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HomeMy WebLinkAboutVALLEY MAINTENANCE CORPORATION (5)City of Santa "na Clerk of the Co ocil AGREEMENT TERMINATION FORM ( ✓ Please complete this form in its entirety when the attached agreement and all amendments (if any) are no longer in effect. Note: If your agreement is grant related, please ensure that all grant retention requirements have been satisfied prior to signing the termination form. Is the agreement(s) a permanent record? Yes No Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. The agreement with COTC Office Use Only C6 T f COUNCIL _ 26122 Pm4:2 :' A-2017-125-01 No. was completed on ?✓( and final payment has been made. (List all amendments. use space below if needed.) A-2-ol (� - (ay Department: k - [11'K9' Phone/Ext.: A ��a�' b-l� Signature: v Date: i:lagr@ementr;Varmslform - agreement termination form_goldenrod.doc A-2017-125-01 rol MAYOR Miguel A. Pulido MAYOR PRO TEM Juan Villages COUNCILMEMBERS Phil Bacerra Cecilia Iglesias David Penaloza Vicente Sarmiento Jose Solodo . ,, ,LANCE ON FILE v ORK MAY PROCEED I.A11LINSURANCE EXPIRES III, 102/Ifitp CLERK OF COUNCIL .,._TF. oPCjwVr\S�IViu tUQVks CITY OF SANTA ANA PARKS, RECREATION AND COMMUNITY SERVICES AGENCY 20 ClAc Center Plaza • P.O. Box 1988 Santa Ana, California 92702 w .sanla-ana.oro Valley Maintenance Corporation Attn: Mr. Bruce Hwang, Vice -President 3660 Wilshire Blvd. Los Angeles, CA 90010 May 12, 2020 Re: Second Extension of Consultant Agreement No. A-2017-125. Dear Mr. Hwang: CITY MANAGER Kristine Ridge CITY ATTORNEY Sonla R. Carvalho CLERK OF THE COUNCIL Daisy Gomez Pursuant to Section 3 ("Term") of Agreement No. A-2017-125 dated June 1, 2017, and amended by A- 2018-124 and A-2018-187, entered into by Valley Maintenance Corporation and the City of Santa Ana, the City hereby exercises its second and final one (1) year optional extension. The Agreement is hereby extended for a one (1) year period, from June 1, 2020 through May 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. Sincerely, VALLEY MAINTENANCE CORP. ^r lkse'Rudloff 5rice Hwang Executive Director Vice President Parks, Recreation and Community Services Agency CITY OF SANTA ANA Kristine Midge City Manager APPROVED AS TO FORM �auno- A. R Laura A. Rossini Acting Chief Assistant City Attorney ATTEST Daisy Gomez Clerk of Council SANTA ANA CITY COUNCIL Miguel A. Pundo Juan Wangles Munn, Sannienlo David Penahmai Jose Solon. May" Mayor Pro To.. Ward 5 Ward Ward2 Wanda ino.lidn.®aanta wao oryaanlll¢ngiflaa"a 8na.0ro do¢nalozaaaantasra0r0 I6olyiaaaanla-ona OrO P111 eace.a Cecnia Iglesias Wards Wean ObsuMnallIsanla,sra om Oeleaia$gsanta-ana aro lfdntARv1 sac.wr" CERTIFICATE OF LIABILITY INSURANCE 1o/2e/ao19 14OT/28/2019 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the torms and conditions of the policy, Certain PONCles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such andorsdment(s). PRODUCER NAME: MIA JEON INSURANCE LAND INSURANCE SERVICES PHONE .213-388-5505 qI% p; 213 -388-714.8 SUIT WILSHIRE SLVD npeEs3: INSURANCELANDOGMAIL. COX - SUITE INSURERSAFFORDING COVERAGE NAICB Los ANGELHLHS CA 90010 INSURER A I EVANSTON INSURANCE COMPANY 35378 INSURED INSURERBt UNITED FINANCIAL CASUALTY CO 11770 VALLEY MAINTENANCE CORPORATION NSURERC: UNITED STATES LIABILITY INS. CO. 25895 INSURERD:ICN GROUP 27847 10002 PIONEER BLVD. SUITE 