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HomeMy WebLinkAboutVALLEY MAINTENANCE CORPORATION (6)City of Santa Ta I 1 corc office use only Clerk of the Council 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TERMINATION FORM Please complete this form in its entirety when the attached agreement and all amendments (if any) are no longer in effect.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!LERK OF T04E COW' sL AL 26122 Pw4:27 Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. The agreement with No. p►-2021 p4' was completed on and final payment has been made. (List all amendments. Use space below if needed.) A laa Department:C�1`i /y _ .L n � C6 , l c� Phone/Ext.: rl> pSZ Signature: 4 01 `��� Date: �/3lla�- J x Ge I:lagreementslrorm5form a3 e rmmeficn form__goltlenmd �icc i �/`, /,�(r qAr � p/ /_ iNSURANCE NOT ON FILE N WORK MAY 0: FPROCEED A-2021-043 eu CLERK OF COUNCIL DATE: rCaA Cl � CSi Ivia.(uP.vaS)FA THHM AMENDMENT TO AGREEMENT WITH VALLEY MAINTENANCE CORPORATION FOR JANITORIAL SERVICES AT PARK RESTROOMS AND PARK BUILDINGS THIS THIRD AMENDMENT is made and entered into this 6T" day of April, 2021, by and between Valley Maintenance Corporation (hereinafter "Valley") and the City of Santa Ana ("City"), a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California. RECITALS 1. On June 1, 2017, City and Valley entered into Agreement No. A-2017-125 ("Agreement") for janitorial services for park restrooms and park buildings. The Agreement was from June 1, 2017 to May 31, 2019 with two (2) one-year options for renewal. 2. On May 15, 2018, City and Valley entered into the First Amendment No. A-2018-124 to add additional services to the Agreement for Pacific Electric Park and the Zoo Animal Hospital effective June 1, 2018 at an additional cost of $26,823 per year and an annual agreement not to exceed amount for each year of $290,508. 3. On August 18, 2018, City and Valley entered into a Second Amendment No. (A-2018-187) seeking to add additional services to the Agreement for Roosevelt -Walker Community Center and increasing daily cleaning of restrooms at all listed City Parks, and increase the overall compensation to the Agreement for said services during the remainder of the Agreement and extensions exercised by the parties. 4. City and Valley exercised the options to extend the Agreement on April 8, 2019 (A-2018- 124-01), and on May 12, 2020 (A-2017-125-01) extending the term of the Agreement until May 31, 2021. The Agreement is current and in effect. 5. The parties now wish to amend the Agreement to add an additional year to the term of the Agreement and add compensation to pay for an additional year of services. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. Section 2, COMPENSATION of the Agreement is amended to increase the total not - to -exceed amount for the Agreement as follows: a. An additional annual amount for this extended term, defined below, in an amount not to exceed $476,708; b. Total compensation for the Agreement shall not exceed $2,130,425. 2. Section 3, TERM of the Agreement, is hereby extended from June I, 2021 until May 31, 2022. 3. Except as modified by this Third Amendment, the terms and conditions of the Agreement, as amended, remain unchanged and in full force and effect. [Signature page to follow] Francine R. Digitally signed by Francine R. Villareal Villareal Date: 1020.11.17 17:26:31-08'00' AC40REF CERTIFICATE OF LIABILITY INSURANCE OATSIMMNDIVYYYr 10/06/2020 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 INSURAtYCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND TFIE CERTIFICATE HOLDER. IMPORTANT: It the certificate holier is an'ADOITIONAL INSURED, the pollLy(les) must be endorsed. If SUBROGATION IS WAIVED, sublect to the terms and conditions of the polls,, certain policlos may require an endorsement. A statement on this certificate does not confer rights to the Corti liCate holder in lieu of such endorsement S), PRODUCER CT SILVI CEA, tMa INSURANCE LAND INSURANCE SERVICES B . c",%Evil 213-388-55C5 --`213-3.88-7148 4032 WILSHIRE BLVD E•AIL INSURANCELAND®OMAIL.COM noDga9s;__ SUITE 309 INSURERS aRn COVENAGE asURERA: EVANSTON INSURANCE COMPANY NACA L09 ANGELS9 CA 90010 35378 INSURED INSURER 01 STATE FARM VALLEY MAINTENANCE CORPORATION __ WSURERGIUNITED STATES LIABILITY INS. CO. 25895 waUnena;IOW GROUP 27847 11759 TELEGRAPH ROAD INSUREREITRAVELERS CASUALTY AM SURETY CO. SANTA FE SPRINGS CA 90670 INSURER F-� _19038� THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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 CERTIFICAT6,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. RUMPERPOITCYEFF AFIDCV EXP. LIR TYPE OFINBUMNEE PO UMBER 0 I Av LIMOE f COMMERCULVENERAL LIABILITY gAIM&MAC � OCCUR YR_I_MARY NON-CONTRISUTORY 3AA414169 09/13/2020 00/13/2031-DHAMA RACHOCCURRENCE e-M- Fa Eientel E 11000,000 10 E_ 0, 000 APED EAP(Any One penpnl E $, 000 PERSONAL&ADVINJURY E 1, 000,000 A E 0C I� PRO— POLICY JECT LOC L._ 1 I_J GENERAL AGGREGATE 1 2,000,000 GENLAGGREGATELUAITAPPUESPER: PRODUCTS-COMPAPAGG 3 INCLUDED E #25, 000 °THFR- AUTOMOBILE LABIUTY 6638202C15-75 9/15/2020 3/15/2021Mdo den°yI E BODILY INJURY IPe( ps.c ) S 1,000,000 B / AJ'O _ A�SNEOO AUTOS HIRED AUTOS �G ° X X BODILY BODILY INJURY (Par w1den0 S 11000,000 Per Cc E 11000,000 1 C UMBRELLA LIAR FSCE5SLAABB ' DOUR CWIM&MADE XL157B400C 05/02/202005/02/2021 EACHOCCURRENCE S 5,000,000 AGGREGATE E 51000,000 OEb I RETENTIO F PRODUCTS-CON/Op A0a E 11000,000 D WORRERe COMPENSATION ANDEMPLOYERFLABILITY YIN ANYPROPMETCRIPARTNERJE eCUTIVE OFFICEPJMEMBER EACLUOEPl �NiA IM.M.Wry M Wh DEIf S K2NOFCF.RAnoNSW. X WSA 5037498 O3 00/13/2020 06/13/2021 ..S:L _ F..L EACN AGC L`EM _ S 11000,000 .- E.L. DISEASE - EA EMPLOYEE S 11000_000 E,L DISEASE. POLICY LIMIT; 1,000,000 E CRIME H,05620655 05/24/202003/24/2021 THIRD PARTY $1,000,000 OESORMnON OF OPEMPM3ILOCARONOI VEHICLES {ACORO IRA, AtldMonel R.medu 6.Mdub, nLy be amohed N mere.p... 1. M'ulmdl City of Santa Ana, Risk Management, it's officers, employees, &Santa, representatives, and volunteers as additional inured. . Certificate of Insurance shall provide thirty (30) day pzior written notice of cancellation City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th floor Santa Ana 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 26 (2014/01) The ACORD name and logo are registered marks of ACORD E. Rlsk ManagesetUMdon ,, REMEWED 6 APPROVED BY: a s F""" 'e R. lv&"-T 19�=—= Risk Management Malys[ III COMMERCIAL GENERAL LIABILITY POLICY NUMBER: 3AA414169 MARKELW EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE Name Of Person Or Organization; Any person(s) or organization(s) with whom the Named Insured agrees, In a written contract executed prior to the "occurrence", to waive rights of recovery Additional Premium: { $ Included The following Is added to Conditloh 8. Transfer Of Rights Of Recovery Against Others To Us under Section IV — Commercial General Liability Conditions: We waive any right of recovery we may have against any person or organization shown in the Schedule of this endorsement. This waiver applies only to the person or organization shown in the Schedule of this endorsement All other terms and conditions remaln unchanged. MEGL 0241-01 05 18 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with Its permission. r RinkMnugemmtDMsian RE\IEwED 6 APPRovm Br. F,,A� R. VjtvwL ®' Risk Management Matyst Department(s): Information Technology Recommended Action: 1. Authorize the City Manager to execute the agreement with TPX Communications, Inc., for telecom services for a three-year period beginning April 1, 2021 through March 31, 2024 with the potential for three (3) additional one-year (1) renewal terms, exercisable by the City Manager and the City, in an amount not to exceed $50,000 annually and $300,000 over the life of the agreement if all extensions are utilized, subject to non -substantive changes and approved by the City Manager and City Attorney (Agreement No. 2021-XXX). 2. Approve payment for invoices for services incurred with TPX for telecom services through April 30, 2021 for an additional amount not -to -exceed $18,000. 