HomeMy WebLinkAboutADVANCED AUTOMATED SYSTEMS 2-2005
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AMENDMENT TO AGREEMENT
THIS AMENDMENT, made and entered into this /JI' day of ~ 2005, by
and between 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") and
Advanced Automated Systems, Inc. ("Contractor").
RECITALS
A. The City and Contractor entered into that certain Agreement, entitled "CONSULTANT
AGREEMENT N-2004-134", hereinafter referred to as "said Agreement", dated October
15,2004, for Contractor to provide preventative air conditioning maintenance to the City.
B. The parties now desire to amend the Term and Compensation sections of said Agreement
in order to provide continuous service under said Agreement as all other terms and
conditions remain the same.
WHEREFORE, in consideration of the mutual and respective promises hereinafter
contained and made, and subject to all the terms and conditions of said Agreement as hereby
amended, the parties do hereby agree as follows:
I. Section 2, of said Agreement, pertaining to Compensation of said Agreement is hereby amended
to increase the total compensation by an additional $9,800.00.
2. Section 3, of said Agreement, pertaining to Term of said agreement is hereby amended to extend
the termination date until October 31, 2006, in order to provide necessary continuous
uninterrupted service to the City.
3. Except as modified by the two amendments, the terms and conditions of said Agreement
remain unchanged and in full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this Amendment to said
Agreement on the date and year first above written.
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CITY OF SANTA ANA
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DAVIDN.REAM
City Manager
INSURANCE ON fiLE
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
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CLERK OF COUNCIL
DATE: I). - /4 -0$
PATRICIA b. HEALY
Clerk of the Council
RM.
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JOSEPH FLETCHE
City Attorney
RECOMMENDED FOR APPROVAL:
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FRANCISCO GUTIERREZ
Executive Director
Finance & Management
Services Agency
CONTRACTOR
AdV&:d Systems, INC.
By: JI4M&"~ /<LI4{,-
Title: fAtes / IYcll
TaxID#: 33-05'7/5"33
'INSURANCE ON fiLE
"ORK MAY PROSEEE~PIRS
l;i~iIL INSURAN,,_
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LlRK qE .EOUNCIL. CONSULTANT AGREEMENT
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THIS AGREEMENT, made and entered into this /.s day of !Jcrvu~ ,2004 by
and between Advanced Automated 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 ofthe State of California (hereinafter "City").
N-2004-134
RECITALS
A. The City desires to retain a consultant having special skill and knowledge in the field of
preventive maintenance of air conditioning system.
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 from 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 Exhibit A (Proposal for
Preventative Maintenance) 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 $ 8,160.00 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 terminate on October
31, 200kt'nless terminated earlier in accordance with Section 12, below. The term of this
Agreement may be extended upon a writing executed by the Executive Director of the Finance
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
from bodily and personal injury, including death resulting therefrom and damage to property,
resulting from 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 therefrom, 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 of this 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
ofthe 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.
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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.
(ii) Certificates of insurance shall be furnished to the City upon execution of
this Agreement and shall be approved in form by the City Attorney.
(iii) 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.
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 of termination. 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 ofthis 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 inderrmity 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 of the 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
ofthis Agreement, or asserting that personal injury, damages, just compensation, restitution,
judicial or equitable relief due to personal or property rights arises by reason ofthe 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 of this 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 of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
telefacsirnile (714) 647-6956
With courtesy copies to:
Executive Director of the Finance Department
City of Santa Ana
20 Civic Center Plaza (M -17)
P.O. Box 1988
Santa Ana, California 92702
and,
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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:
Advanced Automated Systems, Inc.
23691 Via Del Rio
Yorba Linda, CA 92887
Attn: S,"5P"uj Jf\~l!S I<LIA~
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 ofthis 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.
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 of the City and any such assigrunent, transfer, delegation or subcontract without
the City's prior written consent shall be considered null and void. Nothing in this Agreement
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shall be construed to limit the City's ability to have any of the 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 oftermination,
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 ofthe 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 ofrace, 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 of the State of
California. This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement of any of the 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 of this Agreement.
15. PROFESSIONAL LICENSES
Consultant shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services
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 of this
Agreement.
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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.
ATTEST:
CITY OF SANTA ANA
PATRICIAE. HEAL
Clerk of the Council
~~
IbA VID N. REAM
City Manager
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attofll
By:
Michael Vigliotta
Deputy City Attorney
CONSULTANT
ALN-4.if<:..cZ> ,4.;Jt>>I.4re/ ..s~s,,kc: .
.~;f~Jk
RECOMMENDED FOR APPROVAL:
oma
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Executive rector of the
Finance Department
J.3-0S7/S33
Employer ID # or Individual SS #
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AdvanC{,d A Jtomated Systems, Inc.
.
