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HomeMy WebLinkAboutAMTECH ELEVATOR SERVICE ( NAES ACQUISITION CORP ) 1D-2009 INSURANCE NOT ON FILE A-2006-118-004 WORK MAY tm PROCEED CLERK OF COUNctL FOURTH AMENDMENT TO AGREEMENT nATE: q-15-OVf ~\. THIS FOURTH AMENDMENT, made and entered into this] 3th day of August, 2009, by and between 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") and NAES Acquisition Corp, dba Amtech Elevator Services, a California corporation ("Contractor"). RECITALS < (!of\ f,- ,rJ ~ ~.,- ~.5 ~d -' ~ cJ A. The City and Contractor entered into Agreement, A-2006-118, dated May 15th 2006, hereinafter referred to as "said Agreement", by which Contractor has provided maintenance, service and repair of elevators located within City facilities. B. By amendments dated May 29, 2007, May 2, 2008 and April 1, 2009, the parties extended the term of said Agreement and added compensation to pay for services during the extended term. C. The parties now desire to amend the Scope of Services to provide that Contractor will provide service for the elevators at the Santa Ana Regional Transportation Center. WHEREFORE, in consideration of the mutual and respective promises hereinafter contained and made, and subject to all the terms and conditions of said Agreement as hereby amended, the parties do hereby agree as follows: I. Section 1, SCOPE OF SERVICES, is deleted in its entirety and replaced with the following: "Contractor shall provide preventative maintenance and repair for elevators located in City facilities, including City Hall and the Ross Annex, Library, Corporate Yard and the Santa Ana Zoo, as set forth in City's Request for Proposal dated February 27, 2006, incorporated by reference, and Contractors Proposal dated March 31, 2006, attached as Exhibit A to said Agreement. Commencing August 14,2009, Contractor shall provide preventative maintenance and repair for the elevators located at the Santa Ana Regional Transportation Center (Depot) as set forth in Contractor's Proposal dated April 7, 2009, attached hereto as Exhibit A, 1 and incorporated by reference." 2. Section 2.8, COMPENSATION, is deleted in its entirety and replaced with the following: "a. City agrees to pay, and Contractor agrees to accept as total payment for its services, the rates and charges identified in Exhibits A and A-I. The total sum to be expended under this Agreement shall not exceed $30,816.00, annually, during the term ofthis Agreement. 3. Except as modified herein, the terms and conditions of said Agreement remain unchanged and in full force and effect. III III III IN WITNESS WHEREOF, the parties hereto have executed this Fourth Amendment to said Agreement on the date and year first above written. ATTEST: CITY OF SANTA ANA (]d{712~- DAVID N. REAM City Manager '-n1 ~ /). !fvj~ PATRICIA E. HEALY Clerk of the Council APPROVED AS TO FORM: JOSEPH FLETCHER City Attopney ~ By: 'Y/4dA" ., ru.:fu::. Laura Sheedy, Assistant City...orney NAES Acquisition Corp, dba AMTECH ELEVATOR SERVICES RECOMMENDED FOR APPROVAL: ~\\t\~I"\.M n\\~ FRANCISCO GUTIERREZ Executive Director Finance & Management Services Agency B' (NAME) f)1i h' (>-1.- ("''l (Title) 1j'(W!>IW j!l'Ur( I Tax 10#: C:Xo - ILl I 700 AMTECH Elevator Services EXHIBIT A-I DATE: April 7,2009 TO: Mario Ghizzi City of Santa Ana P.O, Box ]988 Santa Ana, CA 92702 FROM: Justin Seibel, Account Mgr. Amtech Elevator Services 1550 S Sunkist Street, Suite A Anaheim, CA. 92806 EQUIPMENT LOCATION: Train DepotlParking Garage 1000 E. Santa Ana Blvd Santa Ana, CA Amtech Elevator Services: Phone: (714) 939 6516 Fax: (714) 939 6524 PROPOSAL NUMBER: EQUIPMENT DESCRIPTION: Number of Units 1 Parking Garage 1 Main Depot 2 Bridge Manufacturer Schindler MPH-II MCE Schinder Roped Hydros Type of Units Hydraulic Passenger Hydraulc Passenger Roped Hydraulic Passenger Machine Numbers 116778 79468 143997-8 Amtech SERVICE We propose to furnish Amtech Service on the equipment ("Units") described above. All work will be performed during our regular working hours of our regular working days, unless otherwise specified in this Agreement. Under this Contract. we will service the Units on the following terms and conditions: MAINTENANCE INCLUDES: We will use reasonable care to maintain your equipment using trained personnel. We will regularly and systematically examine, clean, lubricate, adjust and if in our opinion conditions warrant, unless specifically excluded under the proration provision, repair or replace the following: Hydraulic: Pump Unit, valves and motors, jack unit except underground cylinders and piping. Controller: Dispatching and power equipment, selectors, all relays, solid state components, computer components, transformers, chokes and filters. Dispatching Equipment: All relays, resistors, contacts, coils, leads, fuses, transformer, timing devices and solid-state components. Selector: All electrical Of mechanical drive components, cams, contacts, relays, resistors, leads, transformers and solid state components. Hoistway Equipment: Buffers, guide rails and guide shoes. Power Door Operator: Car and hoistway door hanger tracks and rollers, car opening protective devices, door auxiliary closer, door gibs and door interlocks. 