HomeMy WebLinkAboutWACHTER, INC.-2017 ; City of Santa Ana
Clerk of the Council COTC Office Use Only
AGREEMENT TERMINATION FORM
Please complete this form in its entirety when the attached agreement and all ill ill
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amendments (if any) are no longer in effect.
Note: If your agreement is grant related, please ensure that all gr t retention requirements CITY OF S ,,+N ,<i r.
have been satisfied prior to signing the termination form. c 5 Cl I_,,I 1 I
Is the agreement(s) a permanent record?Yes No
Return form to the Clerk of the Council Office (M-30).
Call 647-1520 if you have any questions.
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The agreement with ?lu/a/c14-/z/
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N-2017-087 p ),� \ f ) payment No- was completed on and final a ment has been made.
(List all amendments. Use space below if needed.) RWA--
Department:
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Phone/Ext.: �fd2 g j A
Signature:
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Date: 71))
Revised: 10-18-16
INSURANCE NOT ON FILE
WORK MAY NOT PROCEED
CLERK OF COUNCIL
DATE: � 1 9 2olT
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AGREEMENT TO PROVIDE VIDEO SURVEILLANCE MAINTENANCE
SERVICES ON AN ON-CALL BASIS
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THIS AGREEMENT is made and entered into this 22"d day of May, 2017 by and between
Wachter, Inc. ("Contractor"), 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 City desires to retain a contractor to provide on-call services to maintain the
video surveillance system at the Santa Ana Regional Transportation Center.
B. Contractor originally installed the system and represents that it is able and willing
to provide such services to the City following the expiration of the system's
warranty period.
C. In undertaking the performance of this Agreement, Contractor represents that it is
knowledgeable in its field and that any services performed by Contractor under
this Agreement will be performed in compliance with such standards as may
reasonably be expected from a professional contracting firm in the field.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the
terms and conditions hereinafter set forth, the parties agree as follows:
I. SCOPE OF SERVICES
On an as -needed basis, and at the sole discretion of City, Contractor shall perform the
services that are described in Exhibit A.
2. COMPENSATION
a. City neither warrants nor guarantees any minimum or maximum compensation to
Contractor under this Agreement. Contractor shall be paid only for actual services
performed under this Agreement at the rates and charges identified in Exhibit B.
The total sum to be expended under the term of this Agreement shall not exceed
$5,000.
b. Payment by City shall be made within forty-five (45) 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 and Scope of Work, which may
reasonably be expected by City.
Page I of 8
3. TERM
This Agreement shall commence on the date first written above and terminate on May 21,
2018, unless terminated earlier in accordance with Section 15, below.
4. INDEPENDENT CONTRACTOR
Contractor shall, during the entire term of this Agreement, be construed to be an
independent contractor and not an employee of the City. This Agreement is not intended nor
shall it be construed to create an employer-employee relationship, a joint venture relationship, or
to allow the City to exercise discretion or control over the professional manner in which
Contractor performs the services which are the subject matter of this Agreement; however, the
services to be provided by Contractor shall be provided in a manner consistent with all
applicable standards and regulations governing such services. Contractor shall pay all salaries
and wages, employer's social security taxes, unemployment insurance and similar taxes relating
to employees and shall be responsible for all applicable withholding taxes.
5. OWNERSHIP OF MATERIALS
This Agreement creates a non-exclusive and perpetual license for City to copy, use,
modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property
embodied in plans, specifications, studies, drawings, estimates, and other documents or works of
authorship fixed in any tangible medium of expression, including but not limited to, physical
drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared
or caused to be prepared by Contractor under this Agreement ("Documents & Data'l.
Contractor shall require all subcontractors to agree in writing that City is granted a non-exclusive
and perpetual license for any Documents & Data the subcontractor prepares under this
Agreement. Contractor represents and warrants that Contractor has the legal right to license any
and all Documents & Data. Contractor makes no such representation and warranty in regard to
Documents & Data which were provided to Contractor by the City. City shall not be limited in
any way in its use of the Documents and Data at any time, provided that any such use not within
the purposes intended by this Agreement shall be at City's sole risk.
