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HomeMy WebLinkAboutRUEVAC PROPERTY SERVICES 1 - 2011City of Santt- ,Ana Clerk of the Council AGREEMENT TERMINATION FORM Please complete this form in its entirety when the attached agreement and all amendments (if any) are no longer in effect. Note: If your agreement is grant related, please ensure that all grant retention requirements have been satisfied prior to signing the termination form. Is the agreement(s) a permanent record? Yes _ No Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. The agreement with l ff t V No. A - 20 )Sr I vrr 7 was completed on (iis€a!1amend ments. Use space below Mneeded.) Department: Phone/Ext.: Signature: Date: i:{806mensVarWOm - agmememtarminallon fOM _galdsrad,doa COTC Office Use OnN and final payment has been made. INSURAPJ%c U`. ` . N]ORK W PRA UNPL MURO CLERK rF CGI.`�C' DATE AGREEMENT FOR PROVISION OF MAINTENANCE SERVICES THIS AGREEMENT, made and entered into this 4th day of January, 2011 by and between RUE VAC PROPERTY SERVICES, INC., a California corporation (hereinafter "Contractor "), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "City "). f RECITALS A. City desires to retain a contractor having special skill and knowledge in the field of power sweeping services. B. Contractor represents that Contractor is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor 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: SCOPE OF SERVICES A- 2011 -011 Contractor shall supply all labor, materials, equipment and transportation necessary for maintaining all entrances, driveways, curbs, parking lots, parking structure levels, bus lanes and bus stalls, courtyard, exterior walkways, utility drive areas and platforms clean and well swept, at the Santa Ana Regional Transportation Center ( "SARTC "), as set forth in Exhibit A attached hereto and incorporated by reference. At all times while providing power sweeping services for City, Contractor shall comply with all Federal, State and local requirements for collection, filtering and disposal of waste and water. Initially Contractor shall provide power sweeping services on a two times per week basis. City retains the option to increase the frequency of services up to three times per week, for a total monthly fee of $828.00. 2. COMPENSATION a. City agrees to pay, and Contractor agrees to accept as total payment for services, a monthly fee of $737.00. If additional services are provided pursuant to Attachment 2, Section 4, such services shall be billed at $85.00 per hour. The total sum to be expended under this Agreement shall not exceed $10,000.00, annually, during the term of this Agreement. b. Payment by City shall be made within 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. Invoices shall be mailed to Santa Ana Regional Transportation Center, Alma Flores, 1000 East Santa Ana Blvd., Suite 108, Santa Ana, CA 92701. 3. TERM This Agreement shall commence on January 17, 2011 and terminate on December 31, 2011, unless terminated earlier in accordance with Section 12, below. This Agreement may be renewed for two successive 12 -month periods upon the written agreement of the City and Contractor, at least 30 days prior to the termination of the then current term. In the event City Council does not provide funding for services during succeeding fiscal periods, the City shall notify the provider of such occurrence and contract shall terminate on the last day of current fiscal period without penalty or expense to the City. 4. INDEPENDENT CONTRACTOR Contractor 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 Contractor performs the services which are the subject matter of this Agreement; however, the services to be provided by Contractor shall be provided in a manner consistent with all applicable standards and regulations governing such services. Contractor 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, Contractor shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Contractor shall maintain commercial general liability insurance which 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 Contractor'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. Such insurance shall (a) name the City, its officers, employees, agents, volunteers and representatives as additional insured(s); (b) be primary with respect to insurance or self - insurance programs maintained by the City; and (c) contain standard separation of insureds provisions. 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 of the Labor Code, Contractor, if Contractor 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, Contractor agrees to obtain and maintain any employer's liability insurance with limits not Less than $1,000,000 per accident. d. The following requirements apply to the insurance to be provided by Contractor pursuant to this section: (i) Contractor shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved in form by the City Attorney. 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. e. If Contractor fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that 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 Contractor's right to be paid for its time and materials expended prior to notification of termination. Contractor 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 Contractor agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, contractors, 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 Contractor or its subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section 1 of this 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 indemnity 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 Contractor 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 of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the 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 Contractor receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Contractor 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 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 Contractor disclosed in a publicly available source; (c) is in rightful possession of the Contractor without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Contractor without reference to information disclosed by the City. 8. CONFLICT OF INTEREST CLAUSE Contractor 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 telefacsimile (714) 647 -6956 With courtesy copies to: Public Works Agency — Administrative Services City of Santa Ana 20 Civic Center Plaza (M -21) P.O. Box 1988 Santa Ana, California 92702 telefacsimile (714) 647 -5069 and 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 Contractor: RueVac Property Services Ronald K. Lyons 600 West Taft Avenue Orange, California 92865 telefacsimile 714- 998 -3294 A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, 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, 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 Contractor, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this 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 Contractor. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Contractor 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 is not embodied herein. 11. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Contractor may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement 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 • Immediately upon the written agreement of both parties • By the City upon thirty (30) days written notice to Contractor • By the Contractor upon 120 days written notice to City 13. DISCRIMINATION Contractor shall not discriminate because of race, 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. Contractor 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 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. COMPLIANCE WITH GOVERNMENTAL REQUIREMENTS Contractor shall maintain all necessary licenses, permits, approvals, waivers and exemptions necessary for the provision of services hereunder and shall carry out all services pursuant to this Agreement in substantial conformity with all applicable laws, ordinances, statutes, codes, rules, regulations, orders, and decrees of the United States, the State of California, the County of Orange, the City, and of any other political subdivision, agency, or instrumentality exercising jurisdiction over the City, including all applicable federal, state, and local occupation, safety and health laws, rules, regulations and standards, applicable state and labor standards, prevailing wage requirements, the City zoning and development standards, City permits and approvals, building, plumbing, mechanical and electrical codes, as they may apply, and all other provisions of the City and its Municipal Code (as they may apply), and all applicable disabled and handicapped access requirements, including, without the limitation, the Americans With Disability Act, 42 U.S.C. § 12101 et seq., Government Code § 4450 et seq., and the Unruh Civil Rights Act, Civil Code § 51 et seq. 