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HomeMy WebLinkAboutMIDORI GARDENS 5DA- 2013 - 102 -02 MAYOR ( DNTI INS RANG EXPIRES Miguel A. Puii MAYOR PRO TEM .._. _. tv Vincent F. Sarmmante CLERK OF COUNCIL' -. COUNCILMEM$6RS Angelina- Amexaua DATE: V, P. David 0enauides Michele Martinez Roman Royna _.p. SelTinalern /*� i p t_ ANA CITY OF SANTA ANA PARKS, RECREATION, AND COMMUNITY SERVICES AGENCY 20 Civic Center Plaza M -23 e P.O. Sox 1088 W23 Santa Ana, California 02702. uuw AUla- ana:cm Tune 9, 2015 Nage Hamarroto; President Midori Gardens, Inc. 3231 S. Main Street Santa Ana, CA 92707 Re: FXtension of L;andsope Mgintenauce A rterment No. A 2011 -151 Dear Mr. llarnarroto; Pursuant to Agreement No, A- 2011 -181, entered into by Midari.0ardens; in(-,, O'Contractor "), and the City of Santa Ana, dated June 6, 2011, and atnen'ded by Amendment Nos A- 2012 -114, A- 2013 -102, and A- 2013 - 102 -01, the time period of the Agreement is hereby extended for an additional one {I) year period, tkonu July 1, 2015'threugh Imme a4, 2016. Contractor acknowledges that the services that are the subject of this Agroetuent are subject to prevailing wages anti agrees to pay prevailing wage rates as determined by the state of California. The insurance certifien3ra$ are required to be extended and/or renewed to cover this extension. All other torms and.conditioizc of the Agreement remain unchanged and in full force and effect. Sincere ;, Clexa-jo Moues Executive Director, Parks Reor ation and Community Services Agency APPROVED AS TO FORM: Sonia R C'.arwalbo City Attorney t n M. Frnil - stam City Attorney Midis Gardens, lne. Naga cc; CI rl Xthe Council CITY OF SANTA ANA David Ca ,os C'' alter ATTEST: Maria D,'- Hulzar Clerk of fire Council u f lG ✓ SANTA ANA CITrr COeN cIL MqucAPNdo i Wrn;wllY'..sam*AN, # kkahele 61arGsez 4 Narnaw Manua- �. Rank idl'•e(i.*% ( Aomaoeeyrw Coal T,daiEto. Mayor MeyarPM Tom, Ward I Wsrd 2 x Warda Wart 4 Word t � WWdB i` '.- ° °ad4.0 98C122AD& 1r9 Y�"errrlenmr'Ugente -ene gt4 tNr z s&11Lb yt190�tA .r a` q �!S^ "a.0 U3c, fA.Y tlih", o4d a!1 :4L4 EiCi9`L2aCa 6tlLtLa7N9C9 i uIN4i (an if .. . I I i I 4rente A� ®® CERTIFICATE OF LIABILITY INSURANCE 6/3/2015 ' 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 ,Tames G.Parker Insurance Associates #0554959 P O. BOX 3947 Fresno. CA 93650 Mar Amlrl '- NAME: y (661)264 -1708 A/C No,(559)222 -1724 E -MAa mamiri @jgparker.com R-s..tt(;-,3ri@jgparker.com AD RES INSURERS AFFORDING COVERAGE - NAIC# INSURER Argonaut Great Central - 19860 INSURED Midori Gardens Inc & Midori Landscape Inc Midori Landscape Inc 3231 Main St Santa Ana CA 92707 INSURER B:HDI-Gerling America Ins Cc 41343 I INSURER CNavi ators Insurance Company 42307 INSURER D:CVPrQSS Insurance Company 10855 INSURERS: $ 1,000,000 INSURERF: X COMMERCIAL GENERAL LIABILITY COVERAGES CERTIFICATE NUMBER:15 -16 GL,auto,umb &WC 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 LTR TYPE OF INSURANCE ADDLSUBR ACCORDANCE WITH THE POLICY PROVISIONS. POLICY NUMBER MMIDDY MMIDDY� LIMITS Services Agency GENERAL LIABILITY 20 Civic Center Plazas Santa Ana, CA 92701 James Parker III /MARY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea cccumords $ 100,000 A CLAIMS MADE ®OCCUR LAN290107701 6/1/2015 6/1/2016 MED EXP(Any one person) $ 5,000 PERSONAL ADV INJURY IS 1,000,000 _ $1,000 deductible GENERAL AGGREGATE $ 2,000,000 _ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG. $ 2,000,000 $ .. X POLICY PROC LOC El AUTOMOBILE LIABILITY - _ -' _.. COMBINED SINGLE LIMIT _Ea accident ) "'1,000,000 BODILY INJURY (Per person) $ B A NY ALL OWNED SCHEDULED AUTOS AUTOS - _._ 0X0003770000CA 6/1/2015 6/1/2016 BODILY INJURY (Per accident) $ (Per DAMAGE $ - X HIRED AUTOS X MON -OWNED AUOS Uninsured motorist combined $ 1,000,0001 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,000 X N AGGREGATE $ 5,000,000 C EXCESS LIAB CLAIMS -MADE DED X RETENTION$ None $ SF15EXC785300IV 6/1/2015 6/1/2016 D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ECUTIVE Y� X WC STATU- OTH- TORY I IMITS ER E.L. EACH ACCIDENT $ 1 000 000 OFFICERPRIETOREXCLUDIVE (Mandatory in NH) NIA IWC603203 6/1/2015 6/1/2016 E.L. DISEASE - EA EMPLOYE $ 1 000 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ _ ,,000 no DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Job: City of Santa Ana The City of Santa Ana, its officers, agents and employees are named as additionalai. lrreds as per attached endorsement #AGCG2010BPNO704 .>.100000 "Ne �a rA r CERTIFICATE HOLDER CANCELLATION ® ACORD 25 (2010105) © 1988.2010 ACORD CORPORATION. All rights reserved. INSn2s nrHnnSt m TRo Amon „�mo arrt Inn^ nro rnni�+omn mnrka of ACr1Rn (714) 571 -4211 scuevas@santa-ana.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana Parks, Recreation & Community AUTHORIZED REPRESENTATIVE Services Agency Attn: Silvia Cuevas 20 Civic Center Plazas Santa Ana, CA 92701 James Parker III /MARY ACORD 25 (2010105) © 1988.2010 ACORD CORPORATION. All rights reserved. INSn2s nrHnnSt m TRo Amon „�mo arrt Inn^ nro rnni�+omn mnrka of ACr1Rn Additional Named Insureds Other Named Insureds Midoxi Landscape Inc edby'. �e�as P OFAPPINF (02/2007) COPYRIGHT 2007, AMS SERVICES INC ADDITIONAL COVERAGES Ref # Description Errors & Omissions Coverage Code ERROM Form No. Edition Date Limit 1 1,000,000 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Pesticide Herbicide Applicators Coverage Coverage Code Form No. Edition Date Limit 1 1,000,000 Limit 2 1,000,000 Limit 3 Deductible Amount Deductible Type Premium Ref # Description - Employee Benefits Coverage Code EBLIA Form No. Edition Date Limit 1 1,000,000 Limit 2 Limit 3 Deductible Amount 1,000 Deductible Type Premium Ref # Description AG197 - Arborist Wkmship Coverage Code Form No. Edition Date Limit 1 500,000 Limit 2 Limit 3 Deductible Amount 2,500 Deductible Type Flat Premium Ref # Description AG199 - Pollution Liability Coverage Code Form No. Edition Date Limit 1 100,000 Limit 2 Limit 3 Deductible Amount 2,500 Deductible Type Flat Premium Ref # Description AG194 - EPLI Coverage Code Form No. Edition Date Limit 1 10,000 Limit 2 Limit 3 Deductible Amount 1,000 Deductible Type Flat Premium Ref # Description - Experience Mod Factor 1 Coverage Code EXP01 Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit Limit2 Limit Deductible• Deductib pe Premium Ref # Description e •� . • aG d� Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 De i le wdb Deductible Type vv Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium OFADTLCV Copyright 2001, AMS Services, Inc. POLICY NUMBER: LAN2901077 -01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION BLANKET, PRIMARY, OR NON - CONTRIBUTORY - AS REQUIRED BY WRITTEN CONTRACT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Policy Effective Date 61112015 Policy Expiration Date 6/1/2016 Named Insured Midod Gardens & Midori Landscape Inc If the required policy information is not shown above, it will be shown in the Declarations. SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Locations Of Covered Operations Name of Person or Organization: ca ' Any person or organization with whom you agreed, because of a written "insured contract", written agreement Blanket as required by written "insured contract ". or permit, is an insured during the policy period. This insurance is excess over any other insurance available to the additional insured(s) as an insured whether primary, excess, contingent or on any other basis, unless a written "insured contract" or written agreement specifically requires that this insurance be either primary or non - contributing. This insurance applies as respects any claim, loss or liability allegedly arising out of the operations of the named insured, provided however that this insurance will not apply to any claim, loss or liability which is determined to be solely the result of the additional insureds negligence or solely the additional insured's responsibility. A. Section II — Who Is An Insured is amended tc include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. aby. Rev\e,Ve �( ue`jes P�G�P� Pd�1C\ AG CG 2010 BPN.0704 Argo Group Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc. with its permission.