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Home My WebLink AboutALL CITY MANAGEMENT SERVICES, INC. (ACMS) 5B -2011OiORK ?v y �LkR_K0 1 L . DAiE A- 2011 -040 �1AR 1 6 2v SECOND AMENDMENT TO ADULT CROSSING GUARD AGREEMENT C. The Parties desire to renew the term of said Agreement for an additional one -year period. NOW, THEREFORE, in consideration of the mutual and respective promises, and subject to all the terms and conditions of said Agreement, except as herein modified, the parties agree as follows: 1. Section 3, TERM, shall be extended for an additional one -year period to February 29, 2012. 2. Except as hereinabove amended, all terms and conditions of said Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to Agreement the day and year first above written, ATTEST: MARIA D. HUIZAR Clerk of the Council APPROVED AS TO FORM: JOSEPH STRAKA CITY OF SANTA ANA i, ,./,/, /Z, , - DAVID N. REAM City Manager ALL CITY MANAGEMENT SERVICES, INC. Acting Clity Attorney By: Meli §sa M. Cros Waite (N ) Deputy City Attorney (Title) 1&creAT THIS SECOND AMENDMENT TO AGREEMENT, is entered into this / day of, , f� ,y , 2011, by and between the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California V -, ( "City') and All City Management Services, Inc. ( "Consultant "). � F RECITALS: A. City and Consultant entered into Agreement #A- 2010 -038, dated March 1, 2010, for adult crossing guard services, hereinafter referred to as "said Agreement." B. City and consultant entered into a First Amendment, #A- 2010 - 038 -001, dated March 1, J 2010, amending the compensation from a not -to- exceed amount of $795,450.00, to a not - to- exceed amount of $826,783.00. C. The Parties desire to renew the term of said Agreement for an additional one -year period. NOW, THEREFORE, in consideration of the mutual and respective promises, and subject to all the terms and conditions of said Agreement, except as herein modified, the parties agree as follows: 1. Section 3, TERM, shall be extended for an additional one -year period to February 29, 2012. 2. Except as hereinabove amended, all terms and conditions of said Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to Agreement the day and year first above written, ATTEST: MARIA D. HUIZAR Clerk of the Council APPROVED AS TO FORM: JOSEPH STRAKA CITY OF SANTA ANA i, ,./,/, /Z, , - DAVID N. REAM City Manager ALL CITY MANAGEMENT SERVICES, INC. Acting Clity Attorney By: Meli §sa M. Cros Waite (N ) Deputy City Attorney (Title) 1&creAT .�COR/5 CERTIFICATE OF LIABILITY INSURANCE OP ID CF DATE(MMJDDMYY) ALLCI -1 04/01/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ISU Curry Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Lic #0588757 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 489 E. Colorado ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pasadena CA 91101 Phone1626- 449 -3870 Fax1626- 449 -5268 INSURERS AFFORDING COVERAGE NAICN INSURED INSURERA: Lexington Insurance Co INSURER B: All City Man Bement Inc INSURERC: 1749 S. La Cenega Blvd INSURERD. Los Angeles CA 9U035 1 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W ITH 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 RWY HAVE BEEN REDUCED BY PAID CLAIMS. IRSK L7R WIT NSR TYPEOFINSURANCE POLICY NUMBER DAY MWDD TE MIW LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X X COMMERCIALGENERALLIABILITY ClAIb15MADE XD OCCUR 0131.35904 04/01/10 04/01/11 PREMISES Eaoccvrence) _ $50,000 MEOEXP(Anyonsperson) $Excluded PERSONAL 6 ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOPAGO s2,000,000 POLICY 0 j CT X LOC AUTOMOBILE LIABILITY ANYAUTO - COMBINED SINGLE LIMIT (Fa accident) $ ALLOWNEDAUTOS SCHEOULEO AUTOS BODILY INJURY (Per Pg3on) S BODILY INJURY (Per aaident) S HIRED AUTOS NON- OVJNED AUTOS PROPERTY DAMAGE (Per sedden) S GARAGE LIABILITY AUTO ONLY -FA ACCIDENT S H ANYAUTO OTHERTIUW EA ACC AUTO ONLY: , AGO S S A EXCESS I UMBRELLA LIABILITY X I OCCUR 0 wimsMADE 013136396 04/01/10 04/01/11 EACH OCCURRENCE 58,000,000 AGGREGATE $8,000,000 S DEDUCTIBLE S RETENTION $ S WORKERS COMPENSATIO AND EMPLOYF-RS' LIABILITY YIN ANY PROPRIETOPJPARTNEWEXECUTN� —) OFFICERRAEAIBEREXCLUDED? u (Mandatory In NH) SPECIAL PROVISIONS herow `b R TORY LIMBS ER E.L. EACH ACCIDENT S E.L. E.L. DISEASE - EA EMPLOYE S E.L. DISEASE - POLICY LIMIT S OTHER eputr DESCRIPTION OF OPERATIONS LOCATIONS IVEHLCLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS _ * 10 days notice of cancellation in the event of non- payment of premium. The City of Santa Ana, its officials, officers, employees and volunteers are additional insrueds as respects operations of the named insured per attached forms LX9466 10/03, LX9838 08/05, LEXOCC234 11/03. "crc r �rra.n c nvr..urM CANCELLATION SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE FXPIRATIO CTYOFSA DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYSWRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO 7H! LEFT, BUT FAILURE TO DO 50 SHALL City Of Santa Ana IMPOSE NO OBLIGATION ORLIABILI YOFANYKINDUPONTHEINSURER .IT$AGENTSOR 20 Civic Center Plaza P. O. BOX 1988 REPRESENTATIVES. Santa Ana CA 42702 AUTHORIZED REPRESENTATIVE ACORD 25 (2009/01) hts reserved. The ACORD name and logo are regl eyed m ks of ACORD EXHIBIT "D" AUD[TLQNAL fNSURED ENDOMEMENT FOR CpMMERCIAL GENERAL LIABILITY POLICY Insurance Company Lexington Insurance Company (NAIC #: 18437 ) This endorsement modifies such insutance as is afforded by the provisions of Policy 013135904 relating to dc's following: I . Ttic City of Santa Anu, 20 Civic Center Plaza, Santa Ana, California 93701; its officers, employees, agents, volunteers and representatives are named as additional insureds ( "additional insureds ") with regard to liability and daunse of suits raising from the operations and uses performed by or on behalf of the named insured. 2. With respect to plaitns arising out of the operations and uses performed by or on behalf ofthe named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance eanied 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 witli respect to the company's limits of liability, "rhe inclusion of any person or organization as an insured shall not affect any tight which such person or organization would iimro as a claimant if not so Included. 4. With respect to the additonal 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 ol'the following, including countersignature, is required to make this endorsement effective.) Hrti ctivc 04/01/2010 cndorscutetit form as a part of Policy b 0131359¢4 Issued to ENDORSEMENT This endorsement, effective 12 :01 AM 04/01/2010 Forms a part.of policy no.: 013135904 Issued to: ALL CITY MANAGEMENT INC. By: LEXINGTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARP - FULLY. ADDITIONAL INSURED REQUIRED BY-WRITTEN CONTRACT A. Section' ll - Who .Is .An Insured is_amanded to includ8 Sny person•or organization you are.re- quired to Include as. an additional Insured on this policy by a Witten contract or written agreemeni: In effect durtng this policy period and .executed prior to the • "oepuirence" of •the "bociilylNury" or "property damage.° B. The insurance' provided to the above ,dascribed- additional :insured under this endorsement is limited as ioliovs: 1. CQVERAGE A BODILY INJURY AND PROPERTY DAMAGE (Sectton 1 - CoVeragr:s): only; 2 The person or or66niz66M is bay an ad- ditional insured With respect w Lability arising out of "your vwrfc" or "your pro- duct" for that additional Insured. 