6. INSURANCE
Prior to undertaking performance of work under this Agreement, Contractor shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Commercial General Liability Insurance. Contractor shall maintain commercial
general liability insurance naming the City, its officers, employees, agents,
volunteers and representatives as additional insured(s) and 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 Contractor's operations in the performance of this
Agreement, including, without limitation, acts involving vehicles. The amounts
Page 2 of 8
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 amount of $1,000,000 per occurrence, with $2,000,000 in the
aggregate. Such insurance shall (a) name the CITY, its officers, employees,
agents, volunteers and representatives as additional insured(s); (b) be primary
with respect to insurance or self-insurance programs maintained by the CITY; and
(c) contain standard separation of insureds provisions.
b. Business automobile liability insurance, or equivalent form, with a combined
single limit of not less than $1,000,000 per occurrence. Such insurance shall
include coverage for owned, hired and non -owned automobiles.
C. Worker's Compensation Insurance. In accordance with the California Labor
Code, Contractor, if Contractor has any employees, is required to be insured
against liability for worker's compensation or to undertake self-insurance. Prior
to commencing the performance of the work under this Agreement, Contractor
agrees to obtain and maintain any employer's liability insurance with limits not
less than $1,000,000 per accident.
d. If Contractor is or employs a licensed professional such as an architect or
engineer: Professional liability (errors and omissions) insurance, with a combined
single limit of not less than $1,000,000 per claim with $2,000,000 in the
aggregate.
C. The following requirements apply to the insurance to be provided by Contractor
pursuant to this section:
(i) Contractor 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 by the City.
(iii) Certificates and policies shall state that the policies shall not be cancelled
or reduced in coverage or changed in any other material aspect, by
consultant, without thirty (30) days prior written notice to the City.
(iv) Contractor shall supply City with a fully executed additional insured
endorsement.
f. If Contractor fails 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. Such termination shall not
affect Contractor's right to be paid for its time and materials expended prior to
notification of termination. Contractor waives the right to receive compensation
and agrees to indemnify the City for any work performed prior to approval of
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insurance by the City.
INDEMNIFICATION
Contractor agrees to defend, and shall indemnify and hold harmless the City, its officers,
agents, employees, consultants, special counsel, and representatives from liability: (1) for
personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of
claims for personal injury, including death, and claims for property damage, which may arise
from the negligent operations of the Contractor or its contractors, subcontractors, agents,
employees, or other persons acting on their behalf which relates to the services described in
section 1 of this Agreement; and (2) from any claim that personal injury, damages, just
compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects
arising from this Agreement. This indemnity and hold harmless agreement applies to all claims
for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to
have been suffered, by reason of the events referred to in this Section or by reason of the terms
of, or effects, arising from this Agreement. The Contractor further agrees to indemnify, hold
harmless, and pay all costs for the defense of the City, including fees and costs for special
counsel to be selected by the City, regarding any action by a third party challenging the validity
of this Agreement, or asserting that personal injury, damages, just compensation, restitution,
judicial or equitable relief due to personal or property rights arises by reason of the terms of, or
effects arising from this Agreement. City may make all reasonable decisions with respect to its
representation in any legal proceeding. Notwithstanding the foregoing, to the extent Contractor's
services are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the
extent required by Civil Code Section 2782.8, to claims that arise of, pertain to, or relate to the
negligence, recklessness, or willful misconduct of the Contractor.
8. RECORDS
Contractor shall keep records and invoices in connection with the work to be performed
under this Agreement. Contractor shall maintain complete and accurate records with respect to
the costs incurred under this Agreement and any services, expenditures, and disbursements
charged to the City for a minimum period of three (3) years, or for any longer period required by
law, from the date of final payment to Contractor under this Agreement. All such records and
invoices shall be clearly identifiable. Contractor shall allow a representative of the City to
examine, audit, and make transcripts or copies of such records and any other documents created
pursuant to this Agreement during regular business hours. Contractor shall allow inspection of
all work, data, documents, proceedings, and activities related to this Agreement for a period of
three (3) years from the date of final payment to Contractor under this Agreement.
