HomeMy WebLinkAboutWESTERN AUDIO VISUAL (2)-2017INSURANCE ON FILE
WORK MAY PROCEED
UNTIL INSURANCE EXPIRES
LERK OFCOUNCIL
DATE:
FIRST AMENDMENT TO AGREEMENT FOR
INSTALLATION OF AUDIO-VISUAL EQUIPMENT
A-2017.131
THIS FIRST AMENDMENT to the above -referenced agreement is entered into on June 20 , 2017, by
and between Western Audio Visual, a subchapter S corporation ("Consultant"), 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 parties entered into Agreement #A-2016-156, dated June 21, 2016 ("Agreement"), by which
Consultant agreed to provide installation services of the audio-visual equipment to modernize two
(2) conference rooms located in the Ross Annex listed as Rooms 3004 and 4104.
B. The original term of the Agreement was from June 21, 2016 through June 20, 2017, and per Section
3 of the Agreement, may be extended for two successive two-year periods, upon a writing executed
by the City Manager and the City Attorney.
C. The parties wish to amend the Agreement to include an additional scope of services, include
additional funds for services to be performed by the Consultant; and increase the term of the
Agreement to complete the additional work.
The Parties therefore agree:
1. Section 1, Scope of Services, is amended to include the modernization and installation of audio-
visual equipment in the remaining conference rooms located in the Ross Annex and City Yard. A
scope of services for each remaining conference room shall be provided and approved by the City's
Public Works Agency prior to the commencement of the installation of the audio-visual equipment.
2. Section 2, Compensation, is amended to include an additional $50,000 for services to be performed
by the Consultant so that the total surn to be expended under the Agreement shall not exceed
$130,000.
3. Section 3, Term, is amended to extend the time period for this agreement for two (2) years from
June 21, 2017 to June 20, 2019.
4. Except as modified by this First Amendment, all terms and conditions of the Agreement shall remain
in fall force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Agreement on
the date and year first written above.
ATTEST
CITY OF SANTA ANA
-
MARIAAD. HUIZA _CYNTHIA J.
Clerk of the Council Interim City I
Signature Page:
First Amendment to Consultant Agreement with Western Audio Visual
APPROVED AS TO FORM
SONIA R. CARVALHO
City Attorney
By:/x ,14, r6eoj—
JOpq M. FUNIC
Assistant City Attorney
RECO ENDED FOR APPROVAL
F D MOUMVAPOUR
Fxe utive Director, Public Works Agency
WESTERN AUDIO VISUAL
041'-744A
Title:
Page 2 of 2
A� n® CERTIFICATE OF LIABILITY INSURANCE
006/22/2017 )
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
Denise K Hudson Insurance Agency, Inc
License # 06865301045 W Katella Ave Ste 240
StateFaf�la
® Orange, CA 92867
®®,
CONTACT LORRIE SABAN
NAME:
AHCNNo Ex :714-633-6118 FAX
noDaess: IOrrie@denisekhudson.com
INSURER($) AFFORDING COVERAGE
NAIC ft
INSURER A:State Farm General Insurance Company
25151
INSURED WESTERN AIV INC
INSURER B:State Farm Mutual Automobile Insurance Company
25178
1592 N BATAVIA ST STE 2
INSURER C:
CLAIMS -MADE � OCCUR
ORANGE, CA 92867
INSURER D :
INSURER E
NSURER F:
MED EXP (Any one person) $ 5,000
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF
MMIDDIYYYY
POLICY EXP
MMIDDIYYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
92 -EX -5166-6
05/1612017
05/16/2016
EACH OCCURRENCE $ 2,000,000
CLAIMS -MADE � OCCUR
PREMISES Ea occurrence $ 300,000
MED EXP (Any one person) $ 5,000
PERSONAL &ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER',
GENERAL AGGREGATE $ 4,000,000
POLICY ❑ PRO- ❑ LOC
JECT
PRODUCTS-COMP/OPAGG $ 4,000,000
BUSINESS PROP $ 234,500
OTHER.,
B
AUTOMOBILE
LIABILITY
375 9392 -F17 -75P
06/17/2017
1211712017
COMBINED SINGLE LIMIT $ 1,000,000
Ea accident
BODILY INJURY (Per person) $
ANY AUTO
X
AOX SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per accident) $
HIRED AUTOS )( NON -OWNED
AUTOS
PROPERTY DAMAGE $
Per accident
A
X
UMBRELLAUAB
X
OCCUR
92 -XC -0351-6
12114/2016
12/14/2017
EACH OCCURRENCE $ 5,000,000
AGGREGATE $
EXCESS LIAB
CLAIMS -MADE
DED I I RETENTION$
$
A
WORKERS COMPENSATIONi
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNERIEXECUTIVE
92 -EK -R799-1
01/01/2017
01/01/2018
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED? ❑NIA
(Mandatory in NH)
E.L. DISEASE - EA EMPLOYE $ 1,000,000
Ues, describe order SCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
AUDIO VISUAL SERVICE & INSTALLATION
Business Location #1 6353 Corte Del Abeto, Suite 106, Carlsbad, CA 92011/Business Location #2 1592 N Batavia St., Ste 2, Orange, CA 92867
Certificate Holder, City of Santa Ana, its officers, employees, agents, volunteers & representatives are additional insured
CERTIFICATE HOLDER CANCELLATION
IRl
@ 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02-04-2014
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
CITY OF SANTA ANA
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
20 CIVIC CENTER PLAZA
ACCORDANCE WITH THE POLICY PROVISIONS.
SANTA ANA, CA 92701
AUTHORIZED REPRESENTATIVE /I
XXI/
IRl
@ 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02-04-2014