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HomeMy WebLinkAboutU.S. SECURITY ASSOCIATES INC.-2017INSURANCE NO'S ON FILE WORK MAY N�.7 PROCEED CLERK OF COUNCIL DATE; APP 16 2010 5,ltAj,. THIS FIRST AMENDMENT to the above -referenced agreement is entered into on December 19, 2017, by and between U.S. Security Associates, ("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"). FIRST AMENDMENT TO AGREEMENT TO PROVIDE SECURITY GUARD SERVICES WITH U.S. SECURITY ASSOCIATES A-2017-351 RECITALS A. The parties entered into Agreement #A-2017-130, dated May 16, 2017, ("Agreement"), by which Contractor agreed to provide unarmed security guard services for various City facilities. B. The Agreement provided for unarmed security services by Contractor which began on June 1, 2017 and will expire on May 31, 2020, The Agreement allows for the City to request additional services in a writing executed by the City Manager, C. The parties wish to amend the Agreement to provide additional funding to the contingency amount to provide for additional temporary services being performed by the Contractor at 625 S. Cypress. The Parties therefore agree: 1. Section 3, Compensation, is amended to include an additional contingency amount of $17,255 (original was $22,800) for additional services during the term of the Agreement. The contingency amount will now be $40,055 a year. The total annual sum to be expended under the Agreement shall not exceed $1,171,787. 2. Except as modified by this .First Amendment, all terms and conditions of the Agreement shall remain in full force and effect. [Signature page to follow] PaV 1 of 2 IN WITNESS WHEREOF, the -parties hereto have executed this First Amendment to the Agreement on the date and year first: written above; ATTEST MMMA li-H—UMAR M17t;'Of the Colmoil APPROVED AS TO FORM SONIA X CARVALRO City Attorney LAURA A. ROSSINT Sontor Assistant City AttbrTley RtCO MMENDV D FOk APPROVAL 'k--^ Mme` 6551)0 �MOUET Parks, Roereation'and Community Serviues Agency CITY OF SANTA ANA RAVLOODIM It City Manager CONSULTANT Name Gr;y- Page 2 ofr1 AC®RO® i CERTIFICATE OF LIABILITY INSURANCE DAT 08128/201BYVY) 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 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 Ileu of such endorsement(s). PRODUCER Aon Risk services South, Inc. Atlanta GA Office CONTACT NAME; PHONE (866) 283-7122 FAX (800) 363-0105 INC. No. Ext): A1C. Ni 3550 Lenox Road NE Suite 1700 E-MAIL ADDRESS: Atlanta GA 30326 USA 047082749 INSURERIS) AFFORDING COVERAGE NAICM INSURED INSURERA: Lexington Insurance Company 19437 U. S. Security Associates, Inc. 200 Mansell Court East, Sth Floor Roswell GA 30076 USA INSURER B: Liberty Mutual Fire Ins CO 23035 INSURER C: Liberty Insurance Corporation 42404 INSURER D: Lloyd's Syndicate No. 1969 AA1120106 SIR applies per policy ter INSE: URER ions NSURER F: MED ENE (Any one person) $10,000 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. Limits shown are as requested INSIR LTR TYPE OF INSURANCE /NSD WVD POLICY NUMBER My My MMIDDIWW LIMITS X COMMERCIAL GENERAL LIABILITY 047082749 U6/UI/ZUI/ Ub/UI/ZUlb EACH OCCURRENCE $2,000,000 CLAIMS -MADE ❑X OCCUR SIR applies per policy ter is & condi ions G $500,000 PREMISES Ea occurrence MED ENE (Any one person) $10,000 PERSONAL &ADV INJURY $2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $4,000,000 POLICY ❑ PRO ❑X LOC JECT PRODUCTS -CONFIDE AGO Included OTHER: Professional Liability Included B AUTOMOBILE LIABILITY AS2-641-443931-057 08/01/201708/01/2018 COMBINED SINGLE LIMIT Ea accident)81,000,000 BODILY INJURY( Per pemon) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ON LY PROPERTY DAMAGE Per accident 0 X UMBRELIALIAB X OCCUR CSUSA1701997 08/01/2017 08/01/2018 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $5,000,000 DEO I X IRETENTION $25,000 o G AND WORKS LIABILITY COMPENSATION ylN ANYPROPRIETORI PARTNERI EXECUTIVE OFFICERFMREIE RExauoeov (Mandatory in NH) NIA W7640443931017 A wC7fi41443931047 MN & WI 08/01/2017 08/01/2017 08/01/2018 08/01/2018 X TATUTE 1TI S E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 Mom describe order DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Santa Ana, its officers, employees, agents, volunteers and representatives are includedOA aditional Insu in accordance with the policy provisions of the General Liability policy. General Liability policy ced herein i rimary and Non -Contributory to other insurance available to an Additional Insured, but only in accord'r with the ppoli provisions. Should General Liability, Automobile Liability and workers' Compensation poli Be car*'H��/��"y�yd b e the expiration date thereof, the policy provisions will govern how Notice of Cancellation may ell regia I I to Holders in accordance with the policy provisions of each policy. J -J CERTIFICATE HOLDER CANCELLATION r✓Iy�,.G6"\Y ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD m ce c 0 V 0 O 2 SHOULD ANY OF THE ABOVE DE$ IBED POL CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE D V RED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of Santa Ana AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza Santa Ana CA 92701 USA Q y/� ✓GdQ�G e�/IbeIICCO elR'.cu'�3 <...J7dGl ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD m ce c 0 V 0 O 2 ENDORSEMENT # 051 This endorsement, effective 12:01 AM 08/01/2017 Forms a part of policy no.: 047082749 Issued to: U.S. SECURITY ASSOCIATES HOLDINGS, INC. By: LEXINGTON INSURANCE COMPANY ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS- COMPLETED OPERATIONS (Based on CG2037 04/13) This endorsement modifies insurance provided by the following: COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Name of Additional Insured Person(s) Location of Completed Operations or Organization(s) Per written contract which specifies ISO Per Written Contract CG2037 is required and either it requires an edition date other than 10/2010 ed or there is no stipulation in the contract regarding the edition date 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", 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". However: 7 1. The insurance afforded to such additional insured only applies to the extent permitted by law, and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. With respect to the insurance afforded to these additional insureds, the fojng is adde Section III - Limits Of Insurance: S��i 7 L 4 Includes Copyrighted Information of the InsuranceServices Page 1 of Offices, Inc., with its permission. All Rights Reserved. If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations All other terms and conditions of the policy remain the same. Authorized Representative LX4,316 (06/14) Includes Copyrighted Information of the Insurance Services Page o Offices, Inc., with its permission. All Rights Reserved. Lip m CERTIFICATE OF LIABILITY INSURANCE '� DATSQ018YW) OM3/28/2018 0 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 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 Aon Risk services South, Inc. Atlanta GA office NAME PHONE (g66) 283-7122 FAX (800) 363-0105 (PJC. No. Ext): AIC. Nc.: 3550 Lenox Road NE Suite 1700 EMAIL ADDRESS: Atlanta GA 30326 USA SIR applies pP per policy terns INSURER(S) AFFORDING COVERAGE NAICe INSURED INSURERA: Lexington Insurance Company 19437 U. S. Security Associates, Inc. ,,AA �,r�I 200 Mansell Court East, 5th Floor Roswell CnA. 30076 USA INSURER B: Liberty Mutual Fire Ins CO 23035 INSURER C: Liberty Insurance Corporation 42404 INSURERD: Lloyd's syndicate No. 1969 AA1120106 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570070599105 REVISION NrIMRER- 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE AUDI ?NSD BUSH WVD POLICY NUMBER MMIDDIYYYY MMIDD/YNNY LIMITS A X COMMERCIALGENERALLIABRJTY CIAIMS-MADE ❑X OCCUR SIR applies pP per policy terns & condi ions EACH OCCURRENCE $2,000,000 $500,000 PREMISES Ea occurrence MED EXP (Any one Person) $10,000 PERSONAL a ADV INJURY $2,000,000 GENT, AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $4,000,000 POLICY ❑PET X❑LOC PRODUCTS-COMPIOPAGGIncluded OTHER: Professional Liability included B AUTOMOBILE LIABILITY AS2-641-443931-057 08/01/2017 08/01/2018 COMBINED SINGLE LIMIT Eaacdaent $1,000,000 BODILY INJURY (Per Person) X ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY BODILY INJURY (Per ardent) PROPERTY DAMAGE PeremiUenl D X UMBRELLALIA13 X OCCUR CSUSA1701997 08/01/2017 08/01/2018 