9. CONFIDENTIALITY
If Contractor receives from the City information which due to the nature of such
information is reasonably understood to be confidential and/or proprietary, Contractor 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" shall include
Page 4 of 8
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 of the other party is covered
by this Agreement. The foregoing obligations of non-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 Contractor disclosed in a publicly available source; (c) is in rightful possession of the
Contractor without an obligation of confidentiality; (d) is required to be disclosed by operation of
law; or (e) is independently developed by the Contractor without reference to information
disclosed by the City.
10. CONFLICT OF INTEREST CLAUSE
Contractor covenants that it presently has no interest and shall not have interests, direct or
indirect, which would conflict in any manner with performance of services specified under this
Agreement.
11. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this Agreement
shall 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 fax or other telegraphic communication in
the manner provided in this Section, to the following persons:
To City: Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
Fax 714- 647-6956
To Contractor:
Executive Director
Public Works Agency
City of Santa Ana
20 Civic Center Plaza (M-21)
P.O. Box 1988
Santa Ana, CA 92702
Fax 714-647-5635
Wachter, Inc.
17536 Von Karman Ave
Irvine, CA 92614
A party may change its address by giving notice in writing to the other party. Thereafter,
any communication shall be addressed and transmitted to the new address. If sent by mail,
Page 5 of 8
communication shall be effective or deemed to have been given three (3) days after it has been
deposited in the United States mail, duly registered or certified, with postage prepaid, and
addressed as set forth above. If sent by fax, communication shall be effective or deemed to have
been given twenty-four (24) hours after the time set forth on the transmission report issued by the
transmitting facsimile machine, addressed as set forth above. For purposes of calculating these
time frames, weekends, federal, state, County or City holidays shall be excluded.
12. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Contractor regarding the subject matter herein, 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 terms 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 Contractor. The parties agree that any terms or conditions of any purchase order or other
instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not
bind or obligate Contractor or 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 are not embodied herein.
13. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Contractor,
Contractor 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 null 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.
14. WAIVER
No waiver of breach, failure of any condition, or any right or remedy contained in or
granted by the provisions of this Agreement shall be effective unless it is in writing and signed
by the party waiving the breach, failure, right or remedy. No waiver of any breach, failure or
right, or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether
or not similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies.
15. TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In such event, Contractor shall be entitled to receive and the City shall pay
Contractor compensation for all services performed by Contractor prior to receipt of such notice
of termination, subject to the following conditions:
a. As a condition of such payment, the Executive Director may require Contractor to
deliver to the City all work product completed as of such date, and in such case
Page 6 of 8
such work product shall be the property of the City unless prohibited by law, and
Contractor consents to the City's use thereof for such purposes as the City deems
appropriate.
b. Payment need not be made for work which fails to meet the standard of
performance specified in the Recitals of this Agreement.
16. NON-DISCRIMINATION
Contractor shall not discriminate because of race, color, creed, relation, 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 or in connection with any activities under this Agreement.
Contractor affirms that it is an equal opportunity employer and shall comply with all applicable
federal, state and local laws and regulations.
17. JURISDICTION -VENUE
This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement of any 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 proceeding that may
be brought or arise out of, in connection with or by reason of this Agreement.
18. PROFESSIONAL LICENSES
Contractor 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. Contractor 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.
19. 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 fees, 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 shall be incorporated as if fully
set forth in the body of this Agreement.
-- signatures on next page --
Page 7 of 8
11 . • t
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
DHUIZAR
Clerk of the Council
APPROVED AS TO FORM
SONIA R. CARVALHO
City Attorney
By: V.
o M. Funk
ssistant City Attorney
RECOMMENDED FOR APPROVAL
TUEJ MOUSAVIPOUR
Executive Director
Public Works Agency
OFSANTA
CrTHIA J. K TZ
Interim City M ager
CONTRACTOR
Cir e f S/oan.
