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HomeMy WebLinkAboutICLEI (LOCAL GOVERNMENT FOR SUSTAINABILITY USA) 1B -2013A-2013 -183 eCI EROUNGIi. f .. _u- ..,...._,. pNTE', /_ Z '° / SECOND AMENDMENT TO AGREEMENT THIS SECOND AMENDMENT TO AGREEMENT is entered into on December 16, Y 2013, by and between ICLEI — Local Governments for Sustainability USA, a non - profit organization ( "Consultant') 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: A. The parties entered into that certain Agreement 4 a -201 1 -245, dated November 7, 2011, (hereinafter "said Agreement ") by which Consultant has provided consulting services to prepare a greenhouse gas inventory and climate action plan. �y B. By First Amendment A- 2012 -063, dated March 5, 2012, the patties agreed to and increased Scope of Services, additional compensation and an extension of the term. C. In accordance with the terms and conditions of said Agreement, the parties wish to increase compensation to pay for additional reporting services provided at the request of the City and to extend the term to provide time to complete all required services. WIIBREFORE, 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 Second Amendment to Agreement, the parties agree as 'follows: 1. Section 2.a., COMPENSATION, shall be amended to increase compensation by $25,000.00, to pay for the additional reports requested by the City, as set forth in Exhibit A -1, attached hereto and incorporated by this reference. The total not to exceed amount shall be $426,808.00, during the term of said Agreement. 2. Section 4, TERM, shall be amended to extend the termination date through June 30, 2015. 3. Except as hereinabove amended, all terms and conditions of said Agreement shall remain in full force and effect. //; /1/ IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to Agreement on the date and year first written above. ATTEST: ARIA D. HUIZAR M Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By. � La ra Sheedy / Assistant City Attorney RECOMMENDED OR APPROVAL EDWIN "WILLIAMkGALVEZ, P.E. Interim Executive Director - PWA CITY OF SANTA ANA DAVID CAVAZOS City Manager ICLEI — LOCAL GOVERNMENTS FOR SUSTAINABILITY USA (NAME) tq(]e) >/ eU /crPji // N� EXHIBIT A -1 ADDITIONAL SERVICES PROVIDED BY CONSULTANT Consultant was tasked with preparing a Greenhouse Gas Inventory and a Climate Action Plan (CAP). After preparation and delivery of the initial reports provided by Consultant, the City requested additional work, including: • Multiple rounds of reorganization of the measures according to different frameworks (such as voluntary /incentive- based /mandatory, difficult /easy to implement, etc. (60 hours @$130 /Iv = $7,800) • Addition, removal, and re- addition of measures to the analysis (13 hours @$130 /hr = $1,690) • Revisiting the earlier deliverable "existing measures analysis" to include analysis of additional existing measures that weren't identified during that earlier task (60 hours @ $130 /hr = $7,800) • Revising the measures analysis to meet shifting emissions reduction targets (20 hours @ $130 /hr = $2,600) • Repeated consultations on CEQA approach that weren't anticipated (20 hours @ $'130 /hr = $2,600) • Participation in additional work planning meetings and an additional two steering committee meetings (20 hours @ $130 /hr = $2,600) Total hours 193 @ $130 /hr= $25,090 OP ID: Z8 '`'kk. " CERTIFI' .ATE OF LIABILITY INSU'- DATE " "' ,ANCE 11 /12D,YY 11/12/13 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 650-393-2000 CONTACT NAME: San Francisco P &C 650- 393 -2001 PHONE FAx Hays of California Ins Service 0TExtl: — - __-- .I NC_No): E -MAIL _ - 1350 Bayshore Hwy, Suite 218 ADDRESS: CUSTOMER CUSTOMER ID M:ICI -EI-2 Burlingame, CA 94010 INSURER(S) AFFORDING COVERAGE NAIC p__ Kathy MDreSAo ___ _ INSURED ICLEI USA Inc INSURERA:Hartford Underwriters Ins CID 30104 414 13th Avenue, Suite 400 _ INSURERS; Federal Insurance Company 20281 Oakland, CA 94607 INSURER C; National Union Fire Ins. Co. _19445 INSURERS 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. INSR TYPE OF INSURANCE ADDL'.SUBR POLICYEFF POLICYEXP LTR POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 B X COMMERCIAL GENERAL LIABILITY X X :35693974 11/26/13 11/26114 D MANGE O RENTED '- PREMISES (Ea occurrence) $ 1,000,000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 10,000 I PERSONAL &ASV INJURY $ 1,000,000 _. GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS -COMPIOPAGG $ 2,000,000 X POLICY PRO- LOC _ —.III _. AUTOMOBILE LIABILITY X COMBINED SINGLE LIMIT $ 1,000,000 B -- ANYAUTO !73549972 11/26/13 11/26/14 (Ea accident) BODILY INJURY (Per person) $ X .. ALL OWNED AUTOS BODILY INJURY(Par acod.,t) $ SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident X NON -OWNED AUTOS NO OWNED AUTOS - - - -a- - -- X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS MADE AGGREGATE $ 2,000,000 B --- — X 17983 -82 -51 11126113 11126/14 - -- - DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC ST 'OTH X -. _TORY luT AND EMPLOYERS' LIABILITY YIN - TORY LIMITS EI1_ _ A ANY PROPRIETORIPARTNERIEXECUTIVE 11/01/13 11/01114 EL EACH ACCIDENT 1,000,000 � NIA _$ OFFIC ERIMEMBER EXGLUDEOP - (Mandatory lnNH) _ EL DISEASE EA EMPLOYEE '$ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E . DISEASE - POLICY LIMIT $ 1,000,000 C 'Errors & Omissions 01- 423 -70 -01 11/26/12 11/26/13 'E & O 1,000,000 bed. 10,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddlHanal Remarks Schedule, If more space Is required) The City of Santa Ana, its officers employees, agents, volunteers and representatives are named as additional Insured with regard to the liability and defense of suits arising from the operations and uses performed by or for or on behalf of the named insured. Notice of cancellation for non-payment of premium is 10 da s only. CERTIFICATE HOLDER CANCELLATION P 'Rt iv r; AS TO Ut 1 t - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE !� City of Santa Ana (et al) � '� J f THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN _ (see below) ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Christy Kindlg L LI L AUTHORIZED REPRESENTATIVE .i , P. 0. Box 1988, M -21 syi;ta.nt 'City Santa Ana, CA 92702 © 1988.2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD NOTEPAD: HOLDER CODE ICLEI PAGE 2 NO I E INSURED'S NAME .LEI USA Inc OP IDr. DATE 11/12/13 certificate holder is named as additional insured per attached Drsement taken from the insured's actual policy. red's policy is considered prima unless other primary coverapa is in e at the time of the loss per attacfied endorsement taken from red's actual policy. JuLiability Insurance c"UE3E3 Endorsement Policy Period NOVEbtBF,R 25, 2013 TO NOVEMBER 26, 2014 Effective Date NOVEMBER 26, 2013 Policy Number 3589 -39 -74 WCE Insured ICLEI USA INC Name of Company FEDERAL INSURANCE COMPANY Date Issued SEPTEMBER 3, 2013 This Endorsement applies to the following forms: GENERAL LIABILITY Under Who Is An Insured, the following provisio❑ is added: Who Is An Insured Scheduled Person Or Subject to all of the terms and conditions of this insurance, any person or organization shown in the Organization Schedule, aeling pursuant to a written contract or agreement between you and such person or organization, is an insured; but they are insureds only with respect to liability arising out of your operations, or you premises, if you are obligated, pursuant to such contract or agreement, to provide them with such insurance as is afforded by this policy. However, no such person or organization is an insured with respect to any: assumption of liability by them in a contract or agreement. This limitation does not apply to the liability for damages for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contract or agreement damages arising ont of their sole negligence. Schedule The City of Santa Ana (including its officers, emplovees, agents, Volunteers and representatives) Attn: Christy Kindig P. O. Box 1968, M -21 Santa Ana, Ca. 92702 Liability Insurance Additional Insured- Scheduied Person Or Organization continued Form 80- 02- 2367(Rev. 6 -04) Endorsement Page 1 Liability Endorsement (continued) All other terms and conditions remain unchanged. Authorized Representative QLA" Liability Insurance Additional Insured - Scheduled Person Or Organization Form 80- 02 -2367(Ray. 8 -04) Endorsement lest page Page 2 A-.2013-193 OP ID: Z8 DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 1012412014 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 poficy()es) 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 YAME, San Francisco P&C PHONE, Hays of California ins Service (Afc, No,, Ext): (ANC. No): 1350 Bayshore Hwy, Suite 218 E-MAIL ADDRESS: Burlingame, CA 94010 PRODUCER ICLEI-2 ID C. Kathy Moresco CUSTOMER INSURER(S) AFFORDING COVERAGE NAIL if INSURED ICLEI USA Iric INSURER A: Hartford Underwriters Ins Co 30104 414 13th Avenue, Suite 400 INsURr Federal Insurance Company 20281 Oakland, CA 94607 INSURER C: National Union Fire Ins. Co. 19445 INSURER D 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 400 ADOL,S(JBR PdOdy EFf; -Pd0cY cxP LTR TYPE OF INSURANCE POLICY NUMBER LIMITS iMMIDDfYYYY . GENERAL LIABILITY EACH OCCURRENCE 11000,000 DAMAO 3r, TO RtNTI50 B X COMMERCIAL GENERAL. LIAR BLIT-Y 35893074 1112612013 11/2612014 PREMISrS tVa $ 1,000,000 CLAIMS-MADE X OCCUR MED EXP (Any one 10,000 PERSONAL & ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PffC PRODUCTS - COMP/OP AGO $ 2,000,000 X Poucy PRO, $ JEQT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Fa accident) B ANY AUTO �73549972 1112612013 1112612014 BODILY INJURY I (Per person) $ X ALL OWNED AUTOS BODILY INJURY - (Per accicient), SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS I (PERACCIDENT) X NON-OWNEDAUTOS $ NO OWNED AUTOS $ X UMBRELLALIAB X ocrkm _OCCURRENCE 2,000,000, EXCESS LIAB CLAIMS-MADE AGGREGATE 2X01000 B 7983.82-51 1112612013 11/26/2014, DEDUCTIBLE RETERTfON $ WORKERS COMPENSATION x WCSIATU- 0111 - TORY LlNmys R AND EMPLOYERS' LIABILITY Y �,N A ANY PROPRIETOWPARTNER/EXECUTIVE 57WECLX9368 11101/2013 1110112014 FL EA01-I ACCIDENT $ 1,000,000; OFFICER)MEMBER EXCLLIDE6? NIA (Mand,itory in NH) F 1, MSEASE - FA EMPLOYE1: S 1,000,000 llns,dezc 2e under E,L. DISrASr - POLICY LIMIT $ 1,000,000 Q - SCRIPT ON OF OPERA HUNS below C Errors & Ornissions 01-423-70-02 11/261.,. 112612013 11/2612014 E & O 1,000,,000 Ded. 10,000 DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (Attach ACORD 101, Additionat Remarks Schedule, If more space Is requircd) Cer,tificate issued as Evidence of Liability insurance coverage for above Named Insured ICLE1 USA, INC� AGREEMENT# 2013-193 REVIEWED BY: � EUNICE HEREDIA (pg. I of 2) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana Public ACCORDANCE WITH THE POLICY PROVISIONS. Works Agency P.O. Box 1988, M.21 AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 fJc 1988-Z1UUV At;UKL) k;UKrukAviufN, All rignis reserveu. ACORD 25:(2009/09) The AGORD name and logo are registered marks of ACORD ICLEI -2 OP ID: Z8 '► CERTIFICATE OF LIABILITY' INSURANCE ..TE (MMIDDIYYYY) DA CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 1013112014 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 DOE'S 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 NAMC: Kathyillorco San Francisco P &C Hays of California Ins Service PHONE FAac (alc Na . EXII:650- 393 - 20110' {Arc Nal. .650- E -M IL 1350 y Ba shore Hwy, Suite 218 Burlingame, CA 94010 LDDRESSa._.___ _..... Kathy MoireSco INISURER(S) AFFORDING C4VE_q?gg NAIL rd .. INSURER A: Hartford Insurance Com�aanr__ 38288 _ ^^. ._.IC�LEI INSURED USA Inc. INSURER 13 : ^.. 414 13th Street, Suite 400 ____ _.._. Oakland, CA 94612 INSURER C: ''. _ ...... .. ._ INSURER D: INSURER E: ... $ INSURER F u 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, ppDl- S%19 POLICY EXP _......,.... LTR TYPE OF INSL9RANCE POLICY NU'h1E�ER gM1l'.N9,TB'DIYYYY' 1MM)DDIYYYY '.... LIMITS GENERAL LIABILITY AUTHORIZED REPRESENTATIVE FACH OCCURRENCE $ COMMIERCIAL GENERAL LIAMLITY CLAIMS -MADE OCCUR DAMAGE C TO RENTED PREMISES IEa ocrurcence).._ MLD EXP (Any an person) _..'�... ....— __..._. $ $ PERSONA & A0V INJURY $ t; NERAL AGGREGATE $ GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS CCMNOP AGG $ POLICY PRO LUC $ AUTOMOBILE LIABILITY _ COMBINED SINGLE LIMIT lEaaccidenL- $ --- ...__v__ BODILY INJURY (Per person) $ ....... _ ANY AUTO ALL 014VNED ��. SCHEDULED AUTOS AUTOS I3=LY INJURY (Per acdclertl Y NON -OWNED HIRFD AUTOS AUFOS V f2t7F E dTY DAMAGE PERAcanFNT w.. _...�.._... _.._�. $ '.. UMBRELLA tJAB OCCUR FACHC,CCURRLNCP' .,I $ EXCESS LIAR CLAIMS -MADE I AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORJPARTNERIEXEGUTIVE OFFICERIMEMBER EXCLUDED? � (Nlandalocy In NH) NIA 57WECLX9368 1110112014 1110112015 X WC STATU- 0TH_ TCIRY LIMITS ER E Im mEACH ACCIDENI . .......... -- -... -_. E.L. DISE.ASF, FA EMPLOYEE ..... $ 1,000,000 -.. -. $ 1,000,000' l yos, deacri le tinder CiMRIPTIONOFO ERATIONSValaw __ ..�......._ S 1,000,000 ..—.. L.L. DISEASE,- POLICYILI>,I•••..1T i I DESCRIPTION OF OPERATIONS I LOCA7DN5 1 VEHICLES (Attach ACORD 141., Additional Remarks Schedule, If more space Is required) Evidence of coverage for above Insured, 2014 workers compensation policy renewal. 10 bay's notice of cancellation for nonpaymenet of premium ICLEI LISA, INC: AGREEMENT # A- 20,13 -193 11 REVIEWED BY: r y, � EUNICE HEREDIUA (pg. 2 Of 2) CERTIFICATE HOLDER CANCELLATION 0c)1988 -2010 ACORD CORPORATION, All rights reserved. ACORD 25 (20101051) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BF CANCELLED BEFORE City of Santa Ana (et al) THE EXPiRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, (see below) Attn: Christy I'Ci..nc11g P. D, Box 1988, M -21 Santa Ana, CA 92742 AUTHORIZED REPRESENTATIVE 0c)1988 -2010 ACORD CORPORATION, All rights reserved. ACORD 25 (20101051) The ACORD name and logo are registered marks of ACORD A- 2013 -1 93 ICLEI -2 OP ID, Z8 14 ?"' CERTIFICATE OF LIABILITY INSURANCE ACE DATE(MM YY) 111121/2014 211201 2CI'14 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(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 endorsements). PRODUCER San Francisco P &C 'Hays of California! Ins Service 1350 Bayshore Hwy, Suite 218 Burlingame, CA 94010! Kathy Moresco CONTACT NAME: Kathy Moresco P��HO�rvN�E�., FAX J—a- .Exl):850'393 -20 ®D wC Neal: 850.39 1 -2[I0 E4AIL _. INSURERM AFFORMNG COVERAGE NAIC A ......... INSURER. A: Federal Insurance Company 20281 ......m.. INSURED ICLEI USA Inc. 414 13th Street, Suite 400 Oakland, CA 94612 __.. _.. _._... INSURERS: _.........._ 30164 INSURER C.: X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F OCCUR INSURER D ; 3589 -39 -74 WCE INSURER E: 1112612015 CbAI�TfiICI= `I PREMISES Ea ocot mence INSURER F HIED EXP (Any one Per on) $ 1,000 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED T,o THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT` OR O'T'HER 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. .. __ -..._ 5 ._ - _.IN. TYPE OF INSURANCE S�T.!.7R WVD _...�..._ . POLICY NUMBER MMIDMYYYY MMiDDtYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,00 ©,OOII A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F OCCUR 3589 -39 -74 WCE 1!1126/2014 1112612015 CbAI�TfiICI= `I PREMISES Ea ocot mence $'�. 1,000,000 HIED EXP (Any one Per on) $ 1,000 PERSGNAL l _.PV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP12P AGG S 2,00 000 PRO- �) POLICY LOG ___..._... $ _ AUTOMOBILE LIABILITY' COMBINED SINGLE LIMIT Ea accident ..... $ 1,000,000 { A ANY AUTO 7354 00.72 11'.12612014 11/2612015 BCUILY INJURY IPcr parson) $ m ` ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(P&racc!dont} $ HIRED AUIOS }( NON -OWNED AUTOS PROPERTfD'P BE (PER ACCIDLN r $ $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE. $ 2,000,006 A EXCESS LIAB CLAIMS-MADE 7983 -82-51 1112612014 1112612015 AGGREGATE $ 2,000,000 $ ....._.._ DI D'. RETENTION B WORKERS COMPENSATION AND EMPLOYERS 'LIABILITY ANY PROPRETORJPARTNERfEYECUTIV 'E, XI's OFFICERIMEMFIFR E=XCLUDED ?' u (Mandatary In NH) N ! A 57`A'�ECLX9368 11101/2014 11/11112015 X T CSTATU- Obi - j _ .� E.L. EACH ACC16 Nu ._...... �. 1,000,000 $ 1,000,000 m..,....._ E.L. DISEASE - EA EMPLOYEE 11 yyes, dasaribe under DESCMPTION OF OPERATIONS bolow -_-. ....._ E.I.. DISEASE - POLICY LIMIT $ 1,000, 000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Atiasl, ACORD M @t, Addtt0onal Ranaarks Sckedute,. It nrnra spnca Is requiradl Certificate issued as Evidence of Liability insurance coverage for above Named insured. I I_EI USA: AGREEIVIEN"T # A- 2013 -193 REVIEWED BY: � EUNICE HEREDIA (PG. 1 Of 3) City of Santa Aria Public Corks Agency P.O. Box 1988, M -21 Santa Ana, CA 9270:1 ,�!_tWei[flLaw��1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES OF CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE. 0 1 988 -201 0 ACORD CORPORATION, All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ICLEIw2 OP ID: Z8 All OI ,#� ►° DATE IMMJDMYYYYI .._. CERTIFICATE OF LIABILITY INSURANCE 1112112014 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, IMPORTANM 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 requlire an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), PRODUCER CONTACT" San Francisco P &C _NAME _ . Kathy Moresco Hays of California Ins Service PAI N Ex11 650®393 -2000 AIC No): 650- 393 - 2081 1350 Ba y shore Hwy, Suite 218 E -MAIL - Burlingame, CA 94090 ADDRESS: Kathy Moresco INSURER(S) Ar NAIC INSURER A ; Federal Insurance Company 20281 INSU13FD ICLEI LISA Inc., INSWRERB: 30104 414 13th Street, Suite 400 INSURER Oakland, CA 941612 SURER C INSURER 0, INSURER E t . -..... INSURER F: __._._...._ r`_rI111=0 Iif-PC 1'PDTi97IrAT9 MI IRX.....QIZD -. ockaicini<i rVir rHnei-o. THIS 15 TO CERTIFY THAT TFIE 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 DL' -' -'SCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS &TOWN MAY HAVE BEEN REDUCELI BY PAID CLAIMS, ...... .... 7iti'DL -.— ._.._. ......... _. 