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HomeMy WebLinkAboutPACIFIC SERVICES, INC. -2011A- 2011 -256 INSURANCE NOT ON FILE WORK MAY NOT PROCEED CLERK OF COUNCIL TE: Ia AGREEMENT BETWEEN THE CITY OF SANTA ANA �2 AND PACIFIC SERVICES, INC. 4, -p THIS AGREEMENT, is made and entered into this 21" day of November, 201 1, by and between the City �- of Santa Ana, a charter city and municipal corporation duly organized and existing under the Z, Constitution and laws of the State of California ( "City ") and Pacific Services, Inc. ( "Vendor "). RECITALS A. The City desires to retain a vendor having special skill and knowledge in the field of � communications products and services as outlined in the RFP "POINT -TO -POINT HIGH - CAPACITY WIRELESS MILLIMETER -BAND 800HZ SYSTEM FOR THE CITY OF SANTA ANA" B. Vendor represents that Vendor is able and willing to provide such products and services to the City. C. In undertaking the performance of [his Agreement, Vendor represents that it is knowledgeable in its field and that any services performed by Vendor under this Agreement will be performed in compliance with such standards THEREFORE, in consideration of their mutual and respective promises, the parties hereto do hereby agree as follows: Terms and Conditions The term of this Agreement shall be for period of three (3) years, with an option, exercisable by City, to extend the term up to two additional one -year periods. Al] terms and conditions more fully set forth in the Request for Proposal ( "RFP "): "POINT -TO- POINT HIGH - CAPACITY WIRELESS MILLIMETER -BAND 800HZ SYSTEM FOR THE CITY OF SANTA ANA ", August 2011, shall have full force and effect in this Agreement. Said terms and conditions are attached hereto as Exhibit A, and incorporated herein by reference. Al] terms and conditions set forth in the Vendor's Proposal for "POIN "1' -TO -POINT HIGH - CAPACITY WIRELESS MILLIMETER -BAND 80GHZ SYSTEM FOR THE CITY OF SANTA ANA ", September 201 1, shall have full force and effect in this Agreement. Said terms and conditions are attached hereto as Exhibit B, and incorporated herein by reference. Maintenance and Support shall be as described in Section 5.7.3 of the RFP with related pricing as identified in the Vendor's Proposal cover letter and Vendor's Price Proposal. The service level shall be for full return -to- service 7x24xNext Business Day with advance replacement spares level of Maintenance and Support. 2. Scope of Services The scope of services and deliverables are fully described in Sections 3 and 5 of the RFP: "POINT -TO -POINT HIGH - CAPACITY WIRELESS MILLIMETER -BAND 80GHZ SYSTEM FOR THE CITY OF SANTA ANA ". 3. Compensation City agrees to pay, and Vendor agrees to accept as total payment for its services, the rates and charges identified in Exhibit B and under the Payment Schedule in section 10.2 of the RFP "POINT -TO- POINT HIGH - CAPACITY WIRELESS MILLIMETER -BAND 80GHZ SYSTEM FOR THE CITY OF SANTA ANA ". The total sum to be expended under this Agreement shall not exceed $63,000 during the term of this Agreement. Insurance Prior to undertaking performance of work under this Agreement, Vendor shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Vendor shall maintain commercial genera] liability insurance which shall include, but not be limited to protection against claims arising from bodily and persona] injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Vendor'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 and not contributory 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, Vendor, if Vendor 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, Vendor agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. Professional liability (errors and omissions) insurance, with a combined single limit of not less than $1,000,000 per claim. 