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HomeMy WebLinkAboutENTERPRISE AUTOMATION (2)A-2017-303-01 LO MAYOR Miguel A. Pulido MAYOR PRO TEM Juan Villages COUNCILMEMBERS Phil Bacerra Nelida Mendoza David Penaloza Vicente Sarmiento Jose Solorio 0: PWAtal(*tun f cInAk y—N) Fir ►s a� Enterprise Automation 210 Goddard Irvine, CA 92618 Attn: Mr. Scott Pickford CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza a P.O. Box 1988 Santa Ana, California 92702 www.santa-ana.ora November 24, 2020 CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Daisy Gomez Re: Extension of Agreement for Water Systems Control Design, Programming, and Support Services No. A-2017-303 Pursuant to Section 3 ("Term") of the above -referenced Agreement, entered into by Enterprise Automation, and the City of Santa Ana, dated November 7, 2017, the time period of the Agreement is hereby extended for an additional two-year period, from December 1, 2020 through November 30, 2022. Any insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Agreement remain unchanged and in full force and effect. Sincerely, Z::, AL Nabil Saba, P.E. 111 Executive Director, Public Works Agency CITY OF SANTA ANA ATTEST Kristine Ridge n Daisy Gomez, MMC City Manager Clerk of the Council APPROVED AS TO FORM ENTERPRISE AUTOMATION - WC: 7?(." - "�&/ - Jbfin M. Funk Name: ScoA Pickfo d Senior Assistant City Attorney Title: President SANTA ANA CITY COUNCIL Miguel A PJlldo Juan Ydlegas Vicente sarmento David Peneoza Jose salons Phil sate.. Nelida Mendoza Mayor Mayor Pro Tem. Ward 5 Ward t Ward 2 Ward 3 Ward 4 Ward 5 moulido,a5anta-ana.om 'villaaasAaanta-ana.ora vsanniento4sanla-ana oro doenaloza Asanlaanaora solon.A.anla-ana.oro obacenatQsanta-ana.om nmendwaialsanta-aria ore A-2017-303-01 - T `r° CER-TIFICkTE-OF LIABILITY INSURANCE Francine R. Villareal r.�. s,.an..=... DATE (MMIDO/YYYY) 91/19/2020 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 be endorsed. If SUBROGATIONIS 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 CONTACT NAME: PAYCHEX INSURANCE AGENCY INC/PHS PHONE (800)640-0395 FAX (585)389-7894 76210690 150 SAWGRASS DRIVE (A/C, No, Eat): (Att:, No): E4N1AIL ADDRESS: ROCHESTER NY 14620 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Property and Casualty Insurance Company of Hartford 34690 INSURED INSURER S : PARTNERS IN CONTROL INC DBA ENTERPRISE INSURER C: AUTOMATION INSURER D: 210 GODDARD INSURER E : IRVINE CA 92618-4625 INSURER F: COVERAGES CERTIFICATE NUMBER- RE1nRlnm ki"dui 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. INSF LTR TYPE OF INSURANCE ADDL INSR SUBR VIVO POLICY NUMBER POLICY EFF MM DNYYYI POLICY EXP (MM1DDNYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS -MADE❑ OCCUR DAMAGE TO RENTED PREMISE(Ea occumance!i MED EXP (Any one person) PERSONAL B ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY ❑ JECT ❑ LOC PRODUCTS - COMP/OP AGO OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acdclenti BODILY INJURY (Per person) ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) AUTOS AUTOS HIRED NON -OWNED PROPERTYWA GE AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAS CLAIMS - MADE AGGREGATE DED RETENTION$ WORKERS COMPENSATION MDEMPLOYERS'LIABILITY X PER STATUTE OTH- ER A ANY YIN PROPRIETOWPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA 76 WEG AJ4MLK 11/04/2020 11/04/2021 E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 (Mandatory In NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION City Of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Risk Management Division BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 20 CIVIC CENTER PLZ , 4th FLOOR IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE SANTA ANA CA 92701-4058 d Of © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD .� RieleManagenMntDilveidrt '� a% REmEWED&APPROVED BY: F�e•c:n.e R. V:llµuC Risk Management Analyst oivWly ugned by rrandne R. ® Francine R. Villareal wlla,eel 0zor 4 p CaR -CERTIFICATE-OF-LCABILITY INSURANCE F°ATE,MMOD/YY-Y-Y) �� 1 06/14/2020 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 CONTACT Jeff Forbes NAME: ECBM, LP PHONE (fi10) 668-7100 FAX (610)667-2208 AIC No Ext: A/C, No: 1400 N Providence Road e'MAa jforbes@ecbm.com ADDRESS: Suite 5025 INSURER(S) AFFORDING COVERAGE NAIC# Media PA 19063 INSURERA: Lloyds Of London INSURED INSURER B: Evanston Insurance Company 35378 Partners in Control, Inc., DBA: Enterprise Automation INSURER C: Federal Insurance Company 20281 210 Goddard INSURER p NSURER E: Irvine CA 92618 INSURER F: COVERAGES CERTIFICATE NUMBER: 