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 MARIA D. ��- - HUIZAR DAVID N. REAM Clerk of the Council City Manager APPROVED AS TO FORM: By. C Laura 'S Assistant City Attorney RECOMMENDED FOR APPROVAL: Raul Godinez II, Ex u ve Director Public Works Agenc RUE VAC PROPERTY SERVICES, INC. AK. L ONS President Tax ID# EXHIBIT A CONTRACT SPECIFICATIONS AND REQUIREMENTS FOR POWER SWEEPING AT SARTC I. SCOPE OF SERVICES The contractor shall provide the services set forth in Attachments 1, 2 and 3 under the following criteria: A. The contractor will provide all labor, supervision and equipment needed to provide all necessary components of power sweeping. B. Contractor shall obtain within five (5) days of executing this contract, a current City of Santa Ana Business Permit and shall maintain a current business permit throughout the term of said contract. C. Contractor agrees to conform to all applicable federal and State Occupational Safety and Health Act standards in the performance of these duties. D Whenever a question as to the meaning of any portion of the specifications is in dispute or where there may be more than one interpretation given to any portion of the specifications the interpretation by City shall be final. E. If the contractor fails to provide services as per specifications, City shall have the right to contract for said deficiencies and bill back the incumbent contractor. II. SUCCESSFUL CONTRACTOR'S RESPONSIBILITIES A. Provide all transportation, labor, equipment, and materials to complete proposed project. B. Provide trained personnel. C. Provide identification for all employees servicing the area. Identification must be produced for the Security Guard on Duty upon arrival at each scheduled job on property. ATTACHMENT I SPECIFICATIONS AND REQUIREMENTS FOR POWER SWEEPING AT THE SARTC Contractor shall supply all labor, materials, equipment and transportation necessary for the removal of trash, dust and debris from parking lots, pedestrian walkways, vehicular entryways, bus parking stalls, bus lanes and all four levels of parking structure of the SARTC as more particularly described herein. Contactor shall provide sweeping services in all designated areas two (two) times per week. City reserves the right to increase the frequency of sweeping to three (3) times per week. All work at the SARTC shall be performed between the hours of l 1pm and 4am. The areas to be swept are designated on the site plan in Attachment F and consist of the following: all entrances, driveways, curbs, parking lots, parking structure levels, bus lanes and bus stalls, courtyard, exterior walkways, utility drive area and platforms. Contractor must leave the area clean and free of all trash, dust and debris. The Contractor must remove all of the trash dust and debris from the facility. The sweeping process must not damage any surfaces. The sweeping process must not damage adjacent areas in any way. The contractor will be responsible for all damage to the surrounding areas. The City reserves the right to suspend the work wholly or in part if deemed necessary for the best interest of the City. This suspension will be without compensation to the Contractor, other than to adjust the contract completion /delivery requirements. Hindrances or delays from any cause under this agreement shall be provided for by the Contractor at no cost to the City. Such delays, if due to the fault or neglect of the City Coordinator, shall entitle the Contractor to an extension of time allowed for completing the work sufficiently to compensate for the delays. Contractor must notify the City Coordinator of any cause of delay. The contractor, upon completion of the job and prior to final acceptance shall remove all supplies, materials, debris, rubbish, etc. caused by the operation and leave the finished site in a neat, orderly condition. Sweeping must include area under and around vehicles parked in lots or in parking structure. In or around all corners and recesses and other structures located within the sweeping area. All curbs adjacent to the Depot property must be swept, removing all dirt and grime. The Contractor will be responsible for the proper disposal of all waste, according to requirements specified by the City. ATTACHMENT 2 GENERAL CONDITIONS The following is included as an attachment to the basic contract and must be complied with by the contractor. 1. Contractor shall furnish employee identification cards for those employees working. Employees will be required to permanently wear such identification cards whenever so working. Contractor shall agree that the City will approve all employees used in executing this agreement. Contractor shall check in and out with Security Guard on Duty each and every time contractor is on the premises. 2. Contractor shall maintain a twenty -four (24) hour, seven (7) day a week telephone and facsimile machine service and shall respond within two (2) hours to clean up any work left undone after the City notifies the contractor of failure to perform. The City will notify the contract service company by facsimile of any and all failures to comply with this procedure. 3. Contractor shall designate in writing to the City the name of the person who will officially represent the contractor and be responsible for communication between the Agency and the contractor. 4. In the event Agency requires a change in the scope of the work set out in this agreement, for any reason, the contractor shall provide in the attached Request for Proposals an hourly rate for labor and materials or a unit price. Such rates or unit price shall be in force during the first year of the contract and shall be negotiated for the succeeding years in accordance with the methods for changes set forth elsewhere in this agreement. 5. The contract may be terminated under the following conditions: a. By mutual written agreement of both parties. Termination under this provision may be immediate. b. Upon thirty (30) days written notice by City to contractor. The contractor may terminate responsibility of agreement by notifying City one hundred and twenty (120) days prior to termination date. 6. The contractor is engaged as an independent contractor and will be responsible for any federal or State taxes applicable to this agreement and for complying with the requirements of all federal and state laws pertaining to income tax, unemployment insurance and other insurance applicable and necessary for its employees. The contractor agrees that the services covered by this agreement shall be performed by carefully selected and efficient employees in conformity with accepted power sweeping standards and practices. The contractor further agrees that upon request by City the contractor will remove from premises any employees who, in the opinion of City are guilty of improper conduct or are not qualified to perform the work assigned. Contractor further agrees to provide City with a steady and dependable work force. Employee turnover will be kept to a minimum. 8. The following security requirements shall be in effect at all times. Failure to abide by any of these items by any contractor's employee may result in removal from the facility and or criminal charges. All of the contractor's personnel to work for the City at The Depot at Santa Ana must provide the following information before beginning work: a. First name, middle name, last name b. Date of birth C. Current residence address d. Photocopy of valid government- issued photo identification e. Photocopy of valid Social Security Card f Proof of United States citizenship or legal work status The contractor shall be notified of any employee that is refused for employment within the facility. The above information requirement shall also apply to employees who begin at any later date. Decisions of the City are final and are not subject to arbitration. The contractor shall not engage in discrimination in hiring, selection, retention, promotion, or treatment of any person in receipt of the benefit of any services or activities made possible by, or resulting from, the contract. Discrimination means any act that unreasonably differentiates treatment, intended or unintended, based on age, handicap, national origin, race, marital status, religion, or sex. 10. When an employee leaves the service of the contractor, the contractor shall notify City within twenty -four (24) hours. 11. Contractor's employees shall not report to work, nor be allowed to work, while under the influence of alcohol or narcotics. Persons that are under the influence of alcohol or narcotics shall be denied work. In the event of a dispute between contractor's staff and City staff regarding work procedures, security measures, etc., City shall have the final decision. 12. Contractor shall provide all sweeping appliances, utensils, equipment, etc. 13. Contractor will provide all prescribed services for the SARTC. Attachment 3 identifies the areas covered by this agreement. M z w U H H Q d a d H z w a w 0 a a w H L7 z a w w a a tI L` C O •,.r ce O H O G O GPM e� O A a� C A u CERTIFICATE OF LIABILITY INSURANCE DATE (MM / °D/YYyy)• . . 1/10/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRA_ CT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT - Alhpsdln NAME: - �Y g / Denise Bailey - .. SRIB Insurance Agency, Inc. PHONE (949) 582 -5220 FAX {949)582 -3512 AIC No License Number 0719264 ADORESS:amY @sPib.•COm / Denise @sp"ib.com 26441 Crown Valley Parkway #200 PRODUCER 00000369 CUSTOMER ID #. Mission Viejo -CA 92691 $ 1,000,000 PREMISES Ea occurrence INSURED INSURER(S) AFFORDING COVERAGE NAI;GE . INSURERA:Peerless Insurance Co 4198 GE - Co B:Tfie Netherlands Insurance Co 4171 Rue Vac Property Services Inc. wsURERc:Golden Ea le Insurance Co 10836 600 W. Taft Avenue INSURERD:AIG /Granite State Ins. Co. ver INSURER E: Orange CA 92865 INSURER F: - " I - - - ^- '� - - ----" - KtVIJIVN NUMI3tK: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR . LTR TYPE OF INSURANCE INS MY- MIDYEP WVD POLICY NUMBER M/DD/YY POLICY LIMITS GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR BP 9556563 /1/2011 Jl/2012 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 • - GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X B ALL OWNED AUTOS A 9797086 2/1/2011 /1/2012 INJURY (Per person) $ BODILY INJURY (Per accident) $ SCHEDULED AUTOS X HIRED AUTOS NON -OWNED AUTOS APPROVED ED A - TO FO M PROPERTY DAMAGE (Per accident) $ X Underinsured motorist property $ C D A X UMBRELLA LIAB X OCCMS -MADE UR EXCESS LIAB CLAI NIA aura S Assistant •ty U9558863 C005643392 BP 95 58563 /1/2012 - /1/2012 /1/2012 Medical payments EACH OCCURRENCE $ $ 1,000,000 heo y .ttorne /1/2011 /1/2011 /1/2011 AGGREGATE $ 1,000,000 .DEDUCTIBLE RETENTION$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? El (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS belay PROPERTY - SPECIAL FORM REPL COST $1,000 DED $ TU- OTH- JQRY $ CIDENT $ 1 000 000 - EA EMPLOY 7EA $ 1 000 000 - POLICY LIMIT R PROPERTY $ 1 000 000 1,224,000 102,000 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) - RE: SANTA ANA REGIONAL TRANSPORTATION CENTER. THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSUREDS WITH RESPECT TO GENERAL LIABILITY PER FORM GECG 602 0904- *CANCELLATION PER POLICY PROVISIONS, COMPANY FORM IL0270 11/04 PAGE 2 OF 4- # 7 8 1 6 2 ATTACHED. CERTIFiCATF Hn1 nFR CITY OF SANTA ANA PUBLIC WORKS AGENCY /SARTC 20 CIVIC CENTER PLAZA, M -21 SANTA ANA, CA 92701 c L Hines , CPCU ARM CLU �C�ra�►� ©1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD �+MIY IiCLLFi IIV IY - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE . THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2009109) INS025 poosog) } COMMERCIAL LIABILITY GOLD ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided underthe following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SECTION I - COVERAGES COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY 2. Exclusions Item 2.g. 2) is replaced with the following., 2.g. 2) A watercraft you do not own that is: a) less than 50 feet long; and b) Not being used to carry persons or property for a charge. item 2.g. 6) is added; 6) An aircraft in which you have no ownership interest and that you have chartered with crew. The last paragraph of 2. Exclusions is replaced with the following. Exclusions c. through n. do not apply to damage by fire, explosion, sprinkler leakage, or lightning to premises'`while rented to you, temporarily occupied by you with the permission of the owner, or managed by you under a written agreement with the owner. A separate limit of insurance applies to this coverage as described in Section III Limits of Insurance. SECTION I - COVERAGES COVERAGE C. MEDICAL PAYMENTS If Medical Payments Coverage is provided under this policy, the following is changed; 3. Limits The medical expense limit provided by this policy shall be the greater of: a. $10,000; or b. The amount shown in the declarations. Coverage C. Medical Payments is primary and not contributing with any other insurance, even if that other insurance is also primary. GECG 602 (09/04) Includes copyrighted material of Insurance Services Offices Inc. with its permission Page 1 of 6 The following is added- COVERAGE D. PRODUCT RECALL NOTIFICATION EXPENSES Insuring Agreement We will pay "product recall notification expenses" incurred by you for the withdrawal of your products, provided that: a. Such withdrawal is required because of a determination by you during the policy period, that the use or consumption of your products could result in "bodily injury" or "property damage'; and b. The "product recall notification expenses" are incurred and reported to us during the policy period. The most we will pay for "product recall notification expenses" during the policy period is $100,000. SUPPLEMENTARY PAYMENTS - COVERAGES A AND B Item b. and d. are replaced with b. The cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies, We do not have to furnish these bonds. d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit" including actual loss of eamings up to $500 a day because of time off from work. SECTION II -WHO IS AN INSURED Item 4. is replaced with: 4. Any subsidiaries, companies, corporations, firms, or organizations you acquire or form during the policy period over which you maintain a controlling interest of greater than 50% of the stock or assets; will qualify as a Named Insured if- a) you have the responsibility of placing insurance for such entity; and b) coverage for the entity is not otherwise more specifically provided; and c) the entity is incorporated or organized under the laws of the United States of America. However, coverage under this provision does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the entity, or "personal injury or "advertising injury" arising out of an offense committed before you acquired or formed the entity. Coverage under this provision is afforded only until the end of the policy period, or the twelve (12) month anniversary of the policy inception date whichever is earlier. SECTION III - LIMITS OF INSURANCE Paragraph 2 is amended to include: The General Aggregate Limit of Insurance applies separately to each 'location" owned by you, rented to you, or occupied by you with the permission of the owner. GECG 602 (09/04) Includes copyrighted material of Insurance Services Offices Inc. with its permission Page 2 of 6 Paragraph 6. is replaced with the following: 6. Subject to 5. above, the Fire Damage Limit is the most we will pay under Coverage A for damages because of "property damage" to premises while_ rented to you, temporarily occupied by you with permission of the owner, or managed by you under a written agreement with the owner, arising out of any one fire, explosion or sprinkler leakage incident. The Fire Damage Limit provided by this policy shall be the greater of: a. $500,000. or b. The amount shown in the Declarations. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS Item 2. a. is replaced with: 2. Duties In The Event of Occurrence, Offense, Claim or Suit a. You must promptly notify us. Your duty to promptly notify us is effective when any of your executive officers, partners, members, or legal representatives is aware of the "occurrence ", offense, claim, or "suit Knowledge of an "occurrence"i offense, claim or "suit" by other employee(s) does not imply you also have such knowledge. To the extent possible, notice to us should include: 1) How, when and where the "occurrence" or offense took place; 2) The names and addresses of any injured persons and witnesses; and 3) The nature and location of any injury or damage arising out of the "occurrence", offense, claim or "suit ". Item 4. b. 1) b) is replaced with: b. Excess Insurance 1) b) That is Fire, Explosion or Sprinkler Leakage insurance for premises while rented to you, temporarily occupied by you with permission of the owner, or managed by you under a written agreement with the owner; or Item 6. is amended to include: 6. Representations d. If you unintentionally fail to disclose any hazards existing at the inception date of your policy, we will not deny coverage under this Coverage Part because of such failure. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or non - renewal. Item 8. is replaced with: 8. Transfer of Rights Of Recovery Against Others To Us a. If the insured has rights to recover all or part of any payment we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring suit or transfer those rights to us and help us enforce them. GECG 602 (09/04) Includes copyrighted material of Insurance Services offices Inc. with its permission Page 3 of 6 .r b. If required by a written "insured contract ", we waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under that written "insured contract" for that person or organization and included in the "products- completed operations hazard ". Item 10. and Item 11. are added: 10. Cancellation Condition If we cancel this policy for any reason other than nonpayment of premium we will mail or deliver written notice of cancellation to the first Named Insured at least 60 days prior to the effective date of cancellation. 11.' Liberalization If we adopt a change in our forms or rules which would broaden your coverage without an extra charge, the broader coverage will apply to this policy. This extension is effective upon the approval of such broader coverage in your state. SECTION U- DEFINITIONS The following definitions are added or changed: 9. "Insured contract" a. Is changed to: a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, explosion or sprinkler leakage to premises while rented to you, or temporarily occupied by you with permission of the owner, or managed by you under a written agreement with the owner is not an "insured contract ". 23 and 24 are added: 23. "Location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway or right -of -way of a railroad. 24. "Product recall notification expenses" means the .reasonable additional expenses (including, but not limited to, cost of correspondence; newspaper and magazine advertising, radio or television announcements and transportation cost), necessarily incurred in arranging for the return of products, but excluding costs of the replacement products and the cash value of the damaged products, The following Provisions are also added to this Coverage Part: A. ADDITIONAL INSUREDS - BY CONTRACT, AGREEMENT OR PERMIT 1. Paragraph 2. under SECTION II -WHO IS AN INSURED is amended to include as an insured any person or organization when you and such person or organization have agreed in writing in a contract, agreement or permit that such person or organization be added as an additional insured on your policy to provide insurance such as is afforded under this Coverage Part. Such person or organization is not entitled to any notices that we are required to send to the Named Insured and is an additional insured only with respect to liability arising out of: a. Your ongoing operations performed for that person or organization; or b. Premises or facilities owned or used by you. GECG 602 (09/04) Includes copyrighted material of Insurance Services Offices Inc. with its permission Page 4 of 6 With respect to provision 1.a. above, a person's or organization's status as an - insured under this endorsement ends when your operations for that person or organization are completed. With respect to provision 1.b. above, a person's or organization's status as an insured under this endorsement ends when their contract or agreement with you for such premises or facilities ends. 2. This endorsement provision A. does not apply: a. Unless the written contract or agreement has been executed, or permit has been issued, _prior to the "bodily injury", "property damage" or "personal and advertising injury"; b.. To "bodily injury" or "property damage" occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, in the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been.put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project; c. To the rendering of or failure to render any professional services including, but not limited to, any professional architectural, engineering or surveying services such as: (1) The preparing, approving, or failing to prepare or approve, chaps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and (2) Supervisory, inspection, architectural or engineering activities;. d. To "bodily injury", "property damage" or "personal and advertising injury" arising out of any act, error or omission that results from the additional insured's sole negligence or wrongdoing; e. To any person or organization included as an insured under provision B. of this endorsement; f. To any person or organization included as an insured by a separate additional insured endorsement issued by us and made a part of this policy. B. ADDITIONAL INSURED —VENDORS Paragraph 2. under SECTION II - WHO IS AN INSURED is amended to include as an insured any person or organization (referred to below as "vendor ") with whom you agreed, in a written contract or agreement to provide insurance such as is afforded under this policy, but only with respect to "bodily injury" or "property damage" arising out of "your products' which are distributed or sold in the regular course of the vendor's business, subject to the following additional exclusions; 1. The insurance afforded the vendor does not apply to: a. "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; b. Any express warranty unauthorized by you; c. Any physical or chemical change in the product made intentionally by the vendor; GECG 602 (09/04) Includes copyrighted material of Insurance Services Offices Inc. with its permission Page 5 of 6 d. Repackaging, unless unpacked solely for the purpose of inspection, demonstration, testing, or substitution of parts under instructions from the manufacturer, and then repackaged in the original container, e. Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the course of business, in connection with the distribution or sale of the products; f. Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; g. Products which, after distribution or sale by you, have been labeled or relabeledor used as a container, part or ingredient of any other thing or substance by or for the vendor; or h. To "bodily injury" or "property damage" arising out of any act, error or omission that results from the additional insured's sole negligence or wrongdoing. 2. This insurance does not apply to any insured person or organization, from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. GECG 602 (09/04) Includes copyrighted material of Insurance Services Offices Inc. with its permission Page 6 of 6 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to provision a. Primary Insurance of paragraph 4. Other Insurance under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: However, when an additional insured has been added to this Coverage Part by attachment of an endorsement, we will not seek contribution from the "additional insured's own insurance" provided that: (1) You and the additional insured have agreed in a written contract that this insurance is primary and non- contributory; and (2) The "bodily injury" or "property damage occurs, or the "personal and advertising injury" is committed, . subsequent to the execution of such contract. B. For the purposes of this endorsement the following is added to SECTION V — DEFINITIONS: "Additional insured's own insurance" means other insurance for which the, additional insured is designated as a Named Insured. Includes copyrighted material of Insurance Services office, Inc., with its permission. Page 1 of 1 22 -111 (0110 IL 02 70:1104 THIS ENDORSEMENT CHANGES THE, POLIGY. PLEASE READ IT CAREFULLY.. CALIFORNIA CHANGES i- CANCELLATION' AID NON RENEWAL This endarse`nent modifies insurance pra�ti"ded under the following; IL 02 70'" 11 04 0 i "54 Prpperties lnc ; 2004 Nigei 1;of 4! p Page 2 of '4 o ISO Properties„ Inc',, 2004 IL o2 7.0 99 04 D .G. The follotiring is added and supersedes any provi- sions to the contrary: NONRENEWAL 1, Subject to the provisions of Paragraphs'G,2 and C.3. below; if we elect not to renew this policyi we will mail I or deliver written notice stat- log the reason for nonrenewal to the first Named Insured - shown In the Declarations and to the ;producer of record, at least 6g days, but not mare than 12Q days, before tFe, expiration r anniversary date.. We will mail or deliver our notice: to the first m Naed insured, and to the producer of record, at the mailing,address shown in the pollcy. 