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Home My WebLink AboutOTIS ELEVATOR COMPANY 1B - 2004 . , A-2004-236 INSURANCI ,.i~ kl WORK Mi. .JetED UNf; i - ,'hl'ICE EXPIRES _-:( -05 em. ,\ OE COUNCIL I)A I c: I - ;2, '[ - D5 , t: fflS, AMENDMENT TO AGREEMENT un, Gk-01oiJ -t^- TIllS AMENDMENT, made and entered into this Ji day of NDII~004, by and between Otis Elevator Company 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 Compensation term of said Agreement in order to provide continuous uninterrupted 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 2, of said Agreement, pertaining to Compensation of said Agreement is hereby amended as follows: Emergency Repairs Year 2004 $7,243.00 Estimated Emergency Repairs Year 2005. $5,000.00 Estimated Emergency Repairs Year 2006 $5,000.00 Total Amount $17,243.00 2. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Amendment to said Agreement the date and year first above written. PATRICIAE. HEALY Clerk of the Council CITYO~~ DAVIDN.REAM City Manager (SIGNATURES CONTINUED) ... .. APPROVED AS TO FORM: JOSEPH W. FLETCHER City Atto1Y' ~ By: fi lY-" Michael Vigliotta Deputy City Attorney FOR APPROVAL: o 1 Executive ector of the Finance Agency Tax ID# I~- 5S~ 33&"'1 04/15/2004 08:32 626-795-9157 OTIS ELEVATOR PAGE 02/02 ! -- MARSH CERTIFICATE OF INSURANCE ISSUE CATE 03l2e12004 PRODUCER This cartif!ca,te is ieeued as a matter of infolTl'l8tiOn only and t:ol1fers no righ1s MARSH USA INC. upon 1tre Certificate Holder. Thie Certifica1e does not amend, flxtend Qralter the coverage afforded by the policies below. ONE srATE STREET .,- HARTFORD, CT 061034187 COMPANIES AFFORDING COVEFl.I\ClE .,- Company Hartford Fir. Insurance Co A .- INSURED Company In. Co of ltl. Sla'" of PA OTIS ELEVATDR COMPANY B ONE PARM SPRINGS ROAD - FARMINGToN, or 06032 C<lmpany American Home Assuranea Co C .- ComJ)lny New Hampe,hire lneurance Co 0 .,- Company National Union Fir$ 'n$ Co Pa E COVERAGES Thia eertific:ate supersedes and feplac8a any previouefy issued cerdflca1e for the IXIliey j:leriod note~ l)etlow. This Is to certify that the policies of Insurance described nel'ein tlave been Issued to the Insursd namad herein for the policy period Inl: IC'Jlmd. ~standing any requIrement, term or condition of contract or other document with rHpElct to whir;h this certtftcate may be Issu@d or may pertain.III~1 insurance afforded by the poliCies described herein Is subject: to aJlthe terms. conditIons and exclualona of $ueh poliOies. Um;ts shown may have been re~ll~ by pa]d claims. co TYPE OF IN$URANCE POllCV NUM8EA EFFECT1VE EXPIRATION UMrTS OF lABILITY IT -- A GENERAL UABILlTY 02CSET1Q004 0410112004 0410112005 EACH OCCURRENCE $ 1.000.000 I&J ComMQl'C!sl General LlablII1y FIRE DAMAGE. S 300.000 Ll OIsJm!!, Made iii Ooeul'rMCa $2,000,000 general aggregare per ME.OICAl. ExPENSE S I 5.000 o Ownera' and Contnu:tcr~ Protection 0 Ioce.liorvprojaet ~A9ONAI., & AOV INJUAY $ 1,000,000 .