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HomeMy WebLinkAboutSYMCO GROUP , INC 1C - 2005 INsuRtr,:'l '-iN ilCi WORK M,\Y P~WCU_D UHTiL iNSURANCE EXPIRES ~-! -3 i --u5 CLERK QF COUNCil O~TEc It, -1'1- 05 A-200S-087 CfH5 l~ i:tll~l FOURTH AMENDMENT TO AGREEMENT THIS AMENDMENT, made and entered into this '1 th day of May, 2005, by and between SYMCO Group, Incorporated ("Vendor") 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". RECITALS A. The Parties entered into that certain agreement entitled" AGREEMENT BETWEEN THE CITY OF SANTA ANA AND SYMCO Group, Incorporated" dated 18th day September, 2001, hereinafter referred to as "said Agreement", for providing mainframe computer maintenance and equipment products and technical servIces. B. On July 16,2002, Parties entered into an Amendment to said Agreement numbered for reference A-2002-144, the Terms of which remain in effect. C. On July 17, 2003 Parties entered into a Second Amendment to said Agreement numbered for reference A-2003-112, the terms of which remain in effect. D. On May 17, 2004 Parties entered into a Third Amendment to said Agreement numbered for reference A-2003-1 12, the terms of which remain in effect. E. All terms and conditions more fully set forth in the SYMCO "Equipment Maintenance Agreement, Agreement Number 18980724, shall have full force and effect in this Agreement. F. The Parties hereto now desire to amend the Exhibit A of said agreement, the Compensation term of said Agreement and the Term of said Agreement in order to provide continuous uninterrupted service under the 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: 1. Section 1, of said Agreement, pertaining to Terms and Conditions (Equipment and Maintenance Agreement reo No. 18980724 revision Three) of said Agreement is hereby amended by replacing the terms of Revision Three with the terms of Revision Four, Exhibit A, and to extend the term until June 30, 2006 (Revision Four of said agreement is attached hereto incorporated herein by reference). 2. Section 3, of said agreement, pertaining to "Compensation" term of said Agreement is hereby amended to reflect an increase in compensation which shall not exceed $70,000, with terms more fully defined in Revision Four, Exhibit A as revised herein, due to the increase in the City's need for the Consultant's services and equipment under said Agreement. 3. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in full force and effect. (SIGNATURES CONTINUED) IN WITNESS WHEREOF, the parties hereto have executed tills Amendment to said Agreement the date and year first above written. ~~<~<4,'6 PATRICIA E. HEALY Clerk of the Council APPROVED AS TO FORM: JOSEPH W. FLETCHER City Attorney- By: tV\j. ~ ~ /~ Jx-; MICHAEL VIGLIO A) Deputy City Attorney RECOMMENDED FOR APPROVAL: \i'\i'\,,,'ro \, \".., ,,\ ~:, ~ ~:> Francisco Gutierrez Date Executive Director Finance & Management Services CITY~t2 DAVID N. REAM City Manager SYMCO Group, Inc. k(.jf: ;/,\ Signature . itc, 'f. '/'{yt:> Date Rc:h,,-1 L j//l'''J~ .;~, Name 58-1793885 Tax ID# :..., Revision Four, Exhibit A, lof3 SYMCO GROUP, INCORPORATED 18980724 f.'lr,,,,r:ee ."4I.;r::~"ll EQUIPMENT MAINTENANCE AGREEMENT WITH THE OBJECTIVE OF KEEPING YOUR UNISYS EQUIPMENT IN SATISFACTORY AND EFFICIENT OPERATION, SYMCO GROUP, INCORPORATED AGREES TO FURNISH MAINTENANCE SERVICE AT OUR DESIGNATED LOCATION ON THE EQUIPMENT LISTED IN ACCORDANCE WITH THE FOLLOWING PROVISIONS: 1. TERM The ir.itialletm o(lteAgreemtr.1 s~1 bl!t.l. years rr:m the d.1:e ac~;:ted .r.d e.ucutad by an auc.~riz.!d rt;::rl$an~tive of SY'-rCO(the .e~.ec:jo,re date' .ar.d tr.ereafl.ar may be rer:.awed en a...lliB.. -to- YEAR b.;ui" lJrdeu lerrrJ'naeed by ei!t'>,cr ~rtJl.I~cn...1Q... d.ays ....rir.an r.Q~C" pricr 10 Ihe er:.d af:t':e then ct.:l'l'!r:t tenn. 2. MAINTENANCE .a SYMCO SMall j:r:l..1da m.ail'l:~nal"ee an.:J par'..s 10 m.aintain e:;t.:it=ment in S;CIOd aperatirg e:r:ditian. St.:c,"I ma;n~anal'iee s."a~ ~ j:r.:....ided .as ra.:;ui",d.. ~~d; at St.:C"\ ""ar;!S as cesis;n.ate-:f by t:""js c.:ntract b Par..s r.ecuSaI"J 10 the p~:::~r tl.;r:~cnjng of tl":e I!e':ldt=rr:enl sMa:1 ~ I\.;rr:is."Iad .II no ac~jcnal ehari", u:.et=t par,j d.amaied by u\,;sas Iis:ed / in Paragra;h S,O herein. / / / ' 3.. jAlTACHMENTS , CUSTOMER a;~s r.ot to err:s:'.:lY a~dl~cnal a:-.ad-.ments, features, or d"",iees 10 tho! e'id;r:<:ent, m.a.'<~ alt,ara:icnj to tho! eqdFme."It. or Fermi! ll":e I":":aint~~a~ce af tho! eqdFmer:t:J' oll':er L"1an S'(~tCO &:c!rscr:r:el .,.,i~o...~ c.....~ ....ri:':en eon.s.ent of SY~!CO SYMCq llhalt r.ot t..! lia':te fer Iou cr dama;~ l~ CUSTO~.tSR. rH~.J:.-:; l:":ere.~~.r:1, a~c cusrQ.l..ISR jhail ~ lia=l~ to SY~ICO f=r a.":'f $d.4/:ce CCj:S ir:~r:!d b'f SY.V:O .u a cor:je.;t.:er:eill l,":ere-::'- 4. SUPPLIES ~rair:t~nar',ce chu;es ~o r.c! irc!1.:~e 1:":" l\:l":":ishir:g cf s:.:r:.o1ies (sl:ch ai ri=c.:::ns. car::!s, pa.=er la;.a. Fa;~,. (=...,,1$, cr rr.a:;....e~c b;-J) Odl' s;J~r:ije.s ......!-:ich ~eet L'n;sJ's s;=-=i~c.a~:.:"'.s s:--a~1 t~ l:H~ CI' CUSrm.1S.~ ....~en l:-e F~rf~r.r..1,"Ica cr ~"..-::~I"ia::ce c! l:".e e-:;'..:i;r.:en: i.l3'j too} a~e~~ 5. SHIPMENT OF EaUIP.l.IENT (IF OEPOT MAINTENANCE) a The l=d,~:e3 ..;re." :::a: f."1a r.e~:-.:'::! cf eq'J:p;":":er.! pc:<a;i....g OJ,-_c S."1I.;~e,....: Co~h t~ a.,::! f:'-.:.-;; t:":e S!.~,;':e D:.=~t, s~3:1 be i" a;;::cda.-,ce .....i::, c::,":"'.T.c!,-::a:I'f r!,1s,:,a:fe s~a.._::!a:::!i, cc""sis:er.l ....:;:-t- t.l: r.a::.;:e cf l:':e e::;o..;f;~er:t ar:d t.....e b::a,;:!i c! 1..F1S.::cr"..;l:ien OJr:d Ma.....c:irg CUSTO,l,r=,:q a;re-:!$ l~ p:.<:a;e (;-:e ~'..;;.=r:<:e.....: aic.....; ....i:-: i:s jc!.