Septembel I~:, 2004
Mario G ,i 'Z
Building ~ a ntenance Superintendent
City oUa t2 Ana
Building ~ ia ntenance Division
20 Civic ( ",ler Plaza, M-11
Santa Alia (alifomia 9270 I
I
Dear Mf ri ).
Thank y" f( ,r giving Advanced Automated Systems, Inc. the opportunity to propose a full coverage annual service
contract .
!
Scooe o/" I ~ rk:
One day :8 hours) per month preventive maintenance service which includes the following:
Enerf!V W mal!enrent Svstenr:
1) Sen 01 calibrations (Temperature, KWH, Flow, Etc.)
2) Cn rd loop luning.
3) T,:s / ldjustment of power supplies.
4) D ~\ c" output calibration (voltage, miliamps).
5) Fielll'anel cleaning (using pressurized nitrogen).
6) C" iil g valve maintenance (lubricate and adjust).
7) E\l ; ~ ;oftware backup.
8) N el V( rk diagnostics.
9) Siel leos and Johnson controls diagnostics.
10) Det ,il ed service report noting any deficiencies and repairs made.
II) Iv E : md or NCM350 component repair / replacement. (with owner supplied parts)
Other:
I) Val ah1e speed drive maintenance.
2) Ell in eering PC support / Training
Also In,:!.! ~'d:
> . '."ining on both mechanical and energy management.
> ':olsulting
>> ' :u ;tomer support
> ' lperational programming enhancements as developed by AAS, Inc.
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23691 IIi; [el Rio., Yorba Linda, CA 9281F-2715
Phone(714) 939-1380
Fax(714) 939-1382 Lic# 685336
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1:1 m Proposal
Pi ga 2 of 3
Labor ral, [,:
)- )\ Jfmal business hours: $85
)- i' ftcr hours service rate: S90
. }> E ncrgency service rate: (for equipment covered under this agreement $0 for equipment not covered see
ab )v~)
The hour; quoted in this agreement are to be considered a minimum and does not include travel time.
parts picl up, paperwork or any other function not directly related to actual services perform~d. At the
discretio[ (If City of Santa Ana, any deficit of agreeable time spent (8 hours per month) will be (A)
accruetl . li1 hin the contract year and can be used on other related services at no charge or (8) reduce
contract; rr,ount payable for that quarter by agreed hourly service rate.
I
Total Qua,:e 'ly Cost: $ 2,040.00 ($ 8,160.00 Annually)
Terms A lcl Conditions
I. ,\1 s~rvices provided under this agreement shall be provided during normal Advanced Automated Systems, Inc.
'VI rk ing hours (8:00am to 5:00pm Monday through Friday) except when equipment needs to be shutdow:1 for
,.e vioe, which will be at additional costs. (Holidays included)
2. Ei h, r party may terminate this agreement on the anniversary date or by giving thirty days notice to cancel.
3. Al v"nced Automated Systems, Inc. will not be held liable for any loss or delay, injuries or damage caused by
eil ,umstances beyond its control.
4. Al w,nced Automated Systems, Inc. does not cover repairs due to misuse or abuse.
5. .\, v,nced Automated Systems, Inc. assumes no liability regarding the continuous non interrupted service of
:m } llevice.
6. If 'filergency service is requested and is not covered by the terms of this agreement, the client will be charged
lh. rderenced labor rate.
7. ,\1 hvoiees will be billed quarterly and arc due in full within 30 days from the date received.
City of Santa Ana - Service Contract Proposal
April 5, 2004
Page 2 of3
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E] IE, Proposal
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Al!reem<:n : Accepled:
Advance,!. lu 'omated Systems is authorized to proceed with the work as proposed.
Advanced ~'tomaled S
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Advanc. .<J Automated System, Inc.
Greg Pe I)
Service, I Mlnager
City of Santa Ana
Purchaser
Title
Date
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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 ofliability. 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 ifnot 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. )
, this endorsement form as a part of
Effective
Policy #
Issued to
Named Insured
Countersigned by
Authorized Representative
8
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.
ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 .~ DATE (MMIDDIYVYY)