101 INSURERS: TRAVELER? CASUALTY AND SURETY CO. 19038 SANTA FE SPRINGS CA 90670 INSURER F: n-YNIVIY VIVMtlCN: THIS IS TO CERTIFY THAT THE POLICIES INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING UI ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT CERTIFICATE MAY BEISSUED TO WHICH THIS ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, O EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPEOFINSURANCE Ariff POLICYNUMB¢q POL EFF MMIODIY P LI0 %P M O - LIMITS COMMERCIAL GENERAL LIABILITY 3AA353541 00/13/2019 08/13/2020 EACH OCCURRENCE _3 11000,000 CLAIMS -MADE OCCUR Faiaili�".rcm)— 3 100,000 PRIMARY NON-CONTRIBUTORY MEDEXP(An onepermn) 3 5,000 A X X PERSONAL a ADVINJURY 3 11000,000 AGGREGATE LIMIT APPLIES PER POLICY PEP OWL GENERALAGGREGATE 3 2,000,000 PRODUCTS -COMPIOP ADO $ INCLUDED LCC OTHER: f $25, 000 AUTOMOBILE LIABILITY 06292185-2 11/02/201911/0212020 EaM Nd.11 GLE IT S 2,000,000 ANY AUTO BODILY INJURY (Par Persona 3 B ALL OANED SCHEDULED AUTOS AUTOS X X BODILY INJURY (ParaWtlanO f HIREOAUTOS CD AUTOS PRO ERT�IDAI A . 5- AGGREGATE s 1,000, 000 UMBRELLA LIAR OCCUR XL15784008 05/02/2019 05/02/202 0 EACH OCCURRENCE 1 51000,000 G E%CF.3$LIAR CLAIMS -MADE AGGREGATE f 5, 000, 000 DED RETENTIONSPRODUCTS-COM/OP WORKERS COMPENSATION ON Aga j 11000,000 AND EMPLOYERS' LIABILITY YIN WSA 503749B 02 08/13/2019 00/13/7020 STAT TH EL EACH ACCIDENT j I, OOU, 000 D ANY PNOPHIF IOWPARTNER/ERECUnYENIER OFFIMEMBER EXCLUDED? MIA X (Montlalcryin NH) (M )an tleecnbe NH) 0 SdRIPTION OF OPERATIONStarem EL DISEASE - EA EMPLOY S 11000,000 E.L DISEASE -POLICY LIMIT S 11000,000 E CRIME 105620659 05/24/2019 Ds/2f/2oa0 THIRD PARTY $1,000, 000 DESCRIPTION OF OPERATION$ I LOCATIONS I VEHICLES IACORD IUI. AOmBenal Remark SahetlWo, may be nuchetl B mom apace Is requiretll CERTIFICATE HOLDER IS AS AN ADDITIO AL INSURED. CERTIFICATE OF INSURANCE SHALL PROVIDE THIRTY(30) DAY PRIOR WRITTEN NOTICE OF CANCELLATION REVIEWED & APPROVED By RISK MANAGEMENT DiVIStON CITY OF SANTA ANA"-Jyj SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE RISX MANAGEMENT DIVISION FRANCINE R. VILLARE LAGcoa^D'ANicEE vaNH DATE THEREOF, HE POLICY PROVISIONS. WILL BE DELIVERED IN 20 CIVIC CENTER PLAZA, 4TH FLOOR AUTHORIZED REPRESENTATNE SANTA ANA CA 92702 ©1988-2014 ACORD CORPORATI . rights reserved. ACORD 25 (2014f01) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE 09/27/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE KULUEN. IHIl 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: IL the certificate hold;;: Is an ADDITIONAL INSURED, the pollcy(les) must ho enderaod. If SUBROGATION IS WAIVED, auh�oct 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 endorsemonl(a). INSURANCE LAND INSURANCE SERVICES 4032 WILSHIRE BLVD SUITE 309 LOS ANGELES CA 90010 VALLEY MAINTENANCE CORPORATION INBUREMSI AFFOROINO COVFRA00 .e..EVANSTON INSURANCE COMP K-1 10002 PIONEER BLVD. SUITE 101 IKSURE..: TRAVELERS CASUALTY AND BURBTY CO.( 190su ._I SANTA PE SPRINGS CA 90670 INSURER �— COVERAGES ULIA 111'II,A IC WVIDDGR: BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VATH RESPECT TO WHICH THIS INDICATED, NOt WITHSTANDINO MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INTN TYPE OF INSURANCE POLICY UMBER Pa ODY L UNITS EACN OCCURRONCU i 1, 00q 000 COMMERCIALOENMLILLIABIDTY O0/13/1019 OE/13/2020 3AA353541 _ 7'RFMCETO-RERtEIs- 100,000 OCCUR PBENLSE51EnPJAArto1mL. ! _ _ CLAIMS -MADE PRIMARY NON-CONTRIBUTORY i 5, 000 DVIN�_ PERfiONALSAW INJURY PERSONAL S Sr 000, OPO -- A X X OEM AGGREGATE LIMpIT. APPLIES PER: GENERALAGOREGATE t 2,000,000 PRIXIIILTS.COMPADPA( i INCLUDED ❑ JRECT LOC 3 $25,000 POLICY LVJ O1l -f1 s 2,000,000 -- AUTOMOBILE LIABILITY 062921051 11/02/201011/02/2019 .a AR(kaft— 3 BODILY INJURY (PT POTION ANY AUTO L GYA+En SCH[DULED X X OOULYINJURYipwK om 3 _ MAt... .