18. Approve Agreement with Nogalis, Inc. for Lawson Managed Services in an annual amount not to exceed $150,000 (Non -General Fund) Department(s): Information Technology Recommended Action: Authorize the City Manager to execute an agreement with Nogalis, Inc. for Lawson Managed Services for a (4) four-year term expiring April 1, 2025, with the potential for two (2) additional (1) one-year renewal terms exercisable by the City Manager and the City Attorney, for a total amount not -to -exceed $150,000 annually and $900,000 over the life of the agreement if all extensions are utilized, subject to non -substantive changes approved by the City Manager and City Attorney (Agreement No. 2021-XXX). 19. Approve an Amendment to Add a One -Year Extension io the Agreement With Valley Maintenance Corporation for Custodial Services at City Park Restrooms and Facilities from June 1, 2021 to May 31, 2022 for a Total Annual Amount of $476,708, for Total Agreement Amount for the Five -Year Period to $2,130,425 (General Fund) Department(s): Parks, Recreation, and Community Services Recommended Action: Authorize the City Manager to execute an amendment to the agreement with Valley Maintenance Corporation for custodial services at City park restrooms and facilities to extend the term for one year, from June 1, 2021 to May 31, 2022 for a total annual amount of $476,708, bringing the total agreement amount for the five-year period to $2,130,425, subject to non -substantive changes approved by the City Manager and City Attorney (Agreement No. 2021-XXX). 20. Approve a Three -Year Lease Agreement with Rick Kagasoff for warehouse space for the Santa Ana Police Department Evidence Section in the amount of $197,227 (Non - General Fund) Department(s): Police Department Recommended Action: Authorize the City Manager to execute a three-year lease agreement with Rick Kagasoff for warehouse space, for the period of April 15, 2021 through April 30, 2024, in an amount not to exceed $197,227, subject to non - substantive changes approved by the City Manager and City Attorney. This agreement Page 9 of 15 4/6/2021 vigaauy sg r nci ne Francine R. AC"RO Ilare�l ATE (MM/DDNYYY) CERTIFICATE OF LIABILITY INSURAN jillareal Date:2021.0.22 06/15/2021 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 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 NAME: SILVI CHA INSURANCE LAND INSURANCE SERVICES HOIC,NEExt: 213-388-5505 aC No: 213-388-7148 E-MAIL ADDRESS: INSURANCELANDQGMAIL.COM 4032 WILSHIRE BLVD INSURER(S) AFFORDING COVERAGE NAIC # SUITE 309 INSURERA:EVANSTON INSURANCE COMPANY 35378 LOS ANGELES CA 90010 INSURED INSURER B : UNI= FINANCIAL CAS CO. INSURERC:UNITED STATES LIABILITY INS. CO. 25895 VALLEY MAINTENANCE CORPORATION INSURER D: I CW GROUP 27847 11759 TELEGRAPH ROAD INSURER E: TRAVELERS CASUALTY AND SURETY CO.1 19038 INSURER F SANTA FE SPRINGS CA 90670 COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY ��� CLAIMS -MADE OCCUR ♦ 3AA414169 09/13/2020 08/13/2021 EACH OCCURRENCE $ 11000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PRIMARY NON-CONTRIBUTORY PERSONAL & ADV INJURY $ 11000,000 A X X GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO ❑ LOC JECT PRODUCTS-COMP/OPAGG $ INCLUDED $ $25, 000 OTHER: AUTOMOBILE LIABILITY 03370309-0 03/12/2021 03/12/2022 COEaMB acciINED dentdents NGLE LIMIT $ 11000,000 BODILY INJURY (Per person) $ ANY AUTO B ALL OWNED SCHEDULED AUTOS AUTOS X X BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per acci -Zt $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR XL1578400C 05/02/202105/02/2022 EACH OCCURRENCE $ 5,000,000 HCLAIMS-MADE AGGREGATE $ 5,000,000 C EXCESS LIAB DED RETENTION$ PRODUCTS-COM/OP AGG $ 11000, 000 D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? [Y] (Mandatory in NH) N / A X WSA 5037498 03 09/13/2020 08/13/2021 PER OTH- STATUTE I I ER E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE - EA EMPLOYE $ 11000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 11000,000 E CRIME 105620659 05/24/202105/24/2022 THIRD PARTY $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space Is required) Agreement Number : A-2021-043 City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or memorandum of understanding. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and noncontributory." This Policy may be canceled by the Company by giving to the Insured and to the additional insureds indic ated on the certificates of insurance issued during the term of this policy, at least Thirty (30) days written notice of cancellation or in the case of non-payment of premium, at least ten (10) days' written notice of cancellation." CERTIFICATE HOLDER CANCELLATION 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 ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, 4th floor AUTHORIZED REPRESENTATIVE Santa Ana, CA 92702 /) tl:iskMowgon tlDMslcn REmEWED & APPROVED BY: © 1988-2014 ACORD C p. V� ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ®'' Risk Management Analyst COMMERCIAL GENERAL LIABILITY ill POLICY NUMBER: 3AA414169 EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM LIQUOR LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM SCHEDULE Additional Premium: $Included (Check box if fully earned ®) Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. A. Who Is An Insured is amended to include as an additional insured any person or entity to whom you are required by valid written contract or agreement to provide such coverage, but only with respect to "bodily injury", "property damage" (including "bodily injury" and "property damage" included in the "products -completed operations hazard"), and "personal and advertising injury" caused, in whole or in part, by the negligent acts or omissions of the Named Insured and only with respect to any coverage not otherwise excluded in the policy. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. The insurance afforded to such additional insured will not be broader than that which you are required by the valid written contract or agreement to provide for such additional insured. Our agreement to accept an additional insured provision in a valid written contract or agreement is not an acceptance of any other provisions of such contract or agreement or the contract or agreement in total. When coverage does not apply for the Named Insured, no coverage or defense will apply for the additional insured. No coverage applies to such additional insured for injury or damage of any type to any "employee" of the Named Insured or to any obligation of the additional Insuredto indemnify another because of damages arising out of such in or damage, B. With respect to the insurance afforded to these additional insured, the following is added to limits of insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the valid written contract or agreement; or 2. Available under the applicable limits of insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable limits of insurance shown in the Declarations. All other terms and conditions remain u i changed. MEGL 0069-01 09 18 Includes copyrighted material of Insurance Services Office, Inc., with its permission. �oRaN 3 RiskMmagemedDMsiun REVIEWED & APPROVED BY: z a 4' p PZ. V Risk Management Analyst COMMERCIAL GENERAL LIABILITY III POLICY NUMBER: 3AA414169 MARKED' EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE Name Of Person Or Organization: Any person(s) or organization(s) with whom the Named Insured agrees, in a written contract executed prior to the 'occurrence", to waive rights of recovery LAdditional Premium: $ Included The following is added to Condition 8. Transfer Of Rights Of Recovery Against Others To Us under Section IV — Commercial General Liability Condit[ons: We waive any right of recovery we may have against any person or organization shown in the Schedule of this endorsement. This waiver applies only to the person or organization shown in the Schedule of this endorsement. All other terms and conditions remain unchanged. MEGL 0241-01 05 16 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 �oRaN 3 RiskMwagemedDMsiun REVIEWED & APPROVED BY.