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C3 OFFICE SOLUTIONS 1B - 2015
co(5 ter, City of Santa , a . r. Clerk of the Council ry AGREEMENT TERMINATION FORM 1 _COTC Office Use only i l Please complete this form when the attached agreement and all OITY Ci • amendments (if any) are no longer in effect. (- Return form to the Clerk of the Council Office (M-30). I Call 647-6520 if you have any questions. The agreement with C 3 OFf.rCc.— Sc cLL t- ,�,r f A No*4 -Z:J f j 2 `A Cb) was completed on / 3' /'S and final payment has been made. Z (List all amendments. Use space below if needed.) A-2.012 " 2 q C0 0) Department: (ems re-d Z- $ f_ti-ze-r S '414 - 1 Cu) Phone/Ext.: 1:),I.•U' .x s �"o 2 Signature: () _ / 1/ 1,6 %'/ Date: ) 2 -2 1' ' , Revised 08-23-10 INSURANCII: CAN h`lu, WORK MAY PROCEEt; UNTIL INSURANCE EXPIr1Fc 'CI.ERK OF CO...ki COND AMENDMENT TO MANAGED PRINT SERVICES AGREEMENT DATE:11.; LQ „l A- 2015 -241 THIS SECOND AMENDMENT to the above - referenced agreement is entered into on October 20, 2015 by and between C3 Office Solutions, LLC ('Provider "), 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. On October 15, 2012, the parties entered into Agreement #A- 2012 -219 ( "Agreement') with Provider, by which Provider agreed to furnish managed print services for the City's multi- function printers. B. On November 18, 2014, the parties executed a First Amendment to Agreement #A- 2012 -219, by which the total compensation was increased by $163,908 to pay for additional services. The term of the Agreement is for a period of three years, from November 1, 2012 through October 31, 2015, and the Agreement remains in effect. C. The parties wish to further amend the Agreement to provide for additional compensation througb the conclusion of the Agreement. The Parties therefore agree: 1. Section 2, Compensation, is further amended to include an additional $39,000 in compensation through the conclusion of the Agreement. 2. Except as modified by this Second Amendment, and all prior amendments, all terms and conditions of the Agreement shall remain in full force and effect, IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment to the Agreement on the date and year first written above. ATTEST �JnA" MARIA D. HUI2AR Clerk of the Council APPROVED AS TO FORM SONIA R, CARVALHO City Attorney By. ,wv. A' , _z I01 . FUNK. Assi ant City Attorney Page I of 1 CITY OF TA ANA DAVID CAVAZOS City Manager C3 OFFICE SOLUTIONS, LLC '�� °!zOu CERTIFICATE OF LIABILITY INSURANCE io�5�2015Y' 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 CONTACT NAME: Tutton Insurance Services, Inc. 2913 S Pullman Street License #OB89376 PHONE (949)261 -5335 FAX No: 19997261 -1911 E -MAIL RE INSURERS AFFORDING COVERAGE NAIC# INSURER A:Travelers Casualty Insurance 19046 Santa Ana CA 92705 INSURED INSURER B:Travelers Property Casualty 25674 INSURER C: Reprographics Fax Group, Inc., DBA: C3 Office INSURER D: 5/23/2015 Solutions; C3 Office Solutions LLC 1536 E Warner Avenue INSURERS: MED EXP(Any one person) INSURER F: PERSONAL &ADV INJURY Santa Ana CA 92705 COVERAGES CERTIFICATE NUMBER:15 /16 GL /BA /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 ADOL SUBR MD POLICY NUMBER POLICY EFF MMIDD POLICY EXP WMIDOIYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 6809BO1177715 5/23/2015 /23/2016 A T RENTED PRE (,Ee occurrence $ 300,000 MED EXP(Any one person) $ 5,000 PERSONAL &ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 4,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY ECOMBINED et SINGLE LIMIT 1,000,000 A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS ASB85091915 /23/2015 /23/2016 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ NON -OWNED HIREDAUTOS AUTOS PROPERTY DAMAGE Per accident $ Medical a menot $ 5 000 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ 3W WORKERS COMPENSATION AND EMPLOVERS'LIABILITY YIN X WC STATU- OTH- TRY I E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOMPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NHl If yes, describe under NIA IJUS4039T88715 10/2/2015 O/2/2016 E.L. DISEASE -EA EMPLOYE $ 11000,000 E.L. DISEASE - POLICY LIMIT 1 $ 11000,000 DESCRIPTION OF OPERATIONS below DESCH PTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Santa Ana, its officers, employees, agents, volunteers and representatives are named additional insured per attached forms CGT4911188, CGD037 0405 & ILT400 1209 CERTIFICATE HOLDER - CANCELLATION ACORD 25 (2010105) © 1988.2010 ACORD CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD A t-v-,l CoLSTE L t J nJ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92702 