The URL can be used to link to this page

Home My WebLink AboutSYMCO GROUP , INC 1A - 2003 . . INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES 7-.3/-03 CLERK OF COUNCIL DATE: 7-10-03 C- '. L S -~.. K. r: fJ, THIS AMENDMENT, made and entered into this 17'h day June, 2003, by and between SYMCO Group, Incorporated ("Vendor") and the City of Santa Ana, a charter city and municipal corporation duly organized and existing under the Constitution and laws of the State of California ("City"), collectively referred to herein as "the Parties". A-2003-112 SECOND AMENDMENT TO AGREEMENT RECIIALS A. The Parties entered into that certain agreement entitled" AGREEMENT BETWEEN THE CITY OF SANTA ANA AND SYMCO Group, Incorporated" dated 18th day September, 2001, hereinafter referred to as "said Agreement", for providing telecommunications products and services. B. On July 16, 2002, Parties entered into an Amendment to said Agreement numbered for reference A-2002-144, the Terms of which remain in effect. C. All terms and conditions more fully set forth in the SYMCO "Equipment Maintenance Agreement, Agreement Number 18980724, shall have full force and effect in this Agreement. D. The Parties hereto now desire to amend the Exhibit A of said agreement, the Compensation term of said Agreement and the Term of said Agreement in order to in order to provide continuous uninterrupted service under the Agreement. WHEREFORE, in consideration of the mutual and respective covenants and promises hereinafter contained and made, and subject to all of the terms and conditions of said Agreement as hereby amended, the parties hereto do hereby agree as follows: I. Section 1, of said Agreement, pertaining to Terms and Conditions, Exhibit A (Equipment and Maintenance Agreement reo No. 18980724 revision 1) of said Agreement is hereby amended by replacing the terms of revision one with the terms of revision 2 and to extend the term of until June 1, 2004 (Revision 2 of said agreement is attached hereto incorporated herein by reference). 2. Section I, or said Agreement pertaining to Terms and Conditions, Exhibit A (Equipment and Maintenance Agreement reo No. 18980724 revision 1) of said Agreement is hereby amended to include Exhibit D attached hereto and incorporated herein by reference. 3. Section 3, of said agreement, pertaining to "Compensation" term of said Agreement is hereby amended to reflect an increase in compensation which shall not exceed $64,000, with terms more fully defined in Revision 2, Exhibit A as revised herein, due to an unexpected increase in the City's need for the Consultant's services under said Agreement. 4. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in full force and effect. (SIGNATURES CONTINUED) . . IN WITNESS WHEREOF, the parties hereto have executed this Amendment to said Agreement the date and year first above written. ATTEST: . t... /?:t~ '-~ t..Jp.J. V 1> A TRICIA E. HEALY , Clerk of the Council APPROVED AS TO FORM: JOSEPH W. FLETCHER City Attorney By: Michael Vigliotta / Deputy City Attorney ED FOR APPROVAL: VENDOR .1'/t.I L ~ iff oloma Executive irector of the Finance gency TaxID#Sg-l"7 q 3S ~j Revisi Two EXHIBIT A 10f3 SYMCO GROUP, INCORPORATED 18980724 (Reference Number) EQUIPMENT MAINTENANCE AGREEMENT WITH THE OBJECTIVE OF KEEPING YOUR UNISYS EQUIPMENT IN SATISFACTORY AND EFFICIENT OPERATION, SYMCO GROUP, INCORPORATED AGREES TO FURNISH MAINTENANCE SERVICE AT OUR DESIGNATED LOCATION ON THE EQUIPMENT LISTED IN ACCORDANCE WITH THE FOLLOWING PROVISIONS: ,. TERM The initial term of the Agreement shall