3. In the event that: the Limits of Insurance provided -by this policy excoed the. Limits of Insurance required by 'the written contract or written pgreement, ttte Insurance pro - vided by -this• endorsamerit shall be limited to the Limits .of Insurance required by -the wvitten contract or written agreement• This endorsement shall :not increase the Limits of Insurance stated In the Deglarations urider'Itsm 3. Limits of Insurance partalning to the coverage provided herein. 4. The insurance provided, 'to such an additional insured.doesnot'apply to "bodily injury":or. "property:- tiemag.d" arising out of an architect's, erigirieax's or surveyor's rendering of or failure .to render any pro= fessional .services . including:. i The preparing, approving or #ailing to prepare or .approve maps,, shop -draw - Ings, opinio,rjg,, re' p'9ris, eu..rveys, field orders c,hpge orders; or drOWI.igs and spectflcations; and ii Supervisory, .inspection, 'arc hi.teotural or engineering, aodvities. 5.. Yhis insurance does: not apply ;o,. " bodily 'Wuiy " tir "property daniaga.!' arising out.of "your viork" of "your •produ(-,t" indluded'in the. "products - completed operatods haisrd" Unless, you ere .Fequired to' provide such coverage by W416n t:ontragt. or Witten agreement and then only for the period of time re.qu ±cad by .the .+Written.• contract or written agreernant.and In no event beyond the ei plration dale of the ,policy. Includ94A rj�`�7 �tJ��t�7��,'f%to matfon of the Insurance Setvices 0111ces.. Inc. 1X9768 fl=a) Kills i1prox •1iii�"Al�rlphts.ioswved. Vag* 1 of 2 6. Any coverage provided by this endorse- ment to an additional insured shall be excess over any other valid and collectible insurance available to the additional insured Meter primary, excess, contingent or on any other basis unless a written contract or vvritten agreement specifically requires that this insurance apply on a primary or non - contributory basis. C. Subparagraph (1)(a) of the Pollution exclusion paragraph 2.f., Exclusions of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY (Section i - Coverages) does not apply to you if the "bodily injury" or "property damage" arises out of "your work" or "your product" performed on premises which are owned or rented by the additional Insured at the time "your work" or "your product" is per- formed. D. In accordance with the terms and conditions of the policy and as more fully explained in the policy, as soon as practicable, each additional insured must give us prompt notice df any "occurrence" which may result in a claim, forward all legal papers to us, cooperate in the defense of any actions, and otherwise comply with all of the. policy's berms and' conditions. Authorized Representative OR Countersignature (In states where applicable) IncludtM ormatlon of the Insuranco Services Offices, Inc. 9 LX94ee (10103) with It We WNW rl 9 hts reserved. Page 2 of 2 ENDORSEMENT This endorsement, effective 12:01 AM 0410112010 Forms a part of policy no.: 013135904 Issued to: ALL CITY MANAGEMENT INC. By: LEXINGTON INSURANCE COMPANY PRIMARY/NON CONTRIBUTORY INDORSEMENT This endorsement modifies insurance provided by the.poliey: NotWthstanding any other provision of the policy to the contrary, tho insurance afforded by this policy for the benefit of the Additional Insured shall be primary insurance, but only with rospect to any claim, loss or .liability arising out of the Named Insured's operations; and any insurance maintained by the Additional Insured steal! be non - contributing. All other terms and conditions of the policy remain the same. Authorized ReprosentaNve OR Countersignature (In states where applicable) LXW38 MUM ENDORSEMENT This endorsement, effective 1201 AM 04/01/2010 Forms a part of Polley no.: 013135904 Issued to; ALL CITY MANAGEMENT INC. By: LEXINGTON INSURANCE CO. WAIVER OF SUBROGATION fB.LANKETS It is agreed that we, in the event of a payment under this policy, i%tive our right of subrogation against any person or organization there the insured has waived