2 e. The following requirements apply to the insurance to be provided by Vendor pursuant to this section: (i) Vendor shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. (ii) Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved in form by the City Attorney. (iii) Certificates and policies shall state that the policies shall not be canceled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City. f. If Vendor 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 Vendor's right to be paid for its time and materials expended prior to notification of termination. Vendor waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. BillinglInvoices (a) Billing is according to Generally Accepted Accounting Principles. Fees for licenses, products, and services specified throughout this agreement are billable per the schedules specified. Payment terms are net thirty (30) days from receipt of proper invoice_ City will make a good faith effort to begin processing invoices for payment immediately upon receipt. (b) Invoices shall be mailed to: Attn: Thomas Gergen City of Santa Ana Information Services Division (M -12) P.O. Box 1988 Santa Ana. CA 92702 -1988 *City will pay invoices 30 days after receipt of proper invoice and approval of service by the Manager of Information Services. *The Agreement number must appear on all invoices. *No purchase orders will be issued. *All invoices must show the breakdown of work performed and products provided. Confidentiality If Vendor receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Vendor 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 [o 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 Vendor disclosed in a publicly available source; (c) is in rightful possession of the Vendor without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Vendor without reference to information disclosed by the City. 7. Discrimination Vendor 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. Vendor affirms that it is an equal oppor[ unity employer and shall comply with all applicable federal, state and local laws and regulations. 8. Termination of Agreement This Agreement may be terminated by the City upon thirty- (30) days written notice of termination. In such event, Vendor shall be entitled to receive and the City shall pay Vendor compensation for all services performed by Vendor prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the City Manager, or his/her designee, may require Vendor to deliver to the City all work product completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Vendor consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work, which fails to meet the standard of performance specified in this Agreement or any of the attachments hereto. 9. Independent Contractor Vendor 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 Vendor performs the services which are the subject matter of this Agreement; however, [he services to be provided by Vendor shall be provided in a manner consistent with all applicable standards and regulations governing such services. Vendor shall pay al] salazies and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 10. 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, [o [he following persons: To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M -30) P.O. Box ] 988 4 Santa Ana, CA 92702 -1988 telefacsimile (714) 647 -6956 With courtesy copies to: Finance and Management Services Agency Manager of Information Services City of Santa Ana 20 Civic Center Plaza (M -12) P.O. Box 1988 Santa Ana, CA 92702 -1988 telefacsimile (714) 647 -5406 and City Attorney City of Santa Ana 20 Civic Center Plaza (M -29) P.O. Box 1988 Santa Ana, CA 92702 -1988 telefacsimile (714) 647 -6515 To Vendor: Pacific Services, Inc. 1060 Calle Negocio Ste C San Clemente, CA 92673 Attn: 11. Assignment /Subcontractors Inasmuch as this Agreement is intended to secure the specialized services of Vendor, Vendor 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. Vendor shall be fully responsible to the City for performance of subcontractors. 