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~~-