ADVAN-6 11/23/05
PRODUCER THIS CERTifiCATE IS ISSUED AS A MATTER OF INFORMATION
Bolton & company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
CA License #0008309 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
245 S. Los Robles Ave, Ste 105 ALTER THE COVERAGE AFFORDED 8Y THE POLICIES 8ELOW.
Pasadena CA 91101
~hone:626-199-10DO Fax: 626-441-3233 INSURERS AFfORDING COVERAGE NAIC#
iillfuRED N - ;}J)LJt. - 1:3- '-f INSURER A ~..tp01:t I.~w:an<:e C:01:pI)n,tJ..en
INSURER B Fireman's Fund Insurance 21813
Advanced Automated systems Inc INSURER C peerless Insuzance Company
23691 Via Del Rio I_~SURERD__.____~__..~___
Yorba Linda CA 92881 ~--~
INGURER E
COVERAGES
THE POLICIES OF I~JSIJR/l.NCE USTED BELOW HAVE BEEN ISSUED TOl'rlE INSURED I~ED ABOVE FOR THE POLICY PERIOD INDICATED NOTVVITrlSTANDING
AJ\JY REQUIREMENT, TERM OR COND;TION OF p-,NY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO \I'v1-1ICH THIS CERTIFICII,TE w'Y BE ISSUED OR
MAS PERTfI,IN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO.t\lL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
PClUClCS AGGREGATE LIMITS SHOWN WoAY HAVE BEEN REDUCED 81' PAID CLAIMS
LTR NS" TYPE OF INSURANCE POLICY NUMBER DATE (MM/DDNYj DATE (MMlDDNYj LIMITS
GENERAl. l.IABILITY EACH OCCURRENCE $1,000,000
A ex COMMERCIAL GENERAL LIABILITY WCPll1003565200 01/18/05 01/18/06 PREMISES IEEl \lCCI..Ir\l\1C>'l) !G 100 ,000
,----::-J CLAIMS MADE [!J OCCUR MED ExP (Ally one lJersorT) .!10,~00
- --'-~
~ $1,000 ro Oed PERSONAL & f.,D'J INJUPi .1,000,000
GENEPAL AGGREGATE .2,000,000
I- $2,000,000
GENt AGGREGf,TE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG
n, IXlPRO n,
POLICY X JEeT LaC
AUTOMOBILE llABIUl'( COMBINED SINGLE: LIMIT
f-- $1,000,000
C X ANY AUTO BA9891367 11/13/05 11/13/06 (EaaCCldelll)
c=-
All OWNED AUTOS 80D:L Y INJURY
f-- I
SCHWULED AUTOS (P8rpersonj
f--
HIRED AUTJS t:JOO!LYINJIJRY
f-- ,
NON-OWNI:D AUTOe:; (peraccidenll
-
f---- J .. "'".' PROPERTY DAMAGE I
I (Per accident)
GARAGE LIABILITY .(/:C 1\....0 ,,/. AlJTa ONLY - EAACCIDE'NT .
R ANY AUTO - =)t - - '- OTHEi:1 THAN EA ACC I
.-
AUTO aNL Y A.GG .
EXCESSIUMBRELLA LJABIUTY / EACH OCCURR.~NCE __ !-~, OO~~~O __
B ~ OCCUR o CLAIMS MADE XSM86680410 01/18/05 01/18/06 AGGr'iEGATE $ 2 ,000 ,000
.
~ OEDUCT'8LE ,
X RETENTION $0 ,
WORKERS COMPENSATION AND h6~ly i!~IITUS ( ILlER-
EMPLOYERS' UABlllTY
flNY PROPRIETORiPAATNcR/EXECUTIVE E L EACH ACCIDENT ,
OFfiCER/MEMBER EXCLUDED? ~~" DISEASE - EA EMPLOYEE ,
ll\les,ooscnoo\,f1der -"--------..---- --._.~-.
SPECIAL PROVISIONS bel<..Jw F ~ OI:=;[ASI'~ - r-:0LICY ,1";1IT j
OTHER
DESCRIPTION OF OPERATIONS Il.OCATlONS (VEHICl.ES I EXCl,.USIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
GL Additional insured per CG20l0 11/85.Primary wording per attached End't.
Job: city of Santa Ana.20 Civic Center Pla:a,santa Ana,CA.
*10 day notice for non payment. @
SANTAA2
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEl.LED BEFORE TJ-lE EXPIRATION
DATE THEREOF, THEISSUINGINSURER.WlLI MML 30* OAYSWR\'t1'EIi
NOTlCE TO THE CERTlFrCATE HOLDER NAMED TO THE l.EFT,
CERTIfiCATE HOLDER
City of Santa Ana
Attn: Bruce Perret
20 Civic Center Pla%a
Santa Ana CA 92102
@ACORDCORPORATION 1988
ACORD 25 (2001/08)
. .. -.~ -- .
ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 '6aJ DATE (MMIODIYYYY)
ADVAN-6 11/23/05
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Bolton & Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
CA License #0008309 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
245 S. Los Robles Ave, Ste 105 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Pasadena CA 91101
Phone: 626-,99-,000 Fax: 626-441-3233 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A ",..tpart Xaaw:..nc::c eorpou.t.ilm
~_RER8 ~ireman's Fund Insurance 21873
Advanced Automated Systems Inc INSURER C Peerless Insurance company
23691 Via Del Rio ~-~-,-_.-_._--,~-
Yorba Linda CA 9288, f--- ----
INSURER E
COVERAGES
THE POLICIES OF INSUPMICE USTED BELOW HAVE BEEN ISSUED 10 1'rlE INSuRED NAME~ ABOVE FORTHE POliCY PERIOD INDICATED NOTVVITHST.ANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY COr-.1RACT OR OTHER DOCUMENT WITH RESPECT TO WHICH T'1IS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE .AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO JILL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POl.lClES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDLiCfD BY PAID CLAIMS
LTR NSR TYPE OF INSURANCE POLICY NUMBER ~~~1~MIOO1YY) DATE (MMIODIYY) LIMrTS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
c- WCP117003565200 01/18/05 01/18/06 PREM~ES ~E~!:.~G'G~<aw",,\ $ ~OO ,000
A X ~pMmC'AL GENERAL liABiliTY
___ CLAIMS MilDE ~ OCCUR MED EXP (Ally on8 person) $10,000
~-~--- '-- -~~~-'-~-
X $1,000 PO Ded PERSONAL & MJV INJ\JRY $1. ,000 ,000
GENERAL AGGREGATE '2,000,000
GEN'L AGGREGATE liMIT APPLIES PER PRODUCTS - CaMP/OP AGG $ 2,000,000
I F IXI PRO~ n
POLICY X )ECr LOC
AUTOMOBILE LIABIUTY COMBINED SINGlE LIMIT
- $1,000,000
C ~ ANY AUTO BA9891367 11/13/05 11/13/06 ~ Ea aCCident!
.AlL OWNED A.lJTOS BODILY INJURY
- ,
SCHEDULED AUTOS (Per person)
--c
HiRED AUTOS BODilY INJURY
- ,
NON--OVVNED AUTOS (per acclden~)
-
PROPERTY DAMAGE ,
(Per aCCIdent)
GARAGE lIABIliTY AlJT() ai'lL Y - EAACCIDENT I
~ ANY AUTO OTHCR n1ftN EAACe .
AUTO ONLY AGG .
EXCESSIUMSRElLA LIABilITY EACH OCCURRENCE $ 2, O.E.~~~__
~ OCCUR 0 CLAIMS MADE 01/18/05 ---.--_..
B XSM86680410 01/18/06 AGGREGATE $2,000,000
.
~ ~'DucnBL' .
X RETENTION .0 I
WORKERS COMPENSATION AND ITORYLlMITS I IU~~.
EMPLOYERS' UABu..ITY
ANY PROPRIETOR/PARTNEP/EXECUTIVE E L. EACH ACCIDENT I
OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE ~---
, tIlles, des;;floo IJllOOf --.--..---..---.--
SPECIPJ., PROVISIONS below E I DISEASE. POLICY LIMIT .
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
The city of santa Ana and Siemens Building Technologies, Inc. , their
officers ,employees,agents ,volunteers and representatives are included as A/I !:p/
per form CG 2009 (1/96) attached. Primary wording per the attached.
Job: City of Santa Ana HVAC Buildi.nq service agreement.
*10 Notice for non payment. @
CERTIFICATE HOLDER
CANCELLATION
SAN'l'AA1
SHOULD AI'oN OF THE ABOVE DESCRIBEO POLICIES BE CANCELLED BEFORe THE EXPIRATION
DATE THeREOF, THE ISSUING INSURER WILL MAll 30 * DAYS WRITTEN
NOTlCE TO THE CERTIFICATE HOlOER NAMED TO THE LEFT,
City of Santa Ana
Attn:Clerk of the city Council
20 Civic Center Plaza (M-30)
P.O Box 1988
Santa Ana CA 92702
@ ACORD CORPORATION 1988
ACORD 25 (2001/08)
, .
STATE
COMPENSATION
INSURANCE
FUND
IN REPLY REFER TO:
NOVEMBER 29, 2005
CITY OF SANTA ANA
20 CIVIC CENTER PLAZA
SANTA ANA CA 92702
CERTIFICATE OF WORKERS'
COMPENSATION INSURANCE
CANCELLATION NOTICE
RE: CERTIFICATE DATED NOVEMBER 13, 2004
THE WORKERS' COMPENSATION INSURANCE POLICY FOR THE EMPLOYER
NAMED BELOW HAS BEEN CANCELLED EFFECTIVE NOVEMBER 13, 2005 AT
12:01 A.M.
IF YOU HAVE ANY QUESTIONS REGARDING THIS NOTICE, PLEASE
CONTACT THE EMPLOYER NAMED BELOW
EMPLOYER:
ADVANCED AUTOMATED SYSTEMS INC
23691 VIA DEL RIO
YORBA LINDA, CA 92887
POLICY 713-0008864-04
CUSTOMER SERVICES UNIT
LOS ANGELES DISTRICT OFFICE
(323) 266-5000
'2
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1275 Market Street. San Francisco. CA 94103-1410
Mailing Address: P.O. Box 420807 . San Francisco, CA 94142-0807
selF 19102
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STATE
COMPENSATION
INSUFlANCE
FUND
IN REPLY REFER TO:
NOVEMBER 29, 2005
CITY OF SANTA ANA
20 CIVIC CENTER PLAZA
SANTA ANA CA 92702
CERTIFICATE OF WORKERS'
COMPENSATION INSURANCE
CANCELLATION NOTICE
RE: CERTIFICATE DATED NOVEMBER 13, 2005
THE WORKERS' COMPENSATION INSURANCE POLICY FOR THE EMPLOYER
12:01 A.M.
NAMED BELOW HAS BEEN CANCELLED EFFECTIVE NOVEMBER 13, 2005 AT
IF YOU HAVE ANY QUESTIONS REGARDING THIS NOTICE, PLEASE
CONTACT THE EMPLOYER NAMED BELOW
EMPLOYER:
ADVANCED AUTOMATED SYSTEMS INC
23691 VIA DEL RIO
YORBA LINDA, CA 92887
POLICY 713-0008864-05
CUSTOMER SERVICES UNIT
LOS ANGELES DISTRICT OFFICE
(323) 266-5000
1275 Market Street. San Francisco, CA 94103-1410
Mailing Address: P.O. Box 420807 - San Francisco. CA 94142-0807
selF 19102
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CERTHOLDER COpy
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STATE
COMPENSATION
INSURANCE
FUND
P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE: 11-13-2005
GROUP: 000713
POLICY NUMBER: 0008864-2005
CERTIFICATE ID: 338
CERTIFICATE EXPIRES: 11-13-2006
11-13-2005/11-13-2006
CITY OF SANTA ANA
20 CIVIC CENTER PLAZA
SANTA ANA CA 92702
SC
~OB:CITY OF SANTA ANA
20 CIVIC CENTER PLAZA
SANTA ANA, CA
This is to certify that we have issued a v,lid Work.ers' Compensation insurance policy in a form approved by the
California Insurance Commissioner to the employer named below for the policy period indicated.
This policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer.
We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded
by the policy listed herein. Notwithsanding any requirement. term or condition of any contract or other document
with respect to which this certificate of insurance may be issued or to which it may pertain. the insurance
afforded by the policy described herein is subject to all the terms. exclusions. and conditions. of such policy.
~
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AUTHORIZED REPRESENTATIVE
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS:
PRESIDENT
$1,000,000 PER OCCURRENCE.
EMPLOYER
ADVANCED AUTOMATED SYSTEMS INC
23691 VIA DEL RIO
YORBA LINDA CA 92887
SC
1010408
IRE\I.2~0'5)
PRINTED
10-18-2005
· AC'()BD!
PRODUCER
Arthur J. Gallagher & Co.
Ins Brokers of CA Inc. 072629
15 Enterprise, Suite 200
A1iso Viejo CA 92656
Phone: 949-349-9800 Fax:949-349-9900
OP 10 DATE (MMlDDIYYYY)
ADVANOB 03 29 06
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.
CERTIFICATE OF LIABILITY INSURANCE
INSURERS AFFORDING COVERAGE
INSURED
N-;lo01-13't
INSURER A:
INSURER B:
INSURER c:
INSURER 0:
INSURER E:
Great A1qriean Assurance Co
Clarendon Natio...l tnsur. Co.
Advanced Automated Systems,Inc
& Electrical Systems, Inc. ./ . ,I 'I
23691 Via Del Rio .1 -'ro.,.-13"'-C
Yorba Linda CA 92887 1"-eX
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
POLICY NUMBER
I ~9..~E MMIDDiW'lc PgkTE MMJDDNY
A
EACH OCCURRENCE
I PRa1:Si:.s (Ea occurence)
MED EXP (Anyone person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS. COMPIOP AGG
GLP9251462
02/21/06
02/21/07
RE {ISE
,
,
I
U
COMBINED SINGLE LIMIT
(Eaaccidenl)
,;.{
,
L.,j
-_..~-' 1.; I i CAJf
;,:iJ':::S ALL PF iOFl
IS"UED
PROPERTY DAMAGE
(PeraccJdenl)
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
A
~RAGE LIABILITY
I ANY AUTO
~ESSIUMBRELLA LIABILITY
~ OCCUR D CLAIMS MADE
02/21/07
EACH OCCURRENCE
AGGREGATE
AUTO ONLY. EA ACCIDENT
OTHER THAN
AUTO ONLY:
EA Ace
AGG
EXC9251463
02/21/06
B
I DEDUCTIBLE
I RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMe.ER EXCLU~ED'!
~~~~I~iS~~bOVIS16NS below
OTHER
11/13/05
x ITO''\"/''MITS 1 IOJ~'
11/13/06 E.L. EACH ACCIDENT
-~, .
E.L. DISEASE. EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
01KR0031627
NAIC#
LIMITS
.1,000,000
.50,000
. EXCLUDED
.1,000,000
.2,000,000
.2,000,000
.
.
.
.
.
.
.
.2,000,000
.2,000,000
.
.
.
.1,000,000
.1,000,000
.1,000,000
. ,
DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS I. /.pYX! i' 1/
RE: City of Santa Ana HVAC Building service agreement. (T";::'l":J_Jic/__lj <:
Ci ty of Santa Ana and Siemens Building Technologies, Inc., their officers; ..- - l~~ - ~ -l.__
employees,agents,volunteers and representatives are n~ed as additional
insured per the attached endorsement. Primary wording applies to GL.*10 day
notice of cancellation for nonpayment of premium.
CERTIFICATE HOLDER
CANCELLATION
City of Santa Ana
Attn:Clerk of the City Council
20 Civic Center Plaza (M-30)
P.O Box 1988
Santa Ana CA 92702
SANTAAl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ 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
REPRESENTATIVES.
AUTHr~~TATlVE
ACORD 25 (2001/08)
C ' .
@ ACORD CORPORATION 1988
, .
POLICY NUMBER:
GLP9251462
Advanced Automated Systems, Inc.
Electrical Systems, Inc.
COMMERCIAL GENERAL LIABILITY
CG 20 10 10 93
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS (FORM B)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
As required by written contract or agreement.
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as
applicable to this endorsement.)
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 ongoing operations performed for that insured.
It is agreed that the Limits of Insurance afforded by this policy to any Additional Insured included herein shall not
exceed the Limits of Insurance required by the terms and provisions of the project(s), specifications, written con-
tract(s) or agreement(s) between the Additional Insured and the Named Insured.
The inclusion herein of any Additional Insured shall not operate to increase the Company's Limits of Insurance.
7-/> (U
CG 20 10 10 93
Copyright, Insurance Services Office, Inc" 1992
Page 1 of 1
o
,.-
, .
JlGREAT AMERICAN INSURANCE CQMf :S
Subsidlllries of American Financial Co...<lrlltlan
ssa WALNUT STREET, CINCINNATI, OHIO 45202
GLP9251462
Advanced Automated Systems. Inc.
Electrical Systems, Inc.
CG 88 02 lEd. 11 851
BUSINESSPRO GENERAL ENDORSEMENT
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
PRIMARY INSURANCE ENDORSEMENT
It is hereby noted and agreed that effective upon inception. this policy shail be considered primary to any similar insurance
held by third parties in respect to work performed by you under written contractual agreement(s) with said third parties.
The third party to whom this endorsement applies is:
AS REQUIRED BY WRITTEN CONTRACT
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BUSINESSPRO (Reg. U.S. Pat. Off. J
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CERTIFICATE OF LIABILITY INSURANCE
OPIC =1
lIDVNlOe::]
DAT-'"IMM/tID/'N'l'VI
03/29/06
.
THIS OERTlFIOATE IS IS"UEO AS A MATTER OF INFORMATION ,
J. Galla.gheZ' ii; Co. ONLY ANa CONFERS N ) RIGHTS UpON THE CERTIFICATE I
Jkere of CA ~Qc. 072629 HOLDER, THIS CERTI"CATE DOes NOT AMI;ND, E.XT'END OR
l~risEli, suite aoo ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
rie:jo CA ~2fJ5Ei
949-349-91300 ~"", 04'-349..990 0 INSURERS AFFORDING C-)VERAGE NAlC#
lN5URER A: _~a..d<l""'.lU'''''lI.c.o
INSlJRt.Fl.I'I: l:b~~iI.t:I....alIn.lu.r.l::O.
A~vanced AUfomat~4 SyBte~.Inc ~c:
~ 'lect~ica Slf ems, Xnc.