10 Amtech Elevator Services, 2003 All Rights Reserved (11/1/05) Page] of7 Proposal# Elevator Control Wiring: Located in the machine room, hoistway, car including the traveling cables. Fixtures: Call and hall operating buttons, contacts and signal bulbs. Replacement of signal fixture bulbs is to be performed during regular examinations or otherwise be billed separately at Amtech's standard billing rates. Furnish Lubricants and Hydraulic Fluid. Safety Devices: will be periodically examined. SERVICE PROVIDED We will examine, adjust, clean and lubricate the equipment as set forth above. Prompt response to all emergency callbacks during regular working hours, Monday through Friday, except holidays, recognized now and hereafter by the local elevator union. Covered repairs will be performed only during regular working hours. We will maintain for each unit a record of all examinations, callbacks and repairs. OVERTIME CALLBACK SERVICE On Callbacks outside of regular working hours, Amtech Elevator Services will absorb the worked hours at straight time rates and you will be charged for the overtime premium portion only, including for travel time and expenses. cg Amtech Elevator Services, 2003 All Rights Reserved (1l/1I05) Page 2 of7 Proposal# MAINTENANCE DOES NOT INCLUDE: Refinishing, repairs to, or replacement of elevator car enclosures (including removable panels), car gates, plenum chambers, hung ceiling, handrails, mirrors, light diffusers, fixtures and bulbs, emergency lighting including battery, car sill(s), car flooring and platform. Hoistway enclosure, including hoistway door panels, frames, sills, fascia, hoistway gates, and hoistway cleaning. Signal fixture and operating station cover plates or plastic inserts. Braille and tactile plates. Telephones or communication systems, Key mortise cylinders, instruction or warning signs in connection with the use of the equipment by passengers. Electric power supplies for equipment operation including signals and lighting; power switches, circuit breakers, or fuses and feeders to the controllers. Emergency power systems, mainline shunt trips and emergency power transfer switches. Telephones installed by others, smoke and heat detectors with related wiring and annunciation panels, air conditioners or cooling systems, heating systems, cad key or touch pads, intercom, music or security systems, computer devices, keyboards, or display units. Failure of hydraulic jack unit, buried or unexposed pipe or conduit from any cause including, but not limited to, corrosion or electrolysis. It is mutually agreed that all repairs and replacements covered by this Agreement are limited to those necessitated by normal wear and tear, and that we shall not be required to replace or repair equipment by reasons of negligence or misuse by others or for any cause beyond our control; including but not limited to incorrect use of key switches, damages to the equipment by acts of God, forces or elements or changes in the normal environment and/or operating conditions. We shall not be required to alter existing equipment, or make replacements of obsolete or discontinued parts or parts of changed design whether recommended by you or directed by insurance companies, consultants, third party audits or any governmental authority. Unless provided elsewhere in this Agreement, any step/skirt performance index test or modifications, replacements or repair necessary to meet the performance index on your escalators that are required by applicable laws are not included in this Agreement. Unless provided for elsewhere in this Agreement, any periodic safety tests required by applicable laws or codes are not included under this Agreement, but will be performed by us upon request from you and will be billed at our regular billing rates. We shall not be responsible for any inspection fees, license fees, certificate fees or witness fees for any testing of equipment which may be required by governmental or other authorities. You assume responsibility for the cost of correcting all Elevator Code violations existing on the date we enter into this Contract. If such Code violations or other outstanding safety violations are not corrected in accordance with this Contract, Amtech Elevator Services may cancel this Contract by providing thirty (30) days written notice. If the equipment has firefighter's service, you assume responsibility for performing and keeping a record of any Code required tests and for the maintenance and functioning of the smoke and/or heat detectors. If during the initial firefighter's service test any elevator firefighter's service is found to be inoperable, the building is responsible for all of the cost associated with the repairs necessary to bring the unit in compliance with the applicable Codes. Cleaning, adjustments, parts and repairs, which are not specifically included herein, are excluded. Such additional work, when necessary, and authorized by you, shall be performed at our regular billing rates for material and labor including travel time and expenses. PARTS INVENTORY AND LUBRICANTS We will maintain a supply of frequently used replacement parts and lubricants required for routine maintenance. Replacement parts furnished under this Agreement will be original equipment manufactured or parts specifically selected by us for use on this equipment. All replacement parts will be new or refurbished to our standards. In the event the Agreement is terminated for any reason whatsoever, you agree to provide us access to the premises where the equipment is located to allow us to remove any spare parts or tools stored there by us. \0 Amtech Elevator Services, 2003 All Rights Reserved (1111/05) Page 3 of7 Proposal# OPERATIONAL CHARACTERISTICS We will maintain optimal operational characteristics of your equipment including, door operation, car speed floor leveling, and ride quality as determined by the original equipment design, age of equipment and building use type. PRORATIONS, EXCLUSIONS If a Prorations/Exclusions Addendum is attached, the items listed on that Addendum show considerable wear and will have to be replaced or repaired in the near future. These items are subject to limited or no coverage as provided for in the Addendum. YOUR OBLIGATIONS It is agreed that we do not assume possession or control of any part of the units, that such remains yours solely as owner, operator, lessee or agent of the owner or lessee, and that you are solely responsible for all requirements imposed by any federal, state or local law, ordinance or regulation. This responsibility includes, but is not limited to; advising, warning and/or instructing passengers in the proper use of the equipment. Escalator Units are designed only for transporting passengers. For escalator Units, you agree to take all necessary measures to prevent other items from being conveyed, so that features designed to protect passengers and prevent property damage are not damaged. When stationary, escalators are to be properly barricaded and not to be used as steps. You will insure that the machine rooms are properly ventilated with temperature controlled in the 50 degree F to 90 degree F range or otherwise as required by governmental authority. You agree to provide us unrestricted, ready and safe access, including off-hours emergency callbacks, to all areas of the building in which any part of the units are located and to keep all machine rooms and pit areas free from water, stored material and excessive debris. You agree to provide a safe work place for our personnel and to remove any hazardous materials in accordance with applicable laws and regulations. You agree to restrict access to the equipment to only our authorized personnel. During the term of this Agreement, you agree not to permit others to make alterations, additions, adjustments, repairs, or replacements to the equipment. You agree to provide us with current wiring diagrams reflecting all previously made changes for Units covered by this Contract to facilitate proper maintenance of the equipment. You are responsible to secure our right to use any special service tools, manuals and technical support required to maintain your equipment. These tools must be provided prior to us beginning maintenance on such equipment. If any of the following conditions occur: an operational problem, an equipment malfunction, a dangerous condition, or there has been an accident, you, shall immediately notifY us. In the event of an accident, we shall be notified in writing within 24 hours of the incident. Until the problem is corrected, you agree to remove the Unit from service and take all necessary precautions to prevent access or use of the Unit. This notice requirement is to be strictly construed and any failure to comply with the requirements will serve to hold you liable for any damages or injuries resulting therefrom. The ASME AI 7.3-2002 Safety Code for Existing Elevators limits the space between the hoistway door and elevator gate to 4 inches (or 5 1/2 inches if there is a hoistway door and elevator door and 5 inches for Private Residence Elevators). The purpose ofthis provision ofthe Code is to prevent a child or small adult from becoming entrapped in this space and then being killed or seriously injured if the elevator moves. There have been multiple deaths and severe injuries to children who became entrapped in the excessive space, such as exists on your elevator. We recommend that until the elevator has been modified to eliminate the excessive space, it should be turned off. TERMS AND CONDITIONS You will indemnifY and hold us harmless for losses due to personal injury or property damage to the extent caused by your negligent acts or omissions. We shall not be liable for any loss, damage