be .2.. years from the date accepted and executed by an authorized representative of SYMCO (the -effective dale' and thereafter may be renewed on a~ -to- ~ buis unless terminated by either party upon...A2... days written notice prior to the end of the then current term. 2. MAINTENANCE 8. SYMCO shall provide maintenance and parts to maintain equipment In good operating condition. Such maintenance shall be provided as required, and at such charges as designated by this contract. b. Parts necesSary to the proper functioning of the equipment shall be furnished at no additional charge, except parts damaged by causes listed In Paragraph B.b herein. / 3.' ATTACHMENTS CUSTOMER agrees not to employ additional attachments, features. or devices to the equipment, make alterations to the equipment, or permit the maintenance of the equipment by other than SYMCO personnel without the written consent of SYMCO. SYMCO shall not be liable tor loss or damage to CUSTOMER resulting therefrom, and CUSTOMER shall be liable to SYMCO for any service cosls incurred by SYMCO _ as a c:onsequence thereof. 4. SUPPLIES MaIntenance charges do not indude the furnishing of supplies (such as ribbons, cards, paper tape, paper fonns, or magnetic tape). Only supplies which meel Unlsys specifications shall be used by CUSTOMER when the performance or maintenance of the equipment may be affected. 5. SHIPMENT OF EQUIPMENT (IF DEPOT MAINTENANCE) a. The parties agree that the method of equipment packaging and shipment both to and from the Service Depot, shalf be in accordance with commercially reasonable standards, consistent with the nature of the equipment and the hazards of transportation and handling. CUSTOMER agrees to package the equipment along with its service log in an authorized SYMCO container for shipment to the Service Depot. SYMCO agrees to return the serviced equipment to the CUSTOMER in an authorized SYMCO container. b. All transportation expenses will be bome by CUSTOMER. 6. CHARGES AND PAYMENTS a. CUSTOMER agrees to pay maintenance charges upon submission by SYMCO of a correct invoice thereof. Invoices shall be submitted on or about the firsl day of each period for which services are to be provided. ACCEPTED SYMCO GROUP, INCORPORATED 3073 McCall Drive, Suite 1 Atlanta, Georgia 30340 BY A?C<V e.. ~.d!(~ j-,.~ tf! AUTHORIZED SIGNATURE . " /l.vat:#"'V TITLE DATE q.~ Z. / ~ Z-c-'o { b. This agreement may be suspended by SYMCO without notice, if payment is thirty (30) days In arrears, or terminated by SYMCO, without notice, If payment is sixty (60) days in arrears. c. Any applicable tax will be added to other charges specified. 7. CUSTOMER INSTALLATION RESPONSIBILITIES CUSTOMER shall: (i) continuously maintain a log of system use and perfonnance and make same available to SYMCO upon request, (ii) continuously maintain environmental conditions, electrical requlrements and site facilities in accordance with Unisys recommendations and specifications, (liij not abuse or misuse the equipment and (iv) Insure that CUSTOMER personnel are adequately !rained to operate the equipment. B. GENERAL CONDITIONS a. The equipment must be In good operating condition on the Effective Date of this Agreement b. SYMCO Is not obligated under the terms of this Agreement to repair damage to equipment caused direcUy or ltldlrectly as a result of aeddent, negligence, or abuse of or by CUSTOMER or third parties, failure of CUSTOMER to maintain required environmental conditions; causes external to the system such as electrical power fluctuation or taBures; fire, windstorm, the elements, or acts of God. Such repair wm be rendered upon specific order by CUSTOMER, and after approval by CUSTOMER of the estimated charges thereof. c. This Agreement shall be transferable with the consent of SYMCO and CITY OF SANTA ANA, and upon transfer shall remain In effect until terminated as herein provided. d. IN NO EVENT SHALL SYMCO BE LIABLE FOR LOSS OF PROFITS, INDIRECT, SPECIAL, CONSEQUENTIAL OR OrHER SIMILAR DAMAGES ARISING OUT OF ANY BREACH OF THIS AGREEMENT OR OBLIGATION UNDER THIS AGREEMENT. e. This Agreement may not be amended except in writing signed by an authorized representative of CUSTOMER and SYMCO. This Agreement constilutes the entire agreement be,,^,een the parties and supersedes all prior communications, proposals or agreements relating to maintenance service of the equipment. f. It Is agreed that the laws of the State of Caljfornia shall govern without reference to the place of execution of performance of same. Any and all legal action to be transacted or brought in the courts of the State of Ca6fomla. CUSTOMER BY ITS SIGNATURE ACKNOWLEDGES THAT IT HAS READ THIS AGREEMENT, UNDERSTANDS IT AND AGREES TO ALL ITS TERMS AND CONDITIONS. NAME CITY OF SANTA ANA AODRESS 20 CIVIC CENTER PLAZA C1Sfl SANAT~f'NA. CALIFORNIA 92702 ~~ }./1...,.;_ AU.IHOR;ED~ATURE Thomas J. Gergen M;:tn~gprf Tl1formRtion Services BY TITLE DATE 18 September 2001 ."", . ReViSi~ Two, EXHIBIT A, 2 of 3 EQUIPMENT MAINTENANCE EXHIBIT Effective Days Per Week Mondav - Sundav Effective Hours Per Day 0000-2400 . Effective Date Of Maintenance Agreement 7/1/')003 )5. On-$ite Maintenance _ Depot Maintenance Reference Number 18980724 EQUIPMENT LOCATION Company City of Santa Ana Addr~ 20 Civic Cenler Plaza City Santa Ana State C~llfo~ja Zip 9270j! Telephone 714-847-6958 . Contact ...,,^"C" INVOICE TO Company City of Santa Ana Addr~ PO Box 92702 City Santa Ana State California Zip 92702 Attn: Purchasino Division M-16 . I '. . . ..' 0"" L I' I, . .~ ;..: .... II:. . . ': .' I' . .. .1, . I" .... II'~Ontf'd~.i I.'.', 'l I.......... 1.....1. I" i.:.,'''''".1 "',' ,-. \.II"'~";"""'I" ":'i";I:."~:' l,"""::,.,..:. ._~...~ '\"! i I .. '1'~lli_""'''' .... I~' . '.', I.", ,'" ,I, o. ='". ,. ":1 1'"nll~lNlll""" "'1" ...., ""1.... .. I,. ..'Y ~~.,...!!:'.. ....,', .. '1' I ~'I: '1l'""'I..~lh , . ." . . C..N. __, .. .. I ,. I, I",. . r.. . " . . I ..' .' ",,, 0 '" ,. , ',' '. I ,.. ' '~...' . ......... . ,-=.0' ,,,.... ... '.... -,Ii . '....., I ." 'ot . .t....!~ ..... -~I '...1 t. " ~;IU . i . ,.\i:l~II.~'i..;: ..1 t,... ,', ,. : I I.~:.~(..T:.~!!:~,... ,', .:. I . . "i1~rr. . ...."~"'~~... . . ._ . ..... ... - _... ______..._..__.__ __. _. ..,.... - .1. : ' I. ,. .. . , V380 ., ..1.. "' f'A.9~9~~Y~T..s~.. ... .., .........". ...... ...,... "...?J!~~_,Q9,._.,..?.1J~J:.9!L. , .\!~~.M :.:::~:,:.:.'::_~:.,': . ._...L ,.?QM!L MS~_,._,..,,,__.. ,_..'..,. M...._._..,_... .,_....?..9E4.QQ_,.__..~~~Q9_. Y3()(H? ....... ....... J 10-20 M!3I,JFGRAP;;.H ....... .......IN.9.I,...... ...............!.l!9.~. X,?~!,l?.............. ......)2 .P.~F..FBINI!:.R,..!:1~$..I..............,....................................f3.:2.~..9.9...... ..J!:2.~,QQ.. X395-93 . . l' DLP FIPS TAPE' 623.00 . . 623.00 ~._....,.,'Wk'__~_~._......'.'._....._w_'... .._>..,..KK.~_.,_..'hV...... .'",..'...""'.,_.t~............'.t........_,_.....'''"'.......K...".>......._...-.,.~.~,'..w_..._._._'^_......, ..,~....,.."._'..c....,~."......_......~.~ .'""'........._......_.......h...'~'~.'., 2;~1:.~...._..,__"_"_._._..,............L...Q.I,,.E,.YJ:'!!b!N_~__....