- z a 4' p PZ. V Risk Management Analyst ENDORSEMENT NO. 4 EFFECTIVE DATE: 6/9/2021 12:01 AM Named Insured: Valley Maintenance Corporation Insurer: Evanston Insurance Company Policy No.: 3AA414169 IT IS UNDERSTOOD AND AGREED THAT IN CONSIDERATION OF NO ADDITIONAL OR RETURN PREMIUM, THE ABOVE CAPTIONED POLICY IS AMENDED AS FOLLOWS: Form MEGL 1879 07 15, Notice of cancellation by us as required by contract to additional insureds, is added to the policy in favor of The City of Santa Ana. Form CG 20 01 04 13, Primary and Noncontributory - other insurance condition, is added to the policy in favor of The City of Santa Ana. ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED Date of Issue June 11, 2021 / javierrivas �oRaN } z a RiskMmWmentDMsian REVIEWED & APPROVED BY.- p R. VSA44a Risk Management Analyst COMMERCIAL GENERAL LIABILITY III POLICY NUMBER: 3AA414169 MMKEr EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION BY US AS REQUIRED BY CONTRACT TO ADDITIONAL INSUREDS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE Number Of Days: 30 The following is added to the Cancellation condition: We will provide written Notice of Cancellation to an additional insured stating when, not less than the number of days shown in the Schedule above, cancellation will become effective. This condition only applies if: 1. The policy is cancelled by us; 2. Cancellation is for reasons other than: a. Nonpayment of premium; or b. Non-payment of any deductible reimbursement; 3. You are required by written contract to provide the additional insured with such notice; and 4. You agree to provide us with a list of the applicable additional insureds, including their complete mailing addresses, within 7 days of our request. If notice is mailed, proof of mailing is sufficient proof of such notice. All other terms and conditions remain unchanged. MEGL 1879 07 15 Includes copyrighted material of Insurance Services Office, In with its permission. �oRaN � z RiskMmaganadDMsfan REVIEWED & APPROVED BY.- Risk Management Analyst COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 Id:163401Biel :RI4LVil401111ga:/_10[rl1:1ae l[WM"A_MA:7E_1I1k907_1N:1111111J1111IM11 PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 01 04 13 © Insurance Services Office, Inc., 2012 �oRaN } z RiskMmaganadDMsfan REVIEWED & APPROVED BY.- f R. V;d Risk Management Analyst 7 ion rierson a e:2621--2814:572 7- q R� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 09/03/2021 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 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 NAME: S I LV I CHA INSURANCE LAND INSURANCE SERVICES PHONE 213-388-5505 F 213-388-7148 A/C No Ext : A/C No E-MAIL ADDRESS: INSURANCELAND@GAMIL.COM 4032 WILSHIRE BLVD INSURER(S) AFFORDING COVERAGE NAIC # STE 309 INSURER A: EVANSTON INSURANCE CO 35378 LOS ANGELES CA 90010 INSURED INSURERB: PROGRESSIVE INSURANCE CO 27804 VALLEY MAINTENANCE CORPORATION INSURERC:UNITED STATES LIABILITY INS CO 25895 INSURER D: I CW GROUP 27847 INSURER E: TRAVELERS CASUALTY AND CURETY CO 19038 11759 TELEGRAPH ROAD INSURER F: SANTA FE SPRINGS CA 90670 COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE © OCCUR 3AA496137 08/13/2021 08/13/2022 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PRIMARY NON-CONTRIBUTORY PERSONAL & ADV INJURY $ 1,000,000 A X X GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO ❑ LOC JECT PRODUCTS-COMP/OPAGG $ INCLUDED $ 25,000 OTHER: AUTOMOBILE LIABILITY 03/12/2021 03/12/2022 EaaccldeDSINGLELIMIT COMB03370309-0 $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO B ALL OWNED SCHEDULED AUTOS AUTOS X BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR XL1578400C 05/02/2021 05/02/2022 EACH OCCURRENCE $ 5,000, 000 AGGREGATE $ 5,000, 000 C EXCESS LIAB CLAIMS -MADE DED RETENTION$ PRODUCTS-COM/OP AGG $ 1,000,000 D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Y (Mandatory in NH) N / A X WSA5037498-03 08/13/2021 08/13/2022 PER OTH- STATUTE I I ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1 , 000, 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT I $ 1,000, 000 E CRIME 105620659 05/24/2021 05/24/2022 THIRD PARTY $1, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space Is required) Agreement Number ; A-2021-043 City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or memorandum of understanding. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and noncontributory." This Policy may be canceled by the Company by giving to the Insured and to the additional insureds Indic ated on the certificates of insurance issued during the term of this policy, at least Thirty (30) days written notice of cancellation or in the case of non-payment of premium, at least ten (10) days' written notice of cancellation." City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th floor Santa Ana, 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. AUTHORIZED REPRESENTATIVE C_ R�vi� tavm ©1988-2014 ACORD CORF sup 7a a�er��= ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Risk NFanagemmraen ral/4de COMMERCIAL GENERAL LIABILITY III POLICY NUMBER: 3AA496137 1NARKEr EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM LIQUOR LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM SCHEDULE Additional Premium: $Included (Check box if fully earned ®) Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. A. Who Is An Insured is amended to include as an additional insured any person or entity to whom you are required by valid written contract or agreement to provide such coverage, but only with respect to "bodily injury", "property damage" (including "bodily injury" and "property damage" included in the "products -completed operations hazard"), and "personal and advertising injury" caused, in whole or in part, by the negligent acts or omissions of the Named Insured and only with respect to any coverage not otherwise excluded in the policy. However: I. The insurance afforded to such additional insured only applies to the extent permitted bylaw; and 2. The insurance afforded to such additional insured will not be broader than that which you are required by the valid written contract or agreement to provide for such additional insured. Our agreement to accept an additional insured provision in a valid written contract or agreement is not an acceptance of any other provisions of such contract or agreement or the contract or agreement in total. When coverage does not apply for the Named Insured, no coverage or defense will apply for the additional insured. No coverage applies to such additional insured for injury or damage of any type to any "employee" of the Named Insured or to any obligation of the additional insured to indemnify another because of damages arising out of such injury or damage. B. With respect to the insurance afforded to these additional insured, the following is added to limits of insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the valid written contract or agreement; or 2. Available under the applicable limits of insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable limits of insurance shown in the Declarations. All other terms and conditions remain unchanged. Ri& Muagmeni Dhisim ReoEwm & AWROVM BY: MEGL 0009-01 09 18 Includes copyrighted material of Insurance Services Office, Inc with its permission.�Rik M.—g—t Clei-[Aide COMMERCIAL GENERAL LIABILITY III POLICY NUMBER: 3AA496137 MARKEL® EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIMITATION - CONTRACTOR OR SUBCONTRACTOR MANAGEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE Minimum General Aggregate Limit (Other Than Products/Completed Operations): $2,000,000 Minimum Products/Completed Operations Aggregate Limit: $1,000,000 Minimum Each Occurrence Limit: $1,000,000 A. The following is added to Section IV— Commercial General Liability Conditions: Contractor Or Subcontractor Management Prior to the commencement of any work performed for or on behalf of the insured by a contractor