HomeMy WebLinkAboutLANDSCAPE WEST MANAGEMENT SERVICES, INC. (2)INSURANCE ON FILE
WORK MAY PROCEED N-2019-195
UNTIL INSURANCE EXPIRES
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CLERKOF OUNCIL
W 2 7 201WIRST AMENDMENT TO AGREEMENT TO PROVIDE RIGHT OF WAY
p `-Q W AL1 AND MEDIAN LANDSCAPE MAINTENANCE SERVICES
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THIS FIRST AMENDMENT to the above -referenced agreement is entered into on September
z6* , 2019, by and between Landscape West Management Services, 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 parties entered into Agreement No. A-2019-103, dated July 2, 2019, by which
Contractor agreed to provide right-of-way and median landscape maintenance services for
the Maintenance Services Division of the Public Works Agency ("Agreement"). The
original term of the Agreement is for two years, and the Agreement remains in effect through
June 30, 2021, with provision for extension.
B. The parties wish to amend the Agreement to increase the scope of services and the amount
expended under the Agreement to cover debris removal services on an on -call basis in order to
address the impacts of homelessness.
The Parties therefore agree:
1. Section 1, Scope of Services, is amended to include debris removal and homeless encampment
clean-up services on an on -call basis, as described in Exhibit A-1 to this First Amendment.
2. Section 2, Compensation, is amended to increase the not -to -exceed expenditure under the
Agreement from $770,000 to $1,020,000 for the one-year term ending on June 30, 2020, and
to include the rates and charges identified in Exhibit B-1.
3. Except as modified by this First Amendment, all terms and conditions of the Agreement shall
remain in full 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 „►�W,. CITY OF SANTA ANA
DAISY GOMEZ SIC}I TINE R115GE
Clerk of the Council City Manager
--signatures continued on nest page --
Page I of 2
APPROVED AS TO FORM
SONIA R. CARVALHO
City Attorney
By: UZe
J6ffN M.FUNK
Assistant City Attorney
FOR APPROVAL
MAD S. SWEISS, PE, PLS
Executive Director
Public Works Agency
CONTRACTOR
Name: pk cc? ,
Title: rf- »-dam?
Pa.-e 2 of 2
EXHIBIT A-1
CITY OF SANTA ANA
HOMELESS ENCAMPMENT AND DEBRIS CLEAN UP SERVICES
INTRODUCTION AND SCOPE OF SERVICES
The City of Santa Ana is seeking competitive quotes from contractors to maintain and perform
HOMELESS ENCAMPMENT AND DEBRIS CLEAN UP SERVICES on City right-of-way, City
owned properties (i.e. lots, culverts/channels, embankments, Santiago Creek), railroads or private
areas designated by City Staff with the goal of keeping public spaces free of debris and open for
safe use by the public. Work to be performed will include, but not be limited to, sections that are
unimproved, run underneath streets, and lower than grade or sloped.
II. TERM AND FUNDING AMOUNT OF CONTRACT
City intends to award contract(s) up to $250,000 for each individual for this service until expended.
Ill. TYPES OF SERVICES
A. HOMELESS AND TRANSIENT ENCAMPMENT CLEAN UP
Contractor shall remove transient/homeless encampments that may include, but is not
limited to tents, soiled clothing, blankets, human feces, hypodermic needles, and items
listed above. Clean up multiple encampment sites shall be scheduled or on an on -call
basis.
Work will consist of surveying sites, collecting debris, dismantling temporary structures,
removing trash, and disposing of all debris at a local facility specified by the City. Jobsites
can be in heavy foliage, embankments, train tracks, creeks and other areas requiring
alertness to the environment and pre -planning to prevent injury or illness.
a. Contractor shall remove unwanted natural or environmental materials including,
but not be limited to, bio-waste, dirt, nests, hypodermic needles, silt, feces, grime
and similar.
b. Removal and disposal of debris/rubbish, including:
c. Trees, cut brush, dead trees, tree limbs, and similar materials,
Furniture, mattresses, appliances, scrap metals, junk, automobile parts or
machinery, tires, televisions and other electronic devices,
e. Structure demolition, including wood frame, concrete, asphalt, bricks or other
construction debris,
f. Garbage, litter, cardboard, metal cans, glass, feces, fruit/vegetable matter,
City of Santa Ana Public Works Agency
Homeless Encampment and Debris Clean Up Services
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g. Hand sweeping (or blowing) of streets, alleys, sidewalks and similar areas.
2. Contractor may be required to occasionally perform confined space clean up for entry
into designated areas.
3. Contractor maybe assigned to work alongside Santa Ana Police Department and Social
Services/Outreach Support Workers when clearing transient/homeless encampments.
4. Immediately contact the City of Santa Ana Police Department in the event that weapons
are found. Under most, circumstances, the City's Police Department will have
confiscated weapons and illegal contraband prior to the arrival of the Contractor.
5. Contractor may be required to post City provided "Notice to Clean or Remove Property"
signs at the work site prior to the commencement of each removal project as established
in the work -scope and as directed by City representative. Depending on circumstances,
this posting may occur 24-hours from the date of the clean up or as determined by the
Projects Manager. Contractor shall photograph posted notices to document time and
location of posting as instructed by Projects Manager and City.