liability of such person or organization as part of a written contractual agreement betv,,aen the insured and such person or organization entered into Prior to the "occurrence" or offense. All other terms and conditions remain unchanged. LEXOCCZ34 111!031 LX0486 Authorized Representative OR Countersignature Iln states whore applicable) State Farm Mutual Automobile Irmurance Company 6400 State Farm Drive Rohnert Park CA 94926 NAMED INSURED 00002 000002 ALL CITY MANAGEMENT, INC 1749 S LA CIENEGA BLVD LOS ANGELES CA 90035-4601 75- 1289 -1 X A 5 t.f AS TO FORM ,1✓ I� I 10 `n Hodg ity Attorney Cj- DO NOT PAY PREMIUMS SHOWN ON THIS PAGE. SEPARATE STATEMENT ENCLOSED IF AMOUNT DUE. 73993- . A MATCH 00002 MUTL VOL DECLARATIONS PAGE POLICY NUMBER 65 0693- A16 -75G n PLICY PERIOD JAN 16 2010 to JUL 16 2010 AGENT WILLIAM HAMMONDS It 11040 SANTA MONICA BLVD SUITE 420 LOS ANGELES, CA 90025 -7581 PHONE: (31 0)473 -3276 YEAR MAKFE MODEL 1001DYSME VEHICLE ID musuR GLASS NONOW NE D AUTO 66000000 syme s ; ; COVE"GE$ PREMIUMS See policy for coverage details. NONOWNED A Bodily InjurylProperty= Damage Liability . Limit Of Liability- Coverage A Total pr4ml4mt tar dAN i is W o to JUL 1s 2Qi# $457.515 Thliisnoia bill MPORTANT MiE9SAGl:�S iur policy consists of this declarations page, the policy booklet - form 9805x1, and any endorsements that apply, including )se Issued to you with any subsequent renewal notice. (placed policy number 0650693 -75F. afG &P�oNS AlV1A I�NpOIRSErI�1� (9+as Indivi!dyal �� #pr d4�llil>o.� �_c , . . IMPORTANT - IDENTIFICATION CARDS MUTL VOL STATE FARM Slab Form WIAW Automsblo Insurance Company Stab Faem MuwW Automobile Ienuram* Company 6400 Stab Fenn Delve Rehmrt Peek CA 94M GW Stab Fame Drive RohnaK Park CA 94926 INSURED ALL CRY MANAGEMEKT, MC MUTL INSURED ALL CITY tMANAGEMENT, INC MU7L VOL VOL POLICY NUMBER OOS "WA16.7SG EFFECTIVE POLICY NUMBER OU 0690- A10.7SG EFFECTIVE YR MAKENONOWNED JAN162010 TO JUL162010 YR MAKENONOWNED JAMIS2010 TO JUL192010 MODEL VIN MODEL AN AGENT WI�LpL�IAM HAMMONDS I AGENT WILIJAM HAMMONDS III CCOHVCENREAG?f�HbVIIDEEDD BY THE POLICY MEE77b11IN YINIYIIY UAR91UiY UWT9 00� 1 ��I w 6 THE POULY YEE%'7NE YIMYUM UABIUTT UYIls PRESCRIBED BY LAW. COVERAGES A OO WE90 A 14A0014 SEE THE REVERSE SIDE FOR AN EXPLANATION SEE THE REVERSE SIDE FOR AN EXPLANATION KEEP A CARD IN YOUR CAR faI1631sa1 SUNJIM l lI1S Cmw' Olt A PHOTOCOPY OF TM CA". Wrra YOUR VEInCLE REGWRATION RENEWAL. 7301A-1 -X Pei bare uKU CERTIFICATE OF LIABILITY INSURANCE OP ID IH wrlrtmmruurrrrr) ALLCI -1 05/28/10 PRODUCER THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ISU Curry Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Lic #0588757 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 489 E. Colorado ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pasadena CA 91101 Phone: 626 -449 -3870 Fax: 626-449-5268 INSURERS AFFORDING COVERAGE NAIC# INSURED -2010 ^ O -2fj .-. W / / INSURER A. National Union Fire Insurance XV INSURER B. .11 City Management Inc INSURER C- 1749 S. La Cienega Blvd INSURER D. Los Angeles CA 90035 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS - LTRJNSRP TYPE OF INSURANCE POLICY NUMBER DA M 7D DATE MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE I S X� COMMERCIAL GENERAL LIABILITY , L0 PREMISES (Ea occurence) $ CLAIMS MADE OCCUR i MED EXP (Any one person) $ PERSONAL & ADV INJURY S _— GENERAL AGGREGATE S GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPlOP AGG 3 POLICY F7 PRO - LOC JECT _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS —. SCHEDULED AUTOS ! O BODiL" INJURY AS TO FORM (Per person) - 5 f HIRED AUTOS --- BODILY INJURY . NON OWNED AUTOS �� (Peracc,dent) i - Ratt Hodge PROPERTYDAMAGE $ nu ity Attorney (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO - OTHER THAN EA ACC S AUTO ONLY, AGG S EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE 5 OCCUR i_ CLAIMS MADE AGGREGATE — $ DEDUCTIBLE S, RETENTION $ -- $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 'TORY J I Y! N _X LIMITS ER ,A ANY PROPRIETOR/PARTNER/EXECUTIV" WC067712518 06/01/10 06/01/11 E.L. EACH ACCIDENT $ 1000000 OFFICERINIEMBER EXCLUDED? - r (Mandatory In NH) E. L. DISEASE - EA EMPLOYEE, S 1000000 If YYes, describe under SPECIAL PROVISIONS below E.L DISEASE - POLICY LIMIT S 1000000 OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS *10 bays notice of cancellation in the event of non- payment of premium. Gt11 I11.16AIt MULLIEK CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION SANTAAr1 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Santa Ana Police Department IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Linda Flores 60 Civic Center Plaza REPRESENTATIVES. AUTHORIlED REPRESENTATIVE Santa Ana CA 92702 t7 ACORD 25 (2009101) The ACORD name and logo are regi Bred m Ice of ACORD CERTHOLDER COPY Sc P.O. BOX 420807, SAN FRANCISCO,CA 94142 -0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 04 -13 -2010 SANTA ANA POLICE DEPARTMENT SC ATTN: RICARDO DIAZ, CORPORAL 60 CIVIC CENTER PLZ SANTA ANA CA 92701 -4060 GROUP: 000780 POLICY NUMBER: 0000497 -2009 CERTIFICATE ID: 177 CERTIFICATE EXPIRES: 013-01 -2010 06 -01- 2009/06 -01 -2010 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, exclusions, and conditions, of such policy. thorized Representative Interim President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT X1600 - RONALD FARWELL PRES - EXCLUDED. ENDORSEMENT X1800 - BARON FARWELL SEC,TRES - EXCLUDED. ENDORSEMENT X2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 10 -01 -2008 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. A O E AS TO FORM 41141 10 Hodge puty ity Attorney EMPLOYER ALL CITY MANAGEMENT INC Sc 1749 S LA CIENEGA BLVD LOS ANGELES CA 90035 [B13,SC] (REV.1 -2010) PRINTED : 04 -13 -2010 Client #: 1514175 306ALLCITYM ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DDIYYYY) 4/06/2011 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 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 BB &T- Knight Insurance Services 535 N. Brand Blvd 10th Floor 1 Z/ Glendale, CA 91203 NAME: Nysa Gallegos PHONE 818 662 -4234 FAX 877 297 -9262 AIC No Ext : A/C, No E -MAIL ADDRESS: g NGalle os bbandt.com PRODUCER CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: James River Insurance Company 12203 All City Management, Inc. 10440 Pioneer Blvd # 5 INSURER 13: Interstate Fire & Casualty Comp 22829 GENERAL AGGREGATE $2,000,000 Santa Fe Springs, CA 90670 INSURER C: $2,000,000 INSURER D $ INSURER E: AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS INSURER F: ',. NOt Applicable COVERAGES CERTIFICATE NUMBER: 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 SR LTR TYPE OF INSURANCE DDL UBR NSR WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP LIMITS MM /DD/YYYY A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X X DGLLA1324971 !, 4/01/2011 04101/2012 EACH OCCURRENCE $1,000,000 DAMAGES ( RENTED PREMISES Ea occurrence ) $50,000 MED EXP (Any one person) $EXCLUDED PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY F7 PRO- LOC PRODUCTS - COMP /OP AGG $2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ',. NOt Applicable COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ .PROPERTY DAMAGE (Per accident) $ !i $ r $ B UMBRELLA LAB EXCESS LIAB OCCUR CLAIMS -MADE PFX24087389 4/01/2011 04/01/2012' EACH OCCURRENCE $8,000,000 AGGREGATE 68,000,000 X DEDUCTIBLE'S RETENTION $ 0'i $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below. !N /A Not Applicable WC STATU- OTH- E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ Not Applicable DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate Holder Completed to Read; City of Santa