HomeMy WebLinkAboutSIEMENS INDUSTRY INC.3URA%E O�J rii_c
OR{'I°t r. ''HD
I;,,1 ..-EEXPIRES t"' f1? CA-2019-226
Cr COUNCIL
THIS FIRST AMENDMENT to the above -referenced agreement is entered into on November 19,
2019, by and between Siemens Industry, Inc. ("Consultant"), and the City of Santa Ana, a charter
city and immicipal corporation organized and existing under the Constitution and laws of the State
of California ("City").
A. The patties entered into Agreement No. A-2015-078, dated May 5, 2015, by which
Consultant agreed to provide HVAC and lighting controls technical support and
maintenance services ("Agreement").
B. The original term of the Agreement was for three years, with provision for extension, and
the term has been extended for the final one-year period ending April 30, 2020.
C. The patties now wish to amend the Agreement to finther extend the term of the Agreement
and to increase the amount to be expended during the final extension period.
The Parties therefore agree:
1. Section 3, Term, is amended to further extend the term of the Agreement through June 30,
2020.
2. Section 2, Compensation, is amended to increase the not -to -exceed expenditure by $105,000
during the extended term ending on June 30, 2020. This sum is comprised of (1) $52,420 for
routine maintenance services and (2) $52,580 for additional services on an as -needed basis at
the sole discretion of the City.
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 patties hereto have executed this First Amendment to the
Agreement on the date and year first written above.
ATTEST
DAISY GOMEZ
lerk of the Council
CITY OF SANTA ANA
KRISTINE RIDGE
City Manager
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Page 1 of2
APPROVED AS TO FORM
SONIA R. CARVALHO
City Attorney
By:a/W s .
J M.FUNK
Assistant City Attorney
RECOMMENDED FOR APPROVAL
FUAD S. SWEISS, PE, PLS
Executive Director
Public Works Agency
CONSULTANT
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Page 2 of 2
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4LC�R0® CERTIFICATE OF LIABILITY INSURANCE
V
DATE12/12J2019 YYYY)
2019
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(in) 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
MARSH USA, INC.
445 SOUTH STREET
MORRISTOWN, NJ 07960-6454
CONTACT
NAME:
PHONE aC No:
E-MAIL
ADDRESS
INSURERS AFFORDING COVERAGE
NAIC#
INSURERA: HDI Global Insurance Gom n
4*13
100129-RSS-19120 610 CICKO NOC60
INSURED SIEMENS INDUSTRY, INC.
INSURERS: TmVelers Property Casualty Go. ofAmerica
25674
INSURER C : The Travelers Indemnity Company
25658
1000 DEERFIELD PARKWAY
BUFFALO GROVE, IL 600894513
RERD:
:NU
NSURER E:
INSURERF:
COVERAGES CERTIFICATE NUMBER: NYC810269414-32 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
T)fPEOFINSUR%NCE
AOOL
SUBR
POLICY NUMBER
POLICY EFF
NVDo
POLICY E%P
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE FRI OCCUR
GLD1110111
10101/2019
1010112020
EACHOCCURRENCE
$ 1,D00,000
DAMAGE TO RENTED
PREMISES Ea ooc.mmca
$ 1,000,000
MED E%P (Any one person)
$ 100,000
PERSONAL&ADV INJURY
$ 1,000,000
GEN'L
X
AGGREGATE LIMIT APPLES PER:
POLICY 0 PET LOC
GENERALAGGREGATE
$ 10,000,000
PRODUCTS - COMP/OP AGO
$ INCL
$
OTHER:
B
AUTOMOBILEUABILITY
TC2J-CAP-7440L34A-19
10/012019
10101/2020
COMBINED SINGLE LIMIT
Me aoddent
$ 2,000,000
X
BODILY INJURY(Per person)
$ NIA
ANY AUTO
X
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY Per accident)
( )
$ NIA
X
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTYDAMAGE
Per acdtlent
$ NIA
$
UMaRELLALIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS UAB
CLAIMS -MADE
DED I I RETENTION$
$
B
G
B
WORKERS COMPENSATION
ANDEMPLOYERS' LIABILITY YIN
ANYICER/M MBER XCLUD /E%ECUTIVE
OFFICER/MEMBERE%CLUDEO7
(Mandatory In NH)
If yea, describe under
DE SCRIPTION OF OPERATIONS below
NIA
TC2J-UB-8049X508-19(AOS)
TRK-UB-8049X51A-19AZ, MA, OR, WI
( )
TWXJ-UB-744OL338-19 OH&WA
( )
""""'$500K LIMIT I $500K SIR"
Tfffff=
101010019
10N12019
10/01120 0
1010112020
10/0112020
X PER oTH-
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE -EA EMPLOYEE
$ 1,000,000
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
DESCRIPTION OFOPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached ifmore space is required)
RE: SIEMENS JOB# 2600077971, 51011CITY OF SANTA ANA SERVICE AGREEMENT
SEEATTACHED
CITY OF SANTA ANA
RISK MANAGEMENT DIVISION
20 CIVIC CENTER PLAZA, 4TH FLOOR
SANTA ANA, CA 92701
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
Manashi Mukherjee
All riahts reserved_
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: TC2J-CAP_:744OL34A-TIL-19
COMMERCIAL AUTO
ISSUE DATE: 08-23-;19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ .l1T:CAREFULLY.