__.....,...._.."",'....... ,. ...... ........9:?~..Q9..... ......... ..,~q2,},QQ.... ?<~1<>::!,l1. . .., ...... .. ... . ...... .... ...... .....:2.... ..lJ.lF,~.~I,,~sw..I?I.~ISL1.!!Q.!!)1~59.T9R.............5.1tQQ......_J!()~,QQ )9.1Q~!lt. .... ..... ........t..P~f>!$.~I!.~IgJ.I~!<.,,1()Q.!~Y.~:r~!?sC.TQ~. .......... .5.~J,()()..........5..~.L9().. X310-91 .' . .. .. 1 . DlP. SCSI, PNC COMMUNICATIONS .' ... 518,00 . 518.00 :::~~i4~i4 ::",:: :'.'::"" ".'..:i:: .j~Blli;:gB::iii2if.M:::'=:~:=::~==:':~===::==:= ,::.::~&i~Q9=: :.:=:i1:llii;w:: ...!'!I~61 ....................... .............1.... . IA.f"!::c;QNII3.9.~I,,!::R,W.t1PBIy~!..1.??.If.:'.~..... ....... .....5i.!.~.?~:9.9...... ...~,1:2.f3.:9.9. .. ..I3.J~?f:i.f:i.. ...... ...................._?... ..TAf.:'.s. RRI~,..~IA.YS!J??I.f>$...... .?,f3.5i?9.9.....M1.f:iQ9. ..Q$~.::?'Q().o..........,,,..., .............._........1..... . .;>.g.s..J..l?J;?!51'...Llli~,.y$I~M_.....,..,......,....~...... ....... ?Z~Q,.QQ'w........J.,Z9g:.9.9... ,...................,_..._.. .__,............w.. ......Lr:,LC.hl)D~~_~~~g.A~I.t:!gJ?~!\hF'!.~m I . ....m m.m ..... ............. ... ...It!g~y..r>.s$.:.1~.o:!i!.~:91.~g;S.LP'$.I<.. m ....... m. ... m.. ............. mmm ..... .......It!(;I,,\:!Q,s$:,.?..o:!~J99M~J.f\!<.P.I~K.m... ...... '.m ..m m.m. ...m. _.I??... _,.,...... .... ...., 1:rE~f.A!N.~L.! 9[)! .. "'" ..."........M'''...'.. .... _..."J!lCJ:.,.. ............._!J::If.L ..I:l$41Q9:TD " .. ..: . ..... .,." ? . RAT IN's .QB.!Y.!::...PJEEs.l:ls~IlAIED...._.".. ._...... _i?,Q,QQ.~_....,.."",?1Q,QQ... ... ..................... .......................... ... .. ..",..IQTAL9.!:!{\R~s.m!!J:~_~;....... ",............,,, ..........,~.i!1Q.,Q().,. ..............._.............._................. .................. .......w........ ............,(.!l!!:.Y..1,.?,(!!P....:!.!!N{}O,;/?qpfJ................. ._...............,".........,.... .....,....._............., ,.. ., "... ... ,', .,'." .... ,-W,'. ~",.." ~"^,.w,-~........,...~.,~~,..,'....-..,"~..~.',~."*.,'._h"_~'~,.._...,"~._,..h.. .,.~n..~.~.NO,"..,~..~,._vm,.,~~v ,...~.,w.~w~,~_,~...,_.,~~,,~.. .-~..h.-.~"'...~'.......'....h."~~",'""',",.....w.......',..,~...., .,~_.w~.<.""".H'......W..,_.,...~,... .-..'hh',.~..,."."....-....h...'..'~...-.,., ..., ..~....., ... ... ......" '.." ..' '"._'.. ....., ,>... .",.' . r'. _ '....~."'...". "~__.". ...~. .... .. ""'..".'...^."...,~.~,._,..,..'.,~.".~,,~_.,,.__, "...."...._...'.,...",.~......,,~,~ ,_.~.'..~._.".....~._.__..v_ ReViS~ Two, EXHIBIT A, 3 of 3 ADDENDUM TO: AGREEMENT # 18980724 PRICE INCREASE CHART / Year 1 7/1/2001- 6/30/2002 Original T enn $50,000.00 Year 2 7/1/2002 - 6/30/2003 Original T enn $50,000.00 Year 3 7/1/2003 - 6/30/2004 Optional Renewal $53,840.00 Year 4 7/1/2004 - 6/30/2005 Optional Renewal $57,070.00 Year 5 7/1/2005 - 6/30/2006 Optional Renewal $60,494.00 (770) 451-8002 3073 McCall Drive - Atlanta, Georgia 30340 800-878-8002 Fax: (770) 454-8404 . . DAT TAPE DRIVE PROPOSAL 2 ea HS4400-TD DAT Tape Drive, 4 mm, Differentiated Table Top Unit $3,000.00 Transport / Delivery $75.00 / Installation / Set-up (Regular Business hours) (After hours or Week-end) $450.00 $700.00 SCSI DLP (if needed, 1 ea) SUBTOTAL: $850.00 $5,075.00 Lead Time: 2 weeks Annual Maintenance (Total for both Units) $840.00 Notes: The HS4400-TD DAT Tape Drive will accommodate the current DAT Media being used. The drives are table top units and are stackable Price includes all required connecting cables It is recommended that the drives connect to an independent DLP (Data Link Processor) and not share any other device on the DLP One DLP will control both Tape Drives If the V380 houses an extra DLP then it is not necessary to purchase another one. Current available SCSI DLP will suffice. (770) 451-8002 3073 McCall Drive - Atlanta, Georgia 30340 800-878-8002 Fax: (770)454-8404 1 of 1 EXHIBIT D ~ 2/10/}004 15:24 Ii ::)()93' JI2.. Burnet te Insurance Pam F1owers~LAlJRA SHEEDY 2i2 ACORD. CERTIFICATE OF LIABILITY INSURANCE CSR PF I DATE (MMIOOiYYVY) SYMCO-1 02/10104 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Burnette Insurance Agency/Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3447 Lawrenceville Suwanee Rd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suwanee GA 30024-2402 Phone: 170-339-8888 Fax: 770-339-1442 INSURERS AFFORDING COVERAGE NAlC# IN!!IURED A-.aoO/~ IEJ4 INSURER"'- Zurich u.s. Insurance 4:, ;00,).' I INSURERS Legion Insurance Company IN5UFlERC Sma Grou~, Inc. '+~~3. 11)- 3 73 McCa1 Dr #1 INSURER 0 Atlanta GA 30340-2831 INSURERE: COVERAGES 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 PNf CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEO OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AlL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. '~~ :u~ TYPE OF INSURANCE POUCY NUMBER p~~r':~~~ Pg~ieYf~:'o~~~ U"no GENERAL LlABIUTY EACH OCCURRENCE , 1,000,000 - 07/31/03 07/31/04 ~ES(E;~;~~~nce) A l[ COMMERCIAL GENERAl... LLABIUTY 040972979 , 300,000 II!:LAlMSM.4J)E [!] OCCUR MED EXP (Anyone person) , 10,000 PERSONAL & f.lN INJURY $ 1/000,000 - - GENERAL AGGREGATE S 2/000,000 / GEN'lAGGREGATE UMIT APPUES PER: PRODUCTS. COMPIOP AGG S 2/000,000 Xl. neRO- nLOC :J: I POUCY JECT ~OM08ILE LIABILITY COMBINED SINGLE UMIT $ 1/000,000 I A X ANfAUTO 040972979 07/31/03 07/31/04 (EaacCident) - I ALL OWNED AUTOS BODILY INJURY - , SCHEDULED AUTOS (Per person) - I ..!.. HIRED AUTOS BODILY INJURY , ..!.. NON-OWNED AUTOS (Peracctdent) - PROPEF:lTY DAMAGE , (Per accident) =r::;~ AUTO ONLY - EA ACCIDENT , NOT APPLICABLE OTHERTHA.N EAACC , AUTO ONLY AGG , ~=r~SJUMBREL.LA LIABILITY EACH OCCURRENCE , 1 000,000 A X OCCUR D CLAIMS MADE 040972979 07/31/03 07/31/04 AGGREGATE , 1,000,000 i , I ~:'OUCT"LE , i :J: RETENTION '0 , I WORKIRI COMPENSATION AND :x I T~gyS~~~~ I lo~:t B EMPLOYERS'LlABIUTY WC50548357 11/28/03 11/28/04 , 100,000 />NY PROPRIETORJPARTNER/B(ECUTNE E.L. EACH ACCIDENT OFFICERlMEMBER EXCLUOED? E.L. DISEASE. EA EMPLOYEE , 100,000 lfyes,descnbeunder , 500,000 SPECIAL PROVISIONS below EL DISEASE. POUCY UMIT ""'ER I I , , DESCRlftTlON OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED IY ENDORSEMENT I SPECIAL PROVISIONS tr t {l.PPROVm) F\S TO ~f.'OB.1\,1 I Certificate holder is listed as additional insured as per con ac ua I obliqation./Faxed 714-647-5406.SEE REVISED WC INFORMATION. .-~jjf.----- i ,-- ;r,- (", . -';,.._., .1.. , L'ILdd ..),~.rc :-;l"''-'~'''"'_: I Assistani City }', trnri,I~\ CERTIFICATE HOLDER CANCELLATION SANTAAN' SHOULD ANY OF THE ABOVE DESCRlSED POUCIES BE CANCELLED BEFORE llIE EXPlRA110N DATE YHEREOF, YHE ISSUING INSURER WILL ENDEAVOR TO MAlL 30 DA'tS WRmEN City of Santa Ana Linda Kelley 20 Civic Center Plaza Santa Ana CJi 927C2 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THI> LEFT, BUT FAlLURI> TO 00 50 5HAU IMPOSE NO OSLlGA110N OR UABIUTY OF ANY KIND UPON THE INSURER. ITS AGENTS OR .o.r:(jl;'n,,,, (7nn1/nR\ . ~IILC/~~~~ 1.,~~ """'. i' -. iaiI8 " " July 15,2003 ,', FROM: Robert E, Williams, Jr. President S~co Group, Inc. 3073 McCall Drive, Ste 1 Atlanta, GA 30340 " To the attention of City of Santa Ana: I, Robert E, Williams, Jr., am under a contractual relationship with the City of Santa Ana to provide SERVICE and understand the City's insurance requirements. While I have the necessary insurance coverage plus the Additional Insured Endorsement, as required, my insurance carrier, Zurich U.S. Insurance, will not agree to the cross-outs in the cancellation clause (bottom right hand corner), /1; Therefore, I, Robert E, Williams, Jr, on behalf of Symco Group, Inc" agree and promise that I will personally provide the City with the required 30 days' notice should my coverage be cancelled or materially reduced in amounts. Very truly yours, ~ g :zj ~'RL --...r Robert E, Williams, Jr. President Symco Group, Inc. REW:dam '" ('> '-f'{' n......,l)-,'..f ; .onK-)c""~r) '-\,~,,--) f~:,,-Jidl/_l :1..1.t ' ,I y ~--,.>--' (, -~~, .-.' -. .Y:2L~. ,,' -~;hlity: . ,",,-,' t., '''-'''r',-'", ,_ ,i ,--, ~;cc .'1., .l .,1,"" ~ .-) .,~,;,",;;l~ :'-:i(\ F:,I_iOI-'-l'~V (70) 4.';:I-!jCU2 i.\i;J ~,kV',:' rJ,ii~' ;',,~;,~;'-',' ", ,,"v". :, \,:::;.:) i:)'.: ~.'_'~:" ~ 'J F,-\):rii,:;.j >:': f:l ~2/25/2004 ~1:15 ?AG~ 82 . ~ " . II 0020222280 #:::J IlIlL POLICY NUI.IeEIl I'ROOl.ICaI MAlBER o PF~ 40.72.78 02042240 s.!! !!f1NICH !:A EASTERN GEORGIA MJMIER Al.OlT M01237&202-001-00001 ANNUAL ENDORSEMENT e" 12/09/2003 " . ZURICH PRECISION PORTFOLIO POLICY POLICY CHANGES THIS e.DORSEM::Nr CHANGES 1lE PCUCY. REASE lEAD rr CAff3=tll Y. ~ POlJCY _. __I nIE AIOM . TO 07/31/2003 07/31/2004 NAAlEO SOOI RlIP, IHC, " 105 !lTEl.L1TE BlVD STEI SL'IANEE GA 303l0-2931 POlICY CHANGES B'I'ECTIVE COI#AHi 12/09/2003 lIAllylAJl) CASUALTY C(lfAIIl 8NTIE IllS ACK:t 34~7 LAmtm I LLE SlIIOO All SIIIAE GA 30024-2402 COVERAGE PARTS AFfECTED lnIERCIAL PRtfalTY CllVlRAGE PART COIIBlCIAL GalERAL LIABILITY COVERAGE PART CHANGES Am PRllPBlTY Loe 2 BLIlG 1 TSlTATIYE IlATe EJrolSEIDT AXltD OWNERS, LESSlIlS, III COORACTIIlS FlIlIl B FlR.L COIllRA CITY OF SANTA AlIA 2il CIVIC CEHTEll PlAZA SAKrA AlIA CA 92702 OWIGED PfIffERTY Loe 2 BUlG 1 SPECIFIC RAlES III LOSS COSTS TO 3 RILL TERlI PRBIllI/ I HCLlDI Nll THIS 11WlSACTION: * 11.818 ,00 PRBIllI/ EFFECT OF THIS lRAllSACTIOII: * .00 /d)PI(OV E,.U ,\S . __~d->_3Ir_.._ ~:':dI~''''~I. "\,SlS("lit eli\.: /qli.Jl"l"-'~V I Coun.tersigned by Date I I, lli'11 ('0(1 C.>'tli,~l, L~"JI.tN~ ~ I"'/;n 011;", 1m.. 1;1:13, C~ro1fl~lll. 1$0 Cf""~--<l(~iJI f:;,\ S"vi~~.. j'l:;., 19;1,:!, ! L~r~~i:') j S (J~:?'i Ol/Ol/2GOj "........".....~~.,. -..-...,,'--' '... '.- ...~.... ,..._~ -'. ..'...'.."-'...., .~-~.. ,.._........._..._,___....1 " J , " ~ 22/2S/28Zc:, ::1: 15 . 02c2~22222 ""J CA3E 2~ ,POLICY NUMB!:)'\; COMMERCIAL GENERAL LIABILITY CG 20 10 '0 01 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ., ;! ADDITIONAL INSURED. OWNERS, LESSEES OR CONTRACTORS-SCHEDULED PERSON OR ORGANIZATION This, ~doruement modifies Insurance provided under the following: COMMI:RCIAL GBIlERAL LIABILrTY COVERAGE PART II SCHEDUlE N_ Of P..son or Orgonlntlon: Of no enVy 'ppe8l's above. Information required to complete this endorsement will be shown In the Declarations as applicable to this endorsemenll A. Station" - Who Ie Jon Nu'ed Is emended to in- cl\Ide 61 an insureclthe person or OI'lJ*'liution shown in trnl Schedule, but only with raspect to IJ,bility arising out of YOIr ongOing operations performed for tNt iNured B. With r.espect to the insuranc:e aHorded to these additiOI181 inlIureds. the following exclusion is added 2. eXIl~$1ons This il'l$lJ1"anee do~ not apply to "bodily injury" or "property damage' oc:c:umng after. (1) All wO/1<., Including meterillls, parts or equip- ment fumisht!lcl in connection with suc:h work. on the project (other than ..rvice, mainte- nance or repairs) to be performed by or on beh.lf of the additional ineured(s) at the site of the covered operations has been com- pleted; or (21 That portion of 'your work' out of whlc:h . the Injury or damage arises has been put to its intended use by flIY person or organiza- tion other than another contractor or sub- .:ontractor engaged in p.rforming opera- tions for a principal.. a part of the same proJect .