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Home My WebLink AboutSIMPLEX/GRINNELL, LP 6A - 2010¢v' g v V JPdTIL ?, a CLERK Cf ,! GATE MAY 1. 7 2011 0 • FIRST AMENDMENT TO CONTRACTOR AGREEMENT INCORPORATING COMMUNITY DEVELOPMENT BLOCK GRANT REQUIREMENTS THIS FIRST AMENDMENT TO AGREEMENT is entered into on the 1st day of November 2010, by and between SimplexGrinnell LP ("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 ("City"). RECITALS: y A. "The parties entered into that certain Contractor Agreement Incorporating Community Development Block Grant Requirements, dated April 5, 2010 (A#2010-057 - hereinafter referred to as "said Agreement") by which Contractor has provided special skill and knowledge in the field of the provision and installation of a fire alarm system in order to gain compliance with the Technical Assistance Review Report (TARR) issued by and through the State of California Employment Development Department's Equal Employment Opportunity Office. B. In accordance with the terms and conditions of said Agreement, the parties wish to extend the term of said Agreement. WHEREFORE, in consideration of the covenants contained in said Agreement, and subject to all the terms and conditions of said Agreement, except those amended in this First Amendment to Agreement, the parties agree as follows: 1. Section 3, TERM, shall be amended to extend the termination date to March 30, 2011. 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 First Amendment to Agreement on the date and year first written above. RECOMMEND FOR APPROVAL: Cynthia J. Nelson, eputy City Manager APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney Lisa E. Storck Assistant City Attorney ATTEST: , MARIA D. HUIZAR CLERK OF THE COUNCIL A-2010-057-01 CONTRACTOR: . CERTIFICATE OF LIABILITY INSURANCE DATE(r l?YYY) . k, 3120 10/3120'10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFiCA-rF: HOLDER. THIS CERTIFICATE DOES NOT AFFI?MA,T,IVEff??YOR?)jNEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED SY THE POLICIES BELOW, THIS Cr i,tTIMATEI OF It?4t)RDiQG=WOFS NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVi;•& ORbDLfdER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, tho polley(les) must be endorsed. If SU13ROGyATION IS WAIVED, subject to the terms and condll?ioris of She policy, certai6oolicies may require an endorsement- A statement on this certificate does not confer rights to the certificate holder iY Ueti of such enddrsem6rit s . _ PRODUCER E.,I-.-- - NQQN1AUf AME- Marsh, Inc- PHONE FAX AIC No F.* - AIC Ne l 1166 Avenue of the Americas -MA New York NY 10036 ADDRESS: , PRODUCER CUSTOMER ID A INSURER(S) AFFORDING COVERAGE NAIL 9 INSURED INSURER A: AGCS Marine Insurance Company (Allianz) SimplexGrinnell, LP INSURER B: CHARTIS CASUALTY COMPANY 1701 WEST SEQUOIA AVE INSURER C: Commerce & Industry Ins Co. ORANGE, CA 92865 INSURER D: Illinois National Insurance Co, United States INSURER E. Nat'l Union Fire Ins Co. of Pittsburgh, PA INSURER F: New Hampshire Ins. Co, COVERAGES CERTIFICATE NUMBER: 743142-A REVISION NUMBER- THIS I$ TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 70 WHICH THIS CERTIFICATE MAY 6E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS 05 SUCH POLICIE$_ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rLTR R LT TYPE OF IN$URANCr: AD?L SUER POLICYNUMBER MNPOLICY IDDIY E YYY MM?DIYYYY LIMITS F GENERAL LIABILITY GL 4360884 (Primary GL) 101112010 10/1/2011 EACH OCCURRENCE $1,000,000.00 X COMMERCIAL GENERAL LIABILITY PREMISES Ea aca=na: S1.000,00D.00 CLAIMS-MADE L:L%?J OCCUR MED EXP Any ona person $10.000.00 OWIJER'8 8 CONTRACTOR'S PERSONAL & ADV INJURY 31.000.000.00 GENERAL AGGREGATE $2,000,000,00 _ GEN'LAGGREGATE LIMITAPPUE3PER; PRODUCTS-COMP/OPAGG $2,000,000,00 Y POLICY PRO LOG E AUT DMO$ILELIA51LITY CA 3976576 (VA) 101112010 1011/2011 COMBINED SINGLE LIMIT $1,000,000.00 E X CA39T0575 (ACS) 101112010 1011/2017 Eachaccldent E ANYAU70 CA 39765T7 (MA) 101112010 10/112011 BODILY INJURY (Per p.,--.n) F ALL OWNEDAUTO$ CA 39TG624(NH)(Primary AL) 101112010 1011/?a11% BQDILYINJURY (Per acciaenr SCHEDULED AUTOS TO ?? - PROPERTY DAMAGE )? HIRED AUTOS v V .?+ (Per acGtlent) NON-OWNED AUTOS -NEW HAMPSHIRE (CSL) $280,000 UMBRELLA LIAR OCCUR s L? y r'le EACH OCCURRENCE X City At O E 994U LIAR CLAIMS-MADE ASC?j$ta It AGGREGATE DEDUCTIBLE a I PRODUCTS- CAMP/OP AGG RETENTION $ / NEW HAMPSHIRE (CSL) C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC 0261495 WC 020149514 (FL) 107112010 10/112010 107172011 10/112011 X TWO STATU- OTH- D YIN ED EGUTIVE ? ANY PRO RIE NIA WC 026149516 (MI) 10/1/2010 10/1/2011 6,L. EACH ACCIDENT $2,0[1,000.00 E ER EXCLUD (Amdalory In NH) WO 026144513 (CA) WO 026149518 (MA ND NY OR 10/1/2010 10/'1!2010 10/112011 10/112011 E.L. DISEASE. EA EMPLOYE $2,000,000.00 F Ity6s, ileac be under , , , DESCRIPTION OF OPERATIONS below WA WI WY E,L, DISEASE-POLICY LIMIT 52,000,000.00 A Builder's Rlsk/Installatlon/Contract Works OC & OCW 91128600 511/2010 51112011 USD $1,000,000.00 per jobsilc A Rental EquipmenVConlractoes Equipmatl OC & OCW 91128600 511/2010 511/2011 U$D $1,000,000.00 pcrlobsita T si K1112010, 511MIJ 1 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORa 161,Addrtional Remarks SchadUle, it more space is required) Project= SariLa Aria. Trhiri Station/SARTIC 4-5-10/SG#950323501 Please refer to attached ACOAD 101 for further reinarks. ...-,..,U I. - I= rl" r-rC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF SANTA ANA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ATTN: PURCHASING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 20 CIVIC CENTER PLAZA SANTA ANA, CALIFORNIA 92701-4010 AUTHQRI2EG REPRESENTATIVE United States 1 ?:? 1?- a, I n.aasKiUEA INQ S%..,.,.?m FranWir eHallmK Global WWo (0 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are rogisterad marks of ACORD AGENCY CUSTOMER ID: LOC fit: ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh, Inc. SimplexGrinnell, LP POLICY NUMBER 1701 WEST SEQUOIA AVE ORANGE, CA 92868 United States CARRIER NAIC EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACQRD FORM, FORM NUMBER: 75 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE REGARDING POLICIES OF INSURANCE: Insurer Policy Number() Effective Date (s) Expiration Data (s) F WC 026149sis (TX) 10/l/2010 10/1/207.1 F WC 026149519 (AOS) 10/i/2010 1011/2011 F WC 026149546 (MN) 10/1/2010 10/1/2011 NOTICE OF CANCELLATION TO CERTIFICATE HOLDERS: endorsement modifies the notice of cancellation of insurance provided hereunder: uld any of the above described policies be cancelled before the expiration date thereof, the producer will savor to mail 20 days written notice to the cprcificate holder named herein, but failure to do So Shall sae no obligat?.on or liability of any kind upon the producer, its agents or representatives. other terms and conditions of this policy remain unchanged- ARDING ADDITIONAL 1N$VA2h $TATV9: accordance faith the policy provi?ions, CITY OF SANTA AMA is included as an additional insured under this icy, as a result of any contracr, or agreement entered into by the named insured and CITY OF SANTA ANA . er Additional znsureds: "The City of Santa Ana, it's officers, employees, agents, and representative are ed as additional insured." V .0 E, S'??R o?ney 43 ACQRD 101 (2008/01) Q) 2008 ACQRD CORPORATION. All rights reserved, The ACQRD namee and logo are registered marks ofACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE BEAD IT CAREFULLY. ENDORSEMENT # Thi$ endorsement, effective 12,41 A.M. 10/112010 forms a part of Policy No. GL 430-08-84 issued to Tyco International Management Company, LLC By New Hampshire Insurance Company ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the f0110 wing; COMMERCIAL GENERAL LIABILITY COVERAGE FORM SECTION Ili - WHO IS AN INSURED, is amended to include as are additional insured: Any person or organization to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of your operations, completed operations, or premises owned by or rented to you. However, the insurance provided will not exceed the lesser of., The coverage and/or limits of this policy, or • The coverage and/or limits required by said contract e n UTHORIZED REPRESENTATIVE A` 'To vow r'??DRGK e3l