'POLICY EFF POLICY BX' LTR TYPE OF INSURANCE I SR POLICY NUMBER (MMIDDaYYYL MK29= LIMITS . GENERAL LIABILITY EACH OCCURRENCE ...._ $ 1,000,000 A _ Co &�CLP9MS- X X 3589-39-74 WCE 1112812014 1112612015 nA1lAGE TO RL" T D {Eanccu r7ca7., 1,0100,000 MAOEERALLI OCCUR MF ®9VIoLS EXP {An/ OnL0n1 Pm on) __, ._`. ,�Y 1,000 . -- _._ PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: ' PRODUCTS - COMPiOP AGO 1 5 2,,000,000 POLICY PRO too EL "T _ AUTOFA0131LE .., LIABILITY COMBINED SINGLE LIMIT 1.,000,0,00 Ea accident ._...__$.�.. BODILY INJURY (Pier peoson} $ A ANY AUTO X 7354 - 919 -72 11126120114 1112612015 AU OWNED AUTOS AUTOS AUTCiS BODILY INJURY Pea' accldent ( � $ X NON -OWNED HIRED AUTO AUTOS PROPERTY DffA_ACL..._....�._...._ IPER ACCIDENT X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,0100,.000 A EXCESS LIAR CLAMS-MADE X 7983 -82 -51 1112612014 1112612015 AGGREGATE $ 2,000 0001 WORKERS COMPENSATION � X "NC S'1"AT °4I.._ OTI -I- TORY LIMGTS AND EMPLOYERS'° LIABILITY YIN _ . „_FR E.L. EACH ACCIDCNr .__- _ _........ $ 1,000,000) B ANY PRCPR1ETOMPARTNLR&XLUUTIVE Ohl'•'ICERlMEMDErt EXCLUOL " -C7? a NP!ii 57WECLX9368 11/01112014 111011'12015 i E L DISEASE - EA EMPLOYEE $ 1,000,01100 {I13andaiary Ira NH) If yes, describe u,Pdsr DESCRIPTIONOF OPERA I IONS below ....... .._._.�.. EL,DISEASE - POLICY LIMIT ' __... —. _ $ 1,000,000 I (DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Sc+liedi +le, If rnc,r , space is required) The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insured with regard to the liability and defense of suits arising from the operations and uses performed by or for or on behalf of the named insured. Notice of cancellation for non- payment of premium is 10 clays only, ICLEI USA,:. AGREEMENT #; -201?-193 REVIEWED BY- EUNICE HEREDIA (PG. 2 Of 3) O.:AN L; ELLA I IfJ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPMATION DATE THEREOF, NOTICE WILL 13E DELIVERED IN City of Santa Ana (et al) ACCORDANCE WITH THE POLICY PROVISIONS. (see below) Attn: Christy Kindi'g AUTHORUED REPRESENTATIVE P. O, Box 1988, M-21 Santa Ana, CA 92702 , 031988.2010' ACORD CORPORATION. All rights reserved. ACORD, 25 (2010/05) The ACORD name and logo are registered marks of ACCORD ICLEI -2 OP ID: Z8 CERTIFICATE OF LIABILITY' INSURANCE D 02 /02 /2015Y, 02!02/2015 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 `"'`°."'"'`" NAME K tl y Moresca San Francisco P&C Ha of California Ins Service PHONE 650- 393 -2000 FA 650- 393 - 2001 50 13 Bayshore Hwy, Suite 218 E -MAIL ADORES. CLAIMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, Burlingame, CA 94010 '. POLICY E �� P(LI0 -- Y E( P LTR TYPE OF INSURANCE i uan rn i POLICY NUMBER IMMIDDIYIM2 —mmm YYYY,), Mary Griffith INSURER(ST AFFORDING COVERAGE NAIC # EACH OCCURRENCE $ INSURER A: Federal Insurance Company 10281 INSURED ICL.EI USA Inc. INSURERS: Hartford Underwriters Ins Co 30104 414 13th Street, Suite 400 1,00 0 Oakland, CA 94612 INSURERc GENERAL AGGREGATE } $ , �,. INSURER D: GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COM..PI. O, P ACC., $ INSURER E ¢ ,. 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, CLAIMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, '. POLICY E �� P(LI0 -- Y E( P LTR TYPE OF INSURANCE i uan rn i POLICY NUMBER IMMIDDIYIM2 —mmm YYYY,), _.. .. ..._- ..m ° LIMITS _ GENERAL LIABILITY EACH OCCURRENCE $ 1,000,006 A X ; COMMERCIAL GENERAL LIABILITY X X ;3589 -39 -74 WCE 11(2612014; 11/26/2015 ( LE „,. i,000,000 CLAIMS-MADE } OCCUR M D EXP ( An y one person) i $ 1,00 0 ERSONAL & AOV INJURY r $ 1,000 000 GENERAL AGGREGATE } $ , �,. 2,000,00.. GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COM..PI. O, P ACC., $ 2,666,66 PaLtc > i PRO- Lac' $ AUTOMOBILE LIABILITY [ ._ rce' NIEHNFOSpla@GI.F- twr"C ` 1,060,00 A ANY AUTO X 7354 -99 -72 11/26/2014 ! 11/2612015 BODILY INJURY (Pw person) $ ALLOWNED _' " DIYi..EC' AUTO :Auras ,AUTOS BODILY INJURY (Per accident) , $ : NON -OWNED X PROPFI2'TY' DF'aMACe. $ ? HIRED AUTOS X_„ „AUTOS (PER tP, ACtC�)IC;P+& Y 5 .. $ X I UMBRELLA LIAR : X OCCUR � .� � I EACH OCCURRENCE < $ 2,000,00 �. A EXCESS LIAR CLalhrs -MADE! X '7983 -82 -51 1112612014 11126/2015 AGGREGATE $ 2,000,00 DED t RETENTION$ WORKERS COMPENSATION � - .. �� WCSTATU- jOTH -- X, AND EMPLOYERS' LIABILITY YIN 7 RY I IM�TR , ,.�° ..... ,._.... . B ' ANY PROPRIETORIPARTNER rE:XECUTIVE { 57WECLX9368 11101/2014 11/01 /2015 EA, EACHAC;C°IDCNI $ 1,000,00 ,NtA OFFICER/MEMBER EXCLUDED? I. (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 ? 11 yes, describe under ;DESCRIPTION OF OPERATIONS below -.. _. ..._. _, .. E.LDISEASE - POLICY LIMIT $ _..., .. 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space Is required),,, ,,,,,,,,,, ,,,_... .,..._._..__.. ,... ._ ...,,.. ,,._ .... ......_�......._... ..,. The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insured with regard to the liability and defense of suits arising from the operations and uses performed by or for or on behalf of the named insured. Notice of cancellation for non- payment of premium is 10 days only./ 1CLD USA A -2013 -193 REVIEWED BY: ° .. w.,.,., � EUNICE HIS REDIA (PG, 1 of 5) Liability Insurance Policy Period NOVEMBER 26, 2014 TO NOVEMBER 26, 2015 Effective Date NOVEM BED 26,2014 Policy Number 3589- 39 -74 WC Date Issued AUGUST 28, 2014 This Endorsement applies to the following forms-, GENT I, LIABIL.ITY Under Who Is An insured, the following provision is added, Who Is An Insured Additional Insured - I'mons or organizations shown in the Schedule are insureds; but they are insureds only if you are Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is of by Or Organization this policy. However, the person or organization is an insured only: No person or organization is an insured tinder this provisiom that is more specifically identified under any other provision of the Who Ts All Insured section (regardless of any limitation applicable thereto), with respeetto any assumption of liability(ofanotherperson or organization)by them in a contract or ,agreement. "Phis limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or damages,, would have in the absence of such contract or agreement, Liability Insurance Additional Insured - Sched 'I'Sor? Vigatpon continued F6rm-lio- -2367(Rev,5-07) Endorsement Rage I 0...El USA A-2013-193 REVIDNED BY. EUNK,E HEREDIA (P'G, 3 of 5) ICLEI USA A,.. 013 -193 REVIEWED BY EUNIC',E HEREDIA (PG, 4 of 5) Liability Endorsement (continued) Other Insurance — If you are obligated, pursuant to a contract or agreement, to provide the person or organization Primary, Noncontfibutory shown in the Schedule with primary insurance such as is afforded by this policy, then in such case Insurance — Scheduled this insuranccis primary and we will not seek contribution from insurance available to such person Person Or Organization or organization. Persons or organizations that you are obligated, pursuant to a contract oragreernent, to provide with such insurance as is afforded by this policy. ,All other terms and conditions remain unchanged Authorized Representative Q - - -oNA �, - 2 9-11 Liability Insurance Additional Insured - Sched ?c Pe � n. r mnqatk n last page Foan 80-02-2,367 (Rev. 5-07) Endorsement Page 2 HDIE1 USA A-2013-193 REVIEWED BY: EUNICE HEREDIA (FIG 5 of 5)