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. Indemnification Vendor shall defend, indemnify and save harmless the City of Santa Ana, and its officers, agents, and employees, from any and all claims, demands, suits, actions or proceedings of any kind or nature (including workers' compensation claims and unemployment insurance claims) for damages to property and/or physical injury or death of any person in any way resulting from or arising out of the operations and acts of Vendor, its agents, employees or subcontractors, in the performance of this Agreement, except to the extent caused by or resulting from any act or omission of the indemnified parties. 13. Validitv The invalidity in whole or in part of any provision of this Agreement shall not void or affect the validity of any other provision of this Agreement. 1 -1. 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Jc��r[�Yi Straka (n(i'1 -Tlit 1._lit� -`--V [C��fnC E t J � .. tt�� > � � ,�y� -vc�'r z �3� tr t 5� - - �.Qc�C..rL�.� \�1 —'�i 3( 712,[ �,��C itGU, -�.... — _ / f,,� ti'�-r __ � -. ''.tiall.i i.) }ittefat .J C�l� lk �)i I�IC � �rll3li "ll l`.Illi �+',I�ICI� `:Ia,'fi iit C -it\ �t 2iRa "_'cf Jc��r[�Yi Straka (n(i'1 -Tlit 1._lit� -`--V [C��fnC E t J � .. tt�� > � � ,�y� -vc�'r z �3� tr t 5� - - �.Qc�C..rL�.� \�1 —'�i 3( 712,[ �,��C itGU, -�.... — _ / f,,� ti'�-r __ � -. �- -a o�� �--�� -� ® ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) O1 /20/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER- THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATNELY 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 eertlfleate holder la 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 certifleate does not confer rights to the certlfleate holder In Ileu of such endoreement(a). PRODUCER SL Insurance Associates Inc NAMTACT Siebe, 8111 PNONE 908- 776 -8600 ac No- 908- 776 -8602 q paL bill @slinsure. com 18181 Butterfield Blvd # 170 Morgan Hill, CA 95037 IN8URER 9 AFFORDING COVERAGE NAIC • INSURER A : CNA INSURED INSURER B: The Hart ford pREMI rtence INSURERC: A Pacific Services Inc INSURER D: 1060 Celle Negocio Suite C San Clemente, CA 92673 IN8URER E: MED EXP (An one parson IN8URER F - PERSONAL3ADV INJURY S 2, 000, 000 (_fIVFRAr'�FS CFRTIFICATF NIIMBFRe - 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. IN9R LTR TYPE OF INSURANCE POLICY NUMBER M�DD/YWY MME Y E7CP LIMIT8 GENERAL LU\BILnY EACH OCCURRENCE S 2, 000, 000 pREMI rtence S 300, 000 A %� COMMERCIAL GENERAL LV\BILITY GLAIMS�rIADE � OCCUR 4031393323 01/20/2012 01/20/2013 MED EXP (An one parson 5 10, 000 PERSONAL3ADV INJURY S 2, 000, 000 GENERAL AGGREGATE S 9.000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODVGTS - COMP /OP AGG S 9 , O OO , 000 X POLICY PRO- LOG $ AUTOMOBILE LU\BILn -Y Ea arrJdaM IN LI 1, 0 0 0, 0 0 0 BODILY INJURY (Per person) t A ANY AUTO 4031393323 of /zo /2o12 0l /2o /zo13 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) S X HIRED AUTOS X AIJTOSWNED AS "S't i�vl� PROPER D Per amident $ a APPRpVIr�i� UMBRELLA LIAR EXCE89 LU\B OCCUR CLAIMB -MADE �� � C�_ _ �� SC_`CI S11C - dY -" EACH OCCURRENCE i AGGREGATE E DED RETENTIONS 3 B WORKERS COMPEN8AT10N AND EYPLOYERS'LIABILJTY Y/N ANY PROPRIETOR/PARTNER/E %ECVTIVE OFFIGER/MEMBER EXGLUDEDT � N/A ASSSSCHU.L Clt.y ( 57 WEC FZ 5670 (7TRC_,' 01/09/2012 01/09/2013 WC STATU- X OTH- E.L. EACH ACCIDENT E 1, 000, 000 E.L. DISEASE - EA EMPLOYEE S 1 , O O O , O O O (Mandatory In NN) 1/ a, dasvibe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 , O O O , O OO DEBCRIPTON OF OPERATK)!18 / LOCATIONB / VENICI -ES (AWeh ACORD 101, AddKlonal Remarb 8chWUle, H mwa apace le nsqulred) As it pertains to its California operations, and where required by contract for any and all locations for that contract, the following is named as additional insured interest. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701 its offciers, employees, agents, volunteers, and representatives with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. I�GR 1 Ir'IVA I C r1VLLlCR GAIYGCLLA I IVN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN The City o£ Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS - 20 Civic Center Plaza Santa Ana, CA 92701 AUTHORIZED REPREBENTATNE ® 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/OS) The ACORD name and logo are registBred marks of ACORD / �� AGENCY CUSTOMER ID: 1005974 LOC #: ACO ADDITIONAL REMARKS SCHEDULE Page o>: AGENCY NAMED INSURED SL Insurance Associates Inc Pacific Services Inc - 1060 Calla Nag OC iO POLIGYNUMBER Suite C San Clemente, CA 92673 CARRIER NAIL CODE EFFECTR/E DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate o£ Liability Insurance CERTIFICATE NUMBER: REVISION NUMBER: 30 day notice applies £or any changes to policy coverages and canca11a1tion. this policy has been endorsed to meet all requirements £or the City of Santa Ana. Hard copy to follow £ rom CNA Insurance Company ACORD '101 (2008/01) ®2008 ACORD CORPORATION. All rights ressrvad � ne nc:crrcu name ana logo are reglatered marks of ACORD ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company �D6.JK( i fL[� �ix.�SGl,Q��C� This �e��}}dorsement modifies such insurance as is afforded by the provisions of Policy # �f9 �!3 ��3 Z 3 relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and representatives are named as additional insureds ( "additional insureds ") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured_ 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective Policy # _ Issued to this endorsement form as a part of Named Countersigned by Authorized R presentative rJ „� -- c,-a __ __— L �J C > —� :J .. C _ _ i -+� C°J January 30, 2012 Agreement #A- 2011 -256 - Pacific Services, Inc. Rose Ann: Attached is the required insurance for Pacific Service, Inc. Please update the agreement in Laserfiche. Thanks! Lynda Kelly Info Services X5416 r7 _ N [ � _ _._ C V i _J ,__y ry �- co 201.5 fIAR _t] PH 1: 10 CITY OF SAW AN/t CLERK CITY OF SANTA ANA /7_2012 -192, 09 - Z 0// FIGRCE/r/�T OFFICE OF THE CITY ATTORNEY Certificate of Liability Insurance Checklist for Contractor Policies Name of Contractor: PA C! F1 C S ER V D c L--,S 170c� • 7 Date Certificate of Liability Insurance Submitted: _02 /x/ 2 0 /s- Permit No. Issued: Steps: (a) Obtain Copy of (Current) Contract; (b) Identify Insurance Paragraph in Contract; (c) Review Insurance Requirements Stated in the Contract and Compare with the Certificate of Insurance Submitted for Approval; and (d) Check -off Each Item Below During Your Review of the Submitted Certificate of Insurance: 1. Name and Address of a Producer [wj�'7. Policy Number and Check to Verify Insurance is Effective During Project Date [vr2. Name and/or Telephone Number for or Contract Term Producer Contact [tT 3. Name and Address of Contractor [ r] /4. Name of the Insurance Company(ies) [v] /5. Boxes Checked Identifying the Type of Coverage [ ] 6. Additional Insured. Box May be Checked ,v14 and Separate Additional Insured Endorsement Form Must Be Attached (make sure the endorsement lists the insurance policy #) and Verify Primary Language on Acceptable Additional Insured Endorsement [q- 8. Correct Coverage Dollar Amounts Listed [rte]- 9. Project Description by Number or Location (if applicable) [,]— 10. Name of City and Address [v] 11. Insurer's Signature Required not the contractor's signature) [ ®] 12. To Approve, Write "Reviewed by [sign your name]" on Every Page of the Certificate of Insurance and all Endorsements and Write the Number of Pages (ex. 1/4 or 4/4) Contact the City Attorney's Office if you have any questions — Lisa Storck x 5207 7-re-D T V 176 .qce D CERTIFICATE OF LIABILITY INSURANCE DATEVI IDDNWY) 02/25/2415 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain POIiCies may mgUlre an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER CONTACT Slabs, Bill NAME SL Insurance Associates Inc ..m.__ __- PHONE E 40$ 776 -$600 � JAL No7: ooa >T6 -BS02 275 Tennant Ave, Suite 207 aoosESS: bill @slinsure,com Morgan Hill, CA 95037 MED eXP(Anyone person) 1 s 10,000 INaUREftfa AF EGUIVIOCOVERAOE NAIC# ._.. ....._ _.. .._.... INSURERA: National Faro Inavranae Co of Bax[ford 524298 INSURED 949- 542 -7995 INSURERS: Hartford Casualty ins. Cc 37478 Pacific Services Inc -- ......._...__.. INSURER C nibs: Pacific Datacom .._�. ........ .._.- ._.. _...__�_. _.__._.._ 927 Calle Negocio Ste L INSURERD: San Clemente, CA 92673 INSURER E: INSURER F: 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, 20 Civic Center Plaza INS R _.... ..__._._— _�__....._.._.__._�__. ADOL UBR _— .._.._.._.... . —.—. POLICY EFF POLIOYEXP LTR� TYPE OF INSURANCE NSR MD POLICY NUMBER MMIDD(YYY I MMIDOIYYYY LIMITS GENERAL LIABILITY I EACH OCCURRENCE $ 2, 000, 000 a COMMERCIAL GENERAL LIABILITY s z B 4031343323 of /2c;2oss 43tao /zc ;e DAMAGE OR�If`1% �- PREMISES(Eao.k n 300,000 t.._ / _$ I J CLAIMS-MADE I V OCGUR _ MED eXP(Anyone person) 1 s 10,000 PERSONAL &ADV INJURY 1S 2 0_00,000 ._.. ....._ _.. .._.... GENERALAGGREGATE is 4,000,000.. GEN'L AGGREGATE LIMIT APPLIES PER 'PRODUCTS COMPlOP AGO S 4,000,000 ,._. Vj _ POLICY PRO- LOC s AUTOMOBILE LIABILITY CAMDINED SINGLE LIMI Ee aacident --------- }}}��r--- ---444���- -- 1,000,000 A ANY AUTO s B 40313433323 a, /xo /ss>s o ; /xo /2s;e BODILY INJURY (Per parson) _ All OWNED , SCHEDULED -' rBOD7LY INJURY (Par acc dent} $ I_ AUTOS - NON -0OWNED PROPERTYDARAGE S , HIRED AUTOS AUTOS I LPgr accldenlJ.,_ . UMBRELLA DAB � OCCUR FACNOCCURRENCE $ 1 . EXCESS DAR CIAIM& -MADE _ _.... AGGREGATE ,. $ DED RETENTION$ $ WORKERS COMPENSATION I `, 4VOSTATU OIH- ANDEMPLOYERS'UABILnY YIN I a ANY PROPRIETORIPARTNER(EXECOTIVE OFFICERYMEMBER EXCLUDED' C NIA) i57WECES7871 /os EL EADhI ADGIDENT -' $ 1,000,000 '- "- --- oifoafmxb' or /seat (Mandatory inNIV DSEASE, EA EMPLOYEE S 1,000,000 It yes, describe under DESCRIPTION OF OPERATIONS below -EL IE DISEASE - POLICY LIMIT ,$ 1, D00, 000 I DESCRIPTION OF OPERATIONS! LOCATIONS t VEHICLES (Anacb ACORD JOY, Additional Remarks emomla, If mom space is romlred) As it pertains to its California operations, and where required by contract for any and all locations for that contract, the following is named as additional insured interest. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, Ca. 92701, its Officers, employees, agents, volunteers and representatives with regard to Liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. CERTIFICATE HOLDER CANCELLATION O 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ����� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL SE DELIVERED IN The City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE mm O 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ����� AGENCY CUSTOMER IM 1005974 LOC #'. ACC>RV ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED SL Insurance Associates Ina Pacific services Inc dba: Pacific Datacom POLICY NUMBER 927 Calls Negocic Ste L San Clemente, CA 92673 CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Corti f icate of Liability insurance CERTIFICATE NUMBER: REVISION NUMBER: '30 Days notice of Cancellation* *10 day notice for Non-pay 1149KOWDIF ©200B ACORD The ACORD name and logo are registered marks of ACORD Ivelo.-OwAro Policy Number: B 4031343323 Commercial General Liability CG 20 1.0 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ CAREFULLY. ADDITIONAL INSURED - DESIGNATED 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), The City of Santa Ana, Its officials, employees, agents, volunteers and representatives. 20 Civic Center Plaza, Santa Ana, Ca. 42701 The policy is amended to include the above as an additional insured, but only with respect to liability for "bodily hijury" "property damage" or "personal, and advertising injury" caused in whole or part, by your acts or omissions or the acts or omissions of those acting on your behalf. A. In the performance of your on going operations or; B. In connection with your premises owned by or rented to you. It is agreed that this insurance is primary and Non - Contributory. It is also agreed that any insurance issued to the additional insured applicable to a loss, other than the insurance provided by this endorsement shalt be excess over this insurance, Location (s) of Covered Operations Where required by contract at any location in the State of California CG 20 10 07 04 Copyright, Insurance Services Office, Inc., 2004 page I oft —/3 O