Contractor may be required to bag and identify personal property left behind at clean up
sites and transport them to a place designated by the Projects Manager or City.
Guidelines for property identification will be provided by the City. Such items include but
are not limited to items in good repair such as organized backpacks, clean and clearly
identified medication, eye glasses in good condition, wallets, handbags, jewelry,
operating watches, non -soiled duffel bags, and non -soiled and organized bedrolls.
IV. GENERAL
A. Furnish all labor, equipment, materials and supplies (including trash bags and any other
supplies necessary), tools, services and special skills required to perform all services listed
above on City streets, alleys, and various locations and other related services as set forth
in the Scope of Services and in keeping with the highest standards of quality and
performance.
B. Cooperate fully with all authorities regarding any investigations of the preceding activities.
Submit a completed report to Projects Manager by the next business day following work
completed under this contract.
V. WORK ORDERS, ASSIGNMENTS, AND SCHEDULE
Work shall be assigned by the City Projects Manager (or Inspector, Santa Ana Police
Department or other City Designated Person) and shall be on an As -Needed or on a Set
Schedule basis, subject to budget appropriation availability and changes by the Projects
Manager. Work hours and staffing may be increased based on funding availability. The Projects
Manager will work with the Contractor to prepare the most effective and productive schedules and
work assignments.
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VL WORK HOURS
Contractor's regularly assigned activities shall be performed from 7:00 a.m. to 3:30 p.m., Monday
through Friday and alternative hours during Early Morning, Late Night, Overnight, and
Weekends. The schedule shall be provided by the Projects Manager. Deviation from these
hours/days shall not be permitted without the prior consent or direction of the Projects Manager
except for emergencies.
VII. CREW SIZE
Crew Unit Size(s) will vary based on task and assignment and as determined between Contractor
and Projects Manager.
Contractor shall provide the necessary staff/workers to perform work as specified in this Scope of
Services. Contractor must have the ability to provide the necessary workers based on the
amount AS -NEEDED and SET SCHEDULED assignments. At a minimum, Contractor shall
perform the assigned tasks with the following:
A. Two (2) Laborers— Laborer performs the necessary tasks to complete the required services
on an AS -NEEDED and SET SCHEDULED basis.
B. Additional Laborers may be required and requested as needed and per assignment from
the Projects Manager.
Vlll. CONTRACT PERFORMANCE REQUIREMENTS
A. Quality Assurance
Perform all work according to all current applicable codes, industry -standards, and to the
highest quality commensurate with required work
Ensure that all work is done only by experienced and professional personnel arriving at
the project site(s) as scheduled and all work is performed in a skillful and workmanlike
manner.
2. All services shall be subject to the inspection and approval of City either by Projects
Manager or designee prior to acceptance and approval for payment.
B. Compliance with Laws:
1. It shall be the Contractor's responsibility to attain the appropriate Contractor License
Requirement if applicable.
2. Contractor shall perform all work performed in connection to this project in full
compliance with all applicable standards, laws, statutes, restrictions, ordinances,
requirements, rules and regulations of municipal, state, county and federal agencies
applicable to the services provided.
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IX. REMOVAL AND DISPOSAL OF DEBRIS
A. Contractor shall remove and dispose of all weeds, litter, and debris generated during the
performance of this contract from the work areas the same day it is generated.
The use of the City Municipal Corporate Yard location will be allowed for the disposal of
weeds and debris generated under this agreement and will be at no charge to the City.
B. Disposal tickets, receipts or similar documentation produced by the disposal site indicating
tonnage disposed of will be required as part of the invoicing and for payment by the City
based on the price in Exhibit A.
C. All debris, excess material, and parts, including those materials that could inflict injury (e.g.,
nails, wire, wood, etc.), shall be cleaned up continuously as work progresses and removed
at the completion of the job and/or at the end of each work day.
X. EQUIPMENT
The Contractor shall perform all work necessary to complete the provisions of this contract in a
satisfactory manner. The Contractor shall furnish all equipment, tools, materials, supplies,
supervision and labor necessary to complete the work. It is mandatory that the equipment and
tools identified below be readily available.
All equipment shall be designed and used so as to properly protect all sidewalks, curbs, streets,
and other improvements from damage. All tractors, back -hoes, loaders, and equipment will be
operational, operated by qualified operators, maintained by the Contractor's expense and time.
Loader Vehicle— Minimum 3 cubic yard loader with scrap grapple loader bucket or equivalent
clamp bucket (including operator). Loader vehicle maybe required depending on the clean up
services needed perjobsite. Equipment must be made available when needed for scheduled work
and stored at Contractor's own storage facility. City staff will provide advanced notice when
needed.
Back -Hoe Vehicle with scrap grapple loader bucket or equivalent clamp bucket (including
operator). Back -hoe vehicle maybe required depending on the clean up services needed per
jobsite. Equipment must be made available when needed for scheduled work City staff will
provide advanced notice when needed.
Contractor shall furnish all labor, equipment, materials (including trash bags), tools, services,
and special skills required to perform weed and debris removal services and other related
services as set forth in these specifications and in keeping with the highest standards of quality
and performance. Contractor shall ensure that all equipment, materials, supplies, and
consumables meet or exceed all applicable manufacturer's published specifications and
industry standards corresponding to required work as specified herein.
