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Home My WebLink AboutKAPSCH TRAFFIcCOM TRANSPORTAITON NA, INC. (FNA SCHNEIDER ELECTRIC MOBILITY NA, INC. (2)A-2016-057-04 MAYOR Miguel A. Pulido MAYOR PRO TEM Juan Villages COUNCILMEMBERS Phil Bacerra Cecilia Iglesias David Penaloza Vicente Sarmiento Jose Soiorio CITY OF SANTA ANA INSURANCE ON FILE PUBLIC WORKS AGENCY VVORK MAY PROCEED 20 Civic Center Plaza . P.O. Box 1988 UNTIL INSURANCE EXPIRES Santa Ana, California 92702 7/ ( /ZU Za www.santa•ano.00 CLERK OF COUNCIL ')ATE' Ce1ar vocfvi yve2 °(j February 24, 2020 Kapsch TrafficCom USA, Inc. 1390 Piccard Drive, Suite 200 Rockville, MD 20850 Re: Extension of Consultant Agreement No. A-2016-057 CITY MANAGER Kristine Ridge CRY ATTORNEY Soria R. Carvalho CLERK OF THE COUNCIL Daisy Gomez Pursuant to Section 3 ("Tenn") of Agreement No. A-2016-057, entered into by Kapsch TrafficCom USA, Inc. and the City of Santa Ana, dated April 6, 2016 and as amended, the time period of the Agreement is hereby extended for an additional one (1) year period, from April 1, 2020 through March 31, 2021. The insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Agreement, as amended, remain unchanged and in full force and effect. If you have any questions regarding this matter, fAgency at 714-647-5626. ely, 4ywSaba Executive Director Works Agency please contact Cesar Rodriguez in the Public CITY OF SANTA ANA ATTEST 00, Kristine Ridge aisy Gomez City Manager Clerk of the Council APPROVED AS TO FORM gyp. H-F/"FFICCOM US INC Jdfin M. Funk, Assistant City Attorney 1}✓, o C�rs,i�� , C'� SANTA ANA CITY COUNCIL Miaoel A NIOO Juan V layas Yoanta samiemo read Penaloza JON Salon MR Be.. ceoi4a iglooes Mayor Mayor Pm Ten Wald 5 Ward Were Were Wad Wad!6 wylido :sat(,, 3Paor^ billeoasrAsanla-ana.ao onionlonrsanra-ana.ora dnen,1y,,ANnman, IsalodoOsanta-ana.Om nro title=_iasrdsanta-anao,, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DOM Y) 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(Sj, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(tes) 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 Risk and Insurance Services CONTACT -_ _ and Services _ 345 California Street PHONMarsh h Risk nd Insurance Se -- —_ _ Suite 1300 INC, No Eat). 415-743-8000 FAX FAX N,_ SAME San Francisco, CA 94104 ADDRESS;_ California License: OH01556 INSURED Kappsch TrafficCom Holding II US Corp. 8201 Greensboro Drive Suite 1002 McLean VA 22102 COVERAGES r.FRTIFIr:ATF MIIMRFR. INSURER(S) AFFORDING COVERAGE INSURER A: AXA Insurance Company INSURER B, _ Travelers Property CasuoFV Co of Amer INSURER C: ACE American nsurance�o_mpaany _ INSURER D! Charter Oak Fire Insurance Company INSURER E: NAIC Y 33022 _- 25615 ' 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. INSRI - pr10Li5UagT POLICY EFF POLICV E%P LTR TYPE OF INSURgNCE POLICY NUMBER MMIDDIYVYY riMIDOM'YY LIMITS A COMMERCIAL GENERAL LIABILITY I,PCS003157(19) 17/1/2019 7/l/2020 EACH OCCURRENCE 151,0Q0000 CLAIMS -MADE ✓ OCCUR - OAMACE TO REBf ED - 1 - _ ---- - , PREMISES IF. oar. rMP) ; 5100,00D 1 ME D FXP IN. ono... a.) �si0000 - PERSONAL_& AUV INJURY Is1,000,000 GLUT AGGRLUA I L LIMIT APPLIES PER: s2,000000 _GENERALAG_GREGATE _ .POLICY ✓ - JEC _ Ton I RODUCIS •COMPlUI AGO I $2,000 