Name: y G� loan
Title: £ �P
Page 8 of 8
AC"R" CERTIFICATE OF LIABILITY INSURANCE
k..� 8/1/2017
DATE(MM/DD/YYYY)
1 5/24/2017
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 have ADDITIONAL INSURED provisions or 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 LOckton Companies
CONTACT
444 W. 47t11 Street, Suite 900
Kansas City MO 64112-1906
(816) 960-9000
PHONE Ext): AC No):
E-MAIL
ADDRESS:
INS IS) AFFORDING COVERAGE
NAIC #
8/1/2016
INSURER A: Zurich American Insurance Company
16535
._.__..
INSURED WACHTER, INC.
6969 16001 WEST 99TH STREET
INSURER B: Great American Insurance CO Of New York
22 136
INSURER C:
_
$ 5 000
LENEXA KS 66219
INSURER D:
INSURER E
INSURER F:
PERSONAL & ADV INJURY
$ 1,000,000
COVERAGES * CERTIFICATE NUMBER: 14711718 REVISION NUMBER: XXXXXXX
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
I TYPE OF INSURANCE
ADDL:SUBR
INSD WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X_
COMMERCIAL GENERAL LIABILITY
C'. OCCUR
N N
GL0552579804
8/1/2016
8/1/2017
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTED
FIR MISES Ea occurrence)
_ -
$ 300,000
MED EXP (Any one person)
_
$ 5 000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
PRO-
POLICY Lz' J JECT LOC
GENERAL AGGREGATE
$ 2 000 000F�l
PRODUCTS - COMP/OP AGG
_
$ 2 000 000
$
OTHER:
A
AUTOMOBILE
LIABILITY
N N
BAP552579904
8/1/2016
8/1/2017
EO aBINEDtSINGLE LIMIT
$ 1 000,000
BODILY INJURY (Per person)
$ XXXXXXX
X
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
(Per accident) BODILY INJURY(Pident)
$ XXXXXXX
X
NON -OWNED
AUTOS ONLY AUTOS ONLY
HIRED Ll
PROPERTY DAMAGE$
Per accidentI
_
XXXXXXX
Corm/Coll Deds.
$ 1,000
PHYS DAM
B
UMBRELLA LIAB
X
OCCUR
N N
UMB1800419
8/1/2016
8/1/2017
EACH OCCURRENCE
$ 2000,000
X
EXCESS LIAB
CLAIMS -MADE
AGGREGATE
$ 2,000 000
DED I I RETENTION $
$ XXXXXXX
A
WORKERS EMPLOY EMPLOYERS'
AND EMPLOYERS' LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.
OFFICER/MEMBER EXCLUDED? NI
N
N / A
WC552580004
8/1/2016
8/1/2017
X STATUTE �RH
EACH ACCIDENT
$ 1.,000,000
E.L DISEASE - EA EMPLOYEE
—
$ 1,000,000 ----
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 1,000,00
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
FOR CANCELLATION FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM, THE INSURER(S) WILL SEND 30 DAYS NOTICE OF
CANCELLATION TO THE CERTIFICATE HOLDER, CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND
REPRESENTATIVES IS/ARE ADDITIONAL INSLIRED(S) ON A PRIMARY AND NON-CONTRIBUTORY COVERAGE BASIS AS RESPECTS LIABILITY
COVERAGE FOR THIS PROJECT. INSURANCE SHOWN APPLIES ONLY TO EXTENT OF WRITTEN CONTRACT.
