HomeMy WebLinkAboutCITIES DIGITAL, INC. (2) Docusign Envelope ID: E36C50E3-504C-4300-A6BE-3C22174B2811 A-2023-127-01
ii'JSUikAP�GE ,"11 FILE
MAYOR r°a'11KCLLL' � CITY MANAGER
Valerie Amezcua iJi 71.L i, �U ,; t .:� Alvaro Nunez
MAYOR PRO TEM CITY ATTORNEY
David Penaloza Sonia R.Carvalho
COtJNCILMEMBERS -lTY ;L�F,K
CITY CLERK
Phil Bacerra DA I- I .I ZQ�U
MAY �.._ �'� Jennifer L. Hall
Johnathan Ryan Hernandez "ss
Jessie Lopez
Thai Viet Phan
Benjamin Vazquez CITY OF SANTA ANA
o:nwr�ti?
ty u-o (Dz) PUBLIC WORKS AGENCY
20 Civic Center Plaza I PO Box 1988
Santa Ana,California 92702
www.santa-ana.org
March 23, 2026
Cities Digital, Inc.
Attn: Patrick Welsch
17885 Von Karman Ave., Suite 500
Irvine, CA, 92614
Re: Extension of Agreement No.A-2023-127 to provide Electronic Document
Management System EDMS /LaserFiche Uperade and Migration Services
Pursuant to Section 3 ("Term")of the above-referenced Agreement,entered into by Cities Digital,Inc.,
and the City of Santa Ana,dated July 18,2023,the parties hereby exercise their first one-year extension
to the term of the Agreement through July 17, 2027. Any 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,
>olfoRosas, P.E.
Acting Executive Director,
Public Works Agency
CITY OFASANTA ANA ATTEST °.`
Alvaro Nunez ennifer ll
City Manager lerk
APPROVED AS TO FORM CITIES DIGITAL,INC.
Signed by:
� e Nellesen By:Patrick Welsch
Assistant City Attorney Title:President
SANTA ANA CITY COUNCIL
Valerie Amezcua Oavid Penaloza Thai Viet Phan Benjamin Vazquez Jessie Lopez Phil Bacerra Johnalhan Ryan Hernandez
Mayor Mayor Pro Tern-Ward 6 Ward 1 Ward 2 Ward 3 Ward 4 Ward 5
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A�® CERTIFICATE OF LIABILITY INSURANCE rATE 3125/2D26 )
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or 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: Amanda Suter
Spectrum insurance Group-Hudson PHONE PAx
605 Second St 715-386-6826 Ac No:715-386-1466
Hudson WI 54016 ADDRESS: amanda.suter@spectruminsgroup.com
INSURERS AFFORDING COVERAGE NAIC H
INSURERA:Sentinel Ins Company Ltd. 11000
INSURED CITIDIG-01 INSURER B:The Hartford-Rated by Mutl le CC 914
Cities Digital Inc
2000 O'Neil Rd#D1 INSURER C;
Hudson WI 54016 INSURER D;
INSURER E:
INSURER F
COVERAGES CERTIFICATE NUMBER.464962612 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.
IL R TYPE OF INSURANCE INSD SUBR POLICY NUMBER MMID�fYYYY MMIDDfYY POLICY YY J LIMITS
A X COMMERCIALGENERALLIABILITY Y Y 83SBAIL5702 4/11/2026 4/11/2027 EACH OCCURRENCE $2,000,000
CLAIMS-MADE OCCUR DAMAGE TO RENTED
PREMISES(Eau currence $1,000,D40
MED EXP(Any one person) $10,000
PERSONAL&ADV INJURY $2,000.000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $4,000,000
JECT
POLICY PRO LOC PRODUCTS-COMPIOPAGG $4,000,000
OTHER: $
A AUTOMOBILELABILITY 83SBAILS702 4/11/2026 4111/2027 COMBINED SINGLE LIMIT $2,000,000
Ea accident
IANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
X HIRED X NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
A X UM13RELLALIAB X OCCUR 83SBAIL5702 4/11/2026 4/11/2027 EACH OCCURRENCE $3,000,000
EXCESS LIAB CLAIMS-MADE AGGREGATE S 3,000.000
DIED X I RETENTION$In nnn 5
B WORKERS COMPENSATION Y 83WBGAA3168 4/11/2026 4/11/2027 X STATUTE ERH
AND EMPLOYERS'LIABILITY Y 1 N
ANYPROPRIETORIPARTNEFUEXECUTIVE ❑ E.L.EACH ACCIDENT $1,000,D00
OFFICERIMEMBER EXCLUDED? NIA
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
A Employment Practice 838BAILS702 4/11/2026 4/11/2027 Each Claim 10,000
Liability&3rd Party Llab Aggregate 10,000
Retro Dale:4-11-2014
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
City of Santa Ana,it's City Council,officers,officials,employees,agents and volunteers as required by Written contract,are considered an additional insured
With respect to general liability and Worker'compensation,coverage is primary and noncontributory and includes Waiver of subrogation.30 day notice of
cancellation applies.
APPROVED
CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 11:56 am,Mar 30,2026
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Santa Ana
20 Civic Center Plaza
Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE
O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD