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ALL CITY MANAGEMENT SERVICES, INC. (3)
INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES f 1 • ?-21 CLERK OF COUNCIL DATE: N fV O -MAYOR tl)Vicente Sanniento C AYOR PRO TEM Phil Became —ODUNCILMEMBERS Johnathan Ryan Hernandez Jessie Lopez Nelida Mendoza David Penaloza Thai Viet Phan o•. Pk kAzadej, Aatad) 6x)2 CITY OF SANTA ANA PLANNING & BUILDING AGENCY 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 W W W.santa-ana.oro July 5, 2022 All City Management Services Attn: David Mecusker, Contract Administrator 10440 Pioneer Blvd, Suite 5 Santa Fe Springs, CA 90670 A-2021-141-01 CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Daisy Gomez Re: Extension of All City Management Services Agreement No. N-2021-141 Mr. Mecusker: Pursuant to Section 3 ("Term") of the above referenced Agreement for crossing guard services, entered into by All City Management Services, and the City of Santa Ana, dated July 20, 2021, the term of the Agreement is hereby extended for an additional one (1) year period, from July 20, 2022 through July 19, 2023. 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, Nabil Saba Executive Director Public Works Agency CITY OF SANTA ANA ATTEST Kristine Ridge T ,6,Daisy Gomez City Manager ka Clerk of the Council t [Signatures continued on the following page] SANTA ANA CITY COUNCIL V ,I. Sarnireto Marti Penaloza Thad Vlel Phan Jessie H,i Phil1Hi,.a Jahrai Ryan Hernandez Nellde Mendoza hi May, Pd, Tend, Wed 2 Ward Wad] Wend Wad5 Wait vPanawnmmsmm�.ann w9 daarvigild M,�nn IMnrvQenn I..k`ddzdsnm.+nna,n 6 a n �ddz,x%dnr is All City Management Services July 5, 2022 Page Two APPROVED AS TO FORM �" tn; Jose Montoya Assistant City Attorney ALL CITY MANAGEMENT SERVICES 0 1" swell General anager SANTA ANA CITY COUNCIL Vww S..WtP 0.m Pvu$.. ThAM01 Phen J..W Lopez Phll noaona Jnhmthnn R06 Hnmandnt N.H. Mendota Mayas Mayor Pto Tam, Ward 2 W.0I W.N3 WoA4 W e' d W.06 y`iaembnmrtddnn�j�ryy�eip n x"n or [pft QnnM-u,,, IyiplglgNy.�@Mip"�pb,fjp o n nnnfini snnln"nrm om Ipyl�Igtpnpd�A,N nit n"n�-uen pmondoxMnw+n a �nq�, p Client#: 475947 Digital DATE(MMIDD/YYYY) b 2/30/2021 ACORD,. CERTIFICATE OF LIABILITY IN44gX� si ned THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE C 'R F'j� 0707 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER T//AE COVERAGE AF' f ? } BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BET NCR 1{. NSIM@! AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. `� V IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL IN .URED ^- endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies m requi• a an :,,o r T Ilaternent on 3.�:�:35 this certificate does not confer any rights to the certificate holder in lieu of such endorsem S PRODUCER Marsh & McLennan Agency LLC Marsh &McLennan Ins. Agency LLC 350 S Grand Ave, Ste 3410 Los Angeles, CA 90071 CONTACT Nicho - I" ' ' NAME: a020, at, 949 425 7? f2 FAX A/C. No: ADDRIESS, nick.newell@marshmma.com INSmeric J NATO M InsuranceNG CompanERAGEy INSURER A: Landmark American Insurance Company 33738 INSURED All City Management Services, Inc. 10440 Pioneer Blvd., Suite 5 Santa Fe Springs, CA 90670 INSURER B : Mercer Insurance Company 14478 Berkshire Hathaway Homestate Ins Co INSURER C : Y 20044 INSURER D : Lexington Insurance Company 19437 INSURER E: P Westchester Surplus Lines Insurance Co 10172 INSURER F: 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 CONTRACTOR 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 TYPE OF INSURANCE ADDLSUB INSR MD POLICYNUMBER POLICY EFF MMIDD/1'YYY POLICY EXP MMMD/YYYY LIMITS A X COMMERCIAL GENERAL L ABILITY LHA141591 0810112021 08/0112022 EACH $1000000 CLAIMS -MADE N OCCUR �OCCCTURRENCE PREISES ERE u Dnce $50000 MED EXP (Anyone pemrsn) $5,000 PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLI ES PER: X POLICY 1-1JEC LOC GENERAL AGGREGATE $2,000,000 PRODUCTS-COMP/OPAGG 0 $2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per parson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY( Par accident) $ HIRED NON-0WNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ B X UMBRELLALIAB X OCCUR 20000000182 8/01/2021 08/01/2022 EACH OCCURRENCE $3 000 000 AGGREGATE s3,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ C C WORMERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXEC"VE OFFICERIMEMBER EXCLUDED? N NIA ALWC344179 ALWC345830 1/01/2022 1/01/2022 01/01120 01/0112023 X PER OTH- E.L. EACH ACCIDENT $1,000000 E.L. DISEASE -EA EMPLOYEE $1,000,000 (Mandatory in NH) DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 D 1st Excess Layer 080877908 8101/2021 0810112022 $1,000,000 E 2nd Excess Layer G72535522001 8/01/2021 08101/2022 $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) GL General Aggregate Limit: $5,000,000 GL applies on a per project basis. City of Santa Ana, officers, agents, employees, and volunteers are included as additional insured as respects to General Liability per attached endorsement. Primary and Non -Contributory Wording applies per attached endorsement. Cancellation provisions apply per the attached. City of Santa Ana 20 Civic Center Plaza, 4th Floor SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701-0000 AUTHORIZED REPRESENTATIVE Pt-uc k4Is41 ©1988-2015 ACORC ACORD 25 (2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S9127217/M9113004 Risk Managenwad Division REVIEwED 6 APPROVED BY: ��'. Ayer A44W44 - Risk Management Specialist INSURED: All City Management Services, Inc. POLICYM LHA141591 POLICY PERIOD: 08/01/2021 TO: 08/01/2022 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 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: Ke tT r��Zill_1Sel�r•Iq:7_1A�G1-310��(Ke�7/q:7_[e7�7_1:iY SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location(s) Of Covered Operations Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 c,. Ris:Mwaganatl)Wlon , r REVIEW &APPRQJ®Br 01 �. - Risk Managemen[Speaalist INSURED: All City Management Services, Inc. POLICY#: LHA141591 POLICY PERIOD: 08/0112021 TO: 08/01/2022 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 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 Sg nr xiek Mu,ogonmt ntvlelml REVIEWED 6 APPROVED Sr. �-� Risk Management Specialist INSURED: All City Management Services, Inc. POLICY#: LHA141591 POLICY PERIOD: 08/01/2021 TO: 08/0112022 LANDMARK AMERICAN INSURANCE COMPANY This Endorsement Changes The Policy. Please Read It Ca NOTICE OF CANCELLATION ADDITIONAL INSURED This endorsement modifies insurance provided under the following: ALL COVERAGE FORMS If you are required by written contract to provide Notice of Cancellation (for reasons other than nonpayment of premium or deductible reimbursement) to any additional insured under this policy, we agree to provide such Notice stating when, no less than 30 days from the date of mailing, such cancellation shall take effect. You agree that as a condition precedent to us providing such notice, you will provide us with a complete list of such additional insureds including appropriate designees and complete mailing addresses. Such list shall be provided within 7 days from the date it is electronically requested. If notice is mailed, proof of mailing is sufficient proof of notice. by Landmark American Insurance Company RSG 94118 0214 REVIEWED & APPROVED Br A,.p A6evu4a Risk Management Specialist