XI. MAINTENANCE FUNCTION CHECKLIST AND REPORTS
City of Santa Ana Public Works Agency
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A. Documentation — As Requested by the City
1. Digital Photo Sampler Report
a) Take before -and -after photos of items, areas, or incidents that Contractor responds
to by using the City mobile application or other specific method by the City.
b) Maintain these photos electronically and make them available for inspection by City
at any time and shall include location, description, etc. before or after, date and time
of photo taken with timestamp.
XII. CONTRACTOR EMPLOYEES AND UNIFORMS
A. Contractor Laborer Employees
1. Ensure that all Contractor employees performing work in conjunction with this service
are always courteous, professional, competent, and do not cause any undue
disturbances.
2. Contractor staff and representative shall maintain the highest level of professional
standards in uniforms, politeness, and interaction with the public and City personnel.
Contractor staff must present a neat, well-groomed appearance at all times.
Remove any employee who is determined by City to be incompetent, working
inefficiently, disorderly, intemperate, or otherwise objectionable immediately removed
from work under this agreement and replace with a satisfactory replacement.
1. Contractor shall provide and maintain clean uniforms for all Contractor employees under
this contract at Contractor expense and must bear Contractor's company name or other
acceptable designation type approved by the Projects Manager.
2. Must wear appropriate safety vest or safety color shirt at all times while working for the
City.
XIII. RECORDS AND INVOICING
Invoices are to be submitted on the first day of each month, or as deemed necessary by the
Projects Manager. The invoice shall identify the hours worked and/or location cleaned. Disposal
tickets, receipts or similar documentation indicating tonnage disposed of will be required as part
of the invoicing.
Contractor shall mail all invoices to:
CITY OF SANTA ANA
PUBLIC WORKS AGENCY
MAINTENANCE SERVICES DIVISION
Projects Manager —Arturo Rodriguez
220 South Daisy Avenue
Santa Ana, CA 92703
City of Santa Ana Public Works Agency
Homeless Encampment and Debris Clean Up Services
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XIV
XV.
e-mail: arodriquezC@santa-ana.org phone: (714) 647-3303
RESPONSE TIMES
A. Emergencv
Emergency: 1-hour response to site from time of contact for anything that is or could
harm life or property.
2. Contractor's representative assigned to this contract must be equipped with a cellular
phone, with the capability to respond when contacted (phone call or e-mail) within 30
minutes, but not later than one (1) hour of notification. Contractor's representative to
direct crew to respond to and address emergency within one (1) hour after directive
given.
SAFETY REQUIREMENTS
All work performed under this contract shall be performed in a manner as to provide maximum
safety to the public and staff where applicable, comply with all safety standards related to personal
protective equipment (PPE) required by CAL -OSHA or other applicable Local, State and Federal
safety regulatory agencies.
A. ENVIRONMENTAL CONDITIONS
1. Comply with all applicable local, state, federal regulations and requirements.
2. Transport, store, apply, dispose of all bio-waste and hazardous materials as required
by law.
3. Remove from the work site and properly dispose of all spent materials, hazardous
materials, debris, and the like on a daily basis. Do NOT accumulate waste materials
unless the Projects Manager otherwise allows.
4. Minimize contamination from materials, wastes, spills, or residues at the jobsite to
street, drainage facilities, or adjoining property by wind or runoff.
B. TRAFFIC CONTROL
Signs used for handling traffic during the course of this contract shall be in accordance
with the "Work Area Traffic Control Handbook" (WATCH), published by Building News,
Inc., and made a part of these special provisions. The method in which signs, barriers,
and warning devices are used during the work shall be in accordance with the publication
mentioned. A copy of said publication is on file in the Public Works Agency.
2. The City reserves the right to issue restraint or cease and desist order to the Contractor or
when unsafe or harmful acts are observed or reported relative to the performance of the
work under this contract.
City of Santa Ana Public Works Agency
Homeless Encampment and Debris Clean Up Services
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XVI. COMMUNICATIONS
Contractor shall provide his crew with a cellular phone to allow direct communication with City
staff at Contractor expense. The City shall require contract staff to utilize a technological device,
such as a smartphone, tablet, laptop or similar device at Contractor expense, to assist with the
City's Asset Management and Work Order System. Such device will be utilized to perform basic
data input and respond to work orders from the City. Operation of the software system shall
include, but is not limited to, monitoring and responding to real-time work order service requests
and taking before and after photos of work performed.
XVII. AUDIT REQUIREMENTS
City reserves the right to periodically inspect and audit Contractor's accounting procedures
and supporting documentation in conjunction with the performance of the Scope of Services.
XVIII. CONTRACT TERMINATION
The City reserves the right to terminate contract, without penalty, for cause immediately or without
cause after 30-days written notice thereof is delivered to the Contractor either personally or by
mail addressed as shown on the quote.
If the Contractorfails to meet the specifications of this contract for a period of 15 cumulative days,
the City may at its option terminate the balance of this contract by written notice of termination to
the Contractor. Notice of such termination shall take effect 15 days after such notice is mailed.
XIX. CONTRACTOR OPTION FOR TERMINATION
The Contractor may request termination of the contract when conditions during the contract
make it impossible to perform or when prevented from proceeding with the contract by act of
God, by law or official action of a public authority or in the event on nonpayment by the City.