-,:ce l~; in OJ,' OJ'J:.;c":'::~ SY~,fCO c::r:~;,""er fe,' s~i;.7e.': l~ t":! Se.~.i::e De;c:. 5Y.1,1(;0 a;re~i to ret'.:r., ~e se.~.~cd e-~'.:i;r.-:el1! 10 t:-:d CUSiO,\I~.~ in 01.' a'..1;O:cri.:=-: 5Y,\1:0 cor::a;r".~". t A:I h,1~;cr:a~cl1 et;~:~S~3 ....:] C~ t:-o"~1! h:! cusro,'.r'::.q. 6. CHARG!::S AND PAnl;::NTS CV5TO.\I::.Q a,;,.~~s tJ pa'j r.:a;,':e:c.1.-:c; cha:;es t:.xn 5;,):....:,iiS:<:" h1' Sy~lCO 0.' <I c:r,-e-:: in-i:'ce t,e"e-::!. kw<:ices j:.a:t t~ s;,)':;~ir.ed cn cr a:cl,,': l:-:e r,rs: ~a1' c.' ea,:h f!,-:CC f:r .....!-li:;; ser".;':~i a:e to b:! j::"~'Ii::!~ ACCEPTED $YMCO GROUP, INCORPORATED 3073 McCall Drive, Suite 1 AlIanta, Georgia 30340 BY !l?t:.-<,! ;;.. 7J~at~- ~,' , TITLE AUTHORll.t:O SIGNATUR':: f) . . /I/u-tJ tpl'''',r- u.~ .... z...(7c;- b. li":iS a;re-ement ma'j t:-e susper.d~ b'f SYMCQ ....i~c...t r.otice. it pci'l':':<e:".t is c....ir:'J PO) ca:ll in ar:e.ars. or t2.':":":ii'".a:~ b,/ SYMCO. .....1:....0...: r.ctce, if ~il:l~el1t Is six:y (SO) C3:11 in a.-rurs c. A":I .a;:pijea!::le tax .,.,m toll 2d~ed to c:.":t'~ c;h.;r;es sp~tied. 7. CUSTOMER INSTALLATION RESPONSlelLlTlES CUSrO,l.,IER shan: Q) c:ll1tir:t.:ot.:slJ' ~.air:Uin a k::~ ot sl's~m use a:1d r:t'r.'orma~c:e and maka sama a...~ila:re to SYMCO lJpc:n reqt.:l!st. (~) c:cn~,'\t.:cus!y maint.ain en..ir::.nmen:.t cCr'c:t!cns, eltcu:cal reo;l..:iremenls and s:~ tacaides in i1ccoreat'.ce .....i~"\ UnisY1 recolTl(1":enC'a:icns ar'.d s;~d~ca~ol1s. Ui~ r.ot ;!::usa or rrjst.:w !,...e ~1,j1=rr.l!fll ar:d (N) insl.:flt L"a: CUSTOMER p.!rsontlel af$ ace<:;uat~l, ~.iir.ed to a~rate I.'".e e(jtJj:r.te;.t. B. GENERAL CONDITIONS a. Ti-e e.;u1prr.enc must b.l in s:cod ct=.e~J:;.; cc~citicn cn U-.e E;T.ac~'" Da:e cf ~""js A;;r~ment b SYMCO Is r.o! cbllsa:~ l:,.:de( t:".e 1~:7;'U of L""is A;r~ment to r!;ctir ca:-:03;e (-J I!e':lui~rr.efl: ea...s.e-: C'itedl' Co' ir.cir!C:::I ai a resl.:il ot a::ciC''!;.t, r.e-;li;e0~' or a':1.:sa of ar 0:1 cusrO.l,tSR cr C'1:tC ~a."i,ts. failu~ 0/ CUsrOMER t.:l r.\ainlair: r:<;uir~c e:".'.~::rr.:e:'llal c::rci6:ll'u; ea:':$c!J e.(:,e.-:-.a! (j :;":e sJ'1:em Sl.:C:' as electrical poc....!... r....tt.:a:cn or f;:!,~uru; for:!, w:~=s~':r:Tl. L':e e~err:et',ti, cr a::s cf G.;d. Sl..:ch r:!j:a:r w:Ir ~ re.-::!e~~ 1..:;:-:'-: s;~if.c Or:!!r by CUSrO"-IS.=\, a.~~ T."~... a;;r;...,;I b:l cusrO.',r::Rof L":e e..s::imated duries L":ere-or. c T:-is As:re.ur:er.~ sna!1 c-J L.H'Is~.<I=:e ....;~.., (;'"e c=:cs.~,-:: cf SY.\ICO ;,~c CI7Y OF SANTA ANA a.-.d l..:::cr. l..a.~J'!: S~.1:r rer:-a:,., ir: e,~:: l..:".:1 le~:,:,-:ir..a~ed a~ h.ue:n I=~e',;:!~c.' c I.'; t;0 EV;::,'li SHALL SY.\!CO 6:: ll':'3U: FO?, lOSS 0.= PRO':=;iS, I.\JI,=\:::CT. S.~::C1At.., Co,',sSaU::.'iii";.. C;J. on-:::=: S:.\r:l..A.=: DA~IA::i::S ;"::::5;.';'3 OUT OF A';Y E.='.'::,~:H CF r-f:s A:;.=:::=~.I=ni a=: o;..r::i..;TION W;~'::R Tr.iS AG=:':::~!::.\T. e i:-:. A;'-~me.,t 1':13:1 rc: l:~ a:':""e,"'=e~ e(:e~t i.-: ....:-i:;.--:9 s:;nec bIOI,' a...;~...=ri4!C r<!;r;,;e.-::a::'..~ or CUSi"O.'.I:=\ a.-:C' SY.\:CO. Tr.is A;r~:7,e.--:: c::r.5:i(I.,;!!,; the en:ire a;..eemen: t-e~...~,.. L'-:e pa.~es a,-:c ~-..:;~.-se-:'e~ a:: r:r:.:r c:;mrr:t.:niC3~icr.s, Fr;pC~r3 cr ;;-.e~mer11s r~:a::r.g b r-:-:ai,'\ter.Ol:"_ce ser",!~ of L"le ~'Jipme":. I: is a;r~~ !."a: to":;) la.....s e! t.":e Sta:e :fCa~j.,=,..,ia sha:' <;::N~,"7l.....i:rou: ref!l,.er.e! 1:J:-:~ ~race of ex;o.;~on c!F~r.'or.~.a,'::.<l of s<I:ne. A....1' ;.-:c di[I~;a1ac::cn b ~e f..C!.....sa.:ted or bro'..!<;:h~ in !''''e e::lt;r...s c! 1::E! S~.a~! cf Ca'i!::r.:ia. cusrO.\IER BY ITS SIGNATUR::: ACKSm'11..EDG:::S THAT IT HAS READ THIS AGREEMENT, UNOERSTM1DS IT AND AGREES TO ALL ITS TERMS ANO CONOlTlONS. NAM::: CITY OF SANTA ANA AODiESS 20 CIVIC CENTER PLAZA SANATA ANA. CALIFORNIA 92702 //!0;j~ !~~ AU1HORLZEO ,sIGN).TUR.:. Thomas J. Gergen H::ln::lgp"rJ TnforPlAtion Services C/Srz BY TITLE DATE 18 Se tember 2001 . Revision Four, Exhibit A, 2of3 . EQUIPMENT MAINTENANCE EXHIBIT Effective Days Per Week Mondav - Sunday Effective Hours Per Day 0000-2400 Effective Date Of Maintenance Agreement 7/1/2005 :l. On-5ite Maintenance _ Depot Maintenance Reference Number 18980724 (REV-4) EQUIPMENT LOCATION INVOICE TO Company City of Santa Ana Company City of Santa Ana Address 20 Civic Center Plaza Address PO Box 92702 City Santa Ana City Santa Ana State California Zip 92702 State California Zip 92702 Telephone 714-&47-6958 Attn: . Purchasing Division M-16 Contact Tom r...rn..n V380 /~;66:r2EM X246-92 X395-93 )(351-94 X310-91 X310-91 X310-91 Elfl246~:!4 BT3261 BT3266 OSM-3000 PAc:KAGE SYSTEM 20MElME", . 10-20 MB UPGRADE DLf',PRIf'jTER,I:I$SI .. .. pLf'.~!P$,IAPE PbP...UNILIf'jE.. ..DLP.$c:SI...f'jEl,Vpl$i<. ..180BYTi::/$i::c::T()R.... .. PLP,$C$I.Li\KpISi<.100..BYi::TE/$i::CTOR .. . ..[)LP,..$g$I,..f'f'jc:.ggrvHvl.lJ~.Ic:ATJ()N$. .PR.INTER 2000 LPM 1 .TAPEC()f'jTROLLER.I,VI1.PRI\iE..125.'f'$. 2TAf'i::DRI\iE.$Li\\iE...125..IPS SCSI DISK SUB-5YSTEM .INc:LUDE$::!E!<l..c:AElI~i::T,...PlJA.L.'pIS..... .. INCLUDES: 14 ea 3.019 SCSI DISK INCLUDES: 2 ea 100 MB LAK DISK Ti::RMI~AL.gDT... [)ATTAf'i::...PRIYE,..[)IFFi::RENTIATi::D 23.964.00. 2.982.00 . INCL 700.00 700.00 ....700.00 ... 575.00 575.00 582.00 6,331.00 m5,760.00 2.986.00 3,103.00 T27 . HS.4400~T[) INCL 472.00 TOTAL CHARGE FOR YEAR 2005: .. (.lllLY1,2lJ()~:.lllNf:JO,?lJlJ(i) 23.964.00 .. .. . ?.!l132.oo. INCL .. .1,4:00.00 700.00 .700..00 1.1.50.00.... 575.00 582.00 g,{)62.00. .5.760.00 5,972.00 ~,1 03.00 INCL .. .. ..944.00 . $60,494.00 . Revision Four, Exhibit A, 3of3 ~' . '. ADDENDUi\1 TO: AGREEMENT # 1393J724 PRICE INCREASE CHART '" // Ye,tr I 7/1/2801.6/38/2002 ar;,~l.'1.u Term S58,CCO,00 "'- Ye,tr 2 7/l/2e02.6/38/2803 6ng~"ul T em1 SjJ}CCO.CO Ye',1.() 7/1/2003 . 6/38/2004 Gplioa,,! R=ne..::u S53,8nOO Ye,c:4 7/ I/DJ4 . 6/30/2005 0?tl.:m.tl R=n~,.-al S57,070.00 Ye.l;"' 5 7/1/2:05 . 6/30/2006 Gp':Jn U R="'-'u S60A9i.OO ~..' . , \-.. ,'., - (770) 451-8002 3073 McColl Drive - Atlanla, Georgia 30340 800-878.8002 Fox: (770) 454.3404 ACORD, CERTIFICATE OF LIABILITY INSURANCE CSR PF I DA.TE jMM1DDNYYY) SYMCO 1 07/13/04 PRODUCE~ THIS CERTIFICATE IS ISSUED AS A MATTER OFINFORMATION ONLY AND CONFERS NO RIGHTSUPON THE CERTIFCA TE Burnette Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3447 Lawrenceville Suwanee Rd. ALTER THE COVERAGE AFFORDED BY THE POLCIES BELOW. Suwanee GA 30024-2402 I I Phone: 770-339-BB88 Fax: 770-339-1442 I INSURERS AFFORDING COVERAGE \ NAIC# INSURED I INSURER A Zurich U.S. Insurance I i INSURER B Leaion Insurance Company I s~co Group Inc. I INSURER c I 1 5 Sate11~te Blvd. Sui te 5 !INSURER 0 I Suwanee GA 30024 \ INSURER E: I COVERAGES THE POLICIES OF INSURANCE LISTED 8ElOW HAVE BEEN ISSUED TO 1HE INSURED NAMED ABOVE FOR THE POLlCY PERrOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFJCA TE 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, AGGRE::.GATE LIMITS SHOWN MAY HAVE BEEN REDUCED. BY PAID CLAIMS. L TR INSRC TYPE OF INSURANCE POLICY NUMBER i rou~~l~MIDDN'v ' : ~gi!(EYfijXJ;~~~N I liMITS I GENERAL L.IABIUTY I I EACH OCCURRENCE 1'1,000,000 A [Xl CatERCIAL GENERAl LIABILITY I 040972979 07/31/04 i 07/31/05 I PREMISES (Ea occlJre.nce) .' 300 ,000 I CLAIMS MADE ~ OCCUR I MEa EXP (Anyone person} 1,~o,ooO I I PERSON!\l &. !\DV INJURY !' ~,000, 000 I GENERAL AGGREGATE I, 2,000,000 ~L AGGREOATE LIMIT APPLIES PER' PRODUCTS,COMP/OPAGG I $ 2,000,000 \X POLICY n j~8T n LOC I I J ~aMaBILE LIABILITY I I COMBINED SINGLE UMIT I X ANY AUTO 040972979 I 07/31/04 07/31/05 I (Ea accident) 1'1,000,000 ALL OWNED AUTOS ~7 B001L Y INJURY \, W SCHEOULED AUTOS (Per person) \ ~ HIRED AUTOS //~ I ~ODIL Y INJURY I , I X NON-OWNED AUTOS \per ~ccldenl) )' H i PROPERTY DAMAGE 1 I I I (Per~cclljent) i' , pRAGE LIABILITY I AUTO ONLY - EA ACCIDENT , ANY AUTO NOT APPLICABLE laTHER THAN EA ACe , ; I AUTO ONLY AGG , ~ESS'UMBRELLA LIABILITY \ EACH OCCURRENCE '1,000,000 A [!J OCCUR n CLAIMS MADE 040972979 07/31/04 07/31/05 I AGGREGATE , 1,000,000 f- ! .' U DEDUCTIBLE t I, IX I RETENTION '0 I, 1 WORKERS COMPENSA. TION AND X I T'8~l ~,~Ws i iV~~-1 EMPLOYERS' LIABILITY WC50548357 11/28/03 11/28/04 1'100,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT OF'FICERlMEMBER EXCLUDED? EL DISEASE - EA EMPLOYEET $ 100 , 000 ~P~i:'~Ls~~6v~s?6~s below I EL DISEASE - PQUCYUMlT ! $ 500 ,000 OTHER I I DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES I EXCLUSIONS ADDEO BY ENDORSEMENT / SPECIAL PROVISIONS Certificate holder ~s listed as additional insured as per contractual obligation./Faxed 714-647-5406_SEE REVISED WC INFORMATION. CERTIFICATE HOLDER CANCELLATION SANTAAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE THE EXPlRA TIO DATE. THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRlnEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LJABILlTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City of Santa Ana Linda Kelley 20 Civic Center Plaza Santa Ana CA 92702 (gACORD CORPORATION 1988 \CORD 25 (2001108) f#iJ ~'3/~1/2~04 ,10: 49 0000000000 #AD PAGE 01 Page I of 1 :="cr::: Additional Insured Endorsement 9/1/20041 ;17;55 PM Eastern Standard Time PJlm@t;>yrnelt~insurance. 99D:! ~Y_I!!\!~I}1@!loL~!!! ~PQ~ Subj: Date; ~o: Donna, The attache,j endorsement you faxeC to me will apply each and every poliCy renewal period, unless the endorse nent is deleted from the policy. Zurich Insurance will reflect the endorsement is still applicable p3r attached circled item on the 2004.2005 renewal policy. To control p 'emium cost to you, Zurich InS. will not issue another exact endorsement since coverage still applies. Thank you. P$m Gadiaca EJrnette Ins 770-339-88118 Phone 770-339-1442 Fax ! q h '~7' o ttN', L\ f\~(), '(e..\ \ \.\ (J ~ O~ So.fib A-n~ il't ~ l.t./, - 'OWe" Alt;ov~ .. ~ AcId dio.oo\ ~~ re-opOME.. 'tV UA" T 1\.5 u I<' C E:/\QOV.5trr,( nT; K-~ue,:jt +Or ~F JOU l.o..wE ~ ~~.l::;n()o~ p16rt5t ClllL, IN Cl/WS 'Do lUll /l M . ;/8W;2-/S- Wednesday, September 01, 2004 America Online: SYMDAM €?!Z:/2004 80:49 0000000000 #AO PAGE 02 -::"~E~~}::,.,,.:,....' ~0 :ft~:}~:,: :m:i~~)~l:~':~<\\~r{' 13301727 1I014820385-0CII-00001 -.."L -'NNIVERSARY Eff 07/.1/2004 / PRECISION PORTFOUO POLICY SUPPLEMENTAL DECLARA nONS SERVICE PROGRAM . 1: lUJ flU C!HI L1AllILlTY 012010 1001 AOOlTlfJIAl IIlSlll8) - 0II8S, USSW III amAC'lrllS - SOEOOuO PERSUlI rIl OflGAlIllATlON IWIE OF PERmN M MGANllATllll: cm OF SAllTA AlIA Zll CIVIC tamll PWA SAlTA ANA CI. 91101 '~#QJ~~~&~iJ~~~1-I~z~~~f~~(0\:\~ ~dy sls- COMM'Ii:ClAl.. GBIERAl LIABILITY ,nooe r~. ,. OQ AOCIfC '$ CQl>y 3. J. I 06/29/2004 (~f~.f26e4 21:15 eaeeeeeeee #AO PAGE 83 POl.ICY NUMBEl'l COMMEFlCIAL GENERAL LIABILITY CG20 10 1001 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE RE"D IT CAREFULLY. " ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS-SCHEDULED PERSON OR ORGANIZATION This,Momement modifies inSl,ll"ance provided under the following: COMMI:RCIAl. GENERAL LIABILITY COVERAGE PART 'l SCHEDI.A.E Name of P.,.aon or Organlzwt\ort: Of no entry appears aboV$. Information required to complete this endorsement will be shown In the Declarations as applicable to this endorsement) A S-.ctlonll - Who III M rn.u-ed is amended to in- cilJde &1 an ins\ll"ed the person or orlJ$liution shown in the Schedule. but only w;th respect to liability arising out of yo.... ongoing operations performed for that imured B. With ('Spect to the insurance