HomeMy WebLinkAboutSOFTMASTER, INC. 1H - 2014i
a
MAYOR
Miguel A. Pulido
MAYOR PRO TEM
SaI Tnalero
COUNCILMEMBERS
Angelica Amezcua
P. David Benavides
Michele Martinez
Roman Rayne
Vincent F. Sarmientc
INSURAtiv,
WORK MAY' A"
" UNTIL IK ' .
2-20 —15
DATE: 12 — 14
November 4, 2014
e[Tlr OF SANTA ANA
Finance and Management Services Agency
20 Civic Center Plaza M -17 . P.O. Box 1988
Santa Ana, California 92702
PHONE: (714) 847 -5420 e Fax: (714) 647.5414
www,santa- ana.org
Softmaster, Inc.
19726 E. Colima Road, Suite 116
Irvine, CA 91748
Attn: James Barnett
RE: Consultant Services Agreement # A -2007 -145
Dear Mr. Barnett:
A- 2014 - 063 -01
Pursuant to the Consultant Agreement you entered with the City of Santa Ana dated June 18, 2007 (# A-
2007 -145) ( "said Agreement ") which was lastly amended on March 4, 2014 (A- 2014 -063), Section 3 -
"Term ", the time period of said Agreement can be extended by a writing executed by the City Manager
and the City Attorney. The Term is hereby extended from December 1, 2014 upon expenditure of
previously allocated funds (whichever is layer), for an additional six (6) month period, terminating on the
later of June 30, 2015, or the expenditure of newly allocated funds. Pursuant to such amendment,
Section 4 — "Compensation" is amended to increase total compensation by $1,700,000.00 to pay for
additional services during this extended Term, Said total compensation shall be allocated among all
Consultants selected by the City for these services, at the City's sole discretion.
The insurance certificates and Additional Insured Endorsement are required to be extended and /or
renewed to cover this extension. All other terms and conditions of the original agreement, as amended,
remain unchanged and in full force and effect.
APPROVED AS TO FORM:
Sonia R. Carvalho, City Attorney
Lisa Storck
Assistant City Attorney
RECOMMEND APPROVAL
Francisco Gutierrez, Exec, Director
Finance & Management Services Agency
CITY OF SANTA ANA
David Cavazos
City Manager ATTEST.'
SOFTMASTER, INC. r1r
M lAD.9i111ZAf�
CLERK OF THE GOtJNCIL
4ames arnett
Title: COO
SANTA ANA CITY COUNCIL
Miguel A. Pulido I Sal rnajero Vincent F. Sermionic ! Michele Madinez Angelica Aram a P. David Bonavides Roman Rayne
Mayor Mayor Pm Tam, "era 6 Werth i Ward2 WaM3 Word Ward
MPuI' iaosonta- ana.oro ST'na'ero0sante- ana.om i VSenn'entotrDSanta -ana orSd MMarf.,c,@santa-ang,n� AA @arts -arts DBenav'desMasanfd s�elH RReyna( some- ana.oro
ARV bATE(MWDDIYYYY)
CERTIFICATE OF LIABILITY INSURANCE 8022 4/7/2014
THIS CERTINCATEIS 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 THECOVERAGEAFFORDED 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. I
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(lea) must be endorsed. If SUBROGATIONIS 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).
ce
THE MASTER INSURANCE AGNCX INC /PHS
186512 P: (866) 467 -8730 F: (888) 443- 6112AAORISes:
PO BOX 33015
SAN ANTONIO TX 78265
CDNTACT
NAME:
INC. re, Ea: 467 -8730 wm.NOx (688) 443 -6112
_(866)
INSVRERIS)AFFORDINO DO 05 mica
INBURERA: sentinel Ina Cc LTD
Pov`CFNUMSRR
INSURED
SOFTMASTER INC
1142 S DIAMOND BAR BLVD # 386
DIAMOND BAR CA 91765
INSURaRB:
LIMIR?
INAURERO,
INSURFN D:
INeuseRE:
INeuaERR:
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 RY PAID CLAIMS.
INNS
TYPFOPJASUMN06
ADDL
SUBS
Pov`CFNUMSRR
POLICYBFF
M UDNYY
POLPOYExP
LIMIR?
COMMERCIAL GENERAL LIABILITY
CUIMB -MARE M OCCUR
EACH OCOUFRENOE
s1, 000! 000
DAMAGE TO RENTED
PREMISES RENTS erica)
$1,000,000
X
X
MEDEV0,YDrepomor)
$10,000
A
General Liab
72 SEA AK5642
02/20/2014
02/2 ,2,ply
'L AGGREGATE LIMIT APPLIES PER:
POLICY J Cf ❑X LOC
Itt yy)'(I'7 YLyyWia
1Mi. a
�
I CE
PERSONALBAIYJ INJURY
9I, 000, 000
, OENEPAL AGGREGATE
PROOUCTS-GOMPIOPAOG
82,000,000
52, 000, 000
^'—
OTHER:
AUTOMOBILE LIABILITY
ttOY
CYOM BINED SINGLE LIMIT
e 1,000, 000
ANY AUTO
ASq
Stem'
EOOILYINJURY (Per gem.)
a
A
ALL OWNED SCHEDULED
AUTOS AUTOS
72 BRA AK5642
02/20/2014
02/20/2015
eOOILY INJURY IPerawManO
y
X HIRED AUTOS X AUTOS ED
AUTOS
PROPERTYDAMAGE
(PmexlJene
9
9
X
UMBRELLA UAe
I X I
OCCUR
EAOH OCCURRENCE
s5, 000, 000
A
EXCESS UAB
CLAMS -MADE
72 SBA AK5642
02/20/2014
02/20/2015
AGGREGATE
$5,000,000
oe0 X INSTENTrAS 10, 000
s
WPAY5RS COMP6NSAlION
ANDWAPLOYHAf+L 1LNF
PER OiK
STATUTE [R
ANY PROPRIETOMPARTNENGD(CCUTNE YIN
OFFICETMEMER EXGLUDED7
S
(Mandomry In NN) ❑
MIA
E.L. EACH ACCIDENT
_
S TM
E.L. tlISEABE.FAEMpLO1'[E
9
It yes: desorlbe under
DESCRIPTION OF OPERATIONS below
E. L. DISEASE POLICY LIMIT
$
A
Technology E &O
72 SBA AK5642
02/20/2014
02/20/2015
1,000,000/1,000,000
DESCRIPTION DFOFERATIONA /LOCADONS /VFHICl.FS (ACORD 101, Adulurml Ramorm Schedule, muy m a mahed If more 0P 00 In roRulred)
Those usual to the Insured's Operations. The City of Santa Ana, its officers,
employees, agents and volunteers are Additional Insured and Coverage is
primary and non - contributory per the Business Liability Coverage Form SS0008
attached to this policy. Notice of cancellation will be provided in accordance
with Form 5S1223 attached to this policy.
CERTIFICATE HOLDER CANCELLATION
a 1888.2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2094/09) 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 BE
City of Santa Ana
DELIVERED IN ACCORDANCE WITH THE POLICY PROVIS S.
AurnoRlzEDrtErRESFNrarrue
20 CIVIC CENTER PLZ
SANTA ANA, CA 92701
a 1888.2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2094/09) The ACORD name and logo are registered marks of ACORD
F1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
POLICY CHANGE
This endorsement changes the policy effective on the Inception Date of the policy unless another date Is Indicated
below:
Policy NUmbor: 72 SBAAK5642 DX
Named Insured and Meiling Address; SOFTMASTER INC
1142 S DIAMOND BAR BLVD # 386
DIAMOND BAR CA 91765
Policy Change Effective Date: 04/04/14
Policy Change Number: 004
Effective hour Is the same as slated in the
Declarations Page of the Policy.
Agent Name: THE MASTER INSURANCE AGNCY INC /PHS
Code: 186512
POLICY CHANGES:
SENTINEL INSURANCE COMPANY, LIMITED
ANY CHANGES IN YOUR PREMIUM WILL BE REFLECTED IN YOUR NEXT BILLING
STATEMENT.IF YOU ARE ENROLLED IN REPETITIVE EDT DRAWS FROM YOUR BANK
ACCOUNT, CHANGES IN PREMIUM WILL CHANGE FUTURE DRAW AMOUNTS.
THIS IS NOT A BILL,
NO PREMIUM DUE AS OF POLICY CI4ANGE EFFECTIVE DATE
BUSINESS LIABILITY OPTIONAL COVERAGES ARE REVISED
ADDITIONAL INSURED(S) ARE ADDED
THE FOLLOWING ARE ADDITIONAL INSURED FOR BUSINESS LIABILITY COVERAGE IN
THIS POLICY.
LOCATION 002 BUILDING 001
PERSON /ORGANIZATION: SEE FORM IH 12 00
FORM NUMBERS OF ENDORSEMENTS ADDED AT ENDORSEMENT ISSUE:
PRO RATA FACTOR: 0.885
THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN.
Form SS 12 11 04 08 T Page '001 (CONTINUED ON NEXT PAGE)
Process Date: 04/04/14 Policy Effective Data: 02/20/14
Policy Expiration Date: 02/20/15
POLICY NUMBER: 72 SEA AX5642
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY,
ADDITIONAL INSURED - PERSON - ORGANIZATION
CITY OF SANTA ANA
ITS OFFICERS, AGENTS, AND EMPLOYEES
20 CIVIC CENTER PLAZA
PO SOX 1988 -1,112
SANTA ANA, CA 92702
Form IH 12 00 1185 T SEQ. NO, 001 Printed in U.S.A. Page 001
Process Date: 04/04/14 Expiration Date: 02/20/15
ti =x+ilk � r
2015 IMR 25 A4 9: �, ,
CITY ®I,�
CLERK OF CITY OF SANTA ANA
OFFICE OF THE CITY ATTORNEY
Certificate of Liability Insurance
Checklist for Contractor Policies
Name of Contractor: SOFTMA 5TCR. , S'roC
Date Certificate of Liability Insurance Submitted: V25"Lz 0 15
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:
[y}"1. Name and Address of a Producer [�J' 7. Policy Number and Check to Verify
Insurance is Effective During Project Date
[v]�2. Name and /or Telephone Number for or Contract Term
Producer Contact
[v]' 3. Name and Address of Contractor
[L�- 4. Name of the Insurance Company(ies)
[ q-5, Boxes Checked Identifying the Type of
Coverage
[� 6. Additional Insured Box May be Checked
`f and Separate Additional Insured
Endorsement Form Must Be Attached (make
sure the endorsement lists the in® ance -Is
policy #) and Verify Primary Language on
Acceptable Additional Insured Endorsement
[a'' 8. Correct Coverage Dollar Amounts Listed
[vK. Project Description by Number or Location
(if applicable)
[v]°10. Name of City and Address
[x]--11. Insurer's Signature Required
(not the contractor's signature)
[L]--12. To Ap rp ove, 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) 212 J 1201 S
Contact the City Attorney's Office if you have any questions — Lisa Storck x 5207
#A -200 a -iy.�
-zo/y-
ACORD„N CERTIFICATE OF LIABILITY INSURANCE
DATE(M 1201YYI
0 211 712 0 1 5
PRODUCER ' gc M p �,pP��TTOne: (828 864.9541
The Master IneUran a Ptg��i y,rlrL�. I) t '�
18053 Valley Blvd.,
City of Industry, C a1 .r
License #: OB03663ERK ;F 'a r- ''`•IJ,'�
^. r � s ,
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
HOLDER, THIS CERTIFICATE AT RIGHTS E DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED ' ' `'
Softmaster, Inc.
1142 S Diamond Bar Blvd #386
Diamond Bar, CA 91765
INSURERA: The Sentinel Insurance Company
A
NSURERB: Employers Assurance Company
GENERALUAoUTY
X COMMERCIAL GENERAL LIABILITY
INSURERC: Hartford Fire Insurance Company
02/20/2016
NSURER O',
EACH OCCURRENCE
INSURER E:
ORR GE RENTED
EMISES Es ocmm
COVERJh A
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 CONTRACTOR 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.
INSR
ADO'
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
A
Y
GENERALUAoUTY
X COMMERCIAL GENERAL LIABILITY
72SBAAK5642
02/20/2016
02/20/2016
EACH OCCURRENCE
S 1000000
ORR GE RENTED
EMISES Es ocmm
$ 1,000,000
MED EXP(Any one son )
$ 10,000
CLAIMS MADE 1XI OCCUR
PERSONAL B AOV INJURY
$ 1.000.000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE
LIMIT APPLIES PER
PRODUCTS - COMPIOP AGO
$ 2,000,000
X1 POLICY
F PRO LOG
A
N
AUTOMOBILELIABUTY
ANY AUTO
72SBAAK5642
02/20/2015
02/20/2016
COMBINED SINGLE LIMIT
(Ea ecddenp
$ 1,000,000
BODILY INJURY
(Per parson)
$
ALL OWNED AUTOS
SCHEDULEDAUTOS
BODILY INJURY
(Peramidard)
$
X
X
HI RED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(PeramweN)
$
GARAGELIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHERTHAN EA ACC
AUTO ONLY: AGO
$
ANY AUTO
$
A
N
EXCESSNMBRELLALIABILITY
_X1 OCCUR II CLAIMS MADE
72SBAAK5642
02/20/2015
02/2012016
EAOH OCCURRENCE
$ 5,000,000
AGGREGATE
$ 6,000,000
$
$
DEDUCTIBLE
$
X RETENTION $ 10000
B
WORKERS COMPENSATION AND
EIG126523004
10127/2014
10/27/2015
X VJCSTATU 0TH-
E EACH ACCIDENT
$ 1,000000
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE lI
OFFICERIMEMBER EXCLUDED?
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
Ryes, tlascbbe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$ 1 000,000
OTHER
C
Crimeshleld Bond
72 TP 0271195
08129/2014
08/29/2015
Ded: 10,000
1,000,000
A
Errors & Omissions
72SBAAK5642
02/20/2015
02/20/2016
Per Aggregate
1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Computer Consultant and Staffing Services. Subject to Policy Terms, Conditions and Exclusions
* 30 Days Notice should the policy cancel for non - payment
Insured for Location at :
20640 E Oak Crest Drive, Diamond Bar, CA 91764
City of Santa Ana
Its Officers, Agents and Employees
20 Civic Center Plaza
P.O. Box 1988 -M12
Santa Ana, CA 92702
SHOULD ANY OF THE ABOVE DESCRIBED POOCHES BE CANCELLED BEFORE THE EXPIRATION
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 SD SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Printed by JCH on February 17, 2015 at 03:27PM
R
P
`.4 -.201517
POLICY NUMBER: 72 SEA AK5642 '- :�6� y ®b✓ -��
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - PERSON - ORGANIZATION
THE CITY OF SANTA ANA
ITS OFFICERS, EMPLOYEES
20 CIVIC CENTER PLAZA
PO SOX 1988 -M12
SANTA ANA, CA 92702
AGENTS AND VOLUNTEERS
Form I H 12 00 11 85 T S EQ. NO. 001
Process Date: 12/18/14
Printed in U.S.A. Page 001
Expiration Date: 02/20/16
r