Such request will require ninety (90) days written notice prior to contract termination date
requested.
XX. REQUIRED CONTRACTOR IDENTIFICATION SIGNAGE
City of Santa Ana authorized contractors will be required to have identification signage on all
vehicles at all times while working in an official capacity for the City. Such signage shall be of a
professional manner and maintained neat in appearance, free of graffiti, easily identifiable and in
sound condition. All costs associated with the fabrication of such signage shall be bome by the
contractor. Contact City Staff prior to ordering.
Signaae Type and Material Shall Be:
• Plastic with Magnetic Backing. Painted on Vehicle or similar (Taped Signs Not allowed).
Such Signage Shall State:
City of Santa Ana Public Works Agency
Homeless Encampment and Debris Clean Up Services
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Exhibit B-1
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CITY OF SANTA ANA PUBLIC WORKS AGENCY
ITEM FOR QUOTE FOR HOMELESS ENCAMPMENT AND DEBRIS CLEAN UP SERVICES
QUOTE STATEMENT and PROPOSER ITEM PRICING
EXHIBIT A
Certification
I certify that I have read, understand and agree to the terms and conditions of this quote. I have
examined the Scope of Services and am familiar with the scope of work and locations. I am familiar
with all the existing conditions and limitation that may impact work requests. I understand and agree
that I am responsible for reporting any errors, omissions or discrepancies to the City for clarification
prior to the submission of my quote.
Quote Item Price
Pricing shall be based on the items listed below and described in the Scope of Services.
supplies, travel, mileage and fuel. Any special materials will be purchased by the Contractor only
after discussed and authorized by the City Projects Manager or designee in writing. The City has the
option to Purchase and provide materials. Special material will be purchased and/or by the City or the
City will reimburse the Contractor after authorization by City.
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LEGAL NAME OF COMPANY
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BUSINESS ADDRESS
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PRINTED NAME OF AUTHO IZED AGENT
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SIGNATURE OF AUTHQ�IIED AGENT
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rP}HONE AND FAX NUMBER
TITLE
DATE
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FEDERAL IDENTIFICATION NUMBER OR TAX ID (IF APPLICABLE) EMAIL ADDRESS
CONTRACTOR LICENSE LICENSE TYPE AND CONTRACTOR ID NUMBER (IF APPLICABLE)
THIS FORM MUST BE COMPLETED AND INCLUDED IN THE QUOTE.
QUOTES THAT DO NOT CONTAN THIS FORM WILL BE CONSIDERED NON -RESPONSIVE
City of Santa Ana Public Works Agency
Request for Quotes for Homeless Encampment and Debris Clean Up Services
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EXHIBIT A - CONTINUED
CITY OF SANTA ANA PUBLIC WORKS AGENCY
ITEM FOR QUOTE FOR HOMELESS ENCAMPMENT AND DEBRIS CLEAN UP SERVICES
PROPOSER'S CERTIFICATION and QUOTE ITEM PRICING
HOMELESS ENCAMPMENT AND DEBRIS CLEAN UP SERVICES
ITEM
QUOTE ITEM DESCRIPTION
QUANTITY
UNIT
UNIT PRICE
Crew Laborer
1.
(Hourly Rate shall Not include
1
HOUR
$ (_ s-S
markup for disposal charge)
ADDITIONAL ITEMS AND SERVICES (AS NEEDEDI
ITEM
QUOTE ITEM DESCRIPTION
UNIT
UNIT PRICE
Equipment - Loader
2.
(With Operator)
HOUR
f-\-
*As Requested/As Directed
Equipment - Back Hoe
3.
(With Operator)
HOUR
$ 13 S
*As Requested/As Directed
DEBRIS DISPOSAL CHARGE (AS NEEDED)
4.
DEBRIS DISPOSAL CHARGE
TON
$ c S `-
City of Santa Ana Public Works Agency
Request for Quotes for Homeless Encampment and Debris Clean Up Services
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EXHIBIT B
OFFEROR'S REFERENCES
List and describe fully the last three contracts performed by your firm of over $100,000, which
demonstrate your ability to provide the supplies, equipment or services included in the Request for
Quotes specifications. Attach additional pages if required. The City reserves the right to contact each
of the references listed for additional information regarding yourfirm's qualifications.
Reference No.
Customer Name: C; jj hF S n Any
Address: 220 So=1h
Av,n i IQ eT2763
Contract Amount: 47�0, oe,v
Description of supplies, Services provided:
Contact Individual. 4-'>nrfll Ilerrae!t_
Phone Number: (7N� &93 - 3��c
Email: T)lk-kercndc P
Year: ZU(R --
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Reference No. 2
Customer Name: () ly 61C rN ssu V z.
Address: zno
Contract Amount: L<trocz:,c i K ro� cc
Description of supplies, Services provided:
Contact Individual: ry Wit
Phone Number: (gyn)`I-7c- 3c r�
Email: SHE If
Year: ao I S —
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Reference No. 3
Customer Name: C'� of, GG3tna N')
Address: 3ci ll Ofcw;, U,; /ley
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Contract Amount:
Description of supplies, Services provided:
Contact Individual: 'S rfy Sc•r/uw
Phone Number: (elyff)) 362.-1130c
Email: 55-11r;;,, C {�crinyu nr, e/o.�
Year: 2616— P-s _f
TO BE INCLUDED IN QUOTE PACKAGE
City of Santa Ana Public Works Agency
Request for Quotes for Homeless Encampment and Debris Clean Up Services
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11I.►1 R►N%' i**11
1234 N. Blue Gum Street
Anaheim, Ca 92806
0.714-860-4702
R 714-860-4705
Date: August 22, 2019
City of Santa Ana
20 Civic Center Plaza
Santa Ana, CA 92701
To Whom It May Concern:
Landscape West will not hire professional or consultant any third party
company to perform any work. All work will be performed by Landscape
West Management Service, Inc.