~;'l:;\\IFf'~ \ ,~, ""'n r~r)~- -' ,t., \.J \' ,.'-'~.: .,:~~"':> J "-__ .c~ \. j:(1\1 . ....~f~~(~.._.. , ' ,,~7'~v.".I ".,.)l,~~"n, /"'_r{C'i'r~tV r;(; ?~~ 10 '1001 C4-i-*I::::\:Iif,,;:r:l:\lr'l;,-;(,;.;<J P.;j/J:l 1 of 1 ,ACORD. CERTIFICATE OF LIABILITY INSURANCE CSR PF I DATE (MMIDDNYYY) SYMCO-1 01/25/05 PRODUCER THIS CERTIFCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFCATE Burnette Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOESNOT AMEND, EXTEND OR 3447 Lawrenceville Suwanee Rd. ALTER THE COVERAGE AFR:lRDED BY THE POLCIES BELOW. Suwanee GA 30024-2402 I INSURERS AFFORDING COVERAGE , Phone: 770-339-B888 Fax: 770-339-1442 I NAIC# INSURED A-;;<lYJ I-I y~ I INSURER A: Zurich U.S. Insurance f----- A- C/ODJ_I'N ~SURER B: Legion Insurance compan=-=~._ 80500 Group Inc. A-,>-OfJ3 -1/2- INSURER c: 1 5 Sate1l~te Blvd. Suite 5 I rNsuR_ER D: -t---- Suwanee GA 30024 A -4l.Y! -[J9% INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. l TR NSR A TYPE OF INSURANCE I GENERAL L1A~ILlTY 1- I.X I COMMERCIAL GENERAL LIABILITY EP C~~S MADE ~ OCCUR I Ixl~' GEN'lAGGREGATE LIMIT APPLIES PER: I' , PRO- n X POLICY I JECT LOC ~OMOBILE LIABILITY X ANY AUTO U ALL OWNED AUTOS ~j SCHEDULED AUTOS X HIRED AUTOS ~ NON-OWNED AUTOS LI POLICY NUMBER , ~~';!N~fDE.f,wE I P8k!&~tb't-m.~ LIMITS I ~~~~OCCURRENCE $1,000 r 000 07/31/05 I PREMISES (Ea occurence) $ 300,000 MED EXP (Anyone person} '$ 10 f 000 I PERSONAL &-ADV INJURY 1$1,000 f 00-0- I GENERAL AGGREGATE ~OO r 000 PRODUCTS" COMPIOP AG~I $ 2 faD 0 f 000 I COMBI~EDSINGLElIMrT 1$1 000 000 07/31/05 (EaaCCldenl) .~. f I BODilY INJURY I $ (Per person) r----:- . BODILY INJURY I l(pera~Cident}_ $_. I PROPERTY DAMAGE ~ I (f-'eraccldent) 07/31/04 I 040972979 A 040972979 1 07/31/04 GARAGE LIABILITY o ANY AUTO NOT APPLICABLE AUTO ONLY - EA ACCIDENT $ 1 OTHER THAN EAA~-~. AUTO ONLY: EXCESS/UMBRELLA LIABILITY A ~ OCCUR Li CLAIMS MADE h DEDUCTIBLE rx-I RETENTION $ 0 WORKERS COMPENSATION AND I EMPLOYERS' LIABILITY B ,ANY PROPRIETOR/PARTNER/EXECUTIVE I OFFICER/MEMBER EXCLUDED? II yes. describe under SPECIAL PROVISIONS below I OTHER 040972979 07/31/04 07/31/05 AGG $ EACHOCCURRENC~OOO I AGGREGATE_~_ $ 1 r 0.00 f 000 ~---~~--- ~-~~- $ X TORY LIMITS I ER , E.l.EACHACCIDE~rOOO ,I E.l. DISEASE - EA EMPlOYE~ lOaf 000 _ E.L. DISEASE. POLICY LIMIT I $ 500 f 000 WC50548357 11/28/04 11/28/05 DESCRIPTION OF OPERATIONS / LOCATIONS {VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate holder is listed as additional insured as per contractual obligation./Faxed 714-647-5406.SEE REVISED WC INFORMATION. 