— 3 AUTOS NpN9WNE0 ED AUTOS A1R06 (� I AGGREGATE i 11 000, 000 BRELLA UAB OCCUR XL1578400B OS/02/201909/02/2010 11 IOCCURM_NCE _ i 5,000,000 CESS DAB MAIMS_MADE Af30nE0ATE 3 5, 000,000 PRODUCTO-00N/OP Add S 1000 000 — D RE ION S CONPeNSAl10N PLOYERS' LIABILITY ta'�M-,EW,1AI!MQFR WSA 5037498 02 09/13/2019 08/13/2020 A t R _ 1,000,000 YI PIBETUIl1PMF EXCLUDED? Y NIA %IlAEMOFR EL.LAVIACCIDENf _ S EL DISEASE-EAEMPLOYE 3 1,ODOr00D my In NIIITI�JP EI fYEE/.SE-POIJCY LIMIT 1 1000,00E GF m'ERAPONS 105620659 O9/24/201905/2412020 THIRD PARTY $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, AddlU... I R..M . SPhAOula, neyhA a1MeNW 0 nwR P. lA nqulratl) CERTIFICATE HOLDER IS AS AN ADDITIONAL INSURED. CERTICATE OF INSURANCE SHALL PROVIDE THIRTY (30) DAY PRIOR WRITTEN NOTICE OF CANCELLATION. REVIEWED & APPROVED CITY OF SANTA ANA RISX MANAGEMENT DIVISION 20 CIVIC CENTER PLAZA, 4TH SANTA ANA --1 •__........_._I_.___ --- CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2014101( The ACORD name and logo are registered marks of ACORD I COMMERCIAL POLICY EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLr. j BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US i This endorsemant modlaes Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM I _ SCHEDULE ! Nerve Of Person Or. Organization: Any person(p) or organizations) with whom the Named Ingured agrees, In a written contract executed prior to the "occunence", to weave rights of recovery Additional Premium: $ Included The Following Is added to Condition S. Transfer Of Rights Of Recovery Against Others To Us under S coon. IV — COmmeretal Oensfal Liability Oond!tlans: We waive any right of recovery we may have against any parson or organizatlon shown• In the So)ie We of this endorsement. This waiver spplles only to the parson or organization shown In the Schedule of this ehdorsenkah All other terms and conditions remain unchanged, i i jI Ij REVIEWED,&APPROVED BY'Risk MANAgE1NEw DiVIiION 1 0 20 ! I FRANCIN R. VILLAREAL MEOL 0241.01051 a Includes copyrighted mateflal of Insurance Services Office, Inc„ with 1 of 1h Its permission, ; , f COMMERCIAL GENERAL LIASILITY POLICY NUMBER.3AA363B41 ANARKErl EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, J t BLANKET ADDITIONAL. INSURED This endorsa)nentmodities Ineurdnbs prdvlded undaf Uto.fallbwtng: I� _ �CNEDUL�, I I Additional Premium: $Included (Check box If fully earned W) ^� 1 Please refer �o each Coverage Form to determine which terms are defined, Words shown In quoto0ons on lhlo ondarsemant may or may rr of be defined In all Coverage Forms, i A. Who Is q' Insured Is amended to Inaluda ea an eddittonal Insured any porson:or entity to whom .you eru required by valid vai@en.canlraafor..egreemant'la provide such coverage, bulonlywith respect to "badly Iriiury , "property damage" (IncJudin' .40IlylhJu(y,and"propetlydatr, a haludedfnlhe'"prcducteoamplotodoporitlons.hexaM°),ontl•personal and ad' dicing injury" ased,aa whalo w In pan„ by the neglgo I acts or omissions of the Named Insured and only wlih rasped to an coversg0 not otherwise excluded In the policy, 1, The Insurance afforded to such additional Insured only applies to tho extent permitted bylaw; and i 2. The Insurance alorded to such additional Insured will not be broader than that which you are required by the valid wrltidn contrsot or agreement to provide for such additional Insured, t Our ogre lementdo accept an additional Insured provision In a valid written contract or agreement Is not an acceptance Of any other provlslons of such contract or agreement or the contract at agreement In total. When cb4erage does not apply for the Named Insured, no coverage or defense will apply for the addltlanal Insured. No,covolge applies to such additional Insured for Injury or damage of any type to any "employee" of the Named Insured or to on obligation or the additional Insured to Indemnify another because of damages arising out of duch Injury or damagelect, 1 S, Wllh restothe Insurance afforded to these additional Insured, the following Is added to limits of Insurance: The mas) we will pay on behalf of the additional Insured Is the amount of Insurance: 1. Required by the valid written contractor agreement; or 2. Available under the applicable limits of Insurance shown In the Declarations; whlchevor Is less. This and¢rsement shell not Increase the applicable limits of Insurance shown in the Declarations. All othertarms and conditions remain unchanged, f MEGL 00011•01 001a Includes copyrighted material of Insure be 5orvlces:dffl IPage 1 of 1 with its perml2 /IEWED. & / �I�'� bVED By RISK MANAq MENT DIVISION SL FRANCINE R. VILLAREAL I COMMERCIAL GENERA d OAMILITY CO 20tg16413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFIJI, 3(-Y. PRIMARY AND NONCONTRIBUTORY- OTHER INSURANCE CONdI*ION This endorsement modifies Insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAG12-PART I I PRODUCTSICOMphL rzD OPERATIONS LIABILITY COVERAGE PART The fallowing Is added to the Other insurance Con,"dl0on and supersedes any provision to the contmfy. Primary And.Noncontrlbutary Insurance ThIq lneutanaa Ils%prima'ry-to:ent) will ptitsoek o4ntrlbu;lop:ttram ony other,lnsuronce avagapla to an adtlOfoutjl lnadradI undej your ;policy pravided.1fihtr (1) The additional Insured is a Named Ineared undersuch other lnsurance;and CO 20 010413 (2) You have agreed In writing In a aftItraot or agreement that this Insurancel hduld be Primary and would not seek cohidbutlgn From any other Insuranos avallob4e to the additional insured. t REVIEWED & APPROVED By RISK MANAGEMENT DIVISION ® Insurance services Office, Inc., 22012� t ' PUM1of1 1j __ FRA N5NE R. VILLAREAL 1 Wdfik COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY i WC 99 08 34 t (Ed, No) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT. BLANKET Wa have, he right to recover our payments from anyone liable foram Injury covered by thls policy, wa will not enforca our right tgalhst the person or organizetlon named In the schedule. (Thle agreement eppilee only to the Vdant that YOU perrdr;1 work under a written contract that requires you to obtain this agreement from us), I The additional premium for this endorsement shall he 3 % of the total California Workers' CompareatI premium otherWaddua. I I Schedule Person or Orgenlzatton ANY