%.en i irtr,,ra i e nvLuen t�ANUt=LLA I IUN ,5eC Ht[acnment a , ws ,°h 1 J 1 1.1I 1
14711718
CITY OF SANTA ANA
20 CIVIC CENTER PLAZA (M-30)
SANTA ANA CA 92702
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTA
0)1g88L2015 ACORD CORPORATION_ All rinhtc racarvari
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: GLO552579804
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ORGANIZATIONCONTRACTORS - SCHEDULED PERSON OR
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s):
Any person or organization, other than an architect, engineer or surveyor, whom you are required to add
as an additional insured under this policy under a written contract or written agreement executed prior to
loss, except where such requirement is prohibited by law.
Location(s) Of Covered Operations:
Any Location or project, other than a wrap-up or other consolidated insurance program location or project
for which insurance is otherwise separately provided to you by a wrap-up or other consolidated insurance
program.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II — Who Is An Insured is amended to 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) desig-nated
above.
The insurance afforded to such additional insured only applies to the extent permitted by law.
B. With respect to the insurance afforded to these additional insureds, the following additional
exclusions apply:
This insurance does not apply to "bodily injury" or "property damage" occurring after:
1. All work, including materials, parts or equip-ment furnished in connection with such work,
on the project (other than service, maintenance or repairs) to be performed by or on behalf of the
additional insured(s) at the location of the covered operations has been completed; or
2. That portion of "your work" out of which the injury or damage arises has been put to its
intended use by any person or organization other than another contractor or subcontractor
engaged in performing operations for a principal as a part of the same project.
U -GL -1114-A CW (10/02)
Miscellaneous Attachment: M69543
Certificate ID: 14711718 ,T
w :I
POLICY NUMBER: GLO552579804
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
I1• •
Koff-810111Zc • • •' 11111 •` r1111M
ki 14
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
Name Of Additional Insured Person(s) Or Organization(s):
Any person or organization, other than an architect, engineer or surveyor, whom you are required to add
as an additional insured under this policy under a written contract or written agreement executed prior to
loss, except where such requirement is prohibited by law.
Location And Description Of Completed Operations:
Any Location or project, other than a wrap-up or other consolidated insurance program location or project
for which insurance is otherwise separately provided to you by a wrap-up or other consolidated insurance
program.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
Section II —Who Is An Insured is amended to include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property
damage" caused, in whole or in part, by "your work" at the location designated and described in the
schedule of this endorsement performed for that additional insured and included in the "products -
completed operations hazard".
The insurance afforded to such additional insured only applies to the extent permitted by law.
U -GL -1114-A CW (10/02)
Miscellaneous Attachment: M69543
Certificate ID: 147117'18
Other Insurance Amendment — Primary And Non -Contributory
Policy No.: GLO552579804
Eff. Date of Pol.: 8/1/2016
Exp. Date of Pol.: 8/1/2017
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Named Insured:
Address (including ZIP Code):
AS PER WRITTEN CONTRACT
This endorsement modifies insurance provided under the:
Commercial General Liability Coverage Part
1. The following paragraph is added to the Other Insurance Condition of Section IV — Commercial
General Liability Conditions:
This insurance is primary insurance to and will not seek contribution from any other insurance available to
an additional insured under this policy provided that:
a. The additional insured is a Named Insured under such other insurance; and
b. You are required by a written contract or written agreement that this insurance would be
primary and would not seek contribution from any any other insurance available to the additional
insured.
2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV —
Commercial General Liability Conditions:
This insurance is excess over:
Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an
additional insured, in which the additional insured on our policy is also covered as an additional insured
on another policy providing coverage for the same 'occurrence", offense, claim or "suit'. This provision
does not apply to any policy in which the additional insured is a Named Insured on such other policy and
where our policy is required by written contract or written agreement to provide coverage to the additional
insured on a primary and non-contributory basis.
All other terms and conditions of this policy remain unchanged.
U -GL -1327-B CW (04/13)
Miscellaneous Attachment: M69543
Certificate ID: 14711718
r
� �� 14 Ll
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDIYYYY)
16- � 8/1/2018
7/17/2017
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 have ADDITIONAL INSURED provisions or 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 Lockton Companies
NACT
NAME:
444 W. 47th Street, Suite 900
PHONE FAX
Kansas City MO 64112-1906
A/C No,
o Ext): A/C No7:
E-MAIL
(816)960-9000
ADDRESS:
EACH OCCURRENCE .,_
$ 1 ,000000
_
PREMISES (Ea occurrDAMAGE TO ence) $ 300,)00
INSURERS) AFFORDING COVERAGE
NAIC #
INSURER A: Zurich American Insurance Company
1.6535
INSURED WACHTER, INC.
INSURER B: Great American Insurance CO Of New York
22136
6969 16001 WEST 99TH STREET
INSURER C
_
LENEXA KS 66219
INSURER D
INSURER E:
INSURER F:
AGGREGATE LIMIT APPLIES PER:
_
GENERAL AGGREGATE $ 2,000,000
COVERAGES * CERTIFICATE NUMBER: 1471 1718 REVISION NUMBER: XXXXXXX
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. SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
(NSR
LTR
T
TYPE OF INSURANCE
ADDL
INSD
W VD
1LIMITS
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE [A] OCCUR
N
N
GLO55_579805
8/1/_017
8(I/ 018
EACH OCCURRENCE .,_
$ 1 ,000000
_
PREMISES (Ea occurrDAMAGE TO ence) $ 300,)00
_
MED EXP (Any one person) $ 5,000
PERSONAL & ADV INJURY $ 1,000,000
AGGREGATE LIMIT APPLIES PER:
_
GENERAL AGGREGATE $ 2,000,000
GEN'L
POLICY XI JEEl LOC
- -
PRODUCTS -_COMPIOPA_G_G 2,000,000
_$
$
OTHER:
A
AUTOMOBILE
LIABILITY
N
N
BAP552579905
8/1/2017
8/1/2018
C O BINEDISINGLE LIMIT $ I-000,000
BODILY INJURY (Per person) $ XXXXXXX
XANY
AUTO
OWNED SCHED
AUTOS ONLY AUTOSULED
BODILY INJURY (Per accident) $ XXXXXXX
X
HIRED
AUTOS ONLY X AUTOS ONLY
PeOr a en cidDAMAGE $ XXXXXXX
Com /Coll Deds. $ 1,000
X PHYS DAM
BUMBRELLA
LIAB
X
OCCUR
N
N
UMB9999693
8/1/2017
8/1/2018
_ EACH OCCURRENCE $-2,000,Q00
AGGREGATE $ 2,000,000
X
EXCESS LIAB
CLAIMS -MADE
DED I RETENTION $
$XXXXXXX
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.
OFFICER/MEMBER EXCLUDED? N
N / A
jq
WCSS258000S
8/L/_OI7
8/L/_018
X STATUTE EORH_
EACH ACCIDENT $ 1,000,000
-
E.L. DISEASE - EA EMPLOYEE $ 1,000,000
(,Mandatory in NH)
( describe uner
DESCRIPTION OP OPERATIONS below
E.L. DISEASE - POLICY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
FOR CANCELLATION FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM, THE INSURER(S) WILL SEND 30 DAYS NOTICE OF
CANCELLATION TO THE CERTIFICATE HOLDER. CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND
REPRESENTATIVES 1SIAPINSUREDS) ON PRIMARY,AND NON-CONTRiBUT-RY COVERAGE BASIS AS RESPECTS LIABILITY
COVERAGE FOR THIS PROJECT. INSURANCE SHOWN APPLIES ONLY TO EXTENT OF WRITTEN CONTRACT.
REVIEWED BY: ��°�'4 EUNICE HEREDIA (PG i OF 1)
V
I,Cri l lr ik m I G r1VLUr-n I..Affl rMLLH I IUN Jee ,ximcnnient
14711718
CITY OF SANTA ANA
20 CIVIC CENTER PLAZA (M-30)
SANTA ANA CA 92702
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED
(c) igRR4"Jn15 Arf)R17 rnAPnPATICIN All rinh+c r...r rl
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: GLO552579805
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s):
Any person or organization, other than an architect, engineer or surveyor, whom you are required to add
as an additional insured under this policy under a written contract or written agreement executed prior to
loss, except where such requirement is prohibited by law.
Location(s) Of Covered Operations:
Any Location or project, other than a wrap-up or other consolidated insurance program location or project
for which insurance is otherwise separately provided to you by a wrap-up or other consolidated insurance
program.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II —Who Is An Insured is amended to 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) desig-nated
above.
The insurance afforded to such additional insured only applies to the extent permitted by law.
B. With respect to the insurance afforded to these additional insureds, the following additional
exclusions apply:
This insurance does not apply to "bodily injury" or "property damage" occurring after:
1. All work, including materials, parts or equip-ment furnished in connection with such work,
n thr, rni nt (othor than scniicc maintc c rcpairG1J to be pol'1 .rm rJ h.. — r. 1...4...14 _r 11__
vn a 1c p1 v1C�.� �i tun .�.,� vi �., 111111 1 ,.nano e yr 1 cNOn a� w uv Nc11v1111cu Uy U1 U11 vc11011 U1 Litt,
additional insured(s) at the location of the covered operations has been completed; or
2. That portion of "your work" out of which the injury or damage arises has been put to its
intended use by any person or organization other than another contractor or subcontractor
engaged in performing operations for a principal as a part of the same project.
U -GL -1114-A CW (10102)
Miscellaneous Attachment: M69543
Certificate 1D: 14711718
REVIEWED BY: ��'a EUNICE HEREDIA (P(. `-C,F t( �
POLICY NUMBER: GLO552579805
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
R11141-61 IM' • •' •
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s):
Any person or organization, other than an architect, engineer or surveyor, whom you are required to add
as an additional insured under this policy under a written contract or written agreement executed prior to
loss, except where such requirement is prohibited by law.
Location And Description Of Completed Operations:
Any Location or project, other than a wrap-up or other consolidated insurance program location or project
for which insurance is otherwise separately provided to you by a wrap-up or other consolidated insurance
program.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
Section II — Who Is An Insured is amended to include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property
damage" caused, in whole or in part, by "your work" at the location designated and described in the
schedule of this endorsement performed for that additional insured and included in the "products -
completed operations hazard".
The insurance afforded to such additional insured only applies to the extent permitted by law.
U -GL -1114-A CW (10/02)
Miscellaneous Attachment: M69543
Certificate 1D: 14711718
REVIEWED BY: � -� EUNICE HEREDIA (PG Ay OF � `�
Other Insurance Amendment — Primary And Non -Contributory
Policy No.: GLO552579805
Eff. Date of Pol.: 8/1/2017
Exp. Date of Pol.: 8/1/2018
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Named Insured:
Address (including ZIP Code):
AS PER WRITTEN CONTRACT
This endorsement modifies insurance provided under the:
Commercial General Liability Coverage Part
1. The following paragraph is added to the Other Insurance Condition of Section IV — Commercial
General Liability Conditions:
This insurance is primary insurance to and will not seek contribution from any other insurance available to
an additional insured under this policy provided that:
a. The additional insured is a Named Insured under such other insurance; and
b. You are required by a written contract or written agreement that this insurance would be
primary and would not seek contribution from any any other insurance available to the additional
insured.
2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV —
Commercial General Liability Conditions:
This insurance is excess over:
Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an
additional insured, in which the additional insured on our policy is also covered as an additional insured
on another policy providing coverage for the same 'occurrence", offense, claim or "suit". This provision
does not apply to any policy in which the additional insured is a Named Insured on such other policy and
where our policy is required by written contract or written agreement to provide coverage to the additional
insured on a primary and non-contributory basis.
All other terms and conditions of this policy remain unchanged.
U -GL -1327-B CW (04/13)
Miscellaneous Attachment: M69543
Certificate ID: 14711718
REVIEWED BY: f ria EUNICE HEREDIA (PG ,J., of �� )