Ana, it's officers, employees, agents, volunteers and respresentatives. Santa Ana Police Departme*PROVED AS TO c/o Linda Flores 60 Civic Center Plaza n Santa Ana, CA 92702, TERESA 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 (c11QRR -7nnQ ArnRn rnl?PnRATlnlu ell A.hf rover 4 ACORD 25 (2009/09) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S66532711M6591494 NNGON ., Liberty Surplus Insurance Commercial General Liability Corporation- LIBERTY SURPLUS INSURANCE CORPORATION (.A New Hampshire Stock Insurance Company, hereinafter the "Company') ENDORSEMENT ISO. Effective Date: 04/01/2011 - 04/01/2012 Policy Number: GLAA13 2 4 9 71 Issued To: All City Management, Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY INSURANCE CLAUSE .ENDORSEMENT To the extent that this insurance is afforded to any additional insured under the policy, such insurance shall apply as primary and not contributing with any insurance carried by such additional insured, as required by written contract. Nothing herein contained shall be held to waive, vary, alter or extend any condition or provision of the policy other than as above stated. APPROVED AS TO FORM C GL 1031 0403 TERESA L. D Assistant City Attorney Liberty Surplus Insurance Commercial General Liability Corporation, :ttemrk,r oP Liberty Matimf Gfol3p LIBERTY SURPLUS INSURANCE CORPORATION (A New Hampshire Stock Insurance Company, herein-after the "Company') ENDORSEMENT NO, Effective Date: 04/01/2011 - 04/01/2012 Policy Number: GLLA13 2 4 9 71 Issued To: All City Management, Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL .INSURED - BY WRITTEN CONTRACT WHO IS AN INSURED (Section II) is amended to include as an insured any person or organization with whom you have agreed to add as an additional insured by written contract but only with respect to liability arising out of your operations or premises owned by or rented to you. APPROVED AS TO FORM TERESA L. DD Assistant City Attorney CGL 1000 0103 Liberty__ Surplus. Insurance Commercial General Liability Corporation,. Member of i3bcrty Mutual Gruup LIBERTY SURPLUS INSURANCE CORPORATION (A New Hampshire Stock Insurance Company, hereinafter the "Company') ENDORSEMENT NO. Effective Date: 04/01/2011 - 04/01/2012 Policy Number: GLLA13 2 4 9 71 Issued To: All City Management, Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVER' AGAINST OTHERS TO US It is hereby agreed that Section IV, item 8. Transfer of Rights of Recovery Against Others to Us, is modified as follows: SCHEDULE Name of Person or Organization: As required by written contract signed by both parties prior to any "occurrence" in which coverage is sought under this policy. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV — COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization. This waiver applies only to the person or organization shown in the Schedule above. APPROVED AS TO FORM . CGL 1025 0103 TERESA L. JU Assistant City Attorney ^CORV CERTIFICATE OF LIABILITY INSURANCE OP ID GF ..r►' -''' ALLCI -1 06/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ISU Curry Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Lic #0588757 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 489 E. Colorado ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pasadena CA 91101 Phone:626- 449 -3870 Fax:626- 449 - 5268 INSURERS AFFORDING COVERAGE NAIC# INSURED (INSURER A National Union. Fire insurance All City Management Inc 1749 S. La Cienega Blvd Los Angeles CA 90035 INSURER B: INSURER C: INSURER D: INSURER E: 0 1LVVtKAVtri THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY 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. - "- — " " - - - "_- - -1-PO I YE F MV1 `POLICY EXPIRATION A -RDDti - -- POLICY NUMBER DATE MM /DD/YYW ;DATE MMlDDIYYYY LTR INSRD TYPE OF INSURANCE l LIMITS i GENERAL LIABILITY I EACH OCCURRENCE $ - OATAAGE TORENTED $ X COMMERCIAL GENERAL LIABILITY � :; PREMISES (E9. occur_nce) CLAIMS MADE : OCCUR E i !, I MED EXP (Any one person) $ -- I -_ -- PERSONAL & ADV INJURY $ ' i I GENERAL AGGREGATE i$ - COMPrOP AGG $ j GEN'L AGGREGATE LIMIT APPLIES PER: ',,, :PRODUCTS � :PRO- POLICY I ': JECT i LOD AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT j $ -- (Ea accident) ANY AUTO - �I ALL OWNED AUTOS { BODILY INJURY $ (Per person), SCHEDULED AUTOS ! I HIREDAUTOS ( ((( BODILY INJURY $ ��Peraccident) i ! NON-OWNED AUTOS :� I - - - -- -- PROPERTY DAMAGE (Per accitlenQ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER 1HAN EA ACC � $ AUTO ONLY: AGG I $ EXCESS I UMBRELLA LIABILITY j OCCURRENCE $ ! _EACH AGGREGATE $- OCCUR I, CLAIMS MADE ., I _ DEDUCTIBLE �_ $ I : RETENTION $ I WORKERS COMPENSATION X l ORY LIMITS ER AND EMPLOYERS' LIABILITY YIN A ANY PROPRIETORUPARTNERIEXECUTIV ':. WC067712518 06101110 1 06/01/11 — ' - " - "" -- E.L. EACH ACCIDENT � $ 100_0000 OFFICER/MEMBER EXCLUDED? $ 1000000 (Mandatory in NH) E.L DISEASE -EA EMPLOYEE a !. If yes, describe under E. L. DISEASE - POLICY LIMIT I $ 1000000 SPECIAL PROVISIONS below : OTHER DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS * 10 days notice of cancellation in the event of non - payment of premium. APPROVED AS TO FORM CERTIFICATE HOLDER City of Santa Ana 20 Civic Center Plaza P. O. Box 1988 Santa Ana CA 92702 ACORD 25 (2009/01) � VHIV I.CLWItVIV F THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI )RATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN - AVriCE 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. AUTHORIZED REPRESENTATIVE . n / , I ./ The ACORD name and logo are registered rr IFks of ACORD reserved. � State Farm Mutual Automobile Insurance Company 6400 State Farm Drive Rohnert Park CA 94926 NAMED INSURED 00015 75- 1289 -1 X 000015 ALL CITY MANAGEMENT, INC 1749 S LA CIENEGA BLVD LOS ANGELES CA 90035 -4601 64885 -1 -X MATCH 00015 MUTL VOL DECLARATIONS PAGE PAGE 1OF2 A POLICYNUMBER 065 0693- A16 -75J POLICY PERIOD JAN 16 2011 to JUL 16 2011 DO NOT PAY PREMIUMS SHOWN ON THIS PAGE. SEPARATE STATEMENT ENCLOSED IF AMOUNT DUE. AGENT WILLIAM HAMMONDS 11 STE 420 11040 SANTA MONICA BLVD LOS ANGELES, CA 90025 -7581 PHONE: (310 )473 -3276 �YARA NONOWNED AUTO 6600EQOO SYM OLS GC VEF AC I?REMIUMS See Dolicv for coverage details. Limit of Liability-Coverage A 1 4a0"" "t304acli€Aecide. Tt;!" tfiluttl#ne 1i €fi{ "ttil,:+:2T1 F., S�. a Tts±lic�tat�ifl. IMPC3RTAltiIT' MES$AE�ES Your policy consists of this declarations page, the policy booklet - form 9805A, and any endorsements that apply, including those issued to you with any subsequent renewal notice. Replaced policy number 0650693 -751. IMPORTANT - IDENTIFICATION CARDS MUTL VOL STATE FARM State Farm Mutual Automobile Insurance Company State Farm Mutual Automobile Insurance Company 6400 State Farm Drive Rohnert Park CA 94926 6400 State Farm Drive Rohnert Park CA 94926 INSURED ALL CITY MANAGEMENT, INC MUTL INSURED ALL CITY MANAGEMENT, INC MUTL VOL VOL POLICYNUMBER 0650693- A16 -75J EFFECTIVE POLICYNUMBER 0650693 - Al6-75J EFFECTIVE YR MAKENONOWNED JAN162011 TO JUL162011 YR MAKENONOWNED JAN162011 TO JUL162011 MODEL VIN MODEL VIN AGENT WILLIAM HAMMONDS It AGENT WILLIAM HAMMONDS Il PHONE 310�,4473 -3276 NAIC# 25178 PHONE (310)y4473.3276 NAIC# 25178 COVERAG� PRiOVIDED BY THE POLICY MEETS THE MINIMUM LIABILITY LIMITS COVERAGE PROVIDED BY THE POLICY MEETS THE MINIMUM LIABILITY LIMITS PRESCRIBED BY LAW. PRESCRIBED BY LAW. )030100030 COVERAGES A COVERAGES A 'PI �rl {� nt-i t � '.; I F _ _., .. �i i�NiTl nil T - - -'_ APPItOVED AS TO FOR.NI SU KEEP A CARD IN YOUR CAR B -NnT THIS CARD, OR A PHOTOCOPY OF THIS CARD, WITH YOUR VEHICLE REGISTRATION RENEWAL. / F 64885 -1 -X L-._ Non PI (o1j031sa) TERESA L.VDbD Assistant City Attorney