or subcontractor, the insured must require, secure and maintain a certificate of insurance that confirms that the contractor or subcontractor: a. Carries Commercial General Liability coverage with limits that are equal to or greater than the limits shown in the Schedule above; and b. Names you as an additional insured on such coverage. If no limits are shown in the Schedule above, then the limits carried by the contractor or subcontractor must be equal to or greater than the limits shown in the Declarations of this Coverage Form. B. If all of the conditions of the Contractor Or Subcontractor Management condition are not met or the insured fails to provide proof of compliance with such conditions at the time of an 'occurrence" or offense involving the work performed by a contractor or subcontractor for or on behalf of the insured, then subject to the General Aggregate Limit or Products/Completed Operations Aggregate Limit, whichever applies, $50,000 is the most we will pay for the sum of all: 1. Damages under Coverage A; 2. Damages under Coverage B; 3. Medical Expenses under Coverage C; 4. Loss adjustment expenses; 5. Supplementary payments; and 6. Defense costs; because of all "bodily injury" and "property damage" arising out of the 'occurrence", or "personal and advertising injury" arising out of the offense, involving the work performed by the contractor or subcontractor for or on behalf of the insured. Once this $50,000 limit is exhausted, we are no longer obligated to defend or indemnify any insured for such "occurrence" or offense. Dhisim All other terms and conditions remain unchanged. ��"i OVED BY.' +_ %ari �e`errQars MEGL 0103 07 18 Includes copyrighted material of Insurance Services Office, Inc. Risk K—g—tCl rii-[Aide Is with its permission. ENDORSEMENT NO. 3 EFFECTIVE DATE: 9/23/2021 12:01 AM Named Insured: Valley Maintenance Corporation Insurer: Evanston Insurance Company Policy No.: 3AA496137 IT IS UNDERSTOOD AND AGREED THAT IN CONSIDERATION OF NO ADDITIONAL OR RETURN PREMIUM, THE ABOVE CAPTIONED POLICY IS AMENDED AS FOLLOWS: Form MEGL 1879 07 15, Notice Of Cancellation By Us As Required By Contract To Additional Insureds, is added to the policy in favor of The City of Santa Ana. Form CG 20 01 04 13, Primary And Non -Contributory - Other Insurance Condition, is added to the policy in favor of The City Of Santa Ana ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED Date of Issue September 23, 2021 1 johncastro G�LWC.� %nu Y�Q�6 Risk Management CI erical Aide COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 Id:163401Biel :RI4LVil401111ga:/_10[rl1:1ae l[WM"A_MA:7E_1I1k907_1N:1111111J1111IM11 PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 01 04 13 © Insurance Services Office, Inc., 2012 . Risit Managemeni Division R"EwED 6 APPROVED BY: + 1, laze Rislc Management Cierir lAide COMMERCIAL GENERAL LIABILITY gig POLICY NUMBER: 3AA496137 MARKEV EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION BY US AS REQUIRED BY CONTRACT TO ADDITIONAL INSUREDS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE Number Of Days: 30 The following is added to the Cancellation condition: We will provide written Notice of Cancellation to an additional insured stating when, not less than the number of days shown in the Schedule above, cancellation will become effective. This condition only applies if: 1. The policy is cancelled by us; 2. Cancellation is for reasons other than: a. Nonpayment of premium; or b. Non-payment of any deductible reimbursement; 3. You are required by written contract to provide the additional insured with such notice; and 4. You agree to provide us with a list of the applicable additional insureds, including their complete mailing addresses, within 7 days of our request. If notice is mailed, proof of mailing is sufficient proof of such notice. All other terms and conditions remain unchanged. FhmEwm & Amovm Br: MEGL 1879 07 15 Includes copyrighted material of Insurance Services Office, Inc fiisk Management deft-1 Aide with its permission.