DESIGNATED INSURED FOR
COVERED AUTOS LIABILITY "COVERAGE
Thsendorsomeht modifies insurahce.ordyided under the-folloWing"
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the Provisions of the Coverage Form apply unless rhodi-
,fed by thlsend61rWrieht,
This endorseme6fidenfifies person(s) orrorganization(s) who are "insureds�'for Covered Autos Liab r,,-,Iy Coverage
under the Who Is An Insured provision of the Coverage Form. This;endorsement does not afterc&eragle pro-
vided in the Coverage Form.
SCHEDULE
Name Of Person(s) Or QrOanlzatlon(s):
ANY PERSON OR ORGANIZATION "ON YOU .HAVE
AGREED, TO ADD AS ADDITIONAL INSURED, BUT
ONLY To COVERAGE AND MINIMUM LIMITS
REQUIRED IN A 44RITtEk WIMZAdT
Jinformation required to complete this Schedule, if not shown above, will be shown in the Declarations.
Each person or organization shown in the Schedule is
an "Insured" for Covered Autos Liability Coverage,, but
only to the extentthat person or organization qualifies
as an "insured" under the Who Is. An linsUred provi-
Sion cohtalned.ln Paragraph A.I. of Section 11 - Qov-
ered Autos Liability Coverage in the Business Auto
and Motor Carrier Coverage Forms and Paragraph
D.2. of Section I - Covered -Autos Coverages of the
Auto. Dealers.Covera& Fort.
CA 20 48 110 13 0 insurance Services Office, Inc., 2011 Page 1 of 1
HDI GLOBAL INSURANCE COMPANY
MANUSCRIPTENDORSEMENT#32
Pollcy Number
Gl-piiioi-ii
'Named Insured
SIEMENS CORPORATION
PolicyPeriod: Inception(M-D-Y) Expiration(M-D-Y) Effective Date and
Time of Endorsement
10-01-2010 10-01-2020 10-01-2019 12:01 a.m. Standard Time
at Address of the
Insured.
This Endorsement Changes The Pollcy:. Please Read It Care ully.
MFFWHV�11:..�
This endorsement modifies insurance provided underthe folloWrkg:
Commercial General LiabilityroverageForm
Who is an insured is amended to Include as an additional insured any person whom you are required to add as an
additional Insured on this policy under a written agreement, but only with respect to liability for "bodily injury", "property
dama e" or "personal and advertising Injury" caused in whole or In park„by: I. Your acts or omissions, or 2. The acts)
or omissions of those acting on your behalf. The insurance coverage provided to such additional insured applies only
to the extent required within the written`agreernent.
The Insurance coverage provided to the: additional insured person shall not provide -any broader coverage than you are
required to provide to the additional insured person 'in the written agreement and shall not provide limits of insurance that
exceedthe lower of the Limits of Insurance provided to you in'this policy, orthe limits of insuranceyou are required'to
provide in the written agreement
The insurance) provided to "the additional insured bythis endorsementis excess overanyvalid and collectible other
Insurance, whether primary, excess, contingent, or on any other basis, that is available to the additional insured for a loss
w,e cover underthis endorsement. However, if the written agreement specifically requires that this insurance apply on a
primary basis, this insurance is prirrary. If the wfkte n agreement specifically requires this insurance apply on.a primary
and non-contributory basis this insurance Is.primaryto other insurance avallabie to the additional insured and we will not
share with that other insurance.
This endorsement shall prevail over additional insured endorsements that may apply under this policy unless required
otherWse`inthe swritten agreement.
Authoriwd Representative
All terms and conditions of the policy remain unchanged.
THIS ENDORSEMENT MUST BE ATTACHED TO A CHANGE ENDORSEMENT WHEN ISSUED AFTER THE POLICY
IS WRITTEN.
Page...
TRAVELERS` WORKERS COMPENSATION
AND
EMPLOYERS LIABILITY POLICY
ENDORSEMENT WC 00 0313 (00)_
POLICY NUMBER: (TC2(7UB-e049x50-s-19)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not
enforce our right against the person or organization named in the Schedule. (This agreement applies only to the
extent that you perform work under a written contract that requires you to obtain this agreement from us.)
This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule.
SCHEDULE
DESIGNATED PERSON:
DESIGNATED ORGANIZATION:
ANY PERSON OR ORGANIZATION FOR WHOM A WAIVER OF
SUBROGATION IS REQUIRED BY. CONTRACT OR AGREEMENT OR
PERMIT, BUT COVERAGE IS LIMITED TO THE SCOPE OF THE
WORK PERFORMED BY THE INSURED UNDER SUCH CONTRACT,
AGREEMENT OR PERMIT.
DATE OF ISSUE: 0e-23-19 STASSIGN: