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PACIFIC SERVICES, INC. 1A -2012
a?t FIRST AMENDMENT TO AGREEMENT THIS FIRST AMENDMENT TO AGREEMENT is entered into on =5,P?1 2012 by and between PACIFIC SERVICES, INC. ("Vendor") 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"). RECITALS: A. The parties entered into Agreement # A-2011-256, dated November 21, 2011, (hereinafter "said Agreement") by which Vendor has provided City with a point-to- point high capacity wireless system and services. B. In accordance with the terms and conditions of said Agreement, the parties wish to amend the scope to provide for additional services and increase compensation to pay for such services. 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 2, SCOPE OF SERVICES, shall be amended by amending Exhibit A to include those services and deliverables as set forth in Exhibit A-1, attached hereto and incorporated by this reference. 2. Section 3. COMPENSATION, shall be amended to shall be amended to increase compensation by an amount not to exceed $17,000.00 to pay for the additional services and deliverables provided during the term of said Agreement. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to Agreement on the date and year first written above. ATTEST: MARIA D. HUIZAR Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALHO City, ?ttorney i CITY OF SANTA ANA 44 PAUL M. WALTERS Interim City Manager PA INC. A-2012-132 Teresa L. Judd U --''l'amV f a ?,,' Assistant City Attorney Title: ?_? EXHIBIT "A-1" SCOPE OF WORK The City intends to amend the Scope of Services under the current Agreement with Pacific Services, Inc. (Vendor). The vendor will establish a portable wireless mesh network in the Santa Ana Civic Center Plaza which will link with the point-to-point high capacity wireless system already provided to the City by Pacific Services. The portable wireless mesh network will be used to link several video security cameras and relay the images to a central viewing system. This portable system is in furtherance of an ongoing, multi-phase critical infrastructure hardening project headed by the Santa Ana Police Department in order to improve overall security of the Santa Ana Civic Center, Police Department, and the Santa Ana Municipal Transportation Center. The vendor will develop the engineering specifications, provide all equipment, perform the equipment installation, and configure the portable wireless mesh network to operate with the City's existing network. As part of this First Amendment, Compensation shall be increased by an amount not to exceed $17,000.00 to pay for the additional services and deliverables provided during the term of said Agreement, for a total amount not to exceed $80,000.00 under the term of said Agreement. ?--0o/i-a?6::, Acorrv' CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDINYYYY) 01/20/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR 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 endoreement(a). PRODUCER AMTACT Siebe, Bill SL Insurance Associates Inc PIwNE 408-776-8600 FIAIC AX No: 408-776-8602 18181 Butterfield Blvd # 170 EMAIL bi118slinsure.com Morgan Hill, CA 95037 INSURE S AFFORDING COVERAGE NAIC Nt INSURER A ; CNA INSURED INSURERS: The Hartford Pacific Services Inc INSURERC: 1060 Calle Negocio INSURER D: Suite C San Clemente CA 92673 INSURERE: , 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. ILTR I TYPE OF INSURANCE ADUL SUER POLICY NUMBER POLICY IMMMOA-YM EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE - S 2,000,000 A X COMMERCIAL GENERAL LIABILITY 4031343323 01/20/2012 01/20/2013 DAMAGE TO RENTEIF s 300,000 CLAIMS-MADE a OCCUR MEOEXP (Any one wn S 10,000 PERSONAL A ADV INJURY S 2 000 000 , , GENERAL AGGREGATE S 4 000 000 , , GEN,L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S 4,000,000 X POLICY MR- 17 LOC S AUT OMOBILE LIABILITY Ea deM IN L 11000,000 A ANY AUTO ALL OWNED SCHEDULED 4031343323 01/20/2012 01/20/2013 BODILY INJURY (Per person) S AUTOS AUTOS NON OWNED BODILY INJURY (Per sttident) S X HIRED AUTOS X - APPRGV E ll AS T FUR PROPER DAMAGE Porseddent $ s UMBRELLA LIAO OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE - AGGREGATE S DED RETENTIONS r / 1J$t11't1 SCi[t She dy s WORKERS COMPENSATION ' Assistant City [. OTRC ,' WG S TATU- X OTH- AND EMPLOYERS LIABRITY YIN XJ, B ANY PROPRIETORIPARTNERIEXECUTNE OFFICERMEMBER EXCLUDED? NIA 57 WEC FZ5870 01/09/2012 01/09/2013 E.L EACH ACCIDENT $ 1,000,000 (MSndatorylnNN) It ysadsso?bs wdsr E. L. DISEASE - EA EMPLOYE S 1, on, 000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ARach ACORD 101, AddlUe"I Rom da Schn&d., N man space in naulnd) 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 i i ar s ng from the operations and uses performed by or on behalf of the named insured. The City of Santa Ana 20 Civic Center Plaza 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 REPRESENTATNE 0198a.201a ACORD CORPORATION. All rights reserved. rtVVr%LJ ca tLU-IWU0) Tne AGURD name and I090 are registered marks of ACORD ACORD' AGENCY CUSTOMER ID: 1005974 LOC #-. ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED MURED SL Insurance Associates Inc Pacific Services Inc POUCYNUMNER 1060 Calle Negocio Suite C S Cl C 92673 CARRIER an emente, A EFFECTIVE DATE: The ACORD name and logo are regiatemd marks of ACORD ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company oppJ 1, ntz This Z dorsement modifies such insurance as is afforded by the provisions of Policy # ? /3 4-ER 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 4 ?" Countersigned by Authorized lpresentative 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