PERSON / ORG WHEN REOUIRED BY WRITTEN CONTRACT Job Descrlptlon 1 ALL CA OPERATIONS I I I This sndcAewiant changes the pollay to which It Is attached and Is arrsotive on the date Issued unless oth se stated. (The in Ilan below Is required only when this endorsement Is Issued aubsequentto prepamtiotr oP Policy.) Endorsement Effective 00/13/2019 Pollcy No. NSA 5037498 02 Endnt orsemeNo Insured V Y Mh3:NTENANCE CORPORATION Premium $ I4CL. Insurance 6pany INSURANCE COMPANY OF THE NEST WO 99 08 3b (Ed. 8.00) Countersigned By REVIEWED, APPROVED wswu:a BY RIs r.Mnrvngemrivr Dfvisl4114 acr FRAN E R. VI WAIVER OFSV11"PGATIO51 EB1DOPAI:MENT This endocsemtinrt modifies Insurance providsd under tha,follOWing: Commercial Auto Policy Motor Truck cargo Legal Llahipty Coverage Endorsen ant Commercial General Liahlllty Coverage Endorsement We agfee'toWa1V®ahy4n4 all subrogatlon d410130gairtstthe person or oMaltlzatlon designatedbelowexceptforlossesthatareduelrfwholeor.parttoth'onegiigence,or ; arrom and omisslIans of the designated person or organixatlon, PRIME DEVOLOPMENT NV LLC TUNE'S LLC CHARLES DUNN•REAL EeTATE SaRVICES INC 900 W M ST STW rLbOA LOS ANQ&LES CA 90at7. This endorsement applies to 1`011cy Number: 06292105.1, Issued to: VALLEY MAINTENANCE CORP, Endorsement Effective 03/01/2019 Expiration: 11/02/2019 All other terms, limits and 001Fivict s of this 13011cy remain unchanged. Fwm 9610105/0al REVIEWED & APPROVED By Ris MANACCMENT Division ...._..CT 02 2 19 A G R. VILLAREAL I i Additional Insured Endorsement Poison or.Organkatlan FOTATE•BERVICES INC person oropganizationnamed above is on Insgred wrth respoct to such Ilablllty coverage WIG rded by the polity bAt this lnsuranee appllos to sold Insured odlyas a parsod (labla far the conduct of therinsured and then -only to the gxtentef that Ilalilllty. We also agree wHhyou thathrsurenee Aded bylhis gndoraomant wlll-ba primary fbr any power unit sisoctflsallY described on the laratlans Page. ry $2,000r000 eogh partan) $2,000.000 each accident amage $2,000,II00 each accident Uablllty $2.000,000 each w1dant limits 4ndproVfslon9.of this po(Icy remain unchanged. i This endorsemanoapp0es to Policy -Numbers 06292166-1. 55suad to (Name of Insumd} VALLEY MAINTENANCE CORP. �ffectiv&date of endorsement; 0310112010 Policy expiration dates 11Y02I2010 iForm 1194,101/04) , REVIJAED & APPROVED By Rls MANAQEMF.NT DIVISION �OC 02 Z �g :ERANCMIVER. ML" REAL- I COMMERCIAL gig MMKW EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRODUCTS -COMPLETED OPERATIONS INCLUDED IN GENERAL AGGREGATE LIMIT This endorsement modifiesInsurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. Paragraph 2. under Section III — Limits Of Insurance Is replaced by the following: 2. 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, Including damages because of "bodily Injury" or "property "products -completed operations hazard"; and c. Damages under Coverage B. B. Paragraph 3. under Section III— Limits Of Insurance is deleted In Its entirely, C, Paragraph b.(3) of Definition 16. 'Products -completed operations hazard" under Secton V — entirety. Ati other terms and conditions remain unchanged, MEGL O1721014 Included In the deleted In Its REVIEWED & APPROVED 13Y Risk MANAorMrrsr DivisioN 0 02. 2019 FRANCINE . VI REAL Includes copyrighted material of Insurance services office, Inc„ (page 1 of 1 with its permission.