If you have any questions please contact our Office.
Thank you,
14
Michael Garibay
President
Landscape West Management Services, Inc.
o. 714.860.4702
f. 714.860.4705
Michael@lwmsine.com
lwmsine.com
/1 LAN D W ES-02
DATE 121201D9
A`oiry CERTIFICATE OF LIABILITY INSURANCE
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 terns 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 a .
PRODUCER License # 0757776
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INSUREFUSI AFFORDING COVERAGE
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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.
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DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1ACORD 101. AddmoMl ReMitkS ScMd^ may be anacMd N Ram Splice b mgW,Wl
Job Re: Right of Way and Median Landscape Maintenance Services RFP #19-01S.
The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; Its officers, employees, agents, volunteers and representatives are included as
Additional Insureds under the General Liability policy, additional insured coverage applies when required by written contract per the attached form #HG 00 01
0916.
-Primary and Non -Contributory wording is included under the General Liability policy as stated on the form #HG 00 01 09 16 attached only'
`This certificate replaces and voids the certificate previously issued on 7/18/2019.'
City of Santa Ana
Risk Management Dh
20 Civic Center Plaza
Santa Ana, CA 92702
SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
26 2019 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
k M. LAMBERT AUMORIZED REPRESENTATIVE
ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
The insurance afforded herein for any
subsidiary not named in this Coverage Part
as a named insured does not apply to injury
or damage with respect to which such insured
is also a named insured under another policy
or would be a named insured under such
policy but for its termination or the exhaustion
of its limits of insurance.
3. Newly Acquired Or Formed Organization
Any organization you newly acquire or form,
other than a partnership, joint venture or limited
liability company, and over which you maintain
financial interest of more than 50% of the voting
stock, will qualify as a Named Insured if there is
no other similar insurance available to that
organization. However:
a. Coverage under this provision is afforded only
until the 180th day after you acquire or form
the organization or the end of the policy
period, whichever is earlier;
b. Coverage A does not apply to "bodily injury"
or "property damage" that occurred before
you acquired or formed the organization; and
c. Coverage B does not apply to "personal and
advertising injury" arising out of an offense
committed before you acquired or formed the
organization.
4. Nonowned Watercraft
With respect to watercraft you do not own that is
less than 51 feet long and is not being used to
carry persons for a charge, any person is an
insured while operating such watercraft with your
Permission. Any other person or organization
responsible for the conduct of such person is
also an insured, but only with respect to liability
arising out of the operation of the watercraft, and
only if no other insurance of any kind is available
to that person or organization for this liability.
However, no person or organization is an insured
with respect to: .
a. "Bodily injury" to a co"employee" of the
person operating the watercraft; or
b. "Property damage" to property owned by,
rented to, in the charge of or occupied by you
or the employer of any person who is an
insured under this provision.
S. Additional Insureds When Required By
Written Contract, Written Agreement Or
Permit
The following person(s) or organization(s) are an
additional insured when you have agreed, in a
written contract, written agreement or because of
a permit issued by a state or political subdivision,
that such person or organization be added as an
additional insured on your policy, provided the
injury or damage occurs subsequ nt to the
execution of the contract or agreeme
Page 12 of 21
A person or organization is an additional insured
under this provision only for that period of time
required by the contract or agreement.
However, no such person or organization is an
insured under this provision if such person or
organization is included as an insured by an
endorsement issued by us and made a part of
this Coverage Part.
a. Vendors
Any person(s) or organization(s) (referred to
below as vendor), but only with respect to
"bodily injury" or "property damage" arising
out of "your products" which are distributed or
sold in the regular course of the vendor's
business and only if this Coverage Part
provides coverage for "bodily injury" or
"property damage" included within the
"products -completed operations hazard".
(1) The insurance afforded the vendor is
subject to the following additional
exclusions:
This insurance does not apply to:
(a) "Bodily injury' or "property damage" for
which the vendor is obligated to pay
damages by reason of the assumption
of liability in a contract or agreement.
This exclusion does not apply to
liability for damages that the vendor
would have in the absence of the
contract or agreement;
(b)Any express warranty unauthorized by
you;
(c) Any physical or chemical change in the
product made intentionally by the
vendor;
(d)Repackaging, except when unpacked
solely for the purpose of inspection,
demonstration, testing, or the
substitution of parts under instructions
from the manufacturer, and then
repackaged in the original container;
(a) Any failure to make such inspections,
adjustments, tests or servicing as the
vendor has agreed to make or normally
undertakes to make in the usual
course of business, in connection with
the distribution or sale of the products;
(f) Demonstration, installation, servicing
or repair operations, except such
operations performed at the vendor's
premises in connection with the sale of
the product;
(9) Products which, after distribution or
sale by you, have been labeled or
relabeled or used as a container, part
or ingredient of any other thing or
substance by or for the vendor; or
HG 00 0109 16
(h)"Bodily injury" or 'property damage"
arising out of the sole negligence of the
vendor for its own acts or omissions or
those of its employees or anyone else
acting on its behalf. However, this
exclusion does not apply to:
(1) The exceptions contained in Sub-
paragraphs (d) or (f); or
(li) Such inspections, adjustments,
tests or servicing as the vendor has
agreed to make or normally
undertakes to make in the usual
course of business, in connection
with the distribution or sale of the
products.
(2) This insurance does not apply to any
insured person or organization, from
whom you have acquired such products,
or any ingredient, part or container,
entering into, accompanying or containing
such products.
b. Lessors Of Equipment
(1) Any person(s) or organization(s) from
whom you lease equipment; but only with
respect to their liability for "bodily injury",
"property damage" or "personal and
advertising injury" caused, in whole or in
part, by your maintenance, operation or
use of equipment leased to you by such
person(s) or organization(s).
(2) With respect to the insurance afforded to
these additional insureds this insurance
does not apply to any "Occurrence" which
takes place after the equipment lease
expires.
c. Lessors Of Land Or Premises
Any person or organization from whom you
lease land or premises, but only with respect
to liability arising out of the ownership,
maintenance or use of that part of the land or
Premises leased to you.
With respect to the insurance afforded these
additional insureds the following additional
exclusions apply:
This insurance does not apply to:
1. Any "occurrence" which takes place after
you cease to lease that land; or
2. Structural alterations, new construction or
demolition operations performed by or on
behalf of such person or organization.
d. Architects, Engineers Or Surveyors
Any architect: engineer, or surveyor, but only
with respect to liability for "bodily injury",
"property damage" or "personal and
advertising injury" caused, in whole or in part,
by your acts or omissions or the al or
HG 00 01 0916 g4P[n
omissions of those acting on your behalf:
(1) In connection with your premises; or
(2) In the performance of your ongoing
operations performed by you or on your
behalf.
With respect to the insurance afforded these
additional insureds, the following additional
exclusion applies:
This insurance does not apply to "bodily
injury", "property damage" or "personal and
advertising injury" arising out of the rendering
of or the failure to render any professional
services by or for you, including:
1. The preparing, approving, or failing to
prepare or approve, maps, shop drawings,
opinions, reports, surveys, field orders,
change orders or drawings and
specifications; or
2. Supervisory, inspection, architectural or
engineering activities.
This exclusion applies even if the claims
against any insured allege negligence or
other wrongdoing in the supervision, hiring,
employment, training or monitoring of others
by that insured, if the "occurrence" which
caused the "bodily injury" or "property
damage", or the offense which caused the
"personal and advertising injury", involved the
rendering of or the failure to render any
Professional services by or for you.
e. Permits Issued By State Or Political
Subdivisions
Any state or political subdivision, but only with
respect to operations performed by you or on
your behalf for which the state or political
subdivision has issued a permit.
With respect to the insurance afforded these
additional insureds, this insurance does not
apply to:
(1) "Bodily injury", "property damage" or
"personal and advertising injury" arising
out of operations performed for the state
or municipality; or
(2) "Bodily injury" or "property damage"
included within the "products -completed
operations hazard".
f. Any Other Party
Any other person or organization who is not
an additional insured under Paragraphs a.
through e. above, but only with respect to
liability for "bodily injury", "property damage"
or "personal and advertising injury" caused, in
whole or in part, by your acts or omissions or
the acts or omissions of those acting on your
behalf:
(1) In the performance of your ongoing
operations;
Page 13 of 21
(2) in connection with your premises owned
by or rented to you; or
(3) In connection with "your work" and
included within the "products -completed
operations hazard", but only if
(a)The written contract or agreement
requires you to provide such coverage
to such additional insured; and
(b)This Coverage Part provides coverage
for "bodily injury" or "property damage"
included within 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.
With respect to the insurance afforded to
these additional insureds, this insurance does
not apply to:
"Bodily injury", "property damage" or
"personal and advertising injury" arising out of
the rendering of, or the failure to render, any
Professional architectural, engineering or
surveying services, including:
(1) The preparing, approving, or failing to
Prepare or -approve, maps, shop drawings,
opinions, reports, surveys, field orders,
change orders or drawings and
specifications; or
(2) Supervisory, inspection, architectural or
engineering activities.
This exclusion applies even if the claims
against any insured allege negligence or
other wrongdoing in the supervision, hiring,
employment, training or monitoring of others
by that insured, if the "occurrence" which
caused the "bodily injury" or "property
damage", or the offense which caused the
"personal and advertising injury", involved the
rendering of or the failure to render any
Professional services by or for you.
The limits of insurance that apply to additional
insureds is described in Section III - Limits Of
Insurance.
How this insurance applies when other insurance
is available to the additional insured is described
in the Other Insurance Condition in Se 'on IV -
Commercial General Liability Con t
tions.
Page 14of21 �(,,Iff
No person or organization is an insured with respect
to the conduct of any current or past partnership,
joint venture or limited liability company that is not
shown as a Named Insured in the Declarations.