2 Residential Property, , This provision applies to coverage on real property used predominantly for residential purposes and`.consistirig of not, more than four dwelling units and to coverage on tenants` household property .contained- in a residential Unit, if such .coverage is written .under orie. of the following; Capital.Assets Program (Qutp(-A Policy)'Cover age Pait; Commercial Property - Coverage Part Farm Coverage Part -. Farm Property - Farm Dwellings, Appurtenant .Structures And House: hold Personal Pro perty'Coverage Form a. We may elect not to renew such coverage for any reason, except as provided in b., c and d. below. b. We will not refuse to renew 'such coverage solely because the first;Named Insured has accepted an offer of earthquake eoyerage: However, the following appliese only to; in- surers, who are ;associate participating; iri- surers as established by CaL ins. Code Section 1 089.1.6. We may elect not to: new such coverage after the first turned Insured has accepted an offer of earth- quake coverage, if one of more of the fol- lowing reasons applies; (1) The, nonrenewal is based: on sound underwriting, principles' that relate, to the coverag 'es provided by this policy and that are consistent with the approved rating; plan and related documents filed with the :Department of Insurance as re- quired by existing, law, (2) Thee :Cvmm.issioner of. Insurance, finds that the exposure -to potentialJosses will threaten our solvency .or place; us in a hazardous condition. A hazardous condi- bon includes; but is riot limited to, a con- dition, in which we make claims pay- ments for losses resulting from an earthquake: that occurred within .the pre= ceding two yearn and fha-f required. .a re- duction in policyholder surplus, of at least 25% for payment of those claims; or (3) We have:' (a) . Lost or :experienced a substantial' reduction in the availability or scope ofreinsurance coverage;, or (b) Experienced a substantial increase in the premium charged for reinsurance coverage of our residential property insumnee:policies; and the C:omi•nissioner has approved a plan: for .the not renewals 'that is fair and equi table,._ and that is responsive to the changes irrour reinsurance position, c. We will not refuse =to renew, such coverage; Solely because the first Narned:insured has cancelled or did not renew a policy, issued' by' the California Earthquake. Authority, that' included an earthquake policy premium Sur- charge:,. d. We will not refuse to renew such coverage Solely because :corrosive. soil conditions ex' ist on the premises.' This Restriction td. r the, following, which exclude loss ordamage caused by or resulting from .corrosive soil_ conditions;; (1) Capital Assets Program Coverage .Form (output Polley (2) Commercial Property Coverage, Part - Causes Of Loss - Special Form; or (3) Farm Coverage Part' = Causes Of Loss Form - Farm Property, Paragraph D. Covered Causes Cif. Loss - Specia I. 3.: We are not required: to send notice of none= newal in the following,situat ons: a. if the transferor renewal of a policy; without any changes in terms, conditions, or rat es;. is between us and a member of our incur once group: IL 027691 04 0 ISO Properties,,, I=.,1 20G4, Page 4 of A C), ISO Properties, Ines; 2--OG4 1L'02 7011'04 ❑ s�LCO� o CERTIFICATE OF LIABILITY INSURANCE DATE(MM, °D/ryri' EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 3/1/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ,R! n _ �y' +� 13 IMPORTANT= If the certificate holder is an ADDITIONAL INSURED, the policy(ie) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certjftcate does not confer rights to the certiFCate holder in lieu of such endorsement ( s). - - :Jt, PRODUCER � NAME C^ � "Alberding � l_ SPIB Insurance Agency, InC. License Number 0719264 - PHONE - "(949) SB2 -5220 aC No: (949)582 -3512 nDORI FSS: amy @spit. com 26441 Crown Valley Parkway #200 PROTOCER 00000969 Mi5510n Vle O CA 92691 - INSURER(S AFFORDING COVERAGE NAICO INSURED INSURER A:Pe:E:r1E:58 Insurance Co 4198 G INSURER B:The Netherlands Insurance Co 4171 G Rue Vac Property Services Inc % 600 W. Taft Avenue � a0 /, `O( /J INSURER C:G01 den Ea 1e Insurances Co 10836 G INSURER D: /1/2013 INSURER E: $ 100.000 range CA 92865 _ O L.' INSURER F: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE IN POLICY NUMBER POLICY EFF MM/DD/Yri POLICY EXP MM/DDNriY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 A X COMMERCIAL GENERAL LIABILITY CLAIMSMADE � OCCUR BP 9558563 /1/2012 /1/2013 PREMISES Ea occu Trance $ 100.000 MED EXP (Any one person) $ 5 , 000 PERSONAL 8 ADV INJURY $ 1 , 000 , 000 GENERAL AGGREGATE $ 2 r OOO , 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2 , 000 , 000 I X POLICY PRO LOC $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1 , 000 , 000 X BODILY INJURY (Per person) $ $ ALL OWNED AUTOS 9797086 /1/2012 /1/2013 BODILY INJURY (Per accident) $ SCHEDULED AUTOS (Per°a cldentDAMAGE $ X HIRED AUTOS X NON -OWNED AUTOS Underinsured motorist property $ Medical payments $ C UMBRELLA LIAR X OCCUR EACH OCCU RRENGE $ 1 , OOO , 000 ][ EXCESS LIAB CLAIMSMADE U9556B 63 AGGREGATE $ 1 , 000 , 000 DEDUCTIBLE RETENTION $ /1/2012 /1/2013 $ i WORKERS COMPENSATION WG STATU- OTH- AND EMPLOYERS' LIABILITY ANY PR OPRIETOR/PARTN ER/EXECUTIVE Y / N OFFIGER/M EM BER EXCLUDED? � N /A EE SCIF CERT E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) li yess, dascdba under DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $ A PROPERTY SPECT nT. FORM BP 9558563 /1/2012 /1/2013 BUILDING 1,248,480 REPL COST, $1000 DED BUS. PERSONAL PROPERTY 104 , 000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD t01, AlYditlonal Remarks Schetlule, M more space Is required) RE: SANTA ANA REGIONAL TRANSPORTATION CENTER, 1000 E. SANTA ANA SLVD., SANTA ANA, CA. THE C2TY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND RESPRESENTATIVES ARE NAMED AS ADDITIONAL INSUREDS WITH RESPECT TO GENERAL LIABILITY AS PER COMPANY FORM GECG 602 (09/04) SECTION V, A 6 B. PRIMARY AND NON - CONTRIBUTORY WORDING IS PROVIDED IN FORM $ 22 -111 01/07. TFIE CITY OF SANTA � � -!�� � :.I � 1 ! : _._a: y 20 CIVIC CENTER PLAZA - ^. >��.I . t_:. -,: i�ar�i ,- ',I >rr: r�� SANTA ANA, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Hines , CPCU ARM CLU ��aa � � ��ll ©'1988 -2009 ACORD CORPORATION_ All rights reserved. IIV'VZO (200909) 1 ne AI.VKU name ana IOgO are reglSLereO marKS OT ACJV KU f ,�(,= ` � . A: C'QMM.ERGfAL LIABl;L1TY �QLpt 1E11[DORSEMENT TFi1S. E.N[�3C7,RS�ENT CHAttiiGES� THE PC3LlCY, P4 -,ERSE REd'lD 1'T CAR.EEE]LL`Y_ Thfs end ©rsement modes insurranc�e Rrovkted underthe #olfcawing COMMERCIAL C3EI+IERAL ILIA ®ILITY COYF_ii'AGE F'PA-12T SECTICfV� 1�- COI�lEFZAGES CO�lERAGE ilk. 90l?ILlf iI�IIJURY �4RIb PROPERTYt7AN1A�E LIABILITY 2. EYtclusions; Item 2g_ 2� is rtspldco�I wiff5 fhg folK3wang!., 2_g. 2) A wa#er�cr�ft,you da not own °thet is �) IeSS #j�iana5o feef:IOng;: and b} I�af being used td carry psrso,ns oripropertyr fo "r a �harg':e. ltsn 2:g: s) s adlcled.- 8)* Art ai�crafi+ irr which ycu have rto ownerstT;lp inierest and that you have chtitCered wittx clew., The 3asEpaPagraph of 2. �eclu�sior+s is replaced wi€k] itte €ollb�vuft�c E�tGt�,sipns c. thrar�gh n, alo npf apply to damage hY fire, explosion, sprinkler 'leakage, or iigfi #Wing to premises white rented fo you, t�emporastly occupied by You vvi�b the :permission aY the c)uvner, or man0ged by you under a writert agreemerxt wi>`h the owner. R separates IimFl of insµrance applies to this.. coveFage as described in Section I11' - LimiES afi'1[tsarance_ SECTI+p11ii It- Ci)VERAGEs CC3VERAG�E +C NIECFlCP1L PRI"`MEM'T�3 lf,lirTedica! PaXrr►erets Cercrgr�,c� i� provide[i under tfais #�oficy; #�e �aitpvYing is changed._ �_ Litnit Tl1e rnedirraGe�cpflnae li►Ttit prodided by� #hi5 poficysha3l be�the �r��terof: p_ TF1e an�i0urif SMorrurt in ff'te deS:faLB�iorl5. coverage C: 111[edie;al� PayrTmentS is primary and nqt ctarttriE,auiing ,4vFlYt airy o €l�ec insurance, +�veri if Ebel QtY,ter ir+surarnce is a�aprimaiy, E`rE�:-6Q3 (O$i`Q?}7 Tac'[a�es Cnfxy' cS$1 :s�klmq�.e�nli[s�Ytxxtu:�tsiice Sa['eio.4liCcts.In�. �tSs7x'.u�p�srt'�:+sui� :Pa,�e 1 aE't?r 7�re �olfowing�is'added.• �OStER/46E a., PRG1DlJCT FtEC/kLL NC)TIF1C�Al1C311[ EXF?�N�ES 7dsuritfig: �4gr®errtent 1/t/e will pay "product recall notification expenses" incurred: by you for Lhe» wiihdraw�l vt yaur products; provFded that_: a. Suctr withgrawdl is required ktiedau�se of a deterrrrin'atlan Cny you dlxrin� the.igaoliCype[ivd, ttrat�,tih@a use ar cpnsurnption ofyPUr products enukt result trr "trodlly Injury" or "property_cfa[rrags °; and' La: The "product recall notificatcon expenses" are incun'ed andi reported to us [luring, the policy period. The mast wee' Will pay for "product recap notification expenses° during fhe proticy period rs $1 E90,Q[l8. SUPPLEMENTARY PAYIbIEMTS - COYER4iGES A AN�`B /tem b. and`rf, are• replaced with:- b!_ Thre cost of bail bonds required becaus[x of accirlentsr or traffic law violations ar'iaing out of the use. ofi arty vehicle to wli[ch the Bodily Injury Lislzility G4verage. aptllies. We dp not have. tv tr:rmiSh theses tsr� rid$_ d'_ All seasonable expenses- incurred try the ins�[r?ed at +oiur n�qu�st t ©: assist us: in the l`nvcastigativn yr defense. of the claim yr "'salt" hiGuding actual Foss of ea'rtrings upto $sCIQ a day because vftime off from,vuorir.. SECTIG?N 11 -WF-K) IS;AN Il\l.'