23 91 via ~el a I!IlSlJRERD:
yorb. L nd. CA .2e87 jIIll8UASRE; I
,
i
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I
~ ES OF IN8UMNC~ LIST1!.O Bnow HAVE BaaN ~~Ilig TO THl!.lNSUJila) NA.MID tl.8OVI! FOR THE POLICY P~QD INOI ~reo, NO'fWrtHS'TANDI~G
"-"IV R~QU ReMENT. TeaM OR eOIllOI'tIOH OF ANY CONTRACT OR OTHER OOC:UM~N'J' WJ'iH RESPECT TO W.UCioI THIS C!R11FICA:E J,U,V BE ISSUED OR
MAY i>f!RT .IN. Tl-IE INSIJAANC~ AFFORDeD BY THe POL~!f:li IIESCRlBED H~N IS iUiJlOCfTO ALL niE TeRt.!S. S(CUltiIONSI ND CONOITIQN$ OF SUQ1
Nl.lGl~5. \GGREGAlc LIMtlS 8HOWN w.y HAve: 6iiN RiI)IJ;iD BY PAlO C:LAIPoC:I
~=; -
Type OF IN&lRAHCE IQUCY NUMliER DATE M 0A11! liiMlDDJ'i LIMtTi!i
1 (eNERAL ~I.ITV I ~H OCC\.JRRENCe ",000,000
"~M'''''IAI.''Nii/W.ClAB''ITY GLP!t2!j14ti2 o2/nfo~ 02/2'1/t7 PReM~Y~ [)C~I '50,000
_ ~ Cv,IM6 MADE [!J OCCUR. MEO EXP t.\nr 1iIl1'# pcrwnJ $EXC:t.tJDE:C
-- RE llSE PER8Qt.l,6.,L.. N:N INJURY 11 000 000
-- 0 GIiN.\i!W.AGGRI!GATE . 2 000 000
~ ~r AGG~E~~= APr,S P!~; PROOUCT&-OOYP~PAGG .2,000 000
PO!,.ICY X JEer LOC
!.~TOhlOIlL.l~IAIlLJ'N f&MtlINm SINGL!! LlUIT .
I _j Nl'lAIJTO ( acclWol)
I __ Al.LOWNiCAU'!'OIl *~IIVIP( fi TAI\iT**
aODll. Y INJURY
THIS CE j"'ll8IXt\) .
-- SCHecuU:DAUTOS RTIFICAT
-- HIRED AUTOS SUPERSED ::S ALL PF OOQILYINJUR,Y
lOR .
- 1-. NCN.oINNED AUTDS (~~ll
-r-tr'_ClIT IS. UED II'AOPUTY DAMAGe I
(PllfBa:ldef'lL)
AUTO OHLY. 51'. AOeICENT .
~. AJ.lVAUTQ f'lTloleRlPIAN EA AOC .
..ll.fTOOM.Y, AGO .
~ (CIH/UMIREl.LA I..IABILl1Y eACHCCOlJ~CE E 2.000 000
! ] OCCUR 0 CI,AItIllS MADE EXC:92.r,1463 02/21/00 02/21fC7 .......'" :li2 000 000
.
, =~ ce,~ ,
...L.-..-L R~T10N I .
WOI\Ki<\S COMPiN5AnONAHI,) Xlr VUMITS I I"'ER"
EW'l,.O''eAS' LlAalU'I"Y
I /IJtlY PR )Pf'tlEr'OM'ARTNERlEXECUTIVi 01U.0('31~27 11/13/0~ 11/U/C6 E.L.. EACH ACC1D!NT ., 000 000
OFFICE lJul!MBeR EXCLUOED1 f..LD15EJ1,5I!,!A'!lliIPU'IYI!t' .$ LOOO,OOO
~tI'l',lll~bIIundlf
I ec~ PROVISIONS beICW E..L OJS!r*<liE' POLICy LIMIT ",000,000
tOT~
I
SCRlP1'lON OF OPERATI~II LOCAl1ON!i I veucLU ~!XCL.lJ;iIONS ADDal av 1M000000iMIiNT ISPECIAI. PI\OYliIONS
i. City o~ Santa An~ BVAC Build1ng 8ervi~e agre~Dt.
Lty ot Santa An~ and Sicaena ~Ui14iDg ~ec~ologied. Inc. ~ their :)fficere:,
IPlcYEe8~&g.nt8/VQlunte.r8 an4 ~epre.ent.tive. ar$ n~d am aadi:ional
~surec per the attaabed endora~.ent. Primary wording applies to lL.-1o day
~tie. of cancellation for Donp~yment Qf p~CMium.
-
r.
-
, OVERAGES
SA>rtAAl
CANCILlAllON
SHQULO AllY Of' TtU! .4IO'IE;: DES ::RIBIfl fIOwelES liE CAHCaLIO BEFORE TIlE iXPWVI. T\OfoI
DATE ~O", THe l"U1Na INS JIlI!Ill WILL m4CEA'IiOR TO MAU. ~ DAva WIVI"TEN
~l1Ce. TO THI! CEFmI'lCATIl. MOl Deft NMED TOl'Hi LeF1', IlUT FAILURE. TO tIC SO I!iHAI.L
INPQ$! lItO Oel.lGATlON OR UA8l U't'r OF ANY I<IHD UI'ON THE IN3URE~, ITa AQDTS OR
Wl:IISeNTATlllU.
AUTc.z::~Y"'Tl\le
c ~reHOLCER
City of S~nta ADa
Attn,Clli1lrk ot the. City c('uneil
2.0 Ci~ic: Cent.er :tJla..liil. ,(M-30)
P.O BoX 1988
Sant. Ana CA 92102
II!> ACORO CORPORA nON 1 '08
A.' 'OiiD25 :~001/0B)
60 38~d
, :)NI s'I':i-
E00EoS9.TL
EE:.0 9000/00/90
POliCY NUMBER:
GLP9251462
Advanced Aut\;;mated Systems. Inc.
Electrical Syst~m5, Inc.
COMMEI~CIAL GENERAL LIABILITY
CG 20101093
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE REi\!) IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS (FORM B)
This endorsement modifies insurance provid6d under the following:
COMMERCIAL GENERAL LIA6IL1TY COVERAGE PART
SCHEDULE
NI!UTlC ot Person gr Organization:
Ai'. required by written contract or ag [eement.
(If no entry apflears abol/e, informatlM required to complete this endorsement will bE. shown In th~ Declarations as
applicab~e to this Andorsement.)
WHO IS AN INSURED (Section II) is amended to include as an insured the persor or organiZation shown in tho
Schedule. but on~y with respect to lIebllity Brising out Of your ongoing operations perfl ~med fer thai insured.
It is agrsBd that the Limits of Insurance afforded by thil policy to any Add.itiontlllnsur ~d incl~ded here-in shall not
exceed the Limits of Insurance rSQurred by the terms Bt'ld provIsions of the projeet(s) specifications. written con-
tract(s) ~r agreement(s) blttween thE Additional Insured snQ the Nilmed Insur~.
The: inclusion herein of any Addltianilllnsured shall not oparatl;t to increase the Comt,anys Limits of Insurance.
\ - ,~'
'tk.e .:2/<
f .~::::!__._V_____.
CG20101093
Cop'{l1ght, Insurance services Office, Inc., 1992
Page 1 af 1
[]
~
E0 39~d
8NI 5~~
EG0E069vlL
EE;.0 9000/00/90
JlGf\IlAT "MiRICAN IN$URANCE COMI i.S GLP9251462
Sutlllldhl;iU of oI\.mtlrl!;:an Finwil. COI..)n~IOfI
sea WALNUT STREET. GING1HNA'l'I, OH\I) 4!o2aa Advanced Automated Systems, Inc.
. Electrical systems, Inc.
CG 88 02 lEd. 11 8.1
BUS1NESSPRO GENERAL ENDORSEMENT
THIS ENDORSEMeNT CHANGES THE POLICY. PLEAS6 READ T CAREFULLY
PRIMARY INSURANCE ENDORSEMENT
It j;l hereby noted and agreed that tffe(:tive upon Inception, this polley $hell be cansideJed primary to any similar in$urance-
he d by third. parties in respect to work ~)erformed by you underwritten contractt,i;el !Igret!menl(s) with said third parties.
Th J third party to whQm this endorsemtlnt -applies is:
I>S REQUIRED BY WRITTEN CONTRACT
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8USINESSPRO (Reg. U.S. P.t. 011.:
,.,. OIl ......... 1=.. 11101::\ DC" /P....... 1 n.f 1 I
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ONI S~
EWE ~591>U
EE:.0 9000/90/90
AI. ,7(J(y{ ./J"7- vI
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'lJD. CERTIFICATE OF LIABILITY INSURANCE OPID'Ii~ DATE lMWtlDM"r'Y1
"""",,-0 11/2'/05
THti CiRTlflCAl'E IS ISSUED AE A MATTER OF INFOJUlAOON
o COPJP'lIlY ONL V AND CONfl:JUS NO R.IGHT~; UPON THE CERl1f1CATE
:~.e '0008301 ",OLDER. rH\& CERTlAC..TE DO.!$ NOT AMEND, 'E'.T'f."D OR
LQIi JgI).le5 AV./ ate 105 AI. fER THE COVERAGe AffORt I$C BY THIi POUCIES BELOW.
,a CA 91101
526-799-'000 ~"":626-4U-3233 lNi!liUltlRS AFfOROING COV'ERAGL: HAle"
IHSUFEf.!;" lI..CpllIi"t ~_ r:ecp,;aCkn
IN$LJRiRB' 1'1~-.an' a !'U.DC; IQ..IQ..1:ance 21873
Mfflcot ",,~ted sy.t_ IDC lNSIJRERC .,.:d~S:ll J:D&W'ance company
236 ~. De Rio IH5lJREIll;O;
xozba au CA 92987 ..
..""",
01/n/05
01/18/00
prof:AISElSEa. l
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Fax Cover Sheet
from:
June 20, 2006
Shaun Andaluz
Date ;
To;
Company:
FaX;
Mario Ghizzi
City of Santa Anll
714) 647-5421
R '
ijqtlt,
,:Pfil9es:
Message:
5 (including this cover sheet)
Attached Is the following:
;'1':
. Liability Insurance Forms
Attached are the requested forms. Should you need nlY assistance, please
don't hesitate to call. I appreciate your help in advancll Have a great dayl
Regards,
Shaun Andaluz
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