HomeMy WebLinkAboutFILLER SECURITY STRATEGIES, INC. -2015N
INSURANCE NET ON FILE
WORK MAY DI PROCEED
CLERK OF 00ffll-
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AGREEMENT TO PREPARE
A GRANT EFFECTIVENESS REPORT
THIS AGREEMENT, orade and entered into this 7"' day of April, 2015 by and between
FILLER SECURITY STRATEGIES, Inc., a Manic corporation (hereinafter "Consultant"), and
the City of Santa Ana, a chat-ter city and municipal corporation organized and existing under the
Constitution and laws of the State of California thereinafter "City"),
RECITALS
A City, acting through the Santa Ana Police Department in its capacity as a Core City and
lead agency for the Anaheirn / Santa Ana Urban Area under the Urban Areas Security
initiative ("UASI"), has applied for received and accepted a grant from the federal
Department of Homeland Security, Office of Domestic Preparedness, through the State
of California, Office of Homeland Security, to onlutnce countywide emergency
preparedness, hereinafter referred to as "the Grant".
B. The City desires to contract with an expert in preparing Grant Effectiveness Reports.
C. Consultant represents that it has the necessary skills and experience to provide
assistance in developing grant applications, invoicing and processing payment
documents in compliance with grant policies, and maintaining guidelines and polices
required by grant providers,
D. In undertaking the performance of this Agreement, Consultant represents that it is
knowledgeable in its 6eld and that any services performed by Consultant under this
Agreement will be performed in compliance with such standards as may reasonably be
expected from a professional Consulting firm in the field.
NOW,rHEREFORE, in consideration of the mutual and respective promises, and subject to the
terms and conditions hereinaftcr set forth, the parties agree as rol lows:
SCOPE OF SERVICES
Consultant shall develop, prepare, and provide to the City a Grant Effectiveness
Report in the format as set forth in Exhibit A, attached hereto and incorporated by this
reference. All services required hereunder shall conform in all respects to standards and
regulations for funding by the U.S. Department of Homeland Security, and the California
Emergency Management Agency, Consultant will be responsible for continued training to
remain up to date on the management and reporting obligations required of the various
Homeland Security Grant funds.
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as total payment for the report and
associated services an amount net to exceed $37,500.00 during the term of this agreement,
b. Payment by City shall be made within thirty (30) days following receipt of proper
invoice evidencing work performed, subject to City accounting procedures. payment need not
be made for work which fails to meet the standards of performance set forth in the Recitals
which may reasonably be expected by City.
3. USE AND OWNERSHIP OF DOCUMENTS
ft is understood by and agreed to between the parties that all written papers or materials
prepared pursuant to this Agreement, paid for with bran( funds, or composed utilizing
information provided by City, shall be the property of City and shall be delivered to City upon
completion of the services hereunder.
4. TER NI
This Agreement shall commence on the (late first written above and terminate on May 21,
2016, unless terminates[ earlier pursuant to Section 13, below.
S. INDEPENDENT CONTRACTOR
Consultant shalt, during the entire term of this Agreement, be construed to be an
independent connector and not an employee of the City. This Agreement is not intended nor
shall it be construed to create an employer - employee relationship, ajoint venture relationship, or
to allow the City to exercise discretion or control over the professional manner in which
Consultant performs the services which are the subject matter of this Agreement; however, the
services to be provided by Consultant shall be provided in a manner consistent with all
applicable standards and regulations governing such services. Consultant shall pay all salaries
and wages, employer's social security taxes, unemployment insurance and similar taxes relating
to employees a'nd shall be responsible for all applicable wid- rholding taxes.
6. INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Commercial General Liability Insurance. Consultant shall maintain commercial
general liability insurance which shall include, but not be limited to protection against claims
arising from bodily and personal injury, including death resulting therefrom and damage to
property, resulting from any act or occurrence arising out of Consultant's operations in the
perfonmance 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
annunuull of$1,000,000 per occurrence. Such insurance shatl (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 (e) contain standard separation of insureds provisions.
b. Worker's Compensation Insurance. In accordance with the provisions of Section 3300
of the Labor Code, Consultant, if Consultant has any employees, is required to be insured against
liability for worker's compensation or to undettake self - insurance. Prior to commencing the
performance of the work under this Agreement, Consultant agrees to obtain and maintain any
employer's liability insurance with limits not less than S 1,OOO,000 per accident.
c. The following requumments apply to the insurance to be provided by Consultant
pursuant to this section:
(i) Consultant 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 fonts by the City Attorney.
(iii) Certificates and policies shall state that the policies shall not be canceled without
thirty (30) days prior written notice to the City. 'Ten (10) days notice if
cancellation is due to non-payment of premium.
d. If Consultant £ails 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.
INDENINIFICAT'[ON
Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents,
employees, and special counsel from liability for personal injury, orjust,eompensation, arising
out of claims for personal injury, including death, and claims for property damage, to the extent
they arise from the negligent or wil(fld misconduct in the performance of operations or errors or
omissions of the Consultant or its contractors, subcontractors, agents, employees, or other
persons acting on their behalf which relates to the set-vices described in section l of this
Agreement.
a. CONFIDENTIALITY
If Consultant receives from the City infortuation which due to the nature of such
information is reasonably understood to be confidential and /or proprietary, Consultant 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 to protect its own information of
like importance, but in no event less than reasonable care. "Confidential Information" shalt
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 ofthe other
party is covered by this Agreement. The Foregoing obligations of rron -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 Consultant disclosed in a publicly available source; (c) is in riglitful
possession of the Consultant without an obligation of confidentiality (d) is required to be
disclosed by operation of law; or (e) is independently developed by the Consultant without
reference to information disclosed by the City.
9. CONFLICT OF INTEREST CLAUSE
Consultant covenants that it presently has no interests and shall not have interests, direct
or indirect, which would conflict in any manner with perfornnance of services specified under
this Agreement.
10. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shatt 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 facsimile or other telegraphic
communication in the manner provided in this Section, to the following persons:
To City: Cleric ofthe City Council
City of Santa Ana
20 Civic Center Plaza (M -30)
P.O. Box 1988
Santa Ana, CA 92702-1988
Facsimile (714) 647 -6956
With courtesy copies to:
and
Santa Ana Police Department
UASI / Horneland Security Division
60 Civic Center Plaza
P.O. Box 11981 (M -97)
Santa Ana, California 92702
Facsimile (714) 245 -8745
Attn: Sergeant Brad Hadley
City Attorney
City of Santa Ana
20 Civic Center Plaza (M -29)
P.O. Box 1988
Santa Ana, Calif a-ma 92702
Facsimile (714) 647 -6515
To Consultant: Mr. Joshua Filler
Filter Security Strategies, Inc.
34 Farm Gate Road
Falmouth, Maine 04105
Office: (202) 279 -1095
Email: jfiller@fssconsuilting.net
A party may change its address by giving notice in writing to the other party. Thereafter,
any camnnrnicatimu shall be addressed and transmitted to the new address. If sent by mail,
communication shall be effective or deerned to have been given three (3) days alter it has been
deposited in the United States mail, duty registered or certified, with postage prepaid, and
addressed as set forth above. If sent by facsimile, communication shall be effective or deemed to
have been given twenty -four (24) hours after the time set t'arth on [lie transmission report issued
by the transmitting facsimile machine, addressed as set forth above. For purposes ofcaleulating
these time frames, weekends, federal, state, County or City holidays shall be excluded.
11. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Consultant, and supersedes any and all other agreements, oral or written, between the parties. In
the event of a conflict between the terms of this Agreement and any attachments hereto, the
terns of this Agreement shall prevail. This Agreement may not be modified except by written
instrument signed by the City and by an authorized representative of Consultant. The parties
agree that any terms or conditions of any purchase order or other instrument that are inconsistent
with, or in addition to, that terms and conditions hereof, shall not bind or obligate Consultant nor
the City. Each party to this Agreement acknowledges that no representations, inducements,
promises or agreements, orally or otherwise, have been made by any party, or anyone acting on
behalf of any party, which is not embodied herein.
12. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Consultant,
Consultant 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 mall and void. 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.
13. TERIMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In such event, Consultant shall be entitled to receive and the City shall pay
Consultant compensation for all services performed by Consultant prior to receipt of such notice
of termination, subject to the following conditions: As a condition of such payfoeot, the police
Chief may require Consultant 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 taw,
and Consultant consents to the City's use thereof for such purposes as the City deems
appropriate.
14. DISCRIMINATION
Consultant shall riot 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. Consultant affirnts that it is an equal opportunity employer
and shall comply with all applicable federal, state and local laws and regulations.
15. JURISDICTION - VENUE
This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement of arty of the clauses of this Agreement
shall be determined and governed by the laws of the State of California. Both parties further
agree that orange County, California, shall be the venue for any action or procceding that may
be brought or arise out of, in connection with or by reason of this Agreement.
16. PROFESSIONAL LICENSES
Consultant shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services
hereunder and required by the laws and regulations of the United States, the State of California,
the City of Santa Ana and all other governmental agencies Consultant shall notify the City
immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals,
waivers, and exemptions. Said inability shall be cause for termination of this Agreement.
17. CONSULTANT CERTIFICATIONS
a. Audit Records - With respect to all matters covered by this agreement all records
shall be made available for audit and inspection by the City, the grant agency and/or their duly
authorized representatives for a period of three (3) years From the termination of this Agreement.
For a period of three years after final delivery hereunder or until all claims related to this
Agreement are finally settled, whichever is later, Consultant shall preserve arid maintain all
documents, papers and 'records relevant to the services provided in accordance with this
Agreenennt, including the Attachments hereto. For the same time period, Consultant shall make
said documents, papers and records available to City and the agency from which City received
grant funds or their duly authorized representative(s), for examination, copying, or mechanical
reproduction on or off the premises of Consultant, upon request during usual working hours.
b. Consultant shall provide to City all records and information requested by City for
inclusion in quarterly reports and such other reports or records as City may be required to
provide to the agency from which City received grant Funds or other persons or agencies.
C. Section 534 of the Rehabilitation Act of 1973 (Handicappd) - All recipients of
federal frznds must comply with Section 504 of" the Rehabilitation Act of 1973 (The Act).
Therefore, the federal funds recipient pursuant to the requirements of The Act hereby gives
assurance that no otherwise qualified handicapped person shall, solely by reason of handicap be
excluded front the participation in, be denied the benefits of or be subject to discrimination,
including discrimination in employment, in any program or activity that receives or benefits from
federal financial assistance. The Consultant agrees it will ensure that requirements of The Act
shall be included in the agreements with and be binding on all of its contractors, subcontractors,
assignees or successors.
d. Americans with Disabilities Act of 1990 (ADA) Consultant must comply with
all requirements of the Americans with Disabilities Act of 1990 (ADA), as applicable.
e. Political Activitv - None of the funds, materials, property, or services provided
directly or indirectly under this agreement shall be used for any partisan political activity, or to
further the election or defeat of any candidate for public office, or otherwise in violation of the
provisions of the "Hatch Act ".
E. Civil Rights Comoliance and Notihcgtion of Fitidings - Consultant will comply,
and all its contractors (or subrecipients) will comply, with the nondiscrimination requirements of
the Omnibus Crime Control and Safe Streets Act of 1968, as amended, 42 USC 3789 (d), or
Victims of Crime Act (as appropriate); Title VI of the Civil Rights Act of 1964, as amended;
Section 504 of the Rehabilitation Act of 1964, as amended; Subtitle A, Title 11 of the Americans
with Disabilities Act (ADA) (1990); Title IX of the Education Amendments of 1972; the Age
Discrimination Act of 1975; Department of Justice Non- Discritrtination Regulations, 28 CFR
Part 42, Subparts C, D, E, and O; and Department of Justice regulations on disability
discrimination, 28 CFR Part 35 and 39. In the event a Federal or State court, Federal or State
administrative agency, or the Consultant makes a finding of discrimination alter a due process
hearing on the grounds of race, color, religion, national origin, sex, or disability against a
recipient of funds, the Consultant will forward a copy of the Findings to the City which will, in
turn, submit the findings to the Office of Civil Rights, Office of Justice Programs, U.S.
Department of Justice.
g. Consultant will comply, and all its contractors (or subrecipients) will comply,
with all requirements of the Executive Order 11246 of September 24, 1965, entitled "Equal
Employment Opportunity," as amended by Executive Order 11375 of October 13, 1967, and as
supplemented in Department of Labor regulations (41 CFR chapter 60), as applicable.
h. Consultant will comply, and all its contractors (or subrecipients) will comply,
with all requirements of the Copeland "Anti- Kickback" Act (18 U.S.C. 8741) as supplemented
in Department of Labor regulations (29 CFR Part 3), as applicable.
i. Consultant will comply, and all its contractors (or subrecipients) will comply,
with all requirements of the Davis -Bacon Act (40 U.S.C. 2761 to 276a -7) as supplemented by
Department of Labor regulations (29 CFR Part 5), as applicable.
J. Consultant will comply, and all its contractors (or subrecipients) will comply,
with all requirements of Sections 103 and 107 of the Contract Work and Safety Standards Act
(40 U.S.C. 327 -330) as supplemented by Department of Labor regulations (29 CFR Part 5), as
applicable.
k. Consultant will comply, and all its contractors (or subrecipients) will comply,
with all applicable standards, orders or requirements issue([ under Section 306 of the Clean Air
Act (42 U.S.C. 1857(h)), Section 508 of the Clean Water Act (33 U.S.C. 1368), Executive
Order 1 1738, and the Environmental Protection Agency regulations (40 CFR part I5), as
applicable-
7
i. Consultant will comply, and all its contractors (or subrecipients) will comply,
with all requirements of the Energy Policy and Conservation Act (Pub. L. 94- 163, 89 Stat.