°atJRED Item �_ is r�xpJa�ced r�rrtrr 4. any subsidiaries, companies, cerporations. f'imtis, rat orgaryizatians you acgtrlte a1r`ft�rrn rfr�rtng the policy period .over wchlelr= you maintain a. cxrntroling interest cef g'reafer than 5f3°% of the st ©alk or �sse#s, quill qualify as a Named IhSUred if.: a} you have the cesponsFbility,of placing insuran €e: frsr se�ctt- EntiEy;and b} coverage for the entity is rsoi otherwise more specifically_;provided; acrd c} the entity is incofperated or o[ganized under the laWS Qfithe united Stales of AYherica. F-lv�.uener, o6ve,rage underthis provtslon does rtast apply to "Ixidliy injury'• or "pmperty�dsmage" that occurred trefiorq ',you acquired ar ivrcnQCl the entity; ar °pexsonal injury" oF` "- advertising injury" aris,Tng out' of am ofFens� committees b�efia're yt►u 2icquirec or formed tare entity_ Coverage urrd>rrfhis tr6viSio'rt i5 afforded Drily unGl`ffie cps ofthe.�alicy period, QI'tile trrodlve {12X month annirre[saly of rite pcsltry inception dale whicFrsvr®r i�:aari %r. SECTItpI+�' 111 - LJNII'1';3 t7F IPtS�I`Jii�AtJCE Parag[-aph -2 is arYrer7dsd to 7r3C!/Jafe'_^ The Gemeral[Aggr+egate LFsi;iit af`lrrsuran'ee appliesseparateiy to each "locatrs�rr" crwrred by yrou, rerrterf!� you,. or oeaupied Icy yQt, with Yh+e`pern�ssion of the ttiyurar. �XE}Y>^s{Q3 (0.8Ft�j rn?F'it3tias r�tilrs� °gi��:i�mt�al.of' riy� .sk.y -� �sri+iiet.�..C)k�i{x� -T>�. vtixri�iv �tNi� Pq�"e 2 ve' Paragrapri 6 Fs refaced wr�lt tkrg fo{fo�ewr-rg:•: �: Subjec[ to 5. afoave,'tite dire bam�e L'�rnit is tFre most-t�e will :.pay uneler Co�erage,A. for damages decease of "property damage" to .premises while: rented: to ypSj> tempQrerily pccupireil pt' yn[a with pen•rrlestan of'the owner, oc nenaged by ycaW under a written agreement; with the owner,. arising out: of any -one fire, explosion or sprinkler leaikage incident. The3Trre Qarnage Limit provkied p]rthis pallet' sha[l be the greater of: a. S�OO�Of7i]. nr b. Tile, arn4urat shown in flee Qecfarations. SECI`LK3NE N - C{3MIIA�RCIikL GENER/kL. 41AE31t_tTY COTIIDi1T10NS Iterrr 2. �#�is i'elolFCed trvitr.- 2_ Unties M The E,eent of Occurrencx, Offense, Claim nr Suit- a. you must promptly notify as. Yoetr•duty to promptly notify us,is effective when any of your °executive. afTicers, partners, members, or}ega] repiresenfatives is -aware of the'bccurrence ", offense, claim, or "swit". Ff7Famtledge of an ^OrctirrYenpe ", offense, Claim dr' "quit" lot' other f�rrlplpyee(s) ;dyes not imply. you :also Rave sudh Knowledge. To the ex[ent'passib[e,. noflce'f "o us should [nclude.; t) HaFUU, when and where the• "oa,carrence" araflense tovix place.;. �� The .names and addresses of arry injured,persons,and witrtesse$; and'.: 3� The nature acid locat[4n of -any injuiy or damage, atising ouY of the "acourrertcra ", ofFertse,. aiatm nr "suit."_ ftiem 4, b. 1j,b) Es�piacad �u�h; p. E7[cesS Iri6uran+�e 1} p} "Tttat is Fire, Explosion ar Sprinkler LeAkage> Insurance for ,premises while rented to yUU, temporarffy mexupted fsyr yea with parmiss'ton caf tire. owvnar, or marla�g�ed b�c you: rirEder a written agresmertt with the owner, or !flirt Ee. is arr2erxtec' la ,jrrcludet 6. Repr+�s;errtations> p, if you unintentienalty faiBifef disclose. any ha�irds exisEctg a the ince{#,ion date of year• policy:, We tnii'f not °;deny coverage under this Gcsvrerag® ParE taecause -of suchlailure, Ftovr�ver, th%s provision does nfli affeelF our right to coilebt additloi'�al premium or sr�cs,e auFright of ra�ncellaflon orison- ret�ewai. Item � is re�laceead wvtiiz 8. Transfer of Rights Of Fitecovery Against OrtRars To Us � [f the insured has tights to recover alJ: or. part of an]F iEtiayment,we have rt'Fadd under• this Coverage l=drt, those r'i'ghts one transferrer# tp us. The i'nsared must'do nathingi after loss 1�r impair (item_ At our request, tide insured: wQt bring suit or trans�fir tfTOSe reghtr Yo•us and; help us ertTs>Fee tftem. l`rH�s:6t1t3. (037r'[kl). In+ClS c�yxt�s1:m��ialtioY lw�cui�en Smarm Q,r�'i4�g ice: vftistt'ti� pe�dsa P..a$e 3 uf' b. if required ,by a written "'irtsttred dontract' ", we waive any right of recovery we ;may gave °ag�lnst any person or organization because Hof payrrtents we make for Ytjury o'r damage arising out of your ongxling operations or "your work;' bone under' that wntteri "'inSUred cortract" far 'that �p7erson Gr organizatipn and inciuded in the ^products- oornpfeied speratiorts,hazaczi. ". /rem 7Q. antl lterxe 77. aFe added' t4, Cancellation Gortditiort If we canCSl this policy Sor any reason' other than nianpayment' of premium: ivve will. mail or eielisver cantcellatiorre of cancellation to tMe first. Named Insured at Ieast BC] days prior to the effective date qf' '1t: t_ibei^atzatior[ If we adopt', a charrg,e in our forms or n.iles which uvoctbd t�roaden yditl` coverage Htithout an extra, charge, the broadier coverage will' apply to this pt�licty- This extension 'is effective upon the spprsovek of sucir txoader crverage In your state:. S6CTlOfoi� V- DEE111lITlt}I\lS 777a fo!louvirsg datfirtrtlar[s a� adeifQd or ii-iangezt_ s. 'Insured contract" e. Is chsrzgreci to.- a. A contract fo "r a lease of p��ses. i- loa�e� tar, #hat pptttod of the �rontraet fora `Jesse of pr�rnlses that indemnifies any person or arganiration for ciarnag�e �y fvre;, expilttsian or' sprirtikter IeBkage tQ prE,rnises= viehile cerrted,' tQ yau;; ar temporarily neouped t2y you with permission of the ovxrner, or managed tayr you under a written agreement with the owner is nett. art "insurezi contract ". 2'3 arxi 2"4 awe etlFieti.' 23, "Lacatictn" m ®aria premises ittvoNing the same gar °conrveciing lots, or pr�:mtses u�hasa ecinniaation ts' interrupted oniy lay a street, aaacYr�ray, mratlervcray urrrgh# -Q# -:way of a railroad.- 24.. °Produrt reoalt notiiteation expenses" rrtpans the: eeasona.[�le adsitirortal 8xperraes ;tncludin�g twt not limited 'to, east of canespondence, newspap$r and rrlagazine ativettisinig, radio or trelevision announcements anciE trartsp�ittation c�stj, nace�ariiy tncuireq Ih vatr�rujirttg for the return crf pr�oduc�ls, but excluding oasts vfithe replacement pnxlucts and the cash valud ctfthe rtar�nagsd�pcoducl»5. The fWltswiYlg Prnuisians are also added i?o thsGatvBsra�ie Part:.: �A. ; ADD1TtC?. NALi<.' II+ ISUFCEpS- B' 1YCK ?p+ITRAC7,AGREENIEIVTQRPER'N}FT 7. Paragraph 2. under SEGT1'�C3.N fl - WHiD::� AN tRUSrLiRE� is.arnetuiee3 to tncluds as:arr ictsured any:person vrorganizat©n rvhertyou and sxac#i person arorgartl�at`icxt have agreed in wr•#ing in a�nEr�et, agreement ar permit ttax such person: <ov or�ganizatlon be added as. an additional Iristired on your,pvllcy try provide insurance Stich as _is, afforded under this, Goverrage #''art:, Suct'r person; or 9nganizatistri.#s nqf erttitle2 to arty nQ #ii�5 tfiat yve are required to send to'ttte N€Lrrled Insured ara+� � an additiprral insured onry' wltli respect t© Ila6illty arising out af: a. dour ongoing operatiarES-perFb;;rneti for iEtaf parsenr'drdrgartizati?an; ar b: 1Premts� ar faoiiitles arnrrte�t; qr used b3i Yotl'- L'rE�C:8.Q3 (D4tL�kV -T LaClt3�es t: :�t4�i'g't+�tk1- :n�.eei'ial.e!' �+� ^�Ce SaE4i�aF:- G7t�f� 1�, �4itli�ifq �a1n3.'�a4as P.q�a 4 af: VWtfh respect to provision a. above, a person's:or organizatiatn's si�tus as an insured under this endorsemenfi ends v+i4ren your op±eraflorxs for thaf, person• or arg,anizatinrr are pompleted_ tl4fith respsect toy ptdvisilon t.b� abavq, a igersan's or vrgahization's status a5 aR insured under this- endorsememt entts when their contract orragrsernent wih you `for such prernhses or �facilitres- .ends: 2. Thls endorsementprovfslon A. does not apptyc a, Un[ess the vyritten contract- oragreemenf h.as beBJ'1 exeFUted„ rjr permit has been fssu�d ",� prlar to the "`trodity ifijury," -, "'property damage" or "persorral cnd advertising injury' "; b., To °bodily injury" or "propertytamage' oacurrin.g afters (1 j All Work, including rnaterhals, parts or egyipment furtished hn connectcar`i wkh' sunh Work, in the. .. project (other than service, maintenance or repairs) to °,be pciYartn�eq by or pn' behalfi of thi3 addhtional.hrtisured�sj at tFtiiE~ site oftile covered operations has been completed; Qr (Zj. Than portion of °ycsvr wor14"` out,Qf which the injury vr:ctarnage a;nses has taeen put te1 its intended; uss by any person or organization attiel^ than another eohtraetor or subco °ntractor ehgaged. in. performing;operatons fora principal as a part of the same prt�jsct' c_ To the: renderirtg of ar Tailure:'to render any; professhonai services irtcludinS, but not (tmited to, any professional architectuFal, eng:in.eeringi nr surveying ssrviaes such =as;:: (�} Yh® preparing, approving,,;orfailtn�g to prepare or approve, rn�ps, shop drao*�ngs, apinigns,: repairs, surveys, field arder5, change o:rrters or drawings attt spe�cafiotts; :and {2j Supervisory, inspection. arcYtit�tural or engineer�fng aGfivities; d:. T© "' bodily inJuryr, ` property damage" or "persanai:,and adverY€sing injury'•'- arising :out �a�€ "any a,ct, error or omission that rssults from tYi� additional insured's soie negiigen.cs or wrongdoinH; e. To any Person =or organtzatio_n: incl�,idet as an insured under provision B. ofttxis endorssrnerr't; f, To any;person or orgairis�athan. included as,an insureid tzy a separate addthanaldinsurad endorssm;en# ISSFJedE by us and made a part oPYhis. policy. B. AI3D,IT1G7:1'ItA1�,tN8ltt2�L1 — VEMOE7R F'ar�raph 2_ under �ECT101Wr lli= WHF1 IS 4N IA[S,L�RIEQ: �:amendEd fo inctude:as an irasured =airy person atf arg'anizsiion (referred to trelpw' as °�rprrdora� WStNt whom )Ycsu agreed; in �E! written:cvntraot,or a$�reementt'o ptovide Insurance such as is a;ffarder unzlsr this policy, tact vnfy with respect to "earthly irijuty° or "property:. damage".arhsing oaf of; °your products° Which ors distributed 4r Sotdi hn the regular course afthe usndor`5 business. subject to tYre'foitoWhng acitRhon�iJ exGusittrrs:. „ T'he insurance af%rded the vendordrses not apply fu, „, a, "BOdfi�y{ 5njury'"or "propertydamags° ftsrr+arhhch the vendor is obligated to pay €tamages r?y !reason ofths BSSumptlom of laebitCty Pn a conCract air sgreemertt. This excly ,ia�3s [f'¢es n.o�t� apply atC1 thebtiity for damages fhat th.e ven63or+rvould flaVi� i'rt.fhe at;4sence of the ocantract'Qr si�reement; b. Arty 4>�rsss w,arrarrty unaathorf�ecf by You; ¢- ,Ahy phys'imal olr chemical Gfretnge Itr'tFre product marls IFitenitohally 6y the Vendor �rE�`Lr. -6(13 (D�r'D9 -7 �In+Ctt -tH,e� c�s*+�cigEstetlmw4e#aE:��nY 71x��tiCe Sec %ir�,f�Y%iEc�- :TAZ`. �efFith�aA �+."�sUi?tckave P..��e � oi�rT d'. fF2epackaging, anless urtpaGced s�otely fcrrthe purpas�e bf respecfen, demonstratirrn,��e�sting, c►r ��xbstituYion of petits under instructibns fi1-om tt�e rnufacturer, and then repaGkBged in the origirna[ container; e. :Any failure to Rlak4 suci7 inspsatircarrs, adjustfxtents, tests or servicing as th,e srertdor has- agr1eed to rrtake or normalcy .undertakes fm make. ih the c��trse af- business, fn connection with the: dlstribution.or =sale of'the pnaducts.; f. DgMartstratibn, instaliaiionf, servicing or repairope`ratiohs, eacoegt'SUCh bper'attpYS perfbrmed at the snendor's' premises in cb'nrees~ti'bn �rithr the sdld bf the product;, il`. Pcoduats uvhict�, after distribution or sale'by, you,,l-ra� been labeled or relabeled or:used ar,,a containeR, part csa ingredient a #any o3herthFng or substan.rss by orforthe srendor ar h. "Tca "bodily Injury" br "property damage" arising +;ut csfi F#ny abt, en5o'r or omisstbn that resuits froriy th,t �dS�Itior2al insured's sple=megligence- br�ngd ©ing;: 2. min insur -eons does not apply to any insured ;person ororgarxiz�tion from vrhom you bases acquired such ;products,, or any ingredient, part.or container, entering iota, ,accompanying nr contairing such protiuets: Yrfs�`€i:`6Q3. (O�r[;tirl -S IriClta�ss c��w-++t�t3.mai�al;oi' 7n�aca�i =e Sei4�� OY�iCe� -�. +acis�•u» p�si[xi.4isd9rtc P.ri�e 6 olC> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to provision a. Primary Insurance of paragraph 4. Other Insurance under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: However, when an additional insured has been added to this Coverage Part by attachment of an endorsement, we will not seek contribution from the "additional insured's own insurance" provided that: (�) You and the additional insured have agreed in a written contract that this insurance is primary and non- contributory; and (2) The "bodily injury" or "property damage" occurs, or the "personal and advertising injury" is committed, subsequent to the execution of such contract. B. For the purposes of this endorsement the following is added to SECTION V — DEFINITIONS: "Additional insured's own insurance" means other insurance for which the additional insured is designated as a Named Insured. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 22 -� � � (0'1/07). Page � of 1 CERTHOLDER COPY P.O. BOX 420807, SAN FRANCISCO,CA 94'142 -0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 03 -01 -2012 GROUP: 000496 POLICY NUMBER: 0500488 -2011 CERTIFICATE ID: 288 CERTIFICATE EXPIRES: O1 -01 -2013 01 -01- 2012/01 -07 -2013 THE CITY OF SANTA ANA 20 CIVIC CENTER PLZ SANTA ANA CA 92701 -4058 SG JOB:SANTA ANA REGIONAL TRANSPORTATION CTR 10000 E. SANTA ANA BLVD. SANTA ANA CA This is to certify that we have issued a valid Workers' 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 30 days advance written notice to the employer. We will also give you 30 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. Notwithstanding 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�e x�cl�usion�s+, and conditions, of such policy. l � `Nl'NG�a L �_ Authoriz ad Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #1600 - LYONS, RONALD PRESIDENT SECRETARY - EXCLUDED. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01 -06 -2012 IS ,ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER RUE VAC PROPERTY SERVICES INC 600 W TAFT AVENUE ORANGE CA 92865 (REV.B -2010) F'LN - `��'�w�JC�� X4.5 � 1_} 1'CJaa tet n ` ,f I _ . �___ - ^ih ecly_ . ���rnep, [61 7,SG] PRINTED 03 -01 -2012 SG �, 4 -� ``� E- A` °R°® CERTIFICATE OF LIABILITY INSURANCE D 3 /2013 /6 6'MMJDDJYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED TE THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement (s). PRODUCER NAME: 'a'mY Alberding SPIB Insurance Agency, Inc. PHOI� (949)582 -5220 FAx AIC N License Number 0719264 o:(949)582 -3512 amy @spib.com 26441 Crown Valley Parkway #200 MLSSiOII Viejo CA 92691 INSURER(S) AFFORDING COVERAGE f4l Is INSURERA:Peerless Insurance Co INSURED INsuRERB:The Netherlands Insurance Co Rue Vac Property Ser vices Inc INSURERC:Golden Ea le Insurance Co 600 W. Taft Avenue INSURERD:State Insurance Fund l / II'1JV1{CR C Orange CA 92865 I�O // —V tL «.Jf INSURER COVERAGES CERTIFICATE NUMBER:3MSTR 13 -14. INCR. UMB REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN LTR TYPE OF INSURANCE POLICY NUMBER MMJDOO�Y MMIOOIYYYV LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1, 00,000 X COMMERCIAL GENERAL LOBfLITV PREM SES Ea occurr<nro $ 100,000 A CLAiMSn1ADE OCCUR BP9558563 /1/2013 /1/2014 MFD EXP (Any one parson) $ 5,000 PERSONAL 6 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER X POLICY P R 7 LO" PRODUCTS - COMP /0P AGG $ 2,000,000 AUTOMOBILE LIABILITY WMCilt7 poNGLC LMii X Fa arr..dnnl AtJV 11000,000 B AU'C BODIL'i INJURY (Fer person) $ AUTOS AUTOS SCHECULED 797086 /1/2013 /1/2014 ){ NON -ONMED BODILY INJURY (Par acc�ienq $ HIRED ALIT -.s X AUTOS PROPERTY CAMAGE Per a: GC?rd X COMP PER SCH X CCLL PER S .H UMBRELLA UAB [I OCCUR UrKJenr r ;umd metot arooerty $ EACH OCCURRENCE $ 2.000.000 C X EXCESS LIAR CLAIMS.MADE AGGREGATE $ 2,000,000 DED I I RETENT ION $ C119558863 /1/2013 /1/2014 D WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YtC S7ATU- OTH- AtdY PROPRIETOR!PARTT�ER�ENECUTIVE V / N X TOR' I AITR R OFFICEFL'MEMBER ExCLL:DECY? ❑ NIA EL EACH ACCIDENT $ 1 000 000 (Mandatory In NH) 038319 -13 /1/2013 /1/2014 it yes. CesmDa unAa- EL DISEASE- EAEMFLOYE $ 1,000,000 DESCRI-TION OF OPERATIONS De4ow E L DISEASE - POLICY LIMIT $ 11000,000 A PROPERTY, SPECIAL FORM BP9558563 /1/2013 /1/2014 BUILDING 1'248,480 REPL.COST $1000 DID BUSINESS FEP,S PROPERTY 104,040 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace la required) RE: SANTA ANA REGIONAL TRANSPORTATION CENTER, 1000 E. SANTA ANA BLVD., SANTA ANA, CA. THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND RESPRESENTATIVES ARE NAMED AS ADDITIONAL INSUREDS WITH RESPECT TO GENERAL LIABILITY AS PER COMPANY FORM CG2010 07/04 AND CG2037 07/04, PER WRITEN CONTRACT PRI"p"�i Vt9yT k]RU'11( Foy fWgR?* IS PROVIDED IN FORM # 22 -111 01 /07. CERTIFICATE HOLDER Laura St Shccd CANCELLATION Assistant City Attorne} SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN THE CITY OF SANTA ANA ACCORDANCE WITH THE POLICY PROVISIONS. 20 CIVIC CENTER PLAZA SANTA ANA, CAL 92701 AUTHORIZED REPRESENTATIVE L Hines , CPCU ARM CLU —K iwy,► ACORD 25 (2010/05) INS025 i olooslo' O 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD RUE VAC PROPERTY SERVICES INC POLICY NUMBER: CBP955856: COMMERCIAL GENERAL UABIUTY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS -SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Locations Of Covered Operations THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES SANTA ANA REGIONAL TRANSPORTATION AGENTS, VOLUNTEERS & REPRESENTATIVES ARE CENTER, 1000 E SANTA ANA BLVD AMES AS ADDITIONAL INSUREDS AS PER WRITTEN SANTA ANA, CA 90214 ONTRACT Information required to complete this Schedule, if not shown above will be shown in the Declarations. A. Section II — Who Is An Insured Is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury', "property damage" or "personal and advertising injury' caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury' or "property damage" occurring after. 