1 APPROVED AS 10 Hh",. ,j'V/ , /' ~7t "JC~ . Laura Stitt SliecJy..... Assistant Citv At1(1]":,_' CERTIFICATE HOLDER CANCELLATION SANTAAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA TIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Ci ty of Santa Ana Linda Kelley 20 Civic Center Plaza Santa Ana CA 92702 ACORD 25 (2001/08) @ACORDCORPORATlON 1988 ACORD. CERTIFICATE OF LIABILITY INSURANCE CSR PF T DATE (MMIDOIYYYY) SYMCO 1 07/15/05 P~,?OUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Burnette Insurance Agency/Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3447 Lawrenceville Suwanee Rd. ALTER THE COVERAGE AFIURDED BY THE POLCIES BELOW. Suwanee GA 30024-2402 I Phone: 770-339-8888 Fax: 770-339-1442 INSURERS AFFORDING COVERAGE -I:IC# -- INSURED A-.;;zoo5- ofj7 INSURER A: Zurich U.S. Insurance I INSURER Bo Legion Insurance Company , S~co Group Inc. I -- INSURER c: 1 5 Satell~te Blvd. Sui te 5 INSURER 0: Suwanee GA 30024 INSURER E COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSRD TYPE OF INSURANCE ~l LIABILITY A . X COMMERCIAL GENERAL LIABILITY ,-- CLAIMS MADE ~ OCCUR ~ ; GEN'L AGGREGATE lIM!T APPLIES PER: rx-j POLICY n ~r8T ~I LOC ~OMOBILE LIABILITY I~ ANY AUTO ~ ~ ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS H NON-OWNED AUTOS GARAGE LIABILITY R ANY AUTO , POLICY NUMBER PD~';!~}J~flt~\E p(j'kfirl~~hRDA~~N I I 07/31/05 07/31/06 LIMITS EACH OCCURRENCE 1 $ 1,000,000 PREMISES (Ea occurence) .1 $ 300,000 I MED EXP (Any one person) i $10,000 I PERSONAL &ADV INJURY 1 $ 1,000,000 I GENEMlAGGREGATE I. 2,000,000 , PRODUCTS - COMP/O~AGG ; $ 2,000,000 040972979 A EXCESS/UMBRELLA LIABILITY ~ OCCUR !..=J CLAIMS MADE b DEDUCTIBLE ,X I RETENTION 040972979 I COMBINED SINGLE LIMIT I: 1,000,000 07/31/05 07/31/06 (Eaaccrdent) I BODilY INJURY (Per person) I BODilY INJURY $ (Per accident) 'I PROPERTY DAMAGE ,. (Per accident) AUTO ONLY - EAACCIDENT . - OTHER THAN EAACC . AUTO ONLY: AGG . EACH OCCURRENCE '1,000,000 f------ 07/31/05 07/31/06 AGGREGATE '1,000,000 ~ . . - . , X ',T8'~/ ~/~,Ws 'I IU~R r 11/28/04 11/28/05 I EL EACH ACCIDENT '100,000 E.L. DISEASE - EA EMPLOYEE '100,000 E.L. DISEASE. POLICY LIMIT .500,000 lPPRovci; , i;' rUfUVi ,---a.'...> .(....;. A 040972979 I NOT APPLICABLE $0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ~~Etl~t5~:5v~~16~S below OTHER , WC50548357 I DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate holder is listed as additional insured as per contractual 1~/~' 0 'p' ,{",,- obligation. /Faxed 714-647-5406. SEE REVISED WC INFORMATION. ___ -:;:z./JL/".I-,...L.lf~'- I' l~,tldt, :'-.l'\' ~I..c'cd\ \ <,bl:'.il: ("it:.' .\1:'1:-'1.\ CERTIFICATE HOLDER CANCELLATION SANTAAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXP1RATl0 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City of Santa Ana Linda Kelley 20 Civic Center Plaza Santa Ana CA 92702 @ACORD CORPORATION 1988 ACORD 25 (2001/08) 0~/15/2005 01:11 0000000000 >>AO PAGE 02 . ~ 5 YMCa GROUP INC. June 15,2005 FROM: Robert E. Williams, Jr. President Symco Group Inc. 105 Satellite Boulevard, Ste 1 Suwanee, GA 30024 To the attention of City of Santa Ana: I, Robert E. Williams, Jr. am under a contractual relationship with the City of Santa Ana to provide SERVICE and understand the City's insurance requirements. While I have the necessary insurance coverage plus the Additional Insured Endorsement, as required, my insurance carrier, Zurich U.S. Insurance, will not agree to the cross-outs in the cancellation clause (bonom right hand comer). Therefore, I, Robert E. Williams, Jr., on behalf of Symco Group, Inc., agree and promise that I will personally provide the City with the required 30 days' notice should my coverage is cancelled or materially reduced in anlOunts. Very truly yours, ~-- \ ;. ...., ~...... t; "" J 4~-' Robert E. Williams, Jr. President Symco Group, Inc. REW:dam \,PPfUJVEU /\~ IU FORlvl 105 Satdlilc Ihmll:v;ud. "o\\I{r 1, SU'....JI1IT. (;.\ )[1024-. ~lll)-S7H.Sn02" n0-4S1-tiLll12" 77U'lILH-70.3b fa:.... wwwsym<:Llgroup,l:om -y~/:~ /~ !~- i..lULI S[;11 Sheedy \.,:,i:-:[;i ,Ii ('!i.\ /\ 11 nr!ll~~-