20 M 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE AUUL1bUbK INS° MID POLICY NUMBER POLICY EFF MWDDIYYYY POLICY EXP MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE N OCCUR EACH OCCURRENCE $ 1,000,000 PREMISES Ea accunence $ 1.000,000 X MED EXP(Any oneperson) $ 5,000 Contractual Liability PERSONAL B ADV INJURY $ 1.000.000 A Y ARG11212A20 06/15/2020 06/15/2021 GEN'L AGGREGATE LIMITAPPLIES PER: POLICY N JPECT � LOG GENERALAGGREGATE $ 2.000,000 PRODUCTS 2.000,000 $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accitlant $ 1,000,000 X BODILY INJURY (Par person) $ ANYAUTO OWNED SCHEOULEO AUTOS ONLY AUTOS A00005433 06/15/2020 06/15/2021 BODILY INJURY Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Per acddent $ $ UMSRELLAUAB X OCCUR EACH OCCURRENCE $ 2,000,000 B X EXCESS LIAR CLAIMS -MADE MKLV7EUL100820 06/15/2020 06/15/2021 AGGREGATE $ 2,000,000 OEO I I RETENTION $ $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIEIORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? El PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ (Mandatory in NH) If yen, describe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A Professional Liability ARG11212A20 06/15/2020 06/15/2021 Each Claim Aggregate $2.000,000 $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Contract: 17-112 - The City, its officers, employees, agents, volunteers and representatives are included as additional insured on the General Liability as required by written contract. The policy includes a 30 days' notice of cancellation, except for non-payment of premium, which is 10 days plus mailing. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division 20 Civic Center Plaza, 4th FI AUTHORIZED REPRESENTATIVE Santa Ana CA 92702 «, itiekMRnagoladDNialwt REVIEWED 6 MPRrrvEn BY: ©1988-2015 ACOR ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD �'' Risk Management Analyst AC RO O® 6 i AGENCY CUSTOMER ID; LOC #: ADDITIONAL REMARKS SCHEDULE Page of AGENCY ECBM, LP NAMED INSURED Partners in Control, Inc., DBA: Enterprise Automation POLICYNUMBER CARRIER NAIC CODE EFFECTIVE GATE: ADDITIONAL REMARKS POLICY NUMBER: ARG11212A20 COMMERCIAL GENERAL LIABILITY CG 20 1010 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 6iol:I=1bill R=1 Name of Person or Organization: Blanket as required by written contract. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section II — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions This insurance does not apply to "bodily in- jury" 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 addi- tional insured(s) at the site of the cov- ered 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 con- tractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 10 01 © ISO Properties, Inc., 2000 n Rink MwwVnentnivieinn y k REVIEWED&APPROVED BY.' 1 f,-� P. vs ti -t MIUM Risk Management Mayst .: Policy Number (20)7361-57-65 COMMON POLICY CHANGE ENDORSEMENT Endorsement No. 001 Named Insured PARTNERS IN CONTROL INC Effective Date: 06-15-2020 12:01 A.M., Standard Time Agent Name ECBM LP Agent NO. 50215-999 This endorsement will not be used to decrease coverages, increase rates or deductibles or alter any terms or conditions of coverage unless at the sole request of the insured. COVERAGE PART INFORMATION —Coverage parts affected by this change as indicated by x❑ below. Commercial Property Commercial General Liability Commercial Crime Commercial Inland Marine COMMERCIAL AUTOMOBILE $ 72.00 The following item(s): Insured's Name Insured's Mailing Address Policy Number Company Effective/Expiration Date Insured's Legal Status/Business of Insured ❑ Payment Plan Premium Determination Additional Interested Parties Coverage Forms and Endorsements Limits/Exposures Deductibles Covered Property/Located Description Classification/Class Codes Rates Underlying Exposure is (are) changed to read {See Additional Page(s) } SEE NEXT PAGE The above amendments result in a change in the premium as follows: This prernium does not include taxes and surcharges. No Changes ❑ To be Adjusted at Audit I Additional $ 72.00 1 Return Tax and Surcharge Changes Additional Return AUTHORIZE 16-02.0212(01197) Management DMean f I?Fmexm & APPROVm 9Y: NIMIM-0 Risk Management Analyst - Policy Number (20)7361-57-65 COMMON POLICY CHANGE ENDORSEMENT Endorsement No. 001 Named Insured PARTNERS IN CONTROL INC Effective Date: 06-15-2020 12:01 A.M., Standard Time Agent Name ECBM LP Agent No. 50215-999 POLICY CHANGES ENDORSEMENT DESCRIPTION (CONT'D) THE POLICY IS AMENDED AS FOLLOWS: ADD BROAD FORM COMMERCIAL AUTO BROAD FORM COVERAGE HAS BEEN ADDED TO THE POLICY. COMMERCIAL AUTO BROAD FORM COVERAGE HAS BEEN ADDED TO THE POLICY. THE FOLLOWING FORM(S) HAS BEEN ADDED: 16-02-0292 11-16 CHUBB BROAD FORM ENDORSEMENT ALL OTHER TERMS AND CONDITIONS REMAIN THE SAME 16-02-0212 (01197) t Risk Mcnagemmtthxalan Rt EWEDn ArrRov®By: '�' Risk Management Analyst `. COMMERCIAL AUTOMOBILE THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM This endorsement modifies the Business Auto Coverage Form. 1. EXTENDED CANCELLATION CONDITION Paragraph A.21. — CANCELLATION - of the COMMON POLICY CONDITIONS form IL 00 17 is deleted and replaced with the following: b. 60 days before the effective date of cancellation if we cancel for any other reason. 2. BROAD FORM INSURED A. Subsidiaries and Newly Acquired or Formed Organizations As Insureds The Named Insured shown in the Declarations is amended to include: 1. Any legally incorporated subsidiary in which you own more than 50% of the voting stock on the effective date of the Coverage Form. However, the Named Insured does not include any subsidiary that is an "insured" under any other automobile policy or would be an "insured" under such a policy but for its termination or the exhaustion of its Limit of Insurance. 2. Any organization that is acquired or formed by you and over which you maintain majority ownership. However, the Named Insured does not include any newly formed or acquired organization: (a) That is an "insured" under any other automobile policy; (b) That has exhausted its Limit of Insurance under any other policy; or (c) 180 days or more after its acquisition or formation by you, unless you have given us written notice of the acquisition or formation. Coverage does not apply to "bodily injury" or "property damage" that results from an "accident" that occurred before you formed or acquired the organization. B. Employees as Insureds Paragraph A.1. — WHO IS AN INSURED — of SECTION II — LIABILITY COVERAGE is amended to add the following: d. Any "employee" of yours while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs. C. Lessors as Insureds Paragraph A.1. — WHO IS AN INSURED — of SECTION II — LIABILITY COVERAGE is amended to add the following: e. The lessor of a covered "auto" while the "auto" is leased to you under a written agreement if: (1) The agreement requires you to provide direct primary insurance for the lessor; and (2) The "auto" is leased without a driver. Such leased "auto" will be considered a covered "auto" you own and not a covered "auto" you hire. However, the lessor is an "insured" only for "bodily injury' or "property damage" resulting from the acts or omissions by: 1. You; 2. Any of your "employees" or agents; or 3. Any person, except the lessor or any "employee" or agent of the lessor, operating an "auto" with the permission of any of 1. and/or 2. above. D. Persons And Organizations As Insureds Under A Written Insured Contract Paragraph A.1 — WHO IS AN INSURED — of SECTION 11— LIABILITY COVERAGE is amended to add the following: f. Any person or organization with respect to the operation, maintenance or use of a covered "auto", provided that you and such person or organization have agreed under an express provision in a written "insured contract", written agreement or a written permit issued to you by a governmental or public authority to add such person or organization to this policy as an "insured". However, such person or organization is an "insured" only: Form: 16-02-0292 (Rev. 11-16) Page a ter. omentrs "Includes copyrighted material of Insurance Services Office, Inc. with its pet`I'I kr' i IAW " R. VjbAZd ® Risk Management Analyst 0 Ell 6. (1) with respect to the operation, maintenance or use of a covered "auto"; and (2) for "bodily injury" or "property damage" caused by an "accident' which takes place after: (a) You executed the "insured contract' or written agreement; or (b) The permit has been issued to you. FELLOW EMPLOYEE COVERAGE EXCLUSION B.S. - FELLOW EMPLOYEE —of SECTION II — LIABILITY COVERAGE does not apply. PHYSICAL DAMAGE — ADDITIONAL TEMPORARY TRANSPORTATION EXPENSE COVERAGE Paragraph AA.a. — TRANSPORTATION EXPENSES —of SECTION III —PHYSICAL DAMAGE COVERAGE is amended to provide a limit of $50 per day for temporary transportation expense, subject to a maximum limit of $1,000. AUTO LOAN/LEASE GAP COVERAGE Paragraph A. 4. — COVERAGE EXTENSIONS - of SECTION III — PHYSICAL DAMAGE COVERAGE is amended to add the following: c. Unpaid Loan or Lease Amounts In the event of a total 'loss' to a covered "auto', we will pay any unpaid amount due on the loan or lease for a covered "auto" minus: 1. The amount paid under the Physical Damage Coverage Section of the policy; and 2. Any: a. Overdue loan/lease payments at the time of the "loss"; b. Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; c. Security deposits not returned by the lessor: d. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and e. Carry-over balances from previous loans or leases. We will pay for any unpaid amount due on the loan or lease if caused by: 1. Other than Collision Coverage only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto 2. Specified Causes of Loss Coverage only if the Declarations indicate that Specified Causes of Loss Coverage is provided for any covered "auto"; or 3. Collision Coverage only if the Declarations indicate that Collision Coverage is provided for any covered "auto. 6. RENTAL AGENCY EXPENSE Paragraph A. 4. — COVERAGE EXTENSIONS — of SECTION III — PHYSICAL DAMAGE COVERAGE is amended to add the following: d. Rental Expense We will pay the following expenses that you or any of your "employees' are legally obligated to pay because of a written contract or agreement entered into for use of a rental vehicle in the conduct of your business: MAXIMUM WE WILL PAY FOR ANY ONE CONTRACT OR AGREEMENT: 1. $2,500 for loss of income incurred by the rental agency during the period of time that vehicle is out of use because of actual damage to, or "loss" of, that vehicle, including income lost due to absence of that vehicle for use as a replacement; 2. $2,500 for decrease in trade-in value of the rental vehicle because of actual damage to that vehicle arising out of a covered "loss"; and 3. $2,500 for administrative expenses incurred by the rental agency, as stated in the contract or agreement. 4. $7,500 maximum total amount for paragraphs 1., 2. and 3. combined. 7. EXTRA EXPENSE — BROADENED COVERAGE Paragraph A.4. — COVERAGE EXTENSIONS — of SECTION III — PHYSICAL DAMAGE COVERAGE is amended to add the following: e. Recovery Expense We will pay for the expense of returning a stolen covered "auto' to you. 8. AIRBAG COVERAGE Paragraph B.3.a. - EXCLUSIONS —of SECTION III — PHYSICAL DAMAGE COVERAGE does not apply to the accidental or unintended discharge of an airbag. Coverage is excess over any other collectible insurance or warranty specifically designed to provide this coverage. _ 9. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT - BROADENED COVERAGE Paragraph CA.b. — LIMIT OF INSURANCE - of SECTION III - PHYSICAL DAMAGE is deleted and replaced with the following: b. $2,000 is the most we will pay for loss" in any one "accident' to all electronic equipment that reproduces, receives or transmits audio, visual or data signals which, at the time of "loss", is: (1) Permanently installed in or upon the covered "auto" in a housing, opening or other location that is not normally used by the "auto' manufacturer for the installation of such equipment; (2) Removable from a permanently installed housing unit as described in Paragraph 2.a. above or is an integral part of that equipment; or (3) An integral part of such equipment. 10. GLASS REPAIR —WAIVER OF DEDUCTIBLE Form: 16-02-0292 (Rev. 11-16) P 'Includes copyrighted material of Insurance Services Office, Inc. with its REVIEWED 6 nrreovm 9v: Rnk Management Mays[ Under Paragraph D. - DEDUCTIBLE — of SECTION III — PHYSICAL DAMAGE COVERAGE the following is added: No deductible applies to glass damage if the glass is repaired rather than replaced. 11. TWO OR MORE DEDUCTIBLES Paragraph D.- DEDUCTIBLE — of SECTION III — PHYSICAL DAMAGE COVERAGE is amended to add the following: If this Coverage Form and any other Coverage Form or policy issued to you by us that is not an automobile policy or Coverage Form applies to the same "accident", the following applies: 1. If the deductible under this Business Auto Coverage Form is the smaller (or smallest) deductible, it will be waived; or 2. If the deductible under this Business Auto Coverage Form is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller (or smallest) deductible. 12. AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS Paragraph A.2.a. - DUTIES IN THE EVENT OF AN ACCIDENT, CLAIM, SUIT OR LOSS of SECTION IV - BUSINESS AUTO CONDITIONS is deleted and replaced with the following: a. In the event of "accident", claim, "suit" or "loss", you must promptly notify us when the "accident" is known to: (1) You or your authorized representative, if you are an individual; (2) A partner, or any authorized representative, if you are a partnership; (3) A member, if you are a limited liability company; or (4) An executive officer, insurance manager, or authorized representative, if you are an organization other than a partnership or limited liability company. Knowledge of an "accident", claim, "suit" or "loss" by other persons does not imply that the persons listed above have such knowledge. Notice to us should include: (1) How, when and where the "accident" or "loss" occurred; (2) The "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons or witnesses. 13. WAIVER OF SUBROGATION Paragraph A.S. - TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US of SECTION IV — BUSINESS AUTO CONDITIONS is deleted and replaced with the following: 5. We will waive the right of recovery we would otherwise have against another person or organization for "loss" to which this insurance applies provided the "insured" has waived Form: their rights of recovery against such person or organization under a contract or agreement that is entered into before such "loss". To the extent that the "insured's" rights to recover damages for all or part of any payment made under this insurance has not been waived, those rights are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after "accident" or "loss" to impair them. At our request, the insured will bring suit or transfer those rights to us and help us enforce them. 14. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Paragraph B.2. — CONCEALMENT, MISREPRESENTATION or FRAUD of SECTION IV — BUSINESS AUTO CONDITIONS - is deleted and replaced with the following: If you unintentionally fail to disclose any hazards existing at the inception date of your policy, we will not void coverage under this Coverage Form because of such failure. 15. AUTOS RENTED BY EMPLOYEES Paragraph B.S. - OTHER INSURANCE of SECTION IV — BUSINESS AUTO CONDITIONS - is amended to add the following: e. Any "auto" hired or rented by your "employee" on your behalf and at your direction will be considered an "auto" you hire. If an "employee's" personal insurance also applies on an excess basis to a covered "auto" hired or rented by your "employee" on your behalf and at your direction, this insurance will be primary to the "employee's" personal insurance. 16. HIRED AUTO— COVERAGE TERRITORY Paragraph B.7.b.(5). - POLICY PERIOD, COVERAGE TERRITORY of SECTION IV — BUSINESS AUTO CONDITIONS is deleted and replaced with the following: (5) A covered "auto" of the private passenger type is leased, hired, rented or borrowed without a driver for a period of 45 days or less; and 17. RESULTANT MENTAL ANGUISH COVERAGE Paragraph C. of - SECTION V—DEFINITIONS is deleted and replaced by the following: "Bodily injury" means bodily injury, sickness or disease sustained by any person, including mental anguish or death as a result of the "bodily injury" sustained by that person. 16-02-0292 (Rev. 11-16) Pa rtofos "Includes copyrighted material of Insurance Services Office, Inc. with its p MIM, Risk Management Malys) THE HARTFORD BUSINESS SERVICE CENTER THE 3600 WISEMAN BLVD HARTFORD SAN ANTONIO TX 78251 City of Santa Ana Risk Management Division 20 CIVIC CENTER PLAZA FL 4 SANTA ANA CA 92701-4058 Account Information: Policy Holder Details : PARTNERS IN CONTROL INC DBA ENTERPRISE AUTOMATION October 15, 2019 vQ Contact Us Business Service Center Business Hours: Monday - Friday (7AM - 7PM Central Standard Time) Phone: (877) 287-1312 Fax: (888) 443-6112 Email: agencv.services oethehartford.com Website: httos://business.thehartford.com Enclosed please find a for the above referenced Policyholder. Please contact us if you have any questions or concerns. Sincerely, Your Hartford Service Team WLTRO05 Risk Management DWI= ( (RIME D&APPRIove®BV: p ® Risk Management Analyst NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor Enterprise Automation Name: Project A-2017-303-01 Number: Project A-2017-303-01 Name: The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the insurance requirements. No further action is required at this time. The compliant coverage(s) are: POLICY EXPIRATION TYPE OF INSURANCE COI DATE FILE NAME NUMBER DATE City of Santa Ana AUTOMOBILE LIABILITY BAP185708504 10/01/2023 09/27/2022 Auto exp 2023 1001.pdf ACORD Form GENERAL LIABILITY ARG11212A22 06/15/2023 11/02/2022 20221102- 123449.pdf CoSA GL EXS PL PROFESSIONAL LIABILITY ARG11212A22 06/15/2023 06/16/2022 exp 2023 0615.pdf WORKERS COMPENSATION AND CoSA WC exp 76WEGAJ8HK6 01/13/2023 04/26/2022 EMPLOYERS' LIABILITY 2023 0113.Pdf Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 11/14/2022 2:44 PM