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Home My WebLink AboutOTIS ELEVATOR COMPANY 1A - 2004 A- ;?"03 -';U~f - 01 INSURANCE NOJ ON HLE WORK MAY NOT PROCEED CLERK OF COUNCIL DATE: lI-ao-o4 AMENDMENT TO AGREEMENT C:F.MS. THIS AMENDMENT, made and entered into this.;/-I'-day of mmx.6llr2004, by and between Otis Elevator ~.Co~!t:ompany, a New Jersey Corporation ("Consultant") 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 A. The Parties entered into that certain agreement entitled "Consultant Agreement." dated January 27, 2004, hereinafter referred to as "said Agreement", for providing maintenance and repair of City elevators. B. The Parties hereto now desire to amend the Term of said Agreement in order to provide continuous unintenupted service under said 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, the parties hereto do hereby agree as follows: I. Section 3, of said Agreement, pertaining to Term of said Agreement is hereby amended to extend the Term of said Agreement until December 31, 2005. 2. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Amendment to said Agreement the date and year first above written. ~T:~ . , l . / .' I . , ' r:tLL ~L.eL/ ~ / PATRICIAE.HEALY ~ Clerk of the Council CITYrrn~ DAVrtlN. REAM City Manager APPROVED AS TO FORM: JOSEPH W. FLETCHER City Attot;ney C nsultant Tax ID# IJ. "31b 3~'\ 04/15/2004 08:32 626-796-9157 OTIS ELEVATOR PAGE 02/02 I -- MARSH CERTIFICATE OF INSURANCE ISSUE CATE 03128/2004 PRODUCER This CGIn1f1cate it i$eued as a matter of informatIOn onfy and t:OI1f.r; no rignta MARSH USA INC. upon 1I1e Cer1lftcate Holder. Thia Cer1lftcat. does not amtnd. extend or alter the ONE Sl'ATE ""'EET coverage afforded by the policies below. ..- HARTFORD, CT Oe103oo3l87 COMPANIES AFFORDING COVEFWlE ..- Company H.rtforrJ Fire Insurance Co A -- INSURED Company Ins Co of 1IIe Slate of PA OTIS ELEVATOR COMPANY B ONE PARM $PRIN13S ROAD Compeny FAAM'NBTON, CT 00032 American Home Assurance. Co C .- Compeny New Hampehire Insurance Co 0 -- Company National Union Fireltls 00 Pa E COVERAGES Thia oertifioate 8upersedes and replacea any previQuety issued certificate for the pone)' l)eriCd noo,~ IlEllow. ThIs Is to certify 1IIatthe polloi.. oflnsurance dOSClibed herein have been ISSlJed ID 1I1a Insured namad herein ror the polloy period Inl "'..md_ No_standing any requIrement. wrrn or condition of contract or other document with reapect to which this certificate may be lsaued or may pertain. tln!1 insurance afforded by the polioies desonbad herein Is StJbleot ID alllhe term.. condftlons and .)(C'u.'o"" oIsuoh poliCies. Umils shown may have been reC"ood by pald olalms. co TYPE OF Irll$URANCE POLICY NUMseR EFFECTIVE!! l!XPIRATlON UMrrs OF lABILITY U .,- A GENERAL UABILrTY 02C5ET10004 0410112004 0410112005 EACH OCCURRENCE - $ , .000.000 iii Commotdlll Gllneral UBbII1ty ARE DAMAGE $ 300.000 Cj Olalms Made iii OOCUtrenC8 $2,000,000 penet'1I1 aggregatB per ~DlCAL.l!)(Pl!N8E $ I 5.000 o Owners' am Contractor$' IIl'Otedlon _.oniplCj<<t $ 1,000,000 CI ~8ONAl," ACIV1N.1Uf1Y .- S 2,000.000 CI GIEN!FlAl. "GaAEGATi ..- General AggregB18 Umtt applies per. $10,000,000 POlicy gentl'all\ggregate f'flOOIJCTS . COMPIOP AGGi. $ 2,000,000 o Policy 0 Projee1 O"'>cttion . - A AUIOMOBILE UABILITY 020SCl'10000 (.010) 04/01/2004 04/0112005 COMSlNEQ SINO!.! UMIT S 1.000.000 I!I A", A_ne 02CSCl'l0003 (TXI BODILY INJURY fP8fperson) o All Ownod AulomObiIe$ Hartford Ga&ualty Ins Co BClOIl.YINJUA:VCPilraccldentl o Schod.'ed Auromobllos 02CSETlOOO2 (MAl - o HIred Au1omoblles PROPERTY DAMAGE Hattford Am & Ind In$ Co ,- Cl Non"l3Wl"lOd Automobiles COMPREHENSIVE 0 02CSET10019 (HI) COW$lON I'tlll'tfOtd Underwriters lna . WORKERS' COMPENSAnON ~12397(OthOr'StateB) 0410112004 0410112005 wotll............IXT.....1 1- 0 AND EMPLOYERS' UABIUTY WCS212398 (OA) /401(NJ) III. ~H ACCltlENT $ 1,000,000 0 WC52:t24OCl (NY,WI) EL DISEASE (E3Ch O~IOyMl ..- $ 1,000.000 E WC5212402 (ex(:E!lSs CT)~ .- iL DISEASE (Policy UTlh) $ 1.000.000 I _'>3S9(M!!.MS.NY.OR,RI.UT)' - -Na1ional Union Fire Ins Co Pa EXCESS LIABILrTY '...., '\;..- EACM OCCU~IIIENCEl LJ OCCurrence DOlBlms Made d J ('-.') , ~ /J [\ " AGGREGATE - ~~'-2f'\.Ut: - J [;1-/./. ~ .- ,- , '"., -"', 'o' I - Cltv of Santa Ana Pollee and Holding FtlCDIty, santa AnI, GA 92702 Tl'le City of Santa "ne, lIS ofrlct!'S, agents. volunteers. and em"'O~K ate edClltlonallnaurad on thB above ComlM((:1a1 General Uablllty 8:8 reQUired by (:C.11ract The 11&bl"~' ccvp.rage <1KordGcl G primary and non-contrlbvtory, oontract number: SAN 5208 CERTIFICATE 1I0LDER - SHOULO AAY OF THE ABOYE OE!SORIBI!O POLIC1ES 8E CANCEl"!!> B!!FDRE THE EXPfRATION OAT! THEFtCOF. THE!! INSUR!:R W11,1, MA.11" 30 OAya ~."FlITTEN NOTIC; TO ~S CERTIFIOATE HOl.DER NAMED TO THE LEFT, City Df Santa Ana MARS~ USA INC (j-'? -r. j(7)B{ 20 Civic Center Plua (M.29). PO~)[ 1988 BY: Santa Ana, CA ~ eel!!! 10# RFF.oe , I // ~::2 .:.:- 2~~'2~ ~S:'51 t:"F ':'":'15 E:"'E.jyT.:R~. 7:~ ~S~ SE52 7~ 6~?S~;~ 2.0:2/22 ~;i~:f Huml:>er. 02 CSE T1 0004 l".r:.~tiVi Cat.: 01-<11-2003 Namod Insured .Ind ~,ddr.s", Ul\lt~ Tochnolollies Corporation OM Flnan~lal plaZa Hartford, CT. 06101 " Endt No, ---- THIS ENnOHSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS Thi! endOrliWlen' m(~lfie$lnS\lranc. provided under the fallowing: COMMERCIAL CIONERAL LIABILITY INSURANCE POLICY SCHeiOUI.E Ham. of Parson I)r '~i9anl=.tJon: CONTRACT NO.: SAN 5208 THE CITY OF S.ArjT ll. ANA, ITS OFFICi:RS, AGENTS, VOLUNTeeRS ANO EMPLOyges The inslIrance arr. ,((led by this po\lcy (or the addilionallneurad(S) Is primary Insurance and any other Insurance rnainlalned by or "''''lIable to Ihe addlUonallnsurad(5lls non-<:onlribu\ory. W,IO IS AN INSUI1EiO (Soo1lon 11) Is amenclod 10 Include as an Insured the pe",on ororganizallon shown In tho Schedule, b.ll ,'nlywlth ro$pec:! to liability orlsin9 oul of 'your worx' for that Insured by or for you, For the purpons ." 1/11. ~ndQrsemenl, 'you' "ha\l roler to aus Elevator Company pnd lis subsidiaries. and 'your work' shall mean work perfcrmed by or (or Otis Elevatl,lr company and Its s!l\>}lldl.rlllS. - , l ; "....((.: \i_. _" ~;z, '" ,;;z/~__ . ',-' -'"_ ._' ..__c. .~. .', ~,,;, ,. .," ,r.)'/ . '.... -, ~ . p.ge 1 of1 Form OT 53241:1 (Ed 01/03) Q 2003, TM Hartford (Includes copyrighted m21~rlaJ of Insurance Services Office wllh lis pennlssion, Copyright, Insur.once Services Office, Inc., :;l003) W 3;)~d 3~:C93:)!NiJr-HSti?~1 L~L9SiWi,8 S8:81 v9GZ/11/Z0 ..............-,." ,.,~.,'""- r.., ~":'~' ~, MARSH I CERTIFICATE OF INSURANCE PRODUCER A 0017 003 MARSH USA INC. -~ /- ONE STATE STREET I HARTFORD, CT 06103-3187 A -- c2.00J{ ... ,xJ b A-- ~003 .. ~'!l A _ --"'\(11- ,2~t oJ 0/ INSURED A - p(IQ 03 - ~103 - ~ OTIS ELEVATOR COMPANY ONE FARM SPRINGS ROAD FARMINGTON, CT 06032 I ISSUE DATE 03/19/2007 This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. This Certificate does not amend, extend or alter the coverage afforded by the policies below. COMPANIES AFFORDING COVERAGE Company A Hartford Fire Insurance Co COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below. This is to certify that the 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 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, conditions and exclusions of such policies. Limits shown may have been reduced by paid claims. CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE EXPIRATION LIMITS OF LIABILITY LT A GENERAL LIABILITY IX] Commercial General Liability D Claims Made IXI Occurrence o Owners' and Contractors' Protection D D General Aggregate Limit applies per: IXI Policy D Project D Location A AUTOMOBILE LIABILITY IXI Any Automobile D All Owned Automobiles D Scheduled Automobiles D Hired Automobiles D Non-owned Automobiles D B C D E WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXCESS LIABILITY D Occurrence DClalms Made 02CSET10004 $2,000.000 general aggregate per location/project $10,000,000 policy general aggregate 02CSET10000 (A10) 02CSET10019 (HI) Hartford Underwriters Ins 2921261 (CA) 2921262 (FL) 2921265 (MA) 2921266(CT ex. SIR $2.500,000) 2921259/2921257 (multi) 2921258 (MN) 2921264 (NJ) F=2921260* 2921263(OR)* F=AMERICAN INT'L SOUTH INS Company B Ins Co of the State of PA Company C American Home Assurance Co $ $ $ $ $ !l: $ $ $ $ I I $ $ $ $ $ $ 1$ !l: i!l: $ $ 1,000,000 300,000 10,000 1,000,000 2,000,000 2,000,000 1,000,000 1,000,000 1,000,000 1,000,000 City of Santa Ana Police and Holding Facility. Santa Ana, CA 92702. The City of Santa Ana, its officers. agents, volunteers, and employees are additional insured on the above Commercial General Liability as required by contract. The liability coverage afforded is primary and non-contributory. contract number: SAN 05208 CERTIFICATE HOLDER City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 Company D National Union Fire Ins Co Pa Company E New Hampshire Insurance Co 04/01/2007 04/01/2008 EACH OCCURRENCE FIRE DAMAGE MEDICAL EXPENSE PER"""'A & A"""'IN " 'RY "'I=N"O^, pRonl ,rOT" _ r.OMP/OP A"''''. 04/01/2007 04/01/2008 COMBINED SINGLE LIMIT BODILY INJURY (Per nerson' BODILY INJURY 'Per accident' COMPREHENSIVE COLLISION 04/01/2007 04/01/2008 WC Statutory Limit [R] Other EL EACH ACCIDENT EL DISEASE (Each employee) EL DISEASE (Policy Limit) - ~,,- -., I .' ') A~ rra FOR llll'CHOCCURRENCE Ai.. ..l.'lU t, L.. '. ~ 1 AGGREGATE A ./? /J '1 ~ d~ ,j.l~ / /::z 7" ~a-~i~J 'Itfy:'~cJY As iSW ,1~UV Attcf',ey SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER WILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. MARSH USA INC BY: (/~ Paae 1 of 1 -;;:- .d7/~7:-r) Certificate 10 # XQRED9S5 " Polley Number: 02 CSE T10004 Effective Date: 04/01/2006 x Named Insured and Address: UNITED TECHNOLOGIES CORPORATION ONE FINANCIAL PLAZA HARTFORD, CT 06101 Endt. No. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY INSURANCE POLICY SCHEDULE Name of Person or Organization: CONTRACT NO: SAN 05208 THE CITY OF SANTA ANA ITS OFFICER, AGENTS, VOLUNTEES AND EMPLOYEES 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 work" for that insured by or for you. For the purposes of this endorsement, "you" shall refer to Otis Elevator Company and its subsidiaries, and "your work" shall mean work performed by or for Otis Elevator Company and its subsidiaries. Form GT 53 2413 (Ed 01/03) A r ","):. '.iL i ~""~J .1.__:...1 f'" rr^,_,__ ~~'; 1 'J l"ORM ~~/-L Page 1 of1 -'~~l.L; :,':i :", ~(",1y' @ 2003, The Hartford\s.",r" I '. " . '. "-. '." ,,~'y (Includes copyrighted material of Insurance Services Office with its permission. Copyright, Insurance Services Office, Inc., 2003)