1. All work, including materials, parts or equip- ment furnished in connection with such work. on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional Insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 2010 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 0 RUE VAC PROPERTY SERVICES INC POLICY NUMBER: CBP955856: COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY.. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional insured Person(s) THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEE AGENTS, VOLUNTEERS & REPRESENTATIVES ARE JAMES AS ADDITIONAL INSUREDS AS PER WRITTEN A. Section 11 — Who Is An Insured is amended to include as an additional insured the person(s) or organizations) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by. 1. Your ads or omissions; or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations for the additional insured(s) at the locations) desig- nated above. LocaUonis) Of Covered Operations SANTA ANA REGIONAL TRANSPORTATION CENTER, 1000 E SANTA ANA BLVD SANTA ANA, CA 90214 B. With respect to the Insurance afforded to these additional insureds, the following additional exclu- sions apply. This insurance does not apply to "bodily injury' or "property damage" occurring after. 1. All work, including materials, parts or equip- ment furnished In connection with such work. on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 2010 07 04 ® ISO Properties, Inc., 2004 Page 1 of 1 Cl �Bsjl'4�rnti�: CeP TM RSENIENT C-!F ANA$ THE fpl ICY. RLEA145E' D.iT 4R vtxy, ADDFnONAL INSURED *- OWNF. W LESSEES iM CONTRAC70RS - COMPLETED OPERATIONS OtA en tes su ce: pna a cuade rt fatty % C RCUL GOMMALLAORM CQVBtAMi.*RT .i II r WhoAs.An h anad 6; [ire �f'Ad�cira����d P:gts�[(s� Qr Qr�esfiC�atfon(�� ADM AS Ah1AUM:1til.SURI:D ONADW. PO 1 IG TQ PROtDE I MJtAKC- E:;S JCH A$' IS AFFOFMEO UNDER-7M -M COVERAM RAR-T Lin lend Dasgilp Qi Ctnplte¢Ip; N 4R ��A;'Rt�f+i�T»T k}�IS SEk'�t;Ql AIDO MIGNAL 1NS1ED 1N THIS ENDORSEMENT: ..:. mss) .>'.C�1rtth Shy ►:rt:Siodam;a6s, WI:'ise#n'.1rf;Ieda�ativ�s: _ _. �!1�� his: hoc.. Y404• CG 20v (D?Al THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to provision a. Primary Insurance of paragraph 4. Other Insurance under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: However, when an additional insured has been added to this Coverage Part by attachment of an endorsement, we will not seek contribution from the "additional insured's own insurance" provided that: (1) You and the additional insured have agreed in a written contract that this insurance is primary and non- contributory; and (2) The "bodily injury" or "property damage" occurs, or the "personal and advertising injury" is committed, subsequent to the execution of such contract B. For the purposes of this endorsement the following is added to SECTION V — DEFINITIONS: "Additional Insured's own Insurance" means other Insurance for which the additional insured is designated as a Named Insured. Iru:ludes copyrighted malarial of Insunmee Services Otlice. Inc., with its permission. 22 -111 {01/071 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to provision a. Primary Insurance of paragraph 4. Other Insurance under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: However, when an additional insured has been added to this Coverage Part by attachment of an endorsement, we will not seek contribution from the "additional insureds own insurance" provided that: (1) You and the additional insured have agreed in a written contract that this insurance is primary and non- contributory; and (2) The "bodily Injury' or - property damage" occurs, or the "personal and advertising injury' Is committed, subsequent to the execution of such contract B. For the purposes of this endorsement the following Is added to SECTION V — DEFINITIONS: Additional Insureds own insurance- means other insurance for which the addivoriai insured is designated as a Named Insured. 22-111 (01 Inuludes copyrighted material orInsumnee Serviocs O1Tice, Inu., with its permission. ro� . Page 1 of 1 A� °® CERTIFICATE OF LIABILITY INSURANCE 1/16/2014 ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Ay Alherding SPIB Insurance Agency, Inc. License Number 0719264 PHONE (949) 860 -3821 A/C No: (949)860 -3893 60A s. eery @spib.com INSURERS AFFORDING COVERAGE NAIC9 26441 Crown Valley Parkway #200 INSURER A:Peerless Insurance Cc 24198 Mission Viejo CA 92691 INSURED INSURERe:The Netherlands Insurance Co 24171 INSURERc:Golden Eagle Ins Corporation 10836 Rue Vac Property Services Inc INSURERD:State Comp Insurance Fund 210 600 W. Taft Avenue �+�/ 1 Orange CA 92865 10 y �//9 -� INSURER E: $ 5,000 URER F: $ 1,000,000 COVERAGES CERTIFICATE NUMBER: MSTR2014 -15 L- A- U -P -WC REVISION NUMBER: THIS IS TO CERTIFY THAT 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 CF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INGR R TYPE OF INSURANCE DDL BUBR WD POLICY NU MBER MMIDDIYYYY MMIDDIVYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR SP9558563 2/1/2019 /1/2015 DAMAGE TO RENTED PREMISES Ea occurence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL &ACV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP /OP AGO $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY CEOMaBBIIaEEDtSINGLE LIMIT 3_000,000 BODI LY I NJURY(Per person) $ B X ANY AUTO ALL OWN ED SCHEDULED AUTOS AUTOS A9797086 2/1/2014 /1/2015 BODI LY I NJURY(per ads dent) $ X NON -OWNED HIRED AUTOS X AUTOS PROPERTY DAMAGE Peraccidant $ $ X COMP -PER SON X COLL PER SCH UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 L. X EXCESS LIAR CLAIMS MADE DED RETENTION$ $ ICU9558863 2/1/2014 2/1/2015 D WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETOWPARTNETEXECUTIVE X WC STATU- OEH- E.L. EACH ACCIDENT $ 1 000,000 OFFICERIMEMBER EXCLUDED? ❑ (Mandatory In NH) NIA 9038319 -14 1/1/2014 1/1/2015 E.L, DISEASE- EA EMPLOYE $ INCLUDED If yes, deeorlbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ INCLUDED A PROPERTY - SPECIAL FORM CBP9558563 /1/2014 2/1/2015 BUILDING 1,248,480 REPL COST $ 1000 DED BUSINESS PENS PROPERTY 104,040 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) ^ RE: SANTA ANA REGIONAL TRANSPORTATION CENTER, 1000 E. SANTA ANA BLVD., SANTA ANA, CA. THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND RESPRESENTATIVES ARE NAMED AS ADDITIONAL INSUREDS WITH RESPECT TO GENERAL LIABILITY AS PER COMPANY FORM CG2010 07/04 AND CG2037 07/04, PER WRITEN CONTRACT PRIMARY AND NON - CONTRIBUTORY WORDING IS PROVIDED IN FORM # 22 -111 01/07. CERTIFICATE HOLDER volM CANCELLATION /A,x 1A�F`I"or 5 data -ana. orgy o SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN THE CITY OF SANTA ANA y ACCORDANCE WITH THE POLICY PROVISIONS. 20 CIVIC CENTER -^P ' uTa Stitt She AUTHORIZED REPRESENTATIVE SANTA ANA, CA 92701- iit 01.9 �8t bVJECV. L Hines, CPCU ARM CLU ACORD 25 (2010105) INS025 (20m05).01 ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD wEv'W'', okooKm V 40- a tdpAMERCLkLr MAL ]UMILITYWYEf ME PAO' ,GON SCHWUM tz yourafti m iwpha lot �ha �Pedommde "Of Y 0. otodiv, Op's oj, W, P* 0.141060k�,',[ AbM.- a. W tin C: F�ftoj I � ho- Oat - R f,(fth it C op. PT Mp O r an* wWOUL a:,PrR a[dosout( tho: Romp 9f A* t owo'loomo Nm (#):prQm3t*Ztj INSURANCE'SUCA AS 18 Tra otmotba e q dtoo, to"oomplopilhis THIS ENPOPSIEIVIENT,;HANQLS THE -POLICY. ,PLE,AI5E REAIJ IT CAREFULLY, AMENDMENT OF OTHER INSURANCE, CONDITION This endorsement modifies insurance prQvided under the , foltowing, [a CbMMERCIAt. GENERAL LIABILITY" COVERAGE PANT 4. Othher Insurance under SECTION IV - However, when an additional insured has been added to this Coverage Part by atta6hmend of an endorsement, we will n6t see k wntribution from the "additional insureds, own insurance" provided that; (1) You and the additional insured have ag(eed fn.a, written Contract (hatltlhls irisurancels primary and qon- Contributory, and 0) The "bodify injury" or 'property damage" occurs, or tho aparsoria subsequ,ent to the exeQuii suph.-cooimot. I arld,adverdising injury" is as of ,13, For the purposes ofthis" endorsement the fallowing Is added to SEGTIQN 11- Dt-.F!NlrON$' "lkdljloilil linsiured's.,lown othsrinp(Uronce f"Gr1whiGh the additional irisu red is designated "as, a Named Insured._ 22-111 (01/07) InUILICIGS UUpy6glaed Mal ffW'017 IMURMCO SbTViQ'tN 01111C �% �,Jiw., iLh its Page 9 of 1