0DU_. -- DIRER. Deductible Il100000 8 AUTOMOBILE LIABILITY j 61 Q-1 N626414 7/112019 7/1/2020 CUMUINEU SWGLE LIMIT S {Ee acFldenut 1,000wo_ ANY AUTO ✓ . BODILY INJURY (Par person) § OWNED 1 SCHED TILED 1 AUTOS ONLY AUTOS - BODILY INJURY (Par aaltlent) § HIRED NON -OWNED AUTOS ONLY AUTOS ONLY i, j pOPEn�tt10AMAGE § S A UMeRELLALIAS ,/ OCCUR XS003156(19) 7/1/2019 7/1/2020 EACH OCCURRENCE S5,000,000 EXCESS LIAB CLAIMS-MADEi _ AGGREGATE- §5,000,000 . ✓ 1 10.000 _- DED RETENTION§ s D COMPENSATION UB-OL500865 711/2019 7/1/2020 'PER oTH- ✓ LTATUTE AND EMPLOYERS' ANDEMPLOYERS'LIABILITY YIN ANYPROPRIETOWPARTNEWEXECUI IVE � NIA EL EACH ACCIDENT S_1,000,000 OFFICCRIMEMBER EXCLUDED' 1 •'I (MandaloryinNH) Ilyes, desrnba Rntler E.L.DISEASE - EA EMPLOYE __-- § 1,000,000 _. DFSCRIPTION OF OPFRATONS below EL. DISEASE -POLICY LIMIT §1000000 C Tech E&O -Professional Liability G25604635004 7/112019 7/1/2020 $2,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AC ORD 101, Additional Romarks Schodula, may bo atochud if more spa no Is requlrod) Contract Numbers: A-2016-057 and A-2016-080 City of Santa Ana, officers, agents, employees, and volunteers, PWA - Transportation & Traffic Engineering Department are included as additional Insured (except for Workers Compensation) where required by written contract. Waiver of Subrogation is applicable in favor of City of Santa Ana, PWA Transportation & Traffic Engineering Department on the Genera! Liability, Auto Liability, Umbrella Liability, and Workers Compensation where required by wrillen contract Cancellation clause is amended to 30 day except for 10 day notice or cancellation for non-payment of premium per policy provisions. Tnls Insurance is primary/noncontributory on the General Liability policy for the additional insured when such liability accrues from an act or omission of the named insured on the policy. By Risk MANAGEMENT DIVISION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management Division Q ACCORDANCE WITH THE POLICY PROVISIONS, 20 Civic CenterPlaza Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE FRANCINE R. VILLAREAL Matt Rush rD laud-zUlt, Al1UKU UURPURAI ION. All rights reserved. ACORD 25 (2D16/03) The ACORD name and logo are registered marks of ACORO 1051115 II lE f._.1.. ..,nl. 'nC $11 I—E cbf ru 1 1 Ra[r. :tuna 1 �1"112011 1:11:]l W. W.') I AGENCY CUSTOMER ID: LOC p: A ADDITIONAL REMARKS SCHEDULE Page AGENCY NAMED INSURED Marsh Risk and Insurance Services Kapsch TrafficCom Holding II US Corp. 8201 Greensboro Drive Suite 1002 POLICY NUMBER McLean VA 22102 G25604635004 CARRIER NAIC CODE ACE American Insurance Company 22667 EFFECTIVE DATE: 7/112019 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability (03116) _ HOLDER: City of Santa Ana Risk Management Division ADDRESS: 20 Civic Center Plaza Santa Ana CA 92702 Policies evidenced herein include the following as Named Insureds: Kapsch TrafficCom Holding Corp. Kapsch TrafficCom Inc. Kapsch TrafficCom USA, Inc. Streetline, Inc. ACORD 101 f20081011 REVIEWED & APPROVED By RISK MANAGEMENT DIVISION %IOVI'LLAREAL FRAN All rinhfe e..—d The ACORD name and logo are registered marks of ACORD 51]11199 II is is GL GV IMb NC $JM Pror....... I IFa[[ Hvxh 1 9/21/"" 1:5 1111 PM )N1'1 1 Page 1 .1 3 ATTACHMENT