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $5,000,000 DEO I % RETENTION 425,000 C D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR I PARTNER/EXECUTIVE OFFICEWMEMBER EXCLUDED? (Mandatory in NH) Ifyes,descbbe under DE SCRIPTION OF OPERATIONS below N/A wA764D443931017 ADS w0641443931047 MN & wI 0910112017 08/01/2017 08/01/2018 08/01/2018 1 PER OTH- X STATUTE E.L. EACH ACCIDENT $1,000,000 E. L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space R reuai ) The City of Santa Ana, its officers, employees, agents, volunteers and representativea.ISVe included as tional Insured in accordance with the policy provisions of the General Liability policy. General Li ty pylicy evid ed herein is Primary and Non -Contributory to other insurance available to an Additional Insured, b1y� in, rdance h the policy's provisions. Should General Liability, Automobile Liability and workers' Comp Ms i poylc�lks elled before the expiration date thereof, the policy provisions will govern how Notice of Cance1111111atiyj\\\\\be i to Certificate Holders in accordance with the policy provisions of each policy. CL✓.`/ Qv� CERTIFICATE HOLDER CANCELLATION 00'"(`Cji' ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD O 2 SHOULD ANY THE ABOVO�6SCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of Santa Ana AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza Santa Ana CA 92701 USA JQ41 aJLlcY6 e/sN�fmY_D �✓f2a ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD O 2 ENDORSEMENT # 050 This endorsement, effective 12:01 AM 08/01/2017 Forms a part of policy no.: 047082749 Issued to: U.S. SECURITY ASSOCIATES HOLDINGS, INC. By: LEXINGTON INSURANCE COMPANY ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS -SCHEDULED PERSON OR ORGANIZATION (Based on CG2010 04/13) This endorsement modifies insurance provided by the following: COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Name of Additional Insured Person(s) Location of Covered Operations or Organization(s) Per written contract which specifies ISO Per Written Contract CG2010 is required and either it requires an edition date other than 10/2010 edition or there is no stipulation in the contract regarding the edition date 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 organizations) shown in the Schedule, but only with respect to liability for "bodily injury', "property damage" or "personal and advertising injury" caused, in Mole 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. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law, and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the �fting additional exclusions apply: WG 000 Q� LX431b (061141 Includes Copyrighted Information of the Insurance Seraces Page 1 of 2 Offices, Inc., with its permission. All Rights Reserved. This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment 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. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations All other terms and conditions of the policy remain the same. 9,e�\e�P l 1:0M SPPd Authorized Representative LX4315 (136/14) Includes Copyrighted Information of the Insurance Services Page 2 of 2 Offices, Inc., with its permission. All Rights Reserved. ENDORSEMENT # 051 This endorsement, effective 12:01 AM 08/01/2017 Forms a part of policy no.: 047082749 Issued to: U.S. SECURITY ASSOCIATES HOLDINGS, INC. By: LEXINGTON INSURANCE COMPANY ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS- COMPLETED OPERATIONS (Based on CG2037 04/13) This endorsement modifies insurance provided by the following: COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Name of Additional Insured Person(s) Location of Completed Operations or Organization(s) Per written contract which specifies ISO Per Written Contract CG2037 is required and either it requires an edition date other than 10/2010 ed or there is no stipulation in the contract regarding the edition date Information required to complete this Schedule, if not shown above, wdll 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", 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". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law, and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: 0.. e�e If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations All other terms and conditions of the policy remain the same. Authorized Representative LX4316 106114) Includes Copyrighted Information of the Insurance Services Page o Offices, Inc., with its permission. All Rights Reserved. " CERTIFICATE OF LIABILITY INSURANCE 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 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 Aon Risk services South, Inc. Atlanta GA Office 3550 Lenox Road NE Suite 1700 Atlanta GA 30326 USA CONTACT PHONE (g66) 283-]122 FAX (800) 363-0105 (A/C.No.E.U:INC. No.: E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAICN INSURED U. S. Security Associates, Inc. 200 Mansell Court East, 5th Floor Roswell GA 30076 USA INSURERA: Lexington Insurance Company 19437 INSURERS: Lloyd's Syndicate NO. 2003 AA1128003 INSURER o: Liberty Mutual Fire Ins CO 23035 INSURERD: Liberty Insurance Corporation 42404 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570072573488 REVISION NUMBER - ca m a c m D 0 2 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. Limits shown are as requested INSIR LTR TYPE OF INSURANCE INSD WAD POLICY NUMBER in Ni MMIDD/YYYY LIMITS EACHOCCURRENCE $2,000,000 CLAIMS OCCUR SIR applies per policy terns & condi ions R NT D $500,000 tOOMMERCIALGENERA-LIABILITY -MADE ❑X PREMISES Ea occurrence MED EXP(Any one person) $10,000 PERSONAL a ADV INJURY $2,000,000 m GENT AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $4,000,000 rp+ n POLICY [:]JECT FX LOC TS- COMWOP AGO Included n OTHER: nal Liability Included o C AUTOMOBILE LUIBILItt AS2-641-443931-058 08/01/201808/01/2019 D SINGLE LIMIT Eant $1,000,000 JURY( Per person) 0 ab X ANY AUTO INJURY (Par 7m.r0 m OWNED SCHEDULED AUTOSAUTOS FRNOSY NON -OWNED TY DAMAGE ONLY AUTOS ONLY ent W m B X UMBRELLA LIAa X OCCUR CSUSA1801997 08/01/2018 08/01/2019 EACH OCCURRENCE $$,000,000 L1 EXCESS LIAR CLAIMS -MADE AGGREGATE $5,000,000 DED I X RETENTION S2S, 000 0 WORKERS COMPENSATION AND Wg764D443931018 0810112018 OS O1 )( PER STATUTE OTH- ER EMPLOYERS' LIABILITY YIN AOS E.L. EACHACC)DENT $1,000,000 D ANYPROPRIETOR/ PARTNER I EXECUTIVE NIA WC7641443931048 08/01/2018 08/01/2 019 OFFICEWMEMBER EXCLl1DFDt (Mandatory in NH) MN & WI E.L. DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000.,000— DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD Inn, Additional Remarks Schedule, may be attached H more space is required) y� U The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Addi l lured in accordance with the policy provisions of the General Liability policy. General Liability polis evide Cpd.�%q ein is Primary y provisions. Should General Liability, Automobile Liability and workers' Compensation policies be and Non -Contributory to other insurance available to an Additional insured, but only in accordanceW�A expiration date thereof, the policy provisions will govern how Notice of Cancellation may be delivered in accordance with the policy provisions of each policy. CERTIFICATE HOLDER CANCELLATION /S\\v_��.IN ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES LLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVEREDIN ACCORDANCE WITH THE POLICY PROVISIONS. The City of Santa Ana AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza Santa Ana CA 92701 USA e-Y7rofa cJ/�GYL �sN,vat9 �KGGiL Jisa ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD ENDORSEMENT # 004 This endorsement, effective 12:01 AM 08/01/2018 Forms a part of policy no.: 047082749 Issued to: U.S. SECURITY ASSOCIATES HOLDINGS, INC. By: LEXINGTON INSURANCE COMPANY ADDITIONAL INSURED REQUIRED BY WRITTEN CONTRACT ENDORSEMENT This endorsement modifies insurance provided under the following: GUARDSECURE° SECURITY RELATED GENERAL AND PROFESSIONAL LIABILITY POLICY A. Section II - Who Is An Insured is amended to include any person or organization you are required Vt to include as an additional insured on this policy by a written contract or written agreement in effect during this policy period and executed prior to the "occurrence" or "wrongful act". B. The insurance provided to the above described additional insured under this endorsement is limited as follows: 1. COVERAGE A BODILY INJURY, PROPERTY DAMAGE AND PROFESSIONAL LIABILITY (SECTION I - COVERAGES) only. 2. The person or organization is only an additional insured with respect to liability arising out of .'your work" or your "professional services". 3. In the event that the Limits of Insurance provided by this policy exceed the Limits of Insurance required by the written contract or written agreement, the insurance provided by this endorsement shall be limited to the Limits of Insurance required by the written contract or written agreement. This endorsement shall not increase the Limits of Insurance shown in the Declarations pertaining to the coverage provided herein. 4. This insurance does not apply to "bodily injury', "property damage" or "professional liability" arising out of: a. "Your work" or your "professional services" unless you are required to provide such coverage by written contract or written agreement and then only for the period of time required by the written contract or written agreement and in no event beyond the expiration date of the policy; or b. The sole negligence of the additional insured for its own acts or omissions or those of its employees or anyone else acting on its behalf. 5. Any coverage provided by this endorsement to an additional insured shall be excess over any other valid and collectible insurance available to the additional insured Mather provided on a primary, excess, contingent or on any other basis, unless the written contract or written agreement with the additional insured specifically requires that this insurance be primary and non-contributory with any other insurance issued to the additional insured. In such case, this . insurance shall be primary and non-contributory with any other insurance issued Xp�i additional insured. S\`v� � LX4237 108/131 Page 1 of 2 P C. In accordance with the terms and conditions of the policy and as more fully explained in the policy, as soon as practicable, each additional insured must give us prompt notice of any "occurrence" or "wrongful act" Mich may result in a claim, forward all legal papers to us, cooperate in the defense of any actions, and otherwise comply with all of the policy's terms and conditions. Failure to comply with this provision may, at our option, result in the claim or "suit' being denied. All other terms and conditions of the policy remain the same. '��J\eked S\V\a DO. PEGS Authorized Representative LX4237 (08113) Page 2 of 2 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/oa/oz/2018 Y) DD/Y ola 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 Aon Risk Services South, Inc. Atlanta GA Office CONTACT NAME: (A/CC.NNo. Ext); (866) 283-7122 (ac No.); (800) 363-0105 E-MAIL ADDRESS: 3550 Lenox Road NE suite 1700 Atlanta GA 30326 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: LeXington Insurance Company 19437 U. S. Security Associates, Inc. 200 Mansell East, 5th Floor Roswell GA 300760076 USA INSURER B; Lloyd's Syndicate No. 2003 AA1128003 INSURER C: Liberty Mutual Fire Ins CO 23035 INSURERD: Liberty Insurance Corporation 42404 & conditions INSURER E: INSURER F: - MED EXP (Any one person) $10,000 GUVLKAGtS GCKIII`IGATE NUMBEK: b1UU/2b1J4bt1 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDIYYYY MMtDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000 CLAIMS -MADE X❑ OCCUR SIR applies per policy terns & conditions $500,000 PREMISES Ea occurrence - MED EXP (Any one person) $10,000 PERSONAL& ADV INJURY $2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY ❑ PRO JECT LOC PRODUCTS - COMP/OPAGG Included OTHER: Professional Liability Included C AUTOMOBILE LIABILITY A52-641-443931-058 08/01/2018 08/01/2019 COMBINED SINGLE LIMIT $ a cci nt 1,000,000 BODILY INJURY ( Per person) X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident) B X UMBRELLALIAB IX OCCUR CSUSA1801997 08/01/2018 08/01/2019 EACH OCCURRENCE $5,000,000 EXCESS LIAR CLAIMS -MADE AGGREGATE $5,000,000 DED I X RETENTION $25,000 D D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR! PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA WA764D443931018 AOS wc7641443931048 MN $ WI 08/01/2018 08/01/2018 08/01/2019 08/01/2019 XI PER STATUTE I JOTH- ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,005 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The city of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Additional Insured in accordance with the policy provisions of the General Liability policy. General Liability policy evidenced herein is Primary and Non-contributory to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. Should General Liability, Automobile Liability and workers' Compensation policies be cancelled before the expiration date thereof, the policy provisions will govern how Notice of Cancellation m y.be delivered to Certificate Holders in accordance with the policy provisions of each policy. REVIEWED BY: EUNICE HEREDIA (PG (OF ) CERTIFICATE HOLDER CANCELLATION 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of Santa Ana 20 civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 USA Jv. `fa__ JL 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ENDORSEMENT # 004 This endorsement, effective 12:01 AM 08/01/2018 Forms a part of policy no.: 047082749 Issued to: U.S. SECURITY ASSOCIATES HOLDINGS, INC. By: LEXINGTON INSURANCE COMPANY ADDITIONAL INSURED REQUIRED BY WRITTEN CONTRACT ENDORSEMENT This endorsement modifies insurance provided under the following: GUARDSECURE° SECURITY RELATED GENERAL AND PROFESSIONAL LIABILITY POLICY A. Section II - Who Is An Insured is amended to include any person or organization you are required to include as an additional insured on this policy by a written contract or written agreement in effect during this policy period and executed prior to the "occurrence" or "wrongful act". B. The insurance provided to the above described additional insured under this endorsement is limited as follows: 1. COVERAGE A BODILY INJURY, PROPERTY DAMAGE AND PROFESSIONAL LIABILITY (SECTION I - COVERAGES) only. 2. The person or organization is only an additional insured with respect to liability arising out of "your work" or your "professional services". 3. In the event that the Limits of Insurance provided by this policy exceed the Limits of Insurance required by the written contract or written agreement, the insurance provided by this endorsement shall be limited to the Limits of Insurance required by the written contract or written agreement. This endorsement shall not increase the Limits of Insurance shown in the Declarations pertaining to the coverage provided herein. 4. This insurance does not apply to "bodily injury", "property damage" or "professional liability" arising out of: a. "Your Work" or your "professional services" unless you are required to provide such coverage by written contract or written agreement and then only for the period of time required by the written contract or written agreement and in no event beyond the expiration date of the policy; or b. The sole negligence of the additional insured for its own acts or omissions or those of its employees or anyone else acting on its behalf. 5. Any coverage provided by this endorsement to an additional insured shall be excess over any other valid and collectible insurance available to the additional insured whether provided on a primary, excess, contingent or on any other basis, unless the written contract or written agreement With the additional insured specifically requires that this insurance be primary and non-contributory With any other insurance issued to the additional insured. In such case, this insurance shall be primary and non-contributory with any other insurance issued to the additional insured. LX4237 (08/13) Page 1 of 2 REVIEWED BY: EUNICE HEREDIA (PGL -OF ) C. In accordance with the terms and conditions of the policy and as more fully explained in the policy, as soon as practicable, each additional insured must give us prompt notice of any "occurrence" or "wrongful act" which may result in a claim, forward all legal papers to us, cooperate in the defense of any actions, and otherwise comply with all of the policy's terms and conditions. Failure to comply with this provision may, at our option, result in the claim or "suit" being denied. Al other terms and conditions of the policy remain the same. Authorized Representative LX4237 (08/13) Page 2 of 2 REVIEWED BY: EUNICE HEREDIA (PGSOF