or delay due to any cause beyond our reasonable control including, but not limited to, acts of government, strikes, lockouts, labor disputes, fire, explosion, theft, floods, water, weather, it;) Amtech Elevator Services, 2003 All Rights Reserved (II/l/OS) Proposal# Page 40f7 earthquakes, riot, civil commotion, war, repairs by others, exposure to excessive heat, vandalism, misuse malicious mischief or acts of God. Notwithstanding any other agreement or provision to the contrary, under no circumstances will either party be liable for any indirect, special or consequential damages of any kind. We shall not be liable for removal or disposal of hazardous and waste fluid or materials or for any environmental/ecological reporting, testing, cleaning or rehabilitation dictated by any agency or party for any reason. If such action is required from us by a third party they shall be paid for by you. While this Agreement is designed to reduce wear and prolong the useful life of such equipment, we make no representation that such equipment will not breakdown or malfunction, and you agree to hold us harmless from any such event or action arising therefrom. Any purchase order issued by you in connection with this Agreement are deemed to be issued for your administrative or billing identification purposes only. The terms and conditions contained herein shall exclusively govern the services to be provided hereunder, and this Agreement may not be changed, modified, revised or amended unless in writing and signed by you and our authorized representative. In the event of sale, lease or other transfer of the equipment, or the premises in which they are located, or a change in the paying party, you agree to see that such transferee or alternate paying party is made aware of this Agreement and assumes and agrees to be bound by the terms hereof for the balance of the Agreement term. Should you fail to do this, you will be liable for the full unpaid balance due for the unexpired term of the Agreement. We may at our sole discretion, terminate this Agreement with any such successor at any time upon thirty (30) days written notice. The Agreement monthly price is a unit amount for the entire Agreement period subject to interest and escalation adjustments. Your failure to pay any sum within sixty (60) days will be deemed a material breach. We may, at our option, declare all sums due or to become due for the unexpired term, immediately due and payable as liquidated damages, but not as a penalty, and until the same are paid, be discharged from further obligations under the Agreement. It is expressly agreed that the payment of all sums due hereunder, is a condition precedent to the rendering of service. We reserve, at our option, the right to suspend or curtail service until all payments due are made. This Agreement is based on conditions prevailing under current labor agreements. In the event future labor agreements or changes alter costs or restrict our ability to provide services hereunder, we shall notify you in writing and thereupon, offer modification to the Agreement to remedy the situation. In the event we cannot agree on a revised Agreement, either party shall have the right to terminate this Agreement upon expiration of ninety (90) says from the above notice. All agreements and covenants contained herein are severable, and in the event any of them shall be held to be invalid or unreasonable by any competent court, the Agreement shall be interpreted as if such invalid agreements or covenants were not contained herein. ({j Amtech Elevator Services, 2003 All Rights Reserved (11/1/05) Page Sof7 Proposal# CONTRACT PRICE AND TERM CONTRACT PRICE Our price to perform the services as outlined in this agreement is Six thousand two hundred forty and 00/100 Dollars ($6,240.00) per year, to be billed quarterly in advance at a rate of One thousand five hundred sixty 00/100 Dollars ($1560.00) quarterly. PRICE ADJUSTMENT The Contract Price will be adjusted on the date of any labor rate adjustment under Amtech Elevator Services contract with the respective collective bargaining agreement to reflect increases or decreases in material and labor cost. TERM The Commencement Date will be Date of Execution. The Term of this Contract will be for five (5) years beginning on the Commencement Date. The Contract will automatically be renewed at each fifth anniversary for an additional five (5) year term unless terminated by either party by giving written notice to the other party at least ninety (90) days, but no more than 120 days prior to the end of the then current five (5) year term. PAYMENTS The work shall be performed for the agreed price plus any applicable sales, excise or similar taxes as required by law. In addition to the agreed price, you shall pay to us any future applicable tax imposed on us, our suppliers or you in connection with the performance of the work described. You agree to pay a late charge from the date such sums become due of one and one-half