~
, $
$
-
4,000,000
4,000,000
,----'----
2,000,000
2,000,000
1,000,000
'--'---
10,000
1,000,000
._~
5,000,000
5,000,000
---~
1,000,000
1,000,000
1,OOe,Ooo
DESCRIPTION OF OPERATIONS/LOCATIONSfVEHICLESISPECIAL ITEMS
RE. MGE field engineers performing work on MGE equipment.
The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701, its officers, employees, agents, volunteers and representatives are included as
additional insured (except Workers Compensation) where required by written contract and allowed by law.
CERTIFICATE HOLDER
CANCELlATION
~q~_OCCURRENCE i $
FIRE g!'MAGE (Anyone fire) $
MED EXP IAnv one Derson\ $
COMBINED SINGLE lIMIT__L-_.
BODIL'( INJURY i $
(Per person) j $
80DIL Y INJURY
(Per accident) +---
PROPERTY D~MAGE -. I $
AUTOONLY_EAACCIDENT $
~~ THAN AUTO ONLY'
EACH ACCIDENT $
AGGREGATE ~ $
EACH OCCURRENCE ' $
,$
$
AGGREGATE
X TOR~~~I~S i I UE~-
EL EACH ACCIDENT 1$
EL DISEASE.POLlCY LIMIT $
EL DISEA;:;E-EACH EMPlOYEE: $
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLEO BEFORE THE EXPIRATION DATE THEREOF
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL --3Q DAYS IIVftITTEN NOTICE TO THE
CERTIFICATE HOLDER NAMED HEREIN. BUT FAILURE TO MAIL SUCH NOTICE SHALL MPOSE NO OBLIGATION OR
City of Santa Ana
AUn: Clerk of the City Council
Civic Center Plaza, M-30 P.O. Box 1988
Santa Ana, CA 92702
liABILITY OF ANY KIND UPON THE INSURER AFFORDNG COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE
ISSUER OFTHIS CERTIFICATE
MARSH USA INC.
BY: Edward R Ford
MM1 (3/02)
~7?~
VAUD AS OF: 06/27/07
MARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBER
NYC-002667462-04
PRODUCER A- :2ODI-Igy THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH USA, INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
200 CLARENDON STREET A -:;l.OOY-Ol'l POLICY THIS CERTIFICATE DOES Nor AMEND, EXTEND OR ALTER THE COVERAGE
BOSTON, MA 02116 AFFORDED BY THE POUCIES DESCRIBED HEREIN.
A - 2-00'1-01'9_ 0 f ,------ COMPANIES AFFORDING COVERAGE
- -
/I " -0::>'- COMPANY
, 99713-APCC--06-09 " " -03 A AMERICAN HOME ASSURANCE CO.
------ -- - ------ -
INSURED I COMPANY
MGE UPS SYSTEMS, INC. B TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
ATTN: MICHAEL DENNIS ---- -
1660 SCENIC AVENUE COMPANY
COSTA MESA, CA 92626 i----.c:_ TRAVELERS IN[JEMNITY COMPANY OF AMERICA
1- COMPANY
D NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA
COVERAGES This certifICate supersedes and replaces any previously issued certificate for the policy peliOd noted. below. 1
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DeSCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTVv'ITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF A.NY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CER.TIFICATE MAY BE ISSUED OR MAY
PERTAIN. THE INSURANCE AFFORDED BY THE POliCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
liMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
f-- - POUCY EFFECTIVE I POU~~ EXPIRATION I _...
CO TYPE OF INSURANCE POLICY NUMBER LIMITS
LTR i DATE (MMIDDJ'r'Y) , DATE (MMlDDfYYj
I GENERAL UABlLlTY GENERAL AGGREGATE 1$ 4,000,000
, 101101/08 --~RO-9UCTS - CCl.~~I~~
A ~MMERCIAL GENERAL ~IA8ILlTY 7216693 01/01/09 4,000,000
~ CLAIMS MADE IX] OCCUR \ I pERSONAL & ADY INJURY , $ 2,000,000
CWNER'S & CONTRACTOR'S PROT ~ACH OC-;;-URRENCE 1$ 2,000,000
? FIRED~MA~EIAnYOnefire) 1$ 1,000,000
--"-fl2MM.S.IR--
, i MED EXP lAnv one nerson) $ 10,000'
, AUTOMOBILE LIABILITY 101101/08 $ 1 ,000,000
- ' COMBINED SINGLE LIMIT
B X I ANY AUTO T J-CAP-8199A41-4- TI l 01/01/09
~ AU OWNED AUTOS I I -- 1$ - -
BODILY INJURY
i I SCHEDULED A.UTOS I (Per person I
i _J HIRED AUTOS ~ODIL Y INJURY 1$
- NON.OWNED AUTOS (~er<lcCidentl ,,_
i~ jPHYSICAl DAMAGE I PROPERTY DM1AGE 1$
X COMP & COll $1 ,000
! GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $
R ANY AUTO -- ~r-
tHER THA~ AUTO ONL Y,-_'__ ~-
i EACH ACCIDENT $
- -- ! 1 A~~REGATE I $ -
EXCESS LIABILITY I !_,~ACH OCCURRENCE 1$ 5,000,0ClQ.
D h<l UMBRELLA FORM '9835472 101/01/08 01/01/09 AGGREGATE Ii 5,000,000
,- - --
, OTHER THAN UMBRELLA FORM $
I WORKERS COMPENSATION AND 101101/08 . '-"Y,",?iATU- j I UJIi'
EMPLOYERS' LIABILITY X i TORY LIMITS , -,~
C TC2H-UB-8196A02-A-08- TIA 01101/09 EL EACH ACCIDENT $ 2,000,000
I, THE PROPRIETORl I X-I'NCL - --
B TRJ-UB-186K259-O-08-Tll ,01/01/08 01101/09 EL DISEASE.POLlCY LIMIT _.~ 2,000,000
PARTNERSJEXECUTIVE -
OFFICERS ARE' EXCL I EL DISEASE-EACH EMPLOYEE $ 2,000,000
10'He" I
1
i
DESCRIPTION OF OPERATlONSILOCATIONSIVEHICLESlSPECIAL ITEMS
RE. MGE field engineers performing work on MGE equipment.
The City of Santa Ana. 20 Civic Center Plaza, Santa Ana, California 92701, its officers, employees, agents, volunteers and representatives are included as
additional insured (except Workers Compensation) where required by written contract and allowed by law.
CERTIFICATE HOLDER CANCELLATION
Sl10ULO ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF
THE INSURER AFFORDING COVERAGE WLL ENDEAVOR TO MAIL --3Q DAYS \NRITTEN NonCE TO THE
City of Santa Ana CERTIFICATE HOLDER NAMED HEREIN BUT FAIWRE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
Attn: Clerk of the City Council
Civic Center Plaza, M-30 P.O. Box 1988 LIABILITY OF ANY KINO UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE
Santa Ana, CA 92702 ISSUER OF THIS CERTIFICATE
MARSH USA INC. ~~~
BY: Edward R Ford
MM1 (31021 VAUD AS OF: 12/31/07