afforded to these additiol1S1 il1$urlds. the following exclusion is added 2. ExuJuslo/1ll This il1$urance does not apply to "bodily injury. or 'property damage" occurring after: (1) All worl<., Includingrmtorials, parts or equip- ment turnlshed in CCI'Vl8Ction with 5ucl1 wori<, on the project lother than ..rvice. rNinte- nance or repairs) to be perform$d by or cn behalf of the additional insuredls) at the site of the covered operation. has been com- pleted; or (21 That portion of 'your work" out of which the Injury or damage arises has been put to its intended use by M1Y person or orQ3niza- tion other than another contractor or sub- "ontractor engaged in porforming opera- tons for s principal as a part 0 f the sama pro ject '.\)A ... ":)Y/k .~q~(~~/;t.'_... ,,'t<"'L '._Jl~ .'--_cd r;~,:I. CG 20 10 1001 ~ ISOI"Nplr.l.- ~. 2000 Pas" 1 of 1 08/0'312004 E12:56 ElElElEl00El000 #AO PAGE 02 ~ SYMCO GROUP INC. . August 9, 2004 FROM: Robert E. Williams, Jr. President Symco Group, Inc. 105 Satellite Boulevard, STE I Suwanee, GA 324 I To the attention of City of Santa Ana: I, Robert E. Williams, Jr., am under a contractual relationship with the City of ~,anta Ana to provide SERVICE and understand the City's insurance requirements. While I have the necessary insurance coverage plus the Additional Insured Endorsement, as required, my insurance carrier, Zurich US Insurance, will not agree to the cross-outs in the cancellation clause - bottom right hand comer. The::efore, I, Robert E. Williams, Jr. on behalf of Symco Group, Inc. agree and promise that I will personally provide the City with the required 30 day~' notice should my coverage be cancelled or materially reduced in amounts. Very truly yours, f!~~ I: .,j....~"'-.n.Jt' ,. Robert E. Williams, Jr. President Symco Group, Inc. ~7 31s- REW: dam le~ard. Suhc 1, Suwanr4', GA 30014 . ROO~878.~m02 . 770451-8t102 . 71\1-904.703b fax . \\-ww.sym('u~nmp.com 105 Sa.u:lIl1J: UQ ACORD. CERTIFICATE OF LIABILITY INSURANCE CSR PF T DATE (MMIDOIYYYY) SYMCO 1 07/15/05 P~,?OUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Burnette Insurance Agency/Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3447 Lawrenceville Suwanee Rd. ALTER THE COVERAGE AFIURDED BY THE POLCIES BELOW. Suwanee GA 30024-2402 I Phone: 770-339-8888 Fax: 770-339-1442 INSURERS AFFORDING COVERAGE -I:IC# -- INSURED A-.;;zoo5- ofj7 INSURER A: Zurich U.S. Insurance I INSURER Bo Legion Insurance Company , S~co Group Inc. I -- INSURER c: 1 5 Satell~te Blvd. Sui te 5 INSURER 0: Suwanee GA 30024 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. LTR INSRD TYPE OF INSURANCE ~l LIABILITY A . X COMMERCIAL GENERAL LIABILITY ,-- CLAIMS MADE ~ OCCUR ~ ; GEN'L AGGREGATE lIM!T APPLIES PER: rx-j POLICY n ~r8T ~I LOC ~OMOBILE LIABILITY I~ ANY AUTO ~ ~ ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS H NON-OWNED AUTOS GARAGE LIABILITY R ANY AUTO , POLICY NUMBER PD~';!