SECTION III - LIMITS OF INSURANCE
1. The Most We Will Pay
The Limits of Insurance shown in the
Declarations and the rules below fix the most we
will pay regardless of the number of:
a. Insureds;
b. Claims made or "suits" brought; or
C. Persons or organizations making claims or
bringing "suits".
2. General Aggregate Limit
The General Aggregate Limit is the most we will
pay for the sum of:
a. Medical expenses under Coverage C;
b. Damages under Coverage A, except
damages because of "bodily injury' or
"property damage" included in the "products -
completed operations hazard", and
c. Damages under Coverage B.
3. Products -Completed Operations Aggregate
Limit
The Products -Completed Operations Aggregate
Limit is the most we will pay under Coverage A
for damages because of "bodily injury" and
"property damage" included in the "products -
completed operations hazard".
4. Personal And Advertising Injury Limit
Subject to 2. above, the Personal and
Advertising Injury Limit is the most we will pay
under Coverage B for the sum of all damages
because of all "personal and advertising injury"
sustained by any one person or organization.
5. Each Occurrence Limit
Subject to 2. or 3. above, whichever applies, the
Each Occurrence Limit is the most we will pay for
the sum of:
a. Damages under Coverage A; and
b. Medical expenses under Coverage C
because of all "bodily injury" and "property
damage" arising out of any one "occurrence ".
6. Damage To Premises Rented To You Limit
Subject to S. above, the Damage To Premises
Rented To You Limit is the most we will pay
under Coverage A for damages because of
"property damage" to any one premises, while
rented to you, or in the case of damage by fire,
lightning or explosion, while rented to you or
temporarily occupied by you with permission of
the owner.
HG 00 01 0916
(3) Any manager, if you or the additional
insured is a limited liability company;
(4) Any "executive officer' or insurance
manager, if you or the additional insured is
a corporati on;
(5) Any trustee, if you or the additional
insured is a trust; or
(6) Any elected or appointed official, if you or
the additional insured is a political
subdivision or public entity.
This duty applies separately to you and any
additional insured.
3. Legal Action Against Us
No person or organization has a right under this
Coverage Part:
a. To join us as a party or otherwise bring us
into a "suit" asking for damages from an
insured; or
b. To sue us on this Coverage Part unless all of
its terms have been fully complied with.
A person or organization may sue us to recover
on an agreed settlement or on a final judgment
against an insured; but we will not be liable for
damages that are not payable under the terms of
this Coverage Part or that are in excess of the
applicable limit of insurance. An agreed
settlement means a settlement and release of
liability signed by us, the insured and the
claimant or the claimant's legal representative.
4. Other Insurance
If other valid and collectible insurance is
available to the insured for a loss we cover under
Coverages A or B of this Coverage Part, our
obligations are limited as follows:
a. Primary Insurance
This insurance is primary except when b.
below applies. If other insurance is also
primary, we will share with all that other
insurance by the method described in c.
below.
b. Excess Insurance
This insurance is excess over any of the other
insurance, whether primary, excess,
contingent or on any other basis:
(1) Your Work
That is Fire, Extended Coverage, Builders
Risk, Installation Risk or similar coverage
for "your Work";
(2) Premises Rented To You
That is fire, lightning or explosion
insurance for premises rented to you or
temporarily occupied by Aou with
permission of the owner: e
Page 16 of 21
(3) Tenant Liability
That is insurance purchased by you to
cover your liability as a tenant for
"property damage" to premises rented to
you or temporarily occupied by you with
permission of the owner;
(4) Aircraft, Auto Or Watercraft
If the loss arises out of the maintenance or
use of aircraft, "autos" or watercraft to the
extent not subject to Exclusion g. of
Section I - Coverage A - Bodily Injury And
Property Damage Liability;
(6) Property Damage To Borrowed
Equipment Or Use Of Elevators
If the loss arises out of "property damage"
to borrowed equipment or the use of
elevators to the extent not subject to
Exclusion j, of Section I - Coverage A -
Bodily Injury And Property Damage
Liability;
(6) When You Are Added As An Additional
Insured To Other Insurance
Any other insurance available to you
covering liability for damages arising out
of the premises or operations, or products
and completed operations, for which you
have been added as an additional insured
by that insurance; or
(7) When You Add Others As An
Additional Insured To This Insurance
Any other insurance available to an
additional insured.
However, the following provisions apply to
other insurance available to any person or
organization who is an additional insured
under this coverage part.
(a) Primary Insurance When Required
By Contract
This insurance is primary if you have
agreed in a written contract or written
agreement that this insurance be
primary. If other insurance is also
primary, we will share with all that
other insurance by the method
described in c. below.
(b) Primary And Non -Contributory To
Other Insurance When Required By
Contract
If you have agreed in a written
contract, written agreement, or permit
that this insurance is primary and non-
contributory with the additional
insured's own insurance, this insurance
is primary and we will not seek
contribution from that other insurance.
HG 00 0109 16
Paragraphs (a) and (b) do not apply to
other insurance to which the additional
insured has been added as an additional
insured.
When this insurance is excess, we will have
no duty undet Coverages A or B to defend
the insured against any "suit" if any other
insurer has a duty to defend the insured
against that "suit". If no other insurer defends,
we will undertake to do so, but we will be
entitled to the insured's rights against all
those other insurers.
When this insurance is excess over other
insurance, we will pay only our share of the
amount of the loss, if any, that exceeds the
sum of:
(1) The total amount that all such other
insurance would pay for the loss in the
absence of this insurance; and
(2) The total of all deductible and self -insured
amounts under all that other insurance.
We will share the remaining loss, if any, with
any other insurance that is not described in
this Excess Insurance provision and was not
bought specifically to apply in excess of the
Limits of Insurance shown in the Declarations
of this Coverage Part.
c. Method Of Sharing
If all of the other insurance permits
contribution by equal shares, we will follow
this method also. Under this approach each
insurer contributes equal amounts until it has
paid its applicable limit of insurance or none
of the loss remains, whichever comes first.
If any of the other insurance does not permit
contribution by equal shares, we will
contribute by limits. Under this method, each
insurer's share is based on the ratio of its
applicable limit of insurance to the total
applicable limits of insurance of all insurers.
5. Premium Audit
a. We will compute all premiums for this
Coverage Part in accordance with our rules
and rates.
b. Premium shown in this Coverage Part as
advance premium is a deposit premium only.
At the close of each audit period we will
compute the earned premium for that period
and send notice to the first Named Insured.
The due date for audit and retrospective
Premiums is the date shown as the due date
on the bill. It the sum of the advance and
audit premiums paid for the policy period is
greater than the earned premium, we will
return the excess to the first Named Insured.
C. The first Named Insured must keep e0 ds of
the information we ne for premium
HG 00 01 09 16 � N
computation, and send us copies at such
times as we may request.
6. Representations
a. When You Accept This Policy
By accepting this policy, you agree:
(1) The statements in the Declarations are
accurate and complete;
(2) Those statements are based upon
representations you made to us; and
(3) We have issued this policy in reliance
upon your representations.
b. Unintentional Failure To Disclose Hazards
If unintentionally you should fail to disclose all
hazards relating to the conduct of your
business that exist at the inception date of
this Coverage Part, we shall not deny
coverage under this Coverage Part because
of such failure.
7. Separation Of Insureds
Except with respect to the Limits of Insurance,
and any rights or duties specifically assigned in
this Coverage Part to the first Named Insured,
this insurance applies:
a. As if each Named Insured were the only
Named Insured; and
b. Separately to each insured against whom
claim is made or "suit" is brought.
Transfer Of Rights Of Recovery Against
Others To Us
a. Transfer Of Rights Of Recovery
If the insured has rights to recover all or part
of any payment, including Supplementary
Payments, we have made under this
Coverage Part, those rights are transferred to
us. The insured must do nothing after loss to
impair them. At our request, the insured will
bring "suit" or transfer those rights to us and
help us enforce them.
b. Waiver Of Rights Of Recovery (Waiver Of
Subrogation)
If the insured has waived any rights of
recovery against any person or organization
for all or part of any payment, including
Supplementary Payments, we have made
under this Coverage Part, we also waive that
right, provided the insured waived their rights
of recovery against such person or
organization in a contract, agreement or
permit that was executed prior to the injury or
damage.
9. When We Do Not Renew
If we decide not to renew this Coverage Part, we
will mail or deliver to the first Named Insured
shown in the Declarations written notice of the
Page 17 of 21
0 HUB
NUB
w,.,. NWreem eo ce,
40 East Alamar Avenue
Sane Bemare, CA
0105 Tel 50560 -2571
Fax W0 -io55
tic N. 075?/e
To Whom It May Concern,
RE: CERTIFICATE FORM CHANGE
The certificate of insurance we have issued on your behalf has changed from previous forms.
ACORD, the insurance industry standards leader for Fortes, updated the Certificate of Insurance Form 25 in May, 2010.
Regulations require that agencies use current versions of ACORD.
The new form is different from previous versions regarding the `notice of cancellation" clause provided to the certificate holder.
Why was this change necessary?
• To align the certificate with the policy contract. Cancellation provisions are rights under the policy and are not
voluntary provisions that we can alter. The state department of insurance must approve policy forms by law.
We are often asked to alter the certificate, or to issue proprietary certificates provided by the certificate requestor. However.
there are a number of reasons we are unable to comply with these requests:
• ACORD forms are copyrighted, and can only be used in the ways permitted by their licensing agreement, which states
that they cannot be used after new forms have been released.
• Any document that promises a policy right is considered a policy form. The state department of insurance must approve
Policy forms by law.
• Notice of cancellation is a policy right, not an unregulated service. No insurer shown on this certificate is able to
provide the cancellation notice you desire by endorsement. For example, the insured can cancel immediately, so it
would be impossible for the insurer to give you the notice you request. State law also grants the insurer the right to
cancel for reasons such as nonpayment with less notice than you require.
• Knowing that we cannot give notice under certain circumstances, giving a certificate promising notice would consist of
misrepresentation or fraud, which could subject our agency and staff to civil and criminal penalties.
• Our insurance company contracts only allow us to issue unaltered ACORD forms. Many proprietary certificates include
broad, vague, or ambiguous language that may or may not comply with state laws, regulations, and insurance
department directives. Therefore, we cannot issue any proprietary certificates that have not been reviewed by our state
insurance department.
We appreciate your understanding of the legal restrictions on our ability to comply with your request.
Sincerely,
Diana M. Frausto
Assistant Account Manager