Stanley Tutton /ALEX ACORD 25 (2010105) © 1988.2010 ACORD CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD A t-v-,l CoLSTE L t J nJ Additional Named Insureds Other Named Insureds C3 Office Solutions Doing Business As C3 Office Solutions LLC Limited Liability Company, Additional Named Insured I OFAPPINF (0212007) COPYRIGHT 2007, AMS SERVICES INC POLICY NUMBER:6809BO1177715 COMMERCIAL GENERAL LIABILITY ISSUE DATE: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED- DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of person or organization: City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92702 WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your acts or omissions. CG T4 91 11 88 Copyright, Insurance Services Office, Inc., 1984 Pago 1 of 1 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE - ADDITIONAL INSUREDS This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART R7 ieio16'3CrUIR9 COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV), Paragraph 4. (Other Insurance), is amended as follows: 1. The following is added to Paragraph a. Primary Insurance: However, If you specifically agree in a written con- tract or written agreement that the insurance pro- vided to an additional insured under this Coverage Part must apply on a primary basis, or a primary and non - contributory basis, this insur- ance is primary to other insurance that is avail- able to such additional Insured which covers such additional Insured as a named Insured, and we will not share with that other Insurance, provided that: a. The "bodily injury" or "property damage" for which coverage is sought occurs; and b. The "personal injury" or "advertising injury" for which coverage is sought arises out of an of- fense committed subsequent to the signing and execution of that contract or agreement by you. 2. The first Subparagraph (2) of Paragraph b. Ex- cess Insurance regarding any other primary in- surance available to you is deleted. 3. The following is added to Paragraph b. Excess Insurance, as an additional subparagraph under Subparagraph (1): That is available to the insured when the insured is added as an additional insured under any other policy, including any umbrella or excess policy. CG DO 37 04 05 Copyright 2005 The St. Paul Travelers Companies, Inc All rights reserved. Page 1 of 1 POLICY NUMBER:680%01177716 ISSUE DATE: - - THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED ENTITY - NOTICE OF CANCELLATIONMON RENEWAL PROVIDED BY US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE 2 CANCELLATION: Number of Days Notice of Cancellation: % NONRENEWAL: Number of Days Notice of Nonrenewal: 2-1 `�✓ I� PERSON OR ORGANIZATION: City of Santa Ana, its officers, employees, agents ADDRESS: 20 Civic Center Plaza Santa Ana, CA 92702 PROVISIONS: A. If we cancel this policy for any statutorily permit- B. If we decide to not renew this policy for any statu- ted reason other than nonpayment of premium, torily permitted reason, and a number of days is and a number of days is shown for cancellation in shown for nonrenewal In the schedule above, we the schedule above, we will mail notice of cancel- will mail notice of the nonrenewal to the person or lation to the person or organization shown in the organization shown in the schedule above. We schedule above. We will mall such notice to the will mail such notice to the address shown In the address shown in the schedule above at least the schedule above at least the number of days number of days shown for cancellation in the shown for nonrenewal in the schedule above be- schedule above before the effective date of can- fore the expiration date. cellation, IL T4 00 1'2 09 0 2009 The Travelers Indemnity Company Page 1 of 1 a a THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CALIFORNIA CHANGES -CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following: CAPITAL ASSETS PROGRAM (OUTPUT POLICY) COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT - RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART A. Paragraphs 2. and 3. of the Cancellation Common Policy Condition are replaced by the following: 2. All Policies In Effect For 60 Days Or Less If this policy has been in effect for 60 days or less, and is not a renewal of a policy we have previously issued, we may cancel this policy by mailing or delivering to the first Named Insured, at the mailing address shown in the poli- cy, and to the producer of record, ad- vance written notice of cancellation, stating the reason for cancellation, at least: a. 10 days before the effective date of cancellation if we cancel for: (1) Nonpayment of premium; or (2) Discovery of fraud by: (a) Any insured or his or her representative in obtaining this insurance; or (b) You or your representative In pursuing a claim under this policy. b. 30 days before the effective date of cancellation if we cancel for any other reason. IL 02 70 09 12 IL 02 70 09 12 3. All Policies In Effect For More Than 60 Days a. If this policy has been in effect for more than 60 days, or is a renewal of a policy we issued, we may can- cel this policy only upon the occur- rence, after the effective date of the policy, of one or more of the fol- lowing: (1) Nonpayment of premium, in- cluding payment due on a prior policy we issued and due dur- ing the current policy term cov- ering the same risks. (2) Discovery of fraud or material misrepresentation by: (a) Any insured or his or her representative in obtaining this insurance; or (b) You or your representative in pursuing a claim under this policy. (3) A judgment by a court or an administrative tribunal that you have violated a California or Federal law, having as one of its necessary elements an act which materially increases any of the risks insured against. © Insurance Services Office, Inc., 2012 Page 1 of 4 J. (4) Discovery of willful or grossly B. The following provision is added to the negligent acts or omissions, or Cancellation Common Policy Condition: of any violations of state laws 7. Residential Property or regulations establishing safe- This provision applies to coverage on ty standards, by you or your real property which is used predomi- representative, which materially nand for residential y purposes and increase any of the risks in- sisting of not more than four dwelling sured against. units, and to coverage on tenants' (5) Failure by you or your repre- household personal property in a resi- sentative to implement reason- dential unit, if such coverage is written able loss control requirements, under one of the following: agreed to by you as a condition Commercial Property Coverage Part of policy issuance, or which Farm Coverage Part -Farm Property - were conditions precedent to our use of a particular rate or Farm Dwellings, Appurtenant Structures rating plan, if that failure ma- And Household Personal Property Cov- terially increases any of the erage Form risks insured against. a. If such coverage has been in effect (6) A determination by the Com- for 60 days or less, and is not a missioner of Insurance that the: renewal of coverage we previously (a) Loss of, or changes in, our issued, we may cancel this cover - age for any reason, except as pro - reinsurance covering all or vided in b. and c. below. part of the risk would threaten our financial integ- b. We may not cancel this policy sole - rity or solvency; or ly because the first Named Insured has: (b) Continuation the policy coverage would: d: (1) Accepted an offer of earthquake (i) Place us in violation coverage; or California law or the e (2) Cancelled or did not renew a laws of the state where policy issued by the California we are domiciled; or Earthquake Authority (CEA) that included an earthquake policy (ii) Threaten our solvency. premium surcharge. (7) A change by you or your repre- However, we shall cancel this poli- sentative in the activities or cy if the first Named Insured has property of the commercial or accepted a new or renewal policy industrial enterprise, which re- issued by the CEA that includes an sults in a materially added, in- earthquake policy premium sur- creased or changed risk, unless charge but fails to pay the earth - the added, increased or quake policy premium surcharge changed risk is included in the authorized by the CEA. policy. We will mail or deliver advance c. We may not cancel such coverage solely because corrosive soil condi- written notice of cancellation, stat- tions exist on the premises. This ing the reason for cancellation, to restriction (c.) applies only if cov- the first Named Insured, at the erage is subject to one of the fol- mailing address shown in the poli- lowing, which exclude loss or dam - cy, and to the producer of record, at age caused by or resulting from least: corrosive soil conditions: (1) 10 days before the effective (1) Commercial Property Coverage date of cancellation if we can- Part - Causes Of Loss - Special cel for nonpayment of premium Form; or or discovery of fraud; or (2) Farm Coverage Part - Causes Of (2) 30 days before the effective Loss Form - Farm Property, date of cancellation if we can- - Paragraph D. Covered Causes cel for any other reason listed Of Loss - Special. in Paragraph 3.a. IL 02 70 09 12 © Insurance Services Office, Inc., 2012 Page 2 of 4 C. The following is added and supersedes any (2) The Commissioner of Insurance provisions to the contrary: finds that the exposure to po- Nonrenewal tential losses will threaten our 1. Subject to the provisions of Paragraphs solvency or place us in a haz- C.2. and C.3. below, if we elect not to ardous condition. A hazardous renew this policy, we will mail or de- condition includes, but is not liver written notice, stating the reason limited to, a condition in which for nonrenewal, to the first Named In- we make claims payments for sured shown in the Declarations, and to losses resulting from an earth - the producer of record, at least 60 days, quake that occurred within the but not more than 120 days, before the preceding two years and that expiration or anniversary date. required a eduction n We will mail or deliver our notice to the policyholder surplus of at least first Named Insured, and to the pro- 25% for payment of those ducer of record, at the mailing address claims; or =_ shown in the policy. (3) We have: 2. Residential Property (a) Lost or experienced a sub- - This provision applies to coverage on stantial reduction in the real property used predominantly for availability or scope of re- residential purposes and consisting of insurance coverage; or a not more than four dwelling units, and (b) Experienced a substantial to coverage on tenants' household increase in the premium property contained in a residential unit, charged for reinsurance if such coverage is written under one of coverage of our residential the following: property insurance policies; Commercial Property Coverage Part and Coverage Part -Farm Property - the Commissioner has ap- r Farm Dwellings, Appurtenant Structures proved proved a plan for the And Household Personal Property Cov- nonrenewals that is fair fair and erage Form equitable, and that is respon- sive to the changes in our re- a. We may elect not to renew such insurance position. coverage for any reason, except as c. We will not refuse to renew such provided in b., c. and d. below. - coverage solely because the first It. We will not refuse to renew such Named Insured has cancelled or did coverage solely because the first not renew a policy, issued by the Named Insured has accepted an of- California Earthquake Authority, fer of earthquake coverage. that included an earthquake policy However, the following applies only premium surcharge. to insurers who are associate par- d. We will not refuse to renew such ticipating insurers as established by coverage solely because corrosive Cal. Ins. Code Section 10089.16. We soil conditions exist on the prem- may elect not to renew such cov- ises. This restriction (d.) applies - erage after the first Named Insured only if coverage is subject to one of has accepted an offer of earthquake the following, which exclude loss or coverage, if one or more of the fol- damage caused by or resulting lowing reasons applies: from corrosive soil conditions: (1) The nonrenewal is based on (1) Commercial Property Coverage sound underwriting principles Part - Causes Of Loss - Special that relate to the coverages Form; or provided by this policy and that are consistent with the ap- (2) Farm Coverage Part - Causes Of proved rating plan and related Loss Form - Farm Property, documents filed with the De- Paragraph D. Covered Causes partment of Insurance as re- Of Loss - Special, quired by existing law; IL 02 70 09 12 © Insurance Services Office, Inc., 2012 Page 3 of 4 3. We are not required to send notice of nonrenewal in the following situations: a. If the transfer or renewal of a poli- cy, without any changes in terms, conditions or rates, is between us and a member of our insurance group. b. If the policy has been extended for 90 days or less, provided that no- tice has been given in accordance with Paragraph C.1. c. If you have obtained replacement coverage, or if the first Named In- sured has agreed, in writing, within 60 days of the termination of the policy, to obtain that coverage. d. If the policy is for a period of no more than 60 days and you are no- tified at the time of issuance that it will not be renewed. e. If the first Named Insured requests a change in the terms or conditions or risks covered by the policy with- in 60 days of the end of the policy period. f. If we have made a written offer to the first Named Insured, in accor- dance with the timeframes shown in Paragraph C.1., to renew the policy under changed terms or con- ditions or at an increased premium rate, when the increase exceeds 25 %. IL 02 70 09 12 © Insurance Services Office, Inc., 2012 Page 4 of 4