~}J~flt~\E p(j'kfirl~~hRDA~~N I I 07/31/05 07/31/06 LIMITS EACH OCCURRENCE 1 $ 1,000,000 PREMISES (Ea occurence) .1 $ 300,000 I MED EXP (Any one person) i $10,000 I PERSONAL &ADV INJURY 1 $ 1,000,000 I GENEMlAGGREGATE I. 2,000,000 , PRODUCTS - COMP/O~AGG ; $ 2,000,000 040972979 A EXCESS/UMBRELLA LIABILITY ~ OCCUR !..=J CLAIMS MADE b DEDUCTIBLE ,X I RETENTION 040972979 I COMBINED SINGLE LIMIT I: 1,000,000 07/31/05 07/31/06 (Eaaccrdent) I BODilY INJURY (Per person) I BODilY INJURY $ (Per accident) 'I PROPERTY DAMAGE ,. (Per accident) AUTO ONLY - EAACCIDENT . - OTHER THAN EAACC . AUTO ONLY: AGG . EACH OCCURRENCE '1,000,000 f------ 07/31/05 07/31/06 AGGREGATE '1,000,000 ~ . . - . , X ',T8'~/ ~/~,Ws 'I IU~R r 11/28/04 11/28/05 I EL EACH ACCIDENT '100,000 E.L. DISEASE - EA EMPLOYEE '100,000 E.L. DISEASE. POLICY LIMIT .500,000 lPPRovci; , i;' rUfUVi ,---a.'...> .(....;. A 040972979 I NOT APPLICABLE $0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ~~Etl~t5~:5v~~16~S below OTHER , WC50548357 I DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate holder is listed as additional insured as per contractual 1~/~' 0 'p' ,{",,- obligation. /Faxed 714-647-5406. SEE REVISED WC INFORMATION. ___ -:;:z./JL/".I-,...L.lf~'- I' l~,tldt, :'-.l'\' ~I..c'cd\ \ <,bl:'.il: ("it:.' .\1:'1:-'1.\ CERTIFICATE HOLDER CANCELLATION SANTAAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXP1RATl0 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City of Santa Ana Linda Kelley 20 Civic Center Plaza Santa Ana CA 92702 @ACORD CORPORATION 1988 ACORD 25 (2001/08) 0~/15/2005 01:11 0000000000 >>AO PAGE 02 . ~ 5 YMCa GROUP INC. June 15,2005 FROM: Robert E. Williams, Jr. President Symco Group Inc. 105 Satellite Boulevard, Ste 1 Suwanee, GA 30024 To the attention of City of Santa Ana: I, Robert E. Williams, Jr. am under a contractual relationship with the City of Santa Ana to provide SERVICE and understand the City's insurance requirements. While I have the necessary insurance coverage plus the Additional Insured Endorsement, as required, my insurance carrier, Zurich U.S. Insurance, will not agree to the cross-outs in the cancellation clause (bonom right hand comer). Therefore, I, Robert E. Williams, Jr., on behalf of Symco Group, Inc., agree and promise that I will personally provide the City with the required 30 days' notice should my coverage is cancelled or materially reduced in anlOunts. Very truly yours, ~-- \ ;. ...., ~...... t; "" J 4~-' Robert E. Williams, Jr. President Symco Group, Inc. REW:dam \,PPfUJVEU /\~ IU FORlvl 105 Satdlilc Ihmll:v;ud. "o\\I{r 1, SU'....JI1IT. (;.\ )[1024-. ~lll)-S7H.Sn02" n0-4S1-tiLll12" 77U'lILH-70.3b fa:.... wwwsym<:Llgroup,l:om -y~/:~ /~ !~- i..lULI S[;11 Sheedy \.,:,i:-:[;i ,Ii ('!i.\ /\ 11 nr!ll~~-