- 2.000.000 0 o.ENEFlAl.AMPlE<.\An .,- $ General AggregBle Umlt applle!!. per. $10,000,000 ~licy gener'al aggr&g8te PRODUCTS. CQMPIOP AGG. $ 2.000,000 o Policy 0 P'Ojeel DLocttion . - A AUTOMOBILE UABILITY 02CS!1l'1000Q (AIO) 04101/2004 04/01/200. COME!jNEO S1NGt.E UMlT $ 1.000.000 IX! Any Automobile OaCSE!"'OOO3 (TX) BOolLY INJURY fF'9rperscnl o All Owned AulomOOiIe$ - HAflford Cuualty Ins Co BOO1L,( INJURY (Ptr accldel'lll o S<:hElduled Automotllles 02C8ETlOOO2 (MAl - o Hlllld Automoblle3 PROPERTY OAMAGE: Hartford Ace & 100 Ins Co - o NonoOwr'led Automobiles 02CSETlOO19 (HI) COMPR!;;HEN$IVE - 0 HartfOrd Underwriters Ins COLUSlON . WORKERS' COMPENSATION 1NC5212397 (OtMr' States) 0410112004 0410112006 we...""",,,,,,, xl""", I I- e AND EMPLOYERS' UABIUTY WC$212J96 (CA) 1401(NJ) el. EACH .-.c::ClCENT $ 1,000,000 ..- c W~1~4lKl(N"(,WI) EL. DISEASE (E~ OIl"CI~) $ 1 ,000.000 E WCS~1240~ (ex~ CT). ,- ~L DISEASE; (POIiI;y l.iTIll) S 1.000.000 , 1\'05212300 (ME,MS.NV,OR,RI,tJT)' - "NationQ,1 UniOn Fire Ins Co Pa EXCESS L1ABILlTY Ii, .',.' EACM OCCUFlFlENCEi o OCCvrlttnce DClalms Made /) AGGREGA.TE (\ ^ - f{~()' 2f/-vu t - J rr /i, '-- .- - -,.. ." / - - Cky of Santa AM Pollee and HoldlnQ FIiICUIty, Santa MA, CA 92702 TI'1e CIty of Santa Ana, liS offIctfS. aga-nts. volunteers. and erll~oye&s are acldltlonallnaured on the above CommerCial General Uablllty ilB N:<lulred by (:(<:'t!nl.cl The liability coverage atfol'ded ~ prin-wy and non-COnlriblJfOrj'. oorttrelct number: SAN sMl8 CE!RTlFICATl! HOLDER - S~UL.O ANY OF THE ABOVE CE!SCFlIB~ POl.lCJES BE CANCEll.!:rl Br;:FOAE THE EXPIRATION OATE!THeF4cO~. THE INSUR~R W11.,1. MAIl. 30 DAYS ~."F\ITTEN NOTICE TO 'n41!! CeFlTIFICATE: HOt.OEA NAMED TO THE LeFT. City of Santa Ma MARSH USA INO (/-- -r.- f(7)Bi 20 Civic Cenlor Plaza (M.29). PO ~I! 19a5 BY. Santa Ana, CA ~O<: Cef!lfi~8IC " RFF-oSK2 II '-~ ...- 2~~'2':'; ::::':;1 c:-; ':-!5 E:"SJCiT:RS:. ?:~ ~S~ ~~S2 ~: 6L?S~~~ ~'. 22.<:2 . ~' ~;ioY Hum!;>.': 02 C~;E T1 0004 gr..oliva Oilt.: 01-01-2003 </ N.mad Insured .,nd ~,ddr.ss; unltEKl Technololli.$ Corporallon OM Flnanelal pla2a Hartford, CT. 06101 .', Endt Ho, --.- THIS ENnOnSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED. OWNERS, LESSEES OR CONTRACTORS this endOfSOOlen' m(oIO~$ln$\lranc. provided under the following: COMMERCIAL GIONER.Al. LIABiliTY INSURANC~ POLICY $CHEOOULE Name or Penion Ilr '~i9anl%.Uon; CONTRACT NO.: SAN 520B THE CITY OF S.ArjT ll. ANA, ITS OFFICE:RS, AGENTS, vOlUNTI'ER$ AND EMPLOYI'ES The innuranee arr. '''!$d by this policy for the additionallMured(sl Is primary Insurance and any olher inSurance maintained by or ,",;oll.bln t;) Ihe addlUanallnsured(sl I. non~Qnlribl.l\ory. WHO IS AN IN:;;VI1EiO (SooIlon II) I. ~mendod \0 Include as an Insured l11e parnan or organlUlllon shown In Ih. Schedule, b.ll .,nly with re$ped to liability e,lsing out of 'your wQrk' for thalln.ured by or for you. For ,!,e p~rpQ.es "f lhi. endorsement, 'you' shall ref~r to Otis Elevator Comp~Oy and il$ subsidiaries. and 'your work shall mean '.., ock perfcrmed by or for Olis Elev.tQr oompany end lIS s~.l>Jlldlarles. ~0;/d--- , ,',../.,].,.... Page 1 of 1 Form OT 53 241:1 (Ed 01/03) Q 2003, ThO Hi.lrt1'ord (Includes copyrighted mstMial of '''nurance Services Office with lis permIssion. Copyright, losm.nce. Services Office. Inc., ~003) HJ 3:)\;',.1 :;~:C93JIN"ljr-l-:S~~'\.>i L~L9SU.G"8 S8'8, v08l/T1/lg -r,"""",'" r>~..~- r.., ".c",' MARS H CERTIFICATE OF INSURANCE ISSUE DATE 03/19/2005 PRODUCER This certificate is issued as a matter of information only and confers no rights MARSH USA INC. upon the Certificate Holder. This Certificate does not amend, extend or alter the ONE STATE STREET coverage afforded by the policies below. HARTFORD, CT 06103-3187 COMPANIES AFFORDING COVERAGE Company Hartford Fire Insurance Co A INSURED A. - 2003 CJ.&g Company Ins Co of the State of PA OTIS ELEVATOR COMPANY B ONE FARM SPRINGS ROAD Company FARMINGTON, CT 06032 A -;>'003 ,,Jld-Ol American International South Ins Co C 4. - -;tiXyf- ).3v Company New Hampshire Insurance Co D Company National Union Fire Ins Co Pa E 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 02CSET10004 04/01/2005 04/01/2006 EACH OCCURRENCE $ 1 .000.000 [R] Commercial General liability FIRE DAMAGE $ 300.000 o Claims Made [R] Occurrence $2,000,000 general aggregate per MEDICAL EXPENSE $ 5.000 o Owners' and Contractors' Protection location/project $ 1 .000.000 D PERSONAL & ADV INJURY D GENERAL AGGREGATE $ 2.000,000 General Aggregate Limit applies per: $10,000,000 policy general aggregate PRODUCTS COMPIOP AGG. $ 2.000.000 o Polley 0 Project 0 Location A AUTOMOBILE LIABILITY 02CSET10000 (AiO) 04/01/2005 04/01/2006 COMBINED SINGLE LIMIT $ 1 .000.000 [R] Any Automobile 02CSET10003 (TX) BODILY INJURY (Per person) o All Owned Automobiles Hartford Ins Co of Midwest BODILY INJURY (Per accident) o Scheduled Automobiles 02CSET10019 (HI) o Hired Automobiles PROPERTY DAMAGE o Non-owned Automobiles Hartford Underwriters Ins COMPREHENSIVE D COLLISION B WORKERS' COMPENSATION WC5899613 04/01/2005 04/01/2006 WC Statutory Limit I X I Other I I C AND EMPLOYERS' LIABILITY WC5899610 EL EACH ACCIDENT $ 1.000,000 0 WC5899609/611/612 EL DISEASE (Each employee) $ 1 .000.000 E WC5899614 (excess CT)" EL DISEASE (Polley Limit) $ 1 .000.000 .. SI R $2,500,000 EXCESS LIABILITY EACH OCCURRENCE o Occurrence 0 Claims Made ,\PPROVEl AS AGGREGATE TO FORM " . ~. :', ,,- b ---.~ , IdLJra Erill She'ed) ~ '-;Sl,qa 11 I City "-Horr e, 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 5208 CERTIFICATE HOLDER 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 City of Santa Ana MARSH USA INC (j.-.J-? -r. 117JRr 20 Civic Center Plaza (M-29), PO Box 1988 BY: Santa Ana, CA 92702 Certificate 10: A1 K7.6YQ ~, 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)