percent (1.5%) per month, or the highest legally permitted rate, whichever is less, on any balance past due for more than thirty (30) days, together with all costs (including, but not limited to, attorneys' fees) incurred by us to collect overdue amounts. Failure to pay any sum due by you within sixty (60) days will be a material breach. We may at our option declare all sums due or to become due for the unexpired term immediately due and payable as liquidated damages, and until the same are paid be discharged from further obligations under the contract. If payments are not made in accordance with the terms ofthis contract, when due, we may elect to cancel this contract at will and shall not be liable for any acts or omissions following any such failure to make payment, whether election is made to cancel the contract or not. Upon receiving payment of arrears we may, at our option continue to render services hereunder, but such continuance shall not constitute a waiver of any of our rights because of such default. Invoices will be deemed acceptable unless we receive from the purchaser specific written objection within 10 days from the invoice date. In addition to any other remedies we may have, in the event that THE PURCHASER cancels this contract prior to its expiration. THE PURCHASER shall pay as liquidated damages (NOT AS PENALTY) 33% of the monthly agreement price as adjusted per the adjustment clause herein at the time of the premature cancellation, for the number of months remaining between the cancellation date and the agreement termination date. :0 Amtech Elevator Services, 2003 All Rights Reserved (11/1/05) Proposal# Page 6 of7 ACCEPTANCE This proposal, when accepted by you below and approved by our authorized representative, will constitute the entire and exclusive contract between us for the services to be provided and your authorization to perform as outlined herein. All prior or contemporaneous oral or written representations or agreements not incorporated herein will be superseded. Any purchase order issued by you in connection with the services to be provided will be deemed to be issued for your administrative or billing identification purposes only, and the parties hereto intend that the terms and conditions contained herein will exclusively govern the services to be provided. We do not give up rights under any existing contract until this proposal is fully executed. This Contract may not be changed, modified, revised or amended unless in writing signed by you and an authorized representative of Amtech. Further, any manual changes to this form will not be effective as to Amtech. unless initialed in the margin by an authorized representative of Amtech. THIS QUOTATION is valid for ninety (90) days from the proposal date. Submitted by: Accepted in Duplicate Justin Seibel, Account Mgr. CUSTOMER Approved by Authorized Representative Amtech Elevator Services Approved by Authorized Representative Date: Date: Signed: X Signed: Print Name: Print Name: Daniel Buttrey Title: Title: General Manager E-mail: Name of Company: o Principal, Owner or Authorized Representative of Principal or Owner D Agent (Name of Principal or Owner) A TT ACHMENTS The Special Provision Attachments checked below are included and made part of this contract: D Attachment Prorations / Exclusions Addendum D Attachment Miscellaneous Provisions "An "F" D Attachment Governmental Required Safety D Attachment Hydraulic Cylinder Warning "B" Inspections Addendum "G" D Attachment Pre-Maintenance Repairs Addendum D Attachment Fire Test Option "e" uH" D Attachment Advance Payment Option D Attachment Notice to Cure "0" "I" D Attachment Extended Term Option "E" <0 Amtech Elevator Services, 2003 All Rights Reserved (11/1/05) Proposal# Page 7 of7 - 'AAfTECH A1TACHMENT "F" DATE: April 7, 2009 TO: City of Santa Ana P.O. Box 1988 Santa Ana, CA 92702 FROM: Amtech Elevator Services 1550 South Sunkist Street, Suite A Anaheim, CA 92806 (714) 939-6516 CONTRACT NO: UNITS: Applies to 2 - Elevators, State #'s 143997 and 143998 PROJECT LOCATION: Train DepotlParking Garage 1000 E. Santa Ana Blvd Santa Ana, CA We agree to amend the terms and conditions of the elevator service agreement dated April 7th, 2009 to include the following: Due to the custom design of the piston and packing gland on these two elevators, packing gland repairs andlor piston assembly repairs are excluded from full maintenance coverage. If a piston assembly or packing gland needs repairs, it will be a billable item. This language supercedes coverage on page one of the agreement under section titled "Maintenance Includes: Hydraulic." These changes shall become effective upon acceptance of this proposal. This agreement shall continue through out the term and made part of the original contract. This proposal shall constitute the contract between you, or the party identified below for whom you are authorized to contract (collectively referred to herein as "you"), and us when accepted by you through execution of this proposal by you and approved by our authorized representative. Submitted by: Justin Seibel Accepted in Duplicate: CUSTOMER Approved by Authorized Representative AMTECH ELEVATOR SERVICES Approved by Authorized Representative Date: Date: Signed: X Signed: X Print Name: Print Name: Daniel Buttrev Title: Title: Branch ManaQer Name afCompany: o Principal, O",mer or Authorized Representative of Principal or Owner. o Agent (Name of Principal or Owner) Page I of I ~-aoo~-ll8-00~- ACORD CERTIFICATE OF LIABILITY INSURANCE D ( X2 OY) N yWT67JDG 03/ 2 0 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MARSx usA INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE oNE STATE STREET HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR HARTFORD, CT 06103-3187 ALTERTHE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED AMTECH ELEVATOR SERVICES INSURER A:Hartford Fire Insurance Co 1550 S. SUNKIST ST. , SUITE A INSURER B: ins Co of the State of PA ANAHEIM, CA 92806 INSURER C:Illinois National Ins Co. / ~ / ~ INSURERD:Chartis Casualty Company ! / / / J ^~R~/vlQ'~ ~ INSURER E: New Hampshire Insurance Co COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITWSTANDING 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 BYTHE 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. POLICY EFFECTNE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD DATE MM/DD LIMITS A GENERAL LIABILITY 02CSET10004 04/01/2010 04/01/2011 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $ 300,000 CLAIMS MADE ~ OCCUR $2, 000, 000 general MED EXP (Any one person) $ 10 , 0 0 0 aggregate per PERSONAL&ADVINJURY $ 1,000,000 location/project $10 000 000 olic GENERAL AGGREGATE $ 2,000,000 , , p y GEN'L AGGREGATE LIMIT APPLIES PER: general aggregate PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC A AUTOMOBILE LIABILITY 02CSET10000 (A/0) 04/01/2010 04/01/2011 X ANY AUTO 02CSET10019 (HI) COMBINED SINGLE LIMIT (Ea accident) $ 1, 000, 000 Hartford Underwriters ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS Ins (Per person) $ ,~y HIRED AUTOS ~St$$ V ' RY D ~~ e ny P r d ( $ NON-OWNED AUTOS ~~~~ 1~'~ 1 , e acc e [[ ujO~~d ` ~~^ a ~ PROPERTY DAMAGE D ~Qa3. ~ - (Per accident) $ GARAGE LIABILITY + ^~~. ,'- AUTO ONLY - EA ACCIDENT $ ANY AUTO I Z /~ ~ 'd QD ` r OTHER THAN EA ACC $ I V AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY ~.,t~® EACH OCCURRENCE $ ~• OCCUR ^ CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND ' 02342: NJ-393, CA-397 04/01/2010 04/01/2011 X TORYLI4MITS ER C EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE TX-394, FL-401 E.L. EACH ACCIDENT $ 1,000,000 D OFFICERIMEMBEREXCLUDED? MULTI-396 OR-398 E.L. DISEASE-EA EMPLOYEE $ 1,000,000 E If yes, describe under MN-395, MULTI-399, 400 SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS CT WORKERS COMPENSATION (SIR 2.SMM) EXCESS COVERAGE - NATIONAL UNION FIRE INSURANCE CO - POLICY N0. 0910567 This certificate only applies to City Hall, 20 Civic Center Plaza - Santa Ana Library, 26 Civic Center Plaza, City Hall Annex, 24 Civic enter Plaza - Corporate Yard, 215 S. Center Street - City Hall, 20 Civic Center Plaza (Wheelchair I1~Ft) Santa Ana Zoo, 1801 Chestnut Place. City of Sant~a'~Yta, fficers, employees, agents, volunteers and representatives are additional insured to the extent requilr~ by act. The coverage afforded is primary and non-contributory to the extent required by (continued next a I.tKIIt II.AIt Utf,(,.,., 5•...-' GANGtLLAIIUN •'~ •°°~" SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION (~ _ DATETHEREOF,THE ISSUING INSURER WILL MAIL 30 DAYS WRITTEN NOTICE TO THE N ~- Y CERTIFICATE HOLDER NAMED TO THE LEFT. ,,,~~ - LJJ " ~ City of SantaCAha ~ , .~ 20 Civic Cent~~ P1a~U Santa Ana, CA 92702(„) AUTHORIZED REPRESENTATIVE 6 - '_ T. ~ 4 '' / ~ Page 1 of 2 ( / ~~ ACORD 25 12001/081 n ACORD CORPORATION 1988 Policy Number: 02 CSE T10004 Effective Date: 04/01/2010 Named Insured and Address: UNITED TECHNOLOGIES CORPORATION ONE FINANCIAL PLAZA HARTFORD, CT 06101 Endt. No. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -"OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY INSURANCE POLICY SCHEDULE Name of Person or Organization: CONTRACT NO: DVB-06416 (REVISED) CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES The insurance afforded by this policy for the additional insureds) is primary insurance and any other insurance maintained by or available to the additional insureds) is non-contributory. WHO IS AN INSURED (Section II) 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 work" for that insured by or for you. For the purpose of this endorsement, "you" shall refer to Otis Elevator Company d/b/a Amtech Elevator Services, and "your work" shall mean work performed by or for Otis Elevator Company d/b/a Amtech Elevator Services. Form GT 53 24 13 (ED 01/03) © 2003, The Hartford Page 1 of 1 (Includes copyrighted material of Insurance Services Office with its permission. Copyright, Insurance Services Office, Inc., 2003 )