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IPS GROUP, INC. (3)
® ...,:ukii ON FILE i.OkK MAY PROCEED U14FIL INSURANCE EXPIRES %AYOR Vicente Sarmier� MAYOR PRO TE ER�OF�COUNCIL a t David Penaloza DA I COUNCILMEMBERS Phil Bacerra Johnathan Ryan Hernandez Jessie Lopez Nelida Mendoza Thai Viet Phan CITY OF SANTA ANA 19-(DR(2)(TuIrc 1jj- COMMUNITY DEVELOPMENT AGENCY cawv) 20 Civic Center Plaza . P.O. Box 1988 Santa Ana, California 92702 www.santa-ana oro April 8, 2021 IPS Group, Inc. Attn: Chad Randall 5601 Oberlin Dr., Ste. 100 San Diego, CA 92121 A-2014-119-03 CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Daisy Gomez Re: Third Extension of Agreement No. A-2014-119 to provide parking meter equipment and related service Mr. Randall: Pursuant to Section 1.2 ("Term") of the above Agreement, entered into by UPS Group, Inc., and the City of Santa Ana, dated May 20, 2014, the term of the Agreement is hereby extended for an additional one (1) year period, from May 20, 2021 through May 19, 2022, including CPI cost adjustments referenced in Exhibit A, Chapter 2 of the Agreement "Total Cost to City". The 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, Steven Mendoza Executive Director, Community Development Agency CITY OF SANTA ANA ��.��- Kristine Ridge City Manager ATTEST Daisy Gomez \_ Clerk of the Coure APPROVED AS TO FORM IPS GROUP, INC. Signed in counterpart. Ryaln O: Hodge By: Assistant City Attorney Title: SANTA ANA CITY COUNCIL Vicente samlienta Dowd Penaloza Thal Viet Phan Jessie Lopez Phil Banana Johnalhan Ryan Hernandez Nelda Mendoza Mayor Mayor Pm Tent Ward 2 Ward Ward Were! 4 Ward Wend! 6 ,asnonartansent,- tloenalo f ta- InhanAaantz-anaom - (al b 0hla M1 tl zP t orn,aidazaidenhoui an, he MAYOR Vicente Sarmiento MAYOR PRO TEM David Penaloza COUNCILMEMBERS Phil Bacerra Johnathan Ryan Hernandez Jessie Lopez Nelida Mendoza Thai Viet Phan CITY OF SANTA ANA COMMUNITY DEVELOPMENT AGENCY 20 Civic Center Plaza . P.O. Box 1988 Santa Ana, California 92702 Www.santa-ana.oro April 8, 2021 IPS Group, Inc. Attn: Chad Randall 5601 Oberlin Dr., Ste. 100 San Diego, CA 92121 IRM Mr. Randall: to CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvall-o CLERK OF THE COUNCIL Daisy Gomez Pursuant to Section 1.2 ("Term") of the above Agreement, entered into by IPS Group, Inc., and the City of Santa Ana, dated May 20, 2014, the term of the Agreement is hereby extended for an additional one (1) year period, from May 20, 2021 through May 19, 2022, including CPI cost adjustments referenced in Exhibit A, Chapter 2 of the Agreement "Total Cost to City". The 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, Steven Mendoza Executive Director, Community Development Agency CITY OF SANTA ANA Signed in counterpart. Kristine Ridge City Manager APPI,tOVED AS TO FORM i Ryan O'Modge Assistant City Attorney ATTEST Signed in counterpart. Daisy Gomez Clerk of the Council IPS GROOr INC. ( By:-- Title:6ZCyVeA*AG eou<v-�eC. SANTA ANA CITY COUNCIL Vkanle Sarmienlo David Penabza Thal vW Phan Jaeale Lopez Phil eacerre Johnalhan Ryan Pernandaz Nellde Mendoza Me,, Mayor Pm Tem, Werd 2 MdI WaM3 WeM4 W.N6 rorNN to duflalozaAaaante-ano oy Nhan(otaenla-anogra l mpdoz ro- obecerrereaenla_¢neov Irvenhemendezr@aanlerere eyp ae al �nnlaa erne om Francine R, Villareal Digitally signed by Francine R. Villareal Date: 2021.04.08 09:05:57-07'00' AcoRtf CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 3/19/2022 1 3/17/2021 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 orbe 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 endomement(s). PRODUCER LOCkton Insurance Brokers, LLC License #01715767 4275 Executive Square, Suite 600 La Jolla CA 92037 NAME:CT PHONE FA% Ext : WC, Not: EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL$ (858)587-3100 INSURER A: National Fire Insurance Co of Hartford 20478 INSURED UPS Group, Inc. 137790E 77371Cenamar Court INSURER B : Valle Forge Insurance Com an 20508 INSURER C : The Continental Insurance Company 35289 San Diego CA 92121 INSURER D : Lloyd's Syndicate 457 (Munich Re Syndicate Limited) INSURER E: American Casualty Company of Reading, PA 20427 INSURER F : COVERAGES 1PSOR01 CERTIFICATE NUMBER: 1)R07519 RFVIQlnm MI WIRER• vvv1111 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. ILTR TYPE OF INSURANCE ADDLSUBR INSD MirPOLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MWDOIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE IN] OCCUR Y N 4034952942 3/19/2021 3/19/2022 EACH OE s 1000000 TO RENTEE PREMISES Ea occurrence $ 1000 000 MED EXP (Any one person) $ 15,000 PERSONAL S ADV INJURY $ 1000000 AGGREGATE LIMIT APPLIES PER: POLICY ]JECT LOG GENERAL AGGREGATE $ 2000000 GENT PRODUCTS - COMP/OP AGO $ 2000000 $ OTHER: E AUTOMOBILE LIABILITY N N 6013847872 3/19/2021 3/19/2022 COMBINED ISINGLE LIMITEa $ 1000000 X X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident) $ XXXXXXX PROPERTY DAMAGE fPer accident) $ XXXXXXX Com ./C ll. Ded $ 1,000 C X UMBRELLA LIAR X OCCUR N N 4014952990 3/19/2021 3/19/2022 EACH OCCURRENCE $ 20.000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 20,000.000 DED RETENTIONS I $ XXXXXXX E C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNEWEXECUTIVE Y/N OFFICEWMEMBER EXCLUDED? � (Mandatory in NH) If yes, describe uIaer NIA NPER 5093308451 ((CA`{1, 5093308496 (AOS1 3/19/2021 3/19/2021 3/19/2022 3/19/2022 OTH- X STATUTE ER . E.LEACH ACCIDENT _ $ I OOQ QQQ E.L. DISEASE- EA EMPLOYEE $ 1 000 000 E.L. DISEASE -POLICY LIMIT $ 1,000000 DESCRIPTION OF OPERATIONS below D Tech E&O/Network/ Privacy / Media N N CYYE63501(E&O) 3/19/2021 3/19/2022 Each Occ. 5,0001000; Agg.: 5,000,000; Ded.: 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more spaco is required) THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISTED AND LEE POLICY TERM(S) REFERENCED. RE: RFP 14-012, Modernization of Downtown Parking Meters. City of Santa Ana, its officers, employees, agents, volunteers and representatives are an Additional Insured to the extent provided by the policy language or endorsement issued or approved by die insurance carrier, Insurance provided to Additional Insured(s) is primary and non-contributory as per the attached endorsements or policy language. Notice of Cancellation applies per attached endorsement(s). 12892512 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 ©1'986=2015 AG ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD sR lilskMniagrntmtDldalan REVIE�GED&APPROVm BY: , E,.e 1tkPAtuct Risk Management Analyst CC68021A (Ed. 02/13) NOTICE OF CANCELLATION TO CERTIFICATE HOLDERS It is understood and agreed that: If you have agreed under written contract to provide notice of cancellation to a party to whom the Agent of Record has issued a Certificate of Insurance, and if we cancel a policy term described on that Certificate of Insurance for any reason other than nonpayment of premium, then notice of cancellation will be provided to such Certificateholders at least 30 days in advance of the date cancellation is effective. If notice is mailed, then proof of mailing to the last known mailing address of the Certiflcateholder on file with the Agent of Record will be sufficient to prove notice. Any failure by us to notify such persons or organizations will not extend or invalidate such cancellation, or impose any liability or obligation upon us or the Agent of Record. Attachment Code: D495276 Certificate ID: 12892512 a. RkkMansgznuntDMelnn 8M RIAEWED & APPROVED By,va�una�., iftGtvac6 Risk Management Analyst