871), (53 FR 8078, 8087, rV1ar. I t, 1988, as amended at 60 FR 19639, 19645, Apr. 19, 1995),
as applicable.
m. Consultant agrees that the Department of Homeland Security shall have the
authority to seen patent rights for any process, product, invention or discovery developed and
paid for with funding through this Agreement.
18. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature herein below has the
power, authority and right to bind their respective parties to each of the terms of this Agreement,
and shall indemnify City fully, including reasonable costs and attorney's Pees, for any 'injuries or
damages to City in the event that such authority or power is not, in fact, held by the signatory or
is withdrawn.
b. All Exhibits referenced herein and attached hereto shalt be incorporated as if fully
set forth in the body of this Agreement.
c. The City acknowledges and agrees that the Services provided by CONSULTANT
under this Agreement are strictly advisory and do not include recommendations to take any
action or any inaction. Nor does any information provided by CONSULT ANT constitute a
prediction or an attempt to predict any future event. Any and all forward looking statements
provided by CONSULTANT, whether written or oral, are intended solely to express an opinion.
d. Notwithstanding any other provision of this Agreement, the City acknowledges
and agrees that CONSULTANT shall retain all rights, title; and interest in and to any pre - existing
know -how, methodology, technology, templates or information ( "tools ") used by
CONSULTANT in performing the Services under this Agreement The City is given no right,
title or interest in such toots.
IN WITNESS WHEREOF. the parties hereto have executed this Agreement the date and
year first above written.
ATTEST:
MARIA D. HUIZAR J
Clerk of the Council
CITY OF SANTA ANA, a municipal
Corporation of the State of California
(Signatures continue on the following page)
APPROVED AS TO FORIM:
SONIA R. CARVALHO
City Attonicy
By: <f
Laura A. Rossini
Senior Assistant City Attorney
RECOMMENDED E R APPROVAL:
CARLOSROIAS
Chief of Police
FILLER SECURHYSTRATEGIES, INC,
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FILLER
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EXHIBIT A
SCOPE OF WORK
FILLER SECURITY Sl RATEGIES, INC.
10
Grant Effectiveness Report - Proposed Scope of Work
The Gi atu Effectiveness Report (GER) will integrate findinas from prior risk, capability and
investment data into a broader evaluation of the impact that Urban Areas Security initiative
funded investments from FY 2009 through FY 2013 have had an the Anaheim Santa Ana
Urban Area's (ASAIJA's) state of preparedness. In doing so, the report will answer the
following questions:
• Has the �,astprogrom helped the &CAU8bp(�r understand and dnouroeutthe
threats and hazards that pose a risk rn the urban area?
• Has the grant prograrn helped the ASAUA better identify, document and prioritize
Core Capabilities needed (o address high risk threats and hazards?
• Has the grant program helped the &SAUAideudh/au6 document its gaps and
strengths in those priority Core Capabilities?
• Has the A3&U& invested its grant funds in its priority Core Capabilities?
• [low have grant investments improved the 8S&U8's priority Core Capabilities as
demonstr,ated during an incident e.g., terrorism threats or events and natural
disasters [rea\orbmu1ated)?
�
What are any runmining gaps in priority Core Capabilities?
^
Flow have or will cuts in grant funding to the ta-ban area impact its level of ability
across its priority Core Capabilities?
These questions will he addressed Lbnnuuh the following tasks over the following timeline
as Outlined in the table below:
Z015 ASAUA rER SOW
r1u,ER'EC>LTRITY SmAcrE C:IIES INC
Task 1: Review available risk, capabilities assessment, and other relevant data.
• Hold project kick -off meeting with regional stakeholders.
• Actual UASI grant expenditure data from FY 20D9 through FY 2013 through Grant
Workbooks and other data sets.
UASI Investment(ustlfications.
• MOStCLurentT H IRA and other risk assessment data,
• Any capability assessment and gap analysis data.
• Actual major products /deliverables developed through UASI funds (i.e., if planning hinds
were used to create /revise /enhance a plan).
• Any metrics data collected on products /projects funded through UASI (e.g., 'we used UASI
funding to build a community proparedness website that has gotten a certain number of
hits and enabled a certain number of discrete downloads "),
• Training output data (e.g., the number of people trained through UASI funding, what
disciplines, what courses).
• Exercise data ( incuding how many /what types of exercises were funded through UASI, the
number of people and disciplines involved, the after action reports (AARs) from those
exercises; should also include other exercise AARs that may not have been directly funded
through UASI but that tested skills that' were holstered through the grant funds).
• Real world event AARs those how capabilities built /enhanced through UASI funding
actually performed during real events with a focus on evaluating the capabilities in place
during each of these incidents an([ the extent to which grunt funding impacted the
performance of those capabilities during the incident response.
• Homeland security strategy /hazard mitigation plans.
Previous assessment information on
'T'ask 2: Conduct interviews and collect
fic issues, e.g., Bomb Squad assessments
Conduct a series of telephone interviews with local subject matter experts to collect
additional data and add context and meaning to the written data collected in taste one.
Put together a set of questions after the initial data review is done and then send those
out ahead of time. Then conduct the interview and take notes.
2 month's
6 weeks
Taste 3: Analyze data, Use these different data inputs to determine how the region! vested 6 weeks
UASI grant funds to build, enhance, or sustain capabilities. This will involve the following:
• Identify linkages across risk, capabilities, and historical spending, and identify correlations
between historical grant expenditures, the region's strategic priorities, and risk -based
capability gaps facing the region.
• Ensure data is coded to reflect alignmenL oAth appropriate analytic Frameworks, including:
• Core Capabilities
• Goals and objectives in the ASAUA Homeland Security Strategy.
• THIRA capability targets
• Prevention, protection, response, recovery, and mitigation
• Summarize high -level trends in risks, capabilities, and grant investments to demonstrate the
positive impact of the UASI program in tiie region. usinv esisrina nonlve(.
2015 ASAUA GER SOW
rj1.j,-E'R SECURM $TRATEGIES, INC.
Determie howv eapahiGtias strengthened through t:he UtlSi program actually performed
ovurmajor exercises.
k 4: Consolidate analysis into a comprehensive UASI Grant Effectiveness Report that
Feffccectiverte.3asof
umens ny major accomplishments and specifically evaluates the potential
UAS1 funding and the potential consequences of funding cuts.
• Send out draft report for review by subject matter experts.
• Hold additional conference calls with Slat6s as needed.
• Deliver final report and provide final power point out -brief to regional public safety and
homeland secun'ty teaciers.
Total
6.5 months
Travel
N/A
Price: Firm fixed price of $37,500
2015 ASAUA GBR SOW
ACORD, CERTIFICATE OF LIABILITY INSURANCE
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
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ONLY AND CONFERS NO RIGF17S UPON THE CERTIFICATE
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P.O. BOX 1786
ALTER THE COVERAGE AFFORDED SY THE POLICIES BELOW.
AUTHORIZED REPRESENTATIVE r <DA>
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Berlin MD 21811
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ANY REQUIREMENT. TERM OR CONDITION OF AN' CONTRACT OR OTHER DOCUMENT heITH RESPECT TO WHICP T =1S 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 $GCI,
POLICIES AGGHEGATE LIMBS SHOWN MAY HAVE BEEN REDUCED By PAID CLAIMS
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DESCRIPTIONOF OPERATIONS I LOCATIONS! VEHICLES (EXCLUSIONS ADDED BY ENDORSEMENT (SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
ACORD 25 (200110&) OC ACORD CORPORATION 1988
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 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, SLIT FAILURE TO DO SO SNALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. IT'S AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE r <DA>
ACORD 25 (200110&) OC ACORD CORPORATION 1988
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If the certificate holder is on ADDITIONAL INSURED, the polieytiesl must be endorsed. A statement
on this certificate does not confer rights to the certficate holler In lieu of such endorsement(s).
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 cert ificate
holder in lieu of such endorsement(e).
DISCLAIMER
The Certificate of insurance on the reverse side of this form does not constitute a contract between
the issuing insurers 'l, authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
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ADDITIONAL. INSURE_D_END_ORSEMPN_I
FOR COMMERCIAL GENERAL LIABILITY POLICY
Insurance Company Philadelphia lridemn!ty Insurance Co
This endorsement modifies such insurance as is afforded by the provisions of Policy
g .-P-HSt11BQA2aC -- relating to the follmving:
1. The ON of Santa Ana, 20 Civic Ccnter Plaza, Santa Ana, California 92701; its
officers, employees, agents, volunteers and representatives are narned as additional insureds
("additional insureds ") with regard to liability and defense of suits arising from the operations
and uses performed by or on behalfofthe named insured,
?.. 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 1s 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 insures( against whom claim is made or
suit is brought except with respect to the company's limits of liability. Tire 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 Ox0312015 . this endorsement form as a part of
Pnlicv 9 — PJ-1SD-1 194